Self-inspection report on birth medical certificate 1 According to the quality control arrangement of 20xx annual report on maternal and child health, a special person was organized to carry out the quality control of annual report in the whole region on June 5438+065438+ 10. According to the requirements of quality control, the focus of quality control investigation is the omission of life indicators and health indicators. The quality control team carefully organized and implemented the relevant information, and the results were summarized as follows:
I. Survey samples and survey methods
Four villages were randomly selected from 16 townships in our district for quality monitoring and missing report investigation. This survey is mainly to review and summarize, check for leaks and fill gaps, and collect and verify through multiple departments and channels to ensure the accurate and true source of monitoring data. See the attached table for quality control.
Second, the quality control results
Results: In this quality control survey, there were 55 cases of missing live births 10 and over-reporting10, with the missing rate of 6.20%, 2 cases of missing children's deaths, and 0 cases of missing children's lives, with the missing rate of 0%. The system management of pregnant women reported missing 155 cases, missing 10 cases, and the missing rate of 5 cases was 6.2%. Children under 3 years old reported missing 708 cases, missing 10 cases, missing 8 cases, missing rate 1.4%, and children under 7 years old reported missing 12 cases.
Third, the reasons for the problems
There are some problems in the quality of 1 and 20xx annual reports on maternal and child health. Some medical and health units do not pay enough attention to the statistics of maternal and child health, the supervisors are not responsible enough, and the data collection and collation are not strictly controlled, which leads to the problem of missing reports.
2. Due to the frequent replacement of grassroots women and children, the training of maternal and child health statistics is discontinuous and disjointed, which affects the quality of the report.
3. Some MCH statisticians lack professional knowledge, do not pay attention to their own learning, and their working ability is not strong.
4. Population mobility increases, making statistical work more difficult.
Fourth, the job requirements
1, strengthen the training and learning of maternal and child health care personnel, especially the training of maternal and child health statistics, improve the quality of maternal and child health annual reports, and regularly do a good job in leak detection and quality control.
2, the medical units should formulate measures for the management of floating population, so that they can enjoy the basic medical care management, the floating population into the area of daily medical care services, and target management and assessment.
3. Strengthen cooperation with various departments to ensure accurate and true data sources.
4, strengthen the training of township and village maternal and child health information statisticians, ensure their working hours, and strive to improve the quality of maternal and child health statistics.
Self-examination Report on Birth Medical Certificate 2 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 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
Self-examination Report on Birth Medical Certificate 3 "Birth Medical Certificate" is the legal medical certificate stipulated in the Law of the People's Republic of China on Maternal and Child Health Care, and it is an important basis for the household registration authority to register births. In order to further strengthen the management of Birth Medical Certificate and standardize the collection, distribution and registration of Birth Medical Certificate, according to the specific requirements of the Measures for the Administration of Birth Medical Certificate in Jiangxi Province, our hospital has continuously improved various management systems, strengthened the training of relevant personnel and gradually standardized the management of Birth Medical Certificate. The self-inspection work is reported as follows:
First, establish and improve the "birth medical certificate" management mechanism.
In order to strengthen the management of the Birth Medical Certificate, our hospital has established a daily management system with the dean as the first responsible person, and the medical staff is responsible for the collection, distribution and registration of the Birth Medical Certificate. Ensure the standardized management of birth medical certificate.
Two, strengthen the "birth certificate" management.
65438+
2. Custody: Special person (XXX) in Medical Department is responsible for the management of birth medical certificate. When issuing the Birth Medical Certificate, we should strictly check the information, control the invalid certificate rate, issue it according to the process after confirmation, and make the issuance registration.
3. Archives management: Relevant materials of the Birth Medical Certificate shall be properly kept according to the management requirements of permanent preservation of archives. Check the warehousing vouchers and stubs regularly, and handle any abnormal situations such as damp and damage in time to ensure that the vouchers are clean and complete. If the birth medical certificate is stolen, lost or damaged, report it to the hospital and the higher authorities immediately.
4. Information management: Do a good job in the issuance report of the Birth Medical Certificate, report the issuance of the Birth Medical Certificate to the District Health Bureau online before the 28th of each month, and report the annual statistics on the management and use of the Birth Medical Certificate every year.
5. First issuance: Our hospital is only responsible for directly issuing birth medical certificates for babies born in this institution. Anyone born outside this institution is not allowed to issue a "birth medical certificate". When issuing, it shall be issued in serial number order, with complete items, accurate contents, clear handwriting and formal signature, and shall not be altered.
When issuing the certificate, truthfully fill in the delivery information, the patient or family members issue relevant materials and fill in the registration form of the first birth medical certificate, and the issuer checks the original valid identity documents of the baby's parents, accurately fill in the birth medical certificate and affix the special seal for the birth medical certificate. Submit the original and photocopy to the applicant, and file the stub and relevant certification materials (birth certificate, first registration form) for permanent preservation.
6. Replacement: If replacement is needed due to loss, it is applicable to babies born in our hospital after 1996 65438+ 10/month. Our hospital is not qualified for replacement. Our hospital is only responsible for checking and verifying the files saved when it was first issued, and issuing certification materials. Patients carry relevant replacement materials to the relevant departments of the District Health Bureau for replacement.
7. Renewal and scrapping: According to the Measures for the Administration of Birth Medical Certificates in Jiangxi Province, if it is necessary to renew the birth medical certificate due to the change of name and parents' information, the relevant certification materials of the household registration administration organ and the paternity test certificate of the legal authentication institution shall be provided.
If the secondary page is deleted or altered without authorization after it is issued, it is necessary to provide a certificate issued by the local household registration management department that it is not registered in the household registration, and it will be reissued after verification by the medical department, and it will still be reissued according to the information issued for the first time.
A blank Birth Medical Certificate that has not been issued due to the wrong writing of the issuer or damage or loss in the process of storage and distribution is an invalid certificate. Our hospital should register the quantity, number and reasons and hand them over to the District Health Bureau for handling.
8. Certificates and seals shall be managed separately, kept by counters and locked.
Three. Annual application and distribution of 20xx-20xx
99 copies were issued in 20xx, 2 copies were reissued due to unauthorized removal or alteration of * * *, and 0 copies were invalid, and 7 people were issued with replacement certificates for lost birth certificates. A total of 10 1 copies of birth medical certificate were issued. 20xx 1 12 years 10 month 12 Our hospital applied for birth medical certificate 130 copies, with 10 copies in stock, totaling 140 copies.
20xx years unclaimed. As of July 25th, 20xx, this year, * * * issued 102 for the first time, and the invalid certificate 1 piece caused by writing alteration was reissued 1 piece, and it was reissued four times, and a total of 104 birth medical certificates were issued.
20xx -20xx * * found four cases of obtaining the renewal of birth medical certificate by cheating in our hospital.
Fourth, the existing shortcomings and improvement measures
In June this year, there was an incident in our hospital, requesting to change the information of newborn parents. According to the second point of Article 23 of the Measures for the Administration of Birth Medical Certificates in Jiangxi Province, "If the party requests to change the information of the biological father or mother, provide the paternity test certificate of the legal authentication institution". On July 65438+May, the baby's father issued a paternity test certificate, and the medical department telephoned to verify the test certificate and reissued it.
Send. When the certificate is issued for the first time, the mother and her family will issue the identity certificate, which will be checked by the management doctor first, and then checked by the medical department when the certificate is issued. The father of the newborn filled in the information of the parents of the newborn, because the identity card of the mother and sister was provided, which was highly similar, and the medical staff failed to see through it, which led to the success of distribution. Later, because of his household registration problem, the baby's father had to bear the corresponding consequences for the false identity certificate issued at that time.
Drawing lessons from the above-mentioned events, in the future distribution process, our hospital should still strengthen the verification and notification of identity certificates, require to keep copies of newborn parents' ID cards issued by general witnesses, and sign to confirm that the information is true and permanently preserved.
Strengthen the study of maternal and infant health care law, Jiangxi birth medical certificate management measures and other corresponding laws and regulations. Let medical staff realize the seriousness of issuing false certificates. Midwives will re-examine the identity cards of newborn parents when filling out the birth medical certificate. When filling in, the handwriting is clear and the triple information is consistent. Alteration is strictly prohibited. Wait until the medical department seals it.
Strictly separate management badges, put them on the counter and lock them. When you report the distribution every month, you should carefully check the inventory. Strengthen storage to prevent damage.
At the end of each year, the number of birth medical certificates registered is counted and reported to the hospital, and the rate of invalid certificates is strictly controlled.
In a word, our hospital can strictly implement the regulations of the higher authorities in the management of the Birth Medical Certificate, so that the collection, distribution and registration of the Birth Medical Certificate are gradually standardized. In the future, we will further strengthen management, constantly improve the professional quality of staff, and make the management of birth medical certificates more standardized.
Self-examination report of birth medical certificate 4 According to the Notice of the Municipal Health Bureau on Special Supervision and Evaluation of Maternal and Child Health Care Projects (Shi Chengwei Fu [20xx] 10), two major maternal and child health care services and "reduction and elimination" projects in 20xx and 20xx were supervised and self-examined, and the relevant information is reported 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 understand the objectives and contents of key training programs, do a good job of publicity, and assist high-risk pregnant women in referral. 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.
5. 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.