District Health Bureau 2019 work plan

I. Guiding ideology, work ideas and goals

1. Guiding ideology: guided by the spirit of the 17th National Congress of the Communist Party of China, adhere to the scientific development concept of people-oriented, continue to deepen health reform, improve the health service system, enhance the capacity of health services, coordinate the coordinated development of urban and rural areas, and focus on the new rural cooperative medical care and public health Two key points are to steadily promote five tasks of public health, rural health , community health , industry management and health city ​​creation, enhance health service capabilities, and provide safe, effective, convenient and affordable medical and health services to the public.

2. Working ideas: deepen health reform, promote institutional and institutional innovation; improve rural health and community health systems, coordinate urban and rural coordinated development; strengthen industry style construction, build harmonious doctor-patient relationship; create sanitary cities and improve living environment; New rural cooperative medical care, implementing the largest health benefit project.

3. Work objectives: perfect system, sound mechanism; benefit the people and the people, harmony between doctors and patients; coordinating urban and rural areas and scientific development.

Second, the specific work

1. Focus on public health and improve health emergency response capabilities

Improve the health service system. In accordance with the requirements of the "five major systems, a team", improve the public health network and enhance service capabilities. Seriously study and implement the "Emergency Response Law", improve the health emergency management system, establish a health emergency coordination mechanism, improve the health emergency system norms and plans, strengthen health emergency response drills, and improve the correct handling of major epidemics and public health emergencies. ability.

2. Strengthen infrastructure construction and improve health service system

First, investing 2 million yuan to start the construction of two community health service centers in Kaixuan and Yucai;

The second is to invest 1 million yuan to start the reconstruction project of the outpatient building of Renli Town Center Health Center;

The third is to invest 1 million yuan to complete the transformation project of Nanqiang Town Center Health Center and Xining Township Health Center ;

The fourth is to invest 100,000 yuan to standardize the construction of 50 Grade A village clinics and 5 new village clinics in Yongxing, Renli and Xining areas to further improve the health service system.

3. Carry out new rural cooperative medical care and implement the largest health benefit project

The establishment of a new rural cooperative medical care system is related to the health and interests of more than 300,000 peasants in the region. It is a fundamental measure to solve the problem of peasants’ medical treatment, expensive medical treatment, poverty due to illness, and returning to poverty due to illness. It is a party and government that wins the hearts of the people and farmers. The most effective health benefits for the development of affordable and healthy . All medical and health units must stand at the height of politics, attach great importance to it, go all out, take the opportunity of implementing the "new rural cooperative medical system", strengthen various guarantee measures, constantly improve the management mechanism, self-reform, self-improvement, and enrich functions. Improve the level, standardize the behavior of medical services, and truly achieve reasonable inspection, reasonable treatment, rational use of drugs, and reasonable fees. Ensure that the new rural cooperative medical work is fully covered and can reach 90% of the farmers. All medical and health units should regard the "new rural cooperative medical system" as an important task, vigorously support, fully cooperate, and make concerted efforts to grasp this important matter of benefiting the country and the people, so that the peasants can truly benefit. To contribute to the social stability and economic development of rural areas in our district.

4. Strengthen service capacity building to meet people's medical needs

We will make great efforts in infrastructure construction, increase investment in talent cultivation, use external resources in the introduction of advanced medical equipment, make a big fuss in new science and technology projects, improve the ability of health services, and meet the needs of the people for medical treatment.

The first is talent training. Implement management and technical talents, training and introduction simultaneously, equal emphasis on selection and assessment, theoretical training and use of talent development strategies in practice, improve incentive mechanism, create a relaxed working environment for talent growth, provide excellent treatment, and mobilize various types of Encourage talents, explore the potential of talents, ensure that talents can survive, use them, get in, and get out, forming a good environment for outstanding talents to stand out and make the best use of their talents.

The second is medical equipment. All medical and health units should introduce innovative medical means to introduce medical equipment and increase the investment in hospital hardware. Investing 1.5 million yuan to the township hospitals in accordance with the "new five" standard, and gradually equipped with advanced medical equipment to improve the level of diagnosis and treatment technology.

The third is counterpart support. Further strengthen the ability of higher-level units to support township hospitals every year, adopt funding funds, assist medical equipment, study for free, develop appropriate new technologies, improve management systems and two-way referrals, and improve the comprehensive service capacity of township hospitals. . This year, the People's Hospital of the District will support Yongxing, Renli and Hesha, and the Health Center will support Nanqiang, Guihua and Xining. The CDC will support Baosheng, Laochi, Fuqiao, Health Supervision Brigade and Training Center to support Xinqiao, Co-management Center. Support Tang family.

5. Strengthen the management of the health industry and build a harmonious relationship between doctors and patients

In accordance with the general idea of ​​"reflecting the past, standardizing the present, and safeguarding the future", we will continue to carry out commercial bribery in the field of drug purchase and sale, and establish a long-term mechanism for rectifying the work, focusing on education, system, and supervision. The company accepts bribes, kickbacks, red envelopes, private charges, unreasonable charges, decomposing charges, billing commissions, car-driving drugs, etc.; serious investigation and punishment of commercial bribery cases in various economic transactions; sound medicines, equipment, medical materials The purchase and sale system, often carry out self-examination and self-correction, and actively correct behaviors that seriously harm the interests of the people; set up a report box, open a report phone, implement a reward report, accept public supervision, and find a serious investigation together, never soft, never tolerate. Strengthen the supervision of the whole industry, comprehensively implement the responsibility system for rectifying work; seriously investigate and deal with people and things that violate professional ethics, violate laws and regulations, and harm the interests of the people; extensively carry out spiritual civilization creation activities, consolidate the achievements of civilized industry creation; comprehensively push open administrative affairs, comprehensive Implement a one-day list system, select patients for doctors, and provide a system of service commitments. Try to implement the maximum price system for single diseases and accelerate the establishment of a harmonious relationship between doctors and patients.

6. Continue to deepen health reform and innovate internal operational mechanisms

In accordance with the requirements of the separation of government affairs, separation of management, separation of medicines, profitability and non-profit separation proposed by the 17th National Congress, we will continue to deepen health reform and provide safe, effective, convenient and affordable medical and health services to the public.

First, continue to explore the reform of the medical model of township hospitals and improve the internal operation mechanism. On the basis of the reform of the basic medical treatment of the Xinqiao and Hesha Town Health Centers , we will gradually push them forward, innovate the internal operation mechanism, revitalize the health stock, and give full play to the maximum benefits of limited health resources.

The second is to deepen the personnel distribution system. The middle-level cadres of the bureaus and district medical units all compete for posts, trial rotations, and multi-post exercises to improve the ability to adapt to complex situations and handle complex matters; professional and technical personnel to expand the recruitment, absorb talents, innovate talent training, and introduce Mechanism; reforming the distribution system, cutting off the income of medical personnel and medical income, testing income, checking income-linked practices, and linking the income of medical personnel with their technological innovation level, medical ethics, working years, service quality and number of jobs, fully reflecting The principle of distribution according to work, quality priority, and fair distribution.

The third is the financial management and accounting reform. Township hospitals outpatient clinics, pharmacies, fees, inquiries, and finance all implement computerized management, plugging loopholes, increasing revenues and reducing expenditures; strengthening the standardization of accounting basic work, strictly implementing the current hospital accounting system and hospital financial system, and strengthening financial supervision and management and project funds Management; continue to implement the township health center accounting and financial implementation of the unified accounting system, the hospital only set out the cashier, accounting work is the responsibility of the Health Bureau Planning Finance Unit.

The fourth is the reform of the drug circulation system. The district direct medical units continued to implement the bidding and procurement of drug-linked nets, expanding the proportion of drug bidding and drug use, 90% of the tendered drugs, 90% of the total drug use, and the implementation of two lines of drug revenue and expenditure management, separate accounting, and classified management. The township hospitals use the drugs in compliance with the standard, and the sales amount of the standard drugs accounts for more than 70% of the total sales; in Laochi Township, the centralized distribution of drugs is continued, the intermediate links of drug circulation are reduced, and the price of drugs is lowered.

The fifth is the socialization of logistics services. The district medical and health departments gradually implemented the socialization reform of logistics services, and pushed all the washing, cleaning, disinfection, safety, security, greening, and maintenance that were originally undertaken by the unit to the society, and purchased them from the society to reduce operating costs and concentrate. Focus on the normal development of the health industry.

The sixth is the reform of the urban health system. Fully integrate and utilize municipal-level excellent health resources, actively cooperate with community construction, develop community health services, and gradually form a new urban health service system with reasonable functions and convenience for the people. After completing the infrastructure construction, Nanqiang Town and Xining Health Center will be transformed into Fuyuan and Guangde Community Health Service Centers, and implement two brands and a set of people.

The seventh is the reform of the assessment system. All tasks are comprehensively implemented in target management and target assessment. The main tasks are assessment, individual assessment, quantitative assessment and benefit assessment, with a focus on the assessment of business results, balance of income and expenditure, per capita income and expenditure balance, and savings of 10,000 yuan in fixed assets. Quantitative assessment of net assets savings; strengthen supervision and management of various types of expenditures, focus on strengthening the examination and approval of declared projects, equipment purchase, repair costs, various fund withdrawal ratios, special funds, bonuses, non-productive capital use, etc. The supervision and management, the combination of the usual assessment and the year-end assessment, the comprehensive assessment score as the sole basis for the payment of health services.

Eight is to set up independent innovation incentive funds. Incentives are given to units and individuals that have independent innovation and achievements in medical technology, service level, health law enforcement, disease control, health supervision, and administrative management.

7. Focus on prevention and control of epidemic situation and strengthen disease prevention and control

Implement disease control and health maintenance actions, further implement prevention and treatment measures for major diseases such as AIDS, structural diseases, and hepatitis B; strengthen child immunization, improve vaccination registration system, and strive to make i-type seedlings have a vaccination rate of over 92%, ii vaccination The rate is up to 45%; complete the measles intensive immunization mission in the whole district, maintain the status of no polio, strengthen the comprehensive prevention and control measures of cholera and rabies, strengthen the business training of disease control personnel, and improve the ability to correctly handle major epidemics and emergencies.

8. Strengthening the supervision of health law enforcement and promoting sound and rapid development

Continue to carry out special rectification work to crack down on illegal medical practice, rectify and standardize the medical service market, crack down on illegal medical practice, resolutely ban unlicensed medical practice, prevent people who do not have the qualifications to practice, practice non-professional practice and over-range medical practice, and establish a medical market. Long-term management mechanism. In-depth development of the “food safety project”, further clean up the food production and business units and the food and beverage industry health permit, implement food quantitative and hierarchical management for the food industry, and focus on the market and schools and kindergartens and canteens to protect key populations. And the health rights of vulnerable groups. Strengthen the law enforcement supervision of the "Infectious Diseases Prevention and Control Law", carry out law enforcement supervision on infectious disease epidemic reports, implementation of infectious disease prevention and control measures and medical waste disposal, focus on the supervision of medical institutions to implement infectious disease reports, and strengthen the harm to medical institutions Supervised inspection of behavior and disinfection effects. Strengthen the supervision and management of public places and improve the ability of public places to prevent the spread of infectious diseases.

9. Focus on grassroots health care and implement maternal and child health care

Vigorously carry out the work of "one law and two programs" and "three networks monitoring".