The Standing Committee of the Municipal People's Congress paid attention to the work of 120 pre-hospital emergency medical treatment and entrusted the Education, Science, Culture and Health Committee to inquire about relevant government departments

The 120 departure time has been reduced to 3 minutes

Guangzhou will build an emergency medical rescue command center

Wei Lina

The newly revised Regulations on the Administration of Social Emergency Medical Care in Guangzhou came into effect on May 5 this year. In recent years, the pre-hospital medical emergency tasks in Guangzhou have increased year by year, the existing hardware facilities and personnel can no longer meet the needs of economic and social development, how to improve the pre-hospital medical emergency service capacity, how to implement the system of dispatching within 1 minutes, how to unify the emergency medical command system of the city and district, and how to improve the emergency handling capacity of emergencies, etc., the public is highly concerned about such issues.

Recently, the Standing Committee of the Municipal People's Congress entrusted the Education, Science, Culture and Health Committee to carry out a special inquiry on the work of 2022 pre-hospital medical emergencies in 120, and entrusted by the municipal government, responsible comrades of relevant departments of the municipal government attended the meeting to answer the questions. The members of the Standing Committee of the Municipal People's Congress and the deputies to the Municipal People's Congress attending the meeting seriously reflected the problems in management mechanism, hardware construction, service efficiency and other aspects around the content of the people's concentrated concerns, and put forward opinions and suggestions on strengthening and improving the 120 pre-hospital medical emergency work, so as to provide a solid guarantee for the implementation of the "Guangzhou Social Emergency Medical Management Regulations" to be implemented in a solid and detailed manner. A summary of the Q&A of the inquiry meeting is hereby published.

Text/Guangzhou Daily All Media Reporter Wei Lina Correspondent Sui Renxuan

Unify the city-wide command and dispatch system, and the transfer of emergency patients across regions will be smoother

Q: At present, the municipal and district emergency medical command centers do not have unified command and dispatch under normalization, and it is difficult to transfer emergency patients across regions. According to the newly revised Regulations on the Administration of Social Emergency Medical Care in Guangzhou, the command and dispatch model should be adjusted to a unified command and dispatch model.

Responsible person of the Municipal Health Commission: In order to better achieve the purpose of unified command and dispatch in the city, it mainly starts from four aspects, such as mechanism, standard, platform, and training management: first, the establishment of a city-wide integrated command and dispatch operation information platform, which has been completed and has been put into good trial operation; The second is to establish cross-regional command and dispatch work guidelines, and clarify the regional cooperation mode under normal conditions; The third is to unify the training mode, training content, and assessment standards of dispatchers, and establish unified command and dispatch quality control standards for the whole city; The fourth is to promote the city's pre-hospital first aid acceptance and dispatch separation model, which is currently being piloted in the city's 120 center.

The Guangzhou Emergency Medical Rescue Command Center will be built to improve the emergency medical rescue command capacity

Q: The existing building scale and business functions of the Municipal Emergency Medical Command Center can no longer meet the needs of business development and emergency medical rescue command, and it is urgent to build a new Guangzhou Emergency Medical Rescue Command Center. However, the project has not yet been completed. How to accelerate the construction of the project in the next work?

Relevant person in charge of the Municipal Development and Reform Commission: At present, Guangzhou is fully supporting the construction of the municipal emergency medical rescue command center project. The project has been included in the "230th Five-Year Plan for Improving the Capacity of Guangzhou Municipality to Improve the Capacity of the Disease Prevention and Control System", and it has been clear that the feasibility study report can be directly prepared and approved, and the municipal fund has arranged 4.24 million yuan to support the preliminary work. The Municipal Development and Reform Commission has taken the initiative to dock and guide the preparation of project approval materials in advance on many occasions. The Municipal Development and Reform Commission included the project in the green approval channel, and held a project expert review meeting as soon as it received the project proposal on April <>. In the next step, the following measures will be taken to accelerate the construction of the project: First, the Municipal Development and Reform Commission will issue technical review opinions on the project as soon as possible, guide the Municipal Health Commission to revise and improve the project proposal, and complete the approval of the project proposal in the shortest time in accordance with laws and regulations. The second is to intervene in advance, guide the Municipal Health Commission and the Municipal Emergency Medical Command Center to prepare the feasibility study report in advance, and complete the approval of the project feasibility study report as soon as possible. The third is to guarantee the demand for funds, give preference to the arrangement of city-level capital construction pooled funds, and take multiple measures to accelerate the construction of projects.

The 10-second response rate is more than 95%, and the travel time is shortened from 4 minutes to 3 minutes

Q: The newly revised Guangzhou Regulations on the Administration of Social Emergency Medical Care, which came into effect on May 5, stipulates that the 1-second answering rate should reach more than 10%, and the travel time should be shortened from 95 minutes to 4 minutes.

The person in charge of the Municipal Health Commission: First, promote the expansion project of the command and dispatch system, expand lines, dispatch agents and increase dispatching personnel, dynamically adjust the number of employees according to the traffic volume, and ensure the answering rate; The second is to do a good job in publicizing the content of the revision of the regulations, and strengthen the training of dispatchers, pre-hospital emergency medical personnel, and management personnel; The third is to strengthen business quality control, monitor, timely analyze, and make targeted rectification of core business data and indicators such as answering rate and departure time; The fourth is to promote the construction of the layout of the first-aid network, prepare to add first-aid stations (vehicle groups) in a planned manner, and shorten the first-aid radius. Through efforts in the past six months, the municipal emergency medical command center has basically reached 10% in terms of 100-second answering rate, and the emergency medical command sub-center in each district has reached more than 97%. In terms of 3 minutes of departure, the punctuality rate of the city's "120" network hospitals is 95%. In the next step, special supervision will be carried out for units that do not meet the requirements, assist in finding and analyzing problems, and promote the implementation of rectification.

Five hospitals have carried out pilot interconnection of pre-hospital emergency emergency systems to achieve "admission on the bus"

Q: There is a lack of an electronic information platform for real-time communication in the pre-hospital hospital, and there is no information exchange between the ambulance and the network hospital, and the emergency patient must repeatedly explain the condition and repeat the admission procedures after arriving at the hospital, which affects the efficiency of treatment. What are the specific measures to connect the pre-hospital emergency medical network with the hospital information system?

The person in charge of the Municipal Health Commission: At present, the municipal emergency medical command center has been instructed to carry out the pilot of pre-hospital emergency emergency system interconnection with five network hospitals, including the Second Affiliated Hospital of Guangzhou Medical University and Guangdong Provincial Hospital of Traditional Chinese Medicine, and the in-hospital emergency department of the pilot hospital can directly receive pre-hospital emergency electronic medical records and other information, and the pre-hospital emergency system can also obtain relevant information after admission, as well as patient medical history, allergy history and other information; At the same time, summarizing the docking experience of pilot hospitals, the pre-hospital emergency emergency interconnection and docking standards have been initially formed, and the next step will be to distribute to each network hospital to promote the docking of network hospitals throughout the city, and finally fully realize the interconnection between the municipal emergency medical command center and the information system of each network hospital.

The "120" emergency hotline can cope with a 5 to 6 times increase in demand, and the transfer capacity can be doubled within 2 hours according to the emergency

Q: In the face of the extreme situation of the surge in incoming calls and emergency demand during the peak of the new crown epidemic at the end of last year, there were phenomena such as the inability to connect to the "120" emergency hotline, the long waiting time for manual acceptance after connection, and the time for pre-hospital emergency medical staff to arrive at the scene was greatly extended. What are the concrete measures to improve emergency response capacity and avoid similar problems from happening again?

Person in charge of the Municipal Health Commission: In view of the difficulty of telephone connection, the main measure is to expand the capacity of command and dispatch seats. Since the implementation of the emergency expansion in December last year, the telephone connection rate has approached 12%, and it can now cope with the surge in demand by 100 to 5 times, and has established a normalized disaster recovery mechanism. In view of the problem that the time for pre-hospital emergency medical personnel to the scene has been greatly extended, the main measures are to promote the layout planning of the city's emergency stations, increase the number of emergency stations, and carry out the expansion of eligible medical institutions into the 6 network to reduce the radius of first aid. At the same time, a mechanism for the emergency activation of the second ambulance in the network hospital is established, which can achieve the effect of doubling the transfer capacity and expanding the capacity within 120 hours in an emergency.

The reimbursement of first aid and rescue expenses incurred in pre-hospital medical emergencies is not subject to the restrictions of medical insurance designated points

Q: Pre-hospital medical emergencies should follow the principle of proximity and urgency. However, from the survey situation, many patients believe that pre-hospital medical emergency expenses are not included in the scope of medical insurance reimbursement, and request to be transferred to designated hospitals. What are the specific measures to improve the medical insurance policy for pre-hospital medical emergencies?

Person in charge of the Municipal Medical Security Bureau: According to the Notice of the Guangzhou Municipal Medical Security Bureau on Printing and Distributing the Measures for the Administration of Medical Treatment of Guangzhou Social Medical Insurance and Maternity Insurance (Sui Medical Insurance Guizi [2022] No. 3), the medical expenses incurred by the insured due to emergency treatment or rescue in non-medical insurance designated medical institutions or designated medical institutions not selected by the insured shall be paid by the medical insurance fund. Among them, the insured shall apply for sporadic reimbursement of the emergency expenses of the insured for medical treatment at non-medical insurance designated medical institutions; Emergency expenses belonging to the insured person's medical treatment at a designated medical institution other than their choice may be settled directly by the designated medical institution through the medical insurance network. In the next step, we will increase the publicity of medical insurance policies, further explain and explain well the policies that the masses care about, such as pre-hospital medical emergency treatment, improve the public's awareness of medical insurance policies, continue to improve service efficiency and quality, and effectively enhance the people's sense of gain, happiness and security.