With the policy support of the superior health department, the overall leadership of the district health bureau, and the care and help of the township government, our clinic provided higher quality medical services for the majority of patients in our village and surrounding areas in, and the clinic has developed vigorously. With the vigorous implementation of the new rural cooperative medical system and the active promotion of people's livelihood projects, the system construction of rural medical institutions has been continuously improved, the scale of our clinics has been continuously expanded, medical facilities have been gradually improved, and various constructions have become more formal.
In the past year, I actively participated in the regular business training organized by the District Health Bureau to learn business knowledge and understand the relevant policies of rural medical work. With the development of primary health institutions, my personal clinical experience has also improved. Most of the people who come to our ward are local villagers, and the diseases involve major subjects. After continuous study and repeated practice, the diagnostic accuracy of common diseases has been continuously improved, and the treatment has been more timely and effective, ensuring the health of patients.
However, in daily work, it is also found that primary medical work is not easy. Due to the uncertain medical time, low medical literacy of patients and frequent emergencies, it is impossible to ensure the most comprehensive, timely and effective treatment needs of patients. Although the standardized clinic construction subsidized by the people's livelihood project has improved the medical facilities in our room, compared with the facilities level of perfect primary medical services, various medical equipment in our room urgently needs to be expanded and improved. The acquisition of business guidance and policy knowledge, as well as the storage and transmission of relevant information, put forward requirements for electronic information services.
Summarizing the past is to better develop the future. The gains and losses of the past year can always bring experiences and lessons to the future development of the clinic. In the future, I will devote myself to providing better medical services for the villagers, receiving more professional training, striving to learn more professional knowledge, accumulating experience in practice, striving to make appropriate innovations in treatment methods, medical means and drug selection, understanding relevant government policies, increasing the construction of clinic facilities, striving for maximum self-improvement and ensuring medical services for the majority of patients.
The second part of the village clinic self-inspection report-Gaowuqiao village clinic in Xinyi Town, the city, was established in a deep and solid manner in accordance with the Regulations on the Construction of Provincial Clinics and the requirements of Xinyi Health Center. Over the past few years, we have continuously improved basic conditions, improved service functions and enhanced service capabilities. Through several years' efforts, we have achieved the overall goal of standardized management, improved functions, guaranteed quality, efficient operation and scientific innovation and development, and fully met the people's basic medical and public health service requirements.
The basic situation of the current work self-inspection is reported as follows:
I. Laws and regulations
1. The layout of our room meets the requirements of local health regulations.
2. Accept the integrated management of xinyi city Central Hospital as required.
3. Signs and signs of medical institutions in our room conform to the unified regulations.
Our room has a diagnosis room, an observation room, a treatment room, a physiotherapy room, a pharmacy and a doctor's duty room.
Our room is full of qualified practitioners.
Second, the basic standards
1. Organization and practice:
The full name of the unit is "Gaowuqiao Village Clinic, Xinyi Town, _ _ City", located in Gaowuqiao Village, Xinyi Town, _ _ City, and its legal representative is _ _; Principal _ _; It has the Practice License for Medical Institutions issued by the Municipal Health Bureau, with the practice license number of _ _ and the validity period of 65438+February 3, 20001. Our firm has clear subject, legal representative and principal responsible person, clear property rights and responsibilities, standardized operation, independent accounting, legal practice and orderly management. The "Practice License of Medical Institution" is legal and valid, checked on time, and hung in a prominent position in the diagnosis room. Rural doctors have no practice beyond the scope.
2. Building construction and layout:
Village clinic covers an area of1.20m2.. The business room is strictly separated from the living room. The pharmacy building meets the standard requirements. The medicine cabinet is uniform in specifications, neat and beautiful. The appearance of the house is neat, the indoor layout is standardized, and the walls are flat. Text: bright light, bright windows, clean room, dry ventilation.
3. Personnel management:
Our room is equipped with 3 rural doctors, each of whom participates in the training organized by xinyi city Central Hospital for more than 2 times a year, including county-level training 1 and provincial-level on-the-job training for 2 times. In dressing the, a rural hospital, they wear their badges uniformly.
4. Configuration of drugs and equipment:
We buy medicines in our room, and there are no fake medicines and expired medicines. Drugs 150, including 5 emergency drugs, 45 Chinese patent medicines and 0/00 western medicines. Equipped with medical equipment and facilities: stethoscope, sphygmomanometer, thermometer, visiting box, tongue depressor, height and weight meter, dirt bucket, dressing change tray, observation bed, diagnosis bed, medicine cabinet, data cabinet, treatment table, autoclave, infusion stand, oxygen bottle, small instrument set, ultraviolet lamp, acupuncture, cupping, computer, TV, etc.
5. Basic public health services:
Assist xinyi city Central Health Center to establish rural residents' health records, so that the health records are well documented, with special health filing cabinets, which are classified, clearly marked and easy to refer to. The standardized filing rate of the village exceeded the provincial standard of that year by more than 30%, mastered the vaccination targets of the national immunization plan, issued vaccination notices and supervised vaccination on time, and registered. Carry out propaganda on maternal and child health care and family planning, master the number of pregnant women, birth population, perinatal children and newborns in the village and report them on time as required, and assist xinyi city Central Health Center to carry out the management of maternal and child health care system. The registration and reporting system of infectious diseases is implemented, and the rate of missing reports of infectious diseases is zero. Knowledge of infectious diseases such as AIDS and tuberculosis has been publicized. Cooperate with xinyi city Central Health Center to implement systematic management of chronic diseases such as hypertension and diabetes. The systematic management rate of the village has reached more than 95%, and it has helped to carry out patriotic health campaigns, health education and health knowledge propaganda.
6. Basic medical services:
Adhere to the responsibility system of 24-hour consultation and first consultation, and be on call. Tel: _ _. See a doctor by registration, medication by prescription, and referral by record. Do a good job in the referral, diagnosis and treatment of critically ill patients, master the commonly used rescue principles and safe injection techniques, and put allergy rescue drugs in a centralized place for emergency use. Outpatient logs, medical records, prescriptions and other documents must be written in a standardized way, and no scribbling or omission is allowed. The qualified rate of prescription was 1.000%. Strictly implement the disinfection and isolation system, correctly prepare and use disinfectants, standardize the use of autoclaves and ultraviolet rays, and do a good job in registration. Establish and implement a medical waste management system to correctly handle disposable medical supplies and wastes. Disposable medical supplies and wastes shall be collected and transported in a sealed manner in accordance with relevant state regulations. Packaging materials and containers shall be clearly marked. Temporary storage facilities for medical wastes shall meet national requirements. The registration of temporary storage and transportation of medical wastes shall be improved and the information shall be complete.
7. Unified and standardized management:
Our laboratory has established and improved the outpatient registration system, prescription system, disinfection system, infectious disease registration and monitoring report system, pharmacy management system, medical waste treatment system, safe injection work system, village doctors' responsibilities, village health workers' responsibilities, immunization operation flow chart, children's immunization program and other1/systems, and mastered them skillfully to ensure that the fees are well documented, the medicines are well-documented, and the income and expenditure are well-documented. The establishment of outpatient health information management terminal, the implementation of outpatient registration, new rural cooperative medical system cost accounting, infectious disease report, planned immunization, maternal and child health care, chronic disease management and other six information systems, and gradually realize the information flow and information sharing of rural integrated network.
Third, there are shortcomings.
1. The collective investment in housing and equipment in our village clinic is zero.
2. Some medical equipment can't meet the clinical needs.
3. The writing of medical documents needs to be further standardized.
Fourth, improvement measures.
1. Government collectives should increase investment in houses and equipment.
2. Intensify efforts to improve the medical environment.
3. Create conditions to strengthen the professional learning of rural doctors.
4. Carry out the standardization, standardization and institutionalization of outpatient service, further strengthen the connotation construction of outpatient service, put people first and serve people's health.
The third part of the self-inspection report of the village clinic, Village, conducted a detailed and serious self-inspection according to the Self-inspection Scoring Standard for Designated Medical Institutions for Urban and Rural Residents. The results of self-inspection are reported as follows:
1, certificate qualification: the certificate is complete and posted on the wall.
2. Business premises: the business address is stable, the area is suitable, the layout is reasonable, and it is clean and tidy.
3, medical equipment, department settings: in strict accordance with the requirements of the superior health department settings, departments fully meet the medical requirements, diagnosis and treatment subjects, beds have approval documents, diagnosis and treatment projects and beds meet the requirements of designated services.
4. Practitioners: the medical personnel are equipped in accordance with the requirements of grade setting, and the practice place is in this medical institution, and the technical personnel and management personnel on duty are in place.
5. Implementation of medical insurance policy: There are no medical violations, and the medical expenses settlement regulations are implemented according to regulations.
6. Medical services provided to the insured in the first half of the year: the satisfaction of the insured is good, and the prescription management and routine diagnosis and treatment meet the requirements of the superior.
7. Charges and expenses: the drugs meet the requirements of medical insurance, charge according to the standard, the price is open, the operation is normal, and the revenue and expenditure cannot maintain development.
8. Information network construction: provide online settlement services in a timely manner according to regulations, and the charging information uploaded to the medical insurance system should be consistent with that of medical institutions.
9. Social security system: do a good job in implementing the basic medical insurance policy for urban and rural residents, strictly implement the laws, regulations and policies on health and drug prices, and cooperate with social insurance management. The employee did not sign a labor contract and did not pay social insurance.
10, surrounding fixed-point situation and advantages and disadvantages: there is no fixed-point medical institution within 200 meters around, and the distribution of insured people around is relatively concentrated, with many potential service groups. This institution has obvious advantages in qualifications, technology and facilities, and its services are distinctive. In the past two years, the unit or personnel has not won any awards or technological achievements at or above the county level.
In view of the problems and deficiencies in the self-examination, the clinic made timely rectification. Please ask the Human Resources and Social Security Bureau to conduct a review.
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