On March 9, 2017, the Anshan Municipal Health and Family Planning Commission issued a notice on its official website to implement the preparatory work for the “two-vote system†for drug procurement: to further deepen the reform of the medical and health system in the city, promote the healthy development of the pharmaceutical industry, and effectively implement the State Council. Medical Reform Office "Implementation Opinions on the Implementation of the "Two-Ticket System" in Drug Purchase of Public Medical Institutions (Trial)" (National Medical Reform Office [2016] No. 4) "Integrated Medical Reform Pilot Provinces (Districts, Municipalities) and Public Hospital Reform In 2017, the pilot city will take the lead in implementing the 'two-vote system' for drug procurement, standardizing the order of drug circulation in public hospitals in our city, reducing the purchase and sale of drugs in public hospitals, purifying the circulation environment, combating “ticket laundering†and effectively reducing the purchase of drugs by the people. The burden is expected to be implemented in the new round of public hospitals in 2017. The public hospitals at or above the county level will implement the “two-vote system†for drug procurement. All public hospitals and pharmaceutical production and circulation enterprises are required to do a good job in the preparation of the "two-vote system" for drug procurement. After the drug "two-vote system" landed, Anshan City will continue to implement the "two-vote system" for medical consumables.
Recently, the Anshan City Health and Family Planning Commission released a tender notice on the centralized procurement of low-value medical consumables and testing reagents for public hospitals in Anshan City, Liaoning Province on its official website. The author Wang Qiang explained the contents of the bidding:
Eight bidding catalogues
There are eight major categories of products for the Anshan medical consumables: the first type of operating room commonly used medical consumables, the second type of nursing supplies, including medical polymer materials and products, medical hygienic materials and dressings. The third category of anesthesia supplies. The fourth type of endocrinology uses consumables. The fifth type of medical X-ray accessory equipment and components. The sixth category of disinfection products. The seventh category of other peripheral medical consumable products. The eighth type of test reagents, including biochemical reagents, non-biochemical reagents and inspection consumables. The products that have been purchased from the network within the scope of centralized procurement of high-value medical consumables in Liaoning Province are not included in the scope of this tender.
Purchasing cycle, payment cycle, service fee regulations
The procurement cycle for the procurement of medical supplies in Anshan is tentatively scheduled for two years, and the collection period is 30 days. The service fee collection rate is 5% of the purchase amount of the hospital consumables and inspection reagents, and the service fee is shared by the production and distribution companies. The procurement hospital will charge the costs associated with the centralized procurement of the service, including the cost of the loan and the cost of the supply chain management system.
Following the 30-day repayment period for Zhejiang's centralized drug bidding, the Maanshan medical consumables tender also stipulates that the payback period is 30 days. At present, the collection period for medical consumables is 90 days, 60 days, 30 days. In fact, the hospital supplier's return cycle author Wang Qiang learned that usually in half a year or so, the return period of a top three hospital in Changsha is ten months, and the return period of a prefecture-level city people's hospital in Jiangxi is one year.
The service fee charged by Anshan Medical Consumables is collected by the hospital. Usually, the tendering agency service fee is collected by the tendering agency. There are two payment methods for the tendering agency service fee. One is charged according to the number of products won the bid. The winning products will range from 2,000 yuan to 3,000 yuan. Such as Hunan medical supplies tender.
There is also a certain proportion according to the actual purchase amount of hospital consumables and inspection reagents. For example, the amount of medical consumables and inspection reagents in Xianning City in 2013-2014 is 1.2% of the total actual purchase amount of medical institutions.
Provisions for distribution: The bidding company must declare it together with the selected distribution company when submitting the product. The bidding enterprise must select the distribution enterprise for distribution in the medical consumables and inspection reagent distribution enterprise library of Anshan Public Hospital; the bidding enterprise with sales qualification can directly deliver, but must enter the distribution enterprise warehouse. Each product can authorize up to three companies for distribution. Once the distribution relationship is confirmed, changes are not allowed in principle during the procurement cycle.
The centralized bidding for Henan Luhe drugs and medical consumables requires “point deliveryâ€, that is, a manufacturer's products can only be delivered to one distributor. It can be seen that the regulations for distributors are different in each region.
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