On May 15, the reporter learned from the Xi’an Municipal Health Commission that starting this month, a one-year private hospital will be launched. Special inspection operations to severely crack down on violations of laws and regulations that disregard and damage people’s health rights and interests.
The scope of this special inspection should achieve full coverage of private hospitals above the second level and private hospitals with more than 50 beds in the jurisdiction. The inspection content mainly includes 15 items in four aspects: institutional setup, standardized practice, operation management, and epidemic prevention and control:
(1) Standard setting of the hospital.
1. Hospital naming.
Inspection methods: on-site inspection, network retrieval, and retrieval of medical institution registration system information.
Inspection objects: practice certificates of hospital medical institutions, hospital websites and signs hanging in hospitals.
Specific items: (1) Whether the name of the hospital complies with the regulations; (2) Whether the logo name and publicity name used by the hospital are consistent with the registered name of the practice certificate. (3) Whether the name of the hospital is consistent with the category registered by the hospital.
2. Hospital diagnosis and treatment subject settings.
Inspection method: On-site inspection and retrieval of medical institution registration system information.
Inspection objects: hospital management departments, internal departments.
Specific items: (1) Whether the actual practice address of the hospital is consistent with the registered address; (2) Whether the actual medical subjects opened by the hospital are consistent with the registered subjects; (3) Whether there are external The situation of renting out the department.
3. Hospital equipment and facilities.
Inspection methods: field inspection, clue tracking.
Inspection objects: hospital management departments, internal departments.
Specific items: (1) Whether the actual number of open beds in the hospital meets the basic standards of corresponding medical institutions; (2) Whether the hospital is equipped with corresponding equipment and facilities in accordance with the basic standards of medical institutions , whether the related equipment can be used normally. (3) Whether the hospital has facilities and equipment such as sewage treatment and fire fighting.
(2) Standard practice of the hospital.
4. Personnel qualifications.
Inspection methods: on-site inspection, data review, retrieval of medical personnel registration system information, and clue tracking.
Inspection objects: hospital management departments, internal departments.
Specific items: Spot check the files of no less than 50 or no less than 50% of the in-service medical staff to check whether the relevant personnel have relevant practicing qualifications, and whether there is a medical staff certificate , personnel information does not match the actual situation, etc.
5. Clinical application of medical technology.
Inspection methods: data review, medical record verification, clue tracking, on-site inspection, network retrieval.
Inspection objects: hospital management departments, internal departments, medical records, management materials, technical catalogs, and charging items.
Specific items: (1) Whether the hospital conducts clinical application of restricted technologies and records as required; (2) Whether the hospital conducts or disguisely conducts clinical application of prohibited technologies; (3) ) Whether the hospital illegally conducts immune cell therapy, stem cell clinical research and treatment; (4) Whether the hospital illegally conducts prenatal screening and diagnosis technology of cell-free DNA in the peripheral fetus of pregnant women, and human assisted reproductive technology; (5) Whether the hospital organizes or participates in the implementation of illegal Egg collection, surrogacy, etc.
6. Medicines and devices.
Inspection methods: field inspection, medical record verification, clue tracking, patient interview, network retrieval.
Inspection objects: hospital internal departments, pharmacies, medical records, charging items, hospital patients.
Specific items: (1) Whether the hospital promotes and sells so-called “health care” related supplies in the name of medical treatment; There are counterfeit and inferior drugs; (3) Whether the use management and safety management of special drugs such as poison, anesthesia, essence, and acetaminophen are in place.
7. Service Behavior.
Inspection methods: medical record verification, clue tracking, patient interviews, on-site inspection, and network retrieval.
Inspection objects: outpatient clinics, medical records, charging items, technical catalogues, and hospital patients.
Specific items: (1) Whether the hospital deceives, induces, or forces patients to receive medical treatment and consumption with false diagnosis and other illegal activities; (2) Whether the hospital has fake medical treatment Documents or bills; (3) Whether the hospital has fictitious medical services, ingenious names, fictitious projects, etc.; (4) Whether the name of the hospital service project is consistent with the actual service; (5) Whether the hospital has excessive diagnosis and treatment, excessive inspection, excessive Medication and other issues(6) Whether the writing of medical records is objective, true, accurate, timely, complete and standardized. (7) Whether there is a hanging bed hospitalization.
(3) The operation and management of the hospital.
8. Institutional construction.
Inspection methods: data review, medical record verification.
Inspection objects: hospital management department, prescription materials, medical records.
Specific items: (1) Does the hospital have a medical quality management and control work system, a medical record quality management system, a medical technology application management system, an antimicrobial drug classification management system, and prescription reviews system; (2) Whether the hospital has a medical technology clinical application management catalog, a surgical grade management catalog, and physician technical files; (3) Whether the hospital conducts statistical analysis and continuous improvement on the medical quality (safety) adverse events and management defects of the institution.
9. Hospital infection management.
Inspection methods: on-site inspection, data review.
Inspection object: hospital management department, related departments or departments.
Specific items: (1) Whether the hospital has established or designated a department in charge of hospital infection management according to regulations; (2) Operating room, hemodialysis room, intensive care unit, freshmen Whether the nosocomial infection prevention and control in key departments such as children’s wards and disinfection supply rooms meet the requirements; (3) Whether the nosocomial infection prevention and control in key links such as cleaning, disinfection, and sterilization of medical devices meets the specifications.
10. Academic affairs are made public.
Inspection method: On-site inspection.
Inspection object: public materials of the academy.
Specific items: (1) Whether the public information of the hospital affairs includes the basic information of the hospital, service information, construction of the industry style, and instructions for patients seeking medical treatment; (2) Drugs and medical materials and whether medical service price information is prominently visible.
11. Internet diagnosis and treatment.
Inspection methods: on-site inspection, network retrieval, data review.
Inspection objects: hospital management department, Internet hospital system.
Specific items: (1) Whether the Internet hospital is connected with the provincial supervision platform where it is located; (2) Whether the third-level and above information security level protection has been implemented; (3) ) Whether real-name authentication has been carried out for the medical staff who carry out Internet diagnosis and treatment activities; (4) Whether the Internet diagnosis and treatment activities are traceable and traceable throughout the process.
12. Publicity.
Inspection methods: field inspection, network retrieval, data review, clue tracking.
Inspection objects: hospital management departments, internal departments, hospital websites (including official accounts, Weibo, APP, etc., the same below).
Specific items: (1) Are the medical advertisements published by the hospital in various media such as newspapers, radios, local TV stations, networks, walls, inkjets, billboards, and leaflets? (2) Whether the publicity content published by the hospital on self-built websites, official accounts and other self-media is in line with the actual situation.
13. Construction style.
Inspection methods: data review, clue tracking, patient interviews.
Inspection objects: hospital management departments, internal departments, and hospital patients.
Specific items: (1) Whether the hospital has established a hospital behavior management system in accordance with the “Nine Guidelines for Medical Institutions and Its Practitioners”; (2) Whether there is any acceptance or request for red envelopes (3) Whether the hospital has established a complaint reception system and handled complaints and disputes in a timely manner.
(4) The normalized prevention and control of COVID-19 in the hospital.
14. Fever clinic settings.
Inspection methods: on-site inspection, data review, employee interviews.
Inspection object: fever clinic.
Specific items: (1) Whether the fever clinic meets the requirements of “three districts and two channels”; (2) Whether the fever clinic has the conditions to independently complete the inspection and testing of fever patients; (3) ) Spot check whether the relevant staff has mastered the treatment process of fever patients.
15. Normalized epidemic prevention and control measures.
Inspection methods include site inspection, data review, staff interviews, and patient interviews.
Inspection objects: fever clinics, outpatient clinics, internal departments, and hospital management departments.
Specific items: (1) Whether the hospital admits fever patients in violation of regulations; (2) Whether the hospital staff use protective equipment as required; (3) Disinfection supplies Whether they are allocated to designated locations as required; (4) Whether there is a clustering phenomenon of patients seeking medical treatment; (5) Whether inpatients are hospitalized with a negative nucleic acid test certificate; (6) Whether the escorts are relatively fixed, carry out nucleic acid screening, and do not enter and leave the ward at will (7) Whether the hospital staff carry out regular nucleic acid testing and daily health monitoring, etc.; (8) Whether the hospital consultation room and ward have windows for ventilation or a fresh air system, and whether a buffer ward is set up; (9) Whether the hospital is focused on the discovery of new coronary pneumonia cases , report, hospital infection prevention and control, personal protection of medical staff and other processes to conduct training and drills for all staff.
Contact: Chen Liyang, Medical Affairs and Medical Management Office, Municipal Health Commission 029-86787680 p>
Shi Liqing 029-86781645, Comprehensive Supervision Bureau, Municipal Health Commission 029-86781645
Gao Ning, Municipal Health Commission, Municipal Administration of Traditional Chinese Medicine 029-86787709
Telephone call for leads: 029-86787680, 86787681
Email for lead solicitation: [email protected]
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Source: Xi’an Municipal Health CommissionEditor: Jiang XiaoyuReview: Xu Jiao Wu FangFinal trial: Wang LiangEveryone is watching
Police Notice: These people go to the Public Security Bureau to cooperate with the investigation!
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