I. Existing problems
After inspection, there are some empty items in the filling and entry of residents' health records in our hospital, such as logical errors before and after, untimely updating of contact information, untimely entry of electronic files, etc. The arrangement and filing of health education materials are incomplete and irregular; Some clinics have inconsistent vaccination cards and certificates, and some have missed seeds and failed to vaccinate in time; The information of new mothers and newborns was not grasped in time, which led to the relative lag of the first follow-up work and some inspection items failed to be carried out; The follow-up records of patients with chronic diseases are incomplete and irregular, the physical examination records are empty, and they are not entered into electronic files in time; Some health supervision and co-management work records are incomplete; The knowledge level of Chinese medicine service business needs to be improved urgently.
Second, rectification measures (1), strengthen organizational leadership and implement work responsibilities.
Further clarify the job responsibilities of the project leader in the hospital, and supervise and guide it by using the village doctor's regular meeting and quarterly assessment according to the annual public health work plan formulated at the beginning of the year. In order to improve the professional knowledge level of village-level public health personnel, the project leader will carry out professional knowledge training in stages this year, especially Chinese medicine related knowledge training. In February this year, our hospital has organized all village-level public health personnel to carry out a public health service knowledge examination.
Further deepen the serious performance appraisal system, 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 assessment will be retired according to the withdrawal mechanism and reported to the county bureau for the record.
(2) Intensify publicity to improve residents' awareness 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 specially compiled a leaflet outlining basic public health services, as the first issue of health education publicity materials this year, which was publicized and distributed by the hospitals under its jurisdiction and 13 village clinics. There are 65 public health service supervision committees in the city, and rural doctors issue service cards. This year, we discussed the implementation of unified service personnel.
(3) Further refine the management 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; Standardize the filling of all kinds of rosters and the filing of files to facilitate inquiry and reference.
(four), timely grasp the information of new mothers and newborns.
The women and children in the hospital go to the obstetrics and gynecology department of the county people's hospital every week to copy the above information and pass it on to the responsible rural doctors for timely follow-up.
(five), standardize the follow-up and physical examination of key populations.
Follow-up management and annual physical examination of key groups are the focus of public health services, and they are also the most willing to accept and cooperate with residents. Our hospital will do this work in detail this year, strive to improve the quality of follow-up service and improve the quality and rate of physical examination, so as to promote the development of other projects. At the beginning of the year, weighing scale for infants and young children was distributed in place. This year, hemoglobin monitoring equipment and special backpacks for family follow-up were equipped 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.
XXX hospital
Xx，xx，XX，XX
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: The main problems are summarized as follows:
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. The supervision of street hotels is not in place
7 poor indoor hygiene and untimely prescription writing.
8. All essential drugs have been implemented.
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.
In view of the problems existing in the supervision of basic public health services in our unit by county-level public health professional institutions, all hospitals attach great importance to it, and hold 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:
First, 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 carried out vaccination work on time every month, and no vaccination accidents and epidemics 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.