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On December 26, 2023, the People's Hospital of Pingxian County, the town of Yudiaozhi, passed the evaluation of the national third-class B hospital with a high score. How can a county-level hospital continue to make progress in recent years, step by step, and become one of the benchmark units of county-level hospitals in the province?
Seek deep thought and do not slack off
The leadership team of Zhenping County People's Hospital, as early as 2015, aimed at the creation of a county-level tertiary hospital. At that time, it was clearly realized that the purpose of the People's Hospital is to serve the people, and its core values should be to serve the people with high quality, and under such a consensus, quality management was launched in 2015, aiming to build a benchmark hospital for quality management of "everyone is the product and everyone praises". To this end, Zhenping County People's Hospital has improved the system and norms, improved the quality control organization, optimized the working mechanism, and strengthened the application of results; in terms of management, it insisted on holding a joint meeting of the party and government groups, a coordination meeting of functional section chiefs and a monthly quality analysis meeting; in clinical practice, it insisted on the administrative rounds of the president on Monday and the joint rounds led by the vice president from Tuesday to Thursday, and implemented the administrative morning shift. On this basis, the establishment of the hospital three-level quality control management structure, the establishment of medical, nursing, hospital infection, pharmacy, 9S based on the joint ward rounds, according to the plan to implement joint ward rounds, daily supervision, special supervision, etc., with a quality control standard of 1,000 points per month for each department quality inspection and evaluation. The 1,000-point ranking, problems in the inspection, cause analysis, and corrective measures are summarized, and distributed to each ward in the form of a work briefing, and a quality feedback meeting is held. The results of the 1,000-point system are linked to the department's evaluation and individual performance, which realizes the purpose of "PDCA continuous improvement". According to the national medical quality and safety improvement goals, the company has edited and published a collection of medical quality continuous improvement cases, and gradually created a good situation of managing people by system and everyone caring about quality, and the hospital has formed a set of quality and safety management system with its own characteristics.
Introverted and pragmatic, steady and far-reaching
In recent years, Zhenping County has taken comprehensive quality management as a means to improve the connotation construction of the hospital, and made internal efforts to achieve practical results.
Since the start of the quality control circle project management in Zhenping County People's Hospital, more than 10 QCC teams have been set up, and they have participated in national and provincial competitions for many times, winning 3 national second prizes, 3 third prizes, 1 excellence award, 3 provincial first prizes, 5 second prizes, 4 third prizes, and 8 excellence awards. Won the advanced unit of "Promoting the Quality Management Activities of Henan Provincial Hospital".
Zhenping County People's Hospital has achieved outstanding results in the provincial business competitions over the years and won a lot: the winner of the 2019 Henan Provincial Intensive Care Medicine Annual Conference Analgesia and Sedation Competition, the second prize in the Henan Trauma First Aid Skills Competition, the 2021 Nanyang Infection Medical Record Competition, the 2023 China Hypertension Wonderful Case Competition, the second prize in the Nanyang Division, and the first "Youyi Cup" in Nanyang City He won the second prize in the airway management soft endoscopic operation skills competition, the second prize in the Nanyang emergency first aid skills competition and the cardiopulmonary resuscitation skills competition, and the second prize twice and the third prize twice in the "Henan Coronary CTA Skills Competition" from 2019 to 2022.
Work hard and continue to move forward
With the continuous improvement of the medical quality of the whole hospital, various creation work has won consecutive victories, step by step. In 2017, the hospital took the lead in passing the second-class review in Nanyang City, and in 2019, the hospital successfully passed the provincial standardization construction of a tertiary hospital such as stroke center, chest pain center, trauma center, critical maternal treatment center, and critical neonatal treatment center. The Stroke Prevention and Control Center is ranked among the best in the monthly comprehensive prevention and treatment and intravenous thrombolysis technology rankings of the National Brain Prevention Commission from 2019 to 2023, and is a "Stroke Prevention and Control Demonstration Base" recognized by the National Brain Prevention and Control Commission. The Chest Pain Center has been upgraded from the grassroots version at the beginning of its establishment to the national standard version, and is the "Trauma Center Construction Demonstration Unit" commended by the Henan Trauma Alliance.
In 2020, it was one of the first to pass the practice review of "county-level national tertiary general hospital" in Henan Province, becoming the first "county-level national tertiary general hospital" in Nanyang City.
After passing the professional review of "county-level national tertiary general hospital", Zhenping County People's Hospital did not relax and continued to make efforts to put the review of tertiary and second-class hospitals on the work agenda.
In the following three years, even in the most serious days of the epidemic, Zhenping County People's Hospital has always closely integrated the creation work with daily work, taking the creation of the five major clinical service centers as the starting point, tempering the will in the fight against the epidemic, improving the quality in clinical work, improving the system in the creation process, and actively implementing the "disease-based chain and patient-centered" The service concept, optimize the allocation of elements, consolidate multidisciplinary diagnosis and treatment, continue to strengthen the ability to treat critical and critical cases, strive to improve the comprehensive service capacity of hospitals, and actively expand the prevention and treatment of chronic diseases at the county level.
In 2021, the first batch of hospitals will pass the national certification of "Chronic Disease Management Center", and in 2023, the atrial fibrillation center and hypertension standard center (Zhixiang version) will pass the national certification, and the hospital's special disease prevention and treatment capabilities have been further improved. On June 15, 2023, the hospital successfully held the provincial "Intensive Care Center On-site Observation and Construction Promotion Meeting" attended by more than 360 people, and was the first to pass the provincial review of the intensive care center, which was praised by the provincial and municipal health commissions and the presidents of hospitals above the second level. In September 2023, Zhenping County People's Hospital took the lead in completing the provincial review of the five major clinical service centers, becoming the first batch of county-level hospitals in the province to complete the "Grand Slam" construction task.
Dare to do good, but be honest and inspire
In the process of deepening the work of establishing the third class of the three Bs, the Zhenping County People's Hospital has set up a leading group for grading evaluation; a first-in-command responsibility system has been established, with the members of the team responsible for the division of labor, the organization and coordination of functional departments, and the directors of departments performing their respective duties. Set up the Sanyi Review Office, and take the establishment of Sanyi Hospital as the key work of the hospital.
In the process of creation, we should provide services to the clinic and data from management, closely combine high-quality standardized clinical services and data extraction, and strive to avoid falsehood and seek truthfulness Combined with the actual situation of the hospital, establish and improve the data index system related to medical quality management, and clarify the data definition, data source, collection method, collection time range, collection results and other elements. Establish systems and workflows related to data management, clarify data governance permissions such as data extraction, review, and reporting, and conduct three-level verification of data to ensure the authenticity and integrity of data. Cultivate full-time data governance personnel, go out to participate in various data governance trainings and visits, strengthen the comparison between data inside and outside the hospital, learn advanced experience in data governance, and continuously improve the ability of hospital data governance.
While emphasizing data management, according to the data indicators, according to the "Implementation Rules for the Grade Evaluation of Tertiary Hospitals in Henan Province" (2022 Edition), find gaps, strengths and weaknesses, and make up for shortcomings, establish a normalized feedback and training mechanism, and compile and publish the "Quality and Safety Management Briefing" every month, covering the analysis of quality control indicators, problems found in supervision, rectification opinions and suggestions, and continuous improvement effects, etc., to promote the continuous improvement of the department and continuously improve the quality.
Zhenping County People's Hospital also invited national-level review experts to use a third-party perspective to accurately diagnose the hospital's construction work. Through on-site inspections, symposiums, interviews, document verification and other forms, the inspection methods of system tracking and case tracking are used to conduct on-site evaluation of the creation work.
Pondering, Yuru is successful. On December 26, 2023, the final high score of the on-site evaluation of the "third-class B" hospital of Zhenping County People's Hospital reached the rating standard of "third-class B" general hospital, becoming the first county-level "third-class B" general hospital in the province, achieving a historic leap, writing a milestone new chapter, and handing in a satisfactory answer sheet for the people of Yuxiang.
In the establishment of the "third-class B", the Zhenping County People's Hospital has not only achieved good results, but also forged a cadre and staff team that focuses on lofty vision, forges ahead, is introverted and hardworking, and pursues excellence;