Summary of county health work in 2019

In XX, under the leadership of the county party committee, the county government and the municipal health bureau, the county's health work adhered to the spirit of the party's xx and xx sessions, and thoroughly implemented the scientific development concept, focusing on urban and rural areas. The strategic plan for the overall development and scientific development of the "four-in-one" is based on the theme of "standardized construction year", insisting on one-handed development, focusing on earthquake relief, improving health infrastructure, and strengthening public health, rural health and community health service capacity building. We promoted the balanced development of urban and rural health, successfully completed the various tasks and tasks of the city and county, made new progress in the development of health care, and achieved major success in earthquake relief.
I. Earthquake relief and post-disaster reconstruction have achieved great results. Earthquake relief and emergency prevention and disease prevention and control have been commended by the city and county. After the Wenchuan earthquake, the party group quickly researched and deployed the earthquake relief work, launched the medical rescue emergency plan, and the bureau leaders stepped forward to conduct emergency rescues in various medical and health units to ensure the safe transfer of patients admitted to the hospital before the disaster, properly resettle and timely treat the earthquake in the county. The wounded and 318 wounded and sick people in Mianzhu, Shifang, Deyang and Wenchuan, and no one died in hospitalized wounded. A total of 369 people from 12 medical teams were organized to travel to Dujiangyan, Longchi and Hongkou to rescue 464 sick and wounded patients. 885 person-times of disease control and health supervision personnel were dispatched to support the prevention and control of epidemic situation in Dujiangyan and Pengzhou. A three-level medical treatment and public health service system was established in the people's resettlement area of ​​the disaster-stricken areas in our county, and six medical personnel were selected to serve 727 people in the disaster-stricken areas. Focusing on drinking water sanitation monitoring and environmental disinfection, we will do a good job in preventing and controlling disease after the disaster and ensure that there is no major epidemic after the disaster. We will develop a post-disaster reconstruction counterpart support program, and support the post-disaster reconstruction of Jinjiang Township and Jiangyuan Town Health Center in Chongzhou City, and provide medical equipment worth more than 30,000 yuan.
After the Wenchuan earthquake, the disaster diagnosis and statistical work of the county's medical and health units were completed in a short period of time. The safety inspection and identification of the affected houses were carried out, and the “## County Health System Post-Disaster Reconstruction XX-2019 Plan” was prepared in time. Completed the demolition and reinforcement maintenance of 13 dangerous hospitals such as Gaoban, and the county hospital, county hospital, county CDC, county 120 emergency command center and Zhaojia, Wufeng, Yunxiu hospital and other units. The damaged houses were repaired and reinforced. The relocation project of Yangliu Community Health Service Center is under renovation. The renovation of Wufeng, Zhaojia and Yunxiu Health Centers is about to be completed. Qingjiang Health Center has completed the bidding. After the disaster, Gaoban, Samsung and Qixian Health Center The reconstruction project is about to be tendered. At present, it has been reported and is seeking 6 post-disaster reconstruction projects at county-level medical and health institutions, 7 township health centers and 28 village health stations. Through hard work, the city will fight for 10 million yuan of post-disaster reconstruction funds, the city red cross will repair and strengthen funds of 2 million yuan, and the city's financial maintenance and reinforcement funds 600,000 yuan; China Red Cross and Red Cross Foundation reconstruction The amount of aid construction funds was 21.17 million yuan; in the central XX year, the newly added rural health infrastructure construction fund was 5.62 million yuan, involving 33 post-disaster reconstruction and reinforcement maintenance projects in the county. Up to now, a total of 39.39 million yuan has been won.
Second, the initial achievements in the construction of sanitation standardization The implementation of standardized construction in county-level medical units and township health centers, standardized management system, functional positioning, financial management, operational mechanisms and distribution systems, drug management.
The county hospital management center was established, which is responsible for basic medical and public health service management, financial and asset management, personnel management, emergency public health emergency and medical emergency command and dispatch of public medical institutions in the county. After review and approval by the county party committee and the county government, the implementation plan for the “## county public hospitals and health centers to fully implement standardized construction” was formulated and implemented.
In accordance with the “six-in-one” service model requirements for basic medical care, health education, prevention, health care, rehabilitation, and family planning technical services, the two functions of public health and basic medical services in township public health centers and community health service centers have been clarified.
Implementation of the "two lines of revenue and expenditure" and accounting accreditation system. Invested 300,000 yuan to establish a centralized financial and financial payment center, centralized management of the financial institution's financial reporting system, canceled all existing fund accounts, established a unified income and expenditure account, corrected and regulated 86 expenses, and eliminated unreasonable expenses of 130,000. Yu Yuan, controlling debt growth. The “## County Health Bureau Notice on Regulating Material Purchase and Repair Work” was issued, which standardized the management of repair expenses.
The staff establishment, fixed posts, fixed responsibilities, and fixed salary were re-approved, and 24 township health centers in the county were determined to prepare 803 people. Formulate and implement the “## County Medical and Health Units Distribution Program Guidance Opinions”, and implement the salary and performance salary system for employee wages, which will promote the performance distribution to the clinical front line, excellent talents and important positions.
Drugs at county-level medical units adhere to the procurement of the sun, and the township hospitals adhere to the “two networks” distribution rate of 100%. The implementation of low-interest drugs will increase the price, the township hospitals will increase by 30%, and the county-level hospitals will increase by 15%. The drug and medical supplies procurement system and the basic medical drug list were formulated, and the charging standards and fee publicity system were strictly implemented to guide and standardize the use of drugs, to prevent “disorders” and “big prescriptions”, and to control the per capita outpatient expenses of county-level medical institutions at 75. Yuan/time, the per capita outpatient expenses of township hospitals are controlled at 35 yuan/time; the per capita hospitalization expenses of county-level medical institutions are controlled at 280 yuan/bed/day, and the per capita hospitalization expenses of township hospitals are controlled at 120 yuan/bed/day. about.
The facilities for the establishment of public health facilities in townships and towns have been improved, and the assessment system for township public health clinics has been established, and the management system and work processes have been standardized. Standardized construction of fever clinics, intestinal clinics, dog injury clinics and vaccination clinics was carried out.
In accordance with hospital level management requirements, the quality of medical and medical services will be continuously improved and the overall service function will be improved. The management plan was established and improved, the medical service process was standardized, and the “Basic Medical Treatment Project” and “Basic Medical Drug Catalogue” were improved. In the county-level hospitals and township hospitals, the “Chengdu General Outpatient Medical Record” was first introduced. The hospital pharmacy management committee was instructed to guide the clinical drug use. The special clinical pharmacists tracked the ward rounds, looked at the medical records, looked at the doctor's orders, prescriptions, etc., and the prescription pass rate was significantly improved. The existing problems were promptly feedbacked, analyzed, reviewed, and notified. The “Healthy Hundred Days of Medical Safety” focused on hospital infection monitoring, clinical laboratory quality control, and implementation of the hospital's core system. Strengthened the supervision and inspection of the implementation of medical quality, medical safety, etc., insisted that things were not checked and not let go, the reasons were not fixed, the responsibility was not overtaken, the rectification was not in place, and the four did not let go. The principle guarantees medical safety and reduces medical risks. Reasonably adjust the flow and structure of the patients, implement a two-way referral system for county and township medical institutions, and refer to more than 1,000 patients in both directions.
On-site inspection and registration of 68 registered medical institutions, verification and renewal of 458 "medical institutions practice license", cleaning up 2,236 items of medical institutions that did not meet the requirements for registration, 1688 items of relevant registration and approval items were adjusted according to law, and relevant registration and approval items were cancelled according to law. The project completed the examination of 356 registered doctors, 145 registered practitioners, and 136 registered nurses; the enrolled doctors of the county 2 hospitals increased the number of practicing subjects by 18, involving 3 majors. The “## County Professional and Technical Personnel Periodic Assessment Work Implementation Plan” was formulated, and 2023 professional and technical personnel were regularly evaluated. After screening, it was in compliance with the simple program assessment of 1,239 people, which was in line with the general program evaluation of 784 people. The implementation of standardized training for residents was initiated.
The “Implementation Plan for Strengthening Hospital Culture Construction” was formulated and implemented, and the service process logo and medical, nursing, and public health system signs were uniformly produced, which standardized the appearance of the hospital and improved the image of medical personnel.
Unpaid blood donation campaigns and emergency blood donation drills were carried out, and a stable voluntary blood donation team was established. Continue to strengthen clinical blood management. Unpaid blood donation and blood safety management were rated as advanced units by Chengdu.
Withdrawal is not two hospitals. The pilot program to regulate the integration of rural health management has achieved good results. Longsheng Town implemented the loose management of health centers and village stations, unified medical insurance and endowment insurance for village doctors, unified quality management, external image, drug management, financial management, and target assessment. Guangxing Town will include the village health station in the unified management of the hospital, re-plan the village health station and be the stationmaster of the hospital, and implement the collective office. The public health and basic medical services are all responsible for the health center.
The achievements of the county's health standardization construction have been fully affirmed by the leaders of the Municipal Health Bureau. The work experience was exchanged at the township public health center standard construction symposium held in our county, and exchanged at the township town hospital health standardization construction experience exchange meeting. Among them, the successful mode of the two lines of financial revenues and expenditures of township hospitals was promoted in the suburbs of the whole city and was concerned by the Health News.
Third, the public health and safety of the public has been effectively guaranteed to invest more than 500,000 yuan, the preparation of wired communication, computer application technology, vehicle information terminal gps, relying on the existing medical institutions to implement the county 120 call for rescue centralized acceptance, set up ## "120" emergency command center, Completed the construction of a social emergency medical network. The application of the “3g” integrated technology system is at the leading level in the suburbs of the city. The “120” emergency command system of our county has successfully played the role of command center in the earthquake relief medical emergency and daily emergency treatment, and was highly praised by the relevant leaders of the city and county.
Strengthen the monitoring and management of infectious disease epidemics, and pay attention to the prevention and control of diseases after the disaster and the implementation of prevention and control measures for AIDS, cholera, tuberculosis and hand, foot and mouth disease. The incidence of infectious diseases is controlled at 220.90/100,000, down 6.19% from XX. No public health outbreak occurred. The prevention and control of schistosomiasis basically reached the blockage of transmission, with a total of 4.125 million square meters of snails, 1.072 million square meters of snails, and 74,165 people. The rabies prevention system signed a target responsibility letter with the township governments, implemented the responsibility check system, strengthened the management of dogs, seized the work of eliminating dogs, established a feedback system for immunization of dogs, and strengthened the prevention and control of knowledge. The goal of "0" is achieved.
Efforts were made to implement the national expanded immunization program, and the vaccine coverage rate reached 99.52%. 124,880 people were immunized with measles vaccine, and the inoculation rate reached 99.53%. The national goal of eliminating measles was achieved as scheduled. The timely inoculation rate of the first dose of hepatitis B vaccine was 97.62%.
Ensure that there is no major epidemic in the year of the disaster. Set up a 24-hour disinfection of vehicles returning from the disaster area at the junction of Qingjiang Road, Zhaoyang Road, Chengye Road and Zhaoguan Road. 1,642 person-times were dispatched, and 825 vehicles were returned to the disaster-stricken areas, and 88 bodies were found in Dujiangyan and Pengzhou disaster areas. 752 person-times were dispatched, and the area of ​​disinfection public places reached 1.785 million square meters. For the 62 townships, medical and health units, schools, some units and religious temples, a total of 3,388 kilograms of David disinfectant and 102 bottles of sterilized tablets were distributed.
The Leading Group for the Medical Treatment of the "Sanlu Brand Infant Milk Powder" incident was set up by the Director, and the Medical Rescue Expert Group was established. The emergency plan for the treatment was formulated and implemented, and the "four sets", "three sets" and "three frees" were adopted. Strong measures to grasp the medical screening and treatment of Sanlu brand infant milk powder incident: First, set the hospital, set the personnel, set the place, and set the standard. The second is to concentrate personnel, centralized equipment, and centralized command. The third is the exemption fee, the auxiliary inspection fee, and the treatment fee. Through efforts, 13153 children were screened, 233 were diagnosed, and 28 were hospitalized.
The year of XX is the year of maternal and child health determined by the province and the city. The grassroots women and children are enriched according to the requirements of the province and the city, and the maternal and child health, maternity work system and health care facilities during pregnancy are improved. Strengthened obstetric quality, maternal and child health check, high-risk pregnancy management and emergency obstetric training. Strengthened the maternal and child health technical service work, and carried out special law enforcement inspections for maternal and child health care for 18 midwifery technical units in the county. The “Mother and Child Health Card Management System” was fully installed and used to establish a county women and children health information platform. In the county, the implementation of the women's disease census and general work, completed the 24,544 census tasks, the China Poverty Alleviation Foundation Health Poverty Alleviation Project Organizing Committee gave a commendation. Through efforts, maternal mortality and infant mortality were controlled within 45.63/100,000 and 10.65 分别 respectively; high-risk pregnancy and maternal system management rates were 100% and 85.3%, respectively; neonatal disease screening rate was 82.8%.
In mid-October, the city's suburban counties took the lead in officially launching the county-wide mental illness lead investigation, which was completed on December 30 and passed the acceptance test.
Implement the management of health law enforcement supervision. 44 health supervisors were selected and the network was extended to every street and every administrative village, achieving horizontal to side and vertical to the end. In the catering industry and public places, the implementation of health supervision quantitative grading management and food raw materials purchase certificate system and food safety information disclosure system, school canteen health supervision quantitative grading management rate of 100%, catering industry quantitative grading rate of 100%, rating rate Up to 85%. Paying close attention to the supervision of rural group banquets, we supervised 8595 tables of rural group feast throughout the year, achieving no major food poisoning and suspected foodborne disease outbreaks throughout the year. The food safety special rectification activities were carried out in depth to ensure food hygiene and safety during major events and major festivals throughout the county. At the same time, we will monitor the resettlement sites, rescue food, and post-disaster drinking water hygiene monitoring, complete 164 households for drinking water supervision, more than 1,200 food production operations, 274 household canteens, 69 medical institutions, and 35 resettlement sites. To ensure the safety of food and drinking water for the people after the disaster and the school to resume classes on time. We launched 4 special campaigns to crack down on illegal medical practice and rectify medical order, inspect more than 400 medical institutions, more than 30 health care products, more than 40 disinfection products, and 15 unlicensed medical stalls.
Taking the provincial health county review as an opportunity, the people's patriotic health campaign, health education and the "four evils" work were carried out earnestly. There are 43 publicity points, more than 2,200 health education posters, more than 80,000 brochures and more than 700,000 leaflets. In the county town, the “Healthy New Long March” health promotion campaign was launched, and more than 350,000 copies of promotional materials and drawings were produced, 33 banners were produced, 12 panels were displayed, 48 TV specials were publicized, and 335 broadcasts were broadcast. 2,205 sterilized pits, 1558 mosquito breeding grounds, and 1,600 kilograms of rat poison. Through efforts, the provincial-level health county successfully passed the review, creating 2 municipal-level health villages and 4 county-level health villages.
While doing the above work, the organization dispatched 262 medical personnel and 87 ambulances, and successfully completed the medical rescue support tasks for major activities such as the county's "two sessions."
Fourth, the community health service has made new progress in the county to launch the "health into the community" activities, in the county town of Zhao Town, the "everyone enjoys health protection, households have family doctors" activities, for XX low-income, disabled The family presented a health care box, equipped with a bicycle and a mobile diagnostic table. The medical detachment formed a large number of medical squads to serve the public. The Huaikou Center Health Center has been transformed into a community health service center, and has passed the acceptance inspection as the provincial government “people's livelihood project”. Actively promote the "six-in-one" service model, standardize and refine service projects, and focus on women, children, the elderly, chronic diseases, disabled people and poor people, and provide comprehensive prevention and health education. Public health services and basic medical services to address common and frequently-occurring diseases in the local area. Establish a team of responsible physicians, survey 1,200 households, 2,500 physical examinations, establish 17,120 health files, and implement 1,218 chronic disease management.
V. The achievements of the establishment of state-level rural traditional Chinese medicine advanced counties have been actively pursued by the State, the provincial and municipal Chinese medicine administrations, and the establishment of the National Rural Traditional Chinese Medicine Advanced County has been initiated. A plan for creation and a plan for the development of Chinese medicine have been developed. The infrastructure construction of the leading hospitals in the county has completed the basic work of project establishment, site selection and land acquisition. Comprehensively carry out the standardization of Chinese medicine and Chinese medicine houses in township health centers, and 10 township health centers such as Fuxing Center Health Center passed the inspection and acceptance of the city's expert group. Invested more than 300,000 yuan to establish "##中医名医馆", and collected provincial, municipal and county-level Chinese medicine practitioners to receive 16,000 patients with difficult diseases in our county and surrounding counties and counties, to meet the needs of the general public for Chinese medicine services, to promote the tradition Medicine has made new contributions. Establish 2 key specialties for municipal-level Chinese medicine practitioners. Eight Chinese medicine practitioners were selected to participate in provincial Chinese doctor training. We will strive for the appropriate technology projects for Chinese medicine, free training of 270 township hospitals and village doctors, and each person will send medical facilities such as silver needles and cuppings. According to the policy, 25 Chinese medicine practitioners who participated in the traditional medical faculty and did have the qualifications of the specialists were all qualified.
Sixth, the health and benefit people's actions are carried out in depth in the city to explore and implement the medical custody of rural five-guarantee households. The outpatient and inpatient medical services of more than 5,000 five-guarantee households in the county are directly entrusted to the local township hospitals. There were 23,000 outpatient clinics and 3,500 hospitalizations throughout the year. The leaders of the city and county fully affirmed this. In the five county-level hospitals, the Huimin clinic provides services to the elderly, over 70 years old, disabled, difficult households, low-income households, trade union members, and labor models, with a preferential rate of more than 3,000. The implementation of the “Ganlu Aid Action” was awarded to the 201 special disabled people with a love medical card, which was free of new farmers’ registration fees and medical examination fees and three no-person medical treatment fees. Completed “cataract rehabilitation surgery” for 260 poor people. The implementation of the above-mentioned Huimin action and medical policy price reductions for the whole year benefited the amount of 1.75 million yuan.
VII. The construction of the health talent team has been continuously strengthened, and the achievements in medical science and technology have been significantly developed on the basis of in-depth research, and the implementation of the “Implementation Opinions on the Management of Leading Cadres in the Health System” and the construction plan for the health talent team have been formulated. We adjusted 52 leading cadres and publicly recruited and selected 7 leading cadres. Invite well-known experts from across the country to teach, and held a six-day health system leadership cadre hospital management training course, training 260 leading cadres. Introduce 5 middle and senior professional talents outside the county, and return one senior professional talent outside the county system. It is recommended to enjoy 7 provincial and municipal government special allowances. Actively strive for preferential policies, and include 23 college graduates who have worked in grassroots township hospitals this year in full financial allocation; for the graduates who have worked in grassroots township health centers in the past two years, they will raise the first-class salary; guide 33 college graduates to the grassroots level. Support the development of township health centers and include full financial allocations.
The county-level hospitals sent 102 middle- and high-level medical staff to help the township hospitals. The township hospitals sent 64 people to the county-level hospitals for free study and completed 70 rural school secondary education. Organized more than 20 training courses for cadre management, hospitality, antibiotics, maternal and child, pre-examination training for practicing doctors, and appropriate technology for Chinese medicine, and trained more than 6,000 people.
Taking county-level medical units as the main body and focusing on clinical medical and practical technology, 48 new technologies, new methods and new projects will be introduced, and each county-level medical institution will establish 2 key disciplines, which will be published in national and municipal medical journals. He has exchanged 60 papers and 3 papers for outstanding papers. 26 county scientific and technological achievements were reported, 16 experts were reviewed, and 12 were awarded. After expert appraisal, 3 of them reached the provincial and municipal leading level.
8. The party's construction and administrative efficiency construction have been strengthened. The role of the trade unions and the Communist Youth League has been further exerted. The learning system has been conscientiously implemented. The central party group of the bureau has taken the lead in studying, and organized the system of party members and cadres to carry out the "liberation of ideas, scientific development" discussion and leadership. The democratic appraisal activities of cadres have earnestly studied the spirit of the Party’s xx and xx sessions, the spirit of the county committee, and the spirit of health conferences at all levels.
Two county-level hospitals are equipped with one person in charge of the party organization. It is recommended that the township party committee adjust 10 party branch secretary of the health center; carry out the party building work to strive for excellence, and give full play to the fighting fortress role of the party organizations of all units.
Supporting the activities of “hand in hand and offering love” in the disaster-stricken areas, organized party members and cadres to donate more than 150,000 yuan to the disaster-stricken areas, and paid “special party fees” of 27,000 yuan to send medical drugs and equipment worth more than 50,000 yuan to the Pengzhou disaster area. Conducted the commendation and commendation activities of "advanced grassroots party organizations and outstanding communist party members", commended 8 advanced party organizations at the grassroots level for earthquake relief, and 20 outstanding party members. Among them, Xie Genfen, a county hospital, was commended by the municipal government and the municipal party organization department. The king boat was commended by the city government. Develop 10 new party members for earthquake relief. Carry out the "Party Construction of the Communist Party of China to build a new urban and rural areas" activities. Construction of “Lianxin Road” for Pingqiao Qiansi Village, sending 3,000 yuan of cash and a batch of food, and sending 32 medical personnel to free medical examinations for poor 60-year-old party members and 42 poor-stricken farmers. For the new Zhuxin Village Health Station standardization construction funding of 10,000 yuan. Actively carry out urban professional and technical personnel to support rural villages and social activities, and select 38 middle-level and above health professional and technical personnel to support township hospitals.
The system of "one post and two responsibilities" for the construction of party style and clean government was implemented. Further improved the system. The party secretary and director of the bureau signed a letter of responsibility for the party's work style and clean government building with the top leaders of all units. Strengthened the standardized management of funds used for post-disaster relief materials, funds and post-disaster reconstruction projects. The whole process was supervised for the approval of infrastructure, drug procurement, purchase of large-scale medical equipment, and bidding, and signed a clean government contract with the contractor and construction unit of the post-disaster reconstruction project. Internal audits were carried out for all township hospitals, and the audited issues were seriously rectified. A quantitative annual assessment of the achievements of the leading cadres in the health system and the construction of the party's work style and clean government was conducted.
Seriously implement the "Implementation Opinions on Strengthening the Administrative Efficiency of the Organs" of the County Party Committee and the County Government, improve the implementation of the first-question responsibility system, the time-limited system, the accountability system, and the performance evaluation system of the organs, and establish the first responsibility and convenience in the bureau. The public contacted the public sign. Established the Administrative Examination and Approval Section, established and improved seven administrative licensing management systems such as the “Sanitary Administrative Licensing System”, the “Sanitary Administrative Licensing Personnel Training and Assessment System”, and the “Sanitary Administrative Licensing Fault Correction System”, which standardized the administrative approval procedures and administration. The license is subject to centralized acceptance, centralized approval system and online approval. 995 health permits were handled throughout the year.
Striving for one municipal-level civilized unit, consolidating one provincial-level civilized unit, six municipal-level civilized units, and 23 county-level civilized units.
The labor unions of all units work around the center, actively play the role of democratic supervision, organize employees to actively participate in earthquake relief and post-disaster reconstruction, and actively participate in disaster relief performances. The Health System Staff Skills Competition was rated as an advanced unit of skill competition activities by the Municipal Federation of Trade Unions. Organized the county hospital nurse practice etiquette team to participate in the “Chengdu Million Worker Skills Competition” nurse professional etiquette competition held by the Municipal Health Bureau and the Municipal Nursing Association, and entered the top 12 of the 36 teams participating in the competition, in the final. Won the third prize. All units took the "party building and group building" to give full play to the reserve army role of youth members, and actively participated in the performance of the county's 30th anniversary of the reform and opening up, and received favorable comments. Youth members of the organization organized the operation competition of intravenous infusion skills and the "Celebration Reform. Welcome New Year" poetry reading contest.
IX. New achievements in safety, comprehensive management, letters and visits, stability and law-enforcement work In-depth implementation of the “five. five” law-enforcement activities of the system, dispatched more than XX person-times, and printed more than 650,000 copies of information. Strictly implement the safety system and carry out the activities of “Peace ##” and “No Criminal Cases”. Pay close attention to the "discipline" work and achieve the "three zeros" goal. We rushed to implement the measures of letters and visits, carried out the activities of “leading large-scale visits, cadres and large-scale visits”, and handled 13 letters from the letter. There was no incident of petitioning in the whole year. Strictly implement the response plan for handling unstable accidents and timely handle 21 conflicts and disputes. Through hard work, it was rated as an advanced unit in Chengdu's law-enforcement and legal governance work.