Notice of Beijing Municipal Health and Wellness Committee on Printing and Distributing the Administrative Measures for the Connection between Pre-hospital and In-hospital Medical Emergency Treatment i

District Health and Wellness Committees, Social Affairs Bureau of Beijing Economic and Technological Development Zone, tertiary medical institutions, Beijing Emergency Center and Red Cross Rescue Service Center:

　　In order to implement the relevant requirements of the Regulations on Pre-hospital Medical Emergency Services in Beijing and continuously improve the quality and efficiency of the connection between pre-hospital and in-hospital medical emergency services, our Committee has formulated the Management Measures for the Connection between Pre-hospital and in-hospital medical emergency services in Beijing (2022 Edition), which are hereby printed and distributed to you. Please implement it carefully.

　　The Notice of Beijing Municipal Health and Wellness Committee on Printing and Distributing the Administrative Measures for Pre-hospital Medical Emergency Transport and Intra-hospital Connection in Beijing (Jing Wei Emergency [2019] No.35) shall be abolished at the same time.

Beijing Municipal Health and Wellness Committee　　　　

June 22, 2022　　

Administrative Measures of Beijing Municipality on the Connection between Pre-hospital and In-hospital Medical Emergency (2022 Edition)

Chapter I General Provisions

　　Article 1 In order to standardize the connection between pre-hospital and in-hospital medical emergency services in this Municipality and ensure the smooth development of medical emergency services for critically ill patients, these Measures are formulated in accordance with the regulations of Beijing Municipality on pre-hospital medical emergency services, the Notice on printing and distributing the guiding opinions on further improving pre-hospital medical emergency services (Guo Wei Yi Fa [2020] No.19) and other laws, regulations and documents, and in combination with the actual situation of this Municipality.

　　Article 2 These Measures shall apply to the activities involved in the process of connecting pre-hospital and in-hospital medical emergency treatment within the administrative area of this Municipality and their supervision and management.

　　Article 3 The connection between pre-hospital medical emergency and in-hospital medical emergency refers to the process of information exchange and patient handover between pre-hospital medical emergency institutions and in-hospital medical emergency institutions in the process of providing pre-hospital medical emergency services according to the scheduling of the dispatching institutions.

　　Article 4 The clients referred to in these Measures are general acute, dangerous and severe patients, and special patients such as public emergencies, infectious diseases, high-risk pregnant women, newborns and "three noes" personnel (unable to work, unable to determine dependents or legal dependents who have no ability to support and no source of income).

Chapter II Institutions and Duties

　　The fifth municipal health administrative department is responsible for the supervision and management of the connection between pre-hospital and in-hospital medical emergency; Responsible for planning and establishing Beijing pre-hospital medical emergency information platform. The district health administrative department is responsible for the supervision and management of the connection between pre-hospital and in-hospital medical emergency services within its jurisdiction, and is responsible for promoting the information construction of the connection between pre-hospital medical institutions and in-hospital medical emergency services within its jurisdiction.

　　Article 6 Duties of dispatching institutions:

　　(a) according to the patient’s condition and the emergency treatment ability of the medical emergency institutions in the hospital, to help establish a green channel, and to inform the medical emergency institutions in the hospital in time to prepare for the reception;

　　(two) record and regularly analyze the convergence of pre-hospital and in-hospital medical emergency services, and provide a basis for the supervision and management of pre-hospital medical emergency services;

　　(3) Establish a pre-hospital and in-hospital information interconnection mechanism to promote the open integration, joint construction and sharing of medical first aid and emergency information data.

　　Seventh pre-hospital medical emergency institutions responsibilities:

　　(1) Strictly implement the transport principle of being near, being urgent, meeting professional needs and giving consideration to the wishes of patients and their families, timely transport patients to in-hospital medical emergency institutions with corresponding emergency rescue capabilities, and do a good job in explaining patients and their families, and guide them to establish a scientific and reasonable concept of seeing a doctor;

　　(2) Pre-hospital medical emergency personnel should assess and grade the patient’s condition according to relevant standards, and transmit the information and condition data of critical patients to the in-hospital medical emergency institutions at the first time, among which five types of patients, such as chest pain, stroke, trauma, pregnant women and newborns, communicate with the hospital through Beijing pre-hospital medical emergency information platform, pre-hospital medical emergency dispatch information platform, or through instant communication tools such as emergency special green channel APP, and provide patient information in time;

　　(3) Pre-hospital medical emergency personnel will transfer patients to in-hospital medical emergency institutions, and both parties will conduct standardized handover and sign the handover form for patients in front of the hospital.

　　Eighth hospital medical emergency institutions responsibilities:

　　(1) Efforts should be made to improve the reception capacity of critically ill patients, improve the service quality, effectively divert non-critically ill patients through emergency pre-screening and triage, and ensure timely and effective treatment of critically ill patients;

　　(two) according to the principle of emergency grading treatment, according to the severity of the patient’s disease, the implementation of pre-inspection and triage, to ensure that urgent, dangerous and serious patients get priority treatment;

　　(3) Strictly implement the responsibility system of first diagnosis, and prohibit the behavior of shirking patients and making no contact with emergency referral of critical illness. If it is really necessary to be transferred for treatment due to special circumstances, the first-time doctor shall judge the safety of transfer, contact the receiving hospital, and transfer to other medical emergency institutions in the hospital on the premise of ensuring the safety of patients;

　　(4) set up a dedicated telephone line, keep it open for 24 hours, strengthen the application of information technology, ensure timely communication with health administrative departments, dispatching institutions and pre-hospital medical emergency institutions, and receive and feed back information to dispatching institutions and pre-hospital medical emergency institutions as required;

　　(5) Equipped with sufficient and available first-aid flat car (or wheelchair), the emergency department shall ensure at least one first-aid flat car to be ready for use at any time, and complete patient handover with pre-hospital medical emergency personnel in time to avoid the detention of pre-hospital ambulances and on-board equipment and facilities.

Chapter III Handover Specification

　　Article 9 After receiving the patients transferred by the pre-hospital ambulance, the in-hospital medical first-aid institutions should transfer them to the standby first-aid flat car as soon as possible without occupying the first-aid facilities and equipment of the pre-hospital medical first-aid institutions. The time for critically ill emergency patients to stay on the stretcher of pre-hospital ambulance should generally not exceed 10 minutes.

　　Article 10 Handover of general emergency patients: Pre-hospital medical emergency personnel report the patient information to Beijing pre-hospital medical emergency information platform according to the on-site situation of emergency patients; According to the patient information and the ability of first aid in the hospital, the dispatching organization assists in determining the medical first aid institutions to be transferred to the hospital and communicates with the hospital; In-hospital medical emergency institutions receive patients’ diagnosis and treatment information in time, make preparations for receiving medical treatment, and communicate with pre-hospital medical emergency personnel when necessary according to patients’ conditions.

　　Article 11 Handover of special patients: If the pre-hospital medical emergency personnel are confirmed to be special patients such as public emergencies, infectious diseases, high-risk pregnant women, newborns and "three noes" after arriving at the scene, the pre-hospital medical emergency personnel will collect the on-site situation and report it to the dispatching agency in time, and upload the patient information to the Beijing pre-hospital medical emergency information platform; According to the relevant regulations, the dispatching organization shall assist in determining the medical emergency institutions in the referral hospital and inform the specific situation of special patients in time; In-hospital medical emergency institutions should be prepared for receiving medical treatment.

　　Article 12 Pre-hospital medical emergency personnel will send the patients to the in-hospital medical emergency institutions, and hand over the condition and treatment with the doctors or nurses on duty. Both parties will sign the hand-over form for patients in the front and in-hospital and include it in the medical record management.

　　Thirteenth pre-hospital medical emergency institutions and in-hospital medical emergency institutions shall not refuse or delay the rescue work for patients because of the cost. For the "three noes" personnel, pre-hospital medical emergency institutions and in-hospital medical emergency institutions can apply for financial subsidies to the disease emergency relief fund, the social relief fund for road traffic accidents, and the urban and rural medical relief fund in accordance with the relevant provisions of the state and this Municipality.

Chapter IV Supervision and Administration

　　Article 14 The municipal health administrative department shall be responsible for the guidance, supervision, assessment and quality evaluation of the connection between pre-hospital and in-hospital medical emergency treatment, and guide the district health administrative department to carry out supervision and management.

　　The district health administrative department shall, under the unified leadership of the district people’s government and the operational guidance of the municipal health administrative department, supervise and manage the connection between pre-hospital and in-hospital medical emergency treatment within its administrative area according to law.

　　Fifteenth relying on the quality control data of pre-hospital medical emergency in Beijing, the management of pre-hospital and in-hospital convergence will be included in the performance management of in-hospital medical emergency institutions.

　　Article 16 The municipal health administrative department shall establish a notification mechanism for the connection between pre-hospital and in-hospital medical emergency, and regularly notify the units that have not carried out the connection between pre-hospital and in-hospital medical emergency in accordance with relevant regulations.

　　Seventeenth pre-hospital medical emergency institutions do not transport patients in accordance with the provisions, and shall be punished in accordance with Article 55 of the Regulations of Beijing Municipality on Pre-hospital Medical Emergency Services.

　　Article 18 If the in-hospital medical emergency institutions fail to hand over the information of critical patients with the pre-hospital medical emergency institutions in accordance with the regulations or refuse to accept the critical patients transferred by the pre-hospital medical emergency institutions, they shall be punished in accordance with Article 56 of the Beijing Regulations on Pre-hospital Medical Emergency Services.

　　Nineteenth these Measures shall be implemented as of June 22, 2022.

　　Twentieth approach by the municipal health administrative department is responsible for the interpretation of.