County Joint Treatment Office:
In order to promote our hospital's "rational examination, combined treatment and rational drug use", effectively reduce medical expenses and safeguard the rights and interests of the majority of participating farmers, according to the spirit and requirements of the document of Ninghe Treatment Office and the research of the hospital Committee, our hospital carried out the "three reasonableness" self-examination and self-correction activities. The self-inspection and rectification situation is now reported as follows:
First, the basic situation of work.
1, adhere to the principle of patient-centered service, strictly implement admission standards, and conduct reasonable examination and treatment according to the existing medical conditions and technical capabilities of our hospital.
2. Establish and improve the rules and regulations of the new rural cooperative medical system, strictly implement the fixed payment standard for single diseases, and timely standardize the reimbursement for non-single diseases.
3. Actively implement the publicity of the new rural cooperative medical policy, update the payment standard for single disease of the new rural cooperative medical system, and timely announce the hospitalization compensation and outpatient co-ordination. There are new rural cooperative medical care flow chart, report box and report phone.
4. After confirming the identity of the participating farmers, use the special prescription of the new rural cooperative medical system and carefully fill in the "New Rural Cooperative Medical System Certificate" and outpatient registration, strictly control the prescription, and there is no over-standard fee, and personally sign and fingerprint the compensation account book to prevent fraudulent funds.
5. Fake drugs, expired drugs and inferior drugs are strictly prohibited. All drugs are distributed through "three unifications" and sold with zero difference rate.
Second, highlight the problem.
(1) Problems existing in the operation of the new rural cooperative medical system in our hospital.
1, irrational drug use behavior. The main manifestations are that the use of antibiotics violates the principle and the preventive use time is too long.
2, the "one-on-one" propaganda of the bedside is not in place. The main reason is that some patients do not fully understand the new rural cooperative medical system policy after receiving education when they are admitted to the hospital, and they have not been repeatedly educated in their daily work.
3. Hospitalized patients' satisfaction with the hospital needs to be further improved.
(2) The problems existing in the village clinic of the new rural cooperative medical system.
1, the propaganda of combination therapy policy is not in place.
2. Prescription writing is not standardized, mainly due to incomplete items, excessive prescription value and irregular prescription writing format.
3. Prescription decomposition exists in some village clinics, and the reimbursement time sequence of combined therapy is not standardized.
4. Irrational drug use. The main manifestations are that the use of antibiotics violates the principle, the dose exceeds the standard and the use time is too long.
5. In some village clinics, there is a phenomenon of temporary patients' combined treatment certificate, and the patient identity audit is not strictly carried out as required.
6. Some patients' reimbursement signatures are not standardized.
7. The publicity of individual village clinics is incomplete, mainly because outpatient reimbursement is not publicized.
8. The service attitude of some village clinics needs to be improved.
Third, rectification measures.
1, strictly implement the new rural cooperative medical system policy, insist on training all staff on the knowledge of "Three Rationalities", constantly enhance the policy concept and the consciousness of implementing the cooperative medical system policy, and it is strictly forbidden to resort to deceit.
2, strengthen the publicity of the new rural cooperative medical system and policy, and effectively implement the "one-on-one" publicity work for inpatients. It is necessary to make use of village-level meetings and various folk gatherings to increase the publicity of the core policy of cooperative medical care and the outpatient reimbursement policy.
3. Strengthen medical ethics education, improve service attitude, improve service quality and improve patient satisfaction.
4, to carry out training in the use of antibiotics and prescription writing, rational use of antibiotics, in-depth development of "three reasonable" inspection activities. Standardize prescription writing. It is necessary to take "reasonable examination, reasonable treatment and rational drug use" as a long-term work, which runs through all the work of combined treatment. We will conduct self-examination and self-correction on unreasonable treatments such as over-examination, repeated examination and insufficient examination, unreasonable use of antibiotics, clinical medication, medication after discharge, and irregular drug management, as well as problems such as over-service, inadequate service and improper treatment, and strictly control the unreasonable increase in medical expenses.
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