Notice on fully improving the integrative competence of county-level hospitals

(en.nhfpc.gov.cn)

Updated: 2014-10-23

• Implementation (October 2014 to October 2017) • Signing letters of responsibility and partner assistance agreement

Provincial level health and family planning authorities (including administrations of traditional Chinese medicine), county governments, support hospitals and county-level hospitals shall sign letters of responsibility; set a three-year goal; and clarify the responsibilities, rights and measures of each side. The partner hospitals, functional departments of both sides and clinical departments of both sides shall sign assistance agreements.

• Implementation (December 2014 to October 2017) [1] The Bureau of Medical Administration of the National Health and Family Planning Commission and the State Administration and the Department of Medical Administration of the State Administration of Traditional Chinese Medicine will hold a regular working conference to supervise, evaluate and spot check performance. To provide guidance for standardized construction, the National Health and Family Planning Commission will publish minimum standards and recommended standards on the construction of integrative competence of county-level hospitals. The State Administration of Traditional Chinese Medicine will publish minimum standards and recommended standards on the construction of integrative competence of county-level hospitals of traditional Chinese medicine.

[2] Provincial level health and family planning authorities and administrations of traditional Chinese medicine will lead and evaluate work within their jurisdictions, and submit an annual report to the Bureau of Medical Administration of the National Health and Family Planning Commission and the State Administration and the Department of Medical Administration of the State Administration of Traditional Chinese Medicine.

[3] Support hospitals will push forward assistance work systematically and in an orderly fashion by sending out staff to partner hospitals, training staff members of these hospitals and carrying out teamwork.

[4] The county-level hospitals should proactively increase their integrative capacity in accordance with the agreement and exert efforts to accomplish the key tasks.

C. Evaluation [1] Mid-stage assessment (November to December 2015)

The National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine will carry out mid-stage assessment based on the job objective, which requires the 500 hospitals to complete no less that 50 percent of key tasks and increase their capacity to 50 percent of the goal (see appendix) by the end of October 2015.

[2] Final assessment (November to December 2017) The National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine will carry out a final assessment on the 500 hospitals based on the job objective, hold a wrap-up meeting, publish assessment results, popularize work experiences and create working models. The 500 hospitals shall complete all key tasks and increase their capacities to meet the goal by October 2017.

3.2 Phase two: Fully lifting the integrative capacity of county-level hospitals (2018-2020) By 2020, 90 percent of county-level hospitals and county-level hospitals of traditional Chinese medicine in China shall meet the minimum standards on integrative capacity, with 50 percent reaching the recommended standard.

4. Job requirements 4.1 Take joint efforts to push forward reform on county-level hospitals

Improving the integrative capacity of county-level hospitals is a key measure of refining the whole medical service system in China. Health and family planning authorities and administrations of traditional Chinese medicine at all levels should combine the work with comprehensive reform on county-level hospitals and actively coordinate with related departments including the financial sector to provide support from the perspective of policy, funding and project to obtain good results.