Health Commissions and Bureaus of Traditional Chinese Medicine of all provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Production and Construction Corps:
In order to further promote the development of the integration of medical care and elderly care and continue to improve the quality of service of the integration of medical and elderly care, the National Health Commission and the State Administration of Traditional Chinese Medicine decided to organize and carry out the action of improving the service quality of medical and elderly care institutions. The relevant matters are hereby notified as follows:
1. General requirements
Thoroughly implement the decisions and arrangements of the Party Central Committee and the State Council on the integration of medical care and elderly care, adhere to the needs of the elderly, take the improvement of the quality of medical and elderly care services as the starting point and end point of work, and strive to solve the outstanding problems affecting the quality of medical and health services in medical and elderly care institutions in accordance with the division of responsibilities, provide safe, standardized, and high-quality medical and health services for the elderly, and effectively improve the sense of gain and satisfaction of the elderly.
Second, the main objectives
By the end of 2021, the relevant systems, standards and norms for the integration of medical and elderly care services will be initially established, the medical and health service capacity of the integrated medical and elderly care institutions will continue to improve, and the quality of medical and health services will be improved.
By the end of 2022, the service quality standards and evaluation system for the integration of medical and elderly care services will be basically established, and the medical and health service capacity and service quality of the integrated medical and elderly care institutions will be significantly improved.
III. Priority Contents
(1) Comprehensively carry out inspections of the quality of medical and health services in institutions integrating medical care and elderly care. Comprehensively carry out inspections of the quality of medical and health services in all types of medical and elderly care institutions nationwide, find problems and deficiencies, clarify the direction and content of rectification, and promote the improvement of medical and health service quality in medical and elderly care institutions.
(2) Standardize the development of internal medical and health services in institutions integrating medical care and elderly care. Promote the integration of medical and elderly care institutions to strictly implement all laws, regulations, normative documents and standards related to medical management, implement the core system of medical quality and safety management, allocate departments, personnel, facilities and equipment according to relevant requirements, and standardize the development of medical and health services in medical and elderly care institutions.
(3) Implement and improve the relevant systems and standards for the service and management of medical and elderly care institutions. Strengthen service management in accordance with relevant guidelines such as the "Service Guidelines for Integrated Medical and Elderly Care Institutions (Trial)" and the "Guidelines for the Management of Integrated Medical and Elderly Care Institutions (Trial)". Encourage all localities to improve the management system and standards for services related to the integration of medical care and elderly care in light of actual conditions.
(4) Strengthen the construction of a talent team for the integration of medical care and elderly care. Strengthen the capacity building of management personnel, medical and health professional and technical personnel, nursing staff and other personnel of medical and elderly care institutions, and increase training and training. Encourage medical staff to practice in medical and elderly care institutions to promote the orderly flow of talents. Implement the national training program for the ability improvement of talents in the integration of medical and elderly care, and provide continuing education for the management and service personnel of the integrated medical and elderly care institutions.
(5) Strengthen the informatization construction of medical and elderly care institutions. Strengthen the support of information technology, improve the national management information system for the integration of medical care and elderly care, and continue to carry out the monitoring of the integration of medical and elderly care. Expand the national pilot project of remote collaborative services for the integration of medical care and elderly care for the elderly, so that the elderly can receive remote diagnosis and treatment guidance, online follow-up and other services in the integration of medical and elderly care institutions.
(6) Strengthen the normalization of epidemic prevention and control and the prevention and control of infectious diseases in institutions integrating medical care and elderly care. Strengthen the normalization of epidemic prevention and control of the new crown pneumonia in medical and elderly care institutions, strictly implement the relevant arrangements and work specifications and guidelines for epidemic prevention and control, clarify the division of labor, consolidate responsibilities, and earnestly implement various measures for epidemic prevention and control. Strengthen infection management and prevention and control of infectious diseases in institutions integrating medical care and elderly care, and eliminate the risk of cross-infection in institutions.
Fourth, the organization of work
The action to improve the service quality of medical and elderly care institutions has been implemented since 2020 for a period of three years, and the work is carried out every year in accordance with the procedures of "comprehensive self-inspection, rectification and verification, summary and improvement".
(1) Comprehensive self-examination. The provincial health commissions and the Bureau of Traditional Chinese Medicine took the lead in formulating action plans and clarifying work requirements. According to the action plan, all municipalities, together with the county-level health administrative departments under their jurisdiction, organize all medical and elderly care institutions within their jurisdiction to seriously carry out self-inspection.
(2) Rectification and verification. All medical and elderly care institutions should combine the self-inspection situation, seriously rectify the problems found, and immediately rectify those that can be rectified immediately, and those that cannot be rectified immediately should clarify the rectification plan and time limit. Each institution of integrated medical care and elderly care shall fill in the "Self-inspection and Rectification Form for Service Quality of Integrated Medical and Elderly Care Institutions" (see Annex 1), and report the self-inspection and rectification to the local county-level health administrative department. The municipal health administrative department shall, on the basis of the institution's self-examination and rectification, guide the county-level health administrative department under its jurisdiction to verify the medical and elderly care institutions, and classify and guide the problems found, and supervise and rectify them. Institutions that violate laws and disciplines are to be dealt with in accordance with law, discipline and regulations.
(3) Summarize and improve. The provincial health commissions and the bureau of traditional Chinese medicine should carry out random spot checks in a timely manner, comprehensively summarize the implementation of the action, form a summary report for the region, and fill in the "Summary Table of Service Quality Improvement Actions for Medical and Elderly Care Institutions" (see Annex 2), and submit it to the National Health Commission before the end of October each year. The National Health Commission will organize experts to carry out random inspections and assessments, and the content of random inspections and evaluations will be focused on every year.
Fifth, the work requirements
(1) Attach great importance to and organize conscientiously. Health administrative departments at all levels and departments in charge of traditional Chinese medicine should attach great importance to the action of improving the service quality of medical and elderly care institutions as an annual key task, strengthen work guarantees, implement various tasks, and ensure that practical results are achieved. The management of medical and health service quality in medical and elderly care institutions will be included in the scope of the medical quality management system, and strictly implemented in accordance with relevant rules and norms to ensure the quality and safety of medical and health services.
(2) Comprehensive investigation, rectification and improvement. The county-level health administrative departments should check the medical and elderly care institutions in their respective regions one by one, establish a ledger for the problems found, and supervise and urge rectification. In the work of self-examination and rectification, we should persist in seeking truth from facts, and it is strictly forbidden to engage in deception. It is necessary to study and solve the common problems discovered in the self-examination in a unified manner. In consideration of the impact of the new crown pneumonia epidemic, all provincial health commissions are requested to submit this year's summary report and summary table to the National Health Commission before February 3, 2021.
(3) Consolidate achievements and publicize and promote. Health administrative departments at all levels should conscientiously summarize the good experiences and good practices found in the action, and increase publicity and promotion, and the relevant situation should be reported to the National Health Commission in a timely manner.
Contact person of the Department of Aging and Health of the National Health Commission: Wang Hongqi, Cao Qun
Contact number: 010-62030764, 62030676
E-mail: [email protected]
Contact person of the Department of Medical Administration of the State Administration of Traditional Chinese Medicine: Ke Xiaoxia, Xue Jingyi
Contact number: 010-59957767, 59957815
E-mail: [email protected]
Attachments:1. Self-inspection and rectification form of service quality of medical and elderly care institutions
2. Summary table of actions to improve the service quality of medical and elderly care institutions
General Office of the National Health Commission and Office of the State Administration of Traditional Chinese Medicine
December 3, 2020
(Form of information disclosure: voluntary disclosure)
Annex 1
Self-inspection and rectification form of service quality of medical and elderly care institutions
______Province (autonomous region, city) ______ city (district) _____ county (city, district)
Reporting Unit (Signature) :__________________
Form Prepared by: __________
Contact number: ___________
Date of filing: ________________________________________________
| Basic situation of medical and elderly care institutions | |||
| Name of Institution: | |||
| Number of Medical Beds: Number of Family Beds: | Number of Medical Beds in the Previous Year: Number of Family Beds: | ||
| The basic situation of medical and health institutions in the institutions of integrated medical care and elderly care | |||
| Type of Medical Institution: | □ General Hospitals□ Specialized Hospitals (including Rehabilitation Hospitals), □ Nursing Homes, □ Traditional Chinese Medicine Hospitals, □ primary medical and health institutions □ Other (please specify): ________ | ||
| Types of Medical Institution Registration: | □ public institutions □ non-public institutions | ||
| Level of Medical Institution: | □ tertiary hospitals□ secondary hospitals, □ primary hospitals, □ not classified | ||
| Inclusion in medical insurance: | □ included □ not included | ||
| The basic situation of elderly care institutions in medical and elderly care institutions | |||
| Categories of Elderly Care Institutions: | □ Nursing Home (Nursing Home) □ Day Care Center (including Nursing Station, etc.) | ||
| Pension institutions operate in the following ways: | □ public office □ public private □ private □ others (please specify)________ | ||
| serial number | Self-check the contents | Self-examination | Rectification of the situation |
| 1. Implement the basic requirements for institutions integrating medical care and elderly care | |||
| 1 | Medical institutions have the corresponding qualifications. | ||
| 2 | The setting of departments, staffing, facilities and equipment, and drugs of medical institutions shall meet the basic standards of various medical institutions accordingly according to the type of medical institutions. | ||
| 3 | Health professional and technical personnel shall be equipped in accordance with the provisions and needs, have the corresponding practice qualifications, and practice within the scope of practice. | ||
| 4 | The architectural design meets the requirements of the Basic Standards for Medical Institutions and the Architectural Design Standards for Care Facilities for the Elderly. Carry out age-appropriate transformation, and the relevant facilities and equipment meet the requirements for ageing. | ||
| 2. Implement relevant systems for the service and management of medical and elderly care institutions | |||
| 5 | Medical and health services strictly implement relevant laws and regulations, normative documents and mandatory standards, implement various core systems for medical quality and safety management, and formulate appropriate personnel management, service standards and management norms to ensure medical and health safety. | ||
| 6 | In accordance with the "Measures for the Management of Hospital Infection" and the requirements of the industry standards for hospital infection control, strengthen the prevention and control of hospital infection. The development of TCM medical technology is in line with the requirements of the Guidelines for the Prevention and Control of Infections Associated with TCM Medical Technology (Trial). Set up a special person to be responsible for nosocomial infection control and implement various measures for the prevention and control of nosocomial infection. | ||
| 7 | The purchase, storage, dispensing and application of drugs comply with the provisions of the Drug Administration Law of the People's Republic of China. | ||
| 8 | Establish a sound operating procedures and maintenance system for medical instruments and equipment, and use them in strict accordance with the operating procedures, regular maintenance, self-inspection and make records. | ||
| 9 | Establish a corresponding safety management system and risk prevention system to prevent potential safety hazards. Establish an emergency plan for emergency handling, and have a clear prevention system and measures for falls, falling beds, choking, aspiration, scalding, food poisoning and other incidents, as well as emergency handling procedures and reporting systems. | ||
| 10 | In accordance with national and industry standards, in line with the relevant requirements of the fire department, equipped with fire-fighting facilities and equipment, the implementation of daily fire safety management requirements, regular safety production inspections, no major fire hazards. | ||
| 3. Standardize the provision of services related to the integration of medical care and elderly care | |||
| 11 | According to the "Service Guidelines for Integrated Medical and Elderly Care Institutions (Trial)", formulate specific service processes and establish a medical and elderly care linkage mechanism. | ||
| 12 | Regularly hold health knowledge lectures for the elderly to popularize health science knowledge for the elderly. Provide psychological and spiritual support services for the elderly, such as environmental adaptation, emotional counseling, psychological support, crisis intervention, and emotional adjustment. | ||
| 13 | Establish health records for the elderly, and provide physical examination services at least once a year by themselves or arrange for other medical and health institutions to provide physical examination services. | ||
| 14 | Refer to the published clinical pathways and relevant diagnosis and treatment guidelines to provide diagnosis and treatment services for common and frequent diseases for the elderly. | ||
| 15 | Nursing services are provided in accordance with the Practice Guidelines for Elderly Care (Trial). Provide rehabilitation services in accordance with the relevant requirements of the "Commonly Used Rehabilitation Treatment Technical Operation Specifications (2012 Edition)". | ||
| 16 | The management of providing drugs to the elderly with a doctor's prescription, and issuing special prescriptions for narcotic drugs and psychotropic substances for the elderly, as well as special account books, complies with relevant regulations. | ||
| 17 | The partition is scientific and reasonable, and the medical waste storage point in the hospital is separated from the treatment area. | ||
| 18 | In accordance with the "Regulations on the Administration of Medical Institutions", "Regulations on the Management of Medical Records of Medical Institutions", "Basic Standards for Writing Cases of Traditional Chinese Medicine", "Format and Writing Standards of Traditional Chinese Medicine Prescriptions" and other requirements, the pass rate of medical records is 100%, and the pass rate of medical orders and prescriptions issued is not less than 95%. | ||
| 19 | Meet the requirements of the Hand Hygiene Code for Medical Personnel. | ||
| 20 | Carry out safety risk assessments for the elderly in areas such as choking, accidental ingestion of food and drugs, pressure ulcers, burns, falling from bed, falls, other injuries and self-injury, getting lost, and accidents in cultural and recreational activities, and clarifying preventive measures, emergency response processes, and reporting systems. Institutions with elderly people with dementia should take safety precautions. | ||
| 21 | Comply with the relevant standards and normative requirements of integrated medical and elderly care services, the services are connected in an orderly manner, and the conversion is carried out in strict accordance with the admission and discharge standards of medical and health institutions. | ||
| 22 | The health management of the elderly is scientific and standardized, and the new incidence of pressure ulcers of grade II and above in the elderly is less than 5%. | ||
| Fourth, improve the ability of management and service personnel of medical and elderly care institutions | |||
| 23 | Regularly carry out education on medical ethics and humanistic concepts, and establish a people-oriented, respectful, loving and respecting service concept. | ||
| 24 | Medical personnel comply with the Code of Conduct for Employees of Medical Institutions, and medical nurses and other service personnel comply with relevant requirements such as national laws and regulations and industry standards. | ||
| 25 | Do a good job in professional title evaluation, professional and technical training, and continuing medical education. Professional skills training and safety knowledge training are carried out for professional and technical personnel and service personnel by classification and classification. | ||
| 26 | Regularly organize medical personnel to carry out "three bases and three stricts" training, and the "three basics" assessment everyone meets the standards. | ||
| 5. Strengthen the informatization construction of medical and elderly care institutions | |||
| 27 | Strengthen the construction of information systems, realize the exchange and sharing of information among the elderly in medical and elderly care institutions, and improve the quality and efficiency of services. | ||
| 6. Do a good job in normalizing epidemic prevention and control and preventing and controlling infectious diseases | |||
| 28 | Strictly implement the relevant deployments and work specifications and guidelines for the prevention and control of the new crown pneumonia epidemic and the prevention and control of infectious diseases, establish prevention and control plans, clarify the division of labor, and consolidate responsibilities. Institutions that carry out external diagnosis and treatment services have improved the management of outpatient and emergency pre-examination and triage, strengthened the management of fever clinics and infection prevention and control, and done a good job in the protection of medical personnel and the elderly, so as to eliminate the risk of cross-infection in institutions. | ||
| 29 | Strictly follow the "Law on the Prevention and Control of Infectious Diseases", "Technical Guidelines for the Prevention and Control of Novel Coronavirus Infection in Medical Institutions" and "Guidelines for the Prevention and Control of Novel Coronavirus Pneumonia Epidemic in Elderly Care Institutions" and other laws, regulations and relevant provisions, and do a good job in the prevention and control of new coronavirus pneumonia epidemics and infectious diseases. | ||
| 30 | If you find that there are elderly people or staff who have a fever or are suspected of being infected with the new coronavirus in the institution, report it immediately and deal with it according to relevant requirements. If it is found that there are patients with other infectious diseases in the institution, they shall report the epidemic directly online or report the epidemic to the health and epidemic prevention institution designated by the health administrative department within the prescribed time limit, and handle the epidemic situation in accordance with the regulations. | ||
Annex 2
Summary table of actions to improve the service quality of medical and elderly care institutions
Reporting unit (signature): __________ Provincial (autonomous region, municipal) Health Commission
Filled in by: ___________ Contact number: __________
Date of filing: ________________________________________________
| serial number | Contents | Quantity | |
| 1. The situation of institutions integrating medical care and elderly care (hereinafter referred to as "institutions"). | |||
| 1 | Number of institutions within the jurisdiction | ||
| 2 | The total number of institutional medical beds in the jurisdiction | ||
| 3 | The total number of institutional home beds in the jurisdiction | ||
| 4 | Number of institutions conducting self-inspections | ||
| 5 | Number of institutions conducting spot checks at the provincial level | ||
| Second, the content of the inspection | self-inspection institutions | Spot check institutions | |
| There is a problem | Rectified | There is a problem | Rectified |
| 1 | Qualified to practice in medical institutions. | ||
| 2 | Health professional and technical personnel have the corresponding practice qualifications and practice within the scope of practice. | ||
| 3 | Implement the core systems of medical quality and safety management. | ||
| 4 | The purchase, storage, dispensing and application of drugs meet the standards. | ||
| 5 | Specify a designated person to be responsible for nosocomial infection control, and implement various measures for the prevention and control of nosocomial infection. | ||
| 6 | Meet the requirements of hand hygiene practices for medical personnel. | ||
| 7 | The health management of the elderly is scientific and standardized, and the new incidence of pressure ulcers of grade II and above in the elderly is less than 5%. | ||
| 8 | The pass rate of doctor's orders and prescriptions is not less than 95%, and the pass rate of medical records is 100%. | ||
| 9 | Comply with the relevant standards and normative requirements of integrated medical and elderly care services, the services are connected in an orderly manner, and the conversion is carried out in strict accordance with the admission and discharge standards of medical and health institutions. | ||
| 10 | Implement the requirements for the prevention and control of the new crown pneumonia epidemic and the prevention and control of infectious diseases, establish systems, and consolidate responsibilities. | ||
| Problematic: First, the basic requirements Second, the implementation of the system 3. Carry out services Fourth, institutional management and service capacity Fifth, the construction of informatization 6. Normalization of epidemic prevention and control and prevention and control of infectious diseases | |||
| Rectification: First, the basic requirements Second, the implementation of the system 3. Standardize the development of services Fourth, improve management and service capabilities Fifth, strengthen the construction of informatization 6. Normalization of epidemic prevention and control and prevention and control of infectious diseases |
Note: The data cut-off date is January 31, 2021.
Source: Health Commission
Editor: Spring Tree Pension
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