The hospital investigation report can be described in three parts, the first part can describe the purpose of the investigation, the second part can describe the main contents of the investigation, and the third part can describe the overall situation of the investigation.
Model essay on hospital research report 1
Scientific Outlook on Development's proposal is an outstanding achievement of theoretical innovation, which embodies the profound understanding and scientific grasp of the development connotation of the new central leading collective, and is of great significance for us to grasp the overall situation and do all the work well. Hechuan People's Hospital plans to make use of the discussion and study in Scientific Outlook on Development, and Qi Xin will work together to find a correct orientation, think about development, and seek internal trust construction and promotion. According to the general requirements of Chongqing Municipal Health Bureau to position Hechuan health service as "Yubei regional health service center", Hechuan District People's Hospital decided to build the hospital into a national second-class first-class hospital as soon as possible. Therefore, according to the second batch of in-depth study and practice activities in Scientific Outlook on Development in Hechuan District and the notice on doing well the study and practice activities in Scientific Outlook on Development, the hospital conducted an in-depth study on the establishment of a national second-class first-class hospital.
I. Purpose of the investigation
According to the overall goal put forward in the Implementation Plan of the Second Batch of Further Study and Practice in Scientific Outlook on Development in Hechuan District, Scientific Outlook on Development will lead the overall development of the hospital, closely focus on the goal of establishing a second-class first-class hospital, firmly grasp the two cores of reform and development, carry out in-depth investigation and study, and conscientiously sum up the successful experience of the hospital in implementing Scientific Outlook on Development. Identify and solve the outstanding problems that affect and restrict the scientific development of hospitals, identify the gap according to the gold standard of second-class first-class hospitals, form a number of targeted, operable and innovative research results, promote the transformation of research results into thinking and systems that promote the scientific development of hospitals, and strive to build a modern mechanism conducive to the scientific development of hospitals.
Second, the research content
It mainly comes from the gap between the national standards of hospitals and secondary hospitals. The plan to solve the national standard gap between hospitals and second-class first-class hospitals began to be investigated from the following aspects.
1. Hospital Master Plan-Core Project
2, discipline construction and personnel training-the future project
3. Resident Training-Chaoyang Project
4, hospital information construction-efficiency engineering
5. Improve the executive power of cadres and streamline institutions-development projects.
6, optimize the management process, optimize the medical process, streamline the workflow, improve work efficiency-quality project.
7, the implementation of the core system-quality engineering.
8. The bottleneck problem that affects hospital development and social image-image project.
9. What is the gap between the national gold standard of hospitals and secondary hospitals?
10, is there any way to solve the gap between hospitals and secondary hospitals?
Third, research methods.
1, to carry out learning and practice activities in Scientific Outlook on Development. Through seminars and other forms, solicit opinions and suggestions from hospital departments, departments, all walks of life and the people on the scientific development of hospital work and the establishment of a national second-class first-class hospital.
2. Communicate with the health administrative department and listen to their suggestions and opinions on establishing a national second-class first-class hospital in our hospital.
3. Contact professionals in institutions of higher learning and listen to their suggestions and opinions on the establishment of a national second-class first-class hospital in our hospital.
4. Special investigation of newly-built second-class first-class hospitals.
Fourth, the survey results.
(1) Review of the Development of Hechuan People's Hospital in Recent Years
Hechuan People's Hospital has experienced many years of development and changes. Remarkable progress has been made in medical treatment, teaching, scientific research and hospital management. In the past 20 years, a substantial and important step has been taken towards the standards of teaching hospitals in medical colleges, mainly in the following eight aspects:
1, the hospital scale has made a breakthrough.
In the past five years, the number of hospital beds has increased from _ _ to _ _ _, and the number of open beds has reached _ _, which has increased by __5% in five years, reaching the scale standard of teaching hospitals and tertiary hospitals in medical colleges.
Fixed assets increased from 10,000 yuan in 2004 to 10,000 yuan in 2004, an increase of%. The housing area increased from _ _ square meters in 2004 to _ _ square meters in 20 years, an increase of _ _%. In the past 20__ years, the number of emergency visits has reached _ _, and the number of hospital beds has reached _ _. The total revenue of hospital business will increase from _ _ million in 2004 to _ _ billion in 2020. Total operating income increased by _ _% every year. In 20__ years, the balance of payments reached _ _ ten thousand yuan.
2. The discipline construction is developing continuously.
In the past five years, the hospital has overcome many difficulties and developed from an imperfect first-class discipline to a first-class discipline. The setting of the two disciplines fully meets the setting standards of secondary hospitals. Now there are _ _ first-level departments _ _ second-level professional departments _ _ medical technology departments _ _ diagnosis and treatment centers.
3, talent echelon gradually formed.
Through several years' efforts, we have gradually formed a team of basic talents through going out for training and internal integration, which has played a prominent role in hospital medical care and management.
At present, there are _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
4. Remarkable achievements have been made in scientific research and teaching.
In 2000, there were _ _ scientific research projects in Chongqing, _ _ scientific research projects in Hechuan and _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
In the past five years, there have been breakthroughs in both quantity and quality in teaching. From teaching only with interns to teaching clinical courses systematically and comprehensively, there are _ _ interns and _ _ senior students in the hospital. There are now _ _ clinical teaching and research sections, and the number of people engaged in teaching has reached _ _. Nursing teaching has also been improved from teaching only with technical secondary school interns to teaching with college students and undergraduates.
5. Hospital management is gradually standardized.
In the past five years, hospital management has undergone a transformation from an extensive and rigid planned economy to the management of public institutions and health industry. On the basis of learning from the management of other hospitals, the quality management, economic management, information management, medical insurance management and safety management of hospitals are gradually standardized, making them scientific, institutionalized and standardized.
6. The hospital culture construction has achieved initial results.
In recent years, with the joint efforts of the party, government and workers' corps in the hospital, we have paid special attention to the ideological and moral construction of employees, continuously strengthened the education of serving patients, vigorously advocated the spirit of science, rigor, honesty and professionalism, and created a United and harmonious hospital environment.
7. The two major benefits of the hospital have been significantly enhanced.
In the past five years, the hospital has experienced many storms and changes, but it has always grasped the main line of reform and development, developed in reform and remained stable in development. The popularity, patient satisfaction and social influence of the hospital have been continuously improved, and the scale and benefit of the hospital have also been significantly improved. It has become a medium-sized medical college with strong competitiveness.
(2) The necessity of establishing a secondary hospital.
1, Current situation of medical institutions in Hechuan District
Hechuan District is located in the north of Chongqing, at the intersection of Jialing River, Fujiang River and Qujiang River, with a population of 6,543.8+0.52 million. It is one of the six regional central cities in Chongqing. There are 32 non-profit medical and health institutions funded by the government, including 7 directly affiliated medical and health institutions, central hospitals 1 1, and township hospitals1/. There are more than 2,700 medical and health personnel, with 230 beds1piece, 87 village clinics1piece and 3 street hospitals (community health service centers). There are 2,396 employees and 937 non-employees in the region. The network of medical treatment, epidemic prevention, maternal and child health care and first aid in the whole region is perfect, functioning well and rich in medical resources. Health work is an important guarantee for the sustainable development of economy and society. In order to assume the role of regional health service center, adapt to the sound and rapid economic and social development in Hechuan and accelerate the pace of urban and rural planning, it is necessary to establish a second-class first-class hospital.
2. Medical and health development needs in Hechuan District
Hechuan District is a regional central city in Chongqing and an important part of "1 hour economic circle". The traffic in Hechuan District is developed, and the construction of urban traffic network has been basically completed. At the same time, due to its special geographical location, it will become the transportation hub of surrounding counties, and the Xiangyu Railway, suining-chongqing railway Railway and Weinan Railway will pass through the territory. The second cement road from Hechuan, Sichuan to Nanchong, the first cement road from Hechuan to Tongliang, and the expressway from Chongqing to Wuhan have all been connected. If a third-class first-class hospital is established in Hechuan, it will have a wide radiation area and serve more than 3.2 million people. The economic development, social progress and the improvement of people's living standards in Hechuan District need safe, effective and convenient medical institutions to provide high-quality medical services. Residents' demand for medical care is getting higher and higher, and people are paying more and more attention to the medical environment, quality of diagnosis and treatment and comfort. The majority of patients put forward stricter requirements for hospital service quality and hospital grade. The establishment of secondary hospitals is related to the comprehensive competitiveness of hospitals in the future and the overall image of regional central cities, and plays an important role in further improving the regional public health system, improving the emergency response capability of public health emergencies and enhancing the image of Hechuan city.
3. Research on the demand of medical and health service centers in northern Chongqing.
Hechuan area has obvious advantages, which is located at the northern edge of Chongqing, adjacent to Tongliang, Tongnan, Vu Thang and Yuechi counties in Sichuan, and is the north gate at the junction of Chongqing and Sichuan. Hechuan is the central city in northern Chongqing, and the Chongqing Municipal Party Committee and Municipal People's Government also attach great importance to the construction and economic development of Hechuan District. Many municipal administrative agencies are located in Hechuan. The medical services in Hechuan District also have strong radiation and absorption capacity. Historically, many patients in Tongliang and Tongnan of Chongqing, Vu Thang and Yuechi County of Sichuan went to Hechuan for medical treatment, which made the medical business volume in Hechuan higher than that in neighboring counties. Therefore, the geographical and medical advantages of Hechuan are incomparable to other districts and counties in this area. But there is no comprehensive secondary hospital in this area.
4. Hechuan economic and social development needs
Today's social undertakings are economic work ten years later. With the construction of Hechuan regional central city, Hechuan will be a big city in the future. Considering the location advantage of Chongqing, Hechuan is close to Chongqing and has advantages. Hechuan has a good living environment, cheap housing and high quality of life, which can attract many working-class people in Chongqing to support the elderly in Hechuan. In the future, there will be more than 654.38 million college students in Hechuan. After the successful development of Fishing Town, Hechuan will become a new tourist city, and many foreigners will come. In the process of accelerating the development of Hechuan, a number of large projects are coming, many of which are not from Hechuan, and our medical security must keep up. Taking accelerating urban and rural planning, building a harmonious socialist new countryside and ensuring people's health as the starting point and the end result of health work also requires us to build the people's hospital into a second-class first-class hospital.
Model essay on hospital investigation report II
Recently, the central hospital, infectious disease hospital and emergency center (hereinafter referred to as the central hospital) were investigated. The main investigation and suggestions are reported as follows:
I. Basic information
_ _ Central Hospital (Second Hospital of the City) is the only national third-class first-class general hospital in _ _ health regional planning, and it is also the _ _ 120 emergency center, _ _ infectious disease hospital and _ _ emergency command center. There are 1 100 beds (including 230 infectious diseases hospitals in the city), the total number of employees is 2 176, the senior title is 157, and the intermediate title is 3 1 1 person, with clinical, medical and administrative functions. It has more than 670 sets (pieces) of high-tech equipment of more than 10,000 yuan, such as nuclear magnetic resonance, gamma knife, 128 row spiral ct, and complete medical facilities. 20__, 373,290 outpatient and emergency visits, 40,483 hospital discharges, and110/8 operations, with a total hospital income of 475 million yuan. As of 20__, the total assets of the hospital are about 65 1 100 million yuan, the total liabilities are about 234 million yuan, and the asset-liability ratio is 35.99%. The number of outpatients in the hospital ranks fifth among provincial central hospitals, and the per capita outpatient and inpatient expenses are at a low level among similar hospitals. It is a provincial civilized unit and a provincial people's assured hospital.
Second, the main practice of hospital reform
(A) innovative management service mechanism
We will deepen the reform of the internal management system, implement the reform of the employment system in which all employees are employed and the evaluation and employment are separated, and gradually establish a post management system in which posts are determined by events, people are selected by posts, posts are determined by posts, and posts are paid accordingly. At the same time, the diversified post allocation incentive system is based on post management, based on the number and performance of posts, and based on assessment and evaluation, so that the salary is fixed on posts, tasks and performance, and the salary structure of personnel is reformed to maximize the treatment of employees.
The central hospital belongs to the financial unit of balance allocation, and the annual financial allocation is only 65.438+0038 million (including infectious disease hospitals), while the annual wage insurance welfare expenditure is about 65.438+06.5438+03 billion yuan (excluding hidden supplements), and the annual financial allocation is only enough for one month's wage welfare expenditure of the hospital. On the premise that the growth of total wages is not higher than the growth of economic benefits and the average wage of employees is not higher than the growth of per capita benefits, the hospital flexibly regulates the total wages and determines the total wages according to the monthly balance of payments. Divide employee's salary into post salary and performance salary, adopt measures such as setting up department director's allowance, special medical and health allowance system, and increasing post fee allowance, and rationally adjust the distribution to ensure that employee's income will increase to a certain extent every year. The employment contract system is implemented for employees, and long-term contracts are signed with business and technical backbones. The Interim Measures for the Payment of Wages for Non-staff Employees is newly formulated with reference to the methods for the payment of wages for regular employees, aiming at narrowing the wage distribution gap between non-staff employees and in-staff employees. For employees who hold post qualification certificates and have worked in the hospital for one year, they should apply for corresponding social insurance, continue to implement the performance compensation of nurses' salary, the competition system for head nurses and the last elimination system, and optimize 10%-50% to receive equal pay for equal work with regular employees every year according to the economic operation. In the past three years, the central hospital has recruited more than 90 talents with college education or above, introduced more than 20 technical backbones from other hospitals, and carried out 28 new technologies and projects, of which 18 won provincial and municipal scientific and technological progress awards respectively.
(two) to undertake a number of government public health service functions.
The Central Hospital was established in 1953, with a history of nearly 6 1 year. 20__ years, increased to _ _ central hospital. _ _ City 120 Emergency Center, _ _ City Infectious Disease Hospital and _ _ City Health Emergency Command Center were all established by hospitals. In public health incidents such as sudden gas explosion in coal mines, collective food poisoning of school students, large-scale car accidents, SARS and other infectious diseases, earthquake relief and so on, they always go all out to make due contributions to the city's health emergency work. In the medical rescue work of Yushu earthquake in Qinghai in 20__ _ _, 420 medical staff went to the front line of earthquake relief in Qinghai, and made room for 100 beds in two days to make full preparations for receiving the wounded. In implementing the policy of benefiting the people, bed fees, standard fees and treatment fees are reduced and exempted for poor households, low-income households and five-guarantee households every year. Within the scope of the policy, over the past three years, more than 3 million yuan has been reduced or exempted, and 87 patients have been treated.
(3) Effectively control the unreasonable increase of medical expenses.
It is clear that improving the utilization rate of beds, shortening the average hospitalization days and controlling the growth of medical expenses are one of the main tasks of target management, strictly implementing the new rural cooperative medical insurance policy, carrying out special treatment activities of antibiotics and interventional consumables, and proposing measures such as paying at a limited price according to diseases, encouraging the use of cheap Class A drugs, and improving the control mechanism of hospital hospitalization fees and refund. Focus on the implementation of "rational drug use and rational inspection" in various departments, and the effect of cost control is gradually emerging. In 20 years, the proportion of hospitalization expenses for drugs was 27.97%, which was the lowest among prefecture-level hospitals in the province. The per capita outpatient expenses were 238 yuan and the per capita hospitalization expenses were 9539 yuan, which was the lowest among prefecture-level hospitals in the province.
(D) Explore the vertical integration of urban and rural medical resources.
With the central hospital as the leader, community health service institutions and county hospitals at all levels as the network, a medical technology consortium was established. Its main contents include: 1, the hospital sent backbone medical staff to China Community Health Service Center and Wu Ban Community Health Service Center, and the working ability of community medical and public health services was significantly improved; 2. Complete the mandatory tasks of the government, and earnestly implement the tasks of supporting agriculture and aiding Tibet; 3, the implementation of two-way referral, community health service institutions in a timely manner to the hospital referral patients, open a green channel for rapid consultation; 4. The high-end inspection items of community health service institutions shall be inspected and tested by the central hospital, and large-scale instruments and equipment shall be inspected and reserved; 5. Strive to undertake the standardized training program for general practitioners in _ _ _ _; 6, the construction of _ _ _ city children's health center and clinical base project.
(5) Effectively improve the people's feelings of seeing a doctor.
The first is to optimize the diagnosis and treatment environment and service process. Full implementation of annual holiday-free outpatient service, increase of mobile charging window, improvement of in-patient inspection process, staggered inspection and flexible scheduling, effectively solving the problem of long waiting time of patients such as B-ultrasound, magnetic resonance imaging, ct and dynamic electrocardiogram, implementing the automated pharmacy project, and enhancing the image of outpatient service. The second is to rationally allocate the manpower of nurses, promote the "quality nursing demonstration project", popularize the mobile clinical nursing system, and continuously promote the quality nursing service. The third is to actively promote appointment diagnosis and treatment and two-way referral services. The hospital launched an appointment platform for outpatient registration in the health department, and established a link with the wisdom Xianyang. All clinics can register by mobile phone. According to the principles of voluntary, graded diagnosis and treatment, resource sharing and seamless management, the hospital has established a two-way referral relationship with primary medical units to provide patients with overall and continuous medical services.
(six) continue to increase the intensity of information platform construction.
High-standard research rooms, reading rooms, academic exchange halls, network computer rooms, doctor workstations, nurse workstations, electronic medical records, electronic doctor's orders, automated pharmacies, etc. have been built for clinical work, standardizing the hospital diagnosis and treatment process and improving the conditions of medical, teaching and scientific research facilities. Carry out the pilot work of wireless ward round, and use digital means to let doctors and nurses have more time to come to patients' bedside; The service process transformation based on digital information platform is being implemented, such as outpatient queuing and one-card service.
(seven) to create a good public opinion environment and build a harmonious relationship between doctors and patients.
Do a good job in publicity and training and policy interpretation, strengthen the publicity of the significance, main tasks and policy measures of the pilot reform of public hospitals, and mobilize the enthusiasm and initiative of the majority of medical staff to participate in the reform. By holding doctor-patient seminars, lectures on health knowledge, strengthening the publicity of newspaper articles and TV programs, and strengthening the construction of portal websites, we will create conditions for the masses to understand the operating rules of hospitals and the ups and downs of doctors, let doctors know the needs and aspirations of patients, publicize outstanding deeds, and strive to build a harmonious doctor-patient relationship with mutual respect and understanding.
(eight) the comprehensive service capacity of infectious disease prevention and control has been comprehensively improved.
In 20__, the mental ward and brain building of Dong Jiao Branch were put into use. At the end of 10, the boiler heating and debugging of auxiliary medical departments such as ct, color Doppler ultrasound, hyperbaric oxygen, radiation, student dormitory and multifunctional training room will be completed, and the information network platform will be fully laid. The neurology department, psychopsychology department and anorectal department were relocated, and more than 5 million yuan was invested to build a fever clinic and an infectious ward with beds 100. At present, Dong Jiao Branch has 230 beds, and the actual number of inpatients exceeds 260 every day. In the past 20 years, there were 4,480 outpatient and emergency visits, 4,396 hospitalizations and 4 1 14 discharges.
(9) Health emergency response capability has been enhanced.
Based on the principle of combining peacetime and wartime, with the help of advanced information-based first aid command system, we will strengthen daily pre-hospital first aid drills and standardize strict management. In April, 20 _ _ _, successfully presided over the provincial health emergency work and the municipal health emergency command system construction promotion meeting, which was affirmed by the leaders of the Provincial Health Department and the Municipal Health Bureau. In the past 20 years, there have been 1 1203 person-times, with a year-on-year increase of 13.74%. 9390 patients were recovered, an increase of19.54% year on year; The number of patients admitted was 68 14, an increase of15.12% over the same period of last year; Other counties visited 2322 times, a year-on-year increase of 39.9%. Participated in all kinds of security tasks in the city for 35 times, participated in large-scale first aid drills in the city for 3 times, and no major safety accidents occurred, which made due contributions to the people's health first aid work in the city.
Three, some thoughts on deepening the reform of public hospitals in our city
(1) Strengthen organizational leadership. The establishment of a leading group for the reform of public hospitals in _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(2) control medical expenses. It is the primary goal of public hospital reform to solve the problem of "difficult and expensive medical treatment" for the masses. Clearly control the growth of medical expenses as one of the main tasks of reform, and innovate the performance appraisal mechanism of public hospitals.
(3) Increase financial investment in public hospitals. Support new projects in public hospitals, steadily resolve public hospital debts, and accelerate the informatization construction of public hospitals. Determine the leading position of the government in providing public health and basic medical services. Strive to make substantial progress in public hospital infrastructure construction, large-scale equipment configuration, talent introduction and training, medical technology and information construction. Preferential policies are given to hospitals for infectious diseases, occupational diseases, mental hospitals, children's hospitals and emergency medical institutions. Give special subsidies to the public health service tasks undertaken by public hospitals, and guarantee the public health service funds designated by the government, such as first aid, foreign aid, agriculture support, foundation support and border support. In particular, it is necessary to increase the investment in head fund and capital construction to maintain the development momentum of hospitals.
(D) Improve the hospital financial management system. Explore the implementation of the chief accountant system in large public hospitals. Strict financial centralized and unified management, improve the internal control system of financial accounting, internal and external audit system. Strictly implement the hospital financial system, hospital accounting system and wage policy of public institutions, strengthen cost management, strengthen the feasibility demonstration of reconstruction and expansion projects, equipment purchase and large-scale reconstruction projects, and supervise the procurement, storage and consumption of materials.
(5) Deepening the reform of hospital personnel distribution system. Establish and improve the personnel management system with the employment system and post management system as the main content. According to the scale and establishment of the hospital, the number of employees should be reasonably determined, and the employment mechanism should be established, such as setting posts by things, competing for posts, setting salaries by posts and contract management, so as to realize the transformation from fixed employment to contract employment and identity management to post management. Improve the professional title evaluation system for medical staff. The implementation of post performance salary system, salary and service quality, post workload and other comprehensive performance linked. Improve the performance appraisal system with professional technical ability, work performance and medical ethics as the main evaluation criteria, reasonably determine the treatment level of medical staff, reflect the characteristics of medical service work, and fully mobilize the enthusiasm of medical staff.
The above is what Bian Xiao shared today, and I hope it will help everyone.