1,500 pharmacies in the country do not have a contract
According to Fars News Agency’s health group, the electronic health committee meeting was held with the presence of officials from the Ministry of Health, Health Insurance, Supreme Insurance Council and Social Security Organization in order to review the infrastructure of the Ministry of Health, Treatment and Medical Education regarding the electronic health plan.
Fatemeh Mohammad Beigi, head of the electronic health committee of the Health and Medical Commission, said in this meeting: Internet coverage for deprived areas was supposed to be completed by June 1401, and the infrastructure to remove preferential currency and popularize subsidies, but this issue has not been paid attention to.
He continued: During our visit to the rural areas, the relevant officials said that it is not possible to complete the infrastructure until the end of 1402, while the people are suffering in this regard. The price of some medicines has increased 10 times and if there is no internet coverage in the villages, people will face the problem of writing prescriptions and prescriptions.
Addressing the Supreme Council of Insurance, Mohammad Beigi said: Did you hold a meeting with the insurance company regarding the entitlement assessment service? According to the tasks of the Supreme Council of Health Insurance and your relationship with the insurance organizations in this field, an action has been taken to establish and complete the database data and update the database information online in paragraph (i) of note (17) of the budget.
The member of the health and treatment commission of the parliament addressed the health insurance officials in this meeting and said: What process and timing did you consider for the completion of the online database because this issue is important and the delay in its implementation causes problems for the people, and for this issue, plan management level; Our suggestion is that in the next two weeks, the steering committee of the Supreme Council of Health Insurance prepares and communicates instructions on how to join all insurance companies to the online database (executive regulations of the electronic version).
The representative of the people of Qazvin, Abek and Alborz in the Islamic Council reminded: Part (3) of paragraph (k) of note (17) has not yet been implemented, while it was supposed to be taken into account within a month of the promulgation of the law.
He added: due to the elimination of the preferred currency in the field of medicine and medical equipment, the hospitalized patient is delayed due to the lack of a system, and he must purchase the equipment at the free market price. We are currently facing the blocking of some elective surgeries. Also, the Sepas file must be completed, and if there is negligence in this regard and it is not entered in a jihadist manner, it will provide the basis for severe social dissatisfaction of the patients.
Mohammad Beigi continued: For the upcoming meeting of the electronic health committee, the relevant officials need to submit a written report to the committee about the implementation of the unification of drug and equipment coding.
Mohammad Beigi continued addressing the relevant officials: What do you suggest and what mechanism can be designed to determine the price and pricing in the field of milk powder, nutritional and cosmetic supplements? It is also necessary for the Ministry of Health’s medical and legal department to submit a copy of the report to the committee as soon as possible, together with the medical system organization, to renew the licenses and make it electronic, and to compile guidelines, of course, the previous guidelines should also be revised.
If we don’t enter jihad, Darwar’s plan will fail
He stated that if we don’t enter Jihadi, Darvar’s plan will fail, he said: Although we have consumption statistics, the implementation processes after analyzing the statistics are weak and an operational and targeted plan should be written. Its completion should be specified in the social security organization.
The representative of the people of Qazvin, Abek and Alborz in the 11th parliament added: “The people of the village need medicine, but there is no technical manager in the pharmacy, and the drug sales expert works in the pharmacy, and this issue should be paid attention to, as well as the existence of a thousand and Five hundred pharmacies without contracts is a serious problem, how can these centers be monitored?
An official from the Supreme Council of Insurance said in this meeting: In some areas, there is no internet coverage infrastructure, and by the end of 2011, infrastructure should be provided to them, and this work is the responsibility of the relevant institutions. According to the approval of the devices that do not have infrastructure, the purchase of their services should be done by the insurance organizations, and this matter is related to the Supreme Council of Insurance.
He continued: Regarding the incentive tariffs of electronic thread and to create an incentive for development at the national level, this matter was approved in the meeting of the Supreme Council of Insurance and is equivalent to 10% of outpatient visits of the public sector by the basic insurance organizations in case of registration of the diagnosis in the form of an electronic prescription to the doctor. It is awarded because the resolution has a financial burden, it is not possible to notify it by the chairman of the council, and we send such resolutions to the program and budget organization, which will go through the legal procedure and the approval of the board of ministers.
This official from the Supreme Council of Insurance reminded: According to the law, the health insurance organization is the custodian of the entitlement assessment system, and yet we considered the electronic prescription plan as one of the main infrastructures of the electronic prescription, and the health insurance organization must respond regarding entitlement assessment. .
Namazi from the Health Insurance Organization said in this meeting: “Good actions have been taken regarding the online database, so that in the past 3 insurance organizations had data online, but now it has reached 28 devices, and three basic insurance organizations, namely health insurance, social security and oil company And we have about 25 additional insurances and 82 million ports in the online database that can be cited and used.
He continued: We extract the overlap from the online database and last week we held a meeting with the futures makers to provide basic and supplementary insurance together, and in the next one to two months we will provide all the basic and supplementary insurance to our contracting parties. ; First of all, we will pay attention to the health and supplementary insurance of the future builders; You can make inquiries from the online database and perform basic and supplementary calculations, and the insured only pays the deductible. Also, we put the preferred currency payment program with the oil company on the agenda, and this will be based on the online database.
This official from the Health Insurance Organization reminded: We had minor problems in the coding department, and according to the circular issued by the Food and Drug Organization, our problems were categorized and we took time to solve the coding problems.
It is important to complete the online database and remove insurance overlap
An official from the Ministry of Health said in this meeting: Due to the implementation of the Darvar plan, other insurance companies that have not yet joined this base should join because there is no other mechanism to pay the difference in the price of the drug. Completing the online database and eliminating insurance overlaps is important, and Darwar’s discussion helps e-prescribing be done in line with complementary measures.
In the continuation of the meeting, Khodayi from the Social Security Organization said: We will present you the report of the notes under Article (17) in the form of a letter, of course, all the articles under Note (17) have been implemented by the Social Security Organization and several articles were of great importance that should be taken into account. has been
Referring to the concern of the Health Commission regarding the removal of paper prescriptions, he continued: There are problems of disconnecting and connecting to the Internet and areas without access, writing paper prescriptions in the same format cannot be the same in all regions of the country, and paper prescriptions are provided by pharmacies and The contracting parties have the ability to accept, although not all of them can write a paper copy.
97 to 98 percent of registrations in the Social Security Organization are electronic
Stating that 97-98% of prescriptions in the Social Security Organization are electronic, he said: At the level of pharmacies, it is close to 89%, that is, 10% of the prescriptions that are wrapped in pharmacies and presented to people are paper, of course, it is a misconception that paper is from the health system. The country is removed and the paper will remain in the system because some areas do not have access to the Internet and also in some cases we will face sudden problems, so the paper cannot be removed, although the amount of use in the health system is important.
Khodayi reminded: One of the items in note (17) of the drug authenticity budget, which is being implemented in outpatient and inpatient settings, and every month a number of drugs and medical equipment are included in the authenticity debate, and in cases such as (3) clause (k) and Except for (1) paragraph (k), the systems that do not have the original certificate must be removed from the reach of people, pharmacies or parties to the contract, and in this regard, we designed a circular, and approximately in the 7 months that we have been given the opportunity, the systems other than the prescription We remove electronics from the access of pharmacies that access is only through APA; With the financial protection plan of the organization, especially university hospitals, everything that has a price in AIMET is accepted without restrictions, so if the request is due to the price, it can be solved.
Jamshidi from the Social Security Organization said in this meeting: Regarding the sending of social security cases to the Sepas system, we put the inpatient and outpatient cases on the agenda according to the correspondence with the organization with background documents; We will solve the infrastructure problem in recent days.
Biglarkhani, the Director General of the Statistics and Information Technology Center of the Ministry of Health, said in this meeting: “Privacy protection regulations have been drafted and we are waiting for it to be promulgated, as well as the regulations of the comprehensive electronic health system, and next week we will form the strategic council of the comprehensive health system.” .
He thanked the people involved in the implementation of the drug project and said: Our plan was to update the drug payment systems within 30 days, of course, the insurance companies and the Jihadi Food and Drug Organization were working.
Dr. Mazhari, director of the comprehensive national electronic health system project, said in this meeting: In the meeting we had with the Food and Drug Organization and Insurance, it was emphasized that one month is needed for the optimal implementation of the work, and the first deputy accepted this issue. We are faced with daily and ongoing tasks like the Darvar plan, and there is no doubt that this action will not be permanent and permanent, and if money is given to insurances, people should be marked, of course, some people are more deserving of subsidized benefits and some are less. have.
He clarified: We created a platform to integrate systems and systems so that the Ministry of Health and regulatory system can reach its original position, although the reference of the coding unit is slightly different from Maxa.
In this meeting, the head of the statistics and information technology center of the Ministry of Health, Biglar Rokhani, said: The Food and Drug Organization is in charge of health-oriented goods. The discussion was about supplements and traditional medicines and dietary milk powders, as well as equipment, medical and drinking, sanitary and food items, which have a high variety of goods and the number of supply chains, and there are also many supplier companies, distributors and supply centers, and the Food and Drug Organization In the field of e-health, it provides more management and this issue creates transparency from the beginning to the end of the chain.
This official reminded: The plan that started in 1993 in the Food and Drug Organization is based on supply management, and no matter how many goods are registered at the exit of the chain, i.e. the end point of the chain, nothing will happen until prescription is not combined with this issue. It doesn’t happen, that means we haven’t managed the demand; We do not issue any paper permits, and the completion of the originality discussion started in December 2016, and currently 814 items of medicine and 30 items of medical equipment are included in the plan, which will reach 864 items by the end of September, and our year-end plan is 1164 items.
He added: Medicines that are included in the Darvar project account for more than 60% of the cost of medicine in the outpatient department, as well as drugs that are subject to authenticity inquiries, 80% of the final product’s currency and will reach more than 90% by the end of this year. We have done the coding in the field of complementary medicine and powdered milk, and the coding of health-oriented products also started in 1997, and we have almost finalized it. Also, the field of complementary medicine, natural and traditional medicines, and powdered milk have coding for prescription and prescription. ; We issue 300 IRCs per week, and regarding the condition of cosmetics, we cannot identify fake items from the original.
1500 pharmacies in the country do not have contracts
This official reminded: Regarding the plan of Darvar, the discussion of changing the policies of the raw materials was done and the prices were updated, of course, drugs whose production is freed inside, but whose import is not freed, creates a challenge for pharmacies and patients, and this issue should be addressed. to be followed by the parliament; We have 14,000 pharmacies, of which 1,500 to 1,500 pharmacies do not have contracts.
The need to pay attention to order the chain of production and distribution of medical equipment in the seventh development plan
He clarified: Attention should be paid to the production, distribution and supply chain, medical equipment and supplies, cosmetics and food and beverages in the 7th development plan, of course, the issue of electronic service tariffs is one of our challenges.
An official from the Social Security Organization said in this meeting: We do not have the exact statistics of the pharmacies that are parties to the contract, and we demand that due to the implementation of the Daruvar plan, the punishment for the violators will be heavier. We do not have any restrictions on signing contracts with doctors, pharmacies and other centers, and the contracts of all new pharmacies are concluded after one month from the beginning of the establishment, unless a pharmacy is suspended due to contract violations.
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