The results of Harbin Medical University’s handling of “sky-high hospitalization fees”
The president and secretary who was investigated for the sky-high medical expense incident in Harbin was dismissed
Recently, the Ministry of Health and the State Council Corruption Office notified the Central Commission for Discipline Inspection, the Ministry of Supervision, the Ministry of Health and the Heilongjiang Provincial Commission for Discipline Inspection of a joint investigation The team visited Harbin and clicked to view the investigation and handling of disciplinary and illegal issues at the Second Affiliated Hospital of Harbin Medical University (referred to as the Second Hospital of Harbin Medical University) (full text of the report).
After investigation, the patient was Weng, male, 75 years old. Suffering from malignant lymphoma, he was admitted to the Second Hospital of Harbin Medical University on May 16, 2005. He was treated in the cadre ward and the cardiac surgery intensive care unit (referred to as the cardiac surgery ICU). Finally, he was admitted to the Second Hospital of Harbin Medical University on August 6 due to multiple organ failure. Died of illness. After being hospitalized for 82 days, the hospital charged 1.389 million yuan in hospitalization fees. The Second Hospital of Harbin Medical University mainly had the following problems in the treatment of patient Weng: First, illegal charging in violation of regulations. Through independent projects, decomposed projects, excessive charges, repeated charges, etc., more than 207,000 yuan in medical expenses were overcharged. Second, Yu Lingfan, director of the cardiac surgery ICU, forged and organized relevant medical staff to alter a large number of Weng's medical documents in violation of regulations in order to cover up problems in illegal billing and medical procedures. Third, the management of some departments is chaotic and the supervision of relevant functional departments is inadequate. In the cardiac surgery ICU, there are inconsistencies in the number of medicines in the medical orders, special care records, and charge sheets, and some medical orders are not signed by the doctors themselves. Imported medicines that have not been approved by the state are used, and there is no handover or communication between self-purchased medicines and the patients’ families. Checking and drug withdrawal procedures; the Price Department and the Medical Department did not conscientiously perform their corresponding supervisory responsibilities. Fourth, the measures taken to respond to complaints from patients’ family members were inadequate and improperly handled, resulting in a negative social impact.
Relevant parties have decided to impose sanctions on Zhang Qifan, Dean of the Second Hospital of Harbin Medical University and member of the Party Committee, Wang Guoliang, Secretary of the Party Committee, and Yang Hui, Deputy Secretary of the Party Committee and Secretary of the Discipline Inspection Commission; administrative punishments will be given to Vice Presidents Wang Taihe and Tan Wenhua A major demerit was recorded; Yu Lingfan, the director of the cardiac surgery ICU, was given the sanction of being revoked from the position of director of the cardiac surgery ICU, and his physician's practicing certificate was revoked; the head nurse of the cardiac surgery ICU Guo Xiaoxia, the price department chief Gao Song, and the medical department deputy chief Wang Jinglu were given the sanction of having their positions revoked. . Any disciplinary violations by other medical staff will be dealt with separately by relevant departments. The Second Hospital of Harbin Medical University was given a one-year suspension of its title as a Grade III A hospital, and rectifications were made within a time limit to observe the effects. The hospital is required to refund illegally charged fees to the patient's family and apologize to the patient's family. Harbin Medical University and the Heilongjiang Provincial Health Department failed to supervise the Second Hospital of Harbin Medical University and ordered it to write an in-depth inspection.
The report pointed out that this was a typical disciplinary and illegal case that seriously harmed the interests of the masses, seriously damaged the image of the health industry, and caused a negative social impact. The main reason is that the hospital's purpose of running the hospital has seriously deviated, the public welfare nature has been diluted, and the one-sided pursuit of economic interests has occurred. Health administrative departments and medical institutions at all levels must learn profound lessons from this and take it as a warning. At any time and under any circumstances, they must faithfully fulfill their purpose of serving the people wholeheartedly, be loyal guards in safeguarding people's health, and resolutely stop and Correct unhealthy trends that harm the interests of the masses.
The notification requires strict management and supervision of medical service charges, and arbitrary charging behaviors such as independent projects, decomposition of projects, and raising standards are strictly prohibited. Resolutely cancel the direct link between department contracting, billing commissions, and medical personnel allocation and medical service income. It is necessary to strictly implement relevant regulations on medical record management and strengthen the basic management of hospitals. Comprehensively implement the disclosure system of hospital affairs, especially the disclosure system of medical service charges, strictly implement the hospitalization fee list system and fee inquiry system, and intensify the investigation and accountability of arbitrary charging behaviors. From now on, whenever serious illegal charging occurs in public medical institutions, the dean will be removed from office first, and then, based on the investigation, corresponding actions will be taken in accordance with the law and disciplines.
The report emphasized that effective measures should be taken to strengthen the construction of the hospital leadership team, optimize the structure, strengthen training and education, and improve the overall quality of the team. Hospital directors must earnestly perform their duties, strengthen the concept of "one post, two responsibilities", and focus on medical quality management on the one hand, and medical ethics and team building on the other. Health administrative departments and medical institutions at all levels should combine the currently ongoing education activities on the socialist concept of honor and disgrace and use typical cases from the Second Hospital of Harbin Medical University to carry out in-depth warning and legal discipline education to guide the majority of medical staff to understand right from wrong, honor and disgrace, and promote integrity and integrity. Stop unhealthy tendencies and establish good medical ethics and practice.