Consolidated Report by : Gan Yung Chyan, KUCINTA SETIA
News (1)
National Health Commission implictly admits various local medical units have under-reported health statistics
There have been reports in the Chinese independent media that the number of covid deaths in Wuhan is far underestimated and the number of covid cases in Wuhan is ten times the original number reported by the Hubei Health Commission. The number of covid cases elsewhere in the People's Republic of China are also suspicious figures.
Li Keqiang has several times reiterated the importance of keeping the covid tally transparent and accurate. However, it is suspected that hospitals in Wuhan and Beijing were reporting false statistics.
Therefore, the National Health Commission has probably decided to reverse the situation by releasing updated guidelines on the importance of reporting health statistics correctly for the benefit of the public and the world.
It is everyone's hope that local health commissions and medical units such as hospitals and clinics will report the case statistics of diseases and illnesses correctly to the authority.
News (2)
National Health Commission: Preventing and punishing medical units for false health statistics and strengthening accountability management
According to news from the National Health Commission’s website on 28 August 2020, the National Health Commission issued guidance on strengthening health statistics. The opinions clearly stated that it is necessary to prevent and punish statistical fraud. The department strengthens supervision and inspection and quality control traceability, discovers problems in a timely manner, and corrects them in accordance with the law. Forgery, tampering with statistical data and other statistical violations shall bear corresponding legal liabilities.
The opinion pointed out that it is necessary to improve the statistical survey system. Accelerate the establishment of a list of basic health statistics units that includes medical and health management, elderly care, nursery and other institutions. Ensure all important, true and mutually beneficial information is updated in time; actively integrate electronic health codes as the main index. A closed loop of residents’ health statistics must run through the links of prevention, treatment, rehabilitation, and health management; gradually build a system centered on people’s health, covering health resources, medical health services, public health safety, residents’ health levels, health influencing factors, and industry integration, a comprehensive health statistical survey system covering the entire life cycle of governance and health industry development.
Clear opinions, appropriately increase statistical survey items and frequency related to major diseases, key populations, and important health influencing factors, improve the availability and effectiveness of the main advocacy indicators and expected indicators in the Healthy China Action, and meet the needs of monitoring and evaluation.
Regarding the improvement of the national life registration management system, the opinions pointed out that it is necessary to strengthen population monitoring, improve the dynamic update and verification mechanism of the entire population, birth registration, and death registration information, improve the quality of basic population information, and establish statistics covering the entire life cycle. The system provides support. Health administrative departments at all levels should strengthen overall planning and coordination, and improve coordination and sharing and comparison and verification mechanisms with education, public security, civil affairs, human resources and social security, statistics, medical insurance and other departments; medical and health institutions should perform the above-mentioned collection and update of vital registration information. Responsibility. In addition, it is necessary to organize timely monitoring and investigation of the life and health status of the elderly, key occupational diseases and occupational disease hazards, reproductive and parenting, tobacco use and control, etc., to provide information support for the formulation of relevant policy plans.
The opinion emphasizes that all localities must establish a responsibility system to prevent and punish statistical fraud and fraud, and strengthen accountability management for their own statistical violations in accordance with laws and regulations. Health administrative departments at all levels will work with relevant departments to strengthen supervision, inspection and quality control traceability, discover problems in time, and correct them in accordance with the law. They will bear corresponding legal responsibilities for falsifying or falsifying statistical data and other statistical violations.
Source : China News Network
Ref : http://www.chinanews.com/gn/2020/08-29/9277087.shtml
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News (3)
Updated Guidelines of the National Health Commission on strengthening health statistics, national health planning and development
Index 000013610/2020-02958 Main title
Subject classification
Issuing agency Health Commission Release date 2020-08-28
Guiding Opinions of the National Health Commission on Strengthening Health Statistics
National Health Planning and Development (2020) No. 16
The health committees of all provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps, various departments and bureaus of the committees, directly affiliated and contact units of the committees, China Association of Aging, and affiliated (managed) hospitals:
Health and health statistics work is an important basic work that reflects the status, progress and laws of health and health development, and plays an important supporting role in macro decision-making, industry governance, and service to society. In recent years, health administrative departments and medical and health institutions at all levels have actively promoted statistical reform and construction, continuously improved statistical standards, and basically adapted to and met the needs of health work development and medical and health system reform. However, there are also problems such as insufficient attention to statistical work in some places, weak team strength, low data quality, and insufficient analysis and application. In order to promote the implementation of the healthy China strategy, in accordance with the "Statistical Law of the People's Republic of China" and its implementation regulations, "Opinions on Deepening the Reform of the Statistical Management System and Enhancing the Authenticity of Statistical Data", "Proposed Measures for the Punishment of Persons Responsible for Statistics Violation and Law", "Prevention and Punishment "Statistics Falsification, Falsification and Falsification Supervision Work Regulations" and other laws, regulations and related regulations, hereby put forward the following opinions on strengthening and regulating the statistical work organized and implemented by the health administrative department.
1. General requirements
To strengthen health statistics under the new situation, we must firmly establish the concept of general health and health, adhere to statistics according to law, standardize statistical process management, adhere to quality priority, ensure the truth and accuracy of data, adhere to application orientation, serve the actual needs of the industry, adhere to innovative development, and strengthen The application of emerging technologies further expands coverage, changes working methods, and strengthens service efficiency. Strive to achieve an increasingly complete health statistical survey system, team building, data resources, methods and methods by 2025, the authenticity, accuracy, and completeness of statistical data will continue to increase, and the level of legalization, standardization and informatization of statistical work will be significantly improved and effective support the high-quality development of health care. By 2030, establish and improve a scientific governance, unified authority, innovation-driven, safe and efficient statistical work system to provide important support for the implementation of the Healthy China strategy.
2. Main tasks
(1) Improve the statistical investigation system to meet the needs of expanding the functions of health and health work, to promote the transformation of statistical work from treating diseases as the center to health as the center, and expanding the field of statistics from medical and health care to the entire health service industry. In accordance with the ideas of maintaining stability, complete coverage, and innovation, scientifically set statistical indicators, revise and improve the statistical investigation system; speed up the establishment of institutions including medical and health, health management, elderly care, and childcare, without emphasizing, leaking, and authentic information , Update timely, reciprocally shared list of basic health statistics units. Actively integrate the closed loop of residents’ health statistics based on electronic health codes as the main index and run through the links of prevention, treatment, rehabilitation, and health management. Gradually build a system centered on people’s health, covering all aspects of health resources, medical and health services, public health safety, residents' health level, health influencing factors, industry comprehensive management, health industry development, etc., covering the entire life cycle of a health statistical survey system. The National Health Commission has done a good job in top-level design, promulgated management methods for health statistics, and strengthened overall guidance. All localities must base themselves on actual conditions, improve the statistical investigation system, and strengthen organization and implementation. Grassroots organizations should optimize data supply and implement concrete measures.
(2) Highlight the focus of statistical work.
1. Support the implementation of a Healthy China strategy. Focusing on the main indicator requirements of the "Healthy China 2030" Planning Outline and the "Healthy China Action (2019-2030)", improve and improve the statistical survey system to ensure the accuracy and timeliness of the relevant indicators in the Healthy China Action assessment indicator framework; appropriate; Increase the statistical survey items and frequency related to major diseases, key populations, and important health influencing factors, improve the availability and effectiveness of the main advocacy indicators and expected indicators in the Healthy China Action, and meet the needs of monitoring and evaluation.
2. Serving public health safety management. Conform to the needs of the reform of the disease prevention and control system, improve the national disease prevention and control statistical investigation system, improve statistical data indicators, and improve the quality of statistical data; explore the establishment of an emergency reporting mechanism for statistical reports related to public health emergencies, and promote the sharing and comparison of related report information and data. Assist in the development of epidemic analysis and judgment. Actively use statistical data to carry out analysis of the distribution of medical and health resources, supply and demand comparison, etc., to provide a basis for assisting in the construction of a rationally distributed public health prevention, control and treatment system that combines peace and war.
3. Strengthen the monitoring and evaluation of medical reform. Health administrative departments at all levels should work with relevant units to strengthen monitoring and evaluation around the deepening of the medical and health system reform plan and annual key tasks, and regularly report the development and effectiveness of medical improvement in various regions, and provide data guarantee for formulating medical reform policies, planning goals, and annual plans. Provinces, prefectures and cities should highlight key areas such as hierarchical diagnosis and treatment, modern hospital management, universal medical insurance, drug supply guarantee, and comprehensive supervision system, strengthen data analysis and utilization, enhance the forward-looking and predictability of work, and promote the in-depth development of medical reform.
4. Improve the national life registration management system. Strengthen population monitoring, improve the dynamic update and verification mechanism of all-employee population, birth registration, and death registration information, improve the quality of basic population information, and provide support for the establishment of a statistical system covering the entire life cycle. Health administrative departments at all levels should strengthen overall planning and coordination, and improve coordination and sharing and comparison and verification mechanisms with education, public security, civil affairs, human resources and social security, statistics, medical insurance and other departments; medical and health institutions should perform the above-mentioned collection and update of vital registration information. Responsibility.
5. Promote health service industry and health industry accounting. The National Health Commission and statistical agencies should accelerate the implementation of the "Healthy China 2030" Planning Outline, "Several Opinions of the State Council on Promoting the Development of the Health Service Industry", "Promoting the High-Quality Development of the Health Industry (2019-2022)" and other document requirements According to the "Health Industry Statistics Classification (2019)" issued by the National Bureau of Statistics, we will work with relevant departments to formulate and improve accounting methods for the health service industry and the health industry, and carry out related accounting work. Encourage all localities to cooperate with development and reform, statistics and other departments to promote health service industry and health industry accounting based on actual conditions.
6. Do a good job of statistics in other new areas. Focus on the need for statistical work in the fields of elderly health, medical care integration, occupational health, childcare management, tobacco control compliance, etc., and gradually study and build a statistical indicator system that matches it, establish a dynamic thematic database, and help the construction of a health service system . Organize timely monitoring and investigation of the life and health status of the elderly, key occupational diseases and occupational disease hazards, childbearing, tobacco use and control, etc., to provide information support for the formulation of relevant policy plans.
(3) Standardize statistical process management.
1. Standardize project management in accordance with the law. In accordance with the principle of streamlining and efficiency, the National Health Commission established and revised the national health statistical survey system in accordance with laws and regulations. Local health administrative departments must strictly implement the statistical investigation system, and do a solid job of routine statistics such as health resources and medical services, health supervision, disease prevention and control, maternal and child health, population monitoring, and special investigations such as health service surveys and medical reform monitoring. The local health statistical survey system can be improved according to actual needs and approved by the statistical agency of the people's government at the same level.
2. Gradually strengthen data quality control. Establish and complete a hierarchical quality control system for statistical work, and effectively strengthen the overall process management of statistical investigation activities deployment, training, implementation, and supervision to ensure that the data is true, accurate, and complete. The National Health Commission and statistical agencies have improved and optimized basic standards such as disease classification codes and surgical operation codes, formulated and improved data quality control systems, guided local areas to carry out standard application and quality audits, and conducted comprehensive evaluation reports. Local health and health administrative departments should rely on statistical agencies to refine data quality control plans, and implement the responsibilities, data standards, and technical specifications of all posts in all links of statistics. Various medical and health institutions must clarify data sources and responsible parties, standardize statistical data accounts, and ensure the quality of source data.
3. Promote information release and sharing. In accordance with government information disclosure regulations, abide by national secrecy laws and regulations and related management systems, improve statistical information release systems, and standardize information release channels and content. The release of important statistical information in accordance with the statistical investigation system must be reviewed by the competent department of statistical work of the health administrative department at the corresponding level. Effectively strengthen the compilation of statistical bulletins, yearbooks, and abstracts, and use government portal websites, national health information platforms and other channels to publish them in a timely manner to facilitate the public's inquiry and use. Improve the internal statistical information sharing mechanism of the department to improve the timeliness and effectiveness of shared services. Further promote the sharing and exchange of statistical information between departments, and clarify sharing responsibilities, content, methods, time limits, and channels by signing agreements to improve the comprehensive use of statistical data.
(4) Change statistical methods and methods.
1. Innovative technology application. On the basis of constructing and perfecting databases such as population, health files, electronic medical records, etc., relying on the national health information platform, promote data statistics from the traditional manual filling, step-by-step summary, and regular submission to automatic collection, platform exchange, and real-time push, and gradually build a convenient, efficient, interconnected and shared information statistical network. Explore and promote the integration and application of emerging information technologies, innovate data collection, development, and storage methods, and improve the intelligence level of statistical work.
2. Optimize the top-level design. Starting from the relevant departments and bureaus of the National Health Commission and directly affiliated units, speed up the integration of overlapping, scattered and independent information systems in the industry, standardize the statistical data collection workflow, and transform each business system from basic data collection to unified collection and top-level interaction , To promote cross-business, cross-institution, and cross-department exchange applications, reduce the frequency of reporting from management, and realize one source, one source for multiple purposes, integration and sharing.
3. Reduce the burden on the grassroots. In accordance with the relevant requirements for solving the prominent problems of formalism and reducing the burden on the grassroots, statistical investigations will not be carried out if statistical data can be obtained through administrative records and big data processing. Statistical investigations shall not be repeated if statistical data can be obtained through statistical investigations that have been implemented. If sampling surveys and key surveys can meet the needs, do not carry out comprehensive statistical surveys. Reduce the frequency of surveys, reduce survey costs, and strive to solve the problem of "complicated reports" at the grassroots level.
(5) Strengthen the application of statistical analysis.
1. Strengthen decision support. Strengthen the concept of relying on data to speak and use data for decision-making, use scientific methods, tap the value of data, innovate display methods, and use scientific and objective statistical data to reflect the status and trends of health and health development, and support planning and policy formulation. Focusing on tasks in key areas such as the Healthy China Initiative, public health safety, and deepening medical reform, we regularly organize and write high-quality data analysis reports to support evidence-based decision-making and macro management.
2. Promote regulatory services. Focus on combining management with service, and actively carry out monitoring, early warning, analysis and evaluation based on statistical survey data. Focusing on major diseases, key populations, major health risk factors, and medical and health service quality and safety in the area under its jurisdiction, quickly carry out systematic comparison and analysis of statistical data, timely feedback and guide lower-level health administrative departments and medical and health institutions, and standardize medical and health services. Improve service management level.
3. Support academic research. Make full use of statistical survey data, explore the establishment of a cooperative mechanism with high-level medical and health institutions, universities, scientific research institutions and other third-party "think tanks", and organize developments around the key and difficult issues of deepening medical reform, cutting-edge medical scientific research issues, and major national health issues Basic research, applied research, and countermeasure research to promote the transformation and utilization of research results.
3. Organizational Guarantee
(1) Effectively strengthen organizational leadership. It is necessary to further enhance the awareness of the basic importance and seriousness of statistical work, and incorporate it into the overall planning of the reform and development of health care. It is necessary to establish and improve a statistical management work mechanism with unified leadership and hierarchical responsibility, and work together to perform the legal administrative duties of health statistics. Health administrative departments at all levels and various medical and health institutions should clarify the responsible management departments for statistical work, strengthen the allocation of full-time and part-time statistical personnel, ensure funding needs, and ensure the smooth development of statistical work.
(2) Prevent and punish statistical fraud. All localities shall establish a responsibility system to prevent and punish statistical fraud and fraud, and strengthen accountability management for their own statistical violations in accordance with laws and regulations. The main responsible comrades of the health administrative departments at all levels are responsible for the authenticity of the regional health statistics organized and implemented by the health departments, and the main responsible comrades of various medical and health institutions are responsible for the statutory statistics of their units. Health administrative departments at all levels shall work with relevant departments to strengthen supervision, inspection and quality control traceability, discover problems in time, and correct them in accordance with the law. They shall bear corresponding legal responsibilities for falsifying or falsifying statistical data and other statistical violations.
(3) Strengthen the construction of statistical teams. It is necessary to focus on maintaining the stability of the statistical team and actively create conditions for improving the welfare benefits of health statisticians. It is necessary to care for the basic-level statistical cadres, and to commend and reward units or personnel with outstanding performance and outstanding performance in accordance with relevant regulations. It is necessary to strengthen professional ethics education and professional training, carry out various forms of learning and exchanges, improve the ability and quality of statisticians, and make every effort to build a capable and efficient health statistics work team.
(4) Ensure data and information security. It is necessary to strictly abide by national secrecy laws and regulations, relevant management systems, and network security related regulations, implement network information security infrastructure construction specifications, and ensure the reliable operation of statistical business databases and information systems. It is necessary to strengthen the management of the entire process of data collection, management, service, openness, sharing, and use, and establish a joint mechanism for security information notification and emergency response to effectively protect personal privacy and information security.
National Health Commission
27 August 2020
(Information disclosure form: Active disclosure)
Source : National Health Commission
Ref : http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=f4fce10ec10548fdbb1743ad29790024
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