China News Service, December 10th. According to the website of the National Health Commission, the National Health Commission, the National Medical Insurance Administration, and the State Administration of Traditional Chinese Medicine have recently jointly issued the "Regarding the Further Promotion of "Internet + Medical Health" and "Five Ones" Service Actions Notice" (hereinafter referred to as "Notice").
The “Notice” proposes that all regions should rely on the national integrated government service platform to implement the health code information mutual recognition mechanism and rules, clarify that the health code information of cross-regional mobile personnel is credible and usable in all regions, and it is practically convenient for people to travel and cross-provincial mobility. The epidemic prevention and health code has a unified policy, unified standard, national mutual recognition, and one code can pass.
In low-risk areas, except for special places and special personnel, health codes should not generally be checked.
Data map: Passengers present health information at Beijing Capital International Airport.
Photo by China News Agency reporter Hou Yu
The "Notice" pointed out that since the issuance of the "Opinions of the General Office of the State Council on Promoting the Development of "Internet + Medical Health" (Guobanfa [2018] No. 26) and other documents, localities have acted quickly and innovatively implemented to promote "Internet + medical health". Development has achieved remarkable results, forming a good situation of departmental coordination and interaction between the top and bottom.
Especially during the epidemic prevention and control period, various localities innovated online service models, which played an important role in supporting the precise prevention and control of the epidemic, avoiding clusters of cross-infection, promoting the orderly flow of personnel, and resuming work and production.
In order to summarize the typical practices that have emerged in the promotion practice, further focus on the "emergency and worry" problem of the people seeking medical treatment, and continue to promote the in-depth development of "Internet + medical health" convenient services for the people, the National Health Commission, the National Medical Insurance Bureau, The State Administration of Traditional Chinese Medicine has decided to deepen the "Five Ones" service actions throughout the industry.
The relevant matters are as follows:
The first is to promote "integrated" shared services and improve the level of convenient, intelligent and humanized services.
Adhere to the integration of online and offline.
While continuing to improve offline medical service actions, medical institutions should make full use of information technologies such as the Internet and big data to expand service space and content, actively provide patients with online convenient and efficient services, as well as follow-up management and remote guidance, and gradually realize patients' home rehabilitation .
Internet hospitals need to realize data sharing and business collaboration with offline physical medical institutions, and provide continuous services that seamlessly connect online and offline.
Encourage all localities to use intelligent IoT terminal equipment to carry out the monitoring, tracking and management of the characteristic index data of patients with chronic diseases and high-risk groups, combined with the contracted services of family doctors, and sink health management to community service sites.
Promote Internet diagnosis and treatment services, give full play to the role of Internet hospitals in primary medical services, guide the downward shift of focus and sink resources, and promote hierarchical diagnosis and treatment in an orderly manner.
In response to the "digital divide" obstacles that exist in groups such as the elderly, children, and the disabled, all localities must adhere to the reality of walking on two legs, reasonably retain traditional service methods, and realize the convenience of online services and the human nature of offline services.化.
On the basis of implementing non-emergency appointments for diagnosis and treatment, medical institutions should simplify online service procedures, improve multiple appointment registration methods such as telephone, Internet, and on-site appointments, unblock the channels for family members, relatives, friends, and family doctors to make appointment appointments, and provide a certain percentage of On-site number source, keep manual service windows such as registration, payment, printing inspection results, and provide medical guidance services such as medical guides, volunteers, social workers, etc., to effectively solve the practical difficulties of the elderly and other groups in using smart technology.
Optimize the smart medical service process.
All localities must adhere to the patient-centered approach, and actively implement the requirements of the National Health Commission and the State Administration of Traditional Chinese Medicine "Notice on Deepening the "Internet + Medical Health" Convenience and Benefiting Activities" (Guowei Planning Fa [2018] No. 22), and continue 10 services and 30 measures to promote convenience and benefit to the people have been implemented and effective.
In accordance with the "Notice on Further Improving the Appointment Diagnosis and Treatment System and Strengthening the Construction of Smart Hospitals" (Guoweiban Yihan [2020] No. 405), hospitals above the second-tier level should accelerate the integration of internal information systems and business collaboration, optimize medical procedures, and improve services effectiveness.
Gradually realize online health consultation, follow-up consultation, prescription review, medication guidance, mental and health assessment, vaccination appointment, electronic prescription circulation, drug delivery, follow-up follow-up, family ECG monitoring, community appointment and referral, etc.
The medical consortium, medical community, etc. should strengthen the integration of medical and health services, support service communication with information communication, and guide patients to seek medical treatment in an orderly and convenient manner.
Promote regional information sharing and mutual recognition.
All localities must adhere to problem-oriented and demand-oriented, strengthen the promotion and application of functional guidelines and data standards for the national health information platform and hospital information platform in the province's overall planning area, and promote the standardized access of health information platforms at all levels of medical institutions and provincial TCM museums to the provincial overall planning platform. Continuously improve the quality of data connection with national platforms.
Under the premise of compliance with medical quality control and patient informed consent, promote the access and sharing of medical and health information such as electronic medical records, examination results, medical imaging data among medical institutions, and gradually realize the mutual recognition of information covering the provinces.
All localities should speed up the realization of the linkage between electronic health records, electronic medical records, and public health service information. On the basis of ensuring data security and personal privacy, promote online inquiry and standardized use of electronic health records, clarify open content and unify open paths, and gradually realize Residents may authorize convenient access to personal electronic health files to better record and manage the health information of residents throughout their life cycles.
The state will launch relevant pilot projects in due course, and actively promote the development of regional integrated information connectivity, mutual recognition and sharing services in qualified regions such as Beijing-Tianjin-Hebei, Yangtze River Delta, Chengdu and Chongqing.
The second is to promote the “one-code-to-community” integrated service, and to break the barriers of multi-code coexistence that are not common to each other.
Strengthen the "one size universal" in the industry.
In accordance with the unified technical standards and regulations formulated and issued by the state, all localities should accelerate the application of the standardization of residents' electronic health codes, and focus on solving the problem of "one hospital, one card, non-universal" in medical and health services.
Encourage all localities to take the popularization and application of residents' electronic health codes as a starting point, promote real-name medical treatment, explore the use of ID card numbers as the main index and other ID numbers as supplements, and strengthen the management of residents' health and health identity identification and use.
Promote residents' electronic health codes to replace medical and health institutions' visit cards, expand the use of diagnosis and treatment services, public health services, chronic disease management, online information inquiry, health education, blood management and other fields, and gradually realize one code universal in the health industry.
For groups such as the elderly and children, offline manual services should be reasonably reserved to effectively solve the obstacles to intelligent technology.
Promote cross-departmental "multi-code integration".
All localities should adhere to the people-oriented approach, strengthen the integration of relevant medical institutions’ business information systems, strengthen coordination among departments, and promote the application of “multi-code integration” such as residents’ electronic health codes, financial payment codes, and citizen cards. "On a switchable basis, strengthen the exchange of information and business operations to facilitate the use of the masses.
Encourage all localities to explore and use a unified "Internet + medical and health" service portal, promote the effective integration and application of residents' electronic health records and electronic medical records, and provide residents with life-cycle health management services.
At the same time, through the “multi-code integration” retrospective management, the effective supervision of medical treatment records, expense lists, electronic prescriptions, electronic medical records, and medical expense settlement records will be gradually realized in the “three-medicine linkage”.
Realize health code "one code pass".
Relying on the national integrated government service platform, all localities should implement the health code information mutual recognition mechanism and rules, clarify that the health code information of cross-regional mobile personnel is credible and available in all regions, and effectively facilitate personnel travel and inter-provincial mobility, and realize a unified policy for epidemic prevention and health code , Uniform standards, national mutual recognition, one-yard pass.
In low-risk areas, except for special places and special personnel, health codes should not generally be checked.
For the elderly and other people who do not use or do not operate smart phones, alternative measures such as reading ID cards, presenting paper certificates, acting on behalf of relatives and friends, or binding multiple people's epidemic prevention health codes to one person can be adopted.
Strengthen the standardized use of epidemic prevention health code data, strengthen data security management, and effectively protect personal privacy.
Medical institutions above the second level should add green channels without health codes at the entrances, provide personnel to help inquire about the epidemic prevention health codes, assist in the manual completion of epidemiological history surveys, shorten the waiting time, and provide more detailed and appropriate services for the elderly and other groups.
The third is to promote "one-stop" settlement services and improve the "Internet +" medical online payment work.
Promote "one-stop" timely settlement.
Medical and health institutions should optimize online and offline payment processes, improve settlement models, and solve payment jams through multiple channels such as self-service machines, online services, and mobile terminals.
On the premise of ensuring information security, strengthen cooperation with medical insurance, commercial insurance, UnionPay, and third-party payment institutions to provide patients with multiple online payment methods.
Speed up the docking of relevant information systems and data sharing, expand online payment functions, promote "one-stop" timely settlement, and provide more convenient services for insured personnel.
Implement the "Internet +" payment policy.
Implement the requirements of the National Medical Insurance Administration's "Guiding Opinions on Actively Promoting "Internet +" Medical Service Medical Insurance Payments" (Medical Insurance Fa [2020] No. 45), adhere to online and offline consistency, and implement fair medical insurance policies for online and offline medical services, Maintain a balanced level of treatment.
The insured person's medical examination fees and drug fees incurred in the "Internet +" medical service designated medical institutions in the overall planning area can be paid in accordance with the medical insurance regulations of the overall planning area.
Starting from outpatient chronic diseases, all localities can gradually expand the scope of medical insurance for "Internet +" medical services for common diseases and chronic diseases.
Support the circulation of "Internet+" medical follow-up prescriptions, and explore the interconnection of prescription information purchased by designated medical institutions and designated retail pharmacies.
Combining with the pilot of direct settlement of outpatient expenses, explore the direct settlement of "Internet +" medical services for medical treatment in different places.
Implement the "long-term prescription" medical insurance reimbursement policy, and realize online medical insurance settlement for online prescription drug fees for "Internet +" medical services that meet the requirements.
The fourth is to promote the “one network” government services to resolve the problems of difficult, slow, and complicated tasks.
Expand shared government services.
Implement the requirements of the State Council on strengthening the orderly sharing of government affairs information, and the health industry has realized the basis for data sharing such as birth medical certificates, death certificates, full population information, physician practice registration information, nurse practice registration information, and medical institution practice registration information. In the above, a new batch of data sharing lists including nucleic acid testing information will be formulated and issued at the national level, and the data sharing coordination mechanism will be improved to support cross-departmental and cross-level administration of government services.
All localities must complete the cross-provincial administration of government services such as "filing of free medical activities" and "filing of sanitation and safety evaluation reports of disinfection products".
Accelerate the promotion of the integration of the provincial overall planning of the national health information platform with the government information service platform at all levels, and promote the implementation of government service matters in one network.
Promote convenient service modes such as the "Birth One Matter" joint operation, and realize the "one-time submission, multi-certificate joint operation, and one-stop delivery" of birth medical certificates, vaccination, household registration, medical insurance participation, and social insurance application.
Convenient information query service.
All localities should rely on official websites, official accounts, regional national health information platforms or government service platforms, etc., to integrate and publish “Internet + medical health” related online mobile service applications in the province to facilitate the public’s “one channel” to obtain diagnosis and treatment services and health management services And other authoritative information.
Implement the "Guiding Opinions on Accelerating the Construction and Application of Electronic Certificates and Licenses in the Health and Health Industry" (Planning Fa [2020] No. 17 of the National Health Office), implement an electronic certificate and license system for the health and health industry nationwide, and realize that electronic certificates and licenses are included in government services Full support.
Accelerate the construction of a network credible identity authentication system, and gradually realize online patient identity verification and public inquiries on information such as medical institutions, doctors, and nurses.
Strengthen the record of the whole process of vaccine delivery, circulation, storage and transportation, and use information, and provide inoculation inquiry services to the public to ensure that the source of the vaccine can be checked and whereabouts can be traced.
Promote grassroots burden reduction services.
Carry out the central government’s requirements for grassroots burden reduction, implement the health statistical survey system, establish a data list, strengthen source governance, and promote the integration of information systems and the sharing of data resources in accordance with the principle of “one count, one source, one source for multiple purposes, unified standards, integration and sharing” .
All localities should rely on national and provincial-level national health information platforms to implement direct online reporting of information such as population death registration data, statutory infectious disease report data, public health emergency report data, nucleic acid test data, and antibody test data at the national level. Cross-level sharing between provincial platforms.
Encourage all localities to use electronic health records in various assessments, and gradually eliminate paper files.
Encourage the development of a unified primary-level medical and health institution data collection information system focusing on the province. Primary-level reports should be automatically generated through the information system as much as possible, reducing manual filling and paper reports, and gradually achieving primary-level data collection "only once."
The fifth is to promote the "one game of chess" anti-epidemic services and strengthen the normalized information technology support for epidemic prevention and control.
Strengthen early monitoring and early warning.
The state and provinces (autonomous regions, municipalities) are accelerating the establishment of a comprehensive and integrated intelligent multi-point triggering monitoring and early warning platform for infectious diseases, covering public health institutions, medical institutions, and third parties in accordance with the principles of overall coordination, horizontal integration, vertical integration, and focus Testing laboratory and Internet public opinion information, etc.
Horizontally connect and share the monitoring data of relevant departments as well as multi-source data such as port abnormal symptom delivery, specific drug sales, cold chain food testing, etc., and vertically connect the country, province (region, city) and medical and health institutions related to infectious diseases to improve real-time Analysis, scientific research and judgment ability.
Taking respiratory infectious diseases as a breakthrough point, we will improve the monitoring mechanism for unexplained diseases and abnormal health events, and improve the sensitivity and accuracy of assessment and monitoring.
Strengthen the coordination of medical and prevention information, strengthen the monitoring of people and things, medical and health institutions should do a good job in the connection of infectious diseases and public health emergencies with the monitoring and early warning platform to realize the automatic collection of symptoms, diagnosis and inspection data.
Strengthen support for epidemic prevention and control.
All localities should improve the analysis platform for infectious disease flow analysis, strengthen the information linkage between health and other related departments, coordinate the use of big data and artificial intelligence technology, empower manual flow adjustment work, quickly complete the classification of personnel, and automatically generate related reports. Support the investigation of key groups and the tracking of close contacts to reduce social risks.
Relying on the unified platform for nucleic acid testing of the National Center for Disease Control and Prevention, strengthen the information connection with various provinces, support the whole-process service management such as appointment testing, data submission, result inquiry, shared mutual recognition, etc., to ensure the normal cross-regional movement of personnel in low-risk areas.
Adhere to national and provincial overall planning, improve and improve the comprehensive security information platform such as the deployment of protective materials, medical service demand and supply, and dynamically manage key resources such as epidemic prevention and control institutions, personnel, vaccines, equipment, and materials in the province based on geospatial information. Visual display.
Deepen epidemic prevention consulting services.
Encourage medical and health institutions and qualified third-party institutions to build Internet consulting platforms to provide high-quality and convenient medical and health consulting services around health assessment, health guidance, medical guidance, psychological counseling, and Chinese medicine prevention and treatment, and reduce offline personnel gathering. Reduce the risk of cross infection.
Encourage all localities to build a unified, authoritative, public, and efficient science platform that is open to the public, and carry out public health, infectious disease prevention and control, diagnosis and treatment, and other knowledge publicity education to improve residents' health literacy and protection capabilities.
All localities should play the role of telemedicine platforms, sink expert resources with the help of information technology, and improve the epidemic prevention and control capabilities of primary medical and health institutions.
Strengthen the construction and application of the Internet consulting service platform for overseas Chinese and overseas Chinese, and better provide health consulting services for overseas Chinese and overseas Chinese.
The "Notice" requires that all levels of health, medical insurance and traditional Chinese medicine authorities must adhere to the people-centered development concept, strengthen organization and leadership, refine service measures, and ensure that various tasks are implemented.
It is necessary to promote the in-depth application and innovation of the new generation of information technology in the medical and health industry, further optimize the allocation of resources, improve service efficiency, strengthen online supervision, and strengthen security guarantees.
We must adhere to the principles of encouraging innovation, inclusiveness and prudence, and support the "Internet + medical and health" model provinces (regions and cities) in combination with actual trials to explore new models of innovative medical and health services, and enhance people's sense of access to medical treatment.
At the national level, work guidance and inspections will be strengthened, and a batch of typical experiences and practices of the "Five Ones" action will be selected and promoted at an appropriate time, so as to continuously promote the "Internet + medical and health" convenience services to achieve practical results.