1.2022 clinic demonstration work plan
1. Public health work takes the establishment of health records as the carrier, all kinds of key groups as the key tar
1.2022 clinic demonstration work plan
1. Public health work takes the establishment of health records as the carrier, all kinds of key groups as the key targets, and all prevention and medical treatment as the working bridge, and comprehensively carries out nine public health work, including health education, planned immunization, maternal and child health care and chronic disease management.
2. Immunization work should be planned, summarized, supervised and recorded, all kinds of reports should be neatly filed and kept, and the two-level epidemic prevention network in rural areas should be improved to ensure the normal operation of cold chain equipment, timely and accurate reports of infectious diseases, reach the required basic vaccination rate target, and report and deal with public health emergencies in a timely and effective manner.
3. Maternal and child health care work should be planned, summarized, supervised and recorded, all kinds of reports should be filed neatly, and the card list should be complete and logical. Do a good job in reducing subsidies for sales projects and publicize subsidies regularly. Register and report the newborn hearing screening and AIDS testing screening to the relevant departments in time. Do a good job in publicity and supervision of hospital delivery of pregnant women in rural areas.
4. The office and the medical department finish their daily work on time, regularly or irregularly control the medical service and hygiene of the whole hospital, strictly implement work records, and severely investigate and deal with behaviors such as off-duty, off-duty, and bad service attitude. , and combined with the inpatient department to do a good job of medical record quality control.
5. Pharmacy and toll collection office strictly implement the standard of medical charges, and the pricing accuracy rate is over 96%; Strictly implement the relevant provisions of bill management, and there is no violation of financial discipline.
6. The new rural cooperative medical system has full-time staff, and regularly publicizes the subsidy funds of the new rural cooperative medical system in a prominent position on time. Medical management should put an end to impersonation, and the inpatient medication of participating patients should strictly abide by the drug list of the new rural cooperative medical system. The publicity work of Xinhe has been strengthened, and the work has been carried out from four aspects: expanding the scope, raising the bid, facilitating the people and strict management.
7. Strengthen the development of Chinese medicine, and carry out characteristic Chinese medicine treatment with Chinese medicine museums and Chinese medicine physiotherapy rooms as carriers. Combined with the new rural cooperative medical system, outpatient Chinese medicine 100% reimbursement was realized.
8. Implement the hierarchical management system of medical institutions, and all the medical records of general outpatient clinics in the province are used.
9. Carry out the spirit of deepening the reform of medical and health system in provinces and cities, actively implement the government-run basic medical and health institutions equipped with GJ basic drug system and rural integration, and sell all 307 basic drugs announced by GJ and 206 drugs supplemented by our province at zero price difference, so as to realize outpatient Chinese medicine reimbursement 100%. Strictly implement the GJ Essential Drugs Clinical Application Guide and GJ Essential Drugs Prescription Set, standardize the use of essential drugs and strengthen the management of the use of essential drugs. Strengthen drug management, register drugs and disposable equipment and materials, implement "five specialties" management for refined and hemp drugs, and do a good job in reporting adverse reactions of drugs and medical devices.
10. Set up a suggestion box, solicit opinions from patients extensively, and the opinions failed to improve the work of our hospital in time, seriously investigate and verify the problems raised by patients, and give reasonable rewards and punishments to relevant personnel.
1 1. The outpatient service system has been staffed and must be implemented when the system is formulated. The above projects have been studied and formulated according to the actual situation of our hospital. Therefore, please all departments and outpatient staff should conscientiously implement the rules and regulations, strictly implement the leave system, be kind to patients, and don't leave their posts, string posts, and dress untidy during work. And it is strictly forbidden to play computer online during working hours. If found, part or all of the floating salary will be deducted according to the relevant system.
2.2022 Clinic Demonstration Work Plan
First, do a good job in outpatient quality inspection and evaluation registration
Hold regular morning meetings to convey the spirit of the meeting, sum up experience, learn from each other's strong points, report the results of quality inspection and assessment this month in time, correct the shortcomings in the work, and feed back the problems existing in the prescription to the doctor in time so as to correct them in time.
Second, do a good job in outpatient statistical analysis.
Every day in the outpatient department patrol, found that the problem in a timely manner to the leadership, medical department, department director, * * *, discuss together, solve in time. Outpatients should be open on time, and should not be late, leave early, leave their posts, or call the roll. Patients should not be allowed to see a doctor, and the daily inspection records should be clearly registered and reported to the competent leader and medical department at the end of the month.
Three, conscientiously implement the three good and one satisfaction and medical benefits activities carried out by our hospital.
Continue to carry out one-stop outpatient service, shorten the time for people to seek medical treatment, facilitate patients to seek medical treatment, take patients as the center and quality as the core everywhere, and serve patients wholeheartedly.
Fourth, diagnosis and treatment services.
With the increase of outpatient visits, actively carry out appointment service and implement the specific operation methods and processes of appointment registration. The appointment form includes:
(1) telephone reservation. (2) make an appointment at the hospital service desk. (3) Make an appointment with an expert directly. (4) Others: Make an appointment online through the hospital website and contact the community and rural primary medical institutions to make an appointment.
Verb (abbreviation for verb) system
Conscientiously implement the responsibility system for first-time doctors, and do not allow out-of-scope practice and unlicensed posts.
Six, do a good job of registration service and triage.
Make a good registration record for patients with fever. If it is an infectious patient, doctors and patients should do self-protection and disinfection and isolation at the same time.
Seven, cooperate with the hospital infection office to do a good job of infection management.
Regularly supervise the disinfection and sterilization of health personnel, do a good job in classified management and registration of medical wastes, ensure medical safety, and keep the environment of health areas clean and hygienic.
Eight, responsible for the supply of office supplies and materials for retired workers.
Do a good job in the examination and seal of outpatient medical records and sick leave notes, and regularly count and issue registration fees for outpatient doctors.
Nine, obey the leaders at all levels, obey the arrangement.
Timely completion and serious communication of various tasks assigned by the hospital.
3.2022 Clinic Demonstration Work Plan
(1) Clinical departments
Focus on the quality of medical records (including inpatient medical records and archived medical records), the rational use of antibiotics, and the prevention of medical errors and accidents. And organize medical quality supervision team to discuss and formulate inspection and assessment rules and reward and punishment system.
1, quality of medical records: In strict accordance with the Code for Writing Medical Records in xx Province (revised in xx), further standard requirements are put forward for the writing of inpatient medical records, course records and related materials.
(1) Organize a steering group to check the quality of current medical records irregularly every month and compare them.
(2) Spot check and compare the quality of archived medical records every 3 months.
2. Rational use of antibiotics: according to the Administrative Measures for Rational Use of Antibiotics (Trial) compiled in xx, supervise whether clinicians use antibiotics rationally. Refer to Section III Evaluation of Rational Use of Antibacterials in this book, see ① Indications and Contraindications. ② The principle of preventive application of antibiotics.
3, the course of antibacterial treatment.
4. Therapeutic dose and route of administration of antibacterial drugs.
5. Combined medication and incompatibility.
6, prevent medical errors, accidents and disputes:
① Many loopholes and hidden dangers in computer printing medical records are found in previous medical records. In order to truly and timely record the patient's condition changes, it is stipulated that the admission record, the first course record and the operation record can be printed by computer, and the course record must be written in pen.
(2) Emphasize the truthfulness and accuracy of the examination and registration of death cases, the discussion and registration of important and difficult cases, the rescue registration of critically ill patients and the doctor's hand-over records.
7. Learn medical norms and relevant laws and regulations.
(2) out-patient department
1, further improve the outpatient function of each department, and do a good job in pre-inspection and triage of infectious diseases.
2. Set up and arrange an expert column in the outpatient department, and announce the professional expertise and visiting time of experts, so as to facilitate patients to see a doctor.
3. Organize quality inspectors to discuss and formulate inspection and assessment rules and reward and punishment system. Regularly (1-3 months), organize the inspector group to inspect and evaluate the outpatient medical records and prescriptions according to the writing standard of medical records in xx province (revised in xx) and the management measures for rational use of antibacterial drugs (for Trial Implementation).
(3) Medical technical assistance department
Organize the medical quality supervision team to discuss and formulate the contents and methods of inspection and assessment and the formulation of rewards and punishments.
Organs, organizations, enterprises and institutions at all levels should make work plans when making arrangements and plans for the work in a certain period in advance, and take such official documents as work plans.
4.2022 Clinical demonstration work plan.
First, make an appointment for medical treatment.
1. Make full use of the hospital website, WeChat, website, telephone and other platforms to carry out appointment diagnosis and treatment and time-sharing services, including expert outpatient service, specialist outpatient service and general outpatient service.
2, improve the appointment diagnosis and treatment work system and norms, operating procedures, and gradually increase the proportion of patients to make an appointment.
3. Establish grassroots medical institutions that cooperate with the hook to carry out appointment referral services, with standardized operation and smooth process.
Second, improve the outpatient process management
1, optimize the layout structure of outpatient service, implement convenience measures and reduce the waiting time for medical treatment. Actively communicate and coordinate with the registration room and the security department, rationally formulate effective measures for key outpatient areas and peak hours, and ensure the order and consistency of outpatient diagnosis and treatment.
2. Open the medical information on the website, WeChat platform and the display screen of outpatient hall. Medical staff can inform patients in advance of the change in the time of seeing a doctor, and implement 24-hour appointment and consultation telephone service.
3, improve the medical resource allocation scheme, real-time monitoring outpatient flow, do a good job of coordination between outpatient and auxiliary departments.
4, the establishment of outpatient emergency early warning mechanism and handling plan, strengthen the technical training of medical staff, improve the ability of rapid response, master all kinds of emergency reporting and handling process.
5. Formulate relevant systems and processes to support the development of multidisciplinary comprehensive outpatient service.
6, improve the outpatient performance evaluation and distribution scheme, closely linked with the quality of outpatient service, so as to facilitate the utilization of outpatient resources.
Third, do a good job in emergency green channel management.
1, emergency layout conforms to the characteristics of emergency rapid flow and meets the requirements of green passage.
2, emergency physicians and nurses configuration to meet the needs of emergency work. Regularly carry out emergency professional skills training and formulate assessment mechanism. Supervise and evaluate once every quarter.
3. Strengthen emergency triage, implement the responsibility system of first diagnosis and consultation system, and pay for critically ill patients after first rescue. It is required that the emergency rescue registration be perfect, the medical records be complete, and the situation of admission, referral and transfer to a major should be handed over.
4, to further improve the emergency service process and norms of trauma, myocardial infarction, heart failure, stroke, craniocerebral injury, respiratory failure and other key diseases.
5, according to the hospital emergency medical rescue plan for major emergencies, supervise the emergency department to develop large-scale rescue workflow, and ensure the green channel unobstructed.
Fourth, pay close attention to the quality and safety of medical care and improve the level of medical services.
1. Strengthen medical safety education and study related laws and regulations, strictly implement the relevant provisions in the Law on Medical Practitioners and the Regulations on Punishment of Medical Accidents, standardize medical behavior, practice according to law, improve legal awareness and self-protection ability, respect patients' right to know and choose, and avoid medical disputes.
2, establish and improve the medical quality and medical safety management control system, strengthen quality control, strictly implement the medical document writing norms, and regularly check the outpatient log registration and the writing quality of various medical documents. Strengthen medical safety management and eliminate all hidden dangers that are not conducive to medical safety.
3, strengthen the three basics and three strictness training and continuing education of medical staff, promote medical staff to take the initiative to learn, constantly master new knowledge, and constantly improve professional skills.
4. Strengthen emergency training and management. Every staff member is required to master emergency measures as much as possible, so that once an emergency occurs, it can be handled correctly and the harm can be minimized.
5. Strengthen the management of fever clinic, do a good job in the prevention and treatment of infectious diseases, report the findings in time, and actively cooperate with various departments of the hospital to monitor major infectious diseases and prevent public health emergencies.
6, do a good job in the management of outpatient special patients, seriously communicate with various departments, and constantly improve the quality and safety of outpatient service.
7. Strengthen personnel training, absorb innovative knowledge, forge ahead and improve the level of medical technology; Strengthen the development of new outpatient technology and new business, and make the hospital step up to a new level.
5.2022 Clinic Demonstration Work Plan
First, working ideas.
Under the new situation, difficulties and opportunities coexist in maternal and child health work, which affects the development of maternal and child health. In this regard, we must attach great importance to learning, face reality, seek truth from facts, seize the opportunity, keep pace with the times, work hard, and constantly promote the development of maternal and child health.
First, it is necessary to strengthen the situation and task education, carry out the patient-centered hospital management year activities, improve the quality of medical services, and promote the standardization, scientificity and standardization of hospital management. Seriously study the health legal norms and health reform policies, clarify the objectives, tasks and difficulties, further enhance the sense of urgency and competition, and seek development in difficulties.
Second, strengthen the sense of professionalism and responsibility, firmly establish the concept that development is the last word, actively promote and sell themselves through various ways and means, constantly improve social awareness and trust, strive to create a good social work environment, lay a good social foundation for their own development, and promote the healthy and sustainable development of women and children.
Third, it is necessary to strengthen the education of the concept of purpose, make all the staff in the station realize that maternal and child health care is an important part of public health, further strengthen the idea of health care first, correctly handle the business relationship between health care and clinic, enhance service awareness, establish a people-oriented service concept, continuously optimize service methods and attitudes, and improve service quality.
Fourth, we should strengthen the education of interest view. In the service, we should do on-demand examination, on-demand treatment and on-demand medication, and strive to reduce the economic burden of the masses. At the same time, we should strengthen the concept of efficiency, actively guide the masses to rational consumption, pay attention to income structure, and improve service efficiency.
Fifth, pay attention to collectivism education, make the staff of the whole station realize that they are members of the collective, establish the concept of paying equal attention to hospitals and families, consciously be diligent and frugal, and strive to put an end to wasteful behavior.
Sixth, continue to do a good job in industry style education, and educate the employees of the whole hospital to consciously abide by the law and abide by professional discipline. At the same time, consolidate the achievements of civilized units and further strengthen medical quality management and spiritual civilization construction.
Second, the work objectives
1. Grasping quality management and innovating quality is the foundation of the development of the industry and the survival and development of hospitals. People who change the tradition will always make mistakes. Through strict management, the quality of hospital work will be improved. Medical and nursing departments should do a good job in the supervision and implementation of various rules and regulations, do a good job in quality control management, avoid mistakes and accidents, and implement the quality responsibility system. Health departments should do a good job in maternal and child health care in strict accordance with the regulations and requirements of higher authorities, ensure that all data are reported in a timely and accurate manner, and ensure that all health indicators meet the standards.
2. Grasp the innovation of service concept. On the basis of people-oriented, we should innovate the service mode, update the service concept, implement face-to-face communication between doctors and patients in the process of diagnosis and treatment, eliminate the strangeness of patients and enhance their trust. At the same time, closely follow the work style of the industry to rectify the work, strengthen the construction of medical ethics, and put the concept of patient first, service first and patient always right throughout the diagnosis and treatment process. Insist on honest service and keep the sign that hospitals don't accept red envelopes. Take the way of going abroad to send warmth, care and health to the people, strengthen information network services, and inform pregnant women, infants and young children about health care knowledge and the time to come to our hospital for physical examination.
3. Grasp the innovation of marketing With the continuous development and improvement of the market economy, hospital marketing has played a decisive role in seeking adequate sources of diseases, expanding the scope of medical services, and improving the visibility of hospitals, and has been paid more and more attention by medical units. First, we should do a good job in internal marketing management. In the final analysis, internal marketing is medical quality, high-quality and efficient service and team spirit of all cadres and workers. It is necessary to strengthen management and improve measures to provide patients with needed and satisfactory medical services, so as to retain patients and obtain more sources of disease through patient publicity. Second, external marketing should pay attention to publicize the new, special and specialized projects of the hospital, give full play to the role of the network, improve people's awareness of disease prevention and health care through health education, and improve people's sense of identity and trust in hospital services.
4, grasp the construction of the workforce to strengthen the training and education of the workforce in a planned and step-by-step manner, strengthen business learning, organize academic lectures, three basic examinations and technical competitions, and improve the professional quality of employees. Send technical backbones to higher-level hospitals for further study, encourage employees to become talents, and obtain high academic qualifications through self-study and correspondence universities. Pay attention to the cultivation and introduction of talents, tilt to the distribution system of existing professional and technical backbones in hospitals, and appropriately improve the treatment.
5. Do a good job in hospital connotation construction.
(1) Strengthen Party building and ideological and political work. Insist on arming the hospital staff with Deng Xiaoping Theory and Theory of Three Represents, give full play to the role of the Party branch as a fighting fortress, mobilize the enthusiasm of party member and the staff, and ensure the hospital's political and ideological work and spiritual civilization construction to a new level.
(2) Modify the system and responsibilities. Organize and improve the hospital's various rules and regulations and job responsibilities, compile them into volumes, and organize learning according to departments, so that employees can clearly define their responsibilities and work norms and continuously improve the overall service function of the hospital.
(3) Safety work includes medical safety, fire safety, traffic safety and personal safety. All departments should establish a strong sense of safety, do a good job of supervision and management before, during and after the event, and pay special attention to the implementation of relevant rules and regulations to ensure hospital safety.
Third, the specific requirements
1, strictly implement the post requirements in the responsibility book, and all kinds of personnel in the department should strictly perform their respective post responsibilities and strictly implement the post responsibility system. We should treat patients with a serious, earnest, cordial and confidential working attitude. Strengthen unity, mutual respect, mutual trust, solidarity and mutual assistance among employees. Strengthen management according to law, insist on practicing and serving according to law, hold relevant certificates, strictly abide by the norms and operating procedures of maternal and child health care, treatment and nursing, and ensure medical safety.
2, strengthen the study of political theory, constantly improve the level of political theory, give play to the spirit of love and dedication, and establish a correct outlook on life and values. Carry out professional ethics cultivation in practice, give full play to everyone's initiative and make suggestions for our healthy and sustainable development.
3. Strengthen labor discipline and improve various rules and regulations. At the beginning of the year, the department should plan, summarize frequently, strictly implement the post responsibility system and the first diagnosis responsibility system, commute on time, and stick to the post. Civilized medical practice, not for personal gain. Carry forward the spirit of dedication, pay equal attention to hospitals and families, and the unit is available at any time.
4, standardize the writing of all kinds of medical documents, the implementation of the three-level rounds system. Medical staff at all levels should carefully fill in the information related to medical care, so that the content is detailed and the data is accurate. Station leaders regularly and irregularly carry out medical and nursing rounds, find problems, point out corrections in time, and nip in the bud. Strengthen business study, improve the level of theoretical knowledge, regularly organize medical staff to focus on business study, usually focus on self-study, and test the business knowledge they have learned every month. Test scores are recorded in the assessment results and linked to wages.
5, strengthen the work of maternal and child health care, vigorously publicize the knowledge of maternal and child health care, and carry out the general survey and treatment of married women in urban and rural areas. Efforts should be made to expand the disease coverage of rural women and improve their health. Conscientiously implement the "one law and two new programs" to improve the self-care awareness of the broad masses. Do a good job in community service to reduce the prevalence of four diseases in children. Coordinate women's federations and sub-district offices to give lectures on health knowledge and do a good job in women's and children's health care.
6. Do a good job in maternal health care and consolidate the achievements of baby-friendly hospitals. It is necessary to do a good job in maternal health care for women of childbearing age before pregnancy, during pregnancy, during childbirth and after childbirth. Vigorously publicize the benefits of breastfeeding, strictly implement breastfeeding regulations, strictly review the indications of surgical delivery, and reduce the surgical yield. Strengthen the follow-up management of high-risk pregnant women, improve the quality of high-risk screening at county level, and improve the registration, treatment, reporting and tracking system of high-risk screening of pregnant women. Maternal health care should continue to focus on high-risk screening, and the management of high-risk screening for pregnant women should be the top priority.
7, children's health care institutions, to increase publicity, conscientiously do a good job in mobilization and organization, and strive to improve the quality and level of health care, expand the social and economic benefits of children's health care. Do a good job in the physical examination of kindergarten children, prevent the occurrence of four diseases of children, guide children to combine diet and nutrition, and strengthen the screening and grading management of weak and high-risk children. This work should be carefully organized, warmly served, carefully examined, scientifically guided, handled in time, and fed back in time, so as to continuously improve the quality of inspection and put forward intervention measures in time for problems arising from inspection.
8, conscientiously do a good job in pre-marital medical examination, vigorously promote the importance and enthusiasm of pre-marital medical examination, and strive to develop new marriage health care, prenatal and postnatal care services, improve the rate of pre-marital medical examination. So that people can voluntarily have premarital check-ups to prevent the occurrence of birth defects.
9, do a good job in pharmacy and nursing department. Cooperate with the person in charge of the pharmacy and do a good job in the establishment and consolidation of qualified pharmacies according to the requirements of the US Food and Drug Administration. Strengthen the management of narcotic drugs, put an end to all kinds of mistakes and accidents, and let the people eat safe drugs. The nursing department requires filling in various forms, collecting and registering nursing materials to ensure nursing safety.
10, the auxiliary departments should strengthen cooperation with the clinic to further improve the level and quality of auxiliary detection technology. Timely issuance of report forms, no physical examination, strict compliance with relevant laws and regulations, and no examination unrelated to clinical diagnosis. Do a good job in daily maintenance of instruments and strengthen equipment management.
1 1. Complete the temporary mandatory work issued by the leaders, obey the work arrangement, and conscientiously do a good job in comprehensive social management to prevent the occurrence of various cases.