Work plan of health management service 1 This work plan is formulated in combination with the actual situation of our hospital in order to further change the hospital service model, better promote the sinking of hospital technology, management and service, and improve the accessibility of basic medical services and public health services.
(A) to carry out mobile medical care
1. Go to the village clinic for outpatient service regularly. Combined with the actual situation of its own technical force, considering the factors such as serving population, mass demand and geographical traffic conditions, the service area of health management team is reasonably divided to ensure that each administrative village has a team responsible. The health management team shall go to the village clinic at least twice a month, and work in the village for not less than half a day each time.
2. Carry out team services through door-to-door rounds, follow-up management, health education and village clinic inspections. For the elderly, pregnant women, children, the disabled, patients with chronic diseases, mental patients and other patients with mobility difficulties and practical needs, provide on-site diagnosis and treatment services according to the needs and diagnosis and treatment norms. Before the team enters the village to carry out services, rural doctors should inform the key management clients in advance.
3. Help rural residents to choose appropriate medical paths, assist in making appointments with higher-level hospitals, and promote the establishment of a system of primary diagnosis, graded diagnosis and treatment, and two-way referral.
4. The team makes a detailed implementation work plan according to the annual objectives and tasks assigned by the superior. The team leader determines the personnel and specific work content of each village according to the task.
5. The time and content of the fixed team entering the village should be announced on the wall of the village clinic, and the list of team members, division of responsibilities, consultation contact information and supervision telephone number should be publicized to facilitate residents' contact and accept social supervision.
(B) the implementation of health management
1. Understand the basic health status of residents in this service area and the main factors affecting their health, and formulate and implement targeted intervention measures.
2. Implement basic public health services that rural doctors can't independently complete, such as health care for patients with stage III hypertension, diabetic complications, high-risk pregnant women, frail children and the elderly over 65 years old in this service area.
3. Relying on the support of information system, comprehensive utilization of health information.
(3) Standardize village clinic services.
1. Strengthen the training and guidance for village clinics and rural doctors, popularize appropriate health technologies, and help rural doctors improve their basic medical and health service capabilities.
2. Supervise the village clinics to standardize the implementation of the basic drug system, standardize the implementation of safe injection, disinfection and isolation, medical documents, antibiotics and hormone application, medical waste disposal and other medical norms and basic public health service norms, standardize the establishment of financial management systems, and standardize the provision of outpatient services for the new rural cooperative medical system.
3. Urge rural doctors to seriously complete the tasks of basic medical and public health services.
Fatou town hospitals
The second part of the health management service work plan is based on the National Basic Public Health Service Standard (20xx Edition). In order to do a good job in the management of health services for the elderly, combined with the reality of our town, this work plan is formulated.
I. Project objectives
(a) through the implementation of health management services for the elderly, the elderly are investigated for health risk factors and general physical examination, and health guidance such as disease prevention, self-care, injury prevention and self-help is provided to reduce major health risk factors, effectively prevent and control chronic diseases and injuries, and gradually enable the elderly to enjoy equal basic public health services.
(two) to carry out health care for the elderly, and regularly do health checks for the elderly over 65 years old. By 20xx, the health registration management rate of the elderly will reach 100%.
Second, the service object
Permanent population aged 65 and above within the jurisdiction (including living in the jurisdiction for more than half a year).
Third, the service requirements
(a) every year for the elderly 1 health management, including health examination, health consultation and intervention.
(2) Lifestyle and health status assessment: including physical exercise, diet, smoking, drinking, common symptoms of chronic diseases, past diseases, treatment and current medication, etc.
(3) Physical examination: including general examination of temperature, pulse, respiration, blood pressure, weight, waist circumference, hip circumference, skin, lymph nodes, heart and lung, abdominal five senses, and vision, hearing and mobility.
(4) Auxiliary examination: fasting blood glucose is examined every year 1 time. Blood routine, urine routine, stool routine, abdominal B-ultrasound, electrocardiogram, chest X-ray, and the initial screening of cognitive function and emotional state.
(five) inform the residents of the health examination results and intervene accordingly.
1. Patients who have been diagnosed as essential hypertension and type 2 diabetes should be included in the health management of patients with chronic diseases.
2. Residents who have risk factors and are not included in the health management of other diseases are advised to review regularly.
3. Inform residents of the time of the next health examination.
(six) to provide all elderly residents with health guidance on the risk factors of chronic diseases and vaccination, osteoporosis prevention and fall prevention measures, accidental injuries and self-help.
Fourth, specific measures.
1, strengthen contact with village committees, police stations and other relevant departments, and master the information changes of the elderly population in the jurisdiction.
2, strengthen publicity, inform the service content, so that more elderly residents are willing to accept services.
3. Make an appointment for residents aged 65 and above to go to township hospitals and village clinics for health management. For residents who are inconvenient to move and bedridden, they can make an appointment for on-site health examination.
4. Record the relevant information in the health file in time after each health check. For details, please refer to the Health Checklist in the Service Specification for Urban and Rural Residents' Health Records Management.
5. Actively apply Chinese medicine methods to provide health care, disease prevention and other health guidance for the elderly.
Verb (abbreviation of verb) evaluation index
1, the health management rate of elderly residents = the number of people receiving health management during the year/the number of permanent residents aged 65 and above in the jurisdiction × 100%.
2. The completion rate of health examination form = the number of health examination forms completed/the number of health examination forms sampled × 100%.
Health management service work plan 3 1, physical health
One goal:
1. Short-term goal: make the daily diet regular, ensure the quality, and do not eat indiscriminately, not eat much, but eat a lot. On the other hand, it is necessary to strengthen exercise and ensure that you exercise for more than three hours a week. Walk for half an hour in the morning and after dinner.
2. Long-term goal: In the coming year, we must adhere to a regular diet and a healthy diet. Don't eat expired, moldy and spoiled food. Keep your weight between 46 kg and 50 kg.
Second, measures:
1, a balanced diet:
Drink more yogurt or green tea, because yogurt maintains the balance of flora. The so-called maintaining the balance of flora refers to letting beneficial bacteria grow and eliminating harmful bacteria, so eating yogurt can reduce illness. And green tea: among all drinks, anti-cancer comes first. Drinking green tea can protect teeth and prevent blood vessels from rupturing easily.
Eat more fresh fruits and vegetables. Fresh vegetables and fruit juice are rich in cellulose, which can promote intestinal peristalsis and excrete metabolites in the body. In particular, eating more fruits and vegetables rich in fiber is helpful for defecation.
2, fitness exercise:
Take a walk for half an hour after meals every day, breathe more fresh air and avoid inhaling dirty air. Stride, walk faster, swing and stretch your arms as much as possible, which can stimulate lymph nodes and reduce cholesterol and high blood pressure. It is recommended to do aerobic exercise at least once a week to make your body sweat.
Three comments: I have done it. I would never eat in school alleys and fast food restaurants. I will eat in the canteen every day. And there are meat and vegetables for every meal, and three eggs are guaranteed every week. However, it is not good in sports. Aerobic exercise will only be done once a month to make your body sweat, mainly badminton, and you will strengthen your exercise in the future.
Second, mental health.
One goal:
1, short-term goal: know yourself correctly and learn to love yourself.
2. Long-term goal: learn to love others, learn to love yourself and laugh, laugh and be happy every day!
Second, measures
1, mentality adjustment: mainly listening to cheerful music and beautiful pictures, actively adjusting the mentality, being less entangled by unpleasant emotions, being always in a good mood, and learning to talk and listen.
2, stress management: mainly to adjust the mentality, to ensure that there is a kind invitation every day, laugh happily when encountering stressful things, improve breathing, increase oxygen supply, the body will produce a lot of healthy hormones, so that you can become a happy person.
3. Crisis prevention: do things carefully, plan everything in advance, think clearly about possible situations and countermeasures in everything, stay calm when encountering unexpected situations, and believe that everything will pass, that is, there is no hurdle in the world.
3. Assessment:
I am still a mentally healthy person, warm and generous, cheerful and fond of laughing, but sometimes I will encounter some negative emotions, sometimes I will be unhappy or depressed. At this time, you need to adjust your mentality, such as listening to songs, running or talking, and drive away bad emotions at the first time.
Third, network management.
One goal:
1, Short-term goal: keep in touch with good friends regularly and communicate with them more.
2, long-term goal: sincerity relative to every friend.
Second, measures:
Keep in touch with good friends regularly, listen and talk, make friends with a sincere attitude, establish a wider interpersonal network and find your confidant.
3. Assessment:
I have a few close friends, many ordinary friends and classmates, and I am sincere to every friend.
Health management service work plan 4 I. Work objectives:
1. Complete the establishment of health records and computer information entry of permanent residents in the jurisdiction. Focus on women, children, the elderly over 65 years old, patients with chronic diseases, disabled people and mental patients, and gradually expand to the general population. Establish a unified, scientific and standardized health file and input it into a computer for computerized management.
2. Make the filing rate of health records and electronic health records reach over 70%, and the qualified rate of health records reach over XX0%. The utilization rate of health records reached more than 60%.
Second, the specific measures:
1. Organization and leadership:
Establish a leading group for health records, and be fully responsible for the organization, implementation and coordination of the establishment of residents' health records. If the required quantity is not reached, the regular inspection of the leading group will be included in the year-end performance appraisal.
2. Training and publicity:
The leading group of residents' health records regularly organizes training for relevant personnel of each station, including the scientific establishment, effective use and standardized management of residents' health records. At the same time, various ways are adopted to carry out relevant publicity in various communities and obtain the support and cooperation of the broad masses.
3. Filing method:
(1) Outpatient consultation: Patients come to see a doctor and fill in the health file and the first page of the health file.
(2) With the cooperation of the village clinic staff, collect the basic personal information of residents in the jurisdiction and obtain the first-hand information for establishing health files. Including the basic personal information of residents.
(3) Household survey: the method of collecting data from villagers' homes in the countryside was adopted. In order to get the cooperation of residents in this area, more publicity should be carried out to deepen communication and understanding among residents in this area. At the same time, with the cooperation of the village clinic staff, we can collect information at home with the village clinic staff.
(4) Health check-up: residents are simply checked and registered through rural household surveys, and collected through annual women's health check-up, children's follow-up, chronic patients' follow-up, and health check-up of the elderly.
4. Filing requirements:
(1) Establish health files and health files for the elderly, patients with hypertension, patients with type 2 diabetes and patients with severe mental illness;
(2) Adhere to gradual progress, starting from key groups and gradually expanding to the general population;
(3) The contents of health records should be complete, objective, true and accurate, with standard writing and neat handwriting, and the basic contents should be complete.
5. Information input: Before information input, all relevant personnel should be trained uniformly to master the basic operation methods and precautions of information input; The entry of health records should be carried out by the doctors in each health station within their respective jurisdictions.
And ensure that the qualified rate of input files reaches XX0%.
Qindu District Ma Quan Community Health Service Center
20XX 65438+ 10 XX day