Objective：According to the national comprehensive reform of public hospitals and comprehensively promote the construction of management accounting system requirements，put forward suggestions to improve the management of financial organizations. Methods: Through statistical methods, analyzing financial management function and configuration of tertiary hospitals in Beijing, reflecting the existing problems. Results: Hospital financial management has not been realized by the chief accountant of professional team management mode, the post allocation of financial management cannot meet the needs of the construction of management accounting system，financial team professional ability needs to be promoted. Suggestions: Promote the hospital chief accountant system, strengthen the functions of financial management, improve the system of management accounting, and prepare the talents reservation for realizing the function of management accounting.