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Emergency plan for medical insurance code switching

In order to ensure the safe operation of the hospital information system, ensure the hospital's normal medical services and medical order, strengthen the safe operation management of the system, improve the ability to respond to emergencies, and promote the application and development of information systems in the hospital, a hospital information system emergency plan is specially formulated

(hereinafter referred to as the “emergency plan”).

(1) Responsibility system for the implementation of the "emergency plan" 1. Establish an information system security operation leading group with the dean as the first person responsible and the heads of the information department, functional departments and relevant departments participating; 2. The leading group is responsible for emergencies throughout the hospital

3. The Information Department is responsible for the technical support of emergency recovery information system operation and network cabling; 4. The logistics department is responsible for the emergency recovery information system

Technical guarantee of power supply; 5. All administrative and business functional departments are responsible for maintaining normal medical order and implementing corresponding emergency measures according to the "emergency plan".

(2) Implementation scope and time of the "Emergency Plan" 1. This "Emergency Plan" applies to all businesses that use and maintain the hospital information system, such as outpatient departments, inpatient departments, medical care, nursing, finance, pharmacy, inspection, radiology, information, and logistics.

Functional departments, clinical departments and medical technology departments; 2. When an information system failure cannot be eliminated within 30 minutes, the report shall be reported to the leading group for approval, and the implementation of the "emergency plan" shall be partially or fully initiated according to different situations.

(3) "Emergency Plan" Implementation Notification System 1. When the information system application department discovers a fault in the information system or power supply system, it should promptly notify the person in charge of the relevant department, and the person in charge of the department should immediately notify the information department or logistics department; 2. The information department or logistics department

The department should initially identify the cause of the failure and the required recovery time within 30 minutes, notify the person in charge of the relevant application department, and promptly report to the leadership group and make suggestions if necessary, and the leadership group will decide whether to activate part or all of the "emergency plan";

3. After the leading group decides to activate part or all of the "Emergency Plan", the Information Department will promptly notify each application department to activate the relevant emergency measures in the "Emergency Plan"; 4. The Information Department or the logistics department should notify immediately after the fault is eliminated.

Each application department shall report to the leadership group at the same time, requesting the completion of the implementation of the "emergency plan"; 5. The information department or logistics department shall report the detailed cause of the failure and processing results to the leadership group afterwards; (4) General emergency measures for information system failures.

The business application department should generally take the following measures immediately after learning that the information system failure cannot be eliminated within 30 minutes, and learning the initial cause of the failure and the required recovery time: 1. Each business application department should set up a "Computer Failure" notice board in the window,

The head of the department should go to the site in time to organize and coordinate the work; 2. Each business application department should promptly carry out publicity, explanation and guidance through large screens, medical guidance, etc.; 3. When the medical insurance settlement system fails, but the hospital information system is normal,

Medical insurance patients register and charge according to self-pay standards, and print self-pay receipts; the financial settlement department will use the original manual receipts within 7 working days after the troubleshooting to re-swipe cards and settle accounts for medical insurance patients; 4. Manual data generated during the information system failure

, and it will be added after troubleshooting as appropriate.

Legal basis: Article 2 of the "Social Insurance Law of the People's Republic of China" The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance and other social insurance systems to protect citizens in the event of old age, illness, work-related injury,

The right to obtain material assistance from the state and society in accordance with the law in cases of unemployment, childbirth, etc.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical insurance and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.