Recently, the Shandong Provincial Health Commission and the Shandong Provincial Department of Finance issued the "Notice on Forwarding the Notice on Doing a Good Job in Basic Public Health Service Projects in 2022". The document is now interpreted as follows:
1. What are the project fund management in 2022? Require?
Project fund management in 2022 mainly has the following requirements: First, the per capita subsidy standard is increased to 84 yuan, and project funds must be arranged in a timely and full amount. The second is to further strengthen the dynamic supervision of capital implementation. The third is to improve the "pre-allocation first, settlement later" mechanism for village-level funds to protect the rights and interests of rural doctors. The fourth is to scientifically and rationally allocate funds involved in projects that are no longer included in basic public health services. The corresponding subsidy funds can be used to strengthen services for key groups such as the "elderly and small children". Fifth, it is necessary to strengthen the refined management of funds and explore and promote fund calculation and settlement methods that are based on informatization and based on refined quantity, quality and effect evaluation. Sixth, it is necessary to strengthen the application of performance evaluation results. Fund settlement, rewards and punishments must be linked to the performance evaluation results.
2. What content should be strengthened in services for key groups in 2022?
We must coordinate regular epidemic prevention and control, basic public health services and family doctor contract services, and accelerate key tasks such as health management for the elderly, children, and patients with chronic diseases. In terms of services for the elderly, it is necessary to standardize the health examination, result feedback and data analysis of the elderly, and incorporate original scales such as the elderly's self-care ability, cognitive function, and emotional status into electronic health records to ensure epidemic prevention and control. Health protection work for middle-aged and elderly people, especially those living alone. In terms of children's services, it is necessary to strengthen data sharing with community villages, maternal and child health care, child care and other institutions, and promote appointment-based, comprehensive and continuous services in vaccination and children's health management. In terms of services for patients with hypertension and diabetes , it is necessary to integrate and promote the "three highs and highs" and the drug guarantee policy for the two diseases to improve the level and effect of standardized management.
3. What are the highlights of the project work in 2022?
The provincial level is based on the high-quality development of basic public health services, with the goal of improving the people's sense of access and sensitivity, and strives to promote the improvement of grassroots medical and prevention integration capabilities. The main highlights are the following measures: First, the organization and formulation of the standardization of grassroots medical and health institutions The medical and prevention integrated service process guides various regions to optimize the layout of outpatient clinics in a "people-centered" manner, so that residents can receive full-process services naturally, without feeling any discomfort, and continuously. The second is to develop a reference catalog of 50 health behavior points, explore the establishment of a health points mechanism based on the opening of electronic health records to residents, and guide residents to actively participate in health services. Health points can be redeemed for oral care, traditional Chinese medicine health care services, health tools, consumables, equipment rental, etc. through local APPs, WeChat public accounts or grassroots health stations. The third is to formulate a supplementary information table on the integration of medical and prevention for patients with chronic diseases. Primary medical and health institutions can use the supplementary information table as a tool to manage patients' enjoyment of medical insurance and drug policies and the screening of co-morbidities.
4. What will be the focus of health education and publicity in 2022?
should make full use of radio and television, APP, WeChat public accounts, short video platforms and other carriers to carry out publicity through theme promotion, knowledge competitions, prize-winning quizzes, questionnaires and other forms. In 2022, we will focus on strengthening awareness of core knowledge such as fall prevention for the elderly, myopia prevention and control for children and adolescents, and self-management of patients with hypertension and type 2 diabetes.
5. What aspects should be focused on promoting informatization construction in 2022?
First, in accordance with the requirements of the "Public Health Extended Data Set (2022 Edition)", the data collection standards for the national health information platform and grassroots health information system in the jurisdiction must be updated and improved in a timely manner. The second is to further improve the use of 50 practical functions of health records, accelerate the interoperability and sharing of platform databases and the construction of full life cycle health records. The third is to establish a data governance coordination mechanism with the provincial platform to carry out quality control of databases at the same level and comparison between databases.
6. What are the changes in performance evaluation in 2022?
Drawing on the national "three evaluations and three inspections" method, the provincial level will further explore a comprehensive evaluation method that combines self-assessment review, telephone surveys, database quality control, and remote spot inspections, with on-site spot inspections or unannounced inspections as supplements. All localities must continue to improve evaluation methods and promote the gradual transformation of indicator subjects from process indicators to quality and efficiency indicators. Encourage the municipal level to explore and organize counties (cities, districts) to conduct cross-evaluation based on the performance evaluation results of the previous year.
(Source: Shandong Provincial Health Commission official website)
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