色满乡卫生院国家基本药物制度实施方案.doc

In order to ensure normal teaching order, protecting students healthy growth, ensuring that national (property) is not lost, to prevent or minimize the occurrence of safety accidents, follow the prevent, rescue each other, ensure safety and reduce losses principle, according to the local conditions, make the management system. 1, the principal is the responsibility of school safety, school security under the leadership of President security work leading group. The head teacher to the leadership team is responsible for, implementation of the accountability system. 2, school monthly student knowledge about safety education, education should be diversified in the form every safety education for students of classes per week should be targeted. To carry on emergency issues dealing with education in General, self-help and mutual rescue knowledge. Emergency calls (such as 110, 119, 122, 120, and so on) use common sense in education. 3, the establishment of major accident reporting system. School students report major accident within an hour of education; student run and disappearances to report; report of the accident to a written report in triplicate, a correctional centre, a police station, a township peoples Government shall not conceal the accident. 4 week, teachers are on duty system, establish and improve the leadership values; strengthen the education, management of teaching activities in schools to ensure normal teaching order; responsible for school safety leadership always maintained close contact and district police stations, canvassing support from the police station on school safety and help. 5, strengthening teachers moral education, establish a dedicated love, improving education quality, observe the students psychological changes at any time and take preventive measures, no corporal punishment and covert corporal punishment on students, student out of the classroom, schools may not be. 6, units or departments use student Street propaganda or participate in the celebrations, as well as participating in other social work, without approval of the Correctional Centre, school principals consent, without organization. Without the approval of relevant departments, may organize students to participate in fire fighting, disaster relief and so on. 7, schools should educate students to obey the school rules and regulations, on time, on time home to prevent accidents. 8, school to school inspections on a regular basis, found hidden in time, and in severe cases, it is hard to eliminate immediately closed, and reported to the local peoples Government, education, and rule of law section. 9, the school should always check the internal walls, retaining walls, ponds, railings, handrails, doors, Windows, staircases and a variety of sports, extracurricular activities, facilities such as fire safety, infrastructure security, unsafe facility to immediately repair and demolition to ensure that teachers and students work, learn, live venues and facilities are safe and reliable. Song Lin Xiang Liu Jia ping elementary school March 2016 song Lin Xiang Liu Jia ping primary school fire safety systems to enhance fire safety, protection of public property and the life and property safety of teachers and students, school fire safety into day-to-day management, is developing the following fire safety system. 1, strengthen fire safety education of the whole school. According to the requirements of the Fire Services Act, so that everyone has of keeping fire control safety, protecting fire control facilities, fire prevention, reports of fire喀什市色色满乡卫生院国家基本药物制度实施方案保障群众基本用药，减轻医药费用负担，扎实有序地建立和实施国家基本药物制度，根据卫生部等九部委关于建立国家基本药物制度的实施意见精神，结合我院实际情况，特制定本实施方案。一、指导思想坚持以科学发展观为指导，以保护和增进群众健康为目标，按照防治必须、剂型适宜、安全有效、价格合理、中西药并重、临床首选、保障供应、分步实施的原则，逐步建立并推行国家基本药物制度，保障群众基本用药，减轻群众医药费用负担，推动我乡医药卫生事业健康发展。二、基本原则我院开展建立国家基本药物制度试点的基本原则是：坚持把维护人民群众健康权益放在第一位，坚持从我院实际情况出发，坚持政府主导与发挥市场机制作用相结合，坚持统筹兼顾，立足当前、着眼长远，积极推进全市基本药物制度的建立。三、工作目标从2012年1月1日开始，我院开始实施国家基本药物制度，实行基本药物零差率销售。四、工作任务实施国家基本药物制度的主要任务包括基本药物目录管理、基本药物使用、基本药物招标采购和价格管理、基本药物报销及保障措施等。（一）组建本院基本药物工作委员会。我院成立了实施国家基本药物制度工作委员会，在院深化医药卫生体制改革领导小组的统一领导下，负责我院实施国家基本药物制度的日常工作。（二）国家基本药物的目录管理国家已出台2009年版国家基本药物目录（基层部分），共有中西药307种。根据有关文件精神，增补非目录药品177种，共计484种。我院按照要求配备使用。确需配备使用非目录内药品，将按照有关程序提出申请。（三）国家基本药物的使用建立基本药物优先和合理使用制度。我院全部配备和使用国家基本药物。将国家基本药物作为首选药物提供给患者。我院建立健全药事管理组织，制定药物分类使用和基本药物使用监测考核评估制度。按照国家药物临床应用指南和基本药物处方集的规定，加强合理用药管理，确保规范使用基本药物。（四）国家基本药物的招标采购和价格管理基本药物集中招标采购必须进入基本药物集中采购网络。我院采购基本药物直接与中标的生产企业、配送企业签订购销、配送合同，合同中应明确品种、规格、数量、价格、回款时间、履约方式、违约责任及期限等内容。我院不从非中标配送企业采购目录药品，不得在中标药品品种目录范围之外采购非招标基本药物。基本药物实行统一招标采购价格。同时，该价格也是配送到医疗机构的最终价格，不得再加价销售。（五）国家基本药物的报销基本药物全部纳入基本医疗保障药物报销目录。参加新型农村合作医疗的人员使用基本药物的报销比例，比使用非基本药物的报销比例高5个百分点。五、实施步骤我院启动建立国家基本药物制度试点工作共分五个阶段实施。（一）宣传动员阶段（2012年1月1日）召开全院职工大会、院委会，传达中央、市深化医药卫生体制改革方针、政策及喀什市实施国家基本药物工作会议精神，安排部署全院实施国家基本药物制度工作。开展对医务人员国家基本药物知识的教育培训，规范医务人员的用药行为，建立基本药物优先和合理使用制度，制定基本药物使用坚持考核评估制度，确保基本药物的合理配备使用。注重讨论引导，充分利用标语宣传实施国家基本药物制度的意义、原则、目标及具体实施办法，积极引导群众按需要使用基本药物。（二）组织实施阶段（2012年1月2日7月1日）一我院完善医务人员卫生工作目标考核机制，从2012年元月开始，将基本药物制度实施情况作为我院绩效工资兑现的一项重要内容，促进医疗服务模式转变，使基层医疗卫生服务机构切实做到为民提供优质、便捷、合理、有效的服务；二是制定补偿方案。医改办将组织相关部门，以国家补偿政策为依据，以调查摸底的数据为基础，在保证我院正常运转及保障职工合理待遇的前提下，制定以财政补助为主的补偿办法；三是网上采购。基本药物实行网上集中招标采购，做到“五个统一”，即统一组织机构、统一招标平台、统一规范操作、统一网上采购、统一药物配送。招标工作坚持质量优先、价格合理的原则。根据基本药物统一招标采购的结果，我院选择合适中标公司，与之签定购销和配送合同。明确相互责任、义务，并报实施国家基本药物制度工作委员会办公室备案；四是清库盘存。招标结果挂网公布后，我院对库存的基本药物按照调低不调高的原则，迅速做好价格调整，并将清理调价清单上报。对于库存的非基本药物，报实施国家基本药物委员会办公室批准，用完为止。实施基本药物制度后，不得擅自增加非基本药物品种；五是全面实施。从2011年7月1日起，我院基本药物全部实行零差率销售，新型农村合作医疗提高基本药物报销比例。（四）督导检查阶段（2012年7）我院将按照要求，对执行国家基本药物制度的情况进行检查，发现问题，督促整改，确保各项工作正常运行。（五）总结完善阶段（2010年7月）我院对实施国家基本药物制度的工作情况进行总结，认真梳理改革过程中遇到的困难和问题，形成书面材料，并进一步完善实施国家基本药物制度的各项工作。六、工作措施我院充分认识建立国家基本药物制度的重要性和必要性，切实加强领导，积极支持配合，确保建立国家基本药物制度工作顺利进行，我院基本药物工作委员会及其成员单位要按照本方案开展工作，及时研究解决实施过程中出现的问题，按时按要求完成每个阶段的工作任务，严格落实国家基本药物制度有关规定。我院按照国家药物临床应用指南和基本药物处方集的规定，加强用药管理，规范使用基本药物，制定药物分类使用和基本药物使用监测考核评估制定；我院安排专人（对本单位基本药物临床应用情况进行监测。喀什市色满乡卫生院2012年1月3日喀什市色满乡卫生院实施基本药物制度工作领导小组名单组长：艾斯卡尔.巴拉提副组长：太来提依玛木成员：热孜万古丽 依玛木 古再努尔 依米古丽 喀什市色满乡卫生院二0一二年一月三日喀什市色满乡卫生院实施基本药物制度工作领导小组名单组长：吾麦尔江副组长：太来提依玛木成员：热孜万古丽 依玛木 古再努尔 依米古丽 喀什市色满乡卫生院二0一二年六月三日喀什市色满乡卫生院基本药物的管理和使用制度为积极推进国家基本药物制度，保障群众基本用药，减轻医药费用负担，根据卫生部关于建立国家基本药物制度的实施意见的要求，特制定本制度。一、定期或不定期对全院医师、护师、药师进行合理使用基本药物相关知识培训。内容包括国家基本药物临床应用指南、国家基本药物处方集及新农合补助药品的实际应用方法。二、做好基本药物目录的遴选、采购、配送工作。医院临床应用的基本药物全部从喀什市基本药物招标采购平台采购，由市卫生局指定配送企业负责配送，并做好基本药物的入库验收、在库养护。三、按照国家相关基本药物价格政策，严格执行药物的零差率销售制度。四、鼓励临床医师优先合理使用基本药物。院内所有经营的药品均为国家基本药物品种。五、临床药师参与临床药物治疗，发挥规范临床用药行为的作用，为药物治疗的合理、安全、有效提供有效保障。六、医院合理用药督导小组要加强对医院基本药物临床应用的监测与评价，定期（至少每月一次）抽调处方和医嘱对基本药物的应用进行点评。对使用比例不达标的科室和严重不合理用药的医师进行通报批评，并由业务院长对医师和科主任进行诫勉谈话。七、加强基本药物质量安全监管各临床医师和药房工作人员要对基本药物在应用过程中产生的不良反应及时报告。要加强基本药物进货、验收、储存等环节的监管，加强基本药物不良反应监测，建立健全药品安全预警和应急处置机制，保证基本药物质量和用药安全。八、保障措施（一）加强组织领导。建立基本药物制度是一项重大的制度创新，是缓解群众看病难、看病贵问题的有效途径。全体医务人员要提高认识、加强领导、周密部署，扎实推进，确保目标任务的实现。（二）加强协调配合。要主动作为，自觉把各项配套措施及时落实到位，动态跟踪制度实施情况，及时解决工作中的问题，建立各环节配套衔接、有效运转的合理机制，确保基本药物制度取得实效，人民群众得到实惠。（三）强化监督评估。各科室要按职责认真做好基本药物制度实施工作的培训指导、监督检查、考核评价工作。对在贯彻国家基本药物制度中违反政策规定的人员，要依据有关规定严肃处理。（四）强化政策宣传。要大力宣传国家基本药物制度政策，普及基本药物知识，转变不合理用药习惯，正确引导群众合理用药、科学用药、安全用药。 喀什市色满乡卫生院卫生院 二一二年一月课堂是师生活动的主要场所，课堂教学是促进学生成长和实现教师自身发展的主要途径。追求课堂教学的有效性，已成为各级学校现阶段深化课程改革和推进素质教育的首要问题。初中数学课堂的有效教学Electricity lines, equipment inspections, found hidden in time for rectification, maintenance, and security. 9, do not use an open flame in the classroom, prohibit burning stove, lit candles, mosquito repellent, no smoking, and banning messy wiring. Without using any household appliances is not allowed. 10, live on campus faculty members, must lead by example, and educate families and children ready to fire. 11, household use of gas in schools, to master proper usage, pay attention to the leak-proof, explosion-proof, fireproof, closing valve after use to ensure security. 12, dining room must be qualified, and annual testing of pressure vessels, to regularly check, the canteen workers must be certified, strictly by operation operation, gas tank and stove safety distance of 1.5 meters, to prevent accidents. 13, the adverse consequences caused by ignoring fire safety regulations, will be punished, until investigated for legal responsibility. Song Lin Xiang Liu Jia ping elementary school March 2016 Xiang Liu Jia ping elementary school, pine slopes surrounding safety management system 1 teachers and students, the surrounding area of the school governance covers personal and food hygiene, cultural events and other aspects, integrated governance shall obtain wide support and full cooperation of the community. On the surrounding environment in schools should be closely monitored. 2, school work at the same time, should pay attention to the safety management of school environment, should take the initiative to contact the district police station, the village Committee, Correctional Centre, Township government, business management and other departments to do a good job management. 3, teacher on duty with the exception of inspections in schools, should also pay attention to environmental inspections near the campus, found that the jobless migrants from rural areas, for example, harassment of students and a variety of accidents, according to different situations reported school officials or the police station in a timely manner, to protect the safety of students. 4, every day before school, teachers remind students, pay attention to traffic safety. 5, should educate students to respect social ethics, and various regulations, maintaining public order, and fight the bad guys, and grasp the correct ways and means of maintaining and improving students self-care ability. 6, the establishment of emergency rescue teams of teachers in schools, on high alert and deployed. Song Lin Xiang Liu Jia ping elementary school March 2016 song Lin Xiang Liu Jia ping primary school teachers and students organizations out of saf