The Municipal Health and Family Planning Commission, the Social Affairs Bureau of the Minjiang New District, and the provincial hospitals:
To implement the "on the issuance of <Jiangxi telemedicine service system construction plan (2017-2020 years)" notice "(Gan Wei Restructuring word [2017] No. 17) documentation requirements, standardized remote medical services, guarantee quality of medical care and Medical safety, according to the "Practitioners' Law of the People's Republic of China", "Regulations on the Administration of Medical Institutions", "Nursing Regulations" and other relevant laws and regulations, the organization has formulated the "Regulations on the Management of Telemedicine Services and Employees in Jiangxi Province (Trial)" . It is issued to you, please conscientiously implemented.
Attachment: Regulations for the Administration of Telemedicine Services and Practitioners in Jiangxi Province (Trial)
Provincial Health and Family Planning Commission
March 5, 2018
annex
Jiangxi Province Telemedicine Service Organization and Employees Management Regulations (Trial)
Chapter I General Provisions
The first one is to regulate the behavior of telemedicine services, guarantee medical quality and medical safety, and meet the growing medical service needs of the people. According to the Law of the People's Republic of China on Practicing Physicians, the Regulations on the Administration of Medical Institutions, the Regulations on Nurses, etc. Laws and regulations, the development of this specification.
Article 2 The term "telemedicine service" as used in this specification means that a medical institution (hereinafter referred to as the inviting party) invites other medical institutions (hereinafter referred to as the invitee) to use communication, computer and network technology (hereinafter referred to as information technology). Medical institutions provide medical support for patients with technical support. Medical institutions use information technology to provide medical services directly to patients outside medical institutions, which are telemedicine services.
The term "telemedicine service organization" as used in this specification refers to various types of medical institutions that use information technology to carry out interactive guidance and inspection, assist in diagnosis, and guide treatment and other medical consultation activities.
The term “remote medical service practitioners†as used in this Code refers to those engaged in telemedicine services, including: medical staff in telemedicine consultation centers (rooms), medical personnel who carry out telemedicine services in medical institutions, and information technology operation and management personnel. .
The third telemedicine service project includes: remote pathology diagnosis, remote medical imaging (including imaging, ultrasound, nuclear medicine, electrocardiogram, electromyography, electroencephalography, etc.) diagnosis, remote monitoring, teleconsultation, remote clinic, remote case discussion And other items as stipulated by the health and family planning administrative department at or above the provincial level.
Article 4 Medical institutions that carry out telemedicine services shall clarify that specific departments and personnel are responsible for the remote medical management and service of their own units.
Article 5 The Provincial Health and Family Planning Commission is responsible for the supervision and administration of telemedicine services throughout the province. The local health and family planning administrative department at or above the county level shall be responsible for the supervision and administration of telemedicine services of medical institutions within its jurisdiction.
Article 6 No unit or institution may carry out telemedicine services until it has obtained the "Certificate of Practice for Medical Institutions".
Article 7 For the cooperation of telemedicine services between medical institutions, a telemedicine cooperation agreement shall be signed. The content of the agreement shall include the purpose of cooperation, conditions of cooperation, content of cooperation, telemedicine process, rights and obligations of both parties, risks of medical damage and sharing of responsibilities.
Article 8 For telemedicine services for patients, the inviting party shall fully inform the patient about the contents and expenses of the telemedicine service and obtain their written consent. If it is inappropriate to explain to the patient, the guardian or close relatives shall obtain the written consent of the patient.
Article 9 All types of telemedicine service organizations at all levels must carry out telemedicine business activities in accordance with this Code.
Chapter II Requirements for the development of telemedicine services by medical institutions
Section 1 General Requirements
Article 10 Medical institutions shall carry out telemedicine services, and after self-assessment assessment meets the relevant requirements of the Regulations on the Administration of Medical Institutions and the relevant standards of the State and Jiangxi Province, they shall issue their medical treatment according to the principle of “who issued the certificate and who manages itâ€. The health and family planning administrative department of the Institutional Practice License or its entrusted unit shall file the record. If the provincial direct hospitals carry out telemedicine services, they shall file with the Jiangxi Provincial Medical Service Guidance Center.
The filing materials mainly include a copy of the medical institution's practice license, a list of professional, cooperative units, equipment, facilities and other auxiliary conditions, telemedicine cooperation agreement, charging standards, personnel qualification materials, expert resource library list, system specifications and provincial level. Other materials as prescribed by the above health and medical administration.
Article 11 For medical institutions to carry out telemedicine services, they shall formulate rules and regulations for the rules and regulations for the management of telemedicine services, information confidentiality measures, reward and punishment systems, and assessment and incentive mechanisms.
Article 12 Medical institutions providing telemedicine services shall establish a resource pool of experts for telemedicine services of this institution and openly share them with the resource pool of provincial telemedicine service experts.
Section 2 Telemedicine Consultation Center (Room) Configuration Requirements
Article 13 Medical institutions that carry out telemedicine services shall set up telemedicine consultation centers (rooms), which shall be located in medical institutions or in related departments, and shall be clearly responsible for them.
Article 14 The telemedicine consultation center (room) is divided into a provincial telemedicine consultation center, a city/county (district) level telemedicine consultation center, and a grassroots telemedicine consultation room according to the functional orientation of the medical institution.
Article 15 The telemedicine consultation center (room) is an important place for medical institutions to carry out telemedicine services. The telemedicine consultation centers (rooms) at all levels shall, in accordance with the requirements of the “Jiangxi Province Telemedicine Service System Construction Plan (2017-2020)â€, refer to the relevant standards and specifications of the State and Jiangxi Province, and equip with equipment suitable for the development of telemedicine services. Facilities and other ancillary facilities.
Article 16 Provincial telemedicine consultation centers shall be equipped with at least 2 full-time business management personnel and 2 special (part-time) system maintenance personnel; at least one city (county) and grassroots telemedicine consultation center (room) shall be equipped with at least one A full-time business executive and a dedicated (and concurrent) system maintenance staff.
Section 3 Telemedicine Service Medical Staff Practice Conditions
Article 17 Medical personnel with the following conditions may be candidates for the resource pool of telemedicine services of this medical institution:
(1) Having good business quality and professional character;
(2) The physical health condition can be qualified for telemedicine services;
(3) Being employed by the medical institution, the telemedicine service project is consistent with the scope of professional practice and professional skills;
(4) The provincial and municipal invited experts should have senior professional and technical titles, and the county (district) level invited experts should have at least senior middle-level professional technical titles (except for special telemedicine services and emergency services);
(5) Familiar with the telemedicine business process and telemedicine related norms of this institution.
Article 18 A medical institution's telemedicine service expert resource library personnel shall not engage in telemedicine services if one of the following circumstances occurs:
(1) Being unable to perform telemedicine services for health reasons;
(2) changing the employed unit or being dismissed;
(3) The telemedicine service project is inconsistent or irrelevant to the scope of practice and professional technology;
(4) failing to have full capacity for civil conduct;
(5) Other circumstances as stipulated by the administrative department of health and family planning at or above the provincial level.
Chapter III Code of Conduct for Practitioners of Telemedicine Services
Article 19 The code of conduct for practitioners of telemedicine services includes basic behavioral norms and classification behavioral norms corresponding to occupations. Telemedicine practitioners should abide by the basic code of conduct and the classification behavioral norms that correspond to the profession.
Article 20 Basic behavioral norms for practitioners of telemedicine services:
(1) Putting people first and practicing the purpose. Adhere to the purpose of saving the wounded, preventing and curing diseases, carrying forward the philosophy of the doctor and the humanitarian spirit, taking the patient as the center and serving the people's health wholeheartedly;
(2) Respect the patient and care for life. Comply with medical ethics, respect the patient's right of informed consent and privacy, pay attention to protecting the privacy of patients, safeguard the legitimate rights and interests of patients, and must not disclose or buy or sell relevant information;
(3) Quality service and harmony between doctors and patients. Speech culture, dignified manners, strengthen communication and communication between doctors and patients and telemedicine services, and consciously maintain the image of the industry;
(4) Obey the law and practice the law. Conscientiously abide by national laws and regulations, abide by the regulations and disciplines of the medical and health industry, and strictly implement the rules and regulations of the medical institutions where they are located;
(5) Integrity and self-discipline, and abide by medical ethics. Carry forward noble medical ethics, strictly self-discipline, and seek illegitimate benefits without using practice;
(6) Rigorous and realistic, and strive for excellence. I love learning, researching business, working hard to improve professionalism, being honest and trustworthy, and resisting academic misconduct;
(7) Dedicated to work, unity and cooperation. Loyalty, due diligence, correctly handle the relationship between peers, respect each other, cooperate with each other, and work together in harmony.
Article 21 Code of Conduct for Medical Staff of Telemedicine Services:
(1) Following the laws of medical science, constantly updating medical concepts and knowledge to ensure the scientific and rational application of medical technology;
(2) Standardizing medical practice, strictly following clinical diagnosis and treatment and technical specifications, using appropriate diagnosis and treatment techniques and drugs, treating diseases due to illness, rational medical treatment, not concealing, misleading or exaggerating the condition, and not over-medical;
(3) Learning to master humanities and medical knowledge, improve humanities quality, pay attention to humanistic care, communicate sincerely and patiently with patients, respect patients and protect patient privacy;
(4) Conscientiously implement the system of writing and managing medical documents, standardize writing and properly preserve medical records, and do not conceal, falsify or violate regulations, destroy medical documents and related materials, and sign medical certification documents without violating regulations;
(5) Performing statutory reporting duties such as medical quality and safety incidents, infectious disease epidemics, adverse drug reactions, foodborne diseases and suspected injuries or abnormal deaths;
(6) Conscientiously fulfilling the duties of physicians, actively treating them, doing their due diligence to serve patients, enhancing the awareness of responsibility and safety, and striving to prevent and control medical responsibility errors;
(7) Strictly abide by the medical application clinical application management norms and the internal practice of the doctor's practice level, and do not violate the clinical application of new medical technology;
(8) Strictly abide by the relevant provisions of the clinical trials of drugs and medical technology, and carry out experimental clinical medical treatment, and fully guarantee the informed consent of the patient or his family;
(9) Caring for telemedicine equipment and equipment, complying with various operational specifications, timely and accurately issuing remote pathology, image inspection, inspection reports, and improving accuracy. Do not lie about data, do not falsify reports. When the inspection result reaches the critical value, it should prompt the inviting physician to pay attention.
Article 22 Code of Conduct for Staff of Telemedicine Consultation Center (Room):
(1) Devoted to his job, earnestly fulfilled his duties, enhanced awareness of clinical services, and ensured the normal operation of telemedicine services;
(2) Study hard, study technology, master the professional skills, and conscientiously implement various specific work systems and technical operation routines;
(3) Protecting public property, implementing safety management measures, maintaining environmental sanitation in telemedicine consultation centers (rooms), and providing safe, clean, comfortable, convenient and orderly environment for telemedicine services.
Article 23 Code of Conduct for Telemedicine Service Information Technology Operation Managers:
(1) Strictly implement the information security and medical data confidentiality system;
(2) Conscientiously fulfilling the duties of the post, continuously improving the work style, ensuring the normal operation of the system and smooth information transmission;
(3) Actively cooperate with medical institutions to carry out telemedicine related services.
Chapter IV Quality Safety and Assessment Supervision
Article 24 Telemedicine services shall ensure the quality and safety of medical care, safeguard the legitimate rights and interests of patients, and protect the privacy of patients.
Article 25 Medical institutions shall establish a system for regular inspection, evaluation and feedback of the quality of medical records for telemedicine services. The medical institution shall designate a department responsible for the quality management and safety management of the remote consultation medical records.
Article 26 The implementation and implementation of this regulation by medical institutions and their employees shall be included in the medical institution's calibration management and the annual assessment of medical personnel, medical ethics assessment and regular examination of physicians as a medical institution level assessment and medical personnel. One of the basis for the promotion of the title and the evaluation of the first.
Article 27 In the process of carrying out telemedicine services, medical institutions shall change the main professional and technical personnel or key equipment, facilities and other auxiliary conditions, fail to meet the needs of telemedicine services, or have medical quality and medical safety hazards, and When telemedicine services are directly related to serious adverse consequences, they must immediately stop telemedicine services and, in accordance with the requirements of the Interim Provisions on Medical Quality and Safety Incident Reports, issue the Health and Family Planning Administration and the Medical Care of Jiangxi Province. Service Guidance Center report.
Article 28: The administrative departments of health and family planning at all levels shall, in the course of supervision and inspection, discover the existence of hidden dangers in medical quality and safety related to telemedicine services or when receiving relevant reports, organize the demonstration of the conditions of telemedicine services in medical institutions in a timely manner. If there are conditions for telemedicine services, corrective measures shall be proposed and telemedicine services shall not be continued until the rectification measures are implemented.
Article 29 In the event of a medical dispute in the course of telemedicine services, the inviting party and the invitee shall deal with it in accordance with relevant laws, regulations and agreements reached between the parties, and assume corresponding responsibilities. If a medical staff directly provides remote medical services to a patient, the medical institution in which it is located shall bear corresponding responsibilities in accordance with relevant laws and regulations.
Article 30 Anyone who violates this Code shall be dealt with in accordance with relevant laws and regulations.
Chapter V Supplementary Provisions
Article 31 The use of information technology between medical institutions shall use relevant equipment in one medical institution to accurately control the instruments and equipment (such as surgical robots) of the other medical institution to directly perform real-time operational examination, diagnosis, treatment, and Medical activities such as surgery and custody, and their management methods and related standards and regulations implement national norms and technical standards.
Article 32 Where remote medical services are carried out between medical institutions in the province and medical institutions outside the province, the implementation of these specifications shall be carried out.
Article 33 This Code shall be interpreted by the Provincial Health and Family Planning Commission.
Article 34 This Code shall be implemented as of the date of promulgation.
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