Main indicators and scoring table for performance evaluation of township hospitals in Xihe county
Assessment index assessment content assessment standard score
Hospital management
And architecture
(20 points) Establish and implement the open system of hospital affairs, such as holding monthly medical accident analysis meeting, medical staff's bad practice records, disease spectrum ranking, antibiotic use, proportion of self-funded drugs, proportion of penicillin used in antibiotics, etc., holding monthly medical accident and critical case analysis meeting, carrying out medical staff's bad practice records, sorting out the disease spectrum of outpatient and inpatient cases, sorting out the use of antibiotics, proportion of self-funded drugs, proportion of penicillin used in antibiotics, etc. four
Integrated management of rural health services Management of village clinics by township hospitals According to the requirements of the Detailed Rules for the Implementation of Integrated Management of Rural Health Services in Xihe County, township hospitals have standardized management of village clinics. five
Personnel financial management
Staffing situation: personnel posts are set up reasonably and equipped in place, and health professional and technical personnel have corresponding post qualifications. three
The establishment and implementation of financial management and distribution system strictly implements various financial management systems, accounting materials are true and complete, accounting is in line with regulations, internal distribution mechanism reflects service quality and service quantity, post responsibility and performance, and post performance salary system is implemented. three
Hospital environment and management
Establish and improve the appearance and management system of the hospital, and implement the system of administration, logistics, further study and training. Township hospitals have standardized names, obvious signs, clean hospital capacity, clean and comfortable working environment and rest environment for patients, eye-catching health propaganda slogans and columns, full of spirit of medical staff and cordial service attitude. five
Basic medical care
service
(35 points) Service quality: Strictly implement routine diagnosis and operation procedures, and implement relevant laws and regulations such as medical record writing norms, hospital infection management norms, and medical waste disposal norms. Prescription quality, medical record quality, hospital infection management and medical record management meet the requirements, and the qualified rate of prescription writing reaches 100%, and the qualified rate of outpatient medical records, inpatient medical records and nursing documents reaches 95%. Establish hospital infection management organization, improve system and implement measures. five
The average values of the above assessment indicators in the first three years of township hospitals are respectively the number of outpatient (emergency) visits, the number of on-site service visits, the total number of auxiliary examinations, the number of hospital beds or the number of infusion visits in observation room. Appropriate consideration is given to reasonable growth factors, and the benchmark data for the current year's evaluation are determined. The number of outpatient (emergency) visits and the total number of auxiliary examinations should be controlled within a certain range, and the number of bed days or infusion visits in the observation ward should be reduced or maintained at a low level. five
Compared with last year, the average hospitalization and outpatient expenses of medical expenses did not exceed the average level of the whole province, and the number of paid diseases for single diseases increased year by year. five
Implement the basic drug system, equip and use basic drugs, and standardize the construction of pharmacies. In accordance with the requirements of Clinical Application Guide of Essential Drugs, Prescription Set of Essential Drugs and Prescription Management Measures, standardize and rationally use essential drugs. The implementation of zero-difference sales of drugs, equipped with basic drugs according to regulations, pharmacies meet the requirements of standardization. The proportion of prescriptions for two or more antibiotics in outpatient department does not exceed 20%, and the amount of basic drugs accounts for 80% of the total drug consumption. Essential drugs are sold at zero difference rate. 10
New rural cooperative medical system
The new rural cooperative medical policy publicizes the compensation policy of the new rural cooperative medical system, announces the reimbursement process for medical treatment, and publicizes medical services and drug prices. three
The new rural cooperative medical system supervises and publicizes the compensation of participating farmers, and announces the complaint telephone number. The complaint rate is 0, and the cases of obtaining funds and being verified are 0. three
The new rural cooperative medical system will carry out immediate reports, identify the identity of inpatients, and upload medical service information in a timely, accurate and comprehensive manner. four
public health
service
(35 points) Establishment, use and management of rural residents' health records According to the requirements of the Ministry of Health's Regulations on the Management of Urban and Rural Residents' Health Records, on a voluntary basis, residents' health records shall be established for the permanent population in the jurisdiction, updated in time, and computer management shall be gradually implemented.
three
Health education, providing health education and health consulting services, farmers' awareness rate of health knowledge, actively implementing health education into family activities, popularizing participatory health education methods, and imparting basic knowledge and skills such as health literacy and prenatal and postnatal care to farmers. Continuously improve the awareness rate of farmers' health knowledge, reaching 50% in 20 10. three
Implementation and management of the national immunization program Strengthen the establishment, construction and operation management of vaccination clinics, provide free vaccination services of the national immunization program for school-age children, and timely discover, report and assist in handling suspected vaccination reactions. In 20 10, the vaccination rate of school-age children with hepatitis B vaccine, BCG vaccine, poliomyelitis vaccine, diphtheria pertussis vaccine and measles vaccine ("five vaccines") reached over 90%, and the coverage rate of newly-added and expanded national immunization programs and population reached over 80%. four
Prevention and treatment of infectious diseases Infectious disease reporting and handling work ensures the normal operation of the network direct reporting system of infectious diseases, and timely discovers, registers and reports the epidemic situation of infectious diseases within its jurisdiction. The reporting rate, timely rate and accuracy rate of infectious diseases all reached 100%. Cooperate with disease control institutions at or above the county level, participate in on-site epidemic treatment, and conduct follow-up treatment management for non-hospitalized tuberculosis patients and AIDS patients. three
Developing maternal and child health care; Establish a health care manual for pregnant women and children aged 0-3 to standardize maternal and child health care, and the management rate of high-risk pregnant women is over 95%; 20 1 1, the coverage rate of systematic management of maternal and child health care in the province reached over 80% and over 70% respectively. The management of high-risk children and nutrition and mental health care have been strengthened, and the registration materials of anemia, rickets, pneumonia and diarrhea in children are complete. five
Health check-ups and health registration management for the elderly Health check-ups for the elderly regularly conduct general physical examinations for the elderly over 65 years old, investigate health risk factors, and provide health guidance for the elderly such as self-care, injury prevention and self-help. The management rate of health registration for the elderly is over 30% in 20 1 1 year, and over 80% in 20 15 years. three
Chronic disease management chronic non-communicable diseases, such as hypertension and diabetes.
Prevention and treatment management: register and manage patients with hypertension and diabetes, and have regular physical examination.
Check and guide the village clinic staff to conduct regular follow-up, ask about the condition, and give health guidance such as medication and diet. By 20 1 1, the registration management rate of the two groups of people reached more than 50%. four
Follow-up management, rehabilitation guidance and registration management of patients with severe mental illness register and manage patients with severe mental illness who are clearly diagnosed within their jurisdiction, and provide treatment follow-up and rehabilitation guidance to patients with severe mental illness who live at home under the guidance of professional institutions. The registration management rate is over 50%. 2
Major public health service projects Development of major public health service projects In accordance with the implementation plan of major public health service projects, we will conscientiously do a good job in major public health service projects such as hospital delivery of rural pregnant women, folic acid supplementation for rural women before pregnancy, cervical cancer and breast cancer screening projects. five
Emergency treatment, health supervision and other health supervision and management of public health emergencies. Have strong emergency handling ability, and do a good job in health guidance and management of food, public places, schools and occupations. three
Chinese medicine service
(5 points) The setting of TCM departments, the application of appropriate technology of TCM, the reasonable setting of TCM departments and the application of appropriate technology of TCM in real estate, and the number of outpatient visits of TCM in real estate are not less than 1 of the whole hospital.