First, continuously improve medical quality management and improve the quality of medical services.
1, implement the continuous improvement plan of medical quality. Comprehensively promote the Ministry of Health's "Ten Thousand Miles of Medical Quality", deepen the "Hospital Management Year" activity, the Provincial Health Department's "Zhejiang Province Medical Quality Continuous Improvement Plan", and conscientiously implement the city's medical quality continuous improvement plan. The first is to formulate the activity plan of Hangzhou medical quality continuous improvement plan (Hang Wei Fa (XXXX) No.241) and implement the city-wide medical quality continuous improvement plan. The second is to set up a leading group for the continuous improvement plan of medical quality in the city. Districts, counties (cities) and medical institutions have also set up corresponding organizations, formulated work plans, strengthened leadership, earnestly implemented them, and made solid progress. Third, gradually establish and improve the quality management organization system, quality evaluation and assessment system, quality information reporting monitoring and early warning system and quality management education and training system at all levels. Open competition for municipal medical quality control centers, and adjust and determine the undertaker of 15 center; Improve the quality management system based on the municipal quality control center, especially the information reporting and monitoring system. The fourth is to promote the development of key work. Implement the Measures for the Administration of Clinical Application of Medical Technology in the whole city; The hospital has established the management system of the first type of technology, carried out the application of the second and third types of technology, and effectively strengthened the management of clinical application of medical technology; Hangzhou First Hospital, Zhejiang Greentown Hospital and other hospitals started single disease quality management and clinical pathway pilot; Implement the Interim Measures for Outpatient Management of Hospitals in Zhejiang Province; Strengthen nursing safety management, carry out a survey of nurse allocation in local hospitals, and include nurse allocation in the comprehensive target assessment of the dean; Carry out quality management research and supervision in key departments such as hemodialysis and hospital awareness in the city.
2. Strengthen the supervision of medical institutions. Strengthening the supervision of medical institutions and improving the quality of medical services is the focus of medical management in the new period. First, strengthen the supervision of the implementation of the medical core system, and increase the weight, and include it in the comprehensive target assessment of hospital presidents around the country; Incorporate county-level hospital construction and quality management into the assessment of public health objectives of district and county (city) governments, guide medical institutions to strengthen hospital management, and implement the medical core system. Second, rely on and give full play to the role of the municipal medical quality control center, and strive to strengthen medical quality management. After the adjustment of each quality control center, the inspection, anesthesia, pathology, hemodialysis, hospital infection and emergency were investigated and examined throughout the city. The nursing quality control center conducts night flight inspection on the first people's hospitals of counties (cities); Organize municipal experts to conduct a comprehensive quality inspection of the First People's Hospital of some districts and counties (cities); Carry out "Quality Miles" and "Hundred Days of Medical Safety Activities" inspections in local hospitals. The third is to carry out the acceptance of qualified "clinical laboratories" in secondary hospitals in the city. Forty-five secondary hospitals in the city (equivalent to secondary hospitals) passed the examination, and 4 1 were ordered to rectify and re-examine 4 hospitals. Fourth, carry out prescription evaluation in bureau-level hospitals in combination with professional ethics construction, formulate prescription evaluation methods for medical institutions, promote prescription evaluation of medical institutions, and promote rational drug use and treatment with emphasis on rational use of antibacterial drugs.
3. Deepen medical safety management. First, continue to implement patient safety objectives, and combine the "100-day medical safety activities" and the construction of "safe hospitals" to refine the implementation of hospital medical safety management. Second, the Interim Measures on Implementing the Evaluation System of Medical Disputes Identification and Responsibility Investigation was issued, which evaluated the medical disputes reported or held by local hospitals every quarter, focusing on whether the responsibility identification and responsibility investigation of medical disputes in hospitals were implemented. Third, actively cooperate with the judicial department to carry out the research on the establishment of a third-party mediation mechanism for medical disputes in Hangzhou, and report it to the Provincial Health Department and the Provincial Department of Justice for implementation. Fourth, earnestly implement the Measures for the Administration of Hospital Complaints of the Ministry of Health, further improve the complaint management, establish and improve the complaint reception department, implement the "first complaint responsibility system", and actively do a good job in handling medical disputes and receiving letters and visits. In the whole year, the Municipal Bureau accepted 93 letters and visits from the provincial health department, municipal leaders, letters and calls bureau and 12345, and received more than 200 letters and visits from the masses, and coordinated and mediated major medical disputes and complaints 13, which played a positive role in stabilizing medical order and alleviating the contradiction between doctors and patients.
Two, the implementation of the "big competition", and constantly improve the ability of medical services.
Around the central work of "great construction, great integration and great competition" put forward by the party Committee of the bureau, a "great competition" of medical skills was carried out in various medical institutions at all levels in the city. Has organized the city's first aid skills, diagnosis and treatment skills and nursing skills "big contest" activities. All medical institutions in the city have been carefully organized and participated by all staff. * * * There were 359 participants from 67 units in the city contest. Through the "big competition" of medical skills, medical institutions in the city set off a climax of learning knowledge, practicing business and strengthening skills, forming a good atmosphere of "competition, learning, helping and surpassing", which is of great significance to improving medical quality, improving service ability, enhancing team spirit and highlighting hygiene.
Third, actively respond to the "H 1N 1" epidemic and successfully complete the emergency medical rescue work.
Under the correct leadership of the Bureau Party Committee, timely study and formulate the city's "A stream" medical treatment work plan, and guide all kinds of medical institutions at all levels in the city to carry out clinical treatment; In order to cope with the "H 1N 1" epidemic, the plan was adjusted in time, and the site, personnel, materials, technology, medical equipment and other aspects were fully prepared; Conduct all-round, multi-frequency and high-level professional knowledge training for designated hospitals of influenza A (H 1N 1) at all levels in the city; Timely organize supervision and improve the workflow of diagnosis, consultation, referral and treatment of critical diseases in medical institutions; Invest a lot of energy to focus on the treatment of severe and critical cases of "A H 1N 1" in the city. With the efforts of medical staff, the medical treatment of "H1N1" in the city was carried out in an orderly and effective manner. 2035 cases of "H1N1" were diagnosed in the city, including 626 cases in hospital, severe 17 1 case and 36 cases in critical condition.
Four, strict administration according to law, and constantly improve the level of supervision.
1. Actively participate in the planning of medical institutions in Hangzhou. Health departments at all levels shall, according to the new requirements of local social and economic development and the management of examination and approval of medical institutions, formulate and improve the planning of local medical institutions in a timely manner, and strengthen the examination and approval of medical institutions according to the planning.
2. Strengthen the implementation of the examination and approval system for the establishment of medical institutions. The Municipal Health Bureau has completed the examination and approval of the establishment of seven medical institutions. Carry out the registration and filing of health check-up services of medical institutions in the city, and complete the registration and filing of health check-up services of medical institutions under the jurisdiction of the city. 15.
3. Pay special attention to personnel access management. Strict examination and registration of practicing doctors and nurses, strengthen personnel qualification management, and ensure good personnel access. The whole city has completed 3 198 person-times of operating examination for medical practitioners, 2,703 person-times of theoretical examination, 9/9 person-times of doctor registration (city level), 7 person-times of foreign doctor registration, and the first registration 1 146. Nurse registration 15877 person-times.
4, seriously carry out regular assessment of medical practitioners. Formulate detailed rules for the implementation of regular assessment of doctors, strengthen the dynamic management after doctors' practice access, standardize doctors' practice behavior and improve the quality of practice. The municipal level has completed the regular assessment of 2923 medical practitioners, of which 2922 are qualified and unqualified 1 person.
5, comprehensively carry out the calibration of medical institutions. This year is the calibration year for all kinds of medical institutions at all levels. The city takes the verification of medical institutions as the starting point, focusing on strictly standardizing the diagnosis and treatment subjects, bed size and name verification. There are 4,375 medical institutions in the city, of which 133 were re-approved, 206 were cleaned up and treated, 69 were suspended, 27 were registered 127, and 3 were cancelled.
6. Strengthen the guidance and supervision of private medical institutions. Adhere to the principle of "whoever issues the certificate shall be supervised", and pay equal attention to service and supervision. First, the municipal private hospital management association was established through deliberation and consultation to strengthen industry self-discipline; Second, taking quality control work such as inspection, hospital sensation and anesthesia as the breakthrough point, the relevant quality control of private hospitals will be gradually incorporated into the quality control system; The third is to strengthen the investigation of private medical institutions, and the main leaders of the bureau went to Aidikang Medical Inspection Center for investigation and guidance.
Five, adhere to the overall service, and actively implement innovative projects.
1, the innovation and excellence project was successfully implemented.
Focusing on the innovation project of our bureau determined by the municipal government, "improving the medical security level of urban and rural poor and migrant workers with the platform of improving medical assistance measures for Huimin", it was actively implemented and achieved good results.
The first is to further improve the convenience service measures. Focus on strengthening social propaganda, strengthening hospital self-awareness, strengthening the implementation of various measures of "love clinic and Huimin ward", improving workflow and convergence, and truly benefiting the masses. According to incomplete statistics, the city's love clinic treated 239,738 patients, reducing medical expenses by 2,063,300 yuan; Huimin sickbed admitted 3,886 inpatients, and the medical expenses were reduced by 4 1.74 million yuan; Huimin Hospital treated 22,993 people (including outpatient18,884 people, inpatient/kloc-0 people, and hemodialysis-3,478 people), with a reduction of1245,438+0,000 yuan.
The second is to strengthen the treatment of homeless patients. Formulated the "Implementation Opinions on Strengthening the Treatment of Homeless Patients among Vagrants and Beggars", adjusted and increased designated hospitals, standardized the treatment process, and effectively implemented the medical treatment of homeless patients, which was highly affirmed by Vice Mayor He Guanxin of the municipal government. Special information was published in the 365th issue of Hangzhou Government Affairs. According to incomplete statistics, the designated hospitals in the city treated a total of 25 patients 1.925, and paid medical expenses of 2,495,900 yuan, including 40 inpatients1person, hospitalization expenses/.71.000 yuan, and outpatients1.500 yuan.
The third is to improve the medical security services for special care recipients. Conscientiously implement the "Measures for the Implementation of Medical Security for Pensions and Preferential Treatment Objects in Hangzhou", and the hospital took the initiative to implement "four exemptions and four reductions" for pensions and preferential treatment objects; At the municipal level, the Third Hospital of Hangzhou was identified as the designated hospital for pensions and preferential treatment, and a "one-stop" settlement service was implemented.
The fourth is to carry out rehabilitation projects for the disabled. Through the establishment of a national demonstration city for the disabled, the rehabilitation of the disabled will be actively carried out. 100% of cataract patients with rehabilitation needs will undergo sight-seeing surgery, and the cost of surgery for poor patients will be reduced, so as to build a cataract-free city in an all-round way; In order to solve the problem of poor ophthalmology medical technology in Chun 'an County, the United Disabled Persons' Federation sent a medical team composed of six ophthalmologists to Fenkou Town (the Second People's Hospital of Chun 'an County) to carry out the activity of "sending the light to the countryside", and performed free sight-restoring surgery for more than 40 poor cataract patients in the local area/kloc-0. Eight districts and counties (cities) in Shangcheng, Xiacheng, Xihu, Gongshu, Jianggan, Xiaoshan, Fuyang and Lin 'an passed the inspection and acceptance by the China Disabled Persons' Federation and the Provincial Disabled Persons' Federation, and were awarded the first batch of "cataract-free counties in China" by the National Rehabilitation Office for the Disabled. General hospitals at or above the second level will increase the rehabilitation medical function, carry out rehabilitation diagnosis and treatment services for physical disabilities, and undertake rehabilitation training and technical guidance for the disabled; Increase the Third Hospital of the city as a hearing disability appraisal hospital; Hangzhou Disabled Rehabilitation and Health Education Lecturer Group was established to carry out training. The city completed 5066 cases of cataract surgery, of which 2086 cases were operated for poor cataract patients by the "well-off project". Free operation for cleft lip and palate: 2 1 case.
2. The internationalization of tourism has been steadily advanced.
First, actively build Guangxingtang-Santai Mountain Villa Health Center to make it an integrated product of leisure, health and leisure. Design and launch characteristic health tourism routes; Santai Mountain Villa and Guangxingtang Chinese Medicine Health Center have launched new projects such as dietotherapy, Chinese medicine health care, massage, acupuncture and leisure physical examination. Receiving special health tour groups; Guide the city's recuperation industry association to take the lead in establishing the TCM health promotion alliance, actively plan the establishment of the TCM health promotion alliance and a series of activities of TCM health promotion tourism, expand publicity, accelerate the process of tourism internationalization, and strive to build the brand and image of Hangzhou TCM health tourism destination through the form of "industry alliance and horizontal alliance".
Second, the "Hangzhou Tourism Internationalization Medical Assistance Plan" was formulated. Further clarify the organizational system, working mechanism and safeguard measures to guide our city to carry out tourism medical assistance.
The third is to increase the training of first aid skills for staff in scenic spots and scenic spots.
The fourth is to carry out special research on recuperation. Research on the Present Situation and Industrial Development of Rehabilitation Industry in Hangzhou was listed as a Class A project of Hangzhou Health Science and Technology Plan in xxxx.
Six, improve the construction of first aid system, and constantly improve the ability to deal with emergencies.
1, complete the relocation of the city's emergency center and form the city's medical emergency command and communication system; Complete the transformation of the communication dispatching command system of the county (city, district) emergency sub-center, and form a unified and efficient pre-hospital emergency communication dispatching command system in the city.
2. Initiate the formulation of pre-hospital emergency diagnosis and treatment norms, revise the construction standards of emergency sub-centers and stations, carry out pre-hospital emergency personnel training, strengthen the connotation construction of pre-hospital emergency treatment, and improve the pre-hospital emergency treatment ability.
Seven, adhere to the overall planning, complete the medical work.
1. This year is the first year to deepen the reform of the medical and health system, actively cooperate with relevant work, and explore the reform of the management system and operation mechanism of public hospitals.
2. Deepen the counterpart support of public hospitals to primary hospitals. Continue to do a good job in the project of "ten thousand doctors give birth to the grassroots", and send 69 medical teams in three batches throughout the year; Send four batches of aid medical teams of more than 30 people to Sichuan; According to the deployment of the provincial health department, do a good job in supporting the county-level hospitals in Guizhou Province from the tertiary general hospitals.
3. Complete medical security and emergency medical rescue for major events such as the West Expo, Fireworks Conference, International Marathon, Senior High School Entrance Examination and College Entrance Examination. In the whole year, more than 0/00 sessions of municipal medical insurance/KLOC were completed, and more than 0/000 medical staff participated.
4. Complete the establishment of "green hospital" and the construction of related ecological environment provinces and cities. Four provincial-level green hospitals and nine municipal-level green hospitals were newly built.
5, strengthen blood management according to law, and constantly promote blood donation. By the end of 1 1, the city had completed a total of 160427 person-times, of which 68.86% donated more than 300ml at one time, 100% continued to donate blood voluntarily, and 100% of clinical blood came from voluntary blood donation.
6. Complete the college entrance examination. The city dispatched 286 medical staff, completed physical examination 1.8 million person-times, earnestly implemented the "sunshine physical examination" measures, reported the information in time, and completed the physical examination task with good quality and quantity.
7. Complete the physical examination for conscription. There are 446 medical personnel selected from the city's physical examination stations 12, and 9,960 people have completed physical examinations, including more than 65 female soldiers/KLOC-0, and 3,200 recruits have been selected for the army, including 93 female soldiers and 27 special forces, and the task of physical examination for conscription has been successfully completed.
8, do a good job of certification of refined anesthetic. * * * 275 certificates were issued throughout the year.
9, do a good job of urban residents medical insurance designated hospitals audit. Complete the pre-approval of 4 1 medical insurance designated hospitals throughout the year.
10, actively carried out civil air defense work and participated in the "Golden Shield -9" provincial and municipal joint civil air defense exercise.