The Measures for the Administration of Mutual Recognition of Inspection and Inspection Results of Medical Institutions were issued

Interpretation of the Notice on Printing and Distributing the Measures for the Management of Mutual Recognition of Inspection and Inspection Results of Medical Institutions

Inspection and inspection is an important part of medical services, and realizing mutual recognition of examination and test results between different medical institutions is conducive to improving the utilization rate of medical resources, reducing medical costs, improving the efficiency of diagnosis and treatment, and further improving the people's medical experience. In order to do a good job in relevant work, the National Health Commission, the State Medical Insurance Bureau, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the Central Military Commission jointly issued the "Administrative Measures for mutual recognition of Inspection and Inspection Results of Medical Institutions" (hereinafter referred to as the "Management Measures").

The "Administrative Measures" are divided into 7 chapters and 39 articles, which clarify the requirements for mutual recognition of medical institutions' inspection and inspection results from the aspects of organizational management, mutual recognition rules, quality control, support guarantee, supervision and management. The "Administrative Measures" divides the responsibilities of relevant departments, and clearly states that medical institutions should carry out mutual recognition of inspection and inspection results in accordance with the principle of "taking quality and safety as the bottom line, quality control as the premise, reducing the burden on patients as the orientation, meeting the needs of diagnosis and treatment as the fundamental, and taking the judgment of the receiving physician as the standard". At the same time, it clarifies the basic requirements for carrying out mutual recognition work, puts forward the specific situation that can be re-examined, and requires medical personnel to strengthen doctor-patient communication, and if the inspection and inspection items are not mutually recognized, they should do a good job of explanation, and fully inform the purpose and necessity of the re-examination.

Notice on Printing and Distributing measures for the Management of Mutual Recognition of Inspection and Inspection Results of Medical Institutions

Guo Wei Yi Fa [2022] No. 6

The health commissions, traditional Chinese medicine bureaus, and medical insurance bureaus of all provinces, autonomous regions, and municipalities directly under the Central Government, the health commissions and medical insurance bureaus of the Xinjiang Production and Construction Corps, and the relevant units of the military:

In order to further improve the utilization rate of medical resources, reduce the burden of medical treatment on the people, and ensure the quality and safety of medical treatment, we have formulated the "Management Measures for mutual recognition of Inspection and Inspection Results of Medical Institutions", which is hereby issued to you.

National Health Commission

National Health Insurance Agency

State Administration of Traditional Chinese Medicine

Health Bureau of the Logistics Support Department of the Central Military Commission

February 14, 2022

Measures for the Management of Mutual Recognition of Inspection and Inspection Results of Medical Institutions

Chapter I General Provisions

Article 1 These Measures are formulated in accordance with the "Law of the People's Republic of China on Basic Medical Care and Health Promotion", the "Law of the People's Republic of China on Physicians", the "Regulations on the Administration of Medical Institutions", the "Regulations on the Supervision and Administration of the Use of Medical Security Funds", the "Measures for the Management of Medical Quality", the "Measures for the Management of Clinical Laboratories in Medical Institutions" and other relevant laws and regulations in order to further improve the utilization rate of medical resources, reduce the burden of medical treatment on the people, and ensure the quality and safety of medical treatment.

Article 2: "Examination results" as used in these Measures refers to the images or data information obtained by examining the human body by means of ultrasound, X-ray, nuclear magnetic resonance imaging, electrophysiology, nuclear medicine, etc.; the so-called test results refer to the data and information obtained by conducting biological, microbiology, immunology, chemistry, blood immunology, hematology, biophysics, cytology, and other tests on materials from the human body. The results of the examination do not include the diagnosis concluded by the doctor.

Article 3: These Measures apply to all types of medical institutions at all levels.

Article 4 Medical institutions shall carry out mutual recognition of inspection results in accordance with the principle of "taking quality and safety as the bottom line, quality control as the premise, reducing the burden on patients as the orientation, meeting the needs of diagnosis and treatment as the fundamental, and taking the judgment of the receiving physician as the standard".

Chapter II: Organizational Management

Article 5 The National Health Commission shall be responsible for the management of mutual recognition of inspection and inspection results of medical institutions nationwide. Within the scope of its duties, the National Medical Insurance Bureau shall promote the work of mutual recognition and support for the inspection and inspection results of medical institutions nationwide. Local health administrative departments are responsible for the management of mutual recognition of inspection and inspection results of medical institutions within their respective administrative regions. The competent departments for medical security in all localities shall, within the scope of their duties, promote the work of mutual recognition and support for the inspection and inspection results of medical institutions within their respective administrative regions. The State Administration of Traditional Chinese Medicine and the competent department of military health are respectively responsible for the management of mutual recognition of the inspection and inspection results of traditional Chinese medicine and military medical institutions within the scope of their duties.

Article 6: All local health administrative departments shall strengthen the organization and management of medical institutions within their jurisdiction, guide medical establishments and their medical personnel to standardize the work of mutual recognition of inspection and inspection results, strengthen the construction of regional platforms in accordance with the requirements of the functional guidelines for the construction of the national health information platform, and promote the mutual sharing of inspection and inspection results of medical institutions in their jurisdictions.

Article 7 The medical quality control organizations at all levels and in each specialty (hereinafter referred to as the quality control organizations) established or designated by the local health administrative departments in accordance with the "Measures for the Management of Medical Quality" shall, under the guidance of the health administrative departments at the same level, formulate and improve the quality evaluation indicators and quality management requirements for inspection and inspection projects at the same level. Quality control organizations at all levels shall strengthen the quality management of inspection and inspection projects in their respective regions, regularly standardize the quality evaluation work, and promote medical institutions in their respective regions to improve the quality of inspection and inspection.

Article 8 Medical institutions shall, in accordance with the standards and normative requirements of hospital informatization construction, strengthen the construction of hospital information platforms with electronic medical records as the core. Establish and improve the mutual recognition work management system within the institution, strengthen personnel training, standardize work processes, and provide necessary equipment, facilities and safeguard measures for relevant medical personnel to carry out mutual recognition work.

Article 9 The hospital leading the medical association shall promote the interconnection and interconnection of data and information within the medical association, strengthen the quality control of inspection and inspection, improve the homogenization level of inspection and inspection, and realize mutual recognition and sharing of inspection and inspection results.

Article 10: Medical personnel shall abide by industry norms, abide by medical ethics, make reasonable diagnosis and treatment, strive to improve professional standards and service quality, and fully recognize the results of examinations and inspections that meet the requirements.

Chapter III: Rules of Mutual Recognition

Article 11 The inspection and inspection items to be carried out for mutual recognition shall have good stability and uniform technical standards to facilitate quality evaluation.

Article 12 Meet the national quality evaluation indicators and participate in the inspection and inspection projects that pass the national quality evaluation, and the scope of mutual recognition is nationwide. Meet the local quality evaluation indicators, and participate in the local quality control organization quality evaluation qualified inspection and inspection projects, mutual recognition of the scope of the quality control organization corresponding to the region. Where different regions sign agreements to jointly carry out mutual recognition of inspection and inspection, the relevant regional health administrative departments shall jointly establish or designate quality control organizations to carry out relevant work. Participate in the relevant quality evaluation and pass, the scope of mutual recognition is the agreement area.

Article 13 The signs of mutual recognition of inspection and inspection results of medical institutions shall be unified as HR. Where inspection and inspection items participate in the quality assessment carried out by quality control organizations at all levels and are qualified, medical institutions shall mark their corresponding mutual recognition scope + mutual recognition logo. Such as: "National HR", "Beijing-Tianjin-Hebei HR", "Beijing Xicheng District HR" and so on. Inspection and inspection items that do not participate in the quality evaluation as required or fail the quality evaluation shall not be marked.

Article 14: Provincial-level health administrative departments shall guide medical institutions under their jurisdiction to unify the form of inspection and inspection results reports, and shall indicate the testing methods used and reference intervals for inspection results. Encourage medical institutions to issue the inspection results of mutual recognition within the same area in a report sheet, and uniformly mark the corresponding mutual recognition area scope and mutual recognition logo on the report sheet.

Article 15: All local health administrative departments shall guide quality control organizations at the same level to periodically sort out the list of mutual recognition projects of medical institutions in their jurisdictions, and strengthen publicity and disclosure in accordance with relevant provisions, so as to facilitate inquiries and understanding by medical institutions and the public.

Article 16: Medical establishments and their medical personnel shall, on the premise of not affecting the diagnosis and treatment of diseases, give mutual recognition of the results of examinations and tests that have the national or regional mutual recognition marks of the institutions. Encourage medical staff to combine clinical practice and mutually recognize the results of other examinations and tests without affecting the diagnosis and treatment of diseases.

Article 17: Where the existing examination and test results provided by patients meet the conditions for mutual recognition and meet the needs of diagnosis and treatment, medical institutions and their medical personnel must not repeat the examination and test.

Article 18: Medical personnel shall issue examination and examination doctor's orders based on the patient's condition. For inspection and inspection items that meet the conditions for mutual recognition, the relevant fees shall not be charged again in the form of packaging with other projects.

Article 19: In the following circumstances, medical establishments and their medical personnel may conduct a new examination of relevant items:

(1) Due to changes in the condition, the examination and test results are inconsistent with the patient's clinical manifestations and disease diagnosis, and it is difficult to meet the needs of clinical diagnosis and treatment;

(2) Where the inspection results change rapidly in the course of disease development and evolution;

(3) Examination and test items of great significance to the diagnosis and treatment of diseases (such as before surgery, blood transfusion and other major medical measures);

(4) The patient is in a state of emergency such as emergency or emergency;

(5) Where evaluations involving judicial, disability, or illness retirement are involved;

(6) Other circumstances truly require review.

Article 20: Medical establishments with the capacity may open examination and examination clinics, and medical imaging and radiation therapy majors or medical examination and pathology professional practitioners shall make outpatient visits, and independently provide disease diagnosis and reporting services.

Article 21: Medical establishments and their medical personnel shall strengthen doctor-patient communication, and where inspection and inspection items are not mutually recognized, they shall do a good job of explaining and fully informing them of the purpose and necessity of re-examinations.

Chapter IV Quality Control

Article 22 The instruments and equipment, reagent consumables, etc. used by medical institutions to carry out inspections and inspections shall comply with the relevant requirements, and the instruments and equipment shall be verified, tested, calibrated, and stabilized and maintained in accordance with regulations.

Article 23: Medical institutions shall strengthen the quality management of inspection and inspection departments, establish and improve the quality management system, and make the quality management situation an important indicator of the comprehensive target assessment of the department heads.

Article 24: Medical institutions shall standardize the implementation of indoor quality control, and in accordance with relevant requirements, promptly and accurately report relevant quality and safety information such as the indoor quality control situation of the institution to the administrative department of health and health or the quality control organization.

Article 25 Medical establishments shall participate in the quality assessment carried out by quality control organizations in accordance with relevant provisions. The frequency of participating in the corresponding quality evaluation of inspection and inspection items marked with mutual recognition marks shall not be less than once every six months.

Article 26: Local health administrative departments and their entrusted quality control organizations shall, in accordance with relevant provisions, periodically conduct spot checks on the quality of inspections and inspections of medical institutions under their jurisdiction. Spot checks shall be organized and carried out in the form of "double random and one open".

Chapter V: Support guarantees

Article 27: All local health administrative departments shall strengthen the capacity building of inspections and inspections in their jurisdictions, periodically organizing and carrying out personnel training, on-site inspections, results monitoring, and other such work.

Article 28

(1) If the results of the examination and examination can meet the needs of diagnosis and treatment, the medical institution shall charge the corresponding consultation fee according to the outpatient (emergency) diagnosis and examination, and there is no additional charge.

(2) Where the inspection results meet the requirements for mutual recognition, but the joint participation of the corresponding inspection and inspection departments is required to complete the mutual recognition of the inspection results, the in-hospital consultation fee may be added with reference to the price policy implemented by the hospital on the basis of the collection of the consultation fee.

(3) Where the inspection results meet the conditions for mutual recognition, but fall under the circumstances provided for in Article 19 of these Measures, and cannot play an auxiliary diagnostic role, and it is truly necessary to re-examine, the actual medical service fees incurred are charged.

Article 29: Medical security departments at all levels shall actively promote the reform of payment methods, guide medical establishments to actively control costs, strengthen longitudinal analysis and horizontal comparison of medical service behavior, and strengthen mechanisms for evaluating and evaluating the performance of medical insurance funds. At the same time, the total budget of the medical insurance fund is reasonably determined, and the total budget of the regional total budget and the total budget of a single medical institution is not reduced due to the mutual recognition of inspection and inspection results.

Article 30: Medical establishments with the capacity may include the situation of medical personnel carrying out mutual recognition of inspection and inspection results in that institution's performance distribution appraisal mechanism.

Article 31: Medical security agencies at all levels are encouraged to take the mutual recognition of inspection and inspection results carried out by medical institutions as the assessment criteria for designated medical insurance institutions.

Chapter VI: Supervision and Management

Article 32: Local health administrative departments have the right to supervise and inspect the mutual recognition work carried out by medical institutions within their jurisdiction through methods such as consultation and records, and medical institutions must not refuse, obstruct or conceal relevant circumstances.

Article 33: All local health administrative departments shall periodically carry out work assessments, and pursue relevant responsibilities for medical establishments and their medical personnel who violate relevant provisions in accordance with laws and regulations.

Article 34: All local health administrative departments shall make full use of informatization means to conduct real-time monitoring of the mutual recognition of medical institutions' inspection and inspection results and data sharing, and put forward improvement requirements for medical institutions with prominent problems.

Article 35: Where disputes arise due to mutual recognition of inspection and inspection results, each responsible entity bears corresponding responsibility in accordance with laws and regulations.

Article 36: Where the results of forgery, alteration, concealment, or alteration of inspections and inspections cause negative consequences, the violating entity bears corresponding responsibility in accordance with laws and regulations.

Chapter VII Supplementary Provisions

Article 37 The National Health Commission and the State Medical Insurance Bureau shall be responsible for the interpretation of these Measures.

Article 38: Each provincial-level health administrative department shall, on the basis of these Measures, formulate specific implementation plans in light of actual local conditions. Encourage areas with the capacity to jointly formulate implementation plans and promote cross-provincial mutual recognition of inspection and inspection results.

Article 39: These Measures take effect on March 1, 2022.