UBND TINH NINH THUAN CONG HOA XA 1401 CHU NGHiA VIVI' NAM Y TE

Doc 14p - Tu. do - Hunh pink

S6:02,5)9 /BC-SYT

Ninh Thucan, ngdy4,,,tthang 7 nam 2017

BAO CAO Ket qua thtic hien nhiem vu cua Nganh 4 6 thing dAu nam,

trong tam cong tic 6 thing cad dam 2017

Thuc hien Cong van s6 2125/VPUB-KGVX ngay 10/7/2017 dm Van phong Uy ban nhan dan tinh ve viec chuLi N n9i dung giao ban 1c6t qua thuc hien nhiem vu 6 thing nam 2017 cua khoi van h& - xa h9i, Si Y to bao cao ket qua thuc hien nhiem vu cua Nganh Y to 6 thing dau nam 2017, cac ton tai, khO khan va phuicmg !ming nhiem vu 6 thing cuoi nam 2017 nip! sau:

PhAn thti. nhat

KET QUA THU'C HIEN NHIEM VV 6 THANG DAU NAM 2017

A. KET QUA DAT DI NC

I. Ong tic y to thy phong

1. Tinh hinh cac benh gay dich va cac bien phfip phong cheng

So Y to cla tham muu Uy ban nhan dan tinh ban hinh Cong van s6 647/UBND-KGVX ngay 01/3/2017 ve tang cueing cong tic phong chOng dich benh teen dic ban tinh; Ke hoach so 899/KH-UBND ngay 20/3/2017 ve viec phang, ,ch6ng benh Cam ,A (H7N9) nguiYi ten ctla ban tinh; xay dung va tri6n khai Ke hoach phong chong Sot xuat huyet tinh Ninh Thu4n nam 2017; giam sat cac benh truyen nhiem gay dich, d'a'c.biet Sot xuat huyet, Tay chin ming va Zika tai cac cc( kham chua benh; to chirc phun hoi chat diet muoi, diet Fang quang tai cac thou, xa có nhieu benh nhan va muoi truyen benh gia tang nham

AA khong che khong de sot xuat huyet lan Kong; to chuc tuyen truyen tren Dai Phat thanh Truy'L hinh tinh, Bao Ninh Thu4n, Website va 0 Thong tin Y te, truy'n thong & ca sa thong qua N thong truyen thanh. To chirc Doan kiem tra cong tic phong, chong Sot xuat huyet va benh do vi rut Zika tai cac cia phuang.

Trong 6 thing d'au ram phat hien 253 twang hop mac so't xuat huyect, giam 26% so vpi ding kS, (342 tnrong hop); phat hien 228 truaTig hop mac Tay chin ming mac, giam 1,7% so yen ding kST (232 truemg hop); Tieu chay 732 truemg hop, giam 52,7%; benh Ly 40 truing h9p, giam 74,8%, chua c6 twang hap tir vong do cac benh ten. Chua Oak hien twang hop mac cac logi Cam A.

D6i voi ,benh do vi rat Zika: Viet Nam, B9 Y 4 chi ghi nh4n c6 mot so trokig hop mac benh rai rac. Tai Ninh Thuan, B'emh vin Nhiet Dori thanh pho HO Chi Minh thong bao c6 trithng hgp &rung tinh vii vi rut Zika (ket qua xet nghiem ngay 29/4/2017): Benh nhan nu, clang mang thai, la tong nhan may tong

nghiep, tam till tai phuemg Binh Hung Ma, quail Binh Tan, thanh ph8 H8 Chi Minh, benh nhan nay c6 N khau thu.;mg tril tai Phuemg My Dong, thanh pho Phan Rang - Thai) Cham.

2. Ket qui thirc hi0 chwang trinh mac tieu Y to - Win so

2.1. Phong, chang mot so benh có tinh ch& nguy hi 'AM clai vai cong clang

Phong ch'ing S6t ret: Ttmg s6 lugt dieu tri sot ret 1.196, giam 42,9%; ski benh nhan sot ret 57 truong hop, giam 65,5%; kST sinh trUng sot ret (+) 52 tnremg h9p, giam 66% so vai cong kST.

Phong ch6ng Lao: Thu dung dieu tri 351 truong hop lao cac the, giam 17,2%, trong do co 199 benh nhan lao ph8i AFB(+) mai; quan 1ST dieu tri la 740 benh nhan; dieu tri lanh 189 benh nhan AFB(+) mai.

Phong ch8ng Phong: T8'ng s6 kham de phat hien benh Phong la 17.820 ngued, phat hien 02 benh nhan mai, giam 2 benh nhan so vai ding kST; tong so benh nhan phong dang quan 1ST la 211 truemg h9p, so benh nhan da h6a tri lieu 05 benh.

Cham sac sirc khoe tam thin cong d6ng: Sii benh nhan Tam thin phan liet (TTPL) mai phat hien: 04 benh nhan; dang quan 1ST \TA dieu tri on dinh 707 benh nhan. So benh nhan Ong kinh mai phat hien la 34 trueing h9p dang quan 1ST 934 benh nhan, dieu tri on dinh 925 benh nhan, dat 99%.

2.2. Tiem chUng ma rang

Tiem chimg diy du 8 benh truyen nhiLl cho 5.795 tre &raj 1 tu8i, dat 48,5% ke hoach ca nam; tiem UV2 cho 4.563 phu nil c6 thai, dat 45,9% ke hoach; tiem UV2 cho 2.561 phu nu 15-35 tu'oi, dat 22,9% k6 hoach.

2.3. Cong Mc Cham soc slic khoe sinh san via cal thin tinh trong dinh duZeng tre em

Cham soc six khoe ,sinh san: T8ng,s8 phu nil co thai la 5.158; So phu nil de 5.639 ngued. Trong so phy nu de: so dugc quan 1ST thai 5.441 nguiyi, dat 96,5%; so kham thai du 3 lan/3 kST 4.833 nguiyi, dat 85,7%; so dirge nhan vien y t6 da qua dao tao da 5.622 nguiyi, dat 99,7%; so de tai co. se y to 5.571 nguori, dat 98,8%; so dugc tiem du lieu uon van soy sinh 4.923 ngueti, dat 87,3%; so dugc cham soc sau sinh 4.844 nguefi, dat 85,9%.

Icing s6 lin kham phu khoa 29.672, trong do c6 18.693 ngued dieu tri phu khoa, chiem 63%; so phu nu nao but do ver ke hoach 391, tang 15,7% so vai cong kST.

Tai bin san khoa: 03 ca', giam 06 ca so vai ding Ick; khong c6 true:mg hop dr vong me. So tre dugc sinh ra song 5.625, so vai ding kST so tre sinh ra giam 4,8%. Ty suit tir vong tre em clued 1 tu8i: 1,1%o, duai 5 tu6i: 2,1%0 (so lieu

1 Trong do: 02 truong hop bAng huy6t sau sinh, 01 truong hop uiin van soy sinh. 2

thong ke chwa cfdy d ).

Cai thiOn tinh trong dinh dufing tre em: So ire so sinh dugc can 5.603, dat 99,6%,tong so tre ra song; so tre so sinh duai 2500 gram la 246, chiem 4,4% tong so tre so sinh dugc can.

Giam sat cac mo hinh diem va hoat d6ng dive hanh dinh duotg va trao d6i b6t dinh duotg; diau tra cu6i kST va cham soc dinh du`Ong va an ninh luong thuc h6 gia dinh tai 2 xa thuc huyen Bac Ai va Thuan Bac.

2.4 Cong tac phong, chijng HIV/AIDS

Giam sat 6.088 truong hop, phat hien 07 trubmg hop nhiem HIV, giam 03 truong hop so cong kST; 07 truong hop chuyan sang AIDS, 05 truong hop td vong; 156 truong hop dugc,dieu tri ARV, 37 trulsong hop dang dieu tri nghien cac chdt clang thuocphin bang Methadone. Tinh tir 1995 den nay, toan tinh c6 454 truong hop nhiem HIV (nam 314, nit 140), cluyan sang AIDS 320 truong hop, tir vong do HIV/AIDS 187 truong hop. So nguili nhiem HIV hien con song va dang duct quan 15, tai dia phuong la 267 nguO. (trong cho c6 134 truong hop chuyan sang AIDS). Tynhiem HIV/AIDS trong cong &Ong hien tai la 0,04%.

2.5. Cong tac an toan thuc phiim (ATTP)

Trian khai cac hoat d6ng tuyen truyan ve cac bien phap bao dam an toan thuc pham teen cac phuong tien thong tin dai chung trong dip Tet Nguyen Dan va "Thang hanh d6ng vi an toan thuc phdm" nam 20172. Phan ph6i 19.100 to. gdp, 144 ap phich, 83 dia VCD,va 150 dia CD ve ATTP cho So. Thong tin va Truyen thong, SO Van hoa The thao va Du lich, Bao Ninh Thuan, Dai Phat thanh Truyen hinh tinh, Trung tam Truyan th•5ng Giao due sdc khoe, Phong Y to va Trung tam Y to cac huyen, thanh pho de tuyen tuyen tai dia phuong.

Phi hop SO Cong thucmg, Soy Ming nghiep & Phat trim nong thOn to chirc 11 lap tap hudn kien thdc quan ly va ATTF cho Ban Chi dao lien nganh ATTP va can b6, cong chirc, vien chi:re lam cong tac quan ly ATTP tai tuyen huyen, thanh ph6 va tuyen xa, phuong vai 576 nguoi tham

T6 chdc 146,doan3 thanh, kiam tra lien nginh tai 4.004 co so san xudt, kinh doanh, che bien thuc pham, k6t qua c6 3.311 co s& dat diau kien ATTP (chi6m 82,7%).

Co 01 vu ng6 d6c thuc phdm tai beta an gia cinh, bang voi ding k-ST, ved 04 nguOi mac, khong co truong hop td ,vong, nguyen nhan nghi do thdc nhiem vi sinh vat (khong lay dugc mau kiem nghiem do khong can mau).

T6 chirc danh gia va xac nhan kin thdc va _eiTTP cho 146 ngued. Cdp 57

2 Tren Dai Phat thanh truyen hinh tinh: 43 luqt ban tin, 12 pholg set, 07 ph6ng van; 02 bai vitt ten Bac) Ninh Thuan va Bao dien ter NTO; 04 bai vitt tren to Th6ng Y 4 Ninh Thulan; 2.171 luqt tuyen tuyen tren loa ghat huyen, thanh ph6 va xa, pinning; treo 133 tai bang kin, Ichau hieu ve ATTP.

3 Tinh: 02 doan; huyen, thanh ph& 14 doan; xa, plinkmg, thi trAn: 130 doan. 3

Gidy thing nh'an co s6 du dieu kien ATTP (tuyen tinh cap mai 18 gidy; huyen, thanh phO cap mai 39 gidy);40 Gidy xac nhlan cong 136 phi hop quy dinh ATTP va 23 Giay tiep nha'n cong bo hop quy.

2.6. Cong tac. Dan so va Ke hoach hcia gia clinh

Trinh UBND tinh ban hanh De an tiep tic ddy manh ding tie Dan s6 va Ke hoach h6a gia dinh tinh Ninh Thua'n giai loan 2017 — 2020 (Quyet dinh so 12/2017/QD-UBND ngay 14/02/2017); Ke hoach trier' khai thkre hien cong tac Dan so va Ke hoach hoa gia dinh tinh Ninh Thu'an nom 2017 (Ke hoach s6 1811/KH-UBND ngay 17/5/2017).

Tren co sa cac De an, Ke hoach UBND tinh, Se! 'Y to xay chmg Ke hoach thuc hien De an tiep tic day,manh cong tac Dan so va Ke,hoach hod gia dinh tinh Ninh Thuan nom 2017, Ke hoach trien khai thuc hien De an Mem soil mat can bang giai tinh khi sinh tinh Ninh Thuan nom 2017 trien khai cho cac don vi to chirc thuc hien.

Trong 6 thong ddu ram 2017, da to chirc ra soot sap xep dOi ngii cong tac vien dan so co so.; duy tri cong tac Van dOng, truyen thong KHHGD, chi trong vao cac cap vo thong trong do tiled sinh de; thu thap thong tin tir phi8u thu tin ca nhan theo 118 va cap nhat vao kho du lieu dien tir; phan phoi phtrang tientranh thai cho cac don vi, boo dam day du, kip thai cho doi tuong thuc hien, ket qua co 41.459 cap vo ch6ng ap dung Nen phap tranh thai hien dai, slat 88,6% k6 hoach. Tap huan kien thirc, ky nang tuyen truyen ve cong tac Dan so - Ke hoach h6a gia dinh cho chuy8n tranh va cong tac,vien dan so cac huyen, thanh ph& Trien khai khao sat, danh gia thuc trang ve mat can bang giai tinh khi sinh tai 21 Tram Y to xa, phtrang, thi tan va 07 Trung tam Dan so,- Ke hoach boa gia dinh huyen, thanh pho; k8t qua khao sat cho thay tST giaa so tre trai va so tre gai khi sinh la 109 trai/100 gai (trong giai han cho phep <113/100); chtra phat hien tinh tang nao, pha thai nham lira chon giOi tinh thai nhi.

Phi Nip voi Trtrong Chinh tri, Trtrong Cao ding nghe, Trueing Cao clang su,pham,Ong Trung cap Y to long ghep not dung ve giai, binh dang giai va mat can bang gi6i tinh khi sinh vao chuong trinh ciao taocua cac Truarng. Phoi hop voi Sa Thong tin - Truyen thong to chirc thanh tra, kiem tra, giam sat cac co se kinh doanh va phat hanh cac loai sach bd.° trong viec thuc hien cac quy dinh ve giai tinh khi sinh cua phap lulat nham ngan ch:an va xir 1$, nhang hanh vi vi pham.

II. Ong tic kharn china benh- phut hoi chirc ming

1. Ket qua khan' chira benh

1.1. C "Ong tac kham chria bOnh tai tuyjn tinh

BOnh vin Da khoa tinh: Kham chfra benh 182.781 lugt benh, dieu tri not trii 24.615 hrort benh, chuyen tuyen 2.789 hrot benh, chiem 1,5% s6 ltrot kham chita benh, cong suat sir dung gitrong benh 102,4%.

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Benh vien Lao va Benh Phai: Kham chila benh 3.019 luot benh, dieu tri not tit 767 luot benh, chuyL tuy6n 129 luot benh, chi6m 4,3% so luat kham chira berth, ding suat sir dung gitrOng benh 100,5%.

Benh vien Y cluvc ca truysen: Kham chira b,4rth 13.863 luot benh, dio'&1 tri not trit 436 luot benh, cong suat six dung giuOng benh 94,8%. Thirc hien 12.155 luot dieu tri y hoc co truyen nhu diencham, xoa b6p bArn,huyet, gide hai, thily cham, giam 16%; 15.782 luot phuc bed. chirc nang (keo nan, keo dab cot song, b6 Parafin, tap van d6ng toan than, tap van d(ing chi, dien xung, h6ng ngoai...)

Benh vien Mat: Kham chila benh 9.466 lircyt benh, di'eu tri not trig 1.421 luot benh, s6 nguoi m6s due thily tinh the 1.287 ngoai.

1.2. Gong tac kham china benh tai cac benh vien tuyin huyen

Benh vien DKKV Ninh 5012: Kham chira Nnh. 32.110 lugt benh, dieu tri not trit 5.984 luot benh,chuye'n tuyen 2.012 loot benh, chi6m 6,3% so blot kham chira benh, cong suat sir dung giuong berth 89%.

Benh vien huyen Ninh Phwor: Kham chira berth 59.807 blot benh, deeu tri not tit 2.956 loot benh, chuy6n tuy& 1.014 luvt benh, chi6m 1,7% so KRA kham chita benh, cong suat sir dung giuong benh 72,5%.

Benh vien huyen Ninh Hai: Kham chfla benh 59.690 luot benh, di'eu tri not trit 2.132 loot benh, chuye'n tuy6'n 1.995 luot benh, chi6'm 3,3% s6 lucrt kham cheta benh, cong suat sir dung giuong benh 83%.

Benh vien huyen Thudn Bac: Kham chira benh 16.059 luot benh, dieu tri not tit 873 luot benh, chuyen tuyen 1.177 'trot berth, chiem 7,3% so luot kham chita benh, cong suat sir dung giuong benh 88,1%.

2. Cong tac Bao hiem y to (BHYT)

Tham muu UBND tinh ban hanh Quye't dint- s6 19/2017/QD-UBND ngay 09/3/2017 v'e viec Quy dinh clang kS7kham berth, chi:1u benh ban du va chuyen tuy'n kham benh, chila benh BHYT ten dia ban tinh Ninh Thuan. Trie'n khai img dung dog nghe thong tin trong quart 15, kham chita,benh va thanh town bao hiem y to nam 2017. Phoi hop Bao hiem xa h6i tinh tham dinh vuot qu'y, vuot tan chi phi kham, chtla benh bao hiem y to (KCB BHYT) va kiem tra dog tac KCB BHYT nam 2016.

Hien nay, teen dia ban tinh Ninh Thuan c6 19 co so y to hop d6ng KCB BHYT4, t ST 1e bao phit BHYT dat 83,26% dan s'65 (511.836 nguei/612.059 ngu6i), trong Quy 1/2017 c6 318.429 luot benh than kham chila benh BHYT

4 Bao 05 ca sO• tuy6ii tinh, 14 ca sS tuy6n huyen va tuang &rang (trong ctO có 01 Phong kham da khoa to nhan, 01 phOng y to ca quan). Ngoai ra con c45 cac phang kham da khoa khu vtrc va 60/65 Tram y to xa, phueng tham gia KCB BHYT thong qua hop dtmg gifta Trung tam Y to cac huyen, thanh phi) vai BHXH tinh. 5 S6 lieu cOa BHXH cac huyen, thanh pho tinh den 30/4/2017, trong d•S: PRTC dat 79,43%; Bac Ai dat 99,85%; Ninh San 94,94%; Ninh Hai 80,53%; Ninh Phirac 82,53%; Thu4n Nam 73,48%; Thucin Bic 87,22%.

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(ngoai tric 297.673 luot benh, not trio 20.756 loot benh)6.

MO't s6 thorn d6i urging tham gia BHYT dat ti le con thAp: hoc sinh, sinh vien dat 79,37%; so ngoai lao dOng thuc kh6i doanh nghiep ngoai qu6c doanh tham gia BHYT chi dat 33,77%, con thap so vai chi tieu UBND tinh giao dam 2017 la 55%. D6i tugng ho gia dinh tham gia BHYT dat 49,64%, giam 2,17% ngoai so vai dam 2016 (51,81%).

3. Cong tic Phuc hOi chtk 'tang cltra vac, cong ding

Chuang trinh phuc hoi chirc nang dua vao cong dong dugc trier' khai tai 65 xa, phuang. Hien Bang quan 1ST 4.950 ngoai khuyet tat (2.863 ngued khuy6t tat ye van Ong, 384 ngued khuyet tat ve giac quan, 322 ngoai khuyet tat not va nghe, 514 nguen khuyet tat ve nhan thirc, 642 ngueri, khuyet ve hanh vi, 225 ngoai khuyet tat khac), trong do có 1.983 ngoaikhuyet tat ve van Ong da hem nhap cong d6ng, chi6m 69,3%.

4. Ket qui thkrc hien De an 130h vien ve tinh va De an 1816 tai Benh vie') tinh

4.1. De an B0nh vien v0 tinh

UBND tinh phe duyet De an benh vien ve tinh giai loan 2016-2020 ved cac chuyen khoa: San, Nhi, Chan thuang chinh hinh, Tim mach can thiep7.

Benh vien Nhi D6ng 2 thanh ph6 f113 Chi Minh ciao tao 01 Bac si, 02 Di'eu duong ve hoi sire so, sinh; ho try phau thuat 01 ca nang 6ng mat cho va 01 ca tac to tang. Benh vien Chan thuang Chinh hinh thanh pho HO Chi Minh ciao tao 02 Dieu duong ve cham sok benh nhan hau phau Hoi sire ngoai; ho try phau thuat cho 01 ca thoat vi dia dem cot song co 02 tang va 01 ca truot dot song that lung.

Benh vien Dai hoc Y aux thanh ph6 H6 Chi Minh ciao tao 02 Bac si ve dinh huong benh l$, tim mach va ho try Benh vien da khoa tinh chop va dat stent mach vanh; tinh den nay, Benh vien da chop mach vanh cho 184 benh nhan va dat stent cho 91 benh nhan.

4.2. 1.1'‘e an 1816

Benh vien Rang Ham Mat Trung uang thanh ph6 WO Chi Minh thuc hien 04 dgt chuyen giao ky thuat chinh nha (60 ca) va cay ghep Implant (thuc hien 02 ca vai 05 don vi Implant). Benh vien Mat Trung uang thanh pho Ho Chi Minh chuyen giao ky thuat mo duc thily tinh the yang phuang phap Phaco, da mo 91 benh nhan. Benh vien Ung Buou thanh pho Ho Chi Minh chuyen giao ky thuat doc va xir 13'7 mo (ky thuat ve giai phau benh), cid thuc hien cho 94 benh nhan.

Benh vien Nhan Dan 115 thanh ph6 H6 Chi Minh thuc hien 02 dot chuyen giao ky thuat floa tri lieu ung thu.

6 s6 lieu cua BHXH tinh.

7 Tai Quyet dinh s6 28/QD-UBND ngay 09/01/2017 dm UBND tinh.

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5. DOi mei phong cach, thai cho phuc vu cia can bi) y te

Thuc hien Ka hoach hanh d6ng s6 495/1(1-1-UBND ngay 18/02/2016 dm Uy ban nhan dan tinh Ninh Thuan va "D6i mai phong cach, thai d6 phuc vu cua can b6 y to huang tai su hai long dm nguOi bena" giai clop 2016 — 2020 va Cong van so 756/UBND-KGVX ngay 08/3/2017 dm UBND tinh ve viec chu dOng xay dung ke hoach d6t pha nam 2017, So Y to da xay dung Ka hoach so 954/KH-SYT ngay 29/3/2017 va nhiau van ban huang clan trien khai den cac clam vi trong Nganh flap tuc the hien not dung doi mai trong nam 2017. Den nay, cac don vi da kie'n town Ban Chi ciao, phan cong nhiem vu cho cac thanh vien; xay dung ke hoach chi tiet de trien khai; tap huan nang cao 1Cyr nang giao tiep, img xir cho can b6 y te; cung co cac don vi cham soc "khach hang"; tiep tug thvc hien,16 trinh thay &Si trang phuc y te cho cong chirc, vien chdc, ngtrOi lao dOng y te theo quy dinh cua B6 Y te; tiep tvc trien khai that hien De an "Tiep sac ngued benh trong benh vien", ding CO va ma r6ng mang lucid D6i thanh nien tinh nguyen "Tiep sue ngued benh"; ha' o dam truc duang day nong 24/24; cung co, duy tri va hoan thien horn thu gap cr.

De danh gia kat qua that hien Ka hoach har_h dOng "D6i mai phong cach, thai d6 phuc vu oh can bo y te huang tai su hai long cila nguoi benh", theo quy dinh cac benh vien to ,chirc khao sat danh gia mu: d6 hai long cua ngued benh tren,he thong,truc tuyen B6 Y te dinh kST 3 tilting, 6 thang, Ca nam. Y te da to chirc kiem tra, danh gia viec that hien " Doi mai phong cach, thai d6 phuc vu dm can b6 y te huang tai su hai long cim ngueci benh" va danh gia ca y te " Xanh - Sach - Dep" theo B6 tieu chi B6 Y te ta_ cac don vi kham china benh. Ket qua:

- Va D6i mai phong each thai d6 phuc vu: Benh vien Lao — Benh phi dat xuat sac, Benh vien da khoa tinh dat loai kha, c4c benh vien khac dat loai tot;

- Va co so. Xanh- sach- Benh vien da khoa tinh, Benh vien Lao,— Benh phoi, Benh vien da khoa khu vac Ninh San, Benh vien huyen Thuan Bac dat loai tot; Benh vien Y.dugc truyen, Benh i huyen Ninh Phtrac, Ninh Hai dat loai kha, khong kiem tra Benh vien Mat vi sang sua chira.

III. Quin 1ST duvc, Giam dinh

I. Quin 157 Duvc

Ti chat dau thu thu6c tap trung nam 2017 :clang xet thAu).

Tham mtru UBND tinh ban hanh Ka hoa:th so 1955/KH-UBND ngay 25/5/2017 va' "Chian lugc qu6c gia phat triers nganh Dugc Viet Nam giai loan den nam 2020 va tam nhin den nam 2030 tai tinh Ninh Thu4n".

Ban hanh Quyat dinh s6 1528/QD-SYT ngay 15/5/2017 va viec phe duyet Danh 'nue thuoc tan dugc, thuoc dugc lieu, thuoc co truyensir dung tai Trung tam Y te huyen, thanh pho va tai Tram Y te xa, phuong, thi tan.

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2. Giam dinh

Giam dinh kha !fang lao dOng 59 ca, giam dinh tai nan lao dOng 45 ca, giam dinh thuong tat, chat dOc h6a h9c 09 ca.

Giam dinh phap y thuang tich 77 ca, giam dinh phap y to thi 73 ca, giam dinh tinh due 07 ca, giam dinh tir thi ten ho so 04 ca.

IV. Truyen thong giao duc sure khk

Trong 6 thang da thuc hien 52 tan truyen thong giao duc sue khoe teen Dai Phat thanh - Truyen hinh Ninh Thuan, 30 lan truyen thong giao duc sire khoe tren Bao Ninh Thuan, 120 lan truyen thong tren Bao dien tir Ninh Thuan, phat hanh Ban tin y te cua nganh 01 so/thang, va nhie'u krat truyen thong gido due six khoe qua he thong phat thanh cua huyan, xa va tai cac Tram Y te. Chu de truyen thong gido duc sue khoe da dang, baogom: ph6ng chOng dich benh, huang dan xa 1ST cac benh thuOng gap, ph6ng Chong tae hai thuoc la, an toan ve sinh thkrc pham va ng0 dOc

Thuc hien phong skr, dua tin .v." vi& nang cao chAt hrong kham chira benh cua Benh vien Da khoa tinh, neu guong nguari tot, viac tot...

V. Cong tic to chtic — can bi)

1. Cal each to chtic bk) may hanh chinh nha ntrk:

Tip lam viec voi Doan cong tac Dai biau Quoc hOi tinh Ninh Thuan ve giam sat thkrc hien chinh sach, phap luat ve cai each to chirc b0 may hanh chinh nha nuac nganh Y to giai doan 2011 - 2016.

Trinh UBND tinh 110 so trinh Hoi d0ng nhan dan tinh ban hanh Nghi quyet diau chinh mot so not dung trong Quy hoach phat trian he th0ng y te tinh Ninh Thuan giai doan 2011-2020 ban hanh kern theo Nghi quyat s6 31/2011/NQ-HDND ngay 14/12/2011 dm HDND tinh Ninh Thuan.

Tham muu Uy ban nhan dan tinh ban hanh Quyet dinh quy dinh chirc Wang, nhiam vu, quyen han va co eau to chirc, bien the cua So Y te8; Quyet dinh phe duyet De an thanh lap Trung tarn Klein soat benh tat tinh Ninh Thuan9; Quyet dinh thanh, lap Trung tam Kiem sok benh tat tinh Ninh Thuanl°; Quyet dinh phe duyat De an sap nhap, Berth vien Phuc hoi chuc nang vao Barth vien Y dugc co truyen11 , Quyet dinh to chirc lai Benh vien Y ducyc co trpyen teen co se'r sap nhap Benh vien Phuc hoi chirc nang vao Benh vien Y duerc co truyen tinh12.

, Ban hanh cac Quyet dinh quy dinh chuc nang, nhiem vu, quyan han va co cau to chuc dm the don vi true thuOc Soy Y te.

Day manh vi4'c phan cap quan 1ST nha nu& theo Quyet dinh s6 96/QD-

8 Quy4I dinh s6 05/2017/QD-UBND ngay 16/01/2017 9 Quyet dinh so 98/QD-UBND ngay 21/4/2017 I° Quyat dinh so 99/QD-UBND ngay 21/4/ 2017 II Qu54t dinh so 100/QD-UBND ngay 21/4/2017 12 Quyet dinh s6 101/QD-UBND ngay 21/4/2017

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UBND va Quy6t dinh so 49/2012/QD-UBND ngay 11/9/2012 dm Uy ban nhan dan tinh.

2. Xfiy dtmg va nang cao chat luvng c of ngii can bk), cong ak, vien

2.1. Ve vi tri viec lam va ca cau cong chic, vien chirc:

, Can cir chirc nang, nhiem vu, ca to chirc va ngach cong chirc, ca cau vien chirc theo chirc danh nghe nghiep, cac dan vi trong nganh da bo.tri, sap x6p nhan luc,theo vi tri viec lam gan voi chuc nang, nhiem vu trong tong bien ch6 dtrac cap c6 tham quyen giao. Xay ding Ban mo to cong viec va Khung nang luc vi tri viec lam cac dan vi hanh chinh trong toan nganh.

Dang kST nhu cAu nang ngach cong chirc nary_ 2017 giri Soy N6i vu.

2.2. Myr hien cac quy dinh ve quan ly can 0, cong cherc, vien cherc:

2.2.1. Ve cong tow tuyen dung:

Tham muru Uy ban nhan dan tinh tip nh4rk, be') tri cong tac d6i vii sinh vien tot nghiep Dai hoc chuyen nganh Duac si, he chinh quy, dien dao tao theo dig chi sir dung ye cong tac tai khoa Dirac Benh vien da khoa tinh.

Ban hanh Quyk dinh cong nWn kk qua x et tuy'n vien chirc y to nam 2016 cila Trung tam Y to huyen Thu4.'n Bac. Thorn dinh nhu eau gang kST xet tuyen vien chirc dam 2017 cac dan vi true thu6c.

2.2.2. cong tac quy hogch, cling, b nhiem, lutin chuyjn va „ chuyen cloi vi tri cong tac:

Trinh Ban Throng vu Tinh usr, Ban T6 chtfc Tinh uST & S r N6i vu tinh Ninh Thub de nghi phe duyet b8 sung can b6 quy hoach Lanh dao See Y to giai doan to nay den nam 2020 va Lanh dao cac dan vi truc thu6c SO Y to dien Ban can su Dang UBND tinh quan lST giai doan den 2020; de nghi phe duyet quy hoach can b'6 du ngu6n chirc danh Lanh dao So Y t6 nhiem kST 2020 - 2025 va nhfing nhiem kST tiep theo va cap Truang, pho cac don vi truc thu6c Soy Y to dien Ban can su Dang UBND tinh quan 1ST nhiem kST 2015 - 2020, quy hoach can b6 du nguon nhiem kST 2020 - 2025 va nhUng nhiem kit tffep theo.

Tham mtru Uy ban nhan dan tinh ban hanh Quye't dinh b6 nhiem, b6 nhiem lai 20 chirc danh Trtrang, pho cac don vi true thu6c13.

13 B6 nhiem Giam d6c, Ph6 Giam doe Banh vien Mat; Ph6 Giam dOc Banh vien Da khoa tinh; Chi cvc twang Chi cvc Dan s6 - Ke hoach h6a gia dinh; Chi cvc truing Chi cic An Wan Vo sinh thuc pham.

B6 nhiem lai Giam d6c, Ph6 Giam doc Banh vien Y duqc c6 truyen, Tnmg tam Phap Y, Trung tam Giam dinh Y khoa, Trutmg Trung cap Y t6, Banh vien da khoa tinh, Trung tam Y 4 Thuan Bac, Trung tam Cham soc sirc khoe sinh sin.

Dieu dOng, b6 nhiem Giam dc, Ph6 Giam dOc cac don vi gift chirc vv ?h6 Giam dOc Trung tam Kiem soat banh tat, Pho Giam doc Banh vien Y dugc co truyen, Ph6 Hiau Owing Trutnig Trung cap Y to;

Phan cong Pho Giam dtc phi trach ditu hanh cac don vi: Trung tam Phap Y, Trung tam Kiem soat banh tat, Trung tam Kiem nghiam Duqc pham - my pham.

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Ban hanh Quyet dinh b6 nhiem chirc danh Ke toan truemg (02 ngueri) va van ban phan cong phu trach ke toan cac don vi truc thuc (02 ngueri).

D6ng y di'eu d6ng, b6 nhiem, b6 nhiem lai cac chirc danh: Truang, ph6 the khoa phong cua cac don vi tnyc thu6c (62 nguoi).

2.2.3. Ye dai mai cong tac quan ly can b0, cong

Tip tuc to chirc trien khai Luat can bo, cong chum, vien chirc; tiep tuc d61 mai co the quan 1}:f phir hop vori timg doi tucmg can b6, cong chfrc, vien chirc; thuc hien viec tuyen dung, sir dung quan 1$T can b6, cong chirc, vien chirc theo huorng phan cap manh cho cac don vi su nghiep; tiep tuc cai tien not dung, quy trinh, quy the danh gia can b6, cong eh& hang nam; tat ca can b6, cong chirc deu c45 SO tay cong vu va Quyet dinh phan cong nhiem vu, tham quyen, pham vi giai quyet cong viec.

, Ban hanh o hoach day manh trien khai thuc hien tinh gian bien ch6 va c cau lai d6i ngir can b6, cong chirc, vien chirc theo Nghi quyet so 39-NQ/TW ngay 17/4/2015 dm B6 Chinh tri nham nang cao hieu qua thuc hien tinh gian Men the theo Nghi dinh so 108/2014/ND-CP cua Chinh phu, ke't qua cu the: 17 vien chfrc dugc tinh gian bien ch6 06 thang dau nam 2017 va dang trinh 04 truong hop tinh gian bien the 06 thang cuoi nam 2017.Danh gia phan loai can 136 cong chirc, vien chirc q4 I, q4 II nam 2017.

2.3. Cong tac ciao tao, bai (hang can be) y to

2.3.1. Cr cong chuc, vien chi:cc di hoc:

Cir ciao tao chuyen mon tai Truag Dai hoc Y dugc Hu& 03, Bac si chuyen khoa II, 02 Bac si chuyen khoa I; tai Truemg Dai hoc Y dugc Can Thu: 09 Bac si da khoa, 01 Dugc si dai hoc, 01 cir nhan. Boi clueing kien thirc QLNN chuong trinh Chuyen vien chinh: 02 nguari, Chuyen vien: 05 ngueri; boi, &fang kien dirk quoc phong va an ninh tugng 3: 03 ngueri; tap huan kien thirc nghiep vu doi ngoai: 03 ngueri. Cu vien chirc du thi tai Truong Dai hoc Y dugc Hue: 05 Bac si da khoa, 03 Bac si Y hoc du phong; tai Truerng Dai hoc Y dugc thanh ph6 H6 Chi Minh: 02 Bac si chuyen khoa I.

Dang ky cong chirc, vien chirc tham du khoa hoc: Cao cap 15, luan chinh tri: 02 ngueri; Trung cap 1S, luan chinh tri: 05 ngueri; Boi dtrO'ng kien thirc QLNN chucmg trinh Chuyen vial: 35 nguiyi.

2.3.2. Gong tac ciao tgo tai Truang Trung cap' Y

Dao tao 02 lop Y si da khoa (01 lop 80 hoc vien, 01 lop 60 hoc vien) va 02 lOp Dugc si trung cap (01 lop 80 hoc vien, 01 lap 78 hoc vien).

Ph6i hgp vai Truemg Dai hoc Tra Vinh ciao tao 02 lop Cir nhan Di&J &fang (01 lop 107 hoc vien, 01 lop 165 hoc vien), 01 lap Cir nhan Y to Cong cong (45 hoc vien), 01 lop Cir nhan Xet nghiem Y hoc (42 hoc vien).

T6 chirc tuyen sinh lop Y sy (Y to hoc &tong).

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3. Thirc WO quy the dan chit: Trong ding tac quan 1y dieu hanh c6 sit phan cong cu th6, ro rang; cac

don vi deu ban hanh quy the lam vi&, quy ch8 ve noi quan he gifra chinh quyen va cong doan. Lanh dao don vi dua vao sit phan cong va quy the lam vic de dieu hanh ding vic. Chi tieu ngan sach dua vao ::.dc van ban dm Nha ntrac va quy the chi tieu not b6 oh don vi.

Vs to tuong chinh tri: Trie'n khai hoc tap va lam theo to Wang, ciao due, phong each HO Chi Minh, trier' khai thuc hi4L Chuang trinh hanh Ong dm UBND tinh ye thuc Nghi quy6t so 04-NQ/TW dm BCH Trung uang Dang kh6a XII tang cuong xay dung, chinh d6n Ding; ngiin chart, day liu sit suy thodi ve to Wong chinh tri, dao dire, loi song, nhitng bieu l*n "tit din bien", "tit chuyen hoa" trong not b6. Khong c6 bi6u hien suy thodi to tuong chinh tri, dao due loi song; khong vi pham nhang dien Dang vien khong ducyc

Ve cong tac can b6: Khong vi pham nguyer_ tae tap trung dan chit, khong c6 bieu hien d6c doan, chay chuc, chay quyen. Khong vi pham cac quy dinh cua Dang ye cong tic can b6.

Ve trach nhi@n nguoi dung du va m6i quan he cong tic: Bao dam nguyen tac tap the lanh dao, ca nhan phu trach. Phan cong nh*n vu day dit, ro rang, dieu hanh cong viec theo quy che,da. dugc ban hanh. Bao dam moi quan he giita ngu6i dung dau co quan va tap the l'anh dao don vi theo dung quy dinh cua Dang va Nha nuoc.

4. Cong tac An ninh — Quoc phong:

Xay dung Ke hoach s6 1235/KH:SYT ngay 21/4/2017 to chirc thuc hien Nghi quyet Trung 'fang 8 (khoa XI) ye chitin luac bao ve To quoc trong tinh hinh mui. Tiep lam v* voi Doan ding tac Thant,. tra Quoc phong Quan khu 5 ve thuc hien Nghi dinh 119/2004/ND-CP ngay 11/5/2004 cita Chinh

Ra sok kien toan D6i to ve co quan, bao cto danh sach cong chdc, clang vien thuc doi tuong 4 chua tham gia hoc boi &rang kien thirc quoc phong. PhOi hop voi COng an phong chay chita chay tap huan cong tac phong chay chika chay cho toan nganh.

5. Cong tac thi dua - khen thtrerng: Phat d6ng thi dua thuc hi4'n nhi*n vu nam 2017, to chirc ky k6t giao uOic

thi dua dam 2017 gitta cac cum thi dua trong ngard..

Dang kS/ thi dua thuc hien nh*n vu, chi tieu dam 2017 gui B6 Y t6 va UBND tinh. Giai thi'0 di6'n hinh thi dua yeu nu& nam 2017, g6m 06 tap th6' va 06 ca nhan.

Phat dOng thi dua "Toan dan tham gia bao dam teat to an toan giao thOng" dam 2017; thi dua "Ca nuot chung tay vi ngued ngheo - Khong de ai bo lai phia sou" trong cong tac giam ngheo den nam 2020"; thi dua pito bien giao duc phap

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Huang clan khen thirang ding tac dan van chinh quyen, phong trao thi dua toan dan bao ve an ninh to quoc, cong tac doi ngoai... va so ket cong tac thi dua khen thuorng 6 thang dau nam 2017.

VI. Cong tic a cfich hinh chinh

Cac thu tuc hanh chinh cua So Y to &roc niem yet cong khai, quy dinh cu the thoi gian giai quyet va phi, le phi cho tang thil tuc. Trong 06 thang dau nam BO phan "Met cu a" cid tiep nhan 91 ho so ye linh vac kham chira benh, da giai quyet 77 ho so, 14116 so con trong th6i gian giai quyet. Sa Y to dac6 C6ng van so 1713/SYT-VP ngay 29/5/2017 de nghi Sa Th6ng tin va Truyen thong cap nhat va bo sung 24 thil tuc teen dich vu ding tivc tuyen mac dO 3 va cap nhat ten website nganh. To chirc ki8m tra ding tac cai cach hanh chinh tai 21 don vi tnrc thu0c, qua kiem tra cac don vi thuc hien tot cong tac cai cach hanh chinh.

Trion khai Van phong dien tir trong quan 1y, xir VT van ban, thuc hien ket not thong tin glib So Y to vai UBND tinh, BO Y.te va cac Sac ban, nganh ten dia. ban tinh qua cac phan mem quan VT van ban dieu hanh cua UBND tinh, BO Y to (TD.Office, V.Office); trien khai trong toan nganh viec, va nhan Cong van qua thu din to cong vu tinh va trier' khai chUng thu so.

T6 chirc thuc hien Chi thi 05/2008/CT-TTg cua Thu tuang Chinh pha ve viec nang cao hieu qua sir dung theri gier lam viec dm can b0, cong chtirc, vier' chirc nha nuac; Chi thi s6,57-CT/TU ngay 03/9/2014 oh Ban Thuerng vu Tinh fly Ninh Thuan ye viec chan chinh le 16i lam viec, tang cuerng kSr,luat, kSr cuong hanh chinh doi vai can NI, clang vien, cong chuc va can b0, chien si lac lucrng vii trang teen dia ban tinh; Quyet dinh so 23/2016/QD-UBND ngay 09/5/2016 cua Chu tich Uy ban nhan dan tinh ban hanh quy dinh trach nhiem thuc hien k-Sr luat, kSr cuong hanh chinh cua can b0, ding chirc, vien chuc tren dia ban tinh Ninh Thuan; Chi, thi 24/CT-UBND ngay 10/10/2014 dm UBND tinh Ninh Thuan ye viec chan chinh le 16i lam viec, tang cueing lcSr luat, kSr cuong hanh chinh doi vai can 1)0, Dang vien, cong chirc va can b0, chien si lac lirong vu trang ten dia ban tinh.

Trion khai Quyet dinh s6 100/2016/QD-UBND ngay 26/12/2016 oh US, ban nhan dan tinh ye viec ban hanh dinh mac phan, bo va chi cac khoan chi thuerng xuyen thuc ngan sach tinh, huyen,thanh pho, xa phirong thi tan nam 2017 va huang dan cac don vi trvc thuc to chirc thuc hien du toan ngan sach nha nuat ram 2017.

Ban hanh Ke hoach s6 1296/KH-SYT ngay 26/4/2017 ve tri .6n khai chuong trinh thuc hanh tiet kiem, ch6ng lang phi trong toan nganh giai loan 2016-2020.

Trion khai thuc hien Nghi dinh s6 16/2015/ND-CP ngay 14/02/2015 dm Chinh phu quy dinh co the to chu dm don vi su nghiep cong lap, (fang tiled tiep tuc thuc hien Nghi dinh so 43/2006/ND-CP ngay 26/4/2006 ciia Chinh phil Quy dinh quyen to chu, to chiu trach nhiem ye thuc hien nhiem vu, to chirc 130 may,

12

bien ch6 va tai chinh cloi vai dan vi su nghiep ding lap.

Tri6n khai thvc hien Thong tu lien tich s6 3//2015/TTLT-BYT-BTC ngay 29/10/2015 quy dinh thcing nhdt gia dich vu kham chfla benh bao hi .em y t6 gifra cac benh vien ding hang tren town quoc.

VII. DAu tir co' so. vat chat

De an Phat tri'en Benh vien da khoa tinh len benh vien hang I, quy mo 1000 giuemg giai doan 2016 — 2020: DA trinh UBND tinh De an Xay dung khoa Kham chira benh theo yeu eau tir nguon „von vay (Benh vien da khoa tinh lam chu dau tu); De an xay dung khoa NOi Tong hop va cai tao khoa Gay me — Hoi sirc hien chiva thvc hien dugc do chua xac dinh duce nguon von.

, Dv an xay mai Benh vien Y dugc c'6 truyan (do Benh vien Y dug c c truy8n lam chil dau tu): dang thvc hien ap gia den

, Bang thi ding nang va met ring Tram Y topinremg Dong Hai, Tram Y to xa An Hai, Dv an nang cap he thong xir VT chat thai fan y to va be chira nu& thai du phong tai Benh vien da khoa tinh.

VIII. Cong tac thanh tra, giai quyet khieu nai to cao va phong chOng tham nhiing

1. Cting tfic thanh tra An town thwc pham

Thanh tra 4.004 ca so san xudt, ch6 bin thvc phArn, có 3.312 co so. dat (chi& 82,7%), 692 co ser khong dat (chiem 17,3%)14.

Kim nghiem cac chi tieu vi sinh va hoa 1S728 mau thvc phAm, kk qua: 21 mau dat, 03 mau khong dat (cai not co du lugng thuoc bao ve thvc vat thuOc nhom Lan him co va Carbamate vugt mire cho prep va 02 mau nrgu yang nho c6 ham lugng Ethanol khong phu hop k-y thuAt QCVN 6-3:2010/BYT hoc khOng phu hgp vai tieu chuan cla cong bo ap dung) va 04 mau da c6 ket qua kiem nghiem nhtmg dang xin Sf hen chi ciao cila Cvc ATTP. Test nhanh 452 mau thvc pham, kat qua: 05 mau khong dat'5.

Phat tien 20 co so vai tong so tien 55.050.000 d6ng16 va dang xem xet xix 1S, 02 co sa; nhac nh& 670 co sa, tieu hi:1y thvc phatm tai 43 co so..

2. Ctmg tac tiep cong dan Nth giii quyet khieu nai

14 Tuyen tinh: 70 ca sa, 51 ca sa dat chiem 72,9%; tuyOn huyen, thanh ph6: 671 co kr, 509 co so dat chiem 75,9%; tuyen xa, phu&ng, thi trAn: 3.263 co sa, 2.752 ca sa dat chiem 84,3%. 15 04 test c6 ham luting methanol trong nrau gao vugt ngutmg quy dint va 01 test duang tinh han the/cha ca (di xa tieu hay tai ch8). 16 Doan thanh tra tuyen tinh phat den 12 ca sa vai so tiOn phat la 49.650.000 cong do khong c6 giay chang nhan ca sa du diet' kien ATTP hoac het hieu luc, giAy chfmg nhan du sac kbee; dieu kien ve sinh ea ser, dieu kien bao quail thuc pham khong bao dam ATTP, kinh doanh thuc pham chua c6 h6 sa ding b6, san xuAt nruu yang c6 ham luqng Ethanol thap han mac cho phep. Doan thanh tra tuyen huyen, thanh phO phat tien 08 co sO. \fed s6 tien phat la 5.400.000 ding do sir ding ngutri lao Ong tiep )(tic thkrc pham khong c6 giay cluing nhan dir sac Ich6e; san xuat, kinh doanh thuc pham khong bao dam ve sinh ATTP, mang, mac trang phuc bao h0 khong day da va kitting de rieng thuc pham sting, fink an chin. Hien 17/19 ca sa da chap hanh nip tiOn phat tai Kho bac Nha nu& vai s6 tien 37.800.000 dung.

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Cong tac tip cong dan: khong c6 dan an phan anh, khie'u nai, to cao.

Tip nhan,xU15, dan thu phan anh, to cao: Khong c6 clan & cm k ,truoc chuy sang. Trong tie)) nhan 01 dan phan anh va 01 dan to cao thu6c tham quyen giai quyet oh So Y te. Soy Y to da giai quyet dan phan anh theo dung quy dinh cua phap luat, nguoi phan anh &rig tinh yeti ket qua giai quyet.

IX. Xi hoi hoa cong tfic y 4 I. Y to fir nhan

Da tharn dinh cap mai theo Thong to 41/2015/TT-BYT" dm B6 Y 153 giay phep hoat d6ng kham benh, cheta benh, trong do: 04 phong kham da khoa, 139 phong kham chuyen khoa va 10 ca se( dich vu khac.

Benh vien to nhan Sai Gen - ,Phan Rang dang to chic tuyn dung nhan luc, du kien di vao hoat &ling vao cued nam 2017.

Tri6n khai phOng tiem chUng dich vu chit lugng cao tai Trung tam Kim soot benh tat do cong ty co phan Y to AMV Group thut hien theo tinh than hop tic ding — tu.

2. Khan' chi-12 benh nhin dao va cac hoat Ong tir thien

2.1. Hopi &Ong tinh nguyen ctia Hei Thily thuac tre

Van,d6ng cac nha hao tam h6 try kink phi, thu6c to chirc kham chila benh va cap thuoc mien phi nguOi dan ngheo vimg sou, yang xa, vUng kh6 khan.

Nhan dip mimg Dang — ming Xuan 2017, H6i Thy thutic tre tinh ph6i hop vai Trung tam hoat Ong Thanh thieu nien tinh to chic hanh trinh ve nguon nam 2017, da tham, tang qua va kham benh, cap phat thu6c ,cho 150 nguori gia neo,don, gia dinh chinh sach tai xa Phuac Binh, huyen Bac Ai; kham benh, cap thuoc mien phi va tu van sue khoe cho 100 ngtrOi cao tuoi (tir 70 tuoi tra len) tai 02 than VTnh Hy, CAu Gay, xa VTnh Hai, huyen Ninh Hai.

Phi hyp vai 116i Bao try benh nhan ngheo tinh va Doan bac si Benh vien Dai hoc Y Dugc thanh pH> HO Chi Minh to chic kham sang 19c benh tim barn sinh cho tre em tir 0 den 18 tuoi va nlyang trueng hop da mO hoac tai kham benh tim barn sinh.

2.2. Cac hopt d'Ong tir thien khac

Tip tic duy tri cac B6p an tir thien tai: Benh vien Da khoa tinh, Benh vien Lao - Benh Phoi, Benh vien Da khoa khu vuc Ninh San, Trung tarn Phong chong Benh xa h6i, Trung tam Y to huyen Ninh Phu&c, Trung tam Y to huyen Ninh Hai (nhan cam tir Benh vien tinh).

17 Thong ttr so 41/2015/TT- BYT ngay 16/11/2015 cila BO Y 4 v'6 sira doi, be sung mOt se dieu cua Thong ttr se 41/2011/tt-byts ngay 14/11/ dm BO truang BO Y 4 htrOrng dAn chimg chi hanh nghe doi vai ngtr6i hanh nghe va cap giAp phep hoat dOng doi vai co. sa kham china benh.

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B. MOT SO KHO KHAN, TON TAI

1. Trong ho#t ging chuyen mon

)'LT auk cua ngub:i dan ve phong chking dich b8nh, v8 sinh moi truemg va ve sinh an town thuc pham con nhieu han che.

Trong cong tdc an town thus ph"din: NhiL 116 kinh doanh thuc phdm nho, le va thirc an cluing pho chua hieu va thuc ,hi8n eimg phap luat ATTP. C6n mot so ca se, xuat, kinh doanh thuc ph:dm chua thuc hiL tot cac quy dinh cua Nha nuac ve ATTP nhu: chua c6 giay chang nhan ca s6 du clieu kin ATTP, gidy tie'p nhan cong b,6 hop quy/cong 136 Oil hop quy dinh ATTP, gidy xdc nhan kiL thirc ATTP, giay kham sire khoe chc ngu&i lao d'Ong.

2. Trong cong tic Bao hiem y

HQC sinh, sinh vien; nguoi lao dOng thuc khi doanh nghi0 ngoai qu6c doanh; h6 gia dinh tham gia BHYT con thdp.

Cong tic tuyen truyL, ph6 bin phap lua ve chinh sach BHYT chua dugc cac cap, cac nganh that su quan tam clang m c. Cdc Dai ly thu BHYT con han ch8 trong cong tic tuyen truye,n, giai thich, do ger nhting vuang mac v'e chinh sad). BHYT nguoi dan hieu ro quyen lq va trach nhiLl khi tham gia BHYT.

DiL kin ca so ha tang Tram Y t8 xa, phu huecng Glen chdt luting kham chita b8nh.

Cac ca quan co chirc nang quan ly nha nu cac doanh nghiO co tinh ton &rig BHYT cho phdp xir 157tri8t de, do do tinh tang nguoi lao d6 theo quy dinh van con pho bien tai cac doanh nghi

* N thanh todn chi phi KCB BHYT con c

- Can cir Luat Kham b8nh, chira bLh ngay s6 03/2006/TTLT-BYT-BTC-BLDTB&XH ngay Tai chinh - BO Lao dOng Thuang binh & Xa 04/2012/TTLT-BYT-BTC ngay 29/02/2012 dm L C6ng van so 2210/BYT-KH-TC ngay 16/ 4/ 201 din triL khai Thong to lien tich so 04/2012/TTL dan tinh Ninh Thuan dA ban hanh Nghi quye't 25/12/2014 quy dinh gid dich vu ky thuat kham cac ca soy khdm, chira b8nh cua Nha nuok tren di 21/01/2015, UBND tinh Ninh Thuan da ban h' 06/2015/QD-UBND.

Tuy nhien, Bao him xa hOi Vi8t Nam chi d Thuan tien hanh ra sodt, thong ke lai toan b6 chi chira bLh BHYT nam 2015 tai cac b8nh vin va gici cac dich vu icy thuen theo Nghi quyit s

g nhiL nai xu6ng cap, anh

c v.8 lao dOng, khi pilaf hiL guori lao dOng chua co giai chua dugc tham gia BHYT

p ngoai quoc doanh.

voting mirk nhu. sau:

3/11/2009, Thong to lien tich 6/01/2006 oh BO Y to - B6 of va Thong to lien tich so n BO Y to - Bo Tai chinh va oh BO Y to ye vi8c hung -BYT-BTC. H6i dong nhan o 29/2014/NQ-HDND ngay enh, chira bLh thuc hiL tai

ban tinh Ninh Thuan; ngay h bang gid tai Quyet dinh

o Bao him xa hOi tinh Ninh phi cac dich vp kham bLh, hong chip nhtin thanh loan

29/2014/NQ-HDND ngay

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25/12/2014 cila HDND tinh ve Quy dinh gici dick vu 1(9 thuelt khtim benh, chfra benh thyv hien tcti cite ca th kham, chfra benh ctia Nha fur& tren diet ban tinh Ninh Thuern vao guy& town nam 2015. LS, do: Tai khoan 20 Dieu 1 Luat si'ra d6i, b6 sung mot so dieu cua Luat BHYT so 46/2014/QH13, quy dinh: "ke tir ngay 01/01/2015, gia dich vu KCB BHYT cua cac benh vien d6rig hang ten toan quoc la do Lien BO Y to - BO Tai chinh quy dinh" (Ca quan BHXH cho rang thiyi gian ban hanh bang gia cua UBND tinh Ninh Thuan sau 01/01/2015, trong khi HDND tinh Ninh Thuan la cap c6 thim quyen da ban hanh Nghi guy& tnrac ngay 01/01/2015).

Hien nay, Bao hiem xa hOi Ninh Thuan da thuc hien giarntrir chi phi dm cac dich vu KCB BHYT dp dung gia thu theo Nghi quyet so 29/2014/NQ-HDND ngay 25/12/2014 oh HDND tinh Ninh Thuan cua Benh vien da khoa tinh va Benh vien Y Duoc c6 truyen tinh, khong chap nh4n quyet town nam 2015 ved tong so tien la 1.114.541.500 ding (Benh WO-Ida khoa tinh 934.460.500d va Benh vien Y Duve co truy'en tinh 180.081.000d) nen cac benh vien gap nhieu kilo khan ye kinh phi phuc vu cac boat d'Ong kham benh, chira benh.

- Theo quy dinh tai Khoan 2, Dieu 4, Thong tu 37 cila lien BO Y to - Tai chinh ve gia dich vu KCB BHYT, neu ky thuat kham chfra benh chua c6 quy dinh gia cu the tai Thong tu 37, chua &roc BO Y to quy dinh Wang &rang ve ky thuat va chi phi thuc hien thi dtroc dp gia theo phan loai phau thuat, thu thuat. Tuy nhien, theo bao cao cua Benh vien Da khoa tinh Ninh Thuan, hien nay ca quan BHXH chua thong nhat thuc hien theo quy dinh nay, do d6 mot so ky thuat dang thgc hien tai benh vien chua c6 gia thu.

- Viec thanh town vuot tr'an, vuot quy kham chua benh BHYT con cham.

3. Trong cong tic tai chinh:

Trung ucmg, phan 136 kinh phi chuang trinh muc tieu Y - Dan s6 nam 2017 nen nhieu hoat dOng chua duot trien khai.

BO Tai chinh, BO Tai chinh chua ban hanh Thong tu twang clan ve gia dich vu su nghiep cong sir dung ngan sach nha nuerc trong d6 co dich vu KHHGD, sang loc chan doin truck sinh va so sinh trong chuang trinh Dan so - KHHGD nen cac co so KCB trong nganh chua c6 co so. de thuc hien thu cac dich vu nay.

Thvc ,hien Thong tu s6 37/2015/TTLT-BYT-BTC ngay 29/10/2015 ctia Lien bO Y to - Tai chinh, cac don vi kham data benh gap nhieu kilo khan vi gia dich vu y to hien nay doi nguOi c6 BHYT chi mai tinh du chi phi tien va chi phi true tiep, chua tinh chi phi quan 1S7, cong nghe thong tin. D8i voi benh nhan kh6ng co BHYT, ,gia. dich vu y to chua bao Luang, phy cap do d6 nguon thu tir dich vu y to khong du de chi 130 may.

Ngu6n von dau to phat trien ca so ha tang trong qua trinh thut hien De an Phat trien Benh vien da khoa tinh len benh vien hang I, hien dang gap kho khan ve von.

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- UBND huyen Ninh Hai chua co Quyet dinh sir dung nhan vien y to then.

- Van phong Sa Y to con 4 bien the chua tcyen dugc (hien cc') 31/35 bien the theo QD cua UBND tinh) anh huong den tien d6 hoan thanh ding viec.

PhAn thtir hai

NHIEM VU TRQNG TAM 6 THANG CUOI NAM

I. NHIEM VU TRQNG TAM 6 THANG CUOI NAM:

1. Cong tac phong 130h, khan' china benh

Tang cuomg hem tra giam sat kip thii phat hien va kh6ng the dich Nnh; dam bao ve sinh an toan thine pham ten town tinh.

Tiep tuc thuc hien Ice hoach d6i moi phong each, thai d6 phuc vu nguoi benh, tap trung giam thoi gian chi dgi cua ngired benh tat ca cac khau tin khi vao benh vien den khi ra ve. TO chuc khao sat six hai long dm nguoi benh ye dich vu kham chila benh tai Benh vien da khoa tinh.

Hoan chinh Ke hoach trien khai De an Chan sec sire khoe nguoi cao tu'Oi giai doan 2017-2025 trinh UBND tinh xem xet ban hanh.

Tiep tue trien khai De an Benh vien ve tinh va De an 1816.

Phi hop voi cac SO, nganh day manh cOng tac tuyen truyen, van d6ng nguai dan tham gia BHYT. PhOi hop vai BHXH tinh giai quyet kinh phi vugt tran, vugt quy; xay dung giai phap cle han the vugt tan, vugt quy (long thOi bao dam quyen lgi cho ngued tham gia BHYT.

Danh gia ket qua thuc hien cai,tien chat lug ng benh vien, ding tac cham socsirc kh6e sinh san va ding tac y to du phong nam 2017 theo tieu chi dm B6 Y te.

2. Cong tic quan 15/ ding(

Giam sat viec cung ung thu6c den cac dan vi cua cac nha thau sau khi co ket qua trung thau, dam bao cung ung day du thuen phuc vu kham, (lieu tri benh va phong benh; giam sat tinh hinh bien,d6ng thuoc. Trien khai dung cac nguyen tac thuc hanh tot bao (plan thuoc cho cac dan vi y to cOng lap, tien tai xay dung kho dat chuan GSP.

Chu tri, phi hop vai cac SO, nganh lien quan tham muu UBND tinh chi ciao trien khai hieu qua Ke hoach so 1955/KH-UBNID ngay 25/5/2017 trien khai thgc hien "Chien lugc quoc gia phat trien nganh Dugc Viet Nam giai (loan den nam 2020 va tam nhin den nam 2030 tai tinh Ninh Thuan".

3. Cong tic tai chinh va ttr phat trien

Hoan chinh du thao Nghi quy& Quy diph giti 5-7 dich vu kthuat kham benh, chua benh doi vai nguoi khong co' the bao hiem y , trong cac ca soy kham benh,

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chua benh cua Nha,mthc ten dia. ban tinh Ninh Thuan tham mu tJy ban nhan dan tinh trinh H6i clung nhan dan tinh thong qua tai kST hop cu6i dam 2017.

Trien khai cac hang muc diu to xay dung trong De an Phat trien Benh vien da khoa tinh len benh vien hang I.

Xay dung De an ciao two nhan luc y to giai down 2017 — 2020, De an Xa h6i hoa trong lTnh vuc y te, De an Phat trien Y t6 ca

II. DE XUAT, MEN NGHI:

1. f.13, ban nhan dan tinh:

- Dtmg y cho cac ca soy KCB trong nganh quoit thu gia thuc hien dich vu KHHGD, dich vu SLTS/SLSS trong Chuang trinh DS-KI-111GD theo huang dan tam thud dm B6 Y to tai Cong van so 5811/BYT-BYT-TCDS ngay 28/11/2016.

- Chu tri cu6c hop giai quyet nhang kho khan, ton tai trong thanh town chi phi kham benh, chila benh BHYT:

+ Viec Bao hiem xa hOi Viet Nam khong chip nhan thanh town gia cac dich vu k'S'T thuat theo Nghi quye't so 29/2014/NQ-HDND ngay 25/12/2014 oh HDND tinh ve Quy dinh gia dich vu k'S'T thuat kham benh, chira benh thuc hien tai cac ca so. kham, chua benh cua Nha mthc ten dia ban tinh Ninh Thuin.

+ Viec ap gia thanh town nhang dich vu KCB chua c6 ten trong Thong to 37 oh lien BO Y to - Tai chinh va chua dugc B6 Y to quy dinh tircmg ducmg ye k")", thuat va chi phi thuc hien, de nghi dirge ap gia theo phan loai phAu thuat, thu thuat (theo quy dinh tai Khoan 2, Dieu 4, Thong to 37).

2. Ser NOi vu quan tam tham num UBND tinh sum to chirc thi tuyen cong

3. UBND huyen Ninh Hai c6 Quyet dinh sir dung nhan vien y to thon.

Noi nhrin: - UBND tinh (bao cao); - LAnh ciao Sec; - Cac don vi nye thu0c; - Cac phong chirc nang So.; - Cong down Nganh; - Ltru: VT.

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