Anhui Province township health center performance appraisal evaluation rules (for trial implementation)
Appraisal indexes and scores Appraisal content Appraisal standard Scoring standard
Basic medical service
(28 points) Quality of service
(6 points) Strictly implement diagnosis and treatment routines and operation procedures, and carry out the norms for the writing of medical records, the norms for the management of hospital infection, and other relevant regulations and systems. norms, medical waste disposal norms and other relevant regulations and systems, prescription quality, quality of medical records, quality of nursing documents, hospital infection management and case management meet the requirements. The qualified rate of prescription writing reaches 100%, and the qualified rate of outpatient medical records and inpatient medical records and nursing documents is 95%. Establishment of hospital infection management organization, sound system, implementation of measures, no hospital infection accidents. No medical malpractice has occurred, and the compensation for medical disputes is controlled within a certain amount. 1. 0.5 points will be deducted for no outpatient medical records and 0.5 points will be deducted for no outpatient observation records when viewed through inquiry. No hospital prescription authority granted by the documents, the lack of pharmacy signature word each deducted 0.3 points;
2, a sample of 100 prescriptions, whether the project is complete, the name of the drug, specifications, dosage and other writing standardization, 0.2 points for each low 5 percentage points, no prescription evaluation statistics and analysis of the deductions of 0.5 points.
3, nursing paperwork writing pass rate of 0.5 points for each 5% reduction.
4, inpatient medical records written in accordance with the norms, grade A medical records > 80%, to eliminate grade C medical records. Grade A medical records for every 5 percentage points lower deduction of 0.5 points, the use of foreign hospitals, medical records of paper and forms deducted 1 point, grade C medical records deducted 1 point per case.
5. 0.5 points will be deducted if there is no sense of hospital organization, 0.5 points will be deducted if there is no rectification opinion of regular comprehensive evaluation and inspection and statistical analysis, 0.5 points will be deducted if there is no treatment opinion of the assessment result.
6, medical accidents and disputes without a plan and measures to deal with the deduction of 1 point, there are measures not to implement the deduction of 0.5 points, there are errors are not registered or not reported deduction of 0.5 points, not timely and proper handling of petitions occurring deduction of 1 point, the nature of the undetermined, the responsible person is not determined, the penalties have not been implemented, respectively, deducted 0.5 points; no communication between the doctor and the patient to deal with the record of deduction of 0.5 points. The occurrence of medical malpractice each deducted 2 points, the occurrence of ultrasound gender identification deducted 6 points.
The number of services (6 points) The number of outpatient (emergency) visits, the number of visits, the total number of auxiliary examinations, the number of inpatient bed days or the number of patients in the observation room infusion calculated separately for the previous three years of the township health centers the average of the foregoing assessment indicators, with due consideration of reasonable growth elements, to determine the benchmark data for the assessment of the year. The increase or decrease in the number of outpatient (emergency) consultations, the number of outpatient visits, the total number of auxiliary examinations shall be controlled within a certain range, and the number of inpatient bed days or the number of patients receiving infusions in the observation room shall be decreased or maintained at a lower number of days. The average value of the unit in the previous three years as a base, outpatient emergency room visits, outpatient visits, outpatient observation visits, auxiliary examination visits, the number of discharged patients, up to 90% of the average value of 1 point each, each reduced by 2% of each deducted 0.5 points; discharged patients the average length of stay for each extension of 1 day deducted 0.5 points until the deduction is complete.
Medical costs
(6 points) hospitalization and outpatient costs Compared with the previous year, the average hospitalization and outpatient costs increased by no more than the provincial average. The number of diseases for which single-disease limit (amount) payments are made increases year by year. The average level of similar local medical units at the same level as the base, the average outpatient and emergency room costs, the average hospitalization costs, every 2% higher, respectively, 0.1 points, until the deduction. Carry out single disease limit (amount) payment, and the number of diseases increased year by year (2 points), not carried out or the number of diseases did not increase 1 point respectively.
Execution of the basic drug system
(10 points) Equipped with and use of basic drugs, standardize the construction of the pharmacy. In accordance with the clinical application guidelines for basic drugs, basic drug prescription set and the requirements of the Prescription Management Measures, standardized and rational use of basic drugs. Implement zero-differential rate sales of drugs. Equip basic drugs in accordance with the regulations. The pharmacy meets the standardization requirements. The percentage of outpatient antibiotic prescriptions with 2 or more combinations does not exceed 20%. Zero-differential-rate sales of all medicines are implemented. 1, equipped with and use of drugs, the transition period to the end of June compressed to 500 kinds, the proportion of the use of basic drugs for each less than one percentage point deducted 1 point.
2, the pharmacy to meet the standardization requirements, according to the Food and Drug Administration requirements (2.5 points)
① drug shelves are not neatly placed, the ground is not clean deduct 0.5 points
② pharmacy temperature, humidity does not meet the requirements deduct 0.5 points
③ drugs are not marked price deduct 0.5 points
④ expired drugs on the shelf deduct 0.5 points
⑤ moldy, fake and shoddy drugs on the shelves deduct 0.5 points
3, outpatient antibiotics 2 and above, the percentage of joint prescription does not exceed 20% (2.5 points). Failure to exceed the requirements of the "prescription management approach" once deducted 2.5 points
4, all drugs to implement the zero-differential rate sales , failure to implement the zero-differential rate sales, each specimen of inverted deduction of 5 points.
5, the implementation of the provincial "procurement catalog" and online procurement of drugs related to the provisions of the regulations, not in line with the provisions of each specification will be deducted 5 points.
Public **** health services
(25 points) Rural residents' health records
(3 points) Establishment, use and management of rural residents' health records In accordance with the requirements of the Ministry of Health's "Urban and Rural Residents' Health Records Management Standards", residents' health records are set up for the resident population under the jurisdiction of the province on a voluntary basis, the health records are updated in a timely manner, and computerized management is implemented gradually. One point will be deducted for every 5% of the file establishment rate; one point for every 5% of the qualification rate; one point for every 5% of the utilization rate; and one point for every 5% of the authenticity rate.
Health education
(2 points) Provision of health education and health counseling services, farmers' health knowledge awareness rate Actively promote participatory health education methods, through the opening of health education bulletin boards, health lectures, health education counseling services, etc., to teach farmers health literacy, eugenics, and other basic knowledge and skills, and constantly improve farmers' health knowledge awareness rate. In 2009, the rate reached 50 percent. Carry out health education 6 times/year, less than 3 times deduct 1 point, less than 2 times deduct 2 points.
Immunization Planning
(3 points) Implementation of the National Immunization Plan and its management Regulate the setting up and construction of preventive vaccination clinics and their operation and management, provide free National Immunization Plan vaccination services for school-age children, and detect, report and assist in the handling of suspected reactions to preventive vaccination in a timely manner. The vaccination rate of children of school age for hepatitis B vaccine, BCG vaccine, polio vaccine, DPT vaccine and measles vaccine ("the five vaccines") has reached more than 90% on a township-by-township basis, and the vaccination rate for the newly expanded National Immunization Program vaccines for the designated areas and populations has reached more than 80%. Cold chain operation and temperature records are normal. Vaccination clinic setup is not standardized deduction of 1 point; vaccination rate of every 1% lower deduction of 0.2 points; cold chain management is not standardized deduction of 0.5 points; vaccination of a class of vaccines illegal charges, deduction of 3 points.
Contagious disease prevention and control (2 points) Reporting and handling of infectious disease outbreaks Guaranteeing the normal operation of the direct reporting system of infectious disease network, timely detection, registration and reporting of infectious disease outbreaks under the jurisdiction of the infectious disease outbreaks, infectious disease outbreaks, the reporting rate, the timely rate, the accuracy rate of more than 95%. Cooperate with CDC institutions at or above the county level, participate in on-site outbreak treatment, and manage the treatment of non-institutionalized tuberculosis patients and AIDS patients. 1, complete system (report management system, registration system, training system, reward and punishment system is complete) 1 point; lack of a system or failure to implement the deduction of 0.5 points.
2, the reporting rate, accuracy, timeliness rate of 95%; each 1% lower deduction 0.5 points.
Maternal and child health care
(3 points) Implementation of maternal and child health care Establishment of maternal and child health care manuals for children aged 0-3 years old, standardization of maternal and child health care, and maternal health care coverage of more than 70% and child health care coverage of more than 60% in 2011. Standardized reporting of maternal and child health information. 1, maternal health care coverage of 70% of 1 point, a decline of 5%, deduct 0.2 points, health care booklet standardized fill in the absence of a deduction of 0.1 points, the content of health care services and services volume consistent with 0.5 points, the absence of a deduction of 0.1 points.
2, child health care coverage of 60% of 1 point, the lack of a deduction of 0.1 points, the content of health care services and service vouchers consistent 0.5 points, the lack of a deduction of 0.1 points.
3, standardized and timely reporting of information scored 1 point, omission of a death of maternal deduct 0.5 points, omission of a live birth deduct 0.1 points, omission of a death of a child under 5 years of age deduct 0.1 points, the logical error deduct 0.1 points.
Elderly health care (2 points) Health checkups and health registration management of the elderly Regularly conduct general physical checkups for the elderly over 65 years of age, carry out surveys on health risk factors, and provide the elderly with health guidance on self-care, injury prevention and self-help. The rate of health registration and management of the elderly reached more than 50 per cent in 2011. Elderly people's health record 40% of the archives 2 points, less than 30% of the points 1 point, not archived will be deducted 2 points.
Chronic disease management (3 points) Prevention, treatment and management of hypertension, diabetes and other chronic non-communicable diseases Registration and management of diagnosed hypertension and diabetes patients, regular physical examination, and guidance to the village health office staff to carry out regular follow-up visits to ask about their condition and provide health guidance on medication, diet and so on. By 2011, the registration and management rate of the two groups of people will reach more than 50 percent. People over 35 years of age, the first clinic to measure blood pressure, registered hypertension, diabetes regular follow-up, registration and management rate of 40% of 3 points, less than 30% of 1 point, less than 20% of 2 points, no points for failure to register and manage.
Management of patients with severe mental illness (2 points) Follow-up, rehabilitation guidance and registration management of patients with severe mental illness Registration and management of patients with severe mental illness with a clear diagnosis within the jurisdiction; under the guidance of professional organizations, treatment follow-up and rehabilitation guidance for patients with severe mental illness living at home. Completion of more than 95% of the task breakdown. Two points will be awarded for completing more than 95% of the tasks within the jurisdiction, one point for completing 85%, and two points will be deducted for completing less than 85%.
Major public **** health service projects (2 points) Major public **** health service projects related to the work carried out In accordance with the implementation plan of major public **** health service projects, seriously do a good job in rural maternal hospital delivery subsidies, rural women of childbearing age, pre-pregnancy and early pregnancy supplementation of folic acid, and other major public **** health service projects related to the work. Rural maternal hospital delivery subsidies completed 1 point, 100% of 1 point, a decline of 5% deduction of 0.2 points; rural women's pre-pregnancy and early pregnancy folic acid supplementation oral rate of 80% of 1 point, a decline of 10% deduction of 0.1 points.
Emergency response, health supervision and so on (3 points) Emergency response to public **** health incidents, health supervision and management, etc. Strong emergency response capacity, food, public **** places, schools, occupational and other health guidance and management. Emergency unorganized deduction of 1 point, food, public **** places, schools, vocational and other health guidance and supervision and management frequency of every less than 1 deduction of 1 point, no record deduction of 1 point.
New Rural Cooperative Medical Care (12 points) New Rural Cooperative Medical Care policy publicity
(4 points) Publicize the New Rural Cooperative Medical Care compensation policy, announced the process of reimbursement for the clinic, and publicize the price of medical services and medicines. There is no special publicity section of the new rural cooperative 1 point deduction; not published consultation and reimbursement process 1 point deduction; not publicize the price of medical services and medicines 1 point deduction.
New Rural Cooperative Supervision
(4 points) The compensation of participating farmers is publicized, and the telephone number for complaints and reports is announced. Complaints rate is 0, reported instances of arbitrage funds and was found to be 0. Failure to timely publicize the compensation for participation and complaint phone number deducted 1 point; the occurrence of arbitrage funds was found to be 4 points.
New Agricultural Cooperative Service
(4 points) Carrying out instant settlement, recognizing the identity of hospitalized participants, and uploading timely, accurate and comprehensive medical service information. Two points will be deducted for untimely uploading of settlement information.
Integrated management of rural health services
(10 points) Infrastructure of rural health institutions (5 points) Standardized construction in accordance with the construction standards for township health centers and village health rooms in Anhui Province. Village health room construction fails to meet the standardization requirements of 2 points; livelihood project annual construction tasks are not completed on time, 3 points will be deducted.
Township health centers on the village health room management (5 points) In accordance with the requirements of the provincial integrated management guidance, township health centers on the village health room to implement the "five unified, two independent" as the basic content of the standardized management. The five unified management is not standardized deduct 2 points, lack of a management deduct 1 point.
Personnel and financial management
(8 points) Staffing (4 points) The staffing position is reasonable, equipped with in place, health professionals and technicians with the appropriate post qualifications. Personnel are staffed at 1.2-1.4 persons per bed; 20-40% of them are preventive health care personnel. Discovered without practicing qualifications of personnel engaged in the above work 1 person 1 point deduction until the deduction is complete.
Financial management, distribution system establishment and implementation (4 points) Strict implementation of the financial management system, accounting information is true and complete, accounting is in line with the regulations. The internal distribution mechanism reflects the quality and quantity of services, job responsibilities and performance, and the implementation of job performance pay system. 1, did not establish the unit's financial management system, deduct 1 point, there is a system is not on the wall publicity deduct 0.5 points. ***1 points.
2, did not implement the unit's financial system, a deduction of 0.1 points, until the deduction. ***1 points.
3, township health centers are equipped with at least one full-time accounting staff, did not meet the requirements, deduct 1 point. ***1 points.
4, accounting books are not complete, the lack of a deduction of 0.5 points, not in accordance with the provisions of the preparation of accounting vouchers deducted 0.5 points, until deducted. ***1 points.
5, unit performance appraisal without written materials, the failure to implement the job performance pay system deducted 1 point, the lack of a deduction of 0.5 points. ***1 points.
6, performance appraisal program without the quality of service, without the number of services (medical statistics related data), without job responsibilities, without performance results in the absence of a deduction of 0.25 points until the deduction. ***1 points.
7, drug payment on payment.
Hospital environment and management
(10 points) Hospital appearance, management system
(10 points) Establishment and implementation of administrative, logistical, refresher and training systems. Township health center title standardized, obvious signs, hospital appearance clean and tidy; working environment and patients rest environment clean and comfortable, health propaganda slogans, columns eye-catching norms, medical staff full of spirit, service attitude and kind. There are empty wasteland in the hospital, sanitary dead ends, and 3 points are deducted for untidy appearance of the hospital. Indoor ground clean and tidy, no cigarette butts, confetti, no sputum, toilet cleanliness and hygiene without odor there is a failure to deduct 1 point, until the deduction.
Mass Evaluation and Supervision
(10 points) Doctor-patient communication, mass satisfaction rate (10 points) The hospital has a mass opinion box, regular patient and mass forums, questionnaires, mass and patient evaluation results, mass satisfaction rate (extracted not less than 10) 80% or more Check the service publicity system, public staff identity, public charges, public commitments, public inquiry fees, public supervision and monitoring. Provisions, public inquiry fees, public supervision phone on the wall, check the convenient service measures set up, the lack of a deduction of 0.5 points; to carry out the "let the patient choose the doctor", "choose the health care team", "honesty, safety hospitals " not carried out 1 point; "grass-roots station" activities in the mass review satisfaction less than 80% or more deducted 3 points.
Schedule 2:
Anhui Province Village Health Office Performance Assessment Evaluation Rules (Trial)
Assessment Indicators and Values Assessment Contents Assessment Criteria Scoring Criteria
Public **** Health
Services
(40 points) Prevention and control of infectious diseases
(7 points) Communicating the information on prevention and control of infectious diseases and distributing and using guidance on prevention and control of drugs. Distribution and use of guidance carried out. Timely collection and communication of vaccination information; conscientiously do a good job of infectious disease outbreaks and public **** health incident registration, reporting; according to the requirements of the distribution of tuberculosis, AIDS and other infectious diseases, prevention and control of drugs, and prevention and control of the use of drugs to guide, supervise the work. 1, do a good job of reporting infectious disease outbreaks, registration in line with the health service requirements 3 points;
2, the reporting rate and timely rate of 95%, 1 point for each omission of 1 case, 1 point for 1 case of delayed reporting;
3, intercepted infectious diseases, resulting in the proliferation of the epidemic and spread of the deduction of 7 points.
Maternal and child health care (7 points) Maternal and child health care implementation Do a good job of pre-pregnancy and early pregnancy folic acid supplementation policy propaganda, drug issuance, use of guidance, do a good job of post-partum visits to pregnant women, breastfeeding guidance, etc., to participate in the health care of children aged 0-3 years. Do a good job of collecting, organizing and reporting information on maternal and child health. Folic acid promotional materials 1 point, folic acid distribution rate of 80% 2 points, a decline of 5% deduction of 0.2 points, postpartum visits, breastfeeding guidance 1 point, look at the record book, telephone sampling 5 people, participation in 0-3 years old children's health care 1 point, check the statement of publicity and mobilization of children 0-3 years old regular physical examination, standardized and timely reporting of information 1 point, not standardized and untimely deduction of points. standardized, untimely discretionary deduction of points.
Health education (7 points) Health education services provided Open health education bulletin boards, published no less than six times a year, health literacy, disease prevention and control, eugenics and other basic knowledge; timely distribution of health education promotional materials. Timely distribution of publicity materials, found that 1 time not timely distribution of 2 points; timely health education 6 times a year, less 1 time 1 point deduction.
Rural residents' health records (7 points) The establishment and updating of rural residents' health records Publicize the significance of establishing residents' health records, timely, accurate and comprehensive collection of information on the basic situation of rural residents who voluntarily set up their records, major health problems and health service records, and set up and update their health records in accordance with national norms. The rate of establishment of archives every 5% lower deduction of 1 point; failure to update the content of health records in a timely manner deduction of 2 points.
Chronic disease prevention and control (6 points) hypertension, diabetes prevention and control work carried out by residents over 35 years of age to measure blood pressure at the first visit every year. Regular follow-up visits are made to patients diagnosed with hypertension and diabetes to inquire about their conditions and provide health guidance on medication and diet. Blood pressure measurement is carried out in accordance with the regulations and reports are submitted in a timely manner. If blood pressure is found to be unmeasured, one point will be deducted for every one person until six points are deducted.
Elderly health care (6 points) The basic work of elderly health care carried out Comprehensive collection of information on the elderly population in their villages, and under the guidance of township health centers, seriously do a good job in the investigation and assessment of health risk factors, health guidance, health management follow-up. Comprehensively collect information on the elderly and report it according to the regulations. 1 point will be deducted for missing 1 person until it is deducted.
Basic medical care (25 points) Basic medical management system implementation (10 points) to do outpatients are registered, medication prescribed, written in accordance with the normative requirements. By asking to see, outpatient log content registration is incomplete deduction 2 points, no outpatient observation record deduction 2 points; sampling 100 prescriptions, drug names, specifications, dosage and other writing in line with the prescription management norms, every 5 percentage points lower deduction 0.5 points. The occurrence of medical liability accidents one vote veto.
Equipping and using basic medicines, standardizing and rationalizing the use of medicines, not abusing antimicrobials and hormones. Pharmacy to meet the standardization requirements. Implementation of zero-differential rate sales. (15 points) The percentage of outpatient antibiotics 2 or more combined prescription does not exceed 20%. All basic drugs are equipped and used, and zero-differential rate sales are carried out. Pharmacy meets the standardized requirements 3 points are deducted for every 10% over the percentage of outpatient antibiotics 2 and above co-prescription. 5 points will be deducted if the pharmacy fails to meet the standardized acceptance. Failure to implement the basic drug system and zero-differential-rate sales of a one-vote veto.
Participation in public ****health management
(20 points) Participation in the new rural cooperative and integrated management of rural health services (15 points) Actively participate in doing a good job of publicity and mobilization of the new rural cooperative, financing, outpatient reimbursement; conscientiously do a good job of regular publicity of the reimbursement of compensation for the medical expenses of participating farmers. Actively support and participate in integrated management. Deduction of 1 point for not having a special publicity column for the New Rural Cooperative; 1 point for failing to publicize the process of consultation and reimbursement; 1 point for failing to publicize the prices of medical services and medicines. 2 points are deducted for failure to publicize participation compensation and handle complaints in a timely manner; one vote is denied in the event that arbitrage of funds is found to have occurred. Deduction of 2 points for untimely uploading of closing information.
Three points will be deducted for irregularities in the management of the "five unities" of settings, personnel, operations, medicines and financial affairs.
Participation in business training (3 points) Participate in business training organized by the provincial, municipal, county and township health centers on time. Failure to participate in training 1-3 points for each lesser person.
Completion of other work assigned by superiors
(2 points) Same as left 2 points deduction for failure to complete the directive tasks. Refusal to carry out the task of public **** health services one vote.
Mass Satisfaction
(15 points) Access to health care environment, service attitude, concern for patients, problem-solving ability
(15 points) Mass satisfaction rate (not less than 10) 80% or more. Resident satisfaction should be 80% or more, and 2 points will be deducted for every 1% decrease.
Schedule 3:
Anhui Province Community Health Service Organization Performance Assessment and Evaluation Rules (Trial)
Assessment Indicators and Scores Assessment Contents Assessment Criteria Scoring Criteria
Basic Medical Services
(35 points) Quality of Service
(10 points) Percentage of outpatient antibiotics 2 and more joint prescriptions, outpatient prescriptions Use of qualified rate, average outpatient cost, average hospitalization cost, nosocomial infection control, number of medical accidents Percentage of outpatient antibiotics 2 and above co-prescription does not exceed 20%; outpatient prescription writing qualified rate reaches 100%; average outpatient cost per visit does not exceed RMB 50; average hospitalization cost does not exceed RMB 2,800; hospital infection management organization is established, system is sound, and measures are implemented; and no No medical accidents occurred in the whole year. 1, outpatient antibiotics 2 and more joint prescription does not exceed 20%, each exceeding 1% deduction 0.1 points, until deducted; (1 points)
2, outpatient prescription writing rate of 100%, each 1 unqualified deduction of 0.1 points, until deducted; (1 points)
3, outpatient visits the average cost of not more than 50 yuan, each exceeding 2 yuan deduction 0.1 points, until deducted; (1 points)
3, the average cost of not more than 50 yuan, each exceeding 2 yuan deduction of 0.1 points, until deducted; (1 points) )
4, the average cost of hospitalization does not exceed 2800 yuan, each exceeding 100 yuan deducted 0.1 points, until deducted; (1 points)
5, hospital infection management organization is not established, the system is not sound, the implementation of measures deducted 1 point; (1 points)
6, the occurrence of medical accidents and ultrasound gender identification of the person with a veto.
Number of services
(10 points) Number of outpatient (emergency) visits, number of visits, total number of auxiliary examinations, number of inpatient bed days or number of patients with infusion in the observation room Calculate the average of the previous assessment indicators of the same type of community health service organizations in the previous three years, with due consideration to the increase in the population and the elements of reasonable growth, and to determine the baseline data for the current year's assessment. The increase or decrease in the number of outpatient (emergency) visits, the number of outpatient visits, the total number of auxiliary examinations shall be controlled within a certain range, and the number of inpatient bed days or the number of patients receiving infusions in the observation room shall be decreased or maintained at a lower number of days. 1, outpatient and emergency room visits, the average number of outpatient and emergency room visits per employee up to the average level of medical units at the same level (2 points), up to the average level of more than 80% of 1 point, every 1% below 0.1 points, every 5% below 1 point, until the deduction of the end;
2, outpatient visits, the average number of outpatient visits per employee up to the average level of medical units at the same level (2 points), up to the average level of more than 80% of 1 point, every 1% below 0.1 points, until the deduction of the end. 0.1 points, until the deduction of the end;
3, the total number of auxiliary examination, the average number of auxiliary examination per employee up to the average level of medical units at the same level (2 points), up to the average level of 80% of the above 1 point, every 1% lower deduction of 0.1 points until the deduction of the end;
4, the number of patients with infusion, the average number of patients with infusion per employee up to the average level of medical units at the same level (2 points), up to the average level of 80% of the above 1 point. The average level of 80% or more 1 point, each higher 1 person times deducted 0.2 points until the deduction;
5, the average number of hospital bed days per discharged patients at the average level of medical units at the same level (2 points), each higher 1 day deducted 1 point until the deduction is complete.
Execution of the basic drug system and zero-differential-rate sales of drugs (7 points) Equipped with and using basic drugs, the implementation of zero-differential-rate sales, the standardization of the construction of the pharmacy. All of them are equipped with and use basic drugs and implement zero-differential-rate sales. The use of basic drugs is standardized and rationalized in accordance with the requirements of the Clinical Application Guidelines for Basic Drugs, the Basic Drugs Prescription Set and the Prescription Management Measures. The pharmacy meets the standardization requirements. 1, equipped with and use of drugs, the transition period to the end of June compressed to 500 kinds, since July in accordance with the provisions of the basic drugs, the proportion of the use of basic drugs for each less than one percentage point deducted 1 point.
2, the pharmacy to meet the standardization requirements, according to the Food and Drug Administration requirements (2 points)
① drug shelves are not neatly placed, the ground is not clean deduct 0.4 points;
② pharmacy temperature, humidity is not up to the requirements of the deduction of 0.4 points;
③ drugs are not clearly marked price deduction of 0.4 points;
④ expired drugs on the shelves deduction of 0.4 points;
4 expired drugs on the shelves deduction of 0.4 points;
4 expired drugs on the shelves of 0.4 points;
4 Expired drugs on the shelf.
5 moldy, fake and shoddy drugs on the shelves deducted 0.4 points.
3, outpatient antibiotics two and above, the percentage of joint prescription does not exceed 20% (1.5 points), not in accordance with the provisions of more than the requirements of the "prescription management approach" once deducted 0.3 points.
4, the implementation of zero-differential rate sales of all medicines, the implementation of zero-differential rate sales of each specification inverted deduction of 5 points.
5, the implementation of the provincial "procurement catalog" and online procurement of drugs related to the provisions of the regulations, not in line with the provisions of each specification will be deducted 5 points.
Resident satisfaction (8 points) Resident satisfaction with basic medical services provided by community health service organizations Randomly select 10 people from those receiving basic medical services and ask about satisfaction with the organization's services, and resident satisfaction should reach more than 70%. Resident satisfaction should be 70% or above, and 2 points will be deducted for every 1% decrease.
Public **** health services
(45 points) Resident health records (5 points for the center
Station 7 points) Health records filing rate, qualification rate, utilization rate, the true rate Health records filing rate of the key populations in '09 (elderly people over 65 years old, women, children, six chronic diseases) reached 50%, and then increased year by year, the qualification rate reached 70%, the utilization rate reached 50%, the true rate reached 95%, the qualification rate reached 50%, and the true rate reached 95%. The utilization rate will reach 70%, the qualification rate will reach 50%, and the truthfulness rate will reach 95%. One point will be deducted for every 5% below the filing rate; one point will be deducted for every 5% below the qualification rate; one point will be deducted for every 5% below the utilization rate; and one point will be deducted for every 5% below the real rate.
Health education
(5 points for the center
7 points for the station) Health education lectures, publicity columns, residents' basic health knowledge rate
Setting up the publicity columns, the center and the station are no less than 2 and 1 respectively, and at least 1 change per quarter; the center carries out at least 6 public health consultation activities per year; the center at least once a month, and the station at least once every two months. Health knowledge lectures; the rate of residents' basic health knowledge reached 60% in 2009 and 70% in 2010. Center, station every less 1 point deduction, until the deduction is complete.
Preventive vaccination (center only, 4 points) card (card) rate, five vaccination rate, the new expanded immunization program vaccination rate According to the provisions of the vaccine, storage and transportation of vaccines, timely clean up expired vaccines; timely check and register the refrigerator temperature 2 times a day; timely registration of vaccines in and out of the warehouse and the scrapped, damaged, the number of vaccines stored and registered in line with the number of children of the age of the vaccine clinic set up is not standardized deduction of 1 point; vaccination rate every 1% lower than 1 point. ; vaccination rate of every 1% lower deduction 0.2 points; cold chain management is not standardized deduction 0.5 points; vaccination of a class of vaccine charges, 4 points.
Infectious disease prevention and control (center 3 station 5) Infectious disease outbreak reporting rate, infectious disease outbreak reporting timeliness, accuracy, and assistance to the CDC department for outbreak investigation and treatment Infectious disease outbreak reporting rate, infectious disease outbreak reporting timeliness, and infectious disease outbreak reporting accuracy rate of 95% or more; key infectious disease case investigation rate of 95%; the outbreak investigation and treatment rate of 100% Registration Complete and standardized scores 1 point; reporting rate, timeliness, accuracy rate of 95% scores 1 point.
Children's health care (4 points for centers only) Newborn visit rate, children's health care coverage, children's health care system management rate The newborn visit rate reached 85% in 2009, and 90% in 2010; children's health care coverage reached 70% in 2009, and 80% in 2010; the children's health care system management rate increased significantly. Standardized and timely reporting of child health care information scored 2 points; 0.5 points were deducted for omission of deaths, 0.1 points were deducted for logical errors, and 0.2 points were deducted for one less health promotion.
Maternal health (centers only, 4 points) Early pregnancy registration rate, maternal health care coverage, maternal health care system management rate Early pregnancy registration rate reached 85% in 2009, 90% in 2010; maternal health care coverage reached 80% in 2009, 85% in 2010; maternal health care system management rate increased significantly. The rate of postpartum visit reaches 95% with 2 points, a decline of 5% deducted 0.1 points, standardized and timely reporting of maternal health information with 2 points, a death omission deducted 1 point, logical error deducted 0.1 points, health promotion less than 1 time deducted 0.2 points.
Elderly health care (4 points for the center,
6 points for the station) Elderly health registration and management rate, the rate of standardized management of elderly health, the rate of completeness of health checklists 1 health checkup for the elderly per year, health counseling and guidance and intervention; the rate of health registration and management of the elderly reached 15% by the end of 2009, and 40% in 2010; the rate of standardized management of the elderly reached more than 50%, and the rate of completeness of health checklists reached 80%. checklist completeness rate of 80%. 1, did not carry out health checkups for the elderly deducted 2 points;
2, health registration and management rate of less than 5% deducted 2 points;
3, 10% missing items in the health checklist deducted 1 point.
Chronic Disease Management (5 points for the center,
7 points for the station) The rate of first blood pressure measurement for residents over 35 years of age, the rate of registration and management of patients with hypertension, the rate of standardized management, the rate of registration and management of patients with type 2 diabetes mellitus, the rate of standardized management The rate of first blood pressure measurement for residents over 35 years of age reaches 90%; at least one more comprehensive health checkup for patients with hypertension and type 2 diabetes mellitus each year, four Face-to-face follow-up visits; the registration and management rate of hypertensive patients and diabetic patients reached 10% in 2009 and 30% in 2010; the standardized management rate of hypertensive patients and diabetic patients reached 30% in 2009 and 50% in 2010. 1, residents over 35 years of age first blood pressure measurement rate did not reach 90% deducted 1 point;
2, hypertension, type 2 diabetes patients did not carry out a more comprehensive health checkup deducted 2 points; follow-up less than 1 deducted 1 point;
3, registration and management rate of less than 5% deducted 2 points;
Serious mental illness patients management (3 points for the center,
Station 5 points) Serious mental illness Psychiatric patients registration and management rate The rate of registration and management of patients with severe mental illness reached 25% in 2009 and 40% in 2010. According to the management rate of seriously mentally ill patients 25% until completion, less 5% deduct 1 point.
Resident satisfaction (8 points) Resident satisfaction with the basic public **** health services provided by the community health service organizations Separately from the basic public **** health services received by each of the two people, by telephone to ask for satisfaction with the organization's services, the resident satisfaction rate of 70% or more. Resident satisfaction should be 70% or more, and 2 points will be deducted for every 1% decrease.
Community Services and Management
(20 points) Financial Management
(4 points) Financial Management Staff, Accounts The center has a full-time financial staff and prepares relevant financial statements in accordance with the accounting system, and the station has at least part-time financial staff. The accounts of the organization are clear. 1, the center and the station has full-time financial personnel (1 points), no personnel deduct 1 point;
2, the preparation of financial and statistical statements (1 points), no financial statements statistical statements missing a deduction of 0.5 points;
3, the center and the station auxiliary accounts complete (current account, bank journal, cash journal, fixed assets detailed account) (1 points), missing a deduction of 0.25 points;
4, performance appraisal program (1 points), no performance appraisal program, did not establish a performance appraisal distribution system, the lack of a deduction of 0.5 points;
Personnel and job setup (4 points) According to the standard number of authorized personnel, job setup, general practitioners and community nurses Personnel according to the establishment of the standard approved, the job setup in line with the requirements of the center at least 6 general practitioners, community nurses 9, station at least 2 general practitioners and 2 registered nurses. Failure to meet the standard, every 1 person less 1 point.
Utilization of community health services (5 points) The rate of knowledge and utilization of community health services Randomly interviewed 10-20 residents near the institution to calculate the knowledge and utilization of community health services, the rate of knowledge is not less than 70%, and the utilization rate is not less than 30%. One point will be deducted for every 5% lower knowledge rate; 0.5 point will be deducted for every 5% lower utilization rate.
Two-way referral
(4 points) Two-way referral system is established, the number of upwardly transferred patients and downwardly transferred patients and the counterpart to support the large hospitals signed a two-way referral relationship agreement, formulated the specific provisions of the two-way referral, clearly defined the conditions for upwardly and downwardly transferred, there were a certain number of two-way referral patients during the year. One point will be deducted for not signing the two-way referral agreement during the year. Referral of patients than the previous year every 10% decrease in 0.5 points.
Center to station integrated management (3 points) Center to station integrated management, station to accept the center integrated management Center to station integrated management according to the region, the implementation of administrative, business, pharmaceutical, financial, personnel five unified management Not implemented integrated management deduction of 1 point; the five unity is not standardized, there is a deduction of 0.5 points.