Annual Work Report of Maternal and Child Health Hospital

What is the work of a maternal and child health hospital like? Let’s take a look at the annual work report of the Maternal and Child Health Hospital!

1. Completion of various work indicators

(1) Maternal and child health work indicators

The total number of pregnant women is 3969, and 3969 are in health care management, including 2952 pregnant women. people, 2981 live births, maternal health care coverage, hospital delivery rate, and new delivery rate were all 100; 1197 high-risk pregnant women were screened, with a high-risk screening rate of 30.16, 1020 high-risk pregnant women gave birth, 1020 were hospitalized, and high-risk hospitalization The delivery rate was 100; 2,946 pregnant women were tested for prenatal AIDS, with a testing rate of 99.80; there were no maternal deaths.

There were 19,484 children under seven years old, 17,186 under health care management, and a child health care coverage rate of 88.21; 8,725 children under three years old were under system management, and a system management rate of 89.52; 24 deaths among children under five years of age. , the mortality rate was 8.05‰, 13 cases of infant death, the mortality rate was 4.36‰, 5 cases of neonatal death, the neonatal mortality rate was 1.68‰. There were 38 birth defects, and the birth defect incidence rate was 12.49‰. No neonatal tetanus.

(2) Business operation status

There were 54,318 outpatient registrations, 1,490 3 year-on-year; 4,828 admissions, 521 12 year-on-year; hospital bed utilization rate 122.14; hospital bed turnover Rate 96. 3 times. Business income was 15.39 million yuan, of which pharmaceutical income was 3.54 million yuan, and pharmaceutical income accounted for 23.17 of the business income.

Judging from workload statistics, outpatient visits increased by 3% year-on-year, of which the gynecology clinic, dental department, and pediatric care department increased by more than 10%; the number of inpatients in pediatrics and obstetrics and gynecology increased by 20%. It can be seen that with the establishment of the neonatology department and children's vaccination clinic, our hospital's advantages in pediatrics and child health care have been significantly improved, the diagnosis, treatment and service capabilities have been significantly improved, and there is still a lot of room for expansion in related departments. Since the beginning of this year, the number of obstetric births in our hospital has remained above 40 of the total number of births in the city, of which July and September accounted for 53.4 and 54.6 respectively, highlighting the specialty advantages of the obstetrics department. However, the number of physical examinations and gynecological examinations for female employees has dropped significantly, which should be taken seriously and paid attention to.

There were no medical accidents or major medical disputes throughout the year.

2. Work focus and implementation status

(1) Focus on the implementation of national major public health special maternal and child health projects, strengthen maternal and child health management, and various maternal and child health work Indicators continue to maintain advanced levels.

1. Actively implement major national public health special maternal and child health projects to ensure equalization of public health services. The first is to innovate working methods to ensure that hospital delivery subsidies are paid to the people in a timely manner. Since the launch of the project on October 1, 2016, we have first used centralized reimbursement to distribute subsidies. This year, we have adopted a subsidy method of "direct subsidy on site" from the delivery institution, which saves the people the inconvenience of traveling back and forth for reimbursement, and has received good results. social repercussions. 1,560 pregnant women in the city who met the subsidy conditions received a hospitalization subsidy of 780,000 yuan. The second is to formulate an implementation plan for a project to supplement folic acid for rural women to prevent neural tube defects on the premise of extensive research and obtaining the consent of the competent authorities, focusing on pre-pregnancy, strengthening education for key groups, and using a free premarital examination platform to target newlyweds. The husband was given pre-marital medical examinations and the drugs were distributed at the same time, which expanded the scope of distribution and achieved good expected results. 481 copies were distributed throughout the year. The third is to conscientiously implement the 2016 breast cancer examination project. In September, we completed the examination of 2,059 census subjects in Lucheng Town, found 2 suspicious cases, and 1 confirmed case, and we have urged them to undergo surgical treatment. At the same time, the work process of the breast cancer examination project was further standardized, and 5 suspected and 2 confirmed breast cancer cases detected in 2016 were tracked and followed up, and regular follow-up visits and treatments were urged to improve the social effect of the breast cancer examination project. .

2. Actively promote women’s health actions and improve women’s quality of life.

Starting from March, our hospital has assisted Yaojiadian, Wuyanquan, Niejiahe, Panjiawan, Gaobazhou and other township health centers to carry out the census of women's diseases, and standardized the items and processes of the census of women's diseases, improving the quality of the census. . A total of 7,843 people were screened throughout the year, and medical expenses of 410,000 yuan were waived. 873 female employees in enterprises and institutions received health care services.

3. Strengthen maternal health care management to ensure the safety of mothers and infants. First, it actively cooperated with the Municipal Health Bureau to carry out maternal and infant health law enforcement inspections, conducted professional qualification examinations and obstetric quality assessments for 17 medical institutions offering obstetrics and gynecology in the city, and supervised them to carry out maternal and infant health technical services in accordance with the law. The second is to continue to implement the fragmented responsibility system, continue to strengthen visits to pregnant women in villages and households, strengthen grassroots maternal health care management and maternal and infant health care business technical guidance, and ensure that maternal health care coverage, hospital delivery rates, and delivery visit rates reach 100. The third is to strengthen pre-marriage and pre-pregnancy health care and increase the rate of early pregnancy card creation. The fourth is to conscientiously implement the hierarchical management methods for high-risk pregnant women, implement management procedures and the responsibilities of the three-level health care network, and ensure the safety of high-risk pregnant women.

4. Strengthen the management of the children's health care system and improve the quality of children's health care management. First, the work of child health clinics has been strengthened, and child care projects such as newborn disease screening, hearing screening, pediatric growth and development monitoring, and infant swimming have been actively carried out to improve children's health. The second is to strengthen the health care management of child care institutions. In May, the health care work of 45 child care institutions in the city was re-evaluated, of which 38 were qualified and 84.4 were qualified. 4. 7 institutions that did not meet the standards were reissued after rectification and review within a time limit. Certificate of conformity. The third is to organize training courses for kindergarten directors and health doctors, and conduct lectures on prevention and control of influenza A and hand, foot and mouth disease to improve the collective ability to prevent and control childhood infectious diseases. The fourth is to go deep into kindergartens and primary schools to carry out prevention and treatment of common childhood diseases such as dental caries and high blood lead. The fifth is to open children's vaccination clinics and carry out neonatal BCG and hepatitis B vaccinations in accordance with the law to effectively prevent childhood diseases.

5. Actively carry out health education and improve people’s awareness of self-care. We continue to run the "Maternal and Infant Health Lecture" to teach infant and child health and pregnancy health care free of charge, which has achieved good social results. In cooperation with the CPPCC, Municipal Women's Federation and other organizations, we carried out 6 free clinic consultation activities such as "Focus on People's Livelihood and Deliver Health" and "Women's Volunteer Walk", receiving 1,185 patients, distributing 5,000 health leaflets, and delivering 3,361 yuan of free medicine. At the same time, blackboard newspapers, bulletin boards, promotional windows, stop signs, etc. are used to promote and educate disease prevention knowledge.

6. Established the city’s maternal and child health information platform, organized the city’s maternal and child health informants to conduct training on the new version of the annual report information management software and the new maternal and child health annual report, standardized the collection and reporting of maternal and child information, and promoted communication and feedback of information.

(2) Pay close attention to the construction of medical business to ensure the safety of medical behaviors.

1. Strengthen the construction of the second-level quality control organization in the hospital and improve the quality of medical care. First, continue to carry out special rectification activities for medical quality management, implement the first-diagnosis physician responsibility system and the three-level doctor-patient communication ward round system, promptly discover and solve medical safety hazards, and promote the establishment of a harmonious doctor-patient relationship. The second is to strengthen the second-level quality control assessment of hospitals and departments, and conduct regular summaries and feedback to ensure continuous improvement and improvement of medical quality. There were no medical accidents or major medical disputes throughout the year.

2. Strengthen the construction of characteristic specialties and fill three gaps. First, the inpatient obstetrics and gynecology department successfully performed laparoscopic surgery, filling the gap in minimally invasive gynecological treatment technology in our hospital; second, the establishment of a children's vaccination clinic solved the long-standing problem of planned immunization for newborns and filled the gap in our hospital's There is a gap in children's planned immunization; thirdly, an independent neonatal ward has been established to fill the gap in the construction of neonatology department in our city. Since the establishment of the Neonatology Department, 216 newborns have been treated, 29 critically ill children have been rescued, and the high-risk rescue success rate has been 98.67. 4 cases of neonatal diabetes, respiratory malformations, sepsis combined with erythrocytosis and DIC, etc. have been promptly detected and referred. Time was gained for further treatment; the pediatrics, obstetrics and gynecology, stomatology, prenatal care clinic, laboratory department, B-ultrasound room, and radiology departments focused on their respective work tasks to continuously improve the quality of work, and the workload increased significantly.

3. Conscientiously implement infectious disease management measures, strictly implement online direct reporting of infectious disease epidemics, monthly health emergency reports and infectious disease epidemic pre-examination, triage and reporting systems, and implement hand, foot and mouth disease and A The prevention and control measures for influenza have effectively controlled the spread and prevalence of infectious diseases in our hospital.

(3) Pay close attention to the construction of industry style and medical ethics and improve patient satisfaction rate.

Taking the democratic review of political trends as an opportunity, we further strengthened the rectification of industry style and achieved satisfactory results. The first is to strengthen the construction of party style and clean government, combine publicity and education on party style and clean government with education on medical ethics and medical ethics, training on laws and regulations, and correction of medical ethics, and further improve various measures to combat corruption at the source. Second, the government’s centralized bidding and procurement system for drugs and medical equipment is strictly implemented to eliminate unhealthy trends in pharmaceutical purchase and sales activities. The annual procurement of medicines was 2.8255 million, of which 2.4024 million were purchased through centralized bidding, with a centralized bidding procurement rate of 85.03; the purchase of disposable consumables was 1.33313 million, of which 734.3 million were from bidding, and the bidding and procurement rate was 55.16; equipment was purchased at 266. Ten thousand yuan, centralized bidding is 2.66 million yuan, and the centralized bidding procurement rate is 100. The third is to establish a bulletin board for charging standards for medical services and a bulletin board for drug prices to update information and adjust prices in a timely manner to prevent excessive charging. Fourth, the "seven strict prohibitions" work system has been strictly implemented, effectively controlling "big prescriptions" and "ride-on drugs", and the proportion of drug revenue in business revenue has been controlled below 25%. Medical staff do not accept "red envelopes", "kickbacks" or billing commissions. Fifth, we insist on benefiting the people and provide preferential medical services to rural poor households, urban subsistence allowance households, disabled people, family members of active military personnel, and the elderly over 70 years old. The sixth is to carry out in-depth democratic evaluation of political trends and practices, extensively solicit opinions and suggestions from all walks of life, and carry out healthy baby actions and maternal and infant safety actions throughout the hospital in response to medical ethics and medical practices issues that are difficult and expensive for the public to seek medical treatment and that are of widespread concern to the society. , children's health action, the creation of "Wang Zhengyan Studio", and a series of activities such as service commitment signatures, which have effectively promoted the construction of business ethics and improved social image, and the patient satisfaction rate has remained above 95%.

(4) Carry out in-depth activities of “striving for excellence” to enhance the cohesion of the party organization.

In accordance with the unified arrangements of the Municipal Party Committee and the Municipal Health Bureau Party Committee, the "Creating the First and Striving for Excellence" activities with the goal of "creating advanced grassroots party organizations and striving to be outstanding party members" was carried out throughout the hospital. In accordance with the requirements of Duji Method [2016] No. 8, the requirements for the construction of the "Twelve Ones" and the "Five Basics and Seven Systems" of party organization construction have been implemented one by one, further improving the party building work system and standardizing all aspects of party building work. Various data collection and file management work was carried out, various measures for the construction of a learning party organization and measures for the creation of the "Five Goods" of the party organization were implemented, the network map of the party, workers, leagues, and women's organizations was improved, and a network of party activists and party members was established. Reserve cadre education and training files promote the construction of the party branch itself and the construction of the party member team, and enhance the cohesion of the party organization. Under the education and training of the party organization, five advanced young people joined the team of party activists. In the activity of "Creating the First and Striving for Excellence", our hospital insisted on combining the establishment activities with the work of the hospital center, and carried out "Satisfaction in Maternal and Child", "Party Member Commitment", "Party Member Showcase", "Three to One Creation", and Excellent Experience a series of themed practical activities such as article selection and commendation, and use the "Being First and Strive for Excellence" activity as a platform to promote various work of the hospital, closely related to the implementation of major national public health projects such as hospitalization subsidy and "two cancer" census. The combination of specific work such as projects and hospital business development has pushed various tasks to a new level.

(5) Continue to deepen the reform of the personnel system and improve the enthusiasm of employees.

First, in accordance with the spirit of relevant documents of the Municipal Personnel Bureau and the Health Bureau, the position setting was carried out scientifically and rationally. The hospital has 100 positions, including 14 management positions, 74 professional and technical positions, and 12 work and attendance positions, realizing the reform of the employment system from identity management to position management. Second, according to the number of positions re-approved by the Municipal Personnel Bureau and the Health Bureau, open recruitment of personnel was implemented, and the recruitment targets were included in the internal management, the personnel agency and business temporary workers were cancelled, and the personnel relations were straightened out.

The third is to conscientiously implement the spirit of performance-based salary reform, standardize the performance-based salary assessment and distribution system, implement the payment of living allowances for retirees, and safeguard the legitimate rights and interests of employees.

(6) Steadyly promote the construction of urban-rural interconnection and implement the tasks of building new rural areas and supporting medical services.

First, we actively supported the construction of a new rural area in Shuangheqiao Village, Wangjiafan Township, helped the village improve the system on the wall, invested 15,000 yuan to help the village purchase computers and other office equipment, and provided free subscriptions to the 2016 daily newspaper 2 copies and 5 copies of Rural News. Organized 15 party members to provide free clinic services for villagers twice, receiving 253 consultations, reducing medical expenses by 12,000 yuan, delivering free medicines of 1,000 yuan, and visiting poor party members to express condolences and donate 3,000 yuan. The second is to jointly carry out the "Women's Volunteer Walk" activity with the Municipal Women's Federation to provide medical care and warmth to the left-behind children in Niejiahe Town, conduct free health examinations for 189 people, send 1,000 yuan in medicines, distribute 500 copies of various health education and promotional materials, and receive consultations 150 people. The third is to dispatch a deputy chief physician of obstetrics and gynecology to Gaoba Prefecture Health Center to support rural health work and guide the development of obstetrics and gynecology services at the grassroots level. It has also established two-way referral relationships with township health centers such as Panjiawan and Yaojiadian, achieving maximum sharing of resources and mutual benefit.

3. Existing problems and priorities for next year

(1) Existing problems

1. The cesarean section rate in the city’s medical institutions continues to be high. After active rectification, the cesarean section rate in various medical institutions dropped to varying degrees in the second half of the year. The city's cesarean section rate dropped from more than 80% to 68%, but it is far from the 40 standard set by the Provincial Department of Health.

2. The shortage of health care personnel has affected the further expansion of health care business and the effectiveness of maternal and child health project implementation.

(2) Focus of work next year

1. Strengthen "two system management" to ensure that the goals of reducing maternal mortality, mortality of children under five years old, and improving the quality of the birth population are achieved accomplish.

2. Strengthen the implementation of the "four major measures" and strive to reduce the cesarean section rate.

3. Continue to work on projects such as hospital delivery subsidies and folic acid supplementation, complete the tasks of the breast cancer examination project, and ensure the equalization of public health services.

4. Strive for departmental cooperation, conscientiously implement the women's health action, standardize the women's disease examination items and work processes, and improve the quality of the census and the social effect of the women's health action.

5. Strengthen the construction of characteristic specialties and actively strive to create 2-3 municipal specialties.

6. Consolidate the “two excellent” results and improve the level of scientific management in an all-round way.

7. Solidly carry out the construction of industry style, efficiency, party style and clean government, and harmonious unit construction to improve social satisfaction rate.