Hospital health work plan 1 In order to effectively prevent, timely control and eliminate the hazards of public health emergencies, ensure that emergency treatment can be done in a timely, rapid, efficient and orderly manner when public health emergencies occur, and ensure public health and life safety, this emergency plan is formulated in accordance with relevant regulations and in combination with the reality of our township health system.
I. Classification of public health emergencies
According to the nature, harm degree and scope of public health emergencies, public health emergencies can be divided into general public health emergencies, major public health emergencies and extraordinarily serious public health emergencies.
1. General public health emergencies refer to emergencies that have occurred in local areas and have not yet spread or spread, and have not yet reached the standard of major public health emergencies.
2. Major public health emergencies refer to public health emergencies with a wide range of occurrences, epidemic spread and not yet catastrophic.
3. Particularly serious public health emergencies refer to emergencies with great impact, wide scope, large number of people involved and serious harm.
Second, the composition of the emergency command team
The emergency command group of health emergencies in our hospital is headed by the main leaders of health centers, and its members are mainly the heads of medical treatment, health and epidemic prevention, maternal and child health care and village health stations. There is an office under the emergency command group, which is located in the health center.
Third, the main job responsibilities
1. Health centers supervise and manage public health emergencies. The prevention and protection department undertakes the management task of public health emergencies within the scope of its duties.
2. Under the leadership of the health center, the Prevention and Protection Department is responsible for the epidemic situation report, the isolation, disinfection, protection and treatment of medical wastes in medical institutions and detention stations, the disinfection of public places, the medical observation of close contacts, the environmental disinfection of epidemic spots, and the supervision and inspection of the quality of disinfection products and protective articles produced, operated and used.
3, the hospital set up a fever clinic and observation room, the first diagnosis responsibility system.
4. After receiving the report from the health department at a lower level, the health center should immediately understand the situation, grasp the dynamics of public health emergencies, determine the category, nature and severity of the events, organize emergency rescue teams and related technical personnel to go to the scene, and guide and assist the local authorities in handling public health emergencies. And report to the superior business department in time.
5, quickly organize medical treatment and epidemiological investigation and analysis, determine the nature, category and severity of the incident, at the same time analyze the development trend of public health emergencies, put forward emergency treatment suggestions, and formulate and implement the technical scheme for emergency treatment of public health emergencies.
6. Make judgments on the scope of major poisoning emergencies, find out the types and quantities of poisons that caused the incidents, put forward on-site disposal plans, and guide and organize the masses to take various measures for self-protection.
XX town hospitals
2008 1 8th, Oxx
Under the new situation, township health work is facing severe challenges. How to get the hospital out of the predicament is an important topic for all of us. According to my more than 20 years of health work experience and nearly 5 years of dean's work experience, combined with the reality of our hospital, I will talk about some measures and future efforts:
First, the present situation of medical and health care in our hospital
Up to now, our town has established a relatively perfect rural three-level health service network with township hospitals as the hub. There are 1 central health centers and x rural health centers (rooms) in the town, with 36 health workers (including village doctors). The total population of the town is X, with a population of 1,000. The number of doctors only accounts for X, and the number of open beds is 12, with a population of 1,000. Judging from the situation in recent years, our hospital can only provide basic outpatient medical services, but the overall medical service capacity is low, and the survival of the hospital is still difficult. The total business income of the hospital in xx years is X million yuan. Among them, the medical income is X million yuan, accounting for 28.9%; The drug income is X million yuan, accounting for X %；; According to the annual final accounts, the total expenditure is X million yuan. After making up the drug balance of X million yuan, it will lose X million yuan every year.
Second, the main factors causing the hospital's survival difficulties
(A) the government's investment in rural health is insufficient, and the phenomenon of supplementing medical care with medicine is still outstanding. Township hospitals undertake public health functions, lack of health investment policies, backward hardware facilities and poor medical conditions, which affect the completion of normal prevention and control tasks.
(2) The layout is not reasonable enough, and the problem of "small but poor" scale is prominent. There are some phenomena in hospitals and village health centers (rooms), such as small scale, weak function, unreasonable layout and low quality of personnel. From the word "small", although hospitals have begun to take shape, they are relatively small, and most patients only go to outpatient clinics. Judging from the word "poor", houses, equipment, personnel and technology all lack the ability of medical services, especially in some remote villages in our town, such as xx and xx, where only the old and the young live. The lack of medical care and medicine has forced most patients to lose their homes in other places, resulting in a decrease in income.
(3) The system of township hospitals is not active. Mainly manifested in the following two aspects: first, there is a phenomenon of "supplementing doctors with medicine" in business, and the income from medicine accounts for the absolute proportion of all business income, accounting for 7 1.7%. Under the current management system, the status quo of hospitals is still maintained by selling drugs; Second, the concept is backward, management is backward, and people are overstaffed. The hospital lacks institutional incentive and restraint mechanism from top to bottom, the leadership lacks innovation consciousness, the management level is not high, and the management mechanism is not active; Ordinary workers are content with the status quo, waiting for patients to come to the door for service, still clinging to the concept of "big pot rice", unwilling to reform, afraid of competition, and waiting for death.
The health technical team is seriously unsuitable for the requirements of the new era. The overall performance is: low quality of personnel and unreasonable structure. Among the 20 employees in the hospital, 65% have junior titles and 5 have intermediate titles, accounting for X25 %；. There are only two senior titles (1 will retire in xx 1), accounting for 10%. Low educational background and low technical level not only directly affect the healthy development of township hospitals, but also further restrict the medical consumption demand of rural people. Secondly, since 10, there has been no high-tech and high-quality professionals to enrich and expand township hospitals, and the personnel entry and exit mechanism is rigid, and the people's trust in "small hospitals" has been greatly reduced.
Hospital management is lax. The management system is incomplete or some systems are not implemented according to the system. These internal management problems restrict the overall construction and development of the hospital to a great extent. For example, financial management system, medical quality control management system, professional training and learning system for health technicians, disinfection management system in health centers, nosocomial infection control system and disposable medical devices use management system have all been established and improved, but they lack real management.
The rapid development of medical images and high-quality digital images make it play a decisive role in the localization and characterization of diseases. CT, MR, CR, digital gastroenterology, especially interventional radiology, integrate the diagnosis and treatment of diseases. Radiology is infiltrating into clinical disciplines from a single discipline and plays an unparalleled and important role in the medical field. With the maturity of information technology, digital technology and network technology, it provides a broader development space for digital imaging medicine. The radiology department of primary hospitals is facing unprecedented challenges, and the management of radiology department must adapt to the development of medical imaging with new ideas and concepts.
1, change ideas, take the initiative to attack and improve organizational leadership.
In addition to good professional quality, department directors should also know some management knowledge and leadership skills. Pay attention to the accumulation of management knowledge, study management books carefully, find leadership experience, working methods and management skills that can be used for reference, and actively create harmony with patients, leaders, society and colleagues in departments. Pay attention to the unity of departments, respect each other, cooperate with each other, know the big picture, take care of the overall situation, change ideas, change passive service into active attack, form team spirit, and jointly complete various tasks.
2. Strengthen the standardized management of departments.
2. 1 Grouping management divides different business technologies in the department into three groups, namely, general radiation diagnosis group, general radiation technology group and CT group. Each group has a team leader, who is responsible for the normal operation of daily work and leads the staff of this group to study hard and improve their professional level. Under the premise of ensuring the normal operation of each group, implementing different imaging methods in rotation is conducive to the comprehensive mastery of professional technology and personnel training, thus achieving the "integration" of imaging medicine. According to the needs of the department, the network management and external liaison team of radiology department is added to be responsible for the external publicity and liaison of the department, the general maintenance of instruments and equipment, computer network and image diagnosis workstation, and the solution of technical problems, including the daily preservation of image data.
2.2 conscientiously implement the hospital rules and regulations and the spirit of the document.
Combined with the actual situation of undergraduate course room, clear responsibilities, establish various assessment mechanisms, and establish and improve various rules and regulations of the department. Formulate a series of rules and regulations such as radiology quality management, radiology job responsibilities and various personnel responsibilities, radiology management system, radiology machine operation rules and technical operation rules, and radiology rules and regulations implementation rules. Strengthen the maintenance and repair of machinery and equipment, formulate detailed maintenance and cleaning responsibilities for radiation machinery and equipment, and implement them in stages, and the responsibility lies with people.
2.3 Digital management of image data
(1) The radiology department uses our computer system to sort out all the data, burn them into first-class CD-ROMs for archiving, and save them as original data for clinicians to use, as well as for all kinds of medical disputes. The positive case data were classified according to different systems, and the positive data confirmed by surgery and pathology were burned into second-class discs for scientific research and consultation inside and outside the hospital, which significantly improved the management level of image data archiving.
(2) All diagnostic reports of radiology department are written on the image workstation and laser printer, and the image diagnostic reports are more standardized and clear. The module function in the report system has been carefully designed, so that the diagnostician can spend more time and energy on analyzing images instead of writing reports. At the same time, each diagnosis report must be approved by the department director or attending physician before it can be officially issued. (3) Digitization of radiology image data has truly realized filmless management, greatly reducing the cost of traditional management mode of radiology, and images can be permanently saved and directly called, thus improving management efficiency and work efficiency.
(4) Reasonable digital radiology data management is conducive to improving the quality of medical diagnosis, promoting the improvement of the hospital's scientific research and teaching level and modern management level, and bringing remarkable economic and social benefits to the hospital.
3. Implement the internal performance of the department and comprehensively improve the employees of the department.
Actively support and cooperate with the reform of hospital performance distribution, boldly redistribute performance within departments, and clarify the responsibilities and scope of each department. The principle of "getting more for more work, giving priority to performance and giving consideration to fairness" is implemented in the internal distribution of departments. At the same time, the medical risk responsibility is large, the scientific and technological content is high, the workload is large, and the performance distribution is more reasonable. The director of the department is in a key position in the distribution and formulates stable distribution rules. Employees in each department have corresponding performance distribution coefficients, and the grades are moderately widened to ensure the unity and stability of the department and fully mobilize the enthusiasm and creativity of the employees in the department. Once the distribution standard is determined, it shall not be changed in principle, and any random distribution is strictly prohibited.
4, diagnosis and treatment quality management diagnosis
The personnel are familiar with the theory and method of image quality control, carefully read the films, and write in strict accordance with the format of medical image diagnosis report stipulated in the Code for Writing Image Diagnosis Report. The content must objectively reflect its changes and meet the requirements of quality assurance and quality control, including general information, inspection name, inspection technology and method, medical imaging performance, medical imaging diagnosis, written report signed by doctors, and department director (deputy director) audit. Five items are indispensable. Every morning at 8:00-9:00, the director of the department or the head of the diagnosis team will organize the film reading. The doctor on duty will prepare to read the contents of the film, select some difficult, typical or instructive cases in one day, and collect the medical history data of some cases and the information of various imaging examinations. When reading the film, the doctor on duty will report the medical history, analyze the images and draw a preliminary conclusion. The superior doctor will further analyze the cases, synthesize the image information, confirm each other and make a final conclusion. Regularly make statistics and inspection on the diagnostic coincidence rate, regularly organize the diagnosis discussion of difficult cases and surgical cases, and record the discussion results of difficult cases. Technicians constantly improve the screening technology to ensure the quality of CR films, count the number of duplicate photos, duplicate photos, positions and scrap films every day, and calculate the percentage according to the ratio of actual quantity to workload. Monthly technical film reading evaluation, high-quality film rate and waste film rate should comply with the quality control regulations, and regularly organize waste film analysis seminars to sum up experience and implement improvement measures. The training of radiologists in primary hospitals is very important to the development of imaging science, and we should always make unremitting efforts. The main measures are as follows:
(1) emphasize patient-centered and cultivate good medical ethics.
(2) relatively fixed, regularly rotated to the general radiology room, CT room, gastrointestinal room, special contrast room, and strive to master all the knowledge within the scope of this discipline. At the same time, according to the specialty of the department staff, we will send them to higher hospitals for further study, introduce new technologies and projects, and promote the business development of the department.
(3) Attach importance to departmental film reading clubs, encourage young comrades to participate in re-education and study, further improve their academic qualifications and learn new knowledge.
5. Quality of diagnosis and treatment services
Patient registration is the first impression left by the window department. If this link is done well, the whole process of patient treatment will be relaxed and happy, and the satisfaction with doctors will be improved a lot. On the one hand, service attitude is very important; On the other hand, understand the patient's condition and the examination requirements of clinicians, find out the items, parts, methods and priorities of the disease, arrange the examination of critically ill patients as soon as possible, then go through the formalities, strive for treatment time and get in touch with clinicians at any time. Understand the patient's mood, understand the patient's anxiety and anxiety, pay attention to maintaining the patient's personality and self-esteem, master communication skills, give targeted explanations, and make image diagnosis. Within 65,438+0 hours, a diagnosis report should be issued for the patient to be diagnosed within 30 minutes after the emergency occurs; For difficult cases that must be discussed for consultation, explain the results to the patients at the latest for no more than 24 hours, so as to ensure the accuracy of diagnosis to the greatest extent.
6. Equipment introduction and business promotion
In order to give full play to the functions of newly purchased large-scale imaging equipment, publicity and external liaison must be done well. The department has set up an external liaison group to timely feedback the opinions and suggestions of clinical departments and clinicians on radiology, coordinate the relationship between radiology and clinical departments and township hospitals, publicize the characteristics of various large-scale equipment in the department, the inspection items that can be carried out and their clinical significance in the form of blackboard newspaper, wall newspaper, special issue and sending materials, and often organize clinical department directors and business backbones to hold symposiums to exchange feelings, communicate differences and promote cooperation, which has effectively promoted the construction and development of imaging discipline.
In order to implement the Opinions on Promoting the Gradual Equalization of Basic Public Health Services, the Implementation Plan of Basic Public Health Services and related major public health service projects, ensure the smooth development of the management project for severe mental patients in our town, and gradually establish an effective comprehensive prevention and control mechanism for dangerous behaviors of severe mental patients. According to the Ministry of Health's Measures for the Supervision and Treatment of Severe Mental Illness and the Technical Guidance Plan for the Supervision and Treatment of Severe Mental Illness, this plan is formulated in combination with the actual situation.
I. Objectives
(1) Full-function management for patients with severe mental illness.
(two) popularize the knowledge of prevention and treatment of mental illness, improve the understanding of systematic treatment of severe mental illness.
(3) According to the requirements of superiors, the filing rate of severe mental illness reached 4‰.
Second, the scope and content of the project
(1) Scope: It will be implemented within the jurisdiction of the whole town.
(II) Implementation contents
1. Training: Do a good job of publicity according to the implementation plan and technical specifications. And do a good job of home visits to understand the patient's physical condition. Collect the information of people who have not been clearly diagnosed with severe mental illness, but are at risk, and then advise them to go to professional institutions for diagnosis and treatment immediately, and report to the superior mental illness prevention and control institutions and.
2. Collect the data of confirmed cases. Statistics of case information of registered patients with severe mental illness.
3. Condition assessment: establish health files for patients with severe mental illness: when patients with severe mental illness are brought into management, check their mental symptoms and physical diseases, and establish health files for patients who meet the diagnosis. The contents of file registration include the names and contact information of patients and guardians, family history of mental illness of patients, time of first onset, previous diagnosis and treatment, previous main symptoms, ability to live and work, current symptoms, medication compliance, insight, social function, rehabilitation measures, overall evaluation and follow-up treatment and rehabilitation opinions.
4. Regular follow-up: Patients receiving treatment should be followed up at least four times a year. The main purpose of each follow-up is to provide information on mental health, medication and family care concepts, supervise patients' medication, prevent recurrence, find signs of recurrence or aggravation in time, give corresponding treatment or referral, and carry out crisis intervention. For patients with unstable condition, on the basis of current medication, contact the original competent doctor or refer them to a higher hospital when necessary; For patients with worsening physical symptoms or adverse drug reactions, patients should be transferred to higher hospitals.
5. Patient report: Anyone who endangers the life safety of others or seriously affects the social order and image and is found to be a suspected mental patient should immediately call "1 10" to report to the local public security organ, and the official staff of the public security organ will send it to a nearby mental health medical institution or a mental health medical institution designated by the local health administrative department for diagnosis.
6. Health education and rehabilitation guidance: strengthen publicity, encourage and help patients to carry out life function rehabilitation training, and guide patients to participate in social activities and receive vocational training. Communicate with patients' families, distribute mental health science propaganda materials, explain the knowledge nursing of mental patients, and eliminate the social cognition of mental illness in WW Dapo Central Health Center.
According to the work requirements of township party committees and governments, combined with the actual situation of the unit, the fifth hospital health work plan further improves the family planning work of the unit, improves the level of family planning and promotes the continuous upgrading of family planning work. 20xx family planning work plan is formulated as follows:
1, to further improve the overall level of publicity and education work. Constantly improve people's understanding of population and family planning policies and regulations. Take the way of classifying and guiding different groups of people, combine with the construction of spiritual civilization, carry out activities such as marriage and childbirth into the unit, publicize population and family planning policies and regulations by making street light box advertisements, spraying paintings, setting up "population" columns, and promote the construction of fertility culture; For the floating population, family planning publicity materials with strong readability, applicability and practical value are printed in every village, such as paper cups, plastic washbasins and bucket New Year pictures. Family planning services are regularly delivered to households and family planning brochures and publicity materials are delivered to thousands of households.
2, gradually establish and improve the family planning system learning and training system. Establish a rotation training system for employees of this unit. Family planning personnel in the unit mainly study family planning statistics, policies and regulations, family planning information management system, reproductive health service technology and family planning four surgical techniques; Ensure the completion of training tasks; Increase business training for employees of the unit.
3. Further standardize the construction of population schools. Combined with the construction of township service network, the mode of "cooking together and respecting the gods" is adopted to establish and standardize the demonstration base of new wind for marriage and childbearing in towns and villages. While building high-standard population schools, we will incorporate the construction of unit population schools into rural construction.
4. Strengthen the publicity and reporting of AIDS. Facing the new situation of AIDS work under the new situation, we should focus on strengthening AIDS publicity and reporting, so that the broad masses of cadres and workers can fully
Know how to prevent AIDS. And take this as the main line, widely publicize the common sense of reproductive health care.
5. Strengthen team building. In order to meet the needs of information management of family planning, we should further organize training courses and regularly train family planning workers with computers to improve their ability to apply information management, so as to lay a solid foundation for realizing e-government of family planning system.
Jiaojiang town hospitals
20xx February 12
Family Planning Management System of Jiaojiang Town Health Center
In order to conscientiously implement the family planning policy, improve the management level of family planning, and do a good job in family planning, this system is formulated in combination with the characteristics and reality of this unit.
1 resolutely implement the spirit of relevant documents such as the Measures for the Administration of Family Planning of Floating Population in Guangxi and the Detailed Rules for the Implementation of Family Planning Management of Floating Population in quanzhou county. Those who violate family planning will be severely punished economically and disciplined.
2 set up a leading group for family planning work, clarify that full-time personnel are responsible for family planning work, and implement the responsibility system for family planning target management. Constantly improve the family planning management system.
The family planning work of this unit should be planned at the beginning of the year and summarized at the end of the year, so that the work will continue to develop in a standardized, scientific and regular direction.
4. Establish standardized accounting and cards for floating population management.
Master the situation of marriage, childbearing and birth control of employees in this unit. To recruit floating population, we must first verify the marriage and childbearing certificate of floating population. For undocumented or expired documents, it is necessary to urge them to go to the place where the household registration is located to apply for the marriage and childbearing certificate of the floating population, and ensure that the certificate-holding rate and verification rate are above 90%. Migrant workers without marriage and childbirth certificates are not allowed to find jobs.
Carry out publicity and education for new employees, and do a good job in AIDS prevention and unplanned birth.
Organize employees and their relatives to study family planning policies and regulations, convey the relevant national spirit at this stage, and sort out the learning situation and content.
8 to carry out various forms of family planning publicity and education activities, and regularly run blackboard newspapers and posters.
Pass the slogan. Actively make suggestions and vigorously publicize the advanced figures and models of family planning work.
9. Implement various birth control measures, establish an account for receiving and distributing contraceptives, and do a good job in receiving and distributing contraceptives.
10 Establish marriage and childbearing files for women of childbearing age, keep abreast of the fertility situation of female workers of childbearing age, and urge married women of childbearing age to implement birth control measures. In March and 10 every year, "three inspections" are organized regularly, that is, pregnancy inspection, environment inspection and disease inspection to prevent unplanned birth.
1 1 assist women of childbearing age to apply for family planning and reproductive health care service certificates with the certificate of marriage and childbearing of floating population, and enjoy free pregnancy and gynecological diseases screening services.
12 take remedial measures of birth control within a time limit for women of childbearing age who have unplanned pregnancy; If remedial measures are not taken, wages, benefits and all subsidies will be stopped from the current month, and no awards will be issued at the end of the year. Do not obey the management, timely report to the family planning management department.
13 For employees who have unplanned births, in addition to collecting social support fees according to regulations, they shall be given the punishment of dismissal or dismissal or dissolution of labor relations. Among them, female employees stop paying wages and bonuses during maternity leave and do not enjoy maternity benefits.
14 if the family planning management personnel fail to perform well, resulting in the family planning work failing to meet the standards, the person directly responsible shall be investigated for management responsibility, and the qualification of "one-vote veto" shall be implemented.
15 If the employees do not cooperate in the family planning work, which causes difficulties to the family planning work, in addition to handling it according to the relevant regulations of the family planning department, the qualification of the parties will be assessed by "one-vote veto".
Jiaojiang town hospitals
20xx 65438+ 10 month
Summary of family planning work in Jiaojiang township health center
Under the leadership of quanzhou county Health Bureau and Jiaojiang Town Party Committee and Government, all staff of Jiaojiang Town Health Center conscientiously implemented the Law of the People's Republic of China on Population and Family Planning, Regulations on Population and Family Planning in Guangxi Zhuang Autonomous Region, Measures for the Administration of Population and Family Planning in Guangxi Zhuang Autonomous Region and other relevant documents, in order to ensure the population and family planning work in our hospital.
First, after discussion by the Council, a leading group for family planning work was established with the dean as the leader.
Second, hold a staff meeting of the whole hospital to learn the principles and policies related to family planning work.
Three, the management plan formulated at the beginning of the year has clear provisions, adhere to the principle of the chief executive personally, take overall responsibility, in charge of the leadership of the specific grasp, the family planning work into the post responsibility system of the unit. Bonuses and labor costs are linked to family planning work, and the "one-vote veto" system for family planning is resolutely implemented.
Fourth, establish employee family planning files, and require all personnel information in employee accounts to be filed for future reference. And go deep into employees' families to understand the family planning situation, master first-hand information, be aware of it, and report the family planning situation in time. Check the rental housing of the unit and explain the relevant family planning policies to it, and resolutely crack down on unplanned births and super-births of the unit. Check the household registration in our hospital.
Five, the unit of unpaid leave personnel requirements for family planning tracking, and require a deadline to return to work or quarterly pregnancy test, pregnancy test results need to be sent back to the unit for filing.
Jiaojiang town hospitals
20xx65438+February 30th.