Administrative Measures For The Guangxi Zhuang Autonomous Region, Urban Community Health Service 

Original Language Title: 广西壮族自治区城市社区卫生服务管理办法 

Read the untranslated law here: http://www.chinalaw.gov.cn/article/fgkd/xfg/dfzfgz/201108/20110800346607.shtml

Guangxi Zhuang Autonomous Region, urban community health service management (October 12, 2010 Executive meeting of the 11th session of the people's Government of Guangxi Zhuang Autonomous Region for the 69th review on November 20, 2010, people's Government of Guangxi Zhuang Autonomous Region, the 61st release come into force on January 1, 2011) Chapter I General provisions

    First in order to establish and improve the urban medical service system, strengthen the supply capacity of urban community health services, improve the level of urban residents ' health, promote harmonious economic and social development, according to the laws, regulations and relevant regulations of the State, combined with this practice, these measures are formulated.

The second community health services are provided for residents of the city public health services and basic health services for the public welfare, non-profit grass-roots health institutions.

    Community health services, including community health centers and community health service station.

    Third article autonomous regions, and set district of city, and County and City Government should will city community health service of construction and development into economy and social development planning, integration City medical health, and medical rescue, and disabled rehabilitation, and family planning technology service, resources, according to community health service institutions set planning, and configuration standard, reasonable arrangements city community health service input, established sound to community health service center for subject of city community health service network.

Article fourth autonomous regions, districts and municipal and county-level cities and urban areas within the Administrative Department of health under the administration of urban community health service.

    Relevant government departments according to their respective duties to community health services.

    Fifth Street offices and community residents should support and cooperate with the community health service organization in urban community health service.

Sixth to encourage agencies, social organizations, enterprises, institutions, organizations and other individuals to financial, material and technical contributions in the form of community health services community health services. 

    Encouraging retired high, intermediate health professionals to the health services community health service organization in urban communities.

    Chapter II Organization and team-building Article seventh set community health service institutions should be planned, in principle, in accordance with the 3 to 100,000 residents or sub-district offices, as scope for planning to set up a community health service center, needed to set up a number of community health service stations.

Integration of community health centers and community health service management.

    Community health services in government-run.

Community health services planning in eighth, by the municipal public health Administrative Department in conjunction with the city divided into districts planning administration development, into the establishment of medical institutions of the city planning, and urban and rural planning, implemented after approval by the people's Governments at the corresponding level, and reported to the State Health Department.

    Community health service institutions should conform to the set plan and have the basic conditions prescribed by the State, after approval by the Administrative Department of health under the County, in accordance with the provisions of licensing of medical institutions management. Nineth community health service institutions named in accordance with the provisions of the State and the autonomous communities.

    Other medical institutions outside the community health service institutions, not to "community health centers" or "community health service station".

Article tenth community health center practice registration of medical subjects for preventive care, general medical services branch, Department of traditional Chinese medicine (national hospital), rehabilitation medicine, Department of medical laboratory science, medical imaging, and conditional can also register Department of oral medicine, hospice care and other medical subjects are in principle not to be registered.

Registration of community health service of medical subjects for preventive health care, general medical section, conditional registration of Chinese medicine practitioners (including national medical), other medical subjects are in principle not to be registered.

    Community health service centers can be located observation beds and whose primary function is to care and rehabilitation beds; community health service stations may have observation beds.

    11th community health service institutions should be in accordance with the approved medical subjects practicing, no more medical subjects of diagnosis and treatment, scope of practice activities, and implementation of total quality management, prevention of medical errors and medical malpractice to ensure medical safety.

12th community health service institutions should follow the account settings with the appropriate practising physicians, nurses and other health professionals. Government-run community health service center staffed by the people's Governments at the corresponding level in accordance with the provisions of the autonomous region approved staffing establishment.

    Community health service center appointments within the approved establishment, reported to the health administrative departments under the people's Governments at the corresponding level, and in accordance with the rules of procedure. 13th health Administrative Department for community health service institutions in order to service the quantity, quality, effectiveness and performance appraisal of the resident satisfaction as the core of the city.

Assessment results linked to funding. 

    Community health services in government-run institutions and improve the internal assessment system should be established, in accordance with the different characteristics of professional technical and management positions, classification evaluation of program control number, and according to the assessment results to implement pay-for-performance.

    Chapter III service functions and responsibilities

14th community health service institutions of the service function of public health services in the region, the State and the autonomous communities provided for basic public health services provide free service, carry out the following functions:

(A) health education, urban residents ' health records;

(B) vaccination, prevention of communicable diseases;

(C) child health, maternal health and the health of older people;

(D) management of chronic disease management and serious mental illness;

(E) family planning services and counselling;

    (F) the health Administrative Department under the public health service.

    15th community health service institutions should be done within the service area of the epidemic situation of infectious diseases, food poisoning, adverse drug reactions and other public health emergencies of the collection, registration, reporting, and take timely measures to assist in the prevention and control of emergent public health event to expand, spreading.

16th community health service institutions to the basic medical service functions within a service area, provide the following services:

(A) the diagnosis and treatment of common diseases and frequently-occurring diseases, nursing diagnosis and treatment of chronic diseases;

(B) community emergency;

(C) the family visits, home care, home care and home health services;

(D) referral services;

(E) rehabilitation (including the rehabilitation of persons with disabilities) services;

    (F) the provisions of the State and the autonomous communities other basic medical services.

    17th community health services according to the characteristics and advantages of traditional Chinese medicine, providing basic medical care, public health and related Chinese medicine services in public health emergencies.

    18th city of autonomous regions, districts, county-level cities and city people's Government and the relevant departments should be taken to strengthen the service ability, basic medical projects, increase the proportion of funds for medical expenses and manpower and so on comprehensive measures to facilitate community health service in urban residents in hospitals, progressive implementation of basic community health clinic system.

19th community health service organizations should be in line with indications for referral of patients to go to hospitals to receive treatment should hospitals be confirmed the need for chronic care referrals to community health and rehabilitation services.

    Community health service institutions and hospitals should implement two-way referral norms formulated by the health administrative departments and designate special departments or personnel, is responsible for the management of two-way referral work, establish and improve the two-way referral processes and process specifications.

    20th community health service institutions should be active-site providing family health services for urban residents, according to city dwellers of regional division of responsibilities section, determine the responsibilities of doctors and nurses, established between the medical staff and city residents are relatively fixed service relationship.

    Community health service institutions in 21st national system for basic drugs, shall be equipped with and use the national essential drug list drugs and additions for the State basic medicines.

    22nd community health service institutions should implement national and state provision of medical service price and the price of drugs, public service and service project and price.

23rd community health service institutions should establish a standard pharmacy, drug quality control system, never use expired, inoperative and of illicit drugs.

    Community health services medical equipment acquisition, use and management should comply with the relevant regulations of the State and the autonomous communities.

24th community health services health information statistics reporting system should be established, statistics, reporting, medical and health information in accordance with regulations, ensure the timely, accurate and secure information information. 

    Community health services institution shall properly keep the city resident's health record may disclose urban residents ' privacy.

    Fourth chapter of safeguards and supervision

25th autonomous regions, districts and municipal and county-level cities and city people's Government shall, in accordance with the provisions of urban community health service financial input. City divided into districts and county-level cities and city people's Governments should guarantee community health services in government-run institutions in accordance with State regulations approved for capital funding, equipment, acquisition of funds, program control internal staff requirements and the operational requirements of the public health service.

    Necessary support from the autonomous region's financial difficulties. Article 26th city divided into districts and county-level cities and city people's Government shall guarantee the operations of community health services in government-run institutions.

    City District construction according to set planning should Sentinel set community health service institutions of, development units should in construction project in the reserved community health service institutions business with room, and by Government acquisition to community health service institutions using; city built District No community health service institutions business with room or up not to standard of, Government should for community health service institutions acquisition business with room or in existing public housing of based Shang for alterations, and expansion, or according to area standard and local rent level give rent grants.

27th autonomous regions, districts and county-level cities and city governments shall establish a medical education, medical and health care institutions, research institutions to support community health service system, higher, intermediate health professionals to work in community health service institutions on a regular basis, and undertake technical and business services. 
Government-run health care institutions should support development of community health services, community health services operational training, technical support, training, and more.

    28th article human resource and Social Security Department, the administrative departments for public health shall meet the conditions of the community health services into the urban workers ' basic medical insurance, basic medical insurance for urban residents and the new type of rural cooperative medical care fixed-point medical institutions, and by signing agreements with designated community health service institutions, such as strengthening management.

    Establishing medical insurance payments and medical insurance for outpatient costs and manpower prepaid system, more efficient use of health insurance funds.

Article 29th community health services in health Administrative Department should strengthen the supervision and management, establish a sound performance evaluation system and evaluation system, promote the healthy development of the community health service institutions.

    Financial, auditing and supervision departments should carry out its statutory duty, strengthen supervision and inspection of community health service institutions.

Article 30th agencies shall establish a sound financial management of community health service system, and accept the supervision and inspection of the relevant departments. 

    Any unit or individual is allowed to occupy, use, retention or dividing up government assets involved in community health service institutions.

    The fifth chapter legal liability

    31st disobey article Nineth, unauthorized use of name by community health service institutions and rectification by the health administrative departments; refuses, between 10000 and 5000 Yuan Yuan fine.

    Article 32nd disobey article 21st, in accordance with the provisions and the use of national essential drug list drugs and addition of essential drugs for the State, ordered by the health administrative departments to correct; it refuses, and between 5000 and 2000 Yuan Yuan fine.

    Article 33rd in violation of the second paragraph of article 24th, leaking of urban residents ' privacy, by the Administrative Department of public health disclosed the privacy of persons between 3000 and 1000 Yuan Yuan fine, and ordered its community health service institution for rectification. 

    34th other acts in violation of these rules, laws and regulations have been made of the relevant legal provisions on the liability from its provisions.

    The sixth chapter supplementary articles 35th article of the rules implemented on January 1, 2011. December 20, 2002 issued by the autonomous regional people's Government of the Guangxi Zhuang Autonomous Region, community health services regulations repealed simultaneously.