Summary of health work in township hospitals in the first half of the year and key points in the second half of the year
In the first half of 2019, the city's health system carried out in-depth study and practice of the scientific concept of development, focusing on the central work of the municipal party committee and municipal government, focusing on public health, rural health, new rural cooperative medical care, urban community health services, hospital management, etc. We will accelerate the construction of the regional center for medical services, promote the sound and rapid development of the health industry, and achieve better results in more than half of the time and more than half of the tasks completed. The city's health work in the first half of 2019 is summarized as follows.
I. Accelerating the construction of rural health three-level network In the first half of this year, the bureau accelerated the construction of rural health service system. First, actively apply for the central financial support project. At the beginning of March this year, a work conference of the city's health directors was held to specifically study and accelerate the construction of township hospitals. At the end of March, a “Classical Workshop for the Application of Provincial Financial Subsidy Application Materials for Township Health Centers” was held, and experts from the Provincial Pharmacy College were invited to give lectures, and specific guidance was given on the investigation and application of the application materials. Completed the investigation of the status quo of the township hospitals in the city and the survey of the status quo of the township hospitals, the general plan of the township hospitals, the plan of the business buildings and related pictures, and the design of the township hospitals. The second is to raise funds for construction through multiple channels and speed up the reconstruction and expansion of township hospitals. This year, 89 township health centers in our city received provincial financial subsidies, 80% of the personnel subsidy funds are used for the salary subsidies of the employees, and 20% are used for the construction of business buildings and equipment and equipment. The provincial finance allocated a total of 9 million yuan for 9 township health centers such as Wengyuan Longxian and Bazi in the city for subsidies for the construction of business buildings and equipment purchases. The central government boosted domestic demand and increased funds for grassroots health construction. After hard work, four township hospitals in the city received the construction fund of 500,000 yuan for the first phase of the new primary health care service system. Six township health centers have reported to the central government for the second phase of the new grassroots medical and health service system central investment plan for each 500,000-900,000 yuan construction fund. The third is to actively carry out the work of renovating and expanding the township health centers in the old revolutionary areas. According to the province's determination, there are 42 primary and secondary health centers in the city, and the total area of renovation and expansion of business buildings is 14,545.79 square meters. There are three types of old district hospitals with a demolition area of 1,513 square meters. On June 18th, the city held a conference on the construction of township hospitals in the revolutionary old districts, and accelerated the construction of township hospitals in the old districts. The meeting requested the county health bureaus to work with the county finance, poverty alleviation offices and other departments to verify and document the business premises and dangerous buildings of the township health centers in the old district before the end of June, and follow the "Guangdong Rural Health Service System Construction and Development Plan". It is required to establish standards for township hospitals, formulate detailed accounts for the renovation of hospitals' business buildings, and strive to solve the problem of failing to meet the standards and renovation of dangerous buildings in the revolutionary old district health centers before the end of this year. The fourth is to actively explore the integrated management mechanism of township health institutions. The bureau has drafted the "Administrative Measures for Shaoguan City Village Health Stations", soliciting opinions and conducting research in the city, and selecting 1-2 counties to carry out pilot projects to better play the role of "one village, one station and one million yuan". The fifth is to speed up the construction of the blank village. In the administrative villages where there is no health station, it is adopted in various forms such as township hospitals. The newly added 10 health stations such as Banchang Village in Ruyuan County have received the provincial subsidies of “one village, one station and one million yuan”. The fifth is to strengthen the technology of township hospitals.
Second, vigorously promote community health service institutions to build 11 community health service institutions planned and constructed by the city. By the end of last year, six buildings were completed and listed. In order to speed up the pace of construction, the bureau urged the county health bureaus to strengthen the leadership of the construction of community health service centers, and timely transfer the total amount of 2 million yuan of subsidies from the provincial subsidies to the county-level finance. . In order to ensure that all localities strictly follow the principle of special use of special funds for special funds, the bureau, together with the municipal finance and supervision departments, strengthens the assessment of construction work and the supervision of financial funds, and urges the relevant materials to be done in accordance with the requirements of provincial financial performance appraisal. Prepare work to ensure that funds are safely and effectively functioning, and that construction tasks are completed on time and in quality. Actively contact with members of the Community Health Service Leading Group, such as the Municipal Labor and Social Security Bureau, to assist in the formulation of community health service related supporting policies. Actively carry out pilot work to gradually subsidize the public health service functions of appropriate communities by community health service agencies, and organize relevant personnel to the community to guide disease prevention and control and health care for key populations. Actively do a good job in training the community's general medical staff. On the basis of last year's investigation of the situation of the general medical staff of the community health service institutions in the city, the bureau prepared a training outline for the general health care workers of the community health service institutions in the city at the beginning of this year, and entrusted the medical school of Shaoguan University to the community health service center of the city. Nearly 200 medical staff were trained in transfer. On May 29 this year, the first training course for community health service personnel transfer was held, and 74 medical personnel participated in the first training.
Third, actively promote the construction of medical and health regional centers First, accelerate the construction of key projects. The construction of the outpatient medical technology building of Yuebei Hospital has actively carried out the preliminary projects such as land demolition, planning and design. Up to now, all the relocated households have signed the relocation or compensation agreement, entered the project bidding program, and strived to start construction in August. Key construction projects such as the Occupational Disease Prevention and Control Center Building and the Chinese Medicine Hospital Medical Technology Building entered the stage of perfect function matching. The construction of the new building of the Municipal Maternal and Child Health Hospital and the blood station of the new center is underway for site selection and project declaration. Second, we must do a good job in building a team of medical and health professionals. According to the actual situation of the unit, the municipal hospitals have introduced various policies and measures to strengthen the construction of the talent team, and adopted measures such as introducing from the field, training experts in the hospital, and encouraging self-study. Construction of a high-quality medical and health technology team, the city has 567 people with deputy high and above technical titles, an increase of 22 people. At the same time, hospitals have continuously improved the performance incentive mechanism and distribution mechanism to fully mobilize the enthusiasm of the majority of medical personnel. For example, the Municipal People's Hospital introduced wages and bonuses at the beginning of this year, which was linked to the workload and work performance, which greatly mobilized the enthusiasm of the majority of medical personnel. The third is to strengthen the construction of specialties, establish a group of dominant disciplines and specialties. The construction of key specialties and specialties such as cancer prevention, cardiovascular disease intervention, and hepatobiliary surgery has been strengthened. The fourth is to strengthen hospital management and continuously improve the quality and management of medical services. On the basis of consolidating the results of the Hospital Management Year, we will continue to carry out the hospital management year, create a “Ping An Hospital” and a 100-day special inspection of medical safety. All medical units conscientiously implement various medical core systems, and strictly implement the three-level ward round system, the first-patient responsibility system, the difficult case discussion system, the graded care system, the consultation system, and the handover system as the focus of medical care quality. Reporting systems such as defects, medical disputes, medical accidents, and infusion reactions prevent precautions and prevent medical accidents. In February this year, some hospitals above the second level were supervised. The fifth is to strengthen research on medical research topics and actively promote the application of new technologies. This year, 141 scientific research projects were completed, and 121 were approved, of which 20 were recommended to the provincial level, and 7 projects have passed provincial projects. Promote the adoption of new technologies with 113 items. Sixth, vigorously promote the work of strengthening Chinese medicine. Strengthen the standardization of Chinese medicine and Chinese pharmacy in county-level Chinese medicine hospitals, township hospitals and community health service centers, and do a good job in the reconstruction and expansion of Wengyuan County Hospital. Actively carry out the work of applying for the national advanced rural Chinese medicine work county and the establishment of the provincial advanced county of traditional Chinese medicine. Qujiang District is actively carrying out the work of applying for the national advanced rural medicine work in the county. Wengyuan County actively carries out the work of creating an advanced county for the work of Chinese medicine. Actively promote the inheritance and innovation of traditional Chinese medicine, give full play to the advantages of traditional Chinese medicine, and continue to carry out the academic experience of "Suiguan Named Traditional Chinese Medicine" and the "treatment of disease".
Fourth, earnestly do a good job in maternal and child health care This year, we regard the maternal and child health care work as an important task of health work, and we must do a good job as an important part of the people's livelihood project. First, fully promote the free marriage inspection work. Under the coordination of the Municipal Women and Children's Working Committee, the departments of health, civil affairs, family planning and other departments actively cooperated. In April, Renhua held a free experience meeting on free marriage inspection work in the city. In June, the city's health system free marriage inspection work promotion meeting was held. The government issued the "Implementation Plan for the Implementation of Free Marriage Inspection in the City." At present, the rate of marriage inspection in Renhua and Xinfeng counties is over 70%, and that in Nanxiong City is 40%. The rate of marriage inspections in other areas has steadily increased. The second is to implement the outline for the development of women and children. The city's maternal and child health work conference was held to summarize the implementation of the “two programs” in the city in 2019, and to study and deploy the work of women and children in the city in 2019. In June, the citywide women and children information work conference was held to analyze and study the implementation of the “two-level” target in the first half of the city, to determine the pre-marital medical examination rate and reduce the incidence of neonatal birth defects as the focus of the second half of the year, and focus on The difficult and difficult problems were analyzed and work measures were formulated. The third is to seriously implement the maternal and child health project. The Provincial Health Department has designated the Municipal Maternal and Child Health Hospital as the designated unit for the Maternal and Child Health Project Breast Cancer Prevention and Control Project, and assisted the Provincial Health Center in organizing relevant training in the city to prepare the project implementation plan. The fourth is to strengthen the management of maternal and child health technical services. The examination and verification of the maternal and child health practice licenses and the technical assessment certificates of the employees in the medical institutions in the area were examined, the units and individual qualifications of the pre-nuptial medical examinations were reviewed, and training courses were held to ensure the provision of technical services according to law. In the first half of the year, 18,100 birth medical certificates were issued, and 166 medical certificates issued by other provinces and provinces were verified. 36 invalid certificates were found, including 9 false certificates. In order to comprehensively manage the high sex ratio of the birth population, the bureau drafted and issued the “Regulations on the Management of the Super-equipment of the Health System in Shaoguan City”. The fifth is to strengthen the guidance of grassroots maternal and child health care, and organize professional strength to focus on the business of Xinfeng and Renhua Maternal and Child Health Hospital, and improve the comprehensive service capacity of grassroots women and children. Sixth, in view of the high maternal mortality rate and the high mortality rate of children under 5 years old in our city, we actively carried out research, found out the reasons, and actively took measures to reduce the mortality rate to ensure that the annual index reached or exceeded the provincial average.
V. Further improving the level of rural cooperative medical care This year, we will focus on improving the quality and security of the new rural cooperative medical system. The first is to increase the participation rate. In 2019, 1.926 million farmers participated in cooperative medical care, accounting for 98.8% of the agricultural population, an increase of 2.9% over the previous year. The participation rate of five-guarantee households, low-income households and special-poor households reached 100%, which is the highest participation rate in the past years. . The coverage rate of rural cooperative medical care in towns and villages reached 100%. The second is to raise the level of funding. In 2019, the fundraising level reached 110 yuan per person, the provincial financial support fund increased to 61 yuan per person, the city and county increased to 25 yuan per person, the central government increased to 4 yuan per person, and the individual paid 20 yuan. A total of 220 million yuan was raised during the year, an increase of 17.6% over the previous year. The third is to improve the level of protection. The proportion of hospitalization reimbursement has increased correspondingly compared with last year. The proportion of hospitalization reimbursement in township hospitals has increased to 70-80%, the proportion of hospitalization reimbursement in county hospitals has increased to 60%, and the reimbursement of hospitals outside county hospitals has been 40%. External hospitalization, with the consent of the local cooperative medical office, the proportion of compensation outside the county can be adjusted to 60%, and the highest hospitalization reimbursement line per year is 50,000 yuan. 10 kinds of chronic disease outpatient treatment costs including chronic renal failure, cirrhosis decompensation, cancer, stroke sequelae, myocardial infarction recovery, psychosis, diabetes, hypertension, tuberculosis, cataract surgery, etc. Together with hospitalization compensation is 50,000 yuan. The personal payment portion can be directly used for outpatient expenses, so that farmers can truly enjoy the benefits of rural cooperative medical care. The fourth is to strengthen the information management of the new rural cooperative medical system. The compensation for farmers in the city will be announced online in 2019. The Hejiang District Joint Medical Office cooperates with the rural credit cooperatives to invest more than 1 million regional network to realize the information management of the new rural cooperative medical system in the whole district. The city's county and town medical offices opened a network direct report b/s system on August 15. Fifth, the municipal financial matching funds will be in place in time. As of May 31, the city's new rural cooperative medical care city-level matching funds are all in place, all funds have been deposited into the financial social security account, ensuring the normal operation of cooperative medical funds.
In the first five months of this year, the number of compensation in the city was 350,206, and the total compensation was 80,362,178 yuan, including the hospitalization compensation of 7,245,504,470 yuan, the outpatient compensation of 45,404,212 yuan, the family account compensation of 660,288 yuan, the special disease large-value outpatient compensation of 68,353 yuan, and the delivery compensation of 2,600,779 yuan. Other compensation is 2404 yuan. Effectively alleviated the problem of peasant people's difficulty in seeing a doctor and seeing a doctor.
Sixth, strengthen health supervision and disease prevention and control, improve the ability of emergency public health emergency response First, actively respond, go all out to do a good job in the prevention and control of influenza A h1n1. The Health Bureau set up a leading group for prevention and control of influenza A h1n1, formulated the "Spoke Emergency Plan for Influenza Pandemic City in Shaoguan City", and established a group of influenza clinical experts and prevention and control experts to guide the prevention and control of influenza A h1n1 in the city. jobs. The Guangdong Second People's Hospital and the county people's hospitals are designated as the designated hospitals for the H1N1 influenza cases in the city, and the close contact isolation and medical observation points. The Municipal Disease Control Center will do the relevant work of detecting reagents and killing drugs. . On April 30th, the SIPO conducted training on 120 people with infections, infectious diseases, respiratory diseases, examinations and imaging in the city. On May 8th, “Shunguan City Prevention and Control of Pandemic Pandemic Health Emergency Exercises” was carried out to improve emergency combat capability. Through the news media, printing and propaganda leaflets, etc. to publicize the public, eliminate the public panic, raise public awareness of prevention, and set up a H1n1 flu consultation phone, ready to accept public consultation. Second, continue to strengthen the prevention and treatment of major diseases such as cholera, AIDS, tuberculosis, viral hepatitis, rabies, influenza A (H1N1), hand, foot and mouth disease, human avian influenza, etc., and monitor the spring and summer susceptible diseases such as influenza. The third is to complete the measles vaccine booster task. In April, all children aged 8-14 years, including migrants, were immunized against measles vaccine. A total of 581,800 vaccination notices were issued and 4,482 posters were posted, so that parents of every school-age child can know about measles vaccine booster immunity. According to statistics, the total number of people registered in the city from 8 months to 14 years old is 534,903, 525,450 people are in practice, and the vaccination rate is 98.23%. It ranks seventh in 21 prefecture-level cities in the province. Significant achievements have been made in the occurrence of vaccination accidents and severe vaccination abnormal reactions. The fourth is to strengthen food hygiene supervision. The food safety supervision quantitative grading management was fully implemented. In the first half of this year, a unified food hygiene credit rating ceremony was held for large and medium-sized enterprises, collective canteens and small catering units reviewed in 2019. Launched a special rectification campaign against illegal addition of non-edible substances and abuse of food additives. From January to April this year, 1,833 person-times of health supervision personnel were organized, and catering units were inspected for more than XX households. A total of 100 categories of 5 types of supervision and inspection were completed, 99 were qualified, and the pass rate was 99%. For the catering business units that failed the sampling inspection, they immediately issued a supervision opinion requesting immediate rectification. We will continue to carry out the activities of “safe travel, rest assured eating”, strengthen the health supervision and inspection of major festivals such as New Year's Day, Spring Festival and “May 1st”, promptly launch the health safety guarantee plan for major activities, and strengthen the examination and examination venues and surrounding catering units of the college entrance examination. The health support work for major events such as the mobilization meeting of the Chongqing Railway, the Danxiashan International Symposium, and the sixth meeting of the CPPCC National Committee along the Red Army Long March. The fifth is to prepare for the emergency public health emergency response. The city's emergency command center reconstruction project was completed in February, and was put into emergency rescue dispatching command. The emergency response plan for sudden health incidents during the Spring Festival and the Spring Festival this year was formulated. In March, a training course on emergency management of emergencies was held.
VII. Do a good job in the implementation of social comprehensive evaluation of medical and health indicators. The Office has strengthened the management of social development planning and comprehensive evaluation of medical and health indicators, and issued the "Notice on Effectively Doing a Good Job in Social Development Planning and Comprehensive Evaluation of Medical and Health Indicators Management in the City". The expected goals are determined and institutional measures ensure that the goals are achieved. First, the results of consolidating the number of doctors per 10,000 population, the number of beds per 1,000 population, and the participation rate of new rural cooperative medical care are at the advanced level of the province. Maternal mortality, under-five mortality rate, and Class A and B legal infections. Three indicators, such as the reported incidence rate, are controlled below the provincial average. The second is to implement the system. It is required that the health administrative departments at all levels be responsible for establishing and improving two systems management methods. The maternal and child health care institutions at all levels are responsible for the implementation of relevant technical measures such as management norms, technical standards and operational routines. All localities strictly implement the three-level referral system for medical treatment. The third is to grasp the quality of work. All units are required to do a good job in the prevention, control and treatment of infectious diseases, and effectively reduce the reported incidence of Class A and B legal infectious diseases. Strengthen the network of maternal and child health services, improve the quality of obstetrics, and reduce maternal and infant mortality. The fourth is to regulate the management of information reports. Strengthen the verification of relevant data reported by various units, and review and check them step by step. The fifth is to strengthen responsibility. Implementing the “Top Leaders” project, the number of practicing doctors per 10,000 population, the number of beds per 1,000 population, the coverage of new rural cooperative medical care and maternal mortality, the mortality rate of children under 5 years old, and the reported incidence of Class A and B legal infectious diseases The indicator is the main content of the annual assessment of the bureaus directly under the bureau and the county health bureaus. The sixth is to track the completion of various indicators, implement the statistical analysis indicators completed every quarter, and distribute the notification system in three levels: red, yellow and green. From May 15th to 20th, the members of the 6 teams of the bureau led the inspection and guidance teams of the business departments of the bureaus and the backbone organizations of the bureaus to conduct special inspections in 8 counties to find out the problems in the work and analyze the problems carefully. Reasons, formulate countermeasures, and report the relevant situation to the municipal party committee and the municipal government, and notify the county party committees and governments of the inspection results.
8. Pay close attention to the reform of the company and meet the national technology assessment. In the first half of this year, the focus will be on the rectification opinions put forward by the state-level expert group and the problems discovered by the city’s Chuangwei Park Office, and the rectification plan will be formulated to further implement the rectification and responsibility. Request, rectification deadline. At the same time, a team of leaders from the bureau, heads of various departments, and staff of relevant units were set up to establish the supervision and supervision work. First, strengthen the health supervision of the cooked food stalls in the farmer's market and the surrounding food business units. Comprehensively clean up the sanitary corners in the cooked food stalls and repair the damaged "three defenses" facilities. In particular, it is 100% clear for the bazaars within 100 meters of the recommended route. The second is to do a good job of rectification of problems in the catering unit. All units are required to make food hygiene credit grade plaques on the wall publicity, implement disinfection measures for tableware, improve the registration system for food raw materials procurement, and eliminate the use of non-food additives. The third is to strengthen the health supervision of public places, especially small beauty salons and small tourism. Focus on improving the cleaning, disinfection, registration system and cosmetics and bedding cleaning and disinfection certificate system, practitioners hold health certificates, wear work clothes to work, keep the store environment clean and tidy. The fourth is to strengthen the collection, organization and archiving of materials. According to the requirements of the standard, the contents of the health management files of the business units shall be implemented on a household basis, with emphasis on supplementing and perfecting the documents, procurement, registration and use of raw materials and food additives, and strive to complete the data. According to statistics, since the special rectification work was carried out, a total of 7,028 health supervision personnel have been dispatched, 1,500 vehicles have been inspected, 10,824 business units have been inspected, and more than 1,000 health supervision opinions have been issued. The 51 business units with problems have been urged to rectify within a time limit.
9. Strengthen the construction of the work style of the organs and industries, and promote the improvement of work style.
In-depth study and practice of the scientific concept of development activities, focusing on resolving issues such as party members and cadres, party spirit, party discipline and other aspects, analyzing the reasons and formulating corrective measures. In-depth development of disciplinary education activities, building a defense line of anti-corruption and anti-change. The departments of the bureau directly focused on the theme of "strengthening the construction of work style and guaranteeing scientific development", extensively carried out party-style party-style party discipline education and clean and honest administration, and built a moral defense line of anti-corruption and anti-corruption. Implementing the anti-corruption and rectification tasks, and formulating the "Demolition Form for the Leading Tasks of the Party's Work Style and Clean Government Construction and Correcting Work in Shaoguan City Health Bureau" to clarify the responsibilities, and at the same time, include the anti-corruption and rectification work in the assessment of the leadership team and the annual target responsibility assessment of the directly affiliated units. In-depth development of "grasping the style, shaping the image" rectification activities, standardizing the operation of power, standardizing the selection and appointment of cadres, standardizing administrative examination and approval and administrative law enforcement, serious agency discipline and work style, standardizing procurement bidding behavior, standardizing medical service behavior. Seriously check the issues reflected in the "Notice" of the provincial government's unannounced visits to the feature films and the Shaoguan City's efficiency check-ups, find the weak links in the bureau's work style, and formulate the "Notice on the Discipline of Serious Organs' Work" and do a good job of implementing them. The work style of the agency to improve work efficiency. Strengthen the construction of administrative examination and approval service windows, improve convenience measures, simplify procedures, standardize health administrative licensing, health administrative supervision, and administrative sanction punishment, and implement online approval, service commitment and time-limited system for administrative licensing. Implement the medical ethics evaluation system, and supervise the three key aspects of diagnosis and treatment, fees, and procurement. Actively carry out the information disclosure work of medical and health institutions, and promote the openness and democratic management of government affairs. The number of medical complaints in the city was significantly reduced. In the first half of the year, the Health Service Service Service issued 685 food hygiene licenses, 195 public health permits, 105 medical institutions, and 100% health administrative licenses.
Main points of health work in the city in the second half of 2019
In the second half of 2019, with the opportunity of deepening medical and health reform, we will focus on strengthening grassroots health service system and capacity building, actively promote the establishment of medical service regional centers, further improve the public health system and medical treatment system, and improve public health prevention and control levels and emergencies. The ability to handle public health incidents, continuously strengthen the construction of the political style, provide high-quality and efficient services to the people, and ensure the successful completion of the annual work tasks.
First, actively explore the reform of public medical institutions. Established the Municipal Health Bureau to deepen the medical reform leading group, gradually explore the implementation of reform measures in accordance with the overall reform plan of the state and the province, actively cooperate with the National Development and Reform Commission, labor security, price and other departments to simultaneously implement the reform of the medical security system, and explore the total amount of medical insurance prepaid, single disease Kinds of methods such as fees and outpatient co-ordination, building a basic drug system, reforming medical service and drug price formation mechanisms, and reflecting the value of medical staff's technical labor. Cooperate with the Municipal Price Bureau to actively carry out the pilot work of the “zero difference rate” reform of the drug in Ruyuan County.
Second, strengthen the construction of rural three-level health service network. Make full use of the central government's key opportunities to support the construction of county hospitals around the country. In the second half of the year, we will focus on the reconstruction and expansion of Wengyuan Chinese Medicine Hospital and Qujiang District People's Hospital. Speed up the process of reconstruction and expansion of township hospitals. At the end of 2019, the renovation and expansion of township hospitals in 42 old districts was completed. Accelerate the standardization of village health stations, further organize and implement the financial subsidy policy of “one village, one station and one million yuan”, actively explore the integrated management of township health institutions, and improve the relevant management systems of township health centers and village health stations.
Third, accelerate the construction of urban community health service centers. On the basis of summing up and learning from the experience of the reform and transformation of the six community health service centers that have been completed, the standardization of five community health service centers will be accelerated in the second half of the year. Implementation of the implementation rules for the management of community health service agencies.
Fourth, actively promote the establishment of medical service regional centers. Accelerate the construction of the emergency medical technology complex building in Yuebei Hospital, complete the project bidding work, and strive to start construction in August. We will promote the construction of the blood station in the city center and the construction of the medical technology building of the Municipal Traditional Chinese Medicine Hospital. We will complete the renovation project of the Municipal Occupational Disease Prevention and Control Center's occupational defense center building as soon as possible, and actively carry out the project approval for the construction of the Municipal Maternal and Child Health Hospital Complex and the expansion of the Yuebei Third Hospital. Carefully create five identified key disciplines and 23 specialty specialties to improve the regionalization and visibility of medical technology in the municipal hospitals.
Fifth, strengthen medical quality and medical safety. Continue to carry out the hospital management year, create a "safe hospital" and medical safety 100-day special inspection activities. In the fourth quarter, the city's supervision and inspection was carried out. Further standardize medical behavior, strengthen the management of pharmaceutical affairs in medical institutions, and implement various core medical systems such as ward rounds, death cases, and medical accident discussion and analysis systems.
Sixth, vigorously promote the work of strengthening Chinese medicine. This year, the standardization of Chinese medicine in the 15th Central Health Center was completed, and the reconstruction and expansion of Wengyuan County Hospital of Traditional Chinese Medicine was completed. Grasp the Qujiang District to apply for the National Rural TCM Work Advanced County and Wengyuan County to create the provincial advanced Chinese medicine work. In August, the 2019 national special specialty application was completed.
7. Strengthen prevention and control of major diseases and improve emergency response capabilities. Conduct performance evaluation of public health services. Continue to strengthen the prevention and treatment of cholera, AIDS, tuberculosis, viral hepatitis, rabies, influenza A (H1N1), hand, foot and mouth disease, human avian influenza and other major diseases. We will do a good job in the comprehensive prevention and treatment of chronic non-communicable diseases and oral diseases such as mental illness and cancer. Continue to improve the construction of the city's 120 emergency command center, and further expand and extend the service content of the 120 command center. Strengthen pre-hospital first aid work. Strengthen the management of health emergency materials reserves.
8. Strengthen health supervision work. Strengthen comprehensive law enforcement of health and promote the industry to act according to laws and regulations. We will do a good job in food safety for major holidays and improve the grassroots health supervision network in rural areas and communities. Strengthen the prevention and treatment of occupational diseases.
9. Solidly promote the work of maternal and child health. Carry out free marriage inspection and medical assistance for poor maternal hospital delivery, and improve the rate of hospital delivery in rural areas. Conduct epidemiological investigation and intervention of children with "congenital heart disease" to strengthen the systematic management of tertiary prevention of birth defects. Strengthen the emergency maternal rescue work, and do early screening, diagnosis and treatment of neonatal diseases. Strengthen the management of maternal and child death information to ensure accurate statistics. Promote maternal and child health services into the community, into the countryside, provide prenatal care and postpartum visits for pregnant women, provide cervical cancer and breast cancer screening for women over 35 years of age, and promote equalization of urban and rural maternal and child health services. This year, the city's maternal mortality rate and 5-year-old child mortality rate are below the provincial average.
X. Strengthen the management of rural cooperative medical care. Strengthen the management of rural cooperative medical funds and carry out supervision of rural cooperative medical funds. Do a good job in rural cooperative medical information construction. Strengthen the supervision of service behaviors and expenses of cooperative medical institutions, and control the unreasonable growth of medical expenses. Do a good job in the promotion of rural cooperative medical care in 2019.
11. Strengthen the construction of the health talent team. First, strengthen the construction of rural health talents. Implementation of the township health center licensed physician recruitment plan, by the end of 2019 to achieve the goal of more than one practicing physician in all old township hospitals. We will implement the financial subsidy policy of “one village, one station and one million yuan” to stabilize the rural health talent team. Second, do a good job in community health service personnel to implement transfer training. In the second half of the year, two training courses for general practitioners and general nurses were held at Shaoguan College of Medicine. The third is to speed up the construction of specialist talents. We will adopt preferential policies to actively introduce senior medical professionals, implement talent incentive mechanisms, further optimize the structure of medical and health professional and technical personnel, and encourage medical personnel to become famous. Continue to carry out the activities of famous doctors, famous subjects, and famous schools.
Twelve, do a good job in rectification and reform, and meet the national technology assessment. Continue to do a good job in the health rectification of the "five small" industries, conscientiously grasp the health supervision of the recommended routes, strengthen the collection, collation and filing of materials, and check and fill the gaps in the materials according to the standards, and strive to complete the data. Meet the national technology assessment.
13. Strengthen the construction of the work style of the organs and industries. Continue to carry out in-depth activities to learn and practice the scientific development concept. In July-September, we concentrated on the party-style party-style party discipline education and clean and honest administration, clean and disciplined education, and carried out the activities of “grasping the style and shaping the image”. Continue to do a good job in the construction of the administrative examination and approval service window, focusing on the implementation of the "six norms" and the "five inaccuracies" system of the staff of the organs. The online examination and approval, service commitment and time-limited system for administrative licensing matters will improve the efficiency of work, so that the administrative licenses will reach 100% on time and in advance, and the e-government official documents will reach 100%.
I. Accelerating the construction of rural health three-level network In the first half of this year, the bureau accelerated the construction of rural health service system. First, actively apply for the central financial support project. At the beginning of March this year, a work conference of the city's health directors was held to specifically study and accelerate the construction of township hospitals. At the end of March, a “Classical Workshop for the Application of Provincial Financial Subsidy Application Materials for Township Health Centers” was held, and experts from the Provincial Pharmacy College were invited to give lectures, and specific guidance was given on the investigation and application of the application materials. Completed the investigation of the status quo of the township hospitals in the city and the survey of the status quo of the township hospitals, the general plan of the township hospitals, the plan of the business buildings and related pictures, and the design of the township hospitals. The second is to raise funds for construction through multiple channels and speed up the reconstruction and expansion of township hospitals. This year, 89 township health centers in our city received provincial financial subsidies, 80% of the personnel subsidy funds are used for the salary subsidies of the employees, and 20% are used for the construction of business buildings and equipment and equipment. The provincial finance allocated a total of 9 million yuan for 9 township health centers such as Wengyuan Longxian and Bazi in the city for subsidies for the construction of business buildings and equipment purchases. The central government boosted domestic demand and increased funds for grassroots health construction. After hard work, four township hospitals in the city received the construction fund of 500,000 yuan for the first phase of the new primary health care service system. Six township health centers have reported to the central government for the second phase of the new grassroots medical and health service system central investment plan for each 500,000-900,000 yuan construction fund. The third is to actively carry out the work of renovating and expanding the township health centers in the old revolutionary areas. According to the province's determination, there are 42 primary and secondary health centers in the city, and the total area of renovation and expansion of business buildings is 14,545.79 square meters. There are three types of old district hospitals with a demolition area of 1,513 square meters. On June 18th, the city held a conference on the construction of township hospitals in the revolutionary old districts, and accelerated the construction of township hospitals in the old districts. The meeting requested the county health bureaus to work with the county finance, poverty alleviation offices and other departments to verify and document the business premises and dangerous buildings of the township health centers in the old district before the end of June, and follow the "Guangdong Rural Health Service System Construction and Development Plan". It is required to establish standards for township hospitals, formulate detailed accounts for the renovation of hospitals' business buildings, and strive to solve the problem of failing to meet the standards and renovation of dangerous buildings in the revolutionary old district health centers before the end of this year. The fourth is to actively explore the integrated management mechanism of township health institutions. The bureau has drafted the "Administrative Measures for Shaoguan City Village Health Stations", soliciting opinions and conducting research in the city, and selecting 1-2 counties to carry out pilot projects to better play the role of "one village, one station and one million yuan". The fifth is to speed up the construction of the blank village. In the administrative villages where there is no health station, it is adopted in various forms such as township hospitals. The newly added 10 health stations such as Banchang Village in Ruyuan County have received the provincial subsidies of “one village, one station and one million yuan”. The fifth is to strengthen the technology of township hospitals.
Second, vigorously promote community health service institutions to build 11 community health service institutions planned and constructed by the city. By the end of last year, six buildings were completed and listed. In order to speed up the pace of construction, the bureau urged the county health bureaus to strengthen the leadership of the construction of community health service centers, and timely transfer the total amount of 2 million yuan of subsidies from the provincial subsidies to the county-level finance. . In order to ensure that all localities strictly follow the principle of special use of special funds for special funds, the bureau, together with the municipal finance and supervision departments, strengthens the assessment of construction work and the supervision of financial funds, and urges the relevant materials to be done in accordance with the requirements of provincial financial performance appraisal. Prepare work to ensure that funds are safely and effectively functioning, and that construction tasks are completed on time and in quality. Actively contact with members of the Community Health Service Leading Group, such as the Municipal Labor and Social Security Bureau, to assist in the formulation of community health service related supporting policies. Actively carry out pilot work to gradually subsidize the public health service functions of appropriate communities by community health service agencies, and organize relevant personnel to the community to guide disease prevention and control and health care for key populations. Actively do a good job in training the community's general medical staff. On the basis of last year's investigation of the situation of the general medical staff of the community health service institutions in the city, the bureau prepared a training outline for the general health care workers of the community health service institutions in the city at the beginning of this year, and entrusted the medical school of Shaoguan University to the community health service center of the city. Nearly 200 medical staff were trained in transfer. On May 29 this year, the first training course for community health service personnel transfer was held, and 74 medical personnel participated in the first training.
Third, actively promote the construction of medical and health regional centers First, accelerate the construction of key projects. The construction of the outpatient medical technology building of Yuebei Hospital has actively carried out the preliminary projects such as land demolition, planning and design. Up to now, all the relocated households have signed the relocation or compensation agreement, entered the project bidding program, and strived to start construction in August. Key construction projects such as the Occupational Disease Prevention and Control Center Building and the Chinese Medicine Hospital Medical Technology Building entered the stage of perfect function matching. The construction of the new building of the Municipal Maternal and Child Health Hospital and the blood station of the new center is underway for site selection and project declaration. Second, we must do a good job in building a team of medical and health professionals. According to the actual situation of the unit, the municipal hospitals have introduced various policies and measures to strengthen the construction of the talent team, and adopted measures such as introducing from the field, training experts in the hospital, and encouraging self-study. Construction of a high-quality medical and health technology team, the city has 567 people with deputy high and above technical titles, an increase of 22 people. At the same time, hospitals have continuously improved the performance incentive mechanism and distribution mechanism to fully mobilize the enthusiasm of the majority of medical personnel. For example, the Municipal People's Hospital introduced wages and bonuses at the beginning of this year, which was linked to the workload and work performance, which greatly mobilized the enthusiasm of the majority of medical personnel. The third is to strengthen the construction of specialties, establish a group of dominant disciplines and specialties. The construction of key specialties and specialties such as cancer prevention, cardiovascular disease intervention, and hepatobiliary surgery has been strengthened. The fourth is to strengthen hospital management and continuously improve the quality and management of medical services. On the basis of consolidating the results of the Hospital Management Year, we will continue to carry out the hospital management year, create a “Ping An Hospital” and a 100-day special inspection of medical safety. All medical units conscientiously implement various medical core systems, and strictly implement the three-level ward round system, the first-patient responsibility system, the difficult case discussion system, the graded care system, the consultation system, and the handover system as the focus of medical care quality. Reporting systems such as defects, medical disputes, medical accidents, and infusion reactions prevent precautions and prevent medical accidents. In February this year, some hospitals above the second level were supervised. The fifth is to strengthen research on medical research topics and actively promote the application of new technologies. This year, 141 scientific research projects were completed, and 121 were approved, of which 20 were recommended to the provincial level, and 7 projects have passed provincial projects. Promote the adoption of new technologies with 113 items. Sixth, vigorously promote the work of strengthening Chinese medicine. Strengthen the standardization of Chinese medicine and Chinese pharmacy in county-level Chinese medicine hospitals, township hospitals and community health service centers, and do a good job in the reconstruction and expansion of Wengyuan County Hospital. Actively carry out the work of applying for the national advanced rural Chinese medicine work county and the establishment of the provincial advanced county of traditional Chinese medicine. Qujiang District is actively carrying out the work of applying for the national advanced rural medicine work in the county. Wengyuan County actively carries out the work of creating an advanced county for the work of Chinese medicine. Actively promote the inheritance and innovation of traditional Chinese medicine, give full play to the advantages of traditional Chinese medicine, and continue to carry out the academic experience of "Suiguan Named Traditional Chinese Medicine" and the "treatment of disease".
Fourth, earnestly do a good job in maternal and child health care This year, we regard the maternal and child health care work as an important task of health work, and we must do a good job as an important part of the people's livelihood project. First, fully promote the free marriage inspection work. Under the coordination of the Municipal Women and Children's Working Committee, the departments of health, civil affairs, family planning and other departments actively cooperated. In April, Renhua held a free experience meeting on free marriage inspection work in the city. In June, the city's health system free marriage inspection work promotion meeting was held. The government issued the "Implementation Plan for the Implementation of Free Marriage Inspection in the City." At present, the rate of marriage inspection in Renhua and Xinfeng counties is over 70%, and that in Nanxiong City is 40%. The rate of marriage inspections in other areas has steadily increased. The second is to implement the outline for the development of women and children. The city's maternal and child health work conference was held to summarize the implementation of the “two programs” in the city in 2019, and to study and deploy the work of women and children in the city in 2019. In June, the citywide women and children information work conference was held to analyze and study the implementation of the “two-level” target in the first half of the city, to determine the pre-marital medical examination rate and reduce the incidence of neonatal birth defects as the focus of the second half of the year, and focus on The difficult and difficult problems were analyzed and work measures were formulated. The third is to seriously implement the maternal and child health project. The Provincial Health Department has designated the Municipal Maternal and Child Health Hospital as the designated unit for the Maternal and Child Health Project Breast Cancer Prevention and Control Project, and assisted the Provincial Health Center in organizing relevant training in the city to prepare the project implementation plan. The fourth is to strengthen the management of maternal and child health technical services. The examination and verification of the maternal and child health practice licenses and the technical assessment certificates of the employees in the medical institutions in the area were examined, the units and individual qualifications of the pre-nuptial medical examinations were reviewed, and training courses were held to ensure the provision of technical services according to law. In the first half of the year, 18,100 birth medical certificates were issued, and 166 medical certificates issued by other provinces and provinces were verified. 36 invalid certificates were found, including 9 false certificates. In order to comprehensively manage the high sex ratio of the birth population, the bureau drafted and issued the “Regulations on the Management of the Super-equipment of the Health System in Shaoguan City”. The fifth is to strengthen the guidance of grassroots maternal and child health care, and organize professional strength to focus on the business of Xinfeng and Renhua Maternal and Child Health Hospital, and improve the comprehensive service capacity of grassroots women and children. Sixth, in view of the high maternal mortality rate and the high mortality rate of children under 5 years old in our city, we actively carried out research, found out the reasons, and actively took measures to reduce the mortality rate to ensure that the annual index reached or exceeded the provincial average.
V. Further improving the level of rural cooperative medical care This year, we will focus on improving the quality and security of the new rural cooperative medical system. The first is to increase the participation rate. In 2019, 1.926 million farmers participated in cooperative medical care, accounting for 98.8% of the agricultural population, an increase of 2.9% over the previous year. The participation rate of five-guarantee households, low-income households and special-poor households reached 100%, which is the highest participation rate in the past years. . The coverage rate of rural cooperative medical care in towns and villages reached 100%. The second is to raise the level of funding. In 2019, the fundraising level reached 110 yuan per person, the provincial financial support fund increased to 61 yuan per person, the city and county increased to 25 yuan per person, the central government increased to 4 yuan per person, and the individual paid 20 yuan. A total of 220 million yuan was raised during the year, an increase of 17.6% over the previous year. The third is to improve the level of protection. The proportion of hospitalization reimbursement has increased correspondingly compared with last year. The proportion of hospitalization reimbursement in township hospitals has increased to 70-80%, the proportion of hospitalization reimbursement in county hospitals has increased to 60%, and the reimbursement of hospitals outside county hospitals has been 40%. External hospitalization, with the consent of the local cooperative medical office, the proportion of compensation outside the county can be adjusted to 60%, and the highest hospitalization reimbursement line per year is 50,000 yuan. 10 kinds of chronic disease outpatient treatment costs including chronic renal failure, cirrhosis decompensation, cancer, stroke sequelae, myocardial infarction recovery, psychosis, diabetes, hypertension, tuberculosis, cataract surgery, etc. Together with hospitalization compensation is 50,000 yuan. The personal payment portion can be directly used for outpatient expenses, so that farmers can truly enjoy the benefits of rural cooperative medical care. The fourth is to strengthen the information management of the new rural cooperative medical system. The compensation for farmers in the city will be announced online in 2019. The Hejiang District Joint Medical Office cooperates with the rural credit cooperatives to invest more than 1 million regional network to realize the information management of the new rural cooperative medical system in the whole district. The city's county and town medical offices opened a network direct report b/s system on August 15. Fifth, the municipal financial matching funds will be in place in time. As of May 31, the city's new rural cooperative medical care city-level matching funds are all in place, all funds have been deposited into the financial social security account, ensuring the normal operation of cooperative medical funds.
In the first five months of this year, the number of compensation in the city was 350,206, and the total compensation was 80,362,178 yuan, including the hospitalization compensation of 7,245,504,470 yuan, the outpatient compensation of 45,404,212 yuan, the family account compensation of 660,288 yuan, the special disease large-value outpatient compensation of 68,353 yuan, and the delivery compensation of 2,600,779 yuan. Other compensation is 2404 yuan. Effectively alleviated the problem of peasant people's difficulty in seeing a doctor and seeing a doctor.
Sixth, strengthen health supervision and disease prevention and control, improve the ability of emergency public health emergency response First, actively respond, go all out to do a good job in the prevention and control of influenza A h1n1. The Health Bureau set up a leading group for prevention and control of influenza A h1n1, formulated the "Spoke Emergency Plan for Influenza Pandemic City in Shaoguan City", and established a group of influenza clinical experts and prevention and control experts to guide the prevention and control of influenza A h1n1 in the city. jobs. The Guangdong Second People's Hospital and the county people's hospitals are designated as the designated hospitals for the H1N1 influenza cases in the city, and the close contact isolation and medical observation points. The Municipal Disease Control Center will do the relevant work of detecting reagents and killing drugs. . On April 30th, the SIPO conducted training on 120 people with infections, infectious diseases, respiratory diseases, examinations and imaging in the city. On May 8th, “Shunguan City Prevention and Control of Pandemic Pandemic Health Emergency Exercises” was carried out to improve emergency combat capability. Through the news media, printing and propaganda leaflets, etc. to publicize the public, eliminate the public panic, raise public awareness of prevention, and set up a H1n1 flu consultation phone, ready to accept public consultation. Second, continue to strengthen the prevention and treatment of major diseases such as cholera, AIDS, tuberculosis, viral hepatitis, rabies, influenza A (H1N1), hand, foot and mouth disease, human avian influenza, etc., and monitor the spring and summer susceptible diseases such as influenza. The third is to complete the measles vaccine booster task. In April, all children aged 8-14 years, including migrants, were immunized against measles vaccine. A total of 581,800 vaccination notices were issued and 4,482 posters were posted, so that parents of every school-age child can know about measles vaccine booster immunity. According to statistics, the total number of people registered in the city from 8 months to 14 years old is 534,903, 525,450 people are in practice, and the vaccination rate is 98.23%. It ranks seventh in 21 prefecture-level cities in the province. Significant achievements have been made in the occurrence of vaccination accidents and severe vaccination abnormal reactions. The fourth is to strengthen food hygiene supervision. The food safety supervision quantitative grading management was fully implemented. In the first half of this year, a unified food hygiene credit rating ceremony was held for large and medium-sized enterprises, collective canteens and small catering units reviewed in 2019. Launched a special rectification campaign against illegal addition of non-edible substances and abuse of food additives. From January to April this year, 1,833 person-times of health supervision personnel were organized, and catering units were inspected for more than XX households. A total of 100 categories of 5 types of supervision and inspection were completed, 99 were qualified, and the pass rate was 99%. For the catering business units that failed the sampling inspection, they immediately issued a supervision opinion requesting immediate rectification. We will continue to carry out the activities of “safe travel, rest assured eating”, strengthen the health supervision and inspection of major festivals such as New Year's Day, Spring Festival and “May 1st”, promptly launch the health safety guarantee plan for major activities, and strengthen the examination and examination venues and surrounding catering units of the college entrance examination. The health support work for major events such as the mobilization meeting of the Chongqing Railway, the Danxiashan International Symposium, and the sixth meeting of the CPPCC National Committee along the Red Army Long March. The fifth is to prepare for the emergency public health emergency response. The city's emergency command center reconstruction project was completed in February, and was put into emergency rescue dispatching command. The emergency response plan for sudden health incidents during the Spring Festival and the Spring Festival this year was formulated. In March, a training course on emergency management of emergencies was held.
VII. Do a good job in the implementation of social comprehensive evaluation of medical and health indicators. The Office has strengthened the management of social development planning and comprehensive evaluation of medical and health indicators, and issued the "Notice on Effectively Doing a Good Job in Social Development Planning and Comprehensive Evaluation of Medical and Health Indicators Management in the City". The expected goals are determined and institutional measures ensure that the goals are achieved. First, the results of consolidating the number of doctors per 10,000 population, the number of beds per 1,000 population, and the participation rate of new rural cooperative medical care are at the advanced level of the province. Maternal mortality, under-five mortality rate, and Class A and B legal infections. Three indicators, such as the reported incidence rate, are controlled below the provincial average. The second is to implement the system. It is required that the health administrative departments at all levels be responsible for establishing and improving two systems management methods. The maternal and child health care institutions at all levels are responsible for the implementation of relevant technical measures such as management norms, technical standards and operational routines. All localities strictly implement the three-level referral system for medical treatment. The third is to grasp the quality of work. All units are required to do a good job in the prevention, control and treatment of infectious diseases, and effectively reduce the reported incidence of Class A and B legal infectious diseases. Strengthen the network of maternal and child health services, improve the quality of obstetrics, and reduce maternal and infant mortality. The fourth is to regulate the management of information reports. Strengthen the verification of relevant data reported by various units, and review and check them step by step. The fifth is to strengthen responsibility. Implementing the “Top Leaders” project, the number of practicing doctors per 10,000 population, the number of beds per 1,000 population, the coverage of new rural cooperative medical care and maternal mortality, the mortality rate of children under 5 years old, and the reported incidence of Class A and B legal infectious diseases The indicator is the main content of the annual assessment of the bureaus directly under the bureau and the county health bureaus. The sixth is to track the completion of various indicators, implement the statistical analysis indicators completed every quarter, and distribute the notification system in three levels: red, yellow and green. From May 15th to 20th, the members of the 6 teams of the bureau led the inspection and guidance teams of the business departments of the bureaus and the backbone organizations of the bureaus to conduct special inspections in 8 counties to find out the problems in the work and analyze the problems carefully. Reasons, formulate countermeasures, and report the relevant situation to the municipal party committee and the municipal government, and notify the county party committees and governments of the inspection results.
8. Pay close attention to the reform of the company and meet the national technology assessment. In the first half of this year, the focus will be on the rectification opinions put forward by the state-level expert group and the problems discovered by the city’s Chuangwei Park Office, and the rectification plan will be formulated to further implement the rectification and responsibility. Request, rectification deadline. At the same time, a team of leaders from the bureau, heads of various departments, and staff of relevant units were set up to establish the supervision and supervision work. First, strengthen the health supervision of the cooked food stalls in the farmer's market and the surrounding food business units. Comprehensively clean up the sanitary corners in the cooked food stalls and repair the damaged "three defenses" facilities. In particular, it is 100% clear for the bazaars within 100 meters of the recommended route. The second is to do a good job of rectification of problems in the catering unit. All units are required to make food hygiene credit grade plaques on the wall publicity, implement disinfection measures for tableware, improve the registration system for food raw materials procurement, and eliminate the use of non-food additives. The third is to strengthen the health supervision of public places, especially small beauty salons and small tourism. Focus on improving the cleaning, disinfection, registration system and cosmetics and bedding cleaning and disinfection certificate system, practitioners hold health certificates, wear work clothes to work, keep the store environment clean and tidy. The fourth is to strengthen the collection, organization and archiving of materials. According to the requirements of the standard, the contents of the health management files of the business units shall be implemented on a household basis, with emphasis on supplementing and perfecting the documents, procurement, registration and use of raw materials and food additives, and strive to complete the data. According to statistics, since the special rectification work was carried out, a total of 7,028 health supervision personnel have been dispatched, 1,500 vehicles have been inspected, 10,824 business units have been inspected, and more than 1,000 health supervision opinions have been issued. The 51 business units with problems have been urged to rectify within a time limit.
9. Strengthen the construction of the work style of the organs and industries, and promote the improvement of work style.
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In-depth study and practice of the scientific concept of development activities, focusing on resolving issues such as party members and cadres, party spirit, party discipline and other aspects, analyzing the reasons and formulating corrective measures. In-depth development of disciplinary education activities, building a defense line of anti-corruption and anti-change. The departments of the bureau directly focused on the theme of "strengthening the construction of work style and guaranteeing scientific development", extensively carried out party-style party-style party discipline education and clean and honest administration, and built a moral defense line of anti-corruption and anti-corruption. Implementing the anti-corruption and rectification tasks, and formulating the "Demolition Form for the Leading Tasks of the Party's Work Style and Clean Government Construction and Correcting Work in Shaoguan City Health Bureau" to clarify the responsibilities, and at the same time, include the anti-corruption and rectification work in the assessment of the leadership team and the annual target responsibility assessment of the directly affiliated units. In-depth development of "grasping the style, shaping the image" rectification activities, standardizing the operation of power, standardizing the selection and appointment of cadres, standardizing administrative examination and approval and administrative law enforcement, serious agency discipline and work style, standardizing procurement bidding behavior, standardizing medical service behavior. Seriously check the issues reflected in the "Notice" of the provincial government's unannounced visits to the feature films and the Shaoguan City's efficiency check-ups, find the weak links in the bureau's work style, and formulate the "Notice on the Discipline of Serious Organs' Work" and do a good job of implementing them. The work style of the agency to improve work efficiency. Strengthen the construction of administrative examination and approval service windows, improve convenience measures, simplify procedures, standardize health administrative licensing, health administrative supervision, and administrative sanction punishment, and implement online approval, service commitment and time-limited system for administrative licensing. Implement the medical ethics evaluation system, and supervise the three key aspects of diagnosis and treatment, fees, and procurement. Actively carry out the information disclosure work of medical and health institutions, and promote the openness and democratic management of government affairs. The number of medical complaints in the city was significantly reduced. In the first half of the year, the Health Service Service Service issued 685 food hygiene licenses, 195 public health permits, 105 medical institutions, and 100% health administrative licenses.
Main points of health work in the city in the second half of 2019
In the second half of 2019, with the opportunity of deepening medical and health reform, we will focus on strengthening grassroots health service system and capacity building, actively promote the establishment of medical service regional centers, further improve the public health system and medical treatment system, and improve public health prevention and control levels and emergencies. The ability to handle public health incidents, continuously strengthen the construction of the political style, provide high-quality and efficient services to the people, and ensure the successful completion of the annual work tasks.
First, actively explore the reform of public medical institutions. Established the Municipal Health Bureau to deepen the medical reform leading group, gradually explore the implementation of reform measures in accordance with the overall reform plan of the state and the province, actively cooperate with the National Development and Reform Commission, labor security, price and other departments to simultaneously implement the reform of the medical security system, and explore the total amount of medical insurance prepaid, single disease Kinds of methods such as fees and outpatient co-ordination, building a basic drug system, reforming medical service and drug price formation mechanisms, and reflecting the value of medical staff's technical labor. Cooperate with the Municipal Price Bureau to actively carry out the pilot work of the “zero difference rate” reform of the drug in Ruyuan County.
Second, strengthen the construction of rural three-level health service network. Make full use of the central government's key opportunities to support the construction of county hospitals around the country. In the second half of the year, we will focus on the reconstruction and expansion of Wengyuan Chinese Medicine Hospital and Qujiang District People's Hospital. Speed up the process of reconstruction and expansion of township hospitals. At the end of 2019, the renovation and expansion of township hospitals in 42 old districts was completed. Accelerate the standardization of village health stations, further organize and implement the financial subsidy policy of “one village, one station and one million yuan”, actively explore the integrated management of township health institutions, and improve the relevant management systems of township health centers and village health stations.
Third, accelerate the construction of urban community health service centers. On the basis of summing up and learning from the experience of the reform and transformation of the six community health service centers that have been completed, the standardization of five community health service centers will be accelerated in the second half of the year. Implementation of the implementation rules for the management of community health service agencies.
Fourth, actively promote the establishment of medical service regional centers. Accelerate the construction of the emergency medical technology complex building in Yuebei Hospital, complete the project bidding work, and strive to start construction in August. We will promote the construction of the blood station in the city center and the construction of the medical technology building of the Municipal Traditional Chinese Medicine Hospital. We will complete the renovation project of the Municipal Occupational Disease Prevention and Control Center's occupational defense center building as soon as possible, and actively carry out the project approval for the construction of the Municipal Maternal and Child Health Hospital Complex and the expansion of the Yuebei Third Hospital. Carefully create five identified key disciplines and 23 specialty specialties to improve the regionalization and visibility of medical technology in the municipal hospitals.
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Fifth, strengthen medical quality and medical safety. Continue to carry out the hospital management year, create a "safe hospital" and medical safety 100-day special inspection activities. In the fourth quarter, the city's supervision and inspection was carried out. Further standardize medical behavior, strengthen the management of pharmaceutical affairs in medical institutions, and implement various core medical systems such as ward rounds, death cases, and medical accident discussion and analysis systems.
Sixth, vigorously promote the work of strengthening Chinese medicine. This year, the standardization of Chinese medicine in the 15th Central Health Center was completed, and the reconstruction and expansion of Wengyuan County Hospital of Traditional Chinese Medicine was completed. Grasp the Qujiang District to apply for the National Rural TCM Work Advanced County and Wengyuan County to create the provincial advanced Chinese medicine work. In August, the 2019 national special specialty application was completed.
7. Strengthen prevention and control of major diseases and improve emergency response capabilities. Conduct performance evaluation of public health services. Continue to strengthen the prevention and treatment of cholera, AIDS, tuberculosis, viral hepatitis, rabies, influenza A (H1N1), hand, foot and mouth disease, human avian influenza and other major diseases. We will do a good job in the comprehensive prevention and treatment of chronic non-communicable diseases and oral diseases such as mental illness and cancer. Continue to improve the construction of the city's 120 emergency command center, and further expand and extend the service content of the 120 command center. Strengthen pre-hospital first aid work. Strengthen the management of health emergency materials reserves.
8. Strengthen health supervision work. Strengthen comprehensive law enforcement of health and promote the industry to act according to laws and regulations. We will do a good job in food safety for major holidays and improve the grassroots health supervision network in rural areas and communities. Strengthen the prevention and treatment of occupational diseases.
9. Solidly promote the work of maternal and child health. Carry out free marriage inspection and medical assistance for poor maternal hospital delivery, and improve the rate of hospital delivery in rural areas. Conduct epidemiological investigation and intervention of children with "congenital heart disease" to strengthen the systematic management of tertiary prevention of birth defects. Strengthen the emergency maternal rescue work, and do early screening, diagnosis and treatment of neonatal diseases. Strengthen the management of maternal and child death information to ensure accurate statistics. Promote maternal and child health services into the community, into the countryside, provide prenatal care and postpartum visits for pregnant women, provide cervical cancer and breast cancer screening for women over 35 years of age, and promote equalization of urban and rural maternal and child health services. This year, the city's maternal mortality rate and 5-year-old child mortality rate are below the provincial average.
X. Strengthen the management of rural cooperative medical care. Strengthen the management of rural cooperative medical funds and carry out supervision of rural cooperative medical funds. Do a good job in rural cooperative medical information construction. Strengthen the supervision of service behaviors and expenses of cooperative medical institutions, and control the unreasonable growth of medical expenses. Do a good job in the promotion of rural cooperative medical care in 2019.
11. Strengthen the construction of the health talent team. First, strengthen the construction of rural health talents. Implementation of the township health center licensed physician recruitment plan, by the end of 2019 to achieve the goal of more than one practicing physician in all old township hospitals. We will implement the financial subsidy policy of “one village, one station and one million yuan” to stabilize the rural health talent team. Second, do a good job in community health service personnel to implement transfer training. In the second half of the year, two training courses for general practitioners and general nurses were held at Shaoguan College of Medicine. The third is to speed up the construction of specialist talents. We will adopt preferential policies to actively introduce senior medical professionals, implement talent incentive mechanisms, further optimize the structure of medical and health professional and technical personnel, and encourage medical personnel to become famous. Continue to carry out the activities of famous doctors, famous subjects, and famous schools.
Twelve, do a good job in rectification and reform, and meet the national technology assessment. Continue to do a good job in the health rectification of the "five small" industries, conscientiously grasp the health supervision of the recommended routes, strengthen the collection, collation and filing of materials, and check and fill the gaps in the materials according to the standards, and strive to complete the data. Meet the national technology assessment.
13. Strengthen the construction of the work style of the organs and industries. Continue to carry out in-depth activities to learn and practice the scientific development concept. In July-September, we concentrated on the party-style party-style party discipline education and clean and honest administration, clean and disciplined education, and carried out the activities of “grasping the style and shaping the image”. Continue to do a good job in the construction of the administrative examination and approval service window, focusing on the implementation of the "six norms" and the "five inaccuracies" system of the staff of the organs. The online examination and approval, service commitment and time-limited system for administrative licensing matters will improve the efficiency of work, so that the administrative licenses will reach 100% on time and in advance, and the e-government official documents will reach 100%.
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