Medicine of information-based helping hand is separated

Medicine of information-based helping hand is separated
Staff reporter Cao Zheng Set up national basic medicine system, should just reform " mend medicine with medicine " The mechanism, reduce the masses and use the medicine burden, meet the demand of basically using medicine. At present, already over 80% of the governments have run the medical health organ in the basic unit and implemented the basic medicine system in the whole country, basic the intersection of medicine and zero difference lead, sell to enable the dispensary at the basic level transfer from profit center to cost centre, all parts are all exploring the new management mode of dispensary at the basic level actively. Will it be March 2010, Sichuan Province the intersection of Xinjin and the intersection of county and 11 health clinics in towns and townships and 2 communities defend the service centres and all implement the basic medicine system, stand and include in the basic medicine system and implement the range too in 40 pieces of hygiene of village of realizing integrated management. On this basis, Xinjin county manages the platform through setting up informationization, constructs the new delivery procedure of basic medicine, cancel the addition of medicines, implementing a stock control of dispensary, logistics wraps up, revenue and expenditure separation, the third party and settles account outside, advance medicine to separate, has formed characteristic " mode of Xinjin " . Manage Xinjin from county to 60 kilometers of Chengdu in the reform dispensary, it is the information construction demonstration county of the hygiene of Sichuan Province. Nowadays, in set up basic the intersection of medicine and system, reinvent the intersection of basic unit and basic medicine, supply in the exploration of the system taking new paces again this county. In spending the dispensary of the commune hospital of garrison post of the source in Xinjin county, 3 cases of medicines just sent to are waiting for staff members to unpack and confirm. Pharmacist Peng Lei points to the manifest to tell reporters, so long as scan rifles to sweep with the electron in one's own hands, the computer system of the hospital notes all information of this case of medicines, including variety, quantity, specification, producer, price,etc., and is shown the stock of the dispensary; When the patient gets it filled, the staff members of the dispensary, according to the electronic prescription which the doctor opens, the computer system of the hospital of including the information of medicines in, is shown the delivery of cargo from storage of medicines. Meanwhile, the computer system that the information feedbacked the supplier synchronously through Internet. "Hospital and supplier can look over stock information through the computer at any time. If supplier's computer system reveals, the hospital that oneself is responsible for supplying has stock of medicines that is lower than agreeing on the lower limit of the volume of stock, they will set about arranging to send medicines to the hospital. " Colored the intersection of source and the intersection of town and accepted theory Yang, president of commune hospital. Before the reform, spend the intersection of source and the intersection of town and commune hospital need, prepare, store medicines by first drug storage of 30 square meters, also need to allocate a person who is in charge of of storehouse. Store enough medicines, it is about equivalent to the annual fund accounting for 10% of business income of commune hospital that every year is taken up. Nowadays, these questions do not need the president of commune hospital to worry about. The blue sea hawk of chief of county hospital of Xinjin tells reporters, after the State Council purchase the instruction of the mechanism and issue about the basic medicine, they pay close attention to relevant progress, do the work of managing the connecting of the platform with medicines well ahead of time, and already bade and purchased the platform to purchase medicines from the province formally since April 1 this year. On this basis, Xinjin county various schools of thinkers provide and deliver in the enterprise in definite to accord with qualification Sichuan Province, have been chosen Sichuan Province pharmaceuticalses and Cologne pharmaceuticalses, stipulate two enterprises divide one block of districts to provide and deliver medicines to the dispensary at the basic level, and according to the stock information of dispensary at the basic level at any time, adjust the stock dynamically, has realized a stock control of dispensary medicines at the basic level. The medicines returned money of the commune hospital implements two lines of revenue and expenditure to manage. Medicine of county which the government establishes is in charge of the centre as the third party, after checking and ratifying the operating position of medicines through the information platform, settle account with medical enterprises. (leave and rotate the 2nd) (have and connect the 1st) "Medicines of us manage platform core zero stock control, logistics make with the third party closing outside. " Lan HaiYing says, through the transformation to the medicines purchase and supply system, makes the supply procedure of medicines again, manage after optimizing dispensary stock structure and medicines validity of the hospital, medicines loss and reduce by a wide margin, medicines manage cost drop to 4.2% by 8.5%, the turnover rate of medicines has been raised by 50%. The dispensary personnel at the basic level have relatively abundant time, the job role is caught briefly too and then gets it filled and turns into and standardizes the prescription behavior, guides and uses medicine rationally. This health bureau will strengthen the staff training of pharmacy next, and offer more professional medicine thing service clinically to the patient. The government plays a leading role in Xinjin county in the course of implementing the basic medicine system, put forth effort to reinvent the basic medicine and supply the system, reconstruct the procedure of medicines, realize medicines zero difference lead sell, zero stock control, the intersection of logistics and make, the intersection of third party and settlement, two lines of revenue and expenditure outside in health clinics in towns and townships. This plays a leading role with the government, the strong support is inseparable that offer. Blue sea hawk thinks, the basic medicine supplies the key links that the mechanism gives a new lease of life to, a difference rate that it is the basic medicine is sold. Only set up steady multi-channel compensation mechanism, the medical organization could really get rid of " raises medicine with medicine " ,The commune hospital will accept joyfully if the commune hospital reforms the dispensary. Blue sea hawk tells reporters, before implementing the basic medicine system in an all-round way, they used the structure, kind, quantity to count detailed analysis to medicines of the medical organization at the basic level in recent years, set up finance run to at the basic level medical organization the intersection of funds and gap go on, reveal all the details comprehensive compensation mechanism that make up the difference. According to the principle of management of two lines of revenue and expenditure, consider various factors synthetically, Xinjin county reaches more than 8 million yuan estimating out the annual revenue and expenditure shortfall of medical organization at the basic level, the county finance is compensated according to this base figure. "The hospital does not make money by selling medicines now, but the funds of the hospital are instead more sufficient than before, because there is much financial subsidy. " New flat president of town commune hospital Zhao steam and say, medical income and medicines income of the commune hospital each took half in the past. Though there is no medicines income now, can obtain the subsidy of more than 700,000 yuan of the government every year. In addition, the medical insurance ensures the improvement of competence, has driven the growth of the medical service income, in addition, the government buys funds that the public health serve, the whole institute's per capita income has been improved by 20% compared with before. Wang Hao is the business personnel of pharmaceuticals of Sichuan Province offering service of wrapping up outside for Xinjin county. He says, from July 1, 2010 to April 25, 2011, the company that oneself belonged to has already provided and delivered medicines worth 10,700,000 yuan for Xinjin county, monthly to sell more than 1 million yuan. It was that the time of returned money is guaranteed that he had the deepest thoughts and feelings. "Generally can finish the returned money within 15 days. " He says, the returned money time of medicines shortens to 15 days in fact on average 3 months even longer time until 30 days, providing and delivering enterprises saves the public relation cost, accelerates the fund reflux, has created conditions for enterprise's development. "If without the support of government finance, the third party of the executive of Ministry of Health settles account even think the returned money has a heart but no strength on time. " Medicine, county of Xinjin, in charge of LiSong Wang, director of centre, say, in charge of in the center, dial the fund and use for paying by the intersection of county and finance in advance to medicine, this is the key of settling account benign operation machine-processed of third party in Xinjin. Promote and use medicine rationally Not merely correctly The dispensary provides and delivers links and carries on the transformation, the control of the course for using medicine, it is Xinjin county that reinvents an important link that medicines supply the system too. On the computer of the hawk of blue sea, enters the information-based administrative system of regional hygiene of Xinjin county, so long as beat keyboard several times gently, the medical information of various fields of health organ in the whole county reveals on the screen impressively. From the screen, can understand the business income data in a certain period of any health clinics in towns and townships in the compass of competency in real time, singly or a plurality of medicines operating position, can see the prescription information of using medicine of any single one, including the name, names and units of the univalent, producer and relevant doctor of the medicine prescribed. This system can also count the rank to the operating position of medicines automatically, once find some health clinics in towns and townships have great prescription, excessive situation of making antibiotic, the administrator can submit to the relevant medical person in charge of health organ and deal with immediately. The information will become the important basis examined to these organizations and performances of person in charge too. At another end of the computer network, physician Wang Jun of the new flat town commune hospital of Xinjin county is opening the electronic prescription for the patient. So long as the doctor inputs patient's name on the computer, the relevant materials on its file of health can be seen, still can brief on the matching taboo of the medicine while prescribing. The computer will also calculate the total price of the prescription automatically according to the fixed price, the patient can get it filled when paying dues when going directly. Wang Jun says: "Have people dare, turn on great prescription now, who write a prescription more, right away will warn system. " In nearly 200 prescriptions on the same day of commune hospital of new flat town, the greatest prescription is 32.35 yuan, there are 18 under 1 yuan prescription. Zhao, president of commune hospital, steam and say: "Depended on the data of the craft, report form each month in the past, find the great prescription was time-consuming and strenuous. The management that the information-based means is equal to to ming lightens the burden. " "The purpose to adopt information-based management, it is to impel the medical worker to use medicine rationally, improve the competence of using medicine of the doctor at the basic level. " Lan HaiYing says, in order to lead the medical worker at the basic level to adopt the basic medicine more, have also specially screened guide of the ten common number formulation clinic diagnosis here in the county, behavior of standardizing the basic unit and making a diagnosis. County hospital of Xinjin statistics show, 2010 when is realized after the informationization, it is 27.87% that the health clinics in towns and townships of this county will unite the antibiotic using proportion, drop by 10.6% compared with 2009; It is 4.44% to unite the antibiotic using proportion two times, drop by 17.3% compared with 2009. Meanwhile, the clinic person at the basic level in Xinjin county increases by 24.2% compared with the same period of last year, the person increases by 46.3% compared with the same period of last year in hospital, the expenses once of clinic and expenses once drop by 21.5% and 18.6% compared with the same period of last year respectively in hospital.

|