Health Bureau 2019 work plan

The general idea of ​​health work in 2019 is: adhere to the scientific development concept as the guide, strengthen the urban-rural integration construction, build a harmonious society as the theme, improve the health of the people of the county as the goal, and focus on the new rural cooperative medical work, solid We will do a good job in health emergency, preventive health care and health law enforcement, strictly manage the health industry, pay close attention to medical quality, strengthen the construction of the work style, and promote the sound and rapid development of the health industry.

First, aiming at raising farmers' benefit level, paying close attention to new rural cooperative medical care

The first is to increase the level of funding for farmers. Timely development of the new year's new rural cooperative fundraising work, and strive to achieve a stable and rising participation rate. According to the requirements of the provinces and cities, the individual fundraising standards for participating farmers will be raised from 15 yuan to 20 yuan, and the total amount of funds raised per capita will be further increased from 95 yuan in 2019 to 100 yuan. The second is to strengthen the supervision of designated medical institutions. Strictly implement the "Temporary Measures for the Administration of New Rural Cooperative Medical Organizations in Tangshan City" and the "Interim Measures for Strengthening the Assessment and Management of Fixed-point Medical Institutions" in our county, increase supervision, and implement responsibility to people. Promote the connection between the rural cooperative network and the hospital's internal network. On the basis of the original two hospitals, we will strive to be in the center hospitals such as Bencheng, Hugezhuang, Baigezhuang, Sigezhuang, Changning, and Jiaodong Port. Establish a network interface with Jingdong Hospital. Use the network platform to strengthen the dynamic monitoring of the service behavior of designated hospitals. We will conscientiously implement the service agreement with designated hospitals and strictly control the use of external medicines and medical treatment items in the cooperative medical catalogue. Seriously investigate and deal with violations of discipline and discipline, control the average hospitalization expenses, and minimize the burden of farmers' medical expenses. The third is to improve the service level of the handling agencies. Further improve the management methods for personnel in the cooperative medical management station, and exert its supervisory and restrictive role on the hospital. Strengthen fund management, implement the reimbursement publicity system, and improve the transparency of work. Continue to promote the construction of cooperative medical information, relying on the city-level management platform, and realize the discharge of the hospital in all hospital-level designated hospitals such as the Second Hospital, the Coal Medical Affiliated Hospital, the Women and Children, and the 255.

Second, focus on improving the quality of medical services, and further strengthen the management of the health industry

The first is to strengthen medical quality management and ensure medical safety. Focusing on the Practitioners' Law, the Regulations on the Administration of Medical Institutions, and the Regulations on the Handling of Medical Accidents, strengthen the legal education for deans and medical personnel, and enhance the awareness of medical safety responsibility. We will improve the quality management system for various departments and medical treatments such as medical care, nursing, functional examination, radiation, and laboratory tests, and formulate practical and feasible quality targets to standardize the diagnosis and treatment work. Adhere to the principle of safety first, quality first, strictly implement various operational procedures, and eliminate medical liability accidents. Strengthen basic theory, basic knowledge, basic skills training, continuously improve medical quality, and ensure medical safety. Strengthen supervision, conduct regular medical quality inspections, and implement rewards and punishments according to law. The second is to strive for financial policy support to further enhance the ability of primary medical services. Actively strive for funds, and further improve the equipment conditions of the hospitals in accordance with the requirements of the "Tangshan Township Health Center Basic Equipment Standards". In accordance with the requirements of the "Tangshan Township Health Center Management Measures", the recruitment of personnel will continue to be carried out in a planned manner, and efforts will be made to solve the problem of insufficient grassroots technical strength. The third is to strengthen the education and training of medical personnel. Focus on strengthening the continuing education of on-the-job medical personnel, and hold three training courses according to clinical needs, and arrange 80 business backbones to go to higher-level hospitals for further training and cultivate urgently needed business talents. Actively encourage employees to participate in various forms of academic education, support the participation in qualification examinations for practicing doctors, licensed pharmacists and practicing nurses, and improve the cultural quality and professional quality of medical personnel. Focus on the implementation of the Catalogue of Basic Drugs for Rural Doctors and strengthen the training of rural medical services. The fourth is to strengthen the construction of cadres. Actively discover talents, train talents and use talents, strengthen the sense of competition of the dean's team, and enhance the vitality and vitality of the cadre team. Strengthen the recommendation, assessment and training of reserve cadres and establish a team of high-quality reserve cadres. Focusing on the key links of hospital management, we will strengthen the education of the dean in a targeted manner, strengthen the daily supervision and regular assessment of the dean, and strive to build a cadre team with knowledge, culture, management, management, and ability. The fifth is to strengthen the financial management of the hospital. Strictly implement the "Several Provisions on Strengthening Financial Management of Medical and Health Units" and "Supplementary Provisions", implement fixed assets acquisition processing, expenditure approval, bulk drug procurement and vehicle management systems to ensure strict financial regulation of hospitals. Strengthen financial supervision and auditing, regularly organize special inspections, and seriously investigate and punish violations. Aiming at the key links in hospital management, we will further improve the financial management system, block management loopholes in time, and realize scientific and standardized financial management of hospitals.

Third, strengthen the construction of public health system and improve the ability of health emergency support

The first is to strengthen the capacity of health emergency response. Strictly summarize the experience in the prevention and control of hand, foot and mouth disease prevention and treatment, and the diagnosis and treatment of milk powder children, further improve various emergency plans, and improve the health emergency management mechanism. Strengthen the construction of emergency teams, make emergency supplies, and ensure that public health emergencies are handled in a standardized, scientific, orderly, and effective manner. Strengthen the construction of the public health system, implement the accountability system, and strengthen the responsibility of medical institutions in emergency response to public health emergencies and emergency medical rescue. The second is to strengthen the prevention and control of infectious diseases. Strictly implement the epidemic monitoring and reporting system, and daily review and analyze the report of the medical institution's epidemic situation. Actively strengthen the early warning and forecasting work, conscientiously implement the pre-examination and triage system, strengthen the development of fever clinics and intestinal outpatient clinics, prevent intestinal infectious diseases such as hand, foot and mouth disease, cholera, and investigate and dispose of outbreaks of respiratory infectious diseases such as influenza. Strengthen the prevention and treatment of plague and epidemic hemorrhagic fever, and achieve early detection, early reporting and early disposal. Seriously implement the AIDS project, extensively carry out prevention and treatment of knowledge, strengthen monitoring reports on sexually transmitted diseases and AIDS epidemics, implement the “Four Frees and One Care” policy, and implement behavioral interventions for high-risk groups. Carefully implement the TB control program, strengthen discovery, referral, follow-up and treatment, ensure that the patient reporting rate, referral rate and patient system management rate of medical institutions reach over 95%, and the coverage rate of modern TB control strategy remains at 100%. Good dual infection patient discovery and treatment work. The third is to promote immunization planning work. In accordance with the requirements of "three fixed" and "five unified", strengthen the construction of vaccination clinics, strengthen the management of cold chain, and conscientiously implement the notification system to ensure safe and effective vaccination. Strengthen the management of migrant children, do a good job in the inspection of vaccination certificates for children enrolled and enrolled, and check the re-inoculation work to ensure that the immunization program vaccine vaccination rate and the timely rate of neonatal first vaccination remain above 95%. Continue to implement intensive immunization to prevent measles outbreaks and maintain a polio-free state. Continue to adhere to the monthly regular meeting system and strengthen the training and assessment of vaccination personnel. Strengthen the management of the vaccination information system to ensure accurate data entry and timely upload. The fourth is to strengthen maternal and child health care. Strengthen the training of women and children at the town and village levels to improve the quality of personnel. We will conscientiously implement the standards for the evaluation of maternal and child work, strengthen the supervision of grassroots maternity insurance and childcare work, ensure that the maternal and child system management rate remains above 95%, the maternal mortality rate is controlled below 20/100,000, and the infant mortality rate is controlled. 16‰ or less. Continue to promote the "two diseases" screening of newborns to reduce the incidence of disability. Strengthen the supervision and examination of the obstetrics of medical institutions, and improve the green channel for the rescue of maternal critical illness.

Fourth, highlight the two key points of food safety rectification and medical market cleanup, and increase the intensity of health supervision and law enforcement

The first is to strengthen food safety supervision in the catering industry. Seriously fulfill the responsibility of food safety management, strengthen supervision over the catering industry and collective canteens, implement the regulatory responsibility system, and implement accountability. Actively promote the quantitative and hierarchical management of food hygiene supervision, strengthen daily supervision and guidance, and focus on strengthening the supervision of environmental hygiene for food workers, catering units and food production and operation places. Strictly implement the health management system, implement various health management systems such as ticket purchase and acceptance of food raw materials, and conscientiously regulate the behavior of the industry. Increase the intensity of exposure to typical cases, and severely investigate and punish illegal activities such as purchasing and using livestock and poultry such as sick or dead or unknown causes, inferior edible oil, unqualified condiments or non-edible raw materials and abuse of food additives. Strengthen publicity and education, enhance the legal concept of employees, and ensure food hygiene and safety in the catering and consumption sectors. The second is to crack down on illegal medical practice. Strengthen daily supervision and law enforcement, and strictly regulate the practice of medical practice. Focus on investigating and contracting medical institutions, over-range medical treatment, unauthorized purchase of large-scale medical equipment and illegal sex testing of the fetus, severely crack down on unlicensed medical practice and practice in different places, and carefully clean up illegal medical advertisements. Strictly implement the "Practitioner's Law" and the "Nursing Regulations", and seriously investigate and punish the employment of health technicians without approval. Conduct special inspections on the qualifications of technicians, clean up unqualified staff, and seriously investigate and punish illegal medical institutions. In conjunction with the re-issuance of rural doctors' practice licenses, we will conscientiously regulate the practice of rural medical practitioners and investigate and deal with violations of laws and regulations. The third is to strengthen public places and occupational health supervision. Strengthen health supervision in public places, implement quantitative and hierarchical management, implement health management systems, and popularize disinfection knowledge. Carry out health monitoring of drinking water quality, organize medical examination and training of water supply personnel. Seriously implement the "Occupational Disease Prevention and Control Law", supervise enterprises to implement occupational disease prevention and control measures, establish and improve prevention and treatment systems, organize occupational health inspections, and seriously investigate and punish illegal activities that endanger the health of workers. Conduct regular health supervision on 16 radiation work units, strengthen monitoring of radiation workplaces, and conduct personal dose testing to ensure radiation safety.

V. Strengthening the work of building the wind and promoting the healthy development of health

The first is to strengthen the education and management of medical personnel. In-depth development of professional ethics education and integrity education, improve the professional ethics of the majority of medical staff. Combine education with management, strictly implement the medical staff evaluation system for medical staff, and give full play to the constraints and incentives of the system. The second is to fully implement the openness of the hospital affairs. We will conscientiously implement the open system of hospital affairs, and regularly disclose the situation of drug procurement, financial revenue and expenditure, and evaluation of first-class evaluation, and accept supervision by employees. Focus on the disclosure of medical service items, charging standards, drugs and consumables prices to prevent arbitrary charges. The third is to establish a long-term mechanism for managing commercial bribery. We will further improve the centralized procurement methods for pharmaceuticals, realize the problems of bidding to varieties, prices, and solve different drug prices at different times and without suppliers. Expand the scope of bidding medical institutions, and gradually include all the designated hospitals for cooperative medical care in the county into the scope of joint bidding for drugs. The fourth is to subsidize the people's policies and facilitate patients to seek medical treatment. We will conscientiously implement the housing system for the poor and ward, and implement the “one free and three reductions” measures for urban and rural low-income workers and rural “five-guarantee households”. Continuously improve medical services, continue to implement a mutual recognition system for inspection results, strictly control medical expenses, promote reasonable inspection, rational use of drugs, and reasonable treatment, and effectively reduce the burden of medical treatment for patients.