Advanced deeds of medical insurance staff

Seeing a doctor is a natural law of human beings, and the medical insurance system has naturally become a hot spot of concern to the masses. There are tens of thousands of units participating in medical insurance in Chaoyang District, with nearly 1 10,000 participants, and more than 200 designated medical institutions, accounting for one-fifth of the city's workload. The competent department of medical insurance in Chaoyang District is the Medical Insurance Department of Chaoyang District Labor and Social Security Bureau. Comrade Qu Yali, the head of the department, was affectionately called "good housekeeper" in medical insurance work by patients and medical institutions in Chaoyang District.

Everything is for the sake of the insured patients.

You may still remember that in the planned economy period, medical care and medicines were borne by the unit, but after the implementation of medical insurance, it was borne by medical insurance, which not only reduced the burden on the unit, but also enabled patients to reimburse medical expenses from medical insurance in time, thus solving the economic burden caused to patients because the unit had no money to reimburse medical expenses. Although the basic medical insurance system has been implemented in Beijing since April 1 2006, the medical insurance policy has been running smoothly on the whole. However, due to the short accumulation time of medical insurance funds, patients still have to bear most of the medical expenses after reimbursement, so it is imperative to establish supplementary medical insurance and medical assistance for the extremely poor. The most difficult thing is that at the beginning, on the one hand, the patient's medical expenses are overburdened; On the one hand, it pays attention to the unit benefit and is unwilling to give it to employees. On the other hand, the cost of medical institutions remains high.

Qu Yali, with the sense of responsibility of "thinking for all insured patients", went deep into enterprises and hospitals to talk about policies, reasoning and talking about things, talking about patients' difficulties and talking about medical insurance work, helping enterprises to improve their understanding of the significance of establishing supplementary insurance and related medical assistance policies, speeding up the pace of supplementary insurance and medical assistance for poor people in our district and helping patients solve the problem of medical assistance.

Mao, a retired worker, is the first renal dialysis patient to receive assistance since the implementation of the aid policy in Beijing. He has been suffering from uremia for 10 years and needs dialysis three times a week to maintain his life. When Qu Yali and her colleagues came to Mao Yingjun's home to express their condolences, they were stunned by what they saw. There is only some necessary old furniture in the small room, and there is no electrical appliance in the room. Because there were guests, the host turned on the dusty light bulb hanging on the roof. She and her lover earn more than 800 yuan a month, and the money saved at home is used to treat her except for the children's education. Considering Mao's practical difficulties, Qu Yali made many contacts with a hospital near the patient's home. Finally, the dean of the hospital was moved by Qu's unremitting efforts to run before and after a unrelated patient and agreed to accept the patient. In this way, Mao's dialysis in this hospital is not only close to home, but also can reduce some expenses, thus alleviating some difficulties in her family. Afterwards, Mao Yingjun personally came to the medical insurance department and sent a grateful thank-you letter. She believes that making one more phone call, writing one more report for instructions and going to the hospital several times can reduce the number of people running more, and solve many difficulties of the people properly, although she has a little more trouble. It is worthwhile to bother yourself, because we are public servants of the people.

All services of medical institutions.

The management of medical institutions is a regular and important work of the medical insurance department. In view of the small number of designated medical institutions in our district, Qu Yali presided over the formulation of the Supplementary Service Agreement for Designated Medical Institutions in Chaoyang District, which is the first supplementary agreement for the management of designated medical institutions in our city. The promulgation of supplementary service agreement makes medical institutions' medical insurance management more operable and binding, thus making medical insurance management more transparent and open. The practice in the past two years shows that this agreement has achieved positive and good results in supervision and management, and has been popularized in the whole city.

In order to keep abreast of the problems existing in medical insurance work in designated hospitals above the second level in the whole region and guide medical institutions to do a good job in medical insurance work, the directors in charge of medical insurance work in each hospital attend the meeting on time and on time no matter what happens. It is said that the regular meeting will make the manager and the managed object merge into one family, and the good housekeeper at home is Director Qu. Attending the meeting can not only strengthen communication, but also learn a lot of policies and knowledge at every regular meeting. The regular meeting is the "gas station" for us to do a good job.

In 2003, a medical institution in our district was removed from the brand of designated hospital by the municipal medical insurance center. Qu Yali patiently helped them to analyze the causes of the problems, find the gaps and formulate rectification measures, which improved the overall management level of the hospital. Qu Yali seized the opportunity to communicate with the relevant departments of the city for many times, and won the opportunity to restore the designated qualification for the hospital, making the hospital a hospital that was disqualified and resumed the designated qualification. This is also the only hospital in this city that has been disqualified from designated hospitals and resumed designated hospitals. In the eyes of comrades in Cory, this is impossible. The dean also said: "Unexpectedly, Director Qu not only gave us severe criticism, but also helped us seize the opportunity to do a good job again." At present, the medical insurance management of this hospital is among the best in the third-class first-class hospitals, and it has changed from an offender to an advanced model.

Set an example for colleagues.

"Things reflected by the masses are handled seriously, properly and quickly", which is the overall evaluation of Comrade Qu Yali's work. Under her infection, the staff of the medical insurance department will listen carefully, patiently explain and properly handle when receiving visits and calls from the masses. This has created a good atmosphere in the medical insurance sector for the simple reason that it is the result of Qu Yali party member's exemplary role.

Personnel engaged in medical insurance work should have certain medical professional knowledge and good political quality. In daily management, Qu Yali not only uses the system to restrain people, but also warms people with feelings to mobilize everyone's subjective initiative; Gradually improve their ability to deal with problems at work. In order to make the comrades in Cory become independent talents as soon as possible, whenever a hospital or unit invites the medical insurance department to give a lecture, Qu Yali will invite the young people in Cory to give a lecture. Before giving a lecture, she always analyzes the audience with young people, discusses the lecture plan, prepares slides, broadens their thinking, helps them understand what they want to talk about, improves their mastery of medical insurance policies and their speaking ability, and creates and provides them with a stage for exercise.

"The work we are engaged in seems to have certain rights to others, but we must clearly realize that this so-called right does not belong to anyone. Your words and deeds represent the government and the Labor and Social Security Bureau. You must think twice before you do anything, and you must never do anything that hurts the country or the people. " This is what Qu Yali often warned her comrades in the Scientific Committee. What did she say and do? Not only that, she always gives the quota to the young comrades in the department when she evaluates the advanced at the end of the year, and she never holds her grades in the hands of one person. She believes that the cohesion and combat effectiveness of the medical insurance sector is the result of the concerted efforts of Qi Xin. Everyone works hard for the collective in such a harmonious atmosphere, and is proud of Qu Yali's selfless dedication and willingness to be a ladder.

Qu Yali explained the true meaning of serving the people with full work enthusiasm. In the process of solving problems for the people, she embodied the purpose of governing for the people in party member at the grass-roots level.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.