The first isfocusing on standardized protocol management. Strictly implement procedures such as application acceptance, on-site evaluation, and result announcement, and implement standard optimization management throughout the process. formulationlist of materials required for filing and approval14 items span>, clarifying the required application list for 6 medical institutions and 8 for retail pharmacies, shortening the evaluation timeto no more than60 business days. Improve the index system, set basic condition evaluation and comprehensive index score of medical institutions in total32 items, There are a total of 19 items in the basic condition evaluation and comprehensive index score of retail pharmacies. In 2021, there will be a total of 80 new designated medical institutions, and one new designated hospital will accept applications.
Second isFocus on humanized training guidance. Establish and improve the government service system, and promote the improvement of the service quality of designated medical institutions. In 2021, relevant training on medical insurance information business coding standards, contract management of designated medical institutions, etc.27 , coordinate business training and work arrangements, and urge medical institutions to modify erroneous data in a timely manner through dedicated teaching, remote assistance, on-site demonstrations, etc.10000 Remainder.
Third is span>Focus on the support and guarantee of informatization. The medical insurance business is highly integrated with Internet technology and information technology, and actively play the role of “Internet + medical insurance”, Establish a “aging-appropriate” service with medical insurance characteristics, and provide door-to-door services for more than 30 old Chinese medicine practitioners and clinics. To escort the informatization construction, and strive to integrate 1059designated medical institutions in the area into“Internet + medical insurance” as a whole, Improve the medical service quality of medical institutions in our district in an all-round way.
Four is b>Focus on refined assessment guidance. Establish and improve the hospital assessment system, promote the payment assessment according to the value of the patient group under the total control, guide the hospital to standardize the diagnosis and treatment behavior, and better protect the life, health and safety of the people. 2020Among the 33 hospitals that pay according to the patient group value, 24 have a positive difference involving an amount of 5.4963 million yuan, and 9 have a negative difference involving an amount of 730,900 yuan. RMB 289,500 (compensation ratio 40.20%, loss of RMB 430,500 after compensation). In 2021, the assessment of 35 designated hospitals for value-based payment is being carried out in an orderly manner.