The latest notice of Hebei!These 100 hospitals will welcome great changes

A few days ago, the Office of the Hebei Provincial Health and Health Commission issued a notice to print the work plan of the "Getting Quality Action Action" (2022-2025) "

List of county hospitals in the "Top 100 County Hospital" in Hebei Province

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The work plan of the "Top 100 County Hospital" in Hebei Province

(2022-2025)

What are the specific content?

Take a look

Scope and goals

The list of 65 county hospitals in our province in the list of "Thousands of County Engineering" County Hospital of the National Health and Health Commission as the main body, with 35 counties (cities, districts, districts, the same below) hospitals with suitable scale, good service capabilities, and a certain management foundation. To add, the implementation of the comprehensive ability improvement of the "Gee -up of the Top 100 County Hospital" in Hebei Province (see attachment) in the county hospitals (see attachments).

By strengthening the ability of specialty and talent teams, improve the conditions for facilities and equipment, and accelerate the shortcomings and management of medical services and management of the county hospital. By 2025, at least 70 county hospitals in the province will reach the level of medical service capacity of tertiary hospitals, and choose to be included in the management of tertiary hospitals to effectively give play to the role of county hospital medical centers, increase the rate of consultation in the county to more than 90%, do a good job in the county area. Residents' health "doorkeeper".

Key task

(1) Steady improvement of medical service capabilities

1. Strengthen the construction of specialty capabilities. Implement the requirements of the "Fourteenth Five -Year Plan" of Hebei Province ", focus on the common diseases and diseases of the residents of the county, comprehensively consider factors such as patient transfer, make a good development plan for the clinical specialty of the county hospital, and build a county -level core specialist group. In principle, the "Gentinary County Hospital's Quality Action" county hospitals build 1-2 county -level clinical key specialties each year, and at least one city -level key specialty specialist in the "14th Five -Year Plan" period will be constructed. , Breathing, pediatrics, obstetrics and gynecology, severe illnesses, emergency treatment and other specialist control capabilities, improve hardware facilities and equipment conditions, promote new diagnosis and treatment models such as MDT, and traditional Chinese and western medicine.

2. Build a high -quality talent team. Increase the introduction of professional and technical talents in key areas, scarcity, and key positions. We will strengthen talent training through various methods such as standardized training, clinical training, and academic exchanges through residents. The undergraduate and above academic doctors who have newly hired in clinical work after 2020 must participate in the standardized training of inpatients and reserve talent teams. Strengthen the training of generals and backbone talents such as the general science, obstetrics, obstetrics, severe illnesses, mental, anesthesia, emergency, infection, tumors, elderly diseases, rehabilitation, pathology, birth defect prevention, pharmacy, nursing and other absent majors, and build a talent echelon. Encourage the establishment of special funds for medical talents, actively strive for fiscal subsidy policies, ensure the salary and benefits of talents in the shortage, and increase the appeal of professional positions in short supply. Strengthen the construction of teachers and give full play to the leading role of county hospitals in the teaching and training of grass -roots medical staff in the county.

3. Build the five centers of clinical services. Relying on the five major centers of clinical services such as tumor prevention, chronic disease management, minimally invasive intervention, anesthesia pain diagnosis and treatment, and severe custody of the county hospital. Relying on the Tumor Prevention Center and Centers for Slow Diseases, it will form an effective linkage with other medical and health institutions in the county to carry out the prevention, treatment and rehabilitation of tumors and chronic diseases to improve the continuity of medical services. Relying on the minimally invasive intervention center, strengthening technical cooperation with higher -level hospitals, and conducting interventional diagnosis and treatment in the fields of tumors, peripheral blood vessels, nerves, etc. Relying on anesthesia pain diagnosis and treatment centers, actively promote acute pain treatment during surgical surgery, carry out analgesia and analgesic therapy in operating room, and continuously meet patients with new needs for comfort. Relying on the intensive care centers to improve the level of severe treatment and improve the diagnosis and treatment capacity of major illnesses.

4. Five major emergency emergency first aid centers. Further strengthen the five major centers of emergency treatment of chest pain, stroke, trauma, dangerous maternal treatment, critical children and newborn treatment, optimize resource allocation, improve the management system and process, and implement diagnosis and treatment norms. The county -level health department shall rely on the county hospital to improve the emergency network, build a real -time interactive intelligent platform, realize the inside sharing of the patient's information center, enhance the rescue and transfer capacity, provide patients with medical treatment for green channels and integrated comprehensive treatment services to enhance major acute diseases Medical treatment quality and efficiency.

5. Improve the ability to prevent and control major epidemics. Give full play to the results of the construction of county -level hospitals to improve the construction of the project, and build a relatively independent infectious diseased ward in the county (city) hospitals, further update the replacement medical and inspection and testing equipment, improve the logistics of parking, medical waste and sewage treatment Ensure facilities, improve the hospital diagnosis and treatment environment, and comprehensively improve the ability to treat infectious diseases in county -level hospitals.

6. Continue to carry out counterpart support for three -level hospitals. For the "group -style" support for urban third -level hospitals, the poverty alleviation county hospitals will promote high -quality medical resources to sink through methods such as medical personnel, specialized specialties, clinical teaching, and business training. Encourage the comprehensive three -level hospitals with strong comprehensive capabilities to comprehensively custody county hospitals, give full play to the advantages of the brand, resources, technology, talents, and scientific research of the hosting hospital, and quickly improve the comprehensive capabilities of county hospitals.

(2) Effectively improve management operation efficiency

7. Improve the scientific management level of county hospitals. Strengthen the party's comprehensive leadership on public county hospitals, improve the decision -making system of the hospital party committee and dean's office meeting, and integrate the party's leadership into all aspects of the hospital's entire process. Adhere to the principle of party management talents and strengthen the construction of leadership teams and cadres. Implement the relevant requirements of laws and regulations, improve the hospital's ability to govern in accordance with the law, focus on the development of medical, teaching, research, and prevention, and strengthen the allocation of resource allocation and optimize the process. Establish a hospital operation management decision -making support system to promote the scientific, standardized, and refined of hospital operation management. Care about caring for medical staff, enhance the sense of honor of medical staff, and create a good atmosphere of respect for medical treatment. 8. Carry out the performance assessment of public hospitals. All county hospitals participated in the performance assessment of public hospitals, implemented functional positioning, and continued to improve medical service capabilities and scientific management levels. Strengthen the application of informatization, strengthen the standardization, standardized management and quality control of clinical data, and ensure that the performance assessment data is objective and real. Give full play to the role of the performance assessment of the "command stick", and take the assessment results as the important basis and selection of the county hospital development planning, major projects, fiscal funds subsidies, funding for funding, total performance salary approval, medical insurance policy adjustment, and appointment of hospital leadership teams. Important references are closely integrated with hospital review and evaluation and clinical key specialty.

9. Promote a number of county hospitals to enable enlarged capacity. The health and health departments at all levels implement the "Fourteenth Five -Year Plan" medical and health service system planning, and in accordance with the requirements of the "Principles of Planning Guidance (2021-2025)" in medical institutions, and consider factors such as social and economic development, population, residents' health needs, and hospital development foundation There are targeted promotion plans to support county hospitals to reach the hardware facilities and service capabilities of the third -level hospital. Relevant county hospitals should comprehensively strengthen connotation construction in accordance with the requirements of the "Three -level Comprehensive Hospital Medical Service Capacity Guide (2016 Edition)", and further improve the level of medical services, specialized construction and operation management.

10. Implement the functional positioning of the county hospital. The county hospital leads the establishment of a close -up county medical community and remote medical cooperation network, and establishes remote medical service management and two -way referral channels with urban third -level hospitals. Coordinate the management of grass -roots medical and health institutions in the body of the county medical community, improve the county's medical service capabilities as a whole, and gradually guide patients with common diseases and chronic diseases to the grass -roots at the grassroots level to provide residents with the integration of disease prevention, diagnosis, treatment, nutrition, rehabilitation, care, and health management. Chemical, continuous medical and health services.

11. Establish five centers of the county medical resources sharing. Taking the county medical community as the carrier, we will build five major centers such as medical testing, medical imaging, ECG diagnosis, pathology, and disinfection supply to improve the county's medical resource allocation and use efficiency. Consolidate the mutual recognition system of the inspection results of medical institutions, and on the basis of ensuring the quality and safety of medical care, accelerate the incorporation of eligible county medical institutions into the scope of mutual recognition, and strive to achieve full coverage of medical institutions in level 2 and above by 2022 to promote the county area The service homogeneity of service in the medical and health institutions. Enrich the connotation of long -range medical services and improve utilization; to radiate townships and village toilets downward, improve grassroots medical service capabilities; dock with high -level provincial and municipal hospitals to connect with high -quality medical resources transportation channels.

12. Establish a "five major centers" in high -quality management of county medical communities. Relying on the five major centers such as medical quality control, human resources, operation management, medical insurance management, and information and data of the county hospitals in the county hospital, the county hospitals have strengthened the coordinated management of medical and health institutions in the county medical congress. Relying on the Medical Quality Control Center, we will establish and improve the long -term working mechanism of medical quality management, and strengthen medical quality management and control in the body of the county medical community. Relying on the Human Resources Center, optimize the salary structure in the body of the county medicine, and coordinate human resources management. Relying on the operation management center, strengthen comprehensive budget management, improve the performance evaluation mechanism and county medical performance evaluation system, standardize clinical diagnosis and treatment behaviors, clarify the two -way referral standards and processes, and establish a long -term stable division of labor cooperation mechanism. Relying on the Medical Insurance Management Center, the management and assessment system of medical insurance in the county medical communist internal medical insurance is established, and the medical insurance department will improve the efficiency of medical insurance funds and guide the implementation of health management. Relying on the information and data center, optimize the service process, improve management efficiency, promote the effective allocation and use of resources, and gradually realize the continuous records of electronic health files and electronic medical records in the county medical community. Medical services, public health services, medical security and comprehensive management systems Information sharing and ensure the operational security and network security of the information system.

(3) Vigorously improve the patient's medical experience

13. Continue to improve medical services. Gradually promote the construction of comprehensive service centers (windows) of county hospital patients, and provide integrated services such as health management, health science popularization, health education, disease prevention, outpatient and hospitalization. Consolidating and improving the reservation diagnosis and treatment system, targeting groups such as elderly people, children, disabled people, etc., on the basis of implementing non -emergency diagnosis appointment diagnosis and treatment, we can reasonably retain artificial service windows such as registration, payment, and print inspection results. Continuously improve the facility environment, build a clear -cut and reasonable consultation environment, and comprehensively improve patient satisfaction.

14. Innovative medical service model. Focusing on tumors, difficulty complex diseases, and multi -system and multi -organ diseases, the outpatient and inpatient multidisciplinary diagnosis and treatment models are promoted, and pharmacy and Chinese medicine are included in the multidisciplinary consultation system. It supports eligible county hospitals to implement day operations and gradually increase the proportion of day surgery. Support eligible county hospitals to carry out special demand services to meet the diverse medical needs of the masses. In -depth promotion of electronic medical records, smart services, and smart management of the "Trinity" smart hospital construction and hospital information standardization construction. (4) Continue to improve the quality of medical services

15. Strengthen medical quality and safety management. Implement the "Measures for the Management of Medical Quality" and "Core System of Medical Quality and Safety", strengthen the construction of the medical quality management system, implement the responsibility system of two levels of hospitals and sciences, and strictly implement the core system of 18 medical quality and safety. The county hospitals with strong specialist service capabilities and good quality control foundation lead the establishment of a county -level quality control center. All county hospitals implement clinical path management, and the number of cases of clinical path management has reached more than 50%of the number of cases of discharge of the hospital. Improve the management and prescription review system, strengthen anti -microorganism, anti -tumor and key monitoring clinical application management of drugs, and promote reasonable medication.

Implement steps

(1) Starting stage (May to June 2022)

In accordance with the unified requirements of the National Health and Health Commission, the Provincial Health and Health Commission formulated a work plan for the "Getting Quality Action of the Top 100 County Hospital" in Hebei Province. At the same time, in accordance with the evaluation of medical service capabilities in the province's county hospitals during the "Thirteenth Five -Year Plan" period, considering the situation of hospitals recommended in the previous regions, it was determined that the province was included in the list of "Getting Quality Action Action for the Top 100 County Hospitals" and announced it.

(2) Organization implementation stage (June 2022 to January 2025)

In combination with the actual situation, the specific work plan, annual plan and key task list of the "one hospital and one case" are formulated in accordance with the actual situation, and the responsible units and responsible persons are clearly promoted to the implementation of various tasks in accordance with the time node. All cities and counties should strengthen work supervision and guidance and scheduling, and timely coordinate and solve the difficulties and problems encountered in the work. The municipal health department reports the annual work to the Provincial Health Commission by the end of November each year. The Provincial Health Commission submits annual work to the National Health Commission by the end of December each year.

(3) Tracking and evaluation phase (January to December 2025)

In accordance with the requirements of the county hospital's medical service capacity recommendation standards and the requirements of the third -level hospital medical service capacity guidelines, the Provincial Health and Health Commission conducts baseline surveys, annual assessment and summary evaluation of the medical service capabilities of the county hospital, and announces the evaluation results in appropriate ways. Objective. At the same time, combined with the actual situation, county hospitals with good basic conditions, rapid construction, and active results have increased support.

Source: official website of Hebei Provincial Health and Health Committee

Responsible editor: Fang Shujing Su Haojun Chen Zhaoyue

Edit: Ma Jianwen

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