Implementation opinions of the hospital on strengthening the construction of the work style

County Hospital of Traditional Chinese Medicine on strengthening the construction of the wind, comprehensive implementation of the "three reasonable" implementation of the various departments of the hospital:
In order to further strengthen the construction of the hospital industry, we must effectively solve the problem of "difficult medical treatment and expensive medical treatment", work hard to reduce the burden of medical expenses for the people, earnestly safeguard the fundamental interests of the people, and let the people enjoy quality medical treatment at reasonable prices. Health service, through the research of the hospital party branch and the hospital department, decided to fully implement the "reasonable inspection, rational use of drugs, and reasonable fees" in the medical service process. The secretarial tribe originally carried out resolutely corrected the receipt of "red envelopes", drug rebates, and "openings" in medical services. Special treatment of unreasonable winds such as single commissions and arbitrary charges. Minimize the burden on the people and meet the needs of patients at different levels. Now we will strengthen the construction of the work style and fully implement the "three reasonables" to make the following specific arrangements:
I. Guiding ideology to carry out special treatments for correcting unhealthy practices in medical services is a practical action to thoroughly implement the important thinking of "xxxx". We must follow the spirit of being highly responsible to the people and the spirit of seeking truth and being pragmatic, in accordance with the principle of "for the people, pragmatic and honest." "Requirements, adhere to the principle of "covering both the symptoms and the root causes, comprehensive management, punishing and preventing, and paying attention to prevention", strengthen education, improve the system, strengthen supervision, increase efforts, and resolutely correct the receipt of "red envelopes", drug rebates, and "openings" in medical services. Unreasonable winds such as “single commission” and arbitrary charges will safeguard the fundamental interests of the people and promote the healthy development of the hospital.
Second, the target task through the full implementation of "reasonable inspection, rational use of drugs, reasonable fees" in the medical service process, carry out resolutely correct the receipt of "red envelopes" in medical services, drug rebates, "billing commission", unreasonable charges, etc. Special governance work to achieve one goal and complete two tasks.
One goal: to effectively curb unhealthy trends and prevent the acceptance of "red envelopes", drug rebates, "billing commissions", and arbitrary charges. Full implementation of "reasonable inspection, rational use of drugs, reasonable fees." Focusing on the "three rationals", we will add measures to effectively solve the problem of "difficult medical treatment and expensive medical treatment", work hard to alleviate the burden of medical expenses for the people, earnestly safeguard the fundamental interests of the people, and let the people enjoy quality and prices. Reasonable medical and health services contribute to the promotion of social stability and the construction of “harmonious Anxian County”.
Two tasks:
Strengthen medical ethics education, promote integrity, and advocate advanced. Establish and improve the long-term management mechanism of education, system, supervision, and punishment, and strengthen the medical ethics education of medical staff, standardize the behavior of clean and honest medical practice, improve the charging behavior of medical services, the list of hospitalization expenses, and the list of outpatient drug prices. Investigating and dealing with the unhealthy trend that harms the interests of the people, the "opening of the bill", the acceptance of the patient's "red envelope" and other issues have been effectively resolved, striving for the evaluation of the advanced collective.
Establish and improve the management system. It includes the responsibility system of the responsible persons at the two levels of the hospital and the department, the evaluation system of the department, the assessment of medical personnel, the incentive system, the disciplinary system, and the social supervision system, which form a comprehensive supervision mechanism for hospitals and the public.
Third, the governance measures to strengthen the construction of the work style and the "three reasonable" implementation of organizational leadership.
"Three Reasons" is one of the important contents of our hospital's work style construction this year. The construction work of the hospital is organized and coordinated by the Leading Group for the Construction of the Wind. Leaders at the two levels of the hospital and department should raise awareness of the importance of construction and "three reasonable" implementation. It is necessary to assume the responsibility of grasping the business work, but also to assume the responsibility of building medical ethics and medical ethics, and earnestly strengthen leadership and achieve results.
1. Adjusting and enriching the hospital's work style construction leading group: The decision was made by Dean Zou Xinggui as the leader, Zhang Jiayu, Xiang Weimin as the deputy leader, Zheng Surong, Wang Yongke, Xie Guoan, Tan Wei, Jian Ming'an, Xu Fayong, Li Huacheng and Liu Wei. The Leading Group for the Construction of the Wind is responsible for improving the various management systems for hospital construction, guiding, inspecting and supervising the construction of various disciplines and the implementation of “three reasonables” and evaluating the results, listening to the opinions of the independent inspectors and in accordance with relevant The decision is made to make rewards and punishments.
2. Establish three inspector groups with independent functions, and be directly responsible to the hospital's work style construction leading group and the dean. The inspection team supervised the medication, inspection and charges of each department, and gradually formed a complete system of inner-party supervision, administrative supervision and democratic supervision.
Reasonable medication inspector group:
Team leader: Wang Yongke members: Xie Guoan, Li Jianhua, Jia Yongqiang, Jian Jian, Zhang Shunyin, Zhang Xinglin, Responsibilities: Guidance, inspection and evaluation of drug use in the department; ruling on controversial drug use cases in the hospital; suggestions for rectification of irrational drugs and construction of hospitals The leadership team and the in charge of the dean proposed to deal with the proposal.
Reasonable inspection of the inspection team:
Team leader: Liu Wei member: Tan Wei Tu Bin Ren Mingqi Xu Fayong Li Huacheng Li Fengfu Responsibilities: Guide, inspect and evaluate the clinical examination of the department; arbitrate the controversial clinical examination cases of the hospital; propose rectification opinions to the hospital for unreasonable examinations The Wind Construction Leading Group and the Incumbent Dean proposed treatment.
Reasonable Charges Inspector Group:
Team leader: Jian Ming'an members: Zheng Surong, Yang Xiaomin, Yang Xiaolan, Wang Di, Chen Hong, Lai Xiuming, Responsibilities: to guide, inspect and evaluate the charge of the department; to decide on the disputed charges of the hospital; to propose rectification of the unreasonable charges and to the hospital The Wind Construction Leading Group and the Incumbent Dean proposed treatment.
Strengthen vocational education and vigorously promote integrity.
Strengthen professional ethics, professional discipline, professional responsibility and fine traditional style of education. Firmly establish the service concept of “the people's interests are no small matter” and “warm patients, quality service”, and create a strong drug rebate, “billing commission”, rejection of “red envelopes” and prohibiting arbitrary charges and implementing “three reasonable”. Atmosphere. To respect the patient, care for the patient, serve the patient, and safeguard the patient's rights and interests has become the conscious action of the medical staff of our hospital, and win the trust of the people with practical actions.
Identify all disciplines and requirements.
All departments should carefully organize department staff to discuss and discuss the industry disciplines and regulations promulgated by the Ministry of Health and the Provincial Health Department, in order to further clarify the regulations of the Provincial Health Department on stopping the receipt of “red envelopes” and reimbursement of medical personnel, and reaffirming and clarifying the health industry. ~ Quasi" and hospitals "ten inaccurate" and other regulations, policy boundaries and discipline requirements, always keep a clear head, and never violate the rules and regulations.
Strengthen management and improve various systems and regulatory measures.
1. Adhere to prevention

The principle of treating the Lord and treating the symptoms. In-depth analysis of the causes of unhealthy practices in medical services, improve relevant management systems, establish a reasonable operating mechanism, and take preventive measures to eliminate the unhealthy winds to breed the soil, establish a long-term mechanism for rectifying the wind, and strengthen the responsibility for construction work. The establishment of the department head and the head nurse to grasp the department management and the one-handed construction of the "one post and double responsibility" system, to improve and improve the assessment of the target responsibility system of the hospital and department leadership, strengthen the construction of medical ethics, standardize medical behavior and implementation "Three Reasons" is an important responsibility of leaders and middle-level cadres.
2. Strengthen the construction of management system. In accordance with laws, regulations and policies, improve the medical quality management system, personnel distribution system, financial management system and responsibility reward and punishment system, and constrain and standardize the practice of medical personnel.
3. Strengthen the quality management of medical services. The medical department, the nursing department, and the outpatient department must strengthen the supervision of medical quality. The medical department should do a good job in checking and reviewing the quality of medical records, conscientiously implementing various systems of medical services, fully respecting patients' right to know and choose, and strengthening communication between doctors and patients. Each department should inform the patient about the treatment plan and related expenses in advance, and increase the “transparency”. Establish a clinical drug guidance, hierarchical management system for the use of antibacterial and anti-tumor drugs. We will continue to carry out a large-scale medical record evaluation system. Each quarter, we randomly select more than 6 medical records from the medical record room last month. The supervisory group focuses on medical quality, mainly analyzing, evaluating and evaluating the three aspects of reasonable treatment, reasonable examination and rational drug use. The nursing department should cooperate with the medical work and do a good job of the “three basics” training of nursing staff to ensure that the quality of care can meet the requirements of treatment and satisfy patients. The outpatient department should organize a good medical treatment process, and the patient chooses a doctor and other work to maximize the convenience of the patient and serve the patient well. Create a medical environment that will make patients safe and secure.
4. Strengthen the management and supervision of centralized bidding and procurement of drugs. Seriously do a good job in confirming the drug candidate varieties in our hospital, and strictly regulate the procurement of non-standard drugs. Special inspections are often carried out on the procurement and use of antibiotics and anti-tumor drugs.
5. Strengthen supervision over the charges for medical services. The inspection contents include: self-supporting projects, self-determined standard charges; decomposing projects, repeated charges; cancelled projects continue to charge; not charged according to standard pricing units; not counting the actual service quantity; selling drugs exceeding the government's maximum retail price; Confusing the quality level and specifications of medicines, increasing the price of medicines in disguise; bidding for the purchase of medicines is not sold according to the relevant provisions of the state; medical consumables are shoddy, raising charges; medical consumables are not subject to the increase in the proportion of the price. Departments and individuals who have problems should be dealt with seriously. Strengthen the management of fees, regularly study and solve problems in price management, establish a system of accountability, implement measures for the handling of complaints, and increase supervision.
6. Improve the medical information disclosure system. Formulate effective preventive measures to protect the rights and interests of patients, improve the doctor-patient agreement, informed consent, surgery and anesthesia consent and hospitalization fee list, medical charges and drug price disclosure system and inquiry system, patiently answer patient questions, enhance Transparency in medical services and drug charges. Through the hospital's "electronic display", "touch screen inquiry system", "inpatient instructions" and other forms and medical personnel to promote the discipline of discipline and discipline to patients and society, consciously accept the supervision of patients and society. Actively use the symposium and questionnaires to solicit opinions from patients on medical ethics, accept complaints from patients and the public, and promptly check and handle them.
Increase supervision and investigation.
The hospital sets up a report box, reports a phone call, and accepts reports from the public. The hospital office and the audit supervision office are responsible for verifying and handling the reports of the people. For those who provide evidence and are verified to be true, they will be rewarded according to the relevant regulations of the hospital. For medical personnel to use their powers and work, they will receive disciplinary actions such as "red envelopes", drug rebates, and billing commissions. Once verified, they will be in accordance with the provisions of Article 37 of the Law on Practicing Physicians of the People's Republic of China and the relevant provisions of the Provincial Health Department. , ordered to suspend practice activities; repeat offenders, revoke their practice certificates.
Strictly correct the accountability system.
In accordance with the principle of “who is in charge and who is responsible”, we will increase the investigation of responsibility for rectifying the wind, ensure the implementation of various governance measures and receive practical results. Medical personnel are subject to disciplinary violations and continue to accept unhealthy trends such as “red envelopes”, drug rebates, “billing of commissions”, and arbitrary charges. If they cause adverse social impacts, they will be punished according to the seriousness of the circumstances and be held accountable. The work of rectifying the wind is weak, the supervision and management is not strict, the people react strongly, or the people's complaints are not carefully checked. If they are not seriously dealt with, the relevant responsible persons shall be held accountable.
IV. Specific Arrangements According to the deployment of the Party Committee of the Health Bureau, the following steps will be taken in the construction of the Institute's work style and the implementation of “three reasonables”:
Study and education stage.
From April to May, the department and various departments organized staff to seriously study the deployment and requirements of the party and the state to correct the unhealthy medical service. Conduct professional ethics, professional responsibilities, professional discipline and fine traditional education, organize a "people-oriented, patient-centered" discussion and "sentimental patients, quality service" activities, learn relevant laws, regulations and policies, so that each employee Establish a "patient-centered" service awareness, keep in mind the requirements of the "Quality Service for Warm Patients" campaign, and form an atmosphere that emphasizes the construction of the wind in the hospital.
Carry out self-examination and self-correction.
In June, all departments should conduct self-examination and self-correction in various ways according to the implementation of the “three reasonable” implementation opinions and requirements. According to the health industry "~ quasi", the hospital's "ten inaccurate" and service commitments, check the integrity of self-discipline, whether it accepts red envelopes, rebates, billing commissions, etc.; check economic discipline, whether there are departments, such as the name of the charges Check the hospital, the department is open, whether it is medical service projects, the fees are open, standardized, convenient for patients, etc.; check professional ethics, whether there are random drugs, open prescriptions, excessive inspections, etc.; check the quality of service, whether there are raw, cold , hard, push and other phenomena; check words and deeds, whether to practice medicine in a civilized manner, politeness and other issues. For problems that have been detected, they shall be handled in accordance with relevant regulations, and at the same time, practical improvement measures shall be formulated. The self-inspection and self-revision and rectification opinions were submitted to the leading group for the construction of the work style before July 20.
Accepted unannounced visits.
From July to September, the hospital will invite relevant people's congresses, CPPCC members, market supervisors, and news organization representatives to conduct unannounced visits to the special treatment of each hospital, and announce the inspection results to the public. Our hospital should take active actions and accept inspections with the actual achievements of the construction of the wind and the implementation of the "three reasonable" work.
Summary and improvement.
The hospital reported the construction of the work style to the Party Committee of the Health Bureau according to the stage, and comprehensively implemented the progress of the "three reasonable" work. Each department will summarize the self-examination and self-correction of special governance every quarter, rectify and improve the existing problems and form written materials to submit to the hospital construction team and hospital office at the end of each quarter. The hospital's work style construction leading group reports to the health bureau party committee.
April 30, 2005