病人安全:法律不应缺位——病人安全立法初探

频发的医疗不良事件和医疗错误呼唤健全的病人安全体系。法律能引导和规范人们的行为,其在病人安全体系中应扮演积极的角色。借鉴国外的经验,中国的病人安全立法的重点应当放在建立和完善医疗伤害的预防机制上,病人安全法的原则有:以病人为中心原则,预防为主、重在治本原则,社会系统工程原则,多元风险保障原则。     

中国未成年人权益状况报告

本文通过文献研究法、专家访谈法和问卷调查法.对1991年<中华人民共和国未成年人保护法>颁布以来的未成年人的权益状况进行了调查研究.研究结果表明,中国的未成年人保护事业获得了长足进步,生存权、发展权、受保护权和参与权均得到进一步实现;但是由于缺乏有效的协调,未成年人保护机构、法律体系、保护机制、实现和保障等方面仍然存在不健全不完善之处.     

社会组织管理体制:内在逻辑与发展趋势

本文认为:改革开放以来,与我国社会组织的蓬勃发展相适应,我国社会组织的管理体制经历并正在经历着重大的制度创新。这个主要表现为强制性制度变迁的历史过程,背后存在三种不同的战略思路,一为发展型战略,二为控制型战略,三为规范型战略。三大战略形成了三种不同的力量,彼此互动和博弈,推进着整个社会组织管理体制的发展演进,随着法治国家的建设和社会管理创新的实践,这三种力量既相互促进又相互消融,共同推动着我国社会组织管理体制朝着有利于社会组织积极作用发挥、有利于整个社会和谐的方向发展。     

“双循环”背景下陆海新通道与澜湄合作对接

陆海新通道与澜湄合作对接是推动形成"双循环"新发展格局的一个可能突破口。作为国际机制的陆海新通道与澜湄合作匹配基础好、对接难度小。但在对接过程中,仍面临着区域互联互通不畅、合作机制重叠低效,大国博弈日趋激烈、机制成员国和东盟对中国影响力扩大有疑虑等挑战。由此,可通过加强互联互通建设、增加与其它国际机制的合作、开展在第三方市场合作等路径,推动陆海新通道与澜湄合作实现高效对接,进而推动"双循环"新发展格局在中国西南方向实现突破,使中国与中南半岛乃至东盟国家实现联动发展。     

资讯时代背景下的政府与媒体关系

资讯时代是一个通讯传播技术高度发展,传统媒体获得极大提升,新媒体不断涌现,新旧媒体联合互动,资讯开始全面进入人们的工作与生活,日益深刻地影响并改变着人类生产方式、生活方式与管理方式的新时代。资讯时代的我国公共行政需要走出与媒体传统关系的误区,解放思想,更新观念,深刻地认识与媒体关系的本质,主动接受媒体监督,开展行政传播,构建和谐互动的媒体关系。     

Medicaid integrity program; limitation on contractor liability. Final rule

The Medicaid Integrity Program (the Program) provides that the Secretary promote the integrity of the Medicaid program by entering into contracts with contractors that will review the actions of individuals or entities furnishing items or services (whether fee-for-service, risk, or other basis) for which payment may be made under an approved State plan and/or any waiver of the plan approved under section 1115 of the Social Security Act; audit claims for payment of items or services furnished, or administrative services furnished, under a State plan; identify overpayments of individuals or entities receiving Federal funds; and educate providers of services, managed care entities, beneficiaries, and other individuals with respect to payment integrity and quality of care. This final rule will provide for limitations on a contractor's liability while performing these services under the Program. The final rule will, to the extent possible, employ the same or comparable standards and other substantive and procedural provisions as are contained in section 1157 (Limitation on Liability) of the Social Security Act.     

Medicare program; prospective payment system and consolidated billing for skilled nursing facilities for FY 2008. Final rule

This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2008. In addition, this final rule revises and rebases the SNF market basket, and modifies the threshold for the adjustment to account for market basket forecast error. This final rule also responds to public comments submitted on the proposed rule and makes a technical correction in the regulations text.     

High risk pools. Interim final rule with comment period. Interim final rule with comment period

This interim final rule with comment period will amend our regulations regarding grants to States for operation of qualified high risk pools to conform to provisions of the Deficit Reduction Act of 2005 and the State High Risk Pool Funding Extension Act of 2006. Those provisions extended funding for seed and operational grants for State High Risk Pools and amended section 2745 of the Public Health Service Act.     

Medicaid program; citizenship documentation requirements. Final rule

This final rule amends Medicaid regulations to implement the provision of the Deficit Reduction Act that requires States to obtain satisfactory documentary evidence of an applicant's or recipient's citizenship and identity in order to receive Federal financial participation. It also incorporates changes made to these requirements through section 405(c)(1)(A) of Division B of the Tax Relief and Health Care Act (TRHCA), Pub. L. 109-432, enacted December 20, 2006. This regulation provides States with guidance on the types of documentary evidence that may be accepted, including alternative forms of documentary evidence in addition to those described in the statute and the conditions under which this documentary evidence can be accepted to establish the applicant's citizenship.     

Medicare and Medicaid programs; hospital conditions of participation: laboratory services. Interim final rule with comment period

This interim final rule with comment period requires hospitals that transfuse blood and blood components to: Prepare and follow written procedures for appropriate action when it is determined that blood and blood components the hospitals received and transfused are at increased risk for transmitting hepatitis C virus (HCV); quarantine prior collections from a donor who is at increased risk for transmitting HCV infection; notify transfusion recipients, as appropriate, of the need for HCV testing and counseling; and extend the records retention period for transfusion-related data to 10 years. These changes are based on recommendations by the Secretary's Advisory Committee on Blood Safety and Availability and are being published in conjunction with the Food and Drug Administration's (FDA) Final Rule, "Current Good Manufacturing Practice for Blood and Blood Components; Notification of Consignees and Transfusion Recipients Receiving Blood and Blood Components at Increased Risk of Transmitting HCV Infection" ("lookback") found elsewhere in this issue of the Federal Register. The intent is to aid in the prevention of HCV infection and to create opportunities for disease prevention that, in most cases, can occur many years after recipient exposure to a donor.