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Regulations
2012年08月06日
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Wei office disease control hair (2012) 85
The provinces, autonomous regions, municipalities directly under the central government and Health Bureau, Health Bureau of Xinjiang production and construction corps:
In order to implement the CPC Central Committee, the State Council on strengthening and the innovation of social management of the relevant requirements, drive around the improvement of severe mental illness prevention network, implementing patient treatment and management tasks, according to the "national mental health system development guide (2008 - 2015)" and "heavy mental disease management in the treatment of job specification (2012 Edition)", I developed a "serious mental disease management in the treatment of the work of examination and evaluation scheme", show print and distribute to you, combine our region please actual, carry out seriously carry out.
General Office of the Ministry of health
July 6, 2012
Heavy mental disease management in the treatment of the work of examination and evaluation scheme
One, evaluation objective
To implement the CPC Central Committee, the State Council on strengthening the innovation of social management and the relevant requirements, driven around conscientiously implement the "serious mental disease management in the treatment of working standard (2012 Edition)", accelerate heavy mental disease prevention network construction, promote the policy making and releasing, cogent grasp heavy mental disease patients, information, implement management, service measures and task. Comprehensive control and assessment work in progress, summarize and popularize in the work of good practices and experiences, discover in time and solve the problem that exists in the job.
Two, evaluation principles
Insist territorial management, graded evaluation, administration and business management to pay equal attention to, specialist institutions and organizations at the grass-roots level to pay equal attention to, treatment and management to pay equal attention to, work and working quality and coverage of the principles of.
(two) the national mental health system development guide (2008-2015).
(three) mental health prevention system construction and development planning.
(four) a severe mental illness management job specification (2012 edition).
(five) the state of basic public health service specification (2011 Edition)
(six) state of serious mental illness, basic data collection and analysis system of management practices (for Trial Implementation).
In four, the contents of evaluation
(a) administrative management. Including the system construction, organization and management, fund management and use of supervision and inspection, and other aspects of the case.
(two) business management.
1 mental health and its management institution (hereinafter referred to as the fine control institutions). Including sound mental health services network, mental health service organization and management, fund management and use of technical guidance, personnel training, and other aspects of the case.
2 basic medical and health institutions (Community Health Service Center (station), the township hospitals, village health room). Including organization management, patient information management, follow-up assessment, intervention, health examination and classification.
(three) the work effect evaluation. Including serious mental disease management in the treatment of network coverage, patients with detectable rate, patient management, standardized management rate, rate of patients with stable disease rate, mild trouble rate, rate, troublemaking mental health knowledge and mental illness prevention knowledge awareness rate. Among them, the management of patients with detectable rate, rate, standardized management and the rate of patients with stable disease rate assessment in severe mental illness basic data collection and analysis system of data.
Five, appraisal object
Evaluation of health administrative departments, including fine control institutions and community medical institutions. Wherein, evaluation standard "business management - fine control institutions" to apply to the provincial and municipal levels, fine control institutions at county level, fine control institutions reference implementation.
Six, evaluation method
On site examination adopt the hearing report, interviews, data access, questionnaire, telephone and a verification method.
The Ministry of health in the relevant province (area, city) for the evaluation, 2 randomly selected 3 ground city, each city were randomly selected from 1 - 2 counties area assessment. Grassroots medical and health institutions adopt random sampling way of assessing, similar institutions scores averaging. On the basic medical and health institutions examination should be with the state of basic public health service project evaluation work of convergence, avoid duplication check.
Seven, organize the implementation of
(a) the provincial appraisal. The provincial health administrative organizations to relevant area in the city (the ground, city) heavy mental disease management in the treatment of assessment work, annual evaluation of the city (the ground, city) according to the number of work need to be identified, but not less than the area of the city (the ground, city) total 1/3. Evaluation of time by the health administrative departments at the provincial level to determine. By 28 February of each year, shall submit in writing on an annual appraisal of Ministry of health disease control bureau. The evaluation results shall be made by an appropriate means to be released, and as various committee of one class Party committee, government is the important basis for assessment.
Each city (the ground, city) according to the provincial health administrative department requirements, on the area of each county (city, area) undertake test.
(two) the national level appraisal. Organization of Ministry of public health to the provinces (area, city) and the Xinjiang production and Construction Corps assessment. Annual appraisal of province (area, city) volume of not less than 5. In the relevant province (area, city) for the evaluation, will be randomly selected city (the ground, city) and relevant agencies for examination. The evaluation results will be published by related presentation for work, progress is slow, the evaluation results of deviation of the province (area, city), will be informed, relevant results will be reported to the central comprehensive management of public order as the provinces (area, city Party committee, government) social management work the important basis.
(three) levels of mental health and its management mechanism to assist the health administrative departments in the area of the appraisal work.
Annex: severe mental disease management in the treatment of evaluation standard
Annex
Severe mental illness management workAppraisal standard
Evaluation criteria for provincial and municipal levels, the administrative department of public health, the standard two applied to the provincial and municipal levels, fine control institutions. The reference implementation. For the same area accept the inspection institutions of its kind, scores averaged scores, each part is the local accumulated total score.
One, administrative management and administrative departments of Health (300 points)
|
Assessment index |
Scores of |
The assessment content and requirements |
Assessment methods |
Standard score |
|
|
Category |
Project |
||||
|
1System construction (90 points) 1System construction (90 points) |
1.1Building leadership and coordination mechanisms |
20 |
Establish the work of mental health leadership and coordination mechanisms. |
Consult the original documents, to understand the composition of. |
Not to set up or fails to provide the original document, deducted 20 points. |
|
1.2Construction control network 1.2Construction control network |
20 |
The area has mental health medical institutions (i.e., mental hospitals or psychiatric hospital). |
To understand the mechanism of brief case (including staff number, name, number of beds etc.). |
(1) no agency, deducted 20 points; (2) a body without a brief introduction, as appropriate, buckle 3-5 points. |
|
|
20 |
The establishment of the mental health and its management mechanism (fine control institutions), clear institutional responsibilities, have a certain number of professionals for mental health treatment technology management mechanism, to provide necessary guarantee conditions. |
Access to the original file, clear institutional responsibilities, such as the preparation of. |
(1) the establishment of institutions, deducted 20 points; (2) has set up a body, but the: Failure to provide complete original documents, deducted 5 points, Responsibilities are not clear, deducted 5 points, There is no full-time staff, deducted 5 points. |
||
|
10 |
Grassroots medical and health institutions in accordance with the requirements for people with serious mental illness management services, clear job responsibilities. Establish community serious mental illness treatment work team management. |
Consult the work scheme of original documents, to understand the work team and the division of responsibilities and so on. |
(1) fails to provide the original document, deducted 10 points; (2) with original documents, but: Job responsibilities are not clear, as appropriate, buckle 1-3, Did not establish a team or to provide the list of staff, deducted 5 points. |
||
|
1.3Information system |
20 |
Establishment of severe mental disease information management system. |
Live demonstration of information system. |
Failing to establish (or use), subtract 20 points. |
|
|
2Organization and management (100 points) 2Organization and management (100 points) |
2.1Management system |
10 |
Issued the relevant work system, work flow. |
View original documents. |
(1) the work system has not been formulated, deducted 5 points; (2) workflow has not formulated, deducted 5 points. |
|
2.2Program summary |
10 |
Annual work plan, summary. |
View original documents. |
(1) fails to provide work plan, deducted 5 points; (2) failed to provide a summary of the work, deducted 5 points. |
|
|
2.3Work conference |
20 |
Years organized the work of mental health leadership and coordination meeting held at least 1 times; mental health work will be deployed at least 1 times. |
View session file: meeting notice, schedule, staff attendance book, images and so on. |
(1) failure to hold departments will be deducted 10 points, held a meeting but the incomplete information, buckle 2-5 points; (2) failure to hold work deployment will be deducted 10 points, held a meeting but the incomplete information, buckle 2-5 points. |
|
|
2.4Job training |
30 |
Organize the professional training of personnel, at least 2 times a year. |
View the training archives: training notice, training data, schedule, staff attendance book, image data, training effectiveness evaluation data. |
Not required to carry out training, less a deduction of 15 points; conducted training but the data is not complete, as appropriate, buckle 2-8 branch. |
|
|
2.5Personnel allocation |
10 |
According to local conditions to develop the area of fine and staffing requirements. |
View original documents. |
Failing to make or fail to provide the configuration list, deducted 10 points. |
|
|
2.6Institution building |
10 |
According to the need to develop in the area of mental health and its management mechanism construction. |
View original documents. |
Not required or fails to provide the original document, deducted 10 points. |
|
|
2.7Control network |
10 |
To develop the mental health work. |
View original documents. |
Failing to make or fail to provide the working flow chart, deducted 10 points. |
|
|
3Funds management and use of (70 points) |
3.1Management system |
10 |
The development of the region, the work of mental health approach to the management of funds and fund allocation. |
View original documents |
(1) failing to make approach to the management of funds, deducted 5 points; (2) not to develop fund allocation, deducted 5 points. |
|
3.2Ensure funding |
40 |
Arrange the work of mental health funds or special funds. |
See the related financial books. |
(1) an arrangement, deducted 40 points (2) arranged but failed to timely, deducted 10 points (3) funding but did not meet the work requirements, as appropriate, buckle 5-10 points. |
|
|
3.3Use of funds |
20 |
To dial pay requirements and reasonable use of the fund financial management regulation. |
Selective examination 5 sum of expenditure. |
Found 1 not reasonable to use 5 mark of button, buckle up. |
|
|
4Supervision and assessment (40 points) |
4.1Supervision case |
20 |
Make the supervision plan, organize the supervision of 2 years time, complete the analysis evaluation and summary. |
View original documents. |
(1) failing to make supervision plan, deducted 10 points; (2) failure to project steering, missing 1 deducted 10 points; (3) the data is not complete, as appropriate, buckle 1-3 points. |
|
4.2Appraisal of the situation |
20 |
To develop the assessment scheme or plan, year implementation. |
View the evaluation information. |
(1) did not establish assessment scheme or plan, deducted 5 points; (2) failure to program evaluation, deducted 15 points; (3) organizational assessment but incomplete information, as appropriate, buckle 1-3 points. |
|
Two, business management - precise control institutions (300 points)
|
Assessment index |
Scores of |
The assessment content and requirements |
Assessment methods |
Standard score |
|
1.1Sound mental health services network (60Branch) |
20 |
Set up the heavy mental disease management in the treatment of the guidance of experts group. Personnel including mental medicine, public health and other professionals in the field. |
To view the original document, understand the composing. |
(1) the establishment of or failure to provide a list of staff, deducted 20 points; (2) personnel do not meet the requirements, as appropriate, buckle 3-5 points. |
|
20 |
Set up the heavy mental illness management steering group. |
View original documents. |
Not to set up or to provide the list of staff, deducted 20 points. |
|
|
20 |
Establish the serious mental illness, emergency medical treatment group and formulate emergency disposal plan. Personnel requirement: not less than 3 people, including at least 1 artificial spirit department deputy chief physician or physician director. |
To view the original document, understand the composing. |
(1) the establishment of emergency medical treatment group or failed to provide staff, deducted 10 points; (2) not formulate emergency response plans, deducted 5 points; (3) personnel do not meet the requirements, as appropriate, buckle 1-3 points. |
|
|
1.2Mental health service organization and management 150Branch) 1.2Mental health service organization and management 150Branch) |
30 |
Assist the health administration departments of regional mental health work plans and annual plans, summary, drafting related job requirements, implementation plan and other documents. |
View original documents. |
(1) fails to provide work planning drafting materials, deducted 10 points; (2) did not make working plan, summary, deduction of 10 points; (3) did not make work requirements, implementation plan, deducted 10 points. |
|
30 |
Organizations to carry out mental health education, to promote mental health promotion. |
Provide original documents, publicity materials, the number of participants, the image data. |
(1) failure to carry out promotional activities, deducted 30 points; (2) failed to provide a complete record, as appropriate, buckle 2-10 mark. |
|
|
40 |
Responsible for the severe mental illness management information system management and maintenance, data quality control staff and business administrator responsible for the system of data quality control and management, ensure the normal operation of information system. |
The scene to examine the information system performance, requirements to provide personnel list. |
(1) did not run properly, deducted 10 points; (2) in the file were not all logging information system management, as appropriate, buckle 310 branch; (3) did not specify the business administrator, deducted 5 points, Unspecified data quality control staff, deducted 5 points. |
|
|
40 |
Assume the mental health services of information collection, statistics, summary, report. For the government to formulate relevant policies to provide data. |
View report. |
(1) according to the requirements of the timely completion of work in statistical reporting, deducted 20 points; (2) the report content is not complete, as appropriate, buckle 2-5 points; (3) data is not accurate, as appropriate, buckle 2-5 points. |
|
|
10 |
Assist the public health administrative departments to establish mental health and primary level medical and health institutions between the two-way referral system, developed referral process. |
View the original data. |
Fails to provide referral system or referral process related materials, deducted 10 points. |
|
|
1.3Funds management and use of 30Branch) |
30 |
The development of the sector fund management approach, distribution plan, reasonable use of mental health work. |
View original documents or related financial books, check 5 pen expenditure. |
(1) fails to make capital management way, allocation, deducted 10 points; (2) appeared 1 not reasonable expenditure and use, deducted 5 points; Can not use it, deducted 3 points; Cannot provide detailed use, deducted 10 points. |
|
1.4Personnel training 40Branch) |
40 |
Assist the public health administrative department held a severe mental illness treatment and management training. |
View the training archives, including: training notice, training materials, schedule, staff attendance book, images and so on. |
(1) according to the requirements of deducted 40 points; (2) the organization of training, but the data is not complete, as appropriate, deduction of 2-10 mark. |
|
1.5Technical guidance 20Branch) |
20 |
Undertake the work of mental health, assessment, quality control and technical guidance. |
Provide original materials, including: Notice, summary. |
(1) fails to provide the original document, deducted 20 points; (2) no record or incomplete records, as appropriate, buckle 2-10 mark. |
In three, the business management of the basic medical institutions (300 points)
|
Assessment index |
Scores of |
The assessment content and requirements |
Assessment methods |
Standard score |
|
1.1Organization and management 100Branch) |
20 |
To develop the basic public health service project -- people with serious mental illness management system and work flow. |
View original documents or materials. |
Not formulate work system and work flow, deducted 20 points. |
|
30 |
Equipped with received heavy mental illness management training college / part-time staff. |
View file and field questions. |
(1) those with part-time staff, deducted 30 points; (2) the staff but not accepted professional training, deducted 15 points. |
|
|
30 |
Regularly with the streets (township), police station, residence (Village) committee and other related staff communication, exchange of patient information, consultation management. |
Related records. |
Fail to provide the relevant work records, deducted 30 points. |
|
|
20 |
Organizations to carry out the area of mental health education activities (at least 2 times / year). |
Provide relevant information on the work. |
(1) an organization, the less each time deducted 10 points; (2) organized but incomplete records, as appropriate, buckle 2-5 points. |
|
|
1.2Patient information management (50Branch) |
50 |
According to "national basic public health service specification (2011 Edition)." "people with serious mental illness management" requirement, area for people with serious mental illness to establish health files and related information table. Fill in according to the requirement of paper archives, without missing, wrong items. Serious mental illness, information management system, complete with accurate information. |
Random sampling of 5 patients, The site or call to ask patients, verify. |
(1) fails to establish health file for each missing patients, a deduction of 5 points; (2) the archives do not meet the requirements, as appropriate, buckle 1-3 points; (3) patient information without input information system, each one were deducted 5 points; (4) visit the content does not match the actual situation and, where appropriate, buckle 1 - 5 points; (5) refusal patients without associated personnel signature or record, deducted 3 points. |
|
1.3Follow-up assessment (30Branch) |
30 |
Risk assessment. |
In 5 randomly selected patients, view the risk assessment results. |
(1) failure to carry out risk assessment, each were deducted 5 points; (2) inaccurate assessment result, as appropriate, buckle 1-3 points. |
|
1.4Classification of intervention (80Branch) 1.4Classification of intervention (80Branch) |
60 |
In accordance with the requirements of stable disease, basically stable, unstable patients were follow-up management, follow-up frequency to meet the requirements, the disposal measures. Follow up of table of contents complete, accurate, without missing, wrong items. |
In 5 randomly selected patients, see the related materials. |
(1) according to the requirements of each short follow-up, a deduction of 10 points; (2) follow-up to fill in a form that does not meet the requirements, as appropriate, buckle 2-5 points; (3) patients with follow-up information not required to input information system, each missing a deduction of 5 points. |
|
20 |
Carry out regular rehabilitation guidance and nursing education. |
Related records. |
(1) did not begin, deducted 20 points; (2) the work incomplete records, as appropriate, buckle 2-5 points. |
|
|
1.5The two-way referral (20Branch) |
20 |
Mental health of patients and medical institutions to establish two-way referral system. |
Provide referral process or referral records. |
(1) did not establish a referral system, deducted 20 points; (2) referral records incomplete, as appropriate, buckle 1 - 3 points. |
|
1.6Physical examination (20Branch) |
20 |
1 times a year, including physical examination, blood pressure, body weight, blood routine, blood glucose, alanine aminotransferase, electrocardiogram. |
A random sample of 5 cases. |
Not according to the requirements of the physical examination, each missing 1 cases deducted 4 points. |
In four, working effect (100 points)
(Note: Patients with detectable rate, rate of patient management and standardize the management, detection rate of patients in stable condition with serious mental illness rate of national basic data collection and analysis system of data.)
|
Job target and measuring methods |
Scores of |
Assessment method |
Standard score |
|
Treatment of severe mental illness management network coverage rateBuilding a major mental illness treatment network management district / area of all District x 100% |
20 |
Provide a severe mental illness treatment and management work of the district list and work programs, and on-site or telephone verification. |
(1) fails to provide relevant materials, deducted 20 points; (2) network coverage rate 70%, 90% points below the 70% buckle buckle 2-5, 6-10 points. |
|
The detection rate of patients= all registered patients diagnosed number / area of total resident population by 100% |
20 |
Request to register people with serious mental illness statistics list, area of total resident population. |
(1) fails to provide relevant materials, deducted 20 points; (2) according to the 2012, 2013, 2014, 2015 patients detection rates were 2.5 ‰, 3 per thousand, 3.5 per thousand, 4 ‰ requirements, each less 0.5 ‰, respectively, in the East, western province buckle 4, 3, 2. |
|
The detection rate of patients with managementIn tube in a patient with number / all registered patients diagnosed with X 100% |
10 |
Request to register people with serious mental illness and in patient number. |
(1) fails to provide relevant materials, deducted 10 points; (2) the rate of administration in 80% as the base, the less each 5% 1 mark of button, buckle up. |
|
Detection of patients with standard management rate= standard management for patients with number / all registered patients diagnosed with X 100% |
10 |
Required to provide standardized management of people with serious mental illness and the number of registered number of people with serious mental illness. |
(1) fails to provide relevant materials, deducted 10 points; (2) to regulate the management of rate of 70% as the base, the less each 5% 1 mark of button, buckle up. |
|
In patients with stable disease rateIn a recent follow-up was classified as stable patients number / (in number of patients lost to follow-up in patients with tube - number 100%) x |
20 |
Provide a recent follow-up classification for stable patients, in patients with number number and number of patients lost to follow-up. |
(1) fails to provide relevant materials, deducted 20 points; (2) stable rate of 60% as the base, each less 5%, East, western province, in 3, 2, 1 respectively buckle, buckle up. |
|
The detection rate of patients with mild troubleDetection in patients with mild or number of all registered patients diagnosed with X 100% |
5 |
By the public security organ to provide detection in patients with mild or number, number of detectable in patients with. |
Fails to provide relevant materials, deducted 5 points. |
|
The detection rate of patients with troublemakingDetection of patients of troublemaking number / all registered patients diagnosed with X 100% |
5 |
By the public security organ to provide positive patients, patients with troublemaking number number detection. |
Fails to provide relevant materials, deducted 5 points. |
|
The general population knowledge about mental health and mental illness prevention knowledge rate |
10 |
On mental health education the core information and knowledge points as the foundation to carry out the relevant questionnaires, provide relevant materials of investigation. |
(1) fails to provide relevant materials, deducted 10 points; (2) the data is not complete, as appropriate, buckle 1-3. |
