Those who sail by the sea are the first
A review of the Municipal People's Hospital's promotion of high-quality development.
Reporter Luo Xiaoxue, correspondents: Zhuo Lihua, Zhu Tiehua, Gu Yafei, Tian Feng, Shen Zhifang.
Turning over the rich resume of Zhangjiajie People's Hospital in the past five years, it is all touching the attitude and pursuit of "insisting on Qingshan" here: it has been approved as a national clinical key construction specialty, a provincial provincial key clinical specialty, 2 municipal and provincial key clinical specialties, 10 provincial key clinical specialty construction projects, and has won more than 40 national, provincial and municipal awardsThe selected cases of "Exploring and Launching the "Visual Guidance" Service Model to Improve the Rapid Medical Experience of Outpatients" and "Innovative Application Model of Digital ** Integration into Standardized Self-Management of COPD Patients" won the "Excellent Case Award" in the national finalsIt has won national honors such as the "China Hospital Humanistic Brand Summit Humanistic Brand Innovation Case Award", and won the "Hunan Province Advanced Collective for Fighting the New Coronary Pneumonia Epidemic", "Hunan Province Outstanding Contribution Collective for Health Emergency", "Hunan Province Palliative Care Demonstration Ward", "Hunan Province Advanced Hospital for Quality Nursing Services", "Hunan Province Age-friendly Medical Institutions", "The Second Prize of the First Provincial Emergency and Critical Care Comprehensive Treatment Competition", "Hunan Province" 13th Five-Year Plan "Advanced Collective for Tuberculosis Prevention and Control Planning", "Hunan Province Staff Representative Training and Teaching Demonstration Unit" Hunan Provincial Medical Institutions Rule of Law Construction Advanced Collective" and other provincial honorary titles;The epidemic prevention and control model was included as a typical case by the Hunan Provincial Hospital Infection Quality Control Center, and the "Exploration and Implementation of the "Nine-in-One" Nursing Post Management Model" was awarded the ...... of Excellent Typical Cases of High-quality Nursing Services in Hunan ProvinceSince the 19th National Congress of the Communist Party of China, as the only first-class public hospital in Zhangjiajie, Zhangjiajie People's Hospital has always practiced the original intention of "protecting people's health", adhering to the concept of party building leading hospitals, innovative hospitals, discipline institutes, and talent hospitals, and continuing to promote the deep integration of party building and hospital development. The construction and development of Zhangjiajie and the practice of the grand blueprint of health Zhangjiajie continue to create miracles, and a good report card has been handed over to the people of the city. 
Party building and leading the hospital - build the "root and soul" of the high-quality development of the hospitalThe country's first "Tourism Doctor" party building volunteer service project innovatively launched by the hospital was selected as a typical case of national grassroots party building innovation in 2022In 2023, it was awarded the "National Cultural and Tourism Volunteer Service Innovation Case", "Hunan Provincial Grassroots Party Building Work Excellent Practice Innovation Project Award", and was selected as a candidate case for the "2023 People's Livelihood Demonstration Project" held by the People's ** "Minsheng Weekly" magazine. At present, many provincial and municipal scenic spots and medical institutions across the country have copied and learned from this experience. In addition, in 2021, the party building brand of medical school sports was awarded the "Typical Case of Party Building Innovation in National Public Hospitals", and the "Feeding" health service party building case was awarded the "Three Rural Areas" demonstration project of culture, science and technology and health of the Propaganda Department of the Provincial Party Committee. This is a microcosm of the high-quality development of the party building of Zhangjiajie People's Hospital in recent years. "All achievements are inseparable from the core of party building." The place where the party flag flies is the direction in which the hospital is heading. Over the past five years, under the leadership of the Party Committee of the hospital, the hospital has always put the party's political construction in the first place, strictly implemented the president responsibility system under the leadership of the hospital's party committee, tightened and compacted the main responsibility of the party to govern the party in an all-round way, strengthened the party building of public hospitals, and strived to promote the party building and business in the same direction. The construction of excellent service demonstration hospitals, rural revitalization, creation of culture and public health, medical reform, etc., have promoted the high-quality development of hospitals in depth. "Pioneer hard work" to promote development. In order to effectively alleviate the problem of difficulty for the people to see a doctor, and promote the theme education of "casting the soul with learning", "increasing wisdom with learning", "learning the right style", "promoting work with learning" and "looking for and promoting" The research work has been effective, and the party committee of the hospital has carefully planned and adopted the model of "party committee leading, branch organization, party members sinking, and serving the people", giving full play to the exemplary role of the party branch as a fighting fortress and party members, and insisting on highlighting key points and focusing on tackling tough problems. Adhere to the people-oriented concept and promote the quality and upgrading of medical services. We will continue to deepen the excellence in management, medical care, nursing, and humanistic services. Adhere to the bottom-line thinking of quality and strengthen all-round quality control. Adhere to the strategy of rejuvenating the institute with talents, adhere to the principle of party management of talents, promote the introduction and training of talents, and the reform of systems and mechanisms, and promote the construction of talent teams as a whole. Continue to carry out the construction of "Ping An Hospital". The new hospital was fully completed, forming a pattern of "one hospital and three districts", and successfully completed the relocation of the new hospital and the business adjustment of the three major hospitals. "Anti-epidemic and zero-COVID" strong responsibility. During the anti-epidemic period, the secretary of the party committee and the president of the hospital took the lead in commanding the "epidemic" area, and dispatched more than 200 multidisciplinary backbones to form a medical treatment team, a medical expert group, a hospital infection prevention and control group, a special care group and a comprehensive management team, and implemented the "111222" of "one assessment per day, one consultation per day, one inspection per day, two ward rounds per day, two reports per day, and two dispatches per day" Treatment measures, the combination of traditional Chinese and Western medicine precision treatment, to achieve one person, one diagnosis and treatment plan, and successfully achieve the goal of "dynamic zero" epidemic prevention and control. At the same time, we will do a good job in the prevention and control of the epidemic in Wuhan, Shanghai, Xinjiang, Hainan, Huaihua, Longshan and other places with high quality, and constantly polish the golden signboard of "people first, life first, and the people's hospital for the people" with responsibility and dedication. 
Health care reform "benefits people's livelihood." The party and government team of the Municipal People's Hospital has always adhered to the public welfare attributes of public hospitals, strived to build a platform for fulfilling social responsibilities, implemented hierarchical diagnosis and treatment, let high-quality resources sink, and actively implemented the decision-making and deployment of the Municipal Party Committee and the Municipal People's Government on medical reform. Zhonghu Township Branch opened remote ECG diagnosis business, and Wulingyuan District Hospital opened radiological remote diagnosis business, supervising the effective sinking of high-quality medical resources and alleviating the problem of expensive and difficult medical treatment for the people. Efforts have been made to improve medical services, strictly implement centralized drug procurement, reduce the cost of 404 varieties of drugs by more than 50%, implement the medical insurance price policy, standardize medical behavior, and promote hierarchical diagnosis and treatment in an orderly manner, effectively alleviate the problem of "difficult and expensive medical treatment" for the masses, and benefit the general public. Carry forward the strong style of medical ethics, pay close attention to the construction of party style and clean government and work style, go all out to build a clean and honest hospital, carry out two leading and five rectifications, medical ethics and centralized rectification of corruption in the pharmaceutical field, and take practical actions to assume social responsibility and transmit positive energy. Innovation and strengthening the hospital - to build the core competitiveness of the hospital's high-quality developmentIn the past five years, after basically realizing the strategic goal of "wide and comprehensive" diagnosis and treatment technology, the Municipal People's Hospital has turned to focus on "high-precision", continuously innovated diagnosis and treatment technology, released strong impetus with innovation, and started again at a new starting point, and achieved remarkable results. Many of the technologies developed by the innovation are at the leading level in the province and fill the regional gaps: the first to develop membrane lung (ECMO) technology in the city;The diagnosis and treatment of severe pneumonia, ARDS, severe asthma, severe pancreatitis, revision surgery after knee replacement and other diseases have reached the advanced level in the provinceArtificial knee arthroplasty, cervical vertebral 3D printing replacement, transcatheter aortic replacement, as well as non-cardiopulmonary bypass heart non-stop coronary artery bypass grafting, hypertrophic heart disease alcohol ablation, acute myocardial infarction ventricular septal penetration, ECOM+IABP support PIC surgery and many other domestic leading medical technologies, to fill the gap in medical technology in our city and even in Wuling Mountain area;Successfully implemented VA-ECMO** for patients with acute large-scale myocardial infarction and cardiac arrest, and successfully carried out laparoscopic pancreaticoduodenectomy, pulmonary artery thrombectomy and endarterial decortication under cardiopulmonary bypass, **tetralogy of Fallot** and minimally invasive right axillary small incision** congenital heart disease correction, etc., which was the first ...... in the cityEarnestly implement key livelihood safeguards, pay close attention to the construction of capacity for the treatment of acute and critical cases, and improve the capacity for emergency response and rescue of public health incidents. New technologies such as CRRT technology, artificial liver technology, intensive ultrasound technology, PICCO technology, and ECMO technology have filled the gap in critical care rescue technology in the city, realized the basic ICU technical capacity and full coverage of key technologies, and promoted the steady increase in the success rate of rescue of critically ill patients, and reached the advanced level in the diagnosis and treatment of severe pancreatitis, sepsis, ARDS, multiple injuries, poisoning and other diseases. It undertakes the centralized treatment of critically ill patients in the city, and the rescue of critically ill patients in public emergencies and critically ill pregnant women. 
Why can a municipal hospital have so many high-precision and cutting-edge technologies in multiple fields, and have achieved such dazzling results from the city and provincial capital hospitals where there are many masters?It's about innovation!In the past five years, the Municipal People's Hospital has gathered relevant scientific and technological forces, technological innovation has emerged in an endless stream, scientific research and innovation achievements have been fruitful, medical colleges and universities have in-depth cooperation, academic discussions and exchanges have been active, and medical education and research have gone hand in hand to support the hospital to move towards a high-quality development path. On September 6, 2022, in the thoracic and cardiac surgery operating room of the Municipal People's Hospital, the thoracic and cardiac surgery team completed the first case of "minimally invasive right axillary small incision ** congenital heart disease correction" in northwest Hunan under the great pressure of the difficulty coefficient and surgical risk several times that of traditional surgical methods, which was highly praised by the experts of Wanfeng's team at the operation site. This is also another important technological innovation and progress made by the Municipal People's Hospital in cooperation with Wanfeng Medical Group, a well-known medical team at home and abroad, since the "Oriental Wanfeng Heart Center" was officially settled in our city in March 2019. Hospital scientific research and innovation has become a trend. In the past five years, it has won 19 provincial scientific research projects and 22 municipal scientific research projectsHe has published 329 medical papers, including 13 SCI papersThe hospital has successively undertaken more than 100 scientific research projects at the national natural society, Wu Jieping society, provincial and ministerial levels, and municipal and departmental levels, and has won more than 20 provincial and ministerial science and technology awardsThe postgraduate training innovation base of Jilin University Medical College, the standardized training base for general practitioners and residents, and the professional and master's training points of Hunan Normal University and Jishou University have settled in the hospital, and Zhangjiajie Hospital affiliated to Hunan Normal University and Jishou University Teaching Hospital have also been listedIn 2021, it was approved as the Hunan Provincial Demonstration Base for Clinical Medical Technology Diagnosis and Treatment of Respiratory Diseases and the ** Convalescent Nursing Engineering Research Center for Respiratory Diseases. In the past five years, 256 business backbones have been selected in batches for further study at home and abroad, 1,305 backbones have gone out to participate in academic exchanges, and 56 medical personnel have become members of various professional committees at all levels in the national medical industry. 107 high-level academic lectures and exchanges were held, including the first Wulingshan Area Vascular Summit Forum and the provincial academic lecture on "Standardized Diagnosis and Treatment of Tumors at the Grassroots Level (Zhangjiajie Station)", etc., attended by well-known professors and experts from Beijing Fuwai Hospital of the Chinese Academy of Medical Sciences, the Third Hospital of Peking University, the East Hospital Affiliated to Shanghai Tongji University, and the Second Xiangya Hospital ......of Central South UniversityIn the dean's view, "the pursuit of dreams of 'high-precision' requires fertile innovation 'soil' and a carrier of scientific and technological innovation." In recent years, the institute has set up key discipline groups with the construction of leading disciplines as the core, integrated and optimized the allocation of scientific and technological resources, and provided continuous support for innovation from the source. Discipline Establishment - Strengthen the basic plate of high-quality development of hospitalsDiscipline construction is the basis for the core competitiveness of hospitals. The hospital identified the comparative advantages of the dislocation development of the hospital, and vigorously cultivated the construction of key and characteristic specialties, and invested more than 400 million yuan in the past five years to purchase 30T magnetic resonance, 64-row CT, mammography machine, oxygen generator and other high-precision medical equipment, relying on high-quality talents, to create a number of high-quality, distinctive key disciplines, give full play to the role of technology demonstration and radiation, and drive the comprehensive diagnosis and treatment capacity and level of the hospital to be greatly improved. Expand and strengthen the three major specialties of respiratory and critical care medicine, cardiovascular medicine and pediatrics, build and make good use of the "five centers", aim at the international and domestic academic frontiers, adhere to a high starting point, high level and extraordinary development, and achieve a comprehensive breakthrough in disease prevention, diagnosis and development. With the strength of the whole hospital, we will strengthen the brand building of national key clinical specialties and upgrade the "time-honored brand". Under the leadership of Lei Mingsheng, the discipline leader and chief physician Lei Mingsheng (MD, postdoctoral fellow, visiting scholar of Imperial College London, high-level talent backbone talent of Hunan 225 Talent Program, winner of ** special allowance), after 13 years of hard work, the Department of Respiratory and Critical Care was successfully approved as a national key clinical specialty construction project in 2022. The Department of Cardiovascular Medicine was successfully listed as a provincial provincial key clinical construction specialtyIntensive Care Medicine, Neurosurgery, Hepatobiliary Surgery, Urology, Neurology, Gastrointestinal Surgery, Anesthesiology, Laboratory Medicine, Orthopedics and other specialties are key clinical specialties at the municipal and provincial levels. The hospital has reached the advanced level in the province in the diagnosis and treatment of severe pneumonia, ARDS, refractory pneumothorax, severe asthma and other diseases, and the respiratory endoscopic diagnosis and treatment technology is unique, and it is the first to carry out membrane lung (ECMO) technology in the city, and the rescue success rate of critically ill patients is more than 95%. The construction of the five major medical centers has achieved remarkable results, opening up a green channel for life rescue. The Chest Pain Center has become a pilot hospital for the construction of chest pain centers in Hunan Province and a member unit of the construction of China Chest Pain Center, and the Stroke Center has been rated as an excellent member unit of the Hunan Stroke Alliance. At the same time, relying on the "five centers", we will deepen the advantages of specialties, give full play to the role of regional leading demonstration, and cooperate with 7 grassroots medical institutions in the jurisdiction to sign a joint treatment agreement to realize the sinking of high-quality resources, cultivate backbone talents for the grassroots level, and greatly improve the ability to treat acute and critical diseases in our city and surrounding areas. Talent rejuvenation - gather the source power of high-quality development of hospitalsTalent is an inexhaustible driving force for the development of hospitals, and the competition of modern hospitals is, in the final analysis, the competition of talents. In other words, the famous hospital must have famous doctors and forge a scientific research team that dares to climb the peak. Closely follow the fundamental selection of "top-notch". In order to pick genuine talents, the hospital invited medical authorities in the industry to evaluate talents, and the focus of the evaluation was all around "top-notch". In the past five years, the hospital has successively introduced 10 well-known experts and professors, 100 master's students, and 88 professional medical personnel in short supply, and created a good development space for them. At present, after years of exploration, the hospital's talent selection system has become more perfect and mature, forming a recruitment model of "talent" cronyism, so that many technical talents with real talents can be useful. Today's Municipal People's Hospital, after the survival of the fittest, the number of professional and technical personnel has increased by 24 compared with five years ago5%, including 348 with technical titles above deputy chief physician, realizing the allocation of old, middle-aged and young medical teams, constituting a reasonable and high-quality talent echelon. Adhere to the orientation of "competition" and employ people. "Any outstanding talent can only exert his greatest energy on the stage of competition." Under this guiding ideology, the hospital fully introduces competition and incentive mechanisms and implements quantitative management. Through competition, let the right people move to the right positions, and let young talents take on important responsibilities. In this competitive environment, the backbone of the hospital gives full play to the role of academic leaders and carries out more than 50 new technologies and new businesses every year. The introduction of competition has also brought about a change in the concept of medical personnel. In the past, the idea of "waiting, relying on, and demanding" has disappeared, and everyone regards the development of the hospital as their own business. Employees at all levels continue to learn, train, and recharge, and always keep pace with the times in terms of ideology and technology. Improve the performance appraisal and evaluation system, coordinate and promote the salary distribution system, give full play to the leverage role of the salary system, and further improve the internal performance distribution system of the hospital. Establish a performance evaluation system that coordinates efficiency, quality and cost, emphasizes actual performance and contribution, and tilts towards outstanding talents, key positions and clinical front-line, with diverse forms of independent and flexible performance, strengthens the secondary distribution and reporting of department performance, and further encourages officers to start a business. Establish a working mechanism for the leaders of the institute to contact and pair high-level talents, care about and attach importance to the cultivation and development of talents, actively promote the management methods of occupational pensions and talent apartments, implement the treatment of talents, and create a strong atmosphere of respecting and loving talents. Sail with the wind - think of the long distance and seek more than onceOn the desk of the Secretary of the Party Committee of the Municipal People's Hospital, there is such a long list of data: since 2018, the scale of the hospital has increased from one hospital and two districts to one hospital and three districts, and the area has expanded from 42,314 square meters to 233,39012 square meters, expansion 45 times more. The number of clinical departments increased from 57 to 71, and the number of beds increased from 1,099 to 1,410. The number of outpatient and emergency visits per year increased from 68610,000 to 73710,000, the number of hospitalizations increased from 50.99 million increased to 674.95 million visits, with a patient satisfaction rate of 95%. The number of employees also increased from 1,412 to 1,738. Data is a very compelling argument. Through these data, we can see the great changes in the business scale and medical service level of the Municipal People's Hospital, she has transformed from a small larva into a colorful butterfly with wings fluttering!In the face of the results, the pace of the hospital has never stopped. In 2023, the hospital is focusing on promoting one tackling, two reforms, and three constructions: using the strength of the whole hospital to promote the re-evaluation of the "top three" and the smooth acceptance of the construction of excellent service demonstration hospitals;Promote the reform of the medical insurance DIP payment system and effectively reduce the burden on patients;Promote the integrated reform of urban and rural medical care, establish Zhangjiajie Medical Group, and promote hierarchical diagnosis and treatment in an orderly mannerBuild clean hospitals, and carry out special rectification of the "four unreasonable" and other behaviors;Build excellent hospitals and high-quality development demonstration hospitals, and promote excellent management, excellent medical care, excellent nursing, and excellent humanitiesPromote the construction of key clinical specialties and medical centers, and strive to officially list national, provincial and municipal key clinical specialties such as respiratory and critical care medicine, cardiology, and urology. In the next 3-5 years, the hospital will further enhance its core competitiveness, vigorously expand its medical business, increase the construction of specialties, and build 1 national key specialty and 2 provincial key specialties15 doctoral students have been introduced, and 100 master's students have been introduced and trainedLet high-quality health services benefit thousands of households. With the strength of the good wind, it is the right time to set sail. The Zhangjiajie People's Hospital, which has transformed into a butterfly, has stood tall in the land of Xiangxi, shining brightly. Now, she is flying high in the strong wind of public hospital reform and embracing a more brilliant tomorrow!
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