Continue to rectify corruption in the purchase and sale of pharmaceuticals
The Fifth Plenary Session of the 19th Central Commission for Discipline Inspection emphasized that corruption and unhealthy practices around the masses should be continuously rectified, promote social fairness and justice, and protect the legitimate rights and interests of the masses.
Focusing on the continuous rectification of corruption in the pharmaceutical purchase and sales field that the masses have strongly reported, local discipline inspection and supervision agencies insist on targeted supervision, focus on "key populations", focus on key links in key positions, compact responsibilities, interviews, and reminders; pool supervision and integrate supervision Strength, linkage and coordination, promote comprehensive rectification, cut off the chain of corrupt interests; weave dense system cages, refine and strengthen daily supervision, and allow the masses to use "beneficial medicine" and "relief medicine."
The original price of a coronary artery and vascular stent was 14,600 yuan, but now it only costs 469 yuan, which is less than the original price.
"Unexpectedly it's so cheap!" On July 6, facing the district discipline inspection and supervision cadres who visited, Liu Mou, a patient at the Central Hospital of Chongqing Jiangjin District, who had just experienced a life and death test not long ago, sighed again and again.
In January this year, Liu underwent coronary artery stent implantation due to acute myocardial infarction. A total of 3 coronary arteries and vascular stents were implanted.
He thought it would cost tens of thousands of yuan, but he didn't expect that compared with before, three brackets cost 42,000 yuan less.
Once upon a time, expensive vascular stents brought a heavy economic burden to patients.
His figure often appears in corruption cases in the medical and health industry.
Last year, the vascular stent was included in the "First Batch of National Key Management List of High-Value Medical Consumables" by the National Health Commission.
Since then, relevant departments in various regions have jointly managed through centralized procurement and sunshine bargaining, and the price of vascular stents has fallen sharply.
It's not just a blood vessel stent.
With the continuous deepening of corruption in the field of rectification of pharmaceutical purchases and sales in various places, more and more drug prices have returned to the people and benefit the people.
Discipline inspection and supervision agencies in various regions implement precise and effective supervision, severely investigate and deal with corruption cases, consolidate the responsibilities of regulatory agencies, and promote comprehensive rectification of the medical and health industry, so that the people can buy every medicine with confidence and use them clearly, and more and more people have benefited from it. , Enhance the sense of gain.
1
Targeted supervision, focusing on key populations
Gao Biqi, the former president of the Fourth People's Hospital of Shaanxi Province, has repeatedly received medical rebates from 10 suppliers totaling 2.38 million yuan, and used his power to facilitate the supply of orthopedic consumables, medical equipment, and medical equipment.
In the People’s Hospital of Aba Tibetan and Qiang Autonomous Prefecture in Sichuan Province, where there was a corruption case, the former president Gu Yunqi took advantage of his position to seek improper benefits for others in the procurement of medical drugs, consumables and equipment, and received huge amounts of property. .
On the same day as Gu Yunqi, there were also equipment and general affairs section chiefs and pharmacy section directors of the hospital, all of which were involved in corruption in the field of medicine purchase and sale.
Inventory of typical cases in the field of pharmaceutical purchase and sales, we can see the following characteristics: the amount of money involved remains high, the chain of corruption interests is interlocked, and key positions and key links are frequently lost... This has led to inflated prices of drugs and medical consumables and excessive growth in medical expenses. Such problems have increased the burden on patients to seek medical care and violated the vital interests of the masses.
Corrupt elements who eat the interests of the masses must be severely punished.
Based on their functions and responsibilities, local discipline inspection and supervision agencies are strictly investigating and punishing corrupt elements in the field of pharmaceutical purchase and sales. At the same time, through interviews and issuing reminders, they consolidate the main responsibilities of supervision departments and hospitals, and strengthen supervision of personnel in important positions that are prone to corruption risks.
The Disciplinary Inspection and Supervision Team of Fushun Municipal Commission for Discipline Inspection and the Municipal Health Commission in Liaoning Province conducted risk assessments on 32 key positions, including the director of the clinical department of the municipal medical unit and the person in charge of bidding and procurement of drugs and equipment, and designated "high-risk groups" and issued a message to 221 people. "Reminders for key positions in the purchase and sale of medicines", and establish monitoring dynamic files for them one by one, and organize warning education on a regular basis.
"You are the chief of the device department and the key subject of supervision. Please take the lead in resisting the transfer of benefits, including supplier kickbacks, banquets, gifts, and arranging tourism and entertainment activities..." received from Qin Hongtu, chief of the device department of Fushun Traditional Chinese Medicine Hospital As you can see on a reminder sheet of, there are not only the names and positions of key positions, but also specific content such as precautions.
In response to "key groups", the Commission for Discipline Inspection of Shanghe County, Shandong Province this year explored the establishment of a "dual interview and dual signature" mechanism.
"Dual interviews" refer to intensive interviews with middle-level cadres in medical and health supervision departments and medical institutions, and individual interviews with cadres in key positions such as drug equipment procurement and financial management to remind them to perform their duties honestly.
"Double signature" means signing a letter of responsibility for building a clean and honest government with party organizations at all levels, and layering responsibilities; signing a letter of commitment to clean government with medical and health supervision departments and party members and cadres of medical institutions, and let them make a "military order."
Chongqing Pengshui Miao and Tujia Autonomous County Commission for Discipline Inspection and Supervision in the County Health and Health Commission introduced their "serial approach" to reporters: formulating a list of main responsibilities and strengthening supervision over the exercise of the "key minority" powers of hospitals throughout the county. To supervise and urge the "head goose effect"; regularly remind the leaders of the county's hospitals and key departments; hire social supervisors, open communication channels, and extensively collect clues to corruption issues in the pharmaceutical purchase and sale field, especially involving the "critical minority" The clues of the problem, insist on finding them together, investigating them together...
Checking only bribery but not paying bribes is like cutting grass without getting rid of the roots.
To completely cut off the chain of profit transmission and corruption, we must insist on investigating bribery and bribery together.
After the investigation of the corruption case of Aba Prefecture People's Hospital, Sichuan Province has stepped up its investigation and punishment of illegal pharmaceutical companies, suppliers, and agents, and made full use of the "blacklist" of the medical insurance bureau's credit evaluation to make it difficult for bribers to do so.
In Jiangsu Province, Zhangjiagang Municipal Commission for Discipline Inspection has promoted the establishment of multiple databases by relevant departments to include pharmaceutical companies, suppliers and agents with bad records of commercial bribery into the procurement "blacklist" of medical institutions, and notify them of exposure so that they have nowhere to escape. shape.
2
Linkage and coordination to form a combined force for rectification
On June 30th, Xiaogan Central Hospital of Hubei Province held a meeting of the Party Committee Theory Learning Center Group to watch the warning education film "Ideal Abandon, Greed, and Life".
In the film, Li Rui, the former deputy secretary of the party committee and dean of the hospital, was finally locked up due to the fact that he relied on doctors for medical treatment and was engaged in the transfer of benefits from the procurement of medicines and equipment.
Organizing to watch the warning education film is one of the measures taken by the hospital to promote reforms and strengthen the construction of party style and clean government.
This year, the hospital launched the “Ten Measures” for hospital discipline inspection and supervision work focusing on the hospital’s political construction, style construction, risk management and control, and strengthened supervision by exploring supervision at the same level, formulating a “two responsibilities” list, and focusing on key areas and key links. Management, etc., actively promote the construction of clean hospitals, and let the "medical power" operate in the sun.
Corrupt profit chains in the field of pharmaceutical purchases and sales often collude closely, which can easily lead to litigation.
To continue to rectify corruption in this area, we cannot rely solely on fighting alone, we must gather forces and fight in concert.
In response to the corruption risks exposed in the local pharmaceutical purchase and sales field, the Xiaogan Municipal Commission for Discipline Inspection implemented the "room + group + N" mechanism to integrate the supervision force, coordinated by the second supervision and inspection office, and related dispatched (out) agencies to follow up, supervise and guide The Municipal Health Commission, the Medical Insurance Bureau, the Market Supervision Bureau, the Economic and Information Bureau, the Government Service and Big Data Administration, the Finance Bureau and other departments have formed a joint force to deepen the reform of the centralized drug procurement system and establish and improve the "Monitoring and Sharing of Medical Price Information" And Disclosure Mechanism, "Pharmaceutical Price and Recruitment Credit Evaluation System," and "Pharmaceutical Price Letter Inquiry and Interview System."
"The doctors are clear, the patients are happy." In continuing to promote the construction of clean hospitals, the Supervision Commission of the Hangzhou Municipal Commission for Discipline Inspection of Zhejiang Province has urged all relevant departments to formulate a list of key tasks to overcome difficulties and "many to one" in response to difficulties in rectification. Tackling tough problems and working together to give full play to the advantages of departmental integration and the superimposed effects of policies.
The Municipal Bureau of Economy and Information Technology promotes the implementation of the pharmaceutical industry development plan, promotes the construction of the city and county emergency medical material reserve system, guides the production of short (short) drugs in the city, etc.; the Public Security Bureau focuses on investigating and cracking down on illegal and criminal acts in the medical and health industry; Finance Bureau Promote comprehensive health reforms and increase financial investment in medical institutions; the Bureau of Commerce has improved the access and exit mechanisms for pharmaceutical and device production and distribution enterprises, and promoted the establishment of credit punishment mechanisms; the Market Supervision Bureau has increased the investigation and punishment of commercial bribery and other acts; The Medical Insurance Bureau will establish a market-led price formation mechanism for medicines and medical consumables; the Big Data Bureau will strengthen guidance and support for the construction of smart medical care, smart medical insurance, and smart internal control, and accelerate the digital transformation of health care... , Sing the "Cantata" well.
In response to the characteristics of corruption cases and difficulties in rectification in the field of pharmaceutical purchases and sales, disciplinary inspection and supervision agencies in many places in Zhejiang Province strengthened their supervision and urged functional departments to make innovative explorations: Pujiang County Commission for Discipline Inspection dispatched the second disciplinary inspection and supervision team to the County Health Bureau to supervise and urge The "Unified Party Management System" was introduced, and the "Unified Party Data Inquiry Double Password" management model was implemented in all medical institutions, and "two locks" were put in place to prevent unhealthy practices and corruption issues such as the receipt of drug rebates for selling unified data in the field of medicine purchase and sale. ; Tongxiang Municipal Commission for Discipline Inspection pays close attention to important links in the purchase and sale of medicines, and urges the establishment of a "sunshine negotiation room" and a "negotiation expert database", and implements the "sunshine negotiation" mechanism for medical procurement through surveillance video in 16 medical units in the city... Inject fresh breeze into the buying and selling field.
3
Problem-oriented, weaving system cage
On July 5, the People’s Hospital of Qionghai City, Hainan Province held a seminar on the hospital procurement process system. The leaders of the hospital’s leadership team, the Party Committee Office, the Discipline Inspection and Supervision Office, the Equipment Department, and the Pharmacy Department participated in the seminar. Supervision Team-The Discipline Inspection and Supervision Team of the Municipal Commission for Discipline Inspection and the Municipal Education Bureau participated in the whole process, jointly researching and formulating the procurement process of medicines and medical consumables, and further improving the hospital procurement system.
The rectification and reform of such establishment of rules and regulations originated from the investigation and handling of a case.
Not long ago, Feng, the former director of orthopedic and joint surgery of the hospital, accepted bribes from 9 orthopedic consumables companies for more than 150 times, and Hu Mo, former director of orthopedic surgery, accepted bribes from eight orthopedic consumables companies for more than 170 times. More than 10,000 yuan, two people were expelled from government affairs, and their suspected crimes were transferred to the procuratorial organ for review and prosecution in accordance with the law.
To put power in a cage, we must first weave the cage of the dense system.
After analyzing the case, the Disciplinary Inspection and Supervision Team of the Qionghai Municipal Commission for Discipline Inspection and Supervision in the Municipal Education Bureau guided the Party Committee of the People’s Hospital of the city to promote reforms, and revised the "Regarding the Management of High-value Consumables" in response to problems in the application, bidding, and use procedures of high-value consumables. 4 related systems including the Regulations, and establish the "Drug Dynamic Testing and Reasonable Drug Use Inspection System."
Huaiyin Hospital in Huai'an City, Jiangsu Province purchases 200 million yuan of drugs each year, but it has been under unsupervised status for a long time. The drug procurement and supply management system formulated by the hospital is like a scarecrow, and the drug management committee is useless. This led to Ding Shuyun, the former chief of the pharmacy department of the hospital, to introduce drugs. China has a great right to speak.
She not only has the right to decide which medicines the hospital purchases, but also has the right to decide the type, specification, and manufacturer of the medicine.
Although Ding Shuyun was eventually punished by law for accepting huge amounts of property from 20 medical representatives, the problem behind her case is thought-provoking: How to ensure that the regulatory system is implemented and enforced?
Huai'an City is piloting a "smart supervision" model in the field of pharmaceutical purchases and sales, with the help of big data analysis and intelligent supervision methods to carry out precise supervision.
The city’s Lianshui County Commission for Discipline Inspection and Supervision combined with the screening of the 35 categories of 268 key medical consumables catalogs and the integrity files of medical system officials, and embedded the "Supervision by the Commission for Discipline Inspection" module in the "Huai'an Medical Insurance Data Mining and Analysis System", and passed the big data comparison Yes, dig out clues that may involve corruption in the field of pharmaceutical purchases and sales, and establish a supervision mechanism for the entire process of the introduction, use, and management of pharmaceutical consumables.
According to the relevant person in charge of the Lianshui County Commission for Discipline Inspection and Supervision, according to the platform's early warning information, the County Commission for Discipline Inspection has found 51 clues about related issues this year, conducted 16 talks on clean government, and filed 23 cases for review.
In practice, the discipline inspection and supervision agencies in Jiangsu, Zhejiang and many other places have provided conditions for perfecting the allocation of "medical power", regulating the operation of "medical power", and preventing the abuse of "medical power" through the empowerment of "digital intelligence". Ensuring the implementation of the regulatory system and detailed daily supervision provided assistance.
In Jiangjin District of Chongqing City, the discipline inspection and supervision organs insisted on keeping a close eye on the "people's needs" and detailed daily supervision.
While intensifying the supervision of the implementation of systems such as "centralized procurement", the district medical insurance bureau was urged to strengthen the management of distribution companies to ensure the timely and sufficient supply of medicines urgently needed by patients, especially special medicines, to solve the troubles of the whole district in one fell swoop The supply of medicines for patients with hemophilia for many years.
At present, the prices of medicines, consumables, and medical insurance funds in the district have achieved "three drops."
Among them, the concentrated procurement of selected drugs dropped by an average of 53%, and the highest drop was 96%; the selected consumables dropped by an average of 81.03%, and the imported vascular stent products dropped by 95%, with an average drop of 93%.
Reporter Chu Yingjie