Township people's government, sub-district office, Houma Economic Development Zone Management Committee, all relevant units directly under the city:

现将《Houma CityThe three-year Action Plan to improve the comprehensive capacity of medical institutions is issued to you, please认真Comply with。

People's Government of Houma City

(This is public发布）            September 13, 2023        

Houma CityThe comprehensive capacity of medical institutions has been improved

Three-year action plan

In order to further optimize the allocation of medical resources, improve the ability of medical and health services, promote the expansion and balanced layout of high-quality medical and health resources, full足The needs of the masses for basic medical services, according to the Three-year Action Plan for Improving the Comprehensive Capacity of county-level Medical Institutions in Shanxi ProvinceNotice requirements,Unite me市Actually, formulate this program。

I. General requirements

1. Overall objectives。以习近平新时代中国特色社会主义思想为指导，贯彻新时代党的卫生与健康工作方针，以To meet the people's ever-growing needs for a better lifeThe service concept of "patient-centered" and the purpose of serving the people's health are to change the service attitude, regulate medical behavior, improve medical quality, ensure medical safety, and improve the people's medical experienceThe starting point is to fully implement the action to improve the capacity of medical institutions, and complement the medical service capacity, scientific management capacity, radiation driving capacity, and information support capacity of medical institutions"Four abilities" short board, full playHouma People's Hospital在全The central and leading role in the three-tier network of regional medical and health services drives me市China's medical and health services have entered a new stage of high-quality development。

(2) Work objectives。Close around我市"1236" development ideas toThe construction of southern Shanxi regional central city as the lead，按照"Every county should have 1-2 good hospitals."的要求，Combine with our cityAccording to the 2023 government work report "The Municipal People's Hospital and Traditional Chinese Medicine Hospital should advance 10 places in the national assessment ranking on the basis of 2022", the city's medical institutions will carry out medical capacity improvement work.Comprehensively carry out the construction and promotion of medical institutions to measure, raise and meet standards全市Overall development of medical institutions, key breakthroughs。到2025年底，The municipal People's Hospital has reached the recommended standards of county-level hospitals and strives to create threeA HospitalTo build a regional medical center in Jinnan；市Hospital of traditional Chinese medicineReach the recommended standard of medical service ability of county-level traditional Chinese medicine hospitals；推进Maternal and child health careFamily planning service centers have reached the standard level of construction, andOpen outpatient clinics;Other medical institutions have been upgraded according to their standards, and each township (街道Health centers (community health service centers) set up special outpatient departments according to their respective advantages, and the number of outpatient services has been continuously improved。

Second, comprehensive ability to improve the leadership group

组  Chang: Yin Mingxing  Deputy Secretary of the Municipal Party Committee, Mayor

Deputy Leader: Ann  危  Standing Committee of Municipal Committee, Executive Vice mayor

成  员：张  凯  Vice Chairman of the municipal CPPCC, Director of the Municipal Human Resources and Social Security Bureau

赵  勇  City finance director

Gao Xiaoyong  City health Party group secretary

辛  红  Director of the city Health Department

Yangshanhe  City medical group Party secretary

Sun Yunsheng  City hospital of traditional Chinese medicine director

三, key tasks

(1) Improving hardware facilities and equipment conditions

1.Strengthen the construction of intensive care medicine departments in secondary and above hospitals, to2025年City People's Hospital, City Hospital of Traditional Chinese Medicine, Anding Hospital，The construction of intensive care medical departments has reached the standard。

Municipal People's HospitalMake good clinical specialty development plan and strengthen clinical specialty service capacity building。Improve the diagnosis and treatment subjects, study and analyze the factors such as the transfer of county patients, in order to meet the needs of the people for medical treatment，The use of high-quality medical resources inside and outside the province, the introduction of experts inside and outside the province to diagnose, focus on improving the county's common diseases, frequently-occurring diagnosis and treatment capabilities, and achieve"The basic standard of medical service capacity of county hospitals should reach 90%-95%, and the recommended standard should reach 75%"。

After the completion of the comprehensive service building of the Municipal Hospital of Traditional Chinese Medicine, the necessary facilities and equipment in the comprehensive building will be equipped。To build a TCM rehabilitation center in the region, equipped with strong rehabilitation doctors, use specialized rehabilitation equipment, modern rehabilitation technology, combined with electroacupuncture, scalp acupuncture and other syndrome differentiation point selection, TCM TCM syndrome differentiation prescription medication, to improve the speed and effect of patients' limb function recovery;Continue to strengthen the development of stroke and diabetes departments,Enrich the department connotation construction,On the basis of Linfen key specialtyApply for provincial Chinese medicine project, striveIt will be a provincial-level key specialty by 2025。打造Famous old Chinese medicine expert studio has been builtOn the basis of "Zhao Jie Ming Chinese Medicine Studio", we will continue to build "Hao Zhongyao Team Studio" and other national and provincial famous medical studios。

市Maternal and child health careFamily planning service centers shall be equipped in accordance with the basic standards for the medical service capacity of county-level maternal and child health institutionsMaternal and child health careFamily planning service center infrastructure, and open clinics。

2．In 2023, 11 million yuan will be invested to equip 8 hometown health centers (community health service centers) and village health rooms (stations) in the city with ambulances, color ultrasound, remote electrocardiograph, Doppler fetal heart monitor, hearing screening instrument, electric suction device, intelligent blood glucose meter outside the hospital, oxygen generator, mobile ultraviolet lamp (car) and other equipment，Improve the current shortage of basic testing equipment in basic medical institutions in our city，Improve the treatment capacity of the city's primary medical institutions。The city medical group should actively give play to the advantages of technical talents，Do a good job in the training of equipment operators，We will give more support to rural health centers and community health service centers，Vigorously improve the ability of primary medical testing;The service capacity and operational efficiency of community-level medical and health institutions will be gradually improved，We will improve the allocation of community-level medical and health care resources，Promote the formation of grass-roots first diagnosis, two-way referral, emergency and slow treatment, the hierarchical diagnosis and treatment system。

3．Continue to improve the medical environment。利用In three years,全面开展medical institutionEnvironmental sanitation improvement, the implementation of landscaping green lighting工程Unified planning and setting of convenient signs and lines in the hospital, barrier-free access at the entrances and exits, and improvement of logistical support facilities such as parking, medical fabric washing, medical waste and sewage treatmentTo achieve a clean environment in the medical institution, clear signs, green and bright outside the medical institution up to the city appearance standard。

(2) Continuously improve medical service capacity

1.Each hospitalWe will increase the introduction of professional and technical personnel in key professions and key positions。通过Campus recruitment,Clinical training, academic exchanges and other ways to increase personnel training,Form a echelon talent team。

The city People's Hospital accelerated the team of Wang Hongxing in the Department of Neurology of Beijing Xuanwu Hospital, Liu Zhengcai in the Department of Hepatobiliary Surgery of Xijing Hospital, Li Zhuo in the Department of Pharmacy of Shaanxi Provincial People's Hospital, and Zhao Bin in the Department of Orthopedics of Shandong Second HospitalEight doctoral workstations and five famous medical studios, including Professor Yao Li of China-Japan Friendship in Beijing, Professor Yue Shuqiang of Xijing Hospital, and Professor Hao Min of the Second University Hospital, have been built to actively promote the construction of disciplines, personnel training, scientific research and teaching of medical institutions and famous medical teams in our cityTo carry out in-depth cooperation and rapidly improve the level of clinical diagnosis and treatment technology and scientific research and teaching in our city。

Municipal medical groupWe will set up special funds for talent introduction and support, make good use of special funds for talent at all levels and of all types, and increase efforts to introduce professional and technical personnel, discipline leaders, and high-level personnel in key fields, specialties in short supply, and key positions。

2.Fully completedClinical service"Five Centers"。Municipal People's HospitalImprove cancer prevention and treatment, chronic disease management, minimally invasive intervention, anesthesia pain diagnosis and treatment, intensive care and other clinical services"Five Centers"建设。重点To carry out the prevention, treatment and rehabilitation of chronic diseases such as cancer；Carry out interventional diagnosis and treatment in tumor, peripheral blood, nerve and other fields；开展推动围Acute pain treatment during operation, anesthesia and analgesia outside the operating room，One step furtherWe will improve the level of treatment for severe diseases and improve the ability to diagnose and treat major diseases。

3．Jianqiang emergency first aid"Five Centers"。Municipal People's HospitalWe will continue to strengthen emergency care for chest pain, stroke, trauma, critically ill pregnant women, and critically ill children and newborns"Five major centers" construction。Improve the three-level rural emergency referral network covering 10-20 kilometers in rural areas。Provide green channels for medical treatment and integrated comprehensive treatment services to improve poisoning、Rescue and transport ability of accidental injury, acute attack of cardiovascular and cerebrovascular。

4．完善Traditional Chinese medicine service的"Five Centers"建设。Municipal Hospital of Traditional Chinese Medicine要在完善“Chinese medicine advantage specialty (special disease) service center”、“Traditional Chinese medicine rehabilitation center”，“Chinese Medicine Appropriate Technology Extension Centre"On the premise of building"Traditional Chinese medicine characteristic health management center”和"Shared pharmacy" and other traditional Chinese medicine services的"Five Centers"建设，提升我市TCM diagnosis and treatment service capacity and TCM service supply capacity，We will promote health management services with TCM characteristics, and standardize comprehensive and integrated TCM rehabilitation services in the fields of rehabilitation medicine, rehabilitation nursing, and rehabilitation consultation。同时，Provide individualized drug processing services to facilitate the masses to see traditional Chinese medicine and use traditional Chinese medicine with confidence。

5．We will enhance our capacity to prevent and treat major epidemics。We will strengthen the capacity building of medical institutions in providing public health services, and enhance the capacity of prevention, control and treatment of public health emergencies focusing on major epidemics。City People's Hospital, Hospital of Traditional Chinese MedicineA relatively independent infectious disease ward has been established to undertake infectious disease screening, isolation and observation of suspected cases, and treatment of ordinary cases。City People's Hospital, City Hospital of Traditional Chinese MedicineStandardize the establishment of fever clinics, and implement the requirements of personnel, facilities and equipment, and standardized management for the prevention and control of hospital infections。Municipal People's HospitalThe laboratory has reached the level of biosafety II, and has the ability to detect common health hazard factors and infectious diseases in the county。

3. Effectively improving management

1．Comprehensively strengthen the Party's leadership over public hospitals。Promote the implementation of the president responsibility system under the leadership of the Party Committee, and firmly establish the direction of public welfare。Improve the decision-making system of the hospital Party committee and the president's office association, integrate the party's leadership into all aspects of the whole process of hospital governance, and promote the deep integration of party building and business。Carry out the construction of clean hospitals and improve the important positions in hospitals、We will maintain a clean risk prevention and control mechanism in key areas, and effectively control irregularities and corruption in the medical and health sectors。

2．Strengthen hospital operation management。Improve the ability of hospitals to govern according to law, focus on medical, teaching, research, prevention and other business development, strengthen resource allocation and optimize processes。Establish and improve the hospital operation management decision support system, and improve the scientific, standardized and refined level of medical institution operation management。Adhere to high-quality development and connotation construction, through the improvement of system, process reengineering, optimization of allocation, strengthening evaluation and other management means, effectively improve the operation management efficiency and input-output efficiency。

3．加强医疗Quality and safety management。Fully implement the national Action Plan for Comprehensively Improving Medical Quality (2023-2025年）》，Strengthen basic quality and safety management, improve the medical quality and safety management system at the hospital and department levels, and strictly implement medical quality and safety18 core systems to strengthen medical personnel、Management of drugs, equipment and medical technology, improve the quality and safety management of weak links such as outpatient and emergency care, daytime, surgery, and patient follow-up。Strengthen the management of key links and behavioral processes, strengthen the evaluation of patients' critical time nodes, improve the quality of inspection and inspection, improve the connotation quality, integrity and timeliness of medical records, and strengthen the active reporting of adverse events of medical quality (safety)。

4．We will strengthen IT application support。Accelerate the promotionMedical groupIt infrastructure construction, focusing on promoting the regional national health information platform, electronic medical records, remote consultation center construction。到2025年，Medical institutions above the second level in the cityAll have access to the national health information big data platform, and achieve interconnection, and the application level of electronic medical records in tertiary hospitals has reached the grade levelLevel 4, the level of application of electronic medical records in secondary hospitals has reached level 3 or above,Municipal People's HospitalGet helpLinfen Central HospitalRadiate down to the baseHealth centre (Community Health Service Centre)。

4. Continuous improvement of medical services

1．Improve people's medical experience。Health education, health popularization, health management and disease prevention will be included in the scope of medical and health services。Secondary and above hospitals to establish patient delivery and admission service center, provide"One-stop" service。Improve the appointment diagnosis and treatment system, optimize the outpatient process, provide green channels for special groups to seek medical treatment, and shorten the waiting time for patients in the outpatient department and before surgery。We will comprehensively promote the interoperability and sharing of inspection results and related data，Smooth two-way referral channels, sinking experts, outpatient number sources and inpatient bed resources，Strengthen post-diagnosis management and follow-up。Promote the application of appropriate TCM technologies，A system of medical social workers and volunteers has been established to provide humanistic care services。

2．Innovate the medical service model。Firmly establishThe "patient-centered" service concept, the establishment of outpatient "one-stop" service centers, and the promotion of multidisciplinary diagnosis and treatment mode。To expand the scope of ambulatory medical services and enhance the capacity of ambulatory medical services。Continue to expand the coverage of high-quality nursing services, change the mode of pharmaceutical care, and innovate the mode of rehabilitation service。

(5) Carry out"A thousand doctors sent to the grassroots" campaign

1．In order to improve the service capacity of primary medical institutions,The municipal People's Hospital and the Municipal Hospital of Traditional Chinese Medicine respectively dispatched medical teams toFive rural township (street) health centers carried out free consultation activities，And guide township (street) health centers (community service centers) to establish and improve the relevant work system，Improve the working mechanism，Improve the ability to identify and manage severe cases of COVID-19 infection，We will promote the sinking of quality medical resources，Improve the first diagnosis capacity at the grass-roots level。

2．City people's hospital4 teams, the city hospital of Traditional Chinese medicine dispatched 1 team, 5 medical teams using rotation mode, every Wednesday in the corresponding township (street) free clinic for one day, the township (street) health center organization related personnel follow the study。The Municipal Health and Sports Bureau, the municipal medical group, and the township (street) health center should carry out corresponding publicity, and publicize the name and specialty of the doctor who goes to the health center every week to facilitate the masses to see a doctor。

3．All medical teams are on itThe work objectives of "health protection and prevention of severe diseases" and the requirements of "infected people have medicine, severe patients have beds, mild patients have management, and severe patients have transfer" will guide the city's treatment capacity building, medical treatment of COVID-19 patients, personnel training and other work, and continue to improve the city's treatment of severe diseasesDisposal capacity, improvedPrimary medical institutionThe ability to receive medical treatment protects the health and life safety of rural residents to the greatest extent。

6. Promoting the integration and sharing of medical resources

1．We will promote the reform of integrated medical and health care at the county level。We will implement the action to upgrade the medical and health care integration reform and comprehensively improve it市Medical group administration, personnel, funds, business, performance, medicine and equipment"Six unified" management level。With the "Government Medical Responsibility List", "County-level Medical Group Operation Management List" and "Industry Supervision List" as the starting point, further improve the level of county medical and health management。

2．Improve the quality management of county medical community"Five major centers" construction。Municipal medical groupImprove medical quality control, human resources, operation management, medical insurance management, information data and other high-quality management in the medical community"Five major centers" construction。Strengthen the medical quality management and control in the county medical community。Optimize the salary structure and coordinate human resource management。Strengthen the overall budget management, improve the performance evaluation mechanism and the performance evaluation system of the medical community。Improve the relevant management and assessment system of medical insurance in the medical community, cooperate with the medical insurance department to improve the efficiency of the use of medical insurance funds, and guide the implementation of health management。Gradually realize the continuous recording of electronic health records and electronic medical records, the information sharing of medical services, public health services, medical security and integrated management systems, and ensure the operation safety of information systems and network security。

3．组建市Domain medical resource sharing"Five Centers"。依托Municipal People's HospitalBuild five interconnected resource sharing centers for medical examination, medical imaging, ECG diagnosis, pathology, disinfection supply, etc. On the basis of ensuring quality, promote the mutual recognition of grassroots examination, superior diagnosis and examination results, improve the allocation and use efficiency of medical resources, and promote the homogenization of medical services。

四Safeguard measures

1. Strengthen organizational leadership。Municipal health bodyBureau and city medical GroupIt is necessary to fully understand the improvement of comprehensive capacity of medical institutions for improving the hierarchical diagnosis and treatment system、We will promote high-quality development of public hospitals、The significance of building a high-level and healthy Shanxi has been fully implemented"Provincial overall planning, city guidance, county construction" responsibility。

2. Increasing funding。市Health Bureau, Municipal Finance Bureau, Municipal People's HospitalRaise funds through multiple channels, fully arrange development and construction funds such as capital construction and equipment purchase, and make every effort to ensure the orderly progress of upgrading actions。

3. Inter-departmental interaction and coordination。市Agency for Health and Human ServicesStrengthen overall planning and coordination, actively coordinate financial resources,Human resources, social security, medical insurance and other departments acceleratedFacilities and equipment are equipped with landing。

（四Create an atmosphere of public opinion。Municipal Health Bureau,市Medical group, city hospital of traditional Chinese medicineStrengthen policy interpretation, information release and positive publicity, expand the typical demonstration leading effect, mobilizeBroad masses of the peopleThe enthusiasm of participation, and strive to create a good atmosphere of concern and support from the whole society。

Document interpretation:Notice of Houma Municipal People's Government on issuing the Three-year Action Plan for Improving the Comprehensive Capacity of Medical Institutions in Houma