First, the guiding ideology
Implementation of the national and provincial and municipal deepening of the spirit of innovation in the medical and health system, to promote the township health center management system and operating mechanism innovation, improve the public **** health and basic medical service capacity, to meet the needs of rural residents of the basic medical and health services.
Second, the township health center set
According to the township administrative division, each township set up a government-organized health centers, in principle, located in the township government seat, the municipal health bureau is responsible for the supervision and management of the townships to be assisted and supported. Township health center construction standards and equipment configuration should be in line with the national "township (township) health center construction standards" requirements, reasonable layout, appropriate scale, functional application, to ensure that the infrastructure and conditions required to carry out public **** health and basic medical services. Township health centers are divided into central health centers and general health centers according to their functions. Township health centers should set up preventive health section, responsible for public **** health services in the administrative area.
Third, the township health center work function
(a) publicity and implementation of the party and the government's various medical and health policy guidelines, to assist the government to implement the rural health care work.
(2) to provide basic medical services, to carry out the rural common diseases, frequent diseases and diagnosis of chronic non-communicable diseases recognized therapeutic care.
(C) carry out disease prevention and control, and do a good job of monitoring, reporting, prevention and control of infectious diseases in the administrative region.
(D) the establishment of residents' health records, health education, and do a good job of chronic non-communicable diseases and mental health intervention and prevention.
(E) the implementation of national and provincial immunization planning policies and measures to carry out maternal, child and elderly health care.
(F) to assist in carrying out emergency investigations and disposal of public **** health emergencies, undertake the collection and reporting of public **** health-related information in the region.
(VII) to carry out rehabilitation treatment, rehabilitation training, provide family planning technical guidance and services.
(viii) The implementation of integrated management of rural health services in the administrative village health office under its jurisdiction, and undertake the guidance of the business management of the village health office and rural doctors.
(IX) to help do a good job in the region of food hygiene, drinking water hygiene, public **** place health, occupational health and other public **** health work.
(J) to help do a good job in the new rural cooperative medical work.
Township central health centers in addition to fulfilling the duties of township health centers, to assist in doing a good job on the township health centers of basic medical services, technical guidance.
Fourth, the township health center innovation task
(a) innovation personnel system, the implementation of full employment
1, approved the township health center establishment in the month before the completion of. In accordance with the "provincial township health center institutional establishment standards (for trial implementation)" (machine No. 2) approved staffing. Approved staffing is the township health center job setup, employment of personnel and the basis for the appropriation of funds.
2, the scientific setup positions. Based on the approved establishment and responsibilities and tasks, according to the management positions, professional and technical positions, work skills positions in three categories, the scientific and rational setup of positions. Among them, the setup of professional and technical positions, medical, pharmaceutical, nursing, technical positions as the main body, and according to the needs of the work of the appropriate setup of non-health professional and technical positions. The proportion of medical and health care professionals and technicians shall not be less than 90% of the total establishment, and a certain number of public **** health personnel shall be reasonably equipped in accordance with the service population and work tasks. Encourage the socialization of logistics services, has realized the socialization of services in general labor work, no longer set up the corresponding work skills positions.
3, the implementation of full employment in the month before completion. According to the establishment of health centers and job requirements, the implementation of competition, contract management employment mechanism. Where the posting of personnel to implement full employment, township health centers and competitive personnel in accordance with the relevant provisions of the state and province signed employment contracts, and in accordance with the relevant provisions of the relevant treatment.
(1) the implementation of qualification access system. Competitors should have the appropriate licensing qualifications or medicine and health secondary school education. Under the same conditions, priority should be given to the employment of health centers officially in the staff. Non-health technicians shall not engage in health professional and technical work.
Township health center director by the Municipal Health Bureau in conjunction with the relevant departments of the public selection, merit-based appointment, each appointment period in principle for 3-5 years. Township health center director in principle to have intermediate and above professional and technical qualifications, the implementation of the target responsibility system management. Regular performance appraisal, after the assessment of qualified can
Continuous appointment, assessment of unqualified can be dismissed early.
(2) implementation steps. ① Reporting and approving the program of setting up posts. Township health centers in the month before the day before according to the "provincial health institutions job setup management implementation rules (for trial implementation)" provisions, based on the approved establishment and responsibilities and tasks, to prepare the unit job setup program, the unit staff council or staff meeting after the adoption of the report. Setting up the post program by the Health Bureau, the Office of the Editorial Office, Personnel Labor and Social Security Bureau after review, months before the approval of the Municipal Personnel Labor and Social Security Bureau. In the approved total number of jobs, structural ratios, maximum grade limit, the development of job implementation program. ② Determine the competitors. By the health administration in accordance with the conditions of the job qualification examination of competitors. ③ organization of competitive recruitment. Municipal Health Bureau in accordance with the job responsibilities and conditions of service, take the examination, assessment, unified organization of competitive recruitment.
Municipal Personnel Labor and Social Security Bureau, the Health Bureau in accordance with the provisions of the township health centers to complete the job setup, the organization of the staff to set a post and sign an employment contract is recognized. In line with the policy provisions, the completion of the standardized job setup and post employment, according to the position hired to determine the post salary treatment.
4, the township health centers vacant staff supplement. Township health center staffing and job vacancies to supplement personnel, must be approved for use in the establishment, positions and annual recruitment plan, in accordance with the relevant provisions of the public recruitment of institutions on merit.
(b) revolutionize the distribution system, the implementation of performance appraisal.
According to the functional positioning of the township health centers, the scientific approval of the work tasks undertaken. The basic public **** health service task according to the public **** health service population, service quality and service radius approved; basic medical service task according to the average number of people in the last three years of medical services, income, and comprehensive consideration of factors affecting the medical service task approved.
The township health center performance appraisal, in accordance with the "provincial primary health care institutions performance appraisal pilot approach". Months ago by the Municipal Health Bureau organization of the township health centers for assessment, the Finance Bureau, Personnel Labor and Social Security Bureau and other departments to review the results of the assessment; township health centers in the municipal health bureau under the supervision and guidance of the township health centers, the assessment of its staff.
Township health center performance appraisal results as the basis for granting subsidies. Qualified appraisal, in accordance with the principle of convergence with the average salary level of local institutions staff approved. Unqualified, in accordance with the assessment grade to determine the corresponding level of subsidies. The township health centers failed the assessment of the deduction of subsidies by the Finance Bureau and the Health Bureau to coordinate the use of health care institutions for capacity building.
The results of the township health center's assessment of the staff, as its assessment cycle (each cycle is half a year) the main basis for the distribution of job performance pay and its promotion, incentives, as well as employment, reappointment and dismissal of an important reference basis.
(C) the establishment of the basic drug system, the implementation of zero-differential rate sales of basic drugs.
Township health centers should be fully equipped with the use of the "National Essential Drugs Catalog" within the drugs, the need to use other drugs. National basic drugs and provincial supplementation of drugs by the provincial organization procurement, the implementation of online centralized bidding, unified pricing, distribution. Township health centers use the national basic drugs and provincial supplemental drugs to implement zero-differential rate sales. All drugs in stock are sold at the purchase price, which may not be higher than the government-guided price and the provincial purchase price. Among them, the sales price of medicines for which provincial centralized purchasing has been implemented shall not exceed the provincial purchasing price; for medicines for which provincial centralized purchasing has not been implemented, the sales price shall not exceed the maximum retail price stipulated. Zero-difference rate sales of essential medicines of the state specific implementation of the time no later than the month.
After the implementation of zero-differential sales, by the Finance Bureau, Health Bureau and other departments based on the amount of work undertaken by the township health centers and staffing situation, the reasonable approval of the township health center income and expenditure, the difference between income and expenditure through other multi-channel to be fully subsidized.
Basic medical and health institutions should establish a comprehensive drug quality management system, strengthen the quality management of basic drugs, strengthen the monitoring of adverse reactions to basic drugs, timely collection and reporting of adverse reactions to basic drugs data, the implementation of the quality of responsibility to ensure that the use of the link to the quality and safety of drugs.
(4) Innovate the financial security system, improve the operation of the compensation mechanism.
In the strict definition of township health center functions and tasks, approved staffing, approved revenue and expenditure scope and standards, transforming the operating mechanism, performance assessment, the timely implementation of the national regulations approved by the capital construction, equipment purchases, personnel funds and its commitment to public **** health services for the operation of the business
funding, so that it is normal operation. Retired personnel in line with national regulations of the retirement costs, in the institutions before the innovation of the pension insurance system, by the municipal finance in accordance with the relevant provisions of the State approved subsidies.
Municipal Finance Bureau and Health Bureau in accordance with the "approved tasks, approved income and expenditure, performance appraisal subsidies" principle, *** with the township health centers in the past three years of income and expenditure status of the calculation, a clear range of income and expenditure and subsidy standards. According to the approved annual income and expenditure budget amount, funds are allocated by way of monthly advance appropriation, and on the basis of performance appraisal of their task completion and patient satisfaction, etc., they are settled according to the results of the year-end appraisal. When the approved recurrent income of a township health center is insufficient to cover the approved recurrent expenditure, the difference is fully subsidized through other channels. For policy transfer, policy medical service prices higher than the difference in expenditure incurred, the municipal finance should adjust the budget in a timely manner. Effectively strengthen the supervision of health hospital revenue and expenditure, the city has implemented the health administration of financial accounting centralized management, the future gradually to the implementation of the financial treasury centralized management transition.