In daily life and work, the responsibility letter is more and more widely used in life, and signing the responsibility letter can inspire us to do our best to meet the needs of the post. How should the responsibility book be drafted? The following is the responsibility book of the village clinic that I collected for you, hoping to help you.

Letter of Responsibility for Village Clinics 1 This letter of responsibility is formulated to strengthen the management of village clinics and standardize the work of village clinics. The contents are as follows:

First, medical safety.

(1) Firmly establish the concept of "medical safety first", adhere to the principle of safety and effectiveness in medical management, put an end to accidents and reduce errors.

(2) Seriously standardize the writing of medical documents, register the records of diagnosis and treatment, prescription and infusion, and report the epidemic situation, and standardize the recording of medical waste disposal.

(3) If critically ill patients are found, they should inform the patients or their families in time and transfer them to qualified medical institutions for treatment.

(4) Strictly regulate clinical medication, and prohibit the use of self-made drugs and expired drugs; It is strictly forbidden to use drugs with incompatibility, positive skin test or failed skin test; Choose drugs strictly according to indications, and don't overdo or abuse antibiotics and hormones.

(5) In the event of a medical accident with clear responsibility in this area, the village clinic immediately stops practicing and writes a written examination. If the circumstances are serious, the practice certificate of the medical institution shall be revoked.

Two, the new rural cooperative medical care work

(A) strictly abide by XX new rural cooperative medical compensation scheme. The general medical treatment fee is 0 for each outpatient visit to 5 yuan. 5 yuan, the new rural cooperative medical care outpatient co-ordination fund to pay 4. In 5 yuan, the general medical expenses paid by the outpatient service of the new rural cooperative medical system should be paid within the family capping line.

(2) fill in the specification form-1 1, the patient signs his full name, leaves his phone number, the combined treatment prescription is signed completely, and the invoice is pasted in time; All kinds of treatment sheets are classified, bound and saved for reference at any time.

(3) stipulate that the reporting time is from 9: 00 to 15: 00 on 16 every month, and it will not be handled after the deadline. (Special circumstances will be notified separately)

(four) timely update the content of the bulletin board of combination therapy.

(five) actively cooperate with other work of the new rural cooperative medical system.

Third, prevention and health care.

(1) Disease control regulates the writing of outpatient logs, which should be the first blood pressure test for patients over 35 years old and a targeted health education project. The outpatient log of the village clinic designated for combined treatment should be consistent with the combined treatment table-1 1.

(two) standardize the report of infectious diseases, and shall not omit, conceal or delay reporting cases of infectious diseases, especially infectious diseases such as influenza and other infectious diarrhea.

(three) the total population of chronic disease follow-up is filled in according to the population within the jurisdiction. 1% patients with hypertension and 1% patients with diabetes were followed up.

(four) health education village clinics health education publicity column not less than 1 month, not less than 6 times a year, not less than 6 times a year health knowledge lectures. Rural doctors should carry out targeted and personalized health knowledge and skills education when providing medical and health services such as outpatient treatment and home visits. Vigorously implement the "Five One Projects". The "Five One Project" within the jurisdiction means that every village has a publicity column, a slogan on the wall, a monthly health knowledge broadcast, and/kloc-0 copies of health knowledge manuals and health theme New Year pictures distributed to villagers' families.

(five) to complete other health education work assigned by the superior.

Four. Planned immunization work

(a) establish and improve the basic ledger, the basic data of population is sound, and the card certificate is complete.

(two) the establishment of vaccine use management system and cold chain management system. There are vaccine plan reports and biological products receiving and dispatching register.

(3) Vaccine storage management Vaccines should be stored correctly. Sundries cannot be stored in the refrigerator, and the storage temperature is correct; The vaccine stored in the refrigerator is consistent with the account vaccine; Establish a register of vaccines in and out of the warehouse, measure the temperature once every morning and evening, and make records.

(4) 8 months old to 1. Make an appointment for measles vaccination within one week of the age of 5 and register.

(five) in the middle and late of each month to carry out leak detection and replanting work, should be reported before 30 days of each month.

(6) Periodic reports must be submitted before 18 every month, and overdue reports will be deemed as not submitted.

(seven) to complete the temporary vaccination task assigned by the superior.

Verb (abbreviation of verb) maternal and child health care work

(1) Establish and improve the connotation of women and children.

(two) timely home visits to pregnant women, accurate and true records. 0-6-year-old children shall receive free physical examination according to the system management, urge the puerpera to reexamine 42 days after delivery, and conduct routine blood examination for children within the specified time.

(three) timely referral of high-risk pregnant women, timely reporting of maternal and infant deaths.

(4) Regularly fill in the monthly report and report it in time before 18 every month.

(five) to complete other maternal and child health care work assigned by the superior.

Six, health supervision and management work

(a) to carry out the publicity work of health legal system and health knowledge every quarter, and keep the work records.

(two) timely report illegal medical practice, unlicensed and other illegal acts.

(three) to complete other tasks designated or assigned by the health supervision institutions at higher levels.

Seven, drug three unified work

(a) fill in the "three unified" drug purchase ledger, the "three unified" drug purchase and sale ledger and the basic drug purchase plan of primary medical institutions in Lantian County.

(two) the clinical use of drugs in village clinics shall not exceed the "three unified" drug list of grassroots medical and health institutions in Shaanxi Province, and the clinical use of drugs must strictly implement the unified drug prices in the province and implement zero price difference sales.

(3) Timely, complete and standardized submission of three unified statements.

Health Center: (Signature)

Signature of hospital leader:

Name of clinic: (signature)

Signature of the person in charge of the clinic:

time

Letter of Responsibility for Village Clinics 2 According to the requirements of xxxx rural health integration management implementation plan, the annual target management and appointment system management are implemented for village clinics. Sign the target responsibility letter at the beginning of the year, and check it twice at the middle and end of the year. After the approval, all subsidies and funds have been cashed. The annual goals of village clinics are as follows:

I. Public health services

1, prevention and treatment of infectious diseases. Collect and convey vaccination information in time to complete vaccination tasks; Do a good job in the registration and reporting of infectious diseases and public health emergencies; Do a good job in the distribution, use guidance and publicity and supervision of drugs for the prevention and treatment of infectious diseases such as tuberculosis and AIDS.

2. Maternal and child health care. Do a good job in policy propaganda, drug distribution and use guidance of folic acid supplementation before pregnancy and early pregnancy; Do a good job in prenatal and postpartum visits and breastfeeding guidance for pregnant women, and the rate of establishing a card for pregnant women is up to standard; Participate in the health care of children aged 0-3, and the filing rate is up to standard.

3. Health education. Set up health education bulletin boards, and publish basic knowledge such as health literacy, disease prevention and control, prenatal and postnatal care at least 6 times a year; Timely distribution of health education publicity materials; Citizens' health literacy rate is up to standard.

4. Health records of rural residents. Timely, accurate and comprehensive collection of rural residents' basic information, major health problems, health service records and other information, establish and update health records as required, and the filing rate reaches the standard.

5. Prevention and treatment of chronic diseases. Residents over 35 take their blood pressure for the first time every year. Follow-up patients with hypertension and diabetes regularly, ask about their condition, and give health guidance such as medication and diet; The filing rate reached the standard and the follow-up records were complete. Do a good job in the management and follow-up of severe mental patients as required.

6. Medical care for the elderly. Comprehensively collect the demographic information of the elderly in the village, conscientiously do a good job in the investigation and evaluation of health risk factors, health guidance, health management, follow-up, etc., and the filing rate is up to standard.

Second, basic medical care.

1. Strictly implement the Law on Medical Practitioners and the Regulations on the Administration of Rural Doctors, and carry out diagnosis and treatment activities within the scope of practice.

2, establish and improve the rules and regulations and operating norms of diagnosis and treatment, so that medical treatment and registration, prescription and writing meet the requirements of the specification.

3. Strictly implement drug bidding and purchasing, equip and use basic drugs, and sell them at a unified price; Do not abuse antibiotics and hormones; Collect and report adverse drug reaction data of essential drugs in time.

4, medical waste disposal, classified collection, destruction and registration as required.

Third, participate in public health management.

1, actively participate in the publicity, policy interpretation, fund-raising and outpatient reimbursement of the new rural cooperative medical system; Conscientiously do a good job in the regular publicity work of reimbursement and compensation for medical expenses of participating farmers.

2. Participate in business training and regular meetings organized by provincial, city, county and county Chinese medicine hospitals on time.

3. Strictly implement the "six unifications and two independences" rural health integrated management system and detailed rules; Complete other tasks assigned by superiors.

4. Manage and use village clinic equipment. Meet the standards of village clinics formulated by county health bureau.

Xxxxxxx Hospital (Seal) Village Committee (Seal) Village Clinic

Dean:

Village director:

Head of the clinic:

date month year

Village clinic responsibility letter 3 (1) According to the target responsibility letter signed by the village clinic, the health center is specifically responsible for the assessment of rural doctors.

(2) The assessment adopts the scoring system of 100, and four grades are evaluated according to the assessment results: 90 or above is excellent; Score 70-89 points

Qualified; 60-69 points are basically qualified; A score below 60 is considered unqualified. At the same time, in the annual work, anyone who violates any of the following items will be rejected once and will be treated as unqualified:

1, medical accidents or medical disputes that result in compensation exceeding 50,000 yuan due to medical technology or work responsibilities;

2. Failure to strictly perform public health duties leads to mass food poisoning incidents or the spread of infectious diseases;

3, resort to deceit to defraud the medical insurance fund and verified.

(three) the assessment results as the main basis for village clinic funding, rural doctors and year-end assessment.

According to the assessment results, the health center pays the public health subsidies and other subsidies due to the village clinics. Those who fail to pass the examination will not be granted medical subsidies at public expense, and will be reported to the county health bureau for suspension of practice.

Attachment 1: comprehensive target assessment index of town and village clinics

Appraised unit: Person in charge of village clinic: Evaluation time:

Examiner: examiner:

Letter of Responsibility for Village Clinics 4 In order to implement the spirit of the relevant documents of the US Food and Drug Administration of XX County Health and promote the sustained and healthy development of health undertakings in our town, according to the specific requirements of the Implementation Plan for Integrated Management of Village Clinics and Community Health Service Stations in XX Town, the village clinics and community health service stations were managed by annual target management and appointment system. Two assessments were conducted in the middle and the end of the year, and all subsidies and funds were cashed after passing the assessment. The comprehensive target management responsibility book for village clinics of XX Town Community Health Service Center in 20xx is hereby formulated, and the specific rules are as follows:

I. Basic public health services

Responsible for the registration and reporting of infectious diseases and public health emergencies. Collect and convey vaccination information in time to complete vaccination tasks; Do a good job in the registration and reporting of infectious diseases and public health emergencies; Do a good job in the distribution, use guidance and publicity and supervision of drugs for the prevention and treatment of infectious diseases such as tuberculosis and AIDS. Responsible for managing the maternal health care system and assisting in the management of the child health care system. Do a good job in policy propaganda, drug distribution and use guidance of folic acid supplementation before pregnancy and early pregnancy; Do a good job in prenatal and postpartum visits and breastfeeding guidance for pregnant women, and the rate of establishing a card for pregnant women is up to standard; Participate in the health care of children aged 0-6, and the filing rate is up to standard.

Carry out health education and publicize health care knowledge to villagers. Set up health education bulletin boards, and publish basic knowledge such as health literacy, disease prevention and control, and prenatal and postnatal care at least 12 times a year; Timely distribution of health education publicity materials.

Participate in the establishment and update of farmers' health records and the follow-up of chronic non-communicable diseases such as hypertension, diabetes and mental illness. (1) timely, accurately and comprehensively collect the basic information of rural residents, major health problems, health service records and other information voluntarily filed, establish and update health records as required, and the filing rate reaches the standard. (2) Carry out the first blood pressure test for urban and rural residents over 35 years old every year; (3) Follow-up patients with hypertension and diabetes regularly, ask about their condition, and give them health guidance such as medication and diet; The filing rate reached the standard and the follow-up records were complete. (4) Do a good job in the management and follow-up of severe mental patients as required. 5. Medical care for the elderly. Comprehensively collect the demographic information of the elderly in the village, and conscientiously do a good job in the investigation and evaluation of health risk factors, health guidance, health management, follow-up and other work. , and the filing rate is up to standard.

Assist in children's immunization planning and vaccination, health care for the elderly, prevention and treatment of infectious diseases such as tuberculosis and AIDS, and implementation of village-level patriotic health campaigns.

Actively publicize the new rural cooperative medical policy, and assist in regularly publicizing the reimbursement and compensation of medical expenses of participating farmers.

7. Make use of appropriate technology and national essential drugs to do a good job in general diagnosis and treatment of common diseases and frequently-occurring diseases, primary rescue of acute and severe diseases, timely referral and family rehabilitation guidance.

Second, basic medical care.

1. Strictly implement the Law on Medical Practitioners and the Regulations on Management of Rural Doctors' Practice, and carry out diagnosis and treatment activities within the scope of practice.

(2) establish and improve the diagnosis and treatment rules and regulations and operating norms, to ensure that medical registration, medication orders, and writing meet the specification requirements.

(three) strict implementation of drug bidding and purchasing, equipped with the use of basic drugs, unified price sales; Do not abuse antibiotics and hormones; Collect and report adverse drug reaction data of essential drugs in time.

Medical waste disposal, classified collection, destruction and registration as required.

Third, participate in public health management.

Actively participate in the publicity, policy interpretation, fund-raising and outpatient reimbursement of the new rural cooperative medical system; Conscientiously do a good job in the regular publicity work of reimbursement and compensation for medical expenses of participating farmers.

Participate in business training and regular meetings organized by provincial, city, county and county Chinese medicine hospitals on time. (3) Strictly implement the comprehensive rural health management system and detailed rules; Complete other tasks assigned by superiors. (four) the management and use of village clinic equipment. Meet the standards of village clinics formulated by county health bureau.

Fourth, the mass satisfaction evaluation was conducted twice during the year, and the mass satisfaction rate reached over 90%.

Party A (signature) and Party B (signature)

Year, month, sun, moon, sun.

Responsibility letter of village clinic 5 I. Task objectives

1. Establish health records for residents in the area. Taking the village as a unit, the resident filing rate is not less than 70%, and the standardized filing rate is not less than 65%.

2. Health education. Do publicity columns, distribute publicity materials and other forms to publicize health knowledge. The awareness rate of residents' health knowledge is not less than 70%.

3. Health management of patients with hypertension, diabetes, severe mental illness and the elderly over 65 years old. The management rate and standardized management rate reached 40% and 70% respectively.

4. Monthly report. Register and report infectious diseases, newborns and pregnant women on time every month. Report all kinds of reports in time. The monthly report rate is 100%, the infectious disease report rate is 100%, the newborn report rate is 80%, and the maternal report rate is 80%.

5, do a good job in other public health work temporarily issued by the hospital.

6. Do a good job of collecting, sorting and filing all kinds of data.

Second, the job requirements

1, health record management.

Organize and standardize the established residents' health records and electronic files, and the standardized files must be true, complete, consistent and free from logical errors. Newly-built files must undergo physical examination and be entered into electronic files in time. Health records should be dynamically managed and updated in time.

2. Health education.

At least one publicity column should be set up, and the publicity content should be changed every 2 months, which should include the content of traditional Chinese medicine. Receive and distribute all kinds of publicity materials in time. Conduct regular radio publicity.

3. Chronic disease management.

Blood pressure is measured free of charge for the first outpatient service for people over 35 years old. Timely discover, report and manage patients with hypertension and diabetes within their jurisdiction, and follow up once every quarter, and face to face. If there are special reasons, telephone follow-up; If the blood pressure or blood sugar control is not ideal during the follow-up, the patient should be followed up again within 2 weeks according to the standard requirements; If you are not satisfied twice in a row, it is recommended to make a referral and actively follow up the referral within two weeks. Patients with hypertension and diabetes are examined once a year, and the physical examination data are entered into electronic files in time. The registration management rate of hypertension patients should be no less than14.7% of the population in the jurisdiction; The management rate of diabetic patients should be no less than 7.6% of the population in the jurisdiction.

4. Management of the elderly over 65 years old.

Provide health management services for the elderly once a year, including lifestyle and health status assessment, physical examination, health guidance, etc. Health examination data should be entered into electronic files in time. The management rate of the elderly over 65 years old should be no less than 10.95% of the population in the jurisdiction.

5. Monthly report.

Implement the system of zero monthly report. Report the basic information of newly-added pregnant women and newborns within the jurisdiction before the meeting on 25th of each month (fill in the report card and the newborn visit record sheet). The content must be complete and true. Every quarter, we will carry out a survey on the underreporting of birth population, birth defects, deaths of women of childbearing age and maternal and child deaths, and report them in time. Report infectious diseases in time according to the time limit. If you find a case, you can report it by phone first and then hand in the report. No omission, delay or concealment; The zero report must be submitted before the meeting on the 25th of each month. Deaths of women of childbearing age, maternal and child deaths (20-64 years old) are registered.

6, other public health work temporarily issued by the hospital.

Including vaccination, leak detection and replanting, management of high-risk pregnant women, and health consultation and health knowledge lectures conducted by hospitals within their jurisdiction.

7. Collect and archive public health information.

There should be 0-6-year-old children's registration book, pregnant women's registration book, folic acid registration book, women of childbearing age's registration book, pregnant women's and children's death registration book (20-64 years old), infectious disease registration book, 35-year-old newly diagnosed blood pressure population registration book, hypertension patient registration book, diabetes patient registration book and old people's registration book, which should be comprehensively, accurately, timely updated and dynamically managed.

Third, the evaluation subsidy law.

At the end of the year, the health work of village clinics will be assessed, and the assessment results will be used as the basis for issuing health subsidy funds for village clinics. The village-level subsidy standard is more than 25% of the total public health subsidy funds in the town. Specific assessment scoring rules and subsidy schemes shall be formulated separately.

(Official Seal) () Village

Dean: Director of Public Health:

date month year

Village clinic responsibility book 6 fishing boat operators are fully responsible for the safety production of fishing boats, and the captain is directly responsible for the safety production of fishing boats. We should conscientiously implement the policy of "safety first, prevention first", adhere to the policy of safe production, conscientiously implement the main responsibility of safe production, put an end to illegal command and illegal operation, and ensure the safety of fishing boats.

In order to strengthen the integrated management of rural health organizations, standardize the practice of village-level medical institutions, prevent medical accidents, safeguard patients' right to life and health, manage basic public health projects in our town, ensure the smooth implementation of basic public health services and major public health projects, accelerate the equalization of public health services, promote the all-round development of medical reform, and strive to achieve the short-term goals of medical reform, the management by objectives responsibility book is signed.

First, earnestly abide by the laws, regulations and rules and regulations of the state.

1. Strictly implement the Law on Medical Practitioners and the Regulations on the Administration of Rural Doctors, and carry out diagnosis and treatment activities within the scope of practice. Establish and improve various diagnosis and treatment rules and regulations and operational norms, so as to achieve medical registration, prescription, writing according to the requirements of the norms, medical waste disposal, collection, destruction and registration as required.

2. Strictly implement the "five unifications and two independences" rural health comprehensive management system and detailed rules; Complete other tasks assigned by superiors. Manage and make good use of village clinic equipment.

Two, the village clinic and its staff shall not engage in illegal medical practice, medical practice and other illegal activities.

Once verified, the parties bear full responsibility. In the event of medical disputes (including medical accidents) in village clinics, in addition to bearing all the compensation expenses according to the size of responsibility, other reasonable expenses in the process of handling medical disputes should also be borne. The hospital does not assume any responsibility, and its behavior has nothing to do with the hospital. The implementation of the room director responsibility system, responsible for all the work of the village clinic, all staff should consciously obey the work arrangement of the room director, and support the work of the room director. Resolutely put an end to the opening and closing behavior. If there is a phenomenon of opening and closing during the inspection or when receiving reports from the masses, once verified, all staff salaries will be stopped, and the person in charge of the village clinic will take full responsibility.

Three. Public health management

1. Establish a unified and standardized health record for the permanent population in this area. The filing rate is 95%, and the qualified rate must reach 85%. The key population must be followed up 4 times a year as required, and the health information should be updated.

(four) health education village clinics health education publicity column not less than 1 month, not less than 6 times a year, not less than 6 times a year health knowledge lectures. Rural doctors should carry out targeted and personalized health knowledge and skills education when providing medical and health services such as outpatient treatment and home visits. Vigorously implement the "Five One Projects". The "Five One Project" within the jurisdiction means that every village has a publicity column, a slogan on the wall, a monthly health knowledge broadcast, and/kloc-0 copies of health knowledge manuals and health theme New Year pictures distributed to villagers' families.

Improve the organizational network and set up a leading group. Implement a special person to be responsible for production safety. Make the post clear and the work coordinated. According to the provincial safety production regulations, more than 50 people are equipped with full-time safety officers, and less than 50 people are equipped with part-time safety officers to effectively grasp the safety production of this enterprise.

2. The health education column in the village clinic shall be no less than 1, and the publicity content shall be changed at least once every quarter, and the books and pictures shall be kept in each issue. Distribute at least 1 printed health education materials every month. Hold health knowledge lectures regularly, once a year in February, and keep copies, pictures, and residents' sign-in forms in each issue.

3, timely grasp the local permanent, temporary and floating population vaccination targets. Complete the planned immunization work on time and with good quality. Submit the monthly report on time before the 5th of each month, and fill in the date, unit and name of the report clearly. Timely and accurately grasp the situation of newborns and children aged 0-7 in this area, and make corresponding forms, cards and books registration. All forms, cards and books should keep a manuscript for management.

4. Fill in the outpatient log and infectious disease register, the legal infectious disease reporting rate, timely reporting rate and accuracy rate are above 100%, and the treatment management rate of non-hospitalized tuberculosis patients and AIDS patients is above 95%.

5, to assist the health center for maternal screening, prenatal health management, postpartum visit, etc. Establish health care manuals, health care guidance during pregnancy and childbirth and general physical examination. Urge school-age pregnant women to take folic acid supplements and visit the parturient twice after delivery.

6, master the area over 65 years old, hypertension, diabetes, severe mental illness and related situation, and for the first time over 35 years old to carry out blood pressure measurement, establish health records for them, standardized filing rate reached 95%, physical examination rate reached 90%. The management rate is over 80%, with regular follow-up and rehabilitation guidance, not less than 4 times a year.

Fourth, the new rural cooperative medical system and drugs.

1, strictly implement drug bidding and purchasing, equip and use basic drugs, and sell them at a unified price; Do not abuse antibiotics and hormones; Collect and report adverse drug reaction data of essential drugs in time.

Earnestly implement the "Ten Prohibitions on Safe Production": (1) It is forbidden to wear slippers and work shirtless; (2) No falling objects; (3) No passengers are allowed in the hanging basket; (4) Don't sit on the handrail and lie on the scaffold; (5) Don't go to work after drinking; (6) Don't play with fire, light fire and play around; (7) No gambling or food gambling; (8) are not allowed to work in the same vertical position; (9) Children are not allowed to enter the site; (10) You are not allowed to enter the construction site, warehouses, offices and other important places casually.

2. Actively participate in the publicity, policy interpretation, fund-raising and outpatient reimbursement of the new rural cooperative medical system; Conscientiously do a good job in the regular publicity work of reimbursement and compensation for medical expenses of participating farmers.

Participate in the monthly meeting, training and recording of the town health center on time, and actively complete all temporary and mandatory tasks.

This responsibility book is in duplicate, one for the health center and one for the clinic. Implemented as of the date of signing.

Signature (seal) of XX Health Center:

The team leaders earnestly publicize the laws and policies on production safety, ensure that the laws and policies on production safety are fully implemented within their respective jurisdictions, and actively carry out mass safety education.

Signature (seal) of the person in charge of the village clinic:

* * * * Year * * Month * * Day

In order to conscientiously implement the safety production policy of "safety first, prevention first, comprehensive management" and the principles of "who is in charge is responsible" and "territorial management" in safety production, according to the provisions of the Law on Safety in Production and the Regulations on Safety in Production in Zhejiang Province, Caoqiao Community in Caoqiao Street signed an annual responsibility letter for safety production management with enterprises below the scale, and defined the objectives of safety production responsibility as follows:

Actively participate in the publicity, policy interpretation, fund-raising and outpatient reimbursement of the new rural cooperative medical system; Conscientiously do a good job in the regular publicity work of reimbursement and compensation for medical expenses of participating farmers.

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