qUANTRI-qUANLY
HOAN THIEN CONG TAC QUAN LY CAC DlT AN XAY D I T N G TAI BENH VIEN
QUAN Y 175 - B O QUOC PHONG
• N G U Y I N NHAT H U N G - NGUYEN NGQC KHANH
TOM TAT:
Cong tde quan ly cac drf an xay drfng tai Bdnh vien Qudn y 175 Iu6n thrfc bien nghidm ngat eae quy dinh quy tnnh ve dau thau, Irfa chon nha thau theo quy dmh cua Luat Da'u thau Cling nhrf nhrfng chinh sach cua B6 Quoc phong. Tuy nhidn, ben canh nhffng kd't qu^ dat drfde, con mot sd'han chd^ nhrf cdng tdc ISp, tb£m dinh, phd duydt drf an dau Irfeon nhieu bat e|p, drf an phai dieu chinh quy mo, tang tdng mu'c dau trf, lam cham tid'n dd thrfc hidn, gid tti trung thau Idn hdn gid tri gdi th^u... B i l b a o da de xuat mdt sd'giai phap nham hoan thien cdng tdc qudn Iy cac drf an x3y difng tai Bdnh vidn Quin y 175 nhrf thrfc hidn cdng tdc qudn ly tie'n do theo chuan mrfc PMBOK, da dang hda va nang cao linh canh ttanh gii?a cdc nhk thau, nang cao chd't Irfdng sdn ph^m trf yiti thid't kd'.
TiJf khoa: Cdng tac qudn ly, drf dn xay drfng, Benh vidn Quan y 175.
1. Dgt van de
Quan ly drf dn la vide dp dung cac chrfc nang va boat ddng cua qudn ly vao suot vdng ddi cua drf an de dat drfde nhffng muc tieu de radd'i vdi drf dn dd. Do la mdt nd lu'c d^ng bp, ed gidi ban, thrfc hidn mdt Ian nham lao mdi hoac nang eao khd'i lifong, ch&'t Irfdng cuasan pham, dap ifng ydu clu cua chu dau trf ttong dieu kidn bi rang budc theo mdt pham vi cong vide nha't dinh (khd'i Irfdng va cac yeu cau ky thudt), nhrfng phai dat Ihdi gian hodn thanh de ra (tid'n dp thrfc hidn), dung ngan sdch (mu'c vd'n dau trf) cho phep va ddp rfng cac chuan mrfc (chat Irfdng) mong ddi.
Trong nhffng nam vffa qua vdi da phdt tri^n va trien khai rat nhieu drf dn nam nang cao nang Irfc san sdng chie'n dau va thrfc bien nhidm vu cua
Dang va Nha nrfdc giao, cac tuyd'n bdnh vidn Quan dpi nhrf 108; 103; 354; 175.. drfde Chinh phu, Bp Quo'c phdng quan tdm, cbi dao va tao dieu kien phat irie'n nang ca'p cd sd ha lang, lao tien de cho vide phdt huy nang lrfe dieu tn, nang cao cha't Irfdng kham ehffa bdnh. Trong bd'i canh dd, cae ban quan ly drf an da drfde Bd Qud'c phdng hoae cdc bdnh vien thanh ldp de' quan ly cac drf an dau trf xay drfng. Tuy nhidn qua tim bieu, nghien crfu cdng lac quan cdc drf dn xay drfng tai cdc benh vidn quan y ndi ehung va Bdnh vidn Quan y 175 ndi ridng, lac gia nhan tha'y rang, qua trinh thrfc hidn eon ion tai mpt so' ba't cap nhrf srf chong cheo trong cdng tac quan ly, ttien khai drf an... can drfde nghien crfu va hoan thien nhdm nang cao hidu qua quan ly cae drf an xay drfng tai cac bdnh vien qudn y, cung nhrf trrfc
So 1 -Thdng 1/2019 229
TAP CHJ GONG THIftfNG
lid'p tai Benh vien Quan y 175.
2. Thrfc trang cong tac quan ly cac drf an xSy duTng tai Benh vien Quan y 175
Bdnh vien Quan y 175 drfde thanh lap trf nam 1975, la benh vien tuye'n cud'i eua quan dpi d khu vrfc phia nam, cd nhiem vu kham chifa bdnh cho can bp cap cao trong quan dpi, can bp cap eao Dang, Nha nrfdc va eae dd'i trfdng khac.
a) TdchUc Ban qudn ly dUdn 175 Ban qudn ly drf dn 175 (QLDA175) drfde to chrfc theo mo hinh d Hinh 1.
Ban QLDA175 siJ dung nhan srf drfa trdn nguon cdn bp drfde didu ddng iff cdc cd quan thupc Bdnh vien Quan y 175 hoac dieu chuyen t\i cac ddn vi trong Bp Qud'e phdng ve Bdnh vidn Quan y 175, d6ng thdi sff dung nhan srf hdp dong, thdi vu, giao khodn... iLiy thudc vao nhu cau, muc dich de phil hdp vdi tffng thdi ky thrfc hien drf an. Tiiy theo nhu cau cdng vide trfng thdi diem, phdt sinh cdc drf dn thanh phan se phdt sinh khd'i Irfdng edng vide va chi phi - Ban QLDA175 se xin bd sung, tuyen dung hoac tinh gidn (khd'i Irfdng cdng vide gidm).
b) Thiic trgng cong tdc to chUc qudn ly cdc dtf dn
Cdng tdc qudn ly cdc drf dn tai Benh vien Quan y 175 hidn nay dang dp dung theo md binh Chu dau trf trrfc lid'p QLDA vdi hinh thrfc thanh ldp Ban QLDA de td cbffc quan ly thrfc hien drf an. Ngoai nhffng dieu chinh cho phu hdp vdi dae thu eua ddn vi thi Ban qudn ly drf an van thrfc hidn day du cdc
chrfc nang va chiu trdch nhidm trrfdc phap luat va chu dau trf ve boat dpng qudn ly drf dn cua minh.
*) Dd'i vdi cdng tac qudn Iy cha't Irfdng Ban quan Iy drf dn benh vidn thrfc hidn theo mpt quy trinh trfdng dd'i bai ban, bao gom cac ndi dung:
- Xay drfng kd' hoach quan Iy chd't Irfdng. Vdi ndi dung nay. Ban da dat ra cac muc tidu:
+ Chat Irfdng dam bao theo ydu c^u cua cdc tidu chud'n ibi cdng va nghidm thu cua thie't ke;
-I- Chon Irfa nha thau cd chd't Irfdng qua kinh nghidm thrfc bien 03 cdng irinh trfdng trf;
-I-100% Idi cha't Irfdng phdt hidn phdi drfde sila chffa trrfdc khi nghidm thu drfa vao sit dung;
- To chrfc thffc hidn cdc giai phdp dam bao chat Irfdng. Vdi npi dung nay. Ban thrfc hidn cdc hoat ddng:
+ Kiem sodt he thd'ng quan Iy chat Irfdng toan bp drf an;
+ Xem xdt, kidm tra nhffng thie'u sdt cda thi^t ke', tham tra thie't ke';
+ Kiem soat cac cbi ddn ky thuat, tidu chuIn ibi edng nghidm thu va Ihi nghidm drfde dp dung;
+ Xem xet, tnnh duydt "Dl crfdng gidm sdt thi edng" cuaTVGS dd trinh.
+ Xem xet, duydl ke' hoach nghidm thu tffng g6i thau do nha thau dd trinh.
+ Theo doi vide kiem soat chd't Irfdng cua drfdn;
- Thrfc hien cac giai phap kiem soat chd't Irfdng.
Nhffng gidi phap nay bao gdm:
Hinh 1: Sa do to chdc ban quan ly du an 175
Nguon: Benh vien Qudn y 175
QUANTRI-QUANLY
+ Kiem tta nang lrfe nha thau, trf vd'n gidm sat;
nhan Irfc, thie't bi, vat heu.
+ Kiem tta phdng thi nghiem, cae ed sd san xua't...
+ Kiem tta TVGS trong vide xem xet thie't ke', phatbien sai sdt, yeu eau TVTKIam rd.
+ Kidm tta, giam sat chd't Irfdng vat trf, vai lieu, thie't bi trrfdc kbi ldp ddt vao edng trinh.
+ Kiem tra vide la'y mau va thi nghiem, thi nghiem tai bien trrfdng, thi nghiem kiem dinh,
+ Kiem tra vide quan trac va theo ddi didn bien cua chat Irfdng cdng trinh.
+ Kidm tra vide sffa chffa nhffng sai sdt, kiem tra du dieu kidn nghiem Ihu va xac nhan bdn ve hoan cdng.
*) Ddi vdi cong tdc qudn ly tie'n dd Tie'n dp ludn la ye'u id' quan ttong khi xem xet drf dn, khi trien khai drf an phai lap ke' hoach, giam sat tid'n dp thdi gian nham ddm bao thdi ban hodn Ihanh drf dn. Nd chi rd mdi cdng vide phdi keo dai bao Idu, khi nao bat dau, khi ndo kd't thue va loan bp drf dn bao gid hodn thanh. Doi vdi edng tac nay, Benh vien da thrfc hien mdi sd' ndi dung nhdm dam bao lien dp drf an, Cu thd:
- Theo ddi, kiem soat hang ngay de phat hidn srf khdng phil hpp vd ydu cau nha thau xiJly khac phuc de'n dd kip thdi;
- Theo ddi cac md'c tie'n dp, phdt hien srf cham tre eua nha thau, ydu cau nha thau drfa ra bidn phapbu tid'n dp;
- Nhac nhd, canh bao nha thau ve nhrfng cham tre se hi xff phat theo cae dieu khoan qui dmh irong hdp ddng Ibi cdng;
*) Ddi vdi cong tdc qudn ly khd'i lugng Cdng tdc qudn Iy khd'i Irfdng cua Ban QLDA175 drfde Ban thrfc bidn khd hoan ehinh, dung quy dmh cua nhd nrfdc ve kiem ira kiem sodt khd'i Irfdng trf khau thid't ke'dd'n khd'i Irfdng hoan thanh ciia cdc gdi thau.
Ddi vdi khd'i Irfdng theo ban ve thid't ke', cdng tac kidm tra khd'i Irfdng drfde ihrfe hidn qua nhieu bffdc, tuan thu nghiem va dp dung dung theo cdc van ban, quy djnh eua nha nrfdc vd qudn ly cha't Irfdng, bao gom:
- Khdi Irfdng lap va de xua't cua Trf va'n thie't kd';
- Bd phan Ky thudt cua Ban kidm tra: Ve tinh hdp Id (theo cae thdng trf, hrfdng ddn, quy dinh cua
Bd Xay drfng va Bd Qud'c phdng); ve srf phu hdp vdi ddn gid vat trf, nhan edng;
- Thud ddn vi Irf va'n ddc lap tham tta khd'i Irfdng thid't kd';
- Ban to chrfc tham dinh khd'i Irfdng va tnnh Chu dau trf phd ehuydn drf loan ihi cdng (dd'i vdi hd sd thie't ke' ban ve thi cdng);
-Ban kidm tra, bdo cdo Chu dau trf xin Bd Qud'c phdng giao cd quan tham dinh vd ra quyd't dinh phe duydt tdng drf loan.
Dd'i vdi khd'i Irfdng hoan thanh cua nha thau, cdng tde kidm tra khd'i Irfdng drfde thrfc hien qua nhieu brfdc, tudn thu nghidm vd dp dung dung theo cae van bdn, quy dinh eua Nha nrfdc, bao gdm:
- Cdn cffu eae bien bdn nghidm thu giai doan, nha thau tid'n hanh lap hd sd khd'i Irfdng thanh todn irinb ban qudn ly drf dn;
- Ban qudn ly drf dn tie^n hanh lo chrfc xem xet ddnh gid khd'i Irfdng hoan thanh (kidm tra khd'i Irfdng thrfc hien, cac bien bdn xdc nhdn eua cdc ben...);
- Thud ddn vi kidm toan ddc lap dd thrfc hidn cdng tdc kiem loan khd'i Irfdng hoan thanh;
- Ban qudn ly drf dn lap ho sd ttinh chu dau trf phd duyet khd'i Irfdng hoan thanh, va lam cae thu tue thanh loan qua Kho bac bode Cue Tai ebinh/BQP.
*) Ddi vdi cong tdc lua chgn nhd thau Vide Irfa chon nha th^u drfde Benh vien ihrfc hidn trfdng dd'i chat ehe. Cu the:
- Tudn thu thrfc bien edng tac Irfa chpn nha thau theo Luat Da'u thau;
- Lap ke hoach Irfa chon nha thau phil hdp vdi tffng dff dn;
- To chrfc Irfa chpn nhd thau trfvd'n, giam sdt, ihi cdng theo diing quy dinh ve da'u thau;
- To cbffc Irfa chpn nha ibau trf va'n, Irfa chon nha thau thi cdng, td ehffe td't vide tham dinh, phd duydt hd sd mdi thau, kd'l qua da'u thau;
- To ehffe thffdng thao hdp ddng trrfdc khi quye'l dinh trung ib^u.
^ J £*o'/ vdi cong tdc an todn vd ve sinh moi trudng Do dae thij hoal ddng xay drfng trong mdi trrfdng benh vidn ndn edng tac ve sinh mdi trrfdng va phdng chd'ng chay nd drfde Ban quan ly drf an thrfc hien chat che, tuan thii nghiem
So 1 -Thang 1/2019 231
TAP CHi CONt THIfdNG
ngat cac quy dinh chung cua Benh vien ve an todn dich t l .
Dd'i vdi cdng tac an loan lao dpng, Bdnh vien eung thrfc hidn rd't nghidm ngat va ddm bao an loan, khdng dd ra bd't cff mdt trrfdng hdp md't an loan ddn dd'n lao ddng bi thrfdng hoae che't ngrfdi.
Vdi cdng tdc ndy, Bdnh vidn da thrfc hien:
- Thrfc hien cdc giai phdp ddm bao an toan- VSMT-PCCN:
-I- Thid't ldp Hd thd'ng quan ly ATLD-VSMT- PCCN cua dif an;
+ Dao tao an todn cho ngrfdi tham gia lao ddng trrfdc kbi lam vide;
-I- Kiem tra kd' hoach rfng phd vdi nhffng tinb hud'ng khan cap ve tai nan lao dpng, sff cd' ve mdi trrfdng va chay nd cho trfng nha ihau;
+ Thanh tra ATLD-VSMT-PCCN dinh ky;
+ Dieu tra, lap bien bdn va bdo cao lai nan lao ddng nd'u cd xdy ra;
+ Trf vd'n vd ban hanh mrfc phat ve ATLD- VSMT-PCCN,
- Thrfc hidn cae giai phap kidm sodt an loan - VSM- PCCN:
-I- Kidm tra He thd'ng quan ly ATLD, VSMT &
PCCN cua cac nha thau;
-(- Kidm soat thrfc hien Bien phap ATLD, VSMT & PCCN cua cdc nha thau;
+ Kidm tra danb sdch cdng nhdn dd dang ky vdi ehinb quyen dia phrfdng; Vdi Chu d^u trf;
+ Kiem tra edng nhan da drfde hud'n luydn ATLD, VSMT & PCCN;
-(- Kidm tra edng nhan da drfde hua'n luydn an toan nghd chuyen bidt;
+ Kiem tra danb sach thid't bi thi edng va lai may dam bao an loan;
+ Kiem tra mat bang an loan trong thi cdng;
+ Kidm tta ndi qui, bien bao, hd thd'ng loa dd nhac nhd tai cdng trrfdng;
+ Kidm tra sff dung trang bi phdng hd eua cdng nhan tren cdng irrfdng;
+ Yeu eau nha thau thrfc hidn cam kd't ATLD, VSMT & PCCN
+ Canh bao vd de xua't xff phat cdc vi pham ve ATLD, VSMT & PCCN theo qui dinh cua Chu dau trf;
+ Kiem soat ATLD, VSMT & PCCN tren
cdng trrfdng phat hien srf khdng phil hdp va ydu cau sffa chffa;
+ Kidm soat chat che cdc bidn phdp thi edng c6 kha ndng xay ra sup dd gdy tai nan cho ngrfdi va tai sdn;
+ Thanh ldp Td phdng chd'ng chdy no tai cdng trrfdng de xff ly khi cd chdy nd xdy ra;
e) Thrfc trang che' dp kiem tra, giam sat edng lac quan Iy drf an xay drfng
*) Che' dd kiem tra, giam sat dd'i vdi drf an - Dd'i vdi edng lac Giam sat danh gid dau tif:
bang thang Ban QLDA175 deu lap bdo cao GS- DGDT day du, cbi tid't gffi ve Bp Qudc phdng;
- Ban QLDA 175 ed can bd chuydn mdn d moi bp mdn dd lo chrfc giam sal vdi vai trd Gidm sdt ben A trong sud't qua tnnh thrfc hidn drf an;
- Trf van tham tra; Chu dau trf thud dd thrfc hien edng tdc tham Ira ho sd thid't ke', drf todn;
- Trf vd'n Gidm sdt: Trf va'n Giam sat drfde Chu dau trf thud di gidm sdt loan bd qua ttinh thi cdng eua nha thiu thi cdng xdy lap va eung cd'p thid't bi;
- Trf vd'n thid't kd': Tham gia vao qua trinh gidm sal lac gia.
*) Chd dd kiim tra, gidm sal trong ngi bd Ban Quan ly du dn
- Ban QLDA la mpt ddn vi thupc khd'i ed quan cua Bdnh vien, vi vay mgi boat ddng ndi chinh eua Ban phdi tudn thu quy dinh cua Benh vidn va tat ca cac thanh vidn chiu srf giam sdt kiem tta ve dao dffc trf each bdi Uy ban Kidm tta cua Bdnh vien khi cd bidu hidn lieu crfc, vd'n de dao drfe;
- Mpi boat ddng nghidp vu kiem tra drfde Benh vidn thrfc hien dan chu, cdng khai, minh bach, ludn thu ndi quy cua Bdnh vidn va theo quy dinh phdp luat;
- Hinh thrfc xff ly sai pham ndi bd: 6 bd't kj crfdng vi ndo, nd'u cd sai pham, khuyet diem, deu bi xff Iy. Dd'i vdi ddng vien, vide xff ly tuy trfng sai pham ma ed thd bang crfdng iTnb, didu Id Dang, quy dinh ve ky luat Dang, Dd'i vdi quIn chung xi^
ly sai pham bang hinb thffc ha binh xet thi dua cudi nam, cat che' dd thrfdng hang thdng hoac cha'm dfft hdp ddng cao ddng.
3. Danh gia thuTc trang cdng tac quan ly cac drf an xSy di/ng tai Bdnh vidn Qu^n y 175
a) Va diem
QUAN THj-QUAN IV
- Ban quan ly drf an ludn ihrfc hidn nghiem ngat cdc quy dinh quy trinh ve da'u thau, Irfa chpn nha thiu theo quy dinh cua Ludt D^u thdu ciing nhrf nhffng chinh sach cua Bd Qud'c phdng;
-Cdng tac tham dinh, phe duydt drf dn dau trf xdy drfng da drfde phan ca'p trfdng dd'i rd rdng theo quy dinh cua Bd Qud'c phdng. Ban da phd'i hop td't vdi cae cdquan chrfc nang eua Bd de qua trinh tham dinh, phe duydl drf an drfde thrfc hidn nhanh chdng va cd srf ddng thuan bd ird trf cd quan cap tren.
- Cdng tdc khao sal, thie't ke'ap dung dung quy chuIn, quy pham, tidu chuan xdy drfng.
- To cbffc td't vide theo doi, giam sat, vd nghidm thu san pham khdo sat va thie't kd'.
- Lap kd' hoach Irfa ebon nhd tbdu phil hdp vdi tffng drf an, theo tffng giai doan trien khai hang muc cuadrfdti;
- To chffe Irfa chpn nha thau trf va'n, giam sat, thi cong theo dung quy dinh ve da'u thau va chi djnh thdu;
- To chffe theo doi nha thau trf va'n, Irfa chpn nha thiu, td chrfc td't vide tham dinh, phd duyet hd sd mdi thau, kd't qud da'u thau;
- Trong qua trinh thrfc hien thi cdng ede edng trinh, hang muc cdng ttinh cua drf an, cdng tdc gidm sdt da drfde coi ttong, viec thrfc bidn cdng tac gidm sat ngoai can bd Ban QLDA tham gia theo sat ngoai hidn trrfdng, Chu dau trf edn thud eae ddn vi trf van gidm sdt cung thrfc hidn;
- Cdng tac nghidm thu drfde quan tam va thrfc hien kha day du. Tnnh trf xdy lap, quy trinh vd quy pham trong thi cdng drfde dam bdo, cdc brfdc nghiem ihu, qudn ly chd't Irfdng drfde thrfc hien theo quy dinh hidn hanh cua Nha nrfdc. Nhat ky thi cdng, bien ban nghiem thu, kd ea khd'i Irfdng phat sinh da cd bien bdn vd thu tuc theo quy dinh.
b) Nhugc diem
Ben canh nbflng rfu didm ke trdn, edng tac quan if cdc drf an xdy drfng cua Benh vidn ciing cdn mdt sdhan che':
Ben canh nhrfng rfu diem kd trdn, cdng tdc qudn ly cac drf an xdy drfng cua Bdnh vien eung cdn mdt sdhan chd';
- Chd't Irfdng cdng tac thie't ke'cdn ban ehe'; cha'l Irfdng khdo sdi khdng dam bao, cdng lac lap, tham
dinh, phe duydt drf an ddu trf eon nbid#u bat cap, drf an phai dieu chinh quy md, tdng tdng mrfc dau trf, lam chdm tid'n dp thrfc hien;
- Cdng tdc Irfa chpn nha thau nhin ehung van ton tai nhieu bat cap, ban ehd' chffa dffde khde phuc; binh thffc chi dinh th^u cdn chid'm ty Id eao;
dd'u th^u ban chd', chi dinh thiu khdng dung quy dinh; gia tri trung thau Idn hdn gid trj gdi thau; Irfa chpn nha thau khdng du nanglrfe, da'u thau hinb thrfc cd ty Id giam gia, tie't kidm khdng cao... da gay thidt bai cho ngan sach nha nrfdc.
- Tinb trang thi edng cham lid'n dp cdn phd bid'n; chd' lai xff Iy, xff phat irach nhidm cac bdn lidn quan chrfa drfpc ihrfc hidn nghidm tuc, ndn khdng dap ffng drfde yeu cau cam kd't ve gidi ngdn ngudn vd'n theo quy dinh eua nha tai trd.,. mdt so gdi thau, vide tam ffng vd'n dau trf xay dffng cdng trinh cdn bat hdp Iy, khdng phti hdp vd tid'n dp dau trf drf an, gay thidt bai cho ngdn sach.
- Cdng lac nghiem thu, quyd'l loan cdn tdn tai nhieu sai sol, nhidu ttrfdng hdp nghiem thu sai khd'i Irfdng, ddn gia; nghidm thu thanh loan kbi chrfa cd khd'i Irfdng hoan thanh; cha't Irfdng cdng trinh chrfa dam bao; chrfa ihu hdi so' lien tam ffng gia tri quyd'l loan thffa cho nha thau...
Nhffng ban che' ndy xud't phdt tff mdt so' nguyen nhan sau;
- Cdng tde quan ly va gidm sal bdc Id nhieu yd'u kem, chrfa dam bdo ehd'l Irfdng va hidu qua cdng trinh nhrf drf kid'n;
- Tinh trang thie'u trach nhidm, khdng sdu sat Ihrfc td', chi quan tam de'n ldi ich cue bd, Idi ich nhdm... Id nhffng nguyen nhdn dan dd'n sai sdt, chd't Iffdng san pham xay dffng bi gidm sut,
- Ndng lrfe, trinh dp chuydn mdn eua cdn bd Ban chrfa ngang tam, yd'u trong cdng tac chi dao, dieu hdnh gay that thodt, ldng phi trong qua trinh tridn khai thrfc hien drf dn.
- Cdng lac thanh tra, kidm tra, kiem loan, cdng tac giam sdt, danb gid dau trf chrfa drfde eoi irgng, thrfc hien chrfa nghidm tuc va cdn tinh trang ne nang, du di ttong qua viec phat hidn va xff ly cdc ldi vi pham. Cdng tac giam sat ndi bd hidu qua thd'p.
- Qua trinh thrfc bidn nhiem vu cua Ban qudn ly drf dn chrfa thrfc srf drfde van dung dung theo quy dinh cua luat. Giam sdt iff phia chu dau trf, chu quan chu dau trf la mpt tinb ta't yd'u khach quan vd
So 1 -Thang 1/2019 233
TAP eHiCUNG THIftfNG
hdp Iy, tuy nhidn ddi khi chu dau trf, chu quan chu dau trf can thidp sau vao qua trinh dieu hdnh, chi huy cua Ban lam cho vai ttd quan Iy drf an chrfa the hidn linh chuyen nghiep.
4. Mdt sd' giai phap hoan thien cdng tac quan ly cac drf an x3y drfng tai Bdnh vien Quan y 175 Trdn cd sd phan tich thrfc trang cdng tdc qudn ly cac drf dn xdy drfng tai Bdnh vien Quan y 175, bdi vid't de xud't mdt sd gidi phap nham hoan thidn edng tac nay;
Thu: nhdt, can da'y manh hdn nffa cdng tdc quan ly tien dp. Cd the thrfc hidn edng tdc qudn Iy tid'n dd theo chuan mifc PMBOK, gom cac qua trinh:
(I) Lap ke' hoach quan ly tid'n do; (2) Xac dinh cac cdng viec; (3) Sap xe'p thrf trf thrfc bidn cdc cdng vide; (4) Drf tinh ngudn Irfc thrfc hien edng vide;
(5) Drf tinb thdi ban thrfc hien edng viec; (6) Lap tid'n dp; (7) Kiem soat tid'n dd.
Thd hai, dd'i vdi cdng tac Irfa chon nha thau, can da dang hda vd ndng cao tinh canh ttanh giffa cae nhd thau. Dieu nay se giup Irfa chpn drfde nhffng nha thau dii nang Iffc, uy lin de thrfc hien drf dn. Dd lam drfde dieu nay cd the keo dai thdi gian chuin bi hd sd drf thau va can dam bao tinb cdng bdng, minh bach ttong vide ban hd sd, nhan bd sd drf thau va xet thau. Cu thd, quy trinh Irfa ebon nha thau drfde thrfc hien theo cae brfdc:
Lap hd sd mdi thau: Thrfc td'cho ibay nhieu hd sd mdi thau van cdn nhieu sai sdt, lam dnh hrfdng rat Idn dd'n ndi dung eua hd sd drf than cung nhrf chd't Irfdng cdng trinh khi thrfc hidn. Khi lap hd sd mdi thau can phai tie'n hanh nghien crfu phdn tieh vd drfa ra nhffng ydu cau mdt cdch ca'n than va ehinh xac. Ddng thdi, cdc can bd lam cdng tdc hd sd mdi thau phdi la ngffdi cd nang Irfc va trinh dd mdi cd the dam nhidm drfde nhidm vu nay. Ban quan ly drf an Ihrfdng xuyen kidm tta giam sat ehi dao nhdn vidn lam cdng lde lap hd sd mdi thiu.
Nd'u phat hidn sai sdt ibi phai sffa chffa ngay.
- Nhan hd sd dff thau va md thau: Thu luc nhan hd sd drf thau va md thau phai ddn gidn va dung trinh trf, trdnh hien trfdng thdng ddng giffa ben mdi thau va nha thau. Khi tie'n hanh md thau phdi dMc tid'n hanh cdng khai ttrfdc srf chffng kie'n cua cac ban nganh lidn quan vd cac nha thau tham gia dd'u thiu- Npi dung cua hd sd dff thiu phdi drfde dam bao giff bi mat cho dd'n khi md thau.
- Xet thin: Nhffng ngffdi tham gia xdt thau la nhffng ngrfdi cd tnnh do va nang Irfc chuyen mdn ve Iinh vrfc da'u thau. Cdch thrfc cha'm diem phai cd srf thdng nha't giffa nhffng ngrfdi xet thiu.
De ddnh gia dung dan cdc hd sd drf thau xay lap ibi vide lam rd, chffng minh drfde srf ph& hdp giffa cac giai phdp thrfc hidn gdi thau vdi cac de xua't cua nha thau cd y nghTa dac bidt quan trpng.
Thd ba, ndng cao cha't Irfdng sdn pha'm tff van thie't ke. Cha't Irfdng san pham eua trf vd'n thidt kd' can drfde ehu trpng hang dau vd nghidn ci?u xem xet tong the toan bd cdng tdc cd lien quan de'n cdng tdc trf va'n thie't ke', bao gdm: cdng tac lap ke' hoach quan Iy chat Irfdng thiet kd'; cdng lac lap nhiem vu thid't kd'; to cbffc thi tuyen phrfdng an kie'n true; td chrfc Irfa chpn nhd thau trf vd'n thie't ke'; quan ly, giam sat qud trinh thtfc hidn thid't kd' cua ddn vi trf va^n tbie^t ke' (quan ly chd't Irfdng thid't kd').
5. Kd't lu$n va kid'n nghi
Thdng qua bdi vid't, lac gia da tid'n hanh vi§c phdn tich thrfc trang cdng tdc qudn ly cdc drf an xdy drfng tai Bdnh vidn Quan y 175 de tff do de xud't mdt sd' gidi phap hoan thien cdng tac ndy tai Benh vidn. De thffc hien nhffng giai phap nay, bai vie't de xud'l mdt so' kid'n nghi:
a) Ddi vdi Nhd nudc
Hien nay edng tac xdy dffng cO ban (ttong do bao gdm boat dpng quan ly drf an dau trf) da drfde Quo'c hdi, Chinh phu ban hanh ludt, nghi dinh, cac thdng tff hrfdng din thrfc hidn chi tie't va day dn. Nha nrfdc ndn giao cho cdc Bd chuyen mdn soan thao, hoan chinh cdc Quy chuan, Tidu chuan ngdnh mdt edch cu the, chi tie'l. Kbi cdc quy chuan tieu chu^n nganh da drfde chuan hda vd day dij thi cd sd kiem tra giam sat cua ed quan cap ttdn xudng cdc chu dau trf. Ban qudn ly drf dn, nha thau thi cdng se chat che, nghidm khac. Bdn than chu dau trf. Ban quan I;J drf an se tJ giac thrfc hidn nghiem ttong cdng tdc Irfa chpn nha thau. Ve phia nha thau hp se y thffc bdn ttong viec danh gia kha nang nang Irfc eua bdn thdn ed thrfc hidn drfde gdi than bay khdng, trf dd ban chd tdi da vide "chay" thau, "thdng" thau, "mua" thtu,,.
b) Ddi vdi Bo Xdy dung
Hoan thien be thdng van ban phdp Iuat, quy ehua'n, lieu chuan ve cdng tac dau trf xay drfng, sffa ddi, bd sung Luat Xay drfng, Nghi dinh ve Quan 1^
QUANTRI-QUANLY
dff an sat thrfc le, dac bidl dd'i vdi cdc quy dinh ve Idp, thd'm dinh drf an dau trf xay drfng, tang cffdng tham tta ve nang Irfc cua chu dau trf, kha nang huy dpng vd'n, ve nang lrfe quan ly va nhan srf. Cdc dinh che'kiem tra kiem sodt cae nha thau, nha cung cap boat dpng ttong ITnh vrfc xdy drfng cd ban. Quy dinh trach nhidm cua cd quan quan ly, cd quan trf van ddi vdi chd't Irfdng cdng trinh xay drfng.
c) Ddi vdi Bg Y te
Ha ttng y td' cua Viet Nam cho de'n nay vdn con d mffc dp thd'p so vdi ehua'n mffc cua the' gidi, vi vay vide d^u tff xdy drfng ba lang y te' trong thdi gian vffa qua vd ttong tffdng lai gan Id tinh cap thid't va bat budc. LTnh vffc y td cd tinb cha't dac thii, chuydn sau. Bd Y td' can phd'i hdp vdi Bp Xdy dffng nghidn cffu, soan thao ede bd tidu chuan thie't ke'lhat cu thd va chi tid't de lam ed sd, ndn tang cho cdng tac dau trf xdy drfng ha trfng y id'. Bd tieu ehua'n mdi nha't ve thid't ke' benh vien drfde ban hanh nam 2012 la TCVN-4470:20I2 - Tidu chud'n thiet ke benh vidn da khoa. Tuy nhien, ndi dung con chrfa cu the cho tffng hang mue, ye'u td chuydn nganh cung chrfa drfde the hidn ro net, vi vay trong cdng tac ldp hd sd thid't kd' cung nhrf ddnh gid cha't Irfdng xdy drfng cua eae bdn lien quan cdn md hd, thie'u cd sd chac chan. Vi du: Phdng md la mdt hang muc bet sffe quan trpng, ed rd't nhidu yd'u td' ca'u thanh, tinh chat xay drfng vd thid't hi gan cdng trinh phffc tap, ddi hdi tidu chuan khai khe theo chuan mrfc qud'c te'. Tuy nhien, irong tidu chuan TCYN-4470:2012 chi ehu trpng mdt sd hrfdng ddn.
quy dinh ddn thuan ve xay drfng, ilde cap dd'n cac ndu chi vd tich hdp thid't bi va kha nang van hanh dung tinh chd't la mdt phdng md. Dieu nay ddn de'n chu d^u trf, nha thau thie't ke' phu thudc nhieu vdo cdc nhd cung ca'p (iff hd sd thie't ke' cho de'n drf todn). Tff dd ed tinb trang eae nha cung cd'p thie't bi, cdc nha thau phan phd'i thie't bi, thdng ddng vdi cae ddn vi trf va'n thid't kd' de eai cam ca'u hinh, lam dnh hrfdng dd'n edng tdc Irfa chon nha than,
d) Ddi vdi Bo Quoc phdng
Vdi vai trd Id chu quan ehu dau trf, Bd Qud'c phdng can chi dao cac cd quan ehuyen nganh cua bd ma trrfc lid'p la Cue Ke' hoach dau irf thrfdng xuydn thrfc bien che'dp gidm sat ddnh gia dau trf mdt cdch sdu sac va nghidm tuc. Viec thrfc hidn ehe dd ndy thrfdng xuydn giiip cbd'n chinh ngay sai pham eua cdc ben trrfc tie'p thrfc hidn drf dn (Chu dau trf, nha than thi cdng, nha thau trf vd'n..,). Mat khde, kip thdi xac dinh drfde nhffng khd khdn vrfdng mac, tdng hdp bao cdo Idnh dao Bp, de cung vdi ddn vi tim bidn phap thdo gd giup day nhanh tie'n dd thrfc bidn drf dn.
Bdn canh do, Bd Qud'c phdng can chi dao cd quan chuydn ttach thrfdng xuydn kiem tra chuyen sdu vd da'u thau, ndm bat cac thdng tin, phan dnh, kid'n nghi cua nha di^u ve eae hanh vi tidu crfc de kip thdi xdc minh, de nghi ngrfdi cd tham quyen dp dung bidn phap xff Iy theo dung quy dinh phap Iuat vd da'u than, nham ndng cao cha'l Irfdng cdng tdc da'u thau •
TAI LIEU THAM KHAO:
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2. Bd Qud'c phdng (2016), Quyet dinh sd550/QD-BQP ngdyOS-02-2016ve viec Phe duyet Dieu chinh Quy hoach tong mat bang Binh vien Qudn y 175 - Bo Qudc phong.
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4. Bd Xdy dUng (2016), Thong tU sd 18/2016/rT-BXD hudng ddn ve thdm dinh, phi duyet du dn vd thie't ke, du todn xdy dung cdng trinh.
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Ngay nhSn bai: 25/12/2018
Ngay phan bien danh gia va su'a chffa: 5/1/2019 Ngay cha'p nhSn dang bai: 15/1/2019 Thong tin tdc gig:
1. ThS. NGUYEN NHAT HUNG
Ban Quan Iy drf an_175 - Benh vidn Qu3n y 175 - Bp Quo'c phong 2. PGS.TS. NGUYEN NGOC KHANH
Trrfdng Dgi hpc Mo - Dia chat
ENHANCING THE CONSTRUCTION PROJECT MANAGEMENT AT175 MILITARY HOSPITAL - MINISTRY OF DEFENSE
PROJECT MANAGEMENT BOARD OF UNIT 175, 175 MILITARY HOSPITAL - MINISTRY OF DEFENSE
• Master NGUYEN NHAT HUNG
175 projec management board, 175 Military Hospital, Ministry of Defense
• Assoc.Prof. Ph.D NGUYEN NGOC KHANH Hanoi University of Mining a n d Geology
ABSTRACTS:
Construction project management atl75 MiUtaiy Hospital is strictly in accordance with regulations of the Law on Bidding about bidding process and bidder selection and policies of Ministty of Defense. However, besides achievements, there are some limitations related to the construction project management atl75 Mihtary Hospital, such as mistakes inproject establishment, verification and approval, the scale adjustment of projects, the increase in total investment and the delay in implementing projects. The article proposes some solutions for consttuction project management atthe hospital including scheduling the management according to PMBOK standards, diversifying and enhancing the competitiveness of bidders and improving the quality of designed products.
Keywords: Managing, construction project;175 Military Hospital.
