[第一回应]北京市公立医院试点法人治理运行机制：外部理事零薪酬履职 [the first response] Beijing pilot public hospital corporate governance mechanism：External directors zero salary resumption

　　北京市公立医院改革正在有序推进，继在北京市友谊医院试点医药分开改革后，7月以来，北京市友谊医院与北京市朝阳医院又进行了法人治理运行机制试点工作。此举引起社会关注，法人治理运行机制如何运行；理事会中代表广大群众利益的外部理事将如何履职，是否也拿医院薪酬等话题也成为网友关注的焦点。22日下午，北京市医院管理局局长方来英、北京市友谊医院理事长刘建、北京市朝阳医院理事长封国生等告诉新华网《第一回应》栏目记者，法人治理运行机制将带来医院管理模式、运行机制的变革；理事会中引入的外部理事作为服务对象代表，零薪酬履职。

Beijing public hospital reform is orderly propulsion，The pilot in Beijing friendship hospital medical separate after reform，Since July，Beijing friendship hospital and Beijing chaoyang hospital and the corporate governance mechanism pilot work。This cause social attention，Corporate governance mechanism how to run；The council on behalf of the interests of the broad masses of external to resumption，Whether also take hospital salary etc. Topic has become the focus of attention of the net friend。22 afternoon，The hospital authority to the party、Beijing friendship hospital director liu、Beijing chaoyang hospital director seal countries such as born told xinhua《First response》Column reporter，Corporate governance mechanism will bring the hospital management mode、Of the operation mechanism of transformation；The council into external directors as the service object representative，Zero salary resumption。

法人治理机制如何运行？ Corporate governance mechanism how to run？

　　实施法人治理机制是公立医院改革的任务之一，也是北京市医改方案中的重要内容。北京市医院管理局局长方来英说：“法人治理运行机制是实行理事会制度、执行院长负责制和监事会制度，是构建决策、执行、监督相互制衡的权力运行机制，将带来医院管理模式、运行机制的变革，实现政府为民办医的公益性目标。”

Implementation of the corporate governance mechanism is one of the mission of the public hospital reform，Beijing is also the important content in the reform scheme。Beijing hospital authority chief party to the said：“Corporate governance mechanism is a board system、Executive director responsibility system and the board of supervisors system，Is to build decision、execution、Supervision and checks and balances of power operation mechanism，Will bring the hospital management mode、Of the operation mechanism of transformation，Realize government is run by the local people and the public medical goal。”

　　法人治理机制的运行内容之一是建立理事会。7月5日与16日，北京市朝阳医院与北京市友谊医院两家法人治理运行机制的试点医院分别成立理事会。医院院长担任理事长，是医院的法定代表。

The operation of the corporate governance mechanism is one of the content is to establish a board of directors。July 5 and 16，Beijing chaoyang hospital and Beijing friendship hospital two corporate governance of the operation mechanism of pilot hospital shall respectively establish the board of directors。Hospital director director-general，Is the legal representative of the hospital。

　　成立理事会后，如何确认理事会成员，理事会与原有医院管理模式有何不同。方来英说：“理事会成立后，理事会由理事长、执行院长、医院内部理事以及代表群众利益的外部理事组成。医院发展的决策打破了以往决策主体多为医院领导班子的单一结构，理事长根据理事会意见对医院发展作出决策，执行院长主要落实决策内容。”

Established after the council，How to confirm the council members，The council and the original hospital management mode have any different。Party to the said：“After the establishment of the council，The council consists of chairman、Executive director of、Hospital internal directors and representing the interests of the masses of external directors。The hospital development decision broke the past of decision-making for the hospital leadership single structure，According to the opinion of the council on hospital development to make decision，Executive director of the main implement decision content。”

　　目前朝阳医院理事会共7人，由4名内部理事和3名外部理事构成；友谊医院理事会9人，由5名内部理事和4名外部理事构成。

At present a total of seven people to chaoyang hospital council，The four internal directors and three external directors composition；Friendship hospital board 9 people，The five internal directors and four external directors composition。

　　“两家医院的内部理事是由理事长、执行院长、职工代表、专家代表等组成，外部理事则有社区居民、研究机构学者、法律从业人员，新闻界人士等各个领域社会人士组成。无论是内部理事或外部理事，代表不同群体的理事建成医院的最高决策机构，体现了决策的民主。”方来英说。

“Two hospitals internal directors is the chairman、Executive director of、Worker delegate、Experts on behalf of, etc，External directors have community residents、Research institutions scholars、Legal practitioners，The press personage etc social source is composed。Whether internal directors or external directors，Representing different groups of directors built the highest policy-making body of the hospital，Embodies the democratic decision-making。”Party to the said。

　　方来英介绍，理事会代表政府和社会公共利益，理事的选拨、聘用、任命以及数量多少，由医管局根据医院发展需要和医院推荐理事人选情况确定。

Party to the introduction，Council representative government and social public interests，Director of XuanBo、hire、Appointed number and how much，The hospital authority according to hospital development needs and the hospital director of each case, determine the recommended candidate。

　　据了解，理事会将执行市医院管理局的决定，负责医院的改革与发展，制定医院发展计划和财务、人事、分配等基本管理制度，规划医院年度运营目标，按规定履行医院重大决策、干部任免、重大项目投资、大额资金使用等事项的决策。

It is understood，The council will enforce the city hospital administration decision，Responsible for the hospital reform and development，Make the hospital development plans and financial、personnel、Distribution of basic management system，Planning hospital annual operation target，According to the provisions of his hospital making important decisions、Appointment of cadres、Major investment projects、The large amount of money to use such matters as the decision。

外部理事将如何履职，是否也拿医院薪酬？ How will the resumption of external，Whether also take hospital salary？

　　法人治理运行机制试点作为公立医院改革的重要内容，为医院最终走向公益性提供基础，而医院的公益性体现最终为解决老百姓看病难、看病贵的问题。理事会中代表广大群众利益的外部理事将如何履职，如何更多的将群众的意见纳入到医院的决策中也成为网友关注的焦点。

Corporate governance mechanism pilot as an important content of the reform of public hospitals，For the hospital finally to provide a basic public welfare，And the hospital public welfare reflect finally to solve the common people to see a doctor、The doctor your problem。The council on behalf of the interests of the broad masses of external to resumption，How much more will the opinions of the masses into the hospital decision-making has become the focus of attention of the net friend。

　　“外部理事由于是社会各界人士组成，所以他们站在不同角度反映民意，审视和监督医院管理运行，成为促进医院完善服务质量与机制的外部动力。”方来英说。

“External directors due to the social people from all walks of life is composed，So they stand in different angles reflect public opinion，Examine and supervise the hospital management operation，To promote the hospital perfect service quality and the mechanism of the external power。”Party to the said。

　　已经履职一个多月的朝阳医院外部理事呼家楼街道工委书记邢平芳对此颇有感触，他告诉记者，担任外部理事期间，发现朝阳医院开放的抽血窗口较少，抽血室拥堵，患者等待抽血时间较长，随后他将情况反映至理事会后，经过有关部门调研与讨论，朝阳医院管理层在门诊楼的四层大厅增设了第二抽血室。

Have resumption of more than a month to chaoyang hospital external directors appoint secretary XingPingFang HuGuLou street this quite have the feeling，He told reporters，As the external director period，Find chaoyang hospital open window less blood，ChouXieShi congestion，Patients wait for blood for a long time，Then he will situation reflects to after the council，After the relevant departments research and discussion，Chaoyang hospital management in outpatient service building four layer hall add a second ChouXieShi。

　　“现在第二抽血室正在建设中，这次经历让我感到理事会成立不是走过场，作为外部理事，群众的代言人。压力不小啊。”邢平芳说。

“Now, the second ChouXieShi is under construction，This experience made me feel council established not go through the motions，As the external director，Mass spokesperson。Pressure big ah。”XingPingFang said。

　　友谊医院刘建告诉记者：“并不是所有的社会人员是否都可报名参加外部理事，当好外部理事并不容易，不是简单反映老百姓想法就可以，对医院也要深入了解，才能给出有建设性的意见，真正促进医院的发展，让群众得实惠。”

Friendship hospital liu told reporters：“Not all the social personnel can all be sign up for external directors，Being a good external director is not easy，Is not a simple idea can reflect the common people，On hospital also want to in-depth understanding，Cannot give constructive opinions，Really promote the development of the hospital，Let the masses have benefits。”

　　此外，有网友关心外部理事是否也拿医院薪酬，对此，方来英回应称，外部理事作为服务对象代表，零薪酬履职。“我们主要是想尽可能保持外部理事的相对独立，防止因拿薪酬削弱独立性而形成医院内部封闭控制的局面。”

In addition，Netizens care external director is also take hospital salary，this，Party to British response to say，External directors as the service object representative，Zero salary resumption。“We mainly do may keep the external director of relative independence，Prevent for take salary weaken independence and the formation of the hospital internal closed control situation。”

权责划分，如何有效发挥理事会作用？ Division of powers and duties，How to effectively play council action？

　　理事会成立后，理事长作为理事会法人代表负责医院重大事项决策，而执行层如何做，工作落实效果如何，也是理事长的责任，理事长与医院执行层二者之间权责如何处理。

After the establishment of the council，Chairman of the board of directors as the legal representative is responsible for the major issues of the hospital decision-making，And directors how to do，The work carries out how is the effect，Is also the responsibility of the chairman，Chairman of the directors and hospital between accrual how to deal with。

　　对此，方来英介绍，与传统院长负责制下集决策和执行于一身的院长不同，理事会成立后理事长执行北京市医院管理局的决定、执行政府方针，兼顾各方利益，统筹发展。而执行院长则需要对医院专业化、精细化管理。

this，Party to the introduction，And the traditional part of responsibility system in the decision-making and implementation of a different，After the establishment of the council chairman of the hospital authority execution of the decision、Executive government policy，Give consideration to the interests of all parties，Overall development。And executive director of the need for specialized hospital、Fine management。

　　“执行院长作为执行层的领头人，负责组织实施理事会决议，主持医院运营管理工作；拟定内部机构设置方案和基本管理制度，制定具体规章；建议理事会聘任或解聘副院长，决定聘任或解聘管理权限内的工作人员；按医院基本管理制度的规定行使财务审批权、考核分配权、员工奖惩权等更细致的工作。”方来英说。

“Executive director as directors of the leader，Responsible for the organization and fulfillment of the board decision，Presided over the field of hospital operation management work；Protocol internal institutional setup scheme and basic management system，Formulate concrete rules；Suggest council appointment or dismissal of vice President，Decided to employment or dismissal of management authority of the work personnel；According to the hospital basic management system shall exercise its financial examination and approval power、Assessment of distribution of、The staff and the right to rewards and punishments more meticulous work。”Party to the said。

　　友谊医院院长刘建告诉记者：“过去，作为院长，要兼顾医院的决策和执行两方面。很多时间和精力用于医院的发展建设和经营管理。现在，作为医院理事长，能有更多时间研究医院重大事项的决策。责任更明确了。”

Friendship hospital director liu told reporters：“In the past，As the dean，To give consideration to the hospital two aspects of decision-making and implementation。A lot of time and energy for the development of hospital construction and management。now，As chairman of the hospital，Can have more time to study the hospital major matters of decision。The more clear responsibility。”

　　北京市朝阳医院的执行院长陈勇有相同感受，他告诉记者，朝阳医院成立理事会一个月来，工作有了明显的变化：“以前我是既管决策又管执行，现在是参与决策重在执行。另外，作为执行院长更需要具备职业经理人的素质，不仅只有医学背景，还要懂经济、法律、政治和公共意识，才能满足医院与公众的各方需求，对自身的要求比以前高很多。

Beijing chaoyang hospital executive director of ChenYongYou the same feeling，He told reporters，Chaoyang hospital established council for a month，Work has changed greatly：“I used to is both tube and tube execution decision，Now is to participate in making decisions on execution。In addition，As executive director needs to have the quality of professional managers，Not only medical background，But also have to understand the economic、law、Politics and public consciousness，To meet the demand of the public hospital and parties，To own request much higher than before。

　　此外，方来英介绍，传统院长负责制下院长的考核任用，均由市医院管理局直接进行。执行院长的任用，则是由市医院管理局党委提出建议人选，并向医院理事会推荐，由理事会按照有关规定聘任和解聘。执行院长也实行任期目标责任制，由理事会与执行院长签订任期目标责任书。理事会受市医管局委托，对执行院长实行年度和任期绩效考核，考核结果作为执行院长工作评价、薪酬确定和职务任免的重要依据。

In addition，Party to the introduction，The President responsibility system under the traditional long assessment employment，All the municipal hospital authority directly。The executive director of employment，The hospital authority is the municipal party committee for Suggestions，And to the hospital board recommended，By the council in accordance with the relevant regulations, appointment and dismissal。Executive director also implement term target responsibility system，By the council and executive director of a term target responsibility。The council entrusted by the city formed，To the executive director of the annual performance appraisal and term，The assessment results as executive director of job evaluation、The appointment and removal of the position and salary to determine the important basis。

　　另据了解，医院管理局正在监事会。成立后将以派驻监事组的方式入驻医院，加强对医院决策层、执行层履职情况的检查，加大对医院规范运行的监督。还将建立总会计师制度，向医院委派总会计师；根据需要委托中介机构审计医院年度财务报告，维护政府出资人和患者合法权益；充分发挥职工代表大会的作用，健全民主决策和内部监督制度等。

Additional as we have learned，The hospital authority is the board of supervisors。After the establishment will be accredited supervisors group way in hospital，To strengthen hospital management team、Directors resumption of the inspection，Strengthen the hospital standard operation of the supervision。Will also establish the chief accountant system，To the hospital appointed by the chief accountant；According to the need to entrust intermediary auditing hospital annual financial report，Maintain the government contributor and patient legal rights；Give full play to the role of the staff and workers' congress，We will improve the democratic decision-making and internal supervision system, etc。

　　“法人治理运行机制与医药分开改革不同的是不可能立竿见影，老百姓不会立刻感受此项试点工作带来的实惠，但在此机制实施过程中，医院的规范性、开放性、公益性会逐步实现。”方来英说。(记者 李莹)

“Corporate governance mechanism reform and medicine separate different is not possible immediate，People will not immediately feel the trial work brings benefits，But in this mechanism in the process of implementation，Hospital normative、open、Pro bono will gradually realize。”Party to the said。(Reporter LiYing)