SO Y TE DONG NAIB"¢NH VI¢N DA KHOA DONG NAI

' A-so;or /KH-BVE>KE>NC(>NG HOA xA H(>I CHU NGHiA VI~T NAM

D()c I~p - Tv do - H~nh phuc

D6ng Nai, ngay rf thangOLniim 2016

KEHOACH.Hoat d()ngB~nh vi~n nam 2016

I. TiNH HINH vA KHA NANG THVC Hl¢N KE HO~CH NAM 20151. Tinh hinh:

- Thuc hien chirc nang nhiem vu cua Benh vien Da khoa Tinh, la benhvien hang I theo xSp loai cua B9 y tS.

- Can cu cac cong van cua S& Y tS Tinh D6ng nai v€ phan b6 chi tieu kShoach su nghiep y tS, phan b6 chi tieu bien chS sir nghiep, giao du toan thu chingan sach nam 2015.

- Can cu kSt qua tlnrc hien kS hoach nam 2014.- Thuc trang Benh vien:

Benh vien duce giao chi tieu nam 2015 la 700 giuong benh n9i truva 200 giuong benh ngoai tru. T6ng s6 can b9 cong nhan vien chirc nam 2015la 1008 nguoi,

Benh vien c6 :* 1o phong chirc nang* 26 khoa lam sang* 09 khoa c~n lam sang

- Thuan lei:1. DUQ'Csir quan tam chi dao Sau sat CUacac cip uy Va chinh

quyen, d~c biet la UBND Tinh D6ng Nai va S&Y tS Tinh D6ng Nai.

2. Nghi quyet s6 37/2012/NQ - HI>ND cua H9i d6ng nhan dan' ' , , , ~

Tinh Dong Naive che d9 thu hut doi voi vien chirc nganh Y te giai doan 2012, - , r I '

- 2020 va che dQho tro doi voi vien chirc, nhan vien nganh Y te tinh Dong Naigiai doan 2012 - 2017 da giup Benh vien thuan loi hon trong viec thu hut nhanIve y tS chit hrong cao n6i chung va bac si'n6i rieng.

3. Ngoai chS d9 uu dai, thu hut cua tinh d6i voi bac si' va duce si'phuc vu tai tinh nha, benh vien con c6 cac che d9 uu dai khac nhu: Luongchinh huong theo qui dinh cua Nha mroc, hrong them tang rmrc thu nhap theoh~ s6 K cua benh vien d6i voi bac si, duce si. Bae si moi vS duce h6 tro10.000.000 d6ng h6 tro kh6 khan khi moi v€ benh vien, Ngoai ra cac khoakhong thu hut duce bac si' nhu khoa Phfiu thuat gay me h6i sue, khoa Huyet

hoc, benh vien co chS d(> h6 tro them l.OOO.OOOd6ng/thang trong vong 12thang.

4. Viec chuyen sang ca so benh vien rnoi co mot s6 thuan loi:- Ca sa ha t~ng benh vien duce thiet kS theo tieu chuan hien dai,

khang trang giup benh nhan diroc thoai mai tien nghi khi di dSn kham va diSutri tai benh vien. Casa hien dai ciing giup nang cao sir tin nrong cua benh nhanvao kha nang cua benh vien.

- Mot s6 trang thiSt bi hien dai vira duoc trang bi nhu may CT.Scanner 256 lat cit 2 d~u bong, may SPECT, may tim phoi nhan tao tai gnrongECMO ...se tao diSu kien cho benh vien trien khai nhieu ky thuat chan doan vadiSu tri hien dai, nang cao chftt luong kham chtra benh cua benh vien.

- Kho khan:1.o khoi A (Kh6i nha nha mroc): Benh vien duce giao chi tieu 800

gitrong kS hoach nhung do nhu c~u diSu tri noi tru cua benh nhan tang cao,hien s6 giuong thuc ke la 1.119 gitrong do do co sir qua tai vs nhan hrc.

2. Mot s6 chuyen khoa con thieu bac si' nhu : N(>ikhoa, Giai phftubenh do cac cac bac si' nghi viec de di lam viec 6 noi khac hoac khong co bacsi'di hoc chuyen khoa.

3. Mac du da co nhieu uu dai, nhung s6 hrong bac si thu hut dirocvfin chua dap (mg duce nhu c~u hien nay va cho Benh vien moi. Do tinh hinhchung cac phong kham, benh vien tu moi thanh l~p va co su chenh lech vS thunhap, cac bac si' nghi viec ra phong kham, benh vien tu trong khi benh vien dacho di dao tao b6i duong chuyen men nghiep vu.

4. Viec van hanh toa nha voi nhieu trang thiet bi hien dai nhu thangmay, may lanh trung tam, co chi phi cao gftp nhieu l~n ca so benh vien cfi gaynen ganh nang vS tai chinh cho benh vien.

5. Bao hiem Y tS thuong quyet toan cham, thanh toan cho benhvien cham, gay kho khan cho benh vien trong viec thanh toan hop dong voi caccong ty cung irng thuoc va v~t tu y ts.

2. K~t qua tlnrc hi~n nam 20152.1. Cong tac chuyen mon:

Cong tac khdm b?nhSo N(>idung chi tieu Don I KE

v] HO~CH2015

Thirc I THhi~n 9T/2015

Q4/2014

TH2015

soSANH

' ' l 'QLJ __§.9_~~~-~~~-~~~h --~~-J?.?.9 ..99.QL__??9'-X~}__J§?! ..9?.}L_~?_1_.._!?~.-IJ~?:9.4_~

__Q?_J ~2~..-~h-~!!i._~!!1__ . L :: L_~Q1_9..9-9_J~?2l?.:.?J_JJ.1?.?4_J_1 __?._4,_?.??_J_~?'._?.?._~_

<,•

··'

o.~JN()i Tieu h6a J - _j_lQ!Q_Q_Q__[ 13,322 I 39,121 J_ 52,4~_-LU:!:~l~-

_()5 .l t<9i_:r)_fr ~- __.- ___ _ _ -=--- __5_(),QQQ_ __ , 5~~?,QQ_1__4-6-11_?.9 .....---~.!~~-?.?..........._!}~_:2?_~--

_Q§__[__Ng~-~i_Th~~~i~---------------- ---=--_~~QQQ__ ?~J?..~:_Q_Q__ 1_7,~81 26, 11_2___ J?._9-:6-Q_~o__

07 I Ngoai Chan thirong chinh hinh 30,000 I 10,589.00 I 40,661 I 51,250 I 170.83%

08 I Ngoai Tong Quat 20,000 I 7,756 I 23,021 I 30,777 I 153.89%

09 ..l__Ng~_~_i_I~~!_.!1i~~---···--···-···--···-···-·--·······-···--·--···l-···-··-·=·--··-·-J!?.~QQQ l ?_?._?~Q--··-·······J·1~,_?~.7__l J_6-1.?9?.J J..!_l__}?_~o._J_Q__L_!.ig~~Ll2_!1_g_~_t.!~-----------------L __ :_ __LJJ.2Q9..Q__L__4_?_7.~?.J L6-1ll3__Ll!1!2~----L--J:!Q:?..?._

..JJ_J J~~l!g_!!~!!!_M~! ---=-- _!~'-QQ9 ?_?.1~?. jl.?.&7-~- l?_,.Q_!_5-_.....f.J?._Q:!9-~ ..-

12 Mat . -=-- 15,9_9_Q_ J~,795 _j__l5, 73~ !~?..53j__L!?.:!J_~~-

13 Da li~u . .: J_5-1Q_QQ ?.-1~~~---- 13,30.~ __j_J_~~~?.JJ?._~:5-J_~_

........1.4.J Y....h-2£ ~~---!~!:IY.~_!1 -··-···--·-···-·--··-···--···-·---·=---- - _?.?.~QQ9 J.~1?..Q.?_____}?~6-?1 4_6-~5-24___?1·-7~-~--____l_~L__~Q.\l~_li~--~h~-~1!~&___________ _ ::______!5-'-Q_QQ ?~22-~---_20, 6;??.__----~6-~2??.__ 17-7.:_5-?_~_

!6-J __~~p_g~_!-~~g_H..S!.P J __:: J4.Q'-Q_Q_QJ____!_.Q1?.:?L__L_?.~~-?.?..6-L_4_~1~?.?.__J _!?._~J?_~17 I San 70,000 22,684 70,096 I 92, 780 I 132.54%

Cong tac chiea b?nh

I KE Is6 N()idung chi tieu Don vi HOACH SOSA.NHI wTT (phan theo Khoa) tinh NAM2015 INAM2015 TH/KH%1 s6 Ian kham benh Lfui 550,000 610,266 110.96%2 se giuong diSu tri n9i tru Giuong 700 940 134.29%3 se benh nhan diSu tri n9i tru Lfui 45,500 66,870 146.97%4 TS ngay diSu tri noi tru Lfui 255,500 343,096 134.28%5 Ngay dieu tri TB 1 BN n9i tni Lfui 7 5.31 75.86%6 Ngay s/d giuong n9i tru Lfui 30 40.84 136.13%7 Cong su~t s/d giirong n9i tni Lfui 90 134.28 149.20%8 s6 benh nhan chuyen vien Lfui 0 2,443

9 s6 benh nhan nr vong Lan 0 268

10 Ti l~ nr vong Lftn 1.20 0.40% 0.33%

11 T6ng s6 Ph~u thuat Lftn 17,000 21,845 128.50%. M6 phien 8,600 9,004 104.70%. M6 d.p CUu 8,400 12,841 152.87%

12 T6ng s6 Thu thuat Lftn 36,000 44,183 122.73%

13 Sf>lftn t~p phuc h6i chirc nang Lftn 120,000 121,498 101.24% .

14 Sf>lftn cham CUu Lftn 12,000 43,987 366.55%

15 S6 lftnnao thai KHGD Lftn 1,800 1,880 104.44%

16 se d~t vong Lftn 1,100 692 62.91%

17 s6 triet san Lftn 120 154 128.33%

18 T6ng s6 nguoi sanh Nzuoi 10,500

19 Chup XQ Lftn 120,000 144,956 120.80%

20 CT Scan Lftn 12,000 12,904 107.53%

21 MRI Lftn 6,000 3,456 57.60%

22 Sieu am Lftn 100,000 140,587 140.59%

23 Di~n tim Lftn 60,000 88,528 147.55%

24 N()i soi Lftn 15,000 20,927 139.51%

25 T6ng s6 xet nghiem Lftn 5,600,000 7,130,939 127.34%. Huyet hoc - 3,800,000 4,240,904 111.60%. Vi sinh hoc - 50,000 59,552 119.10%. Sinh hoa - 1,750,000 2,830,483 161.74%

II. XAY DUNG KE HOACH 2016Thuc hi~n muc tieu. chftt hrong cua benh vien la "TAT cA vi Slf HA.I

LONG CUA BENH NHAN vA NHAN VIEN BENH VIEN" la uu tien hangdftu. Phftn dftu dat rmrc chftt hrong 3,5 theo xSp hang cua B9 Y tS. Tirng buocxay dung cai tiSn chftt hrong huong toi muc tieu dat chuan JCI.

1. Thuc hi~n cac chi tieu chinh nam 2016:1.1. Kham chtra benh :

Ke hoachCong suftt giirong benhT6ng s6 hrot kham benh

Trong d6:s6 hrot kham Tay YS6 hrot kham YHCTTS ngay diSu tri n()i tru

: 800 giuong: 90%: 650.000

585.00065.000

292.500

1.2. Cong tac dan s6- KHHGD:- s6 ca sang 19c tnroc sinh- s6 ca sang 19c sau sinh- se nguoi d~t dung cu Urcung- Dinh san- Thuoc tranh thai

+ Thuoc uong+ Thuoc tiem

- Bao cao su

: 10.000 ca.: 7.200 ca.: 500 nguoi.: 140 nguoi.: 110 nguoi: 100 nguoi: 10 ngiroi.: 500 ngiroi

1.2.Cac ky thu~t Himsang va c~n Himsang d\f ki~n tri~n khai 2015Lam sang:

- DiSu tri suy thirong th~n man- DiSu tri sa sut tri tu~- Tao hinh than song bang cement qua da- Phfiu thuat u nao san so, duong gitra, hd sau.- Phfiu thuat tim ha: Phfiu thuat tim diSu tri thong lien nhi

Phfiu thuat tim diSu tri thong lien thitPhfiu thuat tim sira van 2 la

- C~t da day, nao hach qua rn)i soi.- Phfiu thuat c~t tron tuyen giap- DiSu tri buou ac tuyen giap bang I phong xa- DiSu tri cac loai ung thu bang xa tri trong- DiSu tri cac loai ung thu bang xa tri ap sat- M9t s6 phfiu thuat n9i soi nang cao trong San phu khoa- Phfiu thuat nang san chau trong diSu tri sa sinh due

Can lam sang:· - Cac kYthuat than kinh:

+Chup dong mach nao s6 hoa xoa nen.+Chup va nong d9ng mach chi (tren, duoi) s6 hoa xoa nen.+ Chup va d~t stent diSu tri hep dong mach ngoai so (canh, ddt

song) s6 hoa xoa nen.+ Chup va nut di dang thong d9ng tinh mach mang cirng s6 hoa

'xoa nen,+Chup dong mach chu s6 hoa xoa nen,

- Cac kYthuat tim mach:+ Chup, nong d~t stent dong mach vanh,+ Bit 16 thong lien nhi, lien thit, con dng d9ng rriach bang du,

nong van 2 la, d9ng mach phoi.+D~t bong d6i xung d()ng rnach chu.+ E>~tmay tao nhip tim vinh viSn.+ E>~tmay khir rung tim.+Cac kYthuat chan doan tren may SPECT-CT. SCANNER

- Cac .ky thuat nieu khoa:+Do nieu dong d6+ Do ap Ive bang quang

- Cac .ky thuat sieu am:+ Sieu am thai danh gia sue khoe thai (sieu am doppler dong

mach nao, gitra, dong mach tu cung, dong mach r6n)+ Sieu am khao sat hinh thai thai.+ Sieu am tim qua thuc quan,+ Sieu am tim gang sue voi dopamine.+ Sieu am doppler xuyen SQ.

- Do di~n nao d6 gi~c ngu,- Cac .ky thuat xet nghiem:+ Xet nghiem Cortisol mau+ Procalcitonin+ Tim khang thS khang nhan ANA.+Dinh hrong Anti- dsDNA+Djnh hrong bb thS C3,C4

1.3. Cong tac tB clurc b<)may:Benh vien da khoa D6ng Naida tuyen tuong d6i du bac si, tuy nhien

chua tuyen duce cac bac sl chuyen khoa Giai phfiu benh, Huyet hoc, Hoa sinh,Vi sinh va phfiu thuat gay me h6i sue. Cac clnrc danh khac nhu DiSu dirong,Nir h9 sinh, Ky thuat vien ... da du chi tieu nen chi tuyen dung bb sung chonhan vien nghi huu (Dinh kem phu luc)

Nang cao nang Ive chuyen mon bang each tang cirong dao tao tai ch6,cling voi viec cu can b9 di dao tao ngin han, dai han.

1.4 Cong tac dao tao :- Dao tao lien toe:+Tb ~hue cac khoa dao tao lien tuc cho Bae si, DiSu du5ng cong tac

tai benh vien va cac ca so Y ts tren dia ban tinh.+ Phong DiSu dirong tham gia cong tac dao tao cho DiSu duong trong

Tinh theo kS hoach dao tao lien tuc cua So Y tS.

- Lien k~t dao tao:DH Y Duce TP HCM:+Dao tao chuyen khoa Ngoai, Sancho h~ lien thong.

Chuyen khoa cdp I h~ ngoai,Truong Cao d~ng Y tS Dong Nai :+Cu nhan DiSu du5ng+Dieu du5ng trung hoc+ Duce sI trung hocTruong DH Cong nghe Dong Nai:

+ Dao tao DiSu du5ng.

Truong Trung d.p Bach khoa Binh Duong:+ E>iSudu5ng Trung hoc.+Duce si' trung hoc.

2. Chi d~o tuy~n va phong b~nh:Thuc hi~n d~ an 1816 va chuyen giao kYthu~t2.1.J.Tiip nh~n cdc kj thu~t chuyin giao tit tuyin tren:- Nut mach dieu tri ung thu gan (TACE)- Chup va nut mach diSu tri cac mach mau phci, tU cung, mach mau

ngoai bien ... (TAE).- Chup va can thiep ID?Chvanh.- Phau thuat tim ha.

Chuyen giao goi ky thuat theo dS an benh vien v~ tinh voi Benh vien Chody va Benh vien Ung buou TP HCM.

Cac ky thuat chuyen giao cho tuyen duoi,

2.1.2. Cong tac chi tltJotuyin duoi:- Thirc hien kS hoach chi dao tuyen nam 2016 vS 2 chuyen nganh ngoai

khoa va san khoa- TiSp nhan dao tao can b() cho tuyen diroi theo yeu d.u nhu : n()i soi

chan doan, sieu am chan doan ...

2.1.3. Phong b?nh:- Co kS hoach phong chong cac loai dich benh, tham gia h6 tro tuyen

duoi khi co yeu cau.- S~n sang (mg pho voi cac tinh huong thien tai tham hoa- Phong lay nhiem cheo trong benh vien, nhiem trung benh vien.- Phong benh nghe nghiep cho CBVC va nguoi lao d()ng trong benh

vien,

3. Ng~ien ciru khoa hoc:To chirc nghien ciru khoa hoc va dong vien cac Khoa, Phong dang ky

cac dS tai NCKH, t6ng kSt diSu tri, sang kien cai tien.

4. Hop tac qu&c t~ :- Tham gia Dµ an: "HB tro h~ thong y ts - Hop phan 2.1" do Quy toan

ciu phong chong AIDS, Lao va S6t ret hB tro.- Tham gia nghien ciru quoc tS: Nghien ciru "Anh huong cua Dioxin len

su phat trien thin kinh tre em" voi Dai hoc Kanazawa (Nhat ban).- Ph6i hop voi cong ty AstraZeneca triSn khai nghien ciru SIGMAl la

nghien ciru pha III nham danh gia hieu qua va tinh an toan cua Symbicort abenh nhan Hen phe quan tir 12 tu6i tro len.

- Ph6i hop voi cong ty AstraZeneca trien khai nghien ciru OLYMPUS langhien ciru pha III nham danh gia hieu qua va tinh an toan cua Rosadusat trongdiSu tri benh nhan benh than man tinh chua 19c mau,

- B6 tri va tao diSu kien thuan loi cho tinh nguyen vien Nhat ban va tinhnguyen vien Uc lam viec tai Khoa Phuc h6i chirc nang theo chirong trinh hoptac voi Nhat ban (TICA) va T6 chirc Scope Global (Uc).

5. Kinh t~ y t~: (Dinh kem bao cao va phu luc Phong Tai chinh kS toan­Phong Hanh Chanh Quan Tri - Phong V?t tu y tS)

vs cong tac tu chu tai chinh: benh vien thirc hien nghiem tuc, dam baocac nguyen t~c vS tai chinh theo thong tu hien hanh da duce ca quan thanh trakiem toan danh gia ca ban don vi thuc hien t6t.

T6n tai : khung gia vien phi duce ap dung theo Thong tu 03/2006 vaThong tu 04/2012 chua phu hop voi tinh hinh thuc tS hien nay.

6. Cong tac tri~n khai cac khoa phong mOi:- Phong Cong tac xa hci.- Khoa Phfiu thuat Tim-L6ng nguc.- Khoa N9i T6ng hop

7. Giai phap thuc hi~n :a. Cong tac ta ctucc :

-Tang cuong cong tac kiem tra khoa, phong benh vien vs chS d9chuyen mon ls 16i lam viec.

- Xay dung doan kSt nhat tri trong n9i bo, sir hop tac trong cong tac,d§.ymanh viec thuc hien nSp song c6 van h6a trong Benh vien.

- hue hien t6t Quy che dan chu trong heat d9ng cua Benh vien, quychS chi tieu n9i bQ.

- Duy tri va d§.ymanh phong trao thi dua, thuc hien t6t cac chi tieu cuthS vs Y due, cac quy che Benh vien va thuc hien chi tieu kS hoach Benh vien.

- Thirc hien t6t cong tac t6 chirc, khen thirong va kY luat trong don vithirong xuyen, d9t xuat nharn khich l~ tinh th~n cong tac cua cac ca nhan, t?pthS xufrt sac,

- T6 clnrc phat d9ng phong trao thi dua chao rmrng cac ngay lS 16ntrong nam.

- Cham lo t6t vS doi song v?t chfrtva tinh th~n cho can b9, vien chirc vanguoi lao dong,

b. Niing cao au« ki¢n vJ CO' SU hfl tang, ruing l{fC chuyen miin, ciingtac phuc Vfl ngutri b¢nh va nguon nhiin life:

- Nghien CUu cai tiSn cham s6c ph1,1Cvu ngtroi benh: tiSp donnguoi benh, phuc vu nguoi benh khong c6 than nhan, dua nguoi ~~nh tan t~t dikham benh ...

- Tang cirong lien kSt dao tao, chuyen giao ky thuat jv6i cac ca sadao tao trong va ngoai mroc d~c biet la cac kY thuat cao nhu ghep tang, lieu

, , - ,..., , ,1 ?

phap te bao goc, phau thuat tim ho, cac loai phau thuat xam Ian toi thieu.- Tang cuong thu hut nguon nhan lire chftt hrong cao tir cac dia

phirong khac bang cac che d9 dai ng9 xirng dang.- Tang cuong cong tac dao tao voi nhieu hinh thirc: d~o tao chuyen

nganh, dao tao lien tuc, dao tao tai ch6, dao tao tu xa.- Lua chon can b9 tiSp tuc dao tao vS chuyen mon, ngoai ngir, quan

ly benh vien,

c. Cdc giai phiip kinh ti:

- TiSp nhan va SU dung co hieu qua cac nguon von.- Diy manh va nang cao chftt hrong hoat d9ng, tang cuong kiSm tra

giarn sat cua t6 quan ly thu va quan ly chi.- Thirc hanh tiet kiem chong lang phi.

Tren day la KS hoach hoat dong cua Benh vien Da khoa E>6ngnai, cac

khoa phong can cu chirc nang nhiem vu va kS hoach tren, t6 chuc trien khai

thuc hien tai khoa phong minh. Trong qua trinh thirc hien hsu co vuong

mac dS nghi bao cao Giam d6c dS co huong giai quyet, --iit

Nai nhljn:- Ban giam d6c;- Cac khoa/phong lien quan ;- Luu:VT, CDT.