Part I Health Hospital Annual Work Summary
Time flies, in a flash we ushered in the busy work of the brand new 20XX. In the past 20XX years, our hospital around the theme of economic construction and western development, Qinghai development continues to deepen, the spirit of the party and a series of routes, guidelines, policies more y rooted in people's minds, the reform of the health insurance system, the development of a new type of rural cooperative medical care so that the hospital every employee cohesion, encouraging. From the medical income, drug income accounted for the proportion of business income and the decline in the number of days of hospitalization per capita, it can be seen that the medical income than last year has risen, the drug income has decreased substantially, the proportion of the two gradually tends to be reasonable, to achieve the "patient-centered", to the benefit of the majority of patients with the fundamental purpose. The situation of "supporting doctors with medicines" has been significantly improved, and macro-control mechanisms such as improving the utilization rate of existing resources, reflecting the technical content, emphasizing input and output, and adhering to the principle of social benefit first, have been brought into play. Achieved a balance of income and expenditure, a slight savings, reduce expenditure, reduce waste, improve the efficiency of the target.
First, the level of quality management of health care continues to improve
First, the quality of all work as the core. In order to put the quality of medical care really on the core position of hospital management, this year, in continue to improve and further implement the hospital rules and regulations at the same time, formulated the "Huangshuzhong County, the second people's hospital medical quality management specification", and further establish and improve the hospital, department, individual three-level quality control network, adjustment and enrichment of the quality control and business management institutions, strengthened the quality of the hospital's quality management, the formation of a hospital up and down the same quality off, and the same quality management of the hospital. The quality of the whole hospital, with a good situation of quality management, to avoid the occurrence of serious errors and accidents.
The second is to adhere to the two benefits as a guarantee. On the one hand, the medical staff is required to have a high degree of service consciousness, do not have to "life-saving benefactor" self-centered thinking, to have to regard the patient as "food and clothing" concept, and make every effort to do a good job of patient-centered service work. On the other hand, the administrative staff should not have the ideology of "inferior", to have the clinical front-line service is to serve the patient's mind, and firmly establish the whole hospital as a chess, when a good master of the idea. In the whole hospital within the scope of the correct treatment of the relationship between the two benefits, received a better effect.
Third, all services to patient satisfaction as the standard. We regularly seek the views of patients and the masses, continue to hire social supervisors, for the masses of hot and difficult issues, combined with the actual hospital, seriously study and solve. Participate in the pharmaceutical bidding procurement, reduce costs, reduce losses, improve efficiency, the number of patient hospitalization days is only 4 days, reducing the burden on patients. In the process of examination and diagnosis and treatment, we insist on reasonable examination, reasonable medication and reasonable charges, and safeguard the rights and interests of patients. In outpatient emergency work, actively explore the adjustment of the diagnosis and treatment process, standardize the guide service, basically alleviate the "three long and one short" problem. In terms of hospital affairs disclosure, the hospital has implemented the system of patients choosing doctors, the list system of hospitalization expenses, and the public announcement system of the expenses of medicines and checking items, to protect the patients' right to know and respect the patients' choices. The company's "patient-centered, quality-centered, and patient-centered" campaign to create a people's hospital has won the trust of the patients.
Fourth, strengthen quality management and integrated management. To carry out the "quality, efficiency, low consumption" as the main "health management year" the second theme of activities. In accordance with the "second" hospital quality system and assessment of the content of the hospital quarterly assessment, monthly assessment and hospital leadership from time to time in-depth department of the work of the system, the basic formation of the end of the year, quarterly assessment, inspection, monthly assessment, assessment results and performance-based pay linkage, the gradual improvement of the quality of the management mechanism. The hospital's basic nursing pass rate of 91.3%, "three basic" examination pass rate of 100, no nursing accidents occurred during the year, health education up to 100%, first aid medicines, items intact rate of 100%.
Second, talent training and clinical medical education achievements
Carried out color ultrasound, interventional therapy, two new business, cataract crystal implantation surgery; in the clinical teaching, the year accepted 20 interns, acceptance of grass-roots health centers doctors, nurses, advanced training personnel 4 people. In order to strengthen the hospital's talent team construction and human resources development, reserve the backbone of the Emergency Department, maintain and carry forward the advantages of the county-level comprehensive teaching hospital, in 20XX, 12 people were selected and sent for further training, and participated in the continuing medical education for 56 times; 12 times of the organization of the hospital's business lectures, and invited experts and professors from the provincial hospitals to come to the hospital to inspect the rooms, lectures, and guide the surgery for 22 times, and participated in the academic activities for 48 times throughout the year; 35 people took part in the academic education. Academic education 35 people.
Third, the hardware construction has been effective in order to improve the level of hospital diagnosis and treatment
Limit to meet the needs of patients at different levels of medical care, improve the medical environment, by the hospital leadership efforts to strive for the successful implementation of our outpatient clinic building project, and put into use at the end of the year. Comprehensive maintenance of the walls of the complex, so that it is coordinated with the new outpatient building, from the whole to make the hospital appearance a new look.
At the same time, increased the hospital affairs open system, the content of the public involves the allocation of staff housing, drug purchases, talent training and other hot issues, as well as personnel system reform, distribution system reform and other major decision-making and implementation. The method of disclosure, in addition to the Employee Council as the main carrier, to the hospital weekly meetings, shift meetings, symposiums, bulletin boards and other forms of complementary, while paying attention to play a role in social supervision, so that the hospital affairs open to gradually move towards a more complete operational system.
This year, due to the special requirements of infrastructure and prevention and treatment of "xx-type pneumonia" work, the hospital canceled a lot of cultural and sports activities, but the majority of workers love their jobs and dedication, the spirit of unity and hard work, still shows the educational function of the hospital culture. Year **** organization of publicity and clinic activities 4 times, completed the rural grass-roots industrial restructuring guidance. Overall, in 20XX we took over the good momentum of 2017, successfully completed the work tasks in 20XX, and also laid a solid foundation for sustainable development in 20XX. We are confident that, at the advent of the new year, with the upward and vigorous state of mind and pragmatic work style, we will build up for the development of regional health care and social progress, and contribute to relieving the pain of the majority of patients and recreating their health.
Part II Health Center Annual Summary
According to the Chinese People's **** and the State "Infectious Disease Prevention and Control Act" and its implementation measures, the State Council "Measures for the Management of Medical Waste", the Ministry of Health "Disinfection Management Methods", "medical waste management methods in health care institutions" combined with the actuality of the hospital, the development of the "XXX health center infection Control implementation plan", "XXX hospital medical waste management implementation plan", set up a business vice president as head of the medical quality management team, responsible for the hospital infection monitoring and control, medical waste management and disinfection isolation monitoring and management.
This year, the entire hospital medical staff carried out training in hospital infection knowledge, learning the "Infectious Disease Prevention and Control Act" and related laws and regulations, the hospital quality management team quarterly quality inspection of the hospital departments, the departmental quality management team every month of hospital infections, waste management and disinfection and isolation monitoring and inspection, and conscientious implementation of the hospital infection monitoring:
1, to carry out nosocomial Cross-infection monitoring;
2, sterilization effect monitoring;
3, ultraviolet disinfection monitoring;
4, the operating room, delivery room monitoring.
Strengthening of disinfectants, disposable medical devices, the use of management:
1, standardized procurement of sterile disposable medical supplies and disinfection and sterilization of drugs, prohibit the use of substandard items;
2, prohibit the repeated use of disposable items;
3, clinical diagnostic and treatment departments of the disposable supplies after the use of the disfiguring disinfection;
4, on the Disposable sterile medical supplies after use for disinfection and disfigurement;
5, unified storage of medical waste, devices, centralized transportation to designated locations for incineration, harmless disposal.
Strengthen the rational application of antibiotics:
The misuse of antibiotics in the country is a common problem,
is also a serious social issue faced by the medical staff, a large number of antibiotic adverse reactions and drug-resistant strains of bacteria spread, to the clinical work of the medical work has brought great difficulties, the rational application of antibiotics is everyone's responsibility. We have repeatedly organized clinicians to learn about the rational application of antibiotics, and to clarify the indications for the preventive application and combined application of antibiotics in various departments
Through self-inspection and self-checking of the management of hospital infections and medical wastes, our hospital has been strictly in accordance with the relevant requirements of the management, but due to the limited conditions of the grass-roots health centers, some of the work can not be carried out so far, such as:
1, operating rooms, delivery rooms, air surfaces and airborne objects, as well as the use of antibiotics in the delivery room.
2, the classification of medical waste collection, transportation;
3, harmless treatment of medical wastewater;
4, triage of infectious disease clinics.
In the future management of our hospital will further implement the relevant requirements of hospital infection and medical waste management, increase the monitoring of hospital infections, management, effective prevention and control of hospital infections, improve the quality of hospitals, to protect the process of diagnosis and treatment of the health and safety of doctors and patients, and to strengthen the management of medical waste, to prevent the occurrence of infectious diseases.
Part III Health Center Annual Work Summary
Since this year, our hospital in the county health bureau and the local party committee government's correct leadership and support, through the whole hospital staff *** with the hard work, the establishment of a sound and complete and improve the rules and regulations, the hospital's business has greatly improved, preventive health care immunization planning work has achieved better results, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas, the new rural areas. Better results, the new rural cooperation work has made greater progress, the hospital pay close attention to management, external image, internal quality, create quality service, specifically embodied in the following aspects:
A hospital management
Establishment of sound rules and regulations, and fully mobilize the staff's attentiveness and initiative, carry forward the staff's spirit of mastery, solidarity and cooperation, the implementation of various matters to the person, the hospital working order is normal, the business work is normal, the hospital has a normal working order, the business work is normal, the hospital has a normal work order is normal, the hospital has a normal work order is normal, the work is normal, the work is normal, the work is normal, the work is normal. The hospital working order is normal, the business work is carried out normally, fully improve the hospital environment, strengthen the training of the staff's business skills, fully improve the staff's service attitude, strict disciplinary requirements, and constantly improve the quality of hospital services and service level, the annual outpatient hospital outpatient visits amounted to x10,000 more than thousand, an increase of x% over the same period last year, the total number of hospitalization xx more than the same period last year, an increase of x% over the same period last year, the total annual business income of x More than ten thousand yuan. Hospitals continue to purchase and update hardware and facilities, and strive for the support of the higher authorities to ensure that the hospital business is carried out normally.
Second, the work of immunization planning and maternal and child health work
Give full play to the role of prevention and protection group institutions to take, regular monthly meetings on prevention and protection of regular meetings, the jurisdiction of the village health personnel training and guidance, and constantly improve the quality of business of village health personnel, my town **** there are residents of the xx people, prevention and protection of the group on time to ensure the quality of the year's cold chain operation, immunization planning work has made new progress! The number of children who should be vaccinated with polio sugar pill is xx, and the number of children who should be vaccinated with polio is xx, and the number of children who should be vaccinated with BCG is x, and the number of children who should be vaccinated with BCG is x, and the number of children who should be vaccinated with BCG is x, and the percentage of children who should be vaccinated with BCG is x. The number of children who should be vaccinated with hepatitis B vaccine is x, and the percentage of children who should be vaccinated with BCG is x. The percentage of children who should be vaccinated with hepatitis B vaccine is x, and the percentage of children who should be vaccinated with BCG is x. Maternal and child health, the full implementation of the policy on the project, grasp the quality of obstetrics construction, vigorously publicize hospital delivery, and fully improve the rural maternal hospital delivery.
Third, public **** health
I **** two health supervisors, two supervisors from time to time to the jurisdiction of the masses of canteens into the inspection, public **** places, food stalls for random checks, the year **** public **** health supervision 6 times, through the struggle, the town did not occur a flush of food poisoning and sudden public **** hygiene incidents.
In short, through all the staff of the *** with the hard work of the health center has made great progress in all aspects of work, but a lot of work is still many deficiencies in the future work will continue to strengthen the management, and strive to build the health center to become a jewel on the door of Pu'an County.
Part IV Health Center annual work summary
A year in the government at all levels and the correct leadership of the higher authorities, in the town of the party government's attention to the support of the hospital staff *** with the collaboration, hard work successfully completed the work of the task is summarized as follows:
First, strict implementation of Medical reform policy, strengthen the integration of management, improve the distribution system of basic drugs.
April 1, 20XX, all the drugs equipped with my hospital are zero-differential rate sales, 13 collective village health center in June 24, 20XX, all the implementation of the national basic drug system, the implementation of zero-differential rate sales. And equipped with specialists in the town of village health center drugs unified procurement, unified distribution, unified price, unified settlement, unified assessment and management, so that the purchased drugs in a timely manner to publicize. After the implementation of "zero-differential price", the health center and village health office to eliminate the drug to feed doctors and large prescriptions, outpatient average drug costs fell. The town ensured that the price of medicines is unified and the safety of medicines.
The health center organizes a monthly training for rural doctors to improve their service capacity and level. Quarterly organization of specialists, the town village health work supervision, supervision focuses on the implementation of zero-differential price policy and implementation of drugs, cooperative medical work, rural health services integration work, basic public **** health services work carried out. In response to the problems and deficiencies found in the supervision, timely on-site guidance was given. Through the supervision work, improve the village health personnel work ability, enhance the village health service level.
Second, the successful completion of this year's public **** health tasks
(a) health education
January-September production of nine publicity columns, held four health consultation activities, nine health knowledge lectures, played hypertension, diabetes prevention and treatment, the elderly rational use of medication and other audio-visual materials, the issuance of a variety of publicity materials each of more than 2,000 copies.
Through the above various forms of health knowledge lectures, the people's health awareness has been improved, the habits of life, disease prevention awareness has been enhanced.
(B) health records work
20XX 1-9 months of the total number of residents under the jurisdiction of 20889 people, the cumulative establishment of health records 20138 people, the electronic entry of 20386 people, the rate of 97.6%. Among them, 1969 people over 65 years old, 150 cases of diabetes, hypertension 810 cases, 19 cases of severe mental illness according to the requirements of the management. April began to actively for the town over 65 years old health checkups, medical checkups include: vital signs, physical examination, ultrasound, blood glucose and so on. Up to now, *** physical examination of more than 400 people.
(C) maternal and child health
1, January-September births *** count **** people.
2, the total number of women in labor is ***; of which the number of card for the ***, card rate of *** ℅; prenatal checkups for the number of ***, checkup rate of *** ℅;
3, the number of post-partum visits for the number of ***, the visit rate of *** ℅; the number of maternity system management for the number of people, the rate of management of *** ℅; the number of hospital births for the number of ***, the rate of births of *** ℅; no cesarean section pregnant women. Cesarean section pregnant women, no high-risk maternal and maternal mortality cases, no other maternal medical complications; no neonatal tetanus incidence.
4, children under 7 years of age health care:
① newborn visits **** people.
② number of children: under 7 years of age for the *** people; under 5 years of age for the *** people; under 3 years of age for the *** people.
③ Deaths of children under 3 years of age *, neonatal deaths *.
④ Women's disease census: the number of people who should be checked ***, the actual number of people checked ***, the examination rate *. **%, found the number of women's diseases *** people, the prevalence rate **. *%.
(D) vaccination work
1, 1-9 months of our hospital children's immunization of the cold chain running work running 9 times, and on time to seriously report all kinds of statements, strengthen the cold chain management and children's preventive vaccination information management, a clear person responsible for the completion of the work in strict accordance with the relevant requirements.
2, for the jurisdiction of 0-6 years old children free of charge vaccination of a class of vaccines and build cards, books, vaccination rate of **%, to achieve the children's basic immunization rate of 100%, expanded immunization vaccine vaccination rate of more than 90%, the card card meets the rate of 100%, the newborn hepatitis B vaccination rate of 100%.
3, in April this year for 690 students carried out the MMR vaccine ` free emergency vaccination work, and successively completed the hepatitis B vaccine replenishment, school enrollment in nursery school to check the omission of vaccination work and polio, encephalitis B vaccine reinforcement work.
(E) prevention and treatment of infectious diseases
1, January to September found, registered and reported cases of infectious diseases **, of which: mumps * cases; chicken pox * cases
2, the town of tuberculosis patients to do the monthly follow-up, registration, guidance and supervision of their medication on time and in accordance with the dosage to monitor the adverse effects of their medication.
3, in the prevention and treatment of AIDS: our hospital adopts the way of pregnant women pregnancy test, for each pregnant women to carry out AIDS testing, *** test 115 people.
4, and actively cooperate with the prevention and treatment of encapsulated disease (more than 1,000 people), and according to the requirements of the investigation and registration, reporting and so on, do a good job.
(F) chronic disease management
1, the conscientious implementation of more than 35 years of age to visit the population of the first blood pressure measurement system, as of now *** measurement of 2147 people.
2, 810 hypertensive, 150 diabetic patients health checkups and follow-up services. Carried out related knowledge counseling, living habits, exercise, medication, heart and other health guidance work.
(VII) management of severe mental illness
19 patients with severe mental illness in the jurisdiction of regular follow-up, rehabilitation and treatment guidance.
(H) Rehabilitation of the disabled
The hospital focuses on serving 383 people with disabilities, including: 226 people with physical disabilities, 101 people with hearing and speech and visual disabilities, 12 children with intellectual disabilities, the number of adults with intellectual disabilities 28 people, and 16 people with severe mental illness. Rehabilitation rooms for the disabled have been set up, with rehabilitation duties and nearly 17 types of rehabilitation training equipment and rehabilitation reading materials. On the basis of the establishment of a sound rehabilitation file for the disabled, according to the rehabilitation needs of each disabled person to formulate a targeted rehabilitation program, production and distribution of "disabled people's heart service card", on a regular basis or from time to time to carry out the rehabilitation guidance training, delivery of medicine and home visits and other services, to a certain extent to facilitate the disabled rehabilitation training.
Third, the new rural cooperative medical work is steadily carried out
I organized the town's medical staff training and learning, so that all medical staff familiar with and master the new rural cooperative policy. Further increase the publicity, so that the new rural cooperative policy is a household name. The new policy has been implemented on a regular basis to publicize the information on the compensation of medical expenses and the operation of the cooperative medical fund of the participating farmers in the town. Starting in September this year, our hospital inpatient implementation of the site directly, so that the majority of participating farmers really appreciate the superiority of the new rural cooperative medical policy, so as to change the concept of active, active participation in, support of the new rural cooperative medical care.
The total population of the town is ****, 20XX participating farmers ****, participation rate of **%. This year 1-9 months *** reimbursement of 273 people, reimbursement of medical expenses 138138.18 yuan, of which 30 delivery patients, reimbursement costs 6000 yuan; referral patients 72 times, reimbursement of medical expenses 420880.71 yuan. For the city cooperative medical care reimbursement of 5 people, reimbursement of medical expenses 15,209.83 yuan; large amount of subsidies for 14 people, the amount of subsidies 100,756.2; special outpatient reimbursement of 2 people, reimbursement of expenses for 3,327.86 yuan. Monthly on the month's medical reimbursement and total medical expenses, name, gender, address, head of household to publicize, in order to facilitate patient inquiries.
Outpatient reimbursement
19,730 outpatient visits in the town, with a total cost of 560,600 yuan, the reimbursement cost of 480,000 yuan, of which 80,800 yuan of general medical fees. Of which 3083 visits to the health center, the total cost of 83,800 yuan, compensation costs of 59,400 yuan, of which 19,900 yuan of general consultation and treatment fees.
Fourth, pay close attention to the quality of medical care and medical safety, improve the quality of service and service level, and constantly promote the development of the hospital's medical business
(a) to strengthen the quality of medical personnel training, standardize practice behavior. Strengthened the medical staff medical theory knowledge and personal comprehensive quality training, organized a variety of forms of training, so that the medical staff business level is constantly improving.
(2) the establishment of a medical incident prevention mechanism, enhance the sense of responsibility for medical safety. Adhering to the system of checking the room, and constantly strengthened the study of the "Regulations on the Treatment of Medical Accidents" and related supporting documents, to improve the sense of responsibility of the medical staff, to ensure medical safety.
(3) Strengthen the awareness of medical quality and enhance the comprehensive service capacity. We have always taken the improvement of medical service quality as the main line of work of the hospital, established and improved various medical management systems, and carried out regular and irregular medical service quality assessment activities.
(4) Strengthen the outpatient and emergency work, improve the emergency treatment capacity. The outpatient and emergency work is running in an orderly manner, the first aid facilities are well equipped, and the professional staff on duty stick to their posts, deal with timely and skillful operation, which ensures the normal operation of the work.
(E) to strengthen the management of drugs, to ensure the safety and effectiveness of medication. The company's management of psychotropic substances has been strengthened. Pay close attention to the clinical rational use of drugs, safe use of drugs, improve the "clinical pharmacist checking system", "adverse drug reaction monitoring and reporting system", "rational use of drugs by physicians to evaluate the notification and implementation of the system" and other rules and regulations. We insist on the rational use of antibiotics to ensure the safety of patients' medication.
(F) for the convenience of patients to see a doctor, and effectively solve the phenomenon of patients to the various inconveniences, the health hospital to improve and simplify the process of access to health care, to provide patients with better quality, more efficient service.
20XX in all staff *** with the efforts of the hospital without medical safety incidents. From January to September this year, the hospital completed outpatient treatment ****, hospitalization ***, of which the number of hospital births ***, observation of patients ****, cure, improvement rate of 100%, the mortality rate of 0; the average hospitalization of each patient for 6 days; in and out of the hospital diagnosis compliance rate & gt; 90%, the bed utilization rate of 45%, the cure of a single disease improvement rate of up to the quality control standards of diseases issued by the Ministry of Health. Disease quality control standards. Total business income**. ** million yuan, of which public *** health drug revenue **. * million yuan, medical income **. * million yuan.
V. Party building work
1, to strengthen the effectiveness of the work of the wind, and strive to solve the cadres and workers in the ranks of the "mediocrity, laziness, diffidence and weakness" and other issues. Through this work, strengthen the cadres and workers ability to post awareness, crisis awareness, sense of responsibility, sense of service, greatly improving the efficiency and quality of service.
2. To carry out "moral lecture hall" activities. Starting in May, the hospital once a week to carry out "moral lecture hall" activities. Activity group from the small things around, from the beautification, brightening the hospital environment. Through the development of "moral lecture hall" activities, so that the whole hospital staff firmly establish the noble idea of wholeheartedly serving the people, so as to lead the majority of medical staff to better serve the patient, for the masses of health services.
3, in-depth education on laws and regulations, disciplinary policies, and constantly enhance the medical staff to comply with the law, according to the law, clean and honest service consciousness and legal concepts, and consciously resist unethical practices. Further change the work style, create a good atmosphere for the development of hospitals, better health services for the people.
Six problems and deficiencies
(a) Due to too many seconded personnel, and the existing medical personnel strength can not be supplemented, medical and technical strength is weak, the personnel structure is unreasonable, can not meet the clinical needs.
(ii) individual service image is not good, raw, cold, uncooperative and many other problems exist in varying degrees.
(C) Nursing management is not enough, "three basic" training and assessment is not carried out.
(d) Due to the small business income, heavy debt, and financial allocation of funds is extremely limited, resulting in operating funds is very difficult, the staff life is very difficult.
VII, the next step in the work of the intention
(a) to strengthen the construction of talent, strengthen the business learning and training, the rational use of existing resources, to enhance the ability to serve and service level.
(ii) further strengthen the new rural cooperative policy learning and publicity, strict implementation of the new rural cooperative policy.
(C) to strengthen the public **** health work, to create a public **** health work highlights, the implementation of related work tasks.