Director of Health Report
First, insist on diligent study and diligence, sublimate political and ideological cultivation, and be a person of integrity
I am a person with decades of party age and working age, and a person who has been in politics for many years. To be good at this "official", you must be a person of integrity. Under the guidance of this idea, after I took up my current position, I first grasped three things: First, I am not a medical doctor, but a “head” in a professional system with strong professionalism and relatively concentrated intellectuals. If the work is not enough, It will not be the task assigned to me by the municipal party committee, the municipal people's congress, and the municipal government. Therefore, we must study hard and study hard, and focus on the work methods of “making out ideas, using cadres, finding votes, strengthening management, and grasping the environment”. Second, I am studying management, knowing the difficulty of management and doing well. The way to manage work, therefore, must play to the strengths of the company, do not relax management; the third is to insist on the management of personality, regardless of the outcome, whether it is a non-personal commentary, let the facts speak, let history evaluate. In accordance with the guidelines of the above three articles, since I took office, I have always insisted on:
Diligent and diligent writing: Insist on learning at least 2-3 hours a day, learning business, learning policy, learning theory, management, learning psychology, and wide-ranging exhibition. Through study, sublimation self-cultivation, combined with reality and experience, began to write a book. In 2002, he wrote a practical booklet entitled "New Thinking, New Concepts, New Measures", which caused a strong reaction in the health system. In 2003, a book entitled "Management of Cadre Management" was officially published by Sichuan People's Publishing House. Appreciated by readers; in 2004, a book entitled "Knowing People, Employing People, Managing Art" has been published, and is being revised and sent to print.
Just being a person: not a whole person, not a person; being an official is not a power, not a power, not a power.
Speaking straightforwardly: Whether it is to report the work, thoughts, or discussions with the members of the team, and to speak with the comrades, they are straightforward, never bend around, and do not play tricks and frame.
Career is the most important thing: If you are wrong, you are doing something wrong, criticism is in the face, and you are not doing small things behind you; as long as you are right, good, and conducive to the development of health, praise, commend, and do not obliterate its achievements. Like many deputy county-level cadres, department-level cadres, and members of the leadership team directly under the municipal medical and health units, I have criticized in person or more, but I have the ability and work to do it, or recommend it to the organization. In the leadership position, play its role.
Dare to take responsibility: position the position in front of the responsibility, find the role of positioning, as long as it is the responsibility of their own decisions, decisions and things, I take the initiative to bear, never shirk responsibility.
Empathy: understanding the difficulties of the leadership and the people, working hard to do their jobs, not giving the leaders a problem, not causing harm to the people. Like the adjustment of the team directly under the city, the city's second hospital and the municipal mental health center have encountered many difficulties in separating from enterprises, medical treatment for emergencies, and prevention and treatment of SARS. I have tried my best to solve the problem with my team. Do not give leadership difficulties, these difficulties are generally solved well, the leadership is satisfied, and the employees and the people agree.
Balance of mind: Seek truth from facts, firmly believe that time is the truth, the process is the method, and treat some of the criticisms with a normal attitude.
Demonstration by yourself: If you are a person who is righteous and asking others not to do it, you should take the lead and do not do it. You are not willing to take personal gains; if you ask others to do it, you must do it yourself. As soon as an emergency occurs and the information is known, he quickly rushes to the scene to deal with it decisively; like in-depth research, he knows the truth at the grassroots level 3/5 times a year, 158 township hospitals in the city, more than 80 county-level The above medical and health units and many village health stations have been there. It can be said that the development of the city's medical and health undertakings is quite familiar. It has been a few days wide and the decision-making science is developing rapidly.
Second, adhere to the law and discipline, do not do what you should not do, do not take it, do a clean person
I am a leading cadre of state organs trained by the party and the country. I am deeply aware of the serious consequences of violations of law and discipline. Therefore, I have always been cautious and cautious under the laws of the Party and the State, and acted in accordance with the law. I am very supportive of many regulations promulgated by the state, many regulations on the internal and administrative regulations, and many institutional guarantees for strengthening the building of a clean government. At the same time, I firmly enforce it and insist on:
Believe that the food and drink people are loyal to the people, do things for the people, and do not encroach on the interests of the people.
1. Do not illegally occupy the interests of the people and do not compete with the people. For example, in the administrative examination and approval of health, it is subject to the approval of laws and regulations, and it is convenient and quick to handle the implementation of the conditions, and does not refuse, drag or oppress.
2. Think less about the individual, think more about the people, and share the benefits with the people. Like family housing, only one set of preferential housing is available according to the policy; like advanced selection, the recommended grassroots comrades will participate in the election.
3, vigorously and vigorously do things, do a good job of the people's "little things." Tasks that are required to be completed by the superiors are tried to complete in advance; if the individual is sick and needs help, he will not give up and try to provide convenience.
Highlighting the transformation of ideas and concepts in different periods, thinking ahead, making scientific decisions
Due to the development of the situation and the deepening of the health reform, I have led the bureau by studying Deng Xiaoping Theory, the important thinking of the "Three Represents" and advancing new theories, new ideas and new ideas such as the "Three Transformations". The team members implemented five major ideological changes in the city's health system and made decisive decisions. The first time was the formation of the current team and the "Decision of the Central Committee of the Communist Party of China on Health Reform and Development", I proposed: "The idea is the way out; knowledge is wealth; the environment is speed; development depends on technology; management strict system; key Use the ideas of cadres. Under his guidance, I also proposed the development strategy of the Health Five-Five. The second time was the implementation of the National Western Development Policy. I proposed the "four catching up" and "six crossings" and striving for the work ideas of the "five first-class" and "5246" projects. The third time was the introduction of the two "Guidance Opinions" on the urban and rural health reform of the State Council. I proposed: "Emancipate the mind, clear up the mind; seize the opportunity, deepen the reform; work harder, focus on breakthroughs; steadily advance, leave no trouble" Work strategy. The fourth time around the improvement of the development environment, I put forward the work requirements of “freedom from the examination and approval of the economy, and health and wholeheartedly serve the economy and society”. The fifth time was to practice the "three represents" and promote the "three transformations". I also proposed "accelerating the transformation of health talent resources into health talent capital; a large number of private funds were absorbed to develop private specialized medical institutions, and health professionals were fully implemented." The development direction of 'engineering'.
In five different periods, through the transformation of big ideas and scientific decisions, we have won the conditions for rapid development and promoted the development of health. Its initial results are:
1. The infrastructure has been comprehensively strengthened. The health and medical system has been basically completed. Since 1998, the government and medical and health units have invested more than 200 million yuan to build, which has rapidly changed the backwardness of medical and health facilities in new cities;
2. Equipment and equipment are updated year by year. For three consecutive years, the government and medical and health units have invested more than 200 million yuan for the purchase of various types of equipment and equipment, which has improved the level of medical care.
3. The intensity of talent training has increased year by year. The city's medical and health units have invested more than 5 million yuan each year for talent training, and some hospitals have solved the problem of talent faults.
4. The concept is updated and the pattern of diversified development has taken shape. Private, private, public-private, shareholding, stock-holding, and wholly-owned hospitals all appeared in the **.
5. The two benefits have improved significantly. The city's health economic benefits rose from more than 200 million yuan at the end of 1997 to more than 500 million yuan in 2003; the city's health fixed assets value increased from 10,000 yuan at the end of 1997 to 10,000 yuan. The city's ideological and political work and spiritual civilization construction have been commended by the provincial and national health ministries for four consecutive years. For seven consecutive years, an advanced character deeds report was held, which enabled more than 100 comrades with both ability and political integrity to take up leadership positions.
6. The unity officers at all levels are very popular. The Municipal Health Bureau has maintained the honor of the “Four Good Activities” advanced units for three consecutive years. All levels of the team are united, coordinated, and seek common development.
7, the external publicity has strength, domestic and foreign reputation. Every year, hundreds of manuscripts are published in newspapers and periodicals throughout the province and the whole country, and the intensity of publicity is increased. Sichuan and Taiwan broadcasted ** health twice; the central government station ** health reform and health development to the nation and Southeast Asian countries.
In recent years, ** health reform and development is mainly closely related to “one theme”, focusing on “two services”, highlighting “three priorities” and promoting “three tasks”. Specifically:
1. Tightly hold back the theme of "reform, stability, development" and steadily promote health reform
In promoting health reform, we fully realized the relationship between "reform, stability, and development" and closely promoted various reforms with this theme. Mainly divided into four steps:
The first step was the implementation of the “Five Decisions for Health Reform and Development”, which implemented the “Five Centers” for the construction of medical education, disease prevention, health personnel training, revitalization of Chinese medicine, and women and children health centers. The May 5th Development Strategy. At present, three major centers have been basically formed.
The second step is the implementation of the decision of the western development of the central government, the implementation of the training of 50 young and middle-aged academic leaders, the construction of 20 brand-name specialists, key equipment 40 township hospitals and the establishment of six clinical comprehensive research institute "5246" project . At present, 20 young and middle-aged academic leaders have been trained; 3 key specialties have been established in the province, 1 city famous brand hospital, 6 famous brand specialties; 10 township health centers have been equipped with key equipment to meet the requirements of “one without five supporting facilities” in the municipal hospital. The city's integrated Chinese and Western medicine hospital built seven clinical research institutes.
The third step is the introduction of the "Guidance Opinions" of the State Council's urban and rural health reforms. The adoption of the "classification guidance, step-by-step promotion, and stratified implementation" has steadily pushed forward the management of the whole industry, and formulated and implemented the "Zhejiang District Health". Planning; implemented the classification management of medical institutions, completed the classification of 843 medical institutions; deepened the work of patients selected by doctors, took the lead in the selection of doctors in outpatients in hospitals, selected medical groups, nursing groups, surgeons in hospitals Choose a comprehensive selection of surgical nurses and former logistics.
The fourth step is the “three reforms” of the State Council after the Qingdao meeting, adopting the method of “deepening breakthroughs, piloting and opening up, leaving no after-patients” to increase the management of drug revenues and expenditures at the county level and above, and the drug revenue and expenditure. The balance will be turned over to the financial social security fund account and returned reasonably.
Through gradual and orderly reforms with key points and breakthroughs, the city's health reform has been steadily advanced, achieving the goal of achieving stability in reforms and developing a “win-win” goal in reform. At present, the city's health system cadres and workers have shown a good situation of stable thinking and reform.
2. Strengthen health reforms around the “two services” for the health needs of the people and for economic construction.
The first is to start from the health needs of the people and increase the intensity of internal operating mechanism reform. In recent years, we have implemented a full-employment system in the city's health system by implementing middle-level cadres in the medical institutions at or above the county level, and the two-way selection system for employees and the public selection. At the same time, in the city's three hospitals, the city's six hospitals implemented logistics services to the social service company management, reducing some of the pressure on the hospital's logistics services, through these reforms, enhance the staff's sense of crisis and learning technology, drilling business, on The sense of level and service has motivated medical and health personnel to better provide quality and satisfactory services to the people.
Secondly, from the protection of productivity, to the service of economic construction, and the reform of the management system. The president's responsibility system, health work target management and health industry management were fully implemented in the city's medical and health institutions. Strengthened the supervision of medical quality, set up a medical and health quality expert management committee, and began to implement the “access system” for medical institutions and medical technicians. We have increased the intensity of counterfeiting of health-related products based on food and cosmetics, maintained normal regular order, and protected consumers' health rights. The government has publicly implemented the “Ten Open” system of transparent service and medical and health units, which has improved the development environment. The administrative examination and approval reform was deepened, and the health examination and approval projects were all included in the one-stop service of the government administration center, and 35 administrative examination and approval items were reduced, the reduction rate reached 66.03%, and 18 normative files in 1990-2002 were abolished, and the abolition rate was 37.5%. . Through these measures, management has been strengthened, the development environment has been broadened, the health of the people has been protected, and positive contributions have been made to the economic construction.
3. Highlighting the “three key points” of developing hospital groups, implementing asset restructuring and adjusting resource structure to deepen health reform
Actively explore the path of hospital group development. There are three main modes: First, taking the central hospital to drive the loose group development of rural and enterprise hospitals. In 2001, the “** City Hospital Group” was established by the ** City Hospital and 10 third, second and first-class hospitals. At present, the hospital group has continued to grow and develop, and another Chinese hospital and five first-grade hospitals have entered the group.
The second is to follow the path of hospital expansion and close-knit group development of technology and equipment across regions and provinces. In 2000, the Shifang City Second Hospital was established to guide the Shifang City Psychiatric Hospital and the Shifang City Hospital, and the Shifang City Blood Prevention Hospital was merged. The imported TV laparoscopic technology and the developed gravel equipment were built in and outside the province. A total of 40 branches have been established, and hospitals and groups have been invested in cross-regional and inter-provincial development by investing in technology and equipment. At present, 42 TV laparoscopic machines and 20 stone crushers have been put into operation, worth 15 million yuan, and more than 210 technicians have been dispatched. The annual income of the hospital in the branch is nearly 8 million yuan. In 2003, with the consent of the municipal government, the Second People's Hospital of Shifang City merged the ** City Eye Hospital into the group hospital and reformed it, and invested more than 2 million yuan to build it. At present, the hospital has not completed the shareholding system reform, and is stepping up preparations before the listing.
The third is to take the road of rural central health centers to promote the loose group development of township and township health centers. Zhongjiang County is a large agricultural county with a population of more than 1.4 million and the original 90 townships. In view of the fact that the rural medical institutions are scattered and the management is beyond the reach of the current situation, the original 90 township health centers will be reduced to 57 township health centers, the remaining 34 are favorable opportunities for geographical names hospitals, giving full play to the radiation function of rural central health centers, strengthening the key construction of personnel, technology, equipment and houses in central health centers, from central health centers and districts Township and toponymic hospitals have established loose hospital groups. The rural medical institutions have formed a decentralized operation and group development pattern in the form of districts, which has promoted the gradual improvement of rural medical technology service levels.
Actively explore the path of the restructuring and development of health assets. There are four main forms: one is to learn from each other's strengths, and to combine medical treatment with reorganization. In 1999, after the assets of Mianzhu's schistosomiasis and the municipal hospital were reorganized, the schistosomiasis control institution remained unchanged, and the preparation and funding were not reduced. Two brands and one team, the credit and debts of the original blood defense office were under the responsibility of the Mianzhu Municipal People's Hospital. In the past three years, the transition has been stable, the blood-defense work has been carried out normally, the debt of the original blood defense office has been repaid, and another 20 million yuan has been invested to build a 12,000-square-meter internal surgery building. The hospital business income has been increased from 21 million yuan in the former hospital. 45 million yuan at the end of 2003.
The second is the one-stop and new cross-industry resource restructuring of new institutions. Luojiang County was newly built at the end of 1996. In order to save and optimize health resources, in 1998, the original epidemic prevention station, the blood defense station, and the three hospitals of the Health Center were combined into a county preventive health center. On this basis, in May 2001, The local government repeatedly researched and demonstrated, and reorganized the former County Planning and Fertility Guidance Center and the County Preventive Health Center into the County Planning and Fertility and Disease Prevention and Control Center, and implemented a set of teams and several brands to share and share health and family planning resources. After the establishment of the center, the leadership team was selected for public recruitment. At present, the center has entered a benign operation track according to the new system.
The third is the restructuring of private medical institutions and township health centers. In 1998, after reorganizing the Guanghan Beiwai Township Health Center and the Yimin Orthopaedic Specialist Hospital into the Guanghan City Orthopaedic Hospital, the township health center made full use of the technical characteristics of the private orthopaedic department and its local popularity, and led other departments with orthopedics as the leader. Development, and in 2000, the doctors of the original orthopaedic hospital were selected to the post of dean. After two years of service, the management level of the hospital has been continuously improved, and the number of patients has increased. The business income has also increased from 900,000 yuan to 4.5 million yuan. Four times. At present, the hospital has built a hospital.
Actively explore new ways to adjust the structure of health resources. There are three main highlights:
First, it highlights the adjustment of the setting structure of medical institutions. According to the "** City Regional Health Plan", in the past three years, the ** City Hospital has invested 30 million yuan to build an external surgery building and an infectious disease hospital; invested 34 million yuan to build an outpatient building, thereby making the foundation of public medical institutions The facilities have been upgraded. The four districts and town health centers in the same place in Xiangyang District were all integrated into the central health center for unified planning and management, giving full play to their central service functions. For the medical institutions of the enterprise, according to the separation method of “overall transfer, going to market, business legal person registration, transition, reorganization, and closure”, the second, fifth, and sixth cities were attached to the former Erzhong, Dongdian, and Dongqi Workers’ Hospitals. The brand of the People's Hospital. At present, 14 of the 13 enterprises have basically separated from the enterprise and entered the society, which is included in the management of the whole industry. We have vigorously developed and supported private specialized medical institutions. Now we have established 9 joint-stock and private specialized hospitals for orthopedics, anorectal, skin diseases, liver and gallbladder rehabilitation, and have scale and standard operation. Through the establishment of structural adjustments by medical institutions, a diversified development pattern that tends to be rational has been initially formed.
The second is to highlight the adjustment of the structure of health personnel. In the past three years, the city has introduced 58 senior technical personnel, 8 master students, 20 academic leaders, and 80% of rural health personnel have reached the secondary school level. At present, the structure of health personnel is becoming more and more reasonable and is developing at a medium to high level.
The third is to highlight the adjustment of technology and equipment structure. In accordance with the "Sichuan Province Health Resources Allocation Standards", large-scale equipment is subject to examination and approval equipment, and other equipment is equipped according to the needs of the service. At present, the city has spiral CTl, nuclear magnetic resonance l, CT9, cobalt 60 radiotherapy machine 2, 1250 mA X-ray machine 2, color Doppler 8 sets, hyperbaric oxygen chamber "2 sets, fully automated 10 sets of analyzers. The total value of professional equipment is 145.06 million yuan, of which 74% are medical and health institutions at or above the county level, and the structure is more reasonable. For the technical structure, the principle of application should be adhered to, and medical and health institutions at or above the county level should be encouraged to vigorously research and develop, introduce and apply advanced technologies. Medical science and technology achievements and technology, continuously improve the level and level of technology. Encourage rural grassroots medical institutions to introduce special technologies, develop specialties, and apply applicable technologies to meet the basic medical and health care needs of rural residents. At present, the city's technical structure has become a step, urban structure tends To be reasonable, the rural structure needs to be adjusted.
We will promote the reform of the “three tasks” of centralized drug bidding and procurement, drug accounting, separate management and reform of the health property rights system.
1. Fully promote the centralized bidding and procurement of drugs. In April 2001, we first established a group of 121 experts to collect the expert talent pool for drug centralization bidding, and conducted pilot projects in 9 medical institutions at or above the county level. In 2002 and 2003, 25 county-level cities in the city. The above medical institutions participated in the bidding, and signed the drug purchase contract with the winning bidder: 2268 winning bids in 2002, online trading contract amount of 48.28 million yuan, winning bids in 2003, online transaction contract amount of 10,000 yuan, average The price cut is 19.89%.
2. Full implementation of separate accounting and separate management of drug prices. Since 2000, medical institutions at all levels in the city have strengthened drug procurement management, and the rotation system for drug purchasers has been implemented. The purchase of drugs has been approved by the Pharmaceutical Affairs Committee. Separate accounting for drug revenue and expenditure, separate accounting and separate management. All the balances of the revenue and expenditure of the drugs will be submitted to the special account of the financial and social security fund, and reasonable return will be implemented.
3. Actively explore new ways to operate health capital and reform the property rights system. In 2001, on the basis of the use of manpower, technology and equipment capital for the expansion of capital operation, the Second Hospital of Shifang City carried out the reform of the property rights system with the city’s blood-defense hospital, and carried out the reform of the shareholding system. The institutional reform is about to be completed, and is currently preparing for stock listing. At the same time, Shifang City People's Hospital and Health Center used material capital to participate in the transformation of the old city, invested a total of more than 9 million yuan, relocated 230 households, and expanded 20 acres of land. The second hospital of Guanghan City, the blood-defense hospital, and the Chinese medicine hospital mainly participated in the transformation of the old city by their own capital operation, with a total investment of more than 4 million yuan; Guanghan City Orthopaedic Hospital jointly developed and operated with the developer to develop the joint-stock orthopedic hospital, a total of 20 acres of land, Invested 4.2 million yuan to build operations. In 2002, it also instructed Zhongjiang County to boldly transfer the management rights of Zhongjiang Xinglong Health Center to Chengdu Aerospace Hospital. The health center has been operated and managed by Chengdu Aerospace Hospital and has achieved initial results.
Highlight work priorities and pay close attention to the implementation of various health work
Since 1998, especially in the past three years, I have mainly seized 22 jobs.
Grasping rural health work
Pay close attention to the prevention and treatment of SARS
Grasping the emergency medical treatment and health and epidemic prevention work
Scratching the blood donation work
Raised the prevention and treatment of rabies
Scratching the blood donation work
Grasping the medical institutions and health personnel to work in the field
Pay close attention to health supervision and monitoring work
Grasping the work of maternal and child health care
Scratching the child project immunization work
Grasping the work of revitalization and development of Chinese medicine
Grasping the work of medical science and technology education
Grasping the work of "five special rectifications"
Grasping the supervision work of the "two national debt projects"
Grasping the "four creations" work
Scratching the project and vying for funds
Grasping the work of promoting "three transformations"
Grasping the work of spiritual civilization construction
Grasping the team construction work
Grasping the work of cadre team building
Pay close attention to the financial management of the health system
Grasping the construction work of the bureau
In short, since I was in my current position, I have strictly demanded myself in my study, work, and life, and I have done everything with my heart and soul. This is also recognized by my superiors and comrades. Especially in terms of economic responsibility, I have always strictly adhered to the requirements of the party discipline and the financial management system, and have not imposed any economic problems. It should be said that it is a clear-cut for the officials and a natural state of mind.
In the above positions, if there is anything wrong, please ask the comrades of the audit team of the Municipal Audit Office to give criticism and correction after careful auditing, and they will accept it with humility and correct it in a realistic manner.
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