ࡱ> U vbjbjnn Eaa+dd8,LxLh,&B&X&X&X&(. )) JJJJJJJ$nO$R^J+)(^(+)+)JX&X&'K111+)X&X&J1+)J11r];T]<X&@lő#+;JK0L;R+R]<]<RE>x +)+)1+)+)+)+)+)JJ.+)+)+)L+)+)+)+)R+)+)+)+)+)+)+)+)+)dB :  S Y T LM NG CNG HO X HI CH NGH(A VIT NAM TRUNG TM Y T LM H c lp - T do - Hnh phc S: 08 /BC- TTYT Lm H, ngy 08 thng 01 nm 2023 BO CO KT QU THC HIN CNG TC Y T NM 2022 K HOCH HOT NG NM 2023  Phn th nht KT QU THC HIN NHIM V NM 2022: I. T CHC B MY, PHT TRIN NGUN NHN LC 1. T chc b my: - Tip tc thc hin Thng t 07/2021/TT-BYT ngy 27 thng 5 nm 2021 ca b Y t quy nh v vic Hng dn chc nng, nhim v, quyn hn v c cu t chc caTrung tm Y t huyn, qun, th x, thnh ph thuc tnh,thnh ph thuc thnh ph trc thuc Trung ng. - Trin khai thc hin Quyt nh s 686/Q-UBND ngy 19 thng 4 nm 2022 ca y Ban Nhn Dn tnh Lm ng ban hnh Quy nh chc nng, nhim v, quyn hn v c cu t chc ca Trung tm Y t huyn Lm H. - Hin ti t chc b my ca n v gm 03 phng chc nng, 10 khoa chuyn mn, khu iu tr Trung tm quy m 110 gng bnh, 2 phng khm a khoa khu vc v 16 TYT x- Th trn. 2. Pht trin ngun nhn lc: 2.1. Cng tc cn b: -Nm 2022 ton trung tm c 299 ngi lao ng, trong  bin ch 248; sau i hc 27 chim 9.0%, i hc 97 chim 32.4%, cao ng 49 (16.3%), trung cp 107 (35.7%), khc 19 (6.3%). - S ngi lao ng k hp ng mi l 16, ngi lao ng ngh vic: 04, trong  ngh hu 02 vin chc, tinh gin bin ch 02 ngi . - R sot quy hoch cn b lnh o, qun l giai on 2020  2025, 2025-2030. - Xy dng k hoch, lp danh sch 33 v tr vic lm cho thi tuyn vin chc nm 2023. - T l bc s) trn vn dn: 5.15 (77(64+13)/149.264) - T l ging bnh/10.000 dn: 15.61 (233/149.264) - T l iu dng/ 10.000 dn; 3.61 (54/149.264) - T l dc s i hc/ 10.000 dn: 1.0 (15(5+10)/149.264) 2.2. Cng tc o to: - Tng s lao ng o to trong nm l 71 ngi, trong  o to di hn trn 6 thng l 23 ngi. 2.3. Ch  chnh sch: - R sot, b sung k hoch tinh gin bin ch giai on 2022-2027, xt tinh gin bin ch nm 2022 cho 2 vin chc. - Tng hp v xt cc ch  ph cp cho cng chc, vin chc v ngi lao ng theo qui nh hin hnh; - Nng lng thng xuyn cho 69 vin chc v ngi lao ng v nng lng trc thi hn cho 04 vin chc. - Thc hin ch  ph cp Phng chng dch cho vin chc- ngi lao ng ca n v. II. KT QU THC HIN NHIM V CHUYN MN A. Kt qu thc hin cng tc y t d phng: 1. Cng tc phng chng dch bnh: - Trong nm 2022, Ngnh Y t tip tc thc hin tt vai tr tham mu cho UBND huyn, Ban ch o phng, chng dch bnh vim ng h hp cp do chng mi ca vi rt Corona huyn cc hot ng phng chng dch theo ch o ca cc cp v tng cng cng tc phng chng dch Covid - 19, Ngnh Y t  tp trung mi ngun lc  thc hin k hoch, phng n, kch bn ng ph dch bnh Covid - 19 theo din bin mi v chun b sn sng p ng vi mi tnh hung dch bnh c th xy ra trn a bn theo tng cp ; phi hp vi cc n v lin quan linh hot, sng to, quyt lit, ng b, hiu qu trin khai cc bin php phng, chng dch Covid - 19 theo ch o ca Chnh ph, Tnh y, UBND tnh Lm ng v B Y t. - Trong nm 2022, tnh hnh mc COVID-19 ton huyn 20.317 bnh nhn, cng dn l 20.996 bnh nhn. Trong  iu tr ti Khu iu tr F0 l: 1066 bnh nhn, cng dn 1.710, iu tr ti nh l: 19.265 bnh nhn, cng dn 19.286 bnh nhn. - V trm y t lu ng: Ton huyn  xy dng K hoch thit lp 15 Trm Y t lu ng phng, chng dch Covid-19 ti 15 x- th trn. Hin nay do tnh hnh dch bnh tng i n nh nn tm dng hot ng ca 15 TYT lu ng. Trong nm 2022, Trung tm Y t  thc hin trin khai cc t tim vc xin phng COVID-19 (T t 31 n t 55), theo ng tin  chung ca tnh. Qua 24 t tim trin khai u khp ti a bn ton huyn vi i tng tim tp trung t i tng  5 tui tr ln, trong  tp trung tim liu b sung, liu nhc li, tim mii 1,2 cho tr t  5 tui n di 12 tui, tim mii 3 cho tr t 12 n di 18 tui, tim liu b sung, liu nhc li ln 1, liu nhc li ln 2 cho i tng t 18 tui tr ln theo ng Hng dn ca B Y t,  trin khai tim chng hon thnh ng tin , s dng ht lng vc xin c phn b khng hy b vc xin do ht hn s dng. Kt qu c th nh sau: * Tng s mii tim: 224.481 mii tim: - Tr t 5 n di 12 tui: + Tim mii 1: 19.787/19.796 t 99.95% + Tim mii 2: 19.298/19.756 t 97.7%. - Tr t  12 tui n di 18 tui: + Tim mii 3: 12.681/14.286 t 88.8%. - Trn 18 tui: + Tim liu b sung: 67.532 t 98.4%. + Tim liu nhc li ln 1: 80.414/85.143 t 94,4%. + Tim nhc li ln 2: 25.479/27453 t 92.8%. b.Cng tc lm sch d liu tim Vaccine Covid-19: Song song vi hot ng tim vc xin cc TYT  ch ng, tch cc phi hp vi Cng an cc x, th trn trong vic lm sch d liu tim vc xin phng COVID-19, kt qu sau thi gian thc hin trong nm 2022: Hin cn 5.893 h s khng x l c trong : + i tng khng c trong h thng cng an qun l : 3.070 + Cp nht ng h thng vn bo sai: 236 + i tng khng c ni c tr: 23 + i tng nc ngoi: 06 + i tng ngoi tnh: 58 + i tng ngoi huyn: 5 + S nh danh khng c trong h thng: 965 + Khng c CCCD / M nh danh: 405 + CCCD/ m nh danh sai nh dng: 94 + Sai h v tn: 175 + Sai ngy thng nm sinh: 290 + Sai h tn , ngy thng nm sinh: 565 - S i tng ny  c TTYT chuyn v SYT, Cng an huyn tip tc ch o lm sch. - Kt qu  c lm sch s liu c ghi nhn trn h thng l 40.895/46.788 t t l 87%. c. Phng chng bnh Tay chn ming v bnh mi ni - Trong nm 2022 c 49 ca mc, t l 31,5 ca/ 100.000 dn. Trong : Tuyn trn phn hi: 23 ca, ti TTYT v cc TYT ghi nhn 26 ca, gim 36 ca so vi cng k 2021; Cc bnh nhn c iu tr khi v khng c bin chng nng. T chc iu tra, gim st, x l mi trng cc ca bnh theo ng quy nh. 2. Chng trnh mc tiu quc gia Y t: - Hot ng phng chng bnh Lao: Nm 2022 khm pht hin: 640 bnh nhn, trong  xt nghim pht hin 605/600 t 101% k hoch nm, so cng k ch tiu mu m tng 50%. Pht hin 13 lam (+), s lam dng khng tng khng gim. - Tng s bnh nhn qun l trong 12 thng 2022: 73 bnh nhn. Trong : + iu tr khi: 30/32 BN AFB(+) t 94% t yu cu ca d n (90%); so cng k gim 6%. + Hon thnh iu tr 10/10 bnh nhn. - S bnh nhn hin cn qun l: 31 bnh nhn. - Xt nghim HIV cho bnh nhn lao: 49/49 t 100%. Trin khai k hoch truyn thng ngy Th gii phng chng Lao 24/3. Treo 18 bng rn (16 x/TT, 01 PK.KKV, 01 TTYT). In, cp 3000 t ri tuyn truyn phng, chng bnh lao. - Hot ng phng chng bnh Phong: Duy tr vic khm bnh da ti phng khm da liu, khm lng ghp bnh da ti cc TYT x, TT. Khng pht hin bnh phong mi. + Tng s BN qun l: 02 BN, trong  sn sc tn tt: 02 bnh nhn. + Tng s khm sng lc pht hin bnh phong: 35236/35000 t 106%. + Tng s khm pht hin bnh da: 4762/4000 t 119%. - Hot ng phng chng bnh St rt: Thc hin nm 2022 s Lam xt nghim l: 7039/7000 t 100.6% KH nm tng 5.8 % so vi cng k; KSTSR: 0, BNSR: 0. - Hot ng phng chng St xut huyt: Nm 2022, tng s ca mc l 523 trng hp, phn b ti 16/16 x/TT; S ca c chn on SXH Dengue nng 0 ca. Pht hin v x l 168  dch nh st xut huyt (trong  x l phun ha cht dit mui trng thnh 20  dch, dit lng qung 148  dch). So vi cng k nm 2021 tng 473 ca, s ca bnh mc/100.000 dn l 336 ca. - Gim st ca bnh, gim st cn trng ch ng theo k hoch  c ph duyt, cp nht thng tin ca bnh trn h thng qun l bnh truyn nhim theo TT 54/2015/TT-BYT ngy 28/12/2015 v hng dn ch  thng tin bo co v khai bo dch bnh truyn nhim, hng dn bo co, k hoch x l khi pht hin ch s lng qung, mt  mui vt ngng. + Thc hin tuyn truyn hng dn ngi dn t dit lng qung/b gy phng chng SXH. - Hot ng bo v sc khe tm thn cng ng: n 20/12/2022 hin qun l s BN tm thn, iu tr: 380 BN, trong  (Bnh TTPL: 155 BN, bnh K: 225 BN). + S BN ung thuc u l: 370/380 BN t 97.3 %; + S BN TTPL ti ha nhp cng ng: 143/155 BN t 93 % . - Hot ng phng chng i tho ng v phng chng cc ri lon do thiu I-t : - Duy tr hot ng t vn, khm sng lc pht hin bnh i tho ng ti cc Trm y t x, trong : (C 09 x im l Nam H, Tn Vn, Phi T,  n, inh Vn, Nam Ban, M Linh, ng Thanh, Gia Lm) - Tng s bnh i tho ng: 1.579 ngi, trong : Bnh nhn i tho ng mi pht hin: 291 ngi; - T l bnh nhn i tho ng c qun l ti trm y t: 1.579/4.676 t 33.7%, vt KH 7.7%. - T l bu c  tr em 8-10 tui: 112 tr. - Cng tc tuyn truyn: Pht thanh trn h thng loa truyn thanh khng dy ti 16 x, th trn. - Hot ng phng chng ung th: Trin khai thc hin cng tc truyn thng  nng cao nhn thc ng ca cng ng v phng chng v pht hin sm bnh ung th. - Tng s bnh nhn qun l: 317 - Tng s bnh nhn pht hin mi trong 11 thng l: 62 bnh nhn; - S BN cn sng: 317 + Cng tc tuyn truyn: Phi hp vi i PT-TH huyn tuyn truyn trn h thng loa ni dung tuyn truyn v phng chng mt s loi Ung th thng gp. c s ngi nghe khong 100.000 lt ngi. + Pht thanh trn h thng loa khng dy 96 ln ti 16 x, TT. - Hot ng phng, chng bnh phi tc nghn mn tnh v Hen ph qun: Duy tr cc hot ng phng chng bnh phi tc nghn mn tnh v hen ph qun ti huyn theo quy nh, trin khai phng khm chuyn khoa, phng o chc nng h hp. Tng s mi pht hin a vo qun l c: 49 bnh nhn. Trong  bnh phi tc nghn mn tnh: 16 ngi, hen ph qun: 33 ngi. Duy tr trin khai phng khm bnh phi v o chc nng h hp ti khu khm bnh TTYT. - Hot ng phng chng bnh tim mch: Tip tc tuyn truyn, gio dc sc khe, phng chng tng huyt p cho ngi dn, qua  nng cao nhn thc d phng, pht hin sm, iu tr kp thi bnh tng huyt p. Tng s bnh nhn THA qun l: 9.873/51.760 bnh nhn, t 19%; s bnh nhn huyt p bin c: 93 BN, s BN THA chuyn tuyn: 00 + Cng tc tuyn truyn: Phi hp vi i pht thanh, truyn hnh huyn pht trn h thng loa thi gian t 20/4 ni dung tuyn truyn v ngy tim mch th gii. c s ngi nghe khong 80.000 lt ngi. + Pht thanh trn h thng loa khng dy 96 ln ti 16 x, th trn. - Chng trnh phc hi chc nng da vo cng ng: Tng s ngi khuyt tt c qun l: 1.602 ngi. Kim tra, gim st v hng dn chuyn mn ti 16/16 trm Y t x, th trn. - Chng trnh phng chng m la - Tng s lt khm: 10.594 lt, trong : + Tuyn x, th trn: 8.016 lt + Phng khm trung tm: 2.578 lt 2.3. D n tim chng m rng * Tip tc trin khai tim chng m rng cho tr em trong  tui theo k hoch, m bo an ton. Kt qu TCMR: STT Ni dung Ch tiuThc hin nm 2022 So vi k hoch nmSo snh cng k 2021KH nm 2023S lng%%%1Tr di 1 tui tim y 2.0601.76685.7!10.1>95%2PNCT tim VAT 2+19811.93797.8!1.2>95%3Tr 18 thng tim Si - Rubella2.2341.47566.02!30.6>95%* T thng 7/ 2022 do khng c vaccine Si, DPT, MR nn t l tim chng y  t thp. 2.4. D n dn s v pht trin - Tip tc trin khai k hoch tng cng nng lc y t trong l)nh vc Dn s - KHHG do t chc Marie Sopes Intrenationnal  xut, h tr ti chnh v k thut (PSS) nm 2022. Trin khai chin dch tng cng t vn, lng ghp vi cung cp dch v - k hoch ha gia nh v nng cao cht lng dn s nm 2022. STTNi dungKH nm 2022Thc hin nm 2022So snh KH 2022 KH nm 20231Trit sn (Nam/n)161487,5%162t vng (cas)102072771,3%10003Thuc Cy (cas)1104137,3%1104Thuc tim (ngi)520529101,7%5205Thuc ung (ngi)3170294592,9%30006Bao cao su (ngi)3250288188,6%27807T l sinh con th 3 tr ln13.520.2149,6%13.58T l gii tnh khi sinh10810395,4%1089S tr s sinh c tm sot 79271890.7%79210S ph n mang thai c tm sot t nht 4 bnh tt bm sinh ph bin nht49%45.5%92.9%49% * T l Thuc cy t thp do i tng th hng dch v l h ngho, h cn ngho phn ln khng cn trong  tui s dng bin php trnh thai. 2.4.1. Hot ng Chm sc sc khe ngi cao tui: - Duy tr cc hot ng v chm sc sc khe ngi cao tui: To mi trng x hi ng thun tham gia chm sc sc khe ngi cao tui; xy dng v duy tr hot ng ca i ngi chm sc sc khe ngi cao tui ti gia nh; xy dng phong tro x phng, ph hp vi ngi cao tui; t vn, theo di sc khe nh k cho ngi cao tui ti 16 x, th trn. 2.4.2. Hot ng chm sc sc khe sinh sn: - Trong nm 2022  thc hin cc bin php trnh thai nh sau: Trit sn: 14 ca; t vng mi: 727 ca, cy trnh thai mi: 41 ngi. 2.4.3. Hot ng ci thin dinh dng tr em Xy dng k hoch hot ng chng trnh nm 2022, trin khai cc hot ng phng chng SDD ti c s: phi hp t chc cn tr, trong tun l vi cht dinh dng, nh gi t l suy dinh dng tr em trn a bn huyn. - Trin khai chng trnh ung Vitamin A t II nm 2021v t I,II nm 2022 * Kt qu ung Vitamin A t II/2021 + Tr em 6-36 thng 6280/6487 t 96,8% + B m sau sinh: 1055/1127 t 97,4%. * Kt qu ung Vitamin A t I/2022 + Tr em 6-36 thng 6122/6248 t 98% + B m sau sinh: 857/873 t 98.2 %. * Kt qu ung Vitamin A t II/2022 + Tr em 6-36 thng 6025/6134 t 98.2%. + B m sau sinh: 848/862 t 98.3%. - Kt qu cn tr nm 2022: * T l suy dinh dng cn nng: 10.60% * T l suy dinh dng th nh cn : 16.03% 2.5. D n An ton thc phm: - Xy dng k hoch m bo an ton v sinh thc phm trong dp tt nguyn n Nhm Dn nm 2022 v n c cc trm Y t x, th trn trin khai k hoch m bo ATTP nhn dp tt nguyn n Nhm Dn, Thng hnh ng v ATTP v Tt Trung thu nm 2022. Kt qu kim tra: + Tng s c c kim tra: 1143/1259 t 90,8%; S c s t: 1143/1143 t 100%; S c s c vi phm: 0 c s, x l: 00 . Trong nm khng ghi nhn v ng c thc phm. * Tn ti: Mt s c s khng c giy chng nhn  iu kin v sinh an ton thc phm  ht hn hoc cha  h s nh: cha thc hin khm sc khe nh k theo quy nh, cha c giy xc nhn kin thc VSATTP, thc phm khng c ha n chng minh ngun gc xut x, ngi trc tip sn xut ch bin cha trang b y  bo h lao ng... 2.6. D n Phng, chng HIV/AIDS: - Kt qu theo di tnh hnh s ngi nhim HIV + S tch liy: 210 ngi nhim, trong  n: 61 ngi + S ngi nhim t vong cng dn: 76 ngi nhim + S t vong mi trong nm: 00 + S ngi nhim hin ang qun l  ti a phng: 125 ngi nhim + S BN lm n xa: 06;  tri giam: 06; chuyn ni khc: 04; mt du: 02. + S hin iu tr ARV: 119/125 ngi + S pht hin mi chuyn v: 01 - Cng tc xt nghim HIV nm 2022: + S PNMT c xt nghim HIV trong qu: 880 ngi. + S i tng nguy c cao: 175/152 t 115% + S i tng khc: 326; + Sng lc lao: 35 - Trin khai Thng hnh ng quc gia PC HIV/AIDS trn a bn ton huyn: treo 40 bng rn, lm mi 03 pano phng, chng HIV, gim st ti nh 10 bnh nhn v 16 TYT. Thc hin phn pht BCS v bm kim tim cho i tng NCMT trn a bn huyn thng qua nhm ng ng, tng s: 140 i tng. - Thc hin vic cp pht thuc Methadone t theo tin   ra: Tng s bnh nhn ang ung thuc Methadone ti TTYT Lm H l: 37 bnh nhn 2.7. Cc chng trnh Y t khc: - Hot ng sc khe mi trng: Hng dn cc c s y t trn a bn huyn nghim tc thc hin cng tc qun l cht thi y t  phng, chng dch Covid-19. - D n nc sch v v sinh mi trng nng thn: Tip tc ch o cc TYT x- th trn r sot cc h gia nh s dng ngun nc hp v sinh trn a bn qun l. + Kim tra, gim st v hng dn chuyn mn ti cc trm Y t x, th trn. T l h gia nh s dng nc sch trong ton huyn: 33.762/36.430 t 92,7%; T l h gia nh s dng nh tiu hp v sinh trong ton huyn: 30.731/36.430 t 84,4%; - Gim st hng dn chuyn mn ti 16/16 TYT x, th trn chng trnh VSMT v cng tc qun l cht thi y t. * Tn ti: Cng tc gim st h gia nh s dng ngun nc v nh tiu ti 1 s TYT cn cha thng xuyn (Gia Lm, Lin H). - T l h gia nh s dng nh tiu hp v sinh TYT Lin H, Phi T t thp. 3. Hot ng iu tr: - Tip tc thc hin cc bin php nhm nng cao cht lng khm cha bnh v tng cng y c, k nng giao tip, ng x phc v ngi bnh. m bo cng tc thng trc 24/24h. - Trin khai dch v k thut x hi ha y t. - Tip tc trin khai chm im bnh vin an ton theo Quyt nh s 3088/Q-BYT ngy 16/7/2020 v B tiu ch  Bnh vin an ton phng, chng dch COVID-19 v cc dch bnh vim ng h hp cp . Kt qu: Bnh vin t 122 im t 84,1% - t bnh vin an ton. - Trin khai Quyt nh s: 250/Q-BYT ngy 28 thng 01 nm 2022 ca B Y t v vic ban hnh hng dn chn on v iu tr Covid-19. - Trin khai thc hin cng vn s: 3754/SYT-NVY ngy 17/12/2021 v vic tip tc thc hin nghim cc bin php nhm gim nguy c t vong ngi mc COVID-19. Xy dng k hoch S dng thuc Molnupiravir cho ngi mc COVID-19 ti nh thuc Chng trnh s dng thuc Molnupiravir c kim sot ti cng ng cho ngi mc COVID-19 th nh trn a bn tnh Lm ng, tnh n 28/10/2022, pht thuc cho 10,000 bnh nhn vi 39.514 vin thuc Molnupiravir. - Trin khai K hoch s: 263/KH-UBND ngy 14/12/2021 v vic qun l, chm sc ngi nhim COVID-19 ti nh trn a bn huyn Lm H. - T chc sinh hot chuyn mn, bnh bnh n theo k hoch. - Phi hp t chc giao nhn qun nm 2022 theo k hoch. Trin khai khm phc tra, khai bo y t v xt nghim Covid-19 cho 130 cng dn nhp ngi v 16 cn b tham gia giao nhn qun. - T chc khm, qun l sc khe cho i tng 2,3 nm 2022. Hp ng vi Bnh vin a Khoa tnh Lm ng v dch v cn lm sng phc v cho t khm, qun l sc khe cho i tng 2,3. - Nm 2021 kt qu kim tra ca S Y t v cht lng bnh vin, tng im trung bnh ca 83 tiu ch t 2.96 im, tng 0,13 im so vi nm 2020. - T chc khm sc khe v xt nghim Covid-19 cho 576 vn ng vin tham gia i hi TDTT huyn Lm H nm 2022. - Tham gia cc bui bnh bnh n, o to t xa ca B Y t, Bnh vin ph sn Trung ng, Bnh vin Phi Trung ng, BV Ni tit TW, Bnh vin K tnh Lm ng, Bnh vin Nhi Lm ng t chc. - Chun b y  nhn lc, thuc, vt t y t, thng trc cp cu trong nhng ngy ngh l, Tt. - R sot v xy dng l trnh thc hin DMKT ton trung tm t nm 2023-2025. - Hon thin h s thay i ngi chu trch nhim chuyn mn k thut ca TYT Ph Sn, v TYT Lin H, TYT Tn Vn gi S Y t ph duyt. - T chc tp hun cng tc khm s tuyn cng dn thc hin ngh)a v qun s nm 2023 cho Y t c s. T chc khm s tuyn cng dn thc hin ngh)a v qun s nm 2023 ti 16/16 x- Th trn ng quy nh. - Tip on thm nh xp hng, xp hng li cc n v s nghip trc thuc S Y t tnh Lm ng nm 2022. Kt qu thm nh Trung tm Y t Lm H t 60/100 im, gi bnh vin hng III. - Kim tra cng tc Y t nm 2022 ti 16/16 trm Y t x- th trn, cc khoa Lm sng, Cn lm sng v 2 PKK KV. - Phi hp UBND Huyn khm tuyn NVQS v Cng an cho cng dn nhp ngi nm 2023 m bo cht lng v ng quy nh. - T chc chm im cht lng bnh vin nm 2022, kt qu t chm t im trung bnh ca 83/83 tiu ch l 3.04 im, tng 0,08 im so vi nm 2021. Kt qu S Y t phc tra Trung tm gi im cht lng 3.04 im. Kt qu thc hin nm 2022: STTNi dungCh tiu nm 2022Thc hin nm 2022So snh KH nm 2022 (%)So snh cng k (%)KH nm 20231S ln khm bnh220.000197.82589.92%(6.88%220.0002S bnh nhn iu tr ngoi tr1.900180094.74%(32.4%1.8003Tng s ngy iu tr ni tr40.15034.88986.90%(18.3%40.1504Tng s phu thut460627136.30%(30.4%6005CSSDGB100%86.9%86.90%(18.4%100%6Tng s ln chp X quang30.00025.90586.35%(12.3%30.0007Tng s ln siu m21.40015.43672.13%(2.9%21.4008Tng s ln in tim2.0001.90595.25%(12.1%2.0009Tng s ln ni soi95077181.16%(7.4%95010Tng s ln xt nghim66.880105.387157.58%(48.7%66.8804. Cng tc Dc: - Tng hp d tr vt t, ha cht, thuc, trang thit b phc v cho khu cch ly tp trung. - Trin khai u thu thuc, vt t ha cht, phim X Quang phc v cho cng tc khm cha bnh nm 2022-2023. - R sot  ngh b sung danh mc trang thit b cho y t c s v TTYT theo Quyt nh s 38/2020/Q-UBND ngy 13 thng 11 nm 2020 ca y ban nhn dn tnh Lm ng. - Kim tra cht lng qun l s dng trang thit b ti 16 TYT x- th trn. - Thc hin phn phi 135 sn phm trng thu thuc gi thu thu s 01: Thuc Generic, thuc dc liu, thuc c truyn theo kt qu trng thu cho cc khoa, phng, trm y t m bo cng tc khm cha bnh. - Xy dng danh mc thuc t trng thu gi S Y t u thu tp trung. - Tip tc t chc u thu thuc, vt t, ha cht phim X quang nhng mt hng cha trng thu m bo cng tc khm cha bnh nm 2022-2023. *Tn ti: Cng tc cung ng thuc, vt t y t ti mt s thi im cha m bo. 5. Cng tc y t c s: - Ch o cc n v Trin khai thc hin nh gi Quyt nh s 5924/Q-BYT ngy 20 thng 12 nm 2019 ca B Y t v vic ban hnh b biu mu theo di v gim st hot ng ca trm y t x. - Tip tc duy tr tt cng tc duy tr x t B Tiu ch Quc gia v y t giai on n 2020. Hng dn cc trm y t x thc hin tiu ch y t x t chun nng thn mi nng cao v nng thn kiu mu. - Tip tc trin khai Quyt nh s 4999/Q-BYT ngy 01 thng 12 nm 2020 ca B Y t v Ban hnh quyt nh B tiu ch Phng khm an ton phng chng dch Covid-19 v cc dch bnh ng h hp cp. 15 TYT x v 2 PK KKV t t 25 im tr ln v t phng khm an ton. 6. Cng tc qun l ngn sch, u t xy dng CSVC: 6.1. Qun l ngn sch: STTNi dungThc hin nm 2022K hoa#ch nm 2023ICc ngun thu76,179,800,48476,179,800,4841Ngun NSNN cp47,224,428,73947,224,428,739 - Thng xuyn30,199,696,24230,199,696,242 - Khng thng xuyn17,024,732,49717,024,732,4972Ngun thu di#ch vu# KCB trong :28,001,731,02528,001,731,025 - Thu KCB BHYT21,703,662,26121,703,662,261 - Thu di#ch vu# KCB do ngi b#nh chi tra 6,298,068,7646,298,068,764 - Thu khc3Thu dch v953,640,720953,640,720IICc ngun chi58,534,558,08858,534,558,0881Chi hot ng thng xuyn27,488,168,17227,488,168,1722Chi cho hot ng khng thng xuyn9,181,743,9169,181,743,9163Chi t thu dch v21,864,646,00021,864,646,0006.2. 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Cng tc khc: - Xy dng d ton chi hot ng d phng nm 2022, mua sm, sa cha nm 2022. - Bo co kt qu thc hin  ti  Kho st tnh trng suy dinh dng tr em di 5 tui ti x  n, huyn Lm H, tnh Lm ng nm 2022 v mt s yu t lin quan v hon chnh gi S Y T theo quy nh. * Nhn xt nh gi: u im: - Nhn chung cc hot ng chnh ca TTYT c duy tr m bo tin . Cc khoa, phng, trm y t  ch ng trin khai cng vic ngay t u nm. Cc hot ng chuyn mn c duy tr thng xuyn, m bo nhu cu khm cha bnh ca nhn dn. - Thc hin nghim tc quy ch chuyn mn, tinh thn thi  phc v, k nng giao tip ng x trong CBVC; m bo thng trc cp cu, KCB, trc phng chng dch, cng tc chm sc ngi bnh ti cc khoa, ch trng vic thc hin ng cc th tc hnh chnh trong thanh quyt ton KCB BHYT. - Trin khai tch cc, ng b v c hiu qu cc hot ng phng chng bnh dch Covid-19 gy ra. Tn ti: - Mt s ch tiu cn t thp (S lt khm cha bnh, t l sinh con th 3 cn cao, t l thc hin DMKT so vi DMKT  c ph duyt). - Tin  sa cha, mua sm, xy dng cn chm so vi k hoch. Nguyn nhn ca nhng tn ti: - Do 6 thng u nm 2022 tnh hnh dch Covid-19 din bin phc tp, thc hin theo ni dung cng vn s 3775/BYT-KCB v vic gin cch trong cc c s khm, cha bnh, hn ch nhp vin ni tr khi khng thc s cn thit, nn tng s ngy iu tr ni tr ca Trung tm Y t Lm H c t l 35.289 ngy (t 87.9% so vi k hoch nm 2022). - Trung tm Y t Lm H  tp trung mi ngun lc cho cng tc phng chng dch v iu tr bnh nhn Covid-19, nhn vin Y t qu ti trong cng vic, c bit l cn b  cc Trm Y t va thc hin cng tc khm bnh, cha bnh, va thc hin cng tc phng chng dch Covid-19, tim vc xin phng Covid-19, cng tc tim chng thng quy& , k n thuc vi ngi bnh mc bnh mn tnh,  iu tr n nh, thc hin khm bnh, k n thuc iu tr ngoi tr t 1 n 3 thng; bn cnh  ngi bnh c tm l e ngi khng dm n bnh vin khm v s ly nhim Covid-19, nn ch tiu khm bnh ca n v nm 2022 cha t ch tiu k hoch. - T l tr em di 1 tui c tim chng y  khng t do thiu vc xin tim chng cho tr di 1 tui: Bch hu - Ho g - Un vn (t thng 5/2022), Si (t thng 6/2022), BCG (thng 11./2022),& Phn th hai K HOCH HOT NG NM 2023 I. CC MC TIU NH HNG C BN: 1. Mc tiu: - Trin khai ng b cc hot ng chuyn mn theo quy ch m bo an ton, nng cao c cht lng khm cha bnh, phn u t cc ch tiu k hoch giao. - Cht lng bnh vin t > 3.04 im - Tng cng trin khai thc hin DMKT, c bit l k thut mi v cng tc nghin cu khoa hc - 16/16 x- Th trn duy tr v nng cao cht lng B tiu ch quc gia v y t, nng mc t ca Trm y t theo quyt nh 5924/ Q-BYT ngy 20 thng 12 nm 2019 ca B Y t v theo di v gim st hot ng ca trm y t x. - Mc tiu y t d phng: Tip tc duy tr cc d n/ chng trnh y t, dn s; ch ng gim st phng, chng dch bnh ngn chn hiu qu cc dch bnh nguy him, dch bnh mi ni nh COVID-19, cm A... khng ch kp thi khng  dch ln xy ra, 100% cc ca bnh truyn nhim SXH, TCM, St rt... c iu tra x l theo quy nh; m bo an ton tim chng v t t l tim chng theo quy nh, hn ch thp nht tc hi, hu qu n sc kho, s pht trin kinh t v x hi, c bit l dch bnh do Covid-19. 2. Cc nhim v trng tm: Vi mc tiu xy dng n v hon thnh ton din cc hot ng, thc hin t v vt cc ch tiu chuyn mn c giao, nm 2023 n v s tp trung trin khai thc hin mt s nhim v trng tm chnh sau: - Qun trit y  cc ch trng chnh sch ca ng v php lut ca Nh nc, cc Ngh quyt ca Trung ng kha XIII c bit l chnh sch lin quan n thc hin nhim v ca CBYT, ngi lao ng hiu su sc v nghim tc thc hin. - Tip tc pht trin v nng cao cht lng dch v khm cha, bnh; nng cao tinh thn thi  phc v ngi bnh, nng im ATBV. - Xc nh cng tc trin khai thc hin cc k thut mi l mii nhn ca n v (k thut phu thut ly thai ln hai tr ln  khoa CSSKSS&PS, cc k thut mi thuc chuyn ngnh YHCT-PHCN) nht l cc k thut vt tuyn nhm m bo dch v sn c phc v ngi bnh, tng bc tng t l danh mc k thut ng tuyn v vt tuyn theo quy nh ca B Y t. - Tip tc y mnh cng tc x hi ha, gp phn nng cao cht lng v hiu qu cng tc chm sc sc khe nhn dn trn a bn. - Tng cng ng dng cng ngh thng tin trong qun l khm, cha bnh: ng k khm, cha bnh qua in thoi, internet; qun l thng tin xt nghim, chn on hnh nh, thc hin trin khai bnh n in t theo theo k hoch ca UBND tnh; tng cng thc hin khm, cha bnh t xa& - y mnh pht trin ngun nhn lc y t v cht lng chuyn mn v qun l. - Tip tc thc hin cc bin php m rng i tng tham gia bo him y t, thc hin l trnh bo him y t ton dn. - y mnh cc hot ng y t d phng, chm sc sc khe ban u; trin khai tt cc chng trnh mc tiu quc gia, khng  dch bnh ln xy ra. - Trin khai ng b cc gii php  thc hin Mc tiu Pht trin Thin nin k v y t, trong  c gim nhanh v bn vng t l suy dinh dng tr em, t sut cht tr em di 1 tui, di 5 tui, t sut cht m lin quan n thai sn, khng ch ly nhim HIV, bnh Lao v cc bnh dch nguy him khc. - i mi hot ng, ti chnh v tng cng nng lc qun l t TTYT n cc b phn qun l trc thuc. - Chn chnh k cng trong thc thi nhim v ca tng CBVC- ngi lao ng, tng cng cng tc kim tra, gim st, nu cao vai tr trch nhim ngi ng u cc n v trc thuc; 3. Cng tc cn b: - o to bi dng cn b: Tng s: u t o to di hn cho 06 vin chc: 02 BSCKI, 02 BSK, 02 CN YTCC  nng cao cht lng BV v phc v nhu cu KCB, KSK ca nhn dn trn a bn. - Ngh hu nm 2023: 04 vin chc. Ngh hu trc tui theo ngh nh 108: 03 vin chc. 4. Cng tc chuyn mn: 4.1. Chng trnh mc tiu y t - dn s 4.1.1. Mc tiu: - Ch ng trong cng tc phng chng dch bnh, hn ch thp nht dch ln xy ra trn a bn, hn ch thp nht trng hp mc v trng hp t vong do dch bnh, kp thi pht hin v x l cc trng hp dch bnh mi pht sinh, khng ch khng  dch bnh ly lan ngoi tm kim sot. - Khng  cc v ng c thc phm ln xy ra trn a bn. - Thc hin t ch tiu, mc tiu cc chng trnh, d n y t vi cht lng v hiu qu cao. 4.1.2. Ch tiu chnh: - Khng ch t l mc st rt <0.01/1.000 dn, khng c t vong do st rt. - Khng ch t l mc SXH <60/100.000 dn, t l t vong 0.1/100.000 dn. - Khng ch t l mc TCM <75/100.000 dn, t l t vong 0.05%/100.000 dn. - Trn 95% tr em <1 tui c tim chng y  cc loi vacxin theo quy nh. - >95% ngi trong  tui t 5 tui tr ln c tim  liu c bn vc xin phng Covid-19, m bo an ton tim chng. - Trn 90% c s KD, SX, BB thc phm c cp giy chng nhn m bo ATVSTP. 4.1.3. Bin php t chc thc hin: - Cng c v trin khai hot ng thng xuyn, kp thi h thng mng li gim st, thng k bo co dch bnh trn a bn t huyn xung ti tt c cc thn bn. - Phi hp vi cc ban ngnh, on th y mnh tuyn truyn phng chng bnh tay chn ming, st xut huyt, cm A v cc bnh dch khc ang lu hnh ti a phng. - T chc thc hin tt cng tc phng v chng cc bnh dch ang lu hnh  a phng, ch ng ngn chn cc v dch, gim ti a t l mc v cht do dch bnh gy ra. m bo y  ha cht, vt t cho cng tc phng chng dch bnh. - Trin khai hot ng d n thuc cc chng trnh mc tiu Y t m bo tin . m bo an ton trong cng tc tim chng. - Trin khai cc hot ng v sinh an ton thc phm trn a bn huyn. Phi hp vi cc ban ngnh t chc kim tra, gim st cc h kinh doanh bun bn thc phm trn a bn. - Tranh th s gip  v k thut ca cc n v chuyn mn tuyn trn. 4.2. Hot ng Dn s pht trin, CSSKSS v ci thin tnh trng dinh dng tr em: 4.2.1. Mc tiu: - Gim s ca tai bin sn khoa. - Gim t l sinh con th 3 tr ln xung cn  EMBED Equation.3 13 % - Gim t l tng dn s t nhin trong khong 1 % - T l tr em < 5 tui SDD cn nng gim cn 10,5%; SDD chiu cao cn: 15,93%. 4.2.2. Bin php t chc thc hin: - Tip tc cng c v nng cao hiu qu mng li l cng tc CSSKSS, Dn s, SDD t huyn xung thn bn. - Qun l y , kp thi cc i tng, c bit thai nguy c cao, tr suy dinh dng, tr nguy c suy dinh dng, i tng nguy c sinh con th ba v cc i tng s dng cc bin php trnh thai hin i tht bi... - Phn u tng t l thai ph c khm thai 3 ln trong 3 thai k trc khi sinh ln >90%. - Tp chung hot ng phng chng suy dinh dng tr em < 5 tui ti cc vng c t l suy dinh dng cao, vng ng bo dn tc thiu s. - T chc qun l thai v khm thai nh k cho ph n mang thai nhm hn ch n mc thp nht t vong m v tr s sinh. - Tp chung tuyn truyn nhm to s chuyn bin r rt v nhn thc chm sc sc khe sinh sn trong cc tng lp nhn dn; duy tr bn vng xu th gim sinh, m bo quyn sinh con v la chn cc bin php trnh thai ph hp cho i tng. - Trin khai c hiu qu chng trnh gim ngho bn vng v nng thn mi trong l)nh vc y t. - Thc hin c hiu qu chng trnh mc tiu gim ngho bn vng. 4.3. Cng tc khm v iu tr bnh: 4.3.1. Mc tiu: - Tip tc rn luyn nng cao y c, k nng giao tip, trnh  chuyn mn nghip v. Phn u trong nm 2023 khng c n th khiu ni, gim phn n qua ng dy nng v tinh thn thi  phc v, hn ch n mc thp nht sai st chuyn mn. Hon thnh cc ch tiu k hoch c giao, tng mc ci tin cht lng bnh vin > 3.04, tng s hi lng ca ngi bnh; - T l bc s)/ vn dn: 5.2 - T l ging bnh/vn dn: 16 - T l ngi dn c lp h s SK t > 95%. - T l dn s c qun l bng h s sc khe in t >70%. - m bo cng tc thng trc cp cu, khm cha bnh. - Xy dng v trin khai c hiu qu k hoch xy dng CSYT xanh, sch, p v thn thin theo Quyt nh s 5959/Q-BYT ngy 31 thng 12 nm 2021 ca b Y t. 4.3.2. Ch tiu c th: TTCc ch tiuCh tiu Thc hin nm 2022So snh KH nm 2022Ch tiu KH 2023I.T chc cn b CSVT1Tng s ngi lao ng 293299100%3021.1Tuyn huyn 176187106,8%1881.2Tuyn YTCS11711294,9%114II.Cng tc KCB1Tng s ging bnh1.1- Bnh vin 110110100%1101.2- 2 PKKKV ging lu1212100%122Ch tiu chuyn mn2.1TS ln khm bnh220.000197.82589.92%220.0002.2Ngy iu tr ni tr 4015034.88986.90%40.1502.3iu tr ngoi tr 1900180094.74%1.8002.4Ngy T TB/BN55.0052.5Phu thut 460627133.6%600IIIHOT NG CLS1TS Ln XN 66.880105.387157.58%66.8802TS chp XQ 30.00025.90586.35%30.0003TS siu m 21.40015.43672.13%21.4004TS in tim20001.90595.25%2.0005Ni soi95077181.16%950IVPHNG CHNG SR 1- Lam XNKSTSR 70007.389105,6%40002- S mc SR 0000VTCMR-LTUVSS1TE < 1 tui tim y  >95%85%85%95%2PNCT tim VAT2 >95%96%96%95%VICSSKSS- PCSDD1T l qun l thai97%99.1%102,2%97%2T l PN  c khm thai >3 ln 96%95.4%99.4%96%3T l PN  v tr SS c chm sc sau sinh ti nh95%95%100%95%4T l PN  c nhn vin y t 99100%101%99%5T sut t vong <1 tui113.8434,9%110 6T sut t vong <5 tui18.55.7631,1%18,50 7TS ln khm PK56168TS ngi iu tr PK36989T l TE< 5 tui SDD 10.5510,6010.0410T l TE < 5 tui SDD th thp ci16.0316VIID n PC.HIV/AIDS 1T l CBYT x v YTTB c tp hun95%83%83%95%2.T l x t chc m hnh / hot ng TT100%100%100%100%3Mu gim st HIV152168110,5%1526T l PNCT c XN95%95%95%95%7T l BN lao c XN100%100%100%100%VIIID n PC LAO 1S BN mi pht hin 201155%202S lam m XN600600100%600IXChng trnh DS v pht trin1 Mc gim sinh0,3%o2.16%o0.3%o2 T l tng dn s t nhin1.1%0.75%1.1%3T s gii tnh khi sinh (trai/100 gi)110/100103/100110/1004T l sng lc trc sinh40%67.1%167,8%40%5T l sng lc s sinh49%45.5%92,9%49%6S ngi thc hin cc bin php trnh thai hin i trong nm 18.426 18.732 101,6%19.965 4.3.3. Bin php thc hin: - Tip tc t chc cho cn b vin chc, ngi lao ng hc tp li mt s quy ch chuyn mn, trin khai cc hot ng thc hin ch th 03 ca b Y t ng tin  v t cht lng, tp trung vo thc hin cc gii php thc hnh tit kim chng lng ph, k nng giao tip ng x trong thc hin nhim v hng ngy. - Trin khai c hiu qu Quyt nh s 2151/Q-BYT ngy 04 thng 6 nm 2015 ca B Y t v vic ph duyt k hoch trin khai thc hin  i mi phong cch, thi  phc v ca cn b y t hng ti s hi lng ca ngi bnh . - Trin khai hng dn cc quy ch, quy trnh chuyn mn trong KCB, quy ch v s dng thuc an ton, hpl, chm sc ngi bnh ton din, chng nhim khun, xl rc thi bnh vin. Trin khai 5S ton n v, tp trung ch o thc hin ti cc khoa lm sng. Tng cng gio dc y c, thc hin x l nghim v khc phc hu qu i vi vi phm o c ngh nghip. Trin khai cng tc nh gi cng ngh y t  xc nh cc can thip y t c hiu lc, hiu qu, chi ph thp, ng thi bo m cht lng dch v KCB. - Xy dng, chun ha v nghim tc thc hin cc qui trnh chuyn mn, k thut. - Xy dng cp nht mi cc phc  iu tr theo hng dn ca B Y t. - y mnh cng tcch o tuyn, xy dng phng n thc hin hiu qu vic p dng ch  lun phin cn b tuyn trn xung h tr tuyn di theo quyt nh 14/2013/Q-TTg ca Th tng chnh ph v Thng t 18/2014/TT-BYT ca B Y t. -Tip tc y mnh vic thc hin Ch th s 06/2007/CT-BYT ngy 07/12/2008, Thng t 19/TT-BYT ca B trng B Y t v vic nng cao cht lng khm, cha bnh cho nhn dn, trong  c bit lu khng lm dng thuc, xt nghim cn lm sng, dch v k thut cao gy tn km khng cn thit cho ngi bnh. Thc hin tt Thng t 07/TT-BYT nng cao tinh thn, thi  phc v ngi bnh, y c trong cc c s khm, cha bnh. Tp trung v tng cng hiu qu s dng ngn sch nh nc v cc ngun thu hp php khc  nng cao cht lng cc dch v khm cha bnh; Tp trung cc gii php  s dng c hiu qu c s h tng, trang thit b ca n v  v ang c u t trong thi gian va qua  gp phn gim ti tuyn trn. Thc hin Ch th 10/CT-BYT ngy 09/09/2019 ca B Y t v vic tng cng cng tc phng, chng hnh vi lm dng, trc li qu BHYT. - Tng cng nng lc thc hin dch v k thut  PKKV v cc TYT x  TT to iu kin cho ngi bnh tip cn vi dch v y t c cht lng  ni gn nht. - y mnh vic thc hin i mi c ch hot ng, c ch ti chnh, tng bc thc hin l trnh theo c ch t ch. Thc hin theo Quyt nh s 803/Q-SYT ngy 29 thng 11 nm 2017 V vic phn loi n v s nghip cng lp v giao quyn t ch, t chu trch nhim v ti chnh cho Trung tm Y t Lm H. - Phi hp vi cc ban ngnh trin khai thc hin c hiu qu chnh sch cp th bo him y t cho tr em di su tui, chnh sch cp th BHYT cho ngi ngho v h tr BHYT cho ngi cn ngho, ng bo dn tc thiu s. Tuyn truyn, vn ng v thc hin tt chnh sch h tr ngi cn ngho mua th BHYT. - Tng bc xy dng bnh vin xanh-sch-p, u tin kinh ph  xl cht thi rn v cht thi lng nguy hi trong cc c s y t nhm m bo v sinh mi trng. Bo m  kinh ph cho duy tu, bo dng trang thit b y t. 4.4. Cng tc Dc  trang thit b y t: 4.4.1. Mc tiu: - Cung cp y , kp thi thuc trong danh mc p ng nhu cu iu tr v d phng. - Thc hin ng cc quy ch chuyn mn dc chnh, m bo s dng thuc an ton, hp l. - Tng cng cng tc qun l v s dng c hiu qu cc trang thit b y t hin c, tip tc u t thm TTB c trng tm, trng im. - Thc hin thanh quyt ton thuc, vt t, ha cht y , chnh xc v kp thi. - Tng cng vai tr, trch nhim hi ng thuc v iu tr, xc nh st nhu cu s dng thuc trong nm. 4.4.2. Bin php thc hin: - Qun l c ngun gc thuc, gi bn thuc ti cc c s y t, duy tr hot ng i l thuc  cc trm y t x, th trn m t thuc bn theo yu cu ngi bnh iu tr. - m bo cung ng  thuc, vt t y t phc v cho cng tc khm v iu tr, phng chng dch. - Kin ton v duy tr hot ng thng xuyn ca hi ng thuc v iu tr. - Tng cng cng tc kim tra, gim st vic k n s dng thuc trong iu tr. Thc hin tt cc quy ch chuyn mn dc ti cc c s iu tr, tng cng ch o tuyn di. Trin khai ng dng cng ngh thng tin vo cng tc qun l thuc ti cc PK KKV, TYT x - TT. - Tng cng cng tc duy tu, bo dng nh k my mc trang thit b theo quy nh. 5. Cng tc nghin cu khoa hc: - Tip tc kin ton li hi ng khoa hc k thut ca n v nm 2023, xy dng quy ch, k hoch hot ng thng, qu, nm. - Trin khai cng tc nghin cu khoa hc, sng kin CTKT, gii php hu ch ngay t u nm. 6. Duy tr x t B tiu ch quc gia v y t, x t tiu chun tin tin v YHCT, thc hin theo di v gim st hot ng Trm y t x theo quyt nh 5924/Q-BYT. 6.1. Mc tiu: - Tip tc trin khai chm im Phng khm an ton theo Quyt nh s 4999/Q-BYT ngy 01/12/2020 ca b Y t Ban hnh B tiu ch  Phng khm an ton phng chng dch COVID-19 v cc dch bnh vim ng h hp cp . - Nng cao hiu qu cc hot ng xy dng x t B tiu ch Quc gia v y t n nm 2020  tt c cc x, th trn; Phn u 100% x duy tr t B tiu ch Quc gia v y t  mc  cao hn. - Thc hin biu mu theo di v gim st hot ng ca Trm y t x theo quyt nh 5924/Q-BYT ngy 20 thng 12 nm 2019 ca B Y t. - Phn u 02 x t tiu chun tin tin v YHCT theo ng tin   ra. 6.2. Cc gii php chnh: - Ch ng phi hp vi cc phng ban, cc t chc chnh tr x hi ca huyn v cp u chnh quyn a phng cc x TT tng cng cng tc gim st hng dn cc x duy tr B tiu ch Quc gia v y t, xy dng k hoch u t, h tr ngay t u nm. - Cn c vo ni dung B tiu ch, bng chm im v hng dn thc hin ca s Y t, phn cng cc b phn, cn b ph trch. - Khuyn khch cn b TYT sng kin cc gii php hu ch nhm nng cao cht lng hot ng ti TYT x- th trn. 7. K hoch ti chnh k ton - xy dng c bn v nng cp sa cha nm 2023: 7.1. K hoch ngn sch: * Mc tiu: - m bo cn i thu chi, thc hin ng cc qui nh ti chnh, c bit thc hin thu ng theo biu gi dch v khm cha bnh c cp thm quyn c ban hnh. - Tng thm cc ngun thu t cc dch v trong k hoch thc hin XHH cng tc y t  c S Y t ph duyt. - Thc hin tit kim, chng lng ph tht thot. - D ton khong: 76,179,800,484 ng. - Thc hin  n t ch ti chnh khi c ph duyt, xy dng quy ch chi tiu ni b 2023-2025. 7.2. K hoch xy dng c bn, nng cp sa cha v mua sm ln: - Hp nht vi Ban qun l d n v n v thi cng trin khai sa cha, nng cp cc c s trc thuc theo Ngh quyt ca HND huyn Lm H. - Nng cp sa cha nh tit trng, nh i th, H thng x l cht thi rn Y t, My pht in d phng, tng kinh ph khong 4.186.990.000 . - Mua sm mt s TTB theo nhu cu thc hin danh mc k thut v theo k hoch duy tr x t B tiu ch quc gia cc nm. - Nng cp phn mm, trang thit b cng ngh thng tin phc v cng tc khm cha bnh, chm sc sc khe ca ngi dn trn a bn. 8. Cng tc thanh tra - Trin khai k hoch thanh tra th trng ti cc n v trc thuc Trung tm Y t huyn Lm H. - Tng cng cng tc kim tra, gim st vic thc hin quy ch chuyn mn, c bit cc quy nh v thanh quyt ton KCB BHYT, thc hnh tit kim, chng tham , lng ph ti cc n v. - Thc hin cng tc tip dn, x l n th khiu ni, t co pht sinh trong k. II. T CHC THC HIN: - Giao phng KHNV-D&DS tng hp kt qu thc hin ch tiu k hoch ca tng b phn v ton n v, ch tr xy dng d tho ch tiu k hoch tham mu BG giao cho cc b phn trong n v. - Phng TC-KT tham mu xy dng d ton ngn sch ton n v m bo kinh ph cho hot ng. - Cc khoa, phng, TYT x  th trn cn c vo chc nng nhim v, kt qu thc hin nm 2022 v ch tiu TTYT giao, xy dng k hoch c th nm 2023. - Cc phng TC-HC, TCKT, khoa Dc chun b tt cc iu kin v hu cn phc v kp thi vic thc hin ch tiu k hoch ca tng b phn v ci tin cht lng bnh vin. Phn th ba KT LUN V KIN NGH I. KIN NGH: 1. Vi S Y t: - S Y t phi hp vi BHXH tnh to iu kin thun li trong vic thanh quyt ton khm cha bnh BHYT; - u t xy dng mi h thng x l cht thi rn, thm h thng xt nghim mi nh my sinh ha, min dch t ng ti TTYT Lm H, u tu trang thit b cng ngh thng tin phc v nhu cu khm, cha bnh ca ngi dn. 2. Vi huyn u  UBND huyn: - Tip tc ch o cp y v chnh quyn cc x - TT quan tm phi hp vi TTYT trong vic trin khai v thc hin cc chng trnh y t trn a bn, c bit trong cng tc duy tr x t B tiu ch Quc gia v y t x nm 2023, cp kinh ph kp thi cho hot ng y t x, cc ch tiu y t trong xy dng nng thn mi... - Tip tc  ngh cp c thm quyn chi kinh ph h tr hot ng i ngi NVYTTB 02 th trn (Nam Ban, inh Vn). -  ngh UBND huyn u t kinh ph cho khm qun l sc khe ban u cho hn 70% dn s cc x c k hoch xy dng nng thn mi nng cao. Trn y l bo co kt qu thc hin cng tc y t nm 2022 k hoch hot ng nm 2023 ca TTYT huyn Lm H. Rt mong tip tc nhn c s quan tm ch o su st ca S Y t, huyn u - UBND huyn, s phi kt hp ca cc ban ngnh on th, chnh quyn cc a phng  TTYT Lm H hon thnh tt nhim v chnh tr c giao vi hiu qu cao nht./. 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