2014 Hospital Annual Work Plan

In XX, under the guidance of the municipal government and the municipal health bureau, the hospital adhered to the guidance of Deng Xiaoping Theory and the important thinking of "xxxx", earnestly studied and implemented the party's xx spirit, and the fourth and fifth plenary sessions of the tenth session of the provincial party committee. Spirit and the spirit of the Seventh Plenary Session of the Fifth Committee of the Municipal Party Committee, adhere to the scientific concept of development, pay close attention to basic management, improve medical quality, standardize medical behavior, improve service measures, and make hospital work to a new level, and strive to achieve social and economic benefits. . The overall goal and thinking of the year-round work is: adhere to the people-oriented, further change the concept, actively participate in the reform of the medical and health system, increase the intensity of reform, realize the innovation of ideas, business innovation and management innovation, enhance the competitiveness and execution of the team, and actively carry out The technical year and service year activities have reached the level of technology and service, vigorously promoted the development of science and technology, and the strategy of strengthening the hospital, and strive to create a three-level hospital, and strive to build disciplines, technological innovation, performance appraisal, cultural construction, and medical care. New breakthroughs were made in services and business concepts, the medical environment and hardware facilities were further improved, the service attitude was further improved, the hospital's comprehensive strength and sustainable development capability were significantly enhanced, and the treatment of employees was further improved, and the new situation of hospital work was constantly broken.
First, the guiding ideology thoroughly implements the party's xx spirit, implements the scientific concept of development, and continues to carry out in-depth hospital management activities as a means to comprehensively improve medical quality, ensure medical safety, and improve social and economic benefits. The management of the target responsibility system focuses on improving the scientific management level, strengthening the thinking and professional quality of the workforce, creating a team spirit of unity and hard work, pioneering and enterprising, seeking truth and being pragmatic, striving hard, and building the hospital into a modern medical education and research center in Heyuan.
Second, the work objectives Administrative work objectives to strengthen the leadership team building, cadres and workers to the hospital leadership team satisfaction of more than 90%. Strengthening the construction of medical ethics, the people's satisfaction with the hospital is over 90%. Strengthen the construction of the workforce, and there is no violation of laws and regulations by employees. The social comprehensive governance work is up to standard. The tasks of planning for childbirth are up to standard. The government affairs affairs of the government affairs are up to standard.
The number of emergency medical treatments for medical work targets was 380,000, an increase of 6.2% year-on-year;
The number of discharged patients was 19,000, a year-on-year increase of 6.5%;
The number of operating tables was 8,175, an increase of 8% year-on-year;
Bed use rate ≥ 80%;
The average hospitalization day of people is ≤13 days;
The success rate of critically ill patients is ≥80%;
The admission coincidence rate is ≥95%;
The cure rate is ≥90%;
The rate of underreporting of infectious diseases is 0;
Grade A case rate is ≥90%;
The incidence of nosocomial infection is ≤10%;
The qualified rate of prescription is ≥95%;
The average prescription cost of outpatients is <150 yuan;
Pharmaceutical income accounts for ≤45% of business income.
Safety production targets eliminate medical accidents above the level, eliminate serious hospital infections, eliminate the loss and theft of poisonous and narcotic drugs, eliminate workers' accidents, eliminate fire and explosion accidents, eliminate food poisoning accidents, eliminate drug insecurity incidents, and eliminate liability Serious damage and failure of equipment, eliminate traffic safety accidents, control serious mistakes, control the phenomenon of underreporting of infectious diseases, reduce general errors and medical disputes, and strive to create safe hospitals and harmonious hospitals.
The goal of logistics support is to complete the work of creating “National Health City” for the unit; further socializing management of logistics services, completing the disposal of real estate in hospital dormitory, ensuring “three links”, institutionalizing and standardizing vehicle management, ensuring driving safety; Job satisfaction is over 90%, and patients and their families have more than 90% satisfaction with logistics.
The working objectives of the equipment ensure that the medical equipment can meet the clinical work needs to the greatest extent, eliminate the medical safety hazards caused by insufficient equipment or equipment quality problems; the equipment utilization rate and the integrity rate are up to standard, the equipment procurement is strictly in accordance with the prescribed procedures, and meets the government requirements.
Third, the work tasks continue to carry out in-depth hospital management activities, and establish a sound long-term mechanism for hospital management.
1. Further improve medical quality management and ensure medical safety.
Continue to carry out in-depth hospital management activities to improve medical quality, ensure medical safety, and improve medical services. The first is to further improve the approval system for new projects and new technologies. With the enhancement of the awareness of innovation, various professional departments have applied for new projects and new technologies, and in order to ensure medical safety, the new technology and new project application and approval system will be further improved. The second is to further improve the acceptance, resolution and handling procedures for medical complaints and medical disputes, so that the hospital staff can learn from them and avoid similar problems. It is proposed to establish a responsibility system for medical safety objectives at the hospital and department levels, so that all departments and medical personnel at all levels are responsible for medical safety at all levels. The responsibility system includes safety responsibility objectives, safeguard measures to achieve goals, inspection and assessment methods, incentive and punishment incentive mechanisms. and many more. In addition, it is proposed to implement the management of medical accidents. The third is to establish and improve the application system for electronic medical documents, standardize the writing and preservation of electronic medical records and electronic medical records, and ensure the legality of electronic medical documents. The fourth is to strengthen the supervision of quality and safety, supervise the implementation of the core medical system, analyze the main problems in the operation of medical quality at one stage, and formulate and implement quality continuous improvement programs in a targeted manner to eliminate or reduce medical accidents. As the head of the quality management team of the department, the director of the department is responsible for the medical quality of the department, urges the quality control personnel to perform the relevant job duties, continue to regularly conduct quality and safety analysis meetings, and continuously improve the quality of the meeting, timely eliminate various medical risks and ensure medical care. Safety. Fifth, continue to do a good job in quality control of single disease types and increase supervision and inspection. The sixth is to promote the pilot work of the clinical pathway. Organize the hospital to learn about clinical pathway management and understand the importance of clinical pathways in medical quality control and performance management. The seventh is to strengthen the quality control of new business, and to develop corresponding quality management practices for newly established departments and new businesses such as icu, cardiac surgery, tumor radiotherapy, etc., and constantly revise various management procedures and workflows, and strengthen Link management,
2. Further improve the quality management of nursing and ensure the safety of nursing work.
First, in conjunction with the actual situation of the hospital, fully implement the “xxxx year patient safety goal” of the Ministry of Health, and continuously investigate the problems existing in the nursing work of our hospital according to the “Main Measures and Application Scope of Implementing the Safety Targets of Patients with xxxx Years”, and further improve the nursing Quality and safety management. The second is to further implement the “Medium-term Evaluation of the Development Plan for Nursing Care in Guangdong Province” and focus on the implementation of the “Top Ten Safety and Quality Objectives of 11 Specialties in Xxxx Province of XX”. The third is to carry out the "Nursing Safety with My Bank---Collecting Nursing Safety Warnings Campaign", focusing on the "patient safety goal" as the core, encouraging the participation of nursing staff, and building a patient safety and quality assurance system as the goal, combined with clinical Nursing practice, collecting nursing safety warnings, award-winning nursing safety warnings, will be posted in a prominent position in the working environment, and regularly replaced to achieve a warning role to better ensure the safety of clinical care work. The fourth is to strengthen the nursing safety management of five special care units such as nicu, blood purification center, operating room, delivery room and emergency department. The Quality Control Section should issue the XX year safety and quality work plan as soon as possible.
3. Further strengthen the training of “three basics and three strictes”. "Three basics and three strictes" is the basis for the development of each health care worker. It is the fundamental guarantee for improving the quality of medical care and ensuring medical safety. It is necessary to put the training and assessment of "three basics and three strictes" at an important position, science and education, clinical departments. It is necessary to have corresponding responsibilities and strengthen the responsibility of the department director. The examination can not only focus on the form, but on the actual situation. The science and education department and the nursing department must, in accordance with the requirements of the hospital management year, formulate the “three basics and three strict” training and assessment plans for XX years and supervise and urge the inspections to be implemented at the same time, and include the content of the year-end evaluation and promotion promotion.
4. Further strengthen the work of pharmacy, standardize the rational use of drugs, and ensure the safety of drug use.
The first is to strengthen the management of pharmacy work. We will conscientiously implement the Drug Administration Law, the Interim Provisions on the Administration of Pharmaceutical Affairs in Medical Institutions, and the Prescription Management Measures and related laws and regulations. The second is to further strengthen the supervision of clinical drugs. Including the continuation of the prescription review publicity system, the implementation of dynamic monitoring of drug use, the implementation of drug classification management system, the strengthening of clinical application management of hospital antibiotics and the technical intervention and administrative intervention of rational drug use, etc., based on the results of drug management obtained last year. Further strengthen the management of pharmaceuticals, increase the investigation and punishment of large prescriptions, and strengthen the punishment for irrational use of drugs. The director of the department is the first responsible person of rational drug use, strictly implement the Guiding Principles for Clinical Application of Antibacterial Drugs, and focus on implementation. Hierarchical management of antibiotics, prevention of drug abuse, and large prescriptions. The third is to strengthen the discipline construction of clinical pharmacy. According to the overall planning requirements for the construction of tertiary hospitals, the clinical pharmacy discipline is a necessary discipline for hospital development, and this year will vigorously promote the clinical pharmacy work of our hospital.
Further promote the construction of industry style and comprehensively improve the level of medical services.
1. Further promote the construction of industry style and the creation of the “Youth Civilization” campaign. Strengthening ideological and professional ethics education, so that the cadres and workers of the whole hospital can ideologically recognize the importance and urgency of improving the quality of medical services; strictly implement the "Several Provisions on Strengthening the Construction of the Work Style of the Industry", and strengthen the handling of medical service complaints; In order to strengthen the management of labor discipline, strengthen the management of labor discipline, in order to prevent the phenomenon of late arrival and early departure, it is proposed to implement the system of commuting to and from work in the logistics of the government; resolutely resist the unhealthy trend in the field of medicine purchase and sale; continue to create "youth" The "Civilization" campaign has created a craze for high-quality services and a new civilization.

2. Strengthen service standardization training and comprehensively improve service quality. "Patient-centered" is to put the interests of patients in the highest position in medical activities, vigorously advocate medical personnel to think in terms of empathy, strictly implement various service norms, and implement various norms to make patients truly feel human nature. Service. This year, we will conduct standardized training on service terms and service behaviors in units of departments, and require implementation according to the code of conduct, and strengthen the assessment. The service inspection team must strengthen supervision and guidance, and give strict supervision to those who are subject to patient complaints on services. deal with.
We will deepen the reform of the personnel distribution system and mobilize the enthusiasm of the work of cadres and workers throughout the hospital.
1. Gradually implement the fixed-term training and compete for posts. In accordance with the relevant regulations of the "Regulations on the Administration of Cadre Appointments", this year's middle-level cadres should be assessed and employed. Starting from the functional departments, they should be employed in accordance with the principle of "setting jobs on demand, competing for posts, and survival of the fittest." In the first half of this year, the functional department cadres will be re-elected, and then the whole staff will be recruited for employment according to the situation, and the personnel will be properly streamlined to prevent people from overstaffing. In terms of personnel assessment management, we must gradually establish an operational mechanism in which personnel can enter and exit, positions can be up and down, treatment can be high and low, personnel structure is reasonable, full of vitality and vitality.
2. Further improve the performance appraisal program. According to the requirements of xx, the units of the public institutions should implement the performance appraisal distribution method. Our institute will further improve the performance appraisal program on the original basis, embodying the principle of re-performance, heavy contribution, and tilting to excellent talents and key positions, with efficiency as the first priority. Fairness, taking the workload, technical content, risk, attendance, service attitude, medical ethics and other factors as the basis for distribution, determine the distribution coefficient of different positions, and increase the inclination to the clinical front line, technical backbone and key positions.
Taking science and technology development as the leader, we will strengthen discipline construction and talent team building.
1. Actively develop new technologies and new projects. This year, we will further increase the incentives for launching new technologies and new projects. To develop rapidly, hospitals must integrate advanced technologies, actively carry out medical scientific research and new technology projects, and promote medical technology innovation in hospitals. We must adopt a combination of imported technology and innovative development. In the process of introduction, we will continue to innovate from the actual situation and use it for me. This year, the Cancer Center will further carry out tumor radiotherapy and interventional therapy on the basis of chemotherapy, and will purchase linear accelerators to continuously improve the tumor center; vigorously carry out the scope of endovascular treatment. The large-scale flat-plate angiography machine is basically in place, and the multi-disciplinary departments such as cardiology, neurosurgery, general surgery, orthopedics, oncology, etc. will expand the scope of endovascular treatment; carry out cardiopulmonary bypass under direct vision; vigorously carry out minimally invasive endoscopic treatment, On the basis of laparoscopic surgery in some departments, the scope of diagnosis and treatment is increased, and minimally invasive treatment is vigorously carried out. It is necessary to create conditions to form a laparoscopic center. Senior professional titles should take the initiative to undertake scientific research tasks. Each person should strive to publish at least one professional paper in the core journals each year. Each intermediate professional title person completes a professional paper at the provincial level or above.
2. Constantly accelerate the pace of discipline construction. All departments should make full use of existing conditions, integrate resources, tap their own potential, give play to the advantages of disciplines, actively create conditions to carry out new business, and seek new economic growth points for the new round of hospital development. This year, we will focus on strengthening the construction of intensive care medicine, oncology centers, and thoracic surgery. We will also strengthen the construction of traditional universities such as general surgery, orthopedics, neurosurgery, neurology, cardiovascular medicine, and pediatrics to encourage technological innovation and new technologies. Launch a platform for delivery.
3. Constantly increase the intensity of personnel training. The core of hospital competition is the competition of disciplines, and the essence of discipline competition is the competition of talents. The cultivation of talents is the foundation of the development of disciplines. Only by attaching importance to personnel training and echelon construction can the advantages of disciplines be formed. Continue to select the backbone of the discipline and the outstanding doctors of the senior college to further study and develop according to the needs of the development of the discipline, standardize the cultivation and management of the outstanding talents with the promising future, and provide opportunities for full play to enable creative talents to stand out. At the same time, we will actively introduce highly educated professionals, increase cohesiveness internally, enhance external appeal, and increase personnel training. This year, we will increase investment in talent cultivation.
4. Strengthen exchanges and cooperation with higher-level hospitals. First, we must strengthen contact with superior counterpart hospitals. Our hospital is the counterpart support unit of Sun Yat-sen University Cancer Hospital and Affiliated Stomatological Hospital. Relevant departments should take the initiative to contact and continue to carry out assistance projects. Second, strengthen and teach. Strengthen the communication and cooperation between the medical colleges and their affiliated hospitals, the higher-level hospitals that have established good cooperative relations, and other brother-city hospitals.
Guided by the cost control of the whole hospital, we will improve financial management and continue to improve employee welfare.
Low cost and high quality are one of the elements of hospital competition and the cornerstone of stable development. After moving into the new hospital, the cost of the hospital has increased greatly, and there are some unnecessary wastes. In order to make the hospital enter a benign and rapid development track, we must do the following work in hospital management: First, we must open up the market and increase the workload. Everyone has to be a salesman in the hospital, publicize the hospital, expand the influence, and constantly open up the market. The second is to increase revenue and reduce expenditure, increase revenue and reduce expenditure, and reduce operating costs. Strengthen financial fund management, improve internal auditing, auditing system and various financial management systems, strengthen logistics management, do a good job in logistics support, and further standardize the management of water, electricity and gas; all employees must start from themselves and actively reduce costs. To make cost management become deeply rooted in the hearts of the people; the third is to improve employee welfare. The development of the hospital should be closely linked with the welfare of employees, and continuously improve the welfare of employees to stimulate the enthusiasm of the employees and create better benefits for the hospital.
Taking the “Technology Year, Service Year” activities as a means to comprehensively improve the technical level and service quality.
Since March, the technical year and service year activities have been carried out in the whole hospital. Through business technology competitions, scientific research project evaluation, excellent paper evaluation, new technology competition, medical record quality evaluation, behavioral norm training, youth civilization number creation and other activities, Improve the technical level and service level in an all-round way.
This year, we will also strive to start the construction of the second phase of the new hospital, further improve the infrastructure according to the requirements of the third-grade hospitals; further improve the information system, aim to establish a digital hospital, and improve the speed and data security of the hospital information system; Continue to do a good job in creating a "national health city" to meet the national inspection; further improve the work of veteran cadres and care for the life of retired veteran comrades; take the four-defense safety as the goal, do a good job in logistics support, and further improve the social management of logistics services; We will further focus on the work of planning and childbearing; give full play to the role of civil society, such as workers, youth, and women in the construction and development of hospitals; further improve the tasks assigned by the municipal party committee, the municipal government, and the higher authorities, and To be practical. This year is the most crucial year for hospital development, and the work will be further streamlined to achieve the goal of faster, better and sustainable development of hospitals.