复兴之路——广东省惠州市第六人民医院高质量发展系统转型纪实-经典案例-医院绩效咨询,医院绩效管理,医院管理咨询 -九鼎医院管理顾问

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复兴之路——广东省惠州市第六人民医院高质量发展系统转型纪实

提交者：发表时间：2024-4-2点击次数：4948来源:九鼎医管

医院绩效咨询

【医院简介】

惠州市第六人民医院始建于1949年9月，前身是中国人民解放军粤赣湘边纵队健康医院，近几年，医院取得令人瞩目的成绩，现已成为淡澳区域规模最大的一所集医疗、急救、预防、保健、科研与教学工作为一体的三级甲等综合性医院。医院先后被授予爱婴医院、全国百姓放心医院、广东省百家文明医院、广东省抗击非典模范集体、广东省县域(区)优秀医院管理团队、中国母婴友好医院、管理创新医院等荣誉称号，是广东省高等医学院校教学医院、广东省普通高等医学教育临床教学基地。

医院现有工作人员2000多名，其中博士1名、博士研究生20名、硕士研究生127名，高级职称236名，中级职称457名，广东省杰出青年医学人才1名，享受国务院津贴1名，广东省名中医1名，惠州名医4名、名中医1名，区管拔尖人才4名。近年来，医院科研工作不断进步，每年各级科研课题立项约30余项，每年专利获批10余项，国内外正式发表刊物每年约300篇，科研经费每年持续增加。

医院占地面积37336平方米，总建筑面积136472平方米。医院编制床位1200张，实际开放床位1106张，开设34个住院病区，分设门诊部1间，分院2间。全院年门急诊病人约140万人次，出院病人约4.5万人次，年手术量逾2.5万台次。

【合作回顾】

2021年6月，九鼎医院管理顾问与惠州市第六人民医院达成初次合作，启动十四五发展战略与品牌提升咨询项目——“复兴计划I”，为医院实现高质量发展进行系统的发展战略和品牌提升方案策划。

2021年12月，医院再次委托九鼎启动定岗定编与绩效管理咨询项目—— “复兴计划II”，旨在建立符合医院十四五高质量发展需要的战略绩效管理体系，促进医院实现新时期更大的突破，实现十四五“成为惠州一流的现代化三甲医院”的战略目标！

目前“复兴计划II”项目仍在进行中。在此期间，医院在高质量发展的多个方面取得了不小的综合成绩：

医院绩效咨询

【战略定位篇】

惠州市第六人民医院始建于1949年9月，前身是中国人民解放军粤赣湘边纵队健康医院，拥有非常悠久的历史。医院综合实力曾经排名全惠州市第二，但随着人民医疗健康需求的巨大变化、医疗行业的急速发展，医院在过去较长一段时间内并未能及时做出战略上的转变，导致发展逐渐落后。

正是在这样的背景下，医院与九鼎达成合作，启动医院高质量发展的系统咨询。本咨询项目命名为“复兴计划”，寓意通过本计划的策划实施，能够进一步提升本院在淡澳区域的领先地位，跻身惠州市一流，恢复医院历史上在惠州地区的影响力；并在此基础上开辟更加广阔的未来。

为此，九鼎首先协助医院设计了《惠州市第六人民医院十四五发展战略规划报告》：通过大量的数据分析与论证，客观地对惠州市第六人民医院的优势和劣势进行了总结与梳理，并分析了医院十四五期间面临的外部机遇与挑战，提出“成为惠州一流、辐射粤东的品牌医学中心”的发展愿景和“成为惠州一流的现代化三甲医院”的发展定位；并明确了医院的学科规划、运营战略；同时，围绕医院战略定位、学科规划、运营战略配套设计了系统的职能战略体系，从医院文化建设、医院人力资源、医院学科职能、医院品牌营销、医院基本建设、智慧医院建设等多方面保障医院战略实施。

【学科规划与建设篇】

学科建设是医院高质量发展的重点。在规划中，九鼎利用GE矩阵的原理，通过学科市场潜力以及学科竞争力两个维度10多个指标的科学数据测评，结合标杆医院的案例研究，制定了符合医院实际的学科发展规划，确定了医院未来发展的品牌发展专科、重点发展专科、特色发展专科以及基础发展专科；并提出了医院要整合多学科联合平台，优先发展包括胸痛中心、卒中中心、创伤急救中心、妇产儿中心、肿瘤医学中心等在内的十大多学科中心；在此基础上，对医院住院科室床位规划作出了建议；同时，明确了门诊和急诊的业务战略定位。

在医院层面学科规划明确后，为了更好地指导和促进科室的学科建设，院方和九鼎组织所有临床科室填写了《学科发展规划表》，并与每个临床科室一一探讨，确定了各自的学科发展规划，最终形成了《惠州市第六人民医院学科规划手册》。由此，科室在十四五期间的学科建设工作也有了明确的方向。

【运营管理篇】

运营管理是医院高质量发展的保障。在规划中，提出了医院层面的六大运营战略，以提升医院的效率和效益，促进时间、空间、人、财、物等核心资源的利用：

1、提升门急诊与体检业务

2、提升出院人次

3、加强服务品牌

4、合理对应医保

5、优化收入结构、合理控制成本

6、完善运营管理与绩效管理体系

为帮助医院更好落地运营管理体系，九鼎提议医院新成立了运营管理部，并协助医院初步构建了运营管理体系，形成了《运营管理部工作手册》、《运营管理计划、执行与会议制度》、《医院（科室）高质量运营实施计划表》等在内的制度和工具；同时，院方和九鼎组织与每个临床科室深入探讨，形成了每个临床科室的运营管理策略，并转化为各自的实施计划；在此基础上，还重点针对产科、骨科、妇科、消化内科4个科室进行了运营的跟踪辅导，构建了医院科室运营管理的标杆模式。

【人事与绩效管理篇】

绩效改革是高质量发展的关键。在项目中，首先通过组织结构优化，帮助医院建立了更加科学高效的组织管理体系；通过梳理各部门职责，合理分工，提高了管理效率；通过定岗定编，为医院人力资源管理工作奠定基础，提高招聘效率，合理控制人工成本，提高人均劳动生产率。

鉴于医院业务增长难度越来越大而员工对绩效奖金的要求越来越高，九鼎认为，在本项目中只有以医院预算为前提，将医院的战略定位、学科建设以及运营战略三大战略决策与绩效管理相结合，将新形势下做大蛋糕与分蛋糕相结合，进行绩效改革，才能适应新的发展模式的要求。九鼎利用独家研发的“SDO－P战略绩效管理模式” 将前述研究的医院战略定位（Strategy positioning）－医院学科建设（Discipline construction）-医院运营战略(Operation strategy)三大医院高质量战略决策与医院绩效管理（Performance management）相对接，最终帮助医院构建了以高质量发展为导向的绩效管理体系。具体为以下七个步骤：

一是以高质量发展战略为导向，将医院战略定位、学科建设、运营战略与绩效管理对接，将做大蛋糕与分蛋糕相结合。

二是以预算和目标管理为追求，围绕医院的高质量战略决策和目标，确定医院的年度业务目标与财务预算，并将医院目标自上而下分解至各业务科室，使医院目标增长与科室绩效增长同步。

三是以就诊量提升为前提，以业务结构优化、鼓励科间协作为重点，以鼓励技术进步为核心、着重体现CMI值的应用，以成本控制为基础，通过以上四个方面全面提升医院和科室的运营业绩。

四是以科室和岗位评价求公平，通过岗位评价理顺不同类型科室的价值排序，通过科室评价理顺不同业务科室的价值排序，以此作为保障，发挥关键个人和科室的带动作用，进而带动全院业绩的增长。

五是以定岗定编为基础，基于各类科室的业务目标规划，采取工作量效率、同类医院对标、行业标准、排班需要等多个维度进行业务人员定岗定编规划。

六是制定各类岗位二级分配指导方案。以工作量、技术含量为主体与员工个人岗位价值相结合，体现不同岗位之间价值与工作量和技术含量差异，制定各类岗位的二级分配方案，体现员工个人之间多劳多得，优绩优酬。

七是制定医院核心人才（业务中层）绩效考核方案。所有医院业务中层都加强激励，专门赋予季度与年度绩效激励和相关考核，与医院和科室的战略指标挂钩，尤其是医院科研、教学、新技术开展与人才培养计划的落实等，以体现科主任、护士长岗位责任价值，从而提升战略执行力。

目前新的绩效方案正在稳步实施的过程中，员工积极性得到明显提高，医院业务收入也有所增长，九鼎保持持续关注。

【文化建设篇】

文化建设是医院高质量发展的导向。在项目开始初期，医院员工普遍存在战略共识不够、危机与变革意识不足、学习创新意识欠缺等问题，不能适应医院高质量发展转型的要求。

基于此，在文化系统创新规划中，九鼎利用自主研发的医院文化测评模型，准确的把脉了医院文化现状，并以医院高质量发展战略为导向，梳理了医院文化建设的目标与方向，提出了医院精神文化、行为文化、物质文化传承与发展的三大系统策略：从基本价值观、经营价值观、管理价值观、职业价值观四大层次构建医院精神文化体系；从对内行为文化传承与发展、对外行为文化传承与发展两大方面构建医院行为文化建设策略；并根据医院品牌定位和文化内涵，提出了系统的物质文化表现和文化传播媒体的策略。此外，九鼎还提交了配套医院文化建设的《惠州市第六人民医院服务手册》、《惠州市第六人民医院品牌营销手册》等方案。

经过系统的文化落地实施，医院员工满意度和患者满意度都得到了一定提升，尤其是员工逐步形成了医院必须要实现“成为惠州一流的现代化三甲医院”这一战略目标的战略共识，凝聚力和执行力得到明显提高，为医院实现高质量战略转型提供了最强有力的思想武器。

医院绩效咨询

通过惠州市第六人民医院的案例，我们可以看到，医院紧紧围绕高质量发展的要求，从战略定位、学科规划与建设、运营管理、人事与绩效管理、文化建设等方面系统推进了医院的改革，由此实现了较大的战略突破。

在改革的过程中，我们体会到：医院成绩取得的关键是医院领导和全体员工强烈的事业心和复兴医院的强大动力和执行力，而作为咨询公司则协助医院构建了高质量发展的决策与管理体系，顺应了新时代医院发展的趋势和惠州市第六人民医院发展战略的要求。

最后，祝福医院继续复兴的步伐，早日实现医院“成为惠州一流、辐射粤东的品牌医学中心”的发展愿景！

武汉九鼎医院管理顾问是一家集医院发展战略、医院文化、医院人力资源、医院绩效管理等咨询模块为一体的医院管理咨询公司。如有咨询需求请拨打热线：027-82444583，或扫描以下二维码添加客服微信。

更多资讯请访问 医院绩效咨询 http://www.yyjg.net

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_SERVER["INSTANCE_ID"]	1
_SERVER["HTTPS_SERVER_SUBJECT"]	CN=www.yyjg.net
_SERVER["HTTPS_SERVER_ISSUER"]	C=PL, O=Asseco Data Systems S.A., CN=Certum DV TLS G2 R39 CA
_SERVER["HTTPS_SECRETKEYSIZE"]	2048
_SERVER["HTTPS_KEYSIZE"]	256
_SERVER["HTTPS"]	on
_SERVER["GATEWAY_INTERFACE"]	CGI/1.1
_SERVER["DOCUMENT_ROOT"]	D:\wwwroot\yyjg.net\wwwroot
_SERVER["CONTENT_TYPE"]	no value
_SERVER["CONTENT_LENGTH"]	0
_SERVER["CERT_SUBJECT"]	no value
_SERVER["CERT_SERIALNUMBER"]	no value
_SERVER["CERT_ISSUER"]	no value
_SERVER["CERT_FLAGS"]	no value
_SERVER["CERT_COOKIE"]	no value
_SERVER["AUTH_USER"]	no value
_SERVER["AUTH_PASSWORD"]	no value
_SERVER["AUTH_TYPE"]	no value
_SERVER["APPL_PHYSICAL_PATH"]	D:\wwwroot\yyjg.net\wwwroot\
_SERVER["APPL_MD_PATH"]	/LM/W3SVC/1/ROOT
_SERVER["IIS_UrlRewriteModule"]	7.1.0871.0
_SERVER["HTTP_USER_AGENT"]	Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)
_SERVER["HTTP_HOST"]	www.yyjg.net
_SERVER["HTTP_COOKIE"]	PHPSESSID=7m3lueda3tf9nh2vu7968ka254
_SERVER["HTTP_ACCEPT_ENCODING"]	gzip, br, zstd, deflate
_SERVER["HTTP_ACCEPT"]	/
_SERVER["HTTP_CONNECTION"]	close
_SERVER["FCGI_ROLE"]	RESPONDER
_SERVER["PHP_SELF"]	/admin.php/index/view/aid/14599.html
_SERVER["REQUEST_TIME_FLOAT"]	1789681724.6723
_SERVER["REQUEST_TIME"]	1789681724

PHP Authors
Contribution	Authors
Zend Scripting Language Engine	Andi Gutmans, Zeev Suraski, Stanislav Malyshev, Marcus Boerger, Dmitry Stogov, Xinchen Hui, Nikita Popov
Extension Module API	Andi Gutmans, Zeev Suraski, Andrei Zmievski
UNIX Build and Modularization	Stig Bakken, Sascha Schumann, Jani Taskinen
Windows Port	Shane Caraveo, Zeev Suraski, Wez Furlong, Pierre-Alain Joye, Anatol Belski
Server API (SAPI) Abstraction Layer	Andi Gutmans, Shane Caraveo, Zeev Suraski
Streams Abstraction Layer	Wez Furlong, Sara Golemon
PHP Data Objects Layer	Wez Furlong, Marcus Boerger, Sterling Hughes, George Schlossnagle, Ilia Alshanetsky
Output Handler	Zeev Suraski, Thies C. Arntzen, Marcus Boerger, Michael Wallner

SAPI Modules
Contribution	Authors
AOLserver	Sascha Schumann
Apache 1.3 (apache_hooks)	Rasmus Lerdorf, Zeev Suraski, Stig Bakken, David Sklar, George Schlossnagle, Lukas Schroeder
Apache 1.3	Rasmus Lerdorf, Zeev Suraski, Stig Bakken, David Sklar
Apache 2.0 Filter	Sascha Schumann, Aaron Bannert
Apache 2.0 Handler	Ian Holsman, Justin Erenkrantz (based on Apache 2.0 Filter code)
Caudium / Roxen	David Hedbor
CGI / FastCGI	Rasmus Lerdorf, Stig Bakken, Shane Caraveo, Dmitry Stogov
CLI	Edin Kadribasic, Marcus Boerger, Johannes Schlueter, Moriyoshi Koizumi, Xinchen Hui
Continuity	Alex Leigh (based on nsapi code)
Embed	Edin Kadribasic
FastCGI Process Manager	Andrei Nigmatulin, dreamcat4, Antony Dovgal, Jerome Loyet
ISAPI	Andi Gutmans, Zeev Suraski
litespeed	George Wang
NSAPI	Jayakumar Muthukumarasamy, Uwe Schindler
phpdbg	Felipe Pena, Joe Watkins, Bob Weinand
phttpd	Thies C. Arntzen
pi3web	Holger Zimmermann
Sendmail Milter	Harald Radi
thttpd	Sascha Schumann
tux	Sascha Schumann
WebJames	Alex Waugh

Module Authors
Module	Authors
BC Math	Andi Gutmans
Bzip2	Sterling Hughes
Calendar	Shane Caraveo, Colin Viebrock, Hartmut Holzgraefe, Wez Furlong
COM and .Net	Wez Furlong
ctype	Hartmut Holzgraefe
cURL	Sterling Hughes
Date/Time Support	Derick Rethans
DB-LIB (MS SQL, Sybase)	Wez Furlong, Frank M. Kromann
DBA	Sascha Schumann, Marcus Boerger
DOM	Christian Stocker, Rob Richards, Marcus Boerger
enchant	Pierre-Alain Joye, Ilia Alshanetsky
ereg	Rasmus Lerdorf, Jim Winstead, Jaakko Hyvätti
EXIF	Rasmus Lerdorf, Marcus Boerger
fileinfo	Ilia Alshanetsky, Pierre Alain Joye, Scott MacVicar, Derick Rethans
Firebird driver for PDO	Ard Biesheuvel
FTP	Stefan Esser, Andrew Skalski
GD imaging	Rasmus Lerdorf, Stig Bakken, Jim Winstead, Jouni Ahto, Ilia Alshanetsky, Pierre-Alain Joye, Marcus Boerger
GetText	Alex Plotnick
GNU GMP support	Stanislav Malyshev
Iconv	Rui Hirokawa, Stig Bakken, Moriyoshi Koizumi
IMAP	Rex Logan, Mark Musone, Brian Wang, Kaj-Michael Lang, Antoni Pamies Olive, Rasmus Lerdorf, Andrew Skalski, Chuck Hagenbuch, Daniel R Kalowsky
Input Filter	Rasmus Lerdorf, Derick Rethans, Pierre-Alain Joye, Ilia Alshanetsky
InterBase	Jouni Ahto, Andrew Avdeev, Ard Biesheuvel
Internationalization	Ed Batutis, Vladimir Iordanov, Dmitry Lakhtyuk, Stanislav Malyshev, Vadim Savchuk, Kirti Velankar
JSON	Omar Kilani, Scott MacVicar
LDAP	Amitay Isaacs, Eric Warnke, Rasmus Lerdorf, Gerrit Thomson, Stig Venaas
LIBXML	Christian Stocker, Rob Richards, Marcus Boerger, Wez Furlong, Shane Caraveo
mcrypt	Sascha Schumann, Derick Rethans
MS SQL	Frank M. Kromann
Multibyte String Functions	Tsukada Takuya, Rui Hirokawa
MySQL driver for PDO	George Schlossnagle, Wez Furlong, Ilia Alshanetsky, Johannes Schlueter
MySQL	Zeev Suraski, Zak Greant, Georg Richter, Andrey Hristov
MySQLi	Zak Greant, Georg Richter, Andrey Hristov, Ulf Wendel
MySQLnd	Andrey Hristov, Ulf Wendel, Georg Richter, Johannes Schlüter
OCI8	Stig Bakken, Thies C. Arntzen, Andy Sautins, David Benson, Maxim Maletsky, Harald Radi, Antony Dovgal, Andi Gutmans, Wez Furlong, Christopher Jones, Oracle Corporation
ODBC driver for PDO	Wez Furlong
ODBC	Stig Bakken, Andreas Karajannis, Frank M. Kromann, Daniel R. Kalowsky
OpenSSL	Stig Venaas, Wez Furlong, Sascha Kettler, Scott MacVicar
Oracle (OCI) driver for PDO	Wez Furlong
pcntl	Jason Greene, Arnaud Le Blanc
Perl Compatible Regexps	Andrei Zmievski
PHP Archive	Gregory Beaver, Marcus Boerger
PHP Data Objects	Wez Furlong, Marcus Boerger, Sterling Hughes, George Schlossnagle, Ilia Alshanetsky
PHP hash	Sara Golemon, Rasmus Lerdorf, Stefan Esser, Michael Wallner, Scott MacVicar
Posix	Kristian Koehntopp
PostgreSQL driver for PDO	Edin Kadribasic, Ilia Alshanetsky
PostgreSQL	Jouni Ahto, Zeev Suraski, Yasuo Ohgaki, Chris Kings-Lynne
Pspell	Vlad Krupin
Readline	Thies C. Arntzen
Recode	Kristian Koehntopp
Reflection	Marcus Boerger, Timm Friebe, George Schlossnagle, Andrei Zmievski, Johannes Schlueter
Sessions	Sascha Schumann, Andrei Zmievski
Shared Memory Operations	Slava Poliakov, Ilia Alshanetsky
SimpleXML	Sterling Hughes, Marcus Boerger, Rob Richards
SNMP	Rasmus Lerdorf, Harrie Hazewinkel, Mike Jackson, Steven Lawrance, Johann Hanne, Boris Lytochkin
SOAP	Brad Lafountain, Shane Caraveo, Dmitry Stogov
Sockets	Chris Vandomelen, Sterling Hughes, Daniel Beulshausen, Jason Greene
SPL	Marcus Boerger, Etienne Kneuss
SQLite 3.x driver for PDO	Wez Furlong
SQLite3	Scott MacVicar, Ilia Alshanetsky, Brad Dewar
Sybase-CT	Zeev Suraski, Tom May, Timm Friebe
System V Message based IPC	Wez Furlong
System V Semaphores	Tom May
System V Shared Memory	Christian Cartus
tidy	John Coggeshall, Ilia Alshanetsky
tokenizer	Andrei Zmievski, Johannes Schlueter
WDDX	Andrei Zmievski
XML	Stig Bakken, Thies C. Arntzen, Sterling Hughes
XMLReader	Rob Richards
xmlrpc	Dan Libby
XMLWriter	Rob Richards, Pierre-Alain Joye
XSL	Christian Stocker, Rob Richards
Zip	Pierre-Alain Joye, Remi Collet
Zlib	Rasmus Lerdorf, Stefan Roehrich, Zeev Suraski, Jade Nicoletti, Michael Wallner

PHP Documentation
Authors	Mehdi Achour, Friedhelm Betz, Antony Dovgal, Nuno Lopes, Hannes Magnusson, Georg Richter, Damien Seguy, Jakub Vrana, Adam Harvey, Peter Cowburn
Editor	Philip Olson
User Note Maintainers	Daniel P. Brown, Thiago Henrique Pojda
Other Contributors	Previously active authors, editors and other contributors are listed in the manual.

Websites and Infrastructure team
PHP Websites Team	Rasmus Lerdorf, Hannes Magnusson, Philip Olson, Lukas Kahwe Smith, Pierre-Alain Joye, Kalle Sommer Nielsen, Peter Cowburn, Adam Harvey, Ferenc Kovacs, Levi Morrison
Event Maintainers	Damien Seguy, Daniel P. Brown
Network Infrastructure	Daniel P. Brown
Windows Infrastructure	Alex Schoenmaker