Year-end work summary of the Municipal Health Bureau in 2019 and work plan for 2019
Since the beginning of this year, under the correct leadership of the Jinzhou Municipal Party Committee and the Municipal Government, the Jinzhou Municipal Health Bureau, under the careful guidance of the Shijiazhuang Municipal Health Bureau, has taken the task of implementing the reform of the primary health care system as the core, and has carried out the “Creativity First” campaign. Guarantee, hard work, hard work, and complete various tasks.
I. The completion of various work The comprehensive reform of the basic medical and health system is progressing smoothly.
1. Expand coverage of basic medical care
In XX, the city participated in 430,839 new rural cooperatives, with a participation rate of 96.12%, raising 60.31 million yuan of participating funds and 140 yuan per capita. As of the end of November, the city's 10,884,38 peasants received reimbursement for compensation of 38.88 million yuan. The municipal government allocated 1 million yuan to participate in the large-scale medical insurance for farmers, and the farmers can receive up to 135,000 yuan in compensation. The city and 14 Shijiazhuang municipal-level fixed-point medical institutions to achieve "discharge and report." The pilot project of the reform of the new rural cooperative medical clinic and the payment system was running smoothly. The Provincial Health Department said that Jinnong Xinnonghe provided samples for the province.
2. Initial establishment of the national essential medicine system Since April 30, 10 township hospitals in the city have implemented “zero difference rate” sales of medicines, and the municipal finance has allocated 200,000 yuan per month for the zero-difference rate sales subsidies. Hui Yumin 1.3 million yuan. Among the provincial bidding companies, seven pharmaceutical production and sales companies were selected to sign the distribution contract, which realized the unified distribution and unified price of the drugs in the primary medical institutions.
3. Promote the reform of the personnel system
10 township hospitals compiled 313 people and set up 460 standard positions. 39 public health technicians were recruited to the public, and 2 township health centers were recruited to direct free medical students. 31 key personnel of municipal hospitals were arranged to study in tertiary hospitals, and 143 people in township hospitals and 752 village clinics were trained. Formulate the “Measures for Performance Evaluation of Primary Medical Institutions in Jinzhou City” and “Measures for Performance Evaluation of Basic Public Health Service Projects in Jinzhou City”.
4. Improve the basic medical and health service system The municipal hospital establishes a counterpart support relationship with the First People's Hospital of Shijiazhuang City, the Chinese Medicine Hospital, the Provincial Hospital of Traditional Chinese Medicine and the Peace Hospital. The municipal hospital also provided counterpart support to the Taoyuan Center Health Center for the Dongzhuo Center Health Center, the Yushu Town Health Center, and the Chinese Medicine Hospital. Accelerate the integration of construction, and the 222 village clinics in the city have achieved integrated management.
Organized 186 medical visits, benefiting people to 36087 people, Huimin more than 600,000 yuan.
5. Comprehensively carry out public health service financing of 17.793 million yuan to implement nine types of national basic public health service projects and four major health service projects. By the end of November, 158,463 person-times of rural residents' health records were established, 15 health educations were carried out, 111,320 needles were vaccinated by the National Immunization Program, 1752 were reported for infectious diseases, 36,744 were children's health care, and 6821 were maternal health care. 44,982 people, standardized management of 18,437 hypertensive patients, 7210 diabetic patients, and 695 severe mental illness management. 8500 toilets were changed, 5,663 person-times for maternal delivery in rural areas, 29,790 for folic acid, 50 for cataract patients, and 39,618 for children under 15 years of age.
6. Strengthening the construction of the safeguard mechanism The fundraising of the construction of the city was 1.1911 billion yuan. The comprehensive building project started construction in June and was completed in December XX. We will raise 80 million yuan to relocate to the Chinese medicine hospital and start construction next year. Using the city's financial funds of 1.5 million yuan to carry out "two-oriented" construction of four township hospitals. The introduction of social funds of 80 million yuan to build the "Gangjin Zeren" hospital. The “Measures for Subsidizing Public Health Services for Rural Doctors in Hebei Province” was implemented, and the rural doctors who were responsible for basic public health services received a subsidy of 834,000 yuan.
The medical quality has steadily improved and carried out the hospital management year activities, published 18 national papers, carried out 7 new medical treatment technologies, and implemented clinical path management for 20 single diseases. Adhering to the principle of "emphasizing both Chinese and Western medicine", Jinzhou City was awarded the "Advanced County of Traditional Chinese Medicine Work" by the Health Department of Hebei Province. The city's medical institutions were hospitalized 34,000 times and 516,000 outpatients, up 7% and 11% respectively.
The health supervision and law enforcement efforts further intensified the establishment of a special inventory activity for the establishment of catering and rest assured cities and dairy products and dairy products, and examined 820 households of catering units. The ab rate of catering units in the city reached 84%. Actively carry out anti-illegal practices, supervise and inspect more than 900 medical institutions. In combination with the economic development of the city, the work of creating a “standardized management county for occupational disease prevention and control in the chemical and pharmaceutical industry” was carried out.
The work of the Red Cross Society carried out the Red Cross Society's “One Day Donation” campaign, and received a total of 260,000 yuan in donations, all of which were turned over to the Shijiazhuang Red Cross Society.
The construction of the cadre team further strengthened the in-depth development of the first-class competition. The Jinzhou Municipal Committee held the on-site experience exchange meeting of the “Party Pioneer Post” activity in the Health Bureau, and awarded the “Party Pioneer Pionery Demonstration Unit” medal. The TV station recorded the feature film to promote the experience in the city. Strengthen the construction of the industry's work style, organize cadres and workers to study the "Guidelines on the Integrity of the Leading Cadres of the Communist Party of China", and the "Interim Measures for the Investigation of the Responsibility of Environmental Workers in Shijiazhuang City Organs". The first half of the year, the democratic appraisal is ahead of last year. .
Second, the existing problem is that the reform of the grassroots medical and health system involves more units and a larger workload, and it is necessary to further strengthen communication and cooperation between departments.
Second, the experience of public health service management is insufficient, and management personnel are scarce.
Third, the service level of township hospitals and village clinics is still very low, far from meeting the needs of the people.
Third, the XX year work plan adheres to the scientific development concept as the guide, and takes the spirit of the Fifth Plenary Session of the Party's xxth session as the driving force to further strengthen the awareness of the reform of the medical and health system, and promotes the principle of “guaranteeing the basic, strengthening the grassroots and building the mechanism”. Comprehensive reform of the basic medical and health system, improve the five basic systems of “basic medical security, rural medical and health services, public health services, basic drug supply, and health information network” to provide safe, effective, convenient and affordable medical and health services to the public. . The main measures are as follows:
We will strengthen medical reform policy learning and departmental collaboration to formulate medical reform policy training programs, regularly organize cadres and workers to concentrate on learning, and promote grassroots medical reform. Strengthen departmental cooperation, and all functional departments of medical reform must firmly establish the idea of serving the overall situation of medical reform, closely cooperate, and do a good job in medical reform.
Improve the basic medical security system and expand the participation of farmers. In XX, the city's participation rate remained above 96%. Continue to implement a large-scale medical insurance system to increase the degree of benefit to participating farmers. We will do a good job in the pilot project of the reform of the new rural cooperative medical clinic and the payment system, and promote the experience to the whole province. We will improve the regular auditing and public disclosure system for reimbursement compensation to ensure the security of participating funds.
We will improve the rural medical and health service system and vigorously implement the “Excellent Project”, introduce 10 undergraduate and 4 postgraduate education personnel, and select 50 business backbones to go to tertiary hospitals for further study. The neurosurgery, thoracic surgery, and the oncology department of the Chinese Medicine Hospital of the municipal hospital are listed as municipal key disciplines.
Openly recruit 30 health technicians from the society to the township hospitals; select 5 grassroots health technicians to go to the medical college for theoretical knowledge learning and clinical teaching hospital practice; select 10 health technicians to the city hospital, Hospital study and study. Organize the training of practitioners in village clinics for more than 1,000 person-times. The township hospitals implement integrated management of government affairs, business, finance, medicine and performance appraisal of village clinic employees and village clinics.
In XX, the overall relocation project of the Chinese Medicine Hospital and the “Gangjin Zeren Hospital” project started construction, and the comprehensive renovation project of the city hospital's overall relocation project was completed at the end of the year. The municipal government invested 1.5 million yuan in the renovation and expansion projects of Donglizhuang, Xiaoyan, Zhoujiazhuang and other health centers, and put them into use; completed the infrastructure renovation projects of health centers such as Yushu, Zongshizhuang and Dongzhuo. In accordance with the new standard, a new round of construction will be carried out for the village clinics, with a construction area of 100-120 square meters, the city's unified logo and appearance image; each clinic is equipped with a computer with Internet access.
Improve public health service system and improve public health organizations. Establish a “Public Health Promotion Office” and a “Health Emergency Office”, and strive to prepare the preparation of the department, and the financial department will be included in the budget. Municipal medical institutions shall be equipped with mental health institutions, emergency centers, infectious disease institutions and occupational disease health examination and diagnosis institutions; township health centers shall establish public health departments.
Enrich public health service personnel. In accordance with the human resources standards for disease control, supervision, maternity and child care institutions and the needs of new medical reforms, public health service personnel will be supplemented as soon as possible through open recruitment; the integrated management of rural health care services will be strengthened, and the team of village-level public health service personnel will be stabilized.
Continue to do a good job in 9 national basic public health service projects and 4 major public health service projects, standardize project management, ensure funding input, and strengthen performance appraisal.
Improve the basic drug supply system On the basis of the Drug Administration Office of the Health Bureau, establish a municipal-level essential drug procurement and distribution management center, and strive to be listed as a financial full-funded institution to distribute the basic drugs to the city.
To expand the scope of implementation of the basic drug system, municipal medical institutions, village clinics, and community health service agencies must implement zero-rate sales of drugs. The municipal finance grants subsidies based on the results of the calculations, so as to benefit the people.
Improve the health information network system The Health Bureau should build a county health information platform data center based on the residents' health records. The municipal hospitals should build digital hospitals focusing on electronic medical records and hospital management. Township hospitals and village clinics should be implemented. Disease prevention and control system, public health service performance appraisal system and maternal and child system construction. Finally, a rural health infrastructure network system that is unified, efficient, resource-integrated, interconnected, and covers urban and rural areas will be built.
I. The completion of various work The comprehensive reform of the basic medical and health system is progressing smoothly.
1. Expand coverage of basic medical care
In XX, the city participated in 430,839 new rural cooperatives, with a participation rate of 96.12%, raising 60.31 million yuan of participating funds and 140 yuan per capita. As of the end of November, the city's 10,884,38 peasants received reimbursement for compensation of 38.88 million yuan. The municipal government allocated 1 million yuan to participate in the large-scale medical insurance for farmers, and the farmers can receive up to 135,000 yuan in compensation. The city and 14 Shijiazhuang municipal-level fixed-point medical institutions to achieve "discharge and report." The pilot project of the reform of the new rural cooperative medical clinic and the payment system was running smoothly. The Provincial Health Department said that Jinnong Xinnonghe provided samples for the province.
2. Initial establishment of the national essential medicine system Since April 30, 10 township hospitals in the city have implemented “zero difference rate” sales of medicines, and the municipal finance has allocated 200,000 yuan per month for the zero-difference rate sales subsidies. Hui Yumin 1.3 million yuan. Among the provincial bidding companies, seven pharmaceutical production and sales companies were selected to sign the distribution contract, which realized the unified distribution and unified price of the drugs in the primary medical institutions.
3. Promote the reform of the personnel system
10 township hospitals compiled 313 people and set up 460 standard positions. 39 public health technicians were recruited to the public, and 2 township health centers were recruited to direct free medical students. 31 key personnel of municipal hospitals were arranged to study in tertiary hospitals, and 143 people in township hospitals and 752 village clinics were trained. Formulate the “Measures for Performance Evaluation of Primary Medical Institutions in Jinzhou City” and “Measures for Performance Evaluation of Basic Public Health Service Projects in Jinzhou City”.
4. Improve the basic medical and health service system The municipal hospital establishes a counterpart support relationship with the First People's Hospital of Shijiazhuang City, the Chinese Medicine Hospital, the Provincial Hospital of Traditional Chinese Medicine and the Peace Hospital. The municipal hospital also provided counterpart support to the Taoyuan Center Health Center for the Dongzhuo Center Health Center, the Yushu Town Health Center, and the Chinese Medicine Hospital. Accelerate the integration of construction, and the 222 village clinics in the city have achieved integrated management.
Organized 186 medical visits, benefiting people to 36087 people, Huimin more than 600,000 yuan.
5. Comprehensively carry out public health service financing of 17.793 million yuan to implement nine types of national basic public health service projects and four major health service projects. By the end of November, 158,463 person-times of rural residents' health records were established, 15 health educations were carried out, 111,320 needles were vaccinated by the National Immunization Program, 1752 were reported for infectious diseases, 36,744 were children's health care, and 6821 were maternal health care. 44,982 people, standardized management of 18,437 hypertensive patients, 7210 diabetic patients, and 695 severe mental illness management. 8500 toilets were changed, 5,663 person-times for maternal delivery in rural areas, 29,790 for folic acid, 50 for cataract patients, and 39,618 for children under 15 years of age.
6. Strengthening the construction of the safeguard mechanism The fundraising of the construction of the city was 1.1911 billion yuan. The comprehensive building project started construction in June and was completed in December XX. We will raise 80 million yuan to relocate to the Chinese medicine hospital and start construction next year. Using the city's financial funds of 1.5 million yuan to carry out "two-oriented" construction of four township hospitals. The introduction of social funds of 80 million yuan to build the "Gangjin Zeren" hospital. The “Measures for Subsidizing Public Health Services for Rural Doctors in Hebei Province” was implemented, and the rural doctors who were responsible for basic public health services received a subsidy of 834,000 yuan.
The medical quality has steadily improved and carried out the hospital management year activities, published 18 national papers, carried out 7 new medical treatment technologies, and implemented clinical path management for 20 single diseases. Adhering to the principle of "emphasizing both Chinese and Western medicine", Jinzhou City was awarded the "Advanced County of Traditional Chinese Medicine Work" by the Health Department of Hebei Province. The city's medical institutions were hospitalized 34,000 times and 516,000 outpatients, up 7% and 11% respectively.
The health supervision and law enforcement efforts further intensified the establishment of a special inventory activity for the establishment of catering and rest assured cities and dairy products and dairy products, and examined 820 households of catering units. The ab rate of catering units in the city reached 84%. Actively carry out anti-illegal practices, supervise and inspect more than 900 medical institutions. In combination with the economic development of the city, the work of creating a “standardized management county for occupational disease prevention and control in the chemical and pharmaceutical industry” was carried out.
The work of the Red Cross Society carried out the Red Cross Society's “One Day Donation” campaign, and received a total of 260,000 yuan in donations, all of which were turned over to the Shijiazhuang Red Cross Society.
The construction of the cadre team further strengthened the in-depth development of the first-class competition. The Jinzhou Municipal Committee held the on-site experience exchange meeting of the “Party Pioneer Post” activity in the Health Bureau, and awarded the “Party Pioneer Pionery Demonstration Unit” medal. The TV station recorded the feature film to promote the experience in the city. Strengthen the construction of the industry's work style, organize cadres and workers to study the "Guidelines on the Integrity of the Leading Cadres of the Communist Party of China", and the "Interim Measures for the Investigation of the Responsibility of Environmental Workers in Shijiazhuang City Organs". The first half of the year, the democratic appraisal is ahead of last year. .
Second, the existing problem is that the reform of the grassroots medical and health system involves more units and a larger workload, and it is necessary to further strengthen communication and cooperation between departments.
Second, the experience of public health service management is insufficient, and management personnel are scarce.
Third, the service level of township hospitals and village clinics is still very low, far from meeting the needs of the people.
Third, the XX year work plan adheres to the scientific development concept as the guide, and takes the spirit of the Fifth Plenary Session of the Party's xxth session as the driving force to further strengthen the awareness of the reform of the medical and health system, and promotes the principle of “guaranteeing the basic, strengthening the grassroots and building the mechanism”. Comprehensive reform of the basic medical and health system, improve the five basic systems of “basic medical security, rural medical and health services, public health services, basic drug supply, and health information network” to provide safe, effective, convenient and affordable medical and health services to the public. . The main measures are as follows:
We will strengthen medical reform policy learning and departmental collaboration to formulate medical reform policy training programs, regularly organize cadres and workers to concentrate on learning, and promote grassroots medical reform. Strengthen departmental cooperation, and all functional departments of medical reform must firmly establish the idea of serving the overall situation of medical reform, closely cooperate, and do a good job in medical reform.
Improve the basic medical security system and expand the participation of farmers. In XX, the city's participation rate remained above 96%. Continue to implement a large-scale medical insurance system to increase the degree of benefit to participating farmers. We will do a good job in the pilot project of the reform of the new rural cooperative medical clinic and the payment system, and promote the experience to the whole province. We will improve the regular auditing and public disclosure system for reimbursement compensation to ensure the security of participating funds.
We will improve the rural medical and health service system and vigorously implement the “Excellent Project”, introduce 10 undergraduate and 4 postgraduate education personnel, and select 50 business backbones to go to tertiary hospitals for further study. The neurosurgery, thoracic surgery, and the oncology department of the Chinese Medicine Hospital of the municipal hospital are listed as municipal key disciplines.
Openly recruit 30 health technicians from the society to the township hospitals; select 5 grassroots health technicians to go to the medical college for theoretical knowledge learning and clinical teaching hospital practice; select 10 health technicians to the city hospital, Hospital study and study. Organize the training of practitioners in village clinics for more than 1,000 person-times. The township hospitals implement integrated management of government affairs, business, finance, medicine and performance appraisal of village clinic employees and village clinics.
In XX, the overall relocation project of the Chinese Medicine Hospital and the “Gangjin Zeren Hospital” project started construction, and the comprehensive renovation project of the city hospital's overall relocation project was completed at the end of the year. The municipal government invested 1.5 million yuan in the renovation and expansion projects of Donglizhuang, Xiaoyan, Zhoujiazhuang and other health centers, and put them into use; completed the infrastructure renovation projects of health centers such as Yushu, Zongshizhuang and Dongzhuo. In accordance with the new standard, a new round of construction will be carried out for the village clinics, with a construction area of 100-120 square meters, the city's unified logo and appearance image; each clinic is equipped with a computer with Internet access.
Improve public health service system and improve public health organizations. Establish a “Public Health Promotion Office” and a “Health Emergency Office”, and strive to prepare the preparation of the department, and the financial department will be included in the budget. Municipal medical institutions shall be equipped with mental health institutions, emergency centers, infectious disease institutions and occupational disease health examination and diagnosis institutions; township health centers shall establish public health departments.
Enrich public health service personnel. In accordance with the human resources standards for disease control, supervision, maternity and child care institutions and the needs of new medical reforms, public health service personnel will be supplemented as soon as possible through open recruitment; the integrated management of rural health care services will be strengthened, and the team of village-level public health service personnel will be stabilized.
Continue to do a good job in 9 national basic public health service projects and 4 major public health service projects, standardize project management, ensure funding input, and strengthen performance appraisal.
Improve the basic drug supply system On the basis of the Drug Administration Office of the Health Bureau, establish a municipal-level essential drug procurement and distribution management center, and strive to be listed as a financial full-funded institution to distribute the basic drugs to the city.
To expand the scope of implementation of the basic drug system, municipal medical institutions, village clinics, and community health service agencies must implement zero-rate sales of drugs. The municipal finance grants subsidies based on the results of the calculations, so as to benefit the people.
Improve the health information network system The Health Bureau should build a county health information platform data center based on the residents' health records. The municipal hospitals should build digital hospitals focusing on electronic medical records and hospital management. Township hospitals and village clinics should be implemented. Disease prevention and control system, public health service performance appraisal system and maternal and child system construction. Finally, a rural health infrastructure network system that is unified, efficient, resource-integrated, interconnected, and covers urban and rural areas will be built.
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