Implementation Plan for the County’s Health System Work Style Rectification Activities

Implementation plan for the work style rectification activities of the county's health system

In order to conscientiously implement Secretary Zhou Qiang of the state party committee's "solve three problems and popularize" the state's health work In the spirit of the directive "one piece of knowledge, three services", we will comprehensively strengthen the construction of the health system's style and strive to solve the outstanding problems that the masses have strongly reported. After research and decision by the county health bureau, combined with the ongoing "efficiency storm" operation, we will carry out the "Effectiveness Storm" operation throughout the county. The health system has focused on work style rectification activities. Develop this implementation plan.

1. Guiding ideology

Guided by the Scientific Outlook on Development, conscientiously implement the spirit of the 18th National Congress of the Communist Party of China and the "Hold one flag high, focus on one goal, focus on one unified strategy, implement five major strategies in depth, accelerate the construction of three major bases, three economic belts, and two demonstration zones, and strive to build economic prosperity, ethnic unity, religious harmony, social stability, The overall idea of ??"a happy and beautiful new world with beautiful ecology" adheres to the approach of "revitalizing the city through health", with the theme of correcting discipline, improving efficiency, improving services, and optimizing the environment, taking deepening the reform of the medical and health system as the main line, and focusing on medical ethics. The construction of medical ethics and the "Three Goods and One Satisfaction" activities are used as a platform to find and solve outstanding problems in a hierarchical and targeted manner to achieve the purpose of further transforming the cadres' style, further improving the service quality, and further optimizing the development environment, and gradually solving the problem of mass medical treatment. It provides a strong and powerful style guarantee to promote the development of health services by solving the problem of difficulty and high cost of medical treatment.

2. Scope of rectification objects

This work style rectification activity was carried out comprehensively in all medical and health units throughout the county, including health departments The leadership team and cadres and employees of each unit of the system.

3. Basic Principles

Adhere to the combination of points and aspects, focus on the outstanding problems reported by the masses; insist on simultaneous investigation and rectification , with self-examination and self-correction as the premise; adhere to the whole chapter establishment, with the implementation of the system as the foundation; adhere to open-door rectification, with the satisfaction of the masses as the standard; adhere to overall planning and consideration, with the purpose of promoting work.

4. Objectives and tasks

Based on the current work style of health system cadres, this rectification activity should focus on solving the following four aspects Problems:

(1) Solve the problem of poor service attitude. The main reasons are: some staff members have a weak concept of the masses and poor service awareness. It is difficult to enter the door, find people, have ugly faces, and have trouble getting things done. They treat the masses coldly, hard, and pushy. Some medical staff lack emotion when dealing with patients and cannot answer questions. , being impatient in diagnosing and treating patients, shirk-passing, perfunctory, poor medical ethics, prescribing large prescriptions, excessive examinations, arbitrary charges, accepting and asking for drug rebates and red envelopes, which seriously affects the image of the health system.

(2) Solve the problem of weak hospital management. Many hospitals are busy with business work, emphasizing objective reasons, ignoring medical quality management, lacking comprehensive arrangements and systematic research, making three-level ward rounds a mere formality, not carefully observing the condition, not making timely diagnosis and treatment, and not in-depth discussions of fatal cases and difficult cases. . The medical level of medical staff is not high, they do not carry out diagnosis and treatment in accordance with technical standards, they do not pay attention to the clinical manifestations of patients, they rely too much on auxiliary examination results, they have serious irrational examinations, medication and treatment, and there are serious medical safety risks.

(3) Solve the problem of poor medical environment. The vast majority of hospitals have imperfect convenience measures, and the guidance services are just a formality. The phenomenon of "three longs and one short" in hospitals (long registration, payment, and medicine collection time, and short consultation time) is serious; the environment of some hospitals is dirty, messy, and poor. , the health unit is unhygienic, and the quilt covers, sheets, and pillow towels used by patients are dirty; garbage is littered in wards, corridors, and bathrooms, and is not cleaned up in time; vehicles, motorcycles, and other vehicles are parked and left indiscriminately in public offices and offices. It affects the appearance of the hospital and also brings inconvenience to patients.

(4) Solve the problem of people’s weak health awareness. The main reasons are that health education is not in-depth and publicity is not extensive, health education institutions at all levels are in name only, patriotic health campaigns are not carried out regularly, the masses lack health care knowledge, have poor self-care awareness, have not formed good living habits, and do not pay attention to disease prevention.

Focusing on solving the outstanding problems, we must focus on the following aspects:

(1) Focus on strengthening the style of work educate. Strengthen professional ethics education, take "saving lives and healing the wounded, being loyal to duty, being dedicated to one's work, pioneering and enterprising, striving for excellence, and practicing medicine in a civilized manner" as the basic requirements for medical personnel, and guide cadres and workers to establish lofty professional ideals, develop a good professional style, and master superb skills. Develop professional skills, abide by strict professional disciplines, and continuously enhance work responsibility and mission. Strengthen the education of positive models, cultivate and establish a group of advanced models, increase the publicity and recognition of advanced models with noble medical ethics, superb medical skills, and dedication, and give full play to the role of role models in inspiring and demonstrating. Strengthen negative warning education, and use negative examples of major medical liability accidents and violations of medical and health management that occur in the medical and health industry to educate and warn medical and health personnel in a targeted manner, so as to learn from them and sound the alarm. Earnestly carry out the "Five Ones" activities, namely: conduct a mass satisfaction survey once a month, organize all medical staff to watch a warning educational film once a month, conduct an internal medical ethics and medical style evaluation activity once a month, and conduct a health administration once a quarter Department leaders conduct administrative ward rounds, and conduct "if I were a patient" simulated medical treatment activities for hospital leaders and administrative staff every quarter.

(2) Focus on improving service attitude. Strengthen the awareness of purpose and vigorously improve service attitude. Strengthen doctor-patient communication, start with the details, patiently explain the diagnosis, treatment, surgery, medication and other issues that patients and their families are concerned about, think from the perspective of the patient, sympathize with the patient, fully respect and consciously safeguard the patient's right to know and choose rights and privacy and other legitimate rights and interests, resolutely put an end to bad phenomena such as "raw, cold, hard, pushing, and pushing", proactively improve service work, educate medical and health personnel to have a warm and kind service attitude, and basically popularize civility among cadres and medical and health personnel The language and service etiquette truly respect, care for, and comfort patients, fully reflecting humanistic care. () Strictly implement the system and strengthen the construction of medical ethics and medical style. We should conscientiously build long-term mechanisms in the field of pharmaceutical purchase and sales, effectively implement the eight industry discipline regulations of the Ministry of Health, strictly enforce medical technology access and management, implement the accountability system for leading cadres, and establish and improve reward, punishment, and income distribution systems. Conscientiously implement the medical ethics and medical style evaluation system, further establish and improve the medical ethics and medical style evaluation methods, establish medical ethics and medical style evaluation files, and formulate specific evaluation rules, focusing on the evaluation of medical quality, service attitude, work discipline, performance of duties, and honest medical practice, etc. The evaluation results are linked to the personal professional title promotion, bonus salary, and selection of the best among medical staff, making medical ethics and medical style a hard indicator and prompting medical staff to effectively improve the quality of medical services. Adhere to the practice of medicine with integrity and intensify the investigation and punishment of cases involving violations of laws and disciplines. Strictly investigate and deal with behaviors that harm the interests of the masses, such as asking for red envelopes, indiscriminate inspections, and prescribing large prescriptions. Frequently carry out supervision and inspection of the implementation of various systems, broaden supervision channels and increase supervision intensity through satisfaction surveys, patient complaints, open and covert visits, hiring social supervisors, etc. Comprehensively promote the prevention and control of integrity risks in public hospitals, focusing on decision-making power, infrastructure power, procurement power, personnel power, financial power, etc., and effectively strengthen the supervision and monitoring of the exercise of public power; with diagnosis and treatment, medication, inspection, Focusing on charging and other behaviors, we will continue to standardize the professional behavior of medical staff. Carry out in-depth work style reviews, improve the methods, content, and scope of patient satisfaction surveys, and actively accept patient supervision.

(3) Focus on strengthening medical quality management. All medical and health units in the county should further establish and improve quality management institutions, strictly regulate diagnosis and treatment service behaviors, and effectively improve the level of medical services. Conscientiously implement clinical pathways, "Clinical Technical Operation Standards", "Prescription Management Measures" and other regulations and norms, insist on promoting rational examinations, rational use of drugs, and rational treatment, encourage medical staff to treat diseases due to illness, and strive to solve the "over-medical treatment" that is strongly reported by the public. "question. Actively promote clinical pathways and single-disease quality control to control unreasonable increases in medical expenses. We will carry out the "Medical Quality Journey" campaign in depth, strictly implement clinical technology, diagnosis, treatment and nursing standards, ensure the full implementation of the 22 core systems formulated by the Provincial Department of Health, including first-diagnosis responsibility, third-level physician rounds, and difficult case discussions, to provide patients with high-quality services. , safe medical services. Strictly regulate the professional behavior of medical personnel, and resolutely ensure that they hold certificates and practice medicine in accordance with the law.

Standardize the complaint handling system, improve the complaint acceptance, processing, and feedback mechanisms, promptly accept and properly handle patient complaints, effectively strengthen communication with complainants, and reduce the occurrence of doctor-patient disputes. The health bureau should strengthen the supervision of medical institutions, focusing on regular supervision and inspections on the quality of medical services, doctors' prescriptions and medication, billing and inspections, etc., and adopt appropriate methods to report and publicize the inspection results. The Centers for Disease Control and Prevention should focus on the implementation of various internal management systems, further establish and improve the accountability system, standardize various work processes, and strictly comply with the requirements of the "Law on the Prevention and Control of Infectious Diseases" and the "Ten Management Systems for Planned Immunization Work" to effectively implement Strengthen the review and reporting of various infectious diseases and planned immunization reports, and resolutely correct the phenomenon of two-dimensional difference between actual work and statistics. Health supervision offices must strictly implement the administrative law enforcement responsibility system and strive to solve the problem of irregular and inadequate law enforcement. Attention should be paid to strengthening team building, improving professional standards, enhancing awareness of law-based administration, and striving to ensure that laws must be followed, law enforcement must be strict, violations must be investigated, and strict prevention of chaotic law enforcement and unfair law enforcement.

(4) Efforts should be made to improve the medical service environment. All medical and health units should start from the convenience of people seeking medical treatment, adhere to the principle of convenience and benefit to the people, improve medical service measures in a planned and focused manner, and achieve reasonable arrangements and enthusiastic services. The county hospital provides patients with information on the medical treatment process, department layout, service prices, etc. by setting up medical guidance desks, department distribution maps, medical treatment flow charts, electronic screens, etc., further simplifying the service process, reducing medical procedures, and achieving a "one-stop" service. Serve. It is necessary to dynamically mobilize human resources and implement flexible working systems at service windows and diagnosis and treatment departments to ensure that patients receive treatment during the peak period of diagnosis and treatment. Optimize the medical environment, continuously improve outpatient, emergency, and inpatient facilities and conditions, improve the signage system, and equip wheelchairs, trolleys, waiting chairs and other facilities as needed. We must vigorously improve environmental sanitation, resolutely put an end to dirty, messy, and poor conditions, and provide patients with a clean, comfortable, and warm medical environment and convenient service measures.

(5) Focus on strengthening the popularization of health knowledge. In accordance with the requirements of the Provincial Department of "management agencies go to the grassroots, disease control agencies enter hospitals, and health education enters families", we vigorously carry out health knowledge education and popularization activities. Various medical institutions promote health knowledge by distributing promotional materials, setting up health education bulletin boards, health lectures, traveling free clinics, free consultations, and television networks. Each hospital (health center) should set up a health education room, equipped with imaging materials, and play health education videos to waiting patients and their families; establish highly targeted health education knowledge columns in hospital outpatient clinics and wards, and issue health prescriptions to special groups and individuals . All medical and health units must create health culture walls and actively promote health knowledge. Institutions that have the conditions can also set up psychological counseling centers, health hotlines, hold health knowledge competitions and other effective health education activities. Township health centers should regularly carry out roving medical activities, organize capable medical teams to go deep into rural areas, provide health education, health examinations and provide consulting services to rural people, help individuals and groups master health care knowledge, establish correct health concepts, and voluntarily adopt relevant policies. Develop healthy behaviors and lifestyles, and consciously avoid health risk factors. Seriously organize and carry out "health promotion projects" throughout the county, that is, organize doctors from counties, townships, and villages to go to grassroots communities and units to conduct health knowledge publicity, lectures, and discussions, mobilize the masses to participate, disseminate and popularize health science knowledge to the general public, and advocate Health culture creates an atmosphere for the whole society to participate in health promotion activities.

5. Implementation steps

The county’s health system style rectification activities are generally scheduled for half a year, starting from December 201* From the beginning of the month to the end of May 201*. It is carried out in four stages.

(1) Mobilization and deployment stage (December 20-31, 201*). A mobilization meeting for rectification activities of the county's health system was held to comprehensively deploy rectification activities and unify ideological understanding. All medical and health units should formulate implementation plans based on their own actual conditions, specifically arrange and deploy work style rectification activities, and actively publicize the significance and content of work style rectification activities through columns, blackboards, briefings, and posters, and effectively enhance the participation of the majority of cadres and employees in the activities. initiative and consciousness, and strive to create an atmosphere where everyone values ??and enthusiastically participates.

(2) Analysis and inspection stage (January 1st - February 28th, 201*).

We will carefully carry out self-examination around the "Ten Don'ts", "Six Clears, and Six Prohibitions" formulated by the Ministry of Health, the Provincial Health Department and the State Health Bureau, listen to opinions extensively, and actively analyze and make corrections. The first is to extensively solicit opinions from the masses. In conjunction with the in-depth conduct of work style evaluation work, opinions are widely solicited and summarized through holding symposiums, individual interviews, telephone solicitation, setting up suggestion boxes, issuing opinion forms, etc. The second is to search and analyze carefully. Focus on carrying out "five investigations": first, to investigate outstanding problems in the style and practice of health administrative agencies and medical and health units; second, to investigate outstanding problems in the internal management of medical and health institutions; third, to investigate outstanding problems in the service attitude of medical and health staff Problems; fourthly, check the outstanding problems existing in the medical quality of medical institutions, and fifthly check the outstanding problems existing in the medical ethics and medical style of medical staff. The main leaders of each medical and health unit should take the lead in conducting a comparative inspection of the problems and deficiencies existing in their units, and propose rectification opinions and implementation measures. Each medical and health personnel must conduct careful self-analysis and timely rectification based on personal self-examination and the opinions of others. The county health bureau and each medical and health unit should organize and convene a review meeting with the participation of social supervisors, superior supervisory units, people and patient representatives, etc. based on their respective actual situations, truthfully report the progress of the activities, listen to the opinions of all parties, and propose rectifications. Measures shall be taken and rectification shall be carried out within a time limit.

(3) Rectification and implementation stage (March 1-April 30, 201*). In response to the problems and deficiencies found during the activities, formulate practical rectification plans, clarify the rectification task objectives, time limit requirements and specific responsible persons, and disclose the rectification plans, rectification measures, rectification work progress and results through government affairs and college affairs. It is disclosed to the public and cadres and employees through columns and other forms, and is subject to social supervision. For problems that are relatively easy to solve, rectify and implement them immediately. For problems that cannot be solved temporarily, we must actively create conditions, formulate plans, persist in constantly working on them, and gradually solve them.

(4) Inspection and acceptance stage (May 1-May 31, 201*). All medical and health units should carefully summarize the main experiences, practices, and results achieved during the activities. Combining the identified problems and corrective measures, establish and improve relevant systems for the education, management, and evaluation of the unit's staff, and improve the long-term mechanism for style supervision and restraint.

6. Work requirements

(1) Strengthen organizational leadership and arrange deployment in a timely manner. The county health bureau and all medical and health units must effectively strengthen the leadership of the work style rectification work, and carry out good activities as an important measure to solve the problem of difficult and expensive medical treatment for the masses and to promote the work of their own departments. The main leaders of the health administrative departments at all levels, The main person in charge of the medical and health unit is the first person responsible for the rectification of the work style of the department and unit. The rectification of the work style of the department and unit must be carefully arranged, carefully organized and implemented, and the goals and tasks at each stage must be completed with high standards and strict requirements, and resolutely avoid attempts to rectify the work style of the department and unit. Form, going through the motions. It is necessary to closely integrate the strengthening of work style rectification with business work, ensure the same arrangements, inspections, and assessments, and strive to achieve both correctness and promotion to ensure that all work is implemented. In order to strengthen the leadership of the system-wide work style rectification activities, a leading group headed by the director of the County Health Bureau was established, and an office was set up to further consolidate responsibilities, refine and quantify various task objectives, and conscientiously implement them.

(2) Strengthen publicity and guidance and create an atmosphere of public opinion. It is necessary to make full use of various media to publicize the importance and necessity of work style rectification activities extensively and deeply. It is necessary to effectively increase the publicity of positive models, name and commend a group of "models", give full play to the role of demonstration and leadership, and create a good image of "angels in white".

(3) Pay close attention to supervision and inspection, and increase investigation and punishment efforts. The county health administrative department will effectively strengthen supervision and inspection of work style rectification through methods such as open and covert inspections and accepting reports. Units and individuals that still violate regulations and disciplines after rectification must be severely investigated and will never be tolerated.

All medical and health units in the county must follow the requirements of this implementation plan and promptly report the stage of work to the County Health Bureau in writing (with an electronic version) after the completion of each stage. Sex work summary. All kinds of text, pictures, audio and video and other materials formed during the entire activity must be kept complete and complete.