This standard is a necessary condition for the qualification of secondary hospitals, and only the qualification line that meets this standard can participate in the grade evaluation.

First, the size of the hospital

It should have a hospital scale suitable for the tasks, functions, technical level and management requirements of secondary hospitals.

1. Not less than 100 beds.

2. The necessary facilities of each bed unit meet the specified requirements (see Annex VI).

3. The construction area of each bed is not less than 45 square meters.

4. The net use area of each ward is not less than 5 square meters.

5. The average daily outpatient volume accounts for not less than 3 square meters of outpatient building area.

6. The ratio of sickbed to hospital staff is 1: 1.3- 1.5.

7. Must be equipped with health technical personnel with nationally recognized qualifications. The proportion of health technicians in the total number of hospital employees is not less than 75%.

Second, the functions and tasks of the hospital

(1) medical and health services

Can provide comprehensive and continuous medical care, preventive health care and rehabilitation services for the community.

1. To undertake the diagnosis and treatment of common, frequently-occurring and difficult diseases in this region (prefecture, city and county); Rescue serious illness; Accept referral from first-class medical and health institutions.

2. Carry out daily pre-hospital first aid; Take on-site first aid for disasters and accidents, and quickly organize and support emergency teams to receive batches of patients for in-hospital first aid.

3. Carry out health education and master the dynamics of community diseases. Participate in community preventive health care and rehabilitation services.

(two) to carry out teaching and scientific research in combination with medical care.

1. Be able to undertake the continuing education and training of all kinds of health technicians in primary medical units and the on-the-job education of employees in our hospital.

2. Be able to undertake clinical teaching in secondary health schools and clinical practice tasks for students in medical and health schools above secondary level.

3 can undertake provincial or municipal scientific research projects.

(C) to guide the grassroots

Cooperate with relevant departments to guide local grassroots medical and health units to do community treatment, preventive health care, rehabilitation and mental health work. Establish regular business relations with first-class hospitals, carry out two-way referral, help develop new technologies, solve difficult problems, and train health technology and management personnel.

Third, hospital management.

Hospitals should have a sound management system with corresponding organizations, personnel, systems, measures, implementation plans and assessment methods.

(1) organization and management

It is necessary that:

1. Management organization

2. Medical, prevention, teaching and scientific research management organizations

3. Nursing management organization

4. Financial management organization

5. General security organizations

6 ideological and political work and professional ethics education management organization

7. Mandatory Committee

(2) System management

According to the Ministry of Health 1982 "National Hospital Work Regulations, Hospital Work System and Hospital Staff Responsibilities" and related regulations, combined with the actual situation of the hospital, we must carefully formulate a set of practical rules and regulations, and have corresponding education, implementation, supervision, inspection, evaluation and reward and punishment methods. The necessary systems shall include:

1. Hospital working system

2. All kinds of personnel at all levels post responsibility system

3. Technical operation procedures

4. Staff continuing education system

(3) Administration

1. There is a sound administrative organization with a hospital leader in charge of administrative work.

2. Long-term development plan, annual work plan, quarterly arrangement and the progress, indicators, measures, steps and inspection summary of the plan.

3. The hospital has various administrative management systems, and organize their implementation. The necessary systems are: conference system, hospital general duty system, medical administrative rounds system and file management system.

4. There are letters from the masses in the hospital to register, visit and record major events.

5. Hospital leaders should often go deep into departments and communities to understand the situation, solicit opinions and improve their work.

(4) Medical management

1. It has a sound medical management organization, reasonable staffing, corresponding working system, and a vice hospital in charge of medical work.

2. Make feasible hospital medical construction plans and work plans and organize their implementation.

3. Have a sound medical work system, feasible technical operation procedures and medical quality standards.

4. Establish and improve the medical quality management organization, carry out regular activities, supervise, inspect and evaluate the quality of medical care, nursing and medical technology, and put forward suggestions for improvement. The necessary quality management organizations are: Medical Quality Management Committee, Pharmacy Management Committee, Hospital Infection Control Committee and Medical Record Management Committee.

5. Strengthen the technical training and assessment of business personnel, and establish business technical files for health technicians.

6 technical personnel who have not passed the national examination shall not directly engage in medical technology and nursing technology.

(5) Nursing management

According to the relevant requirements of nursing management standards and evaluation methods.

(6) Teaching and scientific research management

Teaching:

1. There is a sound teaching management organization, and a hospital leader is responsible for teaching management.

2. Have a practical teaching plan and work plan, and organize their implementation.

3. There are sound teaching rules and regulations, so that there is supervision, inspection and evaluation.

4. There are corresponding teaching facilities and equipment.

5. The "teaching hospitals" recognized by the Ministry of Health shall be managed according to the Interim Provisions of the Ministry of Health on the Work of Teaching Hospitals in National Medical Colleges (to be issued).

Scientific research:

1. There are full-time (part-time) personnel in charge of scientific research management and corresponding working systems.

2. Establish archives of scientific and technological personnel and scientific research achievements.

3. There are measures to encourage medical and management research.

(7) Information management

1. It has a sound information management organization and related work system.

2 should set up a library (room), and there are enough medical books and periodicals.

3. There are full-time management personnel to deal with medical treatment, management and book information.

4. The information provided by various departments of the hospital should be true, complete and accurate, and timely analysis, feedback and utilization.

(8) Measurement management

According to the Metrology Law of People's Republic of China (PRC), hospitals must strengthen the management of metrology.

1. There are departments or personnel responsible for measurement management.

2. Establish relevant measurement management systems, mainly including:

(1) Measurement management measures.

(2) Post responsibility system for surveyors.

(3) Periodic verification system of measuring instruments.

3. Adopt national legal units of measurement.

4. In-use compulsory verification measuring instruments shall be inspected regularly.

(9) Financial management

1. It has financial institutions, reasonable staffing, clear responsibilities, and sound post responsibility system and work system.

2. Set up full-time (part-time) charge management personnel, strictly implement the medical charge standard, clearly mark the price, and accept the supervision of the masses.

3. Accounting vouchers, accounting books and statements conform to the accounting system.

4. Establish accounting files and management system.

5. Have a sound accounting supervision system, and deal with violations of financial discipline and price discipline in a timely and serious manner.

X audit management

1. There are audit institutions parallel to financial institutions or auditors at corresponding levels, with reasonable staffing and certain audit expertise.

2. Implement regular audit supervision on financial revenue and expenditure and related economic activities.

3. Supervise and inspect the safety and integrity of funds and property and the soundness and effectiveness of various internal control systems.

4 regularly check and evaluate the efficiency of the use of funds and property, and put forward suggestions for improvement.

5. No serious loss, waste, corruption, theft or serious violation of financial regulations.

(1 1) equipment management

1. Have a sound management organization and implement planned management.

2./kloc-The purchase of large precision instruments with a price of more than 0/10,000 yuan shall be proved to be appropriate and feasible, and shall be checked and accepted at the time of purchase, and shall be kept by special personnel when used.

3. Medical equipment has a regular maintenance, repair and update system to ensure the needs of medical work.

(12) general management

1. It has a sound comprehensive management organization, job responsibilities and work system.

2. General materials shall be subject to quota management, with a sound system of procurement, acceptance, storage, distribution and scrapping.

3. Take the initiative to serve all departments in the country, especially clinical departments, for three times (receiving, sending and repairing), ensure three links (water supply, electricity supply and ventilation), avoid two leaks (water leakage and electricity leakage), and achieve two satisfaction (satisfaction of employees and patients).

4. There are power supply measures under unexpected circumstances to ensure temporary lighting.

5. The ambulance is equipped with basic equipment and medicines, which can be on call to ensure the needs of medical treatment, rescue and transfer of patients.

(13) construction management

1. The new construction, reconstruction and expansion of the hospital should go through feasibility demonstration, adapt to the overall development plan, and keep the data complete.

2. The location, layout and design of the new hospital should be reasonable, and meet the building codes and health requirements.

3. The building layout and personnel flow of all parts of the hospital (outpatient department, inpatient department, medical technology department, operating room, disinfection supply room and emergency department) are reasonable. Indoor lighting and color design meet the hygiene requirements).

4. The old hospital building maintenance plan and budget, and seriously implement. Don't engage in medical activities in dangerous houses.

Fourth, quality management.

(A) the hospital should have a feasible quality management program.

(two) there are two levels of quality management organizations in hospitals and departments.

(3) Quality management focuses on medical treatment, nursing, medical technology, teaching, scientific research and medical record quality.

(four) quality education, supervision, inspection and evaluation system and improvement plan.

(5) Hospital infection control

1. The control of infected organizations shall conform to the provisions of the Interim Measures for Establishing and Perfecting Hospital Infection Management Organizations issued by the Ministry of Health 1988.

2. There are hospital infection control scheme, countermeasures, measures, effect and evaluation.

3. Establish strict disinfection, isolation and infectious disease registration and reporting system. The setting of infectious ward should meet the hygiene requirements.

4. There is an on-the-job education system for hospital infection control, and medical staff must establish the concept of sterility and carry out correct aseptic technical operation.

5. There are management measures for rational use of antibiotics.

6. There are cleaning monitoring measures for special areas (such as operating room, disinfection supply room, delivery room, baby room, neonatal ward, treatment room, etc.). ).

7. On-site inspection shall meet the specified requirements.

Five, ideological and political work and the construction of medical ethics

1. has a strong ideological and political work management system and corresponding work system.

2. Make plans for ideological and political work and medical ethics construction, and organize their implementation.

3. To implement the party's line, principles and policies, the party and government trade unions should pay close attention to the management of * * *, do a good job in the regular ideological and political work of the staff of the hospital, organize regular study, conduct research, analysis and summary.

4. Conscientiously implement the Medical Ethics Standards and Implementation Measures for Medical Staff, and have medical ethics education measures. Strictly implement the pre-job education system.