Release date: 2015-08-10
Since the end of 2012 , Ningbo City, Zhejiang Province has implemented centralized procurement of Medical Consumables as an important measure to curb excessive growth of medical expenses, control commercial bribery, protect system security, and deepen medical reform. With the procurement model of Ningboo, it has achieved satisfactory results.
Formulate regional procurement rules for medical consumables
People's Daily News pointed out that the purchase and use of medical consumables in Ningbo showed a rapid increase trend. Taking 2012 as an example, the purchase of medical consumables in six municipal hospitals in Ningbo reached 626.726 million yuan, accounting for 15% of hospital business income . Medical consumables Expenditure accounts for 30% of the total medical expenses of inpatients and 60% of the total medical expenses of surgical patients . However, for hospitals, the profit of consumables is less than 3% . The relevant person in charge of the Ningbo Municipal Health Planning Commission said that the main reason for the high price of medical consumables was that suppliers and middlemen raised the purchase price of consumables and obtained high profit margins.
The purchase of medical consumables is a matter of government, which leads the hospital to “ work †for consumables . In the end, patients pay for virtual high-consumption materials, which is a common phenomenon in the country for a long time. How to crack this dilemma? Ningbo City has formulated a unique “ Ningbo Rule †for the centralized procurement of regional consumables , that is, the consumption of the entire Ningbo market as a bargaining chip. The supplier qualification is short-listed by the computer program, and the brand selection experts voted for the final price. I have the final say. These three steps are interlocking and independent of each other. Through this round and round competition of open and transparent competition mechanism, one round of round-off negotiations will allow high quality and low price to be concluded.
The specific practice of Ningbo City is to minimize the purchase price in accordance with the method of layer-by-layer finalization and layer-by-layer elimination, effectively avoiding personal opinions and purchasing results. Specific steps are as follows:
The first step is the supplier qualification review. Set the supplier qualification conditions audit elements, and assign corresponding scores. The qualification short-term review team will determine the supplier qualification, and then the computer will give each audit factor a score, and the supplier ( brand ) shortlist will be confirmed according to the score from high to low . .
The second step is the selection of expert brands. On the same day, the discipline inspection and supervision department selected 25 experts from relevant fields in the county ( city ) district and municipal medical institutions from the expert database to select the suppliers ( brands ) that were qualified for the qualification review . The judges will vote by way of voting, and the selected brands will be determined in order of the number of votes.
The third step is the purchase price negotiation. The purchase price negotiation team will conduct on-the-spot bargaining on the quotation products of the suppliers selected by the brand according to the three factors of homogenous low price, price reduction range and price negotiation result satisfaction, adopting multiple rounds of quotation, phase-by-round elimination, and on-site announcement. , vote to determine the product to be sold.
The above three-step evaluation method is summarized as follows: the qualification is short-listed, the computer has the final say; the brand selection, the experts have the final say; the result of the transaction, the price has the final say.
Scientifically determine procurement principles
How to measure whether this procurement model is scientific?
The person in charge of the Ningbo Municipal Health Planning Commission told the reporter that they have established four principles for evaluation. First, the principle of quotation is not higher than the existing minimum price. The second is the principle of non-full series of products, that is, in the same series of products, the selection of clinical products and low-priced products, eliminating the high-priced products of non-common products, effectively curbing the speculation of suppliers. The third is the principle that the difference between the transaction prices of the two suppliers generally does not exceed 5% , preventing high-priced products from occupying the market. The fourth is the alternative principle, that is, for high-priced products with insufficient competition, try to use alternative low-priced products, or take measures such as monitoring and restricting use.
On the basis of the above, we will pay attention to the implementation of the purchase and sale contracts. Specifically, the first is to strengthen the supervision of the implementation of medical institutions. Monthly report on the implementation of various medical institutions, and report and disclose the use of centralized procurement information, especially the use of “ restricted use and key monitoring †products. The second is to formulate and implement an interim management method for the procurement of medical consumables, and clearly put forward the requirement of “ no procurement as the principle and registration as a supplement †.
Up to now, the implementation of centralized procurement of medical consumables has been good, and the contract fulfillment rate of medical institutions and product suppliers has reached 100% . There has been no phenomenon of out-of-catalog procurement, second bargaining, and avoidance of procurement.
November 14, 2014, the State Health Planning Commission held a special meeting in Ningbo, to promote the country's centralized purchasing supplies "Ningbo rules."
Accumulated profits for patients, 272.4 million yuan
The implementation of the " Ningbo Rules " for two years shows a strong vitality. In the centralized procurement of five batches of medical consumables that have been organized and completed, the company has achieved gratifying results in which the purchase price has dropped significantly and the number of uses has decreased significantly. The five batches of centralized purchases were reduced by 15% , 32.5% , 38.8% , 47.7% and 72.8% , respectively , and the cumulative annual benefit for patients was 272.4 million yuan. The centralized procurement of consumables has greatly reduced the unfair profits of the circulation, not only reducing the burden for the masses to seek medical treatment, but also curbing the occurrence of corruption from the source.
“After centralized purchasing, an intuitive feeling is that patients have received great benefits. †Yuan Yi, director of joint surgery at Ningbo Second Hospital, said that, for example, the total cost of total knee replacement surgery was about 50,000 yuan. After the product used , the price dropped by 20,000 yuan, the total cost of surgery dropped to 30,000 yuan. This cost is deducted from the medical insurance capped by 25,000 yuan, the actual part of the patient's self-pay is much less, and the centralized procurement is the international mainstream products.
The data shows that among the consumables for centralized procurement, there are more and more domestically produced goods with low price and high quality, accounting for 51% . All consumables usage is included in dynamic monitoring and extraordinary warnings. The first batch of municipal hospitals that implemented centralized procurement did not have any out-of-catalog purchases.
Because of scientific norms and remarkable effects, the “ three-step review method †for consumables procurement in Ningbo has been hailed as “ Ningbo Rules †and exchanged experience at the special meeting organized by the State and Provincial Health Planning Commission. The provincial governor Zheng Jiwei is highly affirmed and asks cities to learn from it. Zheng Hong, the director of the National Health and Medical Planning Commission, said in an interview that the national medical consumables market has a scale of hundreds of billions. After the promotion of Ningbo's practice in the country, it will effectively reverse the situation of patients paying for virtual and high-consumption materials. Will greatly reduce the medical malpractice.
In the next step, Ningbo City will explore the implementation of the drug procurement and pricing mechanism reform pilot work based on the experience of consumables procurement. The current person in charge of the Ningbo Municipal Health Planning Commission said that Ningbo will, according to the deployment in the province, incorporate the medicines of the city's medical institutions into the procurement scope of the “ Ningbo Rules †, squeeze out the water of the medicines, and let the patients get more benefits.
The reporter learned that Ningbo City has included the reform of drug procurement and pricing mechanism into the key work of this year's medical reform. May 19, 2015, under Ningbo City issued a "Ningbo City public medical institutions centralized drug procurement program of work"; June 16th public release of the "Ningbo City public medical institutions, community drug centralized procurement Rules"; June 19 , issued the " 2015 Ningbo Public Medical Institutions Community Antimicrobial Drugs Centralized Procurement Announcement" and "Purchasing Catalogue". As of July 3, registration and audit of antimicrobial drugs by community Ningbo public medical institutions in 2015 centralized procurement suppliers have a total of 256 880 kinds of medicines, July 10 -11 days has publicized the enrollment situation, the selection will be through the 35 experts enterprises (brand) selection, price negotiation to complete the purchase before the end of July.
Source: Technology Daily
High Dispersion Homogenize Machine,Ultrasonic Homogenizer,Stomacher Blender,Handheld Ultrasonic Homogenizer
Guangdong Widinlsa International Co.Ltd , https://www.widinlsa.com