Quarterly Work Plan for Family Physician's Contract Service 1 As a surgeon, with the attitude of serving patients and being responsible for the hospital, I made the following work plan for the next medical work:
First, effectively solve the problem of expensive medical treatment.
It is the responsibility and obligation of every doctor to reduce medical expenses, reduce the economic burden of patients and use drugs rationally. By strengthening the management of departments, the proportion of drugs has dropped significantly, which has a great influence in our hospital, making patients get real benefits and reducing their economic burden. Compared with last year, the proportion of drugs continued to decline, reaching 38%, lower than the proportion of hospitals of 40%. Strictly implement the "one-day settlement" system and increase the transparency of medical expenses.
Two, strengthen the patient-centered, quality-centered service concept.
To do this, we must work hard to improve the level of medical technology and service attitude, work sincerely and earnestly, exchange ideas carefully and patiently, make friends with patients, and make positive publicity for us with patients' mouths. The patient information feedback system is adopted to communicate with discharged patients in time, so that the number of patients coming here to see a doctor is gradually increasing. In the current increasingly fierce competition in the medical market, it is necessary to strengthen situational education for department members, enhance employees' awareness of crisis, competition and responsibility, and establish a new concept of facing the society, patients, actively looking for markets and patients. Put all the patient-centered ideas through the whole process of all the work in the department. Stimulate the positive spirit of department members and enhance the cohesion of the department. Cultivate the spirit of departments and establish the overall image of medical workers, that is, the image of angels in white with first-class service, exquisite technology, dedication and civilized service.
Three, rational drug use, reasonable fees, and effectively reduce the economic burden of patients.
Rational drug use is not only manifested in symptomatic drug use, but also in rational drug use. We should not only strengthen the study of all kinds of knowledge about drugs, especially the study of side effects, but also communicate with pharmaceutical experts frequently to truly use drugs rationally. Under the premise of not affecting the treatment effect of patients, it is also the direction of our surgical efforts to provide medical services with the least cost. Strictly implement the one-day settlement system, patiently and meticulously explain the problems raised by patients, so that patients can clearly see the doctor and clearly spend money.
Fourth, open the surgical website of xx Hospital in xx City.
In order to increase the transparency of the department, our department should establish the surgical website of xx Hospital in xx City at its own expense, and publicize it widely, so that patients can understand the department and their own diseases before coming to the hospital, and achieve certain results.
Quarterly work plan for family doctor contract service II. Medical aspects
In order to further strengthen the management of medical quality and attach importance to the quality training and professional ethics education of medical staff, a medical quality supervision group was established, which is divided into internal medicine system, surgical system, outpatient service and medical technology, and is responsible for standardizing and supervising any work related to medical quality in the clinical, outpatient service and medical technology departments of the hospital.
(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 Medical Records Writing in Fujian Province (revised edition of 20xx), further standardized 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 Management Measures for Rational Use of Antibiotics (Trial) compiled by shishi city Hospital in September, 20xx, supervise whether clinicians use antibiotics rationally. See Section III of Evaluation of Rational Use of Antibacterials, and see ① Indications and contraindications. ② The principle of preventive application of antibiotics.
1) the course of antibacterial treatment.
2) Therapeutic dose and route of administration of antibacterial drugs.
3) Combined medication and incompatibility.
3. Prevention of medical errors, accidents and disputes: ① Many loopholes and hidden dangers of computer printing medical records were found from 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) Emphasis should be placed on 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 true and accurate records of doctors' logs. Organize the study of diagnosis and treatment norms and related laws and regulations in the department.
(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. Organize inspectors to inspect and evaluate outpatient medical records and prescriptions regularly (1-3 months) in accordance with Fujian Medical Records Writing Standard (Revised Edition of 20xx) and Management Measures for Rational Use of Antibacterials (Trial).
(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.
Specific to be determined.
Second, science and teaching.
(1) Scientific research work
1, organize 1-2 scientific research projects in a planned and targeted manner, and strive to create conditions for this.
2. Contact the superior hospital to develop high-tech projects.
3. In combination with the actual situation of our hospital, we are constantly looking for new specialties and projects, such as specialties that have not been opened in various subjects, the setting of hyperbaric oxygen chambers, and physical examination centers.
(2) Teaching work
1, management of continuing education for hospital staff
In order to cooperate with personnel management in our hospital, medical quality and technical files of individuals and departments are established, which provides a strong basis for post competition, separation of evaluation and employment, professional title evaluation and advanced selection in the future. , to achieve quantitative management, in accordance with the document "Regulations on Continuing Medical Education (Trial)". Ministry of Health, Ministry of Personnel 20xx, Fujian Provincial Health Department, Department of Personnel No.290 Document "Fujian Province Continued"
First, urge the medical department to make a plan for further study abroad, and pay attention to the training of technical personnel echelon. It is stipulated that those who apply for further study and training abroad must obtain the consent of the medical department before the hospital can issue a letter of introduction. Those who go out for further study and training must report their learning results in time after returning to the hospital and introduce the advanced technology and management methods of the superior hospital before they can re-take up their posts.
B, emphasize the importance of academic activities inside and outside the hospital, combined with continuing education credits and technical files. Appraisal and reward of scientific and technological achievements must be approved by the medical department and stamped with the seal of the hospital.
2. Off-campus study and management of interns
First, further strengthen organizational discipline management.
B, emphasize the training of basic knowledge, basic theory and basic skills.
3. Others
A, urge clinical departments to do a good job in teaching rounds or three rounds, organize all kinds of business learning in the department, and improve the quality of teaching.
B, organize and arrange various forms of academic activities and combine them with technical files.
C, regularly hold the "three basics" theory (including hospital sense) assessment, and when conditions permit, conduct skills assessment for further study, internship and junior doctors in our hospital. Further improve the pre-job training of personnel at all levels.
The quarterly work plan of family doctor contract service 3 The new semester has begun, and infant health care is an important part of education. With the weather getting colder, the human body is also undergoing mysterious changes due to climate change. But for children whose immune system is not mature enough, some bacteria and viruses will take advantage of it. Based on the principle of "prevention first", according to the characteristics of this semester's climate and children's physical and mental development, combined with my work, the kindergarten has formulated a special work plan for this semester:
First, strictly control the physical examination and regular health examination of freshmen entering the park this semester.
New children entering the park, each child must have a physical examination form and vaccination card, and can only enter the park after passing the physical examination; Do a good job in vaccination and missed seed registration, do a good job in the annual physical examination of children entering the park, and establish management files for frail children.
Second, do a good job in health care.
1, do a good job in the morning check, and do "touch, look, ask and check". In-depth inspection of each class, timely handling of problems found, strengthening the management of weak children and full-day observation of sick children and making records in an orderly manner.
2, regular disinfection of medical devices and morning check card.
3, improve the health care system, cooperate with the director to do a good job of protection and management. Clarify their respective responsibilities and mobilize the enthusiasm of nurses for "serving and educating people".
4. Do a good job in measuring and evaluating children's physical development.
5. Regularly check the environmental sanitation and safety work in the park, find hidden dangers of accidents, and take timely measures to avoid them.
6, cooperate with the epidemic prevention department to do a good job of children's vaccination.
7. Make efforts to do a good job in all-round investment in infant health care software, consult modestly, actively learn from experienced sister parks, be brave in innovation, and strive to make our software reach the health care qualified park.
Third, do a good job in children's nutrition and health care
1. Manage the children's diet, make an adequate recipe every week, and pay attention to the collocation of nutrients to ensure the supply according to the quantity. Calculate and analyze the nutrition once a month, and ask the cooks to do a good job in food hygiene and tableware disinfection.
2. Formulate reasonable meal time and frequency, advocate children's meal timing and fixed-point quantification, ensure the reasonable distribution of heat energy and supply for each meal, and ensure the growth and development needs of children.
3. Provide children with drinking water opportunities at any time, and the water temperature meets the requirements.
4. Observe the meal opening time, and it is not advisable to advance or postpone it. Do a good job in pre-meal preparation and post-meal management, wash your hands when sharing meals, and distribute dried vegetables and dried points without direct contact with your hands.
5, canteen employees have a health certificate, according to the "Food Hygiene Law" cooking, food thoroughly cooked, raw and cooked separately, keep the food nutrition during operation, so that the food color, fragrance and taste are complete.
Fourth, do a good job in children's hygiene habits and disinfection.
1. Prepare clean and hygienic toilets and toilet facilities suitable for children, and wash your hands with soap after meals. Especially for children in small classes, teachers should teach children how to wash their hands in time in order to develop good hygiene habits.
2. Put the napkins that children need every day in a fixed place, which is convenient for children to take and disinfect them in time.
3, each class to strengthen the disinfection work before meals, the correct use of disinfectants.
4. Cultivate children to put their hands together after washing their hands, keep their hands clean, strengthen the cultivation of lunch habits, educate children not to be picky about food, and ensure the reasonable absorption of nutrients.
5. Organize the children's lunch, eat it in an orderly and quiet manner, and finish it within the specified time.
6. Organize children to take a walk after meals and observe the children's nap schedule.
7. Grasp the time when children watch TV, and organize children to watch TV and pay attention to sitting posture and distance.
Five, do a good job of disinfection and isolation
1, the system of one person, one cup and one towel is implemented, and each class is marked.
2, disinfection cabinet, ultraviolet lamp specialist is responsible for, regular and timely disinfection records.
3. Disinfect some toys, books and bedding that are not suitable for cleaning by using ultraviolet rays and sunlight in the air regularly.
4, strengthen the morning check, do a touch, two look, three questions, four check, for sick children to assist the teacher on duty comprehensive and careful observation, find problems in time.
5. Do a good job in epidemic prevention, strengthen the quarantine of frail children, prevent the spread of chicken pox, flu and other epidemics, and thoroughly disinfect and expose toys and articles in the class where sick children are located.
6. Change bedding and pillowcases in time (once a month) and dry them (once a week).
Sixth, do a good job in safety protection
1, strengthen children's safety awareness education, teachers in each class should be serious and responsible, formulate rules, put an end to sewing, fractures, burns, loss and other accidents, and ensure children's health and life safety.
2. Teachers on duty and picking up children should observe carefully, and suspicious people should ask and register carefully when they come to the park to pick up children.
3, adhere to the irregular lunch, nap, health and safety inspection.
4. Organize classes to measure the height and weight of children at the beginning and end of the period, measure the vision of middle and large classes, and make records and evaluations.
5. Do a good job in the management of weak and obese children.