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目的探索ISO(国际标准组织简称)体系中医院质量目标的建立、考核和效果评价,提高医院执行力,规范和强化医院管理。方法以ISO理论为框架,借助医院ISO认证,依据卫生行政管理法律法规、行业规范、医院中心工作和发展主题,通过医院管理评审和医院院长办公会议,每年建立和调整质量目标,由质管部牵头每月对医院总目标和15个职能部门质量目标进行现场督查和效果评价并纳入行政人员品绩考核中。结果①医院质量目标的建立与调整实施动态管理,部门质量目标基本能囊括各职能部门的工作职能,一条质量目标代表部门的一项工作职责与任务,逐步建立起质量目标基本能替代工作计划和减少目标达成包含日常工作实施内容等医院质量管理的长效机制;②质量目标评价体系得到不断完善和改进。月考核评价方式已形成了医院行政职能部门管理的一项制度,并建立了详细、量化的奖罚管理办法。通过每月督导与评价,质量目标达成比例明显上升,凸显了环节质控和细节管理,各部门工作有序、良好完成,既提高了医院的执行力,也提升了医院品质和品牌。结论医院质量目标的建立和效果评价,能有效监管职能部门工作和提高医院管理绩效,使医院管理更量化、更高效、更规范、更科学。
Objective To explore the establishment, assessment and evaluation of the quality objectives of Chinese medicine hospitals in the system of ISO (International Standard Organization for short), improve the execution ability of the hospitals, standardize and strengthen the management of the hospitals. Methods Based on the ISO theory, with the help of the hospital ISO certification, according to the laws and regulations of health administration, the industry standard, the work and development theme of the hospital center, through the hospital management review and hospital director’s office meeting, the quality objectives are established and adjusted annually. Ministry take the lead monthly on the hospital total goals and 15 functional departments of quality objectives on-site inspection and evaluation of results and included in the assessment of administrative staff performance. Results ① The establishment and adjustment of hospital quality objectives The implementation of dynamic management, departmental quality objectives can basically include the job functions of various functional departments, a quality goal on behalf of the department of a job responsibilities and tasks, and gradually establish quality objectives can replace the basic work plan and Reduce the target to achieve a long-term mechanism that includes hospital quality management such as the content of routine work; ② The quality target evaluation system has been continuously improved and improved. The monthly assessment method has formed a system of hospital administrative departments and established a detailed and quantitative reward and punishment management approach. Through the monthly supervision and evaluation, the quality target reached a significant increase, highlighting the quality control and detail management of the sector. The work of all departments was completed in an orderly and well-done manner, which not only improved the execution ability of the hospital but also improved the quality and brand of the hospital. Conclusion The establishment of hospital quality objectives and evaluation of their effectiveness can effectively supervise the work of functional departments and improve the performance of hospital management, making hospital management more quantitative, more efficient, more standardized and more scientific.