二级医院PCCM规范化建设准入标准及评价标准

二级医院PCCM规范化建设准入标准及评价标准TheAdmissionStandardsforStandardizedConstructionofPCCMinSecondaryHospitalsAssessmentIndicatorsforSecondaryHospitalsAdmissionStandards(OneVoteVeto)Independentestablishment,demonstrationhospitaldepartmentnamemustbechangedto"RespiratoryandCriticalCareMedicineDepartment"Specialized/SpecificDiseaseOutpatientClinicsSpecializedDiseaseWardsRespiratoryOutpatientComprehensiveDiagnosisandTreatmentRoomRespiratoryOutpatientSpecializedNursesPulmonaryFunctionRoomRespiratoryEndoscopyRoomSleepRespiratoryDiseaseDiagnosisandTreatmentRoomCompliancewithConditions√√√√√√√√MICU/RICU/EmergencyRoom,withbedcapacity≥3PCCMSpecializedTraining,SpecializedPractice,SinglePractice(3-yearassessmentperiod)√√DepartmentManagementAssessmentIndicatorsAssessmentIndicatorsforSecondaryHospitalsDepartmentManagementAssessmentIndicatorsInitialdiagnosisofrespiratorychronicdiseasespulmonaryfunctionexaminationrateHospitalizationrateduetoacuteexacerbationofchronicobstructivepulmonarydisease/acuteasthmaattackScoringCriteria≥95%(3)≥80%(2)Score22≥50%(1)3≥100%(2)RatioofPatientsUsingInhalationDrugs(IncludingDischargeMedication)Follow-upRateforPatientswithChronicAirwayDiseases(Asthma,ChronicObstructivePulmonaryDisease)≥50%(2)RateClinicalPathwaySingleDiseaseManagementRadiationCapabilityMultidisciplinaryDiagnosisandTreatment(MDT)Implemented(1)Implemented(1)Available(1)≥90%(1)80%(0.5)≥30%≥40%(1)(0.5)22111ProportionofOut-of-DistrictPatientstoInpatientsRespiratorySpecializedMedicalConsortiumPatientSatisfactionClassAMedicalRecordRateMedicalQualityDrugRatioResponsiblePhysicianSystemMedicalAccidents≥10%(2)Available(2)>95%(1)≥95%(1)≤40%(1)Available(1)Unavailable(2)≥5%(1)>90%(0.5)In-hospitalRanking2211112DepartmentPerformanceWithintheTop20%(2)In-hospitalRanking40%-60%20%-40%(1.5)(1)2MedicalAssessmentIndicatorsAssessmentIndicatorsforSecondaryHospitalsTotalScoreMedicalAssessmentIndicatorsTotalNumberofGeneralBedsBedSettingMICU/RICU/EmergencyRoomBedUtilizationRateOutpatientSettingScoringCriteria≥50(3)≥40(2)≥30(1)1(0.5)Score1005232275%-85%(2)2(1)SpecializedDiseaseOutpatientClinics:SmokingCessation,Asthma,ChronicObstructivePulmonaryDisease,Sleep3(2)RespiratoryDiseases,LungCancerOutpatientPharmacyInhalationTreatmentDrugsSpecialtyGroupSettingSpecializedAcademicGroupRICU/MICU(PCCMled)MICU/RICU/EmergencyRoomInvasiveVentilator≥4(2)NumberofMachinesICUSettingMICU/RICU/EmergencyRoomBedsideMonitor/1/Bed(1)BedNon-invasiveVentilator≥6(2)≥4(1)3-4items(2)1(0.5)≥2(0.5)1-2items(1)23111≥2(1)≥1(0.5)2≥5types(2)Available(1)Available(3)≥3types(1)≥2types(0.5)23肺功能检查项目必须达到5项或以上。肺功能室必须配备肺功能检查体描仪、FeNO检测仪、脉冲震荡肺功能、运动肺功能、诱导痰检查、血气分析、呼吸内镜等设备，并设置睡眠呼吸室和经皮穿刺肺活检技术。肺功能室必须配备专职人员，包括呼吸内镜专职人员和睡眠呼吸治疗师。MICU/RICU/抢救室医生和护士床位比例必须达到1:1或以上。出院人数必须达到2000人次/年，门诊量必须达到3万人次/年，工作负荷必须达到300例/年。睡眠监测例数必须达到200例/年，肺功能检查例数必须达到2000例/年，呼吸内镜活检例数必须达到90例/年。教学和研究方面，肺功能室必须每周进行科内业务学习，并制定教学计划。需要参与多中心临床试验，并在SCI论文数、中文