Chapter 1: Summary of Rehabilitation Department 20 17. On the occasion of the second anniversary of the establishment of our department on 20 17, under the leadership of the hospital team and with the support and help of various departments in the hospital, all the staff of our department, Qi Xin, made concerted efforts, adhered to the guidance of Scientific Outlook on Development, took patients as the center, and took improving service quality as the theme, and achieved gratifying results this year in accordance with the general principles of consolidating achievements, deepening management, continuous improvement, continuous innovation and raising the level: the total business income for the whole year was-100 million. The number of people admitted to hospital and discharged from hospital increased by% and% respectively compared with the same period of last year, which achieved economic and social benefits. The work of the past year is summarized as follows:
First, strengthen departmental management.
First of all, we carefully organized the staff of the department, and repeatedly studied the Interim Measures for Investigating the Responsibility of Medical and Health Institutions and Their Staff for Asking for and Accepting Red Envelopes and Rebates, various core systems and other documents and negative materials. This year, the general practitioner * * * accepted the banner of 1 and rejected some red envelopes and articles, which was affirmed by the hospital. This year, the department will take "total control and structural adjustment" as one of the "highlights" of its work. To this end, on the one hand, increase the management and punishment of doctors. On the other hand, actively adjust the medical structure, take effective measures, do everything possible to reduce medical expenses, and achieve remarkable results. First, rational drug use. The second is to pay attention to the cost of single disease. The third is to grasp the use of disposable materials. The fourth is to speed up the bed turnover. By taking a series of effective measures, the department successfully completed the various cost indicators issued by the hospital this year. With the rapid growth of the department's business, the cost has been kept at a low level, and the average hospitalization day is only 9.2 days, which effectively reduces the burden on the masses. Do a good job in the implementation of the medical ethics evaluation system. The image of employees directly affects the image of our departments and hospitals. We use various forms to strengthen positive education and popularize medical ethics and post professional ethics.
Two, standardize medical quality management, improve the level of medical technology.
1. Attach importance to the construction of talent team
The staff of our department use young doctors to teach and three-level rounds to learn professional knowledge, use medical records to discuss, and the chief rounds to accumulate clinical experience, and their professional level is constantly improving. Professor Fu's studio was established in X this year. Professor Fu conducts clinical teaching and makes rounds every half month.
2. Strengthen the implementation of rules and regulations
Hold regular departmental meetings, shift shifts and arrange work every day; Once a week, emphasize safety and quality, and implement the duties of doctors and nurses; Check the safety and quality twice a month, and give two thoroughness to unqualified performance: (1) Thorough rectification. (2) thoroughly investigate.
3. Do a good job in the management and monitoring of the "three links"
(1) On admission: comprehensive physical examination, detailed medical history and strict medication; (2) During hospitalization: close observation, safe nursing and civilized service. (3) When leaving the hospital: pay attention to matters, review standards, and send them with enthusiasm.
4. Strengthen safety management.
Strengthen total quality control. Hospital infection was effectively controlled through strict implementation of routine diagnosis, treatment and operation specifications and strict medical quality control. Grasping the study of health laws and regulations and routine diagnosis and treatment requires focusing on the study of specialized disease knowledge, improving the diagnosis coincidence rate and treatment effect, and constantly improving the quality of employees, so as to fully stimulate the enthusiasm of employees, develop their potential, attach importance to the diagnosis and treatment of patients, improve the cure rate with a high sense of responsibility, rigorous scientific attitude and superb medical level, and ensure the diagnosis and treatment effect of patients. Formulate effective safety management measures. Strictly implement technical standards and norms such as Diagnostic Efficacy Standard of TCM Diseases and Syndrome, Classification and Coding of TCM Diseases and Syndrome, Terminology of Clinical Diagnosis and Treatment of TCM (disease part, syndrome part and treatment part), Basic norms for writing medical records of TCM and integrated traditional Chinese and western medicine (Trial); Carry out dual diagnosis of traditional Chinese and western medicine and strictly implement relevant diagnostic standards. The diagnostic accuracy reached the requirements of the corresponding hospital, and the diagnosis of ICD- 10 was correct.
The accuracy rate is 99.6%; The specialty attaches importance to the accuracy of TCM treatment and prescription, and the curative effect level has been significantly improved during the construction period, with the TCM treatment rate reaching 99.6%; The curative effect level of degenerative diseases such as cervical spondylosis, lumbar disc herniation and lumbar spinal stenosis, stroke, knee osteoarthritis and scapulohumeral periarthritis has been significantly improved. Strictly following the clinical path has improved patient satisfaction, shortened hospitalization time and reduced hospitalization expenses. The cure rate was 57.7%, and the improvement rate was 465,438+0.5%. Formulate clinical diagnosis and treatment norms and clinical paths for cervical spondylosis, lumbar disc herniation, stroke, scapulohumeral periarthritis and knee osteoarthritis, and highlight the treatment with Chinese medicine characteristics.
The third is to strengthen discipline construction and promote rapid business development.
Continue to follow the business development idea of "highlighting the characteristics of key specialties of traditional Chinese medicine, giving full play to advantages, focusing on the construction of specialized diseases in specialties and aiming at improving comprehensive service functions". (1) Continue to accelerate the construction of key institutions. For talents with development prospects, specialties and advantages, go out for further study. (2) Advocating multi-departments to participate in cooperation, adopting collaborative research and complementary advantages, promoting the development of related disciplines, and assisting Qi Xin to work together to provide guarantee for the development of characteristic businesses.
Fourth, the existing problems
Honest medical practice, honest service, "meticulous service and care" have not become the values recognized by every employee, and it is necessary to further introduce professional and technical personnel or send them abroad for further study; The unreasonable allocation of rehabilitation equipment in the department has not been fully utilized, which has restricted the further development of the department; The administrative level of departments still needs to be improved, lacking core competitiveness and professional influence. Although the image of hospital medical technology has been widely recognized, there is still much room for improvement.
In short, looking back on the work of the past year, the achievements are the mainstream, and we will continue to carry forward the good practices, sum up and correct the shortcomings. In the coming year, the work will focus on postoperative rehabilitation of stroke and pain, cervical and lumbar disc herniation and other special treatments, cervical and lumbar disc herniation and ozone treatment of various arthritis, and the three-level rounds system, clinical teaching and scientific research capabilities will be strengthened; In administrative management and department management, we should strictly grasp the implementation of various core systems, standardize the diagnosis and treatment of single diseases, and do a good job in the implementation of clinical pathways. Play its due role for the new development of the hospital. We believe that we will do better in the future.
Chapter 2: Summary of Rehabilitation Department in 20 17 Hospital. In a blink of an eye, 20 17 will pass. Under the guidance and guidance of hospital leaders, with the efforts of all rehabilitation personnel and the support of all departments in the hospital, the number of rehabilitation technicians has grown from scratch, from small to large, from the initial five or six to fifteen or six now; The monthly economic income has increased from 890,000 in xx to 450,000 now. From the second-level departments under Chinese medicine to the first-level rehabilitation department now, the whole rehabilitation department has been growing steadily.
In the coming 20 17 years, under the direct management of director Li and teacher Huang, the rehabilitation work has been carried out in a colorful way.
First of all, under the careful preparation of Director Li, we successfully declared the first-class rehabilitation department and revised and improved various rules and regulations suitable for the rehabilitation department of our hospital. In addition to inviting rehabilitation experts from other hospitals to consult and guide patients, professional rehabilitation doctors have been introduced to continuously expand the team of rehabilitation therapists, which has solved the fundamental problem of whether the rehabilitation department of our hospital can continue to survive and develop.
Secondly, the economic income of rehabilitation department is obviously higher than that of previous years, and the monthly income is basically above 400,000, showing a gradual upward trend. Moreover, all rehabilitation personnel have strengthened their study, improved their theoretical level, and constantly improved their rehabilitation history and course records. Under the careful guidance of hospital leaders, the requirements of municipal medical insurance bureau and municipal quality control inspection have been successfully completed, and good results have been achieved.
In addition, under the call of hospital departments, rehabilitation department takes patients as the center, aims at improving medical quality, constantly improves the level of medical technology, handles the doctor-patient relationship with patients, and strives to provide quality services for patients, which has achieved obvious social benefits and won unanimous praise from patients and their families. The number of complaints in rehabilitation department has dropped significantly compared with previous years, and banners and letters of commendation have increased significantly compared with previous years. The follow-up rate of outpatient service after discharge has also increased significantly compared with previous years.
Looking back on the past year, we have indeed made some achievements, but the rehabilitation department needs to continue to work hard if it wants to develop continuously. Here, I want to put forward my personal views.
First, the monthly income of rehabilitation department has reached a bottleneck, and the rehabilitation projects that each patient can provide according to his own specific situation have reached the full amount. On this basis, in order to continue to improve and make the rehabilitation department bigger and stronger, the first thing to be solved is to optimize the patient structure. Now, except for retired cadres, less than110 patients have real rehabilitation value and can see the rehabilitation effect. However, if we want to improve economic and social benefits. For example, a patient in ward 2 this year, Han Jiong, was admitted to the hospital less than a month after a cerebral infarction. Physical examination on admission, right limb hemiplegia, muscle strength 0, impaired speech function. After he was admitted to the hospital, his rehabilitation treatment reached about 150 yuan per day (compared with the average elderly patients, the maximum daily 100 yuan). After half a year of rehabilitation, he has been able to walk more than 300 meters independently. Go to the outpatient department of our hospital for further treatment after discharge (this is another expense). Moreover, patients actively promote the rehabilitation department of our hospital in the other hospital. Some patients saw his rehabilitation effect and inexplicably heard his propaganda. If there are more such patients to promote for us, then our hospital will be like Xu Center and Jing 'an Geriatric Hospital. The patient will come to us, not to the patient.
Secondly, our rehabilitation workers have too few opportunities to go out to participate in rehabilitation training and study every year. There are countless rehabilitation lectures and trainings held in Shanghai every year. The young therapists in our hospital have no chance to go out to study except for attending several certification trainings to cope with exams. Nowadays, medical technology is changing with each passing day, and we are almost isolated from the outside world and can't see more treatments for diseases. Even if there are some new rehabilitation medical technologies every year, we don't know that we have been standing still and are out of touch with the rehabilitation departments of big hospitals outside. Our therapists' rehabilitation skills are also very limited, so it is difficult to improve greatly. If a complex disease comes one day, it will be difficult to make a good rehabilitation plan and adopt appropriate rehabilitation techniques.
Third, our therapists are sometimes not active enough or even timid when treating patients. Caution is of course important, but we should keep an open mind, seize every patient and prevent a patient from slipping away from us. Only in this way can a patient accumulate and rivers merge into rivers.
The new year is coming, and all the staff of rehabilitation department unite with all clinical departments in the hospital, and under the leadership of hospital leaders, conform to the development trend of Shanghai, and make our xx hospital and rehabilitation department bigger, stronger and higher.
Chapter III: Summary of the Work of Acupuncture Rehabilitation Department 20 17. Under the correct leadership of hospital leaders, under the guidance of Scientific Outlook on Development, people-oriented and the concerted efforts of all medical staff Qi Xin, all the work was successfully completed and achieved good social and economic benefits. In order to sum up experience, overcome shortcomings and facilitate better work in the future, the work is summarized as follows:
1.20 17 With the joint efforts of the broad masses of employees, the business work has made remarkable progress. 1-1/clinic visits per month 1000 person-times, and acupuncture, massage, physical therapy, physical therapy and other treatments total more than 1000 person-times. Compared with last year, there has been a marked increase.
2. Medical business management There are three employees in our department. All members actively study and study medical technology, improve the quality of medical and pharmaceutical services, coordinate the general work order, warmly receive patients, make careful diagnosis and treatment, have good medical ethics, medical style and professional ethics, and have excellent medical technology. Our department has a good reputation in the eyes of patients. In the process of diagnosis and treatment, it not only has good curative effect on common diseases and frequently-occurring diseases, but also has good curative effect on many difficult problems.
Third, safe medical treatment to prevent mistakes and accidents. On the basis of strict work discipline, our department requires medical staff to strictly abide by the technical operation procedures and the inspection of the core system of peer-to-peer medical care, be responsible for the health of patients, and prevent mistakes and accidents.
Fourth, strengthen ideological and political study, improve ideological awareness In order to improve the ideological and political quality of employees, our department strengthens the study of political thought and hospital rules and regulations. Through political and ideological study, employees' ideological and political awareness has been greatly improved, and they can consciously abide by national laws and regulations and hospital rules and regulations.
Shortcomings of verb (abbreviation of verb) and its future work prospect
1. Due to the hospital scale, funds and other reasons, the treatment area in our department is too small, the treatment beds are too few, the progress of hardware construction is slow, and the rehabilitation venues and equipment are extremely scarce, resulting in insufficient development potential. It is urgent to further improve and strengthen hardware construction, purchase rehabilitation facilities and equipment, improve the level and ability of rehabilitation treatment for senile diseases such as stroke sequelae, traumatic paraplegia and cerebral palsy, and expand and strengthen modern rehabilitation treatment business. The lack of technical resources of traditional Chinese medicine, business premises, facilities and equipment and other hardware configurations has obviously limited the establishment and business development of acupuncture rehabilitation department.
2. The academic development of Chinese medicine is relatively backward, and the scientific research consciousness and innovation ability of Chinese medicine personnel still need to be strengthened; Compared with traditional therapies such as acupuncture and massage, the lack of professional rehabilitation technicians has become a bottleneck restricting the business development of our department.
3. The concepts of prevention, health care, rehabilitation, health preservation and treatment of TCM failed to give full play to its advantages.
4. TCM, acupuncture, massage, physical therapy and other treatments should be further combined.
In short, we will take improving the quality of personnel as the basis, strengthening the connotation construction as the content, reducing the burden on patients as the purpose, pay attention to inheriting and developing the characteristics and advantages of traditional Chinese medicine, further clarify our thinking, clarify our responsibilities, and strive to improve the academic level of traditional Chinese medicine and the ability to prevent and treat diseases.
Chapter IV: Summary of the Work of Rehabilitation Department of Disabled Persons' Federation in 20 17. According to this year's work objectives and requirements, the Rehabilitation Department has formulated and promulgated the Implementation Measures for Rehabilitation Training of Disabled Children Aged 7- 14 in Our City, the Notice of the Municipal Government Office on Forwarding the Disabled Persons' Federation and other departments on Promoting the Implementation Plan of Disability Prevention in xx City, and the Implementation Measures for Printing and Distributing the Medical Rehabilitation of Urban and Rural Residents in xx City. Now, the rehabilitation department will work for one year.
First, actively promote the construction of rehabilitation station of community health service center for disabled people in xx City.
1, do a good job in infrastructure construction
According to the key work requirements of the Municipal Disabled Persons' Federation (20 17), we actively promoted the construction of rehabilitation stations in community health service centers of double-base projects, and visited six pilot towns (streets) this year to see the progress. At present, the hardware construction of six pilot towns (streets) has been put in place.
2, go deep into the grassroots to carry out community rehabilitation knowledge business training.
At present, community rehabilitation knowledge training has been carried out for xx, xx and XX towns, and face-to-face communication with disabled people has been actively carried out to understand their needs, and rehabilitation knowledge has been sent to their families, which has been welcomed by disabled people and their families, and has also provided strong technical support for promoting the normal operation of double-base projects.
3, fixed-point supervision and guidance, pay close attention to the operation and management.
In the next stage, we will do a good job in the construction of two demonstration sites, Guanlin and Qiting rehabilitation stations, to ensure the normal and orderly operation of the six rehabilitation stations of the double-base project. Personnel will be further arranged to go to towns (streets) for supervision and guidance, professional training, and popularization of rehabilitation training knowledge. The rehabilitation guidance center will also arrange therapists to enter the disabled community and family, give one-on-one rehabilitation training guidance and make rehabilitation training plans.
Two, agricultural treatment center actively expand the scope of services, set up new courses.
1. Successfully declared the public welfare venture capital project of the Civil Affairs Bureau.
With the help of the Civil Affairs Bureau, the agricultural treatment center successfully applied for the project of "opening the window of the soul" for the training of mental patients, and won the activity fund of 90 thousand yuan, which made a contribution to the activities of the agricultural treatment center. On June 10, the launching ceremony of "Opening the Window of the Soul" for the training of mental rehabilitation personnel in xx Agricultural Treatment Center of "Aibo Home" in xx City was held. The launching ceremony was attended by 50 people, including the leaders of the Municipal Disabled Persons' Federation, the Civil Affairs Bureau, the director of the experimental town street disabled persons' Federation and representatives of the disabled. On the same day, three groups of activities were carried out, including silk printing, field work and biscuit baking, which received positive response from the students.
2. The service scope of the agricultural treatment center radiates to the surrounding towns.
In addition to the twice-weekly routine agricultural treatment activities with the psychiatry department of Zhou Tie Hospital, the center also formed a screening team with the psychiatrists of Zhou Tie Hospital to screen the agricultural treatment students in xx and xx towns (streets) for free, and finally determined that 8 people in He Qiao, 5 people in Qiting and 7 people in XXX7 met the requirements, and launched a pilot project of "day care" agricultural treatment. At present, 186 person-times have been organized to participate in the agricultural treatment activities of the agricultural treatment center.
3. The activities of agricultural treatment centers are rich and colorful.
The center has set up silk printing, field work, physical exercise and other projects. The field work also hired an experienced physically disabled person as "field management", and the vegetables in the greenhouse have achieved initial results, making the agricultural treatment project more professional. This year, we also cooperated with Antlu Baking and opened a new baking course, which was well received by the students. In the next stage, the agricultural treatment center will continue to offer some new courses, such as borrowing the favorable resources of the Municipal Psychological Association and the University for the Aged to carry out some psychological lectures and other activities, and constantly enrich the courses and deepen the connotation.
Third, new achievements have been made in rehabilitation training for disabled children, and new policies have been introduced for rehabilitation assistance.
1, free screening, establishment of database.
In April, at the Municipal Rehabilitation Center for the Disabled (xx Hospital), the Municipal Disabled Persons' Federation invited Dr. Gao Jing, a well-known national expert on cerebral palsy rehabilitation, and a rehabilitation expert from Wuxi to conduct free screening for more than 50 disabled children aged 0-6 and 7- 14 in the city, and to evaluate their rehabilitation situation and establish a database. The establishment of this database provides an effective basis for the rehabilitation training of disabled children in the future.
2. Rehabilitation training and assistance have gained new benefits.
This year, in addition to continuing to provide free rehabilitation training for disabled children aged 0-6 who meet the requirements of rehabilitation training, the Municipal Disabled Persons' Federation and the Finance Bureau jointly issued a new policy of rehabilitation training assistance for poor disabled children aged 7- 14, which was welcomed and praised by parents of children, effectively reducing the burden on families of disabled children, enabling them to continue to participate in rehabilitation training and improving the effect of rehabilitation training. Up to now, 79 disabled children who meet the requirements of rehabilitation training have been approved, including 38 children with cerebral palsy, 30 children with loneliness, 9 disabled children who have gone out for rehabilitation and 2 children who have undergone cochlear implant surgery.
3. Establish and improve the training system for parents of disabled children.
The rehabilitation center regularly holds family seminars for children with cerebral palsy to keep abreast of the needs of parents and institutions, solve problems existing in rehabilitation training, and implement services for the disabled.
4, xx psychological association to join the disabled team.
The public welfare project of Xx Psychological Association, "Heart-to-hand connection-psychological assistance for children with cerebral palsy and their parents", provides free psychological consultation for parents of disabled children once a month to ease their emotions, relieve their stress and help them to put down their mental burden. At the same time, a self-help group for parents has been set up to bring parents of disabled children together to solve some problems and give them support and care.
5. Strengthen the guidance of rehabilitation experts.
According to the needs, the municipal rehabilitation center for the disabled makes a monthly rehabilitation plan for children with cerebral palsy, which is suitable for rehabilitation expert Dr. Gao Jing: diagnosis of newborns, rehabilitation plan for children in the next step of training, and evaluation of rehabilitation effect. At the same time, it also helps the center to conduct professional training for therapists and hold case studies regularly. For therapists, the overall technical level has been improved.
Four, the routine rehabilitation service work in an orderly manner.
1, April1-June 5438+8 This year, the city's personalized service for assistive devices for the disabled was fully launched. Technicians from the rehabilitation department and the city's assistive devices service center entered the village and went deep into the families of the disabled. Through visiting and talking with family members, we can understand the individual differences of physical condition, dysfunction and living conditions of each disabled person, and explain rehabilitation problems and professional knowledge on the spot. This adaptation * * * provided rehabilitation AIDS to 500 poor families with disabilities, and more than 970 families were transformed into barrier-free environments. This activity effectively solved some practical difficulties of disabled people and their families, and was welcomed by the majority of disabled people and their families.
2. Seriously organize towns (streets) to conduct free physical examinations for 3 10 poor disabled people on the day of helping the disabled. As soon as possible to the towns (streets) Disabled Persons' Federation issued a notice and a free physical examination form, and actively coordinate the health department to do a good job in related cooperation.
3, all kinds of disabled rehabilitation service files in accordance with the requirements of xx fine management, all electronic management. 32,696 rehabilitation service files were established, with a filing rate of 100%, and 22,705 files were maintained and updated.
In April and March, we talked with the relevant leaders of the Health Bureau and the ophthalmology directors of three designated hospitals of the Health Bureau about the designated hospitals for cataract surgery in xx in 20 17, and signed an agreement. At the same time, we also discussed the screening of free cataract clinics in rural areas. After discussion, we decided to go to the countryside for screening in March in three groups. This screening involved 1 144 cases, of which 7 14 cases met the surgical requirements and 430 cases did not meet the surgical requirements.
Due to the change of reimbursement policy for cataract surgery, a joint meeting was held in the Municipal Health Bureau in May to discuss and solve the problems encountered in the development of cataract surgery. After discussion, the format of the Examination and Approval Form for Cataract Rescue was readjusted, and the types and amount of intraocular lenses in three designated hospitals were increased, so that patients had a better understanding of the expenses to be paid, and the Instructions for Cataract Rescue Surgery was readjusted and improved to better satisfy patients' right to know.
Up to now, * * * has issued 500 operation notices and performed 256 operations.
5. The outpatient medication for mental patients was changed to real-time report in May, and mental patients can enjoy a 50% discount as long as they have a rural insurance card for outpatient dispensing, which is more convenient for the disabled. Check the medical insurance report of mental patients in hospital with the agricultural insurance center in time every month, review and approve the amount of medical assistance for mental patients in time, and ensure that they can get medical assistance for mental patients in time after discharge declaration. Five mental patients were rescued within one year, with an amount of 6.5438+0.5 million yuan.
Verb (abbreviation of verb) New progress has been made in directional walking for the blind.
Directional walking for the blind is the characteristic key work of xx Disabled Persons' Federation, and it is spread to the surrounding areas by using the accumulated experience of directional walking for the blind. This year, I have been invited to train more than 30 new full-time members of xx District Disabled Persons' Federation, xx District Disabled Persons' Federation and xx District Disabled Persons' Federation, and more than 50 new full-time members will be trained soon. In the future, we will increase more professional knowledge, accumulate experience, and establish standardized training courses and training systems through opportunities such as going out for exchanges, training and study, so that directional walking for the blind will not only become the characteristic key work of xx Disabled Persons' Federation, but also become a famous brand work in the whole province and even the whole country.
I recommend it carefully.