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About print and distribute comprehensive promotion scheme for county-level hospitals comprehensive ability

2014年08月29日

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About print and distribute comprehensive promotion scheme for county-level hospitals comprehensive ability 
 
 
The national health and family planning commission of the People's Republic of China 

 
The 2014-08-26

 

 

The medical hair [2014] no. 48 

 

 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission (health bureaus), administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau:
 
For the implementation of the "about to push forward the reform of public hospitals at the county level comprehensive opinions (countries who restructuring hair [2014] no. 12, hereinafter referred to as" opinions "), fully promote county-level hospitals in our country comprehensive ability, meet county residents medical service demand, the state health and family planning commission, the state administration of traditional Chinese medicine decided in the national counties (county-level cities) promote comprehensive hospitals at the county level comprehensive ability improvement work. Will now be the comprehensive promotion scheme for county-level hospitals comprehensive ability > printed and distributed to you, please combined with the real earnest implementation. Problems related to the process of the work in time with the national health and family planning commission, the state administration of traditional Chinese medicine.
 
National health and family planning commission medical hospital authority contacts: Wang Fei, JiaoYaHui
 
Contact phone: 010-68791889, 68791888
 
The state administration of traditional Chinese medicine department contacts: yun-long dong
 
Contact phone: 010-59957688 

 

 

The national health and family planning commission of the state administration of traditional Chinese medicine
 
On August 7, 2014 

 

 

Comprehensive promotion scheme for county-level hospitals comprehensive ability 

 

 

For the implementation of the "about to push forward the reform of public hospitals at the county level comprehensive opinions (countries who restructuring hair [2014] no. 12, hereinafter referred to as" opinions "), fully promote county-level hospitals in our country comprehensive ability, meet county residents medical service demand, making this plan.
 
A, the work target
 
By building, training, support, strengthen county hospitals (including county hospital and county hospital of traditional Chinese medicine, similarly hereinafter) with key specialty as the core of talent, technology, ability construction, realize scientific, standardized, hospital management legalization, sophisticated, informationization, met the requirement of the medical service ability, can undertake county residents common disease, frequently-occurring disease diagnosis and treatment, rescue and emergency and severe cases of knotty referral tasks, strive to make local JiuZhenLv around 90%, basic implementation illness county.
 
Second, the work content
 
(a) to carry out the laws, regulations and rules and regulations, improve the level of hospital management.
 
1. Strictly in accordance with the practice. The implementation of the professional medical practitioners law ", "regulations on the administration of medical institutions, the nurses ordinance," byelaw of medical accident treatment and other health laws and regulations, as well as "hospital infection management method", "pharmaceutical affairs management regulation of medical institution", "prescription management method", "clinical application of antibacterial drugs management method" and other administrative rules and regulations and standard.
 
2. Establish and improve hospital management rules and regulations. Set up perfect medical, nursing, hospital and pharmaceutical affairs hospital management institutions, and breaks down into each department and clinical departments, the responsibility to the people.
 
3. In order to strengthen the management of medical quality, to carry out the system of medical management core. Set up the medical quality management system, there is a clear medical leadership organization and the department in charge of quality and safety management, and give full play to the role; Courtyard department two level in medical quality control, assessment and monitoring on a regular basis, the whole process of medical service quality management and continuous improvement; Clinical departments to seriously implement the first option is responsible for, level 3 doctors, grading nursing, patient rounds of consultation, on duty and succession, cases discussion, the critical patients rescue, preoperative discussion, death case discussion, check, operation safety verification, hierarchical management operation, the critical value report, medical record writing and medical record management, antimicrobial drugs classification management, clinical use audit such as medical management system of the core. The medical technology admittance in conformity with the relevant provisions of the state.
 
4. Strengthen medical security risk management. Establish medical security risk management consciousness, establish medical risk prevention mechanism, medical quality and safety management leadership organization and departments, and give full play to the role; Establish medical security incident reporting system and early warning system, regular analysis of medical security risks, timely feedback on clinical departments; To carry out the patient safety goals, elaboration to the department and clinical departments, responsibility to the people.
 
5. Make full use of information management. Conduct patient-centered hospital information process reengineering, improve the residents' health card acceptance environment, pay attention to the information standard application and safety protection, from extensive management to fine management, constantly improve the level of fine management; Promote the electronic medical record as the core of the hospital information construction, according to the application level of the electronic medical record system function grading evaluation method and standard, level 3 at least. Electronic medical records and electronic health records in the county of connectivity, real-time updates, achieve business cooperative medical services and public health. Down and township hospitals and village clinics are linked together, play to the role of the medical center, improve the overall health level of the county.
 
(2) to strengthen the construction of clinical key specialty, enhance the level of county hospital medical technology, and equipped with the right equipment and specialized subject construction goals.
 
1. The county hospital.
 
(1) improve the level of diagnosis and treatment course, gradually improve the secondary clinical course. Of internal medicine, surgery, obstetrics and gynecology, pediatrics, ophthalmic, otolaryngology, dental, psychiatric, infectious diseases department, emergency medicine, rehabilitation medicine, intensive medicine, anesthesiology, clinical laboratory medicine, medical imaging diagnosis and subjects, such as gradually open independent cardiovascular internal medicine, respiratory medicine, digestive diseases, nephrology, neurology, endocrinology, general surgery, orthopedics, neurosurgery, urology, thoracic surgery, gynecology and obstetrics, pediatrics, pediatric surgery such as secondary clinical course.
 
(2) to strengthen the construction of weak clinical specialist. Through the introduction of talents, improving hardware conditions, in personnel support measures, such as strengthening the county outside the referral rate in nearly three years the top disease clinical subject construction is weak.
 
(3) to strengthen the construction of clinical core specialty. Key set up perfect play a key role of primary and secondary treatment course, improve surgery, intensive medicine, hemodialysis and peritoneal dialysis service ability and level of hospital infection control, promotion of appropriate technology, minimally invasive endoscopic diagnosis and treatment for common frequently-occurring disease within the county to county hospital standardization of diagnosis and treatment.
 
(4) strengthen the clinical specialist support base. Strengthen reach pathology, clinical laboratory medicine (clinical fluid, blood, clinical microbiology, clinical chemistry, clinical immunology, serology, molecular biology and other professional), medical imaging department (X-ray diagnosis, CT, mri diagnosis, ultrasonic diagnosis, ecg diagnosis, brain electrical and cerebral blood flow chart and other professional) and capacity building of disinfection supply center.
 
(5) build a clinical advantage specialized subject. To strengthen the construction of the existing strength strong ability of clinical specialist, proper application of a high level of medical technology, make the most of knotty can diagnose, serious illness and critical patients can get timely and effective treatment.
 
(6) expand coverage for diseases. Diagnosis county within the scope of diseases including all common disease, frequently-occurring disease, can diagnose most knotty and major diseases, general surgery, orthopedics, thoracic surgery, neurosurgery, uropoiesis surgical department can conduct this professional most conventional surgery, endoscopic minimally invasive treatment cases and proportion of general anesthesia increase year by year.
 
2. The county hospital of traditional Chinese medicine.
 
(1) improve the clinical and medical departments. Have internal medicine, surgery, obstetrics and gynecology, pediatrics, acupuncture, massage, orthopedics, anorectal, skin, emergency department, anaesthesia, clinical laboratory medicine, medical imaging department and other clinical and medical departments, on the basis of internal medicine gradually set up independent of respiratory medicine, spleen and stomach disease, brain, cardiovascular internal medicine, kidney disease, endocrinology, oncology clinical departments, etc.
 
(2) to strengthen the construction of weak clinical specialist (with county hospital).
 
(3) to build characteristic specialized subject in traditional Chinese medicine. Strengthen the acupuncture, massage, orthopedics, encephalopathy, spleen and stomach disease, gynecology, anorectal, oncology with TCM characteristic subject construction, introduces the application of traditional Chinese medicine medical technology, improve the advantages of traditional Chinese medicine disease diagnosis and treatment.
 
(4) improve the ability of hospital comprehensive service. Focus on improving the capacity of hospital surgery, hospital infection control level, ability of intensive medicine, hemodialysis and peritoneal dialysis and emergency first aid levels, promotion of appropriate technology, minimally invasive endoscopic diagnosis and treatment to ensure the safety of medical quality and medical.
 
(5) strengthen clinical specialist support base (with county hospital).
 
(6) expand coverage for diseases. Scope of diagnosis and treatment of diseases including county in all common disease, frequently-occurring disease, can diagnose most difficult and serious diseases, can carry out most of the medical technology of traditional Chinese medicine, surgery, orthopedics, anorectal are able to carry out the professional basic routine surgery, minimally invasive treatment cases and proportion of general anesthesia increase year by year.
 
(3) to carry out high quality medical services, to promote the county hospital medical service level.
 
"Miyoshi YiManYi", special clinical application of antibacterial drugs, clinical path management, the quality of nursing service, such as "peace hospital" create high quality medical service work, strive to meet the national related work requirements.
 
(4) to carry out the remote medical service, the promotion difficult complex diseases diagnosis and treatment level.
 
Using "information huimin project", strengthen the construction of county-level hospitals remote medical system, and the counterpart support city unicom tertiary hospital, to carry out the remote diagnosis, pathological diagnosis, image diagnosis, intensive care, continuing education, such as work, make the county in patients with high quality medical resources more conveniently, timely solve the difficulties in management and technology county-level hospitals, and realizes the remote medical treatment of institutionalization, standardization and normalization.
 
(5) making full use of the advantages of counterpart support and promote county-level hospitals comprehensive ability.
 
1. Clear counterpart support. Support hospital to a comprehensive understanding of county-level hospitals management, technology, service and so on basic situation, find out the weak links, in conjunction with the aid of the hospital to determine the counterpart support in key areas, formulate detailed, quantification, assessment, management and technology and other milestones and the overall goal.
 
2. Counterpart support agreement. Counterpart support both hospital principal counterpart support agreement, clear, a roadmap for realizing the objective of the work schedule, and as the counterpart support the first; Agreement between functional departments, clear objectives, measures, management support, head of the department is mainly to department counterpart support between the first; Agreement between clinical departments, clear department objectives, measures, internal management and technical support for the department, director of the department between counterpart support the first.
 
3. Strengthen the management of counterpart support target. Counterpart support both hospitals according to counterpart support target, strengthen the hospital, department and individual counterpart support work situation assessment, the assessment results as title assess, clinical key specialty construction and the recommendation PingXian important indicator.
 
(6) to carry out the integrated reform in public hospitals at the county level all tasks.
 
Comprehensively deepen public hospital management system at the county level, the compensation mechanism, price mechanism, drug purchase, personnel, income distribution, health care system, supervision mechanism and so on comprehensive reform, establish the maintenance public welfare, arouse enthusiasm, ensuring the sustainable operation mechanism; Adhere to reform and promoting development, strengthen the ability construction of talent team as the core, strengthen the education training hospital, constantly raise the level of public hospitals at the county level health service.
 
Three, working steps
 
(a) the first stage: raise the overall ability of 500 county-level hospitals (2014-2017).
 
In public hospitals at the county level comprehensive reform pioneer in the country, the selection has certain foundation and medical service ability, high medical technology level of 500 county-level hospitals.
 
1. The start (August - September 2014).
 
Provincial family planning administrative department of public health and management departments recommend the first stage of the county-level hospitals of traditional Chinese medicine. National health and family planning commission, the state bureau of traditional Chinese medicine confirmation issued 500 hospitals list, work start the meeting.
 
2. Implement (October 2014 - October 2017).
 
(1) the responsibility and the counterpart support agreement (November 10-2014).
 
Family planning administrative department of public health at the provincial level (including the provincial administrative department of traditional Chinese medicine) hospitals, county hospitals, the county government, support duty agreement signed, and determine annual goals and 3 years, clear responsibility, power and measures of the parties. Counterpart support both hospital and functional departments, counterpart support agreement between clinical departments.
 
(2) to organize the implementation of (December 2014 - October 2017).
 
1) national health family medical hospital authority, the state bureau of traditional Chinese medicine, contact the department in charge of the hospital, a work meeting on a regular basis, to work around the supervision, evaluation and audit. State family planning commission of public health issued county hospital comprehensive ability construction basic standard and recommend standard, the state bureau of traditional Chinese medicine of traditional Chinese medicine (TCM) sets out the county hospital comprehensive ability construction basic standard and recommend standard, guide the construction of county-level hospitals standardization.
 
2) the provincial family planning administrative department of public health and the area under its jurisdiction to the administrative department of traditional Chinese medicine instruction and assessment, every year in October to the national health and family planning commission medical hospital authority, the state bureau of traditional Chinese medicine department shall submit the annual work report.
 
3) support hospital through "sent down", "please", "team with" and so on a variety of ways, in stages, step by step promote counterpart support work.
 
4) county hospitals in accordance with the requirements for this document enhance comprehensive ability actively, efforts to create conditions to carry out the key work content.
 
(3) evaluation.
 
(1) the interim assessment (2015) in November and December.
 
The national health and family planning commission, the state bureau of traditional Chinese medicine in accordance with the requirements for medical service ability and work target for mid-term evaluation work. Before the end of October, 2015, 500 county-level hospitals to complete at least 50% of the key work content, to achieve a 50% medical service ability requirements (see attachment).
 
(2) summary assessment (2017) in November and December.
 
National health and family planning commission, the state bureau of traditional Chinese medicine in accordance with the requirements for medical service ability and work target, of 500 county-level hospitals comprehensive ability raise work summarizes evaluation. Job summary meeting, publicize the result of the evaluation, promotion experience, set up advanced typical. Before the end of October, 2017, 500 county-level hospitals to complete all the key work content, the medical service ability to fully meet the requirements.
 
(2) the second stage: improve hospitals at the county level comprehensive ability (2018-2020).
 
By 2020, strive to make our country reached 90% of the county hospitals, Chinese medicine hospital county hospitals, Chinese medicine hospital comprehensive ability construction of the basic standards, reached 50% of the county hospitals, Chinese medicine hospital county hospitals, Chinese medicine hospital comprehensive ability construction recommended standards.
 
Fourth, work demands
 
(a) attaches great importance to, in a concerted effort for county-level hospitals reform and development. County-level hospitals comprehensive ability promote the overall ability to work is to improve the medical service in China, leading the development of the county hospitals. Local health administrative departments of family planning and management to the work of traditional Chinese medicine combined with a comprehensive reform of public hospitals at the county level, and actively coordinated fiscal and other relevant departments at the same level, strive for the support on policy, capital, projects, and give play to the role of superposition, make sure to obtain actual effect.
 
(2) to strengthen the guidance, establish and improve all the policies and measures of the county-level hospitals comprehensive ability of ascension. Provincial family planning administrative department of public health, management of traditional Chinese medicine do you want to work in accordance with the deepening of urban and rural hospitals counterpart support files and the relevant requirements of this plan, combine local reality, strengthen supervision, to the work and the reform of public hospitals at the county level comprehensive, counterpart support, county-level hospitals standardization construction work together, to explore more targeted and more effective way of counterpart support, and to establish a long-term mechanism. Study and resolve difficulties and problems encountered in the work in time, perfect the construction of county-level hospitals, performance management, evaluate, and to encourage and guide the city big hospital medical staff working in county hospital long-term policy measures.
 
(3) the demonstration lead, play the positive role of 500 county-level hospitals. Provincial family planning administrative department of public health, management departments to seriously review of traditional Chinese medicine, gradually promote the first phase of 500 county-level hospitals good experience, good practice, make 500 county-level hospitals play a leading and advanced typical roles in the development of county-level hospitals in our country, comprehensive and raise the overall ability of county-level hospitals in our country.
 
(4) promote the guide, create a comprehensive good atmosphere of county-level hospitals comprehensive ability of ascension. To attach great importance to the propaganda work, making full use of various forms intensify publicity, dig deep, focus on advanced typical propaganda, create a good public opinion atmosphere, to enhance the public and the relevant aspects of county-level hospitals recognition of the importance of comprehensive ability and support.
 
 
 
Attachment: 1. The first phase of ascension county hospital medical service capability requirements. Doc
 
2. The first phase of ascension county hospital of traditional Chinese medicine health service capacity requirements. Doc