外部理事进医院决策层 如何撬动医改？ External directors into hospital management team how to prise cure？

　　北京在大型医院试点法人治理结构，设理事会、执行院长和监事会，实现决策、执行、监督相互制衡的权力运行机制，避免过去院长“一支笔”决定一切的做法。试点医院吸纳外部理事进最高决策层理事会，行使包括聘任院长在内的权利。医院理事会中的外部理事是如何选出的？都管哪些事儿？如何在医改中发挥作用？

Beijing in large hospital pilot legal person governance structure，A board of directors、Executive director and board of supervisors，Realize decision、execution、Supervision and checks and balances of power operation mechanism，Avoid the past President“A pen”The practice of everything。Pilot hospital absorb external directors into the highest decision-making council，Exercise of the right to employment, including。The external director of council of hospital is how to choose？All pipe which business？How to cure the role？

医院决策外部理事也有发言权 Hospital decision external directors also have the right to speak

　　北京朝阳医院和北京友谊医院已成立理事会，医院理事长和执行院长都已上任，理事长是医院的法定代表人。北京市医管局正筹建监事会，将尽快向试点医院派驻监事，对医院管理和院长履职情况进行监督。

Beijing chaoyang hospital and Beijing friendship hospital has established the council，Hospital director and executive director of office has，Chairman is the legal representative of the hospital。Beijing hospital authority are in the board of supervisors，Will soon to pilot the hospital accredited supervisors，On hospital management and supervise and resumption of。

　　北京市卫生局兼医管局局长方来英说，医院决策、执行、监督三权的行使者理事会、执行院长、监事会，既相互协作又相互制衡。医院理事会是医院最高权力机构，负责医院决策，从而避免过去院长“一支笔”决定一切的做法。

The municipal bureau of health and hospital authority chief party to the said，Hospital decision、execution、The exercise of supervision and separation of the council、Executive director of、The board of supervisors，Both mutual cooperation and mutual checks and balances。Hospital council is the highest authority hospital，Responsible for hospital decision，To avoid the past dean“A pen”The practice of everything。

　　北京朝阳医院理事会7人，由4名内部理事和3名外部理事构成，外部理事分别是医学专家、律师和社区居民。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，外部理事分别是社区居民代表、管理学者、律师、新闻从业者。

Beijing chaoyang hospital council 7 people，The four internal directors and three external directors composition，External directors were medical experts、Lawyers and community residents。Friendship hospital board 9 people，The five internal directors and four external directors composition，External directors were community resident representative、Management scholars、lawyer、News practitioners。

　　北京朝阳医院理事会外部理事邢平芳，是朝阳区呼家楼街道工委书记。作为社区代表，邢平芳说，在审视、判断并决定医院的重大事项时，将站在患者的立场上考虑是否符合社区百姓和患者利益，使医院进一步方便患者就医，减轻医药负担。

Beijing chaoyang hospital council external directors XingPingFang，Is HuGuLou street, chaoyang district appoint secretary。As a community representatives，XingPingFang said，Look at the、Judge and decide the hospital when major issues，Will stand in the patient's position considering whether to conform to the community people and patients benefit，Make the hospital further convenient patients go to a doctor，Reduce medical burden。

外部理事在医院决策中管些啥？ External directors in the hospital decision-making tube some what？

　　在医院法人治理结构中，理事会是医院最高权力机构，制定医院发展计划和财务、人事、分配等基本管理制度。理事会决定医院年度运营目标，按规定履行医院重大决策、重要干部任免、重大项目投资、大额资金使用等事项的决策职责。

In the hospital corporate governance structure，The council is the highest authority hospital，Make the hospital development plans and financial、personnel、Distribution of basic management system。The council decided to hospital annual operation target，According to the provisions of his hospital making important decisions、Important appointment of cadres、Major investment projects、The large amount of money to use such matters as the decision-making responsibilities。

　　北京朝阳医院和友谊医院的理事会才成立一个月，仅召开过一次理事会，主要在制定相关章程。邢平芳和友谊医院外部理事强本均表示，还未遇到重大决策，先从“小事儿”做起。

Beijing chaoyang hospital and friendship hospital board just established a month，Held only once council，Mainly in formulating relevant articles of association。XingPingFang and friendship hospital director of external strong this all mean，Haven't meet making important decisions，The first“Narrow business”start。

　　7月29日，北京朝阳医院理事会第一次会议上，针对朝阳医院提出建立区域医疗共同体的设想，邢平芳建议以朝阳医院为核心，涵盖朝阳区两所二级医院、6家社区卫生服务中心等，朝阳医院与其他医疗机构双向转诊。“这样既缓解朝阳医院就诊压力，又方便百姓就医。”

July 29,，Beijing chaoyang hospital board meeting for the first time，According to chaoyang hospital proposed the idea of regional medical community，XingPingFang Suggestions to chaoyang hospital as the core，Chaoyang district covers two secondary hospital、Six community health service center, etc，Chaoyang hospital and other medical institutions two-way referral。“This not only alleviate the pressure chaoyang hospital，And convenient people go to a doctor。”

　　邢平芳通过到医院“转悠”，发现抽血室空间狭窄，患者等待抽血时间长、牢骚满腹。他向医院提出这一情况，经理事会讨论和会后有关部门调研，决定在医院门诊楼四层大厅增设第二抽血室。

XingPingFang through to the hospital“Turn leisurely”，Find ChouXieShi narrow space，Patients wait for blood for a long time、Be full of complaints。He put forward the situation to the hospital，The council discussed and relevant departments of the investigation，Decision in the hospital outpatient service building four hall add the second ChouXieShi。

　　法律专家郑雪倩是朝阳医院的外部理事。在第一届理事会上，郑雪倩提出建立疑难会诊中心。她告诉记者：“当时医院提出要增加专家号源，但据我了解，不少疑难病患者需要交叉挂号甚至重复检查，如果有各科室专家参与的疑难会诊中心，这个问题会得到有效解决。”她的建议理事会表示将进行讨论。

Legal experts ZhengXueQian chaoyang hospital is the external director。In the first session of the council，ZhengXueQian proposed difficult consultation center。She told reporters：“At that time the hospital offered to increase ZhuanGuHao source，But I understand，Many knotty disorder patients need cross registered even repeated inspection，If have each department experts participate in difficult consultation center，This problem will be effectively resolved。”Her suggestion council says it will is discussed。

　　友谊医院外部理事强本是退休职工，患有慢性病，多年来每月都要到友谊医院看病。他说，因为在附近住，又常来医院，医院让他当患者代表。“今后我会广泛听取社会各界对医院的意见建议，及时向医院理事会反馈。”

Friendship hospital director of external strong this is retired worker，Suffering from chronic diseases，For many years a month to friendship hospital。He said，Because in living near，And often come to the hospital，Hospital let him when patients represent。“In the future I will widely listen to the opinions of the society from all walks of life to hospital advice，Timely feedback to the hospital council。”

外部理事是否会成为“花瓶”？ External directors would be“vase”？

　　记者在采访时，有医改专家提出，医院外部理事能否真正推动公立医院改变还需观察，别让外部理事成为“花瓶”。

Reporter in the interview，Medical experts are put forward，Hospital director of external can really promote the public hospital change still need to observe，Don't let the external director become“vase”。

　　这些外部理事是否具有代表性，是如何选出的？方来英说，先由医院推荐，然后由北京市医管局决定聘用谁。

These external directors have representative，Is how to choose？Party to the said，Recommended first by the hospital，Then by the Beijing hospital authority decided to hire who。

　　北京朝阳医院经考察、沟通和遴选，向北京市医管局推荐了7名外部理事人选，经北京市医管局研究，聘任了现在的3名外部理事。北京市医管局副局长毛羽说：“医院推荐理事，因为现阶段医院更了解谁参与公共事务能力比较强。”

Beijing chaoyang hospital after investigation、Communication and to select，The hospital authority to recommend seven name external director candidate，The Beijing hospital authority research，Appointment the present three external directors。Beijing hospital authority deputy director hairiness said：“Hospital recommended directors，Because the present hospital know more about who to participate in public affairs relatively strong capacity。”

　　医院理事会理事是否从医院获取报酬？方来英说，为保持外部理事的公正性和客观性，北京市医管局规定内部理事和外部理事是社会兼职，不从医院获取薪酬。

Whether hospital board of directors from hospitals gaining remunerations？Party to the said，To maintain the integrity of the external director and objectivity，Beijing hospital authority regulations of internal and external director is the social part-time，Don't get compensation from the hospital。

　　郑雪倩及邢平芳在接受记者采访时都表示，外部理事“零薪酬”。郑雪倩说：“如果拿了薪酬，与医院成为雇佣关系，就有可能难以站在公正的立场上发表意见。”

ZhengXueQian and XingPingFang when accepting a reporter to interview all mean，External directors“Zero compensation”。ZhengXueQian said：“If take the salary，And hospitals become employment relationship，It is possible to hard to stand in the position of the justice published opinions。”

　　外部理事如何掌握医院和社会各界相关信息？不取报酬是否会尽心尽职？友谊医院理事长刘建透露，医院将向全院职工及社会公开外部理事的联系方式，充分发挥各位理事作用。在主要门户网站，开设专用理事会信箱，更大范围收集社会各界对医院的意见和建议。

External director how to master the hospitals and the social from all walks of life related information？Don't take remuneration whether will be dedicated？Friendship hospital director liu said，The hospital will be partial to the worker and the social public external directors contact information，Give full play to the role of you。In the main portal，The council set up special box，Larger society from all walks of life to collect the opinions and proposals of the hospital。

　　一位医院管理专家提出，需要进一步建立理事的激励和约束机制，保证理事真正行使职责。 (记者 李亚红)

A hospital management experts，Need to further establish director incentive and restraint mechanism，Ensure that really exercise of duties。 (Reporter LiYaGong)