Value-based healthcare is an important goal for deepening the reform of public hospitals,and discipline construction is the core driving force for the high-quality development of hospitals.As the reform of public hospitals in China enters the"deep water zone",the discipline construction of municipal tertiary hospitals,as the"sandwich layer",is facing both opportunities and challenges.Based on the concept of value-based healthcare,this paper took a tertiary hospital in Shiyan City as an example,set the development goals and strategies in line with the actual situation of the hospital,formulated discipline construction measures and put them into practice.The discipline construction has achieved certain results,boosting the comprehensive,rapid and sustainable development of the hospital,and providing reference for the discipline construction of municipal tertiary general hospitals.