" the sunshine is controlled " Let the hospital walk

" the sunshine is controlled " Let the hospital walk
Carry on risk analysis to behavior of making a diagnosis, the buying and selling of medicines, bidding and purchasing, etc., utilize functions such as automatic screening, arranging in an order, automatic announcement automatically of information technology, etc., control key and risk to click, let every power of the hospital be operated under the sunshine in real time. A power of hospital with trade characteristic runs and controls the mechanism, one year in the pilot project of the chest hospital of Hebei later, the department of public health of Hebei plans to popularize to 100 public hospitals in the whole pro vince at present.
Chief of Hebei department of public health Yang Xin builds and says, comment the control of respects such as engaging, scientific research and worker's rights and interests,etc. and restrict to great item decision, capital construction, centralized purchasing, personnel management, financial administration, professional title of public hospital, follow the medical law, proceed from reality of clinic diagnosis, innovate the mechanism, standardize management.
Control the course of running of power in the whole journey
Last April, the chest hospital of Hebei is confirmed as the lineal interconnected system power of drawing room to run and control the unit of polit construction project of the mechanism by the department of public h ealth of Hebei. " The hospital successively held thematic meeting, 2 the whole institute's TUCs 6 times, belonged to and carried on the free discussion with the risk to the power inside the hospital. " This Li DengRui, president of institute, says, power can be divided into administrative characteristic power and trade characteristic power two big class inside the hospital. Nearly 30 items such as the former including decision, capital construction, personnel, financial affairs, purchasing, the latter including clinic diagnosis, using medicine and charging 3 items. After risk analysis, utilize " monitoring system of running of the power of sunshine hospital " ,Control the key power among them in the whole course.
The reporter notices, this set of monitoring systems include 6 subsystems, besides investigation system of satisfaction, other 5 are: The real-time monitoring system of clinical application, use medicine to the doctor the situation is implemented all-roundly and controlled, in order to standardize doctor's job behavior; The intersection of medical treatment and monitoring system of charging, expenses, large volume measures such as expense,etc. standardize the charging act in hospital in hospital through control service price, addition rate, average daily; Monitoring system of the personnel, on the basis of carrying out the national personnel policy, disclose choice and appointment of cadres, recruitment employing, professional title and evaluate such jobs as engaging, internal post is allocated; Purchase monitoring system, information such as all kinds of economic activities of more than 50,000 yuan of hospital, bidding project, bid unit, bid winner, biding price are in Intranet's announcement in time; The monitoring system of capital construction, the project is constructed and implemented " ten is disclosed " The system, the online announcement inclusive of each project.
Take monitoring system of clinical application as examples, control, include antibacterial the intersection of medicine and consumption, basic the intersection of medicine and consumption, the intersection of prescription and amount of money and use medicine variety, the intersection of stage and the intersection of administration and quantity, amount of money and medicine take than,etc. especially. Control of antibacterial medicine consumption, basic medicine consumption and amount of money of prescription, arrange in an order and finish automatically through the computer, the amount of money reveals absolutely clearly on Intranet for every prescription, using medicine of the doctor's. If drug use violates the relevant regulation, this system will reject out automatically. For example single pieces of the intersection of prescription and amount of money exceed 5 variety in 200 more than, administration, medical matters will go on and address inquires to or punish to the party.
It is the important content controlled in clinical application too to implement the prescription and comment on the system. Supervise, try and punish in institute this, the intersection of reporter and the intersection of log-in and system in the name of the workers of this institute, consult one prescription comment on report at random. The report reveals, in July of this year, this institute spots check 120 clinic prescriptions together, among them, it is 30 respectively to spot test with a focus on prescriptions of the doctors of the top three of t he consumption of clinic medicines. Approve prescription, find, rank first some doctor quantity loud with use immunity strengthen pharmaceutical, more have something to do while being clinical administration have, medical matters office propose this doctor lighten its financial burden according to patient's condit ion in the future.
" All these, the workers of the whole institute can all see on Intranet. " This institute supervises and tries and punishes division chief Xu Ling and says, economy is punished or less important, can't " go over either on face, everybody expert, who turn on loud prescription to be very clear, contain the behavior of writing a prescription arbitrarily to a certain extent. " The monitoring system is run for half a year, the amount of money of administration of a prescription of the clinic form of the hospital is reduced by 5.1 percentage points, the rate of utilization of antibacterial medicine is reduced by 7 percentage points, the rate of utilization of injectable preparation is reduced by 2.6 percentage points, unreasonable to use medicine the prescription is obviously reduced. According to controlling the situation, this institute successively surveyed 19 kinds of medicines, a kind of medical consumptive material, order 5 kinds of medicines, a kind of consumptive material to stop supplying, 14 kinds of medicines reduction are 10%- 20%.

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