1. Health improvement report
In view of the problems existing in the supervision of basic public health services in our unit by county public health professional institutions, the health center attached great importance to it, and held a working meeting of health departments and village health stations in time to study the rectification plan and the next work arrangement. The rectification situation is now reported as follows: 1. Make a rectification plan;
1, the public health department is responsible for the guidance and management of comprehensive basic public health services in Tujia areas. Village health stations cooperate with public health departments to carry out good service work and ensure the completion of target tasks.
2. The problems pointed out by county-level public * * * health professional institutions shall be rectified within a time limit, and the public * * * health department shall be responsible for implementing the problems existing in the jurisdiction and urging the rectification to be put in place.
3, the village health station must be in accordance with the public * * * health work arranged by the public health department in place, to ensure the completion of the village public * * * health objectives and tasks.
4, strengthen guidance and evaluation, regularly report to the health department work progress.
Second, the phased effect after rectification:
1. Strengthen organizational leadership, formulate relevant documents and assessment system, and improve organizational management.
2. The electronic entry of residents' health records has been strengthened, and the information on the inner page has been filled in completely, which ensures the qualified rate of files and electronic files and ensures the completion of the target tasks.
3. A detailed and complete health education work plan and system has been formulated, and health education guidance for the government and schools has been earnestly carried out. Health education lectures have been held on time every month, and village health stations have been actively guided to carry out health education publicity activities.
4. Every village carries out vaccination work on time every month, and no vaccination accidents and epidemics have occurred. Standardized information construction, complete monthly information entry, improve vaccination rate, and realize the consistency of table, card, certificate and network.
5. Establish and improve the work system of infectious disease management, timely and accurately report the infectious disease report card, strictly check the work, increase the management of AIDS follow-up, standardize the implementation of tuberculosis reward and punishment system, and ensure the completion of the target referral task.
6. Standardize the reporting and classified management of maternal and infant reports, establish a regular meeting system, do a good job in special testing and registration, increase the distribution of folic acid, and standardize the investigation, management and distribution of birth medical certificates.
7. Villages should rectify the main problems within a time limit. After rectification, all the work has been effectively improved. The management of the elderly and chronic diseases and related materials and electronic files are well completed, but the health records of residents are not perfect, and some related information and data still lack authenticity and integrity.
Third, the existing problems:
1. The quality of some public health personnel is low, and their work enthusiasm needs to be improved.
2. The professional quality of individual village doctors is low, their enthusiasm is not strong, and the development of village clinics is unbalanced.
3. The publicity of the second-class vaccine is not in place, and the vaccination rate is not high.
Fourth, the next work arrangement:
1. Strengthen health education, focus on guiding the construction of health education system and publicity column in schools and governments, and improve relevant materials in time.
2. Strengthen the political education and professional training of village doctors, and improve their sense of responsibility and professional level.
3. In view of the problems existing in the management of residents' health records, the elderly and chronic diseases, intensify rectification, implement relevant reward and punishment systems, and strive to improve the existing problems by more than 90% in the second round of supervision.
2. Health rectification report
Last year, under the correct leadership of the county health and family planning bureau, public health personnel at the township and village levels carried out their business work in an orderly manner in strict accordance with the national basic public health service standards and the spirit requirements of relevant documents at higher levels. At the end of the year, through two performance audits from township to village and county to township, our school has made great progress compared with previous years, but some problems have also been found. In this regard, our hospital held a summary meeting of public health work at township and village levels in time, summed up the experience of public health work in the previous year, made an in-depth analysis of the problems found in the work, and put forward rectification suggestions. I. Existing problems
After investigation, there are some blank items, logical errors before and after, contact information not updated in time, electronic records not entered in time and so on in the filling and entry of residents' health records in our hospital. The cleaning and filing of health education homework materials are not complete and standardized; Some clinics have inconsistent vaccination cards and certificates, and some have missed seeds and failed to vaccinate in time; Unable to grasp the information of new mothers and newborns in time, resulting in the first follow-up work is relatively lagging behind, and some inspection items can not be carried out; The follow-up records of patients with chronic diseases are not up to standard, the physical examination records are empty, and the electronic files are not entered in time; Some health supervision and co-management operation records are incomplete; The common sense level of Chinese medicine service needs to be improved.
Second, the rectification measures
(a), strengthen the organization and leadership, to perform their duties.
Further clarify the job responsibilities of project managers in hospitals, and make use of village doctors' regular meetings and quarterly inspections, supervision and consultation according to the annual public health operation plan formulated in that year. In order to improve the professional knowledge level of village-level public health personnel, the project leaders will carry out professional knowledge training in stages this year, especially the training on traditional Chinese medicine. In February this year, our hospital has organized all village-level public health personnel to take a public health service knowledge test.
Further deepen the strict performance audit standards, implement the last elimination system, and clearly stipulate that village doctors who score below 80 points and rank first and second from the bottom in the year-end audit will be retired according to the exit mechanism and reported to the county bureau for the record.
(2) Strengthen publicity to improve the awareness rate of public health services.
Make use of the health education service network to vigorously promote the national basic public health service projects. This year, our hospital has specially compiled a leaflet outlining basic public health services, which is the first issue of this year's health education publicity materials. The health centers under its jurisdiction and 13 village health centers publicized and distributed. There are 65 public health service supervision committees in the city, and rural doctors provide services. This year, they commented on the unified service personnel.
(3) Further refine the treatment of health records.
The information entered in the file is true and complete, ensuring that there are no empty items, wrong items and logical errors before and after; Input electronic file information in time; Update residents' file information in time to improve the utilization rate of files; Fill in all kinds of standard rosters and file them for easy inquiry and reference.
(d) Keep abreast of the information of new mothers and newborns.
Every week, the women and children in the hospital go to the obstetrics and gynecology department of the county people's hospital to copy the above information and pass it on to the doctors in the responsible village for timely follow-up.
(5), the standard score of crowd follow-up and physical examination.
Follow-up and annual physical examination of key groups are the key points of public health service operation, and they are also the aspects that residents are most willing to undertake and cooperate. Our hospital will do this operation in detail this year, strive to improve the quality of follow-up service and improve the quality and rate of health examination, so as to promote the development of other projects. Weighing scale for infants has been distributed in place. This year, it will be equipped with hemoglobin monitoring equipment and a special backpack for family follow-up to improve service quality and efficiency.
To sum up, in the future work, our hospital will further improve our ideological understanding, draw lessons from our work, and ensure that all public health tasks are completed on schedule.
3. Health rectification report
According to the requirements of Feedback Opinions on Evaluation of Basic Public Health Services of Health and Family Planning Bureau, combined with the actual situation of basic public health services in our hospital in 20xx years, we now report the self-examination and rectification of our hospital as follows: 1. Existing problems.
organizational management
1, the implementation of project performance appraisal is not enough, and the appraisal results are not closely linked to the allocation of project funds. The content of project performance appraisal is incomplete, and the implementation of punishment is not in place.
2. Project training needs to be strengthened. The basic public health service project business training is not enough, and the responsible doctors and nurses are not skilled in mastering the normative knowledge of grassroots public health service projects.
(b) Fund management
The performance appraisal scheme of basic public health services is not effectively combined with the distribution scheme of central work points, and the service funds cannot be reflected in the link with the results.
(iii) Project implementation
1. Residents' health status: the qualified rate of residents' health records spot-check failed to meet the assessment target requirements, and some files were untrue; Residents don't know whether to file a file or have a physical examination; There is no medical examination record in the new file or the date of medical examination is far from the date of filing; There are still omissions and omissions in the personal information form; The health evaluation in the physical examination record form is omitted or wrongly filled, the risk factors are not correctly controlled or the items are omitted or wrongly filled, and the main questions are not filled.
2. Maternal management: Maternal and child care residents' maternal management is basically registered according to regulations, and the ledger is not standardized.
3. Chronic disease management: there are blank or incorrect items in the control items of risk factors in the health physical examination records of hypertension patients, and there are no physical examination records in some years; Some patients can't reach four face-to-face follow-up visits a year, and they are dissatisfied with the control twice in a row and don't refer them; Risk factors are not fully introduced, which leads to the evaluation stratification error. In the health management of diabetic patients, the awareness rate of dorsal foot artery examination is low; There are logical errors, omissions, omissions and errors in the physical examination records; The blood sugar control was not ideal once, and there was no follow-up within 2 weeks; Individual patients who were dissatisfied with the second blood sugar control failed to be referred and followed up according to the standard within 2 weeks; Personal 4 face-to-face follow-up failed.
4. Health management of patients with severe mental disorder: the information evaluation does not correspond to the follow-up classification, and the record content is logically wrong; It is not enough to have an annual physical examination. The patient refused the physical examination, without the signature of the guardian, the contents of the physical examination report were missing, and the medication situation was not filled in. The number of follow-up visits does not meet the standard requirements, and there is overdue follow-up; In the follow-up records, laboratory tests are generally empty, and patients who take clozapine do not have regular blood tests.
5. Health management of the elderly: the health management rate of the elderly is insufficient, and there are gaps, mistakes and omissions in the physical examination records of the health management physical examination form; The control errors of risk factors, such as abnormal waist circumference, excessive body mass index and weight loss, are all introduced, and some weight loss is also written, but the target weight is not recorded.
6. TCM health management: the children's TCM health project has not been carried out for 0-36 months, the coverage of TCM health management is insufficient, the development is not deep enough, and the doctors in charge lack TCM knowledge; Only 33 question information forms were filled in, and the big physique and tendency system were not recorded.
7. Health management of tuberculosis patients: tuberculosis screening is not standardized, and the screening department lacks records.
Second, analyze the problem.
Through careful analysis and summary of the problems existing in the project work, our hospital has the following factors:
1. The basic public health services in our hospital are relatively weak, mainly reflected in the following aspects: the lack of responsible doctors in the station building, the lack of standardized knowledge of responsible doctors, the lack of health management services for chronic diseases, and the low authenticity and standardization rate of service items.
2. The enthusiasm of the doctors in charge is not high, the project performance appraisal is not strong enough, and there is little difference between the quality of the work bonus.
3. Some doctors and nurses in charge have incorrect working ideas, such as muddling along, muddling along, and fear of difficulties, which affect all aspects of work assessment tasks.
Third, rectification and implementation.
(A) the organization and management of rectification
1. Formulate the performance appraisal scheme for basic public health service projects, implement the appraisal funds, make full use of the lever of performance appraisal and income distribution, and fully mobilize the enthusiasm of grassroots health personnel.
2. Improve the project-related work ledger and strengthen project training; Conduct project specification training once every quarter to achieve full coverage of relevant staff and improve the theoretical test level of the project; Strengthen the study of basic medical staff and professional public health institutions' project theory knowledge, and improve the overall test scores.
(2) Rectify fund management.
1, strengthen communication with the financial department, check the population base, check the fund arrangement and the number of people served by the project; Strictly supervise the project funds, prohibit interception and misappropriation, and ensure that the project funds are earmarked.
2, strengthen internal supervision, to ensure the effective use of funds, in accordance with the national Interim Measures for the administration of basic public health service subsidy funds (Cai She [20xx] No.255) file requirements.
(III) Rectification in project implementation
1, focusing on the management of new files to ensure standardization and authenticity, especially the low awareness rate of filing during on-site inspection, refusal to file for medical examination, and personal living habits (smoking and drinking) inconsistent with the file records; Re-examine the newly-built personal electronic health records in 20xx, communicate with residents and inform them to file, and modify the medical records that are inconsistent with the records.
2. Standardize the health management of chronic diseases, implement the annual physical examination of chronic disease management population, and focus on strengthening the integrity of the form; Standardize the follow-up work to ensure the authenticity of the follow-up content; Conduct file evaluation once every quarter, report the untrue contents of file follow-up, blank or incorrect items in the health checklist, and the logical inconsistency between the physical examination record and the follow-up record in time, and ask the responsible doctor to rectify in time; Regularly carry out basic public service project knowledge training, and carry out follow-up management of chronic diseases in strict accordance with the requirements of the specification.
3. Conduct face-to-face follow-up on patients with severe mental illness in time, publicize the policies of civil affairs and the Disabled Persons' Federation, carry out free medication, and regularly check the blood routine of patients taking clozapine; Revise the contents of the follow-up records with logical errors and irregular filling, and actively carry out annual physical examination. Those who refuse the medical examination must ask the guardian to sign for confirmation.
4. Actively carry out health management for the elderly, carry out annual health examination, standardize the entry of medical examination forms, strengthen supervision and verification, and require responsible doctors to further revise and improve the medical examination forms with incomplete contents and logical errors.
5. To provide Chinese medicine services for the elderly and children aged 0-36 months. The Chinese medicine department will train the doctors in charge of the hospital on Chinese medicine knowledge, identify the physical fitness of the elderly, and provide health guidance to the residents by using Chinese medicine knowledge.
6, led by preventive medicine, radiology, clinical laboratory, outpatient doctors cooperate to carry out the screening of patients with diseases, and have a detailed ledger to do a good job of referral report.
Fourth, rectification and implementation.
After careful combing, our hospital set up a leading group for basic public health service projects, aiming at the problems existing in the assessment, clarifying the responsible subjects and refining the implementation measures; Further strengthen the refinement and whole process management of basic public health service projects, and highlight the standardized management of key groups; Pay close attention to the specific implementation of the project work, effectively improve the quality of the project, and ensure that all rectification measures are put in place.
4. Health rectification report
Since the establishment and operation of the basic public health project, our laboratory has done a lot of work from scratch and from scratch to excellent in accordance with the national public health service standards, the implementation plan of the basic public health project and related documents, and successfully completed the basic public health service requirements. According to the requirements of the superior, in order to further standardize the implementation of national basic public health service projects, adapt to the current basic medical needs, and deepen the reform of the medical system, our office conducted a strict self-examination of 4 1 services in the 10 basic public health project, carefully checked the relevant data, and reorganized and filed. The rectification situation is now reported as follows:
I. Implementation of public health projects
1, some people can't get through. There are omissions. The font is scrawled
2. The health education page has no content and no replacement record.
3. Dissatisfied with the inadequate control and management of personal blood pressure and blood sugar.
4. The number of children's health management is not up to standard, and the relevant forms are not standardized.
5, the number of pregnant and lying-in women management did not reach the standard number, and the relevant forms were not standardized.
6. Hotel supervision on the street is not in place.
7. Poor indoor hygiene and untimely prescription.
8, the basic drugs are all-inclusive.
Second, the rectification of the above problems
According to the self-examination questions, our station organizes relevant personnel to discuss and study, and formulate corresponding rectification measures and plans.
1, carefully check the telephone number, change the telephone number in time, change the missing items and write carefully.
2, health teaching arrangement timely writing records and layout.
3, careful management of hypertension and diabetes, timely guidance of patients with medication.
4. Actively rectify non-essential drugs and resolutely stop selling them.
5. Actively cooperate with the health supervision department to carry out health supervision, and handle personal health certificates for hotel personnel within the jurisdiction.
5. Health rectification report
Based on the problems existing in the current work, according to the assessment standards of higher authorities and the work requirements of hospital leaders, combined with recent work, after repeated thinking, we have found out the shortcomings and defects existing in the real work, and now we have formulated the rectification report as follows: First, the recent work situation.
Work has been a bit slow recently, and the details need to be actively improved.
Second, the existing problems
In terms of health education materials, the main problems are less development times and flawed photos; And video data play is not standardized, and the playing time is unplanned, which needs to be improved urgently.
Three. Future plans
In terms of health education lectures, we plan to hold several lectures with several representative clinics. Recently, it is planned to hold two lectures on health education knowledge on September 28th, World Heart Day and International Day for the Deaf, and June 8th+1October 8th, National Hypertension Day, and hold health education consultation activities on June 28th+1October 6th in conjunction with the International Day for the Elderly. In terms of playing video materials, report to the hospital leaders and coordinate with relevant departments urgently. In case of meeting the requirements of level inspection and taking photos, play video materials according to the assessment requirements.
Fourth, the goal after rectification
If the above work can be carried out smoothly, we will strive to achieve full marks in health education by the end of the year.