National Medical Insurance Bureau: Implementing "Whole Process Supervision" for High-value Medical Consumables

  Cctv news(Intern reporter Fu Hongcheng): On August 1, Li Tao, deputy director of the National Medical Insurance Bureau, introduced the "Reform Plan for Managing High-value Medical Consumables" recently issued by the State Council at the policy briefing in the State Council. In view of the outstanding problems such as high price and overuse of high-value medical consumables, Li Tao said that a multi-department joint response mechanism will be established to investigate and deal with violations of laws and regulations, and the supervision and management of production, circulation and use will be strengthened.

  Improve the supervision and management mechanism and seriously investigate and deal with violations of laws and regulations. Li Tao said that it is necessary to improve quality management, strictly register and approve, and establish a traceability system and a lifelong responsibility system for product quality. Implement the re-evaluation and recall system, strengthen circulation management, establish a distribution selection mechanism, and encourage the implementation of the "two-vote system." Strengthen the building of a clean and honest party style, strictly implement double responsibilities for one post, intensify discipline inspection and supervision, and seriously investigate and deal with corruption, bribery, dereliction of duty and other acts.

  Implementing the whole process supervision is based on "unifying the classification and code of medical consumables for medical insurance". Through unified coding and classification, "three possibilities" can be realized, that is, "comparability, supervision and analysis". Specifically, "comparability" means to realize mutual recognition of data between different places and medical institutions through unified classification and coding, to promote data comparison of high-value medical consumables between different places and medical institutions, and to make information open and transparent. "Regulatory" can strengthen the supervision and management of all aspects of production, circulation and use, and promote the joint supervision of various departments. "analyzable" can realize the data exchange of high-value medical consumables between the country and various provinces and cities, carry out the analysis and application of big data, improve the governance ability, and greatly reduce the pressure and burden of enterprises repeatedly submitting product information in bidding and procurement links around the country.

  In addition, Jiao Yahui, head of the Medical Administration and Hospital Authority of the National Health and Wellness Commission, emphasized the strengthening of quality control. "We have established a very perfect quality control system throughout the country, from the country to the provinces and cities, and through quality control, we have also strengthened the normative monitoring of every key medical technology and medical behavior, especially in areas where high-value consumables are used.

  Jiao Yahui also said that in the process of standardized use of high-value medical consumables, medical institutions and medical personnel should play the main role. The management of the whole process of medical institutions from procurement, selection to use and monitoring needs to ensure that high-value medical consumables can be traced forward and backward in medical institutions, so as to manage the whole process.

  Strict supervision of high-value medical consumables requires efforts from all sides. In order to ensure the effective implementation of the system, Li Tao introduced that the "Program" also emphasized the need to adhere to the linkage of the three hospitals, strengthen organization and implementation, and put forward supporting measures such as increasing financial input, rationally adjusting the price of medical services, deepening the reform of medical insurance payment methods, and accelerating the establishment of a salary system that meets the characteristics of the industry. All relevant departments in all localities are required to raise awareness, strengthen leadership, clarify responsibilities and division of labor, strengthen publicity and reasonable guidance, and ensure the smooth and orderly progress of reform. "The linkage of the three doctors is not only the linkage of the three doctors, but also the cooperation of many departments to ensure the quality, supply, use and payment of the selected products."