Reform of the People's Hospital of Qingdao West Coast New District deepen the medical and health system
Author:Healthy China Observation Time:2022.08.17
Text 丨 Li Kuntai
In May 2018, the People's Hospital of Qingdao West Coast New District established the first "health service community" in Qingdao in accordance with the requirements of his superiors. In the past 4 years, the community of health services has continuously developed, forming a health management service system suitable for the life cycle. It has piloted the reform of the regional medical insurance fund payment method, improved the establishment of the hierarchical diagnosis and treatment system, promoted the high -quality development of public hospitals, and in the new era in the new era The reform of the pharmaceutical and hygiene system was explored.
In the process, healthy and communities are constantly integrated. At present, 12 grass -roots medical institutions and 254 village clinics have formed a service network, providing a total of 460,000 people in 460 administrative villages with comprehensive health services. In order to better promote the development and management of member units, the Communist Party has established a joint Sports Union Federation and a member of the employee congress, and at the same time set up a council and a board of supervisors. In addition, all the income of each member unit in the health of the Communist Party is included in the unified accounting and management of the General Institute of the General Institute, and a comprehensive audit of the budget expenditure of more than 5,000 yuan or more. Family.
The information system provides a strong engine for the interconnection of the Jianzong body. Relying on the information system, the information system and Shandong University Qilu Hospital, Qingdao Municipal Hospital, etc. carry out remote medical collaboration. Mutual recognition. Innovate the development of the national health reconstruction module and health management platform, conduct precise healthy and healthy reconciliation of residents in the jurisdiction, and dynamically analyze and refine management of health conditions. Strictly follow DRG technology standards, carry out informatization construction, improvement and transformation, provide information support for the DRG pilot work, and timely complete the upload of medical insurance settlement list within the prescribed time.
In addition, in terms of personnel management, the upper and lower communication mechanisms have also been formed in the health of the Communist Party. Through the mechanism, the grass -roots medical staff went to the general hospital for further studies. The general hospital was sent to township hospitals as 33 cadres and business backbones at the middle and above. Surgery, etc., supplemented the shortcomings of insufficient diagnosis and treatment capabilities. At present, the sinking experts serve more than 11,000 people at the grassroots level, and help the grassroots to carry out more than 1,360 cases, which has achieved comprehensive sharing of health talents and technology.
In terms of clinical path management, pharmaceutical consumables management and medical service management, the health and communities have achieved standardization, integration and homogeneity, and have achieved precision in terms of chronic disease grading management. At present, the "three high bases" construction of the "three high bases" at the grassroots level of health and communities has completed the construction of the "San Gao House" in 24 villages. Including 42,485 people with precision management of chronic diseases, which greatly improves the discovery rate, treatment rate, control rate and rehabilitation rate of chronic diseases in the area.
With the continuous development of the health, as a leading hospital, the People's Hospital of Qingdao West Coast New District has also gained high -quality development opportunities. Among them, the hospital rely on existing resources to promote the construction of the "six centers" and play a role in the "strong leader" of district -level hospitals within the new district, driving the rapid improvement of the development of medical disciplines in the new district. With the help of the Jianzong body+emergency mode, it has realized the long -range ECG, the image center and the 120 emergency emergency linkage linkage. In the past three years, the hospital's stroke center has completed more than 900 cases of hydrocarmark thrombosis, ranking No. 1 in the venous thrombolysis ranking of a single hospital in Qingdao; the median DNT medium number is steadily controlled within 38 minutes. The shortest DNT is only 6 minutes. Creating the shortest DNT record of Varicic thrombolysis in Qingdao. In September 2021, the hospital ranked No. 1 in the National Stroke Prevention Center; the chest pain center has completed more than 800 cases of acute chest pain in patients with coronary artery intervention and treatment since its establishment in November 2019. The shortest myocardial infarction opened the infarction blood vessels in 33 minutes. This year, 1340 patients with chest pain have been visited; since the establishment of a trauma center in 2018, more than 18,000 patients with various types of acute trauma have been treated.
While promoting the integrated development of discipline cross -integration, the hospital also adheres to the "Talent Strong Hospital" strategy. The hospital strengthened cooperation with the top disciplines of well -known hospitals in domestic provinces, established a normalized mechanism for disciplines and talent training, and formed a new model of cross -regional cooperation. The hospital also adheres to the introduction of talents in key departments, scurm, high -tech, and key positions, and go to various parts of the country to dig out outstanding talents across the country. On average, more than 260 talents are recruited for the hospital each year. More than 50 people. The number and proportion of high -level education and senior professional and technical personnel in the hospital ranks first in the new district -level medical and health system, which has driven the comprehensive quality of the medical staff team and the rapid improvement of the hospital's medical technology level. Under the blessing of many measures, various outstanding problems in the hospital have been continuously improved, laying a solid foundation for the high -quality development of the hospital.
In addition, the hospital combined with the actual situation of Jianjian, and established the leading group and work classes of the total medical insurance work of the dean as the leader, and formulated various policies and measures to implement the total payment work. The District Medical Insurance Bureau arranged two full -time personnel to work in the hospital to coordinate and guide the total medical insurance payment work, clarify various task time nodes, and inverted construction periods and linked chart operations. And carry out the health status and health management of the whole people. The hospital is unblocked in two -way referral green channels, which truly allows the people to "healthy people in health, some people find someone to find, and treat them." It has unblocked the people's health "lifeline" and greatly reduced the cost of medical treatment.
In order to better promote the development of health and communities and deepen the reform of the pharmaceutical and health system, the hospital hopes that the competent authorities can adjust the government input mechanism, give funding support in accordance with the existing documents and systems to help the Jianjian Communist Party and the two belong to the second two. Grade hospitals improve the level of discipline construction and improve medical service capabilities. And strengthen the ability to recruit talents at all levels to truly solve the problem of lack of talents. In addition, through the integrated information platform, the combination of medical care and nursing of the "two hospitals" is truly organically integrated, and it is realized as a "three high and six diseases" patients with professional and full cycle management services. In the key year of the "Fourteenth Five -Year Plan", the District People's Hospital will continue to plan high -quality planning, seek high -quality development, promote innovation at high levels, and promote all work to strive for first -class, leading the leader, and stand -alone. Take the opportunity to carry out the "year -to -year ability improvement" activity and the construction of "clean and honest hospitals", promote the high -quality development of public hospitals at the forefront, contribute hard core forces to the construction of "healthy new districts", and welcome the 20th National Congress of the Communist Party of China with excellent results. Intersection
Author Unit: People's Hospital of Qingdao West Coast New Area People's Hospital
Responsible editor: Yan Xiufeng
Review: Zhang Min
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