Summary of work in Chinese medicine hospital
The ultimate goal of health care reform is to provide patients with better quality care at a lower cost. In recent years, like other municipal comprehensive hospitals , our hospital has become a basic component of the city's medical and health work, and has formed a unique Chinese medicine medical and health work system, providing high quality and low price for the people. We have made unremitting efforts in medical and health care services, inherited the development of Chinese medicine academics and training Chinese medicine professionals. In XX, our hospital adhered to the patient-centered service concept, and strived to improve the quality of medical care, reasonable fees, and reduce medical expenses, and strive to provide quality medical services to patients. Hospital business income increased by 14.36% year-on-year, outpatient volume increased by 12.18% year-on-year, and inpatients increased by 5.41% year-on-year. After removing the increase in workload, it increased by 4.85% year-on-year, and the cost per outpatient service was 108.78 yuan, which was the city level 9 The lowest of home hospitals .
1. Strengthen medical quality management to ensure and improve the quality of medical services
Medical quality management is the core of hospital management. Improving the quality of medical care is the fundamental purpose of managing hospitals . Medical quality is the lifeline of the hospital . The level of medical care and the quality of medical care are directly related to the survival and development of the hospital . In XX, on the basis of the "Medical Quality Service Year" activities, our hospital will reduce the defects of medical quality, timely investigate and eliminate hidden dangers of medical safety, reduce medical accident disputes, and eliminate medical accidents as a top priority. Our hospital strictly controls the quality of medical care. All departments strictly implement various rules and regulations, standardize the diagnosis and treatment behavior, adhere to the first-patient responsibility system, the three-level investigation system, the consultation of difficult patients, the critically ill patients and the pre- and post-operative discussion system. Enhance the sense of responsibility, pay attention to the dynamic analysis in medical activities, and do a good job of various preventive measures to prevent problems before they occur. In order to improve the current patient's request for medical right to know, improve the notification system. Strengthen the quality control management, the hospitalized medical record was written and implemented the "Implementation Rules for the Writing of Chinese Medical Records" and the scoring standard. After nearly one year of operation, the writing of the hospitalized medical records in our hospital was in the quality control examination of the inpatient medical records of the whole city. For the second place in the city, the top ten winners in our hospital accounted for three, the top two are medical staff of our hospital.
The basis for optimizing medical service processes to improve the quality of care. The service process is the operating structure and mode of the medical institution. On the basis of not increasing the ward and the health technicians, the optimal medical service process determines the efficiency and competitiveness of the medical institution, which greatly enhances the hospital 's Long-term viability enables the hospital 's available resources to reduce duplication and waste by balancing the various components of the process, enabling the hospital's existing hardware and software to achieve higher utilization rates and better utilization levels, and to maximize the use of professional and technical personnel. Ability to meet the needs of patients as much as possible, and achieve high economic and social benefits. Our hospital insists on patient-centered, optimizes medical procedures, facilitates patients' efforts in medical treatment, seeks practical results, enhances service awareness, optimizes development environment, and strives to provide patients with warm, convenient and high-quality medical services. The introduction of various convenience measures, such as the charging of registered windows, reducing the number of registered queues, some experts set up a special registration window, the introduction of telephone appointment registration and other measures. The medical technology department issued a report to issue a time-limited commitment. The nursing department has emerged a group of advanced nurses in the selection of star nurses. 56 nurses were awarded star-level nurses throughout the year. The nurses built the bridge and introduced convenience measures. They tried to solve the practical problems for the patients, and the inpatients worked on the nursing work. Satisfaction reached 96%.
Implementing medical quality and medical safety education is the basis for strengthening medical quality. How to improve the quality of managers themselves and strengthen the education of medical staff in the hospital is the basis of quality management. Improving the quality of medical care can not be achieved by the efforts of several managers or some medical personnel. It requires that all employees in the hospital have a correct outlook on life, values, and professional ethics; they need a strong sense of responsibility, professionalism, and compassion; Establish a solid medical quality and medical safety awareness; comprehensively carry out quality service in the hospital and “safety is the biggest saving, accident is the biggest waste” activity, stimulating the professionalism of employees and learning, and forming a comparison, learning, and rush Super good atmosphere.
Establishing a sound quality management system and standardizing medical behavior are the core. In recent years, our hospital has started to strengthen the system construction, combined with the nature of work and the content of each position, formulated job responsibilities, medical ethics, personnel management, meetings, study, attendance, security, logistics management, financial property management, statistics. Report management, medical document file management, awards, punishments, etc., a total of 241 management systems; administrative management, medical quality management, nursing quality management, drug management, hospital infection control management, financial management, ideological and political work and medical ethics 26 quality control assessment rules such as wind management; formulate a comprehensive target responsibility book for functional departments and business departments, and achieve a pattern of first-level management and first-level responsibility. Clear responsibility, guarantee functions, clear responsibilities, clear rights, and appropriate interests, so that management has achieved rules and regulations, and there are rules to follow, and gradually improve the legalization, institutionalization, standardization and standardization of management.
Establish a quality management system in line with the actual hospital . The hospital has established a quality management and quality control assessment leading group with the dean, vice president, medical department and clinical departments as the members, responsible for the quality management of the whole hospital. The whole hospital has formed the main leaders to personally grasp; in charge of the leadership specific; the functional departments to grasp every day; the clinical department to grasp the medical quality and medical safety management pattern.
Strengthen medical quality management, adhere to the combination of regular inspection and monthly, seasonal and annual quality control, strictly control the quality of the links, and ensure the quality of the final quality. "Catch the three basics", "promote the three strict", and implement the "three-level physician" round-robin system. The Medical Services Department regularly organizes employees in the hospital to study health laws, regulations, systems, operating procedures and operational practices, and record them in their personal business files. In recent years, through the development of medical business management, efforts to improve medical quality and ensure medical safety as the goal of all-round quality management, the hospital 's work has achieved the intended purpose of the comprehensive target responsibility system, the quality of medical care is gradually improved, and the safety risks are gradually reduced. There are no medical accidents, and there are relatively few medical disputes. The quality of medical care has been improved and medical safety has been ensured. This year, it successfully passed the re-evaluation work of Zhejiang Provincial Third Class B Hospital .
Second, improving medical quality and reducing medical expenses is the most fundamental goal of the hospital .
Improving the quality of medical care, reducing medical expenses, and letting ordinary people enjoy better medical services with less money is the most fundamental goal of medical system reform. Reducing medical expenses and improving economic efficiency are also social issues of common concern to every dean, patient, social person, medical staff, etc. It is a direct reflection of the nature of society and the purpose of the service. As a hospital administrator, we must start from strengthening scientific management and reducing management costs, and work hard to improve service quality and service quality, and highlight the advantage of "technology" rather than "fee".
This year, our hospital strictly implements the bidding policy for pharmaceuticals, large-scale medical equipment procurement, and the policy of “supplementing prices” for drugs. It implements separate accounting, separately manages and adjusts the price of medical services, reduces the total medical expenses, and reduces the income of medicines in the total income of hospitals . The proportion. After implementing the drug price "shun plus price" policy, our hospital reduced the drug income by more than 5 million yuan, which really reduced the economic burden of patients. To achieve the goal of "reducing the cost of patients", the first priority is to solve the problem of ideological understanding and improve the medical ethics of medical ethics. We must adhere to the principle of "serving the people", correctly handle the relationship between social benefits and economic benefits, and put social benefits on First, the idea of preventing one-sided pursuit of economic benefits while ignoring the tendency of social benefits. "Patient-centered", based on the interests of the majority of patients, the medical work as a lofty occupation, to deal with the interests of hospitals , individuals and patients; to do a reasonable inspection, rational use of drugs, to low-cost The price provides quality services and practically implements the important thinking of the "Three Represents" in medical work.
Expand the volume of outpatient services and improve work efficiency. Last year, the number of outpatients in our hospital reached 533,100, an increase of 12.18% compared with the same period last year. In general, outpatient treatment is often much less expensive than hospitalization when the same disease is similar and the condition is similar.
1. Strengthen medical quality management to ensure and improve the quality of medical services
Medical quality management is the core of hospital management. Improving the quality of medical care is the fundamental purpose of managing hospitals . Medical quality is the lifeline of the hospital . The level of medical care and the quality of medical care are directly related to the survival and development of the hospital . In XX, on the basis of the "Medical Quality Service Year" activities, our hospital will reduce the defects of medical quality, timely investigate and eliminate hidden dangers of medical safety, reduce medical accident disputes, and eliminate medical accidents as a top priority. Our hospital strictly controls the quality of medical care. All departments strictly implement various rules and regulations, standardize the diagnosis and treatment behavior, adhere to the first-patient responsibility system, the three-level investigation system, the consultation of difficult patients, the critically ill patients and the pre- and post-operative discussion system. Enhance the sense of responsibility, pay attention to the dynamic analysis in medical activities, and do a good job of various preventive measures to prevent problems before they occur. In order to improve the current patient's request for medical right to know, improve the notification system. Strengthen the quality control management, the hospitalized medical record was written and implemented the "Implementation Rules for the Writing of Chinese Medical Records" and the scoring standard. After nearly one year of operation, the writing of the hospitalized medical records in our hospital was in the quality control examination of the inpatient medical records of the whole city. For the second place in the city, the top ten winners in our hospital accounted for three, the top two are medical staff of our hospital.
The basis for optimizing medical service processes to improve the quality of care. The service process is the operating structure and mode of the medical institution. On the basis of not increasing the ward and the health technicians, the optimal medical service process determines the efficiency and competitiveness of the medical institution, which greatly enhances the hospital 's Long-term viability enables the hospital 's available resources to reduce duplication and waste by balancing the various components of the process, enabling the hospital's existing hardware and software to achieve higher utilization rates and better utilization levels, and to maximize the use of professional and technical personnel. Ability to meet the needs of patients as much as possible, and achieve high economic and social benefits. Our hospital insists on patient-centered, optimizes medical procedures, facilitates patients' efforts in medical treatment, seeks practical results, enhances service awareness, optimizes development environment, and strives to provide patients with warm, convenient and high-quality medical services. The introduction of various convenience measures, such as the charging of registered windows, reducing the number of registered queues, some experts set up a special registration window, the introduction of telephone appointment registration and other measures. The medical technology department issued a report to issue a time-limited commitment. The nursing department has emerged a group of advanced nurses in the selection of star nurses. 56 nurses were awarded star-level nurses throughout the year. The nurses built the bridge and introduced convenience measures. They tried to solve the practical problems for the patients, and the inpatients worked on the nursing work. Satisfaction reached 96%.
Implementing medical quality and medical safety education is the basis for strengthening medical quality. How to improve the quality of managers themselves and strengthen the education of medical staff in the hospital is the basis of quality management. Improving the quality of medical care can not be achieved by the efforts of several managers or some medical personnel. It requires that all employees in the hospital have a correct outlook on life, values, and professional ethics; they need a strong sense of responsibility, professionalism, and compassion; Establish a solid medical quality and medical safety awareness; comprehensively carry out quality service in the hospital and “safety is the biggest saving, accident is the biggest waste” activity, stimulating the professionalism of employees and learning, and forming a comparison, learning, and rush Super good atmosphere.
Establishing a sound quality management system and standardizing medical behavior are the core. In recent years, our hospital has started to strengthen the system construction, combined with the nature of work and the content of each position, formulated job responsibilities, medical ethics, personnel management, meetings, study, attendance, security, logistics management, financial property management, statistics. Report management, medical document file management, awards, punishments, etc., a total of 241 management systems; administrative management, medical quality management, nursing quality management, drug management, hospital infection control management, financial management, ideological and political work and medical ethics 26 quality control assessment rules such as wind management; formulate a comprehensive target responsibility book for functional departments and business departments, and achieve a pattern of first-level management and first-level responsibility. Clear responsibility, guarantee functions, clear responsibilities, clear rights, and appropriate interests, so that management has achieved rules and regulations, and there are rules to follow, and gradually improve the legalization, institutionalization, standardization and standardization of management.
Establish a quality management system in line with the actual hospital . The hospital has established a quality management and quality control assessment leading group with the dean, vice president, medical department and clinical departments as the members, responsible for the quality management of the whole hospital. The whole hospital has formed the main leaders to personally grasp; in charge of the leadership specific; the functional departments to grasp every day; the clinical department to grasp the medical quality and medical safety management pattern.
Strengthen medical quality management, adhere to the combination of regular inspection and monthly, seasonal and annual quality control, strictly control the quality of the links, and ensure the quality of the final quality. "Catch the three basics", "promote the three strict", and implement the "three-level physician" round-robin system. The Medical Services Department regularly organizes employees in the hospital to study health laws, regulations, systems, operating procedures and operational practices, and record them in their personal business files. In recent years, through the development of medical business management, efforts to improve medical quality and ensure medical safety as the goal of all-round quality management, the hospital 's work has achieved the intended purpose of the comprehensive target responsibility system, the quality of medical care is gradually improved, and the safety risks are gradually reduced. There are no medical accidents, and there are relatively few medical disputes. The quality of medical care has been improved and medical safety has been ensured. This year, it successfully passed the re-evaluation work of Zhejiang Provincial Third Class B Hospital .
Second, improving medical quality and reducing medical expenses is the most fundamental goal of the hospital .
Improving the quality of medical care, reducing medical expenses, and letting ordinary people enjoy better medical services with less money is the most fundamental goal of medical system reform. Reducing medical expenses and improving economic efficiency are also social issues of common concern to every dean, patient, social person, medical staff, etc. It is a direct reflection of the nature of society and the purpose of the service. As a hospital administrator, we must start from strengthening scientific management and reducing management costs, and work hard to improve service quality and service quality, and highlight the advantage of "technology" rather than "fee".
This year, our hospital strictly implements the bidding policy for pharmaceuticals, large-scale medical equipment procurement, and the policy of “supplementing prices” for drugs. It implements separate accounting, separately manages and adjusts the price of medical services, reduces the total medical expenses, and reduces the income of medicines in the total income of hospitals . The proportion. After implementing the drug price "shun plus price" policy, our hospital reduced the drug income by more than 5 million yuan, which really reduced the economic burden of patients. To achieve the goal of "reducing the cost of patients", the first priority is to solve the problem of ideological understanding and improve the medical ethics of medical ethics. We must adhere to the principle of "serving the people", correctly handle the relationship between social benefits and economic benefits, and put social benefits on First, the idea of preventing one-sided pursuit of economic benefits while ignoring the tendency of social benefits. "Patient-centered", based on the interests of the majority of patients, the medical work as a lofty occupation, to deal with the interests of hospitals , individuals and patients; to do a reasonable inspection, rational use of drugs, to low-cost The price provides quality services and practically implements the important thinking of the "Three Represents" in medical work.
Expand the volume of outpatient services and improve work efficiency. Last year, the number of outpatients in our hospital reached 533,100, an increase of 12.18% compared with the same period last year. In general, outpatient treatment is often much less expensive than hospitalization when the same disease is similar and the condition is similar.
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