I. Completion of various work indicators
(a) Maternal and child health indicators
There were 3,969 pregnant women and 3,969 health care managers, including 2,952 pregnant women and 298 live births per person. The coverage rate of pregnant women's health care, hospital delivery rate and new delivery rate were all 100%. 1 197 high-risk pregnant women were screened, and the high-risk screening rate was 30. 16%, high-risk pregnant woman delivery 1020, hospital delivery 1020, high-risk hospital delivery rate1020; 2946 pregnant women were tested for prenatal AIDS, and the detection rate was 99. 80%; There were no maternal deaths.
Children under seven years old 19484, health management 17 186, and the coverage rate of children's health care is 88. 2 1%; 8725 children under 3 years old were systematically managed, and the system management rate was 89. 52%; Twenty-four children under the age of five died, with a mortality rate of 8. 05‰, the infant mortality rate is 13 cases, and the mortality rate is 4. 36‰, 5 newborns died, and the neonatal mortality rate was 1. 68‰。 There are 38 people with birth defects, and the incidence of birth defects is 12. There was no neonatal tetanus in 49‰.
(2) Commercial operation
Outpatient registration was 543 18, which was+1490, with an increase of +3%. 4828 people were admitted to the hospital, +52 1 person,+12%; The bed utilization rate is 122. 14%; The bed turnover rate is 96. Three times. Business income15.39 million yuan, including drug income of 3.54 million yuan, accounting for 23% of business income. 17%。
According to the workload statistics, outpatient service was +3% year-on-year, among which gynecological outpatient service, stomatology department and child care department increased by more than10%; The number of inpatients in pediatrics and obstetrics and gynecology has increased, with the increase in pediatrics reaching 20%. It can be seen that with the establishment of neonatology department and children's vaccination clinic, the advantages of our hospital in pediatrics and children's health care have been significantly improved, and the ability of diagnosis, treatment and service has been significantly improved, and there is still much room for expansion in related departments. Since the beginning of this year, the number of obstetric deliveries in our hospital has remained above 40% of the total number of births in the city, accounting for 53% in July and September respectively. 4%、54。 6%, highlighting the professional advantages of obstetrics. However, the number of health check-ups and gynecological check-ups of female workers has obviously decreased, which should be paid attention to and concerned.
There were no medical accidents and major medical disputes throughout the year.
Second, the focus of work and implementation
(a) focusing on the implementation of major national public health special maternal and child health care projects, strengthening the management of maternal and child health care, and maintaining the advanced level of maternal and child health care indicators.
1, actively implement the national major public health maternal and child health special project to ensure the equalization of public health services. First, innovate working methods to ensure that hospital delivery subsidies are distributed to the masses in time. Since the project started on June 16, 10, 1, 2065438, we first distributed subsidies by centralized reimbursement. This year, we adopted the subsidy method of "on-site direct subsidy" by distribution agencies, which saved the inconvenience of people's round-trip reimbursement and received good social response. The city 1560 eligible pregnant women received a hospital delivery subsidy of 780,000 yuan. Second, on the premise of extensive investigation and obtaining the consent of the competent authorities, the implementation plan of folic acid supplementation for rural women to prevent neural tube defects was formulated, focusing on pre-pregnancy, strengthening the education of key groups, and distributing drugs by using the free premarital medical examination platform at the same time as the newlyweds, which expanded the scope of distribution and received good expected results. 48 1 person throughout the year. Third, seriously implement the 20 16 breast cancer screening project. In September, 2059 people in Lucheng town were examined, and 2 suspicious cases were found, with confirmed cases 1 case. They were urged to undergo surgery. At the same time, the workflow of the breast cancer screening project was further standardized, and 5 suspicious and 2 confirmed breast cancer cases detected in 20 16 were followed up to urge them to have regular follow-up and treatment, which improved the social effect of the breast cancer screening project.
2. Actively promote women's health actions and improve women's quality of life. Since March, our hospital has assisted Yaojiadian, Wuyanquan, niejiahe, Panjiawan, Gaobazhou and other township health centers to carry out the general survey of women's diseases, standardized the general survey items and processes of women's diseases, and improved the quality of the general survey. 7843 person-times, free of medical expenses 4 1 10,000 yuan. 873 times of health care for female workers in enterprises and institutions.
3. Strengthen maternal health care management to ensure maternal and infant safety. First, actively cooperate with the Municipal Health Bureau to carry out law enforcement inspection of maternal and infant health care, conduct qualification examination and obstetric quality evaluation of seven medical institutions offering obstetrics and gynecology in the city 17, and supervise them to carry out maternal and infant health care technical services according to law. Second, continue to implement the responsibility system, continue to strengthen village-to-village visits to pregnant women, strengthen the management of maternal health care at the grassroots level and technical guidance on maternal and child health care, and ensure that the coverage rate of maternal health care, the rate of hospital delivery and the rate of maternal visits reach 100%. Third, strengthen pre-marital and pre-pregnancy health care and improve the rate of early pregnancy card establishment. Fourth, earnestly implement the classified management measures for high-risk pregnant women, implement the management procedures and the responsibilities of the three-level health care network to ensure the safety of high-risk pregnant women.
4, strengthen the management of children's health care system, improve the quality of children's health care management. First, strengthen the work of children's health clinics, and actively carry out children's health care projects such as neonatal disease screening, hearing screening, children's growth and development monitoring, and infant swimming, thus improving children's health. The second is to strengthen the health care management of kindergartens. In May, the health care work of 45 kindergartens in the city was re-evaluated, of which 38 were qualified and 84 were qualified. 4%, and seven unqualified institutions will reissue certificates after rectification and review within a time limit. The third is to hold training courses for kindergarten directors and health care doctors, and hold lectures on prevention and control of influenza A and hand, foot and mouth disease to improve the prevention and control ability of collective children's infectious diseases. The fourth is to go deep into kindergartens and primary schools to prevent and treat common diseases of children with dental caries and blood lead. The fifth is to set up a vaccination clinic for children, and carry out BCG and hepatitis B vaccination for newborns according to law to effectively prevent children's diseases.
5. Actively carry out health education to improve people's awareness of self-care. Continue to run the "lecture hall on maternal and child health care" and teach infant health care and pregnancy health care knowledge free of charge, which has received good social effects. Cooperate with CPPCC, Municipal Women's Federation and other organizations to carry out free consultation activities such as "Pay attention to people's livelihood and send health" and "Women's Volunteer Bank" for 6 times, receive 1 185 person-times, distribute 5,000 health leaflets, and distribute 336 1 yuan free of charge. At the same time, use blackboard newspaper, publicity column, publicity window, stop sign, etc. To carry out publicity and education on disease prevention knowledge.
6. Established the information platform of maternal and child health care in the city, trained the information management software of the new annual report and the new annual report of maternal and child health care in the city, standardized the collection and reporting of maternal and child information, and promoted the communication and feedback of information.
(two) pay close attention to the construction of medical services to ensure the safety of medical behavior.
1, strengthen the construction of secondary quality control organization in hospital and improve medical quality. First, we will continue to carry out special rectification activities for medical quality management, implement the responsibility system for first-time doctors and the three-level doctor-patient communication rounds system, discover and solve medical safety hazards in time, and promote the establishment of a harmonious doctor-patient relationship. The second is to strengthen the second-level quality control assessment of hospital departments and summarize feedback regularly to ensure the continuous improvement and improvement of medical quality. There were no medical accidents and major medical disputes throughout the year.
2. Strengthen the construction of characteristic colleges and fill three gaps. First, laparoscopic surgery was successfully carried out in inpatient obstetrics and gynecology, which filled the gap of minimally invasive treatment technology in gynecology in our hospital; Second, the establishment of children's vaccination clinic has solved the long-standing problem of planned immunization for newborns and filled the blank of planned immunization for children in our hospital; Third, an independent neonatal ward was established, which filled the gap in the construction of neonatal department in our city. Since the establishment of Neonatal Department, we have treated 2 16 newborns and rescued 29 critically ill children. The success rate of high-risk rescue is 98. 67%, 4 cases of neonatal diabetes, respiratory malformation, septicemia complicated with polycythemia and DIC were found and referred in time, which won time for further treatment; Pediatrics, Obstetrics and Gynecology, Stomatology, Prenatal Clinic, Laboratory, B-ultrasound Room and Radiology have continuously improved their work quality and increased their workload.
3. Seriously implement the management measures of infectious diseases, strictly implement the network direct reporting of infectious diseases, the monthly report of health emergency work and the system of pre-inspection, triage and reporting of infectious diseases, and implement the prevention and control measures of hand, foot and mouth disease and influenza A, effectively controlling the spread and prevalence of infectious diseases in our hospital.
(3) Pay close attention to the construction of industry style and medical ethics to improve the patient satisfaction rate.
Taking the democratic appraisal of political style as an opportunity, the rectification of industry style has been further strengthened and satisfactory results have been achieved. First, strengthen the construction of a clean and honest party style, combine the publicity and education of the construction of a clean and honest party style with the education of medical ethics, the training of laws and regulations, and the rectification of medical ethics, further improve various work measures, and control corruption from the source. Second, drugs and medical devices are strictly subject to the centralized government bidding and purchasing system to prevent unhealthy practices in the purchase and sale of drugs. Purchase drugs throughout the year. 550 thousand, centralized bidding 240. 240,000, and the centralized bidding procurement rate is 85. 03%; Purchase of disposable consumables 133. 130,000 yuan, of which 73 companies were invited to bid. 430,000, the bidding rate is 55. 16%; Equipment procurement is 2.66 million yuan, and centralized bidding is 2.66 million yuan, and the centralized bidding procurement rate is 100%. The third is to establish a publicity column of medical service charging standards and drug prices, update information and adjust prices in time, and put an end to overcharging. Fourth, strictly implement the "seven prohibitions" work system, effectively control "big prescriptions" and "taking a ride to prescribe drugs", and the proportion of drug revenue in business income has been controlled below 25%. Medical staff do not accept "red envelopes", "kickbacks" and billing commission. Fifth, adhere to benefiting the people and provide quality services for rural poor households, urban low-income households, disabled people, active military families and elderly people over 70 years old. Sixthly, democratic appraisal activities on political ethics were carried out, and opinions and suggestions from all walks of life were widely solicited. A series of activities were carried out in the whole hospital, such as healthy baby action, maternal and child safety action, children's health action, the establishment of "Wang Zhengyan Studio" and the signing of service commitment letter, which effectively promoted the construction of political ethics and enhanced the social image, and the patient satisfaction rate remained above 95%.
(D) The in-depth development of the activity of "striving for excellence" has enhanced the cohesion of the Party organizations.
According to the unified arrangements of the Municipal Party Committee and the Municipal Health Bureau Party Committee, the activity of "striving for excellence" with the goal of "creating advanced grass-roots party organizations and striving to be excellent party member" was carried out in the whole hospital. In accordance with the requirements of document No.8 of the Discipline Inspection Law [2065438+06], we will implement the requirements of "Five Bases and Seven Systems" for the "Twelve Ones" construction of party organizations one by one, further improve the system of party building work, standardize the collection and arrangement of various materials and file management of party building work, implement various measures for the construction of learning-oriented party organizations and the establishment of "Five Good" party organizations, and improve the party, industrial and league organizations. Under the education and training of party organizations, five advanced young people will join. In the activity of "Striving for Excellence", our hospital insisted on combining the founding activities with the central work of the hospital, and carried out a series of thematic practical activities such as "Satisfaction of Women and Children", "party member Commitment", "party member Brilliant Brand", "Three Innovations and One Innovation" and the selection and commendation of excellent experience articles. With the activity of "Striving for Excellence" as a platform, our hospital promoted all the work of the hospital and closely implemented the hospital delivery subsidy and "two cancers".
(5) Continue to deepen the reform of personnel system and improve the enthusiasm of employees.
First, according to the spirit of the relevant documents of the Municipal Personnel Bureau and the Health Bureau, set up posts scientifically and reasonably. There are 100 posts in the hospital, including 14 management posts, 74 professional and technical posts and 12 logistics posts, thus realizing the reform of the employment system from identity management to post management. Second, according to the number of posts re-approved by the Municipal Personnel Bureau and the Health Bureau, open recruitment will be implemented, the recruitment targets will be included in the management of the staff, personnel agents and temporary workers will be abolished, and personnel relations will be straightened out. Third, conscientiously implement the spirit of performance pay reform, standardize the performance pay assessment and distribution system, implement the payment of living allowances for retirees, and safeguard the legitimate rights and interests of employees.
(six) steadily promote the construction of urban and rural interconnection, the implementation of new rural construction and supporting medical tasks.
First, actively support the construction of new countryside in Shuangheqiao Village, Wangjiafan Township, and help the village improve its system work. Invested15,000 yuan to help the village acquire office equipment such as computers, and donated two 20 16 daily newspapers and five new rural newspapers. Organization 15 party member provided free clinic service for villagers twice, received medical consultation for 253 times, reduced medical expenses12,000 yuan, distributed medicines10,000 yuan for free, visited poor party member and donated 3,000 yuan. Second, we jointly organized a "Women's Volunteer Tour" with the Municipal Women's Federation to treat send warm, a left-behind child in niejiahe Town, with free physical examination 189 person-times, distribution of drugs 1000 yuan, distribution of 500 copies of various health education publicity materials and consultation 150 person-times. The third is to transfer a deputy chief physician of obstetrics and gynecology to Gaoba State Health Center to support rural health work and guide the grassroots to carry out obstetrics and gynecology business. And established a two-way referral relationship with township hospitals such as Panjiawan and Yaojiadian, realizing resource sharing and mutual benefit.
Three. Existing problems and priorities for next year.
(a) problems
1, the cesarean section rate of medical institutions in the city is still high. After active rectification, the cesarean section rate of all medical institutions decreased in different degrees in the second half of the year, and the cesarean section rate in the city dropped from over 80% to 68%, but it was far from reaching the standard of 40% determined by the Provincial Health Department.
2. The shortage of health care personnel has affected the further expansion of health care business and the implementation effect of maternal and child health care projects.
(2) Work priorities for next year
1. Strengthen the "two-system management" to ensure the realization of the goals of reducing the maternal mortality rate, the mortality rate of children under five years old and improving the quality of the birth population.
2, strengthen the implementation of the "four measures", and strive to reduce the rate of cesarean section.
3, continue to do a good job in hospital delivery subsidies, folic acid supplements and other projects, complete the task of breast cancer screening projects, and ensure the equalization of public health services.
4. Strive for the cooperation of departments, earnestly implement women's health actions, standardize gynecological examination items and workflow, and improve the quality of census and the social effect of women's health actions.
5. Strengthen the construction of characteristic colleges and actively strive for 2-3 municipal characteristic colleges.
6, consolidate the "two excellent" results, improve the level of scientific management.
7, solidly carry out industry style construction, efficiency construction, party style and clean government construction, harmonious unit construction, improve social satisfaction rate.