Article 1 of the summary report on the working mode of community health service, the community health work in urban construction has always adhered to the working idea of "being pragmatic, unremitting and advancing as a whole", conscientiously implemented the spirit of the documents of relevant departments of the municipal, district and sub-district offices, and further strengthened the environmental sanitation management of community streets and back streets with "xx" as the work center this year. The work of the first half of 20xx is summarized as follows:
First, establish a sound mechanism and increase publicity.
The community has always adhered to the responsibility system of directors and cadres in charge, and established and improved the implementation network with the community as the leader and the units and residents in the jurisdiction as the entities. During the year, the contents of urban construction health work were widely publicized by holding X blackboard newspapers, X publicity columns, distributing xx handbooks, X Yu Ben, and distributing more than xx leaflets.
Second, implement the basic work and highlight the key points.
Carry out voluntary tree planting in spring when returning farmland to forests; In X month of this year, employees of community organization ***x and community residents carried out afforestation and * * * activities of returning farmland to mu, while planting trees, they publicized the relevant policy knowledge that land reclamation is strictly prohibited in our city, effectively curbing the phenomenon of land reclamation among residents and floating population. Supervise fire prevention and disaster relief work; The community has established a forest protection and fire prevention management mechanism, organized residents to learn fire prevention meetings for X times, and arranged special classes to patrol the mountains during high-risk periods. Before going to the grave in two seasons, organize rangers and community cadres to go up the mountain to cut hay along the road and in front of the grave. At the beginning of each year, at important hilltops and intersections, more than X fire prevention slogans should be painted. There was no forest fire last year. Whenever the rainy season comes, community cadres go door-to-door to visit brick and adobe houses in their respective jurisdictions, and go door-to-door to check the danger of each household.
Patriotic health month; Every year 10 month is X-day surprise month, and this year is X year for the implementation of "xx". Combined with this activity, in the patriotic health month, organize X units in the jurisdiction, organize xx residents in the jurisdiction, and unite more than X community cadres with superior leaders. * * * organized cleaning treatment for more than X times, * * * dredged the sewer for more than xx meters, cleaned up the sanitary corner for more than X places, * * * cleared up about X tons of garbage, and put an end to wild advertisements. At the same time, the surrounding residents have raised their awareness of environmental sanitation. Carry out civic school learning activities every month, do a good job in community health work plan, and widely publicize legal knowledge and civil civilization code. Establish and improve health education files, regularly check the health of community residents and the elderly in conjunction with community clinics, organize Women's Day and Double Ninth Festival on March 8, and invite experts from Taihe Hospital for four free clinics to check the health of more than X elderly people, women and children for free.
Third, strengthen the management of "three guarantees in front of the door"
The community continues to pay close attention to the work of "three guarantees in front of the door" and implement environmental sanitation to the responsible units. This year, * * * signed the "xx" responsibility system. The health assessment method, work account and assessment account of cleaning staff were established. From the handover of road sections last year to the gradual improvement of management this year, from the increase in the number of cleaning staff to the good guarantee of road cleaning quality now, the environmental sanitation work in the jurisdiction has been well improved, ensuring the orderly development of "xx" work. At least once a day, the community will inspect the cleaning road section, assess the post of the cleaning staff, solve the environmental problems at the first time, and ensure the cleanliness of the road.
The fourth is the work of "three cities jointly creating"
This year is the X year of xx. Around the instructions of the street office and the superior, the community takes overall actions to manage street sanitation and city appearance and environment. * * * Centralized rectification has been carried out for more than X months, and more than xx mobile vendors have been cleaned up, and more than X sanitary corners have been rectified. During the X and xx periods of returning farmland to forests, we will cooperate with our superiors to do a good job in environmental sanitation management.
Verb (short for verb) Other jobs
Residential area resident X belongs to the sales office relocation building, and the residents there belong to rural households. Due to the large number of residents, wooden sheds were built in front of and behind the building in the early years, which led to the crushing of septic tanks in sewers and the blockage of sewers became a legacy problem. In xx this year, the community organized a joint "xx" activity, invited X professionals to clean septic tanks in sewers, used X trolleys, spent more than xx yuan to solve the remaining problems for residents free of charge, and * * cleared more than X tons of garbage. In the next work, we will make a good work plan for the second half of the year, and strive to carry out all the work better.
With the correct leadership and strong support of the leaders of the Health Bureau and the hospital, all the staff of the Security Department can actively participate in the activities of promoting the standardization of community health services in Jiamusi City, constantly improve the mechanism, strengthen management, and strive to build a service system that meets the requirements of urban community health services, so as to provide safe, effective, convenient, economical and sustainable public health services and basic medical services for community residents. The 20xx annual work summary report is as follows:
I. Developing public health service projects
(1) Filing and maintenance of residents' health records
At the beginning of the year, community public health workers and computer workers numbered residents' paper and electronic files uniformly. More than 20xx residents' health files were newly registered, and nearly 30,000 residents' health files have been established.
(2) Health management of the elderly
Combined with household survey, establish health files, post leaflets, make phone calls, and help from community neighborhood committees. And call the elderly over 65 years old in the jurisdiction for general physical examination and blood sugar and blood lipid detection, and at the same time provide health guidance and health consultation to the elderly, and pay regular return visits to the elderly with chronic diseases. Up to 20xx 165438+ 10, our center * * * registered and managed 4,807 elderly people over 65 years old, and 383 people had physical examinations in 20xx, and nearly 20xx people received free physical examinations.
Management of patients with chronic diseases
1, hypertension management
Through household survey, free blood pressure measurement in the center and blood pressure measurement at the first visit, a total of 786 patients with hypertension were registered and entered into the microcomputer system as required. Follow-up regularly to ask about the illness, measure blood pressure, provide health guidance such as medication, diet, exercise and psychology, and standardize the management rate of%.
2. Management of diabetic patients
The patient was found through family investigation and blood sugar test at the time of initial diagnosis. And register and manage the confirmed patients, follow up regularly as required, ask about the condition, measure blood pressure and blood sugar, and provide health guidance such as medication, diet, exercise and psychology. At present, a total of 403 diabetic patients have been managed as required and entered the chronic disease management system, with a standardized management rate of%.
(4) Health education
In strict accordance with the requirements of health education service standards, actively carry out various health education activities, and take various forms such as distributing publicity materials, free clinics, publicity columns, theme publicity days, lectures, etc. to publicize health knowledge to residents and improve their self-care awareness. Up to 20xx, 1 65438+1October * * held various knowledge lectures 1 1 times, conducted health consultation activities 13 times, distributed nearly 20 copies of various publicity materials (more than 5,000 copies), and set up 5 publicity columns in the lobby.
(five) the management of children aged 0-6, pregnant women and severe mental patients.
At present, our center has registered and managed 356 children aged 0-6, including newborns, and the standardized management rate is%. Pregnant women, pregnant women, full-time maternal and child health care doctors and nurses go to maternal homes to carry out health care for newborns and pregnant women. 23 patients with severe mental illness, 265,438+0, were included in the management system, entered into the microcomputer as required, and paid a return visit four times a year, with a standardized management rate of%.
(six) infectious disease reporting system, health supervision and coordination.
According to the requirements of the Law on the Prevention and Control of Infectious Diseases and the Management Standard for Information Reporting of Infectious Diseases,
Establish and improve the infectious disease reporting system, and strictly implement it.
Established a health supervision and co-management service related work system, assisted health supervision departments to carry out health supervision work at any time, often went to schools, kindergartens and public places under their jurisdiction to carry out health supervision and co-management inspections, and carefully filled in inspection records, and established files and carried out inspections in key areas such as schools, kindergartens, hair salons, baths and clinics under their jurisdiction.
(7) Vaccination work
With the strong support of hospital leaders at all levels, and under the supervision of municipal and district disease control, two houses with an area of 50 square meters were newly renovated, equipped with a child care doctor and two full-time vaccination nurses, and purchased various vaccination equipment. It has passed the acceptance of Xiangyang District CDC, and the vaccination work was officially launched in early August of1/kloc-0. Responsible for vaccination of 2,328 children (excluding floating children) in 9 communities (plus two tall buildings in Xinglin), two primary schools (2 1 primary school and 5 primary schools) and a district-level kindergarten (Xiangyang kindergarten).
Second, the implementation of essential drugs.
Under the correct leadership and supervision of the leaders of the Health Bureau and the hospital, our center has set up the Pharmaceutical Affairs Management Committee and the Drug Purchase Supervision Committee. The selection of the drug list of medical institutions is open and transparent, with the records of the pharmaceutical affairs committees of medical institutions and the signatures of experts, and all systems are complete. Do not purchase non-essential drugs, fully use essential drugs, implement zero-difference sales, and purchase all drugs online, not offline.
Third, the status quo of performance pay
Defending the community health service center has approved the establishment of 20 people, and through open competition, there are 20 on-the-job staff, including 5 general practitioners, 8 nurses, 3 medical technicians, 2 pharmacists and 2 managers. According to the Measures for Performance Pay Assessment of Community Health Service Centers issued by the Provincial Personnel Department, the Personnel Department has formulated performance assessment rules, performance work assessment scheme and salary payment method, and combined with the actual situation of infectious disease hospitals, implemented the provincial and municipal performance pay system.
Four. Operating income and total expenditure income:
Total expenditure:
Profit and loss:
Outpatient visits:
Verb (abbreviation for verb) special service item
1, contract service
Provide signing service for residents in the jurisdiction, and work hours are on call. Services include door-to-door drug delivery, free blood pressure measurement, general examination, education and life assistance.
2. Preferential service
Issue discount cards to some low-income households and disabled people in the area, and enjoy 50% free treatment and auxiliary diagnosis when visiting community health service centers.
3. Free service
Free blood pressure measurement, no registration fee, no general examination fee.
Six, the difficulties in the work
1, residents can't actively cooperate with the household survey and filing work.
2. Community workers are older.
3. Aging of community facilities.
4. The house setting is not reasonable enough.
5. Personnel salaries cannot be paid in full.
Seven. Next work plan
1, strive for the support and attention from all walks of life, and strengthen its functions.
2, unremittingly carry out household surveys, and constantly improve the residents' filing and key population registration management, follow-up work, standardize the management of health records.
3. Further improve the registration and filing of health records and the health care of children and women through vaccination.
4. Intensify publicity, and encourage residents to actively participate in community health services through free physical examination, distribution of publicity materials, free clinic, theme day publicity and other activities.
5, strengthen the construction of professional and technical team, improve the quality of workers.
6. Improve the department construction and expand the service scope. Expand the scope of contracted services and increase the number of preferential services for vulnerable groups.
In a word, in 20xx, all the staff of the community health service center in Weifang District have successfully completed various tasks, but there are still many shortcomings in their work. In the new year, we will carry forward our achievements, overcome our shortcomings, work harder, forge ahead, keep pace with the times, innovate our ideas, organize carefully, and strive for new progress in all our work.
Summary Report of Community Health Service 3 This year is the "Year of Innovation and Promotion of Primary Health Service" proposed by XX District Committee and District Government. In order to comprehensively standardize and improve the quality and management level of community health services, according to the overall requirements of health work and the actual street work, we will summarize the work in the first half of the year:
First, the quality of medical services has been continuously improved.
In order to meet the current health needs of community residents, continuously improve the quality of medical services and improve the medical environment. The center takes the form of regular outpatient meeting on Monday to discuss the problems that appear in a week and put forward corresponding improvement measures. Carry out intensive business training for 10 new rural doctors, and send their business backbones to participate in the backbone training of general practitioners in the province. At the same time, send more than 2 Chinese medicine personnel to participate in the province's backbone training of Chinese medicine and appropriate technical training of Chinese medicine. The overall improvement of medical service level has laid a foundation for the further development of community health service; Improve medical services and optimize service processes. In order to provide patients with a good environment for medical treatment and infusion, we have equipped the infusion hall with a series of convenient facilities, such as TV sets and air conditioners, which have achieved due understanding, measures and effects. We have set up a one-stop window for reimbursement, guidance services and Chinese medicine decoction in the cooperative medical clinic, striving to create a warm diagnosis and treatment environment and provide convenient and satisfactory humanized services for patients. Through the above measures, the quality of medical services has been significantly improved and business income has increased rapidly. From June to May this year, the number of outpatients increased from 380 100 yuan last year to 724,857 yuan, an increase of 90.7% over the same period. The income from fixed assets increased from 856,000 yuan last year to 6,543.8+0.30969 million yuan, an increase of 53.7% over last year.
The second is to create star-rated health clinics and service stations.
According to the standards for establishing "star" health centers and health service stations, 2 health centers and 8 health centers in the hospital are classified, the "star" objectives of each unit are defined, the contents are decomposed into responsible persons, the completion time is defined, the work progress and quality are scheduled regularly, and all the work is urged to proceed smoothly. Qianguan Community Health Service Station will strive for a five-star community health service station this year. In the first half of this year, the village committee of Li Jiazhuang invested more than 6,000 yuan to paint the external wall of the health center, made a titanium logo for the health center with a stainless steel frame, replaced a high-standard publicity column, and equipped it with high-end household appliances such as color TV sets and washing machines, which made the health center look brand-new; Meet the five-star standard. At present, the main building for the expansion of Wanjiazhuang Health Center has been basically completed.
Third, comprehensive management and healthy operation.
The center invested more than 50,000 yuan, equipped all health centers with microcomputers and printers, improved the internal facilities of each unit, and implemented the responsibility system of all staff, with the responsibility going to people. Each health center conducts asset verification one by one in groups, and all drug inventory data are entered into a microcomputer, and integrated management is strengthened by networking with the center. Online supervision, online bookkeeping, prescription and cooperative medical reimbursement printing are implemented at any time, and the phenomenon of unauthorized drug intake and double accounting is completely eliminated. From June 5438 to May, the comprehensive income was 88 1342.70 yuan, up 89.2% year-on-year.
Fourth, community health services have been solidly promoted.
Community health service centers always adhere to the principle of "taking residents as the center, taking health as the goal and taking demand as the guidance" and vigorously carry out community health services. According to the requirements of superior documents, OO provincial community health service electronic file software system was installed in the center and station, a large number of electronic file information tables were printed, a new round of home physical examination was conducted, and family health files were established free of charge. Up to now, * * * has filed more than 2,075 files, including more than 39 electronic health records/kloc-0. At the same time, we will organize business backbones and hire experts from higher-level hospitals to go to the community for free physical examination for residents. Screening patients with chronic diseases, focusing on management and regular follow-up. At the same time, the annual physical examinations of primary and secondary school students and kindergartens were carried out, and the physical examinations of Xiajiazhuang and Wanjiazhuang kindergartens were basically completed.
Five, improve the new rural cooperative medical system
In the first half of this year, OO provincial new rural cooperative medical system software was installed in all health centers, which was networked with the whole region, and all the names of the participants were entered into the microcomputer, thus realizing the "one certificate pass" system of cooperative medical care in the whole region. According to the basic drug list of the new rural cooperative medical system in XX province, the expenses incurred in the treatment of health service centers, health centers and health stations will be reimbursed randomly on the spot. The office of the new rural cooperative medical system will announce the reimbursement to the villages in a timely manner every month and accept the supervision of the masses. In the first half of this year, the total reimbursement for the whole street was RMB, including outpatient service and RMB. The total number of seriously ill inpatients is RMB. It has played a very good role in alleviating people's "poverty caused by illness" and "returning to poverty due to illness", making the new rural cooperative medical system deeply rooted in people's hearts and constantly improving people's satisfaction with the new rural cooperative medical system.
Six, actively carry out the prevention and control of infectious diseases.
In the first half of this year, the district committee and government put hand, foot and mouth disease and influenza A (h 1n 1) on the important agenda. Therefore, the Party Working Committee of our street attaches great importance to this work and regards it as the top priority. Strengthen leadership, set up a leading group to be responsible for the specific matters of epidemic prevention and control, and hold prevention and control meetings in villages, communities, directly affiliated departments and kindergartens, and issue relevant documents. Further arrange the work, clarify the responsibilities, assign special personnel to ensure that all prevention and control measures are implemented. Extensive publicity, respectively, to 12 village health centers and service stations, 6 scattered health centers in factories and enterprises, 2 1 child care institutions, and 5 primary and secondary schools to carry out phased training on hand, foot and mouth disease and influenza A (h 1n 1), formulate the responsibility book for hand, foot and mouth disease prevention and control, and cooperate with village communities, hospitals and child care institutions. Through the distribution of leaflets, parent-teacher conferences and other forms of extensive publicity, enhance the awareness of prevention and control. Strengthen management and strictly implement various prevention and control measures. During the epidemic period, the leadership shift system was implemented, and the administrative, outpatient and pre-inspection triage were on duty 24 hours to ensure that the telephone and fax on duty were unobstructed 24 hours. Set up a pre-inspection triage desk, a fever clinic and a fever observation room to conduct pre-inspection triage for patients who come to see a doctor, and implement a special person to be responsible for disinfection and isolation to control nosocomial infection. Epidemiological follow-up services were provided to families of newly-added children with hand, foot and mouth disease. Supervise the kindergartens in the area twice a week, implement various prevention and control measures, and stop the park for rectification if the measures are not in place. At present, there are 23 cases of hand, foot and mouth disease in my street, mainly scattered children, and there is no phenomenon of suspension of classes in kindergartens. From this point of view, through the above measures, the incidence of hand, foot and mouth disease in our street has been effectively controlled and achieved the expected results.
In the second half of the year, we will continue to do a good job in the following aspects:
First, continue to do a good job in the prevention and control of hand, foot and mouth disease and influenza A (h 1n 1), continue to strengthen the supervision of kindergartens, check the vaccination books of children in kindergartens one by one, do a good job in the missed vaccination of various vaccines, and implement various prevention and control measures.
Two, in conjunction with the central hospital, to carry out a centralized physical examination of residents. And make full use of the electronic file software system, combined with the electronic file information table, to carry out a large-scale community health service household information survey, follow-up work of key people.
Third, prepare to complete the work of detecting and replanting leprosy gills, hepatitis A and encephalitis B in children under 14 years old in the near future, and at the same time, conduct health examinations for the remaining kindergartens and primary and secondary school students.
Fourth, further do a good job in the star creation of hospitals. Increase investment and strive to complete the interior decoration of Wanjiazhuang Health Center within one month.
According to the requirements of the Work Standard for the Management and Treatment of Severe Mental Illness issued by the Ministry of Health and the guidance of the District CDC, our community health service center has set up a severe mental illness management team headed by the center director to be responsible for the management and coordination of severe mental illness, and set up five working groups to be responsible for the clue investigation, registration, information collection and reporting of patients with severe mental illness in various communities. After registering the patients with severe mental illness who have been diagnosed and obtaining the consent of their guardians, health records will be established for the later period. In order to better serve patients with severe mental illness, we specially invite experts from Shalingzi Psychiatric Hospital to systematically train our staff.
At present, with the cooperation of sub-district offices and communities, there are 2 12 people in the jurisdiction, including 9 schizophrenia, 69 senile dementia, 3 affective psychosis, 2 paranoid psychosis, 23 depression 1 person, epileptic psychosis1person and 4 other mental disorders. Among them, 15 people suffered from severe mental illness, and 13 people obtained the consent of their guardians and were included in the management. Patients with severe mental illness 1 1 person this year, including inpatients 1 person and uninformed patients 1 person.
In the process of management, we follow up the patients once every quarter. For patients who often take drugs, inform their families of the side effects of drugs, and obtain the consent of their families to participate in the annual physical examination organized by the center, and carry out auxiliary examinations such as electrocardiogram, biochemistry, blood routine and urine routine for mental patients. This year, our center conducted an annual physical examination for 1 1 patients with severe mental illness.
There are still many shortcomings in our work, so we should constantly improve it in the future, make our work more scientific and reasonable, make our files more perfect, and strive to improve our service quality.
Under the unified arrangement of the Provincial Health Department and the Municipal Health Bureau, in order to cooperate with the community to carry out chronic diseases work, promote the establishment of a comprehensive prevention and control demonstration zone for chronic non-communicable diseases, and guide community residents to "self-manage chronic diseases and rebuild a healthy new life", the work of our center's health hut is now reported as follows;
I. Objectives
By building an integrated model of health cabin, we can measure the height, weight, blood sugar, blood pressure and waist circumference for community residents free of charge, provide health guidance services, improve the early detection and management level of chronic diseases such as hypertension and diabetes in the community, explore the modern self-service health management operation mechanism, gradually form a modern healthy lifestyle and improve the health level of residents.
Second, site selection
The health hut is located in the community health service center, with an area of about 30 square meters.
Third, the equipment configuration
Equipped with common and simple measuring equipment, such as height meter, weight meter, sphygmomanometer, blood sugar monitor, etc.
Fourth, the role
1, community residents: self-improvement, self-management, self-determination of their own health.
2. Medical institutions: publicize and organize the masses to carry out screening, treatment, follow-up and follow-up of chronic diseases.
Development of community health cabin with verb (abbreviation of verb)
Community residents can use the instrument for self-test for free, and know health indicators such as blood pressure, blood sugar and electrocardiogram in time. In the past six months, through the reasonable control and utilization of the limited resources of the health shack, our center has conducted health checkups for residents in the jurisdiction, especially the elderly and patients with chronic diseases, with a total of 1 10 person-times, including 8 new hypertensive patients and 5 diabetic patients.
By carrying out physical examination in the health cabin, we can measure the height, weight, blood sugar, blood pressure and waist circumference for community residents free of charge, and provide health guidance services to improve the early detection and management level of chronic diseases such as hypertension and diabetes in our center. While exploring the operation mechanism of modern self-service health management, a modern healthy lifestyle has been gradually formed and the health level of residents has been improved.
Through the physical examination of the health hut, we also realize that the health of residents is our top priority. Especially for patients with chronic diseases such as hypertension and diabetes, what we do is not only physical examination, but also correct intervention and guidance. Improve their quality of life.
Through the physical examination of the health hut, we also realized the arduousness of community work. In the limited resource space of manpower, material resources and financial resources, our center arranges a special person to be responsible for the physical examination of the health hut, and arranges sitting experts to assist in the special physical examination. Insist on physical examination at least twice a week.
In a word, there are still many shortcomings in physical examination. We will strive to improve every physical examination item in the future work practice, make better use of limited resources, truly realize the value of healthy huts and serve community residents.