The Provincial Government Office issued the "Institutional Integration and Innovation Reform Plan for the Boao Lecheng International Medical Tourism Pilot Zone in Hainan Free Trade Port"

Qiongfu Office [2020] No. 33
To all municipal, county and autonomous county people's governments, and all units directly under the provincial government:
The "Institutional Integration and Innovation Reform Plan for the Boao Lecheng International Medical Tourism Pilot Zone of Hainan Free Trade Port" has been reviewed and approved at the 24th meeting of the Provincial Party Committee Deep Reform Committee and the 23rd meeting of the Free Trade Port Working Committee. It is now issued to you. Please organize and implement it carefully and implement it well.

General Office of the People's Government of Hainan Province

September 1, 2020

(This document is disclosed voluntarily)

Institutional Integration and Innovation Reform Plan for the Boao Lecheng International Medical Tourism Pilot Zone of Hainan Free Trade Port
In order to implement the spirit of General Secretary Xi Jinping's "4.13" important speech, the Central Document No. 12, and General Secretary Xi Jinping's important instructions and instructions on the construction of Hainan Free Trade Port, in accordance with the "Overall Plan for the Construction of Hainan Free Trade Port", "Implementation Plan of the National Development and Reform Commission, the National Health and Health Commission, the State Administration of Traditional Chinese Medicine, and the State Drug Administration on Supporting the Construction of the Boao Lecheng International Medical Tourism Pilot Zone", "Regulations on the Boao Lecheng International Medical Tourism Pilot Zone of Hainan Free Trade Port", and other documents, this plan is specially formulated.
I. Basic requirements
Put institutional integrated innovation in a prominent position, take risk prevention and control as the bottom line, liberate the mind, boldly innovate, use the initiative of Hainan Free Trade Port reform, promote institutional integrated innovation reform in the comprehensive implementation of "ultra-simple approval" reform, free and convenient trade of licensed drugs and medical devices, free and convenient investment, convenient cross-border capital flow and strengthening risk prevention, improve the management and service efficiency of the medical and health industry in the Boao Lecheng International Medical Tourism Pilot Zone of Hainan Free Trade Port (hereinafter referred to as Lecheng Pilot Zone), and pilot the "zero approval" system for engineering project construction.
II. Main objectives
Implement the overall requirements for the construction of Hainan Free Trade Port, promote the high-level opening and high-quality development of Lecheng Pilot Zone, adhere to the concept of planning guidance, ecological priority and green development, achieve the "three synchronizations" of medical technology, equipment and drugs with international advanced levels, build a world-class international medical tourism destination and medical technology innovation platform, benchmark the international advanced level, create a legal, international and convenient business environment, and provide replicable and popularizable experience for the construction of Hainan Free Trade Port.
III. Reform measures
(I) Free and convenient trade of licensed drugs and medical devices.
1. Create the only full-process traceability platform for unlisted licensed drugs and medical devices in China. The Lecheng Pilot Zone Administration, the Provincial Drug Administration, the Provincial Health Commission, the Haikou Customs and other departments use blockchain, the Internet of Things, three-dimensional GIS (geographic information system) ' BIM (building information model) and other new generation information technologies to build a full-process traceability platform for licensed drugs and medical devices that is guided by public needs, based on data sharing, focused on business collaboration, unified and convenient as the standard, and necessary for real-time monitoring, empowering the park's smart supervision, and organically connecting with the high-standard international trade "single window". The approval time for clinically urgently needed licensed drugs and medical devices that have been listed abroad but not listed in China has been shortened to 3 working days (see Appendix 1). The whole process of traceable supervision such as non-face-to-face review and approval, patient follow-up, and adverse reaction monitoring has been achieved, providing a practical grip for the "control and release" of licensed drugs and medical devices, forming a special supervision without physical fences, and initially realizing the simultaneous use of international innovative drugs and medical devices.
2. Establish the only bonded warehouse in China for the centralized storage of unlisted innovative drugs and medical devices. Haikou Customs has innovatively implemented the "warehouse first, quarantine later" supervision and quarantine model, which has greatly improved the efficiency of drug and medical device imports. Encourage bulk import and storage of drugs and medical devices, explore the "distributed delivery and collective declaration" mode of bonded warehouses, increase the public attributes of bonded warehouses, support bonded warehouses to provide logistics, customs, transportation, warehousing, distribution and other services, significantly reduce the customs clearance, logistics and storage costs of drugs and medical devices, and realize the transformation from "patients waiting for drugs" to "drugs waiting for patients".
3. Organize the only "Never-ending International Innovative Drugs and Medical Devices Exhibition" in China. Provide online and offline display, release and training platforms for international innovative drugs and medical devices that are not listed in China, so that doctors and patients can enjoy innovative drugs and medical devices services synchronized with the world without leaving the country, and create a new international innovative drugs and medical devices display window in China.
(II) Free and convenient investment.
4. Build a medical innovation and entrepreneurship platform. Relying on the Boao Super Hospital and other park medical institutions, introduce international innovative drugs and medical devices transformation platforms, systematically accelerate the introduction, agency, investment, use, registration, etc. of global innovative drugs and medical devices; jointly build a frontier medical technology transfer and transformation platform, gather the frontier medical technology transfer and transformation landing; build a "1'X" model public medical platform, so that medical institutions or teams can rent and purchase, and enter and land efficiently and at low cost.
5. Innovate service models. Establish a joint review mechanism with Lecheng Administration as the main body and multiple departments working together to ensure that the standards for project entry into the park are not lowered, one-stop acceptance, one-time notification, and one-time processing of various licenses, so as to achieve "the park has the final say". Regularly convene industry co-governance committees to promote the co-construction, co-governance, and sharing of various affairs in the park. Establish a licensed medical regional ethics center to share various professional talents and uniformly control various risks for the use of innovative drugs and equipment.
(III) Free and convenient cross-border capital flows.
6. Take the lead in implementing the liberalization and facilitation system of cross-border capital flows in Hainan Free Trade Port. Further promote the facilitation of settlement in cross-border transactions of medical care, drugs and medical devices, realize the transformation of bank authenticity review from prior review to post-inspection, promote the development of industries such as medical care, drugs, devices and health care services, simplify foreign exchange management in overseas listing and bond issuance, and take the lead in piloting the direct handling of foreign exchange registration for overseas listing of enterprises at banks; actively expand various forms of industrial financing channels and relax the scope of use of capital funds of foreign-funded enterprises; actively introduce the "regulatory sandbox" mechanism, take the lead in piloting innovative science and technology financial policies, products and tools such as artificial intelligence, big data and cloud computing; establish a financial service center, coordinate relevant industry authorities and financial institutions to provide cross-border capital flow services for settled enterprises and projects, coordinate and promote commercial medical insurance services connected with the international commercial insurance payment system and cooperate in the development of cross-border medical insurance products, etc.
(IV) Facilitation of stay and residence of foreign personnel.
7. Increase the implementation of existing policies and measures to facilitate the introduction of talents and intelligence. It mainly includes providing more convenient entry, stay and residence measures for high-level foreign talents, providing residence convenience for employment of foreign technical and skilled personnel, providing convenience for employment and entrepreneurship of foreign students in colleges and universities, and providing permanent residence convenience for foreigners working and investing.
8. Introduce measures to facilitate the entry, stay and residence of foreign medical personnel, patients and accompanying personnel for diagnosis and treatment. Medical and nursing personnel working in the park can apply for a work-type residence permit consistent with the work contract; with the medical service certificate issued by the park's medical institutions or third-level medical institutions in other areas of Hainan, foreigners and their accompanying family members can apply for a private affairs visa or residence permit consistent with the medical service period; establish a patient service center to provide one-stop services such as consultation and diagnosis and treatment for domestic and foreign patients, facilitate the diagnosis and treatment of domestic and foreign patients, and optimize the development environment of the park.
(V) Create the only "global specialty drug insurance" in China and innovate medical insurance payment methods.
9. Create a comprehensive insurance service platform to support all insurance institutions to promote various levels and types of insurance product innovation. Through the "medical insurance ' commercial insurance" mechanism, domestic unlisted drugs will be added to domestic health insurance for the first time. Make full use of multiple precise pricing factors such as the incidence of tumors in different parts, the estimated cost of special drugs for different tumors in the drug catalog during different protection periods, and compensation or discounts for drug costs, and reconstruct the traditional pricing model of commercial health insurance based on disease incidence to solve the problem of high prices of foreign specialty drugs. Achieve multiple breakthroughs in health insurance, including no age and occupation restrictions, no waiting period, no deductible, no physical examination required when insured, no restrictions on pre-existing medical history, and exemption of pre-existing medical history medication liability only when claims are settled. Introduce commercial insurance payment platform to provide patients with installment payment solutions for medication.
(VI) Carry out pilot application of clinical real-world data and fully promote the "ultra-simple approval" reform of medical and health care.
10. China's first new model for the use of clinical real-world data for drug and device registration. Lecheng Pilot Zone enjoys a unique policy for the import and use of licensed drugs and devices in the country. While meeting the medical and drug needs of patients, every clinical data generated is invaluable. Under the guidance of the National Drug Administration, the Provincial Drug Administration uses the licensed drug and device policy to carry out a pilot application of clinical real-world data, exploring the conversion of licensed drug and device clinical data that have not been registered in China but approved for use in the Lecheng Pilot Zone through scientific research design, strict data collection, efficient information processing, correct statistical analysis, and multi-dimensional result evaluation, into real-world evidence for registration and approval in China. The application pilot of clinical real-world data can shorten the time for global innovative drugs and devices to enter the Chinese market and reduce registration costs, so that many international innovative drug and device companies can more actively promote the entry of innovative drugs and devices into China, benefiting a large number of patients. At the same time, it also provides a new solution for the reform of the national drug and medical device review and approval system and speeding up the accessibility of global innovative drugs and devices in clinical use in my country.
11. Innovate the two-in-one regulatory model of medical and pharmaceutical institutions. Establish the first medical and pharmaceutical regulatory agency jointly established by the health department and the drug supervision department in China, innovatively implement the "health ' drug" integrated regulatory model, realize one-stop office, improve the efficiency of licensed drug and device approval, make the government perform its functions more smoothly, realize business collaboration, information exchange, resource sharing, avoid multiple supervision, form a regulatory synergy, reduce administrative costs, and improve regulatory efficiency.
12. Implement the "two certificates and one approval and reply at the same time" system. For medical institutions established in the Lecheng Pilot Zone, the "Approval for the Establishment of Medical Institutions" will no longer be issued, only the "Medical Institution Practice License" will be issued. Applications for the deployment of Class A large medical equipment can be approved together, which will greatly shorten the preparation period of medical institutions and reduce the initial operating costs of medical institutions. The applicant unit or individual submits the application materials for practice registration to the park management agency, and the park management agency submits them to the approval office of the Provincial Health Commission within 1 working day. The approval office of the Provincial Health Commission will review the materials within 1 working day and issue the medical institution practice registration license and the approval reply for the deployment of large medical equipment.
13. Facilitate the registration of medical and nursing practitioners. Formulate standard service guidelines, handle medical and nursing registration through electronic systems, greatly shorten the registration time limit, and improve approval efficiency. Domestic medical and nursing registration is completed within 1 working day, and foreign medical and nursing registration is completed within 5 working days.
14. Medical institutions in the park share the practice qualifications of practicing physicians and nurses. Practicing physicians (including those from overseas) whose main practice institutions are in the park can directly practice in other medical institutions in the park, and nurses (including those from overseas) can practice at multiple locations in the park.
(VII) Comprehensively implement and deepen the "extremely simplified approval" reform for engineering construction.
Transform projects from "approval before construction" to "construction before inspection". Under the overall framework of construction before inspection, simplify the approval links and processes according to the four stages of project construction. Through reform measures such as pre-examination with missing documents, post-approval, notification and commitment, combination of letters and certificates, joint acceptance, and strengthening of in-process and post-process supervision, the total approval time limit is shortened to 9-13 working days (see Appendix 2) to ensure efficient advancement of projects.
15. Add 2 regional review and evaluation items. On the basis of the original 8 regional evaluation items, add 2 regional evaluation items of cultural relics protection and water safety demonstration according to the needs of development and construction. Single projects will no longer carry out the evaluation and certification of the above items.
16. Cancel 6 engineering approval items. For projects that comply with the provincial and municipal master plans, the park master plan, and the control detailed plan, the following six approval items will be cancelled: the review opinion on the planning and design of construction projects will be cancelled and incorporated into the issuance of construction project planning licenses; the approval of civil building civil air defense project planning and construction (or relocation construction approval) will be cancelled; the approval of the design plan for the greening project attached to the construction project will be cancelled; the review of the construction detailed planning plan will be cancelled; the application for the construction of water-saving facilities for construction projects will be cancelled, and the water affairs department will provide the review standards and include them in the joint review; the review of the planning and construction of water-saving facilities for construction projects will be cancelled.
17. Clarify the environmental standards for industrial access. In accordance with the special list of market access relaxation for Hainan Free Trade Port and the negative list of foreign investment project access, on the basis of planning environmental assessment, deepen the promotion of the "three lines and one list" work. Formulate environmental standards for industrial access, optimize the approval of environmental impact assessment reports for construction projects, refine environmental control and pollutant emission standards to each block unit according to the industrial layout, formulate a negative list for environmental access, strengthen corporate self-discipline, promote integrity management, strengthen in-process and post-process supervision, and ensure that pollutants are discharged in compliance with standards. The environmental impact assessment of projects that meet the access list shall be subject to a commitment filing system. The filing agency shall not conduct a substantive review of the environmental impact report (form), and shall directly file the environmental impact assessment of qualified projects.
18. Innovate the way of project generation. Adhere to the concept of planning guidance, ecological priority, and green development, based on "multiple plans in one" and "one blueprint", rely on the information platform, coordinate the planning of projects, implement the pre-selection of sites and land use indicators of allocated land and land transfer in advance, so that the planned projects can be implemented and implemented, and the project generation and approval links are seamlessly connected.
19. Accelerate the construction of the "standard land" system. Explore the implementation of land supply methods such as "standard land" first lease and then transfer, flexible terms, and establish a full-process supervision system for "standard land". Effectively connect with minimalist approval reform measures such as tolerance approval, regional assessment, joint acceptance, and commitment notification to improve the efficiency of land use approval.
20. Handle construction project planning permits with tolerance and supplementary conditions. For projects that obtain construction land through transfer with a plan (reaching the depth of the planning and design plan, and passing the technical review of relevant departments before the auction), after completing the land use right transfer procedures, the construction project planning permit will be issued directly within 1 working day; for projects that are not transferred with a plan, if the project owner has obtained the land use right through auction or other means, but has not yet completed the land use right certificate, the preliminary work of the project can be carried out simultaneously, and the construction project planning permit can be processed within 3 working days. Other parallel approval matters will be postponed, and the approval of construction projects involving national security matters, the approval of construction activities in scenic spots, the review of safety conditions of hazardous chemicals, and the approval of earthquake-resistant fortification of super-high-rise building projects will be handled in a one-time approval manner. After the project starts, the project owner must complete the preliminary approval matters that are handled by post-approval within 3 months in a one-time approval manner.
21. Cancel the review of construction drawings, and all administrative licenses shall not be subject to the review of construction drawings as a precondition.
First, the construction unit and the design unit shall commit to submitting construction drawings and design documents that meet the requirements of public interests, public safety and mandatory standards for engineering construction when applying for construction. At the same time, the completed construction drawings and design documents shall be uploaded to the information platform for the supervision of the entire process of the construction project for sharing, and used for construction quality and safety supervision, joint surveying and mapping, joint completion acceptance and archiving of urban construction archives.
Second, strengthen the management of design contracts. The design unit shall ensure that the design professional is fully equipped, the design personnel have the corresponding design capabilities, and the design period and design costs shall be reasonable and compliant to ensure the quality of project design.
Third, strictly implement the responsibilities of the construction unit, survey unit, design unit, construction unit, supervision unit and other participating entities, strengthen the primary responsibility of the construction unit, and fully implement the lifelong quality responsibility system.
Fourth, promote the construction of the engineering quality insurance system, give full play to the role of the market mechanism, and force the implementation of the quality responsibilities of all parties through market means. Learn from the internationally accepted engineering quality defect insurance model, pilot the promotion of construction engineering quality potential defect insurance (IDI), and study and explore the insurance model of risk control throughout the entire process of engineering quality and safety.
Fifth, establish the "double random, one public" system for engineering survey and design

The "open" spot check mechanism is established, and experts are organized to conduct joint spot checks on the construction drawing design documents uploaded to the supervision platform, and conduct joint drawing reviews on fire protection, civil air defense, water-saving facilities, lightning protection device design review for specific projects and places, and landscaping design, so as to strengthen the supervision of design quality during and after the event. According to the spot check results, the number of spot checks will be reduced or exempted for construction units or design units that perform well, have high design quality, and have a high credit rating. Illegal and irregular behaviors found in the spot check will be dealt with in accordance with the law. Credit evaluation will be carried out on design quality, market and personnel, and the credit situation will be announced to the public.
22. Implement phased approval of construction permits to achieve construction as soon as it is landed. After the construction project completes the land supply procedures, the construction unit and the design unit will discuss the construction drawing design, safety and civilized construction measures, engineering quality assurance measures, project management, and contract management. , on-site construction conditions, etc., and make a commitment to meet the conditions for commencement. A construction permit for the construction project will be issued directly within one working day; a phased approach will be adopted to speed up the processing of construction permits. After the construction unit determines the general contractor, it can make its own choice according to the order of construction progress, and flexibly divide it into three stages ("foundation pit support and earthwork excavation", "basement", and "±0.000 and above" to apply for construction permits in three stages respectively), two stages (combine "foundation pit support and earthwork excavation" and "basement" into "±0.000 and below", that is, apply for construction permits in two stages of "±0.000 and below" and "±0.000 and above") or one stage to apply for construction permits. The construction permits for each stage will be issued within one working day, and the enterprise will truly start construction as soon as it is established.
23. Implement a combination of letters and certificates. If due to special reasons, For projects that do not meet the conditions for issuing construction project planning permits and construction project construction permits under the commitment system, a combination of letters and certificates will be adopted to issue planning letters and commencement letters first, open up the project construction process, and postpone the relevant preliminary approval procedures accordingly. Measures such as pre-examination of design plans and early intervention of quality supervision will be taken to ensure the smooth start of the project.
24. Implement joint surveying and mapping. During the completion and acceptance of the construction project, the owner of the construction project can entrust a surveying and mapping unit with corresponding qualifications to carry out the planning condition verification measurement, civil air defense project measurement and real estate surveying and mapping involved in the completion and acceptance at one time, implement unified surveying and mapping, and share the results.
25. Optimize the registration and access services of municipal public facilities. Municipal public service departments such as water supply, drainage, power supply, gas, and communications will be stationed in the park to provide front-line services and share project information through the project construction project approval management platform. Information, intervene in the project in advance during the construction permit stage, provide technical guidance, actively inform the handling process, provide underground pipeline information within the project red line, municipal facility access plan, and design plan. The application should be handled in advance before the start of construction and the online application function of the government service network should be opened, which will be included in the online full-process handling link of the construction project. The construction of relevant facilities should be completed during the construction stage, and the access matters should be handled directly after the completion acceptance.
26. Implement joint acceptance. Improve the joint acceptance method for the park's extremely simple approval projects, implement two inspections and final inspections, and handle the professional acceptance of planning, quality, civil air defense, fire protection, national security, archives, and supporting acceptance of municipal and public facilities at one time, so as to achieve "simultaneous acceptance, centralized implementation, unified acceptance, and time-limited completion". The park management agency is responsible for leading the joint acceptance of extremely simple approval projects, and the total time limit for joint acceptance is 7 working days.
27. Pilot the "zero approval" system for engineering project construction.
The "zero approval" system for engineering project construction includes two levels:
First, "zero approval" for the entire construction project. Innovatively establish a self-implementation system for construction projects (i.e. "zero approval"). During the trial stage, the project construction unit shall independently decide whether to conduct "zero approval". If the project construction unit applies for "zero approval" for the entire project, the project construction unit shall independently organize the review of technical conditions and laws and regulations. According to the opinions of the survey and design unit, construction unit, expert review, law firm and other units, if it is considered that the construction conditions have been met, after the project construction unit issues a letter of commitment, the approval department will no longer conduct approval and adopt digital electronic filing. Establish and improve the supervision system for the entire life cycle of buildings, strictly enforce the legal status of the self-implementation system of construction projects, and prohibit illegal acts of changing the use function and building structure without authorization.
Second, "zero approval" is carried out for some contents of the application materials for construction projects. Establish a qualified professional certification system and conduct "zero approval" for some contents of the project application materials. Nationally registered professional and technical personnel, such as architects, planners, engineers, lawyers, etc., can apply to become qualified professionals. The materials or commitment statements issued by qualified professionals indicate that project construction follows the principles of specialization, marketization, and rule of law, and the approval department no longer reviews the specific content, i.e. "zero approval". The legal responsibilities and market risks arising therefrom shall be borne by the construction unit, survey and design unit, construction unit, review experts, law firms, and qualified professionals.
(VIII) Improve the construction of the credit supervision system.
Establish and improve the social credit system, give full play to the role of modern information technologies such as "Internet '", "big data", and blockchain, deepen the "double random, one public" market supervision system, establish a process supervision system based on credit supervision and adapted to the negative list management method, and form a co-governance pattern of enterprise autonomy, industry self-discipline, social supervision, and government supervision.
28. Improve the medical and health credit system and innovate comprehensive supervision models.
First, improve the medical and health credit system. Formulate credit evaluation index standards for medical and health institutions and their practitioners, cultivate the concepts of honest practice, honest procurement, honest diagnosis and treatment, honest charging, and honest medical insurance, adhere to the honest medical service standards such as reasonable examination, reasonable use of drugs, reasonable treatment, and reasonable charging, encourage industry associations to carry out medical quality, service capacity, etc. evaluation, and implement credit evaluation grade supervision.
Second, innovate comprehensive supervision models. Explore supervision methods suitable for the development of new medical technologies, new products, new formats, and new models. Establish a first-class drug and medical device traceability management platform, covering the entire process of drug and medical device import, approval, and use supervision, and realize the networking and sharing of drug supervision, customs, and medical institutions in the park. Implement the most stringent vaccine supervision system, strengthen the full-process supervision of drugs and vaccines, effectively improve the level of drug safety credit supervision, and ensure the safety and effectiveness of people's drug use.
Formulate and gradually improve the relevant standards, operating procedures, and management methods for medical care and drugs in the Lecheng Pilot Zone. Issue in-process and post-process supervision methods, strengthen the accountability mechanism, and severely hold accountable those who violate regulations and disciplines and neglect their duties. Medical and health institutions settled in the Lecheng Pilot Zone shall bear the main responsibility for the legal practice, standardized services, service quality and safety of their institutions and foreign cooperation institutions. Strengthen the supervision of the professional behavior of medical and health institutions, severely investigate and punish illegal and irregular practices and violations of medical ethics and style, and investigate criminal responsibility for those who constitute crimes in accordance with the law.
29. Improve the integrity system in the field of engineering construction and strengthen in-process and post-process supervision.
First, improve the construction of the credit system. Promote the disclosure of project information and the construction of a credit system in the field of engineering construction, establish credit evaluation standards and indicator systems for construction units, survey units, design units, construction units, supervision units, third-party intermediaries and their practitioners, disclose information on engineering construction projects and the credit information of all parties involved in the project and practitioners, establish a scientific and effective credit evaluation mechanism and a system for tracing the responsibility for dishonesty in the construction field, incorporate the evaluation results into the market credit management system for dynamic management, and strengthen daily supervision and inspection by the competent industry departments, and include units with low credit supervision evaluation levels in the key monitoring list. At the same time, the credit evaluation results will be linked to the qualification approval of all parties involved in the construction, the registration of professional qualifications of practitioners, and the cancellation of qualifications. Strengthen the collection and application of credit information of market entities, increase the intensity of punishment for dishonesty, and form a credit constraint mechanism of "illegal in one place, restricted everywhere".
Second, make full use of information technology to strengthen collaborative supervision. Make full use of information network technology to realize online real-time dynamic supervision and monitoring, and improve the pertinence and effectiveness of supervision. Comprehensively use mobile law enforcement, electronic case files and other means to improve the effectiveness of supervision and law enforcement. Strengthen the online process supervision of engineering construction projects, and form an information chain of "source can be checked, destination can be traced, and responsibility can be investigated".
Strengthen the coordination, information exchange, and mutual connection of industry competent departments, and establish a joint management working mechanism. Expand the scope of application of electronic licenses, electronic seals, and electronic certificates, effectively promote the sharing and intercommunication of online electronic information in supervision work, timely and effectively extract information data of construction projects, and establish a credit information intercommunication and sharing mechanism.
Third, strengthen the supervision of promised matters. For approval matters that are handled with deficiencies through commitments, the whole process is supervised through "double random, one public", "Internet ' supervision" and other methods to ensure that construction projects are implemented in accordance with the strong requirements of industry norms and standards. If there is a failure to fulfill the commitment within the time limit, the responsible unit will be punished, its commitment notification and deficient approval qualifications will be cancelled, and it will be included in the list of dishonest persons. In serious cases, the administrative approval decision will be revoked or punished according to relevant regulations.
Fourth, strictly implement the exit mechanism. Implement the exit mechanism in accordance with the "Interim Measures for the Exit Management of Hainan Boao Lecheng International Medical Tourism Pilot Zone Project". For projects that seriously violate the plan, have major safety hazards in engineering quality, have long-term idle land, seriously affect the environment, fail to fulfill the project entry framework agreement and investment agreement and related commitments, and cannot be rectified, the exit mechanism will be activated in a timely manner.
(IX) One-stop service, "seamless" integration of online and offline.
30. Give full play to the role of modern information technologies such as "Internet '", big data, blockchain, artificial intelligence, etc., strengthen integrated innovation between systems, strengthen orderly data sharing, build "regulation, construction and management" data query, CIM (city information model) decision-making assistance and other systems, and form a "one blueprint, one system, one login, one form, one-time approval" minimalist approval service system online, realize one-stop government service, and improve approval service efficiency.
(X) Strengthen risk prevention and control.
Formulate and implement effective risk prevention measures, clarify the rules and standards for strengthening process supervision, consolidate supervision responsibilities, implement effective supervision throughout the life cycle, and prevent major risks in the fields of medical and health, ecological and environmental protection, biosafety and engineering construction.
31. Establish and improve medical disputes and prevention and handling mechanisms. Establish and improve the emergency response mechanism, strengthen the medical supervision force in the area, increase the intensity of daily inspections, promptly discover and properly deal with risks and hidden dangers, and ensure the safety of park operations; strengthen the supervision of drugs and vaccines throughout the process, severely punish violators, and seriously investigate and deal with those who neglect their duties; strengthen the publicity of relevant laws, regulations and policies, and continuously improve the awareness of enterprises in the park to operate in accordance with the law; correctly guide public opinion, and respond to social concerns in a timely and effective manner.
32. Strengthen ecological risk prevention and control, and implement a strict access management system for environmental safety. Promote the construction of medical waste and other hazardous waste disposal facilities, and improve the emergency preparedness and response capabilities for sudden ecological and environmental events. Establish and improve the environmental protection credit evaluation system.
33. Strengthen the prevention of major infectious diseases and biosafety risks. Establish a joint prevention and control mechanism for overseas epidemics and harmful organisms with the cooperation of multiple departments such as health, customs, etc.
34. Establish and implement a risk assessment system including engineering quality, production safety, environmental protection, fire hazards, national security, water safety, climate safety, etc., formulate relevant risk prevention and control plans, strictly strengthen engineering construction management, and ensure project quality, safety, and environmental protection. Carry out scientific, reasonable and safe construction to create "quality projects", "safe projects" and "green projects".