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2012年02月27日
Issued by the general office of the ministry of health care system "miyoshi YiManYi" activities in 2012 the notice of the work plan
Health ministry of China www.moh.gov.cn the 2012-02-24 16:51:15
Who do the medical ZhengFa [2012] no. 24
All provinces, autonomous regions, municipalities directly under the central government health TingJu, xinjiang production and construction corps health bureau:
Implementation of the party's 17 at the sixth plenary session, according to the central excel activity leadership group on the unit and service industry in the window thorough development "for the people service to excel" activities of the guiding opinion on (ChuangXian hair [2011] no. 13), the health ministry in the national health care system about in "miyoshi YiManYi" activities announcement "(who ZhengFa medical no. 30 [2011]) spirit, and 2012 health work main point, in combination with the deepening reform of the medical care system requirements, our organization established the national health care system" miyoshi YiManYi "activities in 2012 work plan. Hereby printed and distributed to you, please comply with. Each provincial health administrative departments at all levels and all kinds of medical and health institutions should consolidate and expand the achievements of the campaign in 2011, science develop the areas under their respective jurisdiction, the agency in 2012 the work plan activities, and carefully organize the implementation. The related work plan and work in time to the newspaper "miyoshi YiManYi" office activities.
Contact: health YiZhengSi MaXuDong, JiaoYaHui
The telephone number: 010-68792825, 68792097
The true: 010-68792513
E-mail: mohyzsylc@163.com
On 17 February 2012
The national health care system "miyoshi YiManYi" activities
2012 years of work plan
According to the central excel activity leadership group on the unit and service industry in the window thorough development "for the people service to excel" activities of the guiding opinion on (ChuangXian hair [2011] no. 13) and the health ministry in the national health care system about in "miyoshi YiManYi" activities announcement "(who ZhengFa medical no. 30 [2011]) spirit, and 2012 health work main point, make this scheme.
A, general requirements
Further implement the party's 17 at the sixth plenary session, and closely combining medical health system reform and deepening "service for the people to excel" activities, in 2011 in consolidating the achievements of the campaign, and on the basis of innovation ideas, continue to adhere to the people-oriented, patient as the center, take the people's satisfaction as the starting point and the foothold, further strengthen medical health system internal management, outstanding ascend the medical service level, to improve the quality of medical treatment, sets up the model, to carry forward the noble medical ethics, strengthen the industry style construction and solve the populace to reflect intensely prominent problems, further improve the masses hospital feeling, improve patients and social satisfaction, protecting the people's health rights and interests, and promote social harmony.
Two, the scope
The national various and of all kinds hospital, rural hospitals, community health services, maternal and child health care organization, blood center (station) and emergency center. Health supervision, disease prevention and control and other health institutions shall be handled by reference to these schemes, and combining with actual the organization carries out the "miyoshi YiManYi" activities.
Three, the work content and requirements
(1) improve service attitude, optimize service process, and constantly improve the service level, trying to make the "best service".
1. The advancing the appointment of diagnosis and treatment service work. The hospital will be able to provide the patients with the appointment of various channel for medical services (phone booking, network booking, SMS booking, clinic and booking, outpatient service desk appointments and self-help appointment machine, etc.). The appointment of diagnosis and treatment to establish a perfect management system, clear manager, departments and management personnel; Design scientific and reasonable appointment service process diagnosis and treatment for patients with more than 8 hour appointment provide medical services, make an appointment with complete, accurate information. Strengthen medical services appointment specialization construction, increasing the service ability. A reservation of medical services fine management, improve the level of management. Strengthen the appointment service management informatization construction of diagnosis and treatment, and realize the reservation number source dynamic allocate, according to hospital appointment science appointments situation given medical resources such as physicians, clinic; Information system can provide an appointment service in diagnosis and treatment of statistical information data. By the end of 2012, the three hospital outpatient service, open source all ordinary appointment, ZhuanGuHao open source appointment quartile rate 50%, on average hospital patients return reservation rate of 60%, oral cavity, antenatal examination month average return reservation rate of 80%; Efforts to bridge and the actual medical appointment time intervals.
2. The hospital this environment and process optimization. In order to carry out the further improvement of medical institution medical service management work announcement "(health medical ZhengFa [2010] no. 12), continue to improve people's hospital will strengthen the health service work experience as the innovation points and breakthrough, carries out the convenient and beneficial to human measures, through the make an appointment, reasonable arrangement for this service, simplify this and admission, discharge service process, and the promotion of" first after diagnosis and treatment, the settlement "mode, to provide convenient and quick examination results, inquires the service, DaoYi service and instant settlement services, active exploration, innovation, in a planned way and with key to push all the service measures to improve health, do reasonable arrangement, service enthusiasm, smooth process flow, and promote the improvement of medical service level.
3. Conducting extensive outpatient service convenience. The conditional level 3 hospitals on holidays and weekends outpatient service, enrich the outpatient service power, extend the outpatient service time. Explore promote registered doctors more practice measures to encourage, support level 3 hospital medical personnel to a primary medical and health institutions and practice.
4. Deepen quality care services. Deepening the reform in nursing service mode, implement responsibility system, strengthening the holistic nursing care connotation construction is the core of high quality nursing services. Continue to expand the high quality nursing service coverage, the national all level 3 hospital at least 60% of the ward provide high quality nursing service, and to the quality of nursing service standard provisions; 2 class hospital, at least 60% of the class the hospital and at least 30% of the county hospital provide high quality nursing services. High quality nursing service department with actual, fully embodies specialized subject characteristics, and explores in outpatient service, emergency treatment, operating rooms and other departments provide high quality nursing services. The conditions for a return to the hospital patients and provide continue nursing services. Full clinical nurse a number line, perfect and carry out clinical nursing professional personnel, post management and internal income distribution and other policies.
5. The medical institutions of check, inspection results recognition. According to the general office of the health ministry on strengthening medical quality control center construction at the same level of medical institution examination results recognition work announcement "(who do medical ZhengFa [2010] no. 108) requirements, in strengthening the basis of medical quality control, vigorously promote subordinate medical institutions recognized superior medical institutions check, inspection results and the medical institutions check, inspection results recognition, and promote the reasonable check, reduce the patients medical expenses.
6. Strengthen basic medical and health work. Continue to strengthen basic medical and health services network construction, and strengthening the basic medical and health services and public hospital of division of labor cooperation, improve coverage, convenient for people came near to go to a doctor. Promote the health service agencies standardization construction, improve the service environment. To provide basic public health community standard service projects, improve the service quantity and quality, and strive to improve residents awareness and feel degrees. Positive change the service mode, the promotion of the general practitioner service team, and carry out active service, explore signing service mode.
7. Explore hospital set up social workers, carry out in-depth "volunteer service in hospital" activities. According to the CCCCP, the ministry of civil affairs, the department about the social work to strengthen the construction of the contingent of professional talents "Suggestions, explore establish hospital social worker system. Gradually perfect volunteer service management system and working mechanism, and actively explore suitable for China's national conditions of social workers and voluntary service new form, new content, the new model, promote harmonious doctor-patient relationship. Will social workers and voluntary service into medical institutions and CaiGongXie institutions. Medical institutions shall organize broad medical personnel to volunteer status goes down to the basic unit, especially on the floating population life work sites and rehabilitation, endowment agency, and carry out the public health, medical service and health education and voluntary service, make people feel to improve the actual effect of medical service.
8. Deepen the mouth of the third class hospitals at the county level support hospitals. Each city level 3 hospital and 3 at the county level or so hospital (including county hospital and county hospital) establish a long-term stability of the right support and collaboration. Level 3 hospital can adopt a cooperative, custody, appointed dean, team support, receiving a advance way, focus on helping to strengthen county hospital personnel training, improve the management level and county hospital service ability. Implement to county hospital rotation system in the doctor, to each recipient county hospital medical personnel in no less than five, not less than 1 year work time (rotation once half a year. Implementation of the third class hospitals and doctors promotion before senior professional titles to rural service more than one year of policy.
9. Continue to promote the "peace hospital" create activities, constructing the harmonious doctor-patient relationship. Perfect emergency medical disputes plan, to do the public security work, and strive to resolve the security existing in the management of the major issues, strengthening civil air defence, safety measures to ensure that the right of the person medical personnel; To establish and perfect the mechanism of medical p rapid convergence; According to the measures for the management of hospital complaint (try out) ", regulating the complaint management, increase disputes testing resolve dynamics, take effective measures to solve the problems in the bud. Improve the medical dispute the people's mediation organizations system, and realize people's mediation system of medical disputes covered; Sound medical liability insurance, medical risk sharing mechanism; Gradually establish scientific performance evaluation index, realize the mediation informationization.
10. Strengthen medical institutions of internal price management work. Regulate charges of medical institutions, maintaining the patients and medical institution's legitimate rights and interests, strictly implement the medical institutions of internal price provisional regulations of the administration. Medical institutions set up by the leadership, price management department and the drug purchase department of medical institutions of price management system, establish and perfect the medicine price management system, medical service refiners cost accounting and cost control management system, new medical service system for the price, the price system of public list system, medicine, cost price self-examination system, price complaint management system, the price management and medicine rewards and punishment system price policy document file management system, scientific management, reasonable control cost of medical service.
(2) strengthen quality management and standardize the behavior of diagnosis and treatment, continuously improve the quality of medical treatment, trying to make the "good quality".
1. Carry out medical quality and the core of the medical security system. Shall strictly implement the primary survey responsible, level 3 doctors rounds, the discussion of difficult case, critical rescue, consultation, preoperative patients discuss, death case discussions shift, such core system, strictly implement the case file writing basic norms "and" operation safety check system ", regulating the case file writing and surgical safety check the work, to guarantee the safety of medical treatment and medical quality.
2. Sound medical quality management and control system. In order to carry out the quality control measures for the management of medical center (try out) ", to promote key professional medical quality control and clinical center construction, perfect management system, quality control standard and index system, improve the medical quality management and control level. Establish the medical quality, medical safety evaluation system, the hospital quality evaluation work start. Strengthen the internal management and basic medical quality management, continued to strengthen clinical specialized subject ability construction and medical personnel training, strengthen medical service process key links and key areas, key personnel management, continuous improvement medical service quality.
3. To strictly regulate the service behavior of diagnosis and treatment. Earnestly carry out clinical pathway, the clinical technology operation specification ", "clinical diagnosis and treatment guidelines", "the medical treatment organization pharmacy management regulation", "prescription management procedures and the antimicrobial drugs for clinical use guiding principle" and so on the regulations, standards, continue to carry out in-depth special antibacterial drugs for clinical use the action, strict standard prescription behavior, to promote rational examination, rational drug use, reasonable treatment. Vigorously carry out the clinical pathway and single disease quality control, promoting the medical quality management to a scientific, standardized, professional and sophisticated, informationization development, regulating the behavior of diagnosis and treatment, medical treatment cost control not reasonable growth. In strict accordance with the medical equipment supervision and management regulations ", the health ministry on further strengthening the management of medical equipment centralized purchasing announcement "(WeiGui wealth hair [2007] 208 date) regulation, establish and perfect the high value consumables management system, and the high value of procurement, consumables registration, keeping, sending, use and disposal and so on each link to establish and perfect the corresponding management system, standardize the channels and clinical application management purchased.
4. Strengthen medical technology and large equipment clinical application management, guarantee the medical quality safety and the patient rights. Strengthen the medical technology clinical application management, according to the clinical application of medical technology management measures "requirement, establish strict medical technology enters and management system, to deal in developing new technology, configuration without large equipment behavior and be resolutely.
5. Make blood for clinical use security and management work. Increase the blood donation propaganda and blood donors recruitment efforts, the establishment of regional emergency blood inside safeguard mechanism, perfect quality control system, make great efforts to meet demand blood for clinical use, ensure the safety of blood. Medical institutions strictly in accordance with the measures for the administration of medical institutions blood for clinical use (2011 edition) "requirement, establish and implement rational clinical blood use guidance, assessment, supervision and evaluation system, improve the scientific and reasonable level of blood, and steadily pushing autologous blood doping blood conseration techniques, etc.
6. Promote basic medical and health work fast development. Consolidate basic-level medical medical service comprehensive reform achievement, improve the investment mechanism, strengthen the performance assessment dynamics, mobilize the enthusiasm of health care workers. Continue to conduct the establishment of national demonstration center of community health service activities, strengthen basic medical and health services agency connotation construction. Vigorously developing the basic-level medical health training, promote national basic public health service technical specifications, improve service quality.
(3) strengthening medical ethics education, carry forward the noble medical ethics, serious industry discipline, and strive to achieve "medical ethics good".
1. In YiHun building big discussion. Surrounding the medical health professional spirit thorough discussion, concise and carry forward the reflect the socialist core value system of medical health professional spirit and professional ethics, and make it become the professional ethics, the enhancement of construction and building harmonious doctor-patient relationship in the main melody.
2. Continue to increase of medical ethics education efforts. Adhere to the positive education is given priority to, continue to set up a batch of advanced type, increase of medical ethics noble, medical, dedication to the exquisite advanced typical propaganda efforts recognition, combined with the health care industry characteristics, thorough development objective consciousness, professional morality and discipline education legal system, and guide the medical personnel set up the good ethics, strengthen the enhancement of construction.
3. The implementation of the system standard of medical ethics. Implementing the health system about leading cadres to prevent conflicts of interest to the several provisions "and" the medical treatment organization practitioners discipline violate compasses problem investigation and handling of interim measures to intensify the medical service domain illegal indiscipline disciplinary sanctions. Continue to pay special attention to serious medical ethics to the implementation of evaluation system, further refined and the evaluation index of work standards, and establish the medical staff of effective incentive and restraint mechanisms.
4. Strengthen the mechanism construction risk control and prevention. According to strengthen the risk prevention and control the related regulations, to restrict supervision and power as the core, and risk prevention and control for the post foundation, strengthening the system construction as the key point, the modern information technology for support, the overall consideration, according to regulation according to law, in the full practice on the basis of the practical, gradually set up a medical and health institutions cover all the honesty of risk prevention and control mechanism.
5. Firmly and pharmaceutical sales and medical service of the unhealthy tendencies case, serious industry discipline. Strictly investigate and prosecute all fees, accepting or for "red", receiving kickbacks, commercial bribery and other typical case, give full play to the handling warning role. Pay attention to the function may play a case investigation, and promote the perfect system, loopholes, purify the reform of medical care system in the social environment.
6. Strengthen positive publicity, build respect, love and care of patients with medical staff good atmosphere. Play typical guide effect, to inspire the medical workers in the enthusiasm of the cure.
(4) the enhancement of carry out in-depth evaluation, and active supervision by the society, and strive to "satisfy the crowd".
1. The patient satisfaction survey to establish effective mechanism. Patient satisfaction survey and will be discharged patients return activities, ask for advice and Suggestions, have specific aim to improve service. Set up the patient satisfaction oriented management ideas, to strengthen internal patient satisfaction as operation mechanism reform, and promote the healthy development of their effective means. Strengthening the system construction, appoint a special functional departments, clearly duty, focused on building the patient satisfaction survey effective mechanism.
2. Democratic appraisal work for the enhancement. Continue to carry out the democratic appraisal of the enhancement of plagiarism as health work, protect the rights and interests of the important carrier, actively organize, actively participate in democratic appraisal of decent practice activities to assessment and rectification, pay attention to the improvement. Play the enhancement of the role of supervisor, high attention enhancement working stgle work hotline, calls to listen attentively to the masses, and solve the populace to reflect the prominent question, trying to make social satisfaction. To actively explore the enhancement of health set up scientific evaluation mechanism, a more objective and fair to reflect the enhancement of health status.
3. The full implementation of the open up the system. Further implement open up the requirements and the medical institutions to open up the supervision and review (try out) ", enhance the medical institutions up public awareness, and promote the further optimization of medical institutions service process and internal democratic management decisions. Satisfy the crowd in community health workers poll.
4. To strengthen the construction of hospital culture. In adhere to the "saving", "to the patient as the center", "except the human sickness, help to the health of the perfect" as the core of the traditional hospital based on value concept, strengthening the hospital humanistic care, stimulate the hospital staff humanistic moral care, set up perfect accord with the socialist core value system of hospital values, to carry forward the good professional ethics, service awareness and dedication, provide the humanized service for patients and humanistic care.
Four, activity steps and arrangement
According to the overall requirement activities, 2012 activities into leadership, propaganda education, troubleshooting, improve the rectification and check the five links and solve the populace to reflect intensely prominent problems, balanced and orderly propulsion, scientific analysis of the work experience, consolidate the achievements of the campaign.
(1) strengthen leadership. The public health administrative department and the medical and health institutions to establish responsibility system, clear the main leadership responsibility system and the responsibility of the position, at all levels, carry out layer upon layer responsibility system, and will implement responsibility into year-end medical institutions and post evaluation content. The public health administrative departments should strengthen the administrative department of public health at lower levels of guidance, and promote the medical and health institutions at various levels "miyoshi YiManYi" activities. According to "catch two head, with middle" principle, to set up the advanced type, a poor job of serious problems, the unit, and increase the bulletin and processing power, and guide and medical and health institutions spur further activities.
(2) launch publicity and education. Implementation of the party's 17 at the sixth plenary session, to carry out medical health system culture construction and core values discussion, further unified thought, improve knowledge, guide the general cadre staff fully realize the development "miyoshi YiManYi" activities and the significance of the participating in activities to strengthen the enthusiasm and initiative and creative work. To further enhance propaganda, roll out medical ethics noble, medical, dedication to the exquisite advanced type, establish a good image of the health care system, create a good atmosphere of activities.
(3) in-depth search problem. Further comb medical and health services and industry style construction of each link, control activities work task decomposition quantitative index requirements, serious search work the problems and defects existing; Through a talk, set the suggestion box, opened a hotline and online mailbox and so on many kinds of ways, expedite the populace reflects the channel to solve the populace to reflect intensely outstanding problems.
(4) to improve the rectification. According to the problems found in activities, especially with the vital interests, influence the image of the industry outstanding problems and to the item by item rectification, make feasible measures to ensure that activity result. Improvement scheme, corrective measures and corrective actions to announce health administrative departments for the record.
(5) strengthen supervision inspection. The public health administrative departments should strengthen the work of medical and health institutions guidance and supervision inspection, follow the classification guidance and summarized the principle of inspection, the organization within their jurisdiction medical institutions "miyoshi YiManYi" activities conducted for guidance, inspection, steady, to further promote activities process. The health ministry to timely organization around "miyoshi YiManYi" activities on supervision inspection.
The health ministry will combined with the national medical health system to excel special activities for, the publicity of recognition "miyoshi YiManYi" emerged in activities of "two optimal a first" advanced deeds, promotion activity of good experience, good methods and good typical, and pushed forward, to ensure that effect.