I. General introduction
1, overview
The Measures for the Administration of Urban Community Health Service Institutions formulated by the Ministry of Health aims to strengthen the management of the establishment and operation of urban community health service institutions and ensure that residents can enjoy safe, effective, convenient and economical community health services fairly. This method has injected new vitality into the construction of new community health service centers in China, and has great room for cultivation.
In recent years, the reform of China's medical and health system has been continuously promoted. With the development of social economy, deep-seated problems and contradictions such as overlapping medical institutions, compartmentalization, coexistence of resource shortage and waste, and disorder of drug production and circulation are constantly emerging. At the same time, the phenomenon of profit-seeking in public medical institutions is also prominent, and medical expenses are growing rapidly. A considerable number of people lack medical security and it is difficult to obtain basic health services.
Zhengzhou community health service center, as a primary medical service institution, is an important part of the national health cause. As a medical institution around the people, community health service centers shoulder the heavy responsibility of meeting the basic medical needs of the people in the community. At the same time, as the nerve endings of the whole national medical system, it is necessary to complete tasks such as prevention, medical treatment, health care, rehabilitation, health education and family planning technical services.
Our center should be built into a community health service center with supporting policies, sound service network, reasonable manpower allocation, perfect service functions, standardized supervision and management, smooth financing channels and meeting social needs.
2. Principles and policies for developing service centers
First of all, adhere to the purpose of serving the people. The basic purpose of establishing community health service center is to facilitate people to obtain basic medical preventive health care services and improve people's health level.
Secondly, put social benefits first. Fully consider the needs and interests of the masses, and prevent the tendency of one-sided pursuit of economic benefits while ignoring social benefits.
Third, demand orientation. Understand the information of residents' health service demand in the area, improve the service quality and service attitude by reforming the service model, and gradually meet the people's growing multi-level health care service demand on the basis of giving priority to ensuring basic health services.
Fourth, adjust measures to local conditions and do what you can. The organizational structure, service content, security level and service price of community health services should be adapted to local conditions, the level of economic and social development and the affordability of the masses, and the scope of services should be blindly expanded without being divorced from reality.
Fifth, pay attention to structural adjustment. It is clear that the structural adjustment of the existing health service system should be carried out through the development of community health service centers, with the focus on changing service concepts and service models, making full use of existing community health resources and avoiding repeated construction and waste of health resources.
Relevant policies:
(1) Strive for government support and gradually increase investment.
(2) Establish a system for evaluating and appointing the titles of general practitioners.
(3) Clarify the relevant policies of community health service and employee medical insurance.
(4) Rationalize the price of community health services.
(5) Straighten out the relationship with hospital services.
(6) Maintain the economic treatment and social status of the staff of the community health service center.
3. Planning objectives
At present, there are 136 community health service institutions in Zhengzhou City that have passed the acceptance and obtained the Practice License of Medical Institutions, including 13 1 home, 5 community health service centers, and the service population is 164800. At present, the community health coverage rate in Zhengzhou is only over 60%, which is far from meeting the medical needs of citizens.
This year, Zhengzhou will build 30 new community health service centers, which also brings new opportunities for our hospital and new discussions between hospital leaders and employees. Establishing a new community health service center has become a topic of concern to everyone in the hospital. Our hospital will strive to establish the qualification of community health service center on the basis of the original XX hospital and transform it into a community health service center. The existing strength of our hospital has basically reached the standard of establishing community health service center.
The establishment of community health service center in our hospital will take a virtuous circle of sustainable development. Improve the service efficiency of community health organizations. Through efforts, community preventive health care will be implemented to improve residents' awareness rate of basic health knowledge, planned immunization coverage rate, standardized management rate of major chronic non-communicable diseases, health care management rate of women and children, and health care management rate of the elderly; The growth rate of residents' average comprehensive medical expenses will also slow down.
The planned investment of this project is ×× 10,000 yuan. Source of funds: the enterprise raised RMB ××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××× After the center is completed, it is capable. After the basic conditions are completed, with the expansion of the market, it is very easy to expand the scale. After the project entered the scale construction, the asset scale gradually increased by 10,000 yuan, and the number of employed people gradually increased.
4. Necessity of project implementation
Over the past 30 years, community health services have developed rapidly in the world. It is a comprehensive health service system that integrates prevention, medical treatment, rehabilitation, health education and consultation for individuals, families and community people.
Community health service centers can solve common health problems in many developing countries extensively, with high quality, conveniently and economically, which can be asserted as an important way to develop preventive health care services and basic medical services in our city and even the whole country.
At present, China's socialist market economy system is still immature, the proportion of agricultural population is too large, science and technology education is relatively backward, and it is still a low-income country compared with other countries. This basic national condition determines that we can only face the community, family and relatively fixed population, and implement basic comprehensive health services focusing on prevention and multi-functional services to ensure the basic health needs of residents.
According to the standards of the United Nations, a country with a population over 60 years old accounting for 10% of the total population is considered as an old-age country. By the end of 199 1 year, the population over 60 years old in China had exceeded 1 billion. By the beginning of 2006, the total number of elderly people in China had reached 1.44 billion, and the proportion rose to more than 1 1%, entering the elderly society. Perfect community health service is more suitable for the development of aging population in China.
The service mode of community health service center is to change the passive service of doctors waiting for patients into the active service of residents' families; From patients and a few healthy people to every family and all healthy people; From a single medical and health service to a number of health services such as prevention, treatment, security, health and health education.
Second, the basic situation of the reporting unit
1, basic information of the company
Zhengzhou XX Hospital is located in. XX Road, Zhongyuan District, Zhengzhou City. The hospital covers an area of 2000 square meters, with 20 beds and 25 staff members, including 2 general practitioners, 2 attending doctors, 5 doctors, 6 assistant doctors, 6 nurses and 2 pharmacists. The hospital mainly has general outpatient department, Chinese medicine department, internal medicine department, surgery department, gynecology department, pediatrics department, B-ultrasound electrocardiogram room, treatment room, rescue room, pharmacy department, information management center and other departments, and is equipped with advanced medical equipment. Our institute is a combination of old and young, with high professional quality. The management team includes innovators with entrepreneurial spirit, technical experts in the industry and experienced organizers.
Our hospital's infrastructure, personnel, medical equipment and other requirements have basically reached the standard of establishing a community health service center, and we are fully prepared for the transformation to a community health service center.
2. Introduction of leaders
The legal representative of the unit, XXX, is currently the accountant of Zhengzhou XXX Hospital.
Xxxx, currently the president of Zhengzhou xx Hospital.
Xxxx, a medical practitioner, is currently the vice president of Zhengzhou xx Hospital.
3, the unit development ability
It has been more than 30 years since the hospital was established in 19. Our hospital has also accumulated a lot of useful experience in promoting the development of community health service, standardizing medical service behavior and controlling the growth of medical expenses. We are also fully aware of the great significance and role of developing community health service centers, understand the principles, objectives and tasks of developing community health services, and unswervingly and persistently grasp, grasp and grasp this great event, so as to effectively alleviate the problem of difficult and expensive medical treatment for the people within our jurisdiction.
4, the unit's financial and economic situation
By the end of 2006, the total assets of the unit reached billion yuan, the liabilities reached billion yuan, and the asset-liability ratio was%. The total amount of fixed assets is ten thousand yuan.
5, the unit management situation
Zhengzhou XX Hospital has built a modern enterprise management organization and system based on its own business and project characteristics. The unit has set up a full-time department to be responsible for the construction, implementation, operation, supervision and assessment of the medical and health quality management system.
For more than 30 years, Zhengzhou XX Hospital has always enjoyed a high reputation in the industry, and has cooperated with large and medium-sized medical institutions in many provinces, and the cooperation has been very successful and smooth. Widely acclaimed, the popularity is rising.
6. Advantages of the enterprise:
Zhengzhou XXX is one of the few district-level hospitals that mainly focus on traditional Chinese medicine. After more than 30 years of development, we have accumulated rich industry experience, which has created favorable conditions for the establishment, comprehensive promotion and large-scale development of urban community health service centers. The construction scheme can accompany the development of medical service and meet the needs of society.
Zhengzhou ××× Hospital has strong medical treatment ability, and (introducing some glorious history) has been highly praised by relevant experts and all walks of life.
At present, there are few community health service centers in Zhengzhou. The project meets the requirements of the Ministry of Health's Measures for the Administration of Urban Community Health Service Institutions. The medical technology and requirements of XX Hospital have basically reached the standard, the external environment has been implemented, the source of funds is guaranteed, and it has strong medical management and economic strength, good industry background and the ability to undertake and successfully complete the construction of community health service centers. The establishment of the service center is not only conducive to improving the modernization level and industrial competitiveness of medical services, but also will promote and promote the development of medical and health undertakings in Zhengzhou.
Third, the maturity of the project
The unit set up a leading group for the construction of community health service center to study the construction of community health service center, with President XX as the group leader and Vice President XX as the group consultant. It is divided into three groups: investigation and analysis group, project planning group and project decision-making and implementation group. Equipped with medical professionals, computer professionals, management professionals and other professionals * * * 18 people.
After the successful establishment of the community health service center, it will fundamentally solve some disadvantages of medical treatment for people in the jurisdiction, provide a modern medical and health management model, and greatly improve the work efficiency of the medical industry. The above work has laid a mature and reliable working foundation and operating power for the further implementation of the project.
Four. Social demand and risk analysis
1, project development ideas
In the future, with the use of community health service centers and the improvement of center conditions, it will not only be an opportunity for development, but also bring us pressure and challenges. How to deal with it? How to ensure the source of the disease?
First, focus on hospitalized patients and provide good services. This is the idea of most directors. "Gold cups and silver cups are not as good as patients' word of mouth", and it is the most effective advertisement to do every hospitalized patient well with advanced technology and humanized service. At the same time, it is another means to strengthen doctor-patient communication, expand medical services and cultivate "loyal" customers by regularly conducting "knowledge lectures" on popular science health care, holding various forms of "friendship between patients and friends", "home for patients" and on-site services on holidays, and constantly strengthening and improving patient follow-up and return visits.
Second, actively develop and introduce new businesses, develop new technologies and expand service areas. In the face of fierce competition in the medical market, to win patients, it is necessary to achieve "no one has me, and people have me new". On the basis of diagnosis and treatment of common and frequently-occurring diseases, through technical cooperation with superior hospitals, new technologies and projects that can meet the needs of patients at all levels are introduced to save patients' expenses and ensure the sustainable development and competitiveness of hospitals.
Third, pay attention to technical support and academic exchanges, strengthen communication with large and medium-sized hospitals and other community health service institutions, and build a harmonious "win-win" network. By holding various academic conferences, regularly going to the community to carry out free clinic activities, and going to higher-level hospitals for further study, we can effectively improve the quality of all aspects of the center, win the trust of consumers, expand our influence, and do a good job in the medical service market.
2, the risk of project implementation and preventive measures
Our unit has a solid foundation for preliminary work, strong technical force and rich relevant work experience, and this project is the key support of the municipal medical administration department, plus the support of relevant national policies. In addition, the community health service center meets the market demand, and the source of the disease comes from the villages and communities around the hospital. No medical institution at the same level can compete with the strength of our hospital. As long as our hospital has extensive contact with grass-roots governments, community health workers and residents in the early days of the establishment of the center, we can understand the real situation, listen to various opinions, sum up and popularize effective practices and experiences, and realize system, mechanism and work innovation. Intensify publicity to make the masses understand the purpose, significance and role of developing community health services, and guide the masses to understand, support and actively participate in community health services. Make people know more about the function of community health service center, and its development prospect will be considerable, and there is basically no danger of being eliminated.
Our advanced management mode, professional medical staff, unique academic ideas, high-quality and cheap drugs, professional scientific research team and strong financial strength are the cornerstones of our success. Can bring good social and economic benefits.
To sum up, the risk of this project is small. The key lies in strengthening unit management, reducing operating costs, improving medical and service quality, improving the overall quality of medical personnel, increasing the construction of medical equipment and environment, and establishing community service centers and putting them into operation in a short time. Taking customer service as the fundamental purpose of the enterprise makes the enterprise and even the whole industry develop continuously.
Verb (abbreviation of verb) investment estimation and fund raising
1, project investment budget
The total investment of the project is10,000 yuan, the enterprise raises it by itself10,000 yuan, and the application for funding is10,000 yuan.
2. Investment and use plan
Project area m2 Unit price RMB 10,000 /m2 Amount (RMB 10,000) Remarks
Capital construction 1200
Medical equipment and medical supplies
Three months' salary in the previous period
Unexpected expenses
working fund
talent introduction
Combination plan
An analysis of the economic and social benefits of intransitive verbs
1, income estimate for the next five years
Forecast analysis list:
age
Forecast 2007, 2008, 2009, 20 10, 20 1 1.
Income forecast
2. Financial analysis
3. Social benefit analysis
To develop community health service, we must first adhere to the purpose of serving the people, put social benefits in the first place, medical and health care is the foundation of human survival and health, fully consider the needs and interests of the masses, make full use of existing community health resources, and avoid low-level redundant construction and waste of resources.
On the one hand, the development of community health service centers can optimize the allocation of health resources and become a breakthrough to effectively alleviate the problem of difficult and expensive medical treatment for the masses; On the other hand, the development of community health service centers can also drive and promote the reform and development of the basic medical insurance system for urban workers, the drug production and circulation system and the medical assistance system, and become the intersection of comprehensive health reform. Gradually form a mechanism of graded medical care and two-way referral, with "serious illness" entering the hospital and "minor illness" entering the community.
Good social benefit is an important basic condition for hospital's survival and development, a guarantee for hospital's economic benefit and a reflection of hospital's mental outlook.
Seven. Project implementation schedule
1, proposed site
No ×× Road, Zhengzhou City, Henan Province
2, the construction scale and objectives
After the establishment of the center, it will reach the scale of ××.
The center is located in Zhongyuan District of Zhengzhou, with a service radius of kilometers, covering several streets such as * * Road, * * Road and * * Road, and 10 community neighborhood committee serves several people. Provide "six in one" health services of medical treatment, prevention, health care, rehabilitation, health education and family planning guidance.
After the completion of the community health service center, it mainly provides the following basic medical services:
(a) the diagnosis and treatment of common diseases and frequently-occurring diseases, with clear diagnosis of nursing and treatment of chronic diseases.
(2) On-site emergency rescue within its jurisdiction.
(three) home visits, home care, family beds and other family medical services.
(4) Referral service.
(5) Rehabilitation medical services.
(six) other appropriate medical services approved by the administrative department of health of the government.
3. Project implementation progress
March-May 2007:
May-July 2007:
July 2007 ~ 10:
65438+1October ~ 165438+20071October:
Eight, three wastes treatment scheme
1, the present situation of the construction site environment
The center is located in Zhengzhou with a good surrounding environment. Under normal circumstances, the construction of this project has no obvious impact on the ecological environment of the project area.
2, the main pollutants and pollution sources
This project will produce waste water and waste residue.
(1) wastewater
Waste water comes from.
(2) Waste residue
Mainly domestic garbage.
3, comprehensive utilization and governance plan
First, according to
(1) Air Pollution Prevention and Control Law of People's Republic of China (PRC);
(2) People's Republic of China (PRC) Water Pollution Prevention Law;
(3) People's Republic of China (PRC) Noise Pollution Prevention Act;
(4) People's Republic of China (PRC) Law on the Prevention and Control of Environmental Pollution by Solid Waste;
(5) Regulations on Environmental Protection Management of Construction Projects.
B, three wastes treatment scheme
(1) wastewater
After domestic sewage is collected, it is treated centrally. The process is as follows:
(2) Waste residue
(3) Waste gas
4. Environmental monitoring
The main task of environmental monitoring is to monitor the sanitary standards of groundwater and environment to ensure that the sanitary environment and surrounding environment of the service center are not polluted.
5, environmental impact assessment
According to the pollution produced by the center, it can be effectively treated and fully utilized after comprehensive scientific treatment.
After the implementation of this project, the service center environment and surrounding environment will not produce new pollution. Waste wat and waste residue produced in production can be effectively control and treated. All emissions can meet the emission standards.
Nine. conclusion
To sum up, the establishment of this center is a project supported by the state, and the establishment of community health service center is determined by the basic national conditions in the primary stage of socialism in China, and also adapts to the changing trend of China's aging population. The investment of this project conforms to the national medical and health industry development policy, with good market prospect, reasonable construction scheme, remarkable social benefits and feasible project.