Summary of the work of the hospital hierarchical diagnosis and treatment
Summary is a specific time period of study and work life or its completion, including achievements, problems and experience and lessons learned to review and analyze the written materials, it can help us have to look for learning and work in the law, so it is very important to write a summary of oh. How to write a summary will not be the same? The following is my collection of hospital hierarchical diagnosis and treatment work summary, welcome to share.
Hospital hierarchical diagnosis and treatment work summary 1
In order to adapt to the reform of the health care system, the city Health Bureau in accordance with the requirements of the Provincial Health and Planning Commission documents, to start the work of hierarchical diagnosis and treatment, the requirements for the establishment of standardized grass-roots primary diagnosis, two-way referral, hierarchical diagnosis and treatment of the health care model, the formation of the upper and lower linkage, resource **** enjoyment, the mechanism of disease diagnosis and treatment of the management of the continuum, and ultimately to achieve the first diagnosis at the grass-roots level, the grass-roots level of the disease. The ultimate realization of the first diagnosis at the grass-roots level, minor diseases into the grass-roots level, major diseases to the hospital, rehabilitation back to the grass-roots level of the pattern of medical care, and effectively alleviate the masses of people "difficult to see a doctor, see a doctor, expensive" problem. According to the requirements of the document "Implementing Rules for Graded Diagnosis and Treatment" issued by the Municipal Health Bureau, our hospital has carried out two-way referral work with a number of hospitals in the urban area, strengthened cooperation with higher-level hospitals, and improved patient satisfaction. Now the graded diagnosis and treatment work is summarized as follows:
I. Achievements of graded diagnosis and treatment work:
Since our hospital signed a two-way referral agreement with a number of municipal hospitals, we have established a good two-way referral partnership, successfully built the upper and lower levels of the medical cooperation network, and effectively realize the function of referral, our hospital set up a leading group of graded diagnostic and treatment work, the development of two-way referral work system, a clear specification of the two-way referral, the production of the two-way referral flow charts, the establishment of a two-way referral communication system, and regular communication with the higher level hospitals. Two-way referral communication system, regular communication with the municipal hospitals on the two-way referral work problems, the two-way referral for patients to open a green channel, on the transfer of patients have been effectively treated.
II. The hierarchical diagnosis and treatment work there are still problems:
1. Our doctors can do for, there is a need for patients or according to the condition of the patient needs to be referred to the patient, and issued a referral order to be able to implement the New Agricultural Cooperative reimbursement; however, the higher hospitals for the patient to issue a single downward referral is very little. The vast majority of patients for the higher hospital doctor in charge of the verbal explanation back to our hospital treatment or patients to our hospital to continue treatment.
2. According to the feedback of many patients who went to municipal hospitals, hospitalization in municipal hospitals does not require primary hospitals to issue referral orders can be directly hospitalized, which many patients in primary hospitals to issue referral orders is considered a hassle, and lead to a lot of small disputes.
III. Hierarchical diagnosis and treatment work recommendations
1. Further strengthen the communication and coordination with the municipal hospitals, increase cooperation, the work can not just a formality, it must be from a practical point of view, from the technical, management to improve the business and technical level of the primary hospital.
2. Do your best to change the status quo of primary hospitals with insufficient equipment and fewer medicines, make full use of the existing medical resources of the primary hospitals, and improve the quality of service by strengthening the management of the service and improving the satisfaction of patients with bi-directional referrals.
3. Optimize the level of 'medical services in primary hospitals, so that patients transferred from higher hospitals are willing to continue treatment at the grassroots level, primary hospitals to strengthen communication with higher hospitals, tracking upward transfer of patients to the implementation of a complete, unified management.
IV. Our hospital's next work plan:
Strengthen service management, improve service quality; combined with the actual situation of both sides, to develop a more perfect cooperation plan, and further exchanges with the partner hospitals in technology and management; how to develop a more detailed and smooth referral process, so that the referral patients really enjoy the benefits of the country.
hospital hierarchical diagnosis and treatment work summary 2According to the "General Office of the People's Government of Yunnan Province on the establishment of the implementation of the system to improve the hierarchical diagnosis and treatment of the views" (Yunnan Government Office [20xx] No. 15), "Yunnan Health and Family Planning Commission, Yunnan Provincial Healthcare Reform Leading Group Office, Yunnan Provincial Development and Reform Commission, Yunnan Provincial Department of Finance, Yunnan Provincial Department of Human Resources and Social Security on the transfer of the National Health and Health Planning Commission and other six departments issued a hierarchical diagnosis and treatment of the work of the hospital. The National Health and Family Planning Commission and other six departments issued a graded diagnosis and treatment pilot work assessment and evaluation of the implementation of the program notice "(cloud health medical reform hair [20xx] No. 1) and" the National Health Commission Medical Affairs Bureau on the 20xx annual graded diagnosis and treatment and other work to do a good job of summarizing the notice "(National Health Medical Resources letter [20xx] No. 555) requirements, is now the work of the hospital, summarizes the work carried out, is as follows:
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Two, active publicity
(a) to strengthen the hospital hospital staff full training. The hospital clinical departments, functional departments to carry out hierarchical diagnosis and treatment of related knowledge training, so that each employee can grasp the significance of the purpose of hierarchical diagnosis and treatment and work measures.
(B) take a variety of ways to publicize to the public. In the outpatient hall set up a fixed hierarchical diagnosis and treatment of publicity display boards, the guide placed hierarchical diagnosis and treatment of publicity leaflets for patients free to read, each department and each floor have hierarchical diagnosis and treatment procedures, flow charts, hierarchical diagnosis and treatment of publicity brochures.
Three, work achievements
XX XX, XX XX hospital to complete and XX hospital specialty alliance cooperation. 20xx April 26 with the city to complete the lead formation of "XX pediatrics specialties alliance," the construction of medical alliance X. At present, has sent backbone physician XX XX. Has sent backbone physicians XX to the close-knit specialty alliance cooperation units to carry out medical alliance counterpart support work X. XX in X month, the president of the team to the Huoning County Panxi central health center to carry out academic lectures and other touring medical work 1 time.
According to incomplete statistics, our hospital this year to the higher hospitals to transfer children XX times, of which more than 90% of the patients transferred to XX hospitals, and a small number of other patients to other hospitals. Through the upward transfer of patients in advance of the appointment, to solve the problem of patients to the higher hospitals difficult to see, see the problem of detour, to strengthen the communication between the hospital and the higher hospitals; at the same time combined with the hospital stationed in the townships of the counterpart to support the work of the health center to help, so that the transfer to the grass-roots level of the patient can be to the continuity of the treatment, the integrity of the treatment.
Fourth, there are problems
Our hospital can do according to the condition of the need to transfer patients, but the higher hospitals transferred back to the patient less. The "turn on" not "turn down", two-way referral into a one-way referral, most of our hospital emergency, difficult patients to the provincial medical institutions referral, and in the large hospitals after the diagnosis of the patient, can be transferred to the county medical institutions for further treatment is very little, by the top of the The first time I saw this was when I was in the hospital, and the second time I saw it was when I was in the hospital.
Five, countermeasures
To optimize our level of medical services, and further strengthen the communication with the higher hospitals and other hospitals, to establish a mechanism of mutual trust, so that the higher hospitals to transfer out of the patient is willing to return to our hospital to continue treatment. At the same time, our hospital should continue to strengthen continue to the training of medical personnel of the primary hospitals to provide operational and technical support. To be able to better provide the majority of patients with high-quality, uninterrupted, continuous two-way referral service, which is the direction of our **** with efforts.
Hospital hierarchical diagnosis and treatment work summary 3In order to further promote the health care reform to the deep development, reasonable and effective distribution of existing high-quality medical resources, according to the "Gansu Province on promoting the implementation of the construction of hierarchical diagnosis and treatment system" (Gan Zhengban Fa [20xx] No. 49) and the Gansu Provincial Health Planning Commission, "on the conscientiously do a good job in the hierarchical diagnosis and treatment and physician multi-disciplinary practice and other related work of the notice" (Gan Wei grass-roots development) [20xx] No. 505) the spirit of the document, our bureau closely around the "basic, strong grassroots, build mechanism" work requirements, give full play to the county, township-level medical institutions service function, strengthen leadership, up and down coordination, and actively promote the county graded diagnosis and treatment work, is summarized as follows:
First, the work objective
The establishment of hierarchical diagnosis and treatment system is to deepen the reform of the medical and health system, mainly through the strengthening of the grass-roots first diagnosis, two-way referral, emergency and slow treatment, the establishment of the upper and lower linkage, resources **** enjoy, disease diagnosis and treatment of continuous diagnosis and treatment mechanism, so that the rate of intra-county visits to the county to reach 90%, the masses of people out-of-pocket expenses are reduced year by year to achieve the convenience of the public to seek treatment. The goal is to make it easier for the public to get to the doctor.
The second task
First, to determine the hierarchical diagnosis and treatment of diseases. In accordance with the "Gansu Province graded diagnosis and treatment work implementation program" requirements, combined with the actual, formulated and issued the "Liangdang County graded diagnosis and treatment work implementation program", to determine the county graded diagnosis and treatment of 100 kinds of county-level diseases, township-level diseases 45 kinds of reimbursement ratio for the county 75%, township-level 85%, the county, township-level New Rural Cooperative designated health care institutions to implement the implementation of the implementation of the payment according to the type of disease. In June of this year, according to the "Gansu Province on promoting the implementation of the construction of hierarchical diagnosis and treatment system" (Gan Zhengban Fa [20xx] No. 49) and the municipal health care commission "on the further improvement of the construction of hierarchical diagnosis and treatment system of supplemental views" (Long Wei Ji Fa [20xx] No. 104) document requirements, in the original basis of the revision and improvement of hierarchical diagnosis and treatment of illnesses and compensation standards.
Secondly, the medical cost reimbursement is implemented according to the disease payment system. For the inclusion of hierarchical diagnosis and treatment of diseases, the designated medical institutions to ensure the quality of the basis, effective control of medical costs, and to provide timely settlement services to the participating patients. The new rural cooperative reimbursement of medical expenses according to the disease quota, the excess part of the medical institutions to bear, the patient does not bear. 20xx **** reimbursement of hierarchical diagnosis and treatment of 446 patients, reimbursement amount of ten thousand yuan. Third, the strict implementation of the two-way referral system. In accordance with the policy requirements, we have a strict referral policy, clear requirements for this level of diagnosis and treatment of diseases shall not be referred to the higher level of medical institutions, in addition to special circumstances, where there are no provisions for referral procedures, unauthorized out of the patient's new rural funds are not reduced reimbursement until not reimbursed.
Three major work measures
1.Strengthen the publicity guide. We issued 10,000 copies of the hierarchical diagnosis and treatment informational letter, clear referral, compensation and other policy requirements, and through the convening of training sessions, health to the countryside and public WeChat and other platforms to carry out a lot of publicity. This year, we printed publicity wall charts to accompany the hierarchical diagnosis and treatment and chronic disease reimbursement policy, distributed to the villages and medical institutions, through the village doctors to the general public interpretation.
2. Comprehensively improve the diagnosis and treatment technology level of the county hospital. County hospitals to carry out a solid hierarchical diagnosis and treatment work, the establishment of a physician multi-practice system, by the provincial people's hospitals to select attending physician resident county people's hospitals, every three months to change the candidate for technical assistance. The county hospital in the hospital selected and recruited practicing attending engineers responsible for the daily management of the department, to help improve the technical level of medical services and service capacity. At the same time, to strengthen the construction of specialized specialties, is building intensive care unit, improve emergency services capacity.
3, stabilize the village doctor team, improve service capacity. Conscientiously implement the mechanism of entry and exit of village doctors, and actively absorb the assistant above the qualification personnel into the village doctor team, the county 13 township health centers and 116 administrative villages of village doctors and the local people signed a chronic management service agreement. Further optimize the village doctor team, enhance the service capacity.
Fourth, the existing problems
1, the lack of medical personnel, county and township medical institutions doctors and nurses are seriously insufficient, the level of medical care is poor, low service capacity is to improve the level of medical technology in our county a major bottleneck. Most of the hierarchical diagnosis and treatment of the disease can not afford to treat, can only be transferred to the hospital for treatment, not only caused the burden of the patient's medical expenses, but also and the existing hierarchical diagnosis and treatment of medical expenses reimbursement mechanism to form a conflict.
2, hierarchical diagnosis and treatment system is not sound and perfect
I county hierarchical diagnosis and treatment to carry out a short period of time, in the process of operation of some inevitable contradictions and problems, but also need to continue to improve. The staff at all levels of the agency and the designated medical institutions do not have a deep enough understanding of the policy of hierarchical diagnosis and treatment, and need to further increase the training efforts.
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