First, the main workload and economic performance
The first half of 201X completed a total of 160,000 outpatient emergency room visits, an increase of 20.3% over the same period last year. Among them, there were XXXXXXX outpatient visits, XXXXXX emergency visits, and 7,713 specialist outpatient visits. There were 4,683 hospital discharges (see Annex 1 for details), 500 more than in 2013. The actual number of bed days occupied by discharged patients was 39,118 bed days, the average number of bed turnover was 21, the average number of hospitalization days was 8.75, and the bed utilization rate was 80.88%, up 7.46% from the same period of the previous year. The number of surgeries was 1,217, an increase of 6 over the same period in the first half of 2013.
The first half of 201X realized revenue of XXXX million yuan, exceeding the annual budget target, an increase of 12.6% over the same period last year. Of which 1.8 million yuan of financial aid income, down 27.13% from the previous year 2.47 million yuan; total income from medical operations XXXXX million yuan, up 9.3% over the same period last year 49,411,000 yuan. Medical business total income in medical income 35.669 million yuan, up 17.3% over the same period last year; drug income 18.35 million yuan, up 15.9% over the same period last year; drug ratio of 34%, down 0.2 percentage points over the same period last year 34.2%. Other income of 730,000 yuan, up 2.1% over the same period last year 715,000 yuan.
In the first half of this year **** incurred total expenditures of XXXXXX million yuan, up 18.1% from the same period last year XXXXXX million yuan. The total expenditure of medical expenditure is 51.063 million yuan, the administrative cost expenditure is 7.301 million yuan, other expenditure 264,000 yuan. 1-6 months to realize the balance of income and expenditure -3.147 million yuan.
In the first half of 201X, the total assets of the hospital amounted to XXXXXXXX million yuan, of which the current assets were 296,875,000 yuan, fixed assets were 106,098,000 yuan, and the asset-liability ratio was 77.1%. Net assets of XXXXXXXX million yuan,
Second, the completion of the medical business indicators
1, outpatient and emergency work:
In the first half of this year, there was a certain increase in the number of outpatient and emergency visits compared to the same period last year, outpatient and emergency ****160,000 visits, or 25.4%, of which there were varying degrees of increase in outpatient consultations in the various internal medicine specialties, in particular, neurology up to 620.6%. The emergency department increased by 55.2% compared with the same period last year. Surgical outpatient visits decreased compared to the same period last year. Academic Division outpatient visits are all down (see Annex 2 for details).
2, medical and technical departments
The focus is to strengthen the technical training of medical and technical personnel and improve the quality of service, focusing on the results of the test `conformity and accuracy of the monitoring, and constantly add new items to meet clinical needs (see Annex 3).
(1) Functionality: ultrasound examination in the first half of the completion of 20,630, an increase of 23.8% over the same period last year.
(2) Radiology: completed CT examination XXXX times, an increase of 14.5% over the same period last year, DR film 17435 times, an increase of 16.2% over the same period last year.
(3) Laboratory in the first half of this year to complete the workload XXXXX cases, an increase of 43.7% over the same period last year. Pathology specimen volume this year to complete XXX cases, a larger increase over the same period last year.
3, surgery and delivery:
The first half of the number of surgery XXXX people, the number of deliveries XXX people; of which the number of gynecological surgery 138 people, the number of general surgical procedures 319 people, the number of orthopedic surgery 223 people.
4, discharge:
The number of discharges in the first half of 201X was XXXX, the number of discharges compared to the same period last year rose to
12.0%, the total bed occupancy rate of 80.9%, the average number of days of hospitalization 8.4 days. The number of surgical discharges decreased by 5 compared to the same period last year, of which the number of general surgery admissions decreased by 4.0% compared to the same period last year. Orthopedic discharges decreased by 21.4% compared to the same period last year. Internal medicine system inpatient ward secondary discipline construction is basically mature, each secondary specialty patients are basically able to achieve specialized admission; obstetrics, orthopedics, general surgery discharges decreased significantly (see Annex 4).
5, medical records and prescription quality control
In the first half of the medical section of the hospital sampling outpatient medical records XXX, unqualified medical records 24, qualified rate of 87.3%, there is still a gap from 90% of the standard requirements. Each outpatient prescription must be checked, *** check XXXXXXXX, of which 670 unqualified prescriptions, qualified rate of 99.5%. 1-6 months hospital-level quality control sampling now running 74 inpatient medical records, archived medical records *** 826, of which 17 moderate defects (B) medical records, no serious defects in the medical records, pre- and post-surgery diagnostic compliance rate of 92.7%. Aseptic surgery grade A healing rate of 99.2% . Critically ill patients were hospitalized for resuscitation 16 times, 13 times successfully, with a resuscitation success rate of 81.3 %, including 14 times in the Department of Intensive Care Medicine, with a resuscitation success rate of 85.7%. The rate of timely filing of medical cases is 100%.
The first half of the medical quality indicators in addition to the use of antimicrobial drugs failed to meet all the standards, bed utilization rate, outpatient prescription rate, the success rate of resuscitation, all of which can meet the standards.
Third, the first half of the key work done
(a) actively promote the construction of the second phase of the project
The hospital set up an infrastructure office, responsible for coordinating the second phase of the project work. So far, the main body of the second phase of the hospital building has been completed, expansion projects such as surgical building decoration, elevator, HVAC project bidding has been completed, civil construction has been basically completed, other related special equipment is being commissioned for bidding.
(B) to carry out the creation of grade hospitals
On the basis of last year's re-evaluation of the second B, the focus of this year's work is more clearly defined, will be graded in the assessment of hospitals in the requirements of the day-to-day management of the hospital, and continue to improve the quality of hospitals in the continuous improvement. At the beginning of the year, each department to create a clear goal, signed the work of this year's statement of responsibility, the implementation of each department to meet the standard grade accounted for the requirements. In the first half of the year, a series of knowledge training for the creation of grade hospitals, especially on the concept and use of quality management tools to strengthen the training, improve the hospital's related work system, job responsibilities and related emergency plans. In-depth clinical supervision, in the first half of the year has been completed on the Pharmacy, Laboratory, Blood Transfusion, Emergency Department, ICU on-site view, and the supervision notification will be sent to the relevant departments and departments for continuous improvement of quality management. Against the "Jiangsu Province second-level general hospital accreditation standards implementation rules", carried out the first half of the hospital to create a self-assessment mapping work, the core terms of the self-assessment results of the statistical summary of the distribution of the departments, benchmarking to find the difference, and the organization of rectification. With the standard A/B/C grade serious shortage of departments and sections to communicate, understand the reasons for the requirements of rectification to meet the standard, there are difficulties to submit as early as possible to the coordination of the leaders in charge, plans to complete the first round of standardization work before the end of the year.
(C) to strengthen hospital services and improve patient satisfaction.
1, the hospital set up a customer service department, responsible for the reception of the first complaint of patients in the hospital, the guide desk, referral, market development, physical examination center work.
(1) to do a good job of registering patient complaints reception and processing work. Customer Service Department is mainly responsible for the first half of the year to deal with complaints and disputes **** XX, of which the high incidence of departments in order for the Department of Laboratory 7, outpatient clinic 7, four wards 5, economic losses **** up to XXXXXXXX yuan. Among them, the hospital office is mainly responsible for 12345 government hotline, 12320 city health information platform, 0511, Zhenjiang Forum and the mayor's mailbox and other complaints processing. The Party Office is mainly responsible for hospital-level mass visit complaints. The Medical Education Department is responsible for the handling of medical disputes and complaints about medical quality. Interdepartmental collaboration, each patient's complaints seriously, timely registration and timely processing of the report, resolve
resolved the conflict, and maintain the reputation of the hospital.
(2) In order to do a better job of health examination services, our hospital upgraded the medical examination software system. In the first half of the year **** completed a variety of physical examination XXXXX people, including government-organized group examination: such as the college entrance examination physical examination, the whole region in the know, the physical examination of deputy section-level cadres, organs and enterprises female workers physical examination.
(3) Customer Service Department actively cooperate with the District Health Bureau based gynecology, women's health to carry out the region's women "two cancers" screening work. The hospital deployed a number of medical staff to the countryside, completed the "two cancers" screening of Shangdian, Rongbing, Xinfeng, Guyang, Shiye, Yicheng, Gaoqiao, Shanghui and other townships.
(4) 201X 1-6 months of the region *** transfer out patients XXXX, compared with the same period last year, more than the transfer of patients 268 times, mainly policy factors, such as major diseases and their chemotherapy patients lost more.
2, optimize the consultation process, improve the consultation environment. In the first half of this year, the outpatient clinic pattern has been adjusted and remodeled. The laboratory moved from the first floor of the outpatient clinic to the second floor of the outpatient clinic, in order to facilitate the second floor of the clinic can be a shorter distance to the laboratory for testing; functional department moved to the second floor of the outpatient clinic in the original physical examination center, the layout of the independent examination center, the real realization of the effective distribution of diagnostics, improve the waiting environment of the patients, the examination order, Chinese and Western pharmacy moved to the original first floor of the laboratory, the realization of the electronic numbering of medication. Our hospital health management center moved to the second floor of the administrative building, obviously improving the image of our hospital health management center.
3, the realization of stratified registration. In order to facilitate patients and shorten the waiting time for registration and charging queues, the registration and charging window was added on the second floor of the outpatient clinic.
4, to provide a variety of forms of booking consultation services. Provide on-site appointments, telephone appointments, the total service desk appointments and other measures to facilitate patient access to various experts, specialists, and some experts to do a good job communicating with the work of practical work. To provide patients with practical convenience.