Public health service performance evaluation plan

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Public health service performance evaluation scheme

First, improve the project organization and refine the project management. The Project Office of the County Health Bureau organizes the backbone of relevant departments and business units to set up a leading group and a technical guidance group for the evaluation of basic public health services, improve the coordination mechanism, give full play to the role of the evaluation and technical guidance group, and refine the contents of 43 basic public health services of 1 1 to each unit and technical backbone, and the responsibility lies with people. Do have a place, personnel and division of labor, and earnestly undertake the daily management, supervision and assessment of the project.

Two, strengthen the management of project funds, clear funding subsidies.

County Finance Bureau, Health Bureau in the provincial subsidy funds in place, fully allocated to undertake basic public health projects of medical and health units. Every year, according to the results of the service population and performance evaluation of the project implementation unit, the funds will be allocated quarterly. Before March 3 1 of the following year, the funds of the previous year shall be settled and the project funds of the next year shall be pre-allocated. The health center will assess the quantity and quality of the work of the village medical project, and pay the corresponding labor expenses to reach 40% of the total funds. The funds of the project should be earmarked, and there can be no illegal expenditure.

Three, according to the time schedule to complete the project objectives and tasks

1. Establish residents' health records according to national standards: the filing rate of electronic health records reaches 70%, the qualified rate reaches over 90%, and the utilization rate of health records reaches 85%.

2. Health education: provide health education and health consultation services for residents, distribute health education publicity materials, broadcast audio-visual materials, change the contents of publicity columns, and carry out public health consultation, personalized health education and health knowledge lectures. All these should meet the requirements of the service specification. At the same time, the contents and forms of health education will be enriched by using new media such as the Internet and planned immunization short messages, combined with patriotic health campaigns and various health theme publicity days, so that residents can firmly establish the concept of health awareness and health education first and improve their health awareness.

3. Vaccinate school-age children with the national immunization program vaccine free of charge, and keep the vaccination rate of all kinds of vaccines in towns and villages above 95%. At the same time, strengthen the on-the-job training of vaccination personnel, strengthen the awareness of safe vaccination, reduce and effectively deal with suspected abnormal reactions to vaccination; Strengthen the collection and management of vaccination information, and regularly carry out leak detection and replanting. Targeted vaccination of key populations should meet the specific requirements of relevant laws and regulations.

4. Health management should be carried out for children aged 0-6. Health centers (first-and second-class hospitals in county towns) and health centers should collect newborn birth information in time, township health centers and village clinics should carry out newborn visits, and provide health management services such as physical examination, growth and development, psychological behavior evaluation and health guidance free of charge within the specified time according to the requirements of the Regulations. The rate of neonatal visits and children's health management should reach more than 95%, and the rate of systematic management of children should reach more than 85%.

5. Maternal health management: ensure that pregnant women receive at least 5 prenatal examinations and 2 postpartum visits. The maternal health management rate and postpartum visit rate are all above 95%.

6, do a good job in the area of 65 years old and above population statistics, formulate this year's physical examination plan, reasonable and orderly organization of the elderly health examination work. Ensure the quality of physical examination and laboratory examination, do a good job in feedback and statistical report of examination results, and give full play to the role of physical examination in disease screening and health guidance. The health management rate of the elderly is over 70%, and the integrity rate of the physical examination form is over 80%.

7, increase the screening of high-risk groups of chronic diseases such as hypertension and diabetes, and find new cases to file management in time. Strengthen publicity and lifestyle guidance, improve the health management rate and control rate of category II diseases (above 50%), and the standardized management rate will reach over 70%.

8. Strengthen the registration, management, follow-up and rehabilitation guidance for patients with severe mental illness. Strengthen contact with public security, civil affairs, disabled persons' federations and other relevant departments, find patients with severe mental illness in time, establish health files for them in time and conduct standardized management, so as to find 1 case, register 1 case and manage 1 case. The management rate is over 40%, and the standardized management rate is over 60%.

9. Reporting and handling of infectious diseases and public health emergencies: township health centers strengthen supervision over medical institutions within their jurisdiction and urge medical institutions to do a good job in the discovery, registration and reporting of infectious diseases; Township hospitals assist in the statistics, epidemiological investigation and disinfection of infectious diseases. Do a good job in risk management, information reporting and disposal of infectious diseases and public health emergencies. The reporting rate, timely rate and timely disposal rate of infectious diseases all reached 100%.

10, Chinese medicine health management: according to the requirements of the specification, combined with the physical examination of the elderly, do a good job in the identification of Chinese medicine physique of the elderly aged 65 and over in the jurisdiction, and give targeted Chinese medicine health care guidance; Combined with children's health examination and vaccination, do a good job in Chinese medicine diet conditioning and daily life adjustment guidance for children aged 0-36 months within the jurisdiction, and teach acupoint massage. The health management rate of traditional Chinese medicine for the elderly and children aged 0-36 is over 35%.

1 1. Health supervision and co-management: do a good job in food safety information reporting, occupational health consultation and guidance, drinking water hygiene and safety inspection, school health service, illegal medical practice and illegal blood collection and supply information reporting.

Iv. Evaluation object

Township hospitals, village clinics, township hospitals and county-level medical institutions that undertake basic public health work.

Verb (abbreviation for verb) evaluation cycle

1 performance appraisal will be conducted in the first half of the year, and the specific time will be announced separately.

Evaluation method of intransitive verbs

1, daily monitoring data check (township and village related report data).

2. Progress (completion of the project, performance appraisal from villages and towns to villages, experience and effectiveness, existing problems and suggestions).

3, spot check evaluation (spot check evaluation, interviews, access to information, questionnaires, telephone follow-up and household verification, etc.). ).

4, township to village assessment results (whether the allocation of funds at the village level is linked to labor costs, whether there is a basis for distribution).

Seven. Application of evaluation results

At the end of the year, according to the performance appraisal results of each unit, in addition to being linked to the allocation of project funds, the Health Bureau will commend and reward the top three units in performance appraisal (each unit is not less than 654.38+00000 yuan), and informed criticism the last three units (each unit is not less than 654.38+000000 yuan), and continue to implement the elimination system for hospital directors and the one-vote veto system for evaluation. Give full play to the role of assessment results in incentives, supervision and funding arrangements.

Eight. job requirement

Seriously assess discipline and ensure the quality of assessment. The assessment team should be serious, seek truth from facts, truthfully assess the project implementation unit in accordance with the principle of fairness and impartiality, and truthfully reflect the work achievements of its basic public health service projects, so that the scores correspond to the standards, and the deduction points are justified, so as to effectively ensure the quality of performance appraisal.

Second public health service performance appraisal scheme

In order to further strengthen the management of rural doctors, improve the quality and efficiency of rural doctors' public health services and better serve rural residents. According to the spirit of the relevant documents of the Provincial Health Department and the Municipal Health Bureau and the reality of our jurisdiction, this plan is formulated. I. Guiding ideology

Guided by Scientific Outlook on Development, adhere to the people-oriented principle, gradually establish a scientific performance evaluation system for rural doctors' public health services, further mobilize the enthusiasm of rural doctors to undertake public health services, and continuously improve the health level of rural residents.

Second, the work objectives

Supervise and guide rural doctors to conscientiously perform public health service functions, standardize service behaviors, improve the treatment of rural doctors while rural residents receive public health services, and promote the sustainable development of rural three-level medical and health networks.

Third, the basic principles

(a) adhere to a fair, just and open assessment methods, assessment results to the public, accept the supervision of the masses.

(two) adhere to the combination of regular evaluation and irregular supervision.

(3) Insist on rewarding the superior and punishing the inferior to make up the exam. According to the performance evaluation results of rural doctors and the completion of rural doctors' public health service tasks, subsidies will be paid.

Four. Evaluation object and content

(1) Appraisal object: a rural doctor who is registered with the county-level health administrative department, has obtained the practicing certificate of a rural doctor or a practicing (assistant) doctor, and undertakes the task of public health service for residents in a certain area in the village medical and health institutions.

(2) Assessment contents: The main assessment contents are the completion of rural doctors' public health service tasks, their participation in public health management and the satisfaction of the masses. Details are as follows:

1. Establish residents' health records. Focus on women, children, the elderly, the disabled, patients with chronic diseases, and establish a unified and standardized basic health record for residents in the area, and improve it year by year.

2. Health education. Provide health education publicity and consultation services for residents, set up health education publicity columns and update the contents regularly, and carry out health education activities such as health knowledge lectures for residents in the jurisdiction. The data should be left at the bottom for future reference.

3. Vaccinate. Assist in organizing school-age children to vaccinate in township hospitals and cooperate with registration.

4, infectious disease prevention and public health emergencies report. Timely discover, register and report infectious disease cases and suspected cases found within the jurisdiction, and participate in the on-site epidemic treatment.

5. Prevention and control of chronic non-communicable diseases. Gradually complete the registration management of patients with hypertension and diabetes diagnosed within their jurisdiction, follow up regularly and give necessary health guidance.

6. Maternal health care. Assist pregnant women in the area to establish health care manuals and accept maternal health care management on a regular basis; Provide nutrition and mental health guidance during pregnancy, assist in tracking high-risk pregnant women and mobilize pregnant women to give birth in hospital; Carry out postpartum visit and breastfeeding guidance to understand postpartum recovery and guide postpartum common problems.

7. Child health care. Assist infants and young children in the area to establish child health care manuals, and carry out neonatal visits and systematic health care management for children; Actively publicize children's health care knowledge and give necessary health guidance.

8. Medical care for the elderly. Assist in the registration management of the elderly aged 65 and above in the jurisdiction, carry out health risk factors investigation and general physical examination, and provide necessary health guidance.

9. Management of severe mental illness. Assist in the registration and management of patients with severe mental illness in the jurisdiction; Under the guidance of superior professionals, patients with severe mental illness living at home were treated and followed up, and rehabilitation guidance was given.

10, village health center management. Standardize and implement the standards and requirements for the construction of village health centers, and actively publicize various health policies (new rural cooperative medical system).

1 1. Registration, statistics and reporting of various health information. File it for future reference.

12, evaluation of residents' satisfaction.

Verb (abbreviation of verb) evaluation method and procedure

(a) the establishment of rural doctors public health service performance evaluation team, responsible for the specific organization and implementation of the evaluation.

(two) the health center is responsible for the assessment of rural doctors who undertake the task of public health service in the 12 village health station. Take access to information, on-site inspection, spot check and verification, household survey, etc.

An assessment leading group was established, with Li Fenghua as the leader and Wang Li, Wang Li, Wang Li, Wang Li and Wang Li as members.

(three) on the basis of the evaluation of township hospitals and community health service centers, organize the evaluation team to conduct spot checks and comments. In the assessment, it is required to fully listen to the opinions of rural doctors, village committees and villagers, and objectively and accurately evaluate the public health work undertaken by rural doctors. The assessment results serve as the basis for giving subsidies to rural doctors for public health services.

Sixth, the assessment time.

Assess the rural doctors in the area once every six months or once a year.

VII. Evaluation Results and Application for Subsidies

(1) Total assessment score 100. The assessment results are divided into four grades: above 90 points is excellent, 80-89 points are qualified, 60-79 points are basically qualified, and below 60 points are unqualified. The proportion of excellent assessment shall not exceed 10%.

(two) the assessment results should be linked to the rural doctors' public health service subsidy funds; The annual assessment results will be recorded in the rural doctors' practice registration assessment according to the proportion of 70%, and will be included in the regular practice assessment of rural doctors.

(3) Subsidy funds are divided into basic subsidies and performance subsidies.

1, basic subsidy funds. The basic subsidy for rural doctors who undertake public health tasks is 100 yuan per person per month. Its sources of funds and distribution channels are still implemented according to the original provisions.

2. Performance appraisal subsidy.

(1) Performance appraisal subsidy fund standard (subject to the documents of the Health Bureau).

(2) If the assessment score is more than 80 points (including 80 points), the performance appraisal subsidy will be given in full; Those who are basically qualified will be given financial subsidies at 70%; Unqualified, in addition to reducing the year's performance appraisal subsidies, but also informed criticism, rectification within a time limit. Rural doctors who failed the examination twice in a row were disqualified from enjoying the subsidy. Cancel three unqualified evaluations