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成都1215家医保定点医疗机构2013年起分级管理--亲稳网络舆情监测室
2012-08-09
中新网成都8月9日电(张浪)记者9日从成都市人社局获悉,从2013年1月1日起,成都将对全市1215家基本医疗保险定点医院实行分级管理。此举旨在进一步完善医保经办机构对定点医疗机构管理手段,充分发挥定点医疗机构自我管理的主观能动性,确保基本医疗保险基金的安全和效能。
Beijing, chengdu on August 9(Zhang waves)Reporter 9 from chengdu people club bureau learned,From January 1, 2013,Chengdu to the 1215 home will be the basic medical insurance designated hospital grading management。The move is aimed at further improve medical insurance agency orgnaization of the medical institutions management means,Give full play to the medical establishment subjective initiative of self management,Ensure that fund of insurance of primary medical treatment of the safety and efficiency。
成都市人社局根据人社部及四川省有关基本医疗保险定点医疗机构实行分级管理的文件精神,经过前期的广泛调研论证并征求多方意见,结合四川省基本医疗保险定点医疗机构评价参考指标及评分标准,参照其他城市的基本做法,于近日出台了《成都市基本医疗保险定点医疗机构分级管理暂行办法》(以下简称办法)。
Chengdu people club according to club department bureau and the relevant insurance of primary medical treatment of sichuan province to nod medical establishment of grading management spirit of the documents,After the investigation demonstrates and ask for more extensive opinion,Combined with the basic medical insurance in sichuan province nod medical establishment and evaluation index rating criteria,With reference to other cities of the basic practices,In recently come out《The basic medical insurance of chengdu to nod medical establishment interim measures for the administration of classification》(Hereinafter referred to as the measures)。
《办法》以考核定点医疗机构执行医保政策和《成都市医疗保险定点医疗机构服务协议书》情况为主要内容,重点从定点医疗机构就医管理、医疗服务质量管理、医疗费用结算管理、目录管理、信息系统管理和医疗保险基础管理等五方面进行考核,将定点医疗机构评定分级为无级别、A级、AA级和AAA级四个等级。《办法》的出台,标志着成都建立起了医保经办机构对定点医疗机构奖罚并重的分级管理机制。
《way》Assessment to nod medical establishment medicare policy and implementation《Chengdu to nod medical establishment of medical treatment insurance service agreement》Situation as the main content,Focus from the medical establishment go to a doctor management、The medical service quality management、Medical expense settlement management、Directory management、Information system management and medical insurance basic management five aspects to examine,Will the medical establishment grading evaluation for no level、Level A、AA and AAA grade four ranks。《way》Come on stage,Marks the chengdu established protects agency orgnaization of the medical establishment that pay equal attention to punish classification management mechanism。
定点医疗机构等级评定工作每年评定一次,并将结果向社会公示,连续两次评定为AA级的定点医疗机构由成都市医保局推荐给四川省人社厅作为AAA级评定对象。被四川省人社厅评为AAA级的定点医疗机构总额预付金将在原有基础上上浮10%,同时保证金缴纳金额将下调50%;而对于无等级医院,医保经办机构将在日常检查基础上进行重点监督。(完)
The medical establishment grades of evaluation once a year,And the result to social public,Two successive evaluation is the AA level by the medical establishment that decide a dot of chengdu medical insurance bureau to recommend to sichuan province people club hall as AAA grade evaluation objects。Sichuan people club hall was awarded "AAA to nod medical establishment in the total amount of imprest gold will rise 10% original basis,At the same time pay deposit amount will be cut by 50%;And for no grade hospital,Protects agency orgnaization will be based on daily inspection on supervision。(finish)
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