In daily life and work, the responsibility book is used more and more widely, and signing the responsibility book is helpful to the implementation of the responsibility. Presumably, many people are worried about how to formulate the responsibility book. The following is the target responsibility book of the hospital I collected for you. Welcome to reading. I hope you will like it.
1 In order to strengthen hospital management, earnestly implement the spirit of the health work conference in the whole region, deepen the reform of the health system, mobilize the subjective initiative and enthusiasm of the staff in our hospital, ensure the smooth progress of all work in our hospital, and ensure the double harvest of "two benefits", this management by objectives is formulated according to the "Responsibility Letter of Management by Objectives for Township Hospitals".
I. Ideological and political construction
1, learning and education, political and legal system, business learning system, sound plan, collective learning record once a week; The contents of the above three personal study notes are substantial, not less than 10,000 words, and the unit has taken the 1 exam on political theory, legal system and business.
2, ideological and political work, establish and improve the ideological and political work and medical ethics evaluation system, carry out in-depth medical ethics education, mediate disputes, resolve contradictions, make workers unite and cooperate, and fully mobilize their enthusiasm and creativity.
3. Strengthen the construction of a clean government, prohibit unhealthy practices in the purchase and sale of drugs, and put an end to the phenomenon that medical personnel accept "eating", asking for "red envelopes" and "taking medicine by car".
Second, accept supervision.
1, improve the medical ethics assessment files, every six months 1 time, 0.5 points will be deducted if there is no file assessment, and two patient questionnaires will be conducted during the year, each time 100 questionnaires. If the satisfaction rate is above 90%, 0.5 points will be deducted if it is less than 5%.
2, strengthen the management of special drugs, and have strict management methods and systems, no system, no inspection, no special prescription and seal deduction 1 minute.
3. The certified rate of medical practitioners (assistants) and nurses of health technical personnel is 65%, and each reduction of 5% will be deducted 1 minute.
4, cooperate with the family planning department to do a good job in family planning, prevent family planning accidents, put an end to false surgery and false proof, found that 1 case deducted 2 points, and according to the family planning regulations.
Third, key projects
1. Business income: increased by 10% compared with the previous year, and the number of inpatients and outpatients increased compared with the previous year. Deduct 0. 1 minute for every decrease of 1%.
2. The utilization rate of resource utilization beds is 55%, less than 5% deduction 1 minute. For departments, equipment, personnel, technology and management in place, it is necessary to strengthen the maintenance of housing equipment and strengthen the environmental sanitation management of hospitals.
3. Medical safety management: strengthen medical safety management, prevent medical disputes and accidents, focus on strengthening medical equipment inspection, reduce hidden dangers of medical equipment, and at the same time strengthen the management of disposable medical supplies, standardize purchase channels, obtain "three certificates" and establish destruction records. Medical accidents should be handled in time, with investigation records and handling opinions. If one nonconformity is found, 1 point will be deducted.
4, the establishment of information management system, strengthen the basic data registration and collection, sorting, analysis and reporting. , such as found that the basic registration is incomplete, the data is not allowed, fraud, found that a deduction of 2 points.
5, establish and improve the hospital management and project management system, and on the wall, strengthen supervision and implementation, such as system is not complete, the implementation is not good, the effect is not good, each found a 2 points.
6, medical quality and preventive health care indicators publicly on the wall, accept supervision, not on the wall 2 points.
Four, health project work
1. Strengthen the short-term training of village doctors and strengthen the supervision and management of village clinics.
2. Strengthen the standardized management of medical quality, formulate management assessment standards and methods, regularly assess and standardize diagnosis and treatment behaviors, rationally use drugs, and effectively reduce the burden on patients. No assessment system and standards deducted 3 points, less assessment deducted 0.5 points.
3. Strengthen medical quality management and actively carry out medical quality evaluation.
Verb (abbreviation of verb) new rural cooperative medical care
1. department construction: set up cooperative medical management departments to ensure that full-time (part-time) staff have offices, office facilities and supporting equipment. Deduct points as appropriate if the requirements are not met.
2. System management: establish and improve various systems of cooperative medical care, publicize the reimbursement procedures for participating patients, formulate the working system of cooperative medical care management department and the responsibilities of staff, and put them on the wall. Deduct points as appropriate if the requirements are not met.
3. The utilization rate of basic drugs in cooperative medical care is ≧95%, and the prescription pricing accuracy is ≧98%. The price of medical charges conforms to the standard of medical charges formulated by the district joint management office, and the cooperative medical certificate is truthfully filled in. If the above indicators exceed 5%, deduct 1 point, and deduct points for those who do not comply with relevant regulations.
Six, disease prevention and control work and maternal and child health care
The qualified inoculation rate of 1 and "four seedlings" single seedlings reached 98%; The self-examination rate of basic immunization was 98%; The coverage rate of hepatitis B vaccine for children with basic immunization is 95%; The timely vaccination rate of hepatitis B vaccine for hospitalized newborns was 65,438+0,000% in hospitals and 40% in families. Every 5% reduction of the above indicators will be deducted 1 minute.
2, strengthen maternal and child health care, improve the level of medical care, focus on strengthening the management of maternal and child systems, so that the infant mortality rate dropped below 35‰, the neonatal mortality rate dropped below 20‰, and the mortality rate of children under 5 years old dropped below 40‰. For every 5% reduction of the above indicators, deduct 1 minute.
3. Prevention and treatment of infectious diseases and hypertension: the coincidence rate of registration and reporting of infectious diseases reached 98%, and the rate of free blood pressure measurement for outpatients over 35 years old reached 90%, and the management of hypertension screening was strengthened. If the above indicators are less than 5%, deduct 1 minute.
The goal responsibility book 2 of the health center is to further strengthen the management of rural doctors in this town, clarify the annual goal responsibilities of rural doctors in village clinics, give full play to the role of the three-level health care service network of rural doctors, and ensure that everyone enjoys basic public health and basic medical and health services. According to the relevant regulations, the hospital and the village clinic signed a letter of responsibility for target management.
I. Objectives and tasks of basic public health service projects
(A) the establishment of residents' health records
1, carry out villagers' investigation and diagnosis to understand the health status of residents.
2. Assist and participate in the filing of rural residents' health records; Guide the investigation and service of hospitals and establish health records for rural residents in this area; Assist the health center in disease screening and health examination.
3. Establish rural residents over 65 years old, children under 15 years old, children under 0-6 years old, pregnant women, patients with hypertension, patients with type II diabetes, severe mental patients and other key groups in the area; Regularly urge the elderly, patients with chronic diseases, children aged 0-3, pregnant women and other objects that need standardized management to go to the health center for physical examination on time according to the roster.
4. Cooperate with the hospital to carry out regular physical examination and improve the collection, sorting and archiving of relevant data.
5. During the year, the cumulative paper filing rate of residents' health records reached over 80%, and the management rate of electronic health records reached over 75%.
(2) Health education
1, for the elderly, women, children, the disabled, chronic diseases and other special groups, to carry out corresponding health education.
2, vigorously carry out community residents AIDS prevention and control knowledge publicity activities.
3, to carry out health education activities for residents in the area (at least 1 quarter)
4, in the health class area, regular health lectures. (at least 1 time every 2 months).
5, set up a fixed health education publicity column, at least once every two months to change the publicity content.
6. Distribute various health education materials and health prescriptions.
(3) Immunization plan
1, timely grasp the situation of children born within the jurisdiction, and establish and improve the register of school-age children; And report the birth information of children within the jurisdiction to the health center; Supervise and inform school-age children to vaccinate in local health centers and make relevant records.
2, cooperate with hospitals, prevention and protection departments to implement fixed-point vaccination, vaccination tour, complete the vaccination task.
3. During the year, the vaccination rate of school-age children (including floating population) reached over 95%.
(4) Reporting and handling of infectious diseases and public health emergencies.
1, make a good record of outpatient logs, focusing on key cases such as fever and diarrhea.
2. Do a good job in monitoring the epidemic situation of infectious diseases within the jurisdiction, report suspected patients or concentrated symptoms in time and take preliminary measures to control and deal with the epidemic situation of infectious diseases.
3. Strictly implement the reporting system and procedures for public health emergencies, and assist relevant departments at higher levels to do all relevant work.
(5) Child health care
1, timely grasp the health status of children in the area.
2, according to the hospital's work requirements and arrangements to undertake the task of visiting newborns within the jurisdiction; Timely urge and inform the children to go to the local health center for health examination and make relevant records;
3. Do a good job in the management of pneumonia, diarrhea and malnutrition in children under 5 years old, and establish a complete and clear management card book for the project; Timely discover, register and report the deaths of children under 5 years old, establish a card book, and complete and clear project registration.
4. During the year, the health management rate of children under 7 years old reached over 90.
(vi) Maternal health care
1, timely grasp the health status and fertility status of school-age women in the area, and establish a register of pregnant women in the area.
2, according to the requirements of maternal system management, timely supervise and inform pregnant women to the local health care hospital for pregnancy test, and make relevant records.
3. Establish special file management for high-risk pregnant women, cooperate with hospitals to implement the tracking monthly report system for high-risk pregnant women, and strive to reduce maternal and perinatal mortality.
4. Actively carry out postpartum family visits and provide postpartum recovery, postpartum contraception, family life adjustment and other health care guidance.
5. During the year, the systematic management rate of pregnant women reached over 90%.
(7) Health care for the elderly
1, master the basic situation, health status and residence distribution of the elderly over 65 years old in the jurisdiction, and register them.
2, timely supervise and notify the rural elderly in the area to accept the health management of the hospital, cooperate with the hospital to carry out regular health checks for the elderly, and improve the health records in a timely manner.
3, guide the elderly to disease prevention and self-protection, accident prevention, self-help and other rescue.
4. During the year, the health management rate of the elderly over 65 years old reached over 70%.
(viii) Management of chronic diseases
1. Establish a roster of residents over 35 years old within the jurisdiction, and organize and urge residents over 35 years old within the jurisdiction to receive chronic disease screening in health centers. Conditional village doctors should also be responsible for the screening of chronic diseases among rural residents in the area under their jurisdiction, and report the list of patients with chronic diseases screened out to health centers.
2. Establish a register of patients with chronic diseases within the jurisdiction, do a good job of health care for patients with chronic diseases within the jurisdiction according to the requirements of the hospital, and conduct 1 follow-up on patients with chronic diseases every quarter, and make relevant records.
3, timely notify and urge patients with chronic diseases to the health center for health examination.
4. This year, the health management rate of patients with hypertension and diabetes reached more than 40% and 25% respectively.
(9) Managing patients with severe mental illness
1, do a good job in the investigation of mental patients within the jurisdiction and cooperate with the hospital to screen suspicious cases.
2. Establish a register of confirmed patients and pay close attention to the changes of the disease.
3, cooperate with the hospital to do a good job in the medical care and follow-up of patients with severe mental illness within the jurisdiction.
4, responsible for supervising the improvement of outpatient medication of mental patients after discharge.
(10) Health supervision and co-management.
1. If you find or suspect that clues such as food poisoning, food-borne diseases and food pollution have caused or may cause harm to human health, as well as information such as illegal medical practice and illegal blood collection and supply, you should immediately report to the health center and assist in the investigation.
2, this year to assist the hospital to carry out health supervision and inspection, within the jurisdiction of the information collection and report management rate reached more than 90%.
(eleven) Chinese medicine health management services
1, actively promote and apply the appropriate technology of traditional Chinese medicine, and carry out TCM physique appraisal and TCM aftercare services for the elderly and children.
2. This year, the coverage rate of Chinese medicine health management service target population reached 30%.
Second, the basic medical service management
(a) standardize the basic medical service behavior.
1, seeing a doctor is registered and recorded. The first visit and follow-up visit of outpatient service must be registered (outpatient visit log), the registered items are standardized and complete, and the outpatient observation is recorded.
2. There is a prescription for medication. The writing of the name, specification, usage and dosage of prescription drugs meets the requirements of prescription management norms; Do not abuse antibiotics and hormonal drugs; The proportion of prescriptions for two or more antibiotics in outpatient department shall not exceed 20%.
3, diagnosis and treatment fees must be in accordance with the price approved by the price department, issue a unified invoice.
4. Referral is recorded. Register and record patient referrals.
(two) the implementation of integrated management of rural health services and the implementation of the basic drug system.
1, the village clinic implements the basic drug system, and the drugs are uniformly purchased, allocated and distributed by the hospitals according to the requirements of the autonomous region, and the zero-difference rate sales are implemented to realize standardized and rational drug use; Medical devices in village clinics are uniformly purchased and equipped by township hospitals, and are included in the fixed assets management of hospitals.
2, the basic public * * * unified implementation of health services, arranged by the hospitals as a whole.
3. Rural doctors in villages and towns shall be uniformly deployed by health centers, and rural doctors who do not obey the unified deployment shall not practice.
4, the hospital unified village clinic administration, business, medicine, finance and other management systems.
5. Unified financial management. The financial affairs of village clinics are unified into the management of township hospitals, and unified account books are established; Make the accounts clear, check them regularly, and the things are consistent. It must be checked once a month.
(C) the financial person and the legal person are "two independent"
1, financial independence: financial management of village clinics, independent accounting, self-financing;
2. Independence of legal person: Village clinics have independent legal persons, and independently undertake medical responsibilities, risks and legal responsibilities.
Three, practice according to law, obey the management
1, strictly implement various health laws and regulations, practice according to the requirements of diagnosis and treatment subjects and charging standards, and there is no medical liability accident.
2. Actively participate in the publicity and fund-raising work of the new rural cooperative medical system; Announce the reimbursement process for medical treatment, publicize medical services and drug prices, and publicize the participation compensation in time; No arbitrage to defraud the new rural cooperative medical system funds has occurred from time to time.
3. Attend meetings and business training held by hospitals and superiors on time; Timely and accurately submit relevant information such as public health, basic medical care and new rural cooperative medical care; Complete other mandatory tasks assigned by health institutions and higher authorities.
4. The satisfaction of local residents with the content, service attitude, service quality and service accessibility of basic public health and basic medical services provided by village clinics reached over 85%.
Fourth, evaluation
65438+
2, the hospital according to the assessment results and rural doctors * * * payment and renewal linked to the health service subsidy project, to pass the examination (80-89 points) above in full according to the provisions of the grant funds, basic qualified (70-79 points) according to the percentage of the total score to give full funding subsidies, to unqualified (below 69 points), in addition to reducing the current grant funds, at the same time give informed criticism, rectification within a time limit.
3. Reward village clinics and village doctors with excellent assessment results (above 90 points) and good completion of all work. This responsibility book is made in duplicate, one for the hospital and one for the rural doctor.
Health Center Target Responsibility Letter 3 In order to better prevent and reduce the occurrence of all kinds of disasters and accidents, protect the life and property safety of the state, the collective and the people, and ensure the smooth development of all work in Maitreya Li Kun Hospital, according to the actual situation of our hospital, the responsibility letter for hospital safety production, traffic safety and fire safety is formulated.
I. Objectives
Put an end to fatal accidents caused by medical mistakes.
Put an end to fire accidents, the rectification rate of fire hazards is over 90%, the rectification rate of major fire hazards is 100%, and the storage and use qualification rate of inflammable and explosive dangerous goods is 100%.
Put an end to major equipment accidents, oxygen warehouse, distribution room, water, electricity, gas and other important equipment and facilities are absolutely normal operation.
To prevent poisoning and infection accidents, the qualified rate of dust and poison is 100%, and the qualified rate of toxic drugs, radioactive sources and disinfection and isolation management is 100%.
Do a good job in pre-job training for new entrants, and the safety training rate for special operations personnel will reach over 90%.
The safety prevention, management and implementation of key parts such as finance department, computer room, ward and dormitory reached 100%.
The department organized the study of road traffic safety laws to prevent drunk driving and driving without a license.
Second, responsibility.
All departments earnestly carry out legal publicity, education and training activities on safety production, traffic safety and fire safety.
Improve institutions and strengthen management. All departments should establish safety production, traffic safety and fire safety organizations, and at the same time, they should have a sound system and be responsible to people. In terms of safety in production, department heads should personally take charge of it, put safety in production, traffic safety and fire safety on the important agenda, and make it planned, arranged, inspected and implemented.
Each department shall conduct a major inspection on the safety production, fire safety and traffic safety of the undergraduate department every quarter, with complete records. Register hidden dangers of accidents, take corrective measures, and report major hidden dangers to the hospital in time.
Conscientiously carry out publicity and education work, regularly educate and train undergraduate staff in laws and regulations, and do a good job in training, so as to keep the alarm ringing and prevent problems before they happen.
Strengthen the management of medical quality and medical safety to prevent and reduce medical accidents.
Do a good job in the safety management of flammable and explosive materials, and actively participate in the special rectification activities organized by the higher authorities.
Do a good job in regular fire safety, and do a good job in fire infrastructure and fire equipment as required. One-vote veto shall be imposed on the departments where major production safety accidents occur. During the year, all departments are not allowed to evaluate first, and the first person in charge of production safety and the person in charge are not allowed to award promotion.
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