To implement the "People's Government of Anhui Province on the comprehensive reform of primary medical and health care system pilot implementation of the views" (Anhui [2009] 122), "Yuexi County, primary medical and health care institutions, job performance appraisal and internal allocation of the guiding opinions (for trial implementation)" Yue Wei [2010] No. 3 documents, in order to fully mobilize the staff of the hospital's work enthusiasm, improve service quality and efficiency, the establishment of post-based pay, pay for performance internal distribution incentives, around the "patient-centered" to carry out the work of various tasks, around the "patient-centered". In order to fully mobilize the enthusiasm of our hospital staff, improve service quality and efficiency, establish the internal distribution of incentives according to the post, according to the performance of remuneration, around the "patient-centered" to carry out all the work, to strengthen the management of labor discipline and medical ethics, and strive to improve the level of service and efficiency, combined with the situation of the hospital staff positions, by the hospital committee, the staff will study the decision. Decided to formulate the Huangwei Township Health Center performance appraisal program (for trial implementation).
First, the assessment principles
Adhere to the principle of running a hospital for the public good, the implementation of performance appraisal linked to social benefits, adhere to the fair, just and open assessment methods and comprehensive evaluation, reasonable quantitative assessment methods, basic public **** health services and basic medical services as the focus of the assessment, and to promote the full performance of our staff; adhere to the combination of self-assessment and regular assessment; To do at any time to be able to accept the supervision and assessment of the higher leadership; assessment results and staff income and treatment combined, the implementation of superior labor and pay, taking into account the principle of fairness; tilted to the front-line positions, tilted to the important positions; appropriate to open up the gap.
Second, the main body of the assessment
The performance appraisal leading group of the hospital based on the "Huangwei Township Health Center performance appraisal program", "Huangwei Township Health Center job description" of the positions of the staff to carry out the assessment. Taking into account the different post risk, responsibility, part-time and other factors to determine the post coefficient for: public **** health post 0.12, medical post 0.12, Chinese medicine and traditional Chinese medicine post 0.12 management post 0.12, information post 0.11, nursing post 0.115, western pharmacy post 0.11, maternity and child health care 0.115, collection post 0.11.
Third, the assessment methods and procedures
Employees themselves in accordance with the assessment standards for self-assessment, in the Monday morning meeting to set up the next week's work at the same time, each employee is required to report in writing on last week's job responsibilities and the completion of the work tasks set out in the program against the self-scoring ratings. The hospital performance appraisal leading group according to the results of self-assessment against the assessment standards, through access to information, site visits, on-site questionnaires, etc., at the beginning of each month on the last month's work situation assessment.
Fourth, the calculation of performance pay
1, the basic part of the performance pay for the completion of basic tasks. For each person's job allowance, retention allowance, meal allowance, transportation costs total 70% of the part. The main assessment program in yuexi county huangwei town health hospital job description work task completion percentage, calculated by first extracting the morning meeting per person 2 yuan, total duty per person per day 10 yuan subsidy. The remaining part multiplied by the percentage of work task completion is the basic performance salary part of the month.
2, incentive performance pay part of the assessment of different positions risk, responsibility, part-time and so on. For the health center in the month of income and expenditure balance of 45% (tentative per capita not more than 400 yuan, the shortfall in accordance with the actual amount of calculation. Incentive performance pay is subject to a pre-budgeting system. (The amount of incentive performance pay listed in the performance pay accounting table is the amount of the balance of income and expenditure budgeted by the financial operator, and the amount will be more than refunded and less than made up after the final account is finalized). The main assessment of morality, diligence, performance, the number of services, service quality, public satisfaction and other work task points, and the previous month's excellence awards, doctors on duty, communication subsidies (80 yuan of communication subsidies for the dean, 90 yuan of post allowance), public **** health services to the countryside subsidies, the completion of the weekly layout of the work task, the addition or subtraction of points for rewards and penalties. First extract 200 yuan for the month's outstanding personnel as incentive funds. Then withdraw $5 per person per day for doctors on duty. In addition to the extraction of the remaining part of the multiplied by the assessment criteria score ratio, plus rewards and penalties of plus or minus points, and then multiplied by the post coefficients, that is, for the month of the post of the staff incentive performance pay.
3, the month's basic performance pay part plus incentive performance pay part of the deduction of the one-vote veto situation, the responsibility for the deduction of the situation that is the month's advance performance pay.
4, township health center employees monthly performance appraisal results, as the main basis for the last month's income distribution; annual appraisal results as the main basis for promotion, distribution, rewards, as well as employment, renewal and dismissal.
Based on the performance appraisal results, the quantitative assessment score is determined. Can be calculated according to the following formula:
Individual performance pay = total distributable performance pay / total number of coefficients × (job coefficient + quantitative assessment of the discounted value)
Which: quantitative assessment of the discounted value of: excellent 0.3; qualified 0.2; unqualified -0.1 to -0.3.
Fifth, the performance appraisal content:
Moral. Diligence. Performance, service quantity, service quality, public satisfaction, veto indicators.
(1) moral, diligence, performance assessment refers to the staff of medical ethics, industry style, attendance, hospital discipline and compliance with hospital rules and regulations and the accuracy of the data of the statements.
(2) the number of services refers to the number of basic medical services and public **** health services, including outpatient clinic and nursing visits, inpatient clinic and nursing visits, prescription pricing visits, vaccination visits, pregnancy and pediatric tubes, delivery visits, gynecology outpatient clinic and hospitalization visits, testing and electrocardiography visits, radiology and ultrasound visits, income and expenditure payment visits, nine basic public **** health services visits. etc.
(3) The quality of service refers to the qualified rate of professional quality of each post. Including: outpatient and inpatient medical record writing pass rate, hospital diagnosis compliance rate, nursing paperwork record pass rate, disinfection registration pass rate, prescription price rate, collection registration and bills uniform pass rate, nine public **** health service project form filling registration pass rate, the accuracy rate of various data reported online, etc., whether they can all meet the requirements of the qualified.
(4) Public satisfaction refers to listening to the opinions of the public and implementing satisfaction assessment for each employee.
(5) veto indicator refers to the occurrence of medical disputes and errors and accidents and medical ethics and medical style of the implementation of one-vote veto, the month there is a veto vote, no internal performance pay that month.
Sixth, the assessment standards
A performance pay for each employee to take the percentage system assessment standards: moral, diligence indicators accounted for 25%, the number of services accounted for 30% of the indicators, the quality of service indicators accounted for 35% of the indicators, the public satisfaction indicators accounted for 10%. Each deduction in the assessment will deduct the amount of its personal performance pay divided by 100 points of the digital amount. Incentive performance pay is issued according to the size of the actual balance and individual scores.
The second Dean incentive performance appraisal salary, such as not involved in the assessment of the first employee incentive standard accounting.
Three moral, diligence assessment standards and methods (25 points)
1, medical ethics, labor discipline and industrial style (10 points)
(1) adhere to the "people-oriented, patient-centered" concept of service, such as the discovery of quarrels with the patient and his family once deducted 1 point.
(2) accepting red packets from patients, asking for gifts, found a deduction of 1 point.
(3) department and individual private charges, private sale of drugs and equipment, found once deducted 1 point. Where the birth control surgery and proof of birth control, illegal delivery, induced abortion, medical abortion and non-medical needs for fetal sex identification, deduct all the month's salary. The implementer shall bear all the economic and legal responsibilities stipulated in the relevant national laws and regulations.
(4) standardize health insurance, new rural cooperative outpatient and hospitalization operations, health insurance and new rural cooperative funds are the masses of life-saving money, must be in accordance with the provisions of the higher level and the program operation, strict responsibility and discipline, the medical team to grasp the indications of hospitalization, improve the writing of medical records, medication indications, self-financed drugs in accordance with the provisions of the treatment. For irregularities in the operation of health insurance and new rural cooperative, 2 points will be deducted once found. And the parties bear full responsibility.
(5) unauthorized increase in fees and charges, raise or lower fees and charges, found once deducted 1 point.
(6) medical staff to tear each other down, do not unite and cooperate, found once deducted 1 point, and the implementation of admonishment. To create right and wrong within the staff, to combat fellow workers, to elevate themselves, quarrel, to move right and wrong, damage to the unit's credibility and the reputation of others, the investigation of those who were found to be true deducted 4 points, and the serious ones reported to the county bureau to deal with.
(7) improve the quality of service, improve the attitude of service, where the patient cold, ignoring, shirking or scrambling, procrastination, tug of war, not serious and responsible, resulting in adverse effects, found a deduction of 1 point.
(8) can not complete the work task assigned by the leadership on time or disobedience to the leadership of the work arrangements, a deduction of 5 points, and the implementation of admonishment.
(9) quarrels and fights between staff members, speaking words and doing things that are not conducive to unity, found once deducted 1 point.
(10) section items are not neatly arranged, poor hygiene, every inspection found a deduction of 1 point.
(11) do not wear work clothes at work, do not hang badges, work slippers, online chat (playing cards, playing games), non-work contact string post or chat, bring children to work, work, do private work, etc., a deduction of 1 point, drinking during the work of a deduction of 5 points. Disobedience to the general duty scheduling, a deduction of 2 points. Disobedience to the dean of the scheduling, refusing to implement the arrangements for each deduction of 5 points. Each section should be practicing economy, people go off the electricity, violators pay overruns of electricity and deducted 3 points, such as causing equipment damage, by the individual responsible for compensation.
(12) at work or on duty in the hospital without a valid reason to gather, playing cards, found once each person deducted 1 point, and the implementation of admonition.
(13) go out on business, neither entrusted to the substitute and do not account for the destination, found once deducted 2 points, such as the occurrence of medical disputes or accidents, the consequences of their own.
(14) work is not in strict accordance with the technical operation routine, do not actively participate in the collective sponsored business learning and labor, in the case of acute and critical cases do not actively cooperate with the rescue, found a deduction of 5 points. The first doctor is not invited to consultation in the case of difficult diseases, private referral or invited doctors refused to collaborate, found once deducted 2 points, over-service capacity to receive, not timely referral, found once deducted 5 points.
(15) all clinical medical personnel clinic, outpatient, emergency to be on call; pharmacy staff should be patient, careful, not go out during office hours to exchange small coins, do not allow patients to exchange small coins on behalf of the patient. If one of them is found, 1 point will be deducted.
2, attendance (15 points)
(1) the strict implementation of 24-hour duty system. Doctors according to the scheduling of the implementation of the two-person department according to the implementation of rotating shifts, single-person department according to the implementation of the administrative staff. If something needs to be first leave, the work in this section of the transfer, found not transfer and do not go to work, according to absenteeism. The number of days of work of the administrative class is not less than 26 days per month, one day less will be deducted from the corresponding fixed salary of the month; if the monthly attendance is more than 26 days, one point will be added for one more day of attendance, and another two points will be added for perfect attendance. Individual promotion, study, exams, rotating shift section indoor transfer, administrative shift staff to arrange the work, are not calculated tolerance.
(2) consciously on time every day to and from work, duty and shift handover, advocating early work, late work, not in time to sign in a deduction of 1 point, such as late and early departure 5-10 minutes, prior to the uninvited deduction of 1 point. More than 1 hour according to absenteeism, and deduct the average wage for one day, where the day without leave is not to the post, deduct 4 points, three days not to the post deduction of all wages for the month.
(3) on time to participate in collective meetings and learning, no reason not to participate in meetings, training, morning meeting of a deduction of 2 points.
(4) adhere to the 24-hour service, go to work without leaving the post, without a valid reason to leave the workplace without authorization, in order to leave the post. Off duty 5 minutes deduction of 2 points, more than 1 hour, according to absenteeism. Those who harbor those who are off duty will be treated as those who are off duty. Off-duty to keep in touch with the smooth, the information can not be contacted, and did not tell verbally, and affect the treatment of the adverse consequences of the deduction of 2 points each time. (Cell phone change number, signal dead zone, should inform the unit in time, anyone who fails to inform in time will be dealt with according to this paragraph). Those who cause medical disputes or accidents will bear the corresponding financial and legal responsibilities. Obey the arrangement, actively participate in collective activities on time, and deduct 1 point for those who do not participate without any reason.
(5) All kinds of legal leave need to fulfill the leave procedures in advance. Leave of absence to arrange their own substitutes as well as work handover, the medical team leader review should not affect the normal operation of the hospital for approval, and reported to the dean agreed to, leave of absence more than three days by the dean for approval, leave of absence by the director of the office for the record signed. Only then can leave the post, there are emergencies in a timely manner to the post. Failure to cancel the leave in time each time to deduct 1 point. Marriage leave, bereavement leave of 7 days each, according to the average daily number of performance pay to make up for the expiration of the due date does not return to the number of days of absence by deducting the daily wage. Maternity leave is 90 days, plus 30 days for late marriage and childbearing, plus 30 days for only child, plus 15 days for caesarean section. This time only enjoys the basic salary plus half of the performance pay, and those who do not return by the due date are calculated according to the absence, and the daily basic salary is deducted, and the performance pay is not enjoyed.
(6) Sick leave: small illnesses are advocated to insist on going to work, and major illnesses must be certified by the county or county-level medical institutions before going through the sick leave procedures. Within one month to enjoy the basic salary plus half of the performance pay, more than one month does not enjoy performance pay, more than three months to consult the competent department after the settlement.
(7) leave of absence: 3 days within the department within the transfer, more than 3 days must be approved by the dean, but not more than a week. If neither fulfill the leave procedures and more than a week is treated as absenteeism, deduct the average daily wage of the gross salary.
Four service quality assessment standards and methods (35 points)
1 basic medical quality assessment standards and methods (35 points)
① check outpatient clinic work in the month: diagnosis and treatment of behavior norms, the strict implementation of the system (the first diagnosis and treatment of the system, outpatient medical record writing system, prescription writing system, the system of handover system, emergency and critical care cases, referral system, etc.), can not be done! Deduction of 2 points; outpatient paperwork is not standardized, the diagnosis compliance rate is less than 90% deduction of 2 points; prescription writing is not in accordance with the use of four-color prescriptions and special drug prescriptions, prescription items to fill in fewer items, without the physician's signature, found a deduction of 2 points; not to implement the basic drug directory and the supplemental drug directory system, the use of medicines other than the directory deduction of 2 points; outpatient antibiotics 2 or more consecutive prescriptions of the percentage of not more than 20%, can not be done deduction of 2 points; referral of patients to other units, the use of antibiotics and other medicines. 2 points; introducing patients to other units for examination, treatment and purchase of medicines and medical equipments as a reason to make undue profit from them; 1 point for each overprescribing behavior. Emergency rescue untimely, no rescue records and observation records, deduct 2 points; infectious disease omission, false reporting, concealment of 4 points, and in accordance with the law another penalty.
② check the month of hospitalization: hospitalization indications are not clear, do not strictly implement the cooperative medical system, do not seriously do a good job in the promotion of cooperative medical policy deducted 2 points; no doctor's orders or implementation of the record, no record of the conversation, no physician's signature, no second-level checkups, medical records written less than 95% of the qualified rate, deduct 2 points; do not fill out the monitoring table of hospital inpatient hospitalization medical records filed in a timely manner, the patient was discharged three days still can not be filed, deduct 10 points, deducted 10 points.
③ not actively involved in the establishment of residents' health records, elderly health care management deducted 2 points; not actively involved in the prevention and treatment of infectious diseases and emergency response to public **** health incidents deducted 2 points; not actively involved in the management of chronic diseases (hypertension, diabetes) deducted 2 points.
2, nursing quality assessment standards and methods (35 points)
Check the nursing work of the month, not strictly implement the rules and regulations (nursing implementation system, nursing check system, shift handover system, emergency and critical care rescue system, hospital infection control system, disinfection and isolation system, patient talk system, nursing instrument writing system, etc.) deducted 6 points; random sampling of the temperature list, the implementation of the medical prescription records, inpatient care records, critical care records. Records, inpatient care records, critical patient care records, the same does not meet the standard deduction of 4 points; commonly used disinfectants, preparation is incorrect, replacement of disinfectant without registration, high-pressure disinfection without instruction card, no registration, ultraviolet disinfection, oxygen cylinders, humidification bottle disinfection is not standardized, no registration deduction of 6 points; disposable medical supplies and medical waste can not be harmless disposal deduction of 6 points; first aid equipment intact rate is less than 100%, first aid medicines are not complete, and the first aid equipment is not complete. 100%, first aid drugs are not complete or expired deduct 6 points; can not do the department, infusion hall, wards, bed sheets, strips neat, clean deduct 2 points.
3, maternal and child health assessment of quality standards and methods (35 points)
Check the month of maternal and child health care, not strictly implement the Maternal and Child Health Act and various public **** health system and various diagnostic and treatment operation system, duty system deduction of 2 points; a case of maternal or 0-3 years old children did not establish a health care handbook deduction of 2 points; pregnancy tube, child tube registration failed to meet the requirements for each case deduction of 2 points; a variety of reports of information is not timely, not standardized, each report deduction of 2 points. Timely, not standardized, each deduction of 2 points; hospitalization medical records, outpatient registration, prescription writing is not standardized, not timely, each deduction of 2 points; delivery without registration, hospitalization without medical records, physical examination without registration of each case of deduction of 2 points; the project provisions of free pregnancy test, child examination found in one case of unregistered reporting deduction of 2 points; maternal hospital delivery is not in accordance with the provisions of the subsidies provided for each case of deduction of 2 points; not in accordance with the provisions of the women of childbearing age in pre-pregnancy and early pregnancy, supplement folic acid, each case of deduction of 2 points. 2 points will be deducted for each case of folic acid supplementation; 2 points will be deducted for not seriously publicizing or implementing the compensation policy of New Rural Cooperative; 2 points will be deducted for not actively participating in the establishment of health records and the management of health care for the elderly; 2 points will be deducted for not actively participating in the management of chronic diseases (hypertension and diabetes); 2 points will be deducted for not actively participating in the prevention and control of infectious diseases, review of neonatal illnesses, supervision of the first shot of Hepatitis B vaccination of newborns, and guidance on the first preventive vaccination and the handling of emergencies in public ****. Health incident emergency response deduction of 2 points; not to implement the basic drug list and supplemental drug list deduction of 2 points; strict "birth medical certificate" issued, strictly prohibit fetal gender identification, can not be done deduction of 2 points, the responsibility. The month can not accurately assess the implementation of the project throughout the year a single inverted deduction or inverted complementary system end of the year through the calculation.
4, public **** health service quality assessment standard method (35 points)
Check the implementation of the month's rules and regulations, the implementation of laws and regulations, such as non-compliance or non-implementation of the deduction of 2 points; monthly basic immunization rate of school-age children, the rate of enhanced immunization can not reach 90% or more, deduct 2 points; monthly children's card, book and vaccination registration rate can not reach 100%, deduct 2 points; new children's vaccination rate can not reach 90% or more, deduct 2 points; the rate of vaccination, book and vaccination registration rate can not reach 100%, deduct 2 points. 100%, deduct 2 points; new expansion of the national immunization program vaccine designated scope and population of the vaccination rate of less than 80% or more, deduct 1 point; preventive vaccination clinic management and operation is not standardized, deduct 1 point; disposable medical supplies harmless disposal is not timely, hospital sensory treatment is not standardized, deduct 2 points; suspected side effects of preventive vaccination is not handled in a timely manner, the report is not timely, deduct 2 points; can not complete the health education work plan, health education education materials, health education bulletin boards, health education information files, deduct 2 points; residents' health education knowledge rate of less than 50%, deduct 1 point; not actively involved in the establishment of health records within the jurisdiction, deduct 1 point; jurisdiction of the health file qualification rate of less than 95%, deduct 1 point; jurisdiction of the health file filing is not timely, deduct 1 point; jurisdiction of the management rate of the health file of less than 80%, deduct 1 point; communicable disease epidemic reporting rate, timeliness, accuracy rate is less than 95%, deduct 1 point; treatment management of non-institutionalized tuberculosis patients and AIDS patients is not in place, deduct 1 point; management of chronic diseases (hypertension, diabetes) in the jurisdiction fails to meet the requirements, deduct 1 point; patients with serious mental illnesses in the jurisdiction are not registered and managed, deduct 1 point; health emergencies of public **** can not be proactive participation in the handling of health incidents, deduct 2 points; Failure to carry out health guidance in public **** places, schools, occupational high-risk places, etc., deduct 2 points; the screening rate of rehabilitation needs of people with disabilities under the jurisdiction of less than 80%, deduct 1 point; not actively participate in the integrated management of rural health services, deduct 2 points.
5, test, electrocardiogram, radiology, ultrasound quality assessment standard method
Part-time departments to implement the plus/minus point system. In accordance with the routine test 0.5 points / person, biochemical 1 points / person, electrocardiogram 0.5 points / person, ultrasound room: 1 points / person, radiology: 1 points / person plus points. Check that month, the implementation of the department's rules and regulations are not in place, deduct 2 points; check the test, electrocardiography registry, omission of a case of deduction of 2 points; random inspection of the test report form, found that a failed or inaccurate deduction of 2 points; check the use of disposable medical supplies are not in accordance with the provisions of the timely destruction of harmless disposal, found that a deduction of 4 points; hospital in the sense of the implementation of the inappropriate deduction of 2 points; test equipment maintenance is not in place deduction of 2 points; test reagents are not in accordance with the requirements of the Acceptance, preservation of losses caused by the deduction of 4 points; found the use of expired, invalid and unqualified test materials deduction of 4 points; found a case of untimely testing, reporting untimely deduction of 4 points; not actively cooperate with the development of the public **** health services program, each time the deduction of 4 points. Check the month's radiology, ultrasound registry, found that one case of omission to register 2 points; found that the examination is not timely, the report is not timely deduction of 4 points; found that the report form is not completely written or irregular deduction of 2 points; clinical and radiological diagnosis compliance rate, clinical and ultrasound diagnosis compliance rate of less than 90%, deduction of 4 points; department is not hygienic deduction of 2 points; protection is not done in place deduction of 2 points; tablets are not uniformly filed deduction of 2 minutes; machine and equipment maintenance is not in place deduction of 2 points; the fetal sex identification is not allowed to be performed. Points; strictly prohibit fetal gender identification, found a case of the year without pay, all responsibility.
6, financial collection quality assessment standard method (35 points)
View the month does not strictly implement the financial system deducted 4 points; not set up accounts in accordance with the law deducted 2 points; file management is not standardized deducted 2 points; settlement is not standardized, income and expenditure is not included in the county treasury payment center unified accounting deducted 4 points; found that the cash, deposits registered in a delayed deduction of 2 minutes; found that the cash does not match the bills deducted 2 points; registration, Bookkeeping found wrong, omission, a deduction of 2 points; not in accordance with the provisions of the charge a deduction of 2 points; the costs or documents found to be false a deduction of 4 points; new rural cooperative hospitalization and outpatient co-ordination settlement is not timely deduction of 2 points; privately lending the public funds to others or embezzlement, embezzlement, a deduction of 4 points, in addition to recovering the public funds and dealt with strictly according to the law.
7, Chinese and Western pharmacy quality assessment standard method (35 points)
Check the month of the pharmacy system is not in place to deduct 2 points; check the month of the zero-differential rate of sale of medicines did not reach 100% deduction of 4 points; prescription price accuracy rate did not reach 100% deduction of 2 points; prescription review of the pass rate of less than 98% deduction of 2 points; do not subscribe to the basic and complementary medicines on time \ Chinese herbal medicine deduction of 2 points; found subscription Out-of-catalog drugs deducted 4 points; not in time to do the drug acceptance registration deducted 2 points; found that the drugs expired, mold, deterioration, insect damage deducted 2 points; drug loss without objective reasons to explain the deduction of the party 5 points, the pharmacy staff must be in the expiration of drugs 3 months in advance to inform the clinician, the monthly prescription is not on schedule to summarize and reconcile the deduction of 2 points; the wrong drug issued a time to not be replaced in a timely manner deducted 2 minutes, resulting in accidents and responsibility for the error; Found that private purchase of drugs deducted 2 points; special drugs improper storage deducted 2 points; pharmacy management dirty, chaotic, poor deducted 2 points.
Five service quantity assessment standard and method (30 points)
2, the doctor's assessment quantity of the month:
Surname
Outpatient visits inpatient visits test visits electrocardiography visits B ultrasound visits radiation visits physiotherapy visits treatment visits
X X X X 90 3 5 3 5 3 5
X X X 90 3 5 3 5 3 1 5
X X X 90 3 5 3 5 3 1 5
X X X X 90 3 5 3 5 3 5
X X X X 30 1 5 1 8
Department of the month's assessment of the number of: additional points for exceeding the task:
(1) outpatient Western medicine prescriptions 0.15 points / person, Chinese medicine prescriptions 0.3 points / person (no registration is not scored), the night shift after 9 o'clock 0.5 points / person (no registration is not scored), out of the emergency room 1 point / person (no registration), hospitalization 3 points / person (no registration). (no score), hospitalization 3 points/visit (no score without medical records), surgery 5 points for the chief surgeon, 2 points for the assistant. Outpatient minor surgery 1 point/visit. Open laboratory tests, electrocardiography, ultrasound, X-ray 0.2 points / visit.
(2) public **** health section: build health records 60 people / month, the number of village room supervision 5 / month, health education bulletin boards 7 / month, other public **** health and basic immunization, strengthen immunization is not less than the average monthly average in 2009. More than each complete file plus 0.5 points, follow-up dynamic update 0.05/time. Health education bulletin board 1 point / piece. Counting immunization 0.05/time. Type II seedling per person plus 0.5 points.
(3) Nursing Office room task number 150: additional points after exceeding the task: inotropic skin test 0.075 points / person, infusion 0.15 points / person, hospitalization 1.5 points / person, surgery 2 points / person, outpatient minor surgery 0.5 points / person. Night shift after 9 o'clock 0.5 points/times, intensive care, ward care patients another 0.1 points/hour, (no registration will not be scored). Enema catheterization 2 points per visit,
(4) Western pharmacy: the number of tasks 350 visits: additional points after exceeding the task: 0.02 points per prescription paddle \ take 0.08 points, Chinese medicine 0.05 points per prescription paddle \ take 0.5 points, drug requisitions, acceptance of drug varieties according to the variety of drugs 20 varieties plus 1 point.
(5) cashier's office: the number of tasks 350: additional points after the task: 0.05 points per person / person. Hospitalization by 0.5 points / person.
(6) Office to complete the task of integrated management, the completion of the departments, village health room accounts, statements, zero-differential rate sales of drugs, to prevent shirking of patients, the basic drug catalog to learn to use plus 10 points. Add 1 point for each additional 500 yuan of income and expenditure balance. Add 1 point for completion of sending and receiving documents. Completion of water and electricity management plus 5 points. Medical insurance, preferential outpatient, disabled program services 0.1 points / person, responsible for attendance total duty arrangements and performance appraisal management and accounting 2 points / week.
(7) Health Section: inspection, guidance Trinity personnel 5 people / month; according to the provisions of the higher level and progress of the monthly completion of the number of indicators of public **** health service projects; monthly completion of the town's children's insurance and women's health insurance, postnatal visits 1 point per case. More than the task of card building and issuance of each complete file plus 0.5 points, flat birth hospitalization 3 points / person, newborn blood collection 2 points / time, vouchers calculated at 0.27 points / person.
(8) office director, medical, public health, Chinese medicine team leader, head nurse plus 10 points / month. Maternal and child health care, pharmacy management, cashier plus 5 points / month.
(9) organizational learning, activities hosts 2 points per award, participants 0.5 points per award (with sign-in, learning records). In the hospital website to send an article each reward 2 points, to the higher media to send a paper, briefings, news a reward 3 points, published in the municipal level, a reward 5 points, the provincial level reward 10 points, the national level reward 20 points. Where the department or individual received a banner, thank you letters, letters of praise each time to add 10 points; by the government, the competent bureau, the relevant departments of the public praise of an additional 10 points;
Six mass satisfaction assessment standards and methods (10 points)
The hospital has a mass opinion box, published complaint phone, the development of patient complaint handling system, every time you find a drop deducted 2 points; monthly 5 masses of people on the Medical staff satisfaction questionnaire, mass satisfaction less than 80% above 2 points; 70% 3 points; 60% 5 points; 50% 8 points; 50% of the following 0 points.
Seven veto indicators assessment standards and methods
The month of medical disputes, errors and accidents, medical ethics and medical style of the person directly responsible for the implementation of a veto, no internal performance pay that month.
Eight responsibility for deductions:
① one of the following cases by the parties to bear all the economic and legal responsibility, no performance pay for the month: (1) practicing medicine in accordance with the law, according to the rules of operation, is strictly prohibited without a license to practice medicine, unlicensed practice of medicine or beyond the scope of practice and all the responsibilities arising from. (2) Used disposable medical supplies, fines caused by failure to timely dispose of, hide, lose, sell. (3) Theft or loss of cash from the cashier's office. (4) Fines arising from failure to scrap all expired medicines and biological agents in the Chinese and Western Pharmacy, Nursing Office, Operating Room, Maternity Room, Epidemiology Section, and Laboratory. (5) The pharmacy should have accurate price delineation with an error rate not exceeding the prescribed standard. Semi-annual inventory shortfalls not exceeding $500 shall be compensated at twice the amount, and those exceeding $500 shall be suspended from duty in addition to the fine. (6) the doctor wrong prescription, pharmacy wrong issue of drugs, nursing error injection, infusion of foreign objects, nursing off duty caused by unit losses.
② one of the following cases the parties bear full legal responsibility and 50% of the financial responsibility, and deduct 50% of the total performance appraisal points.
(1) due to medical paperwork, documents, medical records, laboratory, radiology, ultrasound, electrocardiography report card; prescription, X-ray film, fee registration, acceptance registration, clinic registration, co-medical files and other damaged or lost, resulting in disputes or loss of evidence in related cases, the consequences of which the parties are responsible for. (File retention period of not less than 2 years)
(2) Pharmacy acceptance of medicines, due to the quality of substandard, unreported, incomplete acceptance of the registration project, poorly planned into the drug, resulting in the unit of drug varieties of backlogs, close to the expiration date of the unreported, the traditional Chinese medicine should be turned over diligently and diligently sunshine, comply with the prescription of the concoctions, the failure to turn over and sunshine to the moldy, moth-eaten, pests caused by the loss of the loss, as well as the amount of the fine.
(3) improper destruction of disposable medical supplies, incomplete registration and the fine.
(4) in the normal medical activities, disputes and accidents in the person, due to the parties involved in the original records are incomplete, insufficient evidence, the economic losses caused by poor proof.
(5) Losses caused by theft (except for existing conditions that cannot be prevented) due to doors and windows not being locked as required.
③ for not taking the initiative or not to implement the hospital leadership arrangements, not to participate in a variety of special, sudden, emergency situations, not to participate in public welfare activities, voluntary labor, public **** health emergencies, group epidemic prevention, flood control, fire fighting, rescue, rescue of critically ill people, no performance pay for the month and reported to the higher authorities to be pursued and dealt with.
VII, the management and supervision of performance appraisal
1, this performance appraisal program and each post of the assessment rules, discussed by the hospital committee, the staff will be adopted after the implementation, and reported to the county health bureau business unit, accounting and finance unit for the record. In February 2010 to start trial implementation of internal performance pay system.
2, each employee performance appraisal according to the "Huangwei Township Health Center job description" percentage of work tasks completed, performance appraisal program of moral, diligence, performance, the number of services, quality of service, public satisfaction and other work task scores, as well as weekly set up the completion of the work tasks, rewards and punishments of the addition and subtraction of points to fill out their own "performance appraisal scores calculation Statistical table" and signed by the person himself/herself. Report to the Office of the Accounts Clerk to verify and summarize the performance appraisal by the Committee and staff representatives to participate in the performance appraisal leading group, and the organization on the 5th of each month before the previous month's performance of the various positions to assess, fill in the performance salary measurement table and performance appraisal score calculation statistical table, and the results of the assessment of the internal publicity for three days.
3, monthly internal performance payroll, to be attached to the "Yuexi County Huangwei Township Health Hospital month post performance appraisal table" and the above descriptive documentation, as the basis for accounting.