Hospital management by objectives in 2009

In order to further deepen health reform, improve management efficiency, promote the development of health undertakings, and better serve people's health and economic construction, this responsibility letter is formulated according to the spirit of relevant documents of provinces, cities and counties and the actual situation of township hospitals in our county. I. Comprehensive mission objectives for 2008 (1) Internal management 1. The leading group of the hospital is United and cooperative, with a clear division of labor, adhering to the principle of democratic centralism, and holding regular hospital affairs meetings and keeping records. 2 party branches and mass organizations are sound, with learning and activity plans, systems and records of learning activities. 3. Cadres and workers have stable thoughts, no violation of laws and regulations and family planning policies, no leapfrog petition, and on-the-job employees have no amateur medical practice and second occupation. 4, a sound management system, scientific and reasonable management measures, units and departments work in an orderly manner, no dirty, chaotic, poor phenomenon. The insider has no criminal and public security cases, theft and fire accidents. 5. Earnestly study and implement the medical ethics norms, and employees should memorize the contents of the medical ethics norms, and there is no abuse of power for personal gain and cold, hard and top patients. 6. Earnestly implement personnel, labor discipline and superior wage policies, selflessly recruit, abuse temporary employment, secondment of regular employees on the job without authorization, and arbitrarily deduct employees' wages and bonuses. Earnestly do a good job in receiving graduates, veterans and other personnel after deployment in the county. 7. Attend meetings held by superiors on time, submit relevant forms and materials in time, and earnestly complete all tasks assigned by superiors. 8. The greening and beautification layout in the hospital is reasonable, and the hospital is clean and tidy. 9, strengthen the construction of spiritual civilization and professional ethics education, and actively carry out activities to evaluate the first tree. 10, non-medical needs to identify the sex of the fetus and selective termination of pregnancy are prohibited, and the B-ultrasound room system is on the wall. 1 1. Support hospital employees to complete credits for continuing education. 12. The Red Cross is well organized and its activities are normal. Seriously register members, collect membership fees on time, actively organize disaster relief, strengthen propaganda work, vigorously carry forward the spirit of the Red Cross, and conscientiously do a good job in subscription and distribution of newspapers and periodicals of the Red Cross. 13, seriously cooperate with the township party committees and governments to do a good job in the publicity of blood donation. (2) Medical management part 1. Outpatients should register, observe patient medical records and inpatient medical records, and establish inpatient medical records. The first-class medical record rate is ≥90%, and the coincidence rate of admission and discharge diagnosis is ≥95%. 2, the emergency room has a first aid system and rescue routine and operating procedures, rescue drugs, equipment, rescue records are complete. 3, strict aseptic operation procedures, the implementation of disinfection and isolation system. Sterilization supply must use pressure cooker, and the floor of treatment room should be disinfected daily. All kinds of sterile instruments must be soaked with 84 disinfectant, and the soaking solution should be changed regularly. Acupuncture and injection should be disinfected by one person, one needle and one tube. Hospital infection rate ≤8%, aseptic incision infection rate ≤ 0.5%; The utilization rate of antibiotics should be controlled below 50%. 4. The five forms of nursing were written correctly, the qualified rate of nursing documents writing was ≥95%, the qualified rate of basic nursing was 100%, and the nursing technology was qualified. 5. The ward is clean and sanitary, and the sickbed, bedside table and items on the table are neatly arranged. 6, medical personnel engaged in medical care positions must hold a doctor's practice certificate and nursing practice certificate; The qualified rate of "three basics and three strictness" examination for medical staff reached 100%, and the qualified rate of medical technology operation reached 100%. 7, consultation, surgery, medical record discussion, discharge records meet the requirements, referral procedures and requirements. 8. All kinds of inspection registration, operation meets the requirements, accurate inspection and timely report. 9. Register X-rays and radiography and report in time. Radiographic preservation rate reached 100%, the positive rate of large-scale X-ray machine examination was ≥50%, the A-ray photography rate was ≥40%, and the correct rate of diagnosis report was ≥90%. 10, the integrated management of rural medical institutions is standardized, the integrated management organization and system are sound, the responsibility management is in place, and the operation is normal. 1 1. All polyclinics have been certified and all have passed the annual verification. 12, handle the endowment insurance for employing rural doctors according to regulations. The employed rural doctors must hold the Practice Certificate of Rural Doctors. 13. Complete the annual training plan for rural doctors. 14, no medical accident occurred. (3) centralized bidding and purchasing management of drugs 1. A Pharmaceutical Affairs Committee has been set up, with a special person in charge of centralized drug bidding and procurement and drug management. 2, pharmacy to establish and improve the rules and regulations, the establishment of drug general ledger, subsidiary ledger, access vouchers intact, and gradually realize the computerized management. 3. Report the drug procurement plan on time, attend the bidding meeting on time, and sign the supply contract with the winning bidder as planned. It is strictly forbidden to purchase drugs without permission. 4. Pay the performance bond in accordance with the regulations, strictly fulfill the provisions of the contract, and shall not refuse to receive the goods without reason, and allocate the medicine fee within the specified time. 5. The system of "double signing" for quality acceptance shall be implemented for drug warehousing, and the acceptance records shall be complete. It is strictly forbidden to put counterfeit and inferior drugs, drugs with expiration date and expired drugs into storage. 6. Audit the accounts on time, and check and stamp the attached bills, receipts and purchase invoices. It is strictly forbidden to purchase drugs without permission. 7. The warehouse should be equipped with moisture-proof, fire-proof, rat-proof, ventilation and light-proof facilities, and the drugs should be placed and displayed in an orderly manner according to the dosage forms. 8, to further improve the centralized bidding procurement of medical devices and traditional Chinese medicine. 9, cooperate with the drug supervision department to do a good job of inspection and sampling. (iv) Social health component 1. Assist the township government to formulate the annual health care plan and put it into practice, and do a good job in collecting, sorting, filing and reporting the relevant information of the initial health care. 2, the epidemic situation report do ten-day report, monthly check, timely and accurate report, suspected cases of polio and measles ten-day report complete. 3, the implementation of planned immunization centralized fixed-point and regular vaccination, "five vaccines" coverage rate reached more than 95%, single vaccine coverage rate reached more than 98%, scar rate reached more than 98%, children's card utilization rate reached 100%. 4. The annual cold chain operation vaccination and hepatitis B vaccination reports are complete, and the vaccine distribution registration, training records, refrigerator temperature measurement records, operation spot check summary and intensified vaccination records are complete. 5. Complete the immunization monitoring task on time. 6. The investigation rate of key infectious diseases and the treatment rate of epidemic spots reached 100%. 7. More than 90% people with special needs take iodized oil pills, and the qualified rate of iodized salt is over 90%. 8, do a good job in the key population of hemorrhagic fever bivalent vaccine vaccination, 100% to complete the vaccination task assigned by the county. 9, the hospital has disinfection leading group and rules and regulations, full-time disinfection technicians and trained, establish and improve the disinfection monitoring files. 10, food hygiene and public places hygiene license reached 100%, and the health check-up rate of employees was over 95%. 1 1, do a good job in follow-up physical examination and clue investigation of leprosy patients after rehabilitation, and standardize the collation and preservation of leprosy prevention and control materials. 12, strengthen health education and do a good job in AIDS "five advances" publicity. 13, cooperate with county CDC to complete AIDS project monitoring. 14, cooperate with the county CDC to do a good job in physical examination of primary and secondary school students. 15. Fill in the birth medical record seriously, truly and comprehensively with a highly responsible attitude, and keep the stub. It is necessary to do a good job in women's postpartum visits and systematic management of children. The systematic management rate of pregnant women and children is over 95%. The hospital delivery rate of high-risk pregnant women reached 100%, and the maternal and child mortality rates were lower than last year. 16, actively carry out "twice screening" and strictly check and accept blood films to ensure that the screening rate reaches100%; We should conscientiously do a good job in the propaganda, launching and tracking of hearing screening, and this work shall not be carried out without approval. 17. Units with hospital delivery and obstetric and pediatric first aid capabilities, houses, personnel and equipment that meet the requirements and meet the standards of baby-friendly hospitals should maintain and consolidate the achievements of baby-friendly hospitals. Health centers that fail to meet the standards of baby-friendly hospitals should carry out all work in strict accordance with the requirements of the ten standards of baby-friendly hospitals. 18. Be sure to check the birth certificate, register the birth certificate number, make special registration for undocumented delivery, and report to the family planning department in time. Those who apply for induced labor with the "birth permit" must contact the family planning department, and the family planning department can only induce labor after issuing the certificate of consent to induced labor. 19, strengthen the construction of women and children teams, and equip and train women and children personnel at all levels as required. 20, do a good job in the centralized management of suspicious pulmonary tuberculosis patients found, the successful completion of the county health bureau issued various task indicators. Tuberculosis doctors should standardize the treatment and management of patients, visit patients and fill in the visit records, and do a good job in the custody, collection and archiving of project data. 2 1, establish and improve the tetramine poisoning accident reporting system. Do a good job in the registration and reporting of poisoned personnel, strengthen the training of relevant knowledge of medical personnel, master the principles of diagnosis and treatment of tetramine poisoning, and effectively reserve first-aid drugs, equipment, vehicles and other materials to ensure timely and effective treatment. (5) Financial management section 1. The democratic financial management organization is sound, the management system is perfect, and the financial management work is planned throughout the year, summarized in half a year and summarized at the end of the year. 2. Establish financial institutions and accounting personnel according to regulations. 3. Do a good job in accounting, set up account books according to the financial accounting system, and do a good job in accounting and reimbursement. 4 accounting timely, comprehensive and accurate, strict bill management, standardized accounting, true statistics and timely submission. 5. Strictly implement financial discipline, financial laws and regulations, and there are no economic violations and economic cases, and there are no phenomena such as selfless small coffers, private deposits of public funds, indiscriminate bonuses and in-kind subsidies. 6. Establish and improve the system of purchasing, receiving, keeping, cleaning and scrapping property and materials, and do a good job in accounting management of low-value consumables. Regularly clean up the property assets, so that the accounts, account cards and accounts are consistent. 7. Regularly file accounting data, properly keep them, and establish a file management and lending system. 8. Clean up current accounts in time, make detailed current accounts and collect them in time to ensure that there are no bad debts. (VI) Economic indicators 1, and operating income indicators will be completed within the year. 2, drug inventory is less than three months of drug income. 3. During the year, the growth of net assets exceeded the total amount of 5,000 yuan per worker (government appropriation, government infrastructure investment and financial investment at all levels are calculated separately). 4. Hospitality during the year shall not be higher than 0.5% of the total business income of 65438+. 5, expired drugs are not allowed to exceed 1% of the drug inventory. (7) health administrative law enforcement 1. Township hospitals should set up a leading group for health administrative law enforcement, with a dean in charge and a person in charge of health law enforcement. 2. Establish and improve the publicity system, training system, law enforcement system and open government affairs system. 3. Establish an administrative publicity system according to law and regularly train rural doctors. 4, administrative law enforcement personnel must hold relevant certificates, documents shall not be lent, leased and improper use. 5, according to the law in a timely manner within the jurisdiction of the illegal medical practice, the major cases of illegal medical practice can not be handled by themselves in a timely manner according to the procedures reported. 6. Conduct supervision and inspection of comprehensive clinics four times a year. 7, law enforcement personnel should strictly enforce the law, handle cases according to law, no misjudged cases and complaints. 8. The medical advertisements published by the news media include those of the health administrative department at a higher level, and there are no illegal medical advertisements within the jurisdiction. 9, outpatient comprehensive practice license rate must reach 100%. (eight) the new rural cooperative medical system 1. Leaders attached great importance to the new rural cooperative medical system, put it on the important agenda of hospital work, carefully organized it, worked hard and made steady progress. 2, actively assist the party committee and government to do a good job of propaganda and mobilization, and strive to improve the participation consciousness of farmers, and constantly improve the participation rate. 3, improve the organization, improve the system, organization construction and personnel and facilities. 4. Standardize operations and improve services to ensure timely, accurate, open, fair and transparent reimbursement. 5. Continuously improve the quality of medical services, improve the level of medical technology, and ensure to provide high-quality and convenient medical services for participating farmers. And implement the health check-up system to ensure that a free health check-up is organized for insured farmers who have not used the cooperative medical fund during the year, and personal health records are improved. (9) Reward and punishment project 1, host the on-site meeting held by the state, province, city, county and bureau, and add 30 points, 20 points, 15 points and 10 points in turn. 2, on behalf of the county or health bureau to accept the superior inspection, reception of foreign visits or interviews, and achieved good results, followed by 15, 10, 5 points. 3. Complete the investment promotion task assigned by the Health Bureau on time, and add 2 points for each completed 10%. 4. Report the safety production investigation report on time, and deduct 1 point for each missing report. 5 years county comprehensive management or family planning one-vote veto deducted 30 points, yellow card warning deducted 20 points. 6, by the superior informed criticism, municipal deduction 15 points, county deduction 10 points, bureau-level deduction of 5 points. Two, assessment and reward county bureau in accordance with the content of the responsibility assessment, the implementation of a thousand points system. The top 6 assessment results are the first prize; The score of 7- 12 is the second prize; The third prize is 13- 18; Get the top three units, by the county bureau of the unit responsible for the reward. 19-2 1 will not be rewarded; Those who finish last 1 or last two or three in two consecutive years are considered incompetent.