According to incomplete statistics, nearly 10 prefecture-level hospitals, including the People's Hospital of Yixing City, Jiangsu Province, have risen sharply in their rankings, and many hospitals have been ranked among the national A for the first time.
It is understood that in the "national examination" assessment, the grades of general hospitals are divided into three grades: A, B and C, and each level has three sub-intervals. Among them, the top 20% of hospitals are in the A grade.
For example, the People's Hospital of Yixing City, Jiangsu Province, ranked 209th among the 1,414 ** general hospitals in the country, ranking up 300 places from last year; Linyi Central Hospital in Shandong Province ranked 217th, up 84 places; Jiangyin People's Hospital in Jiangsu Province ranked 241st, up 72 places; Guang'an People's Hospital of Sichuan Province West China Hospital Guang'an Hospital ranked 262nd, up 38 places.
Jin Chunlin, director of the Shanghai Health and Health Development Research Center, told the people's ** health client: "From the perspective of the score of the 'national examination' assessment index, medical quality and operational efficiency account for the largest proportion, which are the two main evaluation dimensions. In terms of the score of a single indicator, the proportion of discharged patients undergoing surgery, the proportion of discharged patients undergoing fourth-level surgery, and the funding for scientific research projects per 100 health technicians are three ultra-high indicators, with a full score of 100 points, and the first two belong to medical quality. The ranking of these prefecture-level hospitals has risen sharply, and the preliminary judgment is related to the improvement of these key indicators. ”
Taking Guang'an Hospital of West China Hospital of Guang'an People's Hospital of Sichuan Province as an example, the core indicators of its "national examination" have been significantly improved, and the proportion of patients discharged from the hospital for fourth-level surgery is 1679%, an increase of 771 percentage points, the CMI value (case combination index), which represents the technical difficulty of the hospital's diagnosis and treatment of disease records and the ability to admit difficult and severe cases, also increased from 092 to 102。
Guang'an People's Hospital of Sichuan Province, West China Hospital, Guang'an Hospital strengthened the construction of operating departments.
Jin Chunlin believes that "the rise in the ranking is also related to the data processing capacity of hospitals. The 26 national monitoring indicators of the 'national examination' are directly reported on the same data platform, and due to the high data requirements of the assessment, if the hospital can improve the level of case data management accordingly, it will also affect the ranking to a certain extent. In addition, the current assessment score and the construction of the operating department, the composition of the department has a close relationship, each prefecture-level city hospital can benchmark the national assessment indicators, find out the shortcomings or deficiencies of the hospital, targeted improvement, and promote the overall development of the hospital, but also pay attention not to 'only the score'. ”
Clinical outcome orientation and outcome orientation are important directions that need to be considered in the national assessment in the future. Jin Chunlin emphasized, "for the high-quality development of hospitals, the people's expectation is to cure the disease, and now the 56 indicators of the performance appraisal of the national public hospitals, most of which are mainly process indicators, can be gradually explored in the future to increase the assessment of clinical outcomes, first-class effects and other related outcome indicators." ”
Gao Yuexia, assistant dean of the School of Public Health and director of the Department of Health Management of Nantong University, said in an interview with the reporter of the people's health client: "Optimizing the quality and efficiency of medical services has always been the focus of the 'national examination'. ”