In accordance with the situation of the Beijing epidemic, in order to promote the daily medical services in an orderly manner, on March 20, the Medical Security Team of the Beijing Epidemic Prevention and Control Leading Group issued the "Notice of Strengthening Medical Service Work during Epidemic Prevention and Control". Governments and departments at all levels and medical and health institutions are required to adhere to the prevention and control of epidemics and medical services at the same time, to promote the daily medical services in an orderly manner, and to meet the health needs of the people. The main contents are as follows.
First, district-level designated medical institutions should comprehensively resume daily medical services. Starting at 00:00 on March 21, all district-level designated medical institutions have suspended the admission of COVID-19 cases, and all new suspected and confirmed cases have been admitted by municipal-level designated hospitals. Medical institutions that are no longer responsible for admission will carry out terminal disinfection by disease control and hospital infection professionals from district health commissions. After evaluation by experts, daily medical services will be fully restored at 00:00 on March 23.
The second is to continuously improve outpatient and emergency services. Medical institutions are required to make full use of the prevention and control big data itinerary inquiry as well as applications such as Jiankangbao and Jingxinxiangzhu and other methods to do a good job of the patient's itinerary inquiry and verification, health status inquiry, and etc., to guide the patients to the clinic by classification. Medical institutions with fever clinics should carry out case screening and testing in a timely manner, immediately isolate the suspected cases in a single room, and refer them immediately. Medical institutions with emergency departments should do emergency grading and zoning management to guide non-emergency patients to the outpatient clinic, and ensure unblocked green channel for chest pain, stroke, trauma patients, pregnant or maternal patients and other consultations. Secondary hospitals and above should continue to make comprehensive non-emergency appointments, expand the total number of appointment sources, and carry out precise appointments by time period to achieve equal appointment sources in morning and afternoon and balance workload of diagnosis and treatment. Each medical institution should actively adopt information methods such as Internet + medical treatment, and adapt to the needs of the people for medical treatment through multiple channels.
The third is to guarantee hospitalization and surgical services for key patients. Secondary and tertiary hospitals should set up inpatient buffer zones or emergency isolation wards for transitional patient, adopt measures such as "separate beds", single room for single person, and etc. to treat patients. Each hospital should conduct classification and evaluation of surgical risks, and strengthen daily surgery, intervention and endoscopic treatment and timely treatment of patients with acute and malignant tumors. Priority should be given to surgical and therapeutic operations for critically ill patients or operations affecting patients' long-term quality of life.
The fourth is to strengthen primary medical services. Community health service agencies are required to actively understand the health status of community residents, announce the contact number of the family doctor team, and organize family doctors to actively contact the contracted service targets to understand the health status of their family members. Community health service agencies are encouraged to provide home delivery services for eligible contracted elderly patients with chronic disease through online consultation and other methods.
The fifth is to strengthen overall planning and ensure the safety and order of medical services. All medical institutions are required to regard the prevention and control of nosocomial infections as an important basis and prerequisite for the orderly promotion of daily medical services. All personnel entering medical institutions should properly select and wear masks and maintain hand hygiene. They must promptly detect fever and respiratory symptoms of personnel, and take corresponding control measures. In the process of restoring diagnosis and treatment services, we must do a good job of publicity, timely inform the society of the consultation services, guide patients to seek medical treatment, pay attention to the patient's medical experience, and ensure unblocked patient complaint channels.
The Municipal Health Commission has established a system for monitoring and analyzing daily outpatient, emergency, hospitalization, and surgery in the city's secondary or above medical institutions. The districts have strengthened guidance and supervision to medical institutions that have not achieved "two promotion and two timeliness" in epidemic prevention and control and medical services. Measures such as briefings and interviews will be taken to ensure that all requirements are implemented.