Punished 3.44 million yuan, a hospital in Ningxia implements "psychiatric supervision" for all hospitalized patients. Yinchuan Jingda Hospital in Helan County, Ningxia | Patients | Psychiatry Department
According to the information released on the Credit China website, Yinchuan Jingda Hospital in Helan County, Ningxia was fined about 3.44 million yuan in May this year. The hospital executed "psychiatric monitoring" projects for all hospitalized patients without indication, resulting in excessive diagnosis and treatment, involving 277 people and a total amount of 120619.2 yuan.
According to the He Medical Insurance Penalty Decision No. 1 (2023) issued by the Helan County Medical Security Bureau, after reviewing the medical insurance settlement data uploaded by Yinchuan Jingda Hospital from November 2019 to March 2023, it was found that the hospital uploaded the "Psychiatric Scale" 172960 times. By asking physician Tan Huimin of the hospital, the response was that the physician worked 6 days a week, 8 hours a day, and occasionally worked overtime. Each psychiatrist took an average of 20 minutes to complete each type of psychiatric A-class scale, and approximately 20 minutes to complete each type of psychiatric B-class scale; It takes approximately 40-60 minutes to complete each type of psychiatric C-class scale.
By reviewing the settlement data uploaded by the hospital's medical insurance, it was found that there were less than 10 patients who received "psychiatric monitoring" from December 20 to December 31, 2021, and less than 10 patients who received "psychiatric monitoring" from January 8 to January 20, 2022. Between January 1st and January 7th, 2022, there were 275, 276, 276, 277, 276, and 276 patients who were given psychiatric monitoring. After on-site verification, the inpatients in the hospital from January 1 to January 7, 2022 were mainly those who were hospitalized in 2021. Due to the end of the year, they were discharged on December 31 and admitted on January 1, 2022. During this period, the patients did not leave the hospital.
After investigation by the Helan County Medical Security Bureau, it was determined that the hospital implemented "psychiatric monitoring" programs for all hospitalized patients without indications, resulting in excessive diagnosis and treatment, involving 277 people and a total amount of 120619.20 yuan.
The Helan County Medical Security Bureau has imposed the following penalties:
1. A fine of 947672 yuan shall be imposed on the medical security fund for losses caused by unreasonable calculation of "psychiatric scale" fees before May 1, 2021, which is twice the amount of 473836 yuan. A fine of 1541108.5 yuan shall be imposed on the medical security fund for losses caused by unreasonable calculation of "psychiatric scale" fees after May 1, 2021, which is 1.5 times the amount of 23111662.75 yuan.
2. A fine of 180928.8 yuan shall be imposed on the medical security fund of 120619.2 yuan, which is 1.5 times the loss caused by excessive diagnosis and treatment.
The total fine is 3440263.55 yuan.