Main points of grassroots health and maternal and child health care
In 2019, the grassroots health and maternal and child health work in our city was guided by the important thinking of "three represents", fully implemented the scientific development concept, and conscientiously implemented the health work policy in the new era. The general idea is to highlight "one key point" and do a good job. Four tasks "to achieve "one goal." That is to focus on promoting and improving the new rural cooperative medical system; strengthening the connotation construction of township hospitals , consolidating and improving the standardized management level of village clinics , accelerating urban community health service pilots and standardizing maternal and child health care work; Out of the village, the general disease does not go out of the hospital , to alleviate the people's "difficult to see a doctor, expensive to see a doctor" as the main goal and fundamental tasks, and strive to compete for individual work, the overall level of work, promote the city's primary health and maternal and child health work to the new Taiwan Order.
I. Actively promote rural health work and thoroughly implement the spirit of the Provincial Party Committee and the Provincial Government's "Decision on Further Strengthening Rural Health Work", vigorously implement farmers' health projects, deepen rural health reform, and accelerate the construction of a new rural cooperative medical care system. Strengthen the construction of rural health service system, improve the capacity of rural health services, and further improve the overall level of rural health work.
Focus on the pilot work of the new rural cooperative medical care system, conscientiously implement the spirit of the national and provincial new rural cooperative medical care pilot work conference, increase efforts, strengthen research, strengthen supervision and evaluation, summarize and promote advanced experience, implement classified management, and seriously solve the problem during the pilot process. The outstanding problems, improve relevant supporting policies and measures, and improve the quality and level of work.
1. Do a good job in the full coverage of the new rural cooperatives in XX. Peony District, Shan County, Dingtao and Dongming should actively explore the financing mechanism, compensation mechanism, supervision mechanism and cost control mechanism of the new rural cooperative medical care, and strive to make breakthroughs; Yucheng, Cao County, Chengwu, Yucheng, Ju The five counties should do a good job of mobilizing and launching, do a good job in baseline surveys, formulate specific implementation plans, and improve various systems to ensure that high standards and high starting points are smoothly launched according to provincial requirements. The plans for the addition of five provincial pilot counties in XX will be reviewed one by one to guide the pilot counties to improve the pilot program. The participation rate of the four pilot counties before XX reached more than 90%, and the participation rate of newly added pilot counties reached over 80%.
2. Establish a work incentive mechanism and implement classified management. We will improve the publicity system for the work of provincial pilot counties. The city will publicize the operation status and relevant information of the cooperative medical care of each county once a month, and urge all counties and districts to operate in accordance with the implementation plan. Establish a supervision and evaluation system, the city conducts random random inspections, and implements key tracking management in counties where work is weak, farmers have less benefits, and people have high opinions.
3. Strengthen the management of designated medical institutions for rural cooperative medical care and strictly control the unreasonable growth of medical expenses. According to the "Provisional Regulations on the Administration of Fixed Medical Organizations in Shandong Province", the management opinions of the city will be formulated, and the classification and dynamic management system for designated medical institutions will be established. Before the end of June, the application, acceptance, publicity, signing agreement and listing of designated medical institutions will be completed, and management files will be established for all designated medical institutions. Formulate the Catalogue of Essential Drugs for New Rural Cooperative Medical Care in Heze City, Catalogue of New Rural Cooperative Medical Treatment Projects in Heze City, and Opinions on Strengthening the Management of Fixed-point Medical Organizations in Rural and Rural Cooperative Medical Care, and the highest number of commonly used drugs in all counties The price limit and the limit price limit of not less than 10 single diseases shall be reported to the Municipal Bureau for the record, comprehensive measures shall be taken to strengthen the standardized management of the service activities of the designated medical institutions of the new rural cooperative medical system, and the service charges for the new rural cooperative medical institutions shall be established and improved. The service behavior supervision mechanism carefully summarizes and promotes the experience and practices of the counties in controlling medical expenses, and strives to reduce the medical expenses of farmers.
4. Strengthen the management of cooperative medical care and the management of institutions, and improve management capabilities and levels. Do a good job in the preparation of a new type of rural cooperative medical management organization. Supervise and urge all counties to improve the construction of the handling agencies, implement staffing and work expenses, and strengthen staffing. Strengthen guidance, timely discover and solve new situations and new problems, hold seminars on different topics, and strengthen classified guidance and experience exchange. Give full play to the role of the city's new rural cooperative medical expert guidance group, enrich the adjustment members, organize training courses for the classification and management of management and management personnel, organize a citywide new rural cooperative medical knowledge examination, and conscientiously implement Lu Zheng Office [XX] 96 No. file, strictly implement the policies and disciplines related to the pilot work of the new rural cooperative medical system, strengthen fund supervision, ensure the safety of the fund, and seriously investigate and punish violations.
5. Do a good job in the construction and monitoring of cooperative medical information systems. Do a good job in the construction and use of the city-level new rural cooperative network information platform. Before the end of June, all the data of the provincial pilot counties will be directly reported online. All counties establish and improve the new rural cooperative medical information network. All the designated medical institutions at all levels implement online audit, on-site settlement, simplify the treatment and reimbursement procedures, facilitate the participation of farmers, strengthen the management of new rural cooperative medical information, and improve the information of the new rural cooperative medical system. The statistical system, set up a new rural cooperative monitoring system, timely understand the pilot operation, and provide a scientific basis for policy adjustment and decision-making.
6. Conduct a systematic evaluation of the pilot work of the new rural cooperative medical system. According to the evaluation index system of the new rural cooperative medical system formulated by the province, the evaluation of the pilot work of the new rural cooperative medical system was organized at the end of the year. Guide the counties to continuously summarize and improve the pilot program and standardize the operational mechanism.
7. Improve the fund compensation method and improve the farmers' ability to resist major diseases. All districts and counties should timely adjust the implementation opinions and relevant regulations of the new rural cooperative medical care, scientifically and reasonably determine the scope of compensation, compensation standards and compensation methods, and determine the deductible line, capping line and subsidy ratio for large or inpatient medical expenses subsidies. Formulate effective measures to control medical expenses, strive to improve the level of farmers' protection, so that farmers can really benefit, adjust the program to the Health Bureau for filing, and when the conditions are ripe, formulate a unified reimbursement plan for the city to break the current situation of one county and one program.
[Recommended reading]
2019 Health Work Plan 2019 Patriotic Health Work Summary Health and Epidemic Prevention Station First Half Year Work Summary 2010-2011 School Year Last School School Health Work Summary 2019 Factory Annual Health Activity Month Summary 2019 Kindergarten Creation Work Summary 2019 Blood Prevention Office Summary of schistosomiasis work 2019 community health service work summary
Go to the Health Work Summary section to see more >>
8. Increase the propaganda of the new rural cooperative medical system and strive to establish the image of the government. Make full use of the city's TV stations, radio stations, newspapers and other news media, and do a good job in the publicity of the new rural cooperatives in the city. Each county and district will report to the city news media every month.
(2) Deepen rural health reform, strengthen the function of rural health service system, deepen rural health reform with emphasis on township health centers , strengthen personnel training, improve rural health management, strengthen rural health service system, and improve rural health service capacity.
1. Study and formulate opinions on strengthening rural health work in our city, and strive for the municipal government to issue relevant policies, and put forward clear requirements for township health centers to classify county-level management, rural public health, new-type cooperative medical care, and rural health system reform.
2. Carry out training on rural health management capabilities. Organize the implementation of management knowledge training for the president of township hospitals , and improve the professional quality, legal awareness and management level of the president of township hospitals .
3. Promote the reform of the internal personnel distribution system in township hospitals . According to the overall requirements and deployment of the reform of public institutions, the city will promote the experience and practices of publicly selecting and hiring township health chiefs, invigorating the internal distribution of township hospitals , enriching the technical strength of township hospitals , and enhancing the internal development vitality of township hospitals .
4. Strengthen the connotation construction of township hospitals and improve their comprehensive service capabilities. We will carry out the activities of establishing standardized township hospitals . In XX, we will select 50 township health centers to do a good job in creating pilot projects and accept them at the end of the year.
5. Give full play to the role of township health centers in the hub of rural health service network centers, strengthen the management and guidance of township health centers on village clinics , do a good job in serving village clinics , and properly handle township hospitals and village doctors. The relationship between the two countries protects the legitimate rights and enthusiasm of rural doctors and stabilizes the team of rural doctors.
6. Consolidate and improve the results of standardized construction of village clinics , build a “network bottom” of tertiary rural health services, and strive to achieve the goal of farmers not getting out of the village. The campaign to create a “farmers' satisfaction with the village clinic ” was launched. In XX, 1,000 “farmers satisfied with the village clinic ” were created.
7. Strengthen the management of rural doctors. Inspect the implementation of the Regulations on the Administration of Rural Doctors in all counties and districts, improve the supporting measures for the registration of rural doctors' practice, and strengthen the management of the practice certificates. In the year of XX, 12,461 village doctors in the city shall establish their management files for Standardize the management of rural doctors to provide basic information, the archives management content city bureau will formulate specific management measures, this year to do a two-year rural doctor practice assessment registration, improve the quality of rural doctors.
Second, carry out the pilot work of urban community health services, take the development of community health services as the top priority of urban health work, and solve the problem of people's difficult medical treatment and expensive medical treatment, and conscientiously implement the central and provincial development of urban community health services. The spirit of the archives, increase the intensity of work, clarify the planning objectives, improve policy measures, improve the operational mechanism, grasp the current favorable policies for community health services, do a good job in the pilot of community health services in the city, and strive to achieve "small diseases in the community, serious illnesses The goal of the hospital.
1. Implement the archives spirit of the central and provincial urban community health work. In accordance with the executive meeting of the State Council and the requirements of the province for the development of urban community health work, the implementation of the recommendations, reported to the city government to convene the city's urban community health work conference, the deployment of community health work.
2. Establish a leadership coordination mechanism for urban community health work. Reported to the municipal government to adjust the urban community health service work leading group, clarify responsibilities, strengthen department coordination and cooperation, and jointly do community health work.
3. Develop and improve urban community health policy measures. In the name of the municipal government, the "Guiding Opinions on Vigorously Developing Urban Community Health Services" was formulated, and relevant supporting files were researched and developed to provide policy support for community health work and to continuously improve the operation mechanism of community health services. According to the community construction situation of our city, comprehensively consider the population distribution of the community, the health needs of residents and the utilization of health resources, study and formulate the urban community health service development plan, the urban community health setting plan of Heze City, and determine the regional step-by-step work objectives.
4. Accelerate the establishment and improvement of urban community health service network. With the goal of improving the accessibility of public health and basic medical services for residents, we will adhere to the government's leadership and organize community health institutions. Increase the adjustment of urban health resources institutions, promote the flow of health resources to the community, and promote grassroots public medical institutions or medical institutions affiliated to state-owned enterprises and institutions to become community health service institutions through transformation and transformation, encourage social forces to participate, and accelerate the construction of community health service centers. Pilot, build a new urban health service system based on community health services.
5. Establish a community health service supervision, evaluation and assessment mechanism. Formulate community health service evaluation and assessment index system, establish a work scheduling supervision system, and strengthen monitoring and evaluation.
6. Improve the information network. Community Health Service Center should establish a community resident electronic health file system [recommended reading]
2019 Health Work Plan 2019 Patriotic Health Work Summary Health and Epidemic Prevention Station First Half Year Work Summary 2010-2011 School Year Last School School Health Work Summary 2019 Factory Annual Health Activity Month Summary 2019 Kindergarten Creation Work Summary 2019 Blood Prevention Office Summary of schistosomiasis work 2019 community health service work summary
Go to the Health Work Summary section to see more >>
I. Actively promote rural health work and thoroughly implement the spirit of the Provincial Party Committee and the Provincial Government's "Decision on Further Strengthening Rural Health Work", vigorously implement farmers' health projects, deepen rural health reform, and accelerate the construction of a new rural cooperative medical care system. Strengthen the construction of rural health service system, improve the capacity of rural health services, and further improve the overall level of rural health work.
Focus on the pilot work of the new rural cooperative medical care system, conscientiously implement the spirit of the national and provincial new rural cooperative medical care pilot work conference, increase efforts, strengthen research, strengthen supervision and evaluation, summarize and promote advanced experience, implement classified management, and seriously solve the problem during the pilot process. The outstanding problems, improve relevant supporting policies and measures, and improve the quality and level of work.
1. Do a good job in the full coverage of the new rural cooperatives in XX. Peony District, Shan County, Dingtao and Dongming should actively explore the financing mechanism, compensation mechanism, supervision mechanism and cost control mechanism of the new rural cooperative medical care, and strive to make breakthroughs; Yucheng, Cao County, Chengwu, Yucheng, Ju The five counties should do a good job of mobilizing and launching, do a good job in baseline surveys, formulate specific implementation plans, and improve various systems to ensure that high standards and high starting points are smoothly launched according to provincial requirements. The plans for the addition of five provincial pilot counties in XX will be reviewed one by one to guide the pilot counties to improve the pilot program. The participation rate of the four pilot counties before XX reached more than 90%, and the participation rate of newly added pilot counties reached over 80%.
2. Establish a work incentive mechanism and implement classified management. We will improve the publicity system for the work of provincial pilot counties. The city will publicize the operation status and relevant information of the cooperative medical care of each county once a month, and urge all counties and districts to operate in accordance with the implementation plan. Establish a supervision and evaluation system, the city conducts random random inspections, and implements key tracking management in counties where work is weak, farmers have less benefits, and people have high opinions.
3. Strengthen the management of designated medical institutions for rural cooperative medical care and strictly control the unreasonable growth of medical expenses. According to the "Provisional Regulations on the Administration of Fixed Medical Organizations in Shandong Province", the management opinions of the city will be formulated, and the classification and dynamic management system for designated medical institutions will be established. Before the end of June, the application, acceptance, publicity, signing agreement and listing of designated medical institutions will be completed, and management files will be established for all designated medical institutions. Formulate the Catalogue of Essential Drugs for New Rural Cooperative Medical Care in Heze City, Catalogue of New Rural Cooperative Medical Treatment Projects in Heze City, and Opinions on Strengthening the Management of Fixed-point Medical Organizations in Rural and Rural Cooperative Medical Care, and the highest number of commonly used drugs in all counties The price limit and the limit price limit of not less than 10 single diseases shall be reported to the Municipal Bureau for the record, comprehensive measures shall be taken to strengthen the standardized management of the service activities of the designated medical institutions of the new rural cooperative medical system, and the service charges for the new rural cooperative medical institutions shall be established and improved. The service behavior supervision mechanism carefully summarizes and promotes the experience and practices of the counties in controlling medical expenses, and strives to reduce the medical expenses of farmers.
4. Strengthen the management of cooperative medical care and the management of institutions, and improve management capabilities and levels. Do a good job in the preparation of a new type of rural cooperative medical management organization. Supervise and urge all counties to improve the construction of the handling agencies, implement staffing and work expenses, and strengthen staffing. Strengthen guidance, timely discover and solve new situations and new problems, hold seminars on different topics, and strengthen classified guidance and experience exchange. Give full play to the role of the city's new rural cooperative medical expert guidance group, enrich the adjustment members, organize training courses for the classification and management of management and management personnel, organize a citywide new rural cooperative medical knowledge examination, and conscientiously implement Lu Zheng Office [XX] 96 No. file, strictly implement the policies and disciplines related to the pilot work of the new rural cooperative medical system, strengthen fund supervision, ensure the safety of the fund, and seriously investigate and punish violations.
5. Do a good job in the construction and monitoring of cooperative medical information systems. Do a good job in the construction and use of the city-level new rural cooperative network information platform. Before the end of June, all the data of the provincial pilot counties will be directly reported online. All counties establish and improve the new rural cooperative medical information network. All the designated medical institutions at all levels implement online audit, on-site settlement, simplify the treatment and reimbursement procedures, facilitate the participation of farmers, strengthen the management of new rural cooperative medical information, and improve the information of the new rural cooperative medical system. The statistical system, set up a new rural cooperative monitoring system, timely understand the pilot operation, and provide a scientific basis for policy adjustment and decision-making.
6. Conduct a systematic evaluation of the pilot work of the new rural cooperative medical system. According to the evaluation index system of the new rural cooperative medical system formulated by the province, the evaluation of the pilot work of the new rural cooperative medical system was organized at the end of the year. Guide the counties to continuously summarize and improve the pilot program and standardize the operational mechanism.
7. Improve the fund compensation method and improve the farmers' ability to resist major diseases. All districts and counties should timely adjust the implementation opinions and relevant regulations of the new rural cooperative medical care, scientifically and reasonably determine the scope of compensation, compensation standards and compensation methods, and determine the deductible line, capping line and subsidy ratio for large or inpatient medical expenses subsidies. Formulate effective measures to control medical expenses, strive to improve the level of farmers' protection, so that farmers can really benefit, adjust the program to the Health Bureau for filing, and when the conditions are ripe, formulate a unified reimbursement plan for the city to break the current situation of one county and one program.
[Recommended reading]
2019 Health Work Plan 2019 Patriotic Health Work Summary Health and Epidemic Prevention Station First Half Year Work Summary 2010-2011 School Year Last School School Health Work Summary 2019 Factory Annual Health Activity Month Summary 2019 Kindergarten Creation Work Summary 2019 Blood Prevention Office Summary of schistosomiasis work 2019 community health service work summary
Go to the Health Work Summary section to see more >>
8. Increase the propaganda of the new rural cooperative medical system and strive to establish the image of the government. Make full use of the city's TV stations, radio stations, newspapers and other news media, and do a good job in the publicity of the new rural cooperatives in the city. Each county and district will report to the city news media every month.
(2) Deepen rural health reform, strengthen the function of rural health service system, deepen rural health reform with emphasis on township health centers , strengthen personnel training, improve rural health management, strengthen rural health service system, and improve rural health service capacity.
1. Study and formulate opinions on strengthening rural health work in our city, and strive for the municipal government to issue relevant policies, and put forward clear requirements for township health centers to classify county-level management, rural public health, new-type cooperative medical care, and rural health system reform.
2. Carry out training on rural health management capabilities. Organize the implementation of management knowledge training for the president of township hospitals , and improve the professional quality, legal awareness and management level of the president of township hospitals .
3. Promote the reform of the internal personnel distribution system in township hospitals . According to the overall requirements and deployment of the reform of public institutions, the city will promote the experience and practices of publicly selecting and hiring township health chiefs, invigorating the internal distribution of township hospitals , enriching the technical strength of township hospitals , and enhancing the internal development vitality of township hospitals .
4. Strengthen the connotation construction of township hospitals and improve their comprehensive service capabilities. We will carry out the activities of establishing standardized township hospitals . In XX, we will select 50 township health centers to do a good job in creating pilot projects and accept them at the end of the year.
5. Give full play to the role of township health centers in the hub of rural health service network centers, strengthen the management and guidance of township health centers on village clinics , do a good job in serving village clinics , and properly handle township hospitals and village doctors. The relationship between the two countries protects the legitimate rights and enthusiasm of rural doctors and stabilizes the team of rural doctors.
6. Consolidate and improve the results of standardized construction of village clinics , build a “network bottom” of tertiary rural health services, and strive to achieve the goal of farmers not getting out of the village. The campaign to create a “farmers' satisfaction with the village clinic ” was launched. In XX, 1,000 “farmers satisfied with the village clinic ” were created.
7. Strengthen the management of rural doctors. Inspect the implementation of the Regulations on the Administration of Rural Doctors in all counties and districts, improve the supporting measures for the registration of rural doctors' practice, and strengthen the management of the practice certificates. In the year of XX, 12,461 village doctors in the city shall establish their management files for Standardize the management of rural doctors to provide basic information, the archives management content city bureau will formulate specific management measures, this year to do a two-year rural doctor practice assessment registration, improve the quality of rural doctors.
Second, carry out the pilot work of urban community health services, take the development of community health services as the top priority of urban health work, and solve the problem of people's difficult medical treatment and expensive medical treatment, and conscientiously implement the central and provincial development of urban community health services. The spirit of the archives, increase the intensity of work, clarify the planning objectives, improve policy measures, improve the operational mechanism, grasp the current favorable policies for community health services, do a good job in the pilot of community health services in the city, and strive to achieve "small diseases in the community, serious illnesses The goal of the hospital.
1. Implement the archives spirit of the central and provincial urban community health work. In accordance with the executive meeting of the State Council and the requirements of the province for the development of urban community health work, the implementation of the recommendations, reported to the city government to convene the city's urban community health work conference, the deployment of community health work.
2. Establish a leadership coordination mechanism for urban community health work. Reported to the municipal government to adjust the urban community health service work leading group, clarify responsibilities, strengthen department coordination and cooperation, and jointly do community health work.
3. Develop and improve urban community health policy measures. In the name of the municipal government, the "Guiding Opinions on Vigorously Developing Urban Community Health Services" was formulated, and relevant supporting files were researched and developed to provide policy support for community health work and to continuously improve the operation mechanism of community health services. According to the community construction situation of our city, comprehensively consider the population distribution of the community, the health needs of residents and the utilization of health resources, study and formulate the urban community health service development plan, the urban community health setting plan of Heze City, and determine the regional step-by-step work objectives.
4. Accelerate the establishment and improvement of urban community health service network. With the goal of improving the accessibility of public health and basic medical services for residents, we will adhere to the government's leadership and organize community health institutions. Increase the adjustment of urban health resources institutions, promote the flow of health resources to the community, and promote grassroots public medical institutions or medical institutions affiliated to state-owned enterprises and institutions to become community health service institutions through transformation and transformation, encourage social forces to participate, and accelerate the construction of community health service centers. Pilot, build a new urban health service system based on community health services.
5. Establish a community health service supervision, evaluation and assessment mechanism. Formulate community health service evaluation and assessment index system, establish a work scheduling supervision system, and strengthen monitoring and evaluation.
6. Improve the information network. Community Health Service Center should establish a community resident electronic health file system [recommended reading]
2019 Health Work Plan 2019 Patriotic Health Work Summary Health and Epidemic Prevention Station First Half Year Work Summary 2010-2011 School Year Last School School Health Work Summary 2019 Factory Annual Health Activity Month Summary 2019 Kindergarten Creation Work Summary 2019 Blood Prevention Office Summary of schistosomiasis work 2019 community health service work summary
Go to the Health Work Summary section to see more >>
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