Hunan Daily New Hunan Client Correspondents: Li Chongchen, Zhou Jia, Hu Yan, Liu Qin
The county is governed by the county, and the world is safe. To implement the "Healthy China" strategy, counties are an important part.
The Ningyuan County Party Committee and the county government reviewed the situation and made every effort to build a health and medical center in southern Yongzhou with the goal of accelerating the construction of "Healthy Ningyuan".
With the growth of New China, Ningyuan County People's Hospital has grown in the pulse of reform and innovation, and has developed into a non-profit national tertiary general hospital integrating medical treatment, health care, teaching and scientific research.
Ningyuan County People's Hospital has the unshirkable responsibility to build a "healthy Ningyuan" for county-level medical treatment and a heavy responsibility.
The signing site of the close medical alliance. (The pictures in this version are provided by the Party Committee Office of Ningyuan County People's Hospital)
In recent years, Ningyuan County People's Hospital has taken the spirit of the National Health Work Conference as the guideline, the implementation of the Healthy China Strategy as the main line, and the implementation of excellent service as the starting point, built a modern hospital management system, comprehensively established an excellent medical and health service system, continuously improved the ability of medical and health services, promoted the construction of medical associations, built a close medical community, unswervingly guarded people's health, made high-quality medical services "within reach", and let the people have "medical" support.
High standards of "inside" and "outside" both
Create a benchmark for service excellence
Walking into Ningyuan County People's Hospital, the content of the signs inside and outside the hospital is eye-catching, and all kinds of guidance signs can effectively guide and triage patients; the dress code of medical staff, the identity can be identified at a glance by the color of the badge; the "red vest" volunteers can be seen everywhere in the outpatient building, medical technology building, various wards and public areas of the hospital; the nurses in the outpatient hall patiently guide and use the Cicare nurse-patient communication mode to communicate with patients in a standardized and professional manner, and they feel respected from the moment patients walk into the hospital.
Red vest volunteers serve the sick.
This is the outward achievement of Ningyuan County People's Hospital in creating a model hospital for excellent service.
In March this year, Ningyuan County People's Hospital held a mobilization meeting for the commendation and grade evaluation of tertiary hospitals and a kick-off meeting for excellent service.
"Service excellence is a hospital culture, and all hospital staff must participate in the concept of excellence, seek practical results, facilitate patients, and improve patient satisfaction and loyalty. Ouyang Xujun, Secretary of the Party Committee of Ningyuan County People's Hospital, anchored the course for the development of the hospital's excellent service action——
Adhere to the service goal of "people first, life first, health first", adhere to the service concept of "people-oriented, patient first, safety first", guided by the health needs of the people, practice excellent management, make patients safer, practice excellent medical care, make diagnosis and treatment more effective, practice excellent care, make patients more comfortable, practice excellent humanities, and make doctors and patients more loyal. Accurately meet the needs of patients and build an excellent hospital with patient satisfaction, employee happiness and social praise.
The horn urges the conscription, and the song is carried out.
The "Implementation Plan for Excellent Service Activities of Ningyuan County People's Hospital" was quickly promulgated, giving guidance and standardization to the hospital's excellent service promotion system from the top-level design. A leading group for excellent service activities, an evaluation team, and a special group for excellent management, excellent nursing, excellent humanities, and excellent medical care have been set up, which have been carefully deployed and launched at all levels.
——The leaders of the hospital took the lead in sitting on the shift and "making a sample" for excellent service. The secretary of the party committee and the president of the hospital took the lead in sitting on duty (9:00-11:00 a.m. every day) to experience the process of patients' medical treatment, find and solve outstanding problems, and form a long-term mechanism for feedback and supervision and rectification.
——Provide 24-hour telephone, on-site and online registration appointments, time-based appointments are accurate to 30 minutes, and the appointment information is notified instantly through WeChat, emergency blood, urine and stool results within 30 minutes, and imaging and ultrasound provide 24-hour services.
——Set up a one-stop service center for outpatient services, include refunds and sick leave review in the one-stop service content, and provide patients with services such as guidance, consultation, inspection and inspection appointments, complaint and suggestion acceptance, and convenient equipment rental, so as to help patients become familiar with the medical treatment process.
-- Set up a one-stop service center for pre-hospitalization, an inpatient settlement center, etc., optimize the process, and provide patients with an "intensive" and "one-stop" inpatient service model covering the whole process of services such as pre-admission, admission, hospitalization, discharge and post-discharge follow-up. Innovatively launched a "one-stop" bedside settlement service and launched mobile medical insurance payment and settlement, so that information can "run more" and the masses "run less errands". The hospital has taken the Department of Medical Oncology and the Department of Respiratory and Critical Care Medicine as a pilot to move the window service function into the ward, which has won high praise from patients and their families.
At the same time, the style of investigation and research is carried out to sort out and analyze the shortcomings and difficulties of the hospital and the problems reported by patients, continuously optimize the window service and simplify the work process. All departments of the hospital work together to innovate and launch various new service measures and methods in combination with the needs of patients.
——The establishment of the "wound ostomy clinic" highlights the characteristics of specialized nursing and fills the gap of the characteristic technology of this nursing specialty in Ningyuan County.
-- Improve the multidisciplinary diagnosis and treatment (MDT) system, carry out multidisciplinary joint consultations, and ensure the life, health and safety of patients with difficult and severe diseases.
-- Carry out "weekend surgery" on a regular basis to reduce the waiting time of patients for surgery, shorten the average length of hospital stay, speed up bed turnover, and improve the efficiency of medical resources.
——Carry out continuous services such as discharge return visits, Internet+, and door-to-door inspections, and provide patients with continuous medication guidance, question answering, health education and other services through WeChat interaction.
-- Continue to carry out grassroots activities under itinerant medical care. From the end of 2022 to the present, Ningyuan County People's Hospital has set up a roving medical team composed of section chiefs of various clinical departments and technical backbones with intermediate titles or above, and has continued to carry out the "Health Express-Grassroots Activities under Roving Medical Care" in various towns and villages in the county, so as to achieve early prevention, early detection, early diagnosis and early treatment of frequent and common diseases in rural areas, so that rural people can obtain convenient, safe, high-quality and efficient medical and health services.
From health services to medical quality, where the voice of the masses is, the hospital's attention will be there, and the measures for improvement will be there. Scientific management of traffic order in the hospital, layout of the whole process of outpatient and emergency care, effective guidance and triage of patients...... One small thing, one big thing, and one practical thing continued to advance, and it was done to the point and in the hearts of the masses. The people of Ningyuan have a better medical environment, lower cost, better experience, and a sense of gain, happiness, and security.
"Service quality and medical experience are the most concerning, direct and realistic problems for patients in the process of medical treatment, we will continue to improve in an all-round way from the six aspects of pre-diagnosis, outpatient, emergency first aid, hospitalization, post-diagnosis and the whole process, in order to further solve the problem of people's urgency and anxiety in seeking medical treatment, optimize medical services and improve patient experience. Wu Qunhui, deputy secretary of the Party Committee and president of Ningyuan People's Hospital, said sonorous and powerful!
The medical alliance is more "united"
Quality medical care "at your fingertips"
Recently, Ms. Chen, who lives in Qingshuiling Village, Taiping Town, Ningyuan County, underwent the first unicompartmental knee replacement surgery in Ningyuan County People's Hospital.
Six years ago, without obvious cause, Ms. Chen began to have pain and discomfort in her right knee, which worsened after activity, and after long-term conservative drug treatment, she still had recurrent attacks and poor results, so she came to the Department of Orthopedic Surgery of Ningyuan County People's Hospital for treatment. After comprehensive analysis, under the leadership of Hong Liang, an expert from the Second Affiliated Hospital of the University of South China, a close medical alliance unit of the hospital, and Ouyang Xinwen, the director of the department, the Department of Orthopedic Surgery successfully performed right artificial knee unicompartmental replacement and knee joint cleaning synovectomy for Ms. Chen. At present, the knee pain is significantly relieved, and the active flexion and extension range of motion can reach 90 degrees.
The first case of unicompartmental knee replacement in Ningyuan County.
This is the result of the close cooperation between Ningyuan County People's Hospital and the Second Affiliated Hospital of Nanhua University, marking a big step forward in the direction of minimally invasive, individualized and precise knee replacement surgery of Ningyuan County People's Hospital, and also means that Ningyuan County has made a new breakthrough in the field of knee preservation treatment.
On September 14 this year, Ningyuan County People's Hospital and the Second Affiliated Hospital of the University of South China signed a three-year cooperation agreement on close medical alliances, the Second Affiliated Hospital of the University of South China to technical support, brand output, talent training, cooperative management and other ways to promote the development of hospital disciplines and the improvement of medical service capabilities, sent high-level experts to carry out outpatient, ward rounds, lectures and surgical guidance and consultation, at the same time, sent a senior management staff to serve as the vice president of hospital business, jointly improve the level of hospital management.
"This is the first cooperative hospital of the Second Affiliated Hospital of the University of South China outside Hengyang City. This cooperation will further promote the sinking of high-quality resources, help to improve medical quality, service level and management level, and better serve the people. According to Liang Richu, member of the Party Committee of the Second Affiliated Hospital of the University of South China and vice president of the business of Ningyuan County People's Hospital, the close medical alliance cooperation model is mainly to help in batches, including resident assistance and overseas study, and has sent four experts from the Department of Gastroenterology, Traditional Chinese Medicine Rehabilitation, Orthopedic Surgery and Intensive Care Medicine to Ningyuan County People's Hospital.
"As the first batch of doctors stationed in the hospital to help, we are currently mainly improving the overall ability of the department from software, hardware and other aspects, leaving a team that can 'fight'. Huang Lu, deputy chief physician of the Department of Gastroenterology of the Second Affiliated Hospital of South China University and director of the Department of Gastroenterology of Ningyuan County People's Hospital, said.
Constructing a new order of hierarchical diagnosis and treatment is an important goal of the mainland's medical reform, and an important means of establishing a hierarchical diagnosis and treatment system is to promote the construction of medical alliances. The essence of building medical alliances and specialty alliances is to sink a large number of high-quality medical resources and comprehensively improve medical quality, service level and management level. Through the talent sharing, technical support, and service convergence within the medical alliance, the people can enjoy the superb medical skills and high-quality services of provincial and municipal experts at the "doorstep".
As Wu Qunhui said: "One sentence of explanation is to use the medical alliance to solve the pain of the masses in seeking medical treatment." Through the construction of medical alliances, it is necessary to promote the people to realize the hierarchical diagnosis and treatment pattern of primary diagnosis, two-way referral, acute and slow treatment, and upper and lower linkage in the process of medical treatment. ”
In addition to the Second Affiliated Hospital of the University of South China, Ningyuan County People's Hospital has also established a medical alliance with Xiangya Hospital, Hunan Provincial People's Hospital, Chenzhou First People's Hospital, and Yongzhou Central Hospital.
Now, the people in Ningyuan and the surrounding areas can see famous doctors in the province and city without leaving the county: Professor Lei Sanlin, who specializes in gastrointestinal diseases in the Second Xiangya Hospital of Central South University, experts and professors in the Department of Hepatobiliary Surgery of Hunan Provincial People's Hospital, expert medical team from the Second Affiliated Hospital of South China University, and expert team of otolaryngology, head and neck surgery in Yongzhou Central Hospital...... More and more famous doctors from provinces and cities sit in Yongzhou City and County People's Hospital, providing convenient medical services for the people in Ningyuan and surrounding areas.
Free clinics.
Not only that, relying on the medical alliance unit, Ningyuan County People's Hospital has innovatively built a remote consultation platform, which has built a new platform for the people of Ningyuan, especially for difficult and emergency patients, to see a doctor and seek medical treatment, and by giving full play to the unique advantages of "Internet + medical care", let the data run more and let the patients run less errands, which further enhances the happiness and sense of gain of the masses in medical treatment. At present, provincial-level medical platforms such as Xinxiangya remote consultation, pathology remote consultation, tumor remote consultation, and severe neonatal remote consultation have been built.
Relying on the construction of medical alliances, the medical technology level of Ningyuan County People's Hospital has been continuously improved, and the scope of medical services has been continuously expanded.
On June 3, Ningyuan County People's Hospital successfully carried out the first percutaneous vertebral balloon dilation plasty (PKP), which was the first in Ningyuan County;
In mid-June, under the guidance of Professor Zhang Huan's team from Hunan Provincial People's Hospital, the neurology team of Ningyuan County People's Hospital successfully completed the first case of internal carotid artery stent implantation under the protection of the transcerebral umbrella.
On June 17, under the leadership of Professor Lei Sanlin of Xiangya Affiliated to the Second Affiliated Department of Xiangya and the team of Liang Chenggui, director of the Department of General Surgery of Ningyuan County People's Hospital, Ningyuan County People's Hospital successfully performed laparoscopic hiatal hernia repair + fundoplication for an 84-year-old female patient, which was at the forefront of Ningyuan County and became the first case in the county.
Since the beginning of this year, Ningyuan County People's Hospital has also successfully carried out the first new caFFR (coronary angiography blood flow reserve fraction) diagnostic technology, the first 3D laparoscopic minimally invasive surgery, the first B-ultrasound-guided peripheral venous puncture catheterization, the first parotid gland mass resection, the first "trigeminal neuralgia microballoon compression", the first nasal endoscopic nasal lacrimal sac anastomosis, the first total hip arthroplasty in patients with ankylosing spondylitis, Successfully completed the first posterior laparoscopic pyelotomy and stone removal surgery......
The successive "first cases" and "forefronts" not only fill the technical gap of the hospital, bring more health gospel to patients in Ningyuan County and surrounding areas, but also demonstrate the determination and confidence of Ningyuan County People's Hospital to move towards higher and better, reflecting their responsibility and responsibility to promote the development of the industry and benefit the people!
"It's so convenient that we don't have to go out of town for surgery now, and it has saved us more than 10,000 yuan!" said the family of Bai Chengfei, a villager from Longban Village, Baiwan City, Lixi Town, who had just undergone right hip replacement surgery.
Medical Community "A Game of Chess"
The people of the county share high-quality medical resources
To build a county-level medical regional center, we must not only strengthen ourselves, but also promote ourselves and others.
Ningyuan County People's Hospital is the "vanguard" of the county's medical community construction, actively undertakes medical care services for urban and rural residents and grassroots technical guidance and assistance, and strives to promote the overall improvement of the county's medical level.
As early as March 2020, Ningyuan County People's Hospital established a close medical community with the Central Health Center of Baijiaping Town, and regularly arranged doctors to carry out activities such as consultation, ward rounds, teaching, and training, so that "experts run" instead of "patients run", which not only greatly improves the service capacity of grassroots medical institutions, but also allows people in rural areas to enjoy the diagnosis and treatment services of county-level hospitals at their doorsteps, alleviating the problem of "difficult and expensive medical treatment" for the masses, and effectively improving the sense of access and satisfaction of the masses to seek medical treatment.
"It's good to have surgery in the health center, it's close to home, you don't have to queue, the key is that the cost is low. In the past, no matter how big or small the surgery was, people would try their best to go to big hospitals, but now they can do 'major surgery' at the "doorstep". "Mr. Jiang from Caidili Village, Baijiaping Town, Ningyuan County, is very satisfied. Mr. Jiang, 58, successfully underwent tension-free repair of his right inguinal hernia at Baijiaping Town Central Hospital in February this year.
According to incomplete statistics, with the help of Ningyuan County People's Hospital, Baijiaping Town Central Health Center has carried out more than 280 surgeries such as circumcision, lipoma resection, complex external hemorrhoidal excision, internal hemorrhoidal ligation, inguinal hernia repair, etc., saving more than 300,000 yuan for patients.
The construction of medical community is an important starting point to promote the expansion and sinking of high-quality medical resources, and it is also an important means to improve the level of medical and health services at the county level.
In August 2022, the construction of a close-knit medical community in Ningyuan County was officially launched, and the People's Hospital of Ningyuan County was listed as the General Hospital for the Construction of a Close-knit Medical Community in Ningyuan County, and began to explore the establishment of a new model of "1+1+1+N" three-level medical personnel to integrate medical and prevention health services in the village, improve the allocation and use efficiency of public health resources in the county, establish and improve the four-in-one prevention and control model of "prevention, treatment, management and education" of health management throughout the life cycle, and strive to provide health services for the people throughout the life cycle. general disease in the city and county to solve".
As a result, innovative measures to accelerate the construction of a close-knit medical community in Ningyuan County began to be implemented——
Accelerate the informatization construction of the medical community. In May this year, Ningyuan County held a meeting to promote the information and innovation technology informatization construction project of the medical community, and the county-level medical community will build the overall framework of "four 1+N" (one card, one network, one platform, one center and N applications) of Ningyuan health informatization through project construction, and establish an innovative service operation model through continuous operation.
Establishment of a network of hospitals. The Chest Pain Center of Ningyuan County People's Hospital has established a network of hospitals with 5 central health centers and community health service centers, and has achieved information sharing, real-time interaction, and regional collaborative treatment through WeChat groups, telephones, etc., which has greatly shortened the treatment time for patients with acute chest pain such as acute myocardial infarction. Through the green channel for rapid diagnosis, rapid referral and rapid rescue, the chest pain center of the hospital has successfully treated more than 400 patients with acute myocardial infarction.
Strengthen the training of rural doctors. Ningyuan County People's Hospital plays a leading role as a county-level hospital, relying on the medical community to set up a strong team of teachers, and holds training courses for medical personnel in townships, towns and villages in the county every year. Physical examination and other common theoretical and practical operations have strong practicality and operability, close to the actual needs of students, and provide a convenient and long-term learning and Xi communication platform for county-level hospitals and grassroots health medical personnel.
Innovate the integration model of medical treatment and prevention. Relying on the construction of a close-knit medical community, Ningyuan County has established a "1+1+1+N" three-level medical personnel to integrate medical treatment and prevention in the village, and built a bridge between the leading hospital of the medical community and the township health center (community health service center), the village-level clinic and the majority of villagers, so as to further promote the service of health convenience and benefit the people, promote the coordinated integration and development of medical treatment, prevention, visit and health, improve the village-level medical and health service capacity, and ensure the health of the masses.
On November 3, Ningyuan County People's Hospital, together with more than 20 medical staff from Taiping Town Health Center and village doctors, went to Xiejia Village, Qingtan Town, Taiping Town, to sign a contract with family doctors and provide basic public health services. A total of 300 villagers signed up with family doctors.
The road is long and the line is coming, and the future can be expected. Embarking on a new journey, Ningyuan County People's Hospital will continue to adhere to the principle of "people first, life first, and health first", always put the maintenance of people's health in the strategic position of priority development, and strive to build an excellent service system of "safer patients, more effective diagnosis and treatment, more comfortable patients, and more loyal doctors and patients", lead the high-quality development of the hospital, and strive to provide patients with quality, warm, all-round and efficient medical services, and escort the health of the people.
Originally published in Hunan Daily, December 21, 2023, page 10
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