How to carry out medical service safety supervision, evaluation and improvement work

The second hospital of Lanzhou University in 2011 discipline inspection and supervision and work points of wind construction

In 2011, our discipline inspection and supervision work should be under the leadership of the party committee of the hospital, under the guidance of the Discipline Inspection Committee of Lanzhou University and the Discipline Inspection Group of the Provincial Department of Health, and guided by the Deng Xiaoping Theory and the "Three Represents" important thought, and implement the scientific concept of development. Scientific concept of development, conscientiously implement the Central Commission for Discipline Inspection of the seventeenth plenary session and the provincial Commission for Discipline Inspection of the eleventh plenary session and the province's health system of discipline inspection and supervision and corrective work of the spirit of the television and telephone conference, to further strengthen the health system to punish and prevent corruption system construction, focus on solving the health care field of the public interests of the salient issues, centered around the center, service the overall situation, highlighting the main focus, the overall advancement of the adherence to the symptomatic and curative measures, Comprehensive treatment, punishment and prevention, focusing on the policy of prevention, vigorously strengthen the construction of hospitals to punish and prevent corruption system, and actively carry out the "three good and one satisfaction" activities, focus on solving the health system to the detriment of the interests of the masses of the salient issues, and strive to achieve new results in the work of the health system of the party style of honesty and integrity and behavioral construction, and to promote the reform of the medical and health system. The smooth progress of the health system reform, to promote the health of the county and provide a strong guarantee.

Second, the main tasks

(a) Increase publicity, vigorously carry out the party spirit of clean government and medical ethics education.

1. In-depth study and education activities to strengthen the construction of party spirit and medical ethics. Hospitals should combine the characteristics of the medical industry, focusing on the regularity, relevance and effectiveness of education, through education to improve the cadres and workers of the party's clean government construction of cleanliness and self-discipline awareness, enhance the conscientiousness and sense of responsibility to grasp the scope of responsibility for the construction of anti-corruption initiatives. To take a variety of forms to carry out in-depth education on ideals and beliefs, the concept of power, to establish correct values and the concept of power; continue to carry out in-depth education on the sense of purpose, education on professional ethics, education on integrity and professional and technical education, to improve the quality of the majority of the medical staff's professional ethics and professional and technical level. Vigorously promote the integrity culture into hospitals, departments and families, and enhance the extensive and long-term effectiveness of integrity culture construction. Strengthen learning and education and training, and further enhance the leading cadres and the majority of health workers in accordance with the law, clean practice awareness.

2. Carry out the party's political discipline education. Adhere to the maintenance of the party's political discipline in the first place, urging party members and cadres to implement the party's principles and policies without compromise, in-depth education on the party's political discipline. Strengthen the supervision and inspection of the implementation of the Party's political discipline. Seriously investigate and deal with violations of the Party's political discipline. Study and solve the impact of the implementation of deepening the reform of the medical and health system in the implementation of the outstanding problems of the party's political style and behavior, increase the investigation and punishment of violations of law, resolutely rectify the phenomenon of orders, prohibitions, seriously investigate and deal with contrary to the scientific concept of development, the harm to the interests of the masses, and obstacles to the reform of the medical and health system, to ensure that the orders are unimpeded.

(2) to carry out in-depth "three good and one satisfied" activities as the focus, deepen the hospital management year activities.

1. In order to effectively solve the outstanding problems of the health system, strengthen the construction of medical ethics, establish a good image of the health industry, to ensure the smooth progress of health care reform, in strict accordance with the deployment of the Ministry of Health, in our hospitals to carry out extensive and in-depth service, good quality, medical ethics, good, the masses are satisfied with the "three good and one satisfied" activities, so as to become an important hand in the construction of health culture. Health style construction of an important grasp and platform to enhance the hospital's service brand,

"Good service" is the embodiment of the purpose and style of health care work. Medical staff to improve the service attitude, enthusiastic treatment of patients, put an end to raw, cold, hard, top, push, drag phenomenon. Medical institutions to improve the medical environment, optimize the medical process, convenient for the masses to see a doctor. To further deepen the hospital affairs open, focusing on medical services, charges, drugs, consumables and other price information and consultation process, department distribution and doctor qualification and other service information open, so that the patient to consume clearly, guide patients to medical treatment. It is necessary to strengthen communication between doctors and patients, obtain patients' consent on important matters, and win their understanding and support. Improvement of medical disputes people mediation related measures, the establishment of a sound third-party mediation mechanism for medical disputes and medical liability insurance system, while conscientiously implementing the medical complaints processing methods, strict implementation of the first complaint system, in-depth implementation of the creation of a "safe hospital" activities, to build a harmonious relationship between doctors and patients.

"Good quality" is the core and soul of medical quality and safety, service. To consolidate the "hospital management year" and "medical quality" activities, improve and implement the medical safety management system, enhance the sense of responsibility, and resolutely prevent the occurrence of medical liability accidents. Medical institutions should strictly implement the "Prescription Management Measures", the system of issuing prescriptions according to the generic name of drugs and the system of in-hospital public review of inappropriate prescriptions, adhere to the dynamic monitoring of the amount of medicines and the system of early warning of abnormalities, the system of graded management of antimicrobials, and actively implement the sunshine system of medication to promote the rational use of medication. The majority of medical personnel should seriously study medical technology, strive for technical excellence, and constantly improve the quality of professional and technical qualities. The medical units should be strictly high-tech access and clinical application management, strict medical personnel practice registration system, strict management of large-scale medical equipment configuration and use, and seriously investigate and deal with behavior that harms the rights and interests of the public health.

"Good medical ethics" is the self-discipline of the health industry and the expectations of the public. To continue to strengthen the professional ethics education of the majority of medical personnel, and further increase the positive propaganda efforts, widely carry out the study and publicity activities of advanced models, while seriously carry out the discipline of legal education and negative warning education to guide the majority of medical personnel to establish a good medical ethics. To further improve and implement the medical ethics assessment system, refine the assessment criteria, standardize the assessment procedures, the use of assessment results, and give play to its role in motivating and restraining medical personnel. On the poor medical ethics, such as accepting kickbacks, demanding and receiving "red packets", work seriously irresponsible, etc., must be seriously investigated and dealt with, and the seriousness of the situation should be resolutely disqualified from practicing according to law.

"Mass satisfaction" is the starting point and finishing point of health care work, the medical institutions should seriously carry out patient satisfaction surveys and discharged patients return visit activities, to solicit comments and suggestions, targeted to improve services. To carry out a solid democratic evaluation of the activities of the wind, and take the initiative to accept public supervision. To actively explore the establishment of a scientific evaluation mechanism of health behavior, more objective and fair reflection of health behavior. To combine the deepening of health care reform work to seriously implement the "benefit, benefit, convenience" project, to do the masses satisfied with the hospital, do the masses satisfied with the doctor, and constantly improve the satisfaction of the masses.

To strengthen the supervision of the new rural cooperative agencies and designated medical institutions, and actively promote the reform of the new rural cooperative payment method, the implementation of the new rural cooperative medical cost disclosure system and warning system, improve the new rural cooperative designated medical institutions management methods, and strictly prevent the embezzlement, misappropriation, fraudulent use of the new rural cooperative fund problems. The company will continue to work with the relevant departments to carry out food safety special rectification work, to ensure food safety.

To promote the standardization of the operation of the focus on strengthening the centralized procurement of drugs and medical supplies supervision.

Strengthen the supervision and inspection of centralized procurement of drugs, consumables and medical devices. For the violation of the medical institutions to be held directly responsible for the responsibility of the person and section leaders. For the production and management enterprises in violation of the law, timely take the necessary measures to terminate the purchase of drugs, and report to the Department of Health discipline inspection department.

The strict implementation of the government-led, autonomous region as a unit of the centralized online procurement of drugs, strengthen supervision, standardize the operation, to ensure that the centralized procurement work healthy and effective promotion. Strengthen the unit drug centralized purchasing contract implementation, especially the "second bargaining" procurement supervision, strictly prohibit the procurement of non-winning drugs; strengthen the supervision of the medical institutions back to the payment, will be paid back on time into the evaluation system of the medical institutions and rigorous assessment of the medical institutions to be seriously investigated and dealt with without a justifiable reason or maliciously delinquent payment of the medical institutions. To improve the centralized procurement of drugs internal constraints mechanism, the development of centralized purchasing agency staff code of conduct, improve the internal work system, improve the work norms and business processes, the establishment of decentralized checks and balances mechanism, improve the complaint management and internal monitoring mechanism.

(D) to strengthen the system implementation and supervision as the focus, increase the source of prevention and control.

First, strengthen the supervision and control of power operation. To further deepen the "integrity risk prevention" management, continue to deepen the reform of the administrative approval system, strict approval procedures, to ensure that the health of the administrative power in accordance with the law, fair and transparent operation. Further promote open government, explore the implementation of party affairs, prompting the power to run in the sun, the implementation of the whole process of dynamic monitoring and open and transparent operation, and constantly improve the supervision and control mechanism of power operation.

The second is to strengthen the administrative supervision responsibilities, and effectively strengthen the industry supervision. In accordance with the principle of territorialization, industry-wide management, to conscientiously fulfill the regulatory responsibilities of the village health clinics, to strengthen the macro-planning and management of medical institutions, to strengthen the practice of medical institutions and hospitals to monitor the operation of the strict registration system for the practice of medical personnel, the practice of medical institutions and medical personnel and medical institutions, the annual inspection, medical ethics assessment, the periodic examination of physicians, to give play to the constraints of the system and incentives. The system will play a restraining and incentivizing role.

Third, strengthen the supervision of the selection and appointment of cadres. To conscientiously implement the "party and government leading cadres selection and appointment of work accountability approach (for trial implementation)" and other four supervision system. Conscientiously implement the proposed promotion and appointment of cadres candidates in the party group to discuss the decision with the new cadres before the integrity of the conversation system. Strengthen the supervision of the whole process of cadre selection and appointment work, and resolutely punish the running for office, buying and selling, canvassing and bribery and surprise promotion of cadres and other issues.

Fourth, strengthen the supervision of funds and projects. With the continued advancement of health care reform, government finance and social funds for health unprecedented increase in investment, strengthen the supervision of the management and use of funds, is the current and future period of health discipline inspection and supervision work is an important task. Discipline Inspection and Supervision Office of the Health Bureau should conscientiously fulfill its responsibilities, together with the relevant departments to effectively strengthen the supervision of funds for health care reform, the new rural cooperative fund, as well as public **** health, major special funds, to ensure the safety of funds, project safety, personnel safety. It is necessary to further improve the system and regulations for the management of the use of funds and the strengthening of supervision, focusing on the role of audit supervision. To improve the health field of government procurement and engineering construction bidding system regulations.

(E) to strengthen supervision and inspection, strict implementation of the provisions.

To strengthen the supervision of power operation. Strengthen the implementation of the leadership team to implement the "three major" matters of collective discussion and decision-making system and the implementation of the "hand" last speech system supervision and inspection, to promote the leadership team and leading cadres to conscientiously implement democratic centralism, scientific and democratic decision-making. Seriously implement the system of supervision, such as honesty talk, duty report, admonition talk and correspondence inquiry, and effectively strengthen the supervision of leading cadres, especially the "top hand". Further promote the government (hospital) business openness, prompting the power to run in the sun. To strengthen the supervision and inspection of the use and disbursement of funds for the New Agricultural Cooperative Fund, public *** health, and rural health infrastructure construction projects, to ensure the safe and effective use of funds. Strengthen the supervision of cadre and personnel work, strengthen the supervision of the whole process of cadre selection and appointment work, to prevent and correct the problems of cadres being appointed to their posts with illness and promoted with illness. Regular exchange and rotation of personnel in key departments and key positions that are prone to commercial bribery should be carried out and a system should be formed.

Continuing to strengthen the construction of organizational style and efficiency, the wind of truth-seeking and pragmatic, and vigorously strengthen the construction of clean government culture. Effectively strengthen the leading cadres style construction, seriously implement the "eight adhere to, eight against" requirements. Deeply promote the administrative accountability system, take administrative inaction, inaction and serious damage to the interests of the public as the focus of accountability, and seriously investigate and deal with dereliction of duty and malfeasance. Strict industry self-discipline, strict adherence to financial discipline, strictly prohibit the organization of overseas (cross-border) travel in violation of the provisions of the law, and strictly prohibit the use of the name of the health administrative department to seek undue benefits. Strict financial and fee management of medical institutions, and resolutely prevent indiscriminate medical charges. Strictly hospital budgets and income and expenditure management, strictly prohibit the establishment of "small treasury". Strictly implement the national policy on medical services and drug prices, strictly implement the standardization of medical service price items, and strictly prohibit self-established items, decomposition of items, compared with items and other irregularities in charging behavior. We have improved the fee management system, perfected the computerized fee management system, strengthened the supervision and management of all aspects of fees, and prevented the occurrence of double billing, overcharging, and other problems. Continue to improve the hospital affairs open system, focusing on the disclosure of medical service price items, charges, drugs and medical supplies prices and other information, the strict implementation of the cost list system and cost query system to improve the transparency of fees.

(6) Strengthen the construction of long-term mechanism, in-depth work to address the root causes.

In-depth implementation of the Central Committee of the **** on "the establishment of a sound education, system, supervision and the implementation of the system of punishment and prevention of corruption and the establishment of a sound system of punishment and prevention of corruption 2008-2012 work plan, the persuasive power of education, the binding force of the system, the supervision of the checks and balances, the impetus for reform, and deterrence of punishment. Combine the education, system binding, supervision checks and balances, reform impetus, punishment deterrent, and solidly promote the construction of the health system to punish and prevent corruption system.

Continue to strengthen the governance of commercial bribery in the field of medicine purchase and sale of long-term mechanism construction. The rules and regulations that have been formulated are revised in a timely manner in accordance with the actual situation, and are constantly improved and perfected so as to solve the problems existing in the work in a timely manner. Serious investigation of commercial bribery cases, to play the role of the root of the case, to prevent the rebound of commercial bribery in the field of medicine purchase and sale.

Third, the work measures

(a) to strengthen the leadership, clear responsibility, to ensure that the task is in place.

Integrity work involves all aspects of health care work, the medical and health units to implement the "hand project", adhere to the branch, the administration of the main focus, the department with the cooperation of the work pattern of the **** tube. To refine the task, in accordance with the work function of the division of labor, the implementation of people, the establishment of the wind construction responsibility system and accountability system, to strengthen the supervision of the implementation of the work, the work of procrastination, coping with the units and individuals, to be held accountable at all levels, to ensure that the work of the wind of the various tasks to the implementation of the real.

(B) to strengthen the supervision, measures, and constantly standardize service behavior.

The medical and health units should take effective measures to strengthen the supervision and management of medical services, health law enforcement process, strictly regulate the behavior of diagnosis and treatment and law enforcement behavior, the supervision of the unhealthy issues found in the management of both bold, but also to be treated with caution. To develop, revise and improve the relevant systems and methods to the staff council for adoption, to achieve a basis for dealing with, regulate the behavior of the effect, to ensure that the health team healthy growth.

(C) to raise awareness, respect for patients, create a harmonious doctor-patient relationship.

The medical and health units should focus on the cultivation of service consciousness of medical personnel, improve the ability of medical personnel to communicate with patients and their families, so that patients understand their concerns, respect their right to know, eliminate hidden conflicts, and promote harmony between doctors and patients. For the service attitude caused by the doctor-patient disputes, we must give serious treatment to the parties involved, and at the same time to pursue the responsibility of the relevant leadership.

(D) to further strengthen the deepening of medical and health system reform supervision and inspection.

We should strengthen the investigation and research on the new situation and new problems in the medical reform, put forward the opinions and suggestions to prevent corruption, and seriously investigate and deal with the violation of discipline and law that impede the smooth progress of the medical reform, so as to provide a strong disciplinary guarantee for the deepening of the medical reform.

(V) constantly innovate working methods.

With the deepening of the reform of the medical and health system, the health system of party culture and integrity and the construction of the wind must be injected with new content, new vitality. The medical and health units should continue to innovate the work practices and effective measures of integrity and morale, to actively explore, bold practice, in the way and means of work, system construction, assessment and evaluation, etc. to explore more scientific, more targeted and more convenient mode, in order to promote the healthy development of the health undertakings.

(F) to strengthen communication, upload and download, to ensure that the work of the wind to achieve practical results.

To go deep into the actual, deep into the grassroots, deep into the masses, a broad understanding of the cadres and masses of the new requirements of the new expectations of the party's clean government and the construction of the wind, to fully grasp the party's clean government and the construction of the wind of the new situation and new problems faced by the party's clean government and the wind of the construction of the construction of the wind of the party to accurately grasp the characteristics and laws of the construction of the wind of the party and the wind of the construction. To combine the actuality of the unit, try our best, do what we can, abstain from formalism, do not do superficial articles. To determine the responsibility of the target, clear work requirements, the specific tasks to break down, strengthen the supervision and assessment and accountability, to ensure that the measures are put in place and achieve practical results.

March 15, 2011