For medical，medical services，common development of whole body，in order to enhance service for our internal quality safety and grassroots medical institutions ability as the goal，really take leading hospital comprehensive ability of pipe，use “hematopoiesis” means to promote grassroots medical institutions service ability，also for the implementation of medical total body health care payment reform，unified optimization classification diagnosis and lay a solid foundation. Centering on the national requirements for the construction of “community of responsibility，community of management，community of service and community of interest” by the medical community，this paper expounds that our hospital carries out personalized and targeted promotion according to the characteristics and needs of primary hospitals，and builds a homogenized quality management platform based on quality management tools such as RCA，PDCA and OKR.