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Hospital activity implementation plan
Implementation plan of hospital activities 1 In order to earnestly carry out the activities of striving for "honesty, honesty and serving the people" in hospitals, promote healthy medical practice, further strengthen the construction of medical ethics, establish a good social image of medical and health work, and effectively serve economic construction and people's health. According to the spirit of Law No.36 and Medical No.42, we will inform you of the implementation plan of our hospital's "striving for a hospital with low price, good quality and integrity for the people", and ask all departments to take active actions in combination with the actual situation and earnestly follow it.
(A) the establishment of organizational structure, strengthen leadership
Under the new situation of further deepening the reform of hospital departments, it is a beneficial activity to strive for a "cheap, honest and civilian" hospital. Hospital cadres and workers should improve their understanding, unify their thinking, establish organizations and strengthen their leadership from the height of stressing politics, taking the overall situation into account and promoting development. In the leadership system of each department, the "section chief and director" should personally take charge, the head nurse should actively cooperate, and the department staff should actively respond. To provide organizational guarantee for ensuring the smooth development of the hospital's pioneering and striving for Excellence activities. The hospital has set up a leading group to make overall arrangements, check and supervise, set up an office and make specific arrangements for implementation. (See Annex for the list of members)
(2) Content requirements
1, clean medical care
(1) medical staff should consciously abide by the rules of honesty and self-discipline, social service commitments and standardized service requirements, and refuse to accept various forms of "red envelopes", articles and banquets from patients and relatives, as well as kickbacks and benefits given by promoters in various names; Professional doctors are prohibited from practicing in other places without authorization; Put an end to issues such as invoicing commission and fixed-point drug purchase. (supervision group)
(2) Hospitals must purchase large-scale instruments and reagents and consumables with large consumption through centralized bidding or public bidding, and departments or individuals are prohibited from purchasing. (Pharmaceutical Machinery Department)
(3) the hospital set up a special person to supervise the implementation of medical service prices and drug prices. In accordance with the "Henan Province Medical Price Standard (Trial)", the price implementation is often checked, so that the unit does not have problems such as independent projects, decomposition, duplication, over-standard charges, and arbitrary charges. (Finance Section)
(4) Establish a new assessment and distribution mechanism, gradually implement the performance accounting system, comprehensively evaluate the two benefits according to quantitative indicators such as work, service level and medical quality, and implement performance pay. It is strictly forbidden for the department to collect cash privately, and the department has no external accounts, privately set up "small treasury" and privately store public funds. (Quality Inspection Section, Supervision Section)
(5) Establish and improve medical ethics, incentive, supervision and punishment systems and medical staff's medical ethics files, conduct an assessment every quarter, and record the assessment in the medical ethics files; The qualified rate of archived documents is 100%. (supervision group)
2. Honest service
(1) Earnestly fulfill the content of service commitments and consciously accept the supervision of the society and news media; Establish a basic reward system for reporting, set up a reporting telephone number and suggestion box, investigate and deal with violations of commitments 100%, and honor the reporting reward 100%. (supervision group)
(2) Adhere to the publicity of medical service charges and drug prices, with the publicity rate of100%; One-day list of hospitalization expenses is standardized, and the awareness rate of issuing signatures to patients is 100%. (Pharmaceutical Machinery Department, Nursing Department)
(3) Strict hospital management is prohibited, and it is forbidden to rent or contract outside the department, and illegal acts such as exceeding the scope, exceeding the main body, and violating access to technical projects are prohibited; The completion rate of "Two Certificates" for on-the-job technicians was 1.000%, and there were no medical accidents above Grade II throughout the year. (medical management)
(4) Purchasing drugs in strict accordance with regulations and conscientiously implementing the price policy; The centralized purchasing rate of drugs is 100% (except special drugs and Chinese herbal pieces), and the winning drug rate is 100%, and the proportion of drug income in hospital medical income is less than 45%; The qualified rate of drugs, instruments and medical consumables is 100%. (Pharmaceutical Machinery Department)
(5) Establish a rationality analysis system for drug use, testing and inspection, evaluate the drug sales situation (top 10) and the necessity of testing and inspection every month, and immediately correct any problems found; The medical expenses of the same disease and its growth rate are less than the average level of similar hospitals at the same level. (Medical management, medical machinery, finance)
3. Serve the people wholeheartedly
(1) The hospital has a schematic diagram of the distribution of departments, medical guidance signs and warning signs; The hospitalization environment should be neat, comfortable and quiet. The outdoor rehabilitation activities of the hospital are clean and beautiful, and the seasons are evergreen; The ward is clean and tasteless, with 24-hour supply of boiled water, and a catering system for hospitalized patients is implemented. Standardize logistics services, so that administrators make rounds once a day and department leaders make rounds once a week. General problems should be solved within three days, and emergencies should be solved immediately. Do a good job in cleaning, disinfection, repair, drying, folding and sending of "three deliveries, three deliveries" and "bedding" as required, and effectively serve the clinical front line. (Logistics Section)
(2) Medical personnel should dress neatly, behave in a civilized manner, be kind and considerate when accepting patients, and strictly guard against ugly words, ugly faces, shirking, reprimanding and making things difficult for patients. It is forbidden to quarrel with patients. (supervision group)
(3) Adhere to the service concept of people-oriented and patient-centered, so as to save lives. The coincidence rate of diagnosis inside and outside the hospital, the cure and improvement rate are over 90%, the outpatient prescription and hospitalization medication and examination are reasonable, and the qualified rate is over 95%. Do a good job in community medical care, health care and services, broaden the medical service network, and go to the countryside once a month. (Medicine and Political Science, Community Science)
(4) Adhere to the system of patients choosing doctors; When taking medicine, doing laboratory tests, checking and self-funded medical insurance projects, patients should be consulted and their wishes should be respected. Patients' informed consent rate 100% (as appropriate for patients with special diseases such as cancer). (Medical Management Department, Nursing Department)
(5) The outpatient department adheres to the first consultation, guidance and triage services based on the convenience of patients seeking medical treatment, and provides full service for the elderly, the weak and the disabled; The emergency department adheres to the service of "three first and one later" (consultation first, examination first, rescue first and payment later), and the patient rescue rate is 100%. The East and West Hospitals clearly demarcate the parking spaces for motor vehicles and rickshaws, and implement the patrol system for outpatient clinics and wards to maintain normal medical order and ensure "three guarantees in front of the door". (outpatient office, security section)
(6) Establish a "professional ethics inspection" system, hold regular symposiums for patients and their families, and listen to opinions from all sides. The adoption rate of correct opinions was 1.000%, and the comprehensive satisfaction of medical services was over 95%. (Supervision Department, Nursing Department)
(3) Make plans and implement responsibilities.
All departments should organize personnel to seriously study the Implementation Plan formulated by the Health Department of Henan Province, focusing on the 12 policy and 16 specific requirements of "clean medical practice, honest service and serving the people wholeheartedly", combining with the current situation of special rectification work, carefully formulate specific, operable and feasible implementation rules and plans, and clarify the objectives and tasks of the activities, with the responsibility to the people. (The detailed rules and plans for the implementation of each department shall be submitted to the striving activity office 30 days before)
(4) Carefully organize and do a good job in self-assessment.
All departments should, in accordance with the requirements and their respective implementation rules and plans, on the basis of "three no departments (no red envelopes, no kickbacks, no commission)", hospitals and departments should conduct regular inspections and self-examinations in accordance with the Detailed Rules for the Evaluation of Affordable Medical Care and Honesty for the People Hospital of Henan Provincial Health Department, regularly write self-evaluation reports, and submit them to the hospital leading group for evaluation, so as to effectively carry out the striving for success activities.
(e) Create momentum and strengthen supervision.
We should take different forms and set off a climax of striving for success. East and west clinics should hang propaganda slogans and banners in eye-catching positions in hospitals; The hospital office should make TV short films around the content of striving for Excellence, and make use of hospital briefings, various news media, newspapers and magazines to vigorously publicize the new measures, new achievements and emerging advanced models of striving for Excellence; All departments should take advantage of the publicity activities of blackboard newspapers and wall newspapers and take measures to emerge good people and deeds. Form a good atmosphere of advocating advanced, learning advanced and striving for advanced in the hospital.
The leading group of the hospital has carefully supervised and accepted the development of the activity of striving for Excellence. Those who attach importance to leaders, act quickly, work solidly and achieve remarkable results should sum up and popularize their practices and experiences in a timely manner; Informed criticism will be given to those who are perfunctory and slow-moving.
(6) Commending and rewarding
The leading group of our hospital will carefully evaluate the achievements according to the development situation and self-evaluation report of all subjects, submit the qualified departments to the joint office of the party and government of our hospital for approval, and finally award the departments of "cheap medicine, honesty and serving the people" respectively.
(7) Time schedule
The campaign begins at 10, and the staff meeting is held immediately to conduct publicity, study and mobilization, formulate detailed rules and plans, and complete the stage by the end of 10; 1 1 month and 65438+February; June 2005: 5438+ 10 is the self-assessment report stage; February is the reward and punishment stage of hospital evaluation; March is the hospital summary report stage.
Under the leadership of the leading group for striving for hospital activities, all departments should seriously organize and carry out the activities of striving for "affordable medical care and honesty for the people", pay attention to actual results in the activities, and earnestly rectify outstanding problems and hot and difficult problems. By carrying out the activity of striving for Excellence, the hospital's service consciousness has been enhanced, the service quality has been obviously improved, and the people's satisfaction has been obviously improved, which has pushed the standardized service and humanized service of our hospital to a new stage. Make our hospital strive to obtain the title of "cheap medicine, honesty for the people" at the municipal or provincial level.
The second plan of hospital activities is to further improve the quality of medical environment in our hospital, improve the level of medical service, raise the environmental awareness of medical staff, establish a humanized medical service model of understanding, respecting and caring for people, and decide to carry out the activity of creating a "green hospital" in the whole hospital, and formulate this plan in combination with the actual situation of the hospital.
I. Guiding ideology
Guided by the important thought of the 17th National Congress of the Communist Party of China, we will fully implement the Scientific Outlook on Development, take "high technology and humanistic care" as the cornerstone, carry out green creation activities, continuously improve the medical environment, improve the quality of medical care, let the people feel at ease about seeing a doctor and staying in hospital, let medical staff feel at ease about their work and life, and promote the comprehensive, coordinated and sustainable development of hospitals.
Second, the goal.
Create green medical environment, optimize green service mode, expand green management mechanism, realize zero pollution of hospital environment, zero doctor-patient relationship and zero obstacle of medical safety, and build the first "green hospital" in XX.
Third, adhere to principles.
The first is the principle of protecting the environment. In accordance with the requirements of the Environmental Protection Law, the Regulations on the Management of Medical Wastes and other laws and regulations, medical wastes and domestic garbage shall be properly treated, and the discharge of sewage and waste gas shall meet the national standards.
The second is to embody the green principle. Greening and beautifying units, planting trees and grass outdoors, and building bonsai flowers indoors, which can be inserted in gaps and green all year round. Implement green management, scientifically set up workflow, reasonably determine the layout of departments, improve work efficiency, and maximize the convenience for the masses to see a doctor.
The third is to embody the principle of humanistic care. People-oriented, patient-centered, understanding, respecting and caring for people, and developing humanized medical services.
The fourth is to advocate the principle of energy conservation. Pay attention to energy saving and consumption reduction in medical facilities, medical environment and medical service process, formulate management system, save energy such as water, electricity, heating, gas and oil, save disposable medical dressing consumables, and make maximum use of various materials.
The fifth is the principle of improving service level. Optimize the process, simplify links, improve work efficiency and shorten the waiting time of patients; Fully respect patients' right to informed consent and choice, carry out family services, implement medical guidance and consultation, and provide patients with comfortable and warm diagnosis and treatment services.
Fourth, create content.
1, actively improve environmental quality and ensure a beautiful environment. Reasonable planning and layout, no illegal buildings, selection of environmental protection building materials and other environmental protection products. Keep the indoor and outdoor environment clean and tidy at any time, with good sanitary conditions and no dead ends.
2. Expand the area of green space and flower beds, so that the overall layout of greening in the hospital is scientific and reasonable, and the greening coverage rate in the hospital meets the relevant requirements.
3. Strengthen the management of sewage treatment to effectively prevent environmental pollution. Classified collection and centralized treatment of medical wastes, with daily production and daily liquidation. Disposable articles should be recycled uniformly, containers should be sealed, and anti-scattering measures and eye-catching signs should be provided. The sewage treatment system is in charge of special personnel, strictly managed and operated scientifically, and the medical wastewater is discharged according to the prescribed standards. To this end, we have specially formulated the working system of sewage treatment station, the management system of medical waste and the management system of radioactive waste washing liquid discharge.
4. Strengthen the management of hospital infection, improve the diagnosis level of hospital infection, and effectively prevent and control hospital infection; Further improve the epidemic situation handling mechanism, implement special person reporting and online direct reporting of infectious diseases to ensure the safety of patients seeking medical treatment. To this end, we have formulated the Hospital Perception Work System.
5. Actively carry out classified delivery of domestic waste and manage it according to three categories: recyclable, non-recyclable and toxic.
6. Advocate paperless office, take effective measures to save water, electricity and oil, use clean energy, save resources and reduce material waste. To this end, we have specially formulated the boiler room management system and the water and electricity management system.
7. The staff speak Mandarin, use civilized language, treat guests politely, dress neatly and don't spit everywhere, and create a "smoke-free hospital". To this end, we specially formulated the "Hospital Tobacco Control Work System".
8, medical waste gas, noise and other pollutants emissions must be stable to meet the standards prescribed by the state, effective management of radioactive substances and radiation devices, strict control of radioactive pollution. To this end, we have specially formulated the Management System of X-ray Devices.
9, strictly abide by the laws and regulations of environmental protection, no environmental pollution accidents, no environmental violations.
10. Establish barrier-free access and provide barrier-free services.
1 1. Implement "all-weather holiday free outpatient service", and provide smiling service, family service and medical guidance service to provide patients with warm and comfortable services at any time.
12, on the premise of ensuring medical safety, quickly get the test results; Simplify medical procedures, reduce intermediate links, improve work efficiency, shorten the time for patients to register, wait for treatment and pay fees, and shorten the days of hospitalization.
13, the establishment of emergency green channel, emergency rescue, inspection, laboratory testing, surgery, medication, fees and other areas with compact layout, reasonable flow direction and eye-catching signs; All kinds of critical rescue, succession, medical record discussion, patient transfer, medical safety management and other systems are perfect; All kinds of first-aid instruments and equipment are in good condition, and rescue drugs are effective and sufficient; Emergency medical staff have more than three years of clinical experience and are relatively fixed. Do not shirk, refuse or delay the patient's rescue on the grounds of cost, so as to ensure the rapid and efficient first aid service for critically ill patients.
14, insist on reasonable examination, rational drug use and treatment due to illness. Strictly control and standardize the use of high-value consumables and expensive drugs, and use effective and cheap drugs; Continue to implement similar medical tests and mutual recognition of medical image results in hospitals. Publicize the price of drugs and medical care, and implement the "list of outpatient charges" and "list of hospitalization for one day" to reduce the medical expenses of patients.
15, establish a doctor-patient communication system, standardize the content and form of doctor-patient communication, and use easy-to-understand communication terms to enhance emotional communication between doctors and patients; Improve the patient complaint handling system, accept and solve patient complaints in time; Take a variety of ways to collect patients' opinions and improve the work in time.
Verb (abbreviation for verb) protection
1. Incorporate the creation of a green hospital into the annual work plan of the hospital, and combine it with the construction of grade hospitals, the year of hospital management, the journey of medical quality, and the creation of a safe hospital to formulate a relatively complete plan for the creation of a "green hospital" and formulate and implement specific inspection measures.
2. Set up a green hospital to create a leading group, with the dean personally grasping it, establish and improve the standard system of environmental protection, energy saving and medical sewage treatment, formulate the creation plan, designate a person to be responsible for the creation, and clarify the responsibilities of each department.
3. Mobilize all staff, carry out extensive publicity and education, popularize environmental protection knowledge and advocate green concept. Hanging environmental public service advertisements, hanging water-saving and electricity-saving environmental warning signs in wards and corridors, and training administrative, logistics and clinical personnel in laws and regulations on environmental protection, energy saving and hygiene. Educate employees to establish the concept of environmental protection and enhance their awareness of protecting green space and saving energy.
4, through lectures, training and other forms of environmental protection laws and regulations education for all employees, and equipped with the necessary environmental protection books, newspapers and other materials.
5. Actively guide and promote the construction of hospital environmental culture, create a strong environment publicity atmosphere, and regularly use blackboard newspapers, window displays, slogans, wall newspapers, hospital newsletters and other publicity positions to actively spread environmental protection knowledge.
6. Take advantage of major environmental protection festivals and other opportunities to carry out various and rich environmental protection theme activities, so that both doctors and patients can receive education in the activities. Organize employees to participate in environmental protection public welfare activities.
7, combined with the actual work, establish a set of energy saving and consumption reduction management system, and strictly implement it.
8. Provide financial support and technical support for the creation of "green hospitals", establish green creation files, classify and manage relevant materials, and accumulate them for a long time.
9. Establish a reward and punishment system, launch a green creation competition, reward departments and individuals with outstanding achievements in energy conservation and consumption reduction, and punish those who fail to implement relevant regulations, waste energy and increase pollution.
10. According to the characteristics of the medical industry, we attach great importance to the safety of hospital production and life, and have formulated safety education system, safety inspection system, fire safety management system, flammable and explosive area management system, laboratory safety management system, canteen management system, narcotic drug management system and toxic drug management system.
Implementation steps of intransitive verbs
1, publicity and launching stage (May xx 17-27)
Hold a mobilization meeting to create a "green hospital" in the whole hospital, deploy tasks and clarify responsibilities. The staff of the whole hospital were widely mobilized to participate in the founding activities by means of publicity window, hospital briefing, fifteen newspapers, banners and special meetings.
2. Establish the stage of reaching the standard (May 28th, XX-165438+1October 28th)
First, the improvement of hospital environment; The second is to improve the hospital environmental rules and regulations; The third is to sort out "green" materials; The fourth is to accept the preliminary examination of the district environmental protection bureau; Fifth, the hospital environment, rules and regulations, and "green" materials were improved.
3. Evaluation and acceptance stage (xx year165438+1October 29th-65438+February 9th)
Accept the evaluation and acceptance of the Municipal Environmental Protection Bureau and the Health Bureau.
Seven, strengthen organizational leadership, to ensure effective.
In order to strengthen the leadership of creating a "green hospital", a leading group was established.
In order to seriously study, publicize and implement the spirit of the Fifth Plenary Session of the Seventeenth Central Committee of the Communist Party of China, and further promote the activity of striving for Excellence, according to the requirements of the "Three Deliveries to Promote Harmony" activity of thousands of grassroots cadres of the county party committee, city and county health bureaus, the hospital organized "sending policies to dispel doubts, gathering people's hearts in send warm, sending services to solve people's difficulties, and medical institutions and medical experts directly under the county level to provide medical technical assistance, medical personnel assistance, funds and equipment assistance, so as to allow high-quality medical resources to enter towns and villages.
I. Basic principles
1, the principle of balancing urban and rural areas.
Give full play to the advantages of talents, capital, technology, facilities and other resources in our hospital, and do everything possible to contribute to improving the level of rural medical and health services and maximize the efficiency of resource utilization.
2. The principle of strengthening service.
Fully mobilize the enthusiasm and subjective initiative of party member cadres and workers, improve themselves through in-depth research, change their style of work in solving problems, and truly achieve the purpose of educating cadres and benefiting the masses.
3. Guiding principles of classification.
Closely around the hospital's work function and business nature, determine different types and levels of contact and assistance objects and tasks, pay attention to finding the combination point to play a role, and carry out targeted assistance activities.
4, the principle of solving problems.
Combined with the actual development, we will focus on finding outstanding problems that affect and restrict the development of health science, focus on solving the most direct and realistic problems of helping units, and strive to do a number of good deeds and practical things.
5. Principles of promoting development.
Focusing on the key points of health work in our county, taking mechanism innovation and project construction as the starting point, we will help the grassroots to further clarify their thinking, clarify their goals, strengthen measures and pay close attention to implementation, so as to promote the sound and rapid development of health undertakings in our county. Promote the speed, quality and efficiency of the county's economy and society.
Second, set up organizations and strengthen organizational leadership.
The activity of "Three Deliveries and Three Helps" is an important measure to further promote the activity of striving for Excellence and implement the spirit of the Fifth Plenary Session of the Seventeenth Central Committee of the Communist Party of China, which is conducive to enabling the health system cadres in the county to go deep into reality, accurately grasp the actual situation at the grassroots level, and further strengthen the flesh-and-blood ties between the party and the people; It is conducive to improving the level of medical services and further promoting the harmony between doctors and patients. In order to make this activity effective, a leading group of "Three Deliveries and Three Helps" was set up, which consists of an office and a medical expert support group.
leading group
Team leader:
Deputy Head: Liu's "Three Deliveries and Three Helps" Activity Office
Team leader; Members:
Medical expert assistance group
Team leader;
Members:
Third, strengthen publicity and create an atmosphere.
Make use of meetings, bulletin boards, blackboard newspapers and other forms to widely publicize and launch, so that the staff of the whole hospital can fully understand the significance, purpose and requirements of carrying out the activities of "three deliveries and three assistance", and truly realize the ideological understanding, organization and launch, assistance objects and work measures.
Fourth, the activity time:
20xx 65438+ 10 month to 20xx65438+February.
Verb (short for verb) helps the target:
Mulan Health Center, Pingshan Central Health Center, Judas Health Center, Longgang Health Center, Yang Di Health Center and Hengjiang Central Health Center.
Implementation measures of intransitive verbs
1, implement assistance and strive for practical results. Based on the principles of complementary advantages, resource sharing, seeking truth from facts, mutual promotion and mutual improvement, our hospital has formulated a targeted, effective and operable activity plan in view of the problems of lack of medical staff, weak technical strength and personnel quality to be further improved in rural health centers. Carry out solid and effective assistance activities to continuously improve the health technical service level of rural hospitals.
2. Implement talent assistance.
(1) Send several medical experts with good political thinking, strong professional ability and rich clinical experience to the twinning hospital for medical treatment. Medical experts visit the hospital regularly to help the hospital improve its management system, impart management experience and give business lectures to hospital medical staff, and help the hospital train key technical forces and improve its business level.
(2) Working period. The term of counterpart medical support is one year.
3, the implementation of medical technical assistance
(1) Free of charge, receiving professional training for hospital medical technicians and training the backbone of medical technology business.
(2) The medical expert group guides and helps hospitals to carry out their work and provides voluntary consultation for special cases.
(3) Give regular business lectures to medical staff to improve the level of medical theory.
(4) Help twinning hospitals to develop practical technology.
(5) Help hospitals find out-patient services.
(6) Carry out free clinic tours in towns, markets and villages where the aid hospitals are located, so as to provide convenient and efficient medical care services for the masses.
4. Pairing assistance departments to carry out counterpart assistance activities.
Obstetrics and Gynecology-Judas Health Center
Orthopedics-Longgang hospitals
Internal medicine-Pingshan hospital
Surgery-Zhukeng Health Center
Pediatrics-Yang Di Health Center
Emergency department of hengjiang central hospital.
Seven. Related requirements
1, attaches great importance to ideas and conscientiously implements them. We should fully understand the importance of the "Three Deliveries and Three Helps" activity, earnestly strengthen the organization and leadership of the "Three Deliveries and Three Helps" work, and take prompt action to ensure the smooth implementation of the "Three Deliveries and Three Helps" work.
2. Seriously organize pairing and do a good job in helping. Carefully arrange the work of helping and pairing, and conscientiously implement the talent assistance and medical technical assistance for helping hospitals. The aid group organized at least one free clinic in rural areas, helped a practical technology, held a business lecture, made a home visit, helped a poor patient and gave a health education.
3. Strict work discipline. Members of the aid group should strictly abide by political discipline, political discipline and mass discipline, and go to the aid unit without pomp and practise economy.
4. Strengthen supervision to ensure the effect. Establish service standards and establish a good aid system. Specific functional departments will organize inspections from time to time, and report those who are slow in action and fail to implement their work. During the period of assistance, the staff of the assistance group should write a quarterly work summary and an annual work report to the hospital's "Three Deliveries and Three Assistance" activity office, which will be used as the basis for the year-end assessment and linked to the evaluation of the first and second places.
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