The work plan is a wide range of administrative activities in the use of important documents, but also the application of writing a heavyweight, the following to share with you the work plan of the maternal and child health center, welcome to learn!
The work plan of the maternal and child health care hospital 1With the third level of maternal and child health care hospital accreditation standards as a working guide, around the patient-centered, continuous improvement of quality, to ensure medical safety as the theme, to carry out the work of the various medical care in earnest. Through the "new two program" maternal and child health indicators, solid and steady promotion of maternal and child health livelihood projects and public **** health and major public **** health service projects.
First, the guiding ideology
Hospital work should be based on the Commission on Health and Planning, "Maternal and Child Health Care Institutions Management Measures", "Medical Institutions Management Regulations" and "three-level Maternal and Child Health Care Hospitals in Anhui Province level review rules", continue to deepen the reform of public hospitals. Adhere to the patient-centered, constantly improve the quality of medical services, and comprehensively strengthen the construction and development of the hospital.
Second, the objectives and tasks
Continuously strengthen the construction of the party style and clean government, tamping the cornerstone of the construction of the wind, strengthen the construction of medical ethics, public hospital reform as a grasp, combined with the "three good and one satisfaction" activities and the city's health work in 20xx the target task and other specific requirements to carry out solid work. Specific requirements to carry out work. Dean as the first responsible person is responsible for the overall responsibility, deputy secretary, vice president and relevant functional departments responsible for the implementation of the implementation of the specific. The actual work requires each department to have a plan, implementation, records, timely feedback on problems arising in the supervision, timely coordination and resolution, to ensure the smooth implementation of the annual work plan. The implementation of unfavorable personnel will take accountability system, until the removal.
Three specific requirements
(a) party political affairs
1 deepen the construction of the party style and the construction of the wind, and constantly improve the level of medical morals and professional ethics of medical staff. By adhering to the "three meetings and one lesson" system and the organ political learning system, to improve the party cadres and the majority of health care workers to resist corruption.
2. Strengthen the construction of the wind, the development of practical corrective measures to ensure that the implementation of the content of the commitment to medical services. Requirements for medical personnel to firmly establish the purpose of wholeheartedly serving the people, and promote the spirit of dedication.
3. The implementation of the main responsibility to correct the damage to the interests of the masses of prominent issues, the implementation of the "eight provisions", to create a clean development environment, in order to stimulate the workers love hospitals, love jobs, love the patients of the ideological feelings, mobilize the enthusiasm and creativity of all hospital workers, the hospital work to a new level.
4, and actively implement the hospital affairs open system, improve and perfect the effective internal and external supervision mechanism, to ensure that the hospital sustained, steady development.
(2) organ functions, general affairs and defense work.
1, the organs of the functional departments to closely reflect the management, service, protection of the three functions, effectively around the clinical front line of work, and put an end to pulling, shirking the phenomenon and departmental supremacy behavior. Let the patient and staff satisfaction.
2, the line of security departments to do a good job in the hospital logistics, always pay attention to the hospital water, electricity, gas safety conditions, especially the safety of pressure vessels. To do a good job of communication and coordination with the property, clinical logistics services should be guaranteed at all times. Security personnel must seriously do a good job in the hospital fire and burglary publicity, supervision, inspection work, to achieve a combination of technical and human defense, and effectively protect the lives and property of patients in the hospital. Comprehensive management of legal training work does not relax, in line with the medical dispute complaint processing to do a good job of stability.
(C) medical basic work
Continue to create a third-class maternal and child health hospital work as the goal. To grade hospital review requirements as a blueprint, the organization of the medical quality of each department to carry out self-corrective activities, focusing on the implementation of the core system of medical quality inspection, to protect the hospital medical safety.
1, increase the quality of medical care and medical safety supervision, strict implementation of quality assessment and rewards and punishments.
1) the implementation of the whole process of quality control, strengthen the basic quality of the key links, key departments, important positions, such as: operating room, delivery room, neonatal ward, infusion room and laboratory and other in-depth departments, through the inspection, analysis, evaluation, feedback and other measures to carry out continuous improvement of medical quality. According to the 20xx medical quality and medical safety supervision and analysis results, combined with the actual implementation of the rewards and penalties, need to be in the first quarter of 20xx re-revised in July 20xx formulated "medical quality and safety assessment rewards and penalties", to increase the rewards and penalties, to ensure that the quality of health care continues to improve.
2) continue to increase the "three reasonable" supervision, 20xx reasonable inspection, rational use of medication, rational use of consumables management efforts, but the work did not take off, especially rational use of medication, the rational use of consumables supervision is not strong, the use of antimicrobials and medical supplies accounted for a high proportion of the clinical use of medication reasonableness and standardization and many other prominent problems. and standardization and many other prominent problems, it is urgent to develop strict incentives and penalties, plans for the first quarter of 20xx, the development of a specific improvement program and hospital performance appraisal scores linked to the content of the fight to reduce and be able to achieve certain results.
3) improve the clinical path management, in 20xx five clinical disciplines to carry out 17 types of diseases, 1026 cases of clinical path management based on the implementation of the hospital in 20xx 57 types of clinical path management full coverage. Improve the relevant system, strict implementation of incentives and penalties, monthly supervision, quarterly and performance appraisal linked.
4) Strengthen clinical blood transfusion management. According to the "Clinical Blood Transfusion Technical Specification", combined with the actual situation of clinical blood transfusion in our hospital in 20xx and the problems existing in the supervision of the City Clinical Blood Transfusion Quality Control Center, to further strengthen the mathematical knowledge of the medical staff training, focusing on the management of clinical blood use indications, the process of transfusion, and evaluation of the efficacy of the post-transfusion treatment. Quarterly clinical blood special inspection, timely analysis and evaluation of the summary, inform the results of the inspection, the development of rectification programs, continuous improvement, to ensure the safety of clinical blood.
2, strengthen the discipline construction supervision work
In accordance with the business development planning of the hospital discipline construction work requirements, focusing on the implementation of some of the secondary disciplines to form and provincial key disciplines to declare the work:
1) continue to carry out the construction of the secondary disciplines, in accordance with the development of each of the secondary disciplines of the work steps in 20xx, and actively assist the disciplinary leaders to complete the development of various disciplines in the work Talent echelon training, application of technology projects and other specific issues.
2) to strengthen the construction of key disciplines, the first quarter of 20xx to assist neonatology to complete the key disciplines in Anhui Province to declare work.
3) strict implementation of continuing medical education system, with the disciplines to complete six municipal continuing medical education training courses. In accordance with the training program, to ensure that the training time and quality of training, the end of the training should be on-site examination after passing the entry of relay information.
3, "three basic" training and assessment
1) the first half of 20xx to complete the basic knowledge and basic theory training and assessment, the second half of the organization of a basic skills training and assessment
2) the first half of the organization of a core medical system of knowledge competitions, through the competition activities. Improve the initiative of medical staff to consciously learn the core medical system, and skillfully use the content of the eighteen core medical system to carry out various medical activities, and promote the continuous improvement of medical quality.
4, foreign medical cooperation
Strengthen the medical consortium under the framework of cooperation, and constantly expand the field of business cooperation, and rapidly improve the technical level of the hospital's various specialties.
1) Continue to promote comprehensive cooperation with the Department of Pathology of the First People's Hospital of Huainan City, cultivate the technical team, and dynamically monitor the effect of training and timely improvement.
2) Expand the field of cooperation with other disciplines of the First People's Hospital of Huainan City, and establish a close business relationship, i.e., responsibility and interest***similarity. Continue to strengthen and Anhui Children's Hospital collaboration
3) in the continuation of business cooperation in various disciplines 'at the same time, 20xx to strengthen the cooperation of scientific research projects, plans to carry out "congenital hip dislocation of clinical research" project cooperation.
4) do a good job of counterpart support work, in 20xx consolidate counterpart support Sanhe Township Health Hospital pediatrics, obstetrics and gynecology and ultrasound on the basis of all the work in 20xx, 20xx to carry out the management of hierarchical diagnosis and treatment, appointment booking and two-way referral work.
(D) the basic work of nursing
1, to strengthen the quality of care and safety management, and continue to improve the quality of care services, to ensure the safety of care
The quality of care management is the eternal theme of nursing management, is the core content of nursing management. In the nursing work in 20xx, the nursing department will be carefully assessed, analyzed, evaluated and rectified against the quality assessment standards, reflecting the continuous improvement and the implementation of target management.
1) the organization of nursing quality management committee assessment team members quarterly hospital nursing quality supervision, and summary, notification, performance cash; the nursing unit monthly nursing quality self-inspection, timely rectification of existing problems tracking, timely revision of nursing quality standards ("nursing quality assessment and rewards and punishments", improve the system, norms, and put forward measures for improvement, to promote the quality of nursing care. Continuous improvement; increase the head nurse night checkups, to protect the quality of night shift and mid-shift nursing.
2) Do a good job of nursing quality management of key links, key time, key populations, key departments (sterilized supply room, operating room, neonatology, labor and delivery room, etc.), the Department of Nursing will be from time to time under the supervision of the department, to ensure nursing safety.
3) further increase infection control, strict compliance with the implementation of disinfection and isolation system, strengthen occupational protection, to protect the safety of nursing staff, and to do a good job of disposable items, the management of medical waste, the use of, and disposal. Proposed to set up a hospital-wide nursing emergency response team to protect the implementation of emergency response plan.
4) to establish and improve the patient risk assessment system, timely assessment of high-risk patients with falls, bed falls, pressure sores and other high-risk patients, to take effective measures to prevent unintentional injuries. Gradually establish various nursing quality sensitive indicators to guide clinical nursing work. Continue to play the role of the static treatment team, to protect the quality and safety of intravenous therapy in the hospital.
5) to strengthen the management of critically ill patients and nursing adverse events, to encourage the behavior of adverse events reported on their own initiative, the reported critical patients and adverse events of the nursing department in a timely manner down the ward to coordinate the processing.
6) do a solid job of nursing medical records of the three levels of quality control work, regular nursing record defects analysis and improvement, improve the quality of medical record writing. Strengthen the management of medical equipment and emergency medicine, responsibility to a person, clear duties, at any time in a standby state.
2, strengthen the connotation of quality care, the implementation of the responsibility system overall care
The implementation of the "patient-centered" service concept, in accordance with the graded care, specialty care standards, the implementation of the responsibility system of overall care, strengthen the health education, for patients and their families to provide safe, quality, efficient and satisfactory service.
1) Strengthen nursing human resources management, the implementation of nurse position management, the hospital's clinical care to take a hierarchical APN scheduling system, as far as possible to meet the needs of clinical nursing work.
2) in order to further increase the assessment of quality nursing service work, will be regularly convened by the head of the nurses thematic meetings, public holiday symposium and opinion book summary, widely listen to the views of all aspects, through continuous summarization of the improvement of clinical nursing work, improve service attitude, improve service quality, so that the majority of patients to achieve satisfaction.
3, strengthen the nurse position management, performance management
1), further implementation of the nursing staff stratified management, nursing job requirements and nursing staff capacity corresponds to the embodiment of the "people make the best use of their talents, talent," the employment mechanism, to provide patients with a higher level of professional nursing services.
2), improve and refine the workflow, the system, standards, responsibilities, routines, norms, etc. through the process into the process to strengthen the details of management, so that nurses work with the implementation of power and operability.
4, strengthen the head nurse, nurse work ability training, and effectively improve the overall quality of the nursing team
1) 20xx will increase the assessment of the work of the head nurse. Nursing system, duties, processes, emergency plan training and other content added to the head nurse assessment. Encourage the head nurse to actively participate in various forms of learning and improve the level of education and management level.
2) Strengthen the training of specialized nurses, arrange for further training to accelerate the construction and development of specialized nursing; improve the level of specialized nursing care for high-risk pregnant women and high-risk children. Give full play to the leading role of nursing backbone, specialized nurses and nursing service stars.
3) Nursing business learning and training objectives are clear, around the "lack of what to learn (training) what", emphasizing the effectiveness. According to the nurse layered training program, seriously revise the nurse layered management and assessment. Through the hospital purchased the three basic examination question bank system, focusing on strengthening the new nurses, low seniority nurses assessment efforts.
4) Organize two municipal nursing relay courses.
5) Strengthen the interns (advanced students) to lead the work of teaching, requiring a teacher (nurse) a lifetime system.
5, innovative thinking to carry out nursing work, support the departments to carry out new work
Strengthen the nurses new theories, new knowledge, new technology learning, to explore the extended nursing service model, to encourage the development of new work in various departments, 20xx strive to carry out new work projects in the following departments:
Pediatrics:
1, to strengthen the construction of intensive care specialties.
2, carry out medium and long catheter indwelling technology.
Neonatology: the establishment of patient WeChat group, grasp the prognosis of children.
Operating room: carry out blood gas analysis
Gynecology: pelvic floor muscle function forging
Obstetrics: outpatient: pregnancy network management, the establishment of the second-child consulting clinic
Rehabilitation Center:
1, the creation of a model school for pregnant women
2, the expansion of early education
3, to carry out the treatment of expectant mothers to remove the wrinkles
(E) livelihood projects and the equalization of basic health services
1, the "two programs" work as the main line of work, to promote the "two programs" to implement the implementation of the "two programs", the implementation of The "two programs" indicators, to complete the "two programs" indicators of the assessment.
2, continue to implement the "improve women's and children's health" provincial people's livelihood projects, increase social publicity and mobilization, optimize the service environment and service processes, and further strengthen collaboration with civil affairs and other departments, the city's marriage examination rate of more than 90%, complete the higher level of the marriage examination task. Rural hospitalized childbirth subsidies to do should be compensated, complete the 20xx subsidy task.
3, the implementation of basic public **** health services and major public **** health services project work, to promote the gradual equalization of maternal and child health services.
1) 20xx continue to do a good job of promoting maternal and child health care system management "demonstration counties and key counties" work to further improve maternal health management, 0-6 years old children's health care health management. We will ensure that the coverage rate of the "two controls" reaches more than 90%, and that the rate of maternal health care and systematic management of health care for children under the age of 3 reaches more than 85%. Continue to carry out hearing screening, newborn genetic metabolic disease screening, prenatal screening.
2) rural women of childbearing age folic acid supplementation service standardization, to further improve the distribution of rural women of childbearing age folic acid supplementation, to ensure the completion of the task issued by the provincial Department of Health.
3) Strengthen the maternal and child health monitoring program and prevention of mother-to-child transmission of AIDS, syphilis, hepatitis B project management.
5) continue to carry out maternal deaths and newborn deaths assessment, maternal critical illness monitoring, and strive to reduce maternal mortality rate, to achieve the institutionalization and standardization of maternal deaths assessment.
6) Continue to carry out free "two cancers" screening program for rural women aged 35-64.
7) Strengthen supervision, continue to grasp the construction of obstetrics, and further reduce the cesarean section rate, and strive to reduce to 30%.
(F) hospital infection prevention and control management and preventive health care
Hospital infection management part:
1, improve the hospital infection management system, the implementation of quality control, and strengthen the infection monitoring work.
1) give full play to the role of the three-level hospital infection management system, seriously implement the hospital infection management meeting system, quarterly compilation and printing of a "hospital infection information feedback" on the last quarter of the hospital infection of the monitoring index data, hospital infection medical records inspection and hospital infection disinfection and isolation inspection of the situation of statistics, summary and timely feedback. Specific problems exist in the department to develop corrective measures. The results of the inspection are linked to the performance of the department.
2) actively assist the Medical Department, Pharmacy Department to do a good job in the rational use of antimicrobial drugs supervision and management, and do a good job of pathogenicity monitoring. Strengthen the supervision of multi-drug resistant bacteria monitoring, so as to strengthen the awareness of each department's pathogenicity monitoring, and early detection of the prevalence of multi-drug resistant bacteria. We seriously do a good job in the supervision and management of purchased disinfectant medicines and disposable medical and hygienic supplies, and continuously carry out the monitoring of environmental hygiene and disinfection and sterilization effects of hospital infections. Through the monthly statistics and summary of nosocomial infection cases in all departments of the hospital, we urge clinical departments to report and summarize nosocomial infection cases and give timely feedback to clinical departments.
2, strengthen the key departments of hospital infection management, strengthen the medical staff hand hygiene.
1) In accordance with relevant national laws and regulations to develop key departments to prevent, control hospital infection system, and seriously implement, supervise. Adapt to the relevant national policies to strengthen the management of hospital infection in key departments such as maternity wards, mother and baby same room, abortion room. Strengthen the supply room management. In particular, the organization, equipment and quality construction are further enriched in place. Initiate the disinfection and sterilization work with the disinfection supply room as the central link. Regular or irregular infection quality supervision of the hospital departments of the hospital infection link quality inspection and assessment.
2) continue to implement the hand hygiene management system for medical staff, strengthen hand hygiene publicity, education, training activities, enhance awareness of the prevention of hospital infections, regular or irregular monthly spot checks on medical staff hand hygiene knowledge, hand hygiene implementation, to ensure that the effect of hand washing and hand disinfection.
3, to carry out hospital infection knowledge training, improve the awareness of hospital infection prevention and control
Organization of the hospital infection management team to participate in various types of training courses on hospital infection control and management, and strive to improve the level of business and their own qualities, to improve the level of hospital infection management. For the whole hospital to develop a hospital infection knowledge training program and for the training content, the hospital infection management knowledge test.
Preventive health care:
1. Strictly implement the relevant provisions of infectious disease reporting.
Strict management of infectious disease outbreaks, do a good job of infectious disease report card registration, direct network reporting and storage. The company has been actively carrying out knowledge training on standardized reporting of infectious diseases and the assessment of knowledge of infectious disease prevention and treatment in the hospital. Arranged in advance of various holidays infectious disease reporting work, and daily verification of outpatient logs, medical records, timely detection of infectious disease underreporting, quarterly and annual analysis of infectious disease outbreak analysis report.
2, do a good job of infectious disease detection, virus sampling and flow transfer work.
Timely and good hand-foot-mouth disease pathogenetic sampling and sent for testing; carried out AFP-related case monitoring and ten-day report. 5-10 months, to do a good job of intestinal infectious diseases and fever patients blood malaria microscopy work. As a free voluntary screening site for AIDS, we did a good job of free AIDS screening and registration of case questionnaires. To do a good job in testing and reporting of sexually transmitted diseases. Do a good job of disinfection and isolation of wards to prevent cross-infection of such diseases in the hospital.
3, preventive health care and other related work.
1) actively carry out a variety of anti-disease publicity day publicity activities (3.24 tuberculosis day, 4.25 immunization publicity day, 4.26 malaria prevention and treatment day, 12.1 World AIDS Day) and for different seasons of different diseases of health knowledge missionary work.
2) To do a good job in our hospital death, tumor case registration, reporting and management of death report card.
3) To do a good job of vaccine receipt and issuance, preservation and timely entry and reporting of various reports and cold chain management. Completion of the first injection of hepatitis B, BCG vaccination free of charge within 24 hours of delivery of newborns in our hospital.
(7) Strive to 0xx year the hospital diagnosis and treatment, hospitalization in the existing environment to continue to maintain the level of the previous year, so that the hospital social benefits continue to grow steadily.
The work plan of the maternal and child health hospital 2According to the maternal and child health work target task requirements, in order to continue to optimize the maternal and child health work environment, to further strengthen the grass-roots maternal and child health foundation work, strengthen the ideological concept of the staff and the concept of service education, and effectively grasp their own connotation of the construction, and strive to build a vitality of the work of the operating mechanism, and constantly improve maternal and child health care. The quality of service and the two benefits, and actively complete the work of maternal and child health care quality indicators, from the actual situation in the county to develop a work plan.
First, 20xx years of maternal and child health main work indicators
1, maternal mortality rate control in 30/100,000; infant mortality rate & lt; 25 ‰, the mortality rate of children under the age of 5 years & lt; 30 ‰;
2, maternal health care coverage & gt; 70%, maternal hospitalization and delivery rates >80%, 100% of high-risk maternal hospital delivery rate;
3, early pregnancy card rate: 45% in rural areas, 70% in urban areas.
4, 0-3 years old children's department tube rate & gt; 75%; children under the age of 7 years old health care coverage & gt; 80%; frail children management rate of 100%;
5, birth defects monitoring coverage of 100%; birth defects incidence of & lt; 14 ‰;
Second, the main requirements
1, continue to improve the quality of life of the children's health care system. >
1, continue to strengthen the "Maternal and Child Health Law" and implementation measures and other laws and regulations to further enhance the understanding of maternal and child health, and effectively strengthen the leadership and organization of maternal and child health work.
2, to strengthen the management of the law, adhere to the law practice, according to the law, services, licensed, strictly abide by the maternal and child protection ship treatment, care work norms and operating procedures, to ensure that the mother and child safety and health.
3, strengthen the standardization of outpatient construction. To actively create conditions to complete the creation of perinatal health care standardized clinics and children's health care standardized clinics, other townships should also actively do a good job of creating.
4, strengthen and improve maternal and child health information management, perinatal care ship children's health gradually implement computerized management. Guidance and management of maternal and child health statistics; to strengthen the management of the "birth medical certificate" to achieve a person in charge. The three copies of the Birth Certificate must be signed by the mother herself.
5, maternal system management, child system management to grasp, grasp, grasp, the quality and level of work to a new level, the two system management rate to ensure that the indicators issued by the higher authorities.
6, timely grasp of the dynamics of women of childbearing age, to further improve the management of accounts, effectively grasp the pregnancy and birth of newborns, to improve the rate of early pregnancy card, 42-day newborn card rate and system management rate.
5, strengthen the high-risk maternal follow-up management, improve the quality of high-risk screening at the county level, and improve the maternal high-risk screening register, consultation, reporting, tracking and closing system. Strengthen hospitals and health care institutions, management of heavy high-risk pregnant women, strictly prohibit township health centers to intercept high-risk pregnant women.
6, calling on health administrative departments to strengthen the construction of obstetrics departments of designated midwifery units, and improve the level of critical maternal and newborn resuscitation; strictly prohibit illegal midwifery in rural areas, and effectively control and reduce the maternal mortality rate and neonatal mortality rate.
7, strengthen the frail children, high-risk children screening, grading management, to do a good job of frail children, high-risk children screening, registration, and fill out the list of frail children table.
Third, do a good job of publicity, education
1, increase the "Maternal and Child Health Law" and eugenic knowledge of publicity, production of publicity materials, and strive to create an atmosphere of concern for the whole society maternal and child health care, and to promote the implementation of eugenic measures.
2, through the radio, television, distribution of publicity materials, the township maternal and child health specialists and village health room personnel training and organizing personnel to go to the countryside and households to promote the "rural maternal hospital delivery subsidies," the relevant policies, so that every rural pregnant women can enjoy the government's care, so as to improve the county's rural maternal hospital delivery rate to reduce the maternal mortality rate.
Efforts to promote premarital health care work, strengthen the importance of marriage health work publicity, take the initiative to strengthen communication with the civil affairs department and the local government, and actively strive for government preferential policies, to obtain government support, to achieve the marriage inspection and examination of the government to pay, and efforts to develop the new marriage insurance ship eugenics services, and conscientiously do a good job of pre-marital medical examination work to improve the rate of marriage examination.
Four, strengthen the management of children in childcare institutions.
1, child care institutions, child care institutions, to increase publicity, seriously do a good job of initiating and organizing the work, and strive to improve the quality and level of health care, expanding the social and economic benefits of child care.
2, this work should be carefully organized, enthusiastic service, careful inspection, scientific guidance, timely treatment, timely feedback, and constantly improve the quality of inspection, for the inspection of problems arising in a timely manner to propose interventions.
3, to strengthen the monitoring, management and supervision of health care in child care institutions, children enrolled in health checks.
Fifth, outpatient medical treatment
Actively applying for maternal and child health clinics, the two systems of management work screened frail children, malnourished children, iron-deficiency anemia children and pregnant women, high-risk pregnant women, etc. timely treatment, in accordance with outpatient medical treatment norms and requirements of active medical work, so that preventive health care and treatment combination The company is also working to improve the quality of its services and increase its revenue.