Tisch
Looking back over the past year, under the correct leadership of the hospital leaders, our department has adhered to the important guiding ideology of "taking patients as the center and improving the quality of medical services", studied hard and delved into business. Under the correct leadership of Health Bureau, Town Committee and * * *, around the assigned objectives and tasks, we actively responded to public health emergencies, implemented the new rural cooperative medical system, and worked hard to solve the problems of difficult and expensive medical treatment for the masses. With the joint efforts of cadres and workers in the hospital, we have achieved obvious social and economic benefits.
First, pay close attention to action, foster a new style and comprehensively enhance the overall image of the hospital.
1, patient-centered, improving service quality and creating a hospital that people are satisfied with are the development goals of our hospital, so as to improve service attitude, implement promised services and effectively correct unhealthy trends in the industry. Our hospital extensively solicited opinions and suggestions from patients and all walks of life, set up report boxes, publicly reported telephone numbers, made propaganda slogans, implemented the "Five Ones" project, issued doctors' business cards, paid a return visit, and distributed consultation cards and social questionnaires. In order to implement the opinions and suggestions, we handled them in strict accordance with the investigation system, which greatly improved our work style and enhanced our overall image.
2, to carry out health cleaning, actively participate in six cities and create provincial health township activities. Combined with the actual situation of our hospital, the civilized, sanitary, beautified, lighted and green health centers were quickly announced, and the responsibility system of "five packages in front of the door" was implemented. The staff of the department were required to clean the indoor and outdoor sanitation before going to work, divide the responsible areas, carry out general cleaning every Tuesday and Friday, and conduct inspection and evaluation to ensure that the indoor and outdoor sanitation was clean and tidy, the articles and equipment were neatly placed, and the medical waste generated every day was burned in time for harmless treatment. In order to cooperate with the activities of establishing provincial health villages and towns, we scraped off the walls of the ward building to replace worn doors, made fly-proof door curtains and window screens, pruned flowers and trees in the flower beds of health centers, and watered and fertilized them, providing patients with a warm and comfortable medical environment.
Two, to further strengthen the management of medical quality, and constantly improve the technical level.
Through the training and study of a large number of professional and technical personnel in previous years, as well as the purchase and renewal of medical equipment, the technical force of our hospital has been strengthened. On this basis, pay close attention to medical quality management, strictly write medical records, require complete outpatient log items, standardized prescription writing, reasonable and safe medication, timely and standardized medical records, detailed nursing records, and implement the department approval system. Dean went deep into clinical rounds and actively participated in the rescue of critically ill patients. The medical quality evaluation team conducted supervision and inspection every two months in strict accordance with the evaluation plan, and found that
1. Encourage employees to further their studies and participate in business training. This year, 2 people were sent to the higher level for training, 1 person took full-time study, more than 10 people took the promotion qualification examination, and 5 people got the promotion title, which made the level of professional and technical personnel in our college reach a new level.
2. Thanks to the joint efforts of the cadres and workers in our hospital, the business of our hospital has been obviously improved, and the number of outpatients has increased compared with last year, reaching the level of 2XXX years, reaching 2 187 person-times, 8 19 person-times of hospitalization, 28 cases of internal medicine operation and 32 cases of hospital delivery, an increase of 20 cases compared with last year, 80 cases of cure and 65,438 cases of improvement. The success rate of rescuing critically ill patients reached 90%, the coincidence rate before and after operation reached 9%, the infection rate of aseptic operation was zero, the total income reached 220,000 yuan, the admission rate of internal medicine increased by 2% compared with last year, the number of operating tables increased, the number of hospitalized deliveries increased compared with last year, and the total business income increased by 3% compared with last year.
Third, do a good job in the new rural cooperative medical care.
1, the new rural cooperative medical system, the policy of benefiting the people, has been well received by farmers for two years. However, in this year's rural cooperative medical care fund-raising work, because the share of self-raised part has doubled, it also faces many difficulties. In order to dispel farmers' concerns about participating in fund-raising work and do a good job of explanation, we printed more than a thousand copies of the Policy Instructions for Informing the Majority of Participating Farmers, distributed them to towns, village cadres and farmers, and sent publicity vehicles to villages to widely publicize the new rural cooperative medical system policy. Organize designated village doctors to actively cooperate with village cadres to do a good job in fund-raising, contact migrant workers to participate, and our hospital will send staff to supervise in the village and take the initiative to be good staff, so that the participation rate will reach 94 ... After the fund-raising, enter and integrate the participation information immediately, and establish the 2XXX-year participation information file in time.
2. Actively do a good job in medical compensation for participating farmers. For farmers who come to our hospital for medical treatment and discharge, they will be paid on the same day, and our hospital will promptly pay a small amount of outpatient subsidies reported in advance by designated township doctors. This year, * * * compensated 670 people, and the amount of compensation reached more than 76. Yuan, really reduce the burden on farmers. This year, 48 people were compensated for hospitalization, the compensation amount was 30,000 yuan, the fixed compensation amount was more than 11person, and the outpatient compensation amount was more than 320,000 yuan.
3. To provide a supervision platform for the majority of participating farmers, hang the medical procedures, compensation scope, compensation standards and materials needed for compensation in a prominent position in the outpatient hall corridor, make a daily statement of the compensation information of the agricultural cooperative, announce the report telephone number, and accept supervision from all walks of life.
Four, formulate measures to actively complete the project work, focusing on public health emergencies.
1. This year, our hospital was designated as the "seven characteristics, two transformations and one warmth" project acceptance year. We appointed a hospital leader to personally take care of it, carefully organize it, increase investment, replace the old air conditioner in the operating room, increase the baby radiation rescue table, renovate the appearance of the ward building, and successfully passed the inspection and acceptance of the superior.
2. The village clinic construction project has high requirements, short time and great difficulty. Therefore, we attach great importance to making the site selection plan in time to speed up the project progress. A project village in my hometown passed the first acceptance test and was completed in mid-June+10, 5438.
3. In view of this hand, foot and mouth disease, we carefully organized and widely publicized the knowledge of health science, set up a fever clinic, a specialist clinic and two isolation wards, mobilized rural doctors, screened at different levels, referred patients in time, and did a good job in epidemic investigation, reporting and monitoring. In response to the problem milk powder incident, our hospital transferred 7 people to participate in the screening work. Two comrades work at the same time, leaving early and returning late, without rest at noon. Nearly a thousand babies who ate Sanlu milk powder in my hometown were screened.
Five, according to the goal, do a solid job of prevention and protection.
1, adhere to the regular meeting system, hold a regular meeting of rural doctors once a month, and increase the study and training of * * * health regulations, rules and regulations and planned inspection-free knowledge in the form of substitute training. Throughout the year, * * held a meeting of village doctors 1 time, actively organized village doctors to participate in continuing education, health laws and regulations, professional knowledge training and learning education organized by the Health Bureau, completed the assessment of four village clinics in the township, and conducted monthly supervision and inspection according to the requirements of superiors, further strengthening the management of village doctors and the construction of prevention and protection network.
2. Always do a good job in children's planned immunization, carefully manage children's cards and books, check daily newborn children's cards in time, vaccinate according to procedures, and timely do a good job in the first vaccination of neonatal hepatitis B epidemic. By the end of June, 65438+ 10, a total of 360 newborns were reported, 360 were registered and 567 were vaccinated with "five vaccines". Migrant children's vaccination items are transferred out and flowed into replanting work. There were no vaccination mistakes and accidents this year.
3. Do a good job in the management and monitoring of infectious diseases, do a good job in the active and passive monitoring of neonatal tetanus, measles, A, P and other infectious diseases, carry out the cause of death investigation, strictly regulate the management of hospital outpatient logs, fill in the epidemic situation report card in time, and do a good job in direct network reporting. Infectious diseases 1 case were reported throughout the year, with no late report or omission.
4, cooperate with various functional departments to do related work. Cooperate with the inspection and monitoring of the township vegetable market by the Health Supervision Office, conduct physical examination on employees, experience 6 people and 40 households, and do a good job in disinfection monitoring in village clinics. At the beginning of the month, Japanese encephalitis vaccination was carried out, with * * * species 168 people; 6,000 people carry out intestinal deworming every month; 82 people are vaccinated with hepatitis A vaccine every month; Five people were vaccinated with meningococcal ac vaccine in June+10, 5438. Due to the effective organization, one person was strictly vaccinated with one needle and one tube, and no accident occurred. Pay close attention to tuberculosis screening, take measures such as going to the countryside to check and report to village doctors, find out the escort referral in time, supervise chemotherapy methods, and overfulfill the tuberculosis referral task.
5. Under the guidance of the county maternity hospital, through the implementation of the "reduction and elimination" project, the work of women and children has been effectively promoted, the health care of pregnant women has been strengthened, the prenatal health examination has been done well, and the general survey and treatment of gynecological diseases have been actively carried out, which has improved the hospitalization delivery rate. This year, 36 health cards for pregnant and lying-in women have been established, 32 people have been hospitalized, the delivery rate in hospital has reached 90, 32 people have compiled standardized obstetric yearbooks, and a gynecological disease has been carried out in the township. Actively complete all kinds of maternal and child health care reports, so as to timely and accurately compensate the "reduction" projects, without deduction or false reporting, and successfully complete the annual maternal and child health care tasks.
Sixth, the existing shortcomings.
Although some achievements have been made this year, there is still a certain gap with the requirements of superiors and the masses, mainly due to insufficient emancipation of mind, small steps and unreasonable knowledge structure of medical staff. Some professional technicians have not obtained professional certificates, which brings hidden dangers to medical quality. There are many tasks in agricultural cooperative work. Health centers and rural doctors are burdened with the work of raising funds for rural cooperatives, and the financial input is large, which needs to be solved in the future work.
extreme
In the past two years, under the leadership of the leaders at all levels of teachers' college and the director of health centers, and guided by the spirit of * * * and the important thought of * * *, we have conscientiously done all kinds of business and transactional work, fully implemented all kinds of work and tasks arranged by leaders at all levels, and fully fulfilled the post responsibility requirements of a doctor in a primary health center.
Politically, we always adhere to the Party's line, principles and policies, earnestly study Marxism-Leninism, * * * Thought, * * Theory, Jiang * * and other important thoughts, always adhere to the leading ideology of serving the people wholeheartedly, persist in reform, development and progress, and constantly improve our political theory level. Actively participate in various political activities, safeguard leadership and unite comrades, and have good professional ethics and professionalism. In the process of actively demanding to move closer to the party organization, although I encountered some unpleasant events, I always maintained a heart of being kind to others and always insisted on putting organizational interests and organizational arrangements first; As a member of the organization, I should obey the arrangement and every decision of the organization.
I have always been able to do medical work seriously and responsibly. In my work, I deeply understand the qualities and conditions that a qualified doctor in a primary health clinic should have. Strive to improve their professional level, constantly strengthen business theory learning, understand medical and health knowledge by reading a large number of business magazines and books, write a large number of reading notes, and enrich their theoretical knowledge. I often attend academic conferences organized by health bureaus and health center trade associations, listen to academic lectures by famous experts and scholars, often read magazines, newspapers and internet information, and learn a lot of new medical knowledge and medical technology, thus greatly broadening my horizons and expanding my knowledge. Always adhere to the new theory and technology to guide business work, master the diagnosis and treatment technology of common and frequently-occurring diseases in primary health centers, and master the diagnosis and treatment technology of some common and frequently-occurring diseases. Strictly implement various work systems, diagnosis and treatment routines and operating procedures, carefully receive and treat every patient seriously and responsibly, and avoid misdiagnosis and mistreatment to the greatest extent. In the past two years, I have worked hard and been practical. I have never had an accident or dispute with a patient. In short, I try my best to complete all the work and tasks as a doctor in a primary health clinic. In the past two years, looking back, I can say that I am very qualified for my present position and position, and I love my position very much. I have devoted my life, my soul and my spirit to my major. Imagine that one day I will take off my white coat. It's really hard for me to give up this emotion.
Warmly received every patient who came to see a doctor, insisted on dedicating his work to the society and his love to the patients, which was well received by teachers and students. At the same time, I am strict with myself, not complacent, fully respect my older predecessors, treat my younger colleagues sincerely, insist on putting my work first, abide by all disciplines, work hard, and set up my own good image. Adhere to the principle of "Excellence and meticulousness" and adhere to business learning. Seriously participate in every study in the health center and every study in the city. While passing the postgraduate course, I took the initiative to take part in and passed the national unified foreign language examination and comprehensive subject examination with the same academic ability to apply for a master's degree, and had the honor to visit Professor Huang Jian 'an of the First Affiliated Hospital of Soviet University, and carried out some literature research work under the guidance of Professor Huang. Later, in the process of preparing the experiment, I also got the strong support from Dean Wu and Dean Liu of the Academy of Life Sciences and the selfless help from the teachers of the Academy of Life Sciences. Although the experiment was interrupted because of various factors, I also suffered considerable economic losses, which made me suffer great setbacks in pursuing a higher level. But I am not discouraged, I can still face the reality correctly, continue to strengthen the study of business theory, and persist in learning the latest achievements of various medical theoretical research, constantly absorb new nutrition, and promote the continuous improvement of my business level. Always adhere to the new theory and technology to guide business work, so that I have mastered many common and frequently-occurring diseases diagnosis and treatment techniques and methods.
In the past two years, with the help of leaders at all levels and the support of colleagues, although some achievements have been made, there is still a gap compared with other colleagues. I also need to further strengthen theoretical study, adhere to the principle of integrating theory with practice and serving practice, and do a good job in serving teachers and students. I have decided that in my future work, I will continue to study hard, continue to work hard, and strive to overcome the lack of theoretical and practical ability in order to create more excellent work results.
Tisso
In the first half of the year, under the correct leadership of the District Health Bureau, my township health center thoroughly studied and implemented the spirit of the Third Plenary Session of the 18th CPC Central Committee in accordance with the requirements of the Party Committee and * * *, taking deepening medical reform as the main line, taking public health, medical services, medical security, implementation of the basic drug system and comprehensive management as the basic contents, aiming at improving the health level of the whole town, and focusing on basic public health services, and doing a solid job in health emergency work. Now let me summarize and report my work experience in the first half of the year:
First, basic public health services.
1, earnestly implement the task of medical reform, and complete the work indicators assigned by the superior.
According to the ideas and requirements of the district health bureau to carry out public health work, the public health services will be divided into rural residents' health file management, health education, vaccination, reporting and treatment of infectious diseases, health care for children aged 0-6, maternal health care, health management for the elderly, management of patients with hypertension, management of patients with type II diabetes, and management of severe mental illness. 1 1 public health service projects were all put into village clinics and health centers as the staff of basic public health service projects, which ensured the smooth implementation of 20 14 public health service projects in our town.
2, conscientiously implement the task of training rural doctors.
According to the spirit of the archives of the District Health Bureau, our hospital holds on-the-job rural doctor training every year, and uses the set-top box of video teaching server and special teaching materials to conduct centralized training in the town health center of * * *, with 40 class hours, 5 days, and training every afternoon. Through this training, the management level of basic public health services in village clinics has been improved. After the examination organized by the District Health Bureau, all 26 rural doctors who undertake basic public health passed the examination.
Two, strictly implement the medical reform policy, the implementation of the zero rate of drug sales policy.
In strict accordance with the new medical reform policy, township hospitals strive to change their concepts, strengthen the public welfare of hospitals, focus on standardizing the bidding and purchasing of essential drugs and implementing the zero-margin sales policy, fully implement the national essential drug system, implement the zero-margin sales policy of drugs, and fully implement the online procurement of drugs to ensure that residents in our town can use safe, assured, effective and cheap drugs in our hospital.
Third, basic medical services.
Since this year, we have strengthened the connotation construction of hospitals. Develop high-quality nursing service. Strengthen medical quality management, improve quality control system, improve medical service ability and technical level, and improve patient complaint management mechanism. Increase the publicity of convenient medical measures, improve the service model, optimize the service process, and facilitate the people to seek medical treatment. Further standardize outpatient and ward management, so that the masses can really get benefits. At the same time, reform the management system and implementation mechanism, implement performance pay, strengthen performance appraisal, fully mobilize the enthusiasm of medical staff, tap the potential and motivation of medical staff reform, and give full play to the main role of medical staff in medical reform.
Fourthly, the management of the new rural cooperative medical system.
1, requiring staff to thoroughly understand the spirit and master the policy essentials. Through training, exchanges, discussions and other forms, let all employees who participate in the new rural cooperative medical system have a deep understanding of the relevant policies, regulations and programs of the new rural cooperative medical system, and fully grasp the participants, medical fund raising methods, medical expense reimbursement standards and procedures of the new rural cooperative medical system. , so that farmers fully understand their rights and obligations to participate in the cooperative medical system, understand the methods and procedures for reimbursement for medical treatment, eliminate farmers' doubts and concerns, and consciously participate in the new rural cooperative medical system. Carry out publicity and education in combination with some practical typical cases, so that the masses can understand the good intentions of the Party and * * *, thus enhancing the consciousness and initiative of participating in insurance and making the work of the new rural cooperative medical system in the town smoothly implemented.
2. Strengthen the management of service windows to provide quality services for participating farmers. When handling the reimbursement and referral procedures for hospitalization expenses, we warmly and patiently receive every patient. First of all, the procedures, reimbursement system, scheme, reimbursement scope, reimbursement ratio and other related systems are orally publicized, people-oriented and accurate and timely. And regularly disclose the hospitalization compensation of rural cooperative medical system to the public and accept the supervision of the masses.
Fifth, there are shortcomings.
1, the implementation of rules and regulations needs to be further strengthened. Although relevant assessment methods have been formulated, assessment teams have been set up and assessed, there are still phenomena of irregular implementation and insufficient strength.
2. Medical technology needs to be improved. It is the key to achieve good quality, mass satisfaction and good medical technology. For a long time, due to the shortage of personnel, we can only maintain the operation, have fewer opportunities for further study, and it is difficult to improve medical technology. Lack of academic leaders and characteristic departments makes it difficult to meet the basic needs of the masses.