Thirteenth Five-Year Development Plan of the Hospital
In order to conscientiously implement the spirit of the 18th CPC National Congress and the various guidelines and policies of the national reform of public hospitals, comprehensively implement the scientific concept of development, adhere to the principle of patient-centeredness and quality-centeredness, and focusing on the quality of medical care, quality of service, and safety of medical care, the hospital will continue to promote the standardization of hospitals, scientification and standardization of the construction of hospitals, and continue to create new horizons for the hospital and strive to achieve the leapfrog development. A new situation, and strive to achieve the leapfrog development of the hospital, specially formulated "13th Five-Year" development plan.
First, the guiding ideology
guided by the scientific concept of development, to deepen the reform of public hospitals, to build a harmonious society as the starting point, to achieve the technical level of Level 3B hospitals as the goal, adhere to the "people-oriented, honest service, hospitals to do better and stronger" general principle of hospitals, highlighting the "science and technology, human resources, and the development of hospitals. It focuses on the four strategic priorities of "developing hospital by science and technology, establishing hospital by talents, building hospital by quality, and strengthening hospital by management", promotes the simultaneous development of medical treatment, teaching and scientific research, establishes a medical service system that is compatible with the market economic system, with the society and the progress of science and technology, and with the public's demand for medical treatment and affordability, so as to provide high-quality and convenient medical services for the public, economic medical services for the masses to provide quality, convenient, and economic health care services, and make positive contributions to the healthy development of the health of Juyeo.
Second, the overall requirements
First, the hospital's functional positioning
Target positioning: based in Juno, facing the developed regions, "secondary hospitals with reference to the third level of management" as an opportunity to create a "third level" hospital.
Market Positioning: Ensure basic medical care and meet special needs.
Service orientation: people-oriented, to protect people's health as the center.
Technological positioning: people have expertise, section has characteristics, the hospital has a focus on comprehensive development, and gradually carry out the technical projects of tertiary hospitals.
Second, the development of ideas
According to the National Health Planning Commission, "three hospitals assessment standards and implementation rules", in accordance with the "moderate scale, do fine and strong, steady operation, horizontal collaboration, rolling development" of the overall idea, the implementation of "create a famous hospital, build a famous section, tree doctors The "brand" strategy of "creating a famous hospital, building a famous department, and establishing a famous doctor" has been implemented. Focusing on the basic medical services and special medical services for the population of 1.01 million in Juno County and the surrounding areas, the hospital strives to keep local patients out of the county and gradually expand its service radius to the surrounding areas. Adhering to the patient-centered and talent-cultivation-based approach, the hospital maintains and develops the characteristics of the original key specialties, promotes and builds a number of new key specialties and specialized treatment technologies, integrates the disciplinary structure, focuses on connotative construction, strives to improve the level of medical treatment, scientific research and teaching, strengthens the law, governs the hospital by morality, and comprehensively improves the ten major grades of talent, technology, scientific research, teaching, management, quality, service, culture, ecology and information.
Three.
Third, the hospital policy
1, adhere to the "people's health services, socialist modernization and construction" of the "two for" policy. Adhere to the purpose of running the hospital wholeheartedly for the people's health services.
2, in actively calling on the government to increase investment and support at the same time, but also based on self-reliance, take the road of self-survival, development and improvement.
3, with the scientific concept of development to guide the work of the hospital, in line with the changes in health needs, expanding the hospital's social responsibility.
4, in order to improve the quality of care as the core, playing the hospital brand, establish the hospital reputation, the hospital to do fine and strong.
5, to the management of efficiency, the hospital people, money and materials to implement a comprehensive scientific management, tap the inner potential, reduce operating costs, reduce the burden on patients, to achieve high-quality, efficient, low-consumption, convenient and comfortable service.
Fourth, the business model
Business model: the coordinated development of social responsibility and economic benefits, the implementation of the dean's system of responsibility, hospital management at two levels.
Business measures: rational process design, standardized service behavior, governing the hospital according to the law, managing the hospital with morality, and gradually forming a "rigorous management system, strict work standards, strict operational standards, strict evaluation and assessment, serious labor discipline, severe rewards and punishments. "The company's management system has been developed to meet the needs of the market and to meet the needs of the customers.
Business path: Grasp management, grasp talent, grasp innovation, grasp quality, grasp service, grasp the environment. Build learning, innovation, harmony, science and technology, saving hospital.
Third, the goals and tasks
First, the main goal
"13th Five-Year Plan" period, and strive to build a "reasonable overall layout, optimize the allocation of resources, leading disciplines, excellent medical technology, scientific research and teaching supporting the satisfaction of the medical service," a set of medical, preventive and treatment services.
Second, the main tasks
1, deepen hospital reform.
According to the General Office of the State Council "on the urban public hospitals comprehensive reform pilot guidance" (State Office of the (2015) No. 38) document spirit, actively carry out public hospital reform.
(1) Strengthen the performance appraisal, highlighting the indicators of job workload, service quality, code of conduct, technical competence, medical ethics and satisfaction, and linking the results of the appraisal with the personnel's job employment, title promotion, and individual remuneration.
(2) Strengthen the quality of medical care, enhance medical safety, and actively play the role of a third party to alleviate doctor-patient conflicts.
(3) Gradually establish a system of hierarchical diagnosis and treatment, strengthen the training of general practitioners, and build a hierarchical diagnosis and treatment model of primary care, two-way referral, emergency and slow treatment, and up and down linkage.
(4) The establishment of multidisciplinary comprehensive outpatient clinics, and the gradual realization of the functions of appointment booking, time-slot consultation, real-time monitoring of outpatient flow, staggered consultation, checking results*** enjoyment, and instant settlement of medical insurance fees.
(5) gradually improve the management of medication, the proportion of drugs is controlled at less than 35%, the unreasonable use of high-value consumables is strictly controlled, it is strictly prohibited to set income-generating targets for departments, and personnel remuneration shall not be linked to income.
(6) to strengthen the strong foundation project and the work of counterpart support, and actively sign support agreements with secondary hospitals in the county, such as the County Hospital of Traditional Chinese Medicine, Beicheng Hospital and so on.
(7) gradually carry out the technical projects of the tertiary hospitals, and actively implement the single disease, clinical pathway management model, so that no less than 100 single disease, clinical pathway to 30% of the discharged medical records.
(8) to further improve the zero-differential price sales model of drugs, breaking the mechanism of medicines for doctors.
(9) to strengthen the standardization of hospital information construction, and gradually reach the hospital information technology level 7 standards.
(10) Strengthen the construction of telemedicine system, and enhance the remote consultation, education and other service functions.
2, medical work
(1) to strengthen the construction of key disciplines, to achieve the "Triple B" hospital specialty technology level.
(2) the establishment of medical centers, the formation of special advantages. Such as oncology treatment center, rehabilitation medical center, emergency center, pain treatment center.
(3) to improve the clinical and medical technology business technology grade and technology content.
(4) gradually increase the technical manpower, basically to meet the requirements of the "three B" standard.
(5) to improve the quality of medical care and work efficiency, the indicators to meet the "three B" standard.
(6) Improve the quality of nursing care and synchronize it with medical development.
(7) to expand the development of clinical, medical and technical departments, with the laboratory as the center, the establishment of key laboratories.
(8) to ensure medical safety, no major medical accidents with primary responsibility.
3, scientific research and teaching
(1) to improve the level of scientific research in the direction of prevention and treatment of multimorbidity, common diseases, and difficult disease research.
(2) the number of topics and scientific research results have increased significantly. During the "13th Five-Year Plan" period to strive for the establishment of projects: provincial and ministerial level ≥ 1, hall and municipal level ≥ 10, each key specialties must have more than 1 scientific research topics. Scientific research achievements: provincial and ministerial level ≥ 1, departmental and municipal level ≥ 15. Published academic papers ≥ 60 per year.
(3) actively create a non-directly affiliated hospital of the School of Medicine, the establishment of a part-time clinical faculty with a master's degree or higher, deputy chief physician as the backbone, and strive to undertake the undergraduate senior theory teaching, clinical apprenticeship tasks.
(4) to grasp the continuing education, undertake the provincial and municipal level a number of Class I credits continuing education programs.
(5) strengthen on-the-job education, improve the overall quality of staff.
4, talent team building
(1) to establish the cultivation mechanism and incentive mechanism for outstanding talents. Emphasis on the construction of discipline leaders, planned selection, training, introduction of key discipline leaders, reserve key discipline leaders and professional and technical talents.
⑵ Strengthen the construction of talent echelon, optimize the personnel academic structure. After five years of hard work, so that the administrative staff, professional and technical personnel of the talent echelon and title structure tends to be reasonable, all types of personnel qualifications level to meet the requirements of the "Triple B" standard, to ensure the sustainable development of the hospital.
5, infrastructure construction
(1) actively prepare for the construction of a new hospital. According to the development needs of the hospital, another new site to build a new hospital, between Kirin Avenue and Youth Road, the western neighbor of the South Jiangsu Trade City. Covering an area of 173.8 acres. The first phase of the project is designed with comprehensive ward building, outpatient building, medical technology building, research and teaching building, logistics building and other functional buildings. The designed construction area is 127,000 square meters, with 1,200 open beds. The second phase of the project is designed with internal medicine system ward building, with a floor area of 60,000 square meters and 600 open beds. After the completion of all the projects, the total construction area will be about 190,000 square meters, and the total number of open beds will be 1,800. Make the scale and layout of the hospital more adaptable to the needs of modern medical centers, so that the process is convenient, functional in place, reasonable layout, and reserve space for development.
(2) the introduction of high, new, sharp medical equipment, the acquisition of digital large plate multi-function DR, Pate CT, blood analysis pipeline system, etc., to improve the utilization rate and intact rate of medical equipment.
6, the establishment of a perfect modern financial management system. Gradually realize the comprehensive budget management, medical service project cost accounting, disease cost accounting, bed days and consultation cost accounting and other management modes, to provide a scientific basis for leadership decision-making. Strengthen the price management of medical services, and strive to reduce operating costs, increase revenue and save money, business income strive to reach 500-600 million yuan.
7, improve the general logistics service system. Ensure safe production, ensure the normal operation of the hospital water, electricity, heating and supply of logistical materials, part of the department gradually implement socialized management.
8, to further strengthen the hospital information construction. Improve the outpatient medical record system, surgical anesthesia system, outpatient appointments, outpatient flow of real-time detection system, cardiac network system, outpatient infusion system, mobile checkups and other information management system, the basic realization of information technology hospital.
9, solidly promote the "quality nursing service demonstration project" activities. The company's goal is to provide a comprehensive coverage of quality nursing service wards. Strengthen the management of nurses practicing in accordance with the law, the licensing rate of 100%, the bed nurse ratio ≥ 1:0.4, the total number of nurses in the hospital and the actual number of open beds ≥ 1:0.6. Strengthen the training of specialized nurses, operating room, emergency department, supply room, ICU and other specialized nurses training rate of ≥ 20%, the rate of nurses post training of more than 95%. Expand the service area, the implementation of discharge patients return visit and continuation of nursing services.
10, strengthen hospital infection management. In-depth implementation of the "Hospital Infection Management Measures" and other laws and regulations, the establishment of a sound management system and various rules and regulations, to strengthen the real-time monitoring of hospital infections, effective prevention and control of hospital infections, improve the quality of medical care, to ensure medical safety.
11, strengthen the party building and group work. Clear ideological construction, organizational construction, style of construction, anti-corruption construction and system construction goals and tasks, adhere to the learning system and the "three meetings and one lesson" system; strengthen the spiritual civilization construction and "volunteer service" activities, to maintain the "provincial civilized unit". "Provincial civilized unit" honorary title; strengthen the construction of medical ethics, improve the quality of professional ethics of medical staff; strengthen the construction of hospital culture, build a harmonious and safe hospital, to ensure that the hospital healthy and harmonious development.
12, strengthen the management of labor union work. Give full play to the union's maintenance, participation, advice, education, four functions and trade unions to contact the workers' bridge, link role. Actively carry out the hospital affairs open, staff council system, collect rationalization proposals and "first to strive for excellence" and other creative activities, and further strengthen the democratic management.
13, strengthen family planning management. Further strengthen the management of the Department of Obstetrics and Gynecology and the ultrasound room, to eliminate selective termination of pregnancy and fetal gender identification. Continuously improve the rules and regulations of family planning, signing population target responsibility and personal guarantee, to ensure the smooth progress of family planning work in our hospital.
14, strengthen the comprehensive management, create a safe hospital. Actively carry out firefighting training, drills, and strengthen the daily management and maintenance of important facilities and equipment for safety production, and regularly carry out safety inspections of important departments and facilities such as fire monitoring rooms, pressure vessels, oxygen stations, dangerous goods warehouses, medical equipment, power distribution rooms, elevators, water, electricity, gas equipment, flammable and explosive, poisonous and narcotic drugs, and firefighting facilities, and timely investigation of potential safety hazards, to ensure that a safe and peaceful hospital is successfully
15, and gradually improve the social welfare of hospital employees.
16, improve the hospital's comprehensive satisfaction, establish a good social reputation.
October 2015
Thirteenth Five-Year Plan implementation measures and steps
To ensure the smooth implementation of the "13th Five-Year Plan", the following implementation measures and implementation steps have been formulated:
First, deepen the reform of public hospitals. Strictly in accordance with the spirit of the State Council (2015) No. 38 document and the implementation of higher requirements to ensure the smooth implementation of public hospital reform.
Second, the rational adjustment and configuration of medical resources, and further strengthen the connotation of the construction
1, rationally set up departments, to ensure the normal development of medical work. According to the Juno County health resources development plan, set up 25-33 clinical departments, 7-10 medical technology departments; the establishment of key disciplines 3-5, of which the provincial level 1, municipal 2-4 or more; key specialties 5-8.
2, improve and perfect the trauma treatment, tumor prevention and treatment, chronic disease diagnosis and treatment, minimally invasive diagnosis and treatment, imaging, testing, rehabilitation and other specialties, and in accordance with the actual situation of the hospital and the needs of patients to make timely adjustments, improvements, development.
3, unremittingly implement the "three" (famous doctors, famous department, famous hospital) strategy. First, the importance of innovation (including concepts, knowledge, technology, systems and other aspects of innovation), the implementation of the "famous doctor" project, accelerate the training and introduction of a large number of modern medical knowledge and skills of practical professionals, for the development of new technologies and new projects to provide a solid foundation for the development and application of new projects, thereby improving core competitiveness. The second is to adhere to the development direction of "specialization, precision, specialization and newness" and accelerate the construction of "famous departments". Aiming at new technologies and methods with high technological content, low investment, fast yield, high return and special features, we will create specialties with special features in the region, improve the popularity as soon as possible, and establish a specialty brand. The third is to lose no time to promote the process of modernization of the hospital, strengthen the basic management, pay attention to equipment renewal, optimize the quality of service, beautify the overall environment, in accordance with the "three B" standard, to accelerate the "famous hospital" construction.
4, taking into account the number of patients admitted, types of diseases, bed utilization, turnover rate and scientific research, increase staffing, so that it basically meets the requirements of the "three B" standard.
5, to strengthen the clinical medical department discipline construction. Advocating clinical departments to focus on scientific research, clinicians, "scholars"; medical and technical departments from the simple technical diagnostic auxiliary gradually to the direction of diagnosis, treatment, research and development of integrated.
6, strengthen the scientific research consciousness of medical staff, strengthen the science and technology is the guide, science and technology to promote the concept of clinical work, and actively carry out the declaration of scientific research projects, the implementation of scientific research supporting funds, the establishment of a special fund to give encouragement and support. Encourage the development of close integration with clinical research, with multiple diseases, common diseases, difficult disease prevention and treatment of research projects focusing on the direction, so that the hospital's scientific research to reach a new level.
7, the construction of a high-quality `staff team. According to the talent echelon construction and departmental construction, the introduction of high-quality, high-quality undergraduate graduates 10-15, master's degree or above 8-10 graduate students every year in a systematic manner; improve the standardized training of residents and nursing staff; do a good job in all types of health technicians credit system of continuing education; plan to send medical personnel with the potential for further study; planned arrangements for the administrative and logistical section of the cadres, employees Participate in academic education, job training, and constantly improve the cultural quality, theoretical level and professional and technical capabilities, better for clinical services.
8, and actively create a medical school is not directly affiliated with the hospital, training teaching ability of the backbone of the team, to do a good job in the medical school in the hospital's clinical teaching, clinical apprenticeships, internships, teaching work, high-quality teaching tasks.
Third, strengthen the hospital management, and further improve the social credibility
1, to hospital reform as an opportunity to conscientiously implement the relevant laws, regulations and technical specifications, establish and improve the actual hospital management system, strengthen the quality of medical care and medical safety throughout the management, strengthen the medical records, pharmacy, nursing, hospital sensory, imaging, testing, anesthesia, pathology and other eight quality control The system is a good way to improve the quality and safety of medical care.
2. All staff participate in quality management and emphasize target management and process management. Strictly implement the spirit of the National Health Planning Commission's "three-level hospital accreditation standards and implementation rules", take practical and effective measures to increase management and assessment efforts to strengthen the daily control of medical quality and medical safety. At the same time, it is necessary to carry out diagnosis and treatment activities in accordance with the relevant requirements of the state and the clinical paths, management of medical institutions and diagnosis and treatment technical specifications formulated by the provincial department, to strengthen the management of the rational use of antibiotics, to effectively rectify the situation of irrational use of medicines, irrational examination, and outpatient prescription, etc., and to make efforts to control the ratio of medicines to the reasonable use of medicines and reasonable examination. Strengthen the management of blood, to ensure the safety of blood, and effectively solve the problem of difficult and expensive patient care.
3, and actively implement advanced nursing concepts, nursing culture and nursing model, comprehensively carry out the "quality nursing demonstration ward", to ensure that the quality of nursing, technical level and medical synchronization development, to meet the needs of patients.
4, actively implement the system of hierarchical diagnosis and treatment, strengthen the training of general practitioners, and build a hierarchical diagnosis and treatment model of primary first diagnosis, two-way referral, emergency and slow treatment, and up and down linkage.
5, strengthen the foundation project, and actively establish collaborative relationships with secondary hospitals in the county, the implementation of manpower, technology and other aspects of counterpart support.
6, simplify the consultation process, convenient for the masses. According to the needs of patients, adjust the functional areas of the hospital; actively implement multidisciplinary integrated outpatient, appointment booking, fractional consultation and real-time monitoring of outpatient volume and other services, the establishment and improvement of the hospital's image recognition system, the outpatient hall set up a "one-stop" integrated service station; the channel set up a clear and clear indication of the signs of emergency, imaging, testing, The sign of the window section such as charging, dispensing and so on should be more eye-catching, so that each service object can smoothly find the target section.
Fourth, the solid promotion of quality nursing services, comprehensively improve the quality of nursing services
1, further implementation of the "Nursing Regulations", improve the access system for nurses, clear rights, obligations and practice rules for nurses, and enhance the legal awareness of nurses practicing according to law.
2, strengthen the nursing team construction. Implement the standards for nurse staffing, strengthen the manpower of clinical frontline nurses, and optimize the structure of the nurse team,
(1). Improve the total number of nurses team and nurse staffing. The ratio of total nurses to beds in the whole hospital reaches 0.6:1, the ratio of total nurses to beds in the ward reaches 0.4:1, the ratio of total nurses to beds in the ICU reaches 2.5-3:1, the ratio of nurses to beds in the operating room reaches 3:1, the ratio of total nurses to beds in the same room for mothers and babies, and the ratio of total nurses to beds in the neonatal nurses reaches 0.6:1, and the ratio of clinical first-line nurses to all the nurses in the whole hospital ≥95%; the establishment of the mobile pool of nurses, and the number of people in the mobile pool is 16% of the total number of nurses in the whole hospital. 16% of the total number of nurses in the hospital; realize the rational allocation of nursing human resources.
(2). Optimize the structure of the nurse team. Increase the proportion of nurses at the college level and above, and reduce the proportion of nurses at the secondary school level. The whole hospital college degree or above nurses ≥ 80%.
3. Improve the level of clinical nursing in the hospital. Solidly promote the "Quality Nursing Service Demonstration Project" activities, in all departments to deepen the "patient-centered" service concept, the full implementation of the responsibility system of the overall nursing service model, to provide patients with a full range of standardized nursing services. Strengthen the construction of nursing management informationization and improve the efficiency of nursing service. Improve the nursing service standards, norms, improve the nursing quality control and continuous improvement system, and gradually implement the return visit to the discharged patients and the continuation of nursing services.
4. Strengthen the training of specialist nurses and strive to provide specialized services for patients.
(1). According to the needs of clinical specialty nursing work, the nursing backbone is selected in batches and systematically sent to the specialty nurse training base training.
(2). Implement specialized nursing knowledge training within the hospital, focusing on strengthening the training of specialized nurses in special areas such as intensive care, emergency and first aid, blood purification, oncology, operating room, supply room, etc., focusing on the quality and effectiveness of training to improve the professional and technical level of the nursing team.
(3). According to the needs of clinical work, the establishment of relevant specialist nursing team, clear responsibilities, regular training, and gradually improve the nursing consultation system, to build a high-quality specialist nursing team, and strive to provide specialized nursing services.
5, strengthen the logistical support work, the establishment of a clinical support system, drugs by the pharmacy unified distribution to the department, temporary medical prescription drugs, a variety of specimens, report cards, etc. by the clinical support system is responsible for the time back to the nurses, the time to leave the patient.
V. Strengthen the hospital infection management, to ensure medical safety
1, strengthen the management of optimization of the workflow, the introduction of infection control management software, the realization of the data with the hospital management system **** enjoy. Against the standard refinement of quality control assessment standards, strengthen supervision and assessment.
2, strengthen the monitoring work, in the comprehensive comprehensive monitoring on the basis of targeted targeted monitoring. Such as bacterial drug resistance monitoring, neonatal targeted monitoring, surgical incision targeted monitoring, present rate survey, etc., no less than 2 per year.
3, strengthen the hardware construction
(1) according to the key departments of the new management of the construction requirements of the new hospital building layout renovation, so that the key departments, such as: operating room, ICU, endoscopy, dialysis, delivery room, neonatal room, etc. in line with the basic requirements of the infection management of the reasonable layout.
(2) Further improve hand hygiene facilities.
(3) Hospital infection management key departments, key parts of the environment in accordance with the category equipped with appropriate air disinfection facilities, so that all types of air environmental hygiene monitoring standards.