Summary of the work of the county people's hospital in the first half of 2019

In the first half of XX, under the leadership of the county party committee and county government, under the guidance of the higher-level business departments, the hospital was guided by Deng Xiaoping Theory and the important thinking of the "Three Represents", and thoroughly implemented the Third, Fourth and Fourth Central Committees. In the spirit of the Plenary Session, we adhered to the principle of “taking patients as the center and improving the quality of medical care”. In accordance with the requirements of the comprehensive management responsibility book for health work in XX, we have actively completed various tasks under the joint efforts of the staff of the hospital.
First, the basic situation

Statistics from January to May: 359 employees. Among them: 254 employees, 105 retired employees.

Staff structure: The total number of health technicians is 220, accounting for 86.6%, and 34 workers are working, accounting for 13.4%.
Title structure: 217 people with professional technical titles. Among them: 1 senior professional title, accounting for 0.4%, 5 senior professional titles, accounting for 2.3%, 94 intermediate titles, 43.3%, 117 junior titles, accounting for 53.9%, and 3 professional and technical titles.
175 beds were prepared and 250 beds were actually opened.

Second, the main work
Adhere to patient-centered and provide a full range of quality services

In the past six months, the hospital leadership team has led the staff of the hospital to make great efforts and make progress, which has made the hospital 's work a great development.

1. Strengthen ideological and political work and establish an ideology for serving the people

Our hospital has always attached great importance to ideological and political education, paying attention to using hospital culture to improve the cohesiveness of employees, combining the activities of “maintaining the advanced nature of party members” carried out by the Party’s general branch, and implementing the plan of “the image of a white angel” to reflect the advanced nature of party members and to wholeheartedly Serve the people. Extensively carry out party style and clean government education among party members and all employees, learn Deng Xiaoping's theory of party style and clean government construction, learn the archives spirit of professional ethics and work style construction, and connect with reality to further establish a "patient-centered" service perspective. At the same time, with the "Love Home as Home" as the main line, the construction of civilized units, planning, step by step to carry out life outlook, values ​​and ownership education. 5.12 International Nurses' Day Hospital organized a speech contest with the theme of “Based on its own position and creating a harmonious society”, stimulating the enthusiasm of medical staff to love and respect the post, advocating the spirit of dedication and dedication, and striving to establish a service of serving the people wholeheartedly among the employees. And a strong sense of responsibility for work, educating medical staff to enhance patient-centered service awareness.

2. Strengthen the construction of medical ethics and establish a medical quality assurance system

Our hospital mainly adopts two forms in the construction of medical ethics. First of all, from the ideological point of view to strengthen medical ethics education, focus on professional ethics education, medical ethics assessment, technical operation assessment, thereby enhancing the quality awareness of all staff. At the same time, strengthen the supervision and restraint mechanism inside and outside the hospital, regularly hold consultation forums, conduct questionnaire surveys on outpatients, inpatients, and discharged patients, and extensively solicit opinions and suggestions from patients on various aspects of the hospital . The “Quality Management Standards for Medical Service and Assessment and Punishment Measures” were revised and improved, and the assessment was strengthened.

3. Strengthen the work of medical services and continuously improve the quality service system.

In order to improve the quality of medical services, our hospital closely focuses on the theme of “patient-centered” to provide patients with a full range of quality services. Strengthened the guidance of medical consultation, provided free water for patients, free blood pressure measurement, hospital outpatient clinic, hospitalization department, and a schematic diagram of medical treatment for patients, which is convenient for guiding patients to seek medical treatment. Each department hangs the name, professional and professional title of medical staff. The doctors are required to list services to facilitate the patient to choose a doctor for medical treatment and to carry out the basic rural rural medical work. The public drug sales price and various inspection fee standards are implemented, and the inpatient fee list system is implemented to allow patients to clearly understand the disease and clear consumption. Establish civilized service supervision posts, work style construction suggestion boxes, opinion books, supervision telephones, public service commitments, and set up hospital work under the supervision of patients and society. At the same time, the use of blackboard newspapers, publicity windows, health prescriptions and other forms, so that the people coming to our hospital can receive health education, the above measures, praised by the public and society.

Deepen hospital reform and promote hospital development

In order to adapt to health care reform, promote the rapid development of hospitals . Our hospital has further deepened the reform of the personnel system and the distribution system to stimulate the enthusiasm and creativity of employees. In terms of the reform of the personnel system, the two-level system of appointments for colleges and universities will continue to be implemented. Two-way choices will be implemented in the appointments. Fair competition, open appointments, and competition for posts will ensure that the positions can be up and down, the treatment can be high and low, and the employees’ competition awareness and The awareness of improving business capabilities. In terms of the reform of the distribution system, in order to reflect the distribution system according to work, this emphasis is on performance and contribution, to the frontline staff and hard-working positions, to adopt economic indicators and bonuses, to adhere to the principle of more work and more, to form awards and rewards, awards Diligent and lazy allocation of incentives. At the same time, the logistics system will be adjusted. Each department will set up posts according to needs, set up posts and appointees, and set up target responsibility letters for each position. Gradually implement the transition of indicator management to service payment, and the financial indicators are linked to personal interests. . Through reforms, the work style has been changed, the employees' sense of competition and the consciousness of improving their business ability have been enhanced, and the enthusiasm of employees has been mobilized, which has brought about a new situation in hospital work.

Strengthen hospital management and promote connotation construction

1. Strengthen the basic management of hospitals and provide reliable medical care for patients.

In order to ensure medical quality and medical safety, our hospital revised and improved various medical management systems in accordance with the requirements of the second-class hospitals , and formulated and issued the "medical standardized management system" and "standardized management plan for medical records" and other systems. Good quality education and quality assessment. Focusing on the "three basics", we will conduct multi-level business training, ask experts to give lectures, organize multi-level education, and effectively improve the basic theory, basic knowledge and basic operation level of medical personnel so that all hospital staff can master the skills. First aid technology and emergency methods.

On the basis of planning to update and supplement conventional equipment, we will focus on introducing advanced medical equipment at home and abroad. Actively implement the use of German government loans to purchase medical equipment and overall relocation hospital projects. At present, the hospital has used the German government loan to purchase medical equipment for bid evaluation and bidding. The work has been organized by the China National Machinery International Tendering Company. The infectious disease department has begun construction. The preliminary project of the hospital's overall relocation project has basically ended, and the start-up funds are being actively raised. The introduction of advanced equipment and the construction of infrastructure will provide quality assurance for patient diagnosis and examination, ensure the needs of clinical medical technology, promote the upgrading of technology and improve the quality, and adapt the level of facilities and services to the needs of patients.

Strengthen the management of medicines and medical materials, ensure the medical needs, strictly control the quality, strictly implement the Drug Administration Law, and insist on purchasing medicines from the main channels. Strengthen the management of anesthesia, highly toxic drugs, and radiopharmaceuticals, establish a strict management system, prevent abuse and loss, and ensure the safety and effectiveness of clinical drugs. With the deepening of health reform, we will actively implement centralized bidding and procurement of medicines, and manage the two lines of medicine revenue and expenditure, so as to make reasonable inspections, reasonable treatments, and rational use of medicines, so as to truly benefit the people and benefit patients.

2. Strengthen personnel training, promote discipline construction, and provide high-quality backup force for hospital development

Our hospital has always insisted on cultivating technical talents as an important task, established and improved the "Talent Training Program" and "Business Learning System", and cultivated various professional and technical talents in various forms to cultivate academic leaders. First, use the invited class to carry out the "three basics" training and assessment, strengthen business learning, and promote the improvement of business level; second, to send technical backbones to study and study abroad; third, to strengthen continuing medical education, encourage employees to self-study, correspondence learning , improve the level of education. Fourth, encourage the development of new technologies and new projects, and promote new technologies and new ones by strengthening discipline construction.

The introduction and development of the project.

3. Strengthen and improve the computer system to provide reliable and guarantee for the scientific and standardized management of hospitals .

Our hospital has invested in computer software systems such as outpatient services, hospitalization fees, and outpatient, inpatient, and warehouse management. The implementation of computer management, one is to increase the accuracy of various data, improve work efficiency; the second is to implement patient outpatient ic card, patients can check their own expenditures and medications at any time, but also increase the transparency of fees, for hospital management Providing assurances has made the hospital a big step towards scientific management.

Completion of work

The main work quantity and medical indicators are completed
Project completion situation
Outpatient visits 43851
4222 inpatients
4231 patients discharged
479 cases of various operations
129 cases of family planning surgery
Outpatient diagnosis and discharge diagnosis coincidence rate 77.12%
Cure, improvement rate 93.31%
Critical patient rescue success rate 89.93%
Ward rescue success rate 93.25%
Preoperative and postoperative diagnosis coincidence rate 94.7%
Sterile incision infection rate 0
Hospitalized maternal mortality rate 0
Live birth neonatal mortality 0.21%
x film pass rate 90.15%
Bed utilization rate 85.88%
Number of years of responsible medical accidents 0

Completion of various quality control indicators


Project standard
Special care, first-class care pass rate ≥90% 99.36%
Basic nursing pass rate ≥90% 99.03%
Care file writing pass rate ≥95% 99.13%
First-aid items in good condition 100% 100%
Aseptic product integrity rate 100% 100%
Nursing technology operation qualification rate ≥95% 98.95%
Patient satisfaction rate for nursing work ≥80% 100%
Hemorrhoids incidence 0 0
Intramuscular injection rate 0 0
Annual accident rate 0 0
Control, prevention and health care work

Project indicator completion
The epidemic report is completed and qualified ≥95% 97.8%
Infectious disease registration qualified ≥95% 100%
Reporting rate of infectious diseases ≤1% 0
Disqualification rate of disinfected articles 100% 100%
One person, one needle, one tube, one sterilization execution rate 100% 100%
Sterile incision infection rate 0 0
Incidence of nosocomial infection ≤8% 0.09%
In-hospital infection miss rate ≤20% 0
Blood Management - Actively implement the "People's Blood Donation Law" and "Implementation Regulations" to improve the clinical blood level, ensure the safety of medical blood, the blood bank has a person responsible, and has a sound management system. From January to April, 438 units of blood were shared, and the blood safety rate reached 100%.

Continuing education work - The hospital attaches importance to the cultivation of talents and the application of new technologies, and continuously improves the level of medical technology. In the first half of this year, experts from higher level hospitals were invited to give lectures five times, to guide the operation 11 times, to participate in various short-term classes 36 times, to organize business studies 8 times, and employees actively wrote academic papers and published 2 papers in national-level publications. 3 new technologies and new projects, 10 outings for further study.

Clinical teaching and guidance for primary health care work - receiving 67 interns from Kunming Medical College and interns from Honghe Health School, receiving 2 fellows from township health centers, 25 people in township health centers, and health checkups for all types of personnel. People, going to the countryside to tour the medical 30 times.

Information work - strengthen and improve the computer system for outpatient, inpatient, and warehouse management. The medical records are uniformly arranged according to the provincial health department. According to the "China Health Statistics Survey System" medical record home management system and the requirements of icd-10, the relevant reports are upgraded and revised. Hospital science management provides assurance.
Work of the trade unions - play the role of hospital trade union organizations, ensure the leadership of the trade unions to participate in political discussions, offer suggestions for deepening hospital reform, adhere to the system of workers' congresses, promote openness of government affairs, strengthen democratic management, and actively participate in spiritual civilization construction activities with neighboring employees. And use the holidays to carry out cultural and recreational activities that the public likes to enjoy, enrich the staff's amateur cultural life, and enrich the education. We will carry out birthday greetings for employees, condolences to employees with difficulties, organize participation in employee medical assistance activities, and enable employees to feel the warmth of the party, enhance the cohesiveness of employees, and play a positive role in promoting the construction of spiritual civilization in hospitals .

Logistic work - Logistics is working around the clinical front line and establishing the concept of "everything is the first line, everything is clinical". The finance earnestly implemented the financial work system, strictly implemented the medical charge standard, actively participated in the medical cost accounting management, and completed the business income and expenditure, budget, and economic accounting. From January to April, the economic income was 7.698 million yuan. The general affairs staff implements the post responsibility system and signs the post responsibility document, so that it can be sent to the front line to provide services and guarantees for the clinical front line.

Third, the existing problems

1. Lack of talent, slow technology development

At present, the hospital has a talent gap, insufficient professional and technical personnel, an increase in retirees, and an imbalance in the proportion of aging and rejuvenation. As the financial allocation to the hospital is small, it accounts for only 13% of the total wages of employees, and 87% of the wages. Requires in-service workers to generate income to guarantee. Therefore, in-service medical staff only work overtime, overworked services, and increase income. The staff is only busy dealing with daily medical work, it is difficult to implement the medical education plan, the lack of talents, the delay in the development of hospital technology, the lack of leaders in some disciplines, and the lack of specialties. These factors are the hospital's medical technical guidance. The center is really unfavorable.

2. Lack of funds, seriously affecting the construction and development of hospitals

Because Shiping County is a provincial poverty-stricken county with low fiscal revenue, the government has insufficient investment in health, and there is no economic support for hospital infrastructure construction and medical equipment purchase and renewal. Poor hospital infrastructure, insufficient business space, high risk of dangerous houses, seriously threaten the safety of doctors and patients, and the bed is not standardized, there is no room for expansion, and the overall relocation is required. The Feasibility Study Report on the Phase I Project Construction of the Whole Hospital Relocation Project has been approved by the Provincial Planning Commission, but the start-up funds are lacking. The use of medical equipment purchased by German government loans without housing resettlement seriously restricts the construction and development of the hospital , which makes the hospital 's ability to cope with emergencies weak, and is extremely unsuitable for the current economic and social development. In view of the difficulties of the hospital , in order to improve the hospital Infrastructure construction to meet the growing medical needs of the people. Therefore, the government is urged to give strong support to include the retirees' salary in the financial support, increase the capital investment in the hospital , and enable the hospital infectious disease construction and the overall relocation of the hospital to be completed and put into use as soon as possible.

3. Increased medical disputes and high medical risks have hampered the enthusiasm of medical staff.

As medical disputes increase year by year and medical risks increase, it is necessary to analyze the characteristics of medical disputes in combination with practice, improve the responsibility of medical staff, improve the consciousness of preventing medical accidents, improve and improve the medical quality management system, and practice medicine according to law. It is necessary to use laws to regulate our medical activities, and to use laws to protect the legitimate rights and interests of medical workers and improve the quality of medical services.

4. A small number of medical staff have a weak medical concept

Although the hospital has long established the construction of the wind as an important task, and established the system and measures, there are still some employees. Because they do not strengthen their study, their ideological consciousness is low and their sense of responsibility is not strong, which affects the quality of medical services. Therefore, in the future work, we must strengthen professional ethics education, increase the management of medical ethics, and promote work style construction.



Main points of work in the second half of XX

In the second half of XX, hospital work should be guided by the spirit of the 16th Party Congress and the important thinking of the "Three Represents", deepen hospital reform, adhere to the patient-centered, continuously improve the quality of medical services, and comprehensively strengthen the construction and development of hospitals . In accordance with the requirements of the Health Objectives Responsibility Book, we will focus on the following tasks:

I. Ideological and political work

1. Seriously organize and study the party's line, principles, and policies, thoroughly implement the spirit of the Third and Fourth Plenary Sessions of the 16th CPC Central Committee, emancipate the mind, update concepts, comprehensively strengthen hospital construction, and carry out activities that reflect the advanced nature of party members.

2. Strengthen the work of building winds, formulate practical and corrective measures, and ensure the implementation of medical service commitments. Ask medical staff to be firm

The purpose of serving the people wholeheartedly, advocating the spirit of dedication and dedication, and carrying out the activities of “the new style of the tree industry and shaping the image of angels” in the employees, effectively promoting the construction of medical ethics.

3. The party and government work groups worked together to actively cooperate to carry out activities to create provincial-level civilized units, in order to motivate employees to love hospitals , love jobs, love patients' feelings and feelings, mobilize the enthusiasm and creativity of the staff of the hospital , and raise the hospital work to a new level.

Second, administrative work

1. Improve various management institutions, strengthen internal management, strengthen the two-level responsibility system of the department, form a network of departments and departments to grasp the quality, and grasp the system at all levels to normalize the operation of the hospital .

2. Continue to adhere to the openness of the affairs of the hospital and implement democratic management; effectively strengthen the organization of trade unions.

3. Continue to improve the patient selection doctor system, implement a one-day fee list system for inpatients, and an outpatient fee list system to accept effective supervision by patients and society.

4. Improve and improve the effective internal and external supervision mechanism to ensure the continuous and steady development of the hospital .

Third, business work

1. Accelerate the cultivation of talents, pay attention to discipline construction, and improve the overall quality of the team.

Hardware construction is the foundation, and software construction is fundamental. In response to the current situation of health technology talents, create conditions to accelerate personnel training. On the one hand, we will invite you to enter the school to carry out “three basics” training and assessment, strengthen business learning, and promote the improvement of business level. On the other hand, please ask the higher authorities to solve the talent demand, actively introduce talents, and select technical backbones to go out for further study. Training, or irregularly selected business backbones to participate in learning exchanges to develop knowledge and develop academic leaders. In addition, give full play to the enthusiasm of medical staff, develop new technologies and new projects, improve the level of professional diagnosis and treatment, enhance competitiveness, and raise the hospital 's medical level to a new height.

2. Strengthen connotation construction, strengthen medical management, prevent medical disputes, and the occurrence of errors

In recent years, with the spread of medical knowledge and legal concepts, medical disputes have increased, and there are many reasons for medical disputes. But the most fundamental thing is the quality of care. Therefore, it is necessary to strengthen the connotation construction, improve the quality of medical care, further strengthen the ideological and political education of employees, and enable medical personnel to abide by professional ethics, professional responsibilities, professional discipline, strive for excellence in technology, and strictly abide by various operational procedures. Adhere to the patient-centered, provide patients with courtesy, enthusiasm, convenience, quality, efficiency, and reasonable cost services, strengthen the construction of medical ethics, complete the system, grasp the system management, rule the court, rule the hospital, and protect the species Medical errors and accidents are eliminated in the bud.

3. In the procurement of medicines, storage and storage, and drug distribution, establish strict rules and regulations, standardize the quality of drugs, increase the transparency of drug procurement, implement centralized drug bidding, standard procurement and drug revenue and expenditure management, and standardize medical service behavior and Charge behavior, so that patients get benefits.

Fourth, infrastructure construction work

1. The hospital has used the German government loan to purchase medical equipment project evaluation and bidding work has been carried out, and the equipment can be put in place at the end of the year.

2. The bidding for infectious disease construction project has been completed according to the program, and construction has started. The preliminary project of the overall relocation and construction of the hospital has been basically completed, but the start-up funds are lacking. At present, the hospital is raising funds through multiple channels to strive for the overall relocation of hospitals and infectious diseases. The construction will be completed and put into use to meet the needs of medical and health care.

V. Reform work

We will deepen the reform of the personnel system and the distribution system, implement a full-time appointment system, compete for posts, link performance, enhance the sense of crisis, responsibility and competition of cadres and workers, mobilize the enthusiasm of employees, and create a new situation in hospital work.

Sixth, logistics work

1. Implement the financial work system, strengthen the material management, and increase revenue and reduce expenditure.

2. The logistics should closely reflect the three functions of management, service and security, and work hard around the clinical front line to ensure “three downs and three links” to satisfy patients and employees.

3. In order to make the patient have a comfortable recuperation environment, good medical conditions, strengthen the hospital infrastructure construction, beautify the green hospital environment, and improve the appearance of the hospital.

4. Strengthen safety and fire protection work to prevent safety accidents.




Xxxxx people's hospital
June 8, XX