Carry out hospital management year activity program

Hospital on the development of "patient-centered, to improve the quality of medical services as the theme of" the hospital management year activity program To conscientiously implement the Ministry of Health and the State Administration of Medicine on the development of the hospital management year activities of the relevant spirit, and effectively improve the attitude of service, standardize medical behavior, improve the quality of medical care to ensure medical safety , to promote the scientific, standardized and standardized construction of hospital management, according to the secretarial tribal city health bureau ####[2005]### document requirements, combined with the actual work of our hospital, specially formulated this program. First, the guiding ideology of Deng Xiaoping theory and the "Three Represents" important thought as a guide, adhere to the "people-oriented" concept of scientific development, around the "patient-centered, in order to improve the quality of medical service "theme, adhere to the pursuit of social benefits, safeguard the interests of the masses, build a harmonious doctor-patient relationship in the first place, and actively explore the establishment of a long-term mechanism of scientific management, to ensure the sustainable development of the hospital, so that medical services closer to the masses, closer to the community, and continue to meet the growing demand for health care services of the city's people. Second, the organizational leadership in order to effectively strengthen the leadership of this activity, the establishment of the Hospital Management Year activities leading group: Group Leader: Deputy Group Leader: Members: Third, the work objectives and task decomposition (see annex) Fourth, the implementation of the steps (a), the mobilization and deployment phase (early July 2005) to complete the "Hospital Management Year" activities to prepare, mobilize and organize the launch of the work. Mobilization and organization of work. Developed and issued by the hospital "Hospital Management Year" activities program, held a mobilization meeting to unify thinking. Improve the importance and necessity of carrying out the "Hospital Management Year" activities, awareness of the activities of the specific deployment. (B), the organization and implementation stage (July 2005 - October) Each department should be in accordance with the objectives and tasks of the activities of the Hospital Management Year, carefully organized and implemented. (C), self-examination and rectification stage (early November 2005) The hospital in accordance with the "Hospital Management Year" work objectives and key requirements, the activities carried out by the hospital for a comprehensive inspection, acceptance, and put forward measures to improve, and pay close attention to the implementation. (D), summarize the stage of inspection (November 2005 - December) hospitals to summarize the situation of this activity, ready to meet the higher health authorities of the inspection and evaluation. V. Work requirements (a) to unify thinking, awareness-raising. To carry out the activities of the hospital management year is this year's Ministry of Health to implement the "people-oriented", adhere to the scientific concept of development, and effectively safeguard the rights and interests of the general public of an important work. The whole hospital staff should fully understand the necessity, urgency and importance of carrying out the activities of the Hospital Management Year, with a high sense of responsibility and sense of mission, into the activities of the Hospital Management Year. And will be the hospital management year activities and maintain * * * advanced nature of party members closely integrated, give full play to * * * * the vanguard role of party members, to do both, both promote. (B) strengthen the leadership and seek practical results. The director of each department as the first person responsible for the activities of the undergraduate hospital management year, we must attach great importance to this activity, and effectively strengthen the organizational leadership, in the work of the four in place: ideological importance, awareness in place; section chief responsibility, responsibility in place; task decomposition, measures in place; supervision and inspection, rectification in place. In accordance with the hospital task decomposition, layer by layer implementation, responsibility to the person, the formation of one level to one level, one level to one level responsible for the situation. (C) found problems, serious treatment. In the hospital management year activities, violations of law and discipline, will be dealt with seriously, in the hospital notification and exposure, and linked to individual performance appraisal. (D) Summarize the experience and consolidate the results. After the "Hospital Management Year" activities, each department should seriously summarize the activities, and carry out horizontal exchanges between departments. The hospital will summarize and rectify the activities, establish a mechanism, improve the system, and lay the foundation for the future to continue to strengthen hospital management. Attachment: Hospital Management Year activity work objectives of the task decomposition Work objectives Key requirements Responsible person Responsible department (a) Improve the quality of medical care, to ensure medical safety, to ensure and consolidate the quality of basic medical care and nursing care, to improve the safety and effectiveness of medical services 1, the strict implementation of the medical and health care management laws, rules and regulations, rules and regulations, as well as diagnosis and treatment of care norms and routines, so as to achieve practice in accordance with the law, the standard of behavior. 2. Improve and implement the hospital rules and regulations and personnel post responsibility system, especially the core system of medical quality and medical safety, including the first diagnosis responsibility system, the three-level physician checking system, the hierarchical nursing system, the difficult case discussion system, the consultation system, the critical patient rescue system, the preoperative discussion system, the death case discussion system, and the checking system. Basic standardization and management system of medical record writing, shift handover system, technology access system, etc. Implementation of the Ministry of Health "Interim Provisions on the Management of Physicians' Outpatient Consultations", to strengthen the management of various types of physicians' outpatient consultations, and to eliminate the behavior of physicians going out privately for consultations. 3. Strictly manage the quality of basic medical treatment and nursing care, and strengthen the training of "three basic and three strict". 4, rational examination, rational use of drugs, rational treatment, focusing on the implementation of the "Guiding Principles for the Clinical Application of Antimicrobial Drugs" adhere to the graded use of antimicrobial drugs, and gradually establish the dynamic monitoring of the amount of medicines and abnormal early warning system. 5、Strengthening the capacity building of the emergency department, so that the professional setup, staffing is reasonable, and rescue equipment and facilities are complete and in good condition. Emergency department medical staff is relatively fixed, the duty physician is competent in emergency rescue work. To realize the emergency consultation quickly in place, emergency admission, surgery green channel is smooth, and improve the success rate of rescue of patients with acute and critical illnesses. 4, rational examination, rational use of drugs, rational treatment, focusing on the implementation of the "Guiding Principles for the Clinical Application of Antimicrobial Drugs", adhering to the graded use of antimicrobial drugs, and gradually establishing dynamic monitoring of the amount of medicines and abnormal warning system 5, strengthen the capacity of the Emergency Department, so that the professional setup, staffing is reasonable, and the rescue equipment and facilities are complete and intact, and the emergency department is relatively fixed in terms of the number of medical personnel, and the physician on duty is qualified for emergency treatment and resuscitation work. The emergency department medical personnel are relatively fixed, and the duty physician is competent in emergency treatment and rescue work. To realize the emergency consultation quickly in place, emergency, hospitalization, surgery "green channel" smooth, improve the success rate of emergency and critical patients. Work objectives Key requirements Strengthen the quality control and inter-room quality evaluation in clinical laboratory. 7. Strengthen the scientific and rational use of blood, ensure blood safety, and eliminate the illegal collection of blood. 8, standardize the disinfection, sterilization, isolation and medical waste management, effective prevention and control of hospital infection. Hospital leaders regularly conduct special studies on improving medical quality and ensuring medical safety. (II) Improve the service process, improve the consultation environment, and facilitate the patients' access to medical treatment 10, optimize the process, simplify the links, reasonable layout, and increase the service windows to shorten the patients' waiting time. (11) The departmental logo is standardized, clear and eye-catching. 12, to provide patients with a clean, comfortable, warm medical environment and convenient service measures, so that there is a consultation desk, waiting chairs, to have drinking water facilities, wheelchairs, telephones and so on. 13、Shorten the time of various waiting and various examination appointments and reports, and create conditions to carry out the appointment registration service. (14) Provide a private and favorable environment for consultation and treatment. (C) improve service awareness, improve service attitude, enhance communication between doctors and patients, change service style, focus on honest service, build a harmonious. Doctor-patient relationship, to provide patients with warm, careful, loving, patient service 15, consciously safeguard the rights of patients, fully respect the patient's right to know and the right to choose. 16, good service attitude, standardized service language, put an end to raw, cold, hard, top, push phenomenon. 17, the establishment and improvement of the doctor-patient communication system, take the initiative to strengthen communication with patients, patiently explain to patients or explain their conditions, and the use of easy-to-understand language, put an end to the use of "Mori language". 18, the establishment and improvement of the patient complaint handling system, publish the telephone number of complaints, timely acceptance and handling of patient complaints, to create conditions for the implementation of one-stop complaint handling mechanism. 19, regular collection of patients' opinions on hospital services, and timely improvement. (D) strengthen financial management, regulate economic activities in accordance with the law, improve economic accounting and distribution methods, improve the level of economic management, control medical costs, reduce medical expenses. 20, the hospital financial adhere to the "unified leadership, centralized management" principle, all financial income and expenditure activities must be included in the unified management of the financial sector. Strictly prohibit the establishment of hospital departments, departments, off-book accounts, "small treasury". 21, the establishment of standardized decision-making mechanisms and procedures for economic activities, the implementation of major economic matters, leadership and accountability system, major projects are discussed collectively in accordance with the prescribed procedures for approval, with clear responsibilities and accountability. Work Objectives Key Requirements 22, strengthen the management of pharmaceutical materials, equipment and other supplies, the strict implementation of the hospital's internal cost accounting system, strengthen management, plug the loopholes, and strive to reduce the cost of medical services and the consumption of drugs and materials. 23. Improve income distribution methods, both to break down egalitarianism and to prevent excessive disparities in income. It is strictly prohibited to link medical service income directly to personal income, and to prohibit section contracting and section renting. (E) strict management of medical expenses, to eliminate unreasonable charges 24, strict implementation of the national drug pricing policy and medical service charges, strict implementation of the two lines of income and expenditure of drugs. It is prohibited to set up new charges without authorization outside the state regulations, and it is strictly prohibited to decompose the items, compare the charges with the items and repeat the charges. 25, to the public charges and standards. Improve the price announcement system, inquiry system, cost list system, and improve the transparency of charges. Provide patients with cost inquiry services in a timely manner, and deal with patients' complaints about irregular charges in a timely manner. 26. Proactively accepting the supervision of medical fees by the society and patients, and reducing complaints about medical fees. (27) Promptly publicize to the society the cost of a single disease, the average hospitalization day of a single disease and the number of medical accidents and compensation. (F) vigorously carry forward the spirit of Bai Qiu'en, strengthen the professional ethics and industry style construction, the establishment of good medical ethics and medical style, carry forward the fine tradition of saving lives and treating patients. 28, set up wholeheartedly for the purpose of serving the people, in the work of the humanitarian spirit of saving lives, and in the medical staff to carry out the evaluation of excellence, learning activities. 29, strengthen the medical ethics and medical education and system education, set up loyal to their duties, dedication, dedication, civilized practice of medicine of the new health industry, and with the licensed physicians, licensed nurses assessment, registration. 30, it is strictly prohibited for medical personnel to accept, ask for patients and their families "red packets" and other gifts; it is strictly prohibited for medical personnel to accept medical equipment, medical devices, medicines, reagents and other production and sales of enterprises or individuals in the name of kickbacks, commissions and other undue benefits. 31, it is strictly prohibited for drugs, instruments, laboratory reports and other special tests, such as the implementation of "billing commission" and other methods, it is strictly prohibited for hospitals to departments or individuals to issue revenue-generating targets. 32, it is strictly prohibited to use kickbacks, commission and other improper means of medical institutions to solicit patients from other medical institutions. 33, it is strictly prohibited to publish false medical advertisements to mislead patients and deceive the public.