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创新机制 加快发展

2017-08-09 08:31:37   中国青年网

本报记者先朝阳

宁县第二人民医院是从乡镇卫生院基础上发展起来的综合性医院。近年来,宁县第二人民医院创新思维、科学发展,通过引进高技术设备和高技术人才,年门诊人次突破20万,住院人次1.2万,业务收入1亿多元,成为集医疗、教研及村级卫生管理为一体的二级甲等综合医院,为基层公立医院医联体改革探索出一条新路。

近年来,宁县第二人民医院坚持改革创新和自主发展“两个基本点”,推行购置高科技设备、吸引高层次人才、建高端特色专科“三高”为主的办院理念,采取引资、引技、引才、引智“四引”发展模式,深化管理体制、人事制度、资金投入、薪酬分配、医养结合等五项改革,内引外联,协作发展,创出了一条“医院自主,普惠公益、便民为民”的医改新路径。截至目前,管理、人事、资金、薪酬等体制机制改革已基本完成。肿瘤放化疗中心、血液透析中心、心脑血管介入中心、腔镜诊疗中心、健康管理中心“五大中心”等15个高端特色专科已建成并投入运营,中医大楼改造、连廊工程建设已完成项目规划和设计,新门诊大楼已完成拆迁征地和规划设计。

宁县第二人民医院全面落实公立医院改革各项新举措。管理体制改革方面,在保持公立性的前提下,以“资金+技术+时间”的项目合作方式引进社会资本统一管理,形成科室、团队、医院等智慧联盟式的现代医院管理运营模式。实行院长聘任制和任期目标责任制,由医管会制定考核指标对院长和医院进行考核;医院实行预算管理,聘请第三方机构对财务审计、后勤保障等提供服务评估。

在人事制度改革当中,坚持总量控制的原则,全面放开编制管理。医院根据自身工作需要、业务量增长等情况,科学设置岗位、自主引进高层次、紧缺性人才和团队。今年,医院自主招聘大专以上医学院校毕业生38名。

在筹资融资方面,宁县第二人民医院坚持以事定费、购买服务和财政专项补助相结合的财政补偿机制,县财政在每年的财政支出中,优先重点倾斜支持医院发展;引进社会资本参与改革发展,今年共吸引社会资本1.9亿元。

同时,医院深化薪酬分配改革,建立了“按需设岗、以岗定薪、同工同酬、按绩取酬、优绩优酬”的岗位工资分配制度,打破原有职工工资分配制度,实行自主考核发放,全面调动工作人员积极性。此外,积极探索医养结合改革,以“大健康”的理念,多方合作,探索设立养老机构,做大做强医养结合示范项目,借力发展融合医疗养老。通过建立集老年人、残疾人、孤儿三位一体的医养结合服务中心,推行医师签约式服务,将预约挂号、转诊服务、康复理疗、慢病防治、养老保健等纳入签约范围。

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