1. Health rectification situation report
According to the county public **** health professional bodies of the basic public **** health services of my unit of supervision of the work of the problems, the health center attaches great importance to the timely convening of the public **** health section, the village health station work conference to study the rectification program and the next step of the work arrangements. Now the rectification situation is reported as follows:
First, the development of the rectification program:
1, the public **** health section is responsible for the Tu family jurisdiction of the comprehensive basic public **** health services guidance, management. The village health station with the public **** Health Section to carry out good service work to ensure that the target task is completed.
2, the county public **** health professional organizations pointed out that the problem of the deadline for rectification and implementation in place, the public **** Health Section is responsible for the implementation of the jurisdiction of the existence of the problem of supervising the rectification and implementation in place.
3, the village health station must be arranged in accordance with the public **** health section of the public **** health work in place to ensure that the village public **** health goals and tasks.
4, increase the guidance and assessment, and regularly report the progress of the work to the Public **** Health Section.
Second, after the rectification of the stage of effectiveness:
1, strengthened organizational leadership, the development of relevant documents and assessment system, improve organizational management.
2, increased the electronic entry of residents' health records, standardize the complete filling of the inside information, to ensure the qualification rate of the file information and electronic file information, to ensure the completion of the target task.
3, developed a detailed and complete health education work plan and system, seriously carried out the government and school health education work guidance, on time and monthly health education knowledge lectures and actively guide the village health station to carry out health education publicity activities.
4, according to the time village every month to carry out good vaccination work, no vaccination accidents and outbreaks of epidemic, standardize the use of information technology construction and completed the monthly information entry work to improve the vaccination rate, so that the table, card, card, certificate, network four consistent.
5, the establishment of a sound management of infectious diseases of the work of the system, timely and accurate reporting of infectious diseases report card, strict self-examination of the work, increase the AIDS follow-up, management work, standardized tuberculosis rewards and penalties for the implementation of the system to ensure that the target referral task is completed.
6, standardized the filling of maternal and child statements and data classification management, the establishment of a regular meeting system, do a good job in the registration of special testing, increase the distribution of folic acid, standardize the investigation of birth medical certificates, management, issuance and other work.
7, the villages will be the main problems of centralized learning in a timely manner deadline for rectification, rectification of the work to achieve effective improvement, the elderly, chronic disease management and related information, electronic archives to complete a better, but the improvement of the residents' health records is slightly worse, some of the relevant information and data is still a lack of authenticity integrity.
Third, there are problems:
1, some engaged in public **** health personnel quality is low, the work of the enthusiasm has to be improved.
2, individual village doctors with low business quality, motivation is not strong, the development of village health center is not balanced.
3, the second type of vaccine publicity is not in place, the vaccination rate is not high.
Fourth, the next step in the work of the organization:
1, to strengthen the health education work, focusing on schools, government health education system, the construction of publicity columns to guide the work, and improve the relevant information in a timely manner.
2, strengthen the political education and business training of village doctors, improve the responsibility of village doctors and business level.
3, for residents' health records, the elderly, chronic disease management problems, increase rectification efforts, the implementation of the relevant reward and punishment system, and strive to the second round of supervision will be the problem of improvement of more than 90%.
2. Health rectification report
Previous year, our hospital in the county health bureau under the correct leadership of the township, village level public health personnel in strict accordance with the national standards of fundamental public **** health services and the higher level of the relevant documents and requirements of the spirit of the work of the mission has been carried out in an orderly manner. At the end of the year, through the township to the village, the county to the township has two performance checks, our hospital operations than in previous years has made great progress, but also found some problems. In this regard, the hospital held a timely township, village-level public health work summary meeting to summarize the experience of the previous year's public health work, the problems found in the operation, in-depth analysis, and put forward corrective comments.
First, there are problems
After checking, the hospital residents health records fill in the entry operation there are some empty items, before and after the logical error and contact information can not be updated in a timely manner, the electronic file entry is not timely; health education operation materials packing, archiving can not be intact, standard; part of the health room vaccination card does not match, some of the omission and vaccination in a timely manner, etc.; the new mothers and the newborn baby information The new maternal and neonatal information is not timely, resulting in the first follow-up operation relatively lagging behind, part of the examination program failed to carry out; chronic disease patients follow-up records are not complete and standard, physical examination records have empty items, entry of electronic files is not timely, etc.; health supervision and co-management of part of the operation records are not complete; Chinese medicine service business knowledge level is in need of urgent progress and other issues.
Second, corrective measures
(a), to strengthen the organizational leadership, the implementation of operational responsibilities
further clarification of the health hospitals of each project holder position responsibilities, according to the first of the year formulated this year's public health work plan, the use of the village doctor's work meeting and quarterly checks to supervise, coaching. Each project manager this year staged business training, especially the Chinese medicine related training, in order to improve the village public health personnel business level of knowledge, in February this year, the hospital has organized all the village two-level public health personnel to carry out a public **** health service general knowledge examination study.
Further deepen the strict performance checking guidelines, the implementation of the final elimination system, clearly stipulated in the end of the year check, such as scores below 80 points, and ranked the bottom of the list, the second village doctor, will be in accordance with the exit mechanism, to be retired and reported to the county bureau for the record.
(2), increase the publicity efforts to improve the residents of public health service awareness rate
The use of health education service network, vigorously promote the national fundamental public **** health service projects, this year I specifically pack a fundamental public **** health service project overview of the publicity leaflet, as this year's health education and publicity materials for the first period of health education by the health hospitals and the next under the jurisdiction of the 13 village health clinic The first issue of this year's health education materials, by the health center and the 13 village health clinics under the jurisdiction of the publicity distribution, the city set up 65 places public health service supervision plate, village doctors issued service spikes, this year's review of the implementation of uniform service personnel dress, so all kinds of, and strive to make every resident to understand the fundamental public **** health service service services, service intent and meaning, so that every resident can automatically participate in it.
(C), further refine the handling of health records
File entry information is real, complete, to ensure that there is no empty, wrong items, no logical errors before and after; timely entry of electronic file information; timely updating of the resident file information to improve the file use rate; standardize the filling of various types of roster and file packing and put, to facilitate the query and referral.
(D), timely grasp of new mothers and newborns information
The hospital maternal and child personnel went to the county People's Hospital Obstetrics and Gynecology Department every week to copy back the above information and downlinked to the responsibility of the village physician, and timely follow-up follow-up.
(E), standardized key populations follow-up and medical examination operations
Key populations follow-up and annual medical examination is the main point of the public **** health services, but also the residents are most willing to bear and cooperate in one aspect, the hospital will be in the current year to do this work to do a good job, and strive to improve the quality of follow-up services to improve the quality of the health checkups and the rate of the checkups, so as to drive the other project work. The hospital will strive to improve the quality of follow-up services, the quality of health checkups and the rate of checkups, so as to promote other programs. The first of the year, the baby weight scale has been issued in place, this year, the study is equipped with hemoglobin monitoring equipment and home follow-up special backpacks and other equipment, in order to improve the quality of service and service efficiency.
In summary, in the future, the hospital will further improve the ideological understanding of the lessons learned from the operation, to ensure that the completion of the public health mission as scheduled.
3. Health rectification report
According to the requirements of the "Health and Family Planning Bureau of the basic public health service project assessment feedback", combined with the actual situation of the 20xx year of our basic public ****health service project work, is now our hospital self-check and rectification report is as follows:
A. Existing Problems
(a) organizational and management
1, the implementation of the project performance assessment is not enough, the assessment results and project funding allocation linkage is not close enough. Project performance appraisal content is incomplete, the implementation of deductions and penalties are not in place.
2, the project training efforts to be strengthened. Basic public **** health service project business training is not enough, the responsible doctor, the responsible nurse of the grassroots public **** health service project specification knowledge mastery is not skilled.
(ii) Funding management
Basic public **** health services performance assessment program with its center of the work point system allocation program is not effective combination of service service funding linked to the results can not be reflected.
(C) project implementation
1, residents' health: sampling residents' health records qualified rate did not meet the requirements of the assessment objectives, some of the files are untrue; residents do not know whether to build a file, whether the medical examination; the new file no health check-up records or medical examination date and the date of building a file is very far from the date of the file; personal information form there is still a lack of items, omissions; medical examination records form of health evaluation, wrong assessment, risk of death, and the health of the residents, and the health of the residents. The health assessment of the physical examination record form omitted evaluation, wrong evaluation, risk factor control is not correct or omitted wrong items, the main problem is not filled in and so on.
2, maternal management: maternal and child health permanent residents of maternal management are basically in accordance with the provisions of the registry, ledger organization is not standardized.
3, chronic disease management: hypertension patients health checkup records of risk factor control there are empty or incorrect, individual year no physical examination records; part of the patient four times a year face-to-face follow-up did not reach to, two consecutive control unsatisfactory not referral; risk factors have not been fully introduced to lead to the assessment of stratification error. In the health management of diabetes mellitus patients, the dorsalis pedis arterial examination awareness rate is low; physical examination records have logical errors, omissions, missing items, wrong items, etc.; a blood glucose control unsatisfactory within 2 weeks without follow-up; individual appearing second blood glucose control unsatisfactory not according to the norms of referral and follow-up within 2 weeks; individual four face-to-face follow-up visits did not achieve.
4, health management of patients with severe mental disorders: information assessment and follow-up classification does not correspond to the contents of the record to fill in the logic of the wrong items; annual health checkups are not enough to carry out, the patient refused to physical examination without the signature of the guardian to confirm the contents of the physical examination report form there are missing items, the lack of filling in the situation of the use of medication; follow-up did not reach the number of norms required by the number of times, there is the expiration of the follow-up situation; follow-up records in the laboratory The follow-up visit did not meet the required number of times, and there were cases of expired follow-up; the laboratory records in the follow-up visit were generally empty, and patients taking clozapine did not have regular blood tests.
5. Elderly health management: the rate of elderly health management is insufficient, health management physical examination form physical examination records are missing, wrong items, omissions; risk factor control errors, such as waist circumference abnormality, BMI index exceeds the standard, weight loss are introduced, part of the weight loss is written, but there is no record of the target weight.
6, Chinese medicine health management: 0-36 months children's Chinese medicine health program is not carried out, Chinese medicine health management coverage is insufficient, carried out in insufficient depth, the responsible doctor's lack of knowledge of Chinese medicine; only fill in the 33 problem information sheet, no major body and tendency system records.
7, health management of tuberculosis patients: tuberculosis screening work is not standardized, screening department lack of record information.
Second, the analysis of the problem
Our hospital through the project work problems are carefully analyzed and summarized, the factors are as follows:
1, our basic public **** health service project work base is relatively weak, mainly in the station room responsible for the lack of adequate doctors, responsible for the lack of knowledge of the norms of the doctor to master the lack of health management services for chronic diseases are not in place, the service project real rate, normative rate is low and so on.
2, responsible for the doctor's work enthusiasm is not high, the project performance assessment is not enough, good or bad work bonus gap is not big.
3, individual responsible doctors, responsible nurses work thought is not correct enough, there is a muddle, get by, fear of difficulties and so on, thus affecting the work of all aspects of the assessment task.
Third, rectification and implementation
(a) organizational and management aspects of rectification
1, the development of basic public **** health service project performance assessment program, the implementation of the assessment of funds, the assessment results and the project funding allocation is closely linked to make full use of the performance appraisal and income distribution of the bar role, fully mobilize grassroots health personnel motivation.
2, improve the project-related work accounts, strengthen the project training; quarterly project specifications training, to achieve full coverage of the relevant staff, to improve the level of project theory test; strengthen the grass-roots medical staff and professional public **** health institutions personnel project theory knowledge learning, improve the overall performance of the project test.
(B) rectification of fund management
1, strengthen communication with the financial section, check the population base, check the funding arrangements and the number of people served by the project; strict supervision of project funds, prohibit the retention, misappropriation, to ensure that the project funds earmarked for the purpose.
2, increase internal supervision to ensure that the funds are standardized, effective use, according to the national "basic public **** health services subsidies management of funds Interim Measures" (Caixa [20xx] 255) document requirements for implementation.
(C) project implementation aspects of rectification
1, focusing on the management of the new file, to ensure standardization, authenticity, especially on-site verification of the filing of the low rate of knowledge, denial of the filing of the medical examination, personal habits (smoking and drinking) and file records do not meet the phenomenon; 20xx annual new personal electronic health records to re-verify once again, and more communication with the residents to inform the filing of the file. Physical examination and file does not meet the re-modification.
2, standardize the development of chronic disease health management, the implementation of chronic disease management of the population once a year physical examination, focusing on strengthening the integrity of the form; standardize the follow-up work, to ensure the authenticity of the content of the follow-up; quarterly file assessment, for the archives follow up the content is not true, the health check-up form there are empty items or fill out the form incorrectly, the physical examination records and follow-up records of the logical inconsistency of the situation, timely notification, requiring the responsible doctor to timely rectification. Notification, requiring the responsible doctor to rectify in a timely manner; regularly carry out basic public **** service project knowledge training, in strict accordance with the norms required to open the chronic disease follow-up management.
3, timely carry out face-to-face follow-up of patients with severe mental illness, publicize the civil affairs and disability assistance policy to patients, carry out the work of free medication, the patients taking clozapine regular check of blood routine; modify the content of the follow-up records have logical wrong items, fill out the irregularities, etc., and actively carry out the annual health checkups, refusing to checkups must be required to confirm the signature of the guardian.
4, actively carry out health management of the elderly, the implementation of annual health checkups, standardize the entry of medical examination forms, strengthen supervision, verification, incomplete content, logical errors in the medical examination form, require the responsible doctor to further modify and improve.
5, to carry out Chinese medicine services for the elderly and children aged 0-36 months, the Department of Traditional Chinese Medicine of the hospital responsible doctors to carry out training in Chinese medicine hospital knowledge, to carry out the elderly Chinese medicine body identification, the use of Chinese medicine knowledge of the residents of health guidance.
6, led by the Department of Prevention and Protection, Radiology, Laboratory, outpatient doctors to cooperate with the combination of disease patient screening, and have a detailed account, do a good job of referral reports.
Fourth, the rectification and implementation
After careful sorting, the problems in the assessment, our hospital set up a basic public **** health service project work leading group, clear responsibility for the main body, refine the implementation of the measures; to further strengthen the basic public **** health service project of the refinement of the management of the whole process, highlighting the standardization of the management of the key populations; pay close attention to the implementation of the project work specific to effectively improve the quality of the project, to ensure that all corrective measures implemented. Project quality, to ensure the implementation of the corrective measures in place.
4. Health rectification report
Basic public **** health project was set up to run since the establishment of the room in accordance with the "national public **** health service norms," "the implementation of the basic public **** health project program," as well as the relevant documents of all kinds, from scratch, from the beginning to the best, do a lot of work, a better completion of the Various basic public **** health service requirements.
According to the requirements of the higher level, in order to further standardize the implementation of the national basic public **** health service projects, to adapt to the current demand for basic medical care, deepen the reform of the health care system, my room on the basic public **** health project 10 categories of 41 services according to the "norms" as well as the requirements of the higher level of leadership to carry out a rigorous self-checking, carefully checking the relevant data, re-combing, archiving. Now the rectification situation is reported as follows:
First, the implementation of public **** health projects
1, individual telephone is not available. There are omissions. Font scribbles.
2, health education layout without content, no replacement records.
3, unsatisfactory management of individual blood pressure and glucose control is not in place.
4, the number of children's health management did not reach the norms of the number of people, the relevant forms are not filled out enough standardized.
5, maternal management does not reach the norms of the number of people, the relevant form filling is not standardized.
6, the street restaurant supervision is not in place
7, poor indoor hygiene, prescription writing is not timely.
8, basic drugs for the implementation of the full.
Second, according to the above problems of rectification
According to the self-examination of the problem, my station organized the relevant personnel to discuss and study, and develop appropriate corrective measures and programs.
1, serious verification of the phone number in time to change the number of phone change the omission of the problem of serious writing.
2, health teaching layout timely writing records and layout.
3, serious management of hypertension diabetes timely guidance to patients on medication.
4, active rectification of non-basic drugs resolutely off the shelves no longer sold.
5, actively cooperate with the health supervision department of the jurisdiction of the hotel personnel health supervision, for personal health certificate.
5. Health rectification report
Based on the current work of the problem, according to the higher assessment standards and hospital leadership work requirements, combined with the recent work of the development of the situation, after repeated reflection, to find out the reality of the work of the shortcomings and deficiencies, is now the development of rectification report is as follows:
A recent work of the development of
Recent work has been carried out some slow, the details to be actively improved.
Second, there are problems
In terms of health education materials, the main problem is that the number of times carried out is small, and there are deficiencies in the photographs; as well as the irregularity of the playback of video materials, the playback time is unplanned, and needs to be urgently improved.
Third, the future intention
plans in the health education lectures, with a few representative health room *** with the development of several lectures, the recent plan is to September 28 World Heart Day and the International Day of the Deaf and October 8 National High Blood Pressure Day two time to do two periods of knowledge of health education lectures, and with the International Day of the Elderly on October 1, to carry out a health education consulting activities; Image data playback work, reported to the hospital leadership, urgent coordination of the relevant departments, in accordance with the requirements of the assessment playback of image data, in order to prepare for the higher inspection and photo requirements.
Fourth, after the rectification of the target
If the above work can be carried out successfully, and strive to the end of the year in the assessment, health education scored full points.