What is the work of the Maternal and Child Health Center? Let's take a look at the annual work report of the Maternal and Child Health Center!
First, the completion of the work indicators
(a) maternal and child health work indicators
The total number of mothers 3969, health care management 3969, of which 2,952 women in labor, 2,981 live births, maternal health care coverage, hospital delivery rate, the rate of delivery of the new law are 100%; screening High-risk pregnant women 1197 people, high-risk screening rate of 30. 16%, high-risk pregnant women delivery 1020 people, hospital delivery 1020 people, high-risk hospital delivery rate of 100%; pregnant women prenatal AIDS testing 2946 people, the detection rate of 99. 80%; no maternal mortality.
19,484 children under seven years of age, health care management 17,186 people, child health care coverage rate of 88. 21%; children under three years of age systematic management of 8,725 people, the systematic management rate of 89. 52%; children under five years of age, 24 cases of death, the mortality rate of 8. 05 per thousand, 13 infant deaths, mortality rate of 4. 36 per thousand, 5 neonatal deaths, newborn mortality rate of 1. 68 per thousand. . Birth defects 38 people, the incidence of birth defects 12. 49‰. No neonatal tetanus.
(B) business operations
54,318 outpatient registrations, year-on-year + 1,490, +3%; 4,828 admissions, year-on-year + 521, +12%; bed utilization rate of 122. 14%; bed turnover rate of 96. 3 times. Operating income of 15.39 million yuan, of which 3.54 million yuan of drug revenue, drug revenue accounted for 23. 17% of operating income.
From the workload statistics, outpatient visits were +3% year-on-year, with gynecology outpatient, stomatology, and pediatrics rising more than 10%; pediatrics, obstetrics and gynecology inpatient admissions rose, with pediatrics up 20%. It can be seen that, with the establishment of neonatology and children's vaccination clinic, the hospital's advantages in pediatrics and children's health care has been significantly enhanced, diagnosis and treatment and service capacity has been significantly improved, and there is still more room for expansion of the relevant departments. So far this year, the number of deliveries in the obstetrics department of the hospital has been maintained at more than 40% of the total number of births in the city, of which July and September accounted for 53.4% and 54.6% respectively, highlighting the specialty advantages of the obstetrics department. However, the number of health checkups and gynecological exams for female workers has declined significantly, which should be emphasized and paid attention to.
There were no medical accidents or major medical disputes during the year.
Second, the focus of work and implementation
(a) to the implementation of the national major public **** health special maternal and child health projects as the focus, to strengthen the management of maternal and child health care, the various indicators of maternal and child health work to continue to maintain the advanced level.
1, the active implementation of national major public **** health special maternal and child health projects, to ensure the equalization of public **** health services. First, innovative work methods to ensure that the hospital delivery subsidies are issued to the public in a timely manner. Since the start of the project on October 1, 2016, we first used the centralized reimbursement method to issue subsidies, and this year, we adopted the "on-site direct subsidy" subsidy by the birth agency, eliminating the inconvenience of the masses going back and forth to make reimbursements, and receiving a good social response. The city's 1,560 eligible women*** received 780,000 yuan in hospital delivery subsidies. Secondly, under the premise of extensive research and with the consent of the competent authorities, we formulated the implementation plan for the project of supplemental folic acid for rural women to prevent neural tube defects, focused on the pre-pregnancy period, strengthened the missionary work of the key populations, and made use of the platform of free marriage examination to distribute the drugs at the same time of pre-marital medical examination of the newlywed women, expanding the scope of the issuance of the drugs, and receiving a good and expected results. The annual distribution of 481 people. Thirdly, the 2016 breast cancer screening program was earnestly implemented, and the screening of 2,059 census subjects in Lu Township was completed in September, with 2 suspected cases detected and 1 case confirmed, which has been urged to undergo surgical treatment. At the same time, the workflow of the breast cancer screening program was further standardized, and the five suspicious and two confirmed breast cancer cases detected in 2016 were tracked and followed up, and urged to undergo regular follow-up and treatment, which improved the social effect of the breast cancer screening program.
2. Actively promote women's health action and improve the quality of women's survival. Starting from March, our hospital assisted Yaojiadian, Wuyequan, Niejiahe, Panjiawan, Gaobazhou and other township health centers to carry out women's disease census, and standardized the items and processes of women's disease census, and improved the quality of the census. During the year, 7,843 people were screened and 410,000 yuan in medical fees were waived. To carry out enterprises and institutions of women workers health care 873 times.
3, strengthen maternal health management, to ensure the safety of mother and child. First, actively cooperate with the Municipal Health Bureau to carry out maternal and child health care law enforcement inspections of the city's 17 obstetrics and gynecology ` medical institutions to carry out licensing verification and obstetrics quality assessment, and supervise its law to carry out maternal and child health care technology services. Second, the city has continued to implement a system of responsibility for the division of responsibility, and has continued to strengthen visits to villages and households to visit pregnant women and strengthen the management of maternal health care and the technical guidance of maternal and child health-care operations at the grass-roots level, so as to ensure that the rates of maternal health-care coverage, hospitalized deliveries, and maternity visits reach 100 per cent. Third, premarital and pre-pregnancy health care has been strengthened, and the early pregnancy card rate has been increased. The fourth is to conscientiously implement the high-risk maternal classification and management methods, the implementation of management procedures and the responsibility of the three-tier health care network, to ensure the safety of high-risk pregnant women.
4, strengthen the management of child health care system, improve the quality of child health care management. First, strengthen the work of children's health clinics, and actively carry out newborn disease screening, hearing screening, pediatric growth and development monitoring, infant swimming and other pediatric health care programs to improve children's health. Second, to strengthen the health care management of child care institutions, in May of the city's 45 child care institutions health care work was reassessed, of which 38 are qualified, qualified 84. 4%, 7 failed to meet the standards of the institution by the deadline for rectification and re-examination of the replacement of the certificate of conformity. Third, held a training course for nursery school directors, health doctors, to carry out the influenza A, hand, foot and mouth disease prevention and control knowledge lectures, to improve the collective children's ability to prevent and control infectious diseases. Fourth, we have gone into kindergartens and elementary school to carry out the prevention and control of common childhood diseases such as caries and high blood lead. Fifth, the opening of children's vaccination clinics, in accordance with the law to carry out the newborn BCG vaccine, hepatitis B vaccination, effective prevention of childhood diseases.
5, actively carry out health education, improve the public self-care awareness. Continuing to run the "mother and child health care lecture hall", free of charge to teach infants and young children health care and pregnancy health care knowledge, received a good social effect. In conjunction with the Municipal People's Consultative Conference, the Municipal Women's Federation and other organizations, it has carried out "Health Care for People's Livelihoods" and "Women's Volunteer Work" and other voluntary medical consultation activities for six times, with 1,185 consultations, 5,000 health leaflets distributed, and 3,361 yuan of medicines delivered free of charge. At the same time, the use of blackboards, bulletin boards, publicity windows, stop signs, etc., disease prevention knowledge publicity and education.
6, the establishment of the city's maternal and child health information platform, the organization of the city's maternal and child health information officer on the new version of the annual report information management software and the new maternal and child health annual report statement training, standardized maternal and child information collection and reporting, and promote the communication and feedback of information.
(2) pay close attention to the construction of medical operations to ensure the safety of medical behavior.
1, to strengthen the hospital section of the second-level quality control organization, improved the quality of medical care. First, continue to carry out medical quality management special rectification activities, the implementation of the first physician responsibility system, the three-stage doctor-patient communication room system, timely detection and resolution of medical safety hazards, and promote the establishment of a harmonious doctor-patient relationship. Secondly, we have strengthened the quality control assessment of the hospital and departments at the second level, and regularly summarized and gave feedback to ensure the continuous improvement and enhancement of medical quality. There were no medical incidents or major medical disputes throughout the year.
2, to strengthen the construction of specialties, to fill three gaps. First, the inpatient obstetrics and gynecology successfully carried out laparoscopic surgery, filling the hospital in the gynecological minimally invasive treatment technology blank; Second, the establishment of children's vaccination clinic, to solve the long-standing problem of newborn immunization, filling the hospital in the children's immunization blank; Third, the establishment of an independent neonatal ward, filling the city in the neonatal section of the construction of the blank. Since the establishment of neonatology, 216 newborns were admitted and treated, 29 cases of critically ill children were rescued, and the success rate of high-risk resuscitation was 98.67%. 4 cases of neonatal diabetes mellitus, respiratory malformations, sepsis combined with erythrocytosis and DIC were found and referred in a timely manner, which gained time for further treatments; Pediatrics, Obstetrics and Gynecology, Stomatology, Prenatal Health Care Clinic, Laboratory, Ultrasound Room, and Radiology focused on the tasks of their respective departments, and continuously improved the quality of work. The pediatrics, obstetrics and gynecology, stomatology, prenatal care clinic, laboratory, ultrasound room, radiology around their respective work tasks, and constantly improve the quality of work, the workload have increased significantly.
3, conscientiously implement infectious disease management measures, strict implementation of infectious disease outbreak network direct reporting, health emergency work monthly report and infectious disease outbreak pre-screening, triage and reporting system, the implementation of hand-foot-mouth disease and influenza A preventive and control measures, effective control of infectious diseases in the hospital's dissemination and prevalence.
(C) pay close attention to the industry style and medical ethics construction, improve the patient satisfaction rate.
With the democratic evaluation of political style as an opportunity to further strengthen the industry style rectification, received satisfactory results. First, to strengthen the construction of party spirit and honesty, the party spirit and honesty construction of publicity and education and medical ethics education, laws and regulations, training, medicine and wind correction, and to further improve the source of the work of anti-corruption measures. Secondly, drugs and medical equipment strictly implement the government centralized bidding and procurement system, to eliminate unethical practices in the purchase and sale of medicines. Annual procurement of drugs 2.82. 55 million, centralized bidding 2.40. 24 million, centralized bidding procurement rate of 85. 03%; procurement of disposable consumables 1.33. 13 million, of which the bidding 7343. 43 million, the bidding procurement rate of 55. 16%; procurement of equipment 2.66 million yuan, centralized bidding 2.66 million yuan, centralized bidding procurement rate of 100%. Third, the establishment of medical service program fees and drug price bulletin board, timely information updating and price adjustment, to eliminate the phenomenon of abusive charges. Fourthly, the "Seven Strict Prohibitions" working system is strictly implemented, effectively controlling "large prescriptions" and "ride-along medicines", and the proportion of drug income to business income has been controlled at less than 25%. Medical personnel do not accept "red packets", "kickbacks" and billing commission and other phenomena. Fifthly, the hospital insists on giving benefits to the people, and provides preferential services to rural poor households, urban low-income households, disabled people, families of active-duty military personnel, and elderly people over 70 years of age. Sixth, we have carried out in-depth democratic evaluation of political style and behavioral activities, widely solicited opinions and suggestions from all walks of life, and carried out a series of activities such as Healthy Baby Action, Maternal and Infant Safety Action, Children's Health Action, the creation of "Wang Qiangyin's Workshop", and signing of the service commitment, etc., which have strongly promoted the behavioral style. The activities have strongly promoted the construction of ethical behavior and enhanced the social image, and the patient satisfaction rate has remained at more than 95%.
(D) in-depth "first to strive for excellence" activities to enhance the cohesion of the party organization.
In accordance with the unified deployment of the municipal party committee and the municipal health bureau party committee, the hospital in-depth to "create advanced grass-roots party organizations, and strive to be an outstanding member of the party" as the goal of the "first to strive for excellence" activities. Against the requirements of Du Ji method [2016] No. 8 document, one by one to implement the party organization construction "twelve one" of the "five basic, seven system" construction requirements, and further improve the party building work system, standardize the party building work of all kinds of information collection and finishing and archive management work, the implementation of the learning-oriented party organization. We have implemented the measures for the construction of learning party organizations and the measures for the creation of "five good" party organizations, perfected the network diagrams of the party, labor, league and women's organizations, set up the files for the education and training of party activists and reserve cadres, promoted the construction of the party branch itself and the construction of the party members, and strengthened the cohesion of the party organizations. Under the education and training of the party organization, five advanced young people have joined the ranks of party activists. In the activity of "striving for excellence", the hospital insisted on combining the creation of activities with the central work of the hospital, and carried out the "satisfaction in the women's and children's", "party members commitment", "Party members show their cards", "three than one creation", excellent experience article selection and recognition of a series of thematic practical activities, "creating the first and striving for excellence" activities as a platform to promote the work of the hospital. The company's business is to promote the development of the hospital as a platform to promote the work of the hospital, and closely with the implementation of hospital delivery subsidies, "two cancers" census and other major national public **** health projects and the development of the hospital business and other specific work, to promote the work of a new level.
(E) continue to deepen the reform of the personnel system, improve the enthusiasm of the staff.
First, according to the Municipal Personnel Bureau, the Health Bureau of the relevant documents, scientific and reasonable job setup. The hospital set up 100 posts, including 14 management positions, 74 professional and technical positions, 12 work positions, to achieve the reform of the employment system from identity management to job management. Secondly, according to the number of positions re-approved by the Municipal Personnel Bureau, Health Bureau, the implementation of open recruitment of personnel, and the recruitment of the target into the management of the organization, the abolition of the personnel agency and operational temporary workers, and rationalize the personnel relations. Third, seriously implement the spirit of performance pay reform, standardize the performance pay assessment and distribution system, the implementation of the retiree living allowance issued to safeguard the legitimate rights and interests of employees.
(F) steadily promote urban and rural interconnection **** construction work, the implementation of the new rural construction and support medical tasks.
First, actively support the construction of new rural areas in Shuangheqiao Village, Wangjiafan Township, to help the village to improve the work of the system on the wall, contributing 15,000 yuan to help the village to purchase computers and other office equipment, gift subscription to the daily newspaper in 2016, 2, the new newspaper in rural areas, 5 copies. Organization of 15 party members, twice for the villagers clinic services, 253 visits, reduce or waive the medical fee of 12,000 yuan, free medicine 1000 yuan, and poor party members visit condolences, donations of 3,000 yuan. Second, with the Municipal Women's Federation to jointly carry out the "Women's Volunteer Line" activities for the Niejiahe Township left-behind children to send medical warmth, free health checkups for 189 people, send medicine for 1,000 yuan, distribution of a variety of health education publicity materials 500 copies, reception of the consultation of 150 people. Thirdly, an associate chief physician of obstetrics and gynecology was deployed to Gaoba Prefecture Health Center to support rural health work and guide the grassroots to carry out obstetrics and gynecology practice. And with Panjiawan, Yaojiadian and other township health centers to establish a two-way referral relationship, realizing the resources *** enjoy, mutually beneficial *** win.
Three problems and next year's work focus
(a) Problems
1, the city's medical institutions cesarean section rate is still persistently high. After active remediation, the second half of the cesarean section rate of all medical institutions have different degrees of decline, the city's cesarean section rate from more than 80% down to 68%, but with the provincial Department of Health to determine the 40% standard is far from.
2, health care staffing shortages, affecting the further expansion of health care business and the implementation of maternal and child health programs.
(B) Next year's work focus
1, to strengthen the "two systems management", to ensure that the reduction of maternal mortality rate, under-five mortality rate, and improve the quality of births to achieve the goal.
2. Strengthen the implementation of the "four measures" and strive to reduce the cesarean section rate.
3, continue to do a good job of hospital delivery subsidies, folic acid supplementation and other projects, to complete the task of breast cancer screening program, to ensure the equalization of public **** health services.
4, strive for departmental cooperation, earnestly implement the women's health action, standardize the women's disease screening program and workflow, and improve the quality of the census and the social effect of the women's health action.
5. Strengthen the construction of specialties, and actively strive to create 2-3 municipal specialties.
6. Consolidate the results of the "Second Excellence" and improve the scientific management level in all aspects.
7, solid construction of industrial style, efficiency construction, party spirit and clean government construction, harmonious unit construction, and improve the social satisfaction rate.