Summary of community hospital work and the next step plan (1) In the first half of the year, with the strong support of the leaders of the general hospital and the joint efforts of all the staff of the center, the community health service center of our hospital adhered to the service concept of "people-oriented" and "patient-centered", adhered to the principles of scientific management, standardized service, strengthened foundation and all-round development, conscientiously implemented the national health work guidelines and policies, and conscientiously did a good job in basic medical care, public health services and institutional management. Taking the activities of establishing "model community health service center" and "discipline environmental sanitation improvement" as the starting point, we should attach importance to and strengthen medical quality and medical safety management, improve measures, strengthen learning, improve quality, actively advocate civilized, healthy and progressive hospital culture, carry forward healthy fashion, and strive to build a harmonious working relationship and doctor-patient relationship. Vigorously improve the level of central medical services, public health services and institutional management, provide high-quality and convenient medical services and public health services for the masses, and promote the standardization and refinement of community health management. The work in the first half of this year is summarized as follows:
I. Overview of the work in the first half of the year
1, the business income is xx million yuan, with a year-on-year increase of xx million yuan, with a growth rate of xx%, of which the medical income is xx million yuan, with a year-on-year increase of xx million yuan, with a growth rate of XX%; Drug revenue was xx billion yuan, a year-on-year increase of xx billion yuan, with a growth rate of xx%, accounting for xx% of the total revenue.
2. Workload: 65438+xx person-times of outpatient and emergency treatment in June-June; * * * xx inpatients; The average hospitalization time is about xx days. More than xx physical examinations.
3. Work quality: the incidence of medical liability accidents is XX; The nosocomial infection rate is xx; The legal reporting rate of infectious diseases is xx %；; The bed utilization rate is xx%, and the bed turnover times are xx times/half a year; The qualified rate of prescription writing is xx %；; The qualified rate of hospital medical record writing is xx %；; The coincidence rate of admission and discharge diagnosis is xx %；; The cure and improvement rate was xx %；; The qualified rate of nursing technology operation is ≥ xx%; The passing rate of theoretical examination is xx %；; The qualified rate of sterilization of conventional instruments is xx %；; The implementation rate of one person, one needle, one tube and one belt is xx %；;
Second, medical quality and safety management According to the work plan formulated at the beginning of the year, we will focus on the implementation of the core system, the quality management of medical records, and the self-construction of departments.
1, strict management, promoting the implementation of various systems to improve medical service capacity, implementing the responsibility system for first diagnosis, improving various operating procedures, conscientiously doing a good job in the diagnosis and treatment of frequently-occurring diseases and common diseases, communicating with superior hospitals, establishing a two-way referral mechanism, and ensuring basic medical care for community residents. According to the needs of clinical work, the nursing department revised and issued the infusion response plan and process, the implementation record of pressure sore prevention measures, the application form for inevitable pressure sore, and the occupational protection measures for the deployment of chemotherapy drugs, which made the nursing work rule-based and standardized.
2, standardize the management of medical records, improve the quality of medical records writing, medical education, nursing department every month from time to time to check the medical records and prescriptions of departments and pharmacies. Go to the medical record room irregularly every month to check the final medical records. In strict accordance with the requirements of "Code for Writing Medical Documents in xx Province", we will focus on supervising the timeliness of medical record writing, the writing quality of level-3 rounds, the effective and correct writing of course records, various inspection reports and medical treatment notices, and make timely rectification when problems are found. Organize clinical medical staff to learn "Medical Record Writing Standard" and "Basic Standard of Prescription Writing Quality". The quality of medical records and prescriptions has been improved compared with last year, and class C medical records have been eliminated. The qualified rate of nursing documents reached xx%, and the final first-class rate of medical records reached xx%.
3. Strengthen the management of hospital infection.
(1), strictly implement the disinfection and isolation system formulated by the leading group for hospital infection management.
(2), clinical departments insist on every quarter to ward treatment room, dressing room, operating room for air culture.
(3), the department insists on daily ultraviolet disinfection of the treatment room and dressing room, and uses alcohol to wipe the ultraviolet lamp for dust removal, and makes records.
(4) The supply room earnestly implements the sending and receiving system and insists on filling in all kinds of information and data registers.
4. Continuing education management.
(1), strengthen the three basics training of medical staff, the nursing department organized three nursing technology operation exams and xx theoretical exams, with a reference rate of xx%, and medical and educational organizations organized medical staff in the whole center to give lectures and study once a month.
(2) Two nursing backbones received short-term specialist training in People's Hospital, and four participated in community nursing post training. By the end of June, 20 nursing staff in the center had participated in community nursing post training. Five nurses participated in the continuing education of the nursing college.
Third, public health.
1, women's health care: fully implement the maternal management project. 1-Establish a maternal health care manual for xx people in June; The registration rate of early pregnancy is xx %；; The maternal health management rate is xx%, which ensures the implementation of systematic management of pregnant women. Xx bottles of folic acid were distributed to pregnant women (xx bottles last year), and the number of managers was xx (xx last year).
2. Child health care: June-June, 65,438, newly established xx people, managing xx people aged 0-3 years. A child health care manual was established for xx people, and xx people had regular free physical examinations, with a management rate of xx%.
3. Planned immunization: xx people were newly established in1-June, and 2,687 people of all ages in the jurisdiction were vaccinated. Vaccinate in time according to the requirements of immunization. Children aged 0-6 years old were vaccinated xx times, and the vaccination rate was xx%. Complete all kinds of vaccination information input and reporting.
4. Family planning: Complete the census of women of childbearing age in the first half of the year, and check xx women; Distribute xx boxes of various family planning supplies to women of childbearing age.
5. Management of the disabled: xx persons were filed for the disabled, including xx persons with physical disability, xx persons with intellectual disability, xx persons with visual disability, xx persons with hearing disability and xx persons with multiple disabilities. With the cooperation of the District Disabled Persons' Federation, a rehabilitation training room for the disabled was established, which provided convenience for the rehabilitation training of the disabled in the future.
6. Mental illness management: xx patients with severe mental illness were managed, with a management rate of xx%. A publicity campaign with the theme of "paying attention to mental health" was carried out for patients with severe mental illness and their families to guide their families to supervise patients to take drugs on time and in quantity to prevent accidents.
7. Health education: From June to June, 65,438 health education lectures were held, tens of thousands of publicity materials were distributed, xx health education bulletin boards were made, xx blackboard newspapers were held, and various health publicity and free clinic activities were carried out for xx times.
8. Residents' health records:10-June 65438+xx new files. The total service population of our center is about xx people, and xx copies are filed, with a filing rate of xx%.
9. Chronic disease management: xx cases of hypertension were managed (xx cases last year), and the standardized management rate of xx cases (xx cases last year) was XX %；; The blood pressure control rate was xx%, and 8 cases of hypertension were added in the first half of the year. The standardized management rate of hypertension patients is ≥xx%. Standardized management of hypertension patients, blood pressure control rate ≥xx%. Manage xx diabetic patients, and the health management rate of diabetic patients is ≥xx%. Face-to-face follow-up was conducted once every quarter, and the standardized management rate of diabetic patients was xx%.
10. Health management of the elderly: health management of the elderly over 65 years old in the jurisdiction, investigation of health risk factors and general physical examination, and targeted health education and health promotion, such as disease prevention, self-care, injury prevention and self-help. Establish a roster of elderly people over 65 years old in this area to provide convenient conditions for the next physical examination.
1 1. physical examination: as of xx years, female employees and residents of xx company have had more than xx physical examinations.
Fourth, institutional management.
1, organized nursing work conference, professional work conference and public health work conference. In February, the center organized a nursing work conference, a professional work conference and a public health work conference. The meeting summarized the work of the past year, focused on the existing problems and the development of this year, and extensively and fully solicited everyone's opinions. After the meeting, analyze the opinions and suggestions put forward by the department one by one and answer or implement them in time. The meeting concentrated wisdom, unified thoughts and defined goals, which played a very good role in promoting the development of the department.
2, fulfill the target responsibility, mobilize the enthusiasm of the department. At the beginning of the year, according to the target responsibility letter signed with various clinical medical departments last year, the center formulated the assessment method, and conducted a comprehensive quantitative assessment of all clinical medical departments from the aspects of department management, business income, medical quality, business development and medical ethics. This move broke the tradition that the center only signed the responsibility letter but failed to honor it for many years, which caused a lot of repercussions in the center, greatly touched all departments and played an irreplaceable role in mobilizing the enthusiasm of all departments.
3. Informatization construction: According to the requirements of the District Co-therapy Office and the work plan of the center this year, the center LAN was established and put into operation, which laid a solid foundation for the information management of the community.
4. Creation of demonstration community work: Since the mobilization meetings of "Creating a demonstration community health service center" and "Treating patients as relatives and patients as warmth" were launched in February last year, Baoji Municipal Health Bureau has thoroughly implemented the spirit of "Opinions of xx Provincial Party Committee and Provincial Government on Deepening the Reform of Medical and Health System" and "Notice on Launching Activities of" Treating patients as relatives and patients as warmth ",taking this opportunity to further improve the work of creating demonstration communities.
In May and June, the center held a mobilization meeting of "Work Style, Discipline and Environmental Health Education Rectification Activities". This mobilization meeting is mainly to educate, guide, organize and mobilize all employees to understand the situation, change their concepts, correct their attitudes and clarify their responsibilities. With full work enthusiasm, pragmatic work attitude and solid and rigorous work style, they will earnestly perform their respective duties, vigorously carry forward excellent culture, and comprehensively establish a clean and upright style, so as to lay a solid ideological and work style foundation for comprehensively completing all objectives and tasks this year and earnestly safeguarding and improving employees' interests. After the mobilization meeting, all departments shall organize the study of rules and regulations according to the requirements of the meeting, and hold departmental meetings attended by leaders in charge. Everyone wrote analysis materials and rectification measures, and the activities achieved the expected results.
Problems in verb (abbreviation of verb) and its rectification measures
(1) Problems: From a big perspective, the development of medical care and public health is unbalanced, with one leg long and one leg short, and there is an unreasonable situation that medical care is stronger than public health. The center relies on basic medical care for its survival and development, and public health work has not yet accounted for its due proportion.
1. Internal basic medical care: the internal medical staff structure is reasonable, but the business characteristics are not obvious and prominent, and there is no brand advantage and lack of leading figures. Surgery and gynecology: the talent structure is unreasonable, mainly supported by the director of the department, which does not form a team advantage and the development of the department is limited.
2. Public health: the concept of staff has not completely changed, and they are used to working in the office, instead of focusing on residential areas, family homes and residents' homes. The work lacks enthusiasm, initiative and planning, and it is too bad to deal with it. Did not really realize the importance of public health work, did not really reflect and play its role.
(2) Rectification measures.
1. Basic medical care: introduce and train talents, strengthen business study and training, and actively carry out suitable projects.
2, public * * * health:
(1), and actively participate in various trainings.
(2) Go out to visit and study, broaden your horizons, change your ideas, strengthen supervision and assessment, and strengthen the breadth and depth of public health work. In the second half of the year, under the leadership of the new hospital leadership, the center will continue to carry out activities such as "establishing a model community health service center", "treating patients as relatives, treating patients as warmth" and "rectifying discipline and environmental health education", and strive to achieve the central goal, further strengthen the construction of community health service system, change the operating mechanism of community health service institutions, and improve the ability and level of community health service.
In the second half of the year, the hospital is faced with the arduous task of building a comprehensive building. The center should continue to develop steadily and rapidly on the basis of ensuring medical safety, and carry out the activities of creating a "model community health service center" in depth. The task is heavy, the burden is not light, and the pressure is great. Only with the courage and spirit of unity and struggle, seize every minute, make every effort to do all the work in the second half of the year, and condense our hard work and sweat into an excellent answer sheet, can we live up to the high hopes of all employees and the trust of superiors, and make our due contribution to the health cause that the people are satisfied with. We are confident and determined to complete this glorious and arduous task.
Summary of the work of community hospitals and the next step plan (II) This year is the "year of innovation and improvement of primary health services" proposed by the xx Mountain District Committee and Government. In order to comprehensively standardize and improve the quality and management level of community health services, we summarized the work in the first half of this year according to the "xx Health Work Points" of the District Health Bureau, closely surrounding the overall requirements of health work, and combining with the actual street work:
First, the quality of medical services has been continuously improved.
In order to meet the current health needs of community residents, continuously improve the quality of medical services and improve the medical environment. The center takes the form of regular outpatient meeting on Monday to discuss the problems that appear in a week and put forward corresponding improvement measures. Strengthen the business training of new rural doctors in xx years, send business backbones to participate in the backbone training of general practitioners in the province, and at the same time send more than 2 Chinese medicine doctors to participate in the backbone training of traditional Chinese medicine and appropriate technical training of traditional Chinese medicine in the province. The overall improvement of medical service level has laid a foundation for the further development of community health service; Improve medical services and optimize service processes. In order to provide patients with a good environment for medical treatment and infusion, we have equipped the infusion hall with a series of convenient facilities, such as TV sets and air conditioners, which have achieved due understanding, measures and effects. We have set up a one-stop window for reimbursement, guidance services and Chinese medicine decoction in the cooperative medical clinic, striving to create a warm diagnosis and treatment environment and provide convenient and satisfactory humanized services for patients. Through the above measures, the quality of medical services has been significantly improved and business income has increased rapidly. From June to May this year, the outpatient service volume increased from xx yuan last year to xx yuan, with an increase of xx% in the same period. The income from fixed assets increased from xx million yuan last year to xx million yuan, an increase of xx% over last year.
The second is to create star-rated health clinics and service stations.
According to the standards for establishing "star" health centers and health service stations, 2 health centers and 8 health centers in the hospital are classified, the "star" objectives of each unit are defined, the contents are decomposed into responsible persons, the completion time is defined, the work progress and quality are scheduled regularly, and all the work is urged to proceed smoothly. Qianguan Community Health Service Station will strive for a five-star community health service station this year. In the first half of this year, the village committee of Li Jiazhuang invested more than xx yuan to paint the external wall of the health center, made a titanium logo for the health center with a stainless steel frame, replaced a high-standard publicity column, and equipped it with high-end household appliances such as color TV sets and washing machines, which made the health center look brand new; Meet the five-star standard. At present, the main body of the extension house of xx Health Center has been basically completed.
Third, comprehensive management and healthy operation.
The center invested more than 50,000 yuan, equipped all health centers (stations) with microcomputers and printers, improved the internal facilities of each unit, implemented the responsibility system, and implemented the responsibility to people. All hospitals (stations) carry out asset verification in groups, and all drug inventory data are entered into the microcomputer and networked with the center, so as to strengthen integrated management, implement online supervision and online reimbursement, print prescriptions and reimbursement for cooperative medical care at any time, and completely put an end to unauthorized drug reimbursement. From June to May, the comprehensive income of 65,438 was RMB xx, a year-on-year increase of xx%.
Fourth, community health services have been solidly promoted.
Community health service centers always adhere to the principle of "taking residents as the center, taking health as the goal and taking demand as the guidance" and vigorously carry out community health services. According to the requirements of superior documents, the center and the station installed the electronic file software system of community health service in xx province, printed a large number of electronic file information tables, launched a new round of home physical examination filing, and established family health files for residents free of charge. Up to now, * * * has filed more than xx copies, including more than xx electronic health records. At the same time, we will organize business backbones and hire experts from higher-level hospitals to go to the community for free physical examination for residents. Screening patients with chronic diseases, focusing on management and regular follow-up. At the same time, the annual physical examinations of primary and secondary school students and kindergartens were carried out, and the physical examinations of xx and xx were basically completed.
Five, improve the new rural cooperative medical system
In the first half of this year, various health centers (service stations) in xx province have installed xx software, which has been networked with the whole region, and all the names of the participants have been entered into the microcomputer, thus realizing the "one-card" system of cooperative medical care in the whole region. According to the list of essential drugs in xx province, the expenses incurred in health service centers, clinics and health stations are reimbursed randomly on the spot. Xx office will post the reimbursement to the villages in time every month and accept the supervision of the masses. In the first half of this year, the whole street was reimbursed a total of xx yuan, including xx person-times for outpatient service and xx yuan for reimbursement; Xx people were seriously ill and hospitalized, and the accumulated reimbursement was xx yuan. It has played a very good role in alleviating people's "poverty caused by illness" and "returning to poverty due to illness", making the new rural cooperative medical system deeply rooted in people's hearts and constantly improving people's satisfaction with xx.
Six, actively carry out the prevention and control of infectious diseases.
In the first half of this year, the district committee and government put hand, foot and mouth disease and xxx influenza epidemic on the important agenda. Therefore, the Party Working Committee of our street attaches great importance to this work and regards it as the primary task.
(1) Strengthen leadership, set up a leading group to be responsible for specific matters of epidemic prevention and control, hold prevention and control meetings of villages, communities, directly affiliated departments and kindergartens, and issue relevant documents. , further arrange the work, clarify the responsibility, designate a person to be responsible, and ensure that all prevention and control measures are implemented.
(2) Widely publicize, carry out phased training on the knowledge of hand, foot and mouth disease and xx influenza in xx village health centers and service stations, scattered health centers of xx factories and enterprises, kindergartens and primary and secondary schools under its jurisdiction, formulate a responsibility book for the prevention and control of hand, foot and mouth disease, and sign it with the heads of village communities, health centers (stations) and kindergartens layer by layer to clarify responsibilities and strengthen prevention and control measures. Through the distribution of leaflets, parent-teacher conferences and other forms of extensive publicity, enhance the awareness of prevention and control.
(3) Strengthen management and strictly implement various prevention and control measures. During the epidemic period, the leadership shift system was implemented, and the administrative, outpatient and pre-inspection triage were on duty 24 hours to ensure that the telephone and fax on duty were unobstructed 24 hours. Set up a pre-inspection triage desk, a fever clinic and a fever observation room to conduct pre-inspection triage for patients who come to see a doctor, and implement a special person to be responsible for disinfection and isolation to control nosocomial infection. Epidemiological follow-up services were provided to families of newly-added children with hand, foot and mouth disease. Supervise the kindergartens in the area twice a week, implement various prevention and control measures, and stop the park for rectification if the measures are not in place. At present, there are xx cases of hand, foot and mouth disease in my street, mainly scattered children, and there is no phenomenon of suspension of classes in kindergartens. From this point of view, through the above measures, the incidence of hand, foot and mouth disease in our street has been effectively controlled and achieved the expected results.
In the second half of the year, we will continue to do a good job in the following aspects:
First, continue to do a good job in the prevention and control of hand, foot and mouth disease and xx influenza, continue to strengthen the supervision of kindergartens, check the vaccination books of children in kindergartens one by one, do a good job in missing all kinds of vaccines, and implement various prevention and control measures.
Two, in conjunction with the central hospital, to carry out a centralized physical examination of residents. And make full use of the electronic file software system, combined with the electronic file information table, to carry out a large-scale community health service household information survey, follow-up work of key people.
Third, prepare to complete the work of detecting and replanting leprosy gills, hepatitis A and encephalitis B in children under 14 years old in the near future, and at the same time, conduct health examinations for the remaining kindergartens and primary and secondary school students.
Four, to further improve the health center (station) star creation work. Increase investment, and strive to complete the internal decoration of xx Health Center within one month.