Work plan on establishing a health record for rural residents

First, the work target

Taking the town as the unit, according to the content requirements of the “Regulations on the Management of Health Records of Rural Residents”, by the end of 2019, the number of agricultural populations that establish health records is not less than 95% of the agricultural population in the jurisdiction, and the filing rate reached 98% by 2019. . At the same time, the establishment of health records for key populations such as the elderly, pregnant women, children, the disabled, and chronic patients is the focus of work.

Second, the basic principles

Policy guidance, residents are willing. In the process of medical and health services, publicity was strengthened to guide rural residents to actively participate in the establishment of files.

Focus on, step by step. Focusing on the elderly, chronically ill patients, pregnant women, children aged 0-3, and gradually expanding to the entire population.

Standardize the file and use it effectively. Standardize the establishment, use and management of health records, ensure the continuity of health information, and gradually realize the informationization of electronic health records.

Resource integration, information sharing. Based on grassroots medical and health institutions, make full use of relevant resources in the jurisdiction to jointly build and share information on the electronic health records of farmers.

Third, the establishment, management and use of health records

Establish a health record. Adhere to the principle of informed consent and voluntary participation of farmers, combined with the implementation of basic public health services, gradual equalization and implementation of the new rural cooperative medical system and other key reform tasks of medical reform, under the unified organization of the district health bureau, approved by the town health center and village clinic Periodic health checkups, in-hospital medical and health services, household surveys, etc., obtain basic information on farmers' health and establish resident health records. Adhere to the unified establishment of rural residents' health records by family, and health files should include rural residents' personal health records and family health files. In principle, the first file is responsible for the town health center, and the village clinic assists in the completion. The updated file can be completed jointly by the town and village medical institutions.

When establishing a farmer's family health record, an electronic health record should be established in accordance with the relevant requirements of the 2010 edition of the Code issued by the Ministry of Health and the Basic Structure and Data Standards for Health Archives. Gradually realize the interconnection between rural residents' health records and disease control, maternal and child health care, hospital management, new rural cooperatives and other related information systems, and build a regional health information platform based on health records to realize the shared sharing of health information resources.

Manage and use health records. Town health centers and village clinics must designate full-time and part-time personnel to be responsible for the management of health records. During the process of reviewing or receiving follow-up of rural residents, it is necessary to record, supplement, update and improve relevant health records in a timely manner, and regularly organize and verify them to grasp the health and dynamic changes of rural residents in the jurisdiction. To effectively use the rural residents' health records, the township and village medical personnel shall take appropriate appropriate technologies and measures according to the dynamic information provided by the health records, and carry out targeted services such as health education, medical care, prevention, health care and rehabilitation.

Promote the transformation of the service model of rural health institutions. Town health centers and village health centers should give full play to the role of health records, promote the transformation of service models, provide more on-site services, regular visits and other convenience services for farmers, actively promote health promotion, and achieve healthy management of farmers. Encourage the full use of relevant information resources such as electronic health records to provide rural residents with more convenient, efficient and efficient public health and medical services, and to maximize the convenience for farmers to see a doctor.

V. Strengthen organizational management

Improve awareness. All town health centers should take the establishment of rural residents' health archives as an important measure to implement the gradual equalization of basic public health services and transform the primary health care service model, raise awareness, strengthen leadership, and ensure the healthy implementation of rural residents' health archives. The main health work policy is implemented.

Establish a strict performance appraisal system. It is necessary to strictly follow the work requirements, establish a performance appraisal system, formulate results-oriented assessment criteria, and conduct a comprehensive assessment of the establishment, use and management of health records. The assessment results are linked to the relevant subsidy funds for financial arrangements.

Improve the work system and program. The town hospitals should determine their respective work objectives in accordance with the actual situation, play a good technical guidance role, formulate practical implementation plans, improve the long-term system of the establishment, use and management of health records, and focus on strengthening the construction of relevant systems.

Do a good job in information statistics. It is necessary to strengthen dynamic monitoring and management, and do a good job in information statistics such as the compilation, collation and analysis of relevant data and related materials of health records. In 2019, the statistical base of farmers' health records was temporarily counted according to the number of farmers' health files established in accordance with the 2010 Edition of the Code.

Sixth, comprehensively do a good job of establishing a health record for rural residents in 2019

In 2019, it is the start-up year for the establishment of rural residents' health archives in accordance with the "2010 Edition Code". All units must conscientiously implement the relevant archives spirit and do a good job in establishing rural residents' health archives from the following aspects.

Do a good job in propaganda and launch work. All towns should carry out extensive publicity on the importance of establishing health records, improve the health awareness of farmers, and guide farmers to voluntarily participate in the work of health checkup.

Conduct full staff training. Train the medical staff of the unit and the village health center to fully understand the relevant policies and work requirements, and master the basic techniques and methods for the establishment, use and management of health records.

Develop a program and work system. All town health centers should formulate practical work plans in light of local conditions, and work systems and related technical programs for establishing, using, and managing health records should be established to ensure the smooth implementation of the pilot work.

Establish a standardized health record for farmers. Carry out rural residents' health surveys in various administrative villages on the basis of towns, conduct health checkups on key populations, and complete the establishment of the “2010 edition of the Code” farmers' health records. The filing rate is over 95% in the town, and the electronic health record is input. Completed by more than 30%.