The cost accounting of public hospital of Beijing will expand the pilot project
The reporter Zhang CanCan learns from forum of investigation and research of pilot work of public hospital reform of Beijing held on November 17, Beijing continues launching the cost accounting of the project and working in 8 general hospitals and 3 section hospitals this year, the plan expanded the pilot range of cost accounting in 2011.
The side of chief of Beijing Municipal Health Bureau comes to Great Britain and introduces, Beijing has already finished the cost accounting data of more than 20,000 medical projects totally at present, analyzing the cost accounting data of the project. Find, the cost that some similar medical service items consume in different hospitals has greater differences through initial analysis, reflect there are greater differences at the control level of the cost among different hospitals; Over 50% medical project have at various degrees loss, profit rate relatively high, explain price and cost and deviate from the phenomenon with comparatively serious situation; 27% of the medical service item units charge competence is lower than the unit variable cost of this project, namely charge competence is unable to remedy the medical service item to launch basic goods and materials, energy consumption needed, reflect the bid dose causes a main reason of the policy-related losses of the hospital at present.
Control in order to strengthen financial administration and cost of the public hospital, Beijing will try general accountant's system in the city owned public hospital, have already worked out and finished " implementing scheme that Beijing Municipal Health Bureau has been directly subordinate to the unit general accountant's system of medical treatment " at present. This year, Beijing has also started the public hospital performance to examine and appraise the building-up work of the system, and launch a pilot project in 4 hospitals such as Chaoyang hospital, colleague's hospital, God Temple Hospital and chest hospital. Through to running with the examination in respects such as efficiency, social efficiency, medical quality and internal procedure management, scientific research and teaching,etc., have set up 42 items first class examination indexes, more than 300 department's examination indexes inside the hospital to performance management of the hospital of government. In the whole index system, social benefit and quality index weight of the service are up to 55%. The next step, Beijing will continue expanding the pilot range on the basis of summarizing pilot work.
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