Take rural public health work as the main body, change the service concept and attitude, and improve the construction of community health service network; Market-oriented, innovative business philosophy and business philosophy, the following are three community health service activities designed by me. Welcome to reading.
Design scheme of community health service activities 1
First, the focus of work
(a) continue to promote the reform of personnel distribution system, the introduction of employee appraisal system.
After nearly three years' implementation, the reform of personnel distribution system in our hospital has made some achievements and experiences, but there are still many imperfections, such as some evaluation criteria are too general, some are not targeted, and some are not easy to operate. This year, the evaluation plan should be further revised, and the terms that are difficult to operate in the evaluation work should be further refined and quantified. It is necessary to make full use of hospital information system, accurately count personal workload, establish and improve post evaluation system, and formulate quantitative evaluation elements to make evaluation standards more scientific and reasonable. In order to promote the improvement of service efficiency and service quality, and strengthen the evaluation, the last treatment system was introduced into the year-end evaluation of employees this year. The main contents of the final assessment include medical ethics, work quality and labor discipline. For those who score less than 80 points in these aspects at the end of the year, the hospital will give the treatment of stopping work, waiting for posts or being laid off. The distribution plan will be calculated and adjusted according to the actual situation of the hospital.
(2) Occupy the field of community health services and broaden the medical market space.
To adapt to the changes in the medical market, it is necessary to update traditional concepts and establish new ones. Follow? Health work should be people-oriented, health-centered, not disease-centered? The idea is not only to occupy the market of sick people, but also to develop the market of sub-healthy people and healthy people, to change passive patients into active patients, to make full use of the equipment and technical advantages of our hospital and to enlarge market resources. This year, the hospital plans to adjust its human resources on the basis of preventive medicine. According to the difference of individual ability and the geographical location, population structure and number of responsible villages, the hospital staff are divided into 1 1 community health service group, and efforts are made to improve community health service and quantify and refine all the work.
Taking the responsible village as the center and health promotion as the goal, we will provide integrated services for the community population, form a new model in which community health service stations explore patients for hospitals and transfer inpatients to community health service stations during rehabilitation, and expand medical resources. Represented by providing residents with technical guidance on prevention, medical care, health care, rehabilitation, health education and family planning through community clinics, home visits, family beds, health talks, regular physical examinations, and health consultation? Six in one? Health service model based on.
Further improve the management system of community health service stations, and carry out unified management of people, money and materials in community health service stations within their jurisdiction according to the characteristics and functions of medical services: first, actively implement the two-way referral system; The second is to strengthen drug management; The third is to strengthen the management of attending doctors. So as to find a development road that can meet the needs of community health and save resources. This requires us to improve the service quality in an all-round way and actively explore new service areas to attract the masses and make the community service have a broad market.
(3) Further adjust the hospital income structure, so that the hospital's economic development will enter the fast lane.
Our hospital's business income structure was adjusted last year, and the medical income rose to 43%. Gold content? Greatly increased, the hospital's available financial resources have been significantly enhanced, laying the foundation for the hospital's economic development. In order to make the hospital's income structure more reasonable as soon as possible and make the hospital's economic development enter the fast lane, it is still necessary to continue to adjust the hospital's income structure this year. This year, the proportion of medical income increased by 3% compared with last year, and the total business income increased by 8% compared with last year, striving for 10%. Therefore, the staff of the hospital are required to establish a global awareness, work actively, strive to generate income, and strive to complete various economic indicators issued by the hospital this year.
(4) continue to implement? Develop the hospital through science and technology. Strategies to continuously improve the comprehensive strength of the hospital.
1, 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 hospital development. In view of the fact that the discipline construction in our hospital is not standardized, the advantages and characteristics of specialties are not obvious, and the shortage of talents is very serious, starting from this year, the hospital will combine the development direction of contemporary medical technology and the actual situation of departments to adjust the discipline structure, give full play to the regulatory role of the market, increase support for those disciplines with large market space and good development, and focus on investment in beds, personnel and funds, highlighting key points, developing advantages and supporting characteristics. According to the needs of discipline development, doctors are sent out for further study in a planned way, and special attention is paid to the training and exercise of young doctors with low qualifications and titles. This year and next, we will focus on arranging middle-level cadres and business backbones to go out for further training, relying on the teaching advantages of well-known hospitals to improve the professional and technical level of medical staff, so that they can become the subject leaders and business backbones of hospitals as soon as possible, and create conditions for a group of subject leaders and business backbones to continuously expand the field of medical services and gradually form? People have no me, people have me, people are superior, people are new to me, and people are new to me? Comprehensively improve the comprehensive strength of the hospital.
2, to carry out various forms of continuing medical education, and constantly improve the professional level of medical staff.
① Self-study: The rapid development of medical science requires medical workers to establish the ambition of lifelong learning and continuous innovation. This year, the hospital will intensify its efforts to urge medical staff to study by themselves, organize regular and year-end exams, and incorporate the results into the departmental assessment. What is the main content of self-study? Miki? Theory and skills. ② Further study: Young and middle-aged doctors will be selected for further study according to the needs of discipline development this year. In principle, the first time I study in a teaching hospital in the city, the second time I study in a teaching hospital outside the city. ③ Distance education: relying on modern distance education network, offering high-quality online courses, organizing collective teaching and learning once a month, and planning special lectures.
3. increase? Develop the hospital through science and technology. Further improve the investment in medical infrastructure.
In order to further improve medical conditions and improve medical quality, the hospital cleaned up the medical facilities of various departments this year. Update the equipment that has been used for a long time and has low efficiency, and at the same time focus on developing some projects that can produce benefits quickly, and rely on advanced instruments and equipment to improve the diagnosis and treatment level of hospitals. Replace a 200 mA optical machine and a fully automatic biochemical instrument in 20 years.
(five) to carry out medical business cooperation and expand the influence of the hospital market.
With the gradual liberalization of the country's medical market, it has brought increasingly fierce competition and unprecedented challenges to medical and health units. In the market economy environment, whoever takes the lead will get the space of priority development. The smaller the share of hospitals in the fiercely competitive market, the easier it is to lose its due position and role. In order to expand the radiation ability and influence of hospital services and meet the dual needs of consumers and hospital development, it is particularly important to manage hospitals with the concept of market, realize the sharing of regional health resources, strengthen the service awareness, quality awareness and competition awareness of employees, and improve the service level of hospitals. This year, based on the principles of complementary advantages, resource sharing, equality and mutual benefit, hospitals have strengthened cooperation with general hospitals to achieve common development, effectively utilize regional health resources, and improve work efficiency and two benefits. This kind of business cooperation can not only strengthen communication with general hospitals, but also promote the improvement and development of our hospital's business, which can not only solve our technical problems, but also send difficult and urgent patients to general hospitals to meet the development needs of general hospitals. All departments should actively respond to the initiative of the hospital, change their concepts, and provide high-quality and efficient services for patients and medical units.
(six) standardize medical behavior, strengthen the quality control of medical links, improve the quality of medical care, and put an end to medical accidents.
With the continuous improvement of social requirements for medical quality and the changes of medical legal environment and its legal rules, the legal risks of medical behavior are becoming more and more prominent. Preventing medical malpractice is an important link to avoid medical legal risks, and standardizing medical behavior is the key to preventing medical malpractice. Many disputes in medical work are caused by irregular medical behavior. Therefore, this year, the hospital must take standardizing medical behavior as an important work of medical quality management, improve the medical norms of common diseases in our hospital, and strengthen the control and real-time monitoring of key links affecting medical quality in the medical process. Focus on the control of three-level doctor rounds, the scope of three-level doctor surgery, in-hospital consultation and shift work, and rescue of critically ill patients.
1, highlight key points and improve the system. Around the quality of medical care, according to the medical and health system, medical code of conduct, medical technical specification and its operating rules, improve the relevant systems, write concise and operable items, make the rules and regulations truly fall into all medical work, medical posts and diagnosis and treatment links, and establish the corresponding evaluation system.
2, the implementation of three-level physician rounds system. Ward rounds of tertiary doctors are the most basic and important medical activities in hospitals, the key to timely diagnosis and treatment of patients, and an important form of clinical teaching for junior doctors by superior doctors. Doctors at all levels are closely integrated through this system, with the first level supervising the first level and the first level being responsible for the first level, so that problems can be found and corrected in time. Although our hospital has established a three-level doctor's ward round system, it has not really been put in place in actual implementation. In order to supervise the implementation of the three-level doctor's rounds system, from June 5438+1 October1day, the hospital implemented the director's business rounds system, and the director in charge of the clinical department conducted business rounds once a week to check and assess the three-level doctors' rounds in the department, so as to standardize the bad behavior in the medical process.
3. Strictly implement the relevant regulations of perioperative management formulated by our hospital. Perioperative period is the most important period for the diagnosis and treatment of inpatients in surgical system, and it is also a critical period with large medical investment, many medical treatment contents and high medical quality requirements. In perioperative safety management, we should attach importance to process management and strengthen preventive measures.
4. Strengthen the writing standard of medical documents and improve the connotation quality of medical records. The quality of medical records is the concrete embodiment of medical quality and medical level, and it is also an important aspect of the overall level of the hospital. This year, medical record writing should be the focus of quality management, so as to grasp the quality of medical records and promote medical and teaching work. Seriously study and strictly implement the new medical record writing standards, standardize and unify the format and content of medical documents. Strengthen the connotation quality of medical record writing, avoid the phenomena of missing items, missing items, unreasonable and irregular sentences, scrawled handwriting, incomplete records, untimely and inaccurate course records, and improve the connotation quality of medical record writing through training, competition, inspection and evaluation.
(7) Make full use of hospital information system to improve hospital management level.
Computer management is a powerful means of modernization and standardization of hospital management, and it is a reform of hospital internal management, which is of great significance. Its application can bring at least the following three benefits: first, it can standardize hospital processes and improve hospital work efficiency and quality; The second is to avoid running, running, dripping and leaking through computer management; Third, after the hospital medical data is connected to the network, it provides the basis for the next decision support. Therefore, all departments should cooperate closely, strengthen personal familiarity and mastery of the system, improve work efficiency as soon as possible, and lay a solid foundation for the comprehensive implementation of microcomputer management in hospitals in the future. Information administrators should formulate relevant management systems and operating procedures according to the actual situation of our hospital to ensure the normal operation of hospital information systems.
(eight) the full implementation of the system of open hospital affairs, and consciously accept the social supervision of medical services.
In order to further enhance the transparency of medical services, so that patients and the masses can enjoy the right to know and supervise medical services, according to the spirit requirements of the relevant documents of higher authorities, the hospital has implemented the hospital affairs disclosure system since June 5438+ 10, making the most concerned and sensitive hospital affairs public, consciously accepting the social supervision of medical services, further strengthening the relationship between doctors and patients, and promoting the reform and development of medical and health undertakings.
(nine) to further strengthen the construction of hospital medical ethics, establish a good social image.
The quality of hospital morality is directly related to the rise and fall of the hospital. Adhere to both the symptoms and root causes, strengthen the construction of medical ethics, further improve service attitude, consolidate and optimize the development environment and moral evaluation results. Continue to carry out the activities of creating health units that satisfy the masses and implement them in the whole hospital? Family service? . This year, will the hospital? Family service? It is hoped that all departments will take this work as an important task to change work style and improve service in combination with the requirements of the documents issued by the hospital last year.
(ten) continue to do a good job in the legal education of employees, and strive to improve the legal awareness and legal concept of employees to ensure that no illegal cases occur. Strengthen the study of the legal system and ask everyone? Know the law, understand the law and abide by the law? End it? Rebate? The incident happened. Strengthen the ideological and political work with the Party branch as the main body, and strive to build a harmonious relationship between cadres and masses, colleagues and doctors and patients.
Second, other tasks.
(a) to strengthen the construction of emergency mechanism, enhance the ability to respond to public health emergencies, improve the emergency plan and medical treatment system. Build one? Can you pull it out and play it loudly? Medical emergency teams meet the rescue needs of remote mountainous areas and tourist attractions.
(two) to further improve the epidemic information reporting system and prevention and control measures, strengthen the software construction of hospital infection management system, strengthen the training of infection knowledge and protection skills, and improve the self-protection ability of medical staff. Do a good job in hospital infection management, reduce hospital infection rate and reduce the rate of missing reports.
(3) Continue to do a good job in health supervision and disease control. The hospital signed a target responsibility system with the preventive health care department; Establish a reward and punishment system, do a good job in the prevention and control of key diseases such as SARS and highly pathogenic avian influenza, adhere to prevention first, conscientiously implement various prevention and control measures, strengthen epidemic monitoring, and prevent the recurrence of the epidemic.
(4) Strengthen leadership, implement responsibilities, and conscientiously do a good job in all aspects of comprehensive management.
(5) carry out the family planning policy, put an end to people and things that violate the family planning policy, do a good job in the pregnancy examination registration of cadres and workers in the hospital, and actively cooperate with the government to do a good job in family planning technical services.
(6) Further standardize the logistics support system and reduce the operating cost of the hospital.
(seven) to complete the mandatory tasks assigned by the superior.
In today's fierce competition in the medical market, we should seize the opportunity, meet the challenge and make new contributions to the health of the whole town and the new round of development of our hospital.
Design scheme of community health service activities II
I. Main tasks
According to the requirements of health education, do a good job in health education and health promotion. Around influenza A, AIDS, tuberculosis, tumors, hepatitis and other major infectious diseases and chronic diseases, combined with various health day themes to carry out publicity activities. Especially actively? World Tuberculosis Day? 、? World Health Day? 、? National Vaccination Day? 、? Iodine deficiency disease prevention day? 、? World No Tobacco Day? 、? World AIDS Day? And other health theme day publicity activities. Continue to do a good job in broadcasting publicity materials for AIDS prevention and treatment projects for migrant workers, migrant workers and migrant workers. According to the emergency plan for public health emergencies, mass health, safety and prevention education should be carried out to improve the people's ability to deal with public health emergencies. Strengthen the construction of health education network information and promote the standardization of health education network information. Strengthen the standardized management of health education files.
Second, the main work measures
(1) Improve the organization and health education network.
Perfect health education network is the organizational guarantee and effective measures to carry out health education. We will adjust and enrich the team of health education volunteers according to the actual situation of the community and strengthen the training of health education volunteers. Organize personnel to actively participate in various trainings organized by the municipal, district and disease control departments to improve the health education ability and theoretical level of health educators; Incorporate health education into the central work plan, and health education will be truly implemented.
(2) Increase investment.
It is planned to purchase new cameras, computers, printers and other equipment, and print health education publicity materials to ensure the smooth development of health education.
(iii) Planned health education activities
1, hold a health education lecture.
Conduct health education lectures regularly every month, not less than 12 times a year. According to the needs of residents and seasonal frequently-occurring diseases, arrange the lecture content, choose doctors with relatively rich clinical experience and strong expression ability as the keynote speaker according to seasonal changes, and increase the content of epidemic diseases such as hand, foot and mouth disease and influenza. Carefully organize, arrange and notify before each lecture, receive consultation and distribute relevant health education materials after the lecture, and pass on health knowledge to as many residents as possible. (Attached with the schedule of health education talks)
2. Carry out public health consultation activities.
Use World Tuberculosis Day, World Health Day, National Iodine Deficiency Disorder Day, World No Tobacco Day, National Hypertension Day, World Mental Health Day, World Diabetes Day, World AIDS Day and other health theme days and key health issues in the jurisdiction to carry out health consultation activities and distribute publicity materials according to the theme.
Design scheme of community health service activities 3
First, strengthen the brand awareness of community health services.
1, actively strengthen the training of community health service personnel.
2, do a good job in the establishment of the demonstration center, in response to the call of government medical reform, on the basis of the original to a higher level.
3. According to the National Basic Public Health Service Standard (20-2000 Edition), the nine categories in the standard are managed in strict accordance with the requirements.
Two, the implementation of community health service policy.
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 maternal and child health care and health education, promote the implementation of various measures, and gradually realize the equalization of basic public health services.
Third, improve organization and management, and improve service capacity.
Further improve the organization, management and system construction of community health service centers and enhance their service capabilities. This year, we will continue to establish a unified and standardized resident health record for the permanent population in the jurisdiction, focusing on the filing of key groups such as the elderly over 60 years old, women and children, and chronic diseases. The established health records have played a substantial role through standardized management. On the basis of updating the health records of residents in the jurisdiction, it is planned to make the coverage rate of filing reach 80%. At the same time, strengthen the health management of elderly patients with chronic diseases. Actively explore and implement? First visit to the center, serious illness to the hospital, two-way referral, graded responsibility? Management mode of.
Four, efforts to improve the level of community health service team.
1, strengthen the training of community health service personnel, and the untrained personnel will continue to participate in the on-the-job training of general practitioners and community nurses recognized by the municipal health administrative department and various community health service skills training.
2, continue to carry out general practice team training, insist on organizing center staff to learn new ideas and skills about general practice and community health services every Thursday afternoon.
Five, improve the main functions of community health services.
(a), earnestly implement the preventive health care system.
1. Understand the general health status of residents in the jurisdiction and the main risk factors affecting residents' health, carefully formulate community health promotion plans and implementation plans, and hold health education lectures at least once a month with the active cooperation of sub-district offices. Health promotion day? And provide targeted scientific health information.
2. The main indicators of preventive health care for the resident population in the community are at a good level.
(1), and the legal reporting rate of infectious diseases is100%;
(2) The management rate of health care for children under 7 years old is increasing year by year;
(3) The management rate of maternal health care is increasing year by year;
(4) The proportion of blood pressure measured at the first diagnosis for patients over 35 years old is not less than 90%;
(5) The proportion of standardized management of hypertension in the elderly over 60 years old is not less than 85%, and a special health management file is established.
(2) To provide residents with convenient, fast and high-quality medical services.
1. General practitioners are familiar with relevant basic theories and skills, and correctly handle common health problems in the community.
2, timely provide home visits, home visits and other family health services. Implement dynamic services for special people.
3. Continue to provide Chinese medicine services such as Chinese patent medicine, acupuncture, massage, cupping, sticking, scraping, fumigation and acupoint injection.
(3) Improve technical services for rehabilitation and family planning.
1, continue to carry out family planning technical guidance, contraceptive distribution and consultation point services. Help key objects to implement contraceptive measures, carry out contraceptive knowledge education, and improve the awareness rate of contraceptive measures.
2, make full use of the resources of the rehabilitation station, by professional and technical personnel to guide rehabilitation patients to do rehabilitation exercises.
(four), 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 the hospital infection management system, strengthen disinfection and quality control, strictly implement medical waste disposal measures, and the medical waste disposal rate is 100%.
Six, strict supervision and management of community health services
1, regularly meet the supervision and inspection of the center by the health administrative department, and seriously rectify the problems existing in the inspection.
2, seriously accept the health administrative department of community health service personnel's medical and health management laws, administrative regulations, departmental rules and treatment norms, routine training and medical ethics education.
3, seriously study the plan to prevent and deal with medical accidents, strengthen medical quality management and medical accident prevention.
Seven, carry out health management.
With the rising diseases caused by unhealthy lifestyles, medical expenses are unbearable, which brings a heavy burden to families and society. It is one of the important tasks of our community health service workers to realize strategic advancement, mobilize patients treated in hospitals to return to the community after rehabilitation, and effectively manage their overall health and diseases. In the new year, we will try to start with health management, emancipate our minds, boldly innovate, carry out health education and chronic disease management pilot work in a planned way, organize our hospital to hold lectures on disease prevention and control knowledge, and at the same time carry out health education extensively in the form of exhibition boards, focusing on high-risk groups such as children, teenagers, the elderly, chronic diseases and intellectuals. It aims to improve the overall health level of the people in the jurisdiction.