The meeting site photography: Liu Honglong People Dongying October 22 (by Zhang on behalf of the student intern Liu Honglong) 20 to 21 October, Shandong Province, Shandong Province Medical Security Bureau held a primary health care services in Dongying City construction site meetings.
During the meeting, observe the construction of primary health care services in Dongying Guangrao County Public Service Center, Dawang, Kumho community convenient service centers work on the site, Dongying and other places to promote learning advanced experience, study and plan the next step priorities, to promote the province’s health care services continue in the nation.
Insurance Bureau party members in Shandong Province, deputy director Guo occasion of water, attended the meeting, part of the province’s cities and counties Insurance Bureau is responsible comrades attended the meeting.
It was noted that health care departments at all levels conscientiously implement the Shandong Province, Shandong Province, the provincial government "run once" deployment requirements of reform, enhance primary health care services information technology, standardization, specialization level.
Medicare handling services, "six uniform" into Shandong Province reengineering "12 + 1" system architecture and the Shandong Provincial deepen institutional innovation to accelerate the process of reengineering the standard model, the fineness of health care services, convenience, satisfaction continues to increase.
First, the primary health care service system more robust.
Shandong Province medical insurance departments at all levels to vigorously promote health care service network extends to the grassroots, take advantage of the village (community) site convenience services, township hospitals and village (community) clinics and other primary health care institutions, the establishment of Medicare workstation, the business moved to the window service the first line of the masses, and greatly enhance the ease of handling and accessibility of health care services.
Up to now, Shandong Province has been completed and listed stand-alone Medicare workstation 3426. Second, Medicare handling process reengineering with remarkable results.
Shandong Province took the lead in the implementation of the Medicare government services handling matters inventory management system, the three plates 20 classes 38% Instant settles matters reach, higher than the national inventory percentage points, settles the matter of non-real-time processing time shorter than the list of countries% , streamlining material handling% higher than the national inventory. Optimal, at least according to the quality of service required materials, processing time shortest, simplest work processes "four most" reform objectives for the process optimization, streamlining of work material, processing time compression, the transfer relationship between health insurance continuation, remote medical record and other high-frequency livelihood compression process matters more than 50%.
Third, service means more convenience and benefit.
Shandong Province, the province through the construction of information exchange and sharing of electronic health insurance voucher and mobile payment platform to build a full range of complementary pattern of handling service entity hall and the internet, mobile terminals, self-service terminals, such as hotline, Shandong Province% matters of health care service managers to achieve "internet Office" "Pocket Office."
Actively promote Shandong Province, "Internet + insurance + medical + Medicine" a comprehensive service system, Medicare will pay for diagnosis and treatment of organic integration with the Internet, to meet the insured online inquiry referral purchase of medicines, the disease continued slow side, Medicare payments, drug-to-door delivery and other needs . At present, the number of Medicare electronic voucher activation of Shandong Province million, covering drugstore thousand, designated medical institutions 000.
Fourth, standardized health insurance system more perfect. Shandong Province, the development of the issuance of "the province’s health care service managers standardization of implementation plan," to proceed with the 13 local health care services and handling standards, the first in China to establish a public service standards as the core to manage and supervise the evaluation criteria support, covering the province’s health care agencies, medical institutions, health care services standard system-wide field of third-party service organizations. Selected in the province’s 35 insurance agencies to carry out construction standardization demonstration window, with the results of standard consolidation process reengineering, service behavior.
On the next step, the meeting stressed the need to continue to promote the public health care services to sink to the grassroots.
By improving work systems and business processes, allowing businesses to sink to the grassroots level, extending to the line, smooth health care services, "obstruction", the full realization of health care services, "Zero." Make full use of grant funds to enhance the ability of health care, increase support for already completed work site health care, high standards of quality and accelerating. To speed up hardware resources, the backbone network and information platform construction, health care service functions in entities hall and networking platform sharing applications.
Actively promote local application system construction, on schedule to complete the work with the provincial bureau interface to the Internet platform, data exchange and FBI testing.
In strict accordance with the province’s uniform standards to achieve health care sector and the information system designated medical institutions the whole process seamless, real-time data sharing and business collaboration interaction. To innovative grass-roots health care regulation, and Accelerating health care costs audit, health behavior monitoring, face video recognition, medicines supplies traceable, funds risk warning five systems at the core of the intelligent monitoring system construction of the health insurance fund, implement health insurance fund to pay before, during and afterwards the whole process of supervision. To take advantage of third-party organizations to enhance the professional level of supervision, establish and improve the pool of experts from the medical, information, finance and other staff, improve the professional level of supervision.
To deepen the reform of the way Medicare payments.
Sheng Benji and 10 DRG payment pilot cities steadily to develop a realistic Shandong Province DRG payment policies, procedures, playing a national model of DRG payment. Of the total budget law and regional points of DRGs scores pilot, we should actively apply national pilot, co-ordinating the combined total Medicare budget and points wears implementation of the regional total budget management, and gradually establish a disease as the basic unit, with the result oriented health care payment system. Full implementation of the "good bad review" system.
Relying on the province before the end of the integration of online government service platform, the establishment of "good bad comments" institutional framework to adapt to the characteristics of health care services – government of Shandong Province, government services, health care issues to achieve full coverage of the target evaluation full coverage, full coverage and service evaluation data channels provincial centralized use.
Regularly evaluate the results of analysis judged the masses strong, negative feedback matters focused, timely solutions and corrective measures. (Editor: Zheng Pu Li, Xing Manhua).