City Health Bureau 2019 Health Work Summary and 2019 Work Plan
Under the correct leadership of the municipal party committee and the municipal government, under the guidance of the municipal health department and the support of the relevant departments, the health work of the city will closely focus on the work of the municipal party committee, the municipal government center and the annual health work objectives, and further deepen the medical and health care. Institutional reform, actively carry out the activities of creating first-class competitions, to improve the level and ability of medical and health services in the city, to meet the needs of citizens for medical treatment, to strengthen services, to be bold and innovative, and to better complete various tasks. The completion of the main work in XX is summarized and the work plan for 2019 is proposed.
I. The main work of XX is to accelerate the pace of construction of health infrastructure. With the goal of improving the medical service environment and improving medical service capabilities, we will strengthen coordination, overcome difficulties, and fully promote infrastructure construction.
First, the construction of the new inpatient building of the Municipal People's Hospital was completed. The total investment of the project was more than 90 million yuan, and more than 400 beds were added. On April 22, XX, the project was completed and the building was put into use and operated normally.
Second, the pace of construction of the city's Chinese medicine hospitals, disease control centers, and women's health insurance centers has accelerated. The CDC business building, the laboratory building, the comprehensive building of the Women's Insurance Center, the supply center of the Chinese medicine hospital, and the canteen have entered the second floor of the ground; the Chinese medicine hospital is conducting the outpatient building. The floor of the basement of the inpatient building was poured, and the investment in the three projects was over 35 million yuan. The supply building of the Chinese Medicine Hospital and the Center for Disease Control Center can be closed at the end of November this year; the administrative building of the CDC and the comprehensive building of the Women's Insurance Center are expected to be blocked at the end of December; the outpatient building and the inpatient building of the Chinese Medicine Hospital will be closed at the end of April 2019. .
Third, the renovation and expansion of Kunming Steel Hospital is progressing smoothly. The a-zone, b-zone and c-zone of the outpatient building are undergoing three-story construction on the ground, with an accumulated investment of more than 40 million yuan.
Fourth, the eight-street health center was newly built in different places, and the preparatory work was being carried out in the early stage. The site selection has been completed and the planning and design plan is being carried out.
The reform of the medical and health system has achieved initial results. Focusing on the five key tasks of the reform of the health system reform, the main tasks and tasks of the XX year, careful study, meticulous organization, and implementation, the medical reform work has achieved initial results.
1. Further implement the national essential medicine system. From October 1st, XX, the national essential drugs used by municipal and municipal public medical institutions have all cancelled drug additions and implemented zero-rate sales. The township health center and the community health service center organized by the government have used 100% of the national essential drugs since February 25, XX, and implemented zero-rate sales. At present, all the basic drugs used by public medical institutions in the city are sold at zero rate, effectively reducing the burden of medical treatment for the people. All essential drugs are included in the scope of medical insurance and the new rural cooperative reimbursement, and strict implementation of the centralized procurement system for essential drugs. All medical and health units have signed drug purchase and sales contracts with drug distribution enterprises selected by Kunming City to achieve centralized online bidding and procurement, and unified distribution by selected enterprises. .
2. Further improve the level of new rural cooperative security. The first is to stabilize and consolidate the participation rate. In XX years, 108,123 people participated in the event, and the participation rate was 99.8%. Since June 1st, the per capita funding standard for new rural cooperative medical care has increased from 150 yuan to 230 yuan; the proportion of hospitalization reimbursement in Anning city, Kunming municipal and provincial hospitals has increased to 55%, 40%, 35% respectively; reimbursement capping line From 40,000 yuan to 50,000 yuan. The second is the successful completion of the transfer of the new rural cooperative management function. On July 28, the new rural cooperative medical management function was officially transferred from the Health Bureau to the Human Resources and Social Security Bureau.
3. Further promote the equalization of public health services. Seriously implement policies and raise the funding standards for basic public health services. In XX, the per capita basic public health service funds in the city increased to 25 yuan. Public health services are fully implemented and cover the entire city. The city's urban and rural residents' health records have been filed with more than 200,000 people; the national immunization program has been seriously implemented to provide free immunization of national immunization programs for school-age children; the health management rate for children under 3 years old is 91.1%, and the health management rate for children under 7 years old is 90.7%; Continue to implement maternal health care system management, maternal card-building rate of 99.89%, system management rate of 95.7%; strengthen chronic disease management and health service guidance, 9186 people with standardized management of hypertension, 2245 people with standardized diabetes management; strengthen management of patients with severe mental illness It regulates the management of 1,000 people with severe mental illness.
4. Further accelerate the development of private medical institutions. Actively promote the diversified medical treatment pattern, strengthen guidance, and strengthen services. The total assets of private medical institutions in the city continue to increase. In September XX, Kunming Dingli Hospital was completed and put into operation.
5. Steadily promote the pilot reform of public hospitals. Accelerate the construction of hospital informationization, and further improve the hospital's information management capacity and level in accordance with the national hospital informationization construction standard system. The People's Hospital began to implement electronic medical records in the hospital from May, and will promote electronic registration and “one card” work in the next step. . Actively explore clinical path management and single disease settlement, municipal hospitals are gradually carrying out clinical pathway pilots, there are senile cataract, acute pancreatitis, acute cerebral hemorrhage, lower ureteral calculi, acute simple appendicitis, inguinal hernia, Acute myocardial infarction and other diseases enter the clinical path management.
Further improve the ability and level of public health services. The city's three-level public health service system has been gradually improved, and the areas of disease prevention and control and women's and children's health care have been continuously expanded, and the health of the people has been continuously improved.
1. Effectively strengthen disease prevention and control work to prevent the occurrence of major diseases and infectious diseases. We will conscientiously implement the monitoring and reporting system for major diseases and infectious diseases, and strictly implement institutionalized, standardized, and grid-lined management. The reporting rate of infectious diseases is 100%, and the timely reporting rate is 100%. Adhere to "prevention first", implement prevention and prevention measures, effectively protect public health safety in the city, focus on prevention and control of major diseases such as hand, foot and mouth disease, influenza A (h1n1), plague, cholera, AIDS, etc. The epidemic is prevalent. From January to October of XX, the city's permanent resident population reported 16 kinds of 693 cases of Class B infectious diseases, the incidence rate was 230.99/100,000, the mortality rate was 1.67/100,000; 6 kinds of C1 infectious diseases were reported, 1502 cases, the incidence rate was 500.64/ One hundred thousand. To consolidate and improve immunization planning work, the city has inoculated a total of 81,280 vaccines including BCG, Baibai, B liver vaccine, JE vaccine, A liver vaccine, and polio granules. Actively carry out prevention and treatment of chronic non-communicable diseases, earnestly grasp the national colorectal cancer early diagnosis and early treatment screening project, complete 2,853 questionnaire surveys, and 1,323 colonoscopy examinations. Strengthen the drinking water sanitation work, regularly check the water quality of the waterworks, and regularly disinfect the drinking water in rural wells to ensure the water quality meets the standards.
Further improve the emergency response system and emergency plan for public health emergencies, and continue to implement the emergency public health emergency reporting system. All medical and health units insist on 24-hour duty, and the reporting rate and reporting time rate reach 100%. Strengthen the construction of emergency teams and adjust the members of the leading group and experts of public health emergencies. Organized and carried out emergency drills for comprehensive public health emergencies such as medical rescue, food safety, and infectious disease prevention and control in the 4th Games of Kunming, and further improved the level of early warning, reporting and disposal.
2. Strive to improve the health care of women and children. With the implementation of the “reduction” project as the core, we will conscientiously implement maternal and child health management interventions and strive to control “two mortality rates”. By October XX, the maternal mortality rate in the city was 0, the infant mortality rate was 8.02‰, and the under-5 mortality rate was 12.03‰. The maternal hospital delivery rate reached 99.83%. Implementation of the rural poor maternal hospital delivery policy, from October 1st to September 30th, XX, the city's local agricultural households had 869 women, the maternal hospital delivery allowance was 784, the subsidy coverage rate was 90.22%, and the subsidy cost was 326,900 yuan. . In-depth implementation of free pre-marital medical examination work, from January to September in XX, the free marriage inspection rate reached 99.74%. We will conscientiously prevent mother-to-child transmission of AIDS, improve clinical treatment and maternal and child blockade, and complete 2,331 human maternal HIV antibody tests, including 2,056 during pregnancy and 275 at birth.
3. Do a good job in AIDS prevention and treatment. Strengthen leadership, implement responsibilities, coordinate cooperation, and strengthen measures to make a good start for the third round of the AIDS war.
The first is to strengthen publicity and training. 1528 people in the 15th period of the village group cadres' knowledge and policy training; 155 people in the outbound labor export personnel training; 30 key teachers training in China's small, kindergarten and private schools; dance halls, video game rooms, hotels, hotels, etc. The person in charge of the unit trained 108 people; the staff of the service industry such as restaurants and saunas trained 315 people in 7 sessions; the medical staff provided 136 people to provide AIDS testing consultation training. There were 150 people in 7 sessions of follow-up management training for rural doctors and health centers, and 139 people with basic knowledge of AIDS and occupational exposure protection for grassroots health workers. At the same time, it carried out multi-form publicity activities and distributed more than 70,000 copies of anti-AIDS publicity materials.
The second is to implement monitoring, testing, intervention and prevention measures to improve prevention and control capabilities. Establish voluntary counseling and testing sites to improve the AIDS testing network. As of the end of October, there were 535 voluntary counseling and testing for HIV antibodies; 4,129 volunteers for HIV antibody registration and 4,095 volunteers. Seriously implement the epidemic reporting system. In the past year, 104 new reports of local infected persons/patients were reported, and the notification rate was 100%. The cumulative reported cases of infected persons/patients were followed up by 649, and the follow-up rate was 96.87%. Strengthen behavioral interventions, 100% free placement of condoms in public places and commercial entertainment venues, and free distribution of 111,702 condoms. As for the community drug maintenance treatment, by the end of October, the methadone maintenance treatment clinic of Kunming Iron and Steel Hospital had a total of 363 people, including 20 deaths, 27 long-term transfer, and 248 treatments, with a treatment retention rate of 85%. Actively carried out anti-viral treatment work, the Municipal People's Hospital has treated 67 AIDS patients, refused treatment for 4 people, and died 2 people.
The third is to actively carry out care and assistance. 122 people with AIDS/patients and orphans with difficulties in living were included in the urban and rural minimum living security, and a minimum living allowance of 214,310 yuan was granted; 140 AIDS patients were given pre-medical assistance and medical follow-up care, and temporary assistance was granted to 29,440 yuan; The women who were found to be infected with HIV were followed up and milk powder was distributed free of charge to 4 infants.
4. Extensively carry out the patriotic health campaign and vigorously create a national health city. First, do your best to create a health work. With a high sense of political responsibility, concentrate on the system and focus on the management of Aiwei organization, health education, prevention and control of infectious diseases, vector control, food hygiene, public health and other duties. Strengthen training, supervision, and guidance. The management organizations of the Aiwei organizations at all levels of the city are sound, personnel are implemented, and work is carried out normally. Increase publicity and guidance, health education is popularized in all units and industries, and the awareness rate of health knowledge reaches the standard. Strengthen hospital management, constantly check and rectify, strictly implement the pre-examination and triage system, and set the norms for infectious disease departments. Increase investment, hire a professional killing company to carry out disease vector control, and the "four harms" density is controlled in the scope of indicators. Pay close attention to the "five small" rectification, strengthen publicity and training, and print and distribute the health and health knowledge brochures and related systems for free. Focusing on national unannounced visits and technical assessment periods, we will implement fixed-point, fixed-point, and fixed-person, all-weather, full coverage, and uninterrupted supervision and rectification, so as not to leave blanks and no blind spots. Strengthen coordination, carry out comprehensive renovation of key blocks, key urban villages, special rectification of school health, special rectification of secondary water supply, and special rectification of trade markets. In the “five small” industries of the city, the overall health management level of public places has improved significantly. After the unannounced visit was passed, the collection of data was taken as the focus of work, carefully collected and compiled, and the account information was complete. At present, the city's Chuangwei work has successfully passed the national unannounced visit, technical assessment and comprehensive review, and is expected to win the national defense award in the near future.
The second is to create an patriotic health campaign with the opportunity of creating a health. Carefully organized, large-scale, large-scale nationwide thirteenth patriotic health month, World Health Day, smoke-free day publicity activities to further improve public health awareness and health knowledge. Vigorously promote the transformation of rural sanitary wares and improve rural environmental sanitation. In XX, Kunming City issued 500 missions. The city has 1,500 self-determined tasks and completed 1,100 missions by the end of October.
5. Continuously improve the level of health law enforcement supervision. First, conscientiously do a good job in administrative licensing, strictly approve the procedures, adhere to standards, ensure quality, and handle health administrative licenses within the time limit. By October 31, XX, a total of 1937 health permits were issued, and medical examinations and training for employees Both the pass rate and the license rate are 95%. The second is to strengthen food hygiene, public health, drinking water hygiene, occupational health supervision, carry out regular and assault law enforcement inspections more than 25,000 households, supervision coverage rate of 95%, food practitioners physical examination more than 14,000 people, no "five diseases" "personnel. Carry out special rectification of illegal addition and abuse of food additives in the catering service, seriously investigate and report complaints and food poisoning incidents, and ensure food safety. Third, continue to implement the food safety supervision quantitative grading management system, the school, kindergarten canteen, large and medium-sized catering industry quantitative grading coverage rate of 85%. The fourth is to do a good job in food hygiene, continuously increase food hygiene and school health supervision, and carry out food safety rectification in the catering service of “New Year's Day, Spring Festival, Dragon Boat Festival”, “unqualified disposable chopsticks” rectification, and special rectification of waste oil. Activities such as the college entrance examination and major activities, health and safety guarantees ensure the safety of the people's lives; and successfully complete the food hygiene protection work of important meetings and activities such as the "two sessions" and "four games". The fifth is to carry out intensive activities to crack down on illegal medical practice, to ban 11 illegal drug clinics and dental doctors without "medical institution license", to destroy 26 boxes of drugs, and to order 17 medical institutions with problems to rectify and purify within a time limit. The medical market. The sixth is to strengthen the supervision of medical institutions, standardize the behavior of medical services, and carry out 216 inspections at various levels of medical institutions, with a coverage rate of 100%. Seven cases of illegal cases were investigated and dealt, and the fine was 5,000 yuan, which guaranteed the safety of the people. Strengthening the supervision of medical waste, 100% of medical institutions within the built-up area have been uniformly collected and processed by Yunnan Zhengxiao Company.
Strengthen management and improve the quality and level of medical services. Continue to carry out the “Hospital Management Year” and Ping An Hospital “creative activities” and comprehensively carry out high-quality nursing service demonstration projects. The rules and regulations of all units have been continuously improved, the diagnosis and treatment behaviors have been gradually standardized, and the service level and service quality have been significantly improved. The implementation of the system of publicized drug price, medical information disclosure system, outpatient fee inquiry and hospitalization fee one-day list system changed the service concept, facilitated patients' medical treatment, optimized the practice environment, and achieved reasonable inspection and rational drug use. Reasonable treatment and reasonable fees have effectively reduced the burden on patients. Strengthened the training and training of medical staff, adhered to the principle of going out, introduced, and sent county-level medical personnel to study outside the province and Kunming City and provincial hospitals, and accept Kunming municipal hospitals. Support county medical personnel to guide and exchange. Strictly implement the centralized bidding and procurement of medicines and consumables in medical institutions. Conscientiously implement the "Implementation Opinions on Resolving Medical Disputes" and "Implementation on Establishing a Mechanism for Preventing and Disposing of Medical Disputes and Establishing a Harmonious Mechanism of Harmonious Doctor-Patient Relations Opinions, Anning City Set of Community Security Events program of work "disturbing medical order to strengthen coordination among various departments in a timely manner, and steadily mediation of medical disputes.
Completely complete the task of releasing the city's economic and social indicators health goals in Kunming. First, primary health care coverage. In accordance with the requirements of the “Kunming Rural Primary Health Care Implementation Plan”, we strengthened measures and implemented them. In July XX, we successfully passed the new round of initial insurance inspections organized by Kunming City. The primary health care coverage rate in the city reached 100%. The second is the proportion of assets of private medical institutions. Strengthening coordination services and implementing policy treatment, the private medical institutions in our city have made considerable progress. They have introduced private hospitals such as Kunming Dingli Hospital, Kunming University Hospital, Anning True Love Women's Hospital, and developed a number of private social security organizations. At present, the assets of private medical institutions in our city account for 17.6% of the assets of medical institutions in the city. The third is the participation rate of new rural cooperative medical care. We will continue to improve the new rural cooperative medical care system, raise funding standards, reimbursement rates, and reimbursement capping lines. The new rural cooperative medical system is deeply rooted in the hearts of the people and is developing steadily. In XX, the city's new rural cooperatives should participate in 108,339 people, with an actual participation of 108,123 people, with a participation rate of 99.8%.
Further strengthen self-construction and change work style. In order to improve the satisfaction rate of the people, we must earnestly grasp the construction of the industry and medical ethics. First, carry out serious “executive power improvement year” activities in the health system, strengthen study and education, enhance the sense of professional responsibility and honor of medical staff, strengthen rectification, and solve the problems of poor implementation, inefficiency and service among the health system cadres and medical personnel. Outstanding problems such as poor performance and poor performance, establish a mechanism, use the system to regulate people and restrain people, and truly improve the quality of health system services. The second is to strengthen supervision and inspection, regularly and irregularly check the service attitude and work efficiency of medical personnel, find problems, and give criticism and education and punishment. The third is to strengthen self-construction, accept supervision, and conscientiously implement the four systems of “responsible government”, “rule of law government”, “sunshine government” and “effective government”. By the end of October, a total of 39 important matters were announced, 34 key work notifications, and more than 100 government public information were issued.
In XX, while the Bureau comprehensively promoted various health work, the work of safety production, letters and visits, the Red Cross, and archives also achieved gratifying results, and completed other tasks assigned by the Municipal Party Committee and the Municipal Government.
Second, the main problems of the past year, the city's health work with the support of all levels and departments, although achieved certain results, but there are still many problems to be resolved. First, because the construction funds are not in place, the infrastructure construction is not fast enough. Second, the medical reform has a wide coverage, heavy work tasks, involving many departments, and it is necessary to make great efforts to grasp; third, hospital management, medical ethics construction needs still need Further strengthen.
Third, the main work focus in 2019 will accelerate the pace of infrastructure construction in medical institutions. First, we must do a good job in continuing construction projects, do a good job in coordinating services, and solve various problems in the construction of Chinese medicine hospitals, disease control centers, and women's insurance centers to ensure the smooth progress of the project. The project was completed and accepted at the end of 2019. Actively raise funds to accelerate the renovation and expansion of Kunming Steel Hospital. The second is to start new projects, complete the preparatory work for the Eighth Street Health Center, and strive to start construction in 2019. Strengthen the docking with the streets and continue to implement the construction of the village clinic. Do a good job in services, vigorously develop private medical institutions, and increase the total amount of private assets.
Continue to deepen the reform of the medical and health system. In-depth implementation of key reform tasks, and strive to achieve the desired goals. First, strengthen the basic drug system, strengthen supervision, ensure that the basic drugs used by various medical institutions are concentrated online, and implement zero-rate sales. The second is to strengthen the management of public health services, focusing on standardizing operations and improving quality, accelerating and ensuring the completion of national basic public health service projects. The third is to promote the pilot reform of public hospitals, strengthen the internal management of public hospitals, promote the service measures for the benefit of the people; implement quality care services, expand the coverage of the “Quality Care Service Demonstration Project”, and improve the level of medical services. Continue to promote the pilot work of doctors' multi-point practice; improve the income distribution system of public hospitals, and actively implement the comprehensive performance appraisal and post salary system based on service quality and post workload.
Strengthen the construction of public health systems, and do a good job in disease prevention and control, maternal and child health care and health supervision. The first is to further improve the three major network disease prevention and control systems for infectious disease surveillance, public health monitoring and health management services. Improve the city, town and village management monitoring system, improve inspection and testing, early warning and forecasting, emergency response, infectious disease diagnosis and treatment capacity building, and implement prevention and control measures for major infectious diseases such as influenza A (h1n1), plague, cholera and AIDS. Strictly prevent the outbreak of major infectious diseases. Strengthen the prevention and standardized management of endemic diseases and key chronic diseases, and strengthen prevention and immunization. Strengthen health education and enhance people's health awareness. The second is to establish a maternal and child health care service system at the city, town and village levels, deepen grassroots maternal and child health care, and control maternal and infant mortality. The third is to strengthen coordination and do a good job in health supervision. Strengthen supervision and management of food hygiene, public health, etc., with the school collective dining and food supply enterprises, processing direct import food enterprises and small and medium-sized catering industry as the key points of supervision, continue to implement the food hygiene supervision quantitative grading management system, reduce food secondary Pollution, prevention and control of food poisoning incidents from the source.
Strengthen management and improve the quality of medical institutions. Further improve the medical care quality management evaluation system, effectively improve and standardize medical behavior, optimize service procedures, and facilitate people to seek medical care. Actively carry out the establishment of Ping An Hospital to ensure the quality and safety of medical care and safeguard the legitimate rights and interests of both doctors and patients. We will increase penalties for illegal medical practice, arbitrarily expand the scope of medical treatment, rent contracted departments, illegally collect and supply blood and blood products, regulate the medical market operation order, and ensure the safety of people seeking medical care.
Strengthen self-building, improve efficiency, and improve work style. In accordance with the "eight inaccuracies" requirements of the health practice set by the Ministry of Health, we will strengthen supervision and inspection of the work style, seriously investigate and punish violations of laws and regulations that hinder the reform of the health system, and ensure that major decision-making arrangements and reform measures are implemented. Focus on increasing the management of commercial bribery in the field of pharmaceutical purchase and sale, highlighting key links such as medicines, high-value consumables, purchase and sale of medical devices, prescribing drugs, and consumables, standardizing the purchase and marketing of medical products and medical service, and promoting the health of medical and health services. development of. Focusing on optimizing the soft environment of the health service industry, effectively grasping the construction of the industry style and medical ethics, strengthening learning and education, enhancing the sense of professional responsibility and honor of medical staff, and establishing the idea of serving patients wholeheartedly; strengthening supervision and inspection, correcting medical staff In the aspects of service attitude and service quality, we strive to improve people's satisfaction with health care.
I. The main work of XX is to accelerate the pace of construction of health infrastructure. With the goal of improving the medical service environment and improving medical service capabilities, we will strengthen coordination, overcome difficulties, and fully promote infrastructure construction.
First, the construction of the new inpatient building of the Municipal People's Hospital was completed. The total investment of the project was more than 90 million yuan, and more than 400 beds were added. On April 22, XX, the project was completed and the building was put into use and operated normally.
Second, the pace of construction of the city's Chinese medicine hospitals, disease control centers, and women's health insurance centers has accelerated. The CDC business building, the laboratory building, the comprehensive building of the Women's Insurance Center, the supply center of the Chinese medicine hospital, and the canteen have entered the second floor of the ground; the Chinese medicine hospital is conducting the outpatient building. The floor of the basement of the inpatient building was poured, and the investment in the three projects was over 35 million yuan. The supply building of the Chinese Medicine Hospital and the Center for Disease Control Center can be closed at the end of November this year; the administrative building of the CDC and the comprehensive building of the Women's Insurance Center are expected to be blocked at the end of December; the outpatient building and the inpatient building of the Chinese Medicine Hospital will be closed at the end of April 2019. .
Third, the renovation and expansion of Kunming Steel Hospital is progressing smoothly. The a-zone, b-zone and c-zone of the outpatient building are undergoing three-story construction on the ground, with an accumulated investment of more than 40 million yuan.
Fourth, the eight-street health center was newly built in different places, and the preparatory work was being carried out in the early stage. The site selection has been completed and the planning and design plan is being carried out.
The reform of the medical and health system has achieved initial results. Focusing on the five key tasks of the reform of the health system reform, the main tasks and tasks of the XX year, careful study, meticulous organization, and implementation, the medical reform work has achieved initial results.
1. Further implement the national essential medicine system. From October 1st, XX, the national essential drugs used by municipal and municipal public medical institutions have all cancelled drug additions and implemented zero-rate sales. The township health center and the community health service center organized by the government have used 100% of the national essential drugs since February 25, XX, and implemented zero-rate sales. At present, all the basic drugs used by public medical institutions in the city are sold at zero rate, effectively reducing the burden of medical treatment for the people. All essential drugs are included in the scope of medical insurance and the new rural cooperative reimbursement, and strict implementation of the centralized procurement system for essential drugs. All medical and health units have signed drug purchase and sales contracts with drug distribution enterprises selected by Kunming City to achieve centralized online bidding and procurement, and unified distribution by selected enterprises. .
2. Further improve the level of new rural cooperative security. The first is to stabilize and consolidate the participation rate. In XX years, 108,123 people participated in the event, and the participation rate was 99.8%. Since June 1st, the per capita funding standard for new rural cooperative medical care has increased from 150 yuan to 230 yuan; the proportion of hospitalization reimbursement in Anning city, Kunming municipal and provincial hospitals has increased to 55%, 40%, 35% respectively; reimbursement capping line From 40,000 yuan to 50,000 yuan. The second is the successful completion of the transfer of the new rural cooperative management function. On July 28, the new rural cooperative medical management function was officially transferred from the Health Bureau to the Human Resources and Social Security Bureau.
3. Further promote the equalization of public health services. Seriously implement policies and raise the funding standards for basic public health services. In XX, the per capita basic public health service funds in the city increased to 25 yuan. Public health services are fully implemented and cover the entire city. The city's urban and rural residents' health records have been filed with more than 200,000 people; the national immunization program has been seriously implemented to provide free immunization of national immunization programs for school-age children; the health management rate for children under 3 years old is 91.1%, and the health management rate for children under 7 years old is 90.7%; Continue to implement maternal health care system management, maternal card-building rate of 99.89%, system management rate of 95.7%; strengthen chronic disease management and health service guidance, 9186 people with standardized management of hypertension, 2245 people with standardized diabetes management; strengthen management of patients with severe mental illness It regulates the management of 1,000 people with severe mental illness.
4. Further accelerate the development of private medical institutions. Actively promote the diversified medical treatment pattern, strengthen guidance, and strengthen services. The total assets of private medical institutions in the city continue to increase. In September XX, Kunming Dingli Hospital was completed and put into operation.
5. Steadily promote the pilot reform of public hospitals. Accelerate the construction of hospital informationization, and further improve the hospital's information management capacity and level in accordance with the national hospital informationization construction standard system. The People's Hospital began to implement electronic medical records in the hospital from May, and will promote electronic registration and “one card” work in the next step. . Actively explore clinical path management and single disease settlement, municipal hospitals are gradually carrying out clinical pathway pilots, there are senile cataract, acute pancreatitis, acute cerebral hemorrhage, lower ureteral calculi, acute simple appendicitis, inguinal hernia, Acute myocardial infarction and other diseases enter the clinical path management.
Further improve the ability and level of public health services. The city's three-level public health service system has been gradually improved, and the areas of disease prevention and control and women's and children's health care have been continuously expanded, and the health of the people has been continuously improved.
1. Effectively strengthen disease prevention and control work to prevent the occurrence of major diseases and infectious diseases. We will conscientiously implement the monitoring and reporting system for major diseases and infectious diseases, and strictly implement institutionalized, standardized, and grid-lined management. The reporting rate of infectious diseases is 100%, and the timely reporting rate is 100%. Adhere to "prevention first", implement prevention and prevention measures, effectively protect public health safety in the city, focus on prevention and control of major diseases such as hand, foot and mouth disease, influenza A (h1n1), plague, cholera, AIDS, etc. The epidemic is prevalent. From January to October of XX, the city's permanent resident population reported 16 kinds of 693 cases of Class B infectious diseases, the incidence rate was 230.99/100,000, the mortality rate was 1.67/100,000; 6 kinds of C1 infectious diseases were reported, 1502 cases, the incidence rate was 500.64/ One hundred thousand. To consolidate and improve immunization planning work, the city has inoculated a total of 81,280 vaccines including BCG, Baibai, B liver vaccine, JE vaccine, A liver vaccine, and polio granules. Actively carry out prevention and treatment of chronic non-communicable diseases, earnestly grasp the national colorectal cancer early diagnosis and early treatment screening project, complete 2,853 questionnaire surveys, and 1,323 colonoscopy examinations. Strengthen the drinking water sanitation work, regularly check the water quality of the waterworks, and regularly disinfect the drinking water in rural wells to ensure the water quality meets the standards.
Further improve the emergency response system and emergency plan for public health emergencies, and continue to implement the emergency public health emergency reporting system. All medical and health units insist on 24-hour duty, and the reporting rate and reporting time rate reach 100%. Strengthen the construction of emergency teams and adjust the members of the leading group and experts of public health emergencies. Organized and carried out emergency drills for comprehensive public health emergencies such as medical rescue, food safety, and infectious disease prevention and control in the 4th Games of Kunming, and further improved the level of early warning, reporting and disposal.
2. Strive to improve the health care of women and children. With the implementation of the “reduction” project as the core, we will conscientiously implement maternal and child health management interventions and strive to control “two mortality rates”. By October XX, the maternal mortality rate in the city was 0, the infant mortality rate was 8.02‰, and the under-5 mortality rate was 12.03‰. The maternal hospital delivery rate reached 99.83%. Implementation of the rural poor maternal hospital delivery policy, from October 1st to September 30th, XX, the city's local agricultural households had 869 women, the maternal hospital delivery allowance was 784, the subsidy coverage rate was 90.22%, and the subsidy cost was 326,900 yuan. . In-depth implementation of free pre-marital medical examination work, from January to September in XX, the free marriage inspection rate reached 99.74%. We will conscientiously prevent mother-to-child transmission of AIDS, improve clinical treatment and maternal and child blockade, and complete 2,331 human maternal HIV antibody tests, including 2,056 during pregnancy and 275 at birth.
3. Do a good job in AIDS prevention and treatment. Strengthen leadership, implement responsibilities, coordinate cooperation, and strengthen measures to make a good start for the third round of the AIDS war.
The first is to strengthen publicity and training. 1528 people in the 15th period of the village group cadres' knowledge and policy training; 155 people in the outbound labor export personnel training; 30 key teachers training in China's small, kindergarten and private schools; dance halls, video game rooms, hotels, hotels, etc. The person in charge of the unit trained 108 people; the staff of the service industry such as restaurants and saunas trained 315 people in 7 sessions; the medical staff provided 136 people to provide AIDS testing consultation training. There were 150 people in 7 sessions of follow-up management training for rural doctors and health centers, and 139 people with basic knowledge of AIDS and occupational exposure protection for grassroots health workers. At the same time, it carried out multi-form publicity activities and distributed more than 70,000 copies of anti-AIDS publicity materials.
The second is to implement monitoring, testing, intervention and prevention measures to improve prevention and control capabilities. Establish voluntary counseling and testing sites to improve the AIDS testing network. As of the end of October, there were 535 voluntary counseling and testing for HIV antibodies; 4,129 volunteers for HIV antibody registration and 4,095 volunteers. Seriously implement the epidemic reporting system. In the past year, 104 new reports of local infected persons/patients were reported, and the notification rate was 100%. The cumulative reported cases of infected persons/patients were followed up by 649, and the follow-up rate was 96.87%. Strengthen behavioral interventions, 100% free placement of condoms in public places and commercial entertainment venues, and free distribution of 111,702 condoms. As for the community drug maintenance treatment, by the end of October, the methadone maintenance treatment clinic of Kunming Iron and Steel Hospital had a total of 363 people, including 20 deaths, 27 long-term transfer, and 248 treatments, with a treatment retention rate of 85%. Actively carried out anti-viral treatment work, the Municipal People's Hospital has treated 67 AIDS patients, refused treatment for 4 people, and died 2 people.
The third is to actively carry out care and assistance. 122 people with AIDS/patients and orphans with difficulties in living were included in the urban and rural minimum living security, and a minimum living allowance of 214,310 yuan was granted; 140 AIDS patients were given pre-medical assistance and medical follow-up care, and temporary assistance was granted to 29,440 yuan; The women who were found to be infected with HIV were followed up and milk powder was distributed free of charge to 4 infants.
4. Extensively carry out the patriotic health campaign and vigorously create a national health city. First, do your best to create a health work. With a high sense of political responsibility, concentrate on the system and focus on the management of Aiwei organization, health education, prevention and control of infectious diseases, vector control, food hygiene, public health and other duties. Strengthen training, supervision, and guidance. The management organizations of the Aiwei organizations at all levels of the city are sound, personnel are implemented, and work is carried out normally. Increase publicity and guidance, health education is popularized in all units and industries, and the awareness rate of health knowledge reaches the standard. Strengthen hospital management, constantly check and rectify, strictly implement the pre-examination and triage system, and set the norms for infectious disease departments. Increase investment, hire a professional killing company to carry out disease vector control, and the "four harms" density is controlled in the scope of indicators. Pay close attention to the "five small" rectification, strengthen publicity and training, and print and distribute the health and health knowledge brochures and related systems for free. Focusing on national unannounced visits and technical assessment periods, we will implement fixed-point, fixed-point, and fixed-person, all-weather, full coverage, and uninterrupted supervision and rectification, so as not to leave blanks and no blind spots. Strengthen coordination, carry out comprehensive renovation of key blocks, key urban villages, special rectification of school health, special rectification of secondary water supply, and special rectification of trade markets. In the “five small” industries of the city, the overall health management level of public places has improved significantly. After the unannounced visit was passed, the collection of data was taken as the focus of work, carefully collected and compiled, and the account information was complete. At present, the city's Chuangwei work has successfully passed the national unannounced visit, technical assessment and comprehensive review, and is expected to win the national defense award in the near future.
The second is to create an patriotic health campaign with the opportunity of creating a health. Carefully organized, large-scale, large-scale nationwide thirteenth patriotic health month, World Health Day, smoke-free day publicity activities to further improve public health awareness and health knowledge. Vigorously promote the transformation of rural sanitary wares and improve rural environmental sanitation. In XX, Kunming City issued 500 missions. The city has 1,500 self-determined tasks and completed 1,100 missions by the end of October.
5. Continuously improve the level of health law enforcement supervision. First, conscientiously do a good job in administrative licensing, strictly approve the procedures, adhere to standards, ensure quality, and handle health administrative licenses within the time limit. By October 31, XX, a total of 1937 health permits were issued, and medical examinations and training for employees Both the pass rate and the license rate are 95%. The second is to strengthen food hygiene, public health, drinking water hygiene, occupational health supervision, carry out regular and assault law enforcement inspections more than 25,000 households, supervision coverage rate of 95%, food practitioners physical examination more than 14,000 people, no "five diseases" "personnel. Carry out special rectification of illegal addition and abuse of food additives in the catering service, seriously investigate and report complaints and food poisoning incidents, and ensure food safety. Third, continue to implement the food safety supervision quantitative grading management system, the school, kindergarten canteen, large and medium-sized catering industry quantitative grading coverage rate of 85%. The fourth is to do a good job in food hygiene, continuously increase food hygiene and school health supervision, and carry out food safety rectification in the catering service of “New Year's Day, Spring Festival, Dragon Boat Festival”, “unqualified disposable chopsticks” rectification, and special rectification of waste oil. Activities such as the college entrance examination and major activities, health and safety guarantees ensure the safety of the people's lives; and successfully complete the food hygiene protection work of important meetings and activities such as the "two sessions" and "four games". The fifth is to carry out intensive activities to crack down on illegal medical practice, to ban 11 illegal drug clinics and dental doctors without "medical institution license", to destroy 26 boxes of drugs, and to order 17 medical institutions with problems to rectify and purify within a time limit. The medical market. The sixth is to strengthen the supervision of medical institutions, standardize the behavior of medical services, and carry out 216 inspections at various levels of medical institutions, with a coverage rate of 100%. Seven cases of illegal cases were investigated and dealt, and the fine was 5,000 yuan, which guaranteed the safety of the people. Strengthening the supervision of medical waste, 100% of medical institutions within the built-up area have been uniformly collected and processed by Yunnan Zhengxiao Company.
Strengthen management and improve the quality and level of medical services. Continue to carry out the “Hospital Management Year” and Ping An Hospital “creative activities” and comprehensively carry out high-quality nursing service demonstration projects. The rules and regulations of all units have been continuously improved, the diagnosis and treatment behaviors have been gradually standardized, and the service level and service quality have been significantly improved. The implementation of the system of publicized drug price, medical information disclosure system, outpatient fee inquiry and hospitalization fee one-day list system changed the service concept, facilitated patients' medical treatment, optimized the practice environment, and achieved reasonable inspection and rational drug use. Reasonable treatment and reasonable fees have effectively reduced the burden on patients. Strengthened the training and training of medical staff, adhered to the principle of going out, introduced, and sent county-level medical personnel to study outside the province and Kunming City and provincial hospitals, and accept Kunming municipal hospitals. Support county medical personnel to guide and exchange. Strictly implement the centralized bidding and procurement of medicines and consumables in medical institutions. Conscientiously implement the "Implementation Opinions on Resolving Medical Disputes" and "Implementation on Establishing a Mechanism for Preventing and Disposing of Medical Disputes and Establishing a Harmonious Mechanism of Harmonious Doctor-Patient Relations Opinions, Anning City Set of Community Security Events program of work "disturbing medical order to strengthen coordination among various departments in a timely manner, and steadily mediation of medical disputes.
Completely complete the task of releasing the city's economic and social indicators health goals in Kunming. First, primary health care coverage. In accordance with the requirements of the “Kunming Rural Primary Health Care Implementation Plan”, we strengthened measures and implemented them. In July XX, we successfully passed the new round of initial insurance inspections organized by Kunming City. The primary health care coverage rate in the city reached 100%. The second is the proportion of assets of private medical institutions. Strengthening coordination services and implementing policy treatment, the private medical institutions in our city have made considerable progress. They have introduced private hospitals such as Kunming Dingli Hospital, Kunming University Hospital, Anning True Love Women's Hospital, and developed a number of private social security organizations. At present, the assets of private medical institutions in our city account for 17.6% of the assets of medical institutions in the city. The third is the participation rate of new rural cooperative medical care. We will continue to improve the new rural cooperative medical care system, raise funding standards, reimbursement rates, and reimbursement capping lines. The new rural cooperative medical system is deeply rooted in the hearts of the people and is developing steadily. In XX, the city's new rural cooperatives should participate in 108,339 people, with an actual participation of 108,123 people, with a participation rate of 99.8%.
Further strengthen self-construction and change work style. In order to improve the satisfaction rate of the people, we must earnestly grasp the construction of the industry and medical ethics. First, carry out serious “executive power improvement year” activities in the health system, strengthen study and education, enhance the sense of professional responsibility and honor of medical staff, strengthen rectification, and solve the problems of poor implementation, inefficiency and service among the health system cadres and medical personnel. Outstanding problems such as poor performance and poor performance, establish a mechanism, use the system to regulate people and restrain people, and truly improve the quality of health system services. The second is to strengthen supervision and inspection, regularly and irregularly check the service attitude and work efficiency of medical personnel, find problems, and give criticism and education and punishment. The third is to strengthen self-construction, accept supervision, and conscientiously implement the four systems of “responsible government”, “rule of law government”, “sunshine government” and “effective government”. By the end of October, a total of 39 important matters were announced, 34 key work notifications, and more than 100 government public information were issued.
In XX, while the Bureau comprehensively promoted various health work, the work of safety production, letters and visits, the Red Cross, and archives also achieved gratifying results, and completed other tasks assigned by the Municipal Party Committee and the Municipal Government.
Second, the main problems of the past year, the city's health work with the support of all levels and departments, although achieved certain results, but there are still many problems to be resolved. First, because the construction funds are not in place, the infrastructure construction is not fast enough. Second, the medical reform has a wide coverage, heavy work tasks, involving many departments, and it is necessary to make great efforts to grasp; third, hospital management, medical ethics construction needs still need Further strengthen.
Third, the main work focus in 2019 will accelerate the pace of infrastructure construction in medical institutions. First, we must do a good job in continuing construction projects, do a good job in coordinating services, and solve various problems in the construction of Chinese medicine hospitals, disease control centers, and women's insurance centers to ensure the smooth progress of the project. The project was completed and accepted at the end of 2019. Actively raise funds to accelerate the renovation and expansion of Kunming Steel Hospital. The second is to start new projects, complete the preparatory work for the Eighth Street Health Center, and strive to start construction in 2019. Strengthen the docking with the streets and continue to implement the construction of the village clinic. Do a good job in services, vigorously develop private medical institutions, and increase the total amount of private assets.
Continue to deepen the reform of the medical and health system. In-depth implementation of key reform tasks, and strive to achieve the desired goals. First, strengthen the basic drug system, strengthen supervision, ensure that the basic drugs used by various medical institutions are concentrated online, and implement zero-rate sales. The second is to strengthen the management of public health services, focusing on standardizing operations and improving quality, accelerating and ensuring the completion of national basic public health service projects. The third is to promote the pilot reform of public hospitals, strengthen the internal management of public hospitals, promote the service measures for the benefit of the people; implement quality care services, expand the coverage of the “Quality Care Service Demonstration Project”, and improve the level of medical services. Continue to promote the pilot work of doctors' multi-point practice; improve the income distribution system of public hospitals, and actively implement the comprehensive performance appraisal and post salary system based on service quality and post workload.
Strengthen the construction of public health systems, and do a good job in disease prevention and control, maternal and child health care and health supervision. The first is to further improve the three major network disease prevention and control systems for infectious disease surveillance, public health monitoring and health management services. Improve the city, town and village management monitoring system, improve inspection and testing, early warning and forecasting, emergency response, infectious disease diagnosis and treatment capacity building, and implement prevention and control measures for major infectious diseases such as influenza A (h1n1), plague, cholera and AIDS. Strictly prevent the outbreak of major infectious diseases. Strengthen the prevention and standardized management of endemic diseases and key chronic diseases, and strengthen prevention and immunization. Strengthen health education and enhance people's health awareness. The second is to establish a maternal and child health care service system at the city, town and village levels, deepen grassroots maternal and child health care, and control maternal and infant mortality. The third is to strengthen coordination and do a good job in health supervision. Strengthen supervision and management of food hygiene, public health, etc., with the school collective dining and food supply enterprises, processing direct import food enterprises and small and medium-sized catering industry as the key points of supervision, continue to implement the food hygiene supervision quantitative grading management system, reduce food secondary Pollution, prevention and control of food poisoning incidents from the source.
Strengthen management and improve the quality of medical institutions. Further improve the medical care quality management evaluation system, effectively improve and standardize medical behavior, optimize service procedures, and facilitate people to seek medical care. Actively carry out the establishment of Ping An Hospital to ensure the quality and safety of medical care and safeguard the legitimate rights and interests of both doctors and patients. We will increase penalties for illegal medical practice, arbitrarily expand the scope of medical treatment, rent contracted departments, illegally collect and supply blood and blood products, regulate the medical market operation order, and ensure the safety of people seeking medical care.
Strengthen self-building, improve efficiency, and improve work style. In accordance with the "eight inaccuracies" requirements of the health practice set by the Ministry of Health, we will strengthen supervision and inspection of the work style, seriously investigate and punish violations of laws and regulations that hinder the reform of the health system, and ensure that major decision-making arrangements and reform measures are implemented. Focus on increasing the management of commercial bribery in the field of pharmaceutical purchase and sale, highlighting key links such as medicines, high-value consumables, purchase and sale of medical devices, prescribing drugs, and consumables, standardizing the purchase and marketing of medical products and medical service, and promoting the health of medical and health services. development of. Focusing on optimizing the soft environment of the health service industry, effectively grasping the construction of the industry style and medical ethics, strengthening learning and education, enhancing the sense of professional responsibility and honor of medical staff, and establishing the idea of serving patients wholeheartedly; strengthening supervision and inspection, correcting medical staff In the aspects of service attitude and service quality, we strive to improve people's satisfaction with health care.
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