Official Ladder [Grassroots Civil Servants]

After arranging the affairs of the province, Wang Hongtao returned to the city.

According to the previous promise to the citizens, the city's medical reform will start on September 9. If you say it, it will be like pouring water, and you will definitely do it.

The Municipal Commission for Discipline Inspection received a notice from the General Office of the Municipal Party Committee to hold an enlarged meeting of the Standing Committee at [-]:[-] p.m. to focus on special treatment in the medical field

Chen Dong hurriedly sorted out the relevant materials, and took the deputy secretary Xiaobin to attend the meeting on time.

At three o'clock, the meeting started on time. All members of the leadership team of the municipal party committee and the municipal government at home attended the meeting, and relevant departments such as personnel, finance, health care, and medical insurance attended the meeting. Wang Hongtao personally presided over the meeting.

"Comrades, September 9st is the implementation day of the new health care reform policy. As the saying goes: you need to be strong to strike the iron! If you don't practice your internal skills well, the new health care reform policy will be misrepresented by corrupt elements.

Corruption in the medical field directly violates the interests of the country and the people, erodes the masses' sense of gain, happiness, and security, and is one of the persistent problems hindering the deepening of medical reform.Before the new policy of medical reform, resolutely investigate and deal with serious violations of discipline and law in the medical field.

Some time ago, I personally visited several hospitals, and the most frequent problem was the collection of drug consumable rebates. The amount involved remained high, and the chain of corruption interests was intertwined.Disciplinary inspection and supervision agencies must intensify supervision and accountability, seriously investigate and deal with extortion and acceptance of bribes in the procurement of pharmaceutical consumables, and focus on dealing with issues such as accepting red envelopes and kickbacks, and illegally accepting donations in violation of regulations.Some hospital administrators received an astonishing amount of "favorites" from medical representatives. They hid behind the scenes and controlled them by remote control.

The coverage of medical anti-corruption needs to be further expanded. From major public hospitals, to clinical trial institutions, medical research institutes, to township health centers, and community health service centers, relevant staff must be included in the scope of strict investigation.

Medical insurance funds are the "life-saving money" of ordinary people, but in reality, medical staff misappropriate medical insurance funds through "time lag" and other means.It is necessary to establish rules and regulations from the system, and there are laws to follow, so that doctors and pharmaceutical companies can clearly understand the bottom line of discipline and law, and the black profit chain will be cut off.The health department and medical insurance department should focus on system construction, promote the revision and improvement of relevant systems and processes such as material procurement and bidding in the medical and health system, and in key links that are prone to corruption, such as drug and medical device procurement, engineering construction, and financial management, Supervise power, promote the eradication of medical corruption, and create a good industry environment for the new policy of medical reform.

Next, I would like the Commission for Discipline Inspection to report on the situation of the special campaign. "

Chen Dong sorted out the materials and reported: "Corruption and unhealthy trends in the medical field have been strongly reflected by the masses. The Municipal Commission for Discipline Inspection has implemented Secretary Wang's deployment of the special action on corruption control in the medical field, increased investigations and notifications, and continued to deepen the investigation in the medical field. Special rectification of corruption and work style issues. At present, a number of serious violations of discipline and law have been investigated and dealt with successively. 64 leading cadres suspected of bribery and job crimes were investigated, and another 1698 medical staff were under review.

In the past two months, the Municipal Commission for Discipline Inspection has continued to carry out special supervision and inspection on the construction of the city's medical and health industry and unhealthy practices.Relevant supervision and inspection offices and resident agencies jointly supervised and urged 7017 medical and health institutions in the city to carry out comprehensive clean-up and rectification, and went deep into some hospitals to carry out "experiential" supervision and "spot-style" supervision; The agency carries out supervision and inspection, and discovers and supervises the resolution of problems in a timely manner through various methods such as surprise inspections, reviewing materials, talking with relevant personnel, listening to reports, and random visits.

专项整治期间，全市共查处医疗卫生系统腐败案件179起，审查调查133人，给予党纪政务处分261人；42所三级公立医院、104所县级医院、362所公共卫生单位、178所乡镇卫生院（社区卫生服务中心）的1.8万余人主动上交了不当所得，累计金额2.96亿元。

Anti-corruption for the people, anti-corruption benefits the people.The Municipal Commission for Discipline Inspection adheres to the combination of punishment and education, promotes the investigation and handling of cases from "one piece of paper" to "one lesson" of warning education, and consolidates and deepens the results of rectification of unhealthy practices in the city's medical system.

In the process of carrying out warning education, the discipline inspection and supervision agencies at all levels in the city explored more effective warning and punishment methods and ways in light of the actual situation.Tangdu District filmed a warning educational film "Doctors Can't "Govern" by themselves", using the "people in the film" to warn and educate cadres and workers in the medical industry in the region; Weibei District wrote a "Family Help" for medical staff and their families Integrity Proposal Letter'; Chang'an District organized all cadres of the district's health bureau, members of the team of district-level medical institutions, heads of some departments, and township health directors to receive on-site warning education at the integrity education base.

Serious violations of discipline and law mainly involve the procurement of equipment, distribution of medicines, and supply of consumables in the medical field.Disciplinary inspection and supervision organs put forward rectification suggestions to relevant units and industry authorities, and supervise and inspect the implementation and organization of rectification and reform.

To rectify unhealthy trends in the medical field, it is necessary to work together and form a joint force.In the construction of medical and health practices in the city, comprehensively sort out and investigate the risk points of integrity in the procurement and use of drugs, equipment, consumables, reagents, equipment and instruments, job promotion, project construction, and issuance of false certificates, etc., forming more than 60 systems The construction reference list, supervised the revision and improvement of 12651 internal management systems, and 2541 new systems.Eliminate the 'blank spots' and 'blind spots' of supervision in links prone to corruption..."

Then, the Municipal Health Bureau, the Municipal Medical Insurance Bureau and other relevant units reported the special rectification situation in the industry.

Generally speaking, due to the attention of the main leaders and the fact that a third-class hospital was confiscated, this special rectification action has a considerable deterrent effect, and the general trend of the entire medical field in Chang'an City has been fundamentally reversed.

But Wang Hongtao knows very well that the root of corruption in the medical field is profit. If the system is not perfect, countless medical staff will take risks for profit.Under the circumstances that the general environment of the whole country is like this, it is very difficult for Chang'an to be alone!Therefore, I can only do my best to normalize the corruption governance in the medical field. Through constant grasping and unremitting efforts, people will not dare to reach out, and let the medical staff know that if they stretch out their hands, they will be caught. It would be good to effectively eliminate corruption in the medical field. , wanting Chang'an City to become a pure land in the medical field is just a dream!

After each unit has reported the situation, the most urgent task is to deal with the cadres and medical staff involved. A small meeting should be held for a small matter, but a small meeting should be held for a big matter.

So, after the meeting, the Standing Committee was held immediately.

The Commission for Discipline Inspection has already printed the list of investigators and the facts of suspected violations of law and discipline into a booklet and distributed it to the Standing Committee members.

The meeting room was silent, only the sound of flipping through materials could be heard.

Ten minutes later, Wang Hongtao said: "You have read all the materials. The Commission for Discipline Inspection has done a good job, and the facts of crimes are very clear. Before the medical reform, a decision must be made to deal with these people, which will form a strong deterrent to the medical field and make some people Put away those messy thoughts. As for how to deal with it, let's discuss it!"

Mayor Hu Hao said: "The provincial capital of Chang'an City, which is also the center of Northwest China, is indeed very serious in medical care, and there are a lot of acts of seeking personal gain through improper means. These participants include administrative personnel of medical care and medical insurance, medical institutions, medical staff, etc. Personnel, medical insurance operators, pharmaceutical companies, etc., and sometimes patients are also corrupt participants, such as fraud and insurance fraud in which doctors and patients conspire. Due to the particularity of the industry and imperfect systems, such as too many circulation links of pharmaceutical consumables, and the compensation mechanism of public hospitals Imperfect, unscientific medical service pricing mechanism, serious information asymmetry, etc., the medical industry is more prone to corruption than other industries. Corruption in the medical field has pushed up the unreasonable rise in medical expenses and exacerbated the problem of "expensive medical treatment". A great waste of medical and health resources and medical insurance funds. With the imminent advancement of medical reform, it is necessary to build a prevention mechanism that cannot be corrupted, a security mechanism that does not want to be corrupted, and a social supervision mechanism that does not dare to be corrupted, so as to prevent and control corruption from the source. For this For the 64 leaders in the medical field, I think it is necessary to take a ruthless hand to form a strong deterrent to the medical industry in the city. But for the 1698 medical staff, I personally think that they should be saved. As for the 1.8 who voluntarily handed over their illegal income Medical staff, let’s focus on criticism and education. In general, I think it’s better to focus on the big and let go of the small. If the 1698 medical staff are all dealt with, they will have no hope for the future, so they will become depraved and depressed , I think it's a pity, we can't afford such a big loss! After all, the whole industry is like this, and the corruption of many medical staff is still following the trend. There are reasons for the lack of sound system and inadequate supervision. Most people are still fine!"

Seeing Wang Hongtao nodded slightly, Deputy Secretary Zheng Bin said: "Improve the hospital's internal control mechanism, standardize the behavior of medical staff, and cut off the chain of interests between medical staff and pharmaceutical companies are our key considerations. From the perspective of anti-corruption To improve the hospital’s internal management system, we must focus on the following three aspects. First, we must resolutely eradicate gray areas without leaving any room for ambiguity and hidden dangers. Formulate a code of conduct for medical personnel and clearly define which behaviors in the medical service process are corrupt behaviors , to clarify the bottom line and red line of medical personnel's behavior; secondly, we must comprehensively sort out the risk points of corruption, formulate reasonable, effective and feasible supervision plans for high-risk links and personnel in key positions, and timely discover problems with signs and tendencies. Issue early warnings to prevent the occurrence of corruption; finally, improve the performance appraisal system for medical personnel, highlight the public welfare of public hospitals, and change from the assessment that emphasizes income generation and economic benefits to the one that emphasizes medical quality, social benefits and medical ethics. assessment.

As for the handling of these people, I agree with the mayor's opinion. Catch the big ones and put them down, and some cadres in leading positions can be severely punished for deterrence.As for the medical staff, it is more important to let them know that they have made a mistake and that they cannot do this in the future.I personally think that more than 1000 medical staff are more important than dozens of leaders in the hospital. Being able to recover and actively devote themselves to work, knowing awe and knowing how to measure is better than anything else! "