On the basis of good protection, medical institutions have established a green channel for emergency treatment of critically ill patients, and set up an isolation zone and a buffer zone for emergency treatment of critically ill patients without obtaining the results of nucleic acid detection. Establish a green channel for nucleic acid detection in critically ill patients and issue test results urgently. Conditional medical institutions can adopt approved rapid nucleic acid detection technology to shorten the detection time of critically ill patients, which is conducive to rapid treatment. Each district should designate a regional medical center as a hospital to treat residents in high-risk areas, and send medical teams to patrol and take the initiative to serve the communities (villages) that have taken the measures of sealing and controlling.

The second is to strengthen hospitalization management.

Third-level general hospitals strictly implement the relevant requirements of normalized epidemic prevention and control, set up a comprehensive transition (buffer) ward for inpatients, and make classified screening according to patients' conditions to reduce the potential risk of cross-infection in hospitals. In general wards, "separate beds" or single rooms are used to ensure effective treatment of patients.

The third is to strengthen the management of emergency surgery.

Establish emergency treatment mechanisms for critical patients such as acute cerebral hemorrhage, acute myocardial infarction, severe trauma, gastrointestinal bleeding, high-risk pregnant women, aortic dissection, etc., improve the protection level of medical staff and prevent the risk of infection between doctors and patients.

The fourth is to strengthen interventional diagnosis and treatment services.

Strengthen the risk classification and assessment of cardiovascular and cerebrovascular diseases and endoscopic interventional diagnosis and treatment, timely treat patients with acute and critical diseases and malignant tumors, and give priority to the interventional diagnosis and treatment of patients with acute myocardial infarction and other acute and critical diseases that threaten their safety and affect their long-term quality of life.

Fifth, do a good job in serving hemodialysis patients.

Establish a collaborative service mechanism for hemodialysis patients with division of responsibilities and close connection between hospitals and community health service institutions, do a good job in inquiring the epidemiological history of hemodialysis patients, and carry out nucleic acid testing and screening for dialysis patients; When hemodialysis is carried out for patients who have not yet ruled out COVID-19 or isolated patients in high-risk areas, make an appointment to set up a special time period and a special area, and designate a special person to do a good job in medical services; Community health service institutions shall arrange for patients in isolation period within their jurisdiction to be screened, transported and docked by special personnel, and do a good job in disinfection of doctor-patient terminals to ensure the safety of hemodialysis patients.

Sixth, medical institutions implement mutual recognition of nucleic acid testing.

The test results issued by medical and health institutions with nucleic acid detection ability in COVID-19 realize mutual recognition in the whole city. In principle, nucleic acid detection is not repeated within 24 hours, and the results beyond 24 hours are comprehensively judged by medical institutions according to epidemiological history and patient symptoms. City CDC, medical quality control departments do a good job in quality control and supervision and inspection of nucleic acid testing laboratories in medical institutions to ensure the quality of testing.

The seventh is to optimize appointment diagnosis and treatment and Internet+medical services.

Non-emergency comprehensive appointments of medical institutions above the second level should be normalized. Through accurate appointment in different time periods, adjust the ratio of morning and afternoon sources, promote the appointment of inspection, expand the appointment channels, improve the order of outpatient service, and guide patients to see a doctor at the wrong peak. Encourage medical institutions to carry out online follow-up visits for some common diseases and chronic diseases, and carry out online prescription, online settlement, drug distribution and other services to meet the diverse needs of patients.

Eighth, strengthen the service of primary medical and health institutions to non-critical patients.

Give full play to the role of grass-roots community health service institutions, give full play to the role of family doctors as "health gatekeepers" while doing a good job in long-term prescription, online consultation, medical guidance and drug delivery to patients with chronic diseases, actively communicate with contracted customers, understand their health status, do a good job in health tips and follow-up, ensure that the health status of residents in the jurisdiction is grasped at the first time, and provide targeted health services.

At the same time, further improve the prevention and control of hospital infection, supervise and guide, implement the 16 detailed management measures for hospital infection prevention and control, continuously strengthen the management requirements of hospital infection prevention and control in medical institutions, increase supervision and inspection, and effectively guarantee the quality of medical services and medical safety.

Legal basis:

Article 12 of the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases All units and individuals in People's Republic of China (PRC) must accept the investigation, inspection, sample collection and isolation treatment of infectious diseases by disease prevention and control institutions and medical institutions, and provide relevant information truthfully. Disease prevention and control institutions and medical institutions shall not disclose relevant information and materials involving personal privacy.

Where the administrative department of health and other relevant departments, disease prevention and control institutions and medical institutions illegally implement administrative management or prevention and control measures and infringe upon the legitimate rights and interests of units and individuals, the relevant units and individuals may apply for administrative reconsideration or bring a lawsuit according to law.