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天津宝坻区人民医院抓内涵建设 谋医院发展

2017-10-24 18:45:55   

近年来,天津市宝坻区人民医院积极探索新时期医院管理和发展模式,通过实施人才强医战略、提高医疗质量、改善诊疗环境、狠抓内涵建设和文化建设,使医院发展成为集医疗、急救、预防、康复、保健、教学、科研为一体的三级甲等综合医院和天津医科大学临床学院。

1、多措并举,加强人才队伍建设

坚持人才立院的战略思路,以人才队伍建设作为提升医院竞争力的核心,通过“合理使用、积极引进、大力培养”三轮并驱提升队伍素质。一是实施了“因事设岗,以岗定编,逐级聘任,层级管理”的人事管理办法,对医务人员实现了由身份管理向岗位管理的转变。全部人员竞争上岗、择优选用、动态管理,能者上,平者让,庸者下,保护和调动医护人员的积极性。二是多渠道、多措施引进人才。每年到国内顶尖医学院校举办专场招聘会,为每位研究生配备了科研启动资金以及安家费等,建立了博士、硕士公寓楼。三是不遗余力培养人才。实施“151”人才选拔培养工程,每年选派30人到国外顶尖医院进修学习。经过几年的努力,医院人才形成了梯队式的“人才链”, 7名医师获天津市“技术能手”,100多人在国家及天津市各专业学会担任职务,为医院的可持续发展提供了可靠的人才保证。

2、开拓创新,提升学科技术水平

医院要可持续发展,必须建立自己的技术优势,学科建设是基础。通过开展业务技术创新、推行亚专科建设、加强对外交流合作、重视转化医学发展,每年开展院内新业务、新技术150余项,填补市级以上空白新技术30多项,使医院的学科建设迈入了快速发展的新阶段。一是认清形势,做好学科技术发展规划。每个学科对拟开展的技术项目突出“顶天”或者“立地”,所谓“顶天”,就是着眼学科前沿和发展,体现高精尖水平,所谓“立地”就是满足群众健康需求,适宜常规开展。二是善用他山之石,以攻技术发展之玉。泌尿外科选派人员到美国密西根大学医院学习引进了钬激光、输尿管软镜技术,骨科借助北京专家成功开展了椎间孔镜技术,妇科在传统腹腔镜技术的基础上开展了免气腹腹腔镜和3D腹腔镜,近三年填补天津市卫生技术空白8项,获得国家专利60余项,提高了医院的竞争力。三是加大高新设备投入。近几年来医院购置了直线加速器、SPET-CT等高精尖设备,以此为依托开展一系列适应病人需求的临床新技术项目。四是大力推行亚专科建设。根据病人的需求并结合医院发展情况,先后成立了手足外科、颅脑损伤科和风湿免疫科,亚专科建设更加完善、合理,各项专业技术更趋精细化,切实推动了专科发展。五是为了促进基础研究与病例资源优势的深度整合,成立北京蛋白质组研究中心—天津医科大学宝坻临床学院转化医学联合研究中心,承担国家“973”等科研课题研究,建立了世界上首个蛋白质组规模的健康人尿蛋白定量参考范围。

3、优化服务,增强群众就医获得感。

一是全院23个专业120个病种开展临床路径管理,2017年1-6月临床路径入组人数10765人次,同比增加1204人次,入组人数占出院人数的比例49.2%。二是为提高医疗服务效率,降低患者费用负担,开展日间手术10种,39个病种实施按病种付费,平均门诊和住院医疗费用保持在天津三级医院最低水平。三是加强合理用药,严控各项指标,2017年1-6月药品收入占医疗收入比29%,住院患者抗菌药物使用百分率45.24%,用药强度38DDD,门诊患者使用抗菌药物比例为12.5%,急诊患者使用抗菌药物比例为16.52%。四是加强医联体建设,与区内31家基层医疗机构成立综合医联体,专科共建,推进急性心肌梗死、脑卒中、危重症孕产妇、创伤等急危重症绿色通道建设,畅通双向转诊,为患者提供更加安全方便快捷的服务。五是实施无假日门诊,门诊预约诊疗率50%以上,提供移动手机挂号、交费、分时段预约诊疗服务。第三方满意度调查排在全市三级综合医院前列,连续四届获“天津市人民满意的好医院”荣誉称号。

4、强化管理,完善医院发展的保障体系

一是建立健全了医院、职能科室、医疗科室三级督导检查组织,分级负责管理。科室质量管理小组注重把好第一道关,每个科室都有专兼职医师,督促医生认真落实制度,以确保每一医疗活动都能按制度实施;医务处等职能处室每日深入一线科室常督导检查,发现问题及时通知有关科室进行整改;医院各管理委员会每月组织专题检查,提高全院医务人员对按制度办事的重视程度。全面形成医院主管亲自抓、分管院领导具体抓、部门和职能科室天天抓、医疗科室时时抓的格局。二是结合实际先后制定和不断完善一系列内部管理制度,推行医务公开、院务公开工作,增加管理的透明度。加大对药剂、设备、基建、人事等重点和热点岗位的管理和监督,用制度和机制保证医院管理的科学化、规范化。三是强化质量意识,落实医疗安全奖惩和责任追究机制,切实保障医疗安全。每年评选出技术含量高、临床疗效好、两个效益突出的医疗成果给予奖励,对医疗缺陷、差错事故予以处罚。自2015年,成为天津市医院管理质量控制中心挂靠单位,临床用血管理、临床路径管理、依法执业管理、进一步改善医疗服务等工作先后在天津市市卫计委做典型经验介绍,今年6月被国家卫计委推荐参加第三届中国质量奖评选,已经通过形式审查和公示,进入第三届中国质量奖受理名单。

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