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Medical equipment department director: after consumable material big recondition how does the hospital pick equipment disposable use postpartum hemostatic balloon

2019-10-10

Director of medical apparatus division: how does the hospital pick instrument after consumable big remediation

The reform and upgrading of consumables make hospitals the "main battlefield"

A number of policies issued, the industry ushered in great changes

On May 29, the eighth meeting of the commission for deepening overall reform of the CPC central committee deliberated and adopted the reform plan on the management of high-value medical consumables, marking the beginning of a new round of high-value medical consumables reform.

On August 15, chongqing healthcare security bureau issued the notice on the statistics and reports of high-value medical consumables, actively carried out the data collection and information statistics of related consumables, and planned to carry out the procurement of stapler, intraocular lens, dialysis tube and other medical consumables, so as to effectively reduce the medical burden of the people.

On August 27, the food and drug administration issued the "rules of medical device identification system", which clarified the coding rules of medical device sold and used in China, and laid a foundation for the next step of high-value consumable management.

On September 1, the "management measures for medical consumables in medical institutions (trial)" issued by the national health commission and the state administration of traditional Chinese medicine officially went into effect, which clearly requires strengthening the supervision of the clinical use of medical consumables and controlling the unreasonable growth of medical expenses.

Medical institutions at all levels assume the main responsibility in the management of medical consumables, and their initiative will directly affect the effect of the reform. They are the "main battlefield" and "main force" of the implementation of the reform, and play a key role.

In order to fully prepare for consumable reform, the author discusses personal experience of consumable management in combination with the actual consumable management of the center.

Establish consumable selection mechanism and optimize consumable supply structure

视频喉镜

If the medical institutions do not strictly control the introduction of medical consumables, they will cause multifarious product varieties and uneven quality residual, which will bring hidden trouble to the quality of diagnosis and treatment and abuse of clinical departments.

Hospital should strengthen the medical consumables introduction and selection management, medical consumable selection mechanism, establish and improve the use of health technology assessment, from multiple dimensions such as safety, effectiveness and economy to carry out the evaluation of medical consumables, give full play to the consulting and management function, optimize medical consumables supply catalog, strict selection and control the required consumables brands and specifications, the accelerating domestic alternative.

Open consumables pricing link, the full implementation of sunshine procurement

With the gradual establishment of the "sunshine procurement" platform of the military system, and the implementation of such measures as negotiation, alliance centralized procurement, and bulk negotiated procurement, medical institutions at all levels should establish and improve the price management system of medical consumables.

On the basis of the "sunshine purchase" platform for major military consumables, the transaction price of consumables should be regularly inquired, and the price verification and price evaluation of medical consumables should be carried out. If the purchase price is obviously higher than that of hospitals of the same level, dynamic adjustment should be carried out in time to control the inflated price of consumables and reduce the economic burden of the people.

At the same time, it is necessary to make corresponding compensation and response preparation in strict accordance with the specific requirements of "zero addition" of consumables.

Keeping a close eye on the circulation channels of consumables, and implementing the "two-vote system" in time

The implementation of the "two-vote system" has achieved remarkable results in optimizing circulation and reducing transaction costs.In the management of medical consumables, medical institutions should learn from the experience of "two-ticket system", gradually reduce the circulation link, and form a supervision mechanism for the circulation of medical consumables.

Strictly examine the relevant qualifications of consumables production and distribution enterprises, strengthen the examination and verification of purchase and sale bill information, ensure that the "ticket, account and goods" in the purchase and sale of consumables conform to relevant regulations, optimize the purchase and sale order of consumables, and eliminate intermediate redundant links.

In addition, it is also necessary to verify the consistency between the consumables and the registration information, whether the production and use of consumables are in the effective period, whether the specifications, models and intended USES of the consumables are included in the scope registered in the product registration form, implement the standardized management of product acceptance, and promote the traceability management of high and low value consumables.

Establish early warning platform of consumables to promote rational clinical use

Medical institutions at all levels are actively introducing the hospital logistics system and gradually implementing the whole process control of medical consumables.

Are extracted through informationization management, medical consumables used data, considering material usage, use efficiency, using effect, etc., establish a reasonable medical consumables use monitoring indicators, construction of medical consumables, rational use of monitoring and early warning platform will be consumable purchase quality, price and consumption, consumption of data into the scope of public hospital, consciously accept supervision, solve the problem of medical consumables clinical application difficult to regulation, promote consumables standardized, avoid disorderly use, abuse, and so on and so forth, reduce the financial burden on patients.

Establish a representative filing system, create a good purchase and sales environment

Medical equipment representative not standard sales, with the Taiwan or the prescription behavior seriously affects the hospital's diagnosis and treatment work, is not conducive to the construction of hospital industry ethos.

Register put on record system, the medical institution shall establish YiXie represented by medical consumable supplies have been incorporated into the directory of suppliers, honest sales letter should be signed, and the related sales and technical personnel's personal information registration, unified directly, visiting time, place and form, make statistics, actively create a fresh air wind is buying and selling environment.

The management of high-value medical consumables is directly related to the vital interests of the people, which requires the full cooperation of the competent authorities at all levels, and the active participation of medical institutions to straighten out the price system of high-value medical consumables, establish the supervision and management mechanism of the whole process, and purify the market environment and the medical service practice environment.

As used in the enforcement of consumables, medical institutions should be combined with the current situation, from the introduction of selection, price controls, circulation management, rational use of comprehensive ShiCe, promoting high value medical consumables clean-up, the formation of "reliable quality, fast circulation, the price is reasonable, the use of standard" good situation, earnestly safeguard the health rights and interests of the people and strive to achieve reform goals as soon as possible.


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