Hengzhengban [2003] No. 56
County municipal people's governments, development zones, municipal departments:
Hereby, Hengshui City Urban Community Health Service Organizations Management Measures (Interim) is hereby forwarded to you, please conscientiously implement.
The counties and municipalities in accordance with the interim management approach, community health services into the community construction of unified planning, and effectively strengthen the leadership and supervision and management, pay attention to the typical, and comprehensively create a new situation in the city's community health services and community construction.
October 19, 2003
Hengshui City, urban community health services management approach (interim)
Article 1 In order to strengthen the standardized management of urban community health services, improve the community health service system, to protect the health of community residents, according to the State Council's "Regulations on the Management of Medical Institutions," the General Office of the State Council forwarded by eight ministries and commissions, "on the reform of the medical and health system of the town". Medical and health system reform of the guiding opinions" and the provincial health department and other ten departments issued by the "Hebei Province, the development of urban community health services in the implementation of the views", combined with the city's actuality, the development of this approach.
Second Article This approach applies to the city's urban community health service organizations.
Article 3 urban community health service organizations is to maintain and promote the health of urban community residents, in order to solve the main health problems in the community, to meet the needs of the residents of basic health services for the purpose of providing prevention, medical care, health care, rehabilitation, health education and family planning technical services and other integrated services, non-profit grass-roots health institutions.
Article 4 The municipal health administrative department is responsible for the supervision and management of urban community health service organizations. District-level health administrative departments are responsible for the supervision and management of community health service organizations established by medical institutions under their jurisdiction. Community management departments exercise supervision and the right to recommend the abolition or establishment of community health service organizations under their jurisdiction.
Article 5 The construction of community health service organizations is an important part of community building, health services is an important part of community services, community building offices at all levels, street offices, neighborhood committees should actively cooperate with and support the health administrative departments and community health service organizations to do a good job of community health services in order to make the community health services work smoothly and healthily.
Article 6 Community health service centers (stations) at all levels accept the leadership of the health administrative departments at the same level, and accept the supervision and guidance of the community building offices at the same level, street offices and neighborhood committees in their communities.
Article 7 The setting of community health service organizations shall be in accordance with the "Hengshui City Urban Community Health Service Organization Setting Plan" and the "Basic Standards for the Setting of Urban Community Health Service Organizations in Hebei Province".
Article 8 Approval authority for the setting up of community health service organizations.
Municipal medical institutions and outpatient clinics set up community health service institutions according to the plan, the municipal health administrative department for approval;
Medical institutions under the jurisdiction of Taocheng District health administrative department, namely: Hengshui City, Hengshui City, the Second People's Hospital, Hengshui City, Hengshui City, Fifth People's Hospital, Taocheng District, Maternity and Child Health Center and the district health administrative department of the approval of individual clinics in accordance with the provisions of the community Scope of the approval of the establishment of community health service institutions, first by the district health administrative department for initial examination, and then reported to the municipal health administrative department for approval.
All approved community health service organizations shall be reported to the provincial health administrative department for record and copied to the community building office at the same level.
Article IX units or individuals to set up community health service organizations, must be in accordance with the provisions of Article VIII of these Measures, the authority to apply to the administrative department of health, the approval of the establishment of the issue of "setting up community health service organizations approved".
Article 10 Application for the establishment of community health service institutions, the following materials need to be submitted:
1, application for the establishment;
2, feasibility report;
3, housing, equipment, personnel basic situation
4, district-level health administrative department of the preliminary examination report (limited to district-level health administrative department under the jurisdiction of the health institutions set up by the community health service institutions). service organizations).
5. Relevant materials prescribed by the health administrative department.
Article 11 Community Health Service Institutions must apply to the health administrative department for practice registration and verification in accordance with the authority of the relevant regulations, and receive the License for Practice of Medical Institutions and the License for Practice of Community Health Service Institutions.
Article XII Community Health Service Institutions are divided into Community Health Service Centers and Community Health Service Stations;
Community Health Service Centers are generally set up under the jurisdiction of street offices, with a service population of about 20,000-30,000;
Community Health Service Stations, as a supplement to the Community Health Service Centers, can be appropriately set up in the areas which are difficult to be covered by the Community Health Service Centers, with a service population of about 5,000 generally. The population should generally be about 5,000.
(A) community health service centers set the standard
1, the basic functions
1, community health survey, community diagnosis, community management department to improve the community public **** health recommendations and planning, community patriotic health work to give technical guidance.
(2) To carry out targeted health guidance, behavioral intervention and screening for chronic non-communicable diseases, endemic and parasitic diseases, as well as monitoring and standardized management of high-risk groups.
(3) Responsible for immunization and prevention and control of infectious diseases within the jurisdiction.
(4) Provide appropriate Chinese and Western medicine and technology, and carry out diagnosis and treatment of common and frequent diseases in general.
(5) Providing first aid services.
(6) Provide family health care services such as home visits, home nursing, and home hospital beds.
(7) Provide consultation and referral services.
(8) Provide hospice care services.
(9) Provide mental health services and mental health counseling services.
(10) To provide health care services for key populations such as women, children, the elderly, the chronically ill, and the disabled.
(11) Provide rehabilitation services.
(12) To provide health education and health promotion.
(13) To carry out family planning counseling, publicity and provide appropriate technology services.
(14) To provide individual and family continuity health management services.
(15) To be responsible for the collection, organization, statistics, analysis and reporting of information on community health services within the jurisdiction.
(16) In community building, assisting the community building department to continuously expand community services, prosper community culture, beautify the community environment, **** with creating a healthy, civilized and harmonious community atmosphere.
(17) Provide other appropriate primary health services in accordance with the functions of community health services and the needs of community residents.
2. Infrastructure
(1) The operational rooms have a usable area of 400 square meters or more, with a reasonable layout, in line with national hygiene standards and reflecting barrier-free design requirements.
(2) An appropriate number of beds can be set up according to the functions of community health services, residents' needs and community resources.
(3) Commonly used medical equipment (see Attachment II)
(4) Commonly used medicines: Equipped with commonly used medicines and eighteen types of first-aid medicines.
3, department setup: there are specialized places to carry out general practice diagnosis and treatment, nursing care, rehabilitation, health education, maternal and child health care, and information and data management.
4, staffing
1) professional and technical personnel engaged in community health services must have the legal qualifications to practice.
(2) According to the functions, tasks and needs of the population to be served, the appropriate category, level and number of health technicians shall be equipped. The population of the jurisdiction is equipped with at least 8 health technicians per 10,000 people, of which 2 are clinical practicing physicians who have been qualified for general practitioner training and have professional titles of intermediate level or above, and 3-4 community nurses and preventive health care personnel.
Nursing and preventive health care personnel are required to undergo training in general medicine and related specialized knowledge before taking up their duties.
5. Management System
1) Code of Ethics and Code of Conduct for all types of personnel in community health service organizations;
2) Job responsibilities for all types of personnel in community health service organizations;
3) Training, management, assessment, reward and punishment system for all types of personnel in community health service organizations;
4) Community prevention, health care, health education, family planning and medical treatment, rehabilitation and other technical services;
(5) family health care services, technical operation routines;
(6) service error and accident prevention system;
(7) consultation and two-way referral system;
(8) medical waste management system;
(9) financial, pharmaceutical, equipment management system;
(10) Archives, information and data management system;
(11) community health service quality management and assessment and evaluation system;
(12) community residents and the community on the community health service organizations of the social and democratic assessment and supervision system;
(13) other relevant systems.
(2) urban community health service stations set standards
1, the basic functions
(1) to carry out community health surveys, to assist community management to implement health promotion;
(2) to carry out prevention and control of infectious diseases;
(3) to carry out the diagnosis and treatment of common and frequent diseases in general, as well as diagnosis of chronic diseases
modeling management;
(3) to carry out the diagnosis and treatment of chronic diseases;
(4) to provide community health services in the community.
(4) to provide out-of-hospital emergency services;
(5) to provide home health care services such as home visits, home nursing care, and home hospital beds;
(6) to provide two-way referral services;
(7) to provide health care services for key populations, such as women, children, the elderly, chronically ill, and persons with disabilities;
(8) to provide rehabilitation services
(9) to carry out health education and mental health counseling;
(10) to provide family planning counseling, publicity services;
(11) to provide individual and family continuity of health management services;
(12) in the community building, to assist the community management department to continue to expand the community services, prosperity of the community culture, beautification of the community environment,**** with the creation of a healthy and harmonious community atmosphere;
(12) to assist the community management department to continuously expand community services, prosperous community culture, community environment, *** with the creation of healthy and upward, civilized and harmonious community atmosphere;
(13) provide other appropriate primary health services according to the function of community health services and the needs of community residents.
2, the basic facilities: the use of operational rooms in the area of 60 square meters or more, a reasonable layout, health education bulletin boards, in line with national standards of hygiene and reflect the requirements of barrier-free design.
3, section setup: at least outpatient disposal room, treatment room, pharmacy, preventive health care room.
4, staffing (with reference to the community health service center staffing)
5, management system (with the community health service centers)
Article XIII of the community health service personnel mainly consists of general practitioners, community nurses, preventive health care and other related professional health technology and management personnel. Health technicians engaged in community health services must have the statutory practicing qualifications, before the national universal implementation of the general practitioner qualification recognition system, can be temporarily replaced by clinicians trained in general practitioner positions. Nurses are required to receive the necessary training in community nursing before taking up their duties.
Article 14 The names of community health service organizations must be unified and standardized.
Community health service center name: county (city, district) name + where the street + identification name (optional) + community health service center;
Community health service station name: where the street + where the name of the residential district + community health service station.
Article 15 The development of community health services should be centered on the health of the residents, the family as a unit, the community as the scope of the in-depth service to the residents' families as the main form, to strengthen health management, promote health promotion, and provide individuals and families with a comprehensive health service focusing on prevention.
Article XVI of the community health service institutions to establish a two-way referral system with general hospitals above the second level, Chinese hospitals and specialized hospitals, to receive preventive health care institutions, business and technical guidance, to improve the overall level of community health services.
Article XVII of the community health service institutions must comply with the "Medical Practitioners Law", "Infectious Diseases Prevention and Control Law", "Maternal and Child Health Law", "Drug Administration Law" and "Regulations on the Administration of Medical Institutions" and other laws and regulations and relevant technical specifications.
Article 18 community health service institutions must be in accordance with the requirements of the "Hebei Province, urban community health service institutions set up the basic standards", establish and improve the rules and regulations, standardize the management and improve the quality of service.
Article 19 of the municipal health administrative departments in accordance with the "regional health planning" to make full use of existing health resources, unified planning, rationalization of community health service institutions. In accordance with the provisions of the management of community health service organizations, strict approval of community health services in urban areas to supervise, manage, coordinate and guide the work of community health services.
District health administrative departments are responsible for the administrative region under the jurisdiction of the medical institutions established by the community health service institutions set up the initial examination and approval. It also supervises, manages, inspects and guides the construction of the community health service organizations under its jurisdiction, the work they carry out and the implementation of relevant laws, regulations, rules and standards.
Article 20 The health administrative departments at the municipal and district levels shall, in accordance with the "Evaluation Standards for Urban Community Health Service Organizations in Hebei Province", regularly assess and evaluate the work of community health service organizations. On the outstanding achievements of the units and individuals, to give recognition, reward; on the management of chaos, the implementation of the work of the poor, ordered to rectify; rectification still fails to meet the standard requirements, the cancellation of its qualification to carry out community health service work.
Article 21 has been established in the community health service organizations, which are not in accordance with the approval of this approach and for the record, all should be re-declared by the end of December, acceptance, the issuance of documents, for the record. By the end of December does not comply with the requirements of the person, all banned.
Article 22 of Hengshui City, urban areas of the following two cases are regarded as automatically give up or incapable of undertaking community health services. And by the municipal health administrative department for social open bidding to establish community health service stations.
1, as of the end of December 2003, in the designated area of responsibility did not establish a qualified community health service stations;
2, as of the end of December 2003 by the Municipal Bureau of Health acceptance failed, a deadline for rectification, one month later still can not meet the "standards".
Article 23 community health service organizations in violation of relevant state laws, rules and regulations, the relevant departments shall be punished according to law.
Article 24 These measures shall be interpreted by the Municipal Health Bureau.
Article 25 These Measures shall come into force on November 10, 2003 .
Attachment: Hengshui city urban community health service construction responsibility area division $?
In May 2000, the city's community health services office in accordance with the number of urban neighborhood committees and residents living in the area, the city and Taocheng District medical service institutions to set up the establishment of community health service centers (stations) of the specific tasks and issued [2000] No. 1, the various medical institutions to take positive action in the work of the community health services have done a lot of work, and has made great achievements. Recently, the municipal party committee and Taocheng District Committee Community Office of the original neighborhood committees within the city adjusted to 50, and renamed. In order to make community health services and adjusted neighborhood committees to work better with the work to facilitate management, conducive to the standardization, so in [2000] No. 1 on the basis of the municipal and Taocheng District medical institutions to establish a community health services agency's responsibility for the region was re-demarcated. Now adjusted as follows:
A, Hengshui City Halexin International Peace Hospital: the area of responsibility for Bushing, Niuzhuo, City Hall, Square, five communities before the station.
Second, Hengshui City, the Third People's Hospital: area of responsibility for Jinguang, Petroleum, Niuzhuo North, Jinghua, Hongguang, Baoli six communities.
Three, Hengshui City Hospital of Traditional Chinese Medicine: area of responsibility for the Hexi Street, South Caiyuan, Cuijing, Xiaozhuangli, Tongleli, Xiangyuan, Center Street, Ping'anli eight communities.
Four, Hengshui City, the second people's hospital: the area of responsibility for Chengda, three Xuzhuang, Qiaodong, South Gate, South Gate, outside the city of six communities.
Fifth, Hengshui City, the Fourth People's Hospital: area of responsibility for the strong industry, North Yandao, South Yandao, Busan, Huadong five communities.
Sixth, Hengshui City, the Fifth People's Hospital: the area of responsibility for the district government, Yucai, Bao Yun, East Tuanma, Huayuan, Guangsha six communities.
seven, Hengshui City Red Cross Hospital: area of responsibility for the power plant, Yuxin, Yishui Garden three communities.
Eight, Hengshui City, the Fifth People's Hospital Hedong Branch: area of responsibility for the West Gate, Jixian community.
Nine, Hengshui City Laobaigan Group Ping'an Hospital: area of responsibility for the Laobaigan, Wangzhuang, farms, tour of the four communities.
Ten, Hengshui City Houma Hospital: area of responsibility for the Jincheng community.
Xi, Hengshui City Prison Hospital: area of responsibility for the North Gate community.
Twelve, Hengshui City Yuanda Friendship Hospital: area of responsibility for Yuanda community.
Thirteen, Hengshui City Dongfeng Group Chemical Plant Medical Clinic: area of responsibility for the Dongfeng community.
fourteenth, Hengshui City, Jiheng Group Hospital: area of responsibility for the Jiheng community.