What does the patient needs examine something in performance

What does the patient needs, examine something in performance
What does the patient needs, examine something in performance
The favourable reporter of one phase of documents of special correspondent of this newspaper Shi ZhenZhen In the first half of this year, the good situation appears in every achievement index of BJ Union Hospital: Clinic quantity increases by 10% compared with the same period of last year, leave hospital number increases by 16.3%, surgery quantity increases by 18%, average in hospital the sun drops by 0.9 days, patient's satisfaction is further promoted, the complaining rate of medical treatment drops continuously, SCI ' " scientific quoted passage data ") The article included counts the total number that was close to last year. Abundant to say group this float completely red data show, examine through pursue overall performance jade Zhao, president of institute, this, whole working efficiency and service ability of the hospital are promoted by a wide margin, has gone to a step in management of the hospital. Let the performance examined and become the baton Two grades are examined " Force " Pose a difficult problem will it be the beginning of 2008 such as solution, hospital new leading group take up an official post, determine, give priority to medical quality and security right away while being at the beginning of, examine the comprehensive performance in the whole institute thoroughly, arouse the enthusiasm of worker of the whole institute to the maximum extent, improve service ability, make the patient benefited. Abundant to say jade Zhao: "The patient needs some, we, on examining some. Let the performance examined and become the baton, strengthen the clear direction of the hospital on the service quality and work load of post, analyse and explain the efficiency, quality and service difficult problem, bring about an advance in discipline. " Until performance examine, the whole the intersection of institute and the intersection of department and office divide the intersection of operation and department into, perform the operation department, cure the intersection of skill and department, the intersection of function and office and 4 blocks of support department, all examine quantization. Clinical and curing the skill department and adopting 150 fen to be made, function offices and the support department adopt 100 fen to be made. By the first half of this year, the hospital successively issued 3 to examine the edition. The first performance examination scheme will place the business index above the other things in 2008, but in the new scheme of 2009, traditional business indexes such as surgery quantity, leaving hospital amount,etc. drop to 20 fen, medical security, risk and quality accuse of the index and rise to 37 fen by a wide margin, it has accounted for 67% of the medical examination weight. The operation department's performance index is set up according to business content, engineering level, risk intensity and labour intensity of the department,etc., including clinic amount, paying a home visit rate, operation amount, in hospital day equally before the skill, rate of utilization of the berth, the medical quality is accused of, institute's sense is controlled, medical treatment is safe, great mistake, the clinic complains, medical appeal, medical insurance, attending to quality, scientific research, education, performance balance, manpower cost, consumptive material cost and 19 major kinds of indexes of service satisfaction, each index has clear definition, basic value and different weight coefficients. Not performing the operation, the department compares with operation department, increase the examination of the accepting for medical treatment rate of critical serious disease. Curing the investigation of the skill department embodies in the work load, time of making an appointment and appears to report respects such as time,etc. especially. Function offices and the performance of the support department examine, from the annual working achievement, carry out strength, cure 6 respects of saving rate of satisfaction, appeal of service and cost among department's satisfaction of the skill, function office to check and rate clinically synthetically. Abundant to say the the intersection of institute and two of department examine " force " jade Zhao Burn the head of the department tries every possible means taking all, analyse and explain the efficiency, quality and service difficult problem. Let patients take a fancy to the disease doctor paying a home visit rate to include in examining in BJ Union Hospital as soon as possible, register and arrange the long queue to become " The single scene in the east " . How to let patients take a fancy to the disease as soon as possible? On one hand, hospital make a diagnosis the intersection of clinic and registration fee fee return to doctor's income all, include the paying a home visit rate of clinic quantity of the department, doctor in the performance while examining meanwhile. Regard performing the operation in the department the example as, in the examination made of 150 fen, it accounts for 25 fen for the clinic to examine, have increased by 15 points compared with the past. If the increasing degree of clinic quantity is fewer than 5%, the whole department will be arrested 2 points, will deduct 5 points without increasing degree. On the other hand, issue strict doctor, park and examine management, any doctor should obtain the head of the department to agree and sign to examine first to park, then must be gone to the outpatient Office to put on record, coordinating by the head of the department at the same time arranges for other doctors to take the place of and examine, or is selected a time in person and mended examining. If the doctor stops the examining rate and is up to 5% in an department, the whole department will be arrested 4 points. The medical departments of psychology all arrange for the doctor to pay a home visit from Monday to Friday morning and afternoon except Tuesday afternoon vocational study. Take, make an appointment ordinary the intersection of clinic and No. that pay two week in the past, nearly have in 3 days at most now. In the first half of this year, the clinic amount of this department doubled compared with the same period of last year, increasing degree ranks the first in the whole institute. The statistics show, the clinic quantity in the first half of this year in institute these up to 1,010,000 personses, the clinic quantity of 10 departments increased by more than 20% compared with the same period of last year among them. (leave and rotate the 7th) (have and connect the 1st) Let the operation patient perform the operation without beginning a theatrical performance to put up a notice and publish in April of this year on time as soon as possible, BJ Union Hospital begins to pursue the operation that is jointly carried on by operation doctor, anaesthesia doctor, operation nurse's three sides and check the system safely, require the three sides to be present at the same time, and stipulate the operation doctor must reach the operating room before 10 past 8, the first operation begins a theatrical performance on time at 30 past 8. This means that following making the rounds of the wards early of 45 past 7 for many years must go on in half an hour ahead of time. Cure Commissioner of Mines Sun Yang and make out a bill, has begun a theatrical performance for an hour early among each operation, work for 33 more hour every day among 33 operations of the whole institute in other words, just the hospital extended 4 operating rooms. Calculate according to 4 average daily operations of each operating room, can increase 5000 operations in the whole year, just mean that 5000 patients can do the operation in one year in time. , classify the execution of the system as routine inspection. Send the special messenger to garrison in the operating room every day in the medical matters place, spot check and check the reaching rate and beginning a theatrical performance rate on time on time of recording, operation doctor, examine the result and put up a notice regularly. Even if chiefs of the office of department with very high fame and prestige are late for 5 minutes, will not be announced making an exception at all either, and examine the hook in result and department's performance. Operation check after system implement safely, reach the rate of the operating room from initial 50.75% in 10 when the surgery doctor 8, rise to 83% at present. Institute this adopt shorten operation, meet sets of time, raise the intersection of operation and the intersection of overtime pay of medical worker,etc. and method after the 30 past 16 also, have aroused operation office staff's working enthusiasm greatly. Now, monthly the intersection of operation and quantity reach 91 at the peak among the each operation, average daily more than 4. The statistical data indicate, the surgery quantity will it be first half of the year 2009 in institute these increases by 18%, the increasing degree of 7 departments among them is above 20%, the surgical quantity of No. one nerve of increasing degree only increases by 72%. Let the patient live in House of Lords and examine the turnover rate of the department berth in fact as soon as possible, in BJ Union Hospital, the doctor worries too after the patient able to register. Because the patient takes a fancy to the doctor, once need hospital treatment ,Will face the second threshold - -It is difficult to in hospital. Each tube bed doctor piles one up and is in hospital thick holding in the hand. Because the berth is very limited, after some hard-to-get departments of this institute will arrange until several months in hospital. Bone head of the department, Chinese Academy of Engineering academician Qiu revitalize teaching expensively? It call on take on on bones of the body rake Yun dam last Wei to be own to play to wave zinc  benzene Yi postscript Yu , emperor of legendary bird with poisonous feathers invite word hook squid handleless cup not to be colluded to moor moth second Pian Suan O inner feeling tomb  of arm 1 fear to last book  province Proud ≡ drinks and blinks  and comments Ke and dashes for ward Ba and feeds Shan's frame ' Э own to forgive , beer of , for lie prone the intersection of evil spirit and the intersection of  and glutinous the intersection of moth and the intersection of second and yellow Pei, tritium of Jian, Pu Join and shine  and sleep in the province in  Gou's ji! ? Li, head of the department of surgery of chest, single to lead complete personnel go on, find analyze, to the intersection of ward and current situation while being blue and green, all berths implement the contract system of dividing into groups in thoracic surgery previously, everybody leads the berth that group's professor is in charge of to count fixedly, appear the the intersection of patient,etc. and bed sometimes but another empty situation of bed. Meanwhile, the intersection of operation and quantity, have berth count, matter day in hospital while being average, the enthusiasm of day is not high that you makes great efforts to raise surgery quantity, shorten averagely in hospital. On the basis of soliciting complete opinions of personnel extensively, thoracic surgery has issued the dynamic management system of the berth, namely count each the intersection of operation and quantity by department, operating room and data analyzing room, adjust, lead the intersection of group and berth quantity that Professor in charge of the second half year according to the intersection of operation and quantity and the intersection of berth and ratio half a year while being every, and examine the hook with department and personal performance. " the operation quantity is not increased, the berth is counted and reduced soon " ,Have increased and brought the group a professor's pressures, has aroused their working enthusiasm greatly too. Berth quantity two times is adjusted through half a year, " cherish the berth, guarantee the security " Idea sum method become common practise thoracic surgery. Blood screening test lab, through increase the intersection of facility and disposition, allocate personnel scientifically, make sure biochemistry, immunity, inspect temporarily, check, transmit, inform 90% the same days basically. With the help of support department, have built up the logistics passway where the icy sample transmitted in the skill between the operating room and dept. of pathology, appear to report time after shortening pathology. Because accept the critical patient's proportion high, patient for medical treatment and press the famous department of nerve internal medicine of bed, introduce the electric monitoring system of 24-hour brain, cure department's energetical support of the skill because of dept. of radiology, ultrasonography department,etc. at the same time, have shortened and checked the time of making an appointment. In the performance is examined, this department is in hospital and drop to 18.9 days from 27.1 original all over the world on day on average, lower for 8.2 days directly. Let patient spend less money, have an optimistic view of disease medical treatment safe fraction great " in ' coordinate ' see the doctor expense to be high. " This has apropos appraisal that the patient going to a doctor in BJ Union Hospital and going through offered. Performance examine semi-annual the intersection of champion and the intersection of rheumatism and immune piece, head of the department of department, present the intersection of professor and a form in the hand with respect to annotate this secret spring. The table record this department all the intersection of doctor and every month the intersection of clinic and quantity, time in detail the intersection of clinic and quantity, most great the intersection of prescription and volume, time write out a prescription volume, publish SCI thesis to count etc.. If some of doctor's total clinic quantity drops, there are few patients that look at each clinic, or prescription mean value is a bit high a certain stage, the director is sure to talk to him: "Why same disease, others, with 500 problem that can solve, get you must here 1000 yuan? Why unit time equally, others can see 10 patients, and you only see 3, 4? You must provide the rational explanation. " Institute this, in to cure skill in the the intersection of department and medical examination of index while being clinical, the safe mark of medical treatment is very outstanding, account for more than 1/3 in 57 points total points. In frequent medical treatment moves about, coordinate people to realize deeply and if regard medical treatment, teaching, scientific research, management as " 0 " ,So exactly safe " 1" . Safe, all following is the achievement; It is safe to lose, everything behind is not known where to begin. "The case writes, dispute, complaining, told, said every month every year in the past, the result was not good. Since include in the performance and examine, the directors come to check in person, therefore drive third grade of cases rate, dispute, complaining rate to obviously drop. " Sun Yang says. At present, leverage that performance examines appear in this courtyard of every jobs in an all-round way. If after SCI article incentive system was revised again, the total number of SCI articles of the first half of this year of this institute has already been close to the total number of last year. The intersection of discipline and comprehensive the intersection of performance and result of appraisal, publish the intersection of SCI and thesis, it counts to be highly convergent instead of build status assess, in discipline. Anaesthetize the intersection of head of the department and yellow the intersection of space and mere professor, say, implement overall performance examine, promote the intersection of clinic and quantity, surgery quantity rise, let ordinary people receive material benefit; Cash the bonus of performance, has let the medical worker receive material benefit. In this way the hospital could be safely, high-efficiently, swiftly to operate. The performance which BJ Union Hospital of editorial afterword pursues is examined, the core lies in " what the patient needs, we examine some " . Compared with simple examination taking portfolio as index, the necessary one is nothing but the station of administration and supervision authorities of the hospital a bit higher, look far a bit, while taking out a examination index, ask one sentence more " whether the patient could benefit " ,Whether it is a objective law which accords with development of hospital. Whether the performance can become forward motive force promoting the development of hospital to examine, it was the administrator's ability that was tested. Two grades of institute department which BJ Union Hospital implements were examined, it was the execution strength of the head of the department that was emphasized, the method that is forced the head of the department to think out well, finely manage, and it makes good achievements to impel the group to be unanimous between the higher and lower levels. The large public hospital represents the supreme level of our country's medical science, its advanced apparatus, advanced technology can compare with developed country. But in the management of the hospital, disparity is obvious. The existing problem of the hospital, a lot relate to this kind of disparity. The superior technology of large hospital of the front line science achievement, but scientific management can insert the wings soaring for large hospital.


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