Health System Effectiveness Annual Activity Plan

In order to implement the spirit of the provincial and municipal government meetings, and in accordance with the requirements and deployment of the Municipal Health Bureau's Notice on Printing and Distributing the Implementation Plan of the Health System Effectiveness of the City in XX Year, our hospital decided to carry out the performance year activities in the whole hospital. Now combined with the actual work of the hospital, the following implementation plans are formulated:
I. Guiding ideology and overall goal Guided by Deng--theory and the important thinking of the "Three Represents", thoroughly implement the scientific development concept, conscientiously implement the spirit of the Third Plenary Session of the XX and xx sessions of the Party, and the spirit of the Central Economic Work Conference. With the theme of in-depth study and practice of the scientific development concept, with the focus on “improving the efficiency of hospital work” and the goal of “creating the optimal development environment and improving the level of medical services”, we will focus on deepening the reform of medical and health systems and work innovation. The outstanding problems in the hospital's efficiency construction, strive to significantly improve the work style of the hospital during the year, improve the efficiency of work, significantly enhance the work ability, significantly improve the hospital management and medical services, accelerate the formation of behavioral norms, operational coordination, fair and transparent, clean and efficient Operational mechanism and management system to better serve the economic construction and serve the people's health.

Second, the basic principles center around the center and serve the overall situation. The hospital's efficiency construction should focus on promoting the hospital's good and fast development center, serving the overall situation of the health system's good development environment, and ensuring that the decision-making arrangements of the higher levels are implemented.
Grasp the key and key breakthroughs. Grasping key links and key positions to solve the problem of work style and efficiency of key links and key positions as a breakthrough, and drive the overall work.
Act in accordance with the law, standard operation. In accordance with the requirements of legal management, promote the legalization and standardization of efficiency construction, and standardize procedures and work processes according to law.
Treat both the symptoms and the root causes and comprehensive management. It is necessary to solve the outstanding problems that currently affect the efficiency construction, achieve obvious results, and establish a set of rules and regulations to form a long-term management mechanism that changes the style of work and improves efficiency.
Seeking truth and being pragmatic, efficient and convenient. Putting the style of seeking truth and being pragmatic throughout the whole activity, proceeding from reality, pushing forward in a solid manner, and striving for practical results, so that the people can get real convenience.
Third, the work focuses on the work priorities determined by the Municipal Health Bureau, and is committed to solving practical problems. Our institute focuses on the following tasks.
1. Strengthen the capacity building of health services. 1 Implementation of health service capacity building projects. According to the three-year plan determined by the "Jiangxi Province Health Service Capacity Building Project Implementation Plan" and the "Guozhou City XX Annual Health Service Capacity Building Evaluation Rules" issued by the Municipal Health Bureau, continue to use business rooms, equipment configuration, personnel training, Five aspects of technology and management will further improve the capacity and level of medical and health services. 2 Conduct in-depth hospital evaluation, standardize hospital management, strengthen connotation construction, strengthen the construction of key disciplines, and improve the level of critical and serious treatment.
2. Improve work efficiency. 1 Implement a holiday-free hospital service to provide patients with “uninterrupted medical services”. 2 Implement the provisions of the time-limited service, the emergency patient will be disposed of within 5 minutes after the hospital's medical staff; the doctor will arrive at the treatment site within 10 minutes of the emergency consultation; the first round of the attending physician's record will be completed within 48 hours after admission; the three routine inspection items Reports within 30 minutes of the emergency department, reports within 48 hours of special examinations, reports within 30 minutes of emergency radiology, reports within 2 hours of the consultation, special reports within 24 hours, and reports within 30 minutes of b The pathological frozen section was reported within 30 minutes. 3 improve operational performance, bed utilization rate, preoperative hospitalization day, average hospitalization day, emergency observation time, diagnosis and acceptance rate of admission and discharge, diagnosis rate before and after surgery, clinical main diagnosis and pathological diagnosis coincidence rate, emergency critical illness rescue success rate The main efficiency indicators such as the grade A healing rate of clean surgical incision and the positive rate of ct and large x-ray machine meet the requirements of the Hospital Management Evaluation Guide or the second-cycle hospital evaluation criteria.
3. Fully implement humanized services. 1 Implement 30 measures for the construction of public hospitals, focusing on the implementation of the “five systems” such as responsible for first-inquiry, flexible work, return visits from patients, doctor-patient communication, and “direct subsidy” of the new rural cooperative medical system. 2 Optimize the medical service process, simplify the service link, shorten the waiting time for patients, and wait for less than 10 minutes for the service window such as registration, price, charge, and medicine. 3 Standard department logos, outpatient halls set up department distribution maps, outpatient clinics, inpatient floors and corridors set up department distribution maps. 4 to protect patient privacy, door emergency, icu, treatment room and ultrasound, electrocardiogram and other medical treatment sites with screens or curtains, and strive to create a "heart-to-heart" service environment.
4. Standardize medical service behavior. 1 Adhere to the practice of medicine according to law, strictly carry out medical activities according to the subjects of diagnosis and treatment, no department renting, contracting, and medical personnel holding certificates. 2 Adhere to reasonable inspection, rational use of drugs, treatment due to illness, establish a medical inspection and assessment supervision mechanism, improve the mutual recognition system of clinical examination results of medical institutions, and avoid unnecessary repeated inspections. 3 Strengthen the supervision of clinical drugs, and the use of antibacterial drugs meets the requirements of the Ministry of Health's "Guidelines for the Clinical Application of Antibacterials" and the implementation measures of the city. 4 Carefully implement the results of the centralized drug bidding procurement of the city's online drugs to ensure the quality of drugs and reduce the high and high drug prices. The proportion of pharmaceutical income to business income, and the proportion of antibiotics in drug use reached the requirements of the second-cycle hospital evaluation criteria.
5. Strict medical charge management. 1 Strictly implement the medical service charging standards set by the State and the city, and strictly investigate and arbitrarily set up new charging items, decomposition projects, comparison of project charges and repeated charges, etc., outside the state regulations. 2 Start the “Sunshine Charge Project”, publicize the current medical charge project name, project content, pricing unit, price standard and description, etc., for patients to check online, and regularly publish medical service information such as medical expenses. 3 Strict medical service price complaint handling system, patients in the medical process encounter random charges, can complain to the local health department, the hospital must investigate and deal with within 7 days, and will resolve the situation with the complainant and the main implementation of the provincial and municipal governments The spirit of the meeting, in accordance with the requirements and deployment of the Municipal Health Bureau's "Notice on Printing and Distributing the Implementation Plan of the Health System Effectiveness of the City in XX Year", our hospital decided to carry out the performance year activities in the whole hospital. Now combined with the actual work of the hospital, the following implementation plans are formulated:
I. Guiding ideology and overall goal Guided by dxp theory and the important thinking of the "Three Represents", we thoroughly implemented the scientific development concept, conscientiously implemented the spirit of the Third Plenary Session of the XX and xx sessions, and the spirit of the Central Economic Work Conference. Studying and practicing the scientific concept of development as the theme, focusing on “improving the efficiency of hospital work”, aiming at “creating the optimal development environment and improving the level of medical services”, focusing on deepening the reform of medical and health system and work innovation, and focusing on solving hospital efficiency The outstanding problems in the construction, strive to significantly improve the work style of the hospital during the year, improve the efficiency of work, significantly enhance the work capacity, significantly improve the hospital management and medical services, and accelerate the formation of behavioral norms, operational coordination, fair and transparent, clean and efficient operation mechanism. And management system to better serve the economic construction and serve the people's health.
Second, the basic principles center around the center and serve the overall situation. The hospital's efficiency construction should focus on promoting the hospital's good and fast development center, serving the overall situation of the health system's good development environment, and ensuring that the decision-making arrangements of the higher levels are implemented.
Grasp the key and key breakthroughs. Grasping key links and key positions to solve the problem of work style and efficiency of key links and key positions as a breakthrough, and drive the overall work.
Act in accordance with the law, standard operation. In accordance with the requirements of legal management, promote the legalization and standardization of efficiency construction, and standardize procedures and work processes according to law.
Treat both the symptoms and the root causes and comprehensive management. It is necessary to solve the outstanding problems that currently affect the efficiency construction, achieve obvious results, and establish a set of rules and regulations to form a long-term management mechanism that changes the style of work and improves efficiency.
Seeking truth and being pragmatic, efficient and convenient. Putting the style of seeking truth and being pragmatic throughout the whole activity, proceeding from reality, pushing forward in a solid manner, and striving for practical results, so that the people can get real convenience.

Third, the work focuses on the work priorities determined by the Municipal Health Bureau, and is committed to solving practical problems. Our institute focuses on the following tasks.
1. Strengthen the capacity building of health services. 1 Implementation of health service capacity building projects. According to the three-year plan determined by the "Jiangxi Province Health Service Capacity Building Project Implementation Plan" and the "Guozhou City XX Annual Health Service Capacity Building Evaluation Rules" issued by the Municipal Health Bureau, continue to use business rooms, equipment configuration, personnel training, Five aspects of technology and management will further improve the capacity and level of medical and health services. 2 Conduct in-depth hospital evaluation, standardize hospital management, strengthen connotation construction, strengthen the construction of key disciplines, and improve the level of critical and serious treatment.
2. Improve work efficiency. 1 Implement a holiday-free hospital service to provide patients with “uninterrupted medical services”. 2 Implement the provisions of the time-limited service, the emergency patient will be disposed of within 5 minutes after the hospital's medical staff; the doctor will arrive at the treatment site within 10 minutes of the emergency consultation; the first round of the attending physician's record will be completed within 48 hours after admission; the three routine inspection items Reports within 30 minutes of the emergency department, reports within 48 hours of special examinations, reports within 30 minutes of emergency radiology, reports within 2 hours of the consultation, special reports within 24 hours, and reports within 30 minutes of b The pathological frozen section was reported within 30 minutes. 3 improve operational performance, bed utilization rate, preoperative hospitalization day, average hospitalization day, emergency observation time, diagnosis and acceptance rate of admission and discharge, diagnosis rate before and after surgery, clinical main diagnosis and pathological diagnosis coincidence rate, emergency critical illness rescue success rate The main efficiency indicators such as the grade A healing rate of clean surgical incision and the positive rate of ct and large x-ray machine meet the requirements of the Hospital Management Evaluation Guide or the second-cycle hospital evaluation criteria.
3. Fully implement humanized services. 1 Implement 30 measures for the construction of public hospitals, focusing on the implementation of the “five systems” such as responsible for first-inquiry, flexible work, return visits from patients, doctor-patient communication, and “direct subsidy” of the new rural cooperative medical system. 2 Optimize the medical service process, simplify the service link, shorten the waiting time for patients, and wait for less than 10 minutes for the service window such as registration, price, charge, and medicine. 3 Standard department logos, outpatient halls set up department distribution maps, outpatient clinics, inpatient floors and corridors set up department distribution maps. 4 to protect patient privacy, door emergency, icu, treatment room and ultrasound, electrocardiogram and other medical treatment sites with screens or curtains, and strive to create a "heart-to-heart" service environment.
4. Standardize medical service behavior. 1 Adhere to the practice of medicine according to law, strictly carry out medical activities according to the subjects of diagnosis and treatment, no department renting, contracting, and medical personnel holding certificates. 2 Adhere to reasonable inspection, rational use of drugs, treatment due to illness, establish a medical inspection and assessment supervision mechanism, improve the mutual recognition system of clinical examination results of medical institutions, and avoid unnecessary repeated inspections. 3 Strengthen the supervision of clinical drugs, and the use of antibacterial drugs meets the requirements of the Ministry of Health's "Guidelines for the Clinical Application of Antibacterials" and the implementation measures of the city. 4 Carefully implement the results of the centralized drug bidding procurement of the city's online drugs to ensure the quality of drugs and reduce the high and high drug prices. The proportion of pharmaceutical income to business income, and the proportion of antibiotics in drug use reached the requirements of the second-cycle hospital evaluation criteria.
5. Strict medical charge management. 1 Strictly implement the medical service charging standards set by the State and the city, and strictly investigate and arbitrarily set up new charging items, decomposition projects, comparison of project charges and repeated charges, etc., outside the state regulations. 2 Start the “Sunshine Charge Project”, publicize the current medical charge project name, project content, pricing unit, price standard and description, etc., for patients to check online, and regularly publish medical service information such as medical expenses. 3 Strict medical service price complaint handling system, patients in the medical process encounter random charges, can complain to the local health department, the hospital must investigate and deal with within 7 days, and will resolve the situation to respond to the complainant and the main goal of the construction of the main effect, Formulate specific rectification plans and rectification measures. In order to solve any problems with what problems, what problems should be solved first, what is the problem of solving problems first, focus on solving outstanding problems that hinder hospital reform and influence development, focus on solving outstanding problems that the people have strongly reflected, and win the trust of the people with practical actions.
9. Improve the relevant systems. The hospital should clean up all kinds of rules and regulations, the revocation of the revocation, the establishment of the establishment, the perfection of the perfection, and the formation of a system compilation. Through the establishment of the system, the post responsibility system is used to clarify the job responsibilities, the service commitment system is used to clarify the content of serving the people, the open service system is used to promote the openness of the affairs, the democratic decision-making system is used to strengthen the public supervision, and the performance appraisal system is used to evaluate Work performance, serious work discipline with accountability system, quantify work standards, standardize work procedures, plug management loopholes, and improve operational mechanisms.
The main tasks in the assessment summary stage are:
10. Do a good job of self-examination. The Institute of Effectiveness will focus on the implementation of the 10 aspects of work priorities and develop a scientific, quantitative and easy-to-use performance appraisal work program. All departments of each party branch should self-inspect according to the assessment work plan, and report the self-inspection to the hospital. This work is required to be completed by October 15.
11. Organizational review and assessment. The Institute of Effectiveness will complete the inspection of the effectiveness of each branch and department before October 30, and at the same time do a good job in self-examination of hospital efficiency construction and acceptance of higher-level inspections.
12. Conduct a summary of the work. Adopt a bottom-up approach, seek truth from facts, sum up the annual efficiency construction work of this branch and the undergraduate department, establish and improve a long-term mechanism, and promote the regularization, institutionalization and standardization of efficiency construction.
13. Hold a summary meeting. Comprehensively summarize the development of the performance year activities and the actual results achieved, commend the advanced, establish the typical, and deploy further deepen the efficiency construction work.
V. Job Requirements The efficiency construction is a systematic project, and it is also a long-term and arduous task. The work involves a wide range of standards and high standards. All departments of various party branches must take the performance of the annual activities as the central work of this year, carefully arrange, carefully organize, and strive for practical results.
Strengthen leadership and clarify responsibilities. On the basis of the original work, we should adjust the performance construction leading group and the office to form a working pattern of first-level and first-level implementation. The “top leader” of the hospital is the first person responsible for efficiency construction. The director of the department is the first person in charge of the department. He must become the practitioner, demonstrator and promoter of the efficiency construction. Other leading comrades must assume the direct leadership within the scope of their duties. Responsibility, earnestly do a good job in the efficiency construction of the departments and departments, and form a leadership system and working mechanism for the unified leadership of the party committee, the joint management of the party and the government, the guidance and coordination of the leadership group, the responsibility of the departments, and the broad participation of the people.
Strict requirements and enhanced supervision. The hospital efficiency construction leading group and its office must accurately grasp the work requirements of the efficiency construction rules and the efficiency of each stage of the annual activities, and adopt methods such as unannounced visits, complaints, special inspections, and special efficiency monitoring to increase supervision and timely understanding and master the work. Progress, summarizing and promoting good experience, inspection results should be included in the performance appraisal results. On the basis of hiring the supervisors of the winds, we should hire relevant persons from all walks of life, the retired comrades of the system and some of the in-service comrades to serve as performance monitoring inspectors, and conduct frequent and unannounced visits. If you find that the work is not working, you must clearly point out that it should be corrected in time; if there are any deficiencies, find out the reasons.
Make up for it in time; if you go through the field or engage in formalism, you must seriously criticize it and make up the class in time. It is necessary to carry out in-depth and meticulous supervision and inspection to ensure that the requirements of efficiency construction are truly implemented, and that there is no deviation. Those who fail to carry out performance-building activities or violate the discipline and cause adverse effects according to the requirements will be seriously investigated for the responsibility of the leaders and individuals of the relevant departments, and publicly criticized.
Sound mechanisms and demonstrations. All party branches and departments should hang up the performance appraisal results of performance construction with evaluation and reward, and establish and improve the incentive and reward mechanism. It is necessary to conscientiously summarize and timely publicize the different levels and different types of advanced models in the efficiency construction, and commend and reward them in a timely manner, and play a typical demonstration role to promote the in-depth activities of the hospital's performance year.
Coordinated arrangements and coordinated advancement. All party branches and departments must firmly establish the awareness that development is the most important task, insist on one-handedness in building efficiency, do a good job in business, and combine the strengthening of efficiency construction with the implementation of health service capacity building projects, and deepen the integration of medical and health system reform. Combine with the second cycle of hospital review, and combine with other business work to enhance the pertinence and effectiveness of efficiency construction, ensure the mutual improvement of efficiency construction and business work, and promote the development of various hospitals. The public feels the new changes brought about by the efficiency construction.
Strengthen publicity and create an atmosphere. All departments of various party branches should make full use of newspapers, radio, television, Internet and other news media and briefings, bulletin boards and other positions to widely publicize the performance year activities and create a strong atmosphere. It is necessary to vigorously publicize the importance and necessity of carrying out efficiency construction, vigorously publicize the practice, effectiveness and experience of hospitals to strengthen efficiency construction, vigorously publicize the advanced collectives and individuals emerging from the activities, showcase the new look of the hospital, and establish a good social image of the hospital. .