First, set up organizations and strengthen leadership. The Pharmaceutical Affairs Management Committee is established, with the Dean as the team leader, the Director of Pharmacy as the deputy team leader, and relevant personnel as members, responsible for drug quality management, with clear functions and responsibilities.
The second is to establish and improve the drug quality management system, and incorporate drug quality and safety management into the departmental responsibility objectives for regular inspection and assessment.
The third is to strictly implement the "three unifications" of drugs, record and purchase drugs according to the national essential drugs list, and strictly review the qualifications of suppliers, drug purchasers and sales personnel. Ensure that legal drugs are purchased from designated enterprises with legal qualifications.
The fourth is to establish and implement the inspection and acceptance system for incoming goods. If counterfeit and inferior drugs are found in the process of acceptance and use, they should stop using them immediately and report to the drug supervision department.
The fifth is to implement effective drug storage management, and drugs with a validity period of less than 6 months are promoted by various user departments on a monthly basis.
Sixth, the drug storage meets the quality requirements, and the drugs in stock are classified according to their attributes.
Seventh, drug storage facilities are well equipped and regularly inspected and maintained.
Eighth, strictly manage narcotic drugs, store them in counters, record them in special accounts, and ensure that the accounts are consistent with the goods.
Nine is to conscientiously implement the monitoring and reporting system of adverse drug reactions, and there are special personnel responsible for the collection and reporting of information.
Ten is to put an end to the unreasonable use of large prescriptions, antibiotics and hormones, and effectively control the unreasonable increase of medical expenses.
Eleventh is to strengthen the management of village clinics, regularly supervise the purchase, storage and use of drugs in village clinics, point out problems in time when they are found, and make rectification within a time limit.
The responsibility of drug quality and management is great. Our hospital makes full use of the hospital committee and staff meeting to organize cadres and workers to learn, so that the cadres and workers in the hospital can understand the objectives and tasks of drug quality management and fully understand the importance, necessity and urgency of implementing drug quality management. In the next step of management, we will take self-examination and self-correction as a new starting point and carry out the following work in a down-to-earth and effective manner.
(1) Improve drug quality management, ensure drug safety and medical safety.
(two) improve service awareness, improve service attitude, strengthen communication between doctors and patients, and build a harmonious relationship between doctors and patients.
(3) Establish a long-term mechanism for scientific management of drug quality in hospitals, and strictly implement laws and regulations on drug quality management.
(4) The leading group for monitoring and reporting adverse drug reactions in hospitals should strengthen leadership, unify thoughts, raise awareness and implement the reporting system for adverse drug reactions; Seriously responsible, closely monitor and report in time; It is strictly prohibited to delay reporting, fail to report, conceal or conceal information about adverse drug reactions.
In order to further strengthen the operation and management of the new rural cooperative medical fund, standardize the service industry behavior of designated medical institutions, improve compensation efficiency and strengthen supervision, we should pay close attention to this important measure to solve the problems of "seeking medical treatment due to illness", "poverty due to illness", "expensive medical treatment" and "difficult medical treatment" and fully promote the healthy, stable and sustainable development of the new rural cooperative medical system in our village.
The situation is as follows:
I. Progress of work
1. Adhere to the patient-centered service principle, strictly implement the drug list of the new rural cooperative medical system, and rationally regulate drug use.
2. After confirming the identity of the participating farmers, use the special prescription of the new rural cooperative medical system and fill in the "New Rural Cooperative Medical System Certificate" and outpatient registration, strictly control the prescription, do not exceed the standard fees, and give priority to compensation.
Sign the account book by hand to prevent the funds from being fraudulently used.
3. Fake drugs, expired drugs and inferior drugs are strictly prohibited, and drugs can only make progress through formal channels.
4, the new rural cooperative medical fund publicity, in order to further strengthen and standardize the new rural cooperative medical system, under the principle of openness, fairness and justice, increase the use of the new rural cooperative medical fund, do a good job in the new rural cooperative medical system monthly compensation publicity, and do a good job in outpatient registration.
Second, the existing problems
Some people don't publicize the new rural cooperative medical policy enough, don't know enough about the new preferential policies, and very few people don't participate. In the future, we must increase publicity in this regard and let the farmers involved continue to participate.
He Nong, those who didn't attend should take an active part.
Three. Future work plan
1. In the future work, review the prescription reimbursement expenses in strict accordance with the requirements of relevant documents.
2 to strengthen the prescription and relief of outpatients in designated medical institutions within the jurisdiction, and to carry out nuclear strengthening at home.
3. Strengthen the ability of managers and managed people to further improve. Managers and managers
Personnel to increase the publicity of new rural cooperative medical policy and business knowledge.
4. Strengthen the propaganda of secondary compensation, so that the participating people can further understand the benefits brought by agricultural cooperation to the masses. Through self-examination and self-correction, we can see the problems and shortcomings in the new rural cooperative medical system, and correct them, further strengthen the supervision and audit of the new rural cooperative medical system, and ensure the new rural cooperative medical system.
The financial guarantee of rural cooperative medical system will promote the healthy development of new rural cooperative medical system in our village.
Zaolin village health clinic
September 9th, 20xx
In order to standardize the service behavior of hospitals and medical insurance community polyclinics within the jurisdiction, effectively safeguard the legitimate rights and interests of insured persons, and ensure the safety of medical insurance funds, Yangxin County Medical Security Bureau conducted a self-examination of the medical insurance community polyclinics within its own unit and jurisdiction according to the Agreement on Further Strengthening the Management of Designated Primary Medical Institutions for Medical Insurance. Standardize the service behavior of designated primary medical institutions, effectively safeguard the legitimate rights and interests of insured persons, and ensure the safety notification requirements of medical insurance funds. Now the self-inspection results are reported as follows.
1. Some clinics have poor sanitary environment, some compensation registration forms are not standardized, and the telephone registration rate is relatively low.
2. The community clinics in our jurisdiction can normally undertake the designated medical insurance function, and the medical insurance fund can be used reasonably according to the designated medical insurance service agreement, and there is no fraud.
3. After a comprehensive review of the insured persons in recent community clinics, it is found that there are no behaviors such as inducing and defrauding the insured persons through false propaganda, borrowing cards to see a doctor, false medical services, forging medical prescriptions, changing medicines with medicines, and taking medicines with things. To a certain extent, it has maintained the safe operation of the medical insurance fund.
In order to strengthen residents' medical insurance management, further improve work style, enhance service awareness and improve work efficiency, our hospital has set up a basic medical insurance management team composed of leaders in charge and relevant personnel to take charge of the daily management of basic medical insurance. The basic medical insurance system is sound, and the implementation measures and reward and punishment measures for residents' medical insurance clinics are formulated. The medical insurance management team regularly organizes personnel to analyze the use of various medical expenses of the insured. Find problems and solve them in time, and conduct spot checks on medical insurance management. If there are irregularities, they will be corrected in time.
Strengthen the management of medical insurance services, advocate high-quality services, facilitate the insured to seek medical treatment, clearly mark the drugs, diagnosis and treatment items and medical service facilities, and provide a detailed list of expenses, and resolutely put an end to illegal activities such as changing medicines and taking medicines with things. Implement drug sales according to the requirements of the agreement, prescribe drugs according to dosage, standardize the rational use of drugs for treatment, and do not reimburse drugs and sanitary materials used by non-patients. Write standardized reimbursement registration and complete signing procedures.
Through this self-examination of the problems existing in the medical insurance operation, our hospital will strictly control the policy, start with the details, control the medical expenses, improve the medical quality, conscientiously implement the terms of the medical insurance service agreement, sum up experience, optimize business processes, strengthen the publicity of the basic medical insurance system, provide more and better services for insured patients, build a safety net of medical insurance funds, and make good use of the people's life-saving money.
Self-inspection report of village clinic 4 According to the spirit of higher-level documents and the standards of clinic construction, the situation of clinic was self-inspected, and the self-inspection situation is summarized as follows:
First, leaders attach great importance to health work, and put health work on the basic work agenda. Health work has long-term planning, specific measures, inspections and summaries. The clinic is equipped with part-time health technicians to support the professional study of health technicians. Incorporate health education courses into the teaching plan, and the starting rate will reach 100%, so that there are teaching materials, teachers, teaching plans and evaluations. Seriously control the setting of standards, strive to create conditions, and effectively strengthen the construction of clinics. Actively raise funds, increase investment, and strive to equip sanitary instruments and equipment according to the catalogue of sanitary instruments and equipment promulgated by the former State Education Commission, so as to improve the quality and utilization rate of sanitary instruments and equipment. Ensure special funds for health and strive to improve health infrastructure. Encourage health teachers to participate in professional training and provide convenience in time and economy.
Second, the outpatient service construction and management. Equipped with a special clinic, the office environment is good, the desktop, floor and wall are clean, and the window glass is clean. Office supplies are very neat.
Third, disease control. Do a good job in health education, publicize health and disease prevention knowledge to students through various forms, improve students' awareness of self-protection, and establish good behavior habits and lifestyles. Formulate emergency plans for emergencies such as the epidemic of infectious diseases and mass food poisoning in schools, adhere to the policy of putting prevention first, prevent the spread of the epidemic and put an end to food poisoning. Strengthen food hygiene supervision, and ask catering and water supply units for hygiene licenses and test reports on time according to regulations to prevent food poisoning accidents. There are preventive measures for students' myopia, regular examination of students' eyesight and strict control of new hair. Preventive measures are taken against trachoma, dental caries, malnutrition, anemia, spinal curvature and other common diseases of students, and students are educated in the form of health classes and billboards, so that the incidence rate is reduced year by year. For influenza, hepatitis, measles, rubella, chicken pox and other infectious diseases, report to the relevant departments in time, do a good job in disinfection in time, and take practical preventive measures. Establish a register of infectious diseases.
Through self-examination, we also found the existing problems. Due to the limited conditions, the room area of the clinic is less than 40 square meters, and there is no water heating facilities. The number of sanitary equipment did not reach 60 (losses were reported this year). Without full-time health technicians, the number of standing drugs can not meet the specified requirements.
We will strive to create conditions, make rectification according to various requirements, strive to meet the prescribed standards, and create a good environment for the healthy development of students.
xxx
Xx year x month x day
Village clinic self-inspection report 5 leaders:
According to the spirit of the superior documents and the requirements of standardized outpatient service construction, combined with the outpatient service situation in our hospital, the self-examination situation is summarized as follows;
1, comprehensive management is strict.
According to the requirements of the superior documents, we unify the charging standards and bills, and have fixed assets accounts. Unified use of drugs purchased by bidding, unified establishment of outpatient registration, prescription management, infectious disease report, epidemic treatment, epidemic prevention and health care, health education, disposable medical supplies destruction and registration, drug use, financial revenue and expenditure and other rules and regulations. It has achieved the goals of preventing holding card certificates, registering for medical treatment, prescribing medicines, charging bills, sterilizing records, keeping financial accounts, and publishing in fixed columns. All the work has been basically planned, summarized and summarized, with complete information and neat filing.
2, fully equipped.
The basic clinic equipment in our hospital meets the requirements. Stethoscope, sphygmomanometer, thermometer, height and weight scale, autoclave, visiting box, treatment tray, refrigeration bag, debridement and suture bag, simple sputum aspirator, oxygen bag, data cabinet, medicine box, infusion stand, tray with cover and other necessary equipment are complete. The equipment shall be recorded, managed, used and maintained.
3. Quality of business development.
Our clinic can diagnose and treat general injuries and refer patients in time. Can use Chinese medicine to diagnose and treat diseases, equipped with more than 30 kinds of Chinese patent medicines. The qualified rate of prescription writing is over 95%, the outpatient hormone prescription is controlled within 5%, and the outpatient antibiotic prescription of two or more combinations is controlled within 10%. All national essential drugs are equipped and used, and zero-difference sales are implemented.
At the same time, complete the public health service tasks assigned by the superior in time, with complete basic information and continuous and true work records. Among them, the vaccination rate of the "five vaccines" of planned immunization has been consolidated above 98%, and the prevention and treatment rate of tuberculosis has reached 98%; The reporting rate, timely rate and accuracy rate of legal infectious diseases all reached 100%, and the systematic management rates of pregnant women and children reached over 90% and 95% respectively. There is a fixed health education publicity board, which can assist the hospital to complete the establishment of farmers' health records in the village.
Moreover, the outpatient department of our hospital conscientiously implements the relevant policies of the new rural cooperative medical system, including: the average outpatient expenses are controlled within 50 yuan, the drugs outside the catalogue are controlled within 5%, and the medical expenses of the new rural cooperative medical system are reimbursed in time. There were no irregularities such as fraud, random inspection and arbitrary charges. The satisfaction of the masses has reached over 95%.
4. Medical ethics are amiable.
The staff are energetic, kind, civilized and abide by medical ethics. There is no such phenomenon as prescription and arbitrary charges, and the patient satisfaction rate is over 85%. Strict medical practice, rigorous life, deeply trusted by patients, superb medical skills, has a high reputation among the people in various regions.
It is of great significance to further strengthen quality management, improve service awareness and service level, strengthen the construction of medical ethics, and truly "take patients as the center and quality as the core". Through self-examination, we realized our own shortcomings. In the future work, we will check and fill the gaps, strive to create conditions, make improvements according to various requirements, and create a good environment for the health of villagers.