Health center performance appraisal rules

Town health center performance appraisal program (for trial implementation)

Village health room, health center sections:

In order to implement the "People's Government of Anhui Province on the comprehensive reform of the primary medical and health care system of the implementation of the pilot opinions" (Anhui [2009] 122), "county primary health care institutions job performance appraisal and internal allocation of the guiding opinions (for trial implementation)" Wei [2010] No. 3 document spirit, in order to fully mobilize the work of our hospital staff enthusiasm, improve service quality and efficiency, the establishment of post-based pay, pay for performance incentive mechanism, focusing on the post-based compensation, pay for performance, and the performance of the hospital staff. The spirit of document [2010] No. 3, in order to fully mobilize the work enthusiasm of our staff, improve service quality and efficiency, the establishment of pay according to the post, pay according to the performance of the internal distribution of incentives, around the "patient-centered" to carry out all the work, to strengthen the management of labor discipline and medical ethics, and strive to improve the level of service and efficiency, combined with the Hospital Personnel positions, by the hospital committee, all staff will study the decision to formulate the town health center performance appraisal program (for trial implementation).

I. Appraisal principles

Adhere to the principle of running a hospital for the public good, the implementation of performance appraisal linked to social benefits, adhere to the fair, just and open assessment and comprehensive evaluation, reasonable quantitative assessment methods, to the basic public **** health services and basic medical services as the focus of the assessment, and to promote the full performance of our staff; adhere to the combination of self-assessment and regular assessment; To do at any time to be able to accept the supervision and assessment of the higher leadership; assessment results and staff income and treatment combined, the implementation of superior pay, taking into account the fairness; tilted to the front-line positions, tilted to the important positions; the principle of appropriate gap.

Two, the main body of the assessment

Health center performance appraisal leading group based on the "town health center performance appraisal program", "town health center job description" of the position of the staff assessment. Taking into account the different post risk, responsibility, part-time and other factors to determine the post coefficients are: public **** health post 0.12, medical post 0.12, Chinese medicine and traditional Chinese medicine post 0.12 management post 0.12, information post 0.11, nursing post 0.115, western pharmacy post 0.11, maternity and child health care 0.115, collection post 0.11.

Third, the assessment methodology and procedures

Employees themselves in accordance with the assessment standards for self-assessment, in the Monday morning meeting to set up the next week's work at the same time, each employee is required to report in writing on last week's job duties and the layout of the completion of the work task, the self-scoring rating against the program. The hospital performance appraisal leading group according to the results of self-assessment against the assessment standards, through access to information, site visits, on-site questionnaires and other means, the beginning of each month on the last month's work to assess the situation.

Four, the calculation of performance pay

1, the basic part of the performance pay for basic task completion. For each person's job allowance, retention allowance, meal allowance, transportation costs total 70% of the part. The main assessment program in yuexi county huangwei town health hospital job description work task completion percentage, calculated by first extracting the morning meeting per person 2 yuan, total duty per person per day 10 yuan subsidy. The remaining part multiplied by the percentage of work task completion that is the basic performance pay part of the month.

2, incentive performance pay part of the assessment of different positions risk, responsibility, part-time and so on. For the health center in the month of income and expenditure balance of 45% (tentative per capita not more than 400 yuan, less than the actual amount of the calculation. Incentive performance pay is subject to a pre-budgeting system. (The amount of incentive performance pay listed in the performance pay accounting table is the amount of the balance of income and expenditure budgeted by the financial operator, and the amount will be more than refunded and less than made up after the final account is finalized). The main assessment of morality, diligence, performance, the number of services, quality of service, public satisfaction and other work task scores, and the previous month's excellence award, the doctor on duty, communication subsidies (the dean of the communication subsidy of 80 yuan, post allowance of 90 yuan), public **** health services to the countryside subsidies, the completion of the weekly layout of the work task, the addition or subtraction of points for rewards and penalties. First extract 200 yuan for the month's outstanding personnel as incentive funds. Then withdraw $5 per person per day for doctors on duty. In addition to the remaining part of the extraction multiplied by the assessment criteria score ratio, plus rewards and penalties, plus or minus points, and then multiplied by the post coefficient, that is, for the month of the post of the staff incentive performance pay.

3, the month's basic performance pay part plus incentive performance pay part of the deduction of the one-vote veto situation, the responsibility for the deduction of the situation that is the month's advance performance pay.

V. Performance appraisal content:

De. Diligence. Performance, the number of services, service quality, public satisfaction, veto indicators.

(1) moral, diligence, performance appraisal refers to the staff's medical ethics, industry style, attendance, hospital discipline and compliance with hospital rules and regulations and the accuracy of the data of the statements.

(2) the number of services refers to the number of basic medical services and public **** health services, including outpatient consultation and nursing visits, inpatient consultation and nursing visits, prescription pricing visits, vaccination visits, pregnancy and pediatric tubes, delivery visits, gynecological outpatient and inpatient visits, testing and electrocardiography visits, radiology and ultrasound visits, income and expenditure payment visits, nine basic public **** health services visits, etc. The following is a summary of the results of the study.

(3) The quality of service refers to the qualified rate of professional quality of each post. Including: outpatient and inpatient medical records writing pass rate, hospital diagnosis compliance rate, nursing paperwork records pass rate, disinfection registration pass rate, prescription delineation rate, collection registration and bills uniform pass rate, nine public **** health services form filling registration pass rate, the accuracy of various data reported online, etc., whether all can meet the requirements of qualified.

(4) Public satisfaction refers to listening to the opinions of the public and practicing satisfaction assessment for each employee.

(5) veto indicator refers to the occurrence of medical disputes and errors and accidents and medical ethics and medical ethics of the implementation of the one-vote veto, the month there is a veto vote, no internal performance pay that month.

Sixth, appraisal standards

A percentage appraisal standard is adopted for each employee's performance salary: 25% of the moral and diligence indicators, 30% of the number of service indicators, 35% of the quality of service indicators, and 10% of the public satisfaction indicators. Each deduction in the assessment will deduct the amount of their personal performance pay divided by 100 points of the digital amount. Incentive performance pay is issued according to the size of the actual balance and the individual score.

The second dean incentive performance appraisal salary, such as not involved in the assessment is taken to the first employee incentive standard accounting.

Three virtues, diligence assessment standards and methods (25 points)

1, medical ethics, labor discipline and industrial style (10 points)

1 adhere to the "people-oriented, patient-centered" service concept, such as the discovery of quarrels with patients and their families once deducted one point.

(2) accepting red packets from patients, asking for gifts, found once deducted 1 point.

(3) Department and individual private charges, private sale of drugs and equipment, found once deducted 1 point. Where the birth control surgery and proof of birth control, illegal delivery, induced abortion, medical abortion and non-medical needs for fetal sex identification, deduct all the month's salary. The implementer shall bear all the economic and legal responsibilities stipulated in the relevant national laws and regulations.

(4) standardize health insurance, new rural cooperative outpatient and hospitalization operations, health insurance and new rural cooperative funds are the masses of life-saving money, must be in accordance with the provisions of the higher level and the program operation, strict responsibility and discipline, the medical team to grasp the indications of hospitalization, improve the writing of medical records, medication indications, self-financed drugs in accordance with the provisions of the treatment. For irregularities in the operation of health insurance and new rural cooperative, 2 points will be deducted once found. And the parties bear full responsibility.

5 (5) unauthorized increase in fees, raise or lower fees, found once deducted 1 point.

(6) medical staff to tear each other down, do not unite and cooperate, found once deducted 1 point, and the implementation of admonishment. To create right and wrong within the staff, fight against fellow workers, elevate themselves, quarrels, and to sow discord, damage to the credibility of the unit and the reputation of others, the investigation of those who were found to be true, deduct 4 points, and the serious ones reported to the county bureau to deal with.

(7) improve the quality of service, improve the attitude of service, where the patient cold, ignoring, shirking or scrambling, procrastination, tug of war, not serious and responsible, resulting in adverse effects, found a deduction of 1 point.

8 (8) can not complete the work task assigned by the leadership on time or disobedience to the leadership of the work arrangements, a deduction of 5 points, and the implementation of the admonishment.

9 (9) between the staff quarrels, fights, speak unfavorable words, do things that are not conducive to unity, found once a deduction of 1 point.

(10) Section items are not neatly arranged, poor hygiene, every inspection found a deduction of 1 point.

(11) do not wear work clothes, do not hang the badge, work slippers, online chat (playing cards, playing games), non-work contact string post or chat, bring children to work, do private work at work, etc., a deduction of 1 point, drinking during work a deduction of 5 points. Disobedience to the general duty scheduling, a deduction of 2 points. Disobedience to the dean of the scheduling, refusing to implement the arrangements, each time 5 points. Each section should be practicing economy, people walk electricity stop, violators pay overspending electricity and deduct 3 points, such as causing damage to equipment, by the individual responsible for compensation.

(12) work or on duty in the hospital without a valid reason to gather, playing cards, found once each person deducted 1 point, and the implementation of admonition.

(13) go out on business, neither entrusted to the substitute and do not account for the direction, found a deduction of 2 points, such as medical disputes or accidents, the consequences of their own responsibility.

(14) work in strict accordance with the technical operation routine, do not actively participate in the collective sponsored business learning and labor, in the case of acute and critical cases do not actively cooperate with the rescue, found a deduction of 5 points. The first doctor is not invited to consultation in the case of difficult diseases, private referral or invited doctors refused to collaborate, found once deducted 2 points, over-service capacity to receive, not timely referral, found once deducted 5 points.

(15) All clinical medical personnel outpatient clinics, outpatient clinics, emergency to be on call; pharmacy staff should be patient, careful, not to go out during working hours to exchange small coins, do not allow patients to exchange small coins on behalf of the patient. If one of them is found, 1 point will be deducted.

2. Attendance (15 points)

1) 24-hour duty system is strictly implemented. Doctors according to the scheduling of the implementation of the two-person department in accordance with the implementation of rotating shifts, single-person department in accordance with the implementation of the administrative staff. If something needs to be first leave, the work in this section of the transfer, found not transfer and do not go to work, according to absenteeism. The number of days of work of the administrative class is not less than 26 days per month, one day less will be deducted from the corresponding fixed salary of the month; if the monthly attendance is more than 26 days, one point will be added for one more day of attendance, and another two points will be added for perfect attendance. Individual promotion, study, examination, rotating shift section indoor transfer, administrative shift staff to arrange the work, are not calculated tolerance.

(2) consciously on time every day to and from work, on duty and shift handover, advocate early work, late work, did not sign in time a deduction of 1 point, such as late and early 5-10 minutes, without prior instructions deducted 1 point. More than 1 hour according to absenteeism, another day of average wage deduction, where the unauthorized leave of absence for one day did not arrive at work, deduct 4 points, three days did not arrive at work deducted from the month's wages.

(3) on time to participate in collective meetings and learning, no reason not to participate in meetings, training, morning meeting of a deduction of 2 points.

(4) adhere to the 24-hour service, work is not off duty, without a valid reason to leave the workstation, to off duty. Off duty 5 minutes deduction of 2 points, more than 1 hour, according to absenteeism. Those who harbor those who are off duty will be treated as those who are off duty. Off-duty to keep in touch with the smooth, the information can not be contacted, and did not tell verbally, and affect the treatment of the adverse consequences of the deduction of 2 points each time. (Cell phone change number, signal dead zone, should inform the unit in time, anyone who fails to inform in time will be dealt with according to this paragraph). Those who cause medical disputes or accidents will bear the corresponding financial and legal responsibilities. Obey the arrangement, actively participate in collective activities on time, and deduct 1 point for those who do not participate without any reason.

(5) All kinds of legal leaves need to fulfill the leave procedures in advance. Leave of absence to arrange their own substitutes as well as work handover, the medical team leader review should not affect the normal operation of the hospital for approval, and reported to the dean agreed to, leave of absence for more than three days by the dean for approval, leave of absence by the director of the office for the record signed. Only then can leave the post, there are emergencies in a timely manner to the post. Failure to cancel the leave in time each time to deduct 1 point. Marriage leave, bereavement leave of 7 days each, according to the average daily number of performance pay to make up for the expiration of the due date does not return to the number of days of absence by deducting the daily wage. Maternity leave is 90 days, plus 30 days for late marriage and childbearing, plus 30 days for only child, plus 15 days for caesarean section. This time is only entitled to half of the basic salary plus performance pay, and those who do not return by the due date will be counted as absenteeism, and the daily basic salary will be deducted, and they will not be entitled to performance pay.

(6) Sick leave: small illnesses are advocated to insist on going to work, and major illnesses must be certified by a medical institution at or above the county level before going through sick leave procedures. Within one month to enjoy the basic salary plus half of the performance pay, more than one month does not enjoy the performance pay, more than three months after consulting the competent authorities to resolve.

(7) leave of absence: 3 days within the department within the transfer, more than 3 days must be approved by the dean, but not more than a week. If neither fulfill the leave procedures and more than a week is dealt with as absenteeism, deductions from the gross salary of the average daily wage.

Four service quality assessment standards and methods (35 points)

1 basic medical quality assessment standards and methods (35 points)

① check outpatient clinic work in the month: diagnosis and treatment of behavior norms, strict implementation of the system (the first diagnosis and treatment of the system, outpatient medical record writing system, prescription writing system, the system of handover system, emergency and critical care cases, referral system, etc.), can not be done! Deduction of 2 points; outpatient paperwork is not standardized, diagnosis compliance rate of less than 90% deduction of 2 points; prescription writing is not in accordance with the use of four-color prescriptions and special drug prescriptions, prescription items to fill in fewer items, without the physician's signature, found a deduction of 2 points; not to implement the basic drug directory and the supplemental drug directory system, the use of medicines outside the directory deduction of 2 points; outpatient antibiotics 2 or more consecutive prescriptions of the percentage of not more than 20%, can not be done deduction of 2 points; referral of patients to other units, the use of antibiotics and other medicines. 2 points; introducing patients to other units for examination, treatment and purchase of medicines and medical equipments as a reason to make undue profit from them; 1 point for each overprescribing behavior. Emergency rescue untimely, no rescue records and observation records, deduct 2 points; infectious disease omission, false reporting, concealment of 4 points, and in accordance with the law and regulations for additional penalties.

② check the month of hospitalization: hospitalization indications are not clear, do not strictly implement the cooperative medical system, do not seriously do a good job of cooperative medical policy propaganda deducted 2 points; no doctor's orders or implementation of the record, no record of the conversation, no physician's signature, no second-level checkups, medical records written less than 95% of the qualified rate, deduct 2 points; do not fill out the monitoring table of hospital inpatient hospitalization medical records filed in a timely manner, the patient was discharged three days after the file can not be filed, deduct 10 points, deducted 10 points.

3) 2 points for not actively participating in the establishment of residents' health records and health care management for the elderly; 2 points for not actively participating in the prevention and treatment of infectious diseases and emergency response to public **** health emergencies; 2 points for not actively participating in the management of chronic diseases (hypertension, diabetes).

2, nursing quality assessment standards and methods (35 points)

Check the nursing work of the month, not strictly implement the rules and regulations (nursing implementation system, nursing checking system, shift handover system, emergency rescue system, hospital infection control system, disinfection and isolation system, the patient talk system, nursing instrument writing system, etc.) 6 points; random sampling of the temperature list, the implementation of the medical prescription records, inpatient care records, critical care records. Records, inpatient care records, critical patient care records, the same does not meet the standard deduction of 4 points; commonly used disinfectants, preparation is incorrect, replacement of disinfectant without registration, high-pressure disinfection without instruction card, no registration, ultraviolet disinfection, oxygen cylinders, humidification bottle disinfection is not standardized, no registration deduction of 6 points; disposable medical supplies and medical waste can not be harmless disposal deduction of 6 points; first aid equipment intact rate is less than 100%, first aid medicines are not complete, and the first aid equipment is not complete. 100%, first aid drugs are not complete or expired deduct 6 points; can not be done in the department, infusion hall, ward, bed linen, quilt neat, clean deduct 2 points.

3, maternal and child health assessment of quality standards and methods (35 points)

Check the work of maternal and child health care in the month, do not strictly implement the Maternal and Child Health Act and various public **** health system and various diagnostic and treatment operation system, duty system deduction of 2 points; a case of maternal or 0-3 years old children did not establish a health care handbook deduction of 2 points; pregnancy tube, child tube registration is unqualified deduction of 2 points for each case; all kinds of reporting information is not timely, not standardized, each copy of a deduction of 2 points. Timely, not standardized, each deduction of 2 points; hospitalization medical records, outpatient registration, prescription writing is not standardized, not timely, each deduction of 2 points; delivery without registration, hospitalization without medical records, physical examination without registration of each case of deduction of 2 points; the project provisions of free pregnancy test, child examination found in one case of unregistered reporting deduction of 2 points; maternal hospital delivery is not in accordance with the provisions of the subsidies provided for each case of deduction of 2 points; not in accordance with the provisions of the women of childbearing age in pre-pregnancy and early pregnancy, supplement folic acid, each case of deduction of 2 points. 2 points will be deducted for each case of folic acid supplementation; 2 points will be deducted for not seriously publicizing or implementing the compensation policy of New Rural Cooperative; 2 points will be deducted for not actively participating in the establishment of health records and the management of health care for the elderly; 2 points will be deducted for not actively participating in the management of chronic diseases (hypertension and diabetes); 2 points will be deducted for not actively participating in the prevention and control of infectious diseases, review of neonatal illnesses, supervision of the first shot of Hepatitis B vaccination of newborns, and guidance on the first preventive vaccination and the handling of emergencies in public ****. Health incident emergency response deduction of 2 points; not to implement the basic drug list and supplemental drug list deduction of 2 points; strict "birth medical certificate" issued, strictly prohibit fetal gender identification, can not be done deduction of 2 points, the responsibility. Can not accurately assess the project in the month to implement the annual single reverse deduction or inverted compensation system year-end pass.

4, public **** health service quality assessment standard method (35 points)

Check the implementation of the month's rules and regulations, the implementation of laws and regulations, such as non-compliance or non-implementation of the deduction of 2 points; monthly basic immunization rate of school-age children, the rate of enhanced immunization can not reach 90% or more, deduct 2 points; monthly children's card, book and vaccination registration rate of less than 100%, deduct 2 points; new expansion of the national immunization program vaccine designated scope and population of the vaccination rate of less than 80% or more, deduct 1 point; preventive vaccination clinic management and operation is not standardized, deduct 1 point; disposable medical supplies harmless disposal is not timely, hospital sensory treatment is not standardized, deduct 2 points; suspected side effects of preventive vaccination is not handled in a timely manner, the report is not timely, deduct 2 points; can not complete the health education work plan, health education education materials, health education bulletin boards, health education information files, deduct 2 points; residents' health education knowledge rate of less than 50%, deduct 1 point; not actively involved in the establishment of health records within the jurisdiction, deduct 1 point; jurisdiction of the health file qualification rate of less than 95%, deduct 1 point; jurisdiction of the health file filing is not timely, deduct 1 point; jurisdiction of the management rate of the health file of less than 80%, deduct 1 point; communicable disease epidemic reporting rate, timeliness, accuracy rate is less than 95%, deduct 1 point; treatment management of non-institutionalized tuberculosis patients and AIDS patients is not in place, deduct 1 point; management of chronic diseases (hypertension, diabetes) in the jurisdiction fails to meet the requirements, deduct 1 point; patients with serious mental illnesses in the jurisdiction are not registered and managed, deduct 1 point; health emergencies of public **** can not be proactive participation in the handling of health incidents, deduct 2 points; Failure to carry out health guidance in public **** places, schools, occupational high-risk places, etc., 2 points will be deducted; the screening rate of rehabilitation needs of people with disabilities within the jurisdiction is less than 80%, 1 point will be deducted; not actively participating in the integrated management of rural health services, 2 points will be deducted.

5, test, electrocardiogram, radiology, ultrasound quality assessment standard method

Part-time departments to implement the plus/minus point system. In accordance with the routine test 0.5 points / times, biochemical 1 points / times, electrocardiogram 0.5 points / times, ultrasound room: 1 points / times, radiology: 1 points / times plus points. Check that month, the implementation of the department's rules and regulations are not in place, deduct 2 points; check the test, electrocardiography registry, omission of a case of deduction of 2 points; random inspection of the test report form, found that a failed or inaccurate deduction of 2 points; check the use of disposable medical supplies are not in accordance with the provisions of the timely destruction of harmless disposal, found that a deduction of 4 points; hospital in the sense of the implementation of the inappropriate deduction of 2 points; test equipment maintenance is not in place deduction of 2 points; test reagents are not in accordance with the requirements of the Acceptance, preservation of losses caused by the deduction of 4 points; found the use of expired, invalid and unqualified test materials deduction of 4 points; found a case of untimely testing, reporting untimely deduction of 4 points; not actively cooperate with the development of the public **** health services program, each time the deduction of 4 points. Check the month's radiology, ultrasound registry, found that one case of omission to register 2 points; found that the examination is not timely, the report is not timely deduction of 4 points; found that the report form is not completely written or irregular deduction of 2 points; clinical and radiological diagnosis compliance rate, clinical and ultrasound diagnosis compliance rate of less than 90%, deduction of 4 points; department is not hygienic deduction of 2 points; protection is not done in place deduction of 2 points; tablets are not uniformly filed deduction of 2 minutes; machine and equipment maintenance is not in place deduction of 2 points; the fetal sex identification is not allowed to be performed. Points; strictly prohibit fetal sex identification, found a case of the year without pay, all responsibility.

6, financial collection quality assessment standard method (35 points)

View the month does not strictly implement the financial system 4 points; not set up accounts in accordance with the law 2 points; file management is not standardized 2 points; settlement is not standardized, income and expenditure is not included in the county treasury payment center unified accounting deductions of 4 points; found that the cash, deposits registered in a delayed manner deducted 2 points; found that the cash does not match the bills deducted 2 points; logging, Bookkeeping found errors, omissions, a deduction of 2 points; not in accordance with the provisions of the charge a deduction of 2 points; the costs or documents found to be false a deduction of 4 points; the new rural cooperative hospitalization and outpatient co-ordination settlement is not timely deduction of 2 points; privately lending the public funds to others or embezzlement, embezzlement, a deduction of 4 points, in addition to the recovery of public funds, and dealt with severely in accordance with the law.

7, Chinese and Western pharmacy quality assessment standard method (35 points)

Check the month of the pharmacy system is not in place to deduct 2 points; check the month of the zero-differential rate of sales of medicines did not reach 100% deduction of 4 points; prescription price accuracy rate did not reach 100% deduction of 2 points; prescription review of the pass rate of less than 98% deduction of 2 points; do not subscribe to the basic and complementary medicines on time \ Chinese herbal medicine deduction of 2 points; found that the requisition of Out-of-catalog drugs deducted 4 points; not in a timely manner to do drug acceptance registration deducted 2 points; found that the drugs expired, mold, deterioration, insect damage deducted 2 points; drug loss without objective reasons to explain the deduction of the party 5 points, the pharmacy staff must be in the expiration of drugs 3 months in advance to inform the clinician, the monthly prescription is not in a period of time summary of the reconciliation deducted 2 points; the wrong drug issued a time to replace the deduction of 2 minutes in a timely manner, resulting in accidents and responsibility for the error; Discovery of private purchase of drugs deducted 2 points; improper storage of special drugs deducted 2 points; pharmacy management dirty, messy, poor deducted 2 points.

Five service quantity assessment standard and method (30 points)

2, the doctor's assessment quantity of the month:

Surname name outpatient visits inpatient visits test visits cardiology visits B ultrasound visits radiography visits physiotherapy visits treatment visits

X X X X 90 3 5 3 5 3 5

X X X X 90 3 5 3 5 3 1 5

X X X X 90 3 5 3 5 3 1 5

X X X 90 3 5 3 5 3 5 3 5

X X X X 30 1 5 1 8

Departmental assessment of the number of the month: additional points after exceeding the task:

(1) outpatient Western medicine prescriptions 0.15 points / visit, Chinese medicine prescriptions 0.3 points / visit (no registration does not score), night shift after 9:00 pm 0.5 points / visit (no registration does not score) out of the emergency room 1 points / visit (no registration does not score), hospitalization 3 points/visit (no medical record, no score), 5 points for surgical surgeon and 2 points for assistant. Outpatient minor surgery 1 point/visit. Prescribe laboratory tests, electrocardiogram, ultrasound, X-ray 0.2 points / visit.

(2) public **** health section: build health records 60 people / month, the number of village supervision 5 / month, health education bulletin boards 7 / month, other public **** health and basic immunization, strengthen immunization is not less than the average monthly average of 2009. More than each complete file plus 0.5 points, follow-up dynamic update 0.05/time. Health education bulletin board 1 point / piece. Counting immunization 0.05/time. Type II seedling per person plus 0.5 points.

(3) the number of tasks in the nursing office 150: additional points after exceeding the task: inotropic skin test 0.075 points / person, infusion 0.15 points / person, hospitalization 1.5 points / person, surgery 2 points / person, outpatient minor surgery 0.5 points / person. Night shift after 9 o'clock 0.5 points/times, intensive care, ward care patients another 0.1 points/hour, (no registration will not be scored). Enema catheterization 2 points per visit,

(4) Western pharmacy: the number of tasks 350 visits: additional points after exceeding the task: 0.02 points per prescription scratching \ take 0.08 points, Chinese medicine 0.05 points per prescription scratching, take 0.5 points, drug requisitions, acceptance of drug varieties according to the variety of drugs 20 varieties plus 1 point.

(5) cashier's office: the number of tasks 350: additional points after exceeding the task: 0.05 points per person / person. Hospitalization by 0.5 points / person.

(6) office to complete the integration of management tasks, complete the departments, village health office accounts, statements, zero-differential rate sales of drugs, to prevent shirking of patients, the basic drug directory to learn to use plus 10 points. Each additional income and expenditure balance of 500 yuan plus 1 point. Add 1 point for completion of sending and receiving documents. Completion of water and electricity management plus 5 points. Medical insurance, preferential outpatient services, disabled program services 0.1 points / person, responsible for attendance total duty arrangements and performance appraisal management and accounting 2 points / week.

(7) Health Section: inspection, guidance Trinity personnel 5 people / month; according to the provisions of the higher level and progress of the monthly completion of the number of indicators of public **** health service projects; monthly completion of the town's children's insurance and women's insurance, postpartum visits 1 point per case. Exceeding the task of card building and issuance of each complete file plus 0.5 points, flat birth hospitalization 3 points / person, newborn blood collection 2 points / time, vouchers calculated at 0.27 points / person.

(8) Office director, medical, public health, Chinese medicine team leader, head nurse plus 10 points/month. Maternal and child health care, pharmacy management, and cashier add 5 points/month.

(9) Organizational learning, activities hosts 2 points per award, participants 0.5 points per award (with sign-in, learning records). In the hospital website to send an article each reward 2 points, to the higher media to send a paper, briefings, news a reward 3 points, published in the municipal level a reward 5 points, the provincial level reward 10 points, the national level reward 20 points. Where the department or individual received a banner, thank you letters, letters of praise each time to add 10 points; by the government, the competent bureau, the relevant departments of the public praise of an additional 10 points;

Six mass satisfaction assessment standards and methods (10 points)

The hospital has a mass opinion box, announced the telephone number of the complaint, the development of the patient's complaint handling system, every time you find a drop deducted 2 points; monthly 5 masses of people on the Medical staff satisfaction questionnaire, mass satisfaction less than 80% above 2 points; 70% 3 points; 60% 5 points; 50% 8 points; 50% below 0 points.

Seven veto indicators assessment standards and methods

The month of medical disputes, errors and accidents, medical ethics and medical style of the person directly responsible for the implementation of a veto, no internal performance pay that month.

Eight responsibility for deductions:

①one of the following cases by the parties concerned to bear all the economic and legal responsibility, no performance pay for the month: (1) the practice of medicine in accordance with the law, according to the rules of operation, is strictly prohibited without a license to practice medicine, unlicensed practice of medicine or beyond the scope of practice of all the responsibilities arising from. (2) Used disposable medical supplies, fines caused by failure to timely dispose of, hide, lose, sell. (3) Theft or loss of cash from the cashier's office. (4) Fines arising from failure to scrap all expired medicines and biological agents in the Chinese and Western Pharmacy, Nursing Office, Operating Room, Maternity Room, Epidemiology Section, and Laboratory. (5) The pharmacy should have accurate price delineation with an error rate not exceeding the prescribed standard. Semi-annual inventory shortfalls not exceeding $500 shall be compensated at twice the amount, and those exceeding $500 shall be suspended from duty in addition to the fine. (6) the doctor wrongly prescribed, pharmacy wrongly issued medicines, nursing wrong injection, infusion of foreign substances within the infusion, nursing off duty caused unit losses.

② one of the following cases the parties bear full legal responsibility and 50% of the financial responsibility, another 50% of the total performance appraisal points.

(1) due to medical paperwork, documents, medical records, laboratory, radiology, ultrasound, electrocardiography report card; prescription, X-ray film, fee registration, acceptance registration, clinic registration, co-medical files, etc., damaged or lost, resulting in disputes or loss of evidence in related cases, the consequences of which the parties are responsible for. (File retention period of not less than 2 years)

(2) Pharmacy acceptance of medicines, due to substandard quality, failure to report, acceptance of incomplete registration items, poorly planned into the drug, resulting in the unit of drug varieties of backlogs, close to the expiration date of the unreported, the traditional Chinese medicine should be turned over diligently and sunshine, comply with the prescription of the concoctions, failure to turn over the sunshine to the moldy, moth-eaten, insects and pests caused losses and the amount of the fine.

3) Improper destruction of disposable medical supplies and fines for incomplete registration.

(4) In the normal medical activities, disputes and accidents in the person, due to the parties involved in the original records are incomplete, insufficient evidence, and the economic losses caused by weak proof.

(5) Losses caused by theft (except for existing conditions that cannot be prevented) due to doors and windows not being locked as required.

3 for not taking the initiative or do not carry out the hospital leadership arrangements, not to participate in a variety of special, sudden, emergency situations, not to participate in public welfare activities, voluntary labor, public **** health emergencies, groups of epidemic prevention, flood control, fire fighting, rescue, and rescue of critically ill people, no performance pay for the month and reported to the higher authorities to be pursued and dealt with.

VII, the management and supervision of performance appraisal

1, this performance appraisal program and the assessment rules for each position, discussed by the hospital committee, the staff will be adopted by the implementation of the county health bureau business unit, accounting and finance unit for the record. In February 2010, the trial implementation of internal performance pay system.

2, each employee performance appraisal according to the "town health center job description" percentage of completion of work tasks, performance appraisal program of moral, diligence, performance, the number of services, quality of service, public satisfaction and other work task scores, as well as weekly set up the completion of the work tasks, rewards and punishments of the addition and subtraction of points, fill in their own "performance appraisal score calculation Fill in the "Performance Appraisal Score Calculation Table" and sign it by yourself. Report to the office accountant verification and summary of the performance appraisal by the hospital committee and staff representatives to participate in the performance appraisal leading group, and the organization on the 5th of each month before the previous month's performance of each position to assess, fill in the performance salary measurement table and performance appraisal score calculation statistical table, and the results of the assessment of the internal publicity for three days.

3, monthly internal performance payroll, to be attached to the "town health center month performance appraisal table" and the above descriptive documents, as the basis for accounting.

February 2, 2010

Town Health Center Monthly Job Performance Appraisal Registration Form

Position Name Name Number of Departments or Points Appraisal Score Internal Performance Salary Remarks