The year of xxxx is a key year for y practicing and practicing the scientific concept of development and deepening the reform of the medical and health system. The city's medical work in the bureau under the correct leadership of the party committee, in the districts, counties (cities) support and cooperation, closely around the Hangzhou health priorities, continuous improvement of medical quality, strengthen hospital management, strengthen the connotation of the hospital construction, enhance the ability of medical services, and do everything possible to let the masses to see a doctor, afford to see a doctor, to see a good doctor, and actively crack the "difficult to see a doctor! "The company's main goal is to provide the best possible service to the public, and to make sure that they have the best possible quality of life.
First, the continuous improvement of medical quality management, and constantly improve the quality of medical services
1, the implementation of the continuous improvement of medical quality program.
On the other hand, the medical quality of the city's health care system has been improved, and the city's health care system has been strengthened. First, the development of "Hangzhou Medical Quality Continuous Improvement Plan Activity Program" (Hangzhou Health Development (xxxx) 241), the implementation of the city's medical quality continuous improvement program. Secondly, the Leading Group of the City's Medical Quality Continuous Improvement Plan was set up, and the districts, counties (cities) and medical institutions also set up corresponding organizations and formulated work plans to strengthen leadership, implement and promote the plan earnestly and solidly. Third, gradually establish and improve the quality management organization system at all levels, quality assessment and evaluation system, quality information report monitoring and early warning system and quality management education and training system. Municipal medical quality control centers for public competition, adjusted to determine the 15 centers to undertake the unit; improve the quality management system based on municipal quality control centers, in particular, the construction of information reporting and monitoring system. Fourth, to promote the development of key work. In the city's implementation of the "clinical application of medical technology management approach"; hospitals to establish a management system for a class of technology, carried out two, three types of technology, such as the application, and effectively strengthen the management of the clinical application of medical technology; Hangzhou hospitals and other hospitals, Zhejiang Greentown Hospital launched a single disease quality management and clinical pathway pilot; the implementation of the "Interim Measures for the Management of Outpatient Clinics in Hospitals of Zhejiang Province"; strengthening nursing care Safety management, in the Bureau of hospitals carried out a survey of nurse configuration, and nurse configuration included in the comprehensive target assessment of the President; carried out the city's blood dialysis, hospital sensory and other key departments of quality management research and supervision.
2, strengthen the supervision of medical institutions. To strengthen the supervision of medical institutions, improve the quality of medical services as the focus of the new period of medical work. First, strengthen the supervision of the implementation of the medical core system, and increase the weight, included in the Bureau of hospital director of the comprehensive target assessment; county hospital construction and quality management in the district, county (city) government public health target assessment, guide the medical institutions to strengthen the management of hospitals, the implementation of the medical core system. Secondly, relying on and giving full play to the role of municipal medical quality control centers, focusing on strengthening medical quality management. After the adjustment of the quality control center, carried out testing, anesthesia, pathology, blood dialysis, hospital sensory, emergency and other citywide research and inspection; nursing quality control center of each, county (city) the first people's hospitals for night flight inspection; organization of municipal experts in some districts, counties (cities) the first people's hospitals to carry out a comprehensive quality inspection; hospitals affiliated with the Bureau of "Quality Miles", "Medical Miles", "Medical Miles", "Medical Miles", "Medical Miles", "Quality Miles", "Medical Miles", "Medical Miles", "Medical Miles" and "Medical Miles". ", "medical safety 100 days of activities" inspection. Third, the city's second-level hospitals qualified "clinical laboratory" acceptance. The city's 45 secondary hospitals (equivalent to secondary hospitals) by the assessment of 41 qualified, ordered to rectify and re-assessment of 4.
3, deepen medical safety management. First, continue to implement the patient safety goals, and combined with the "100 days of medical safety activities", "safe hospital" construction, hospitals to refine and implement medical safety management. The second is the introduction of "on the implementation of medical disputes identified and accountability for the interim measures for the evaluation system", quarterly on the Bureau of hospitals reported or the Bureau of medical disputes to carry out the evaluation, focusing on the hospitals occurred in the medical disputes identified as responsibility and accountability for the implementation of the evaluation. Thirdly, it actively cooperates with the judicial department to carry out research on the establishment of a third-party mediation mechanism for medical disputes in Hangzhou, and reports to the Provincial Department of Health and the Provincial Department of Justice to make preparations for implementation. Fourthly, it conscientiously implements the "Hospital Complaint Management Measures" of the Ministry of Health, further improves the complaint management work, establishes and improves the complaint reception department, implements the "first complaint responsibility system", and actively does a good job in dealing with medical disputes and reception of letters and petitions. The annual city bureau to accept the provincial health department, the city leadership, the Bureau of Letters and Visits and 12345 referred to 93 cases, received more than 200 visits from the public, coordinated the handling and mediation of large medical disputes, complaints 13, to stabilize the medical order, alleviate the contradiction between the doctor and the patient, and has played a positive role.
The second, the implementation of the "big game", and constantly improve the ability of medical services.
Around the party committee of the Bureau of the "big construction, integration, big competition" of the central work, in the city at all levels and types of medical institutions to carry out a comprehensive medical skills "big competition". Has organized the city's first aid skills, diagnosis and treatment skills and nursing skills "big match" activities. The city's medical institutions carefully organized, full participation, *** 67 units, 359 people to participate in the city's big match, through the medical skills "big match" in the city's medical institutions set off a learning knowledge, drilling business, strong skills culmination of the formation of the "more than, learning, race, help, super!
Three, actively respond to the "A" epidemic, the successful completion of the emergency medical rescue work.
Under the correct leadership of the Bureau of the party committee, timely research and development of the city's "influenza A" medical treatment program, to guide the city's various types of medical institutions at all levels to carry out clinical treatment work; in response to the "influenza A" pandemic, timely adjustment of the plan, in terms of space, personnel, and the work of the city's medical institutions, the city's medical institutions to carry out clinical treatment work. Adjust the plan, in the site, personnel, materials, technology, medicine and equipment, etc. to make full preparations; all levels of the city's influenza A (H1N1) sentinel hospitals to carry out a full range of multi-frequency, high level of professional knowledge training; timely organization of the supervision, improve the diagnosis of health care institutions, consultation, referral and treatment of severe and critical illnesses and other work processes; invest a lot of energy, focus on the city's "A-flu" serious and critical care work. In the efforts of the majority of medical staff, the city's "A" medical treatment work in an orderly and effective, the city **** diagnosed "A" patients 2035 cases, of which 626 cases of hospitalization, 171 cases of treatment of patients with severe, critical patients 36 cases.
Four, strictly according to the law, and constantly improve the level of supervision.
1, actively participate in the development of Hangzhou medical institutions set up planning, health departments at all levels in accordance with the local socio-economic development and the approval of the management of the medical institutions of the new requirements, timely development and improvement of the local medical institutions set up planning, strengthened based on the planning of the approval of medical institutions.
2, strengthen the implementation of medical institutions set up approval filing system. The city's health bureau has completed the approval of medical institutions set up for the record 7. To carry out the city's medical institutions health checkup service registration filing work, the municipal level to complete the jurisdiction of the medical institutions health checkup service registration filing 15.
3, grasp the personnel access management. Strictly practicing physicians and nurses examination and registration work, strengthen personnel qualification management, good access to personnel. The city completed 3,198 licensed physicians operating test, the theory of the test 2703, physician registration of 1957 (919 at the municipal level), 17 foreign physician registration, the first registration of 1,146 people. Completion of the nurse registration 15877 times.
4, seriously carry out the regular examination of practicing physicians. The development of regular assessment of the implementation of the rules to strengthen the dynamic management of physicians after admission to practice, standardize practice behavior, enhance the quality of practice. Municipal level to complete the regular assessment of practicing physicians 2923 people, including qualified 2922 people, unqualified 1 people.
5, comprehensively carry out the work of medical institutions. This year is all levels and types of medical institutions verification year, the city's medical institutions verification as a grasp, in order to strictly regulate the diagnostic and treatment subjects, the size of the beds, the name of the approved focus on verification work. The city's *** calibration of 4375 medical institutions, including 133 re-approved name, clean up 206 treatment subjects, suspended 69 calibration, registration 127, revocation of 3.
6, strengthen the guidance and supervision of private medical institutions. Adhere to the "who issued the license, who regulates" principle, service and supervision. First, the conception and negotiation of the establishment of the City Private Hospital Management Association, to strengthen industry self-regulation; Second, the inspection, hospital sensory, anesthesia and other quality control work as an entry point, and gradually private hospitals related to quality control into the quality control system; Third, to strengthen the research of private health care institutions, the Bureau of the main leaders personally went to the Adeccan Medical Laboratory Center for research, guidance.
Fifth, adhere to the overall service, and actively implement innovative projects
1, innovation and excellence in the smooth implementation of the project
Around the municipal government to determine the Bureau of innovative projects "to improve the people's health care initiatives as a platform to improve urban and rural areas and migrant workers. The city government identified our innovative project "to improve the medical assistance initiatives as a platform to improve the level of urban and rural medical protection for people in need and migrant workers", actively implemented, and achieved good results.
One is to further improve the service measures. to focus on strengthening the social publicity, strengthen the hospital self-consciousness, strengthen the implementation of the introduced "love outpatient, the people wards" of the various initiatives as the focus, improve the workflow and articulation, the real benefit to the masses. According to incomplete statistics, the city's love outpatient clinic treatment of 239,738 patients, reducing and exempting medical costs of 2,063,300 yuan; benefiting beds admitted and treated 3,886 hospitalized patients, reducing and exempting medical costs of 4,174,000 yuan; "Benefiting the people's hospitals" diagnosis and treatment of 22,993 people (of which 18,884 outpatient visits, hospitalization of 631) The "Beneficiary Hospital" diagnosis and treatment 22,993 times (including 18,884 outpatient visits, 631 hospitalizations, 3478 blood dialysis visits), remission of 1,243,100 yuan.
The second is to strengthen the vagrant beggars in the no patient rescue work. formulated the "on strengthening the homeless begging people in the implementation of the views of the patient rescue work", adjusting and increasing the fixed-point hospitals, standardize the rescue work procedures, the effective implementation of the patient's medical rescue work, by the municipal government of the He Guanxin Vice Mayor of the highly affirmed, the featured information in the "Hangzhou government" issue of 365 issued. According to incomplete statistics, the city's designated hospitals *** admitted 1,925 patients without a master, bear medical costs 2,495,900 yuan, of which 401 inpatient hospitalization, hospitalization costs 1,617,100 yuan, outpatient patients 1,524, outpatient costs 878,800 yuan.
Three is to improve the health care services for the beneficiaries. earnestly implement the "Hangzhou Pensioners and Privileged Guests Medical Protection Implementation Measures", the hospitals take the initiative to implement the "four exemptions and four reductions" for the Pensioners and Privileged Guests; at the municipal level, to determine the Hangzhou Third Hospital for the Pensioners and Privileged Guests designated hospitals, the implementation of "one-stop The city's main hospital as the designated hospital for pensioners and beneficiaries, the implementation of "one-stop" settlement services.
Fourth is to carry out rehabilitation projects for the disabled. actively carry out the creation of a national model city for people with disabilities rehabilitation work for people with disabilities, the rehabilitation needs of 'cataract patients 100% get surgery to restore their eyesight, reduce or waive the cost of surgery for poor patients to restore their eyesight, and comprehensively build a cataract-free city; to solve the Chun'an County ophthalmology medical and technical strength of the problem of the weakness of the city in conjunction with the Disabled Persons' Federation to send a medical team of six ophthalmology experts to the Fenkou Township, Chun'an County, the city of the city. (Chun'an County Second People's Hospital) to carry out the activity of "Sending Brightness to the Countryside", and performed free sight-restoring surgeries for more than 140 impoverished cataract patients in the area. Eight districts and counties (cities), namely Upper City, Lower City, Xihu, Gongshu, Jianggan, Xiaoshan, Fuyang and Lin'an, passed the assessment and acceptance of the Central Disabled Persons' Federation and the Provincial Disabled Persons' Federation, and were honored by the National Rehabilitation Office for Persons with Disabilities with the title of the first batch of National Cataract Free Counties. Comprehensive hospitals above the second level have increased their rehabilitation medical functions, carried out physical disability rehabilitation diagnosis and treatment services, and undertaken rehabilitation training and technical guidance for people with disabilities; the city's third hospital has been added as a hospital for the identification of hearing disabilities; and the Hangzhou Disabled Persons' Rehabilitation and Health Education Lecturer Group has been established to carry out training. The city **** completed 5,066 cases of cataract surgery, of which "Xiaokang project" for poor cataract patients free surgery cases for 2086 cases; cleft lip and palate free surgery 21 cases.
2, the internationalization of tourism has been steadily advancing
First, we are actively building the Guangxingtang-Santai Villa health center, so that it has become an integrated product of recreation, health and leisure. Designed and launched a special health tourism line; Santai Villa, Guangxingtang Chinese medicine health center launched a new project of therapeutic food, Chinese medicine health care, massage, acupuncture, recreational physical examination; reception characteristics of the health tour group; guide the city recuperation industry associations to take the lead in forming a "traditional Chinese medicine health tourism promotion alliance", and actively plan the "Chinese medicine health health tourism promotion alliance" was established and "enjoy health, wonderful in Hangzhou" - Chinese medicine health health tourism activities to expand publicity and accelerate the process of tourism internationalization
The second is the development and introduction of the "Hangzhou tourism internationalization work medical assistance program. It further clarifies the organizational system, working mechanism and safeguard measures, and guides the city to carry out tourism medical aid work.
The third is to increase the first aid skills training work for the staff of scenic spots and attractions.
Fourth, to carry out research on the subject of convalescence.
Six, improve the construction of first aid system, and constantly improve the ability to deal with emergencies medical treatment.
1, completed the relocation of the City Emergency Center, the formation of the city's medical emergency command and communication system; completed the counties (cities, districts) emergency sub-centers communication scheduling and command system transformation, the formation of the city's unified and efficient pre-hospital emergency communication scheduling and command system.
2, start the development of pre-hospital emergency treatment norms, revised emergency sub-centers, site construction standards, pre-hospital emergency personnel training, strengthen the connotation of pre-hospital emergency construction, improve pre-hospital emergency capacity.
VII, adhere to the overall, comprehensive completion of the medical work
1, this year is to deepen the reform of the medical and health system of the opening year, and actively cooperate with the exploration of the management system of public hospitals and the operational mechanism of the reform of the relevant work.
2, deepen the public hospitals to support the work of grass-roots hospitals. Continue to do a good job "10,000 doctors to the grassroots" project, the cumulative total of three batches of medical teams sent *** counted 69 people; sent to aid the Sichuan medical team of four batches of more than 30 people; according to the deployment of the Provincial Department of Health, to do a good job of tertiary hospitals to support the work of county hospitals in Guizhou Province.
3, to complete the West Expo, fireworks conference, the international marathon, the midterm, the college entrance examination and other major events medical security and emergency medical rescue. Throughout the year, the municipal level has completed more than 100 sessions of various types of medical support, with more than 1,000 medical personnel participating.
4, to complete the creation of "green hospitals" and related ecological, environmental provincial and municipal construction goals. Newly created provincial green hospitals 4, 9 municipal green hospitals.
5, according to the law to strengthen blood management, and constantly promote blood donation. By the end of November, the city completed 160,427 unpaid blood donations, with 68.86% of those who donated more than 300 ml of blood at one time, continuing to realize 100% voluntary unpaid blood donation, and 100% of the blood used in clinics comes from unpaid blood donation.
6, to complete the college enrollment physical examination work. The city deployed 286 medical personnel to complete the physical examination of 18,000 people, and conscientiously implement the "sunshine physical examination" measures, timely reporting of information, quality and quantity to complete the task of physical examination.
7, to complete the conscription physical examination work. The city opened 12 medical examination stations, 446 medical personnel, completed the medical examination of 9,960 people, including more than 165 female soldiers in the initial examination, for the troops to send 3200 recruits, including 93 female soldiers, 27 special forces, successfully completed the conscription medical examination tasks.
8, to do a good job of fine linen drugs for licensing and other work. Annual **** issued 275 licenses.
9, do a good job of urban residents health insurance designated hospitals and other work. The year completed 41 health insurance hospitals designated for pre-approval.
10, actively carry out the work of human defense, participated in the "Golden Shield - 9" provincial and municipal joint human defense exercises.