Township health centers shoulder the responsibility for the life and health of the people. They should take reform as the driving force and advocate competition, dedication and enterprising spirit; take talent cultivation as the foundation, strive to improve the quality of all employees; take quality management as the The core is to continuously improve the quality of medical care; focus on safety governance to effectively ensure medical safety; focus on target governance, strengthen governance, and strive to complete various medical tasks and tasks. The following is the 2021 township health center work plan I compiled, I hope it will be helpful to everyone!
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Annual work report of health center directors 2021 township health center work plan (1)
20__ is a key year for promoting medical reform . In order to further improve the medical business work in 20__ and bring all work to a new level, combined with the actual situation of our hospital, we formulated the work plan of the health center:
1. Guiding ideology
With the patient as the center, we create first-class civilized and high-quality services; with reform as the driving force, we advocate competition, dedication and enterprising spirit; with talent cultivation as the foundation, we strive to improve the quality of all employees; with quality management as the core, we not only improve medical quality; with safety governance Focus on ensuring medical safety; use hierarchical governance as the basis to achieve the highest score of "First Class A"; focus on target governance to strengthen governance. Work hard to complete various medical tasks and tasks.
2. Goals and tasks
(1) Nosocomial infection control
Nosocomial infection control is an important guarantee and concrete manifestation of improving the quality of medical care. It is also a preventive measure. An important way to prevent medical accidents is an important part of patient-centered, civilized and high-quality services.
1. Establish a hospital infection control agency, improve the system, and pay close attention to implementation.
2. Strengthen the education and training of nosocomial infection knowledge and strengthen the awareness of nosocomial infection.
3. Conscientiously implement the disinfection and isolation system and strictly implement aseptic operating procedures.
4. Take "operating room, treatment room, dressing room, and delivery room" as the breakthrough point to do a good job in the management of key departments.
5. Standardize the rational use of antibiotics.
(2) Medical safety management
With the improvement of people’s cultural and living standards and the change of thinking, medical disputes occur frequently in various places. Medical safety work has always been the work of every hospital. The top priority among hospitals is to prevent medical errors and eliminate medical accidents, which has become the foundation for the survival and development of hospitals.
1. Establish a medical safety leadership group and an emergency first aid leadership group headed by the dean, give full play to the functions of the medical safety leadership group, conscientiously implement various rules and regulations and job responsibilities, and strictly enforce various technical procedures operating procedures.
2. Seriously carry out medical safety knowledge education, thoroughly study the job error assessment standards and the "Medical Accident Handling Measures" and "Medical Document Writing Standards" issued by the Ministry of Health, and strictly implement the error accident registration and reporting system.
3. Complete various medical documents in a timely manner, ensure all signature procedures are performed, and do a good job in the management of outpatient observation patients, newly admitted patients, and critically ill patients.
4. Adhere to the consultation system, carefully organize discussions on acute, critical and difficult diseases, and actively invite experts from higher-level hospitals to our hospital for consultation.
5. Surgical patients must strictly abide by the surgical rules and conduct preoperative discussions carefully. Surgery beyond the scope is strictly prohibited. Extraordinary surgeries must be reported to the hospital for approval in order to provide conditions for the operation.
6. Effectively strengthen the management of critically ill patients. Critically ill patients are in urgent condition and have severe symptoms, and life-threatening symptoms and signs may appear at any time. They should be closely observed and monitored, and treated at any time when they occur, so as to save lives. Gain time and make rescue records in time.
7. Strengthen the construction of medical ethics and medical ethics, cultivate the work style of medical staff who are dedicated, willing to contribute, and serious and responsible, effectively improve the service attitude, strive to communicate with patients and their families, and avoid the consequences of poor service. resulting in doctor-patient disputes.
(3) Medical quality governance
Medical quality governance is the organization, planning, coordination and control of the entire process of medical system activities. Its purpose is to improve medical governance by strengthening medical governance. The medical technology level of the whole hospital is high to serve the vast number of patients.
1. Establish and improve quality control functions and increase supervision and inspection efforts. Establish a quality control office to further strengthen medical quality control work to ensure a clear division of labor and assign responsibilities to each person. The quality control office is required to conduct regular or irregular inspections and guidance for each department, hold regular meetings, summarize inspection results, identify problems, and promptly Rectification.
2. Not only improve the quality control system, refine the quality control plan and quality assessment standards, and implement a governance model that links quality and efficiency.
3. Further strengthen the standardized writing of medical documents and strive to improve the level of medical business.
(1) Organize medical staff in each department to conscientiously study the standardized writing of outpatient medical records, inpatient medical records, prescriptions, auxiliary examination application forms and reports, continuously enhance quality awareness, and effectively improve the quality of medical documents.
(2) Supervise residents in a timely manner to complete various medical documents, outpatient registration, infectious disease registration, intestinal clinic registration, and fever patient registration on time.
(3) Pay attention to the improvement of the connotation and quality of medical records, and seriously require resident doctors to pay attention to the logic of medical records, the scientific nature of disease diagnosis, the rationality of disease treatment, and the authenticity of doctor-patient behavior.
(4) Pay close attention to the link quality and final quality control of inpatient medical records, establish a hospital medical record management team, do a good job in medical record archiving, and actively carry out high-quality medical record selection activities.
(4) Nursing quality management
The level of nursing quality reflects the overall service level of a hospital, is the window for building the hospital's service image, and is also a concrete reflection of the level of the hospital's medical business. .
1. Establish nursing management institutions and strengthen the construction of nursing teams. The Nursing Department independently carries out nursing work throughout the hospital under the leadership of the dean in charge.
2. Develop practical nursing work plans, supervise their implementation regularly, continuously improve the quality of nursing, summarize experience, and rectify problems that arise in nursing work.
3. Further standardize various nursing documents, carefully fill in five forms, and formulate reasonable nursing plans according to specific diseases.
4. Strengthen the training of nursing staff in various forms, including rotational training in higher-level hospitals, monthly business studies and "three basics" examinations.
5. Strictly abide by the nursing operating procedures and severely punish nursing errors. The person in charge of nursing should strictly control the situation, inspect frequently, pay attention to supervision, and strive to avoid medical disputes caused by nursing errors.
(5) Medical technology quality management
Strengthening the construction of medical technology departments is an important means to improve the overall diagnosis and treatment level of the hospital and establish a good social image of the hospital.
1. Strengthen business learning, accumulate experience, and continuously improve diagnostic levels.
2. Make use of existing equipment, do a good job in equipment maintenance and upkeep, and give full play to the use value of each piece of equipment.
3. Medical technology departments should establish a good cooperative relationship with clinical departments to provide reliable clinical diagnosis basis.
4. The laboratory should actively accept new knowledge and new technologies, and the hospital will purchase equipment and reagents as much as possible to meet clinical needs.
5. Carefully complete the registration and reporting of various inspections.
(6) Drug quality management
The quality of drugs is related to the safety of people's lives and is also a prerequisite for the survival and development of hospitals. High-quality and reliable drugs are an important factor in improving the quality of hospital medical care. and an important guarantee of medical safety.
1. Strengthen drug governance, establish a drug governance leading group headed by the dean, and perform its duties.
2. Adhere to the main channels for drug purchase and implement bidding channels.
3. Drug management personnel must strictly control quality, strictly prohibit counterfeit and substandard drugs from being stored in the warehouse, and do a good job in drug management to prevent expired, invalid, moldy and spoiled drugs.
4. Strictly implement relevant systems for the management of poisonous, dramatic, anesthetic and psychotropic drugs.
5. Drug purchasing personnel must promptly grasp drug quality and price information and clinical medication demand information to ensure clinical medication use. Work plan for township health centers in 2021 (2)
1. Implement the new medical reform policy and implement the zero-margin drug sales policy. Actively study the new medical reform policies, strive to change ideological concepts, strengthen the public welfare of health centers, implement the zero-margin drug sales policy, and pilot performance-based salary reforms. A health center medical reform leading group with the director as the leader was established to implement the reform in a solid and steady manner in accordance with the arrangements of the Health Bureau.
2. Strengthen medical quality management and ensure medical safety. Focus on the Practicing Physician Law, Medical Institution Management Regulations, and Medical Accident Handling Regulations, strengthen legal education for deans and medical staff, and enhance medical safety responsibility awareness. Improve the quality management system of various departments and diagnosis and treatment links such as medical treatment, nursing, functional examination, radiology, laboratory testing, etc., set practical quality goals, and achieve the standardization of diagnosis and treatment work. Adhere to the principles of safety first and quality first, strictly implement various operating procedures, and prevent medical liability accidents. Strengthen training in basic theories, basic knowledge, and basic skills, continuously improve medical quality, and ensure medical safety. Strengthen supervision, conduct regular medical quality inspections, and implement rewards and punishments in accordance with laws and disciplines. Continuously improve medical services, strictly control medical expenses, promote reasonable examinations, rational use of drugs, and reasonable treatment, and effectively reduce the burden of medical treatment on patients. We strive to increase the number of outpatient visits in health centers by 20% and the number of inpatient visits by 15%.
3. Efforts should be made to prevent and control major diseases. Strictly implement the epidemic monitoring and reporting system. We will further strengthen the prevention and control of influenza A (h1n1) and effectively prevent and control enteric infectious diseases such as cholera and key infectious diseases such as human avian influenza, tuberculosis, AIDS, rabies, Japanese encephalitis, leptospirosis, and epidemic hemorrhagic fever. Prevention and control work. Carry out infectious disease monitoring, prediction, early warning, epidemiological investigation, epidemic reporting and epidemic management to effectively reduce the number of infectious diseases and control the outbreak of infectious diseases. Focus on the prevention and control of key diseases, the handling of public health emergencies, and disaster relief and disease prevention.
4. Focus on immunization planning. We must persist in basic immunization and cold chain operation, and conscientiously carry out the national expanded immunization program, especially the prevention, control and monitoring of diseases related to the immunization program such as measles. Strengthen the information management of children's vaccination. Complete five vaccination tasks.
5. Carry out new rural cooperative medical work. Assist in the fundraising work of the New Rural Cooperative Medical System in the next year and strive to achieve a steady increase in the participation rate. Implement the Supervision Measures and Documents of the Health Bureau for designated medical institutions to strictly control and further reduce the medical expenses of participating farmers. Seriously investigate and punish medical staff who violate disciplines and regulations to use cooperation funds, control average hospitalization expenses, and minimize the burden of farmers' medical expenses.
6. Strengthen the construction of obstetrics departments to ensure the safety of pregnant women. Conscientiously implement the evaluation standards for maternal and child care, strengthen the supervision of grassroots maternal and child care work, and ensure that the maternal and child system management rate remains above 95, the maternal mortality rate is controlled below 30/100,000, and the infant mortality rate is controlled below 16 ‰the following. Continue to promote newborn screening for "two diseases" and reduce the incidence of disability. Implement the policy of free childbirth for pregnant women.
7. Strengthen the construction of the inpatient building of the health center. Establish a leading group and deploy specialized personnel to ensure the construction of engineering projects.
Bidding will be invited in March, and basic engineering will be started in April. We will strive to complete it on schedule in October and put it into use in December. At the same time, we strictly control project quality and strive to create high-quality projects.
8. Strengthen party affairs. Adhere to democratic centralism, adhere to the "three meetings and one lesson" system, and strengthen the study of the party's principles and policies. Strengthen the construction of party organizations and strive to develop 2 party members and 3 party activists.
9. Strengthen the construction of ethics in health centers. Continue to do a good job in the construction of party style and clean government, conduct evaluation and comprehensive management. Strengthen the construction of medical ethics and medical ethics, cultivate the work style of medical staff who are dedicated, willing to contribute, and serious and responsible, effectively improve service attitudes, strive to communicate with patients and their families, and avoid doctor-patient disputes caused by inadequate services. 2021 Township Health Center Work Plan (3)
Under the new situation, township health work is facing severe challenges. How to get health centers out of the predicament is an important issue before us all. Based on my more than 20 years of experience in health work and the past five years as a dean, and based on the actual situation of our hospital, I would like to talk about some measures and the direction of future efforts:
1. Current medical care in our hospital Health status
So far, our town has established a relatively sound rural three-level health service network with township health centers as the hub. There is 1 central health center in the town and a rural health center ( (room) home, 36 people are engaged in health work (including village doctors). As for the total population of the town, there are only 12 doctors per 1,000 people. There are 12 open beds for 1,000 people. Judging from the situation in recent years, our hospital can only provide basic outpatient medical services, but its overall medical service capabilities are low, and it is still difficult for the health center to survive. The total business income of the hospital in __ is 10,000 yuan. Among them, medical income is 10,000 yuan, accounting for 28.9%; pharmaceutical income is 10,000 yuan, accounting for 28.9%; as reflected in the annual final accounting report, the total expenditure is 10,000 yuan. After making up for it through the balance of medicines worth RMB 10,000, there was still a loss of RMB 10,000 for the whole year.
2. Main factors causing difficulties for health centers to survive
(1) The government has insufficient investment in rural health services, and the phenomenon of supplementing medical services with drugs is still prominent. Township health centers are responsible for public health functions, but their health investment policies are insufficient, their hardware facilities are backward, and their medical conditions are poor, which affects the completion of normal prevention and treatment tasks.
(2) The layout is not reasonable enough, and the problem of "small and poor scale" is prominent. Both health centers and village clinics (rooms) are small in scale, weak in function, unreasonable in layout, and low in personnel quality. From the perspective of "small", although the health center is beginning to take shape, it is relatively small and most patients Going to the health center is just for outpatient visits; from the perspective of "poor", the buildings, equipment, personnel, and technology lack medical service capabilities, especially in some remote villages in our town, such as __, __ and other villages where only The current situation of "empty shells" where young and old live, and the lack of medical treatment and medicine for the people, force most patients to go to other hospitals in other places, resulting in a decrease in income. ?
(3) The township health center system is not viable. Mainly manifested in the following two aspects: First, there is a phenomenon of "using drugs to supplement medical care" in operation. Drug income accounts for an absolute proportion of all business income, accounting for 71.7%. Under the current management system conditions, the hospital still relies on selling drugs to maintain the hospital. Current situation; second, lagging concepts, backward management, and overstaffing. There is a lack of institutional incentive and restraint mechanism from top to bottom within the health center. The leadership lacks awareness of innovation, the management level is not high, and the operating mechanism is not dynamic. The average staff is content with the status quo, waiting for patients to come to their homes for service, and still stick to the "big pot rice, iron rice bowl" "Thinking, unwilling to reform, afraid of competition, sitting still and waiting for death.
(4) The medical technical team is seriously unsuitable for the requirements of the new era. The overall performance is as follows: the quality of personnel is low and the structure is not reasonable. Among the 20 employees in the hospital, 65% of the medical staff have junior professional titles, 5 have intermediate professional titles, accounting for 25%; only 2 have senior professional titles (including 1 (named about to retire in January __) accounted for 10. Low academic qualifications and insufficient technical levels not only directly affect the healthy development of township health centers, but also further restrict the medical consumption needs of rural people.
Secondly, in the past 10 years or so, there have been no high-tech, high-quality professionals to enrich and strengthen township hospitals. The personnel entry and exit mechanism has been rigid, and the public's trust in "small hospitals" has been greatly reduced.
(5) There is a problem of lax management in health centers. Incomplete management systems, or systems that are not implemented according to the system, these internal management problems have restricted the overall construction and development of health centers to a large extent. For example: financial management system, medical quality control management system, health technician professional training and learning system, health center disinfection management system, nosocomial infection control system, disposable medical device use management system, etc. have been established and improved, but there is a lack of real meaning. management.
In __, based on the results of the three years of assistance to the Municipal Traditional Chinese Medicine Hospital, we will closely focus on the central work of the Municipal Health Bureau to carry out patient-centered and create first-class civilized and high-quality services; with reform as the driving force, Advocate competition, dedication and enterprising spirit; take talent cultivation as the foundation, strive to improve the quality of all employees; take quality management as the core, continuously improve medical quality; focus on safety management, effectively ensure medical safety; take target governance as the main line, strengthen Strengthen governance and strive to complete various medical tasks and tasks.
(2) Work ideas
1. Broaden work areas and improve economic benefits. While actively doing a good job in the daily medical work of the health center, three tasks should be focused on in __. The first is to increase the small compensation for outpatients under the New Rural Cooperative Medical System and the work for inpatients under the New Rural Cooperative Medical System. In accordance with the requirements of the Municipal Joint Management Office, in terms of outpatient small-sum compensation, we fully cooperated with rural doctors, and used the summer and winter slack seasons to organize employees to carry out outpatient small-sum compensation competition for 6,755 insured persons in 17 villages in the town, and implemented Sending doctors and medicines to thousands of homes. This work will increase the income by another 100,000 yuan on the basis of __ years. In terms of advance payment for inpatients under the New Rural Cooperative Medical System, we should focus on the referral work of rural doctors. The specific method is to sign a referral agreement with rural doctors and set targets and tasks for rural doctors to increase the income of both parties. This will not only prevent the loss of patients, but also increase the income of both parties. It also strengthens the collective economy and continuously increases hospital income. This work strives to increase income by another 30,000 yuan based on the previous year. The second is to respond to public health emergencies and focus on prevention and epidemic prevention. In __, we should take advantage of the country's "primary health care for everyone" opportunity to fully carry out preventive health care work for various groups such as children, students, women, and the elderly. In addition to regular work such as vaccination, it is planned to complete the health examination of more than 800 students in the first quarter, and carry out a comprehensive census of gynecological diseases in the town from September to October. The third is to broaden our thinking, take the initiative, actively strengthen close contact with all units in the jurisdiction, and provide preferential health examinations for cadres and employees to further expand the hospital's income. Combining the above-mentioned tasks, an annual income of 100,000 yuan can be achieved.
2. Pay attention to talent training and strengthen the health team. Talent is the most important factor for the survival and development of a health center. However, the overall quality of health technology in our hospital is currently low. The proportion of health technicians with intermediate or above professional titles in the hospital is insufficient. There is a shortage of outpatient doctors, especially key doctors. There is a lack of talent and no backup. strength. Therefore, no matter how difficult it is, we must find funds to increase training efforts. On the one hand, we formulate a complete plan for further study and training, and provide public training in batches on a regular basis. In __ year, it is planned to select 1-2 people to study with funds, and strive to use 5 years to complete staff rotation training as soon as possible, gradually improve the overall business level, and attract a large number of patients to come to our hospital for treatment; on the other hand, we must strengthen the quality management of business learning in the hospital, and deepen the Carry out continuing education to continuously improve the skill level of employees; third, actively explore the introduction of high-level talents (especially Chinese medicine talents), and invite well-known retired experts from municipal hospitals to come to our hospital for consultation to improve the quality of health services and increase public welfare benefits.
3. Practice diligence and frugality to resolve bad debts.
Currently, Hutou Health Center is facing many difficulties. The accumulated outstanding debts for employee wages, medical compensation, medicines, etc. are as high as 670,000 yuan. In recent years, a vicious circle has been formed, with appeals, judgments, and pending executions coming one after another, which has caused great pain to the public. The normal work of our hospital has been seriously affected. The hospital is helpless and can only rely on relationships to maintain temporary thirst. In addition, due to various factors, the hospital’s income is relatively low. In addition, there are many retirees. On average, 3 employees on the job bear 1 There are retirees, and some patients have gone to city hospitals. It is still difficult to pay the full salary of employees. To deal with these problems, first, we must be careful and frugal. On the premise of ensuring the current wages of employees, we must also face "lawsuits" correctly, proactively negotiate with the parties, and make gradient or long-term repayment plans, as far as possible. Stabilize the current work situation. The second is to actively and truly report the current situation faced by our hospital to the bureau leaders, and strive to get the support and favor of superiors in terms of debt.
4. Innovate work ideas and increase competition. It is necessary to seize the national policy of increasing support for grassroots medical and health work, and with the care and support of the Municipal Health Bureau, tap potential, climb high and become rich, use personal connections and social relations, actively go out and strive for funds, and strive to increase necessary medical care Equipment, transportation, and infrastructure construction such as water supply and maintenance of the health center should be solved as soon as possible. At the same time, we should try our best to improve the office conditions of the health center and replace the old tables and chairs that have been used since the establishment of the hospital, so that the health center basically has excellent medical conditions and a beautiful office environment. situation.
5. Strengthen medical management and stimulate competitive vitality. Reform the management system of health centers and seek benefits from management. As the saying goes: "Three points for performance, seven points for management." The key to the quality of hospital work lies in management. The first is to improve the leadership system, implement democratic management throughout the hospital, implement target-based management of each department, implement various responsibility systems, implement a responsibility system linked to economics and contracting, and implement a five-year fixed responsibility system, one reward and one penalty, that is, " The mechanism of "rewarding diligence and punishing laziness" is to "define personnel, tasks, responsibilities, attendance, and benefits". Proportional rewards will be given to those who complete the target tasks, and proportional fines will be given to those who fail to complete the target tasks, so as to stimulate the competitiveness of employees. and work enthusiasm (specific methods to be formulated). The second is to further strengthen the construction of the medical nursing team, strictly abide by medical nursing operating procedures, severely punish medical nursing errors, and strive to avoid medical disputes caused by medical nursing errors. The third is to strengthen the quality management of medical technology, improve the overall diagnosis and treatment level of the hospital, establish a good image of the hospital, and meet the basic medical and health service needs of the people.
6. Strengthen the construction of villages and improve service levels. The construction of village-level health clinics in our town is still relatively weak, and the infrastructure is relatively backward. In particular, some village clinics are extremely simple and poorly managed. Therefore, we must seize the opportunity of national support. In __ years, we cooperated with the town government to take the lead in completing 4 projects. We will build village standard health clinics and strive to achieve all standardized health clinics within three years. In addition, regular meetings, training, supervision and other forms should be adopted to strengthen the business management and technical guidance of village health centers and village doctors to further improve the professional level of village doctors.
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