Self-examination Report on Birth Medical Certificate 1 According to the requirements of Document No.4 of National Maternal and Child Health Office [20xx], our hospital organized personnel to conduct self-examination on the management of birth medical certificate in our hospital according to relevant requirements. The self-inspection situation is summarized as follows:
First, strengthen management and establish and improve various management systems.
According to the relevant requirements, our hospital has formulated the management system of the Birth Medical Certificate in X Hospital, which clearly stipulates the issuance place, backup, badge management, handover and self-examination of the Birth Medical Certificate.
Our hospital has an independent medical birth certificate issuing room, located on the fourth floor of the administrative office area. The administrative office area has independent anti-theft net, door and window anti-theft net, and the security guard is responsible for the management of the gate. Install stainless steel anti-theft net on the doors and windows of the power distribution room, and install monitoring cameras outside the door to prevent potential safety hazards; Computers that issue medical certificates should properly keep relevant information and back it up once a month; Badges are managed separately and there are special counters. Management of blank birth medical certificate and seal management. The seal can only be used after the relevant information is reviewed by the signer every time. Establish a regular reporting system, ask for instructions from the superior hospital XX Hospital in time when encountering problems, and report to the superior leaders and competent departments regularly.
Second, do a good job in the issuance, distribution and inventory management of certificates.
Strictly implement the registration of warehouse-in and warehouse-out vouchers, register in real time, and grasp the issuance, distribution and inventory of birth medical certificates in our hospital in time. Assign special personnel to be responsible for issuing and issuing certificates, the inventory personnel shall be responsible for issuing the Birth Medical Certificate, and the personnel who issue the Birth Medical Certificate shall be responsible for issuing it. The birth medical certificate information is printed after being entered into the special system by a special person, and the certificate stub is kept for registration. Inventory personnel are responsible for properly keeping the blank birth medical certificate, and the counter is locked for safekeeping. The storage environment is clean and tidy, and the temperature and humidity are moderate.
Third, standardize business processes.
Standardize the issuance of the Birth Medical Certificate according to the requirements for the first issuance of the Birth Medical Certificate, and do a good job in the registration of the first issuance of the Birth Medical Certificate. The registration form for the first issuance of the Birth Medical Certificate shall be filled in and confirmed by the midwife with midwifery technical service qualification, and then forwarded to the issuer, who will verify the valid identity documents and related materials of the witness, keep copies of the valid documents of the newborn's parents and witnesses, and the witness will fill in and confirm the name of the newborn and the relevant information of its parents; Issued by the personnel computer input data printed "birth medical certificate"; Stamping personnel shall check and stamp the information in the Birth Medical Certificate, keep the stub and register the first issue. For the renewal or replacement of the Birth Medical Certificate, the issuer carefully examines the information, and if it meets the requirements of renewal or replacement, the information is fully prepared according to the procedures and requirements of renewal or replacement, and XX Hospital will handle the renewal or replacement.
Four, regularly carry out legal education and job training.
Hospitals provide targeted legal education and on-the-job training for those who manage and issue birth medical certificates. By studying the Guidance Manual for the Management of Birth Medical Certificates and related notices, hospitals can enhance their legal awareness, improve their ability to monitor events such as document damage, loss, forgery, fraudulent use and counterfeiting, and prevent dereliction of duty.
Verbs (short for verb) are reported regularly.
Formulate a regular reporting system, and regularly report the management of the Birth Medical Certificate to superior leaders, superior hospitals and superior health administrative departments. Relevant staff shall make weekly statistics on the issuance, distribution and inventory of birth medical certificates, and report them to the competent leadership of our hospital for signature and confirmation; Make statistics and registration on the management and use of the Birth Medical Certificate every month, and submit it to the Health Bureau in the form of statements every quarter; If you encounter any problems in the usual business process of Birth Medical Certificate, please ask Pok Oi Hospital for instructions in time, and then deal with them after confirmation to avoid mistakes and omissions.
Sixth, strengthen supervision and management.
The supervision and management work is divided into internal supervision and external supervision: the internal supervision consists of a special supervision team in the hospital, which regularly checks the management of the Birth Medical Certificate, the distribution and use of the Birth Medical Certificate, the first distribution, renewal, replacement, seal management, invalid certificate management and information management of the Birth Medical Certificate, and the training and assessment of the distribution personnel. The external supervision consists of an inspection team composed of superior health administrative departments, entrusted institutions and relevant experts. Through listening to reports, holding symposiums, on-site inspection and consulting materials, we will effectively supervise and manage the management and use of the Birth Medical Certificate in our hospital, conduct regular inspections, assessments and evaluations, and promptly guide and correct the problems found.
Birth Certificate Self-inspection Report 2 According to the Notice of the Municipal Health Bureau on Developing Special Supervision and Evaluation of Maternal and Child Health Care Projects (Shi Chengfuwei [20xx] 10), recently, our bureau conducted supervision and self-inspection on two major maternal and child health care services and the "reduction and elimination" projects, and now the relevant information is notified as follows:
First, the basic situation of supervision
There are 1 monitoring teams in our district. The members of the supervision team are Zhang, deputy director, Dong Guifang, an expert stationed in the county, Gu Chunjie, a prevention and protection unit, and Dong, the stationmaster of the health station. The supervision period is 20xx from May 24th to 26th. The supervising units are Chengde Sixth Hospital, Ruth Town Health Center, Shouwangfen Town Health Center, North Ma Quan Town Health Center, Wangjiazhuang Town Health Center, hebei village Health Center and luoquan Goucun Health Center.
In 20xx, there were 26 rural pregnant women in the whole region1person, and the hospital delivery subsidy was given to 126 people, with a subsidy amount of 50,400 yuan, and the subsidy completion rate was 84%. 224 people were given folic acid 1295 bottles, and the completion rate was 107.58%. The county maternal emergency center accepted 0 cases and rescued 0 cases successfully. The county's "reduction and elimination" project trained 70 people and selected 2 people to participate in municipal education. Situation of towns: Ruth Town Health Center provided subsidies of RMB 0.56 million for 14 people and distributed 535 bottles of folic acid to 90 people; Wangjiazhuang Town Health Center distributed 42 people and 240 bottles of folic acid; Shouwangfen Town Health Center distributed 39 people and 226 bottles of folic acid; North Ma Quan Town Health Center distributed 42 people and 228 bottles of folic acid; The district health station distributed 66 bottles of folic acid to 1 1 person.
In 20xx1-May, 60 rural pregnant women in the whole region were given hospital delivery subsidy of 8 1 person (including those who have not been subsidized for 20xx years), and the subsidy amount was 32,400 yuan. Folic acid was distributed to 14 1 person and 7 15 bottles. Situation in each town: Ruth Town Health Center subsidized 2 hospitalized deliveries, with a subsidy amount of 8,000 yuan, and distributed 237 bottles of folic acid to 43 people; 24 people in Wangjiazhuang Town Health Center distributed folic acid, 135 bottles; 33 people in Shouwangfen Town Health Center distributed folic acid, 187 bottles; North Ma Quan Town Health Center distributed 28 people and 83 bottles of folic acid; 13 people and 73 bottles of folic acid were distributed in the district health station.
Second, the main practices
Organization and management: the project leading group and expert technical guidance group were established, the multi-department cooperation mechanism was established, the responsibilities of departments were clarified, and the work was started. Make the implementation plan and annual plan and summary of each project. Formulate the basic service items and price limit standards for hospital delivery of rural pregnant women in this region, formulate the work norms and subsidy processes for hospital delivery of rural pregnant women in this region, and formulate the folic acid distribution process in this region. Hold regular work meetings, carry out project activities, have detailed records, and formulate relevant work systems (including critical maternal rescue systems and processes; Folic acid drugs and distribution management, information management and health education publicity system. ).
Use and management of funds: Measures for the management of project funds have been formulated, so that the central and provincial funds can reach the project users on time and in full from the county finance, and the hospitalization subsidy funds are managed in special accounts, which are earmarked for special purposes, and shall not be misappropriated, transferred or misappropriated (the funds will also be coordinated with the payment center), and all financial vouchers are kept intact.
20xx project fund use: 1, rural maternity hospital delivery subsidy project, municipal appropriation fund187,400 yuan, subsidy 50,400 yuan. 2. Energy-saving project: the central government has arranged a special fund of 59,250 yuan. Among them, the training fund is 30,000 yuan; Social propaganda funds are 6.5438+0 million yuan; 500,000 yuan for health education; Subsidy for experts in counties 1.425 million yuan (grassroots training for experts in counties 1.00 million yuan, transportation expenses for experts in counties in 250 yuan, with a subsidy of 4,000 yuan).
In 20xx, the municipal project funds reached 65438+20xx in February, and the funds reached 73,600 yuan. In 20xx, the funds allocated by the county finance to the project unit reached 65,438+February, and the funds reached 73,600 yuan.
Personnel training and further education: technical training for managers at district, town and village levels, women and children, and obstetricians. According to the requirements of reducing the training content of the project, the training will be carried out step by step. Training was conducted once in March and 65438+February respectively, which mainly included project objectives, management responsibilities at all levels, implementation plan, fund management, establishment, supervision and coordination of referral emergency network, etc.
The second is the training of business personnel. In principle, midwives in district hospitals, maternal and child health care institutions and town health centers are trained in rotation, mainly including basic knowledge, skills and technical specifications of obstetric first aid, so as to improve the ability of obstetric first aid, and at the same time, the basic skills of normal obstetric handling, common obstetric first aid and basic first aid skills of referral process are trained for more than 4 days. Village health workers (village doctors) should know the objectives and contents of key training programs, do a good job of publicity, and help them to' refer' high-risk pregnant women. Clinical students are based on the basic knowledge, skills and technical operation norms of obstetric first aid, basic first aid skills in referral process and neonatal asphyxia resuscitation technology.
Health education publicity: health education. Formulate the publicity and education work plan of the "reduction and elimination" project in the whole region, and use various publicity forms to increase the publicity of the "reduction and elimination" project.
1. Carry out the health education mode of "taking women as the core and family as the best place", and publicize and educate pregnant women about health care during pregnancy and safe delivery;
2. Organize "pregnant women's schools" and "parents' schools" to disseminate health knowledge;
3. Prepare health education books in popular language and illustrations and distribute them to pregnant women and their families, widely publicizing the benefits of health care during pregnancy and hospital delivery;
4. Make posters about maternal health care and safe delivery according to local conditions, and post them in village clinics, township (town) hospitals, district-level medical and health care institutions and public places, so that the masses can understand the knowledge about maternal health care and improve the service capacity of maternal and child health care.
5, make full use of television, make life encyclopedia publicity materials, widely publicize the knowledge of maternal and child health care, so that the majority of women and children improve their awareness of self-care.
Information management: formulated the information management standard of comprehensive maternal and child health care projects in the whole region,
Huang, the chief information officer of the district health station, was assigned to take charge of information work, and a project information management system was established, including information reporting, quality control and information guarantee system. The information is reported in time and carefully reviewed. The original data, case registration form and summary report are completely recorded, well preserved and neatly filed.
Archives management: all kinds of archives management are basically standardized, and the archives management at the town and village levels is being rectified.
Construction of maternal rescue center and green passage: establish and improve various systems of the rescue center, set up leading groups and experts, have feasible and clear procedures for calling for help, operation and rescue, implement a 24-hour duty system, have special maternal emergency telephones 120, 50 17758, have an ambulance in a functional state, have complete equipment and emergency medicines in the ambulance, and leave the car within 5 minutes. Emergency center. Reasonable layout, smooth access, fixed personnel reached 70%. The doctor on duty can be competent for the first aid work of critically ill pregnant women and newborns. First-aid equipment includes ventilator, monitor, oxygen cylinder, aspirator, delivery bag, endotracheal intubation and bloodletting bag. ≥20 kinds of first aid drugs.
The situation of experts stationed in the county: there is an annual work plan, including obstetric management, business training, project supervision and business guidance, and time arrangement for going to the countryside. However, due to special reasons, experts came to our district to supervise for three days in late May of 20xx, and gave training and guidance to the maternal emergency center, towns and villages in Chengde Sixth Hospital.
Third, the existing problems
1, the file management is not standardized.
2. Basic public health services are not in place, especially the management of high-risk pregnant women is not perfect, and postpartum visits are not timely, and some do not visit at all.
3. There is a general problem of missing items in grass-roots statements.
Four. Improvement measures and next step plan
1, standardize file management, and assign special personnel to supervise and assist in the management of various data archiving.
2. Strengthen basic public health services, and plan to organize the staff of maternal and child health care in Chengde County in June to promote the work of maternal and child health care in our district in a solid and systematic way.
3. Train the grassroots to fill in and make various report samples to reduce the phenomenon of missing reports.
Self-examination Report on Birth Medical Certificate 3 According to the requirements of Document No.4 of National Maternal and Child Health Office [20xx], our hospital organized personnel to conduct self-examination on the management of birth medical certificate in our hospital according to relevant requirements, and the self-examination situation is summarized as follows:
First, strengthen management and establish and improve various management systems.
According to the relevant requirements, our hospital has formulated the management system of Birth Medical Certificate in XXX Hospital, which clearly stipulates the placement, backup, badge management, handover and self-inspection of Birth Medical Certificate.
Our hospital has an independent medical birth certificate issuing room, located on the fourth floor of the administrative office area. The administrative office area has independent anti-theft net, door and window anti-theft net, and the security guard is responsible for the management of the gate. Install stainless steel anti-theft net on the doors and windows of the power distribution room, and install monitoring cameras outside the door to prevent potential safety hazards; Computers that issue medical certificates should properly keep relevant information and back it up once a month; Badges are managed separately and there are special counters. The blank birth medical certificate is managed by XXX, and the seal is managed by XXX. Stamp holders can use stamps after each review of relevant information. Establish a regular reporting system, ask for instructions from the superior hospital XX Hospital in time when encountering problems, and report to the superior leaders and competent departments regularly.
Second, do a good job in the issuance, distribution and inventory management of certificates.
Strictly implement the registration of warehouse-in and warehouse-out vouchers, register in real time, and grasp the issuance, distribution and inventory of birth medical certificates in our hospital in time. Assign special personnel to be responsible for issuing and issuing certificates, the inventory personnel shall be responsible for issuing the Birth Medical Certificate, and the personnel who issue the Birth Medical Certificate shall be responsible for issuing it. The birth medical certificate information is printed after being entered into the special system by a special person, and the certificate stub is kept for registration. Inventory personnel are responsible for keeping the blank birth medical certificate properly.
Ming and counter are locked for safekeeping, and the storage environment is clean and tidy, with moderate temperature and humidity.
Third, standardize business processes.
Standardize the issuance of the Birth Medical Certificate according to the requirements for the first issuance of the Birth Medical Certificate, and do a good job in the registration of the first issuance of the Birth Medical Certificate. The registration form for the first issuance of the Birth Medical Certificate shall be filled in and confirmed by the midwife with midwifery technical service qualification, and then forwarded to the issuer, who will verify the valid identity documents and related materials of the witness, keep copies of the valid documents of the newborn's parents and witnesses, and the witness will fill in and confirm the name of the newborn and the relevant information of its parents; Issued by the personnel computer input data printed "birth medical certificate"; Stamping personnel shall check and stamp the information in the Birth Medical Certificate, keep the stub and register the first issue. For the renewal or replacement of the Birth Medical Certificate, the issuer carefully examines the information, and if it meets the requirements of renewal or replacement, the information is fully prepared according to the procedures and requirements of renewal or replacement, and XX Hospital will handle the renewal or replacement.
Four, regularly carry out legal education and job training.
Hospitals provide targeted legal education and on-the-job training for those who manage and issue birth medical certificates. By studying the Guidance Manual for the Management of Birth Medical Certificates and related notices, hospitals can enhance their legal awareness, improve their ability to monitor events such as document damage, loss, forgery, fraudulent use and counterfeiting, and prevent dereliction of duty.
Verbs (short for verb) are reported regularly.
Formulate a regular reporting system, and regularly report the management of the Birth Medical Certificate to superior leaders, superior hospitals and superior health administrative departments. Relevant staff shall make weekly statistics on the issuance, distribution and inventory of birth medical certificates, and report them to the competent leadership of our hospital for signature and confirmation; Monthly management and use of birth medical certificate
Carry out statistical registration and submit it to the Health Bureau in the form of statements every quarter; If you encounter any problems in the business process of Birth Medical Certificate, please ask Pok Oi Hospital for instructions in time, and then deal with them after confirmation to avoid mistakes and omissions.
Sixth, strengthen supervision and management.
The supervision and management work is divided into internal supervision and external supervision: the internal supervision consists of a special supervision team in the hospital, which regularly checks the management of the Birth Medical Certificate, the distribution and use of the Birth Medical Certificate, the first distribution, renewal, replacement, seal management, invalid certificate management and information management of the Birth Medical Certificate, and the training and assessment of the distribution personnel. The external supervision consists of an inspection team composed of superior health administrative departments, entrusted institutions and relevant experts. Through listening to reports, holding symposiums, on-site inspection and consulting materials, we will effectively supervise and manage the management and use of the Birth Medical Certificate in our hospital, conduct regular inspections, assessments and evaluations, and promptly guide and correct the problems found.
XXXXX hospital
20xx August 24th
4. Self-inspection report on birth medical certificate of County Health Bureau and Health Management Office of Development Zone:
In order to grasp the implementation of health and livelihood projects in various places and speed up the implementation progress of livelihood projects, the inspection of health and livelihood projects in the whole city is scheduled to be carried out in the middle and late June after research. At the same time, in order to further standardize the issuance management of the Birth Medical Certificate, the management of the Birth Medical Certificate will be inspected together, and the relevant inspection items are hereby notified as follows:
First, check the content.
(a) a comprehensive understanding of the progress of health and people's livelihood projects. Focus on the operation of the new rural cooperative medical system in counties, the progress of serious illness insurance, and the supervision of the new rural cooperative medical system fund; The implementation of the "two management" rate, health records, chronic disease management and severe mental illness management in basic public health services, the management and use of project funds over the years, the liquidation and pre-allocation in 20xx years, and the medical treatment of major infectious diseases.
(two) check the management of the issuance of birth medical certificates.
Second, the inspection method
This inspection adopts the way of working discussion, consulting materials and on-site inspection.
(a) discussion to understand the operation of the new rural cooperative medical system and the progress of the implementation of serious illness insurance, and to understand the expenditure and supervision of the new rural cooperative medical system fund;
(II) On-site inspection of county maternal and child health centers (hospitals), random sampling of 1 township health centers (or community health service centers) and 1 village clinics (or community health service stations), verification, assessment and evaluation of data related to basic public health services at county, township and village levels and annual report data. (See attachment 1 for details)
(3) All counties and districts should conduct self-examination on the management of the issuance of birth medical certificates, and the self-examination should cover all management and issuance institutions. This time, relevant management institutions, county-level medical institutions, township hospitals (or community health service centers) and private midwifery institutions were randomly selected. (See Annex 2 for details)
(four) access to medical treatment of major infectious diseases and the allocation of treatment funds (see Annex 4).
(V) Understand the implementation of special supervision and rectification for women and children in the first quarter of 20xx.
Third, the inspectors and time schedule
(1) inspector
the first group
Team leader: Yang Yang
Members: Chu Changshan, Tong Qinghao, Wei, Yuan Hongyan.
Li (female)
Counties under inspection: Shouxian County, Jinzhai County, Huoshan County and Jin 'an District.
Liaison Officer: Zhigang Cheng, Tel:
the second group
Team leader: He Shuchun
Member: Gao (female) Shi Yong (female)
Counties inspected: Yeji District, Huoqiu County, Shucheng County and Yu 'an District.
Liaison Officer: Li Cheng, Tel:
(2) Investigation time: June, 20xx 16, the specific time will be notified separately.
Four. Related requirements
(1) The inspection time of each county is 1 day. Please make good preparations for inspection, form written report materials, and report briefly during on-site inspection;
(two) all localities should complete the self-examination of the management of the issuance of birth medical certificates, and submit the self-examination report and Annex 3 registration form to the inspection team;
(three) local inspectors should strictly grasp the standards, unified standards, in order to achieve practical results. Resolutely implement the "eight regulations" of the central government. When carrying out on-site inspections in various places, it is necessary to minimize the number of accompanying personnel and not to receive or give gifts beyond the standard;
(four) the inspection results into the annual assessment of individual livelihood projects.