1. Continue to improve the collection and collation of community and personal health information. Establish and improve the health record system, classify and manage all kinds of patients, establish patient information tracking cards in this area, grasp the changes of health status of residents in this area, and provide health guidance to all kinds of patients in time.
Our medical station will provide medical services for community residents. Prevention work makes it difficult for residents to go to big hospitals linked and coordinated with big hospitals. According to the characteristics of more women of childbearing age in our region, our station will focus on reproductive health care. Family planning guidance, contraceptive knowledge guidance and consultation work, vigorously publicize China's family planning laws and regulations in our district, and strengthen family planning supervision.
There are many factories and floating population in our area. In order to ensure the health of these floating population, our station will set up a health information tracking card for floating population to provide free health examination for those who need health examination.
4. Our station will increase the investment in running the station and improve the medical conditions in the station. Introduce professional and technical personnel, improve the medical quality of this station, and make the quality of medical care reach a new level.
With the care and support of the superior, our station plans to expand the service scale, improve the service quality, expand the service area, increase medical equipment and laboratory inspection and testing equipment, and strive to do a better job in community service and implement the work.
6, continue to carry out free clinic activities, help the disadvantaged residents, free medical treatment, door-to-door service, and earnestly implement the work requirements of superior leaders for community health services.
2.2022 community health service station work plan
First, continue to strictly control the quality of medical care, implement reward and punishment measures, and put an end to medical accidents and medical disputes. Further improve the service quality, put the "one-stop" service in place, and continue to implement the "five-in-one" service model in the inpatient department. Every medical staff should stand on the patient's point of view and try their best to provide the warmest service for patients from the patient's thinking.
The second is to seize the opportunity of implementing the regulations of free medical care, urban residents' medical insurance and new rural cooperative medical care to provide quality medical services for the masses, widely publicize the advantages of low threshold fee and high reimbursement rate in our hospital, and improve the visibility and influence of the hospital.
Third, actively declare the establishment of a secondary cancer hospital, highlighting the characteristics of the hospital.
Fourth, maternal and child health care, disease prevention and control
Continue to do a good job in setting up files for pregnant women and children, do a good job in tracking and managing permanent population, floating population and high-risk pregnant women, continue to do a good job in collecting and reporting information on women and children, and strengthen the investigation of missing information and basic data of women and children. Continue to work closely with relevant departments, regularly carry out active search and mapping work for floating children in communities, find school-age children in time, improve the management rate and vaccination rate of the medical care system for floating children, and strengthen disease prevention and control in the region.
Five, strengthen the standardization of residents' health records filing.
On the basis of 20xx residents' filing work, our center further promoted this work.
In 20xx, the filing rate of residents in the jurisdiction will reach 80%, ensuring the authenticity of health records. Standardize the management of health records and complete the entry of health records in time.
Six, strengthen the performance evaluation of our center and the management of public health service funds, and improve various systems.
Seven, 20xx years of free services to residents include:
(1) Provide targeted health education guidance according to the characteristics of residents in the jurisdiction.
(2) Establish a maternal and infant health care manual for pregnant women and newborns, and provide prenatal examination, postpartum visit and neonatal visit; Establish health records for children under 3 years old.
(3) provide basic physical examination items for the elderly over 65 years old, and follow up at least 4 times a year to evaluate their lifestyle and health status.
(4) Patients with hypertension and type 2 diabetes were followed up four times a year according to specific conditions.
(5) Make a comprehensive assessment of 1-2 for patients with severe mental illness at home every year, and follow up for at least 4 times to provide rehabilitation guidance.
Eight, constantly improve the ability to respond to public health emergencies.
(1) Seriously study the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, and make emergency plans for public health emergencies in time.
(2) Seriously cooperate with the higher authorities to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the prevention and control propaganda of hand, foot and mouth disease, swine flu and other infectious diseases.
(3) Improve hospital infection management system, strengthen disinfection and quality control, and strictly implement medical waste disposal measures. The medical waste disposal rate is 100%.
3.2022 Community Health Service Station Work Plan
First, implement the principles and policies of community health service.
Carry out the principles and policies of the superior health authorities on community health services, thoroughly understand the spirit of every document issued by the superior, and carefully plan and implement it. Continue to strengthen public health education, implement the zero-difference sales system of national basic list drugs, promote the implementation of various measures, and gradually realize the equalization of basic public health services.
Second, further improve the capacity of public health services.
This year, on the basis of updating the health records of residents in the jurisdiction, the electronic records will be further improved simultaneously. Focus on the elderly over 65 years old, women, children, patients with chronic diseases, disabled people, mental patients and other key groups, and strengthen the dynamic health management of elderly patients with chronic diseases. Actively explore the implementation of the management mode of "first diagnosis in the center, serious illness to the hospital, two-way referral and graded responsibility".
Three, efforts to improve the level of community health service team
Highlight key points, strengthen discipline construction, and gradually make the talent structure more reasonable. Grasping discipline construction is the basis of improving medical quality and an important guarantee for the development of the center.
In view of the fact that the discipline construction in our center is not standardized, the professional advantages and characteristics are not obvious, and the shortage of talents is serious, according to the needs of discipline development, doctors are sent to participate in training and further study in a planned way, relying on the teaching advantages of well-known hospitals to improve the professional and technical level of medical staff, become a new force in the center business as soon as possible, and comprehensively enhance the comprehensive strength of the center.
Four, to further improve the main functions of community health services.
(1) Health education. It is required to have a detailed work plan and summary. Health education classes should be held once every quarter, and the content should be seasonal and targeted. The number of participants must reach more than 30 at a time, and the photos should be filed in the publicity column. There should be a record of the distribution of residents' health information to ensure that the awareness rate of residents' basic health knowledge reaches over 90%.
(2) Management of health records. The filing rate of health records should reach 95%, the contents in the health record book must be complete, accurate and complete, and electronic files should be established at the same time. When filing, the responsible doctor should record the physical examination, children's physical examination, maternal system management, common gynecological diseases examination, key management of chronic diseases, home visits, hospitalization due to illness, etc. in the health file in time, requiring completeness and accuracy, and establishing a dynamic and continuous family health file. Telephone or door-to-door visits should be conducted regularly, and the visit rate must reach over 95%. Follow-up and intervention should be recorded in health records in time, and the contents of key diseases should be detailed, complete, clear, true and credible, and timely summarized and accurately reported.
(3) Basic medical services benefit the people. Establish and improve various rules and regulations, strictly follow the operating norms of medical technology, charge fees reasonably, and implement preferential medical policies according to regulations. The doctor in charge must be a licensed assistant doctor or a licensed doctor.
The diagnosis and treatment records of key diseases within the jurisdiction are complete, and the diagnosis rate of residents must reach 90%. It is required that the satisfaction rate of responsible doctors should reach over 90%.
(4) Convenient cooperative medical care. The coordinator must be familiar with the cooperative medical policy and publicize it vigorously, so that the awareness rate of all kinds of people on the cooperative medical policy can reach 90%. Publicize the reimbursement of participants in this region every month, and designate a special person to be responsible for and keep the roster of participants in this region. The registered items shall be complete and accurate.
(5) child health care. Our center requires that the rate of neonatal card establishment should reach 100%, the rate of full vaccination of five seedlings should reach over 95%, and the rate of timely vaccination of the first dose of hepatitis B should reach over 90%. It is also necessary to master the situation of floating children in this area and vaccinate them in time. All responsible doctors should publicize vaccination and actively participate in temporary arrangements such as strengthening immunization and emergency vaccination. Children's health care doctors are responsible for the management rate of children's system, requiring more than 90%.
(6) Women's health care. It is required to master the health status of women of childbearing age and pregnant women within their jurisdiction, and to mobilize and inform pregnant women to carry out maternal health care management. The delivery rate of pregnant women in hospital must reach 99%, the systematic management rate of pregnant women must reach above 95%, and the delivery rate of high-risk pregnant women must reach 100%. Systematic management of pregnant women, early pregnancy registration, prenatal examination and postpartum visit, and responsible for screening, tracking, follow-up and referral of high-risk pregnant women. Participate in the training and guidance of superiors, hold and attend regular meetings, make summaries and plans, and file data.
(seven) health care for the elderly over 65 years old and patients with chronic diseases. Strengthen the filing of family health records for the elderly over 65 years old, the disabled, hypertension, diabetes and severe mental patients. The filing rate is 90%, and the health check-up rate is over 90%. Every year, the elderly over the age of 65 are given free physical examination and regular follow-up, and targeted health intervention focusing on health education is carried out for health problems found in physical examination and follow-up. Dynamic management of health records, record the problems found at any time, and timely and accurately summarize and report.
(eight) to strengthen the construction of Chinese medicine projects. Our center has completed the renovation of the museum of traditional Chinese medicine. At present, TCM diagnosis and treatment facilities are being equipped and improved. At the same time, focus on the construction of Chinese medicine talents, improve the ability of community Chinese medicine diagnosis and treatment, and carry out more in-depth Chinese medicine health education and publicity.
(nine) to improve the ability to respond to public health emergencies.
1. Seriously study the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, and make emergency plans for public health emergencies in time.
2, seriously cooperate with the higher authorities to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the prevention and control propaganda of hand, foot and mouth disease, chickenpox, avian influenza, Ebola and other infectious diseases.
Strengthening spiritual civilization and moral construction is a long-term project, and it is also an image project with specific connotation. We must fully understand the importance, protracted nature and urgency of the rectification work. We must unify our thinking and fully understand the importance and urgency of strengthening the construction of spiritual civilization and political style. Continuously improve the ideological education level of employees.
4.2022 community health service station work plan
The first is to provide psychological counseling for the general population in the community and popularize mental health knowledge.
There are two ways to provide psychological counseling and popularize mental health knowledge for ordinary people in the community. One is to evaluate the psychological activities of community residents in the process of routine physical examination, especially for key groups, such as women's emotional state during pregnancy and childbirth, memory and intellectual activities of the elderly, so as to find depression and Alzheimer's disease early. Second, by holding popular science lectures, consulting activities, distributing popular science propaganda books and making publicity panels, we will popularize mental health knowledge to community residents and improve their mental health level.
Two, to carry out mental illness clues investigation, the establishment of disease files.
Developing community mental health service is the primary task, and it is the first-hand information to dynamically grasp the changes of community mental diseases. The filing rate of community mental illness should not be less than 0.6% of the population covered by the community. Psychiatrists will also be organized to conduct annual free examinations for community mental patients. Community mental patients who are hospitalized urgently because of their relapse will be transferred to the community in time after discharge, and the community health service center will continue to carry out community rehabilitation treatment. What is established is a complete and continuous disease file. We will properly keep the disease data of patients with mental illness in the community and resolutely safeguard the privacy rights of patients. Community mental patients and their families can make full use of these disease data.
Three, regular follow-up, management and treatment of severe mental illness.
Mental illness, especially severe mental illness characterized by schizophrenia, often refuses to admit the illness and take the initiative to treat it, especially in the serious stage, which requires care and nursing for mental patients in the community. At least once a month, the case manager takes the initiative to follow up the mentally ill patients who have set up a file in the community, and keeps close contact with the patients and their families through follow-up to gain the trust and cooperation of the patients. Follow-up contents include: the patient's medication, condition stability, etc. And guide family members to carry out family care for family mental illness. In order to improve the medication rate of patients with mental illness in the community and dynamically grasp the changes of patients' condition, patients with mental illness in the community can carry out necessary laboratory examinations and tests in the community health service center nearby to ensure the safety of medication.
Fourth, carry out community rehabilitation treatment to promote early return to society.
The case manager will carry out community rehabilitation treatment for patients with mental illness while following up the patients in the community. The contents of community rehabilitation therapy include: psychological rehabilitation guidance, family nursing guidance, labor skill training, industrial and recreational treatment and vocational rehabilitation. The purpose of community rehabilitation therapy is to reduce the degree of mental disability and promote patients to return to society as soon as possible. The "xx" development standard formulated by China Disabled Persons' Federation requires that the construction of psychiatric rehabilitation institutions should be strengthened and overall planning should be made, and counties (cities, districts) should support the establishment of demonstration psychiatric rehabilitation institutions. The forms of rehabilitation institutions include: industrial treatment stations, agricultural treatment bases, activity centers, foster care centers, halfway camps, vocational skills training centers, etc. Community health service institutions will cooperate with the Disabled Persons' Federation to carry out "socialized, comprehensive and open" mental illness rehabilitation work.
Verb (abbreviation of verb) establishes an emergency response mechanism to avoid adverse events.
For severe mental illness, mainly schizophrenia, the primary purpose of management and treatment is to avoid adverse events. Adverse events include: acute adverse drug reaction, self-injury behavior and trouble-making behavior. Community health service institutions and mental health medical institutions have established emergency mechanisms and formulated emergency plans, and will make emergency response in the shortest time, the most direct channel and the most appropriate way to avoid adverse events. Community health service institutions will provide professional guidance to the families of patients with mental illness and the people around them in handling mental illness emergencies.
Six, the establishment of a two-way referral system to provide seamless services.
Responsible for the determination of the diagnosis and treatment plan for patients with mental illness in the community, responsible for the community management, treatment and rehabilitation guidance for patients with mental illness, and providing seamless services for patients with mental illness in the community. Community health service institutions and mental health medical institutions have established a two-way referral system. Patients with mental illness in the community need to be referred to mental health medical institutions for treatment because of repeated or aggravated illness. Not suitable for community management and treatment, transferred to mental health medical institutions for emergency hospitalization. Patients with mental illness hospitalized in mental health medical institutions should be transferred back to the community for management and treatment in time after their illness is controlled in time. The principle advocated is that emergency hospitalization should be decisive and timely, and community rehabilitation treatment should be patient and meticulous.
Seven, safeguard the legitimate rights and interests of patients, and strive for social support.
Severe mental illness, mainly schizophrenia, mostly occurs in young adults, the course of which is prolonged, mostly chronic, with high disability rate, which mainly harms the labor force and easily leads to family poverty. The party and the government have always attached great importance to the relief work for patients with mental illness. However, due to the characteristics of the disease itself, patients with mental illness often refuse to admit their illness and refuse treatment, which brings difficulties to the relief work. To carry out community mental health services, we can take advantage of the situation mastered by community health service institutions, cooperate with civil affairs, disabled persons' federations, labor and other departments, actively safeguard the legitimate rights and interests of community mental patients, and strive for appropriate social support and government assistance.
Eight, widely carry out health promotion activities, popularize the knowledge of mental illness prevention and treatment.
Due to the influence of social prejudice, there is still discrimination against mental illness in society at present; A considerable number of mental patients and their families have a sense of social shame and do not want others to know, fearing social discrimination. Mental patients, like patients with physical diseases, are also victims of diseases and deserve people's understanding and help. Community health service institutions will extensively carry out health promotion activities, popularize knowledge of prevention and treatment of mental illness, create good social customs in the community, care for and not discriminate against mental patients, and help them return to society, community and family.
5.2022 Work Plan of Community Health Service Station
First, give priority to prevention, provide comprehensive services, and constantly improve the functions of community health services.
1
Carry out various forms of health education and health promotion activities, popularize health knowledge, enhance the health awareness and self-care ability of community residents, promote the improvement of the health quality of the whole people, especially strengthen the health education of community residents' health literacy, and strive to achieve 85% awareness rate of health knowledge and the formation rate of health-related behaviors of community residents, and 90% awareness rate and 85% formation rate of health-related behaviors of primary and secondary school students respectively.
This year, we should take advantage of the main health publicity day throughout the year to carry out various forms of publicity and education activities such as free clinic, consultation and lectures. According to the characteristics of many elderly people and low education level in the community, the content should be rich and colorful, easy to understand, easily accepted by the masses and welcomed by the masses. Carry out at least 12 large-scale lectures, free consultation and other publicity activities throughout the year, open a health column once a month, and submit a monthly health education report on time every month.
2. Strengthen the management of key groups.
20xx Community Health Service Center focuses on the management of pregnant women, children, severe mental patients, patients with chronic non-communicable diseases such as hypertension and diabetes, and the elderly over 60 years old. Specifically, we should fully grasp the base number of key groups such as pregnant women, children, the elderly and chronic diseases in the communities under our jurisdiction, standardize the filing, and provide them with sustained, comprehensive and appropriate services. In daily work, timely screen out key personnel, establish special files for them, and focus on management. Continue to establish free health records and physical examinations for the elderly over 60 years old, and carry out targeted management for patients with hypertension, diabetes and mental illness. Put forward scientific, reasonable and detailed intervention measures, and implement three-level prevention measures for chronic diseases, so that the elderly and patients with chronic diseases can truly feel the benefits brought by community health work.
3. Planned immunization
Further strengthen the vaccination and management of children and floating children within the jurisdiction, regularly organize personnel to carry out active search in the community, timely and accurately grasp the information of children and floating children within the jurisdiction, and promptly notify children who have not completed the immunization procedure as required to make up the certificate and replant; Carry out vaccination work in strict accordance with the national immunization planning procedures, establish and improve cold chain equipment files, do a good job in vaccine registration, strengthen the management of biological products, and upload children's vaccination information as required.
4, maternal and child health care, disease prevention and control
Continue to do a good job in setting up files for pregnant women and children, do a good job in tracking and managing permanent population, floating population and high-risk pregnant women, continue to do a good job in collecting and reporting information on women and children, and strengthen the investigation of missing information and basic data of women and children. Continue to work closely with relevant departments, regularly carry out active search and mapping work for floating children in communities, find school-age children in time, improve the management rate and vaccination rate of the medical care system for floating children, and strengthen disease prevention and control in the region.
5, strengthen the standardization of residents' health records filing.
On the basis of 20xx residents' filing work, our center further promoted this work.
In 20xx, the filing rate of residents in the jurisdiction will reach 80%, ensuring the authenticity of health records. Standardize the management of health records and complete the entry of health records in time.
6. Strengthen the performance evaluation of our center and the management of public health service funds, and improve various systems.
7.20xx The free services provided by XX to residents include:
(1) Provide targeted health education guidance according to the characteristics of residents in the jurisdiction.
(2) Establish a maternal and infant health care manual for pregnant women and newborns, and provide prenatal examination, postpartum visit and neonatal visit; Establish health records for children under 3 years old.
(3) provide basic physical examination items for the elderly over 65 years old, and follow up at least 4 times a year to evaluate their lifestyle and health status.
(4) Patients with hypertension and type 2 diabetes were followed up four times a year according to specific conditions.
(5) Make a comprehensive assessment of 1-2 for patients with severe mental illness at home every year, and follow up for at least 4 times to provide rehabilitation guidance.
8, constantly improve the ability to respond to public health emergencies.
(1) Seriously study the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, and make emergency plans for public health emergencies in time.
(2) Seriously cooperate with the higher authorities to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the prevention and control propaganda of hand, foot and mouth disease, swine flu and other infectious diseases.
(3) Improve hospital infection management system, strengthen disinfection and quality control, and strictly implement medical waste disposal measures. The medical waste disposal rate is 100%.
9. Strengthen the capacity building of health supervision and law enforcement to ensure the health and safety of the whole town.
First, strengthen the quality construction of health supervisors, strengthen the training of legal knowledge and professional knowledge, and improve the overall quality of health supervisors.
Second, continue to do a good job in school food safety and food poisoning incidents. Conscientiously implement the "Measures for Hygienic Supervision of Students' Collective Dining" and the "Regulations on Hygienic Management of School Dining Rooms and Students' Collective Dining", intensify the work, continue to pay close attention to the hygienic management and rectification of school canteens, and seriously organize and carry out special inspections of students' collective dining in spring and autumn. To prevent food poisoning and improve the ability to deal with public health emergencies as the focus of work to prevent food poisoning in students' collective dining. Supervise and urge schools to organize students to carry out health checks and establish and improve students' health records.
The third is to intensify the rectification of the medical market, severely crack down on illegal medical practice, establish a long-term supervision mechanism, and standardize the practice of medical institutions.
The fourth is to strengthen the health protection work for major events. Conscientiously do a good job in health protection for large-scale activities and important receptions, and do a good job in health protection for New Year's Day, Spring Festival, May Day and Eleventh Holiday Tourism Golden Week to prevent or put an end to major public health emergencies.
10, continue to fully implement the disease prevention and control strong foundation project in the whole town. Establish and improve a disease prevention and control system with reasonable town and village medical and health network layout, sound service function, high personnel quality, scientific operation mechanism, standardized and orderly management, obvious work results and satisfactory residents. Further improve the construction of hardware facilities and the training of talent teams in public health departments.
Second, go hand in hand and do a good job in basic medical care.
1. Strive to increase business income on the basis of last year 10%.
2, continue to do a good job in the diagnosis and treatment of common diseases and frequently-occurring diseases in the community, pay special attention to the writing quality of outpatient cases, prescriptions, emergency medical documents, strive to improve the level of medical services, and strive for a new breakthrough in the total number of outpatient services; It is necessary to further reduce the proportion of drugs, reduce the average outpatient medical expenses, control the growth of medical expenses, and reduce the medical burden of the masses; It is necessary to further strengthen hospital consciousness management to ensure medical safety; It is necessary to regularly carry out training and assessment of "three basics" knowledge to improve the level of medical technology; It is necessary to conscientiously implement the professional ethics and code of conduct of health technicians and standardize the behavior of health services.
3. Strengthen the construction of characteristic departments, focusing on rehabilitation physiotherapy in 20xx, and widely applying appropriate technologies of Chinese medicine, including Chinese medicine, acupuncture, massage, cupping, application and hot compress.
4, to further promote the implementation of the national basic drug system, the implementation of drug sales at zero rate.
5. Actively purchase equipment, automatic biochemical analyzer, DR and other equipment suitable for community health needs.
Third, strengthen personnel training and improve the quality of medical care.
1. Strengthen the training of general practitioners and nurses.
2, strengthen business training, organize medical staff to carry out health education, infectious disease prevention, hospital care, medical quality, pre-hospital first aid and other aspects of business training. , improve the level of business.
Four, continue to complete the standardization of community health service institutions.
Our center will strictly follow the Basic Construction Standard Requirements of Urban Community Health Service Center issued by the Provincial Health Department, and strive to complete the indoor decoration and decoration construction of Xiranpo Community Health Complex in 20xx years, and formally put it into use this year. Further standardize the management of community health service institutions, so as to achieve reasonable personnel and department allocation, perfect service functions and unified internal settings.
Our center will continue to explore new working ideas and management methods, give full play to the characteristics and advantages of community health services, take demand as the guide, actively carry out popular service projects and improve service measures. At the same time, constantly explore new management modes, establish effective management systems, guide and promote the reform of personnel distribution system, improve the enthusiasm of community health service personnel, and ensure the quality and quantity of public health work while doing a good job in medical services. Through hard work, we will gradually explore new working ideas and management methods suitable for the development of community health service centers in China to ensure the effective, economical, convenient, comprehensive and sustainable development of community health services in China.
Verb (abbreviation of verb) maintains stability and promotes development.
1, continue to do a good job in comprehensive management of social security, family planning, building a clean and honest party style, and building spiritual civilization, actively resolve debts, do a good job in stabilizing letters and visits, and earnestly perform their duties.
2, strengthen safety work, further implement the responsibility system for production safety, strict operating procedures, pay close attention to the implementation of measures. Eliminate all kinds of potential safety hazards.
3. Continue to create smoke-free hospitals, and completely ban smoking in wards, corridors and offices.