According to the work arrangement of Feidong County Health and Family Planning Commission on self-examination of tackling poverty, from late September to early October of 10, the main person in charge and team leader of our hospital personally led a team to supervise the work of tackling poverty in the administrative village or neighborhood committee of 10, and got a deep understanding of the promotion of health and poverty alleviation in our town by entering the village to consult information, compare data and exchange inquiries. The self-inspection report is as follows:
First, the main situation of self-examination
1, health file and ledger are not perfect.
Each village clinic has established a health poverty alleviation management ledger for the poor, and the contents of the ledger are complete and clear. Village clinics in Sanhe Village, Yangci Village and Wang Ying Village have not established health poverty alleviation files, and relevant information is scattered.
2. The information of health poverty alleviation portfolio is not perfect.
The medical service certificate for the poor has been issued in place, and a few poor people have not put it back in time after using the medical service certificate for the poor. The signing agreements of family doctors in poor households have all been replaced by special contracts for poor people, but the signing agreements of family doctors in Luji Village and Sanhe Village have not been distributed to farmers and signed; The catalogue of health and poverty information of poor households is inconsistent with the actual data, and the catalogue is marked with chronic disease cards. The actual inspection data shows that this is not the case. Some signing manuals of Yihe Village and Mahuang Village are in the process of signing services, and have not been put into the data package. The contracted services of some family doctors in Luji Village, Yangci Village and Sanhe Village have not been implemented.
3, the policy propaganda work is not solid enough
The contents of health and poverty alleviation publicity columns in village clinics such as Yangci Village, Sanhe Village and Wang Ying Village have been damaged and not updated. Some poverty alleviation posters were torn up, and the publicity of relevant policies and regulations was not in place and comprehensive. For example, Yang Yiqin and Xu Xiuzhi, poor households in Tangxi Village, do not have a thorough understanding of the "35 1, 180" policy, are not familiar with the aid policies suitable for them, and are not familiar with the process of how to reimburse medical expenses.
4. The implementation progress of family doctor contract service for poor people is relatively slow.
The performance rate of family doctors' contract service did not reach 100% (mainly because some poor people left home for a long time to go out to work, etc.). ), leading to problems such as low quality of family doctor's contract service, incomplete service and incomplete records in family doctor's contract service manual. Some poor households do not have a family doctor's contract service manual. Upon inquiry, it was learned that the village health center left it for unified custody to facilitate future service.
Second, the self-examination and rectification plan
1, missing and filling, perfect software data.
A. Implement file traceability management, improve the software content according to the list of accurate poverty alleviation catalogues, and keep the traceability data of poverty alleviation work.
B, urge the village clinic to establish a complete set of management files for poor households in this area, and store and manage them separately. Make full use of the all-in-one machine to speed up the performance service for poor family doctors. Village clinics must leave service traces, fill in the family doctor service manual in time according to the requirements of contracted service, post relevant lists, and distribute them to poor households in time after the information is perfect. In addition, it is necessary to improve the management files of contracted services for poor people living in villages.
C, for poor migrant workers in the region, you can call back on a regular basis, accept the telephone health consultation of poor households, and carefully record it. Conduct a comprehensive "looking back" self-examination of all local poor households, find missing data in time, fill in shortcomings, input newly rectified and supplemented data into poor household data in time, and cancel and replace old and wrong data in the past to ensure that the catalogue is consistent with the actual data.
2, increase publicity, improve the policy awareness rate.
A. It is suggested that government departments should make full use of various media to open columns on TV, newspapers and websites to introduce typical cases and successful experiences of health poverty alleviation around the masses and create a good public opinion atmosphere.
B. Apply to the Health Planning Commission for health poverty alleviation posters, organize village clinic staff to post health poverty alleviation posters door to door again, distribute uniformly printed "35 1, 180" leaflets to poor households, and at the same time make full use of the opportunity of family doctors' home visits to publicize and familiarize poor households with "35 1 65438". It is suggested that village committees and neighborhood committees set up colorful and concise advertising walls along rural roads for extensive publicity;
3. Strengthen measures to improve the effectiveness of aid.
In response to the demands of poor people to declare chronic diseases, village doctors are required to collect chronic disease declaration materials in a centralized way, which will be collected by our hospital and handed over to the medical institutions of county hospitals for centralized identification, so as to uniformly apply for chronic disease cards for eligible poor households to facilitate them to enjoy relevant medical security policies. For newly discovered patients with chronic diseases, the help contact person will help them to handle relevant procedures in time.
4, typical guidance, play a demonstration effect, strengthen the performance appraisal of village clinics.
Report on the development of health poverty alleviation work in township hospitals
The first is to establish a health record card for poor households. According to the etiology and illness classification, the card is built to make the sick farmers and herdsmen get better medical services. Combined with the basic public * * * health service project, establish a door-to-door follow-up contact system, bring poor AIDS patients into the key management objects of medical services, and carry out targeted free follow-up and rehabilitation guidance and other special assistance services in accordance with the requirements of disease management in health records.
The second is to improve the security level of the new rural cooperative medical system. Conscientiously implement the new rural cooperative medical system and serious illness insurance in agricultural and pastoral areas, implement preferential policies for poor people, improve the reimbursement level of the new rural cooperative medical system outpatient service, and do everything that should be reported; Reduce the deductible line for reimbursement of sick and disabled children, severely disabled people and serious illness insurance, reduce the actual personal expenses of poor people with serious illness, and effectively alleviate poverty caused by illness and return to poverty due to illness.
The third is to carry out roving medical clinic activities. Regularly carry out free clinics in the hospital, enter the community and go to the countryside to make rounds for poor patients with mobility difficulties. Township health centers carry out publicity and consultation on "recognizing households" and actively serve special groups such as the disabled and poor households within their jurisdiction through home visits and telephone follow-up. The fourth is to do a good job in supporting urban and rural counterparts. Conscientiously implement the county people's hospital's stable and continuous group assistance to township hospitals, improve the sinking of high-quality medical resources, focus on selecting excellent management personnel and medical personnel, strengthen the assistance and personnel training for grass-roots colleges, and ensure the overall level of grass-roots medical and health institutions to improve.
Report on the development of health poverty alleviation work in township hospitals
In order to fully promote the county's accurate poverty alleviation work and effectively complete the standardization construction of clinics in poor villages, this implementation plan is formulated according to the decision-making arrangements of the municipal, county and county governments and the actual health and family planning work.
I. Construction tasks
In 20xx, the construction of clinics in 94 poverty-stricken villages 17 villages in the county was not completed (xxX village, xx village, xX village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village, XX village.
Second, the focus of work
(1) Accelerate the infrastructure construction of standardized village clinics.
There are 94 poverty-stricken villages in the county. By the end of 20xx, 77 poor villages had been standardized, and 17 poor villages' clinic construction was implemented year by year. Village clinics should be built in accordance with the Measures for the Administration of Village Clinics (Trial) issued by the State Health Planning Commission, the Ministry of Education, the Ministry of Finance and state administration of traditional chinese medicine (Guo Jian Zi Fa [20xx] No.33). 1 administrative village In principle, only 1 village clinic will be built, and the housing construction standard of each village clinic is 60 square meters. Villages with a large population can appropriately increase the construction area and use houses.
(2) Improve the service capacity of village clinics in an all-round way.
Fully implement the requirements of standardization construction from seven aspects: building, equipment, team building, comprehensive management, commercial services, garden culture and medical ethics. Each village clinic is required to be equipped with at least 1 doctors with the qualification of rural doctors, and the system that rural doctors work in township hospitals every week 1 day or every month 1 week is implemented. Township hospitals should organize rural doctors to participate in at least 1 business training every month, and counties and districts should organize rural doctors to participate in at least 1 short-term business training every year. Implement the "six unified" management measures of administration, personnel, business, finance, medical equipment and performance evaluation of rural health institutions, enhance their capabilities, standardize services, and continuously improve the level of medical and health services in village clinics.
(3) Consolidate and improve the achievements of standardization construction of clinics in poor villages.
The task of standardization construction of poor village clinics in the county should be in accordance with the requirements of the new situation and new tasks, strengthen the integrated management measures of rural health institutions, effectively strengthen the standardization construction of village clinics' houses, equipment, village doctors' team, management, service, garden culture and medical ethics, and consolidate and enhance the standardization construction achievements of village clinics with perfect facilities, good business operation, good service attitude and complete working materials.
I. party member cadres' experience in helping the poor (four articles) II. Students' experience in helping the poor (three articles) III. Summary Report on Poverty Alleviation by Cadres in party member (3) IV. Personal Poverty Alleviation in party member at the Grass-roots Level (three articles) V. Poverty Alleviation in party member, a township (three articles) VI. Poverty alleviation, three supports and one support, summary of ideological work (three articles) VII. 202 1 summary of the work of the first resident secretary of precision poverty alleviation (2) 8. 202 1 experience of poverty alleviation in rural areas (two articles) IX. 202 1 poverty alleviation experience in poverty-stricken areas (three pieces) X. 202 1 poverty alleviation work experience of cadres and masses (three pieces)
Third, safeguard measures.
(1) Strengthen organizational leadership. County Health Planning Bureau should strengthen the organization and leadership, attach great importance to it, make overall arrangements, clarify the tasks, formulate specific implementation plans, and ensure the effective completion of the standardization construction of clinics in poor villages.
(2) Strictly control the project quality. It is necessary to strictly implement the "project legal person responsibility system, bidding system, construction supervision system, contract management system and lifelong responsibility system for project quality" and strictly manage the implementation of project construction. Strengthen the management of construction funds, implement the management of special accounts for construction funds and earmarking them, and strictly prohibit misappropriation and diversion to ensure the safe and efficient use of funds.
(3) Attach importance to the supporting construction of village clinics. While doing a good job in project construction, we should do a good job in equipping village clinics and training village doctors, implement integrated management measures for rural health institutions, and constantly improve the level of standardization construction and service capacity. ;