First, give priority to prevention, provide comprehensive services, and constantly improve the functions of community health services.
1
Joint neighborhood committees carry out various forms of health education and health promotion activities, popularize health knowledge, enhance community residents' health awareness and self-care ability, and promote the improvement of the health quality of the whole people, especially strengthen health education for community residents' health literacy, and strive to reach 85% of community residents' health knowledge awareness rate and health-related behavior formation rate respectively, with primary and secondary school students' health knowledge awareness rate and health-related behavior formation rate reaching over 90% and 85% respectively. This year, we should take advantage of the main health publicity day throughout the year to carry out various forms of publicity and education activities such as free clinic, consultation and lectures. According to the characteristics of many elderly people and low education level in the community, the content should be rich and colorful, easy to understand, easily accepted by the masses and welcomed by the masses. Carry out at least 12 large-scale lectures, 9 free clinic consultations and other publicity activities throughout the year, publish the second health column every month, and submit the monthly health education report on time every month.
2. Strengthen the management of key groups.
20xx Community Health Service Center focuses on the management of pregnant women, children, severe mental patients, patients with chronic non-communicable diseases such as hypertension and diabetes, and the elderly over 65 years old. Specifically, we should fully grasp the base number of key groups such as pregnant women, children, the elderly and chronic diseases in the communities under our jurisdiction, standardize the filing, and provide them with sustained, comprehensive and appropriate services. In daily work, timely screen out key personnel, establish special files for them, and focus on management. Continue to establish free health records and physical examinations for the elderly over 65 years old, and carry out targeted management for patients with hypertension, diabetes and mental illness. Put forward scientific, reasonable and detailed intervention measures, and implement three-level prevention measures for chronic diseases, so that the elderly and patients with chronic diseases can truly feel the benefits brought by community health work.
3. Planned immunization
Plan to carry out vaccination and management of children and floating children within their jurisdiction, regularly organize personnel to carry out active search in the community, timely and accurately grasp the information of children and floating children within their jurisdiction, and timely notify children who have not completed the immunization program as required to make up their vaccination certificates; Carry out vaccination work in strict accordance with the national immunization planning procedures, establish and improve cold chain equipment files, do a good job in vaccine registration, strengthen the management of biological products, and upload children's vaccination information as required.
4, maternal and child health care, disease prevention and control
Plan to file pregnant women and children, do a good job in tracking and managing permanent population, floating population and high-risk pregnant women, continue to collect and report information on women and children, and strengthen the investigation of missing information and basic data of women and children. Continue to work closely with relevant departments, regularly carry out active search and mapping work for floating children in communities, find school-age children in time, improve the management rate and vaccination rate of the medical care system for floating children, and strengthen disease prevention and control in the region.
5, strengthen the standardization of residents' health records filing.
Our center will further promote this work on the basis of 20xx residents' filing work.
In 20xx, the filing rate of residents in the jurisdiction will reach 66%, ensuring the authenticity of health records. Standardize the management of health records and complete the entry of health records in time.
6. Strengthen the performance evaluation of our center and the management of public health service funds, and improve various systems.
7.20xx The free services provided by XX to residents include:
(1) Provide targeted health education guidance according to the characteristics of residents in the jurisdiction.
(2) provide basic physical examination items for the elderly over 65 years old, and follow up at least 4 times a year to evaluate their lifestyle and health status.
(3) Patients with hypertension and type 2 diabetes were followed up four times a year according to specific conditions.
(4) Make a comprehensive assessment of 1-2 for patients with severe mental illness at home every year, and follow up for at least 4 times to provide rehabilitation guidance.
8, constantly improve the ability to respond to public health emergencies.
(1) Seriously study the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, and make emergency plans for public health emergencies in time.
(2) Seriously cooperate with the higher authorities to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the prevention and control propaganda of hand, foot and mouth disease, swine flu and other infectious diseases.
(3) Improve hospital infection management system, strengthen disinfection and quality control, and strictly implement medical waste disposal measures. The medical waste disposal rate is 100%.
9. Strengthen the capacity building of health supervision and law enforcement to ensure the health and safety of the whole town.
First, strengthen the quality construction of health supervisors, strengthen the training of legal knowledge and professional knowledge, and improve the overall quality of health supervisors. Second, continue to do a good job in school food safety and food poisoning incidents. Conscientiously implement the "Measures for Hygienic Supervision of Students' Collective Dining" and the "Regulations on Hygienic Management of School Dining Rooms and Students' Collective Dining", intensify the work, continue to pay close attention to the hygienic management and rectification of school canteens, and seriously organize and carry out special inspections of students' collective dining in spring and autumn. To prevent food poisoning and improve the ability to deal with public health emergencies as the focus of work to prevent food poisoning in students' collective dining. Supervise and urge schools to organize students to carry out health checks and establish and improve students' health records. The third is to intensify the rectification of the medical market, severely crack down on illegal medical practice, establish a long-term supervision mechanism, and standardize the practice of medical institutions. The fourth is to strengthen the health protection work for major events. Conscientiously do a good job in health protection for large-scale activities and important receptions, and do a good job in health protection for New Year's Day, Spring Festival, May Day and Eleventh Holiday Tourism Golden Week to prevent or put an end to major public health emergencies.
10, continue to fully implement the strong foundation project for disease prevention and control within its jurisdiction. Establish and improve a disease prevention and control system with reasonable medical and health network layout, sound service functions, high personnel quality, scientific operation mechanism, standardized and orderly management, obvious work results and satisfactory residents. Further improve the construction of hardware facilities and the training of talent teams in public health departments.
Second, go hand in hand and do a good job in basic medical care.
1. Strive to increase business income on the basis of last year 10%.
2, continue to do a good job in the diagnosis and treatment of common diseases and frequently-occurring diseases in the community, pay special attention to the writing quality of outpatient cases, prescriptions, emergency medical documents, strive to improve the level of medical services, and strive for a new breakthrough in the total number of outpatient services; It is necessary to further reduce the proportion of drugs, reduce the average outpatient medical expenses, control the growth of medical expenses, and reduce the medical burden of the masses; It is necessary to further strengthen hospital consciousness management to ensure medical safety; It is necessary to regularly carry out training and assessment of "three basics" knowledge to improve the level of medical technology; It is necessary to conscientiously implement the professional ethics and code of conduct of health technicians and standardize the behavior of health services. Strengthen the construction of characteristic departments, including Chinese medicine and acupuncture.
3.20xx years will focus on the construction of rehabilitation physiotherapy department, Chinese medicine massage, cupping, application, hot compress and other appropriate technologies.
4, to further promote the implementation of the national basic drug system, the implementation of drug sales at zero rate.
5, actively acquire equipment, purchase equipment to meet the needs of community health.
Third, strengthen the quality of general practitioners.
1. Strengthen the training of general practitioners and nurses.
2, strengthen business training, organize medical staff to carry out health education, infectious disease prevention, hospital care, medical quality, pre-hospital first aid and other aspects of business training. , improve the level of business.
Four, continue to complete the standardization of community health service institutions.
Our center will strive to complete the internal construction of the comprehensive building of Shishi Port Community Health Service Center within 20xx years in strict accordance with the Basic Construction Standard Requirements of Urban Community Health Service Center issued by the Provincial Health Department, and put it into use formally within 20xx years.
Further standardize the management of community health service institutions, so as to achieve reasonable personnel and department allocation, perfect service functions and unified internal settings.
Our center will continue to explore new working ideas and management methods, give full play to the characteristics and advantages of community health services, take demand as the guide, actively carry out popular service projects and improve service measures. At the same time, constantly explore new management modes, establish effective management systems, guide and promote the reform of personnel distribution system, improve the enthusiasm of community health service personnel, and ensure the quality and quantity of public health work while doing a good job in medical services. Through hard work, we will gradually explore new working ideas and management methods suitable for the development of community health service centers in China to ensure the effective, economical, convenient, comprehensive and sustainable development of community health services in China.
Verb (abbreviation of verb) maintains stability and promotes development.
1, continue to do a good job in comprehensive management of social security, family planning, building a clean and honest party style, and building spiritual civilization, actively resolve debts, do a good job in stabilizing letters and visits, and earnestly perform their duties.
2, strengthen safety work, further implement the responsibility system for production safety, strict operating procedures, pay close attention to the implementation of measures. Eliminate all kinds of potential safety hazards.
3. Continue to create smoke-free hospitals, and completely ban smoking in wards, corridors and offices.
Article 2 Work Plan of Community Health Service Center 202 1
In order to further improve the chronic disease health management services, improve the chronic disease management rate and standardized management rate, and better protect people's health, according to the National Basic Public Health Service Management Standard and the actual situation of our center, a 20xx chronic disease work plan is formulated.
I. Work objectives
Solidly carry out comprehensive prevention and control of chronic diseases. The registration rate of hypertension and diabetes is over 70%, the standardized management rate is over 80%, and the control rate is over 30%. Establish a self-management team and standardize self-management activities, with a coverage rate of over 30%; The coverage rate of blood pressure measurement of outpatients over 35 years old is 100%, the reporting rate of chronic disease monitoring is over 95%, the health check-up rate of patients with hypertension and diabetes is over 95%, and the coverage rate of active monitoring and core indicators monitoring of high-risk groups is 100%.
(A) hypertension work objectives
1, more than 800 hypertensive patients were found and registered;
2. Standardize the management of at least 700 patients with blood pressure control rate ≥ 60%;
3. Discover and register at least 100 high-risk groups;
4. The proportion of high-risk population who have their blood pressure measured at least 1 time every year is 50%;
5. The intervention of high-risk groups is recorded and the effect is evaluated;
6.60% residents over 35 years old have their blood pressure measured at least 1 time every year;
7. The awareness rate of hypertension prevention knowledge among residents is 60%.
(B) diabetes work objectives
1, found and registered at least 240 diabetic patients;
2. Standardize the management of at least 200 diabetic patients, and the blood sugar control rate reaches 60%;
3. 30 high-risk people were found and registered, and the ratio of blood sugar 1 time was at least 40% every year;
4. The awareness rate of prevention and control knowledge among high-risk groups is 60%;
5, high-risk groups and the general population health education records and effect evaluation;
6. The awareness rate of diabetes prevention knowledge among residents is 50%.
Second, the main contents and tasks
1. Discovery and intervention of high-risk population: further strengthen the registration system of blood pressure measurement for outpatients over 35 years old. The coverage rate of blood pressure measurement in outpatients is 100%, the registration rate of blood pressure measurement is 100%, and the utilization rate of blood pressure measurement information and treatment information in patients with chronic diseases is over 95%. Taking community and village clinics as units, we will complete the active monitoring and core indicators monitoring of high-risk groups of chronic diseases within our jurisdiction, timely discover patients with hypertension and diabetes, and conduct early management and control.
2. Patient management: the registration rate of patients with hypertension and diabetes is over 70%, and the card establishment rate is100%; Follow-up services are mainly outpatient follow-up, supplemented by family follow-up, and routine management of patients with chronic diseases who have been documented is done well. Follow-up services are provided no less than 4 times a year, and the information of follow-up services is true; Continue to carry out self-management activities for patients with chronic diseases, consolidate the achievements of self-management activities for chronic diseases in 20xx years, standardize the coverage rate of the jurisdiction where self-management activities are carried out, and improve the management quality with the information utilization rate of self-management activities of 100%; Carry out 1 comprehensive health examination for patients with hypertension and diabetes, which can be combined with health examination or follow-up service for the elderly over 65 years old; Do a good job in systematic, standardized and dynamic management of patients with chronic diseases. The standardized management rate is over 85%, the blood pressure and blood sugar control rate is over 30%, and the dynamic management rate during the year is over 10%.
3. Strengthen the monitoring and reporting of chronic diseases. Center and village clinics should implement the registration system of outpatient stroke and coronary heart disease monitoring reports, implement the outpatient doctor responsibility system, and register patients with stroke and coronary heart disease diagnosed by outpatient rehabilitation treatment in medical institutions at all levels; Patients with hypertension and diabetes who are included in the system management should increase the follow-up content of complications and register the stroke and coronary heart disease found in the follow-up in time. It is necessary to do a good job in timely review, elimination, supplement and revision of chronic disease monitoring to ensure the quality of monitoring reports.
4. Make good use of information and data. At the end of the year, the patients with hypertension and diabetes in the management system were statistically analyzed from the aspects of file management, follow-up service and self-management activities, standardized management, control, complications and death. To form an analysis and evaluation report on the management of patients with chronic diseases within the jurisdiction, and to form an annual analysis report on the data of chronic disease monitoring reports within the jurisdiction. Follow-up work must be implemented. Correct physical examination and health guidance on medication, diet, exercise, psychology, etc.
Third, training.
In order to improve the management quality of hypertension and diabetes, village doctors in village clinics were trained in accordance with Basic Operating Rules for Hypertension Prevention, Guidelines for Hypertension Prevention in China and Guidelines for Diabetes Prevention in China.
Four. assess
1, process evaluation
Dynamic management of hypertension and diabetes, follow-up management of hypertension and diabetes, implementation of two-way referral, first blood pressure measurement of 35-year-old patients, patient satisfaction, etc.
2. Effect evaluation
Awareness rate of knowledge about prevention and treatment of hypertension and diabetes, change rate of risk behaviors related to hypertension and diabetes, blood pressure and blood sugar control rate of hypertension and diabetes, and standardized drug treatment rate.
Verb (abbreviation for verb) supervision and evaluation
1, our center is responsible for the supervision and assessment of village clinics within its jurisdiction, and the assessment opinions are fed back to the inspected units in time so as to improve the work in time.
2, the village clinic to develop internal working system, workflow and quality control regulations, strengthen self-examination.
Article 3 Work Plan of Community Health Service Center 202 1
I. Guiding ideology
Conscientiously implement the spirit of xx, with Scientific Outlook on Development as the leader, continue to adhere to the guiding ideology of "centering on the center and serving the overall situation", firmly establish the scientific concept of "auditing serves development", earnestly perform the supervisory duties, and give play to the role of auditing in promoting education development, administration according to law and system innovation.
Second, the focus of work
(1) Continue to deepen the economic responsibility audit. Conscientiously implement the "Interim Provisions on Economic Responsibility Audit of Party and Government Leading Cadres below the County Level", so that all "departures" will be checked. At the same time, strengthen the economic responsibility audit during the term of office, move the audit threshold forward, and change the audit discovery type into the preventive type. Further standardize the economic responsibility audit behavior, and try out the system of prior notification, work contact, situation report, follow-up implementation and result announcement.
(2) Continue to carry out in-depth audit of fiscal revenue and expenditure. With independent innovation as the driving force, we will carry out a true, legal and effective financial revenue and expenditure audit on the basis of economic responsibility audit, strive to deepen the audit content and continuously improve the audit methods. Actively carry out the audit of canteen and house rental, gradually standardize accounting behavior, and improve the efficiency of fund use.
(3) Further improve the relevant internal audit system and operation process, and do a good job in the follow-up education of internal auditors.
(four) pay special attention to the follow-up audit, focusing on the implementation of audit opinions and suggestions and the application of audit results, and implement the follow-up audit return visit system. Supervise and inspect the unit to consciously implement the audit opinions and suggestions, and promote the further standardization, institutionalization and legalization of the financial management of the unit.
Third, the main work measures
(1) Improve the organization and health education network.
Perfect health education network is the organizational guarantee and effective measures to carry out health education. In 20xx, we will adjust and enrich the team of health education volunteers and strengthen the training of health education volunteers according to the actual situation of the community. Organize personnel to actively participate in various trainings organized by the municipal, district and disease control departments to improve the health education ability and theoretical level of health educators; Incorporate health education into the central work plan, and health education will be truly implemented.
Increase funds.
It is planned to purchase new cameras, computers, printers and other equipment in 20xx, and print health education publicity materials to ensure the smooth development of health education.
(3) planned health education activities
1, hold a health education lecture.
Conduct health education lectures regularly every month, not less than 12 times a year. According to the needs of residents and seasonal frequently-occurring diseases, arrange the lecture content, choose doctors with relatively rich clinical experience and strong expression ability as the keynote speaker according to seasonal changes, and increase the content of epidemic diseases such as hand, foot and mouth disease and influenza. Carefully organize, arrange and notify before each lecture, receive consultation and distribute relevant health education materials after the lecture, and pass on health knowledge to as many residents as possible. (Attached with the schedule of health education talks)
2. Carry out public health consultation activities.
Use World Tuberculosis Day, World Health Day, National Iodine Deficiency Disorder Day, World No Tobacco Day, National Hypertension Day, World Mental Health Day, World Diabetes Day, World AIDS Day and other health theme days and key health issues in the jurisdiction to carry out health consultation activities and distribute publicity materials according to the theme.