Year-end summary of community health service station 1
With the correct leadership and care and support of the Health and Family Planning Bureau of _ _ District for 20 years, the leading group of the center led all the staff to carry out the study and education of "two studies and one doing", continued to consolidate the achievements of the Party's mass line education practice activities and the special study and education activities of "three strictness and three realities", strictly implemented the responsibility of comprehensive target management, and, with the joint efforts of all cadres and workers in the center, vigorously strengthened the construction of industry style, strived to improve the level of medical services, and achieved the overall work goal of the center. This year's work is summarized as follows:
First, do a good job in construction and carry out all work in a down-to-earth manner.
(a) to do a solid and effective job in basic public health services.
1. The management scope of Dongchang Community spans three streets of _ _, _ and _ _, and governs six administrative communities. * * * There are _ _ _ residents and _ _ _ community health service stations with a service area of 4 square kilometers. The population distribution in the jurisdiction is complex, and it is more complicated to contact three communities at the same time in one job. The medical staff in the center overcame difficulties and took the initiative to go to the administrative community and the police station to ask questions and solve problems. According to the residential area of the population, the center has set up three groups of family doctor service teams, which are responsible for the establishment of health records, chronic disease management and family follow-up of residents in the area. Up to now, more than 200 13 health records have been established, 564 new records have been built throughout the year, and family doctors 1086 people have been contracted, with a total filing rate of 77% and a qualified rate of 80%, including 60 records of patients with hypertension. 686 files of diabetic patients, with a management rate of 32% and a standardized management rate of 56%; 103 files of patients with severe mental illness have all been entered into the national network, and 3 1 person is managed in a standardized way, with 92 patients in stable condition, with a stable rate of 89%; There are 232/kloc-0 files for the registration and management of the elderly over 60 years old, and the qualified rate of the files is 90%.
Conscientiously implement preventive health care work, and implement early detection, early registration and early management for pregnant women. This year, * * * vaccinated 4,074 doses of various vaccines for children aged 0-6, with a vaccination rate of 95%. More than 233 documents were filed for pregnant women, the early pregnancy rate was 84.07%, the pregnant women visited more than 585 times, the postpartum visit was 97.99%, and the systematic management rate was 85.93%. A total of 2 16 newborns were registered, the registration rate of children aged 0-6 100%, the neonatal visit rate of 98.67%, the systematic management rate of children of 95%, and the breastfeeding rate of 9 1.6%.
Standardize the report of epidemic situation of infectious diseases, put an end to the phenomenon of omission, and adhere to the system of outpatient registration and self-inspection of epidemic situation; Establish and improve the reporting system of epidemic situation, and carry out direct online reporting at any time, so as to make the registration report of infectious diseases in the service center timely, * * * report 0 cases of infectious diseases, and manage 0/2 cases of hand, foot and mouth disease/KLOC-throughout the year, with no less than 3 home visits for each case.
Continue to carry out publicity on basic public health services, enrich publicity methods, and take the form of regular or irregular health education activities in the community to patiently and meticulously publicize the national basic public health services to residents in the jurisdiction. The center has opened the public WeChat service number, and posted the WeChat scan code and wife password in prominent positions such as the outpatient infusion room and vaccination clinic, so that residents can learn more timely health knowledge through WeChat at any time.
Improve medical quality and ensure medical safety.
1. With the legal risk of medical behavior becoming more and more prominent. Preventing medical accidents is the top priority of hospital management, and standardizing medical behavior is the key to preventing medical accidents. Therefore, this year, the center will take standardizing medical behavior as an important task of medical quality management and improve the medical norms of common diseases in the center. First, strengthen the control and real-time monitoring of key links affecting medical quality in the medical process. Focusing on medical behavior norms, medical technical norms and their operating procedures, we will improve relevant systems, make rules and regulations truly fall into all medical work, all medical posts and all medical links, establish corresponding assessment systems, and hold special meetings on medical safety and quality management on a regular basis. Second, according to the requirements of the document "National Basic Health Post Training and Skills Competition" deployed by the _ _ District Health Planning Bureau, our center organizes all medical staff to carry out technical training and professional learning by actively carrying out "post training" activities. After selection at different levels, five outstanding athletes participated in the "On-the-job Training and Skills Competition" organized by the District Health Planning Commission. The contestants showed good professional skills and mental outlook, and won the first and second place in the nursing group respectively. The excellent performance of the fourth place in the doctor group has promoted all the staff of the center to follow the advanced example, base themselves on their own duties, study their business skills assiduously, constantly improve their own quality and better serve the residents in the area.
(3) Strengthen the construction of talent team to ensure the sustained and stable development of the hospital.
Doing a good job in talent construction is the basis of improving medical quality and an important guarantee for the development of the center. At present, our center is in the fifth year of relocation, with poor medical environment, irregular discipline construction and medical talents. According to the actual situation, the center plans to send doctors out for training and further study, paying special attention to the development and training of young doctors with low qualifications and titles. This year, middle-level cadres and business backbones have been arranged to study color Doppler ultrasound and internal medicine in municipal hospitals. In the first half of next year, two doctors will be sent to other hospitals for further study, so as to improve the professional and technical level of medical staff, make them the main force of the center's business as soon as possible, and comprehensively enhance the comprehensive strength of the center.
(4) Strictly implement the basic drug system.
All drugs in our center are purchased on the centralized purchasing platform of provincial essential drugs, and zero-difference sales are implemented.
(5) Improve the service level of Chinese medicine.
The center adheres to the service concept of constantly improving and improving the service ability of traditional Chinese medicine, centering on the characteristics of traditional Chinese medicine, taking general service as the orientation, taking residents' needs as the guidance, and focusing on community rehabilitation. Combining the development of traditional Chinese medicine with other work organically, the center purchased a double-decocting Chinese medicine decocting machine at the end of 20_, which improved the quality of Chinese medicine decocting, ensured the clinical efficacy of Chinese medicine and met the needs of patients. Re-establish physical therapy rehabilitation room and carry out traditional Chinese medicine physical therapy.
(six) to establish and improve the hospital management system.
In 20_ years, according to the requirements of the superior medical reform documents and the actual situation of the center, the center re-formulated a series of hospital management systems, such as performance appraisal scheme, labor discipline management regulations, and external personnel management, defined post responsibilities, implemented performance appraisal, and gradually improved the flexible and competitive appraisal scheme and reward distribution system. Work indicators, work quality, medical ethics, safety in production and other tasks are refined and quantitatively decomposed into each department and each employee. At the same time, according to the assessment score, each employee's reward will be honored, the distance will be appropriately extended, the enthusiasm and creativity of the center staff will be fully mobilized, and the enthusiasm for serving patients will be enhanced.
(seven) to improve the welfare of external staff.
Pay medical insurance for external employees reasonably according to laws and regulations, improve their professional quality through equal pay for equal work, encourage external employees to take professional and technical title examinations, and cash in the salaries of those who pass the examination, retain talents who adapt to the development of hospitals, restrain employees who are not active in their work, highlight the principle of excellent performance and excellent remuneration, and give consideration to fairness.
Two, four prevention of safety and production safety work
First of all, in the past 20 years, our hospital has implemented the responsibility system for safe production by raising awareness. According to the "People's Republic of China (PRC) Law on Work Safety" and the requirements of the target management responsibility book for work safety signed with the _ _ District Health and Family Planning Bureau at the beginning of the year, the responsibility system for work safety is improved, and it is clear that the legal person is the first responsible person, the leader in charge is the person in charge of the work, and the heads of various departments are the first responsible person of the department, and the responsibility book for work safety is signed at different levels. Second, the four prevention safety training manual, the safety accident investigation account and the safety production plan of our hospital were formulated, which further refined the safety production grid of our hospital, and put the responsibility into every post, every department and every employee, so as to achieve both party and government responsibilities. Third, regularly carry out publicity, education and training on safety in production, organize employees of the whole hospital to learn the Law on Safety in Production, the Training Manual on Safety in Production, the Safety in Production Plan and relevant laws and regulations, and conduct four trainings and three examinations for employees of the whole hospital throughout the year. Four people participated in the safety education and training organized by the District Health and Family Planning Bureau, and conducted pre-job training and assessment for new employees, which further improved the legal awareness of safety production of cadres and workers in the hospital, and made every employee understand his responsibilities in the safety plan and be able to calmly deal with public health emergencies. Fourth, the safety production leading group went deep into the 12 community health service station under its jurisdiction to carry out safety production inspection. The fifth is to promote the construction of the mechanism of three adjustments and one guarantee, and vigorously promote the people's mediation of medical disputes. This year, the center participated in the medical dispute liability insurance for 15 clinical medical staff, and organized 12 community health service stations under the center to handle the "medical dispute liability insurance". Through a series of safety and quality measures, the normal operation of the hospital was guaranteed, and no medical disputes and compensation occurred throughout the year.
Three, strengthen the study of political theory, and constantly improve the ideological quality and professional level.
(A) to carry out the "two studies and one doing" study and education and celebrate the 95th anniversary of the founding of the Party as an opportunity to give full play to the role of the Party branch as a fighting fortress and escort the development of various undertakings in the center.
First of all, carry out the "two studies and one work" study and education in depth. According to the deployment of the Party Committee of the District Health Planning Bureau, on May 9 this year, our center held a mobilization meeting of "two studies and one work", and combined with the actual situation of the center, studied the specific work deployment and formulated the implementation plan. Adhere to the leadership, the "number one" to take the lead, adhere to learning and reform, carry out activities in the spirit of rectification, carefully organize and make solid progress; The organization of practical activities attaches great importance to it, party member is active, his actions are standardized and distinctive, and the masses have a good response. First, the Party branch organizes centralized learning, and makes use of the concentrated time of the workers' congress to purposefully guide the self-study of party member employees, so as to closely combine centralized learning with decentralized learning. Over the past year, the Party branch organized party member to study intensively for 20 times and hold special study discussions for 4 times. The second is to strengthen the propaganda work. Make full use of modern tools such as public WeChat platform, central newsletter and WeChat group to transmit learning information, publicize and report positive energy, expand influence and enhance educational effect. This year, Tonghua Daily, Tonghua Radio and Television Station and Dongchang District Government website reported 16 articles on the progress of the central work and some good practices and experiences. Secondly, to celebrate the 95th anniversary of the founding of the Party as an opportunity to carry out a series of activities. On the occasion of the 95th anniversary of the founding of the Communist Youth League, the Party branch of the Central Committee of the Communist Youth League organized all party member and activists to go to Jingyu Cemetery to carry out the activities of "Remembering the Revolutionary Martyrs and Reviewing the Pledge of Joining the Party", thus strengthening the ideological belief of * *, truly internalizing the Pledge of Joining the Party in the heart and externalizing it in practice, deeply understanding party member's rights and obligations, feeling the glory of being party member, and condensing the thoughts and actions of party member cadres and activists into the "two studies and one doing" study and education. Party member medical team will be formed to go deep into warm nursing homes, and provide free physical examination and health guidance for the elderly, so that the elderly can deeply feel the warmth of the Party. The third is to strengthen the team building in party member and strengthen the strength of the Party branch. This year, the Central Party Branch trained two backbone activists and listed them as two general activists, which brought fresh blood to the Party Branch.
(two) to strengthen the leadership of trade unions, care about the lives of workers.
It is a fine tradition of our central trade union organization to safeguard the rights and interests of workers and care about their lives. This year, first, according to the needs of the new situation, the center established a decision that all major events must be reviewed and approved by the workers' congress, and returned the government to the people, which was welcomed by the workers. Secondly, the trade union has also carried out activities to care for the physical and mental health of female workers, provided free health check-ups for female workers, and paid a "female health insurance" for everyone, which has improved the ability of female workers to resist the risk of special diseases. Thirdly, the trade union also organized an outdoor hiking activity, and from the perspective of the trade union, it bought souvenirs worth more than 1000 yuan for the employees of the whole center, which greatly improved the enthusiasm of the employees.
Fourth, sum up experience and look forward to the future.
Over the past year, the overall work of our hospital has made some progress, but there are still some shortcomings. In next year's work plan, we will continue to overcome difficulties and make up for deficiencies. In 20 years, we will focus on the following aspects.
1. In the new year, we are ready to sum up our experience, correct our shortcomings, take the 18th CPC National Congress as the guiding direction, adhere to the important thought of ""as the guiding principle, conscientiously implement Scientific Outlook on Development, further change our concepts and innovate our thinking, and take the opportunity of "implementing the spirit of the National Health and Wellness Conference, implementing the project to improve the community health service capacity, and improving the service capacity of grass-roots Chinese medicine" as the development focus.
2 to further improve the organization, management and system construction of community health service centers, and enhance service capabilities. This year, we will continue to provide basic national public health services to residents in the jurisdiction, focusing on professional training for elderly and chronic disease workers to further improve service capabilities; Implement health management and family contract services for key groups such as women and children, patients with chronic diseases and severe mental illness. Strengthen the health management of floating population, and the established health records will play a substantial role through standardized management. On the basis of updating the health records of residents in the jurisdiction, it is planned to make the coverage rate of filing reach more than 80%.
3. Committed to cultivating talents and constantly optimizing the talent structure. In 20 years, our center will continue to proceed from reality and strengthen personnel training. Promote on-the-job health technicians to constantly master new technologies, new knowledge and new theories. Advocate the concept of "lifelong learning" among medical staff, and encourage employees to actively participate in various forms of continuing education such as academic education and general medical training. At the same time, continue to send two technical backbones to tertiary hospitals for further study to improve the professional level of medical staff in the center.
4. Strengthen the management of community health service stations.
The management of community health service stations has just started, the quality of staff is uneven, and there is no management system, so it is necessary to strengthen standardized and standardized management. According to the requirements of relevant documents and the actual situation of the center, improve various management systems, ensure that everything has rules to follow, mobilize and give play to the work functions of service stations, and assist the center in completing various public health work such as chronic diseases, the elderly, concentrated essence and health education. And the work situation will be included in the assessment, so as to promote the work of the service station on the track of standardization and give play to the role of the community health service station.
Year-end summary of the second community health service station
Over the past 20 years, under the correct leadership of the district health bureau, our center has strictly implemented the national basic public health service standard (20_ year edition) and the spirit of various documents of the district health bureau, strengthened internal management, paid close attention to basic public health service projects, fully mobilized the willingness and enthusiasm of community medical staff, and achieved good results. Now we will summarize and report the work of basic public health service projects in our center.
The first is to implement basic public health service projects.
(a), residents' health records
Under the unified deployment of the district health bureau, our hospital has carried out the work of establishing residents' health records in X for 20 years this year.
First, strive for the attention of leaders and do a good job in comprehensive coordination. In order to quickly implement the filing work, our center has repeatedly contacted and communicated with the leaders in charge of the neighborhood committees in the jurisdiction, and has received strong support from the filing work.
The second is to strengthen organizational leadership and implement work responsibilities. In order to ensure the smooth progress of residents' health records, our center set up a leading group for residents' health records with Zhao Jian, deputy director of the center as the leader, and strengthened and formulated a feasible implementation plan.
Third, the center invested funds to establish a separate health record. Covering an area of 34 square meters, it is 6 stories high and can accommodate more than 6,000 health file boxes. The computer facilities in the archives room are complete, preparing for the microcomputer management of health records in the future.
The fourth is to strengthen personnel training and service awareness. In order to ensure the quality and quantity of residents' health records, our center has conducted many business trainings for every staff member involved in the establishment of residents' health records, so that every staff member is familiar with the importance and necessity of the establishment of residents' health records and is proficient in their own work and filing procedures.
The fifth is to increase publicity and raise residents' awareness of actively filing files. In order to improve the awareness of community residents to actively participate in filing, various publicity materials and forms are distributed to let each community resident know his or her place of residence.
People's health records, actively cooperate with our hospital filing working group to successfully complete the resident filing work.
By the end of X month of 20_, our center has established 9324 paper health records for the residents of Lilac Garden community.
(2) Health management of the elderly
According to the National Public Health Service Standard (Edition 20) and the requirements of the District Health Bureau, our center has carried out the health management service project for the elderly.
First, the elderly aged 65 and above in our jurisdiction are registered and managed in combination with the establishment of residents' health records, and all registered elderly people are investigated for health risk factors, general physical examination and fasting blood glucose test free of charge, and given health guidance such as self-care, injury prevention and self-help.
The second is health intervention for the elderly. Manage patients with hypertension and type 2 diabetes who have been diagnosed and included in the corresponding chronic diseases; Follow-up the elderly residents who have risk factors and are not included in the management of other diseases regularly, and inform the residents to have the next free health examination one year later.
By the end of X, 20_, our hospital registered and managed 65-year-old people 1055 people. And enter the residents' health records as required.
(iii) Management of chronic diseases
In order to effectively prevent and control chronic diseases such as hypertension and diabetes, our center has established health records of chronic diseases such as hypertension and type 2 diabetes within its jurisdiction, carried out follow-up management and rehabilitation guidance of chronic diseases such as hypertension and type 2 diabetes, and grasped the incidence, death and current situation of chronic diseases such as hypertension and type 2 diabetes in our street.
1, management of patients with hypertension
First, through the initial diagnosis of blood pressure of residents aged 35 and above; Blood pressure was measured during the diagnosis and treatment of residents; Blood pressure is measured in healthy people; And query in the process of establishing health records.
The second is to register and manage the diagnosed hypertension patients and bring them to the opposite side for follow-up.
Ask about the illness and measure blood pressure, and bring health guidance such as medication, diet, exercise and psychology.
The third is to carry out free health examination (including general physical examination and random blood sugar test) for registered hypertensive patients.
By the end of 20 years, the number of hypertensive patients registered, managed and followed up in our center was 25 1 person. And enter the residents' health records as required.
2. Management of patients with type 2 diabetes mellitus
First, blood sugar is detected through health examination and screening of high-risk groups; In the process of establishing residents' health records, patients were found by asking.
The second is to register and manage the diagnosed patients with type 2 diabetes and bring them to the opposite side for follow-up. Every follow-up should ask about the condition, measure fasting blood sugar and blood pressure, and bring health guidance such as medication, diet, exercise and psychology.
Third, free physical examination (including general physical examination and fasting blood glucose test) is carried out for registered patients with type 2 diabetes.
Up to X months of 20 10, there were 37 diabetic patients registered, managed and included in the follow-up in our center. And enter the residents' health records as required.
(4) Health education
First, in strict accordance with the requirements of health education service standards, seriously implement the health education projects of the District Health Bureau and the higher authorities. By distributing publicity materials, conducting health education lectures and setting up publicity columns, we will carry out health education and health promotion activities for key people, key diseases, major health problems and risk factors in our street.
Second, our hospital is specially equipped with part-time health education personnel, and equipped with cameras, televisions, DVD players and other corresponding health education equipment.
The third is to strengthen the management of health education files, and every health education activity has a complete health education activity.
Record.
This year, * * * held various knowledge lectures 12 times, and held health check-ups for 4 times. More than 9000 copies of various publicity materials were distributed in the palace, and more than 3000 health education visits were received, and the publicity column materials were changed 12 times.
(5), infectious disease management
The center conscientiously implements the Law on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, and adheres to the outpatient registration and epidemic self-examination system; The epidemic reporting system was established, which enabled the registration and reporting of infectious diseases to be timely, and the accuracy rate reached 100%. There was no omission of infectious diseases in the center. Five cases of infectious diseases, two cases of tuberculosis and three cases of hepatitis B were reported throughout the year, and the patients were referred in isolation to avoid infection and get timely treatment.
(six) the center tube station work
The center shall supervise the service stations under its jurisdiction and hold regular meetings every month to summarize the deployment work. On 22nd, 23rd and 24th of October, 2000 10, the center made an annual assessment of each service station, and assessed the main items one by one according to the basic public health service assessment items of the Health Bureau. According to the evaluation of the verification results, the better order is Technical Secondary School Road, Chunyu South, Civil Aviation, Chunyu North and Exhibition Hall.
Existing problems:
1. Service stations generally have few staff. Although there are more than six registered personnel, there are not many actual personnel, mainly considering business income. The manpower to undertake community work is poor and the work is not meticulous.
2, the work data is not clear, poor integrity.
3. Incomplete registration, missing items and items in the health record form.
4. Some elderly people have diseases such as hypertension and diabetes, but they are reflected in chronic disease managers.
5. The progress of individual service stations is slow, and 40% of the work objectives cannot be completed.
Second, the difficulties in the work of basic public health service projects
Although the work of basic public health service projects has achieved necessary results in the past 20 years, there are also the following difficulties:
(1) The lack of funds for basic public health services has restricted the development of community health services.
(2) Lack of effective incentive mechanism reduces the enthusiasm of the staff in community health service institutions.
(3) Residents' understanding of community health services is far from enough, so it is necessary to visit and follow up.
Third, the next work plan
(a), increase publicity, seriously carry out basic public health service projects, through publicity-attraction-re-publicity, in order to gradually change the old ideas of community residents and encourage them to participate in community health services voluntarily.
(2) Strengthen the construction of professional and technical teams and improve the level of basic public health services.
(3) Support a reasonable incentive mechanism to improve the work enthusiasm of employees.
(four), the implementation of various service standards, strengthen the construction of rules and regulations, and promote the sustained and healthy development of basic public health services.
The basic public health service project has a long way to go, but we firmly believe that under the supervision and guidance of the two levels of health bureaus and higher authorities, we will keep innovating and creatively carry out our work in the spirit of keeping pace with the times to protect the health of community residents.
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