Shenzhen: Delegate power to the administrative center of the hospital

Shenzhen: Delegate power to the administrative center of the hospital
Shenzhen: Delegate power to the administrative center of the hospital
The intersection of staff reporter and the intersection of wound and the intersection of clock and big May Li, reporter of policy, Cao Explore and is close to for the end of the year in ten years, the south mountain people's director Zhang DeRen in Shenzhen is awfully busy. As the hospital administrator, he wants to prepare the work summary of this year to report. Unlike other place presidents, the higher authorities that he should report, it is not the local health bureau, but the council of the hospital. In June of 2009, the People's Hospital of south mountain will begin to try council's mode of water hospital as the pilot project of Shenzhen. The council carries on the work authorized by district government, accept the supervision and management of the district government, fulfil the decision function of the hospital, form " the government provides funds, director's decision, group manage, supervise again more " in main function Management system. The director is " CEO " ,There are more, more secure decision-making powers in operation, while should be responsible for board of trustee of the hospital. And offer service of forming a complete set publically for the public hospital in authority of Ministry of Health of government and management for trade supervision, no longer intervene the concrete affairs of the hospital. After the south council of mountain hospital is established, the multiple collaborative projects of great hospital that successively made policy, for example take out 10 million yuan and cooperate with Peking Union Medical College Hospital of Wuhan; Attract 3 famous medical science in our country to teach joining in a manner to offer the free house in 10, become the chief of the office of department of hospital, especially attracted a professor working in U.S.A. for more than 20 years to come to the institute. "The expert 400,000 annual pay in U.S.A., come south the intersection of mountain and treatment of hospital affirm, want, break original public salary system of hospital. Put in the past, may turn around through a plurality of departments such as the hygiene, finance, personnel, the difficulty is very great. Now, after the council examines, this weight of this top doctor value that think, it determines to have the final say soon. " Zhang DeRen says. Public hospital reform, have already become focal point and difficult point of the medical reform. Among them, to improving the exploration of the corporate governance structure of the hospital, Shenzhen has already carried on for 10 years. Besides council's mode, committee's mode of institute's affair has appeared in Shenzhen. In September of 2001, the government of Shenzhen cooperated with Peking University, Hong Kong University of Science and Technology, establish the Hong Kong medical center of University of Science and Technology of Peking University of Shenzhen, and " central hospital of Shenzhen " just built up Rename as " Peking University Shenzhen hospital " ,Entrust to the medical center and manage. The medical center exercises the policy-making power to Peking University Shenzhen hospital through the affair committee of the institute, committee's director of institute's affair is served as by the health authorities of the city and relevant personnel of two universities, hold a meeting per month. Dragon's institute of traditional Chinese medicine of the sentry is exploring the management mode of agent enterprise. Longgang District plans on the basis of guaranteeing dragons with public beneficial in institute of traditional Chinese medicine hillock, by the safe group in the capacity of strategy investor, run the side in coordination with other outstanding medical industries, the feasible way of spending more money on, depositing, leasing through the cash etc. invests dragon's institute of traditional Chinese medicine of the sentry, responsible for the operation and management of dragon's institute of traditional Chinese medicine of the sentry in an all-round way. The hospital must accept the trade management of health authorities, according to standardard management and service standard of hygiene trade, responsibility and obligation to undertake other public health services. The above-mentioned mode all puts forth effort on the internal administration structure of the hospital such as committee's mode of institute's affair, explore how to promote the hospital teaching, department, grinding ability; Council's mode, it is to study how to coordinate government resources on the aspect of hospital; The management mode of agent enterprise, explore that introduces the social capital, explore that realizes " in charge of doing and separating " from legal meaning . (leave and rotate the 3rd) (have and connect the 1st) However, these pilot projects of going ahead of the rest expose " inadequate natural endowment " . "There are 46 public hospitals now in Shenzhen, if each public hospital sets up independent council, two grades of municipal or district governments need to send large quantities of contributor's representatives, there is certain difficulty in operating. " An expert paying close attention to medical reform of Shenzhen analyzes, " entrust and manage and face greater commission risk again. Our country does not have a ripe hospital management organization approval procedure yet, the public beneficial goal examination system of the public hospital still needs to set up, the consignee's choice, determination of the contract text have the certain one no predictability, may initiate the management and administration risk. " Enter into " deep water " In the view of reformers of hygiene of Shenzhen, these scattered hospital reforms, have not touched the most basic difficult problem of the management system of the hospital. "Public hospital reform, change the hospital on the name, in practice should change the government. " The hygiene Jiang HanPing, director of Population Planning Committee in Shenzhen says. Under the current system, the government " runs medicine " The function is dispersed in government each department, such as National Development and Reform Commission, personnel, finance, social insurance, price, government procurement,etc., questions such as project investment, financial subsidy, social insurance funds, mechanism of organizations, personnel's employing, price charging, equipment purchase,etc. obviously restrain the hospital from developing; The hygiene laws and regulations are often about the regulation files of different government departments, it is difficult to unify that the ones that cause the government run and cure the policy. "Reach busy, the president must be among each department everywhere ' beg alms '. " A public director laughs at oneself, oneself is like a " public relation manager " even more . Jiang HanPing thinks, internal reforms of the hospital only " give temporary relief " ,The public hospital reforms " Get a permanent cure " Scheme lie in still and it is external after lasting hospitalling administration structure,last government reform functional positionings one's own, improve administrative efficiency. The whole overall arrangement of the public hospital reform of Shenzhen, exactly started with from then on. In January of 2009, Shenzhen will explore in Longgang District that establishes the special hospital management organization - -The administrative center of the hospital, are directly subordinate to the finance to allocate funds in the public institution fully as the health bureau of the district, responsible for managing 11 public hospitals of residential district as a whole and developing the affairs. In July of this year, Shenzhen " simplifies administrative procedures and delegates powers to the lower levels " to the hospital on the basis of improving the basic management system of the hospital . Exercise the right of disposition in the president's manpower, financial resources and material resources to hospital, development plan, department set up, staffing and every foundation, modification of rules and regulations and abolish, have the right to determine in hospital, there is engaging, discharge and the right of rewards and punishments on hospital worker. Compared with these some break-throughs, but the whole scheme of the public hospital reform of Shenzhen faces " has difficult labour " . "Most big difficult point whether every department do, separate essence and understanding of intension, there are differences in charge ofing. " Participate in the intersection of Shenzhen and one expert of medical reform tell reporter whether focus of dispute, in how about adjust the function to divide. The special hospital management organization is established within the Ministry of Health on earth, or set up the organization separately alone? From ferment public the beginning in reform scheme such as hospital such as Shenzhen, each side to debate endlessly for medicine to in charge of arrangement of department. "The simple ' the government affairs are separate, in charge of doing separating ', may lead to the fact the coordination between the government departments is difficult, difficult to carry out, or cause the organization to set up repeatedly, the function to overlap, increase government's administrative cost, reduce government's public service efficiency. " Jiang HanPing says, Do not agree in establishing the hospital management organization independent of health authority by oneself. "The goal of our reform, want to make the outside administration structure of the hospital in order. " River defend explain public the intersection of hospital and reform, the intersection of department and battle of interests, goal to raise public management performance of hospital while being flat, let ordinary people enjoy the health care service better. The reporter knows, the reforms such as personnel system, compensation mechanism etc. in the other related conceptual design of Shenzhen medical reform, every department view is more unanimous, so it is very fast to make the policy, every individual event is reformed and moved forward constantly. But the dispute of the public hospital reform scheme, cause the whole reform scheme to fail to issue slowly. " great hygiene " The reform scheme is laid aside, but the reform is still going on. Close to the end of the year, Jiang HanPing plans to make the best use of time, all run 46 public hospitals of Shenzhen once. Patrolling like this do routine business, want, sign a contract one by one with every public president of hospital. "The content of the contract, clarify the power and responsibility of government and hospital. " Jiang HanPing says. In his plan, expect to rely on this form of the contract, further define the power and responsibility between health authorities and the hospitals: Set up with central public the intersection of hospital and performance appraisal system, push into the intersection of hospital and the intersection of leading group and management and administration responsibility system; Deal in the liability statement of the management objectives through signing, define the responsibility right relation between government and public hospital, on the basis of strengthening supervision that is examined to the functional demand, development plan, performance of public hospital, implement the public hospital management and administration autonomy, realize " the government affairs are separated " . It is flat to seem to defend in the river, " the government affairs are separated " Mean government's hygiene executive function is separated from public hospital operation duties and responsibilities, health authorities should plan as a whole and exercise " Do medicine to ensure " The policy-making power and exercising effectively " Trade management " Supervision right, the hospital should manage the public hospital and undertake to manage risk and responsibility to organize independently in accordance with the rule in accordance with the law while running. " in charge of doing and separating " Mean the supervisory function of the government is separated from management function inside the public hospital. Health authorities can't be on the grounds of supervising in the trade, the structure belongs to the manpower, financial resources and material resources of managing the affairs inside the public hospital to run. This kind of system arranges " The government affairs are separated " , " in charge of doing and separating " Impetus and strong point. So, the public hospital reform scheme that he puts forward, is based on " great hygiene " Leadership structure and administration framework under the frame: The health authorities of the city are divided into the administrative center of the hospital, are responsible for fulfilling assets management, financial affairs supervising and engagement of the hospital chief leading cadre of the city owned public hospital. With ripe condition cases, transfer the administrative center of the hospital and integrate and manage all types of public hospital progressively. The administrative center of the hospital sets up the corporate governance structure taking board of trustee of the hospital as the core, responsible for fulfilling the great decision function about the public hospital. Medicine is in charge of knowing to members from making up on behalf of the committee member of the government department and on behalf of the public's independent committee member, management system of public hospital that the power and responsibility of setting up unity, coordinating, high efficiency is unanimous. "Shenzhen is the experimental field of reform and opening-up. " Jiang HanPing says, " the goal of public hospital reform of Shenzhen, it is to explore one to put into small and producing the good reform development model. "


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