Community Health Service Center Health Service Quality Summary Report

First, the center overview:

Jiaofang Community Health Service Center serves Jiaobei Community Residents Committee, Jiaozhong Community Residents Committee, Mine North Community Residents Committee and Jinquan Community Residents Committee within the jurisdiction of Jiaojinshan Subdistrict, covering an area of ​​3.28 square kilometers, with a registered population of 23,104 persons and households. 8877 households. Among them, there are 4,835 elderly people over 60 years old, accounting for 20.9% of the total population;

The center is currently in the transition phase of excellence. The center is located at No. 18-1, Jiaofang Street, with a building area of ​​1,056 square meters. The number of floating population is 1,780, and the number of people with a minimum living allowance is 189. The center has a total of 26 staff members, including 16 technicians, accounting for 61.54% of the total number; 6 general practitioners, 6 general nurses; 8 clinicians and 6 nurses. In 2019, the number of outpatients in the center was 12,500, and the average number of outpatients was 34.7.

Second, the development of community health services:

The center has a team of general services, each team consisting of general practitioners, public health doctors and community nurses. With the residents' committees in the area as the foothold and radiation point, through the "central-resident-family-family" three-stop service, the community residents will be provided with prevention, health care, rehabilitation, medical care, health education and family planning technical guidance. One-in-one community health service.

The service center mainly provides health consultation, health education, prevention and treatment of chronic diseases, rehabilitation guidance, technical guidance for family planning and establishment of resident health records. Some of the conditional social housing committees provide services such as simple medical treatment, Chinese medicine, and appropriate rehabilitation techniques. Established two-way referral relationship and implementation with secondary and tertiary hospitals: Since the outpatient contract service, the outpatient referral order has been transferred to 23 second- and third-level hospitals. The ward was transferred to 138 patients from the second and third grade hospitals in 2019.

Since XX, the center has established a family health record on a family basis. Since 2019, the health record system has been fully implemented as the core public health information management system. By the end of 2019, a total of 8,400 households and 20,718 people had been established. Among them, there are 4,835 special files for the elderly over 60 years old and 61 persons with special files for the disabled. To improve the dynamic management and effective use of residents' health records. Through the special management of chronically ill patients, infectious disease patients, and family bed patients and disabled persons who provide interventions among the established residents, their health information is updated in a timely manner, and the dynamic management and effective use of the files are truly realized.

The center vigorously carried out the services of vulnerable groups and provided a number of measures to facilitate the people and the people. Established a health care service system with 4,835 elderly people over 60 years old in the jurisdiction. Each quarter, the team's public health doctors provide health care services for the elderly; according to the requirements of the municipal, district health bureaus and the Disabled Persons' Federation, the “Rehabilitation Service for the Disabled” jobs. The general team has established a rehabilitation service system with 11 disabled people with rehabilitation needs in the area, established a health record for each disabled person, and provided monthly rehabilitation guidance and health education services for the disabled. To solve the problem of difficult medical treatment for the elderly living alone in the community and inconvenient for mobility, the center provides a simple outpatient service at the health service station to provide services such as distributing medicines. At the same time, it actively carries out charitable help and assistance activities, and does a good job in reducing and exempting TB patients and poverty. Mental patients work for free. Our services are welcomed and recognized by the community.

Chronic disease monitoring and management: carry out cardiovascular and cerebrovascular diseases and diabetes prevention, and implement community hypertension, primary, secondary and tertiary management and diabetes routine and intensive management.

1. Hypertension: There are 1211 hypertensive patients in the area, the number of management is 478, the management rate is 39.47%, the first-level management number is 242, the management rate is 24.82%, the secondary management number is 129, the management rate is 100%. The number of three-level management is 107, and the management rate is 100%; the blood pressure of the first clinic is 680. Among them: 520 people were diagnosed with blood pressure in the first clinic over 35 years old, and the incidence rate was 16.67%. 641 risk factors survey;

2. Diabetes: With the improvement of people's living standards, the incidence of diabetes is increasing year by year. According to the epidemiological survey of the Center, there are 468 diabetic patients in the area under 2019, the number of management is 375, the management rate is 80.12%, routine management There are 297 people, the management rate is 76.15%, the number of management is 78, and the management rate is 100%. There are 2,558 people with diabetes screening and 2,228 people over 60 years old. The center conducts health education among diabetic patients to help diabetics correctly understand diabetes, thus helping them maintain a healthy state of mind and lifestyle, and alleviate the harm that diabetes causes.

3. Psychiatric patients: 61 mental patients in the jurisdiction were included in the community management, and 23 mental patients were regularly followed up for mental patients with relatively stable disease; those who had changed or repeated symptoms were contacted with hospitalization in a timely manner; Rehabilitation guidance for patients and their families.

Health education: In 2019, we paid special attention to community health education, put it in the first place of all work, and promoted the smooth development of community chronic disease management, planning fertility technical guidance and medical assistance, We will improve the health education work plan and implementation plan, optimize the service process, strengthen the implementation of measures, do a good job in health education team building, increase funding and other comprehensive measures, so that we can form talents and places when conducting health education. There are "four haves" situations that are popular and effective. The annual work is summarized below. In the past year, a total of 22 health education lectures and health- themed publicity activities have been held to participate in thousands of residents; more than 1,360 health education prescriptions have been issued, more than 1,360 publicity materials, 560 questions, 639 psychological counseling, blood pressure measurement 804 people, measuring blood sugar 52 people, electrocardiogram 346 people, a total of more than 1,130 health questionnaires were recovered, using more than 20 publicity boards, and the blackboard reported 4 issues. Medical staff health knowledge training 29 times, the number of participants 537. There were 21,942 free physical examinations in health education; 1126 ECGs were accumulated; 9266 health education prescriptions were issued, 1670 yuan; 4,465 publicity materials were posted, 8641 yuan; 25 health education boards, 625; cumulative health gifts 700 Shares, 14,000 yuan; cumulative total investment in health education is about 47,815 yuan.

Regular and irregular development of various forms of health education activities in the form of love, so that the majority of residents benefit from, effectively ensure the effective and sustainable development of health education. According to the cultural environment, economic conditions and health conditions of each community, we have formulated corresponding health education programs, such as the “five-plus” status of the residents, elderly people, high blood pressure, diabetes, and disabled people in the Jiaozhong Community Residents Committee. Develop a targeted and practical health education program, such as high blood pressure, diabetes, and elderly health care; form a health lecture or a consultation with the community committees as the platform; guide drugs in a cheap, effective, The drugs with small side effects are the main ones; at the same time, the activities of free check blood sugar, physical examination and holiday warming are combined to make residents see the benefits of participating in health education and mobilize the enthusiasm of residents to participate. As a result, some residents actively rush to establish health records. For example, through the free medical examination activities, the elderly and the disabled residents in the jurisdiction can actively participate in the benefits. The director of the center personally grasps the health education, often participates in the whole process or as the main speaker, and finds and solves the problem in time at the first time, so that the center truly has every plan, notice, sign-in, lecture or related materials and pictures for each health education. And summary and other five aspects of information.

Residents' Health Archives Electronic Information Entry and Paper Archives Information Writing: In order to implement the needs of the higher-level health authorities for the community health service organizations to do a good job in the archives spirit and standardized management of health information management, we will now pass the practice of the past year. Has achieved certain results, summarized as follows:

Adapt to the needs of the information community, attach importance to information management, establish a sound information management network platform, and accelerate the smooth transition of new "paper" information and "electronic file" information. At present, for the initial stage of health information management under the new system, namely: paper file writing, electronic information file entry is in transition. When we made the work plan, the project was detailed and detailed. In order to ensure that the task was completed on time, quality and quantity, our center hired graduates from medical colleges and universities as the main force, and added hardware facilities for the office and archives. This year, the household health record was completed, with a total of 4,200 households and 12,502 people, completing 50% of the total number of files. The number of electronic files under the new system was 1,449, and 11.6% of the total number of new files was completed. Among them, there are 4,835 elderly people over the age of 60, with a total of 4,835 files, and the health file has completed 100% of the filing rate. The above three items have reached the tasks assigned by the higher authorities, and continue to strive to improve the paper files and electronic files in the middle of 2019.

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Infectious diseases: Infectious disease management is an important part of medical quality management. Effective control of epidemics is the key to improving the health of the people. This year, our center reported a total of 1 case of statutory Class B infectious diseases, 0 cases of Class A and Class C infectious diseases, and no reports of infectious diseases were found. A pre-screening and triage system was set up in the outpatient department to ask patients about the epidemiological history. Patients with respiratory fever or diarrhea are found to have a visit to a fever respiratory clinic or an intestine clinic. Our hospital has opened a fever clinic throughout the year and actively cooperated with the CDC to do a good job in prevention and control of infectious diseases.

Health care for the elderly: Geriatric health care is not only an important indicator for measuring the overall development of the cause of aging, but also an important coordinate for measuring the success of community public health services. According to the actual situation of the center, we will adopt long-term planning and implement the measures step by step to make the health care of the elderly healthy and orderly and sound. Let the old man feel true love, it is real, everywhere. We have filed and managed 100% of the elderly over 60 years old in the community, using the unique platform and technical advantages of community health service organizations to promote the advancement of geriatric health care, the warmth of the party, the concern of the government, and the health care workers of the community. Love is actually sent to the residents' homes to make a contribution to social harmony. In the past year, we have carried out health education and clinic activities for the elderly over 60 years old, and issued more than 6,870 health education prescriptions, 297 free medical examinations, and 2,577 blood glucose examinations free of charge.

This year, although the elderly health care work has achieved certain results, it has been praised by the residents and praised by the leaders. However, there are many problems in the work, such as insufficient conceptual change, insufficient funding, manpower input, and inadequate management. For example, the content of the elderly health education is mainly for chronically ill elderly people, and the number of healthy elderly people is small. Although the health records are established for the elderly residents, the management is not standardized and the file update rate is not enough. We will continue to work hard to complete the elderly care project.

Family-owned family doctors: Our community has established a responsibility system for resident doctors. In the past year, the residents of the jurisdiction have implemented visits and publicity for a total of 4,672 participants, 3,965 psychological counselors, 4,569 questions, 4,792 health prescriptions, and other promotional materials 4672. Share, free blood pressure measurement 4672 person-times, free blood glucose measurement 3577 times. The four family teams managed a total of about 8378 households with 20,637 people and a management rate of 90.5%. After a year of family doctors' efforts, the work plan and tasks for one year have been successfully completed. For the future, family doctors will work harder and higher standards.

Rehabilitation guidance for disabled persons: In the rehabilitation room, a total of 12 training sessions were conducted in the past year. The number of participants was 43. The total number of questions was 516, the number of psychological consultations was 486, and 516 copies of publicity materials were distributed. 365 person-times of blood glucose were measured, and 516 blood pressures were measured. I have an electrocardiogram of 516 person-times, and my community will strengthen management for more disabled people in rehabilitation.

In terms of family planning guidance, the center organized training and related clinics for pregnant women, with a total of 645 participants, 596 psychological counseling, 622 questions, 645 health prescriptions, 189 other promotional materials, and 638 blood pressure tests. 4 publicity boards and 398 contraceptives were distributed.

In terms of vital statistics, there were 33 deaths in the area, including 29 deaths from myocardial infarction, 4 deaths from other causes, 2 training sessions, and 40 training sessions. All the funeral hall cremation, police station investigations and visits were established, and 33 patients were cared for. This year's vital statistics work was successfully completed, and the center will continue to complete life statistics work with high standards.

In the case of public health emergencies: cleaning and sanitation 29 times, disinfectant 4 times, disinfection 7 times, dissemination of more than 570 publicity materials and prescriptions, and 4 publicity boards. The Center has established a long-term operational mechanism and organizational leadership for public health emergencies, laying a foundation for the prevention of public health emergencies.

This year, the service center paid more attention to the construction of public health services and increased the investment in funds. The total amount of funds spent was 47,815 yuan. In the next year, the center will further increase the investment of funds to build community health services. Residents' health escorts.

In order to enable the community residents to realize the good vision of “small diseases in the community, serious illnesses in hospitals, rehabilitation in the community, and health care without going out”, enjoy the convenient, high-quality and humanized service of “phones ringing, doctors arriving home”. Establish a "people-oriented" service concept, in accordance with the spirit of the archives of the city, district and other higher levels, in the future work, we will vigorously carry out propaganda and explanation, improve the people's awareness of disease protection and improve their health. By transforming the concept of service, improving the quality of service, strengthening the construction of community health services, the Center will fulfill its responsibility for the health of residents in its jurisdiction and strive to become a model community health service center as soon as possible!