The medical website on June 8, the insurance pharmacy agreement management is strict again, the appraisal rate above 95% can not be punished.
▍ new standard protocol management, assessment score more than 95% to amount to mark
Recently, guannan county, jiangsu province people club bureau of health management to the designated retail drug store agreement implemented the new standard, the examination of substandard pharmacies in punishment. The evaluation is divided into the usual appraisal and the year-end review, and the grading criteria are combined with two evaluation scores. The following is a detailed assessment:
1, the appraisal USES the percentage system, each kind of evaluation index score does not have another bonus points, but deducted points. The average appraisal accounts for 60% of the total and 40% of the year-end review.
The overall evaluation of the annual review is tied to the margin return of the year.
(1) more than 95 points (including 95) : the deposit is returned in full;
(2) 94-90:5% of the margin;
(3) 89-80:10 percent of the margin;
(4) 79 points - 70 points: 20 percent of the margin;
(5) in violation of the "one vote rejection" margin of the service agreement.
In this way, according to the percentage, it is not acceptable to score above 95. This also means that there are only five points for the designated health care pharmacy, which will cost you more than one point.
▍ health pharmacy management agreement bottom line, the recent fire
The management of pharmacies is very lucrative, not only for regulators, but also for retail pharmacies.
Cancelled since the state council issued "on the first batch of 62 central designated local implementation of the decision of the administrative examination and approval matters", after the cancellation of the administrative organs of the basic medical insurance fixed-point medical institutions and the qualification of the designated retail drug store, the new delegate to the "two" (medical insurance fixed-point medical institutions and medical insurance fixed-point retail pharmacies) unit management agreement to the front desk.
Yiwu unveiled earlier this year, "yiwu designated retail drug store agreement of insurance of primary medical treatment management method", according to the measures for the administration, according to the principle of voluntary application, various evaluation, negotiation signing, the introduction of a third party to carry out the assessment, open and transparent procedure, set up "can retreat into the" dynamic management mechanism, end the drugstore "lifetime fixed-point" label.
Managing this means that if there are retail pharmacies to be put up, there will be supervision over other (rival) retail pharmacies.
Even if management is so strict, but there are a lot of retail pharmacies, one and join the medical insurance management, the drugstore that decide a dot agreement, only the provincial cities in May 2017, with thousands of pharmacy management agreement.
On May 22 solstice on May 26, zhuzhou city, hunan province people club bureau of health care in organized a one-week health policy study and training and the city's 130 monomer protocol retail pharmacies, 363 chain retail pharmacy took part in the management training.
On May 19, the group held a designated pharmacy service agreement in sichuan province, and the meeting was attended by 108 local pharmacies in the county.
On May 16, hunan nanyue district health center group medical insurance work conference was held, nearly 30 medical institutions in pharmacy to attend the meeting and agreement, guarantee the strict performance of the service agreement.
In early may, hengnan county, hunan province held a special outpatient medical insurance and urban and rural residents work the retail drugstore that decide a dot agreement has been signed, the county all retail drugstore that decide a dot consistent commitment and special outpatient service drugstore that decide a dot services agreement.
▍ join protocol management, apply for health care pharmacy, this time must pay attention to
The designated retail pharmacies must have the following six rules:
Possession of the license of the pharmaceutical business enterprise, the certificate of the pharmaceutical business enterprise, the business license and the annual inspection of the pharmaceutical supervisory department;
2, comply with the pharmaceutical administration law of the People's Republic of China and related laws and regulations, have a sound and perfect drug quality assurance system, to ensure safe, effective, chick and service quality.
To strictly enforce the policy on drug prices prescribed by the state and province, and be qualified through the supervision and inspection of the price department;
4, timely supply of the basic medical insurance drugs, the ability of 24 hours to provide services, business lines shall not be less than 90% of the town worker is basic medical treatment insurance medicine drugs to sample 2 years in a row the percent of pass is up to 100%, no violation behavior, designated period shall counterfeit case occurred;
5, can guarantee the business hours at least one pharmacist on-the-job, operating personnel must be properly "{city) above, training of qualified pharmaceutical management department and relevant departments to issue the pharmaceutical trade professional certificate and health certificate, please;
6, to strictly enforce the rules of town worker is basic medical treatment insurance system, a standard internal management system, equipped with the necessary management and corresponds to the job requirements of insurance of primary medical treatment equipment.
Willing to take on town worker is basic medical treatment insurance service of retail pharmacies, must put forward a written application to the administrative department for labor and social security, and provide relevant materials, by the administrative department of labor and social security under the state council in conjunction with the drug department for review. |
