County People's Hospital Annual Work Summary
First, complete the main target tasks:
, business indicators:
1, the door, emergency work:
,Business income:
Second, with the guidance of scientific development concept, promote the comprehensive, coordinated and sustainable development of hospitals
Constantly strengthen party building work and provide strong political guarantee for upgrading compliance
1. Strengthen the party's construction, carry out the "creating the first to compete for excellence" activities, give full play to the political core role of the party organization, strengthen the party's work style and clean government, and improve the ability of party members and cadres to resist corruption and change.
Our hospital conscientiously implements the party's xx spirit and takes the activity of “creating the first to compete for excellence” as a carrier to further enhance the vitality of the party organization, improve the overall quality of party members, and focus on guiding the research. The mind is used in the work, the style is screwed on the pragmatic, concentrated and engaged in business, wholeheartedly seeking development, to achieve the purpose of "grasping the team, bringing the team, promoting development." Strengthen the construction of work style, conscientiously implement the responsibility system for party style and clean government construction, and grasp the new trends and new features of the party's work style and clean government under the new situation.
First, further strengthen the building of party branches. Strengthen the construction of branches in strict accordance with relevant regulations and procedures, and strictly assess the objectives of party building. The second is to strengthen the management and service of party members. We will conscientiously do a good job in the training and development of new party members. We will train 30 activists in the party, 15 new party members, 16 party members, and 2 party members. Thirdly, according to the arrangement of the provinces and cities to further deepen the "creating the first to compete for excellence" activities, combined with the actual work of the "three B" work of our institute, formulated the "Work Plan for Implementing the Scientific Outlook on Development and Deepening the "Creating the First to Fight for Excellence" Activities" In combination with the creation of work, deep discovery and mining in the process of medical services can not meet the needs of the people and hospital development needs, further rectification and improvement.
2, iron hard hands, do a good job in hospital construction.
In accordance with the "eight industry disciplines" of the Ministry of Health and the relevant requirements of the Provincial Health Department, our hospital actively strengthens medical ethics education, improves system construction, always maintains a fair and honest style of work, and actively improves the medical ethics evaluation system, evaluation results and medical services. The salary, the promotion of professional titles and the evaluation of the first evaluation of the personnel have increased the investigation and punishment of violations of discipline and discipline. As for the complaints about medical ethics, we will not tolerate it. Established a public information system for medical services, publicized the prices of commonly used drugs, major medical service items and charging standards in a prominent position in the hospital , and actively accepted patient and social supervision. Conduct a service quality survey once a month, hold a workshop to share the opinions and requirements of patients and their families. Consciously accept social supervision, set up a complaint box, announce complaints, and hold symposiums of medical ethics supervisors from time to time. As long as the patients and their families reflect the facts or the opinions put forward are practical and feasible, they will promptly investigate and deal with them and actively rectify them. In the year, the hospital handled a total of 8 people and things that violated the rules and regulations, and 4 of them were subject to post. Since the launch of the activity, the complaints of the people have gradually decreased, and the satisfaction has gradually increased. The satisfaction of the outpatients in the comprehensive evaluation is 90%, and the satisfaction of the inpatients is 95%.
Taking the opportunity of creating a national “three-level hospitals ” as an opportunity, we actively carried out the “Medical Quality Miles” campaign and focused on strengthening the quality awareness, service awareness and brand awareness of the staff of the hospital.
Since the beginning of this year, our hospital has actively carried out the “Medical Quality Miles” campaign in accordance with the standards of “Three Grade B Hospitals ”, and created a good medical environment around the promotion of medical quality and service level.
1. Work hard and improve the quality of medical care, forming a good atmosphere of “quality hospitals”.
Medical quality is related to the patient's life safety and physical health, which is the foundation of hospital development. We have integrated the content of “Medical Quality Miles” into the work of “Three E” and put the quality of medical care in a prominent position. A series of measures have been introduced to strengthen medical quality control, ensure medical quality and medical safety, and effectively reduce the occurrence of medical disputes.
Improve and improve the hospital's necessary quality management organization.
According to the establishment of the evaluation criteria, the medical quality management organization with “clear hierarchy, clear responsibilities and functions in place” was established and improved, and the composition of the professional committees such as “medical quality, medical record management, pharmaceutical management, hospital infection management, blood transfusion management” was carried out. The adjustments and supplements have improved the working systems of the committees and further clarified their respective responsibilities and permissions.
In contrast to the establishment of the "three-level hospitals " standard, in accordance with the relevant laws and regulations, combined with the actual situation of our hospital, further improved various rules and regulations and personnel responsibilities, revised and improved various types of rules and regulations at the hospital , and seized the core medical system. Implementation of various operating procedures. It has formed a strict supervision and punishment mechanism and implemented a series of measures and methods to ensure the quality of medical care.
Strengthened the study and education of laws and regulations.
This year, the hospital has organized many studies on the prevention and treatment of medical disputes, and extensively carried out the "Practicing Physician Law", "Nursing Management Measures", "Torture Liability Law", "Medical Accident Treatment Regulations", "Basic Specifications for Medical Record Writing", etc. The study and education of laws and regulations have repeatedly sent medical management personnel to participate in national “medical accident prevention and treatment” and “how to deal with the implementation of tort liability law” and other training courses for medical staff in the hospital. And exams.
Conscientiously implement the "Basic Norms for Medical Record Writing", strengthen the inspection of the quality of medical records, and further standardize and improve the writing quality of medical documents.
First, irregularly check the running medical records, organize and supervise the quality of medical records, criticize the unqualified medical records, and give financial punishment. Second, the directors of each department conduct regular inspections of inpatient medical records and timely correct the quality of medical records. Third, the quality control department conducts a final quality check on the archived medical records, and summarizes the medical records on the quality of the medical records on a monthly basis. Fourth, the Medical Record Management Committee has intensified its management efforts, conducted special discussions on the problems existing in the quality of medical records, formulated corrective measures, and urged timely rectification.
Seriously implement the ward round system of third-level doctors.
The quality of the third-level physicians' ward rounds is closely related to the overall medical level of the hospital . Only the third-level doctors' continual improvement in the quality of ward rounds can ensure the overall level of the hospital , reduce medical disputes, and promote the healthy development of hospital work. According to the relevant requirements, combined with the actual situation of our hospital, re-improved the requirements of the third-level physicians to ward round the house, implemented the ward rounding system for the dean's business, and intensified the supervision of the implementation of the ward rounding system for the third-level doctors, effectively improving the situation. The level of diagnosis and treatment in our hospital.
Further strengthening the management of the perioperative period.
Perioperative management is the key to ensure the safety of surgical patients. The hospital carefully evaluates the perioperative quality standards, improves the quality of perioperative medical care, and effectively protects medical safety.
Strengthened clinical blood management work.
In order to ensure the safety of clinical blood, the clinical blood program was further standardized, the blood flow of patients was reduced, the blood efficiency of clinical use was improved, the blood bank work function was improved, and the operation procedures of blood matching and blood transfusion were strictly implemented. Under the premise of strict control of blood transfusion indications, the annual blood transfusion volume was controlled compared with last year, but the component transfusion rate was improved compared with last year, and no transfusion error occurred.
Strengthen the quality control of nursing and improve the quality of clinical care.
First, pay attention to the role of the quality control team of the department, and clarify the responsibilities and working methods. Each quality control team exchanges information monthly, which improves the awareness of nurses participating in quality management and promotes the quality control of the links. Secondly, the newly revised graded care system and health education effect evaluation standards and methods are integrated into the quality assessment of nursing, strict implementation of graded care system and evaluation standards, implementation of nursing measures according to graded nursing requirements, and emphasis on strengthening new patients and critically ill patients. Patrol work. The third is to strengthen the standardization of nursing documents, conscientiously implement the "Basic Norms for the Writing of Medical Records in Sichuan Province", strengthen the quality control of the nursing records, and improve the quality of the nursing documents. The fourth is to adhere to the evaluation of nursing quality, adopt random and regular combination, organize the cross-check of nursing quality in the whole quarter every quarter, analyze and evaluate the inspection results, find problems in time to rectify, and honor rewards and punishments. Actively carry out the "Quality Nursing Service Demonstration Project" activities, strengthen clinical nursing work, and provide quality and satisfactory nursing services for the people. Due to the hard work of the nursing staff in the hospital, the nursing work of our hospital has been highly praised by experts in the inspection and acceptance of the province and the city.
Strengthening pre-hospital emergency work, improving the level of emergency work, and greatly improving the ability of emergency and first aid.
This year, the hospital strengthened the work of the 120 emergency center, established and improved the pre-hospital emergency work system, conducted pre-hospital first-aid knowledge training and assessment, and improved the pre-hospital rescue diagnosis level of medical staff. In the emergency rescue, the first time to visit, timely treatment, the green channel is smooth, excellent completion of emergency treatment tasks, played an important role for emergency medical services in our county.
Strengthen hospital infection management, effectively prevent and control hospital infections.
All departments can strictly implement the hospitality management norms according to the requirements of the hospital, do a good job in monitoring the hospitality on time, and report the epidemic situation of infectious diseases in time according to the regulations. A total of 2,010 epidemics were reported throughout the year to effectively prevent and control hospital infections and improve medical quality. To ensure medical safety. Especially in the rescue work of the foot and mouth disease, red eye disease, etc., our hospital is equipped with a sufficient amount of high-quality protective equipment and disinfection equipment, which strengthens the self-protection of medical staff. The hospitality monitoring system was improved, and the hospital sense was monitored 1,236 times. The training pass rate of all levels was 100%. Strengthened the management of rational drug use and the whole process of medical waste, disinfectant medicine and disposable medical supplies. It has increased the comprehensive monitoring of hospital infections, provided a reliable basis for continuous improvement of quality, and carried out bacteriological monitoring of key units in the inpatient department to ensure that the hospital infection rate and the rate of unreported infectious diseases decreased significantly compared with the same period of last year. Strengthening the monitoring of disinfection and sterilization work, the hospital infection rate in the whole hospital was 0.37% in 2019, and the survey rate of the hospitality rate was 100% compared with the previous year, and the current prevalence rate was 1.44%. The infection rate of aseptic surgical incision is <0.1%, and the qualified rate of sterilization and sterilization of medical instruments is 100%, which basically realizes the harmless treatment of medical waste.
According to the "Regulations on the Management of Medical Wastes" and relevant regulations, the rules and regulations for the management of medical wastes have been established and improved, and the classification and collection of medical wastes have been carefully carried out, and centralized disposal has been carried out to ensure the safe and orderly management of medical wastes. There were no hospital infection epidemics and hospital waste loss incidents throughout the year.
11. Continuously strengthen maternal and child health work.
The hospital attaches great importance to maternal and child health work, strictly implements the "Global Standards" for baby-friendly hospitals, consolidates and develops the results of the establishment of baby-friendly hospitals, and comprehensively implements maternal and child room and breastfeeding. The rate of breastfeeding in neonates was 98%, the prenatal hiv monitoring rate was 100%, and neonatal disease screening was 85%. There was no maternal death in the whole year and no puerperal infection occurred.
12. Carry out medical insurance and rural cooperative work in a healthy and orderly manner.
This year, the hospital increased the implementation of the new rural cooperative medical policy, adhered to the principle of “reasonable inspection, rational use of drugs, reasonable treatment, and reasonable fees”, conscientiously implemented the basic drug system, strived to increase the rate of return, and strictly required medical personnel to fulfill their obligation to inform, Self-funded drugs and self-funded inspection items must be signed and confirmed by the patient to ensure that the patient's right to know is guaranteed. Strictly implement the "three limits" principle stipulated by the County Agricultural Cooperative Office. The proportion of medications for participating patients is prescribed, and the interests of patients are fully safeguarded; the management and use of relevant insurance funds are strengthened, and strict checks are conducted and carefully reviewed. In the review of the bills, we must earnestly seek truth from facts, adhere to the principle, and treat all the same, ensuring that the medical insurance fund is not lost or taken. Second is strict management. More than 10 pieces of drug price bulletin board and bulletin board were produced, and timely publicity was made to ensure the patient's right to know, so that the party's policy of benefiting the people benefited every patient. In the year, a total of 7,225 inpatient medical insurance patients were reimbursed for medical expenses of 31.539 million yuan, and the medical expenses for reimbursement of medical treatment for 10,971 inpatients were 39.022 million yuan. The proportion of reimbursement was significantly higher than that of the previous year.
Highlight key points, optimize processes, and ensure the quality of medical care services is steadily improving
1. Actively advocate humanized services, continue to optimize service processes, and find ways to provide convenience measures.
In order to provide patients with a good medical environment, our hospital has introduced a number of convenience measures, and has implemented humanized services throughout the entire process of medical services, which has been widely praised by patients and their families. Hospital complaints have decreased significantly, and letters and visits have increased significantly.
First, the patient treatment process was continuously optimized, and the outpatient electronic prescription drug collection system was newly opened. The molybdenum target machine was purchased, which played an active role in the early detection and early treatment of breast tumor diseases and reduced the burden on the patients; The second b-ultrasound machine; the endoscopy of the gastroscope room and other measures to further facilitate patients to seek medical treatment, creating a fast, reasonable and orderly visit environment. The second is to further optimize the expert outpatient service, newly set up an outpatient care group, and add an outpatient infusion room to give full play to the advantages of our hospital, improve the patient's infusion environment, and meet the requirements of patients.
2. The training intensity has been continuously strengthened.
In accordance with the specific requirements for the establishment of “three-level hospitals ”, our hospital organizes medical staff in the hospital to conduct “three basics” training and assessment. Actively use the remote education system of Huaxi Hospital to conduct business lectures, strive to improve the level of professional knowledge, further strengthen academic exchanges, and create a good academic atmosphere. 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 learn, improve academic qualifications level. Fourth, encourage the development of new technologies and new projects, and promote the introduction and development of new technologies and new projects by strengthening discipline construction. This year, experts from higher level hospitals will be invited to lecture 8 times, participate in 168 person-times in various short-term classes, organize business studies 12 times, and learn more than 200 times. The staff actively wrote academic papers, published 25 papers in national journals, and 21 papers in provincial journals. I went out to study for 17 people. He received 265 interns from Chengdu University of Traditional Chinese Medicine, North Sichuan Medical College, Chengdu Medical College Intern and Suining Health School, Wanzhou Health School and Chengdu Railway Health School. There are more than 13,500 health checkups for all types of personnel. There are one provincial-level scientific research project and one municipal-level scientific research project, and two county-level scientific research projects.
Strengthen measures to further adjust the income structure and strictly control the proportion of drugs.
In recent years, our hospital has actively adjusted the income structure, strictly controlled the proportion of drugs, increased the income of gold, increased the capacity of hospitals for sustainable development and anti-risk, so that patients can enjoy the best quality service at the lowest cost. In the past year, we have cleaned up some medicines with high prices and new medicines that can be replaced by common medicines. We have bidding and purchasing medicines that are used in large quantities and in large quantities, effectively reducing the price of medicines and benefiting patients. At the same time, strictly adhere to reasonable inspection, rational use of drugs, reasonable treatment, correct the behavior of indiscriminate examinations and large prescriptions, and formulate the "Basic Drug List" based on commonly used drugs, and guide the clinical use of drugs in the scope of drug use and drug use. And control, establish a clinical drug management system, strictly control the use of high-grade drugs, so that the proportion of drugs continues to decline, effectively control the irrational growth of drug costs, better achieve a "soft landing" of the hospital economy, the hospital's financial resources are significantly enhanced, the economy The situation gradually entered a virtuous cycle, and the society's satisfaction with hospital prices gradually increased.
Third, scientific response, full control, and demonstrate social responsibility
Respond calmly and properly handle public health events.
In this year's "hand, foot and mouth disease" and "red eye disease" prevention and control, Jinhua car accident rescue work, the hospital launched an emergency plan, the implementation of the expert group consultation system for patients with severe disease. Especially in the case of the serious situation of prevention and control of pink eye disease, the hospital is fully committed to prevention and control. The first is to establish a leadership organization and clarify tasks. Timely formulation of the "Red Eye Disease Prevention and Control Work Plan", the hospital leadership organized the on-site office for many times to promote the implementation of the work, and received many supervisions from the Health Bureau and the CDC. The second is to do a good job in training and conduct technical exercises. The hospital organized professional medical treatment experts to receive training in the provincial department, and conducted training and lectures for medical staff in the hospital, especially key medical staff, so that medical staff can achieve “early detection, early report, early diagnosis, early isolation, early treatment”. ". The third is to regulate the development of fever clinics, improve the pre-screening and diagnosing patients and other procedures in accordance with the standards, to maximize the convenience of patients, and to avoid cross-infection in the hospital to the maximum extent.
Strengthen cooperation and focus on health-based projects.
According to the requirements of the health base project, our hospital has signed a support agreement with a number of township health centers in the county. From time to time, experts from relevant disciplines will be organized to help hospitals to ward round, consult, train, etc., to provide training and training opportunities for professional and technical personnel in hospitals , and effectively improve the business level of grassroots health teams. In the whole year, it received 14 training personnel from township hospitals, dispatched more than 70 experts, and went to the countryside to patrol more than 300 person-times to bring convenience and benefits to the local people.
We will vigorously implement and promote the service of Huimin.
First, we will vigorously promote the quality and cost control of single diseases, and at the same time do a good job in the "cataract rehabilitation project" and other benefits, strictly implement the various policies for benefiting the people, effectively consider the difficult patients, reduce or reduce the medical expenses of more than 10,000 yuan. The second is to strengthen the management of the "three no" patients, reflecting the public welfare nature of public hospitals . In the whole year, more than 20 patients with “three noes” were treated, including the heavier “three no” patients and four special destitute patients, which cost about 150,000 yuan.
Fourth, continue to improve internal management and improve management service level
Optimize management processes and focus on training and learning exchanges.
Strengthen the administrative night ward rounding system of the functional departments. Each day, a vice-level leader will take the class to handle the emergency work of the day, which enhances the ability to respond to medical quality management and emergencies. The middle-level cadres of the organization went to some hospitals in the province to visit and study, and participated in management knowledge training, which further increased the team awareness and cooperation awareness of middle-level cadres. The personnel file management work was improved, and the inspection and acceptance of the leaders of the city and county organization departments were accepted, and the corresponding work standards were met. Standardize financial processes, strictly implement various financial systems and disciplines, standardize financial management and work processes, properly exercise financial department functions and work responsibilities, and successfully complete daily financial revenue and expenditure management.
Improve the logistics security function and build a safe hospital .
In accordance with the requirements of the county party committee, the county government and the health bureau, the hospital has in-depth implementation of the solid foundation strengthening project, formulated the implementation rules and work points, and strived to achieve early grasp of the situation, early detection of problems, and early resolution of contradictions. The hospital has signed a target responsibility book with each department, established and improved the system for investigation and mediation of contradictions and disputes, improved the internal insurance work system, and worked hard to build a safe hospital .
We will strengthen law-enforcement education, actively participate in the comprehensive management of public security, and conscientiously do a good job in comprehensive governance.
Our school put the work of law-enforcement on the important agenda and formulated the law-enforcement program. Successfully completed the task of legal education and learning prescribed by the higher authorities. The hospital conscientiously implemented the spirit of the provincial, municipal and county political and legal comprehensive work conferences and various measures for comprehensive management, and achieved remarkable results in comprehensive management work. Adhere to the monthly safety inspection, increase the inspection of key departments, and promptly put forward rectification opinions on the problems detected. The public order and social security of the hospital have changed significantly in the past year, creating a reform and development for the hospital . A harmonious and stable social environment.
Fifth, the health school work
In 2019, the health school strictly carried out education and teaching work in strict accordance with the annual work objectives. At present, the total number of students in the health school is 1,720. Among them, there are more than 1,050 full-time secondary schools, and more than 670 adult college and undergraduate education. The nursing employment rate is 100%, and the Chinese medicine profession is more than 90%. This year, more than 444 students were enrolled. The renovation and expansion project of the teaching complex has been approved by the National Development and Reform Commission. At present, the project is being designed and construction is expected to start next year.
Sixth, key projects
Our hospital seized the opportunity and actively implemented the outpatient and inpatient comprehensive building expansion project. In order to ensure the smooth construction of the building, the hospital has organized relevant personnel to hold on-site office meetings, unifying thoughts, defining tasks, carefully coordinating and standardizing construction. Actively communicate and negotiate with the competent departments and contractors at all levels, and solicit opinions and suggestions from all sides to further strengthen the strength and scientific construction to ensure the smooth progress of the project construction. At present, the main project of the building has been completed and accepted, and is entering the bidding work program of professional engineering. It is expected to be completed and put into use in 2019. By then, it will greatly improve the medical conditions for the people and the working environment of medical staff.
Looking back at the work of the year 2000, we are delighted to see that the continuous improvement of medical quality is the result of strict management and constant regulation; the rapid development of various disciplines is precisely the condensed construction of learning platform to stimulate talent innovation; The construction of the building expansion project will achieve a good start to use the hospital to broaden the development space; the transparent and open bidding procurement will also build the staff's concern for the hospital and the trust of the hospital leadership on the basis of achieving a win-win situation for both doctors and patients; Improvement, so that the hospital brand is recognized by the majority of patients and the community.
The achievement of various work achievements of the hospital in 2019 is the result of the correct leadership of the party committees and governments at all levels and the competent health departments, and the support from all walks of life. It is the result of the joint efforts of the broad masses of employees in the hospital.
While reviewing work and affirming achievements, we must also clearly see the deficiencies and problems in our work. In particular, compared with the same-level hospitals in the province, there is still a big gap in talent construction and technology development, and medical quality and service levels need to be further improved. Specifically in the following aspects:
1. Service quality and service attitude are not good. This is a prominent problem that currently damages the image of the hospital and restricts the rapid development of the hospital . Some departments, especially the Windows department, have not treated the warm and thoughtful service as the lifeline of the hospital's survival and development. The humanized service is only A slogan.
2. There is still a weak link in medical quality, and the “three-level physician round-robin system” needs further implementation. In the routine inspection of the organization, it was found that the medical records were written, the prescriptions were not standardized, and the ward round system was not implemented.
3. The discipline development is not balanced enough. The academic atmosphere in the hospital is not strong enough. Some departments are satisfied with the long-term plan and recent plans for doing daily work, no department development and professional construction, satisfied with the current achievements, blindly optimistic, lack of innovation. The sense of responsibility is not strong, the development of hospital disciplines is lagging behind, and some disciplines are even retrogressing.
4. The talent structure is not very reasonable, the talent echelon has not yet formed, and the famous doctors drive the lack of efficiency. The professional quality of professional and technical personnel needs to be improved, the academic leaders are still insufficient, and talents are broken.
5. A small number of employees lack competition and enterprising spirit, can not adapt to the objective needs of hospital marketization, wait for, rely on, have serious thinking, lack of management awareness and crisis awareness, and still have the idea of eating big pots and holding rice bowls, and the situation It doesn't fit.
6. Individual middle-level cadres lack planning, lack of arbitrariness, lack of self-consciousness in handling rules and regulations, and do their best in fulfilling their duties.
2011 is a very important year for the sustainable development of our hospital health. We will fully implement the scientific development concept, take hospital development as the top priority, and create “three-level hospitals ” as our common vision, enhance the vitality and vitality of hospital work with new ideas, new ideas and new measures, and accelerate hospitals. development of. The hospital will do a good job in the outpatient and inpatient comprehensive building, and make every effort to create a national “three-level hospital ”.
In the new year, we should continue to conscientiously implement the important spirit of the 5th Plenary Session of the XXth Central Committee of the Communist Party of China with the guidance of Deng Xiaoping Theory and the important thinking of "xxxx", and closely focus on the development strategy of creating a national "three-level hospitals ". Strengthen discipline construction and talent team building, comprehensively improve service quality and service level, improve hospital management quality and management level, deepen hospital reform, rely on scientific and technological progress to comprehensively enhance hospital core competitiveness, seize new opportunities, strive for innovation advantages, and realize hospitals Develop new breakthroughs and rebuild new glory! In order to build a well-off society in an all-round way and ensure the health of the millions of people who are flooding the flood, we will make new and greater contributions to promote the healthy, sustained and steady development of the hospital , and strive to build a national third-class hospital B as soon as possible.
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