20 19 summary of year-end personal work in community health service
In 20 19, under the correct leadership of the district health planning commission, I strictly implemented the national basic public health service standards, strengthened internal management, paid close attention to basic public health service projects, comprehensively carried out basic medical care and promoted basic public health work. Fully mobilize the enthusiasm and initiative of employees, adjust the staffing in time and optimize the combination, so that all work can be carried out smoothly. The work of our station in 20 19 is summarized as follows:
I. Implementation of the work
(1) Residents' health records
The management center * * * established 3995 health records of residents, including 2 10 records of hypertension management. 100 diabetes management files. 565 children's health care management files. 18 management files of severe mental illness. 199 elderly management files.
(2) Health education
Our station is based on public health service projects, and focuses on prevention, health care and chronic patient management. Set up a publicity column in front of the service station to carry out health education and publicity according to the work requirements of superiors and different seasons. Further strengthen health education and deepen the lecture hall on health knowledge into the community. Up to now, 6 health education lectures and 9 health education publicity activities have been held. More than 2000 leaflets on various health knowledge were distributed.
(3) Child health management
Strengthen the permissions of 0? Managed 6-year-old children and established a child health manual for 565 children. According to the requirements, 565 children were given free physical examination, and the follow-up information was entered into electronic files and paper files in time.
(4) Health care for the elderly
Establish health records 199 for the elderly over 65 years old in the jurisdiction. Up to now, 199 people have received free health examination for the elderly.
(5) Chronic disease management
The 35-year-old people in the jurisdiction were screened for hypertension and type 2 diabetes. On the basis of last year, a total of 17 people were screened for hypertension and diabetes in the first half of this year, and follow-up management was carried out one after another. The patients with essential hypertension and diabetes were face-to-face managed and followed up for 4 times. There were 265,438+00 free physical examinations for patients with hypertension and 65,438+000 free physical examinations for patients with diabetes.
(6) Management of severe mental illness
According to the requirements of the basic public health service project, patients with severe mental illness were included in the health management files, and the patients with severe mental illness were followed up for 12 people.
(7) Infectious diseases and public health emergencies.
Reporting and Handling of Infectious Diseases and Public Health Emergencies Our center conscientiously implements the Law on the Prevention and Control of Infectious Diseases and the Emergency Regulations on Public Health Emergencies, and establishes and improves the epidemic reporting system. And actively cooperate with district disease control to strengthen the cause of death investigation and infectious disease prevention and control work.
(8) Health supervision and coordination
Establish basic information, and seriously carry out inspection and information reporting as required.
(nine) the cause of death of tumor cases
Carefully collect death and tumor cases and report them in time.
Second, the problems existing in the work
The basic public health work of our station has entered the normal operation track as a whole, but from the perspective of assessment and supervision, there are still some problems and weak links, which can be summarized as follows:
First, the organizational functions are not in place. In the basic public health service projects, the division of responsibilities is not fine and the cooperation is not enough, which affects the quality of work to some extent.
Second, the measures are not solid enough. Although they have actively carried out basic public health services, the supervisor found that the work was a mere formality, and the work in filing, child health care management, maternal health care management, and chronic disease follow-up was lagging behind.
Third, health education needs to be strengthened. The publicity materials of health education publicity cabinets are not complete and the quality is poor.
Fourth, chronic disease management and health care for the elderly still need to be standardized. Some patients with chronic diseases have not been followed up in time. Some of them didn't take random blood sugar tests during the follow-up. Some did not analyze the health problems of patients with chronic diseases in their jurisdiction, implement intervention measures and evaluate the effect.
Three. 20 19 year work plan
The focus of the basic public health service project of the whole station is to solve the existing problems, carry out solid rectification and implementation, and focus on the following aspects:
First, our station carefully compared the problems found in daily supervision and inspection, closely combined with the guidance of superior business departments, further strengthened responsibilities, implemented measures, earnestly carried out rectification and implementation, and strived to complete various public health service indicators within the year.
The second is to improve the working mechanism and strengthen the work responsibility.
Strengthen medical staff's knowledge and understanding of public health services, improve working mechanism, strengthen post responsibilities, analyze and summarize the implementation of the project in time, take effective measures to rectify problems in time, and ensure the comprehensive, orderly and healthy development of the project.
Third, strengthen the management of high-risk groups of chronic diseases.
In this community health service station, an outpatient blood pressure measurement system has been specially established to test the blood pressure of all newly diagnosed patients above 18. Registration of high-risk groups: through outpatient service, physical examination and consultation, patients with normal hypertension, first-and second-degree relatives, impaired fasting blood glucose and glucose tolerance, hyperlipidemia and overweight/obesity were found and registered. In particular, it is necessary to carry out health education, guide the basic knowledge of disease prevention and treatment, change unhealthy lifestyles, conduct regular testing, and intervene with drugs when necessary. If it develops into hypertension and diabetes, it will be included in the management of chronic diseases.
The fourth is to increase publicity and raise health awareness.
It is necessary to take advantage of opportunities such as follow-up of chronic diseases and health education to educate the masses about relevant knowledge, change some people's bad living habits, strengthen basic public health services and publicize relevant national policies to benefit the people, and strive to raise people's health awareness.
20 19 summary of year-end personal work in community health service
In 20 19, Nandajie Community Health Service Station further implemented the spirit, further improved the mechanism, strengthened management, and strived to build a service system that meets the requirements of urban community health services, providing safe, effective, convenient, economical and sustainable public health services and basic medical services for community residents, and effectively carrying out various tasks. The work in 20 19 is summarized as follows:
First, practice internal strength and improve management.
Our station improves its functions according to the assessment standards of community service stations. Realize the continuous improvement of management level, and focus on serving the community to improve the health level of residents and strengthen the awareness of quality and service. Establish an effective full-cost accounting system, effectively reduce service costs, medical costs, reduce various expenses, and reduce the economic burden of community residents.
Second, strengthen the construction of medical ethics and build a harmonious doctor-patient relationship.
To strengthen the construction of medical ethics and improve the professional ethics of medical staff, to check and record the medical ethics of medical staff as the content, to standardize medical service behavior, improve medical service quality, improve medical service attitude and optimize medical environment as the focus, to strengthen education, improve system, strengthen supervision, strict discipline, establish a new industry atmosphere and build a harmonious doctor-patient relationship.
Third, reflect the public welfare of community health service, and gradually improve the service function.
1, do a good job in outpatient diagnosis, consultation and education for the community.
I stand with the community residents as the center, and the medical staff take the initiative to care for the patients who come to the station, not only to alleviate the pain of the patients, but also to do a good job of explanation, to educate the patients about health and prevent the occurrence of diseases. In the whole year, outpatient consultation was conducted 27 times10, infusion injection was conducted 550 times, consultation was conducted 2450 times, blood pressure was measured 3340 times for free, laboratory test was conducted 148 times, and dressing was changed 30 times in outpatient service.
2. Do a good job in the management of special populations and chronic diseases in the jurisdiction as required.
This year, on the basis of the original residents' health records management, our community has established an electronic health records management system to establish electronic records for every household and accurately manage every chronic patient and special population. In the whole year, 3,354 households managed health records, 8 136 people, and 7,938 people consulted electronic files. Among them, elderly people over 65 years old 1070, pregnant women 5, chronic diseases 709, hypertension 247, diabetes 130, coronary heart disease 46, stroke 19, tumor 19, psychosis 6 and chronic bronchitis/kloc.
3, do a good job in community immunization and infectious disease prevention.
Actively cooperate with the disease control department to carry out planned immunization for children and respond to health emergencies, and manage 0? There are 377 7-year-old children in two schools and two kindergartens in the jurisdiction, 246 healthy children and 5 120 vaccinated children.
In a word, 20 19 has made some achievements, but it is still far from the requirements of superior leaders, and there are still some shortcomings, mainly in the unreasonable proportion of personnel structure, the technical level of personnel needs to be further improved, the service facilities are simple and the service functions are imperfect.
20 19 year-end personal work summary of community health service model wensan
20 19 Shatou Center, under the correct leadership of the District Health Planning Commission, the town Party Committee and the government, earnestly studied and understood the spirit of the regional health work conference, gave full play to the subjective initiative of all staff, and implemented a series of effective measures in view of the existing problems and deficiencies, and all the work was further improved.
First, basic medical care has been carried out steadily.
The annual medical income was/kloc-0.0038 million yuan, including 3.594 million yuan. Due to the adjustment of drug structure, strict control of the purchase and use of high-priced drugs, and effective control of the average cost of outpatient services, the total income of medical services decreased compared with the previous year, but the number of outpatient visits in the center increased significantly year-on-year, with a year-on-year increase of 6.5438+0.36 million, an increase of 8%. The average cost was 48.5 yuan, a year-on-year decrease of 27%. 977 people were hospitalized, with an average cost of 2980 yuan. Drugs accounted for 64.2 1%, down 5 points year-on-year. 20 19 passed the re-evaluation of national advanced units of traditional Chinese medicine in guangling district and the establishment and acceptance of advanced units of traditional Chinese medicine in Yangzhou prefecture-level city.
Second, the improvement of public health service level.
By changing the mode of public health work and improving the public health assessment scheme, everyone's enthusiasm was mobilized and public health work was effectively carried out. Taking the opportunity of handling residents' health cards, the center updated and improved 6,280 copies of residents' health records for the whole town, and distributed more than 2,000 copies of information leaflets on family doctors' contracted service teams/kloc-0, which improved the awareness rate of the people in the jurisdiction and the authenticity of health records. Other public health projects were carried out as usual, and under the guidance of the Basic Gynecology Department of the District Health Planning Commission, the quality of the projects was significantly improved.
Third, the characteristics of family doctors signing contracts
The center adheres to the authenticity and standardization of services and the satisfaction of clients as the assessment criteria, closely contacts social volunteers, actively promotes the signing service of family doctors, and completes the signing of 843 1 household, 147 10 residents. 9870 key personnel signed contracts, with a signing rate of 67%. It paid 897 households and signed contracts with 1087 people, with a contracted amount of 390,700 yuan. In addition, 197 registered rural low-income farmers and 79 family members with special family planning were also contracted. The work of signing service for the disabled is also actively promoted. All the signing materials are complete and the service is standardized, which lays the foundation for the establishment of the signing work of family doctors in the center.
Fourth, the construction of a clean government is always unremitting.
Regularly carry out education on the party's work style and clean government, strengthen ideological and political guidance, implement the responsibility system for ideological work, strengthen the party's leadership, and improve the learning ability of party member cadres. Grasp the guidance of public opinion, do a good job in building a clean government, and form a working mechanism in which the secretary of the Party branch and the director of the center take overall responsibility and pay attention to both public opinion work and professional work.
Working ideas in 2020:
In 2020, Shatou Center will face two brother units on the mainland: one is the "Lidian Branch of Subei Hospital" hosted by Subei Hospital, and the other is the merger of Touqiao and Hongqiao to form a medical center. No matter the overall environment or the level of medical technology, Shatou Center can't compare with them. How to find a new road in line with the current and future development is the direction that all cadres and workers in Shatou Center must think deeply and make unremitting efforts for it. This year, we will focus on the following tasks:
First, strengthen communication and create a harmonious and upward cultural atmosphere.
1, based on respect and communication, implement various administrative management systems, standardize employees' behaviors, promote everyone's healthy growth in their respective posts, and comprehensively improve employees' quality.
2. Pay attention to team building, keep abreast of everyone's wishes and ideas, and achieve mutual understanding, mutual help and mutual sincerity. Strengthen cooperation between departments and individuals, and give play to team spirit.
3. The center aims to realize its own value, encourages all employees to learn new technologies, adapt to new requirements, accept new changes, and strive to create conditions for everyone to give full play to their strengths and realize their own value.
Second, improve facilities and provide a convenient and comfortable medical environment.
1. Strengthen logistics management and keep medical places clean and tidy. Set up doormen, strengthen safety inspection, expand parking lots, and manage orderly parking of vehicles. Transform the canteen to solve the dining problems of employees and patients.
2. If possible, complete the project of building a new central infusion room and installing elevators this year. Add and update ward bed units, add necessary facilities, and provide comfortable and warm hospitalization environment for patients. Update laboratory and radiological inspection equipment and add new items.
3. Take Shatou Village as an opportunity to create the most beautiful village and realize the standardization of the new clinic in Shatou Village.
Third, expand business and improve the sustainable development space of medical care.
1. Deepen the cooperation with the medical association of Yangzhou Traditional Chinese Medicine Hospital, give full play to the characteristic effect of traditional Chinese medicine, introduce new technologies, build specialty specialties such as acupuncture and oncology, set up expert studios, attract patients in the region and surrounding areas, and stagger the characteristic development with neighboring brother units.
2, with the help of medical volunteer team service, family contract service, follow-up service for patients with chronic diseases, improve the basic medical services and capabilities of the center.
3. Excavate and make good use of medical resources in the jurisdiction, regularly contact and carry out various physical examinations, expand physical examination items and improve service quality with the help of medical associations, give timely diagnosis and treatment suggestions to patients found out, and make full use of "Chinese medicine hospitals"? Shatou center? The three-level medical network of service station can reduce the loss of patients.
4. Change the service station from the standardization construction stage to the connotation construction stage. To improve the service capacity of service stations, the key point is to strengthen the popularization and use of appropriate technologies of traditional Chinese medicine, and at the same time increase some routine inspection items.
Fourth, implement measures to improve the quality of medical and health services.
1, key culture. The center regularly organizes all employees to carry out "three basics" training, focusing on strengthening practical skills operation. Each clinical and medical department conducts basic professional knowledge training, case analysis and discussion for the staff of this department every month. Public * * * health projects shall be subject to the system of regular mutual inspection by teams and groups. When problems are found, they shall be guided and corrected in time, and professionals shall be invited for full-time training or special personnel training when necessary.
2. Strengthen the assessment. Give full play to the role of the central medical and health evaluation team, refine the standards, strictly standardize, and conduct quality evaluation in the form of regular evaluation by the center and inviting superior experts or other personnel to participate in the evaluation irregularly, and link it with the performance of relevant departments or individuals.
3. Continuous improvement. According to the actual service capacity and quality level of the center, highlight the weak links, increase the weight of rewards and punishments, and achieve the purpose of item by item improvement and overall improvement.
20 19 summary of year-end personal work in community health service
First, give full play to the advantages of service stations and create provincial-level teaching and school civilized units.
1. On behalf of the school, it twinned with the service center of Qin Lou Street City Garden Club in Donggang District to build a civilized unit. Starting from the overall situation of the school striving for a provincial civilized unit, we should give full play to the advantages of health service stations, reasonably arrange the activity schedule, regularly lead students and community workers to go deep into community families, carry out volunteer service activities, contribute to the school striving for a provincial civilized unit, and create a civilized and hygienic living environment for the school and the district.
Voluntary activities include:
1) Chat with old people and exchange their views on some problems in life. It is important to listen to the worries and troubles of the old people, solve problems for them and reduce their loneliness.
2) In the process of chatting, do some small things for the old people (especially those with mobility difficulties), such as helping the old people massage, comb their hair and cut their nails. Care about every detail of the old people and bring them warmth.
3) Perform the programs prepared by yourself (including college students' elegant demeanor display, acupoint aerobics, calligraphy display, handicrafts display, etc. ). Interact with the elderly, watch classic videos together and share their inner feelings.
4) Publicize and popularize scientific health knowledge, correctly guide the elderly to actively participate in various activities beneficial to physical and mental health, and guide them to change passive "spending money to treat diseases" into active "investing in health" to fundamentally improve their health knowledge level and health care ability.
5) Give full play to the advantages of nursing specialty and provide health care, massage health care and other services for the elderly in need.
6) Measure blood pressure, blood sugar and blood type for the elderly and key people in the community (such as hypertension, diabetes and other chronic diseases) free of charge. Promote health education knowledge on prevention and treatment of hypertension, such as sleep and health, smoking and health, TCM health care and low-salt diet.
2. Strengthen the combination of theoretical teaching and practical teaching, provide students with learning opportunities for internship and practical training, and provide work-study jobs for students with family difficulties. Lead students to visit the Garden Club Health Service Station and Community Health Service Center regularly, learn community nursing and other related knowledge, enhance social practice ability, and lay a good foundation for students' future work and study.
Second, outpatient diagnosis and treatment work
(1) Improve internal strength and management.
Our station improves its functions according to the assessment standards of community service stations. Realize the continuous improvement of management level, and focus on serving the community to improve the health level of residents and strengthen the awareness of quality and service. An effective outpatient contract reimbursement system has been established, which effectively reduces the service cost and medical cost, reduces various expenses and reduces the economic burden of community residents.
(2) Strengthen the construction of medical ethics and build a harmonious relationship between doctors and patients.
To strengthen the construction of medical ethics and improve the professional ethics of medical staff, to check and record the medical ethics of medical staff as the content, to standardize medical service behavior, improve medical service quality, improve medical service attitude and optimize medical environment as the focus, to strengthen education, improve system, strengthen supervision, strict discipline, establish a new industry atmosphere and build a harmonious doctor-patient relationship.
(three) reflect the public nature of community health services, and gradually improve the service function.
1, do a good job in outpatient diagnosis, consultation and education for the community.
I stand with the community residents as the center, and the medical staff take the initiative to care for the patients who come to the station, not only to alleviate the pain of the patients, but also to do a good job of explanation, to educate the patients on health and to prevent the occurrence of diseases. In the whole year, there were more than 5,000 outpatient consultations, more than 5,500 general health consultations, more than 500 free blood pressure tests/kloc-0, and more than 350 free blood sugar tests.
2, according to the requirements to do a good job in the area of special population and chronic disease management.
This year, on the basis of the original residents' health records management, our community has established an electronic health records management system to establish electronic records for every household and accurately manage every chronic patient and special population. A total of 3238 health records were managed, including 207 elderly people over 65 years old, 64 patients with hypertension 160, 64 patients with diabetes, 4 patients with psychosis 1 person and 4 patients with stroke. .
3, earnestly do a good job in community infectious disease prevention.
Actively cooperate with the disease control department to carry out the response to health emergencies and do a good job in the prevention of infectious diseases in the community.
(4) Economic benefits will be improved simultaneously.
In 20 17, the turnover and gross profit of community health service stations increased significantly, which initially reversed the situation that the economy of service stations could not make ends meet.
Three, health education and residents' health records:
(a) actively carry out various forms of health education activities.
1. Distribution of printed materials
According to the main health problems in the community, 13 kinds of health education materials printed by the community health service center were distributed, including health education leaflets on hypertension and diabetes. , and keep the distribution record. Taking advantage of students' internship in health service station, we organized them to carry out health education and publicity activities on hypertension and diabetes for parents who picked up students in Gold Coast Primary School, and achieved good results.
2. Play audio-visual materials
According to the contents of health education services and the audio-visual materials distributed by the center, the audio-visual materials of health education will be broadcast circularly through computer broadcasting, including health education for the prevention and treatment of various chronic diseases and infectious diseases, health care series of traditional Chinese medicine, health education for key populations, etc.
3. Update the health education bulletin board regularly.
Change the health education bulletin board prepared by the center in time, change the bulletin board content 1 time every two months, and change the bulletin board layout 6 times a year (including Chinese medicine health care content 1 time, reducing salt to prevent hypertension 1 time), and keep the update record of the bulletin board content for future reference.
4. Hold health education lectures
In view of the main health problems and key populations in the jurisdiction, focusing on popularizing the basic knowledge and skills of residents' health literacy and preventing infectious diseases, chronic diseases and frequently-occurring diseases, health education lectures will be held to prevent hypertension, common infectious diseases and common chronic diseases by reducing salt, guide stroke patients to learn and master health knowledge and necessary health skills, and promote the physical and mental health of residents in the jurisdiction.
5. Carry out personalized health education.
Public health services such as free physical examination, follow-up of chronic diseases and home visits have been used to provide targeted and personalized health knowledge and skills services for residents, which have been welcomed by the majority of community residents.
(2) Do a good job of residents' health records in various forms.
This year, we will focus on establishing residents' health records in oil communities and the northern part of urban gardens. In combination with the school party member's entry into the community, free clinic and health education publicity activities were carried out, and residents' health records were established door to door in the above two communities. Usually, the combination of outpatient diagnosis and treatment and outpatient co-ordination reimbursement is adopted to establish residents' health records for residents in the community.
Problems in health education
1. There is a big gap between the health education of community health service stations and the requirements of community centers, and sometimes there are problems such as insufficient understanding of health education, lack of work enthusiasm and lack of coping psychology.
2. It is difficult for community health service stations to organize health education lectures. The form of health education is single, and the number of lecture photos and sign-in needs to be improved.
3. The data compiled by the community health service station lacks completeness and continuity, and the data is not timely and there are loopholes.
4. The mobility of community residents is relatively large, their personal quality is low, and their awareness of self-care is weak. The compliance of health education is not high.
(3) Measures to improve health education.
1. Health education in community health service stations is linked to public health performance appraisal.
2. The lecture activities of community health service stations can be combined with chronic disease follow-up and physical examination, so as to save and sort out information in time and strengthen the work enthusiasm of service station personnel.
3. Organize data 1 time every 2 months, and conduct self-examination once every 3 months.
4. Strengthen communication with community service stations, share information and exchange needed goods, and organically combine health education with community public services.
Four, outpatient co-ordination work
Since I served as the designated unit of urban basic medical insurance outpatient service in Rizhao City, I have strictly implemented the outpatient co-ordination policy, equipped with necessary online instant settlement equipment, accepted the outpatient co-ordination medical payment policy and settlement method, made policy propaganda for the insured, and strived to provide the insured with reasonable examination, reasonable treatment and rational medication. In 20 17, the number of outpatients and the overall reimbursement of outpatients in our station increased significantly compared with last year. Under the unfavorable situation that the number of students collectively signing contracts is decreasing year by year, the number of individual signing contracts of community residents has shrunk dramatically, reaching 3,200 in the whole year, and the overall reimbursement of outpatient clinics has reached more than 65,438+10,000 yuan. Social benefits and economic benefits have increased simultaneously, and the satisfaction of contracted personnel is high.
There is a problem:
(A) the management level is not high, and the service awareness needs to be strengthened. The staff of our station are not familiar with the basic medical insurance policy and operation process, and sometimes they can't answer patients' questions accurately, which is easy to cause misunderstanding.
(2) Some doctors are greedy for petty gain, sometimes they ask for prescriptions by name, and sometimes they ask for reimbursement in the name of others. If you can't meet the requirements, it will easily lead to contradictions and even make unreasonable reports.
(3) There are few people in our station, and if there are more patients, they will not be reimbursed in time, which will easily lead to the dissatisfaction of the contracted personnel.
(d) With more and more people applying for reimbursement, sometimes the funds applied for reimbursement cannot be disbursed in time, and the liquidity pressure is greater.
Improvement measures:
(1) Strengthen study and master relevant policies and regulations.
The staff of our station are required to carefully study the relevant laws and regulations and the policies and regulations of the human resources and social departments, and answer the relevant questions of the contracted personnel skillfully.
(two) improve the rules and regulations of the service station, strictly follow the policy, do a good job of explanation, and try to eliminate the contradiction between doctors and patients.
(3) I hope that the Human Resources and Social Security Bureau can organize more training and study, and the reimbursement funds can be disbursed in time.
City Garden Service Station will provide high-quality medical services for the insured in strict accordance with relevant national laws and regulations, and will strengthen internal management, formulate corresponding measures to implement basic medical insurance policies and regulations, provide convenience for the insured to seek medical treatment, conscientiously implement various management systems and rationalization suggestions of Rizhao social medical insurance department, and accept supervision by the masses and assessment by competent departments.
Fourth, the focus of the next step
1, give full play to the role of community health service stations, further improve the combination of teaching and learning, and serve the overall situation of the school.
2. Give full play to our medical advantages and strengthen school volunteer activities.
3. Due to the limited space, it is no longer suitable for the development of service stations. Actively apply to the relevant departments for community health housing, expand the scale, and plan to develop community pension based on community health service stations in combination with the establishment of school pension specialty, so as to meet the needs of community health, better serve school teaching and better serve the majority of community residents.
Under the guidance of the school and the higher authorities, the health service station has completed all the work as scheduled in the past year, but omissions and deficiencies are inevitable, and there is still a certain gap from the requirements of the school and community residents. I hope that under the correct leadership of the school, I will achieve better and greater results in the new year.
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