One, General
1, Overview
The Ministry of Health developed the "Urban Community Health Service Organization Management Approach", which puts the strengthening of the urban community health service organization set up and operation of the management, to ensure that the residents fair enjoyment of safe, effective, convenient and economical community health services as the goal. To this approach for our new community health center construction has injected new vitality, has a lot of cultivation space.
In recent years, China's health care system reform continues to promote. With the development of social and economic, medical institutions overlap, compartmentalization, resource scarcity and waste coexist, the chaos of the order of the production and circulation of drugs and other deep-rooted problems and contradictions appeared; at the same time, the public medical institutions tend to profit phenomenon is also highlighted, the rapid growth of medical costs, a considerable portion of the population lack of medical care, it is difficult to get basic health services.
Zhengzhou City, the establishment of community health service centers, as a basic medical service institutions, is an important part of the national health services. Community health service center as the people around the medical institutions, shoulder to meet the community people's basic medical needs of the heavy responsibility. At the same time, as the nerve endings of the entire national health care system, they also have to fulfill the tasks of prevention, medical treatment, health care, rehabilitation, health education and family planning technical services.
It is necessary for our center to build a community health service center that implements supporting policies, has a sound service network, reasonable manpower allocation, perfect service functions, standardized supervision and management, smooth financing channels and adapts to the needs of the society.
2, the development of service centers principles and policies
First, adhere to the purpose of serving the people. The establishment of community health service centers to facilitate access to basic medical and preventive health services and improve people's health as the fundamental purpose.
Secondly, social benefits are put in the first place. Give full consideration to the needs and interests of the masses, and prevent the tendency to pursue economic gains at the expense of social benefits.
Third, demand-oriented. Understand the jurisdiction of the residents of the health service demand information, through the reform of the service model, improve the quality of service, improve the attitude of the service, in the priority to ensure that the basic health services on the basis of the people's growing demand for multi-level health care services.
Fourth, according to the local conditions, according to the ability. The organizational structure of community health services, service content, the level of protection, service prices, etc., according to local conditions, with the level of economic and social development and the public's ability to afford, adapted to the local situation, not beyond the reality of blind development, blindly expanding the scope of services.
Fifth, focus on structural adjustment. Clearly the development of community health centers on the structural adjustment of the existing health service system, focusing on changing the concept of service and service mode, make full use of the existing community health resources, to avoid duplication of construction and waste of health resources.
Related policies:
(1) Seek government support and gradually increase investment.
(2) Establishing a system for evaluating the titles of general practitioners.
(3) Clarify the policies related to community health services and employee health insurance.
(4) Streamlining the price of community health services.
(5) Streamlining the relationship with hospital services.
(6) Maintaining the economic treatment and social status of the personnel of community health centers.
3, the program objectives
Zhengzhou City has passed the acceptance, obtaining a medical institution license for community health service institutions there are 136, of which 131 community health service stations, community health service centers 5, the number of people served 1.6480 million. Currently, Zhengzhou City, community health coverage of only 60%, far from meeting the public's medical needs.
This year, Zhengzhou City will set up 30 new community health service centers, which also brings new opportunities for our hospital, the hospital leaders and staff have also started a new discussion. The establishment of new community health service centers has become a topic of concern for everyone in the hospital. Our hospital will make every effort to strive for the qualification of establishing community health service centers, and transform into a community health service center on the basis of the original ×××× hospital. Our hospital's existing strength are to basically meet the standards for the establishment of community health service centers.
The establishment of community health service centers in our hospital will take the virtuous circle track of sustainable development. Improve the service efficiency of community health organizations. After efforts, community preventive health care will be implemented, the residents of the basic health knowledge, as well as the rate of immunization, standardized management of major chronic non-communicable diseases, women's and children's health care management rate, geriatric health care management rate, etc. will be improved; residents of the average increase in the comprehensive medical cost expenditure will also be slowed down.
The project plans to invest ×× million yuan. Funding sources: enterprise self-financing × × million yuan, apply for funding 100,000 yuan. After the completion of the center has the ability to, after the completion of the construction of basic conditions, with the expansion of the market is very easy to expand the scale. After the project enters the scale construction, the gradual increase in the scale of assets million yuan, the gradual increase in the number of people employed.
4, the necessity of project implementation
Community health services in the world more than 30 years of rapid development, is oriented to the individual, the family, the community population to provide a set of prevention, medical care, rehabilitation, health education and counseling as one of the comprehensive health service system.
Community health service centers are able to address common health problems in many developing countries in an extensive, high-quality, convenient and economical manner, and therefore, it can be asserted that it is an important way to develop preventive health services and basic medical services in our city and throughout the country.
Currently, China's socialist market economic system is still immature, the proportion of agricultural population is too large, science and technology education is relatively backward, compared with other countries is still a low-income countries. This basic national situation determines that it can only be oriented to the community, family and relatively fixed population, the implementation of basic, comprehensive health services, prevention-oriented, multi-functional services, to ensure that the residents of the basic health needs.
According to the standards of the United Nations, a country with a population over 60 years of age accounting for 10% of the total population is considered to be an elderly country. By the end of 1991, China's population over 60 years of age has more than 100 million, by the beginning of 2006 China's total elderly population has reached 144 million, the proportion rose to more than 11%, thus entering the elderly society. Improved community health services are more adapted to the development of the trend of population aging in China.
Community health service center service mode is a change in the past doctors sitting waiting for the patient's passive service to in-depth active service to the residents of the family; from the patient-oriented and a few healthy people to expand to each family and all healthy people; from a single medical and health services for the prevention of the development of a number of health services, treatment, preservation, recreation, health education.
Second, the basic situation of the reporting unit
1, the basic situation of the unit
Zhengzhou xxxxxx Hospital is located in Zhengzhou City, Central Plains District xxxxxx Road x number. Hospital area of 2,000 square meters, 20 beds, the establishment of 25 people, including general practitioners Name, 2 attending physicians, 5 physicians, 6 physician assistants, 6 nurses, pharmacists 2. The hospital is mainly equipped with general clinic, Chinese medicine, internal medicine, surgery, gynecology, pediatrics, ultrasound and electrocardiogram room, treatment room, rescue room, pharmacy, information management center, and other departments, and is equipped with advanced medical equipment. Our hospital is a combined team of old, middle-aged and young people with high professional qualities. The management team includes innovators with entrepreneurial spirit, technical experts in the industry field and experienced organizers.
We are fully prepared to transform into a community health service center as our infrastructure, personnel and medical equipment have basically met the standards for establishing a community health service center.
2, the leadership team profile
Unit legal representative for the × × × ×, currently Zhengzhou City, × × × × hospital accountant.
××××, currently director of Zhengzhou City, × × × × hospital.
×××, a licensed physician, is currently the vice president of Zhengzhou City, x x x x Hospital.
3, unit development capacity
×××××× was founded in 19×××××, its predecessor was ×××××, and in 20×××, it was moved to No. ×× of ×××× Road. At present, it is a district-level medical institution directly under the x x x District Health Bureau. ×××It has been more than 30 years since the establishment of x x x Hospital. Our hospital has also accumulated a lot of useful experience in promoting the development of community health services, standardizing the behavior of medical services and controlling the growth of medical costs. We also fully recognize the great significance and role of the development of community health service centers, understand the development of community health services, guidelines, objectives and tasks, unwavering, perseverance, this major event to grasp, grasp, grasp, and effectively alleviate the jurisdiction of the masses of people to see a doctor difficult, expensive problem.
4, the unit's financial and economic situation
As of the end of 2006, the unit's total assets amounted to 10,000 yuan, liabilities of 10,000 yuan, asset-liability ratio of %. Total fixed assets amounted to ten thousand yuan.
5, unit management
Zhengzhou × × × × hospital combined with their own business and project characteristics of modern enterprise management institutions and system construction, the unit set up a full-time department responsible for the construction of health care quality management system, implementation, operation, supervision and evaluation.
For more than 30 years, Zhengzhou ×××× Hospital has been enjoying a very high reputation in the industry, and has cooperated with a number of large and medium-sized medical institutions in the same province, and the cooperation has been very successful and smooth. It has been widely praised and its popularity is rising.
6, the advantages of the enterprise:
Zhengzhou ×××× is one of the few Chinese medicine-based district hospitals, more than 30 years of development, so that we have a wealth of experience in the industry for the establishment of community health service centers, as well as the full-scale promotion and urban community health service centers to create favorable conditions. The construction program can accompany the development of medical care and meet the needs of society.
Zhengzhou xxxxx hospital has a strong medical treatment capacity, (introducing some of the glorious history), are highly evaluated by relevant experts and the community.
Currently, there are few community health service centers established in Zhengzhou City, the project meets the requirements of the National Ministry of Health's "Management Measures for Urban Community Health Service Institutions", xxxxx Hospital's medical technology and all the requirements have basically reached the standard, the external environment has been implemented, the source of funds is guaranteed with a strong medical management and economic strength, with a good background in the industry, and has the ability to undertake and successfully complete the construction of the community health service center. The establishment of this service center is not only conducive to enhancing the modernization of medical services and the competitiveness of the industry, but also will surely drive and promote the development of medical and health care in Zhengzhou City. Divided into three groups, investigation and analysis team, project planning team, project decision-making and implementation team. Equipped with medical professionals, computer professionals, management professionals and other professionals *** counted 18 people.
The successful establishment of the Community Health Service Center will fundamentally solve some of the existing shortcomings in the medical care of the people within the jurisdiction, provide a modern model of health care management, and greatly improve the efficiency of the medical industry. The above work for the further implementation of the project has laid a mature and reliable working foundation and running power.
Four, social demand and risk analysis
1, the project development ideas
In the future, with the community health service centers put into use, the center of the improvement of conditions, for us it is both a development opportunity, but also brought us pressure and challenges, how to deal with? How to ensure the source of disease?
One is to focus closely on hospitalized patients, and effectively do a good job of service. This is the idea of most directors. "Gold Cup Silver Cup is not as good as the patient's word of mouth", with advanced technology, humanized service, do a good job for every hospitalized patients, is the most effective advertising. At the same time, we regularly carry out scientific and health care "knowledge lectures", organize various forms of "patient fellowship", "home for patients", holiday door-to-door service and other characteristic activities, and constantly strengthen and improve patient follow-up and return visits. The patient follow-up and return visits are another means of strengthening doctor-patient communication, expanding medical services, and cultivating "loyal" customers.
The second is to actively develop and introduce new business, develop new technologies and expand service areas. In the face of fierce competition in the medical market, in order to win patients, we must do "I have no one, I have my new", in the development of common diseases, multiple diseases on the basis of diagnosis and treatment, through technical collaboration with higher hospitals and other forms of the introduction of both to meet the needs of patients at all levels, but also to save the patient's costs of new technologies, new projects, will be the hospital's sustained development and competitiveness. competitiveness of the guarantee.
Third, technical support, academic exchanges, strengthen communication with large and medium-sized hospitals and other community health service organizations, **** building a harmonious "win-win" network. By engaging in various types of academic conferences, regular community clinics, go to higher hospitals for further study and other forms of practical improvement of all aspects of the quality of the center to win the trust of consumers, expanding the influence of the medical services market.
2, the risk of project implementation and preventive measures
I units of the previous work of a solid foundation, strong technical force, the relevant work experience, and the project is the city's medical sector focus on supporting the cause, coupled with the support of the relevant national policies. In addition, the community health service center is to meet the market demand, the source of patients are from the urban villages around the hospital as well as the community, in the surrounding area and can not compete with the strength of our hospital medical institutions of the same level. As long as our hospital in the early stages of the establishment of the center through extensive contact with the grassroots government, community health personnel and residents, to understand the real situation, listen to various views, summarize and promote the effective practices and experiences, to achieve the system, mechanism and work innovation. Publicity efforts are stepped up to enable the general public to understand the purpose, significance and role of developing community health services, and to guide the public to understand, support and actively participate in the work of community health services. So that people have a deeper understanding of the functions of community health service centers, its development prospects will be quite considerable, basically there is no danger of being eliminated.
Our advanced management model, professional medical staff, unique academic thinking, quality and affordable medicine, professional research team, strong financial strength, these are the cornerstones of our success. And can bring good social and economic benefits.
In summary, the risk of this project is very small. The key is to strengthen the unit business management, reduce operating costs, improve the quality of medical care and services, oriented to the needs of society, improve the overall quality of medical staff, increase the construction of medical equipment, the environment, the establishment of community service centers in a short period of time, and put into operation. Take the customer service as the fundamental purpose of the enterprise, so that the enterprise and even the whole industry continues to develop.
Fifth, investment estimates and financing
1, the project investment budget
Total project investment of 10,000 yuan, the enterprise self-financing 10,000 yuan, apply for grants 10,000 yuan.
2, investment use plan
Items Area m2 Unit price million yuan/m2 Amount (million yuan) Remarks
Basic construction 1200
Medical equipment and medical supplies
Preceding 3 months salary
Unforeseen costs
Liquidity
Talent introduction
Total
6. Economic and Social Benefit Analysis
1. Estimated Revenue in the Next Five Years
The list of Forecast Analysis:
Year
Forecast 2007 2008 2009 2010 2011
Revenue Forecast
2. Financial Analysis
3, Social Benefit Analysis
To develop community health services, we must first adhere to the purpose of serving the people, put social benefit in the first place, health care is the basis of human survival and health, give full consideration to the needs and interests of the masses, make full use of the existing community health resources, and avoid the low level of duplicated 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 an entry point to effectively alleviate the problem of the masses of difficult to see a doctor and expensive to see a doctor; 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 system of production and circulation of medicines, and the medical aid system, and so on, and become the intersection of the comprehensive reform of health. Gradually form the mechanism of hierarchical medical treatment, two-way referral and the pattern of "big disease" in the hospital, "small disease" in the community.
Good social benefit is an important condition for the survival and development of the hospital, is the guarantee of the hospital's economic benefits, is a reflection of the hospital's spiritual outlook on the operation of the situation.
Seven, the project implementation progress program
1, the proposed location
No. xxx Road, Zhengzhou City, Henan Province
2, the construction scale and objectives
The center will reach the scale of xxx after its establishment.
The center is located in the Central Plains District of Zhengzhou, with a service radius of kilometers, covering several streets such as **Road, **Road, **Road, and 10 community committees, and serving a population of people. The center provides medical treatment, prevention, health care, rehabilitation, health education and family planning guidance "six in one" health services.
Community health service centers were built to provide the following basic medical services:
(a) general diagnosis and treatment of common diseases, common diseases, nursing care and diagnosis of chronic diseases.
(ii) on-site emergency care within the jurisdiction.
(3) Family medical services such as home visits, home nursing and home hospital beds.
(iv) Referral services.
(v) Rehabilitation medical services.
(vi) Other appropriate medical services approved by the government health administrative department.
3, the project implementation schedule
March 2007 to May:
May 2007 to July:
July 2007 to October:
October 2007 to November:
Eight, the three wastes treatment program
1, the environmental status quo of the construction site
The center is located in Zhengzhou city with good surrounding environment. Under normal circumstances, the construction of the project has no obvious impact on the ecological environment of the area where the project is located.
2. Main Pollutants and Pollution Sources
Waste water and waste residue will be generated in this project.
(1) Wastewater
Wastewater comes from .
(2) Waste residue
mainly as well as domestic garbage.
3, comprehensive utilization and treatment program
a, based on
(1) People's Republic of China*** and the State Air Pollution Prevention and Control Law;
(2) People's Republic of China*** and the State Water Pollution Prevention and Control Law;
(3) People's Republic of China*** and the State Noise Pollution Prevention and Control Law;
(4) People's Republic of China*** and the State Law on Prevention and Control of Environmental Pollution by Solid Wastes;
(5) Regulations on the Management of Environmental Protection in Construction Projects.
b, three wastes management program
(1) Wastewater
Life wastewater is pooled and centralized, and the treatment process is as follows:
(2) Wastes
(3) Wastewater gases
4, environmental monitoring
The main task of environmental monitoring is to monitor the hygiene standard of groundwater and the environment, so as to ensure that the The sanitary environment of the service center and the surrounding environment is not polluted.
5. Environmental Impact Assessment
The pollution generated for the center can be effectively treated and maximized after comprehensive and scientific treatment.
After the implementation of this project, the environment of the service center and the surrounding environment will not produce new pollution. Production of waste water, waste residue can be effectively controlled and managed. All emissions can be discharged up to standard.
IX. Conclusion
In summary, the establishment of this center belongs to the project supported by the state, the establishment of community health service center is the basic national conditions of the primary stage of socialism in China is decided, it is also adapted to the trend of changes in the aging of China's population, the investment of the project is in line with the national policy on the development of the medical and health industry, the market outlook is good, the construction program is reasonable, and the social benefits are significant, so this project is feasible.
X. Preparation
Preparation unit:
Address:
Person in charge:
Preparer:
Contact phone number:********
E-mail:******@163.com