County Health Bureau Hospital Management Year Activity Stage Summary

According to the spirit of the “ Hospital Management Year Activity Supervision Notice” of the District Health Department, the Office requires all medical units to follow the “ Hospital Management Year” work objectives and key requirements and “Cangzhou City to carry out the “patient-centered, quality-oriented medical theme”. The Hospital Management Year Activity Evaluation Method and Evaluation Criteria was fully decomposed and self-examined. The self-inspection of each medical unit is summarized as follows:

1. Leaders attach importance to organization, and the forms of publicity and education are diverse.

In order to strengthen the leadership of the " Hospital Management Year" activities, the Health Bureau and various medical units have set up an activity leading group led by the secretary and the dean, responsible for the supervision, inspection, evaluation and information reporting of the hospital management year activities to ensure The management year activities were carried out smoothly and all the work was implemented.

After mobilizing the conference, all units timely conveyed the relevant spirit of the higher level, organized systematic learning, and laid the organizational and theoretical foundation for the activities. The County Health Bureau has formulated the “Implementation Plan for Hospital Management Years with the theme of “taking patients as the center and improving the quality of medical services”. The hospital has also formulated the implementation plan for the management of the hospital and held the “ Hospital Management Year” activity. The mobilization of the conference will let all the cadres and employees of the hospital know the purpose, significance, goals and requirements of the hospital management year activities, further emphasize the importance of the activity and create a good public opinion atmosphere.

The Health Bureau's "Mengshan Health Briefing" and "Mengshan Information" were used to publicize the " Hospital Management Year". The hospital also used the propaganda column to publicize and publish the publicity materials to promote the " Hospital Management Year." The hospital used the discussion content of “If I am a patient” to create an atmosphere for the “ Hospital Management Year”, so that the hospital management year activities are deeply rooted in the hearts of the people.

Second, meticulous organization, careful deployment, and implementation

First, the hospital leadership team and the " Hospital Management Year" leading group members are divided according to their responsibilities. Each department is responsible for the department, and the person in charge of the department is responsible for the " Hospital Management Year" activity of the department, forming a level one level, and implementing the responsibility system at all levels. Strengthen the leadership of the " Hospital Management Year" activities.

The second is to refine the measures and indicators in the implementation plan, and decompose them one by one to the relevant personnel of each department, so that the management year activities can reach every department, every post, every link, and go deep into all aspects of hospital work.

Third, practising according to law, standardizing medical practice, strengthening management

Strictly implement relevant laws and regulations, strictly implement the medical institution access system and the medical personnel access system. The hospital conducts medical treatment activities in accordance with the practice scope of the Medical Institution License, without expanding the medical treatment subject without authorization, without employing undocumented personnel, and without violations. Publish medical advertisements, no external rental or contracting departments. All hiring personnel are examined and approved by the Health Bureau, and no health personnel are engaged in medical activities. Doing a certificate of practice, eliminating illegal medical practice and ensuring medical safety.

Fourth, pay close attention to medical ethics and establish a good image

Adhere to the "patient-centered", effectively change the service concept, continuously innovate the service model, improve the service process, improve the service attitude, and strive to build a harmonious relationship between doctors and patients. All medical units carry out "patient-centered" service concept education and honesty and self-discipline education and other medical ethics education activities, and educate medical staff to establish the purpose of serving the people wholeheartedly. Vigorously promote the spirit of Bethune, carry forward the fine tradition of saving lives and helping the sick, saving the professional ethics and industry style, establishing a good medical ethics, establishing the purpose of serving the people wholeheartedly, and persisting in carrying forward the humanitarian spirit of saving lives and helping the wounded. Seriously implement the Ministry of Health "medical staff medical ethics" and "eight industry disciplines", medical staff are strictly prohibited from accepting "red envelopes", items and banquets of patients and their relatives and friends in medical service activities. Severely crack down on various forms of rebates, billing commissions and other violations. At the same time, establish and improve the patient complaint handling system, announce the complaint telephone number, and accept and handle patient complaints in a timely manner. Regularly collect patient opinions on hospital services and improve them in a timely manner. Regular symposiums of social supervisors were held to collect opinions on patients' work in hospitals , formulate corrective measures, and urged them to be put in place.

The implementation of the hospital affairs is open, the hospital will introduce doctors, expert specialists, drug prices, and large-scale equipment inspections in the hospital's eye-catching position so that patients can clearly understand consumption. The ward set up a price consultation and fee enquiry office to take the initiative to accept the supervision of medical expenses by the society and patients. Implementing convenience measures, setting up medical consultation, providing humanized services, etc., in line with the " Hospital Management Year" activities. Through the development of these activities, it reflects the patient-centered service concept, improves the service level, is universally recognized by the majority of patients, establishes the hospital image, and creates a good medical environment.

Fifth, improve medical quality and ensure medical safety

The medical quality management network is sound. The hospital has a medical quality management team with the dean as the first responsible person. Each department has a medical quality control team. At the end of each quarter, comprehensive quality inspections are carried out, and the inspections are timely feedback and timely rectification.

Establish a three-level medical quality management system, strengthen basic quality, link quality and final quality management to ensure and consolidate the quality of basic medical care. The medical department pays attention to the quality management of medical links, implements the three-level ward round system, and increases the examination of medical records and prescriptions. The medical records and prescription qualification rates meet the prescribed requirements. Regularly check the implementation of the rules and regulations of the clinical, medical technology departments, and outpatient departments. Implementing a system of accountability for medical quality and medical safety,

Improve medical quality and ensure medical safety.

Through the “patient-centered, quality-centered” management of the annual activities, the hospital has improved the medical quality of the hospital in an all-round way and established a good social image. Through this activity, not only improved service attitude, but also standardized medical behavior and reduced medical expenses. Not only improve the quality of medical care, but also ensure medical safety.

6. Strengthen financial management and standardize economic activities according to law

Strengthen financial management, standardize economic activities in accordance with the law, improve economic accounting and distribution methods, improve economic management, control medical costs, and reduce medical expenses.

Finance adheres to the principle of “unified leadership and centralized management”, and all financial revenue and expenditure activities must be integrated into the unified management of the financial department. A standardized economic activity program has been established, and the leadership responsibility system and accountability system for major economic matters have been implemented. After the collective discussion of major projects, they are submitted for approval according to the prescribed procedures, and the level of responsibility is determined.
Strengthen the management of medicines, materials, equipment and other materials, strictly implement the internal cost accounting system of hospitals , and strive to reduce the cost of medical services and the consumption of medicines and materials.

Seven, there are problems

In this self-examination, we found some weak links in the work, such as: (1) some medical and nursing systems still need to be further improved; (2) antibacterial drug management needs to be further strengthened; (3) no disinfection environmental sanitation monitoring for hospital infection management .

Eight, the future plans

1. In the future “ Hospital Management Year” activities, we will continue to summarize the experience of the “ Hospital Management Year” activities, and strive to standardize, institutionalize and standardize the experience to establish a continuous improvement mechanism for long-term medical service quality, and to manage quality and The continuous improvement of medical service quality has continued for a long time, and efforts have been made to achieve continuous improvement in the quality of hospital management and the quality of medical services.

2. We continue to implement the " Hospital Management Year" activities in the actual work of caring for the interests of patients, and take a quality and efficiency development path. We must also adhere to the treatment of diseases, reasonable inspection, rational use of drugs; improve the quality control system of medical quality and safety, implement the medical quality and safety responsibility system and accountability system, prevent medical accidents, reduce disputes between doctors and patients, and ensure medical safety. It is also necessary to take the initiative to accept the supervision of medical expenses by the society and patients, and timely handle the complaints of patients for illegal charges; it is also necessary to conscientiously implement the relevant provisions of “centralized bidding” and “drug price management” of drugs; it is necessary to correct unreasonable inspections and irrationalities. Medication, unreasonable charges and other issues.

3. According to the results of self-examination, combined with the actual situation of each hospital , formulate corresponding improvement measures for existing problems, and pay close attention to implementation, and gradually achieve the goal of " Hospital Management Year" activities.