Part I community hospital performance appraisal program
In order to further deepen the reform of the internal operating mechanism of the hospital, the establishment of objective and fair appraisal, evaluation and use of cadres mechanism, to strengthen the management of the middle cadres, supervision, incentives and constraints, combined with the actual development of the hospital's assessment of the implementation of the program:
One, Basic principles
1, objective and fair, democratic and open, scientific and fair principles.
2, qualitative assessment and quantitative assessment principle.
3, work performance-based principle.
Second, the object of the assessment
The clinical department director (primary and secondary), head nurse (primary and secondary), medical technology, pharmacy department director, line, finance, after the functional department director (primary and secondary).
The assessment indexes are shown on the attached page.
Fourth, the organization and method of assessment
1, the assessment of middle-level cadres by the hospital performance appraisal leading group is specifically responsible for the director of the clinical departments (full, deputy), the head of nurses (full, deputy), and medical technology, pharmacy department director by the Medical Department, Quality Control, Nursing Department, Personnel Department, and the director of the line, financial, and post-functional departments (full, deputy) by the hospital performance appraisal team and the leadership in charge of the assessment. The assessment is carried out by the hospital performance appraisal steering group and the supervisors in charge. The company's performance appraisal is conducted quarterly and is usually completed in the first month of the next quarter.
2, by the assessment team according to the assessment form for the assessment, the results of the assessment by the team reported to the hospital performance appraisal office, and finally by the appraisal of the leadership review.
Fifth, the application of the assessment results
The assessment is divided into four grades: excellent, competent, basically competent and incompetent.
Excellent score: x points or more (including x points)
Competent score: x points
Basic competent score: x points
Incompetent score: x points or less
The results of the appraisal are linked to the cadres' personal honor, to the job allowance, to the cadres' selection and use, and to the selection of the year-end section of the first.
Sixth, feedback
The hospital office in an appropriate manner in a timely manner the results of the appraisal of the appraisal feedback to be assessed, in order to deficiencies in the timely rectification of the problem. Appraisal results for the "basic competent" and below, by the leader in charge of its admonition, two consecutive assessment results for the "incompetent" to give the removal, can not participate in the next round of the same level and above the appointment of the position.
If the appraisee has any objection to the appraisal result, he can apply for a written reconsideration to the appraisal and arbitration committee of the hospital within ten days from the date of notification.
Part II community hospital performance appraisal program
In order to further strengthen the hospital's system construction, strengthen the hospital management, clarify the work responsibilities, improve the quality of service, and establish a "patient-centered, quality-centered" purpose of hospital management. The hospital management tenet of "patient-centered, quality-centered" is established. Internal quality, external image, and further improve the social and economic benefits, and better complete the higher orders and the hospital's various tasks. Management standardization, institutionalization, procedural. Combined with the actual situation of our hospital, the hospital committee decided to develop this program on the basis of the District Health Bureau to develop performance appraisal.
I. Code of conduct.
(a) Code of Ethics
1, bearing in mind the purpose of wholeheartedly serving the people, establish a correct outlook on life, values, love for the Chinese ****anufacturing Party, love for the motherland, love for the people, love for the cause of health care.
2, advocating science, pioneering, cooperation, dedication, and consciously undertake to serve the people's health social obligations and responsibilities.
3, to comply with the technical standards of diagnosis and treatment, reasonable inspection, rational use of medication, scientific treatment.
4, abide by professional ethics, equal treatment, wholeheartedly for the patient service.
5, civilized medical practice, not to professional profit, not to the patient to ask for gifts, do not prescribe free-rider medicine, free-rider inspection, refused to accept the "red packet", consciously resist a variety of commercial bribery.
6, focusing on doctor-patient communication, to protect the patient's right to information and privacy, care, love, understanding and respect for patients.
7, abide by the law, abide by the scope and type of practice, objective, truthful, timely writing of medical documents, according to the law issued by the relevant medical certificates, in accordance with the law to carry out diagnostic and therapeutic activities.
8, study diligently, study business, and constantly improve the professional and technical level and service level.
9, to fulfill their duties, at any time to accept the response to emergencies medical treatment instructions and obligations.
10, fulfill social obligations, actively participate in social welfare activities, publicize and popularize health care knowledge.
(B) Code of Conduct
1, in the medical premises or diagnostic and treatment activities should be dressed in work attire, wearing a badge (marked name, department, position or title, etc.).
2, the instrument is dignified, neatly dressed. Male medical personnel do not have a beard, long hair, do not wear undershirts, shorts, slippers, etc.; female medical personnel do not wear heavy makeup, do not keep long nails, dress taboo thin, dew, through.
3, advocating the use of Putonghua, language, gentle, clear, friendly, colloquial, the use of honorifics.
4, the use of civilized language.
5, no non-medical activities during the work period, no loud noise, crowd chatting, no smoking in the medical premises and public **** place. It is prohibited to engage in medical activities after drinking.
6, consulting patients with a kind attitude, natural demeanor, kind and patient, elegant demeanor.
7, diagnostic and treatment behavior reflects humanistic care, attention to the protection of patient privacy, before and after the examination of standardized hand washing, winter to warm hands after the examination.
8, the strict implementation of medical quality, medical safety and medical care core system.
9, objective, true, accurate, timely, complete writing of medical documents, shall not be altered, forged, hidden, destroyed medical documents and related information.
10, experimental clinical medical, need to be approved by the hospital and consent of the patient or family, and sign the informed consent.
11, in the event of medical disputes in medical activities, medical staff must immediately report to the department responsible for the report, and at the same time in accordance with the law and procedures, and patiently explain to the patient to prevent intensification of the conflict.
12, strict implementation of the "Regulations on the Management of Medical Waste", "health care institutions, medical waste management approach. Medical waste must be categorized and disposed of, discarded needles, razor blades and other sharps disposed of in a special sharps box, dressings, cotton balls, cotton swabs, etc. disposed of in an airtight container lined with a yellow plastic bag; susceptible to infectious diseases after the use of patients with dressings, cotton balls, etc. disposed of in a double-layer yellow plastic bag and to be a warning sign.
Second, attendance, off-duty system.
The hospital implemented a combination of regular attendance and irregular spot checks. Early x points, x points off, x points in the afternoon to work, x points off. Roll call not to be late, every time you find a deduction of the parties x points. x days off work per month, with the consent of the Section Head. Members of the House Committee will turn in off-duty slips to the House office. On duty personnel spot check twenty minutes not on duty, according to the off-duty treatment, such as cumulative absenteeism x times deduction of the party's performance pay for the month.
Third, the duty period is prohibited to engage in recreational activities, such as: playing cards, playing mahjong, such as found a deduction of the person x points.
Work time is not allowed to do private work, such as the discovery of the deduction of the person x points. The hospital employees due to work or other reasons for quarrels, listen to persuade the person is not pursued, if you do not listen to dissuasion, gradual escalation of people inside and outside the hospital participants, do not ask who is who is right and wrong, the two sides are suspended from work, where the hospital fights and brawls, disturbances, deduction of the parties involved in the performance of the month's salary. The disobedience of the management of the town government, the District Health Bureau to deal with the consequences.
Fourth, the collection room for the clinical department collection of legitimate section, found that other sections of the collection for private collection, found a deduction of the parties involved in the month performance pay.
Suspension of inspection reported to the town discipline inspection committee, the Health Bureau discipline inspection committee to deal with, serious to be removed. The collection room should be strictly in accordance with the provisions of the Provincial Price Bureau of collection, collection of invoices, the project must be filled in full fill in clear, to prevent the opening of false invoices, who violated the provisions of all the consequences arising from their own. Each section of the daily accounts, a day a clear.
V. Health system.
1, the medical staff should set up a civilized, hygienic style, to do hard cleaning, hard to organize, to keep indoor and outdoor clean.
2, active maintenance of public **** property and office hygiene, do not throw confetti, peel, spitting, indoor and corridors are not randomly placed debris.
3, the hospital health implementation of zoning management system, the health district by the hospital office unified division to each section, and responsibility to the person, the health area should be kept clean.
4, every Monday or Saturday, the hospital office will organize health inspection team members section by section inspection, the month, such as the discovery of three cleaning is not thorough, deduct the section responsible for the month of the performance of the person 50%, deduct the section of the personnel of the month performance of the salary of x%.
Sixth, the drugstore, Chinese and Western pharmacy is the economic importance of the hospital.
Non-section personnel are not allowed to enter and exit. Drugs should be categorized and placed, keep clean, similar drugs advanced first sale, the recent expiration of the timely registration, reported to the person in charge of the drugstore, while reporting to the dean's office. Pharmacy microcomputerized management, from time to time to check the drugs, found that the shortage of drugs, deduct the section of all the personnel of the month performance salary.
Seven, strict financial management, the implementation of the dean of the financial pen.
All expenses reimbursement are signed by the dean can be reimbursed, without the dean's signature anyone shall not casually withdraw cash. Otherwise, deduct the financial section of the performance of the month's salary.
Eight, marriage leave x days (including six days off work), half a month of bereavement leave, maternity leave of six months, and other relevant documents.
Sick leave, accidental injury compensated by the other party, no wages during the off-duty period. After investigation and verification, it is sick leave, wages are issued, no bonuses, no roll-call fee, sick leave wages for the district finance monthly amount allocated to each person. Where fraud, open false medical records, once found and verified, in addition to the suspension of wages, and the District Health Bureau to deal with. No wages during the leave of absence, the total monthly salary in addition to x days, off a few days to deduct a few days.
Nine, before the xth of each month, the person in charge of each section of the next month scheduling table in duplicate to the hospital office for finalization.
Otherwise, the person in charge of the section x points.
Ten, the department of medical malpractice.
The section bear x%, the rest of the workers bear x%, the hospital bear x%, such as personal reasons for not working seriously all the consequences of their own, the hospital is not responsible for.
xi. The hospital agreed to send advanced training personnel.
x yuan per month.