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01 National Health Commission: "Guiding Opinions on Comprehensively Promoting the Construction of a Close-knit County-level Medical and Health Community".Documentation Requirements".By the end of June 2024With the province as the unit, we will comprehensively promote the construction of a close-knit county-level medical community. By the end of 2025Significant progress has been made in the construction of a close-knit county-level medical community, and policies to support the construction of county-level medical community have been further improved, such as organization and management, investment guarantee, personnel establishment, remuneration and medical insurance payment. Strive to build more than 90% of the counties in the country (county-level cities, municipal districts with conditions can be referred to, the same below) to basically build a county-level medical community with reasonable layout, unified management of people, property and property, clear rights and responsibilities, efficient operation, division of labor and cooperation, continuous services, and information sharing. By the end of 2027The close-knit county-level medical community has basically achieved full coverage, the operation mechanism of the management system has been further consolidated, the county's disease prevention and treatment and health management capabilities have been significantly improved, the county-level collaborative support relationship has been further consolidated, the two-level service level in rural areas has been significantly strengthened, the county-level use efficiency of medical insurance has been continuously improved, and the sense of gain of the masses has been further enhanced. (National Health Commission).Shandong: Implementation Plan for Further Improving the Medical and Health Service System in Shandong ProvinceThe contents related to medical informatization in the "Implementation Plan" are as follows: comprehensively deepen the construction of a close-knit county-level medical community, implement overall management of administration, personnel, finance, business, drug catalog, information system, etc., establish a community of responsibility, management, service and interests, and accelerate the integrated management of the county. Strengthen the construction of information platforms for monitoring, early warning, and emergency command of infectious diseases, and improve mechanisms for the treatment of major epidemics at different levels, stratifications, and diversions. By 2025General hospitals, hospitals, nursing homes and primary medical and health institutions have generally built age-friendly medical institutions, public hospitals and more than 80% of secondary public hospitals have realized mutual recognition and sharing of cross-agency inspection and test results, telemedicine services have covered central village clinics, and electronic health records have been provided to residents to provide real-time authorized inquiry services. (Shandong Provincial Health Commission).03 Chongqing:"Chongqing Municipal Medical Institutions Staff Integrity Practice Nine Guidelines Implementation Rules (Trial)".The contents related to medical informatization in the "Implementation Rules" are as follows: it is strictly forbidden for staff to collect statistics on the procurement, use, inventory information and other relevant data of hospital equipment, drugs and consumables without authorization, and it is strictly forbidden to provide relevant data to Internet enterprises or pharmaceutical enterprises, distributors and their staff for personal gain. Medical institutions should ensure the security of patients' information in the hospital, strengthen the protection of the security of their own information systems, strengthen the supervision and management of all links, and strictly prohibit staff from collecting, using, processing, transmitting, disclosing, and buying and selling personal data and medical information generated by patients in medical institutions in violation of regulations. It is strictly forbidden to solicit or accept commercial bribes of property or other benefits from relevant production and business enterprises and their ** institutions (individuals) or distribution personnel in infrastructure construction, scientific research activities, information system construction and other work. (Chongqing Municipal Health Commission).
04 Tianjin: "Tianjin Medical Quality Control Center Management Measures".Article 32 of the "Management Measures" is the information and data management of the municipal quality control center, which contains six contents: (1) The municipal quality control center shall fully understand the significance and role of medical quality data for quality control work, pay attention to the use of information technology to strengthen quality control, use information systems that comply with national network and data security regulations to collect, store and analyze data, strengthen data information mining and utilization, and promote the informatization, refinement and scientificization of quality control work;
2) The municipal quality control center may use the data information fed back by the Department of Medical Administration of the National Health Commission and the relevant information system data resources supervised by the Municipal Health Commission to carry out quality control work, and the use of data resources shall submit an application for the use of data resources, and sign an agreement for the use of data resources in accordance with regulations;
3) The municipal quality control center shall use health data resources and statistical data and information collected in the process of municipal quality control within the prescribed scope, carry out analysis and research around quality control work, and shall not be used for other research unrelated to quality control work. The authority to obtain and use data resources shall be strictly controlled, and data resources must not be transmitted, disclosed, or disclosed to third parties without the consent of the Municipal Health Commission;
4) If the municipal quality control center uses health data resources and collects statistical data, information releases, research reports, works and other achievements in the process of quality control, the data shall be indicated, and the quality control center shall be used as the first unit. Before the release of relevant results, they should be submitted to the Municipal Quality Control Office and reported to the Municipal Health Commission for review in advance;
5) The municipal-level quality control center shall strengthen the security management of data resources, and follow the relevant provisions of the state and our city to formulate and implement systems related to network and data security management, and the director of the quality control center is the first person responsible for data security management efforts;
6) The quality control center and affiliated units shall continuously improve the level of information security protection to prevent information leakage, damage and loss; Regularly carry out information security self-inspections, and establish a mechanism for the management and traceability of responsibility for information system security accidents. In the event of or possible information leakage, damage, or loss, remedial measures shall be taken immediately and reported to the relevant departments in accordance with regulations.
Tianjin Municipal Health Commission).05 Shanghai: Measures for Registration and Reporting of Acute Cardiovascular and Cerebrovascular Events in ShanghaiThe document mentions toImprove information supportIn accordance with the requirements of the "Measures", all municipal medical institutions shall optimize the internal information system of the institution according to the content and information standards of the registration standards for cardiovascular and cerebrovascular acute events, and complete the registration report through the "Stroke and Acute Myocardial Infarction Registration and Reporting Information System", so as to automatically capture the relevant information of the registration report from the hospital diagnosis and treatment system, ensure the quality and efficiency of registration and reporting, and effectively reduce the workload of medical personnel. (Shanghai Municipal Health Commission).
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