(7) to ensure the safety of medical quality. Strengthening practice in accordance with the law, strengthen the education of the medical institution and its medical personnel related laws and regulations, improve the professional consciousness in accordance with the law. Strictly implement the core system of medical quality and safety, follow the guide clinical diagnosis and treatment, clinical technical operation standard and related disease clinical pathway, regulate the behavior of clinical diagnosis and treatment. Depends on the area above the secondary medical institutions, perfect the construction of medical quality management and control system, establish and improve the working mechanism, and continuously improve the medical quality, strengthening medical safety management, cultivating medical personnel quality consciousness of safety culture. Strengthen antibacterial drugs, hormones, intravenous fluids, such as clinical medicine management, use of prescription negative list management and control in the form of prescription reviews, rational use of antimicrobial agents, reduce the usage of antibacterial drugs, vein infusion. To carry out the common disease, frequently-occurring disease of single disease quality management and control work. Strict enforcement of traditional Chinese medicine industry standards and specifications, and quality control of traditional Chinese medicine usage. Implement the basic medical and health institutions basic requirement for hospital infection management, serious disposable medical supplies, disinfectants, disinfecting apparatus, etc. Show me and validation work; In the operating room, dental, disinfection supply room, treatment rooms, dressing room and debridement room key sectors such as cleaning, disinfection and link management strictly. Specification of medical waste disposal, applies a system of registration and management, fight into society. Improve the complaint management system, strengthen medical dispute prevention and guide the patient treatment to resolve medical disputes according to law, safeguard the order of the medical. 

 

Improving the efficiency of public health services (8). Increasing national basic public health services project publicity, concentrating on promoting awareness, improve the understanding of service project in the whole society. Training project specification, vigorously improve the medical staff's ability to perform the service contents, standards, requirements. Strengthen screening in patients with high blood pressure, diabetes, patients and health management in time, strengthen the prevention and treatment of combining, in daily medical service process to carry out the follow-up service. Strengthen children, maternal, the elderly health management services, improve the ability to identify the major health problems found that the main problem for screening, shall take timely intervention measures. Improve the ability of community health diagnosis to health file data, physical examination, clinical diagnosis and treatment on the basis of analysis of district residents major health problems, targeted to carry out the health intervention. To strengthen village (house) council, ZhuQu unit cooperation, enrich the community health education means and forms, popularize knowledge of health and public self-help and mutual assistance and skills, improve the level of district residents health literacy. Specification vaccine management, unified procurement, the entire cold chain, ensuring the safety of vaccination. 

 

(9) to improve the service environment and the experience of the residents. Optimization of outpatient service function layout, set up smart boot logo, perfecting service process. Keep inside and outside environment cleanliness, sweet and comfortable, provide convenient service measures. Promoting one's office, to protect patient privacy. Medical institutions staff attire, the specification, wearing badges, easy for patients to identify. Advocate civilized courtesy of medical professional language easy to understand, warm, friendly manner to respect patients, reflect the good medical ethics. To promote the medical and health services that occupy the home, home visits, domestic sickbed, medical tour, such as the medical and health services that occupy the home, for the disabled elderly, the disabled to provide door-to-door service. Encourage to develop pressure sores, artificial colostomy, artificial fistula, bladder douche, peripheral venipuncture, diabetic foot, such as community nursing service, improving the capacity of grassroots medical services that occupy the home. 

 

Promote the informationization level (10). Improve grassroots health information systems function, realize the basic public health and basic medical and health management and contract effective support service. To strengthen market integration, and realize system connectivity, avoid repeating to collect basic data entry. Facilitate collaborative business, effective play to electronic health records in clinical diagnosis and treatment and prevention of the carrier function of health care services. By means of information technology to strengthen monitoring and evaluation to the operation and service. Promotion of remote diagnosis, remote image, such as remote ecg construction and application of the center, to promote high-quality resources longitudinal flow. Use of clinical guidelines knowledge base, evidence-based medicine clinical auxiliary diagnosis technology such as path to the application guide and regulate the behavior of grassroots health institutions diagnosis and treatment. Exploring artificial intelligence, mobile health monitoring, health care data such as the application of information technology in primary, relying on the Internet to provide online booking, consulting query, leading examining and residents dynamic monitoring services such as health, guide the residents to participate in the self health management. 

 

Fourth, to carry out the policy guarantee 

 

Local family planning administrative department of public health at all levels must adhere to the grass-roots work, with emphasis on the policy, strengthen the coordination with other relevant departments, intensify resource adjustment and development for basic medical and health institutions to create a good external conditions, guarantee agencies and stable operation, providing guarantee policy for basic health service ability to ascend. 

 

(a) to strengthen the construction of institutions. Further improve the basic medical and health institutions housing conditions, in a planned way to arrange the basic construction, housing maintenance, and equipment purchase funds, advance the standardization construction, meet the demand of basic medical and public health services. In accordance with the appropriate scale, applicable functions, equipment, the principle of moderate, reasonable and update medical and information technology equipment, improve the basic medical and health institutions and treatment conditions. 

 

(2) to strengthen the construction of talent team. Rational allocation of grassroots health workers number, further improve the ability of personnel quality, targeted to carry out the basic professional skill training. Encourage and support qualified clinical medical graduates to participate in the general professional and assistant resident standardization training general practitioners training, and guarantee the training period. Increase the proportion of senior title grassroots health workers, formulate preferential policies, the grassroots talent introduction mechanism, to attract talent to the basic flow. To occupy the home for community nurses nurse skills training, medical care, home care foundation. Promoting the construction of regional medical association, strengthen the support of public hospital of grass-roots, to encourage more practice, through the superior expert visit, a variety of ways, such as teaching, patient rounds promote grassroots diagnostic ability. 

 

(3) improve the operating mechanism. Establishing and perfecting the personnel salary system in accordance with industry characteristics, allowing grassroots health institutions break through the current regulation and control of business unit performance salary, allow the medical service revenue after deducting costs and in accordance with the provisions, extraction of various funds is mainly used for reward. Implementation of towns and townships staff enjoy the villages and towns work allowance. Specification grassroots medical institutions internal operation management, strengthen the system construction, improve the performance appraisal plan, strengthen the use of the assessment results, performance distribution tilt to the key work, the important position, the technical backbone, arouse the enthusiasm of the medical staff. Explore the reform of financial compensation mechanism, and encourage the directional subsidies combined with purchasing service, establish a scientific, reasonable and stable compensation channels, supervise and urge the relevant departments of shortening the period of funds allocated, ensure that the funds allocated in time. Strengthen the communication with the price, such as health care sector coordination, establish and perfect the grass-roots service pricing mechanism, promote the sustainable development basic medical and health institutions. 

 

(4) strict supervision and management. To strengthen the construction of grassroots medical institutions the enhancement and the party organization construction, strengthen the standard of grassroots medical institutions, personnel, in accordance with the practice of regulation. Implement the basic medical and health institutions of management and information system, accept social supervision. Establish administrative, business, capital patrol system, strengthen the basic public health service project fund regulation, to ensure that the special fund is special, it is forbidden to intercept and divert. For fraud, illegal use of funds, insurance fraud, accepts rebates or does not comply with the requirements of the medical quality and safety of medicines, medical waste management in violation of the relevant laws and regulations, such as behavior, to increase the investigation dynamics, continuous purification grassroots health practice environment. Establish a basic medical and health agencies throughout the encourage medical risk sharing mechanism, the implementation of the medical liability insurance. To further improve the basic medical and health institutions, standardize the management of long-term mechanism research on basic health service ability standards guide, explore to establish basic health service capacity review assessment system, to build libraries, specification development. 

 

Fifth, to organize the implementation 

 

(a) to construction in the towns and townships around activities and improve engineering communities in community health service, combined with action plan to further improve the medical services will be "enhancing the activity" as the main task of 2017 to promote grassroots health work, clear theme, prominent focus, vigorously promotes the activity results. National health and family planning commission will combine work around the situation, selected a group of service capability is strong, the masses satisfied rural hospitals and community health service center as a good unit, popularize advanced experience. 

 

(2) the provincial and city health planning, the administrative department for traditional Chinese medicine should strengthen the government at the county (city, district) levels and family planning, the supervision of the administrative department of traditional Chinese medicine of health examination. In accordance with the requirements for the implementation plan, combine the local actual, formulate implementation plans, in order to improve the basic medical and health services utilization efficiency as the core, perfect the evaluation system and improve the capacity evaluation criteria, the assessment results shall be notified to ensure that the work results. To intensify propaganda, active atmosphere, fully arouse the enthusiasm of grassroots medical institutions, and ability to ascend as the main line, push forward the work. 

 

(3) the county (city, area) level of family planning, health administrative department of traditional Chinese medicine in enhancing the "activity" main organization responsibility, responsible for jurisdiction grassroots health institutions ability promotion organization, implementation, evaluation, the evaluation work, the related indicators into the grassroots health institutions performance appraisal content, active mobilization and deployment earnestly, made solid progress. To strictly grasp the quality standard, encourage to entrust a third party for evaluation. 

 

(4) in towns and townships, community health service center in accordance with the requirements of national unity and local implementation plan, to carry on the contrast examination, combined with the actual situation, targeted to improve, gradually achieve the standard. Encourage grassroots medical and health institutions innovative ways to improve service ability, make full use of the internal evaluation mechanism, to motivate staff participation, subjective initiative into full play. More actively recruit residents' opinions and Suggestions, measures and improve ability, meet the demand of residents' health services. 

 

Around carefully summarize activities (5) find good methods, good experience, in the process of mining, typical to point with surface, promote implementation. To study and establish promote grass-roots service, long-term working mechanism, improve the capacity to ensure the sustainable development measures. Around to give full play to all levels of the role of industry association and the association, the professional research institutions, increase of basic medical and health institutions ability raise work the support and guidance. 

 

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