Notice on Village Clinic Management Method (Trial)

(en.nhfpc.gov.cn)

Updated: 2014-07-19

28. County-level health and family planning administration should arrange regular evaluations of village clinic or commission the evaluation to health clinics in towns and townships. Evaluation results will determine financial aid, personnel rewards and punishment, and re-registration.

29. Local health and family planning department should take steps to build exit mechanisms for retired or disqualified village clinic personnel based on the endowment insurance system and clinic personnel performance evaluation.

Operation management

30. Village clinic and its medical staff should strictly abide by national laws, regulations and rules, follow diagnosis, treatment and other operation standards, and strengthen medical quality and safety management.

31. County-level health and family planning department should establish and improve regulations on village clinic medical quality management and security, individual job responsibility, regular on-the-job training, outpatient service registration, disease reporting, food-borne disease or suspect case report, management of medical waste, hospital infection, immunization planning, mental disturbance service, women and children’s care, as well as finance, drugs, files and information.

32. Village clinic should use proper technology, equipment and essential drugs, within the scope of practice, to offer basic medical and health care services to rural residents. Clinic personnel are encouraged to learn traditional Chinese medicine and apply it in disease prevention and treatment.

33. Village clinic should prepare and use essential drugs in accordance with the law, conduct centralized drug purchasing and zero-profit sales, and establish drug purchase, sales and inspection records.

34. After getting approval from the county-level health and family planning department, village clinic must meet the following requirements to offer intravenous administration services:

(1) Having independent intravenous administration observation room and bed; (2) Having commonly used emergency drugs, equipment and oxygen supply facility; (3) Being qualified for intravenous drugs allocation; (4) Intravenous administration personnel should be capable of first-aid in preventing and treating possible infusion reaction; (5) Antimicrobial drugs intravenous administration should conform to clinical application rules.

35. Village clinic should meet the following requirements to get appointed as a vaccination unit by the county-level health and family planning department:

(1) Village clinic personnel should attend professional vaccination training arranged by the county-level health and family planning department and pass tests. (2) Having cold storage facility, equipment and custody system in line with vaccine storage and transportation management standards; (3) Accepting local county-level disease prevention and control institute’s technical guidance, local township health institute’s supervision, personnel training and guidance on cold chain of equipment use and management.

36. Township health institute should arrange a regular meeting at least every month and gather village clinic personnel under its jurisdiction, and meeting should cover:

(1) Basic medical and public health work at village clinic in previous month, information statements, work problems and suggestions; (2) Village clinic work summary and problem-solving assistance by township health care institute. Report to county-level health and family planning department as needed; (3) Professional and health policy training to village clinic personnel by township health care institute; (4) Health policy delivery and work deployment by township health care institute.

37. Village clinic’s medical waste and wastewater treatment facilities should meet Medical Waste Management Regulations.

38. Strengthen information building at village clinic and support village clinic in using information technology to manage rural residents’ health records, receive long-distance medical education, carry out long-distance medical consultation, report hospital infection outbreak, conduct instant cost settlement in the new rural cooperative medical system, and unify electronic bills and prescription at the township hospitals and village clinics and the prescription between township health institute and village clinic.

39. Village clinic should share birth, pregnancy and contraception information with village officials, township health institute and family planning office.

Financial management

40. Village clinic should take note of medical income and expenses as well as assets registration under the guidance of health clinics in towns and townships.

41. Provincial health and family planning departments should work with finance and commodity price departments to properly formulate general diagnosis and treatment costs as well as payment standards and management in the new rural cooperative medical system, without imposing extra fees on rural residents.

42. Village clinic should take the initiative to open medical service and drug prices, as well as drug varieties and their buying and selling prices, making every charge and expenditure transparent.