New rural cooperative medical sentinel hospital self-study report example
Our society nowadays, more and more affairs will be used to the report, the report has the characteristics of written after the fact. I'm sure that most people are very headache to write a report, the following is my collection of new rural cooperative medical sentinel hospital self-investigation report model, for reference only, welcome to read. The new rural cooperative medical system, as a "people's project" and "moral project" representing the interests of the broadest number of farmers, will fundamentally solve the problem of farmers' difficulty in seeing a doctor, even more difficult to see a serious illness, as well as the problem of poverty due to illness, poverty returned to the poor due to illness, and realize the goal of "everyone enjoys primary health care" as soon as possible. xxx People's Hospital, as a designated hospital for rural cooperative medical care, under the leadership of the health administrative departments of the city and the county, has strengthened the organizational leadership and strengthened the internal quality management, and has strictly carried out the rules and regulations of the designated medical institutions for cooperative medical care. As a designated medical institution, it has been strictly enforcing the relevant regulations and standards, and is striving to provide high-quality medical services for the majority of insured peasants.
First, the establishment of a sound cooperative medical management organization and regulations
In accordance with the arrangements of the city and county health bureaus, the hospital set up a cooperative medical office in a timely manner, a vice president of the business is specifically responsible for the office of the two comrades by the function of a clear, the implementation of the duties. With the gradual expansion of the cooperative medical business, we will increase the office staff in time to ensure the normal development of the cooperative medical work and orderly progress. We have established and improved the cooperative medical service management system of our hospital, with three publicized diagnostic and treatment items, service facility items, medication scope, and charging standards. To the medical staff, the relevant financial personnel of the cooperative medical policy and regulations of the study and publicity, so that the relevant personnel can correctly understand the implementation of the higher resolutions, documents, cooperative medical implementation and other relevant provisions, can at any time actively cooperate with the inspection of the cooperative medical institutions.
Second, the strict implementation of admission, discharge standards and related regulations
The hospital will be "cooperative medicine inpatient hospitalization directory" issued to the clinical departments, requiring all clinicians to strictly in accordance with the hospital admission standards, for the directory of the disease outside the For patients who are not on the list of hospitalized diseases and need to be hospitalized, they should notify the hospital cooperative medical office in time to go through the approval procedures according to the regulations. Over the years, we have always insisted on the first physician responsibility system, and all departments and clinicians are never allowed to shirk the responsibility of critically ill patients. After joining the designated hospital for rural cooperative medicine, we will strictly follow the regulations and will never hospitalize any insured person who does not meet the conditions for hospitalization, and we will not hospitalize any person under false name or under a nominal name. At the same time, we will never break down the hospitalization of insured persons or induce or force the discharge of patients who should not be discharged from the hospital. According to the needs of the condition, when a patient really needs to be referred to the hospital, he/she should fill in the referral letter in accordance with the relevant conditions and complete the formalities, and the referral rate will be strictly controlled to be less than 2%. Continuously improve the quality of care, and strive to ensure that the discharge and admission diagnosis compliance rate of more than 95%, and control the second hospitalization for the same disease in more than five days.
Three, drugs, special diagnosis and treatment, service facilities management
Strictly implement the cooperative medical drugs, diagnosis and treatment items, as well as the scope of use of service facilities of the relevant provisions. Strictly implement the price policy of the national and provincial price departments, to ensure that the medicines provided to the insured persons are free of fake and inferior medicines; for the reimbursement of similar medicines within the scope of a number of choices, in the case of quality standards are the same, choose the varieties of good efficacy and low price. Outpatients are given medicines in accordance with the principle of a three-day supply for acute diseases and a seven-day supply for chronic diseases. The indications and signs for the use of various types of special diagnosis and treatment and medicines are strictly controlled, and patients are never induced or forced to accept special programs or use self-financed medicines. The actual use of diagnosis and treatment items or medicines should be consistent with the records, and items outside the scope of payment of cooperative medical care should never be recorded as fully paid items. Discharged medicines should comply with the relevant regulations and standards and be recorded in the medical records. In order to ensure the rational and effective use of cooperative medical expenses, avoid unnecessary special examinations, and strive to make the positive rate of large instrument and equipment examination meet the standard requirements of the second-class hospital.
Fourth, medical expenses and settlement
Strictly implement the medical service program fee standards issued by the price department of Shandong Province, according to the standard charges, and according to the relevant settlement provisions. Never exceed the scope, variation, duplication, decomposition charges. Records of all kinds of fee items should be consistent with the actual, save the original documents for review and inspection. All self-financed items should be charged separately and marked properly. Timely and accurately fill out the various types of medical expenses settlement of cooperative medical statistics.
V. Management of outpatient treatment for special diseases
For patients with special diseases within the scope of payment of the co-ordination fund, the establishment of a separate outpatient treatment chart for special diseases, which will be kept by the Office of Cooperative Medical Care. Standardize the use of double prescriptions and billing, clear handwriting, easy to recognize, in order to review and inspection.
Sixth, constantly improve the quality of service, to ensure quality service
Become a designated hospital for cooperative medicine, we will further improve the service attitude, improve the quality of service and technical level, for the insured to provide value for money services to ensure that patients are satisfied, and at the same time, strive to reduce medical disputes and medical complaints to a minimum. In order to ensure the interests of the majority of insured persons, we will never break down the indexes of per capita hospitalization days and per capita bed day cost of cooperative medical insurance participants to each department, and shall not shorten the per capita hospitalization days and reduce the bed day cost while withholding the patients, which will lead to a decline in the quality of medical services. Continuously enhance the awareness of service, improve service quality, in strict accordance with the basic operating procedures and norms of medical care to carry out medical activities, to avoid the occurrence of serious errors and medical accidents.
VII, related to the management of medical documents norms
The establishment of a sound cooperative medical documents, information management system, separate management in order to find, storage period of more than two years. Medical documents should be written in accordance with the relevant provisions of the Ministry of Health on the writing of medical documents. Requirements are true, complete, orderly, easy to find, verify. Medical documents shall not be forged or altered, and medical records shall not be disassembled and divided. Medical information is unified in the case room management, in order to find, check.
In short, in order to ensure that the majority of insured farmers enjoy better basic medical services, our hospital secretary in accordance with the "XX City, the new rural cooperative medical system Interim Provisions" and "XX City, the new rural cooperative medical care designated medical institutions management approach (for trial implementation)" of the relevant provisions of the management of designated medical institutions. Internally to further strengthen the quality management, improve service awareness and service level, strengthen the construction of medical ethics and medical style, truly "patient-centered, quality as the core", to complete the work of the insured farmers' medical services.
The new rural cooperative medical treatment hospital self-examination report Part 2According to the county to create the provincial rural Chinese medicine work advanced county arrangements for the deployment of the hospital in the beginning of the creation of the provincial rural Chinese medicine advanced county work. In the past four years, our hospital in the county party committee, under the leadership of the county government, in the province, the city, the county health department and the Chinese medicine management department under the specific guidance of the Chinese medicine management department, conscientiously implement the Chinese medicine laws and regulations and Chinese medicine policy, adhere to the "Western medicine as the mainstay, both Western and traditional Chinese medicine," the policy of health, and strive to play the Chinese medicine characteristics and advantages, and constantly meet the people's needs for Chinese medicine, and to better meet the demand of the masses for Chinese medicine. We are trying to give full play to the characteristics and advantages of traditional Chinese medicine, to meet the people's demand for traditional Chinese medicine, to better serve the people's health, and to promote the development of our county's economy. Now the hospital to create provincial rural Chinese medicine advanced county work is summarized as follows:
First, the establishment of the organization, strengthen the leadership
In order to firmly grasp the hospital to create the provincial rural Chinese medicine advanced county work, set up by the party branch secretary, Chinese medicine, deputy director of the doctor Zhang Genius is the leader of Chinese medicine section director Huang Yongming is the deputy leader of the office, hospital office, medical department, Nursing Department and the Chinese medicine department of the relevant person in charge of the creation of Chinese medicine advanced county work leading group and the creation of key Chinese medicine specialist construction leading group, leading group set up an office, by comrade Mei Yuchun as office director. Leading group members of a clear division of labor, the responsibility for the implementation of the hospital to do a hand personally grasp, the director of the specific grasp, up and down with the concerted efforts to ensure that the creation of advanced Chinese medicine county work in practice.
Second, the development of plans, the implementation of measures
In order to carry out the creation of provincial-level rural Chinese medicine advanced county work in an orderly manner, the development of the "creation of provincial-level rural Chinese medicine work in advanced county planning", "on the implementation of rural Chinese medicine work in advanced counties," "the creation of rural Chinese medicine in advanced counties, the construction of construction standards", "on the focus of the Chinese medicine specialist Implementation Opinions on the Construction of Key Chinese Medicine Specialties", "Training Plan for Chinese Medicine Personnel", and the management system of Chinese Medicine Department and the work duties of Chinese medicine personnel. Annual work plan and work summary, so that there are plans and steps, measures, summaries, and orderly promotion of the creation of work.
Three, build the basic facilities, grasp the "four rooms" construction
According to the rural Chinese medicine advanced county construction standards, combined with the actual infrastructure of our hospital, actively raise funds of 120,000 yuan, remodeling of the traditional Chinese medicine room, traditional Chinese medicine storehouse, traditional Chinese medicine decoction room, traditional Chinese medicine concoction room, and increase the "four" room, and the "four" room. Room, increased the "four rooms" construction area, to achieve a standardized setup, reasonable layout; added storage equipment, updated drug labels, to achieve standardized and orderly. Purchase of concoction facilities, add concoction auxiliary materials, the rate of drug concoction reached 100%; rehabilitation and physical therapy section purchased traction beds and other equipment, sound Chinese medicine, set up a Chinese medicine internal medicine, Chinese and Western medicine, such as three, to promote the construction of key Chinese medicine specialties, acupuncture and physical therapy section was awarded the county key Chinese medicine specialties.
Fourth, pay close attention to outpatient registration and medical records prescription writing
Strengthen the outpatient registration and outpatient medical records writing work, in accordance with the project to fill in carefully, to further standardize the Chinese and Western medicine prescription writing, strict implementation of the provisions of the prescription writing, the project to fill in completely. Chinese medicine department outpatient Chinese medicine treatment rate reached 86%, outpatient registration writing pass rate of 100%. Inpatient medical records written standardized to carry out Chinese medicine treatment records complete, ward Chinese medicine involved in the treatment rate of more than 36%, hospitalization rate of Class A medical records reached more than 90%.
Fifth, strict quality of drugs
The hospital insisted on the purchase of medicines in the regular Chinese herbal medicine company, the implementation of the purchase of medicines in the Pharmacy Department director, the warehouse custody, the accountant three acceptance into the warehouse, with professional pharmacy staff to check the quality. The concoction of drugs centralized concoction, to achieve standardized processing of tablets, drug varieties are basically complete, basically to ensure clinical use, to ensure the safety and effectiveness of medication. Chinese medicine tablets reached 314 kinds, 86 kinds of proprietary Chinese medicine varieties, Chinese medicine tablets concoction qualified rate of 100%. December, was awarded the city "assured that the pharmacy".
Sixth, strengthen talent training and academic activities
Combined with the current situation of the hospital's talent and development needs, each year 1 to 2 people sent to the Chengdu University of Traditional Chinese Medicine and the higher hospitals of Chinese medicine for further study, to participate in the county above the academic exchanges and short-term training for more than 20 people, the hospital held more than 12 times the annual academic lectures on the combination of traditional Chinese and Western medicine, the publication of the journal "Hospital Dynamics" four issues, published articles, the "hospital dynamic". Hospital Dynamics" four issues, published more than 80 articles, Chinese medicine personnel credits per person per year to reach more than 25 points, continuing education participation rate of 100%. Our hospital in the creation of provincial-level rural Chinese medicine advanced county work for four years, did a solid and effective ` work, promote the continuous development of Chinese medicine in our county.
We will, as in the past, further do a good job in the discovery of traditional Chinese medicine, and to improve, better serve the majority of patients.
New Rural Cooperative Medical Treatment Designated Hospital Self-inspection Report Part 3
In order to implement the "Ministry of Human Resources and Social Security on further strengthening the supervision of basic medical insurance medical services" (Ministry of Human Resources and Social Security [2014] No. 54), "on the issuance of the standard library structure of the physician of medical insurance services in Jiangsu Province," (Su medical management letter) [2013] No. 40, "Xuzhou City, the basic medical insurance designated Interim Measures for the Management of Physicians (Xu Rensha Fa [2012] No. 250) and Notice on the Signing of Service Agreements for Designated Physicians by Commissioned Designated Medical Institutions and Registered Physicians of the Unit (Pei Medical Insurance Tongzhi [2018] No. 10) and other documents and related requirements. And by the hospital health insurance leading group in the whole hospital to carry out a special inspection of health insurance, now on the results of the inspection is reported as follows:
Under the correct leadership of the higher authorities, our hospital strictly abide by the national, provincial and municipal health insurance laws and regulations, and conscientiously carry out the policy of health insurance:
First, attach great importance to strengthening leadership, and improve the responsibility of the management of the health insurance system After receiving the notification requirements, the hospital leadership team that according to the relevant policies, against the relevant standards, to find deficiencies, and actively rectify. We know that basic medical care is an important part of the social security system, deepen the basic medical insurance system policy, is the inevitable requirements of the development of the socialist market economy, is to protect the basic medical care of employees, to improve the health of employees is an important measure. Our hospital has always attached great importance to the work of medical insurance, the establishment of a special management team, improve the management system, held many special meetings for research and deployment, regular training of physicians in medical insurance, regular summary of medical insurance work, analysis of the medical care of the insured patients and the cost of the situation. Second, standardize the management, to achieve the standardization of health insurance services, institutionalization, standardization Over the past few years, in the county of the Ministry of Human Resources and Social Security under the guidance of the correct leadership, to establish and improve the rules and regulations. The company has set up a "basic medical insurance policy bulletin board" and "complaint box"; compiled and printed the basic medical insurance publicity materials; published the consultation and complaint phone number 68879578; enthusiastic for the participants to provide consulting services, properly handle the complaints of the insured patients. The company also publicizes the medical insurance process in prominent places in the hospitals, making it convenient for insured patients to seek medical treatment and purchase medicines, and establishes special windows for registration and settlement of payments for insured patients. Simplify the process and provide convenient and high-quality medical services. Strict identification is carried out when insured persons are hospitalized, so as to eliminate the phenomenon of impersonation and hospitalization, and to stop hospitalization under a name and decomposition of hospitalization. We strictly control the standards of patient admission, discharge and admission to the guardianship wards, implement the principle of treating patients according to their illnesses, and achieve reasonable examination, treatment and medication; there is no falsification or alteration of medical records. Actively cooperate with the medical insurance agency to supervise and audit the diagnosis and treatment process and medical expenses, and provide timely access to medical files and related information. The company also strictly enforces the fees and charges set by the relevant authorities. Strengthening the propaganda of medical insurance policy, the department as a unit regularly organizes the study of "Pei County medical insurance designated unit management compilation", "Jiangsu Province, the basic medical insurance drug directory" and other documents, so that each health care worker is more familiar with the directory, and to become a propagandist, explainer, implementer of the medical insurance policy. The hospital set up a special person on the outpatient and hospitalized patients to implement telephone callback, callback rate of more than 90%, the quality of service satisfaction rate of about 95%, by the majority of participants in the praise of the people. Three, strengthen the management of the insured to provide quality assurance First, the strict implementation of diagnosis and treatment and nursing routine and technical operation procedures. The first is the strict implementation of diagnostic and nursing routines and technical operation procedures. Secondly, on the basis of strengthening the implementation of the core system, focusing on the improvement of medical quality and continuous improvement. The medical quality management and control system, assessment and evaluation system and incentive and constraint mechanism have been generally improved and perfected, and a three-level medical quality management responsibility system has been implemented in the hospitals, departments and groups, so as to break down the medical quality management objectives layer by layer and take responsibility for them, move the checking and supervising gates forward, and go deep into the clinical front line to discover and solve the problems and hidden dangers in medical work in a timely manner. It standardizes the processes of early shift handover, director's room check and case discussion. The prescriptive authority of physicians has been re-standardized. Thirdly, the staff familiarize themselves with the core medical system and strictly implement it in the actual clinical work. They actively learn advanced medical knowledge, improve their professional and technical level, enhance the quality of medical care, serve patients well and strengthen their communication skills. Fourthly, we take medical documents as an important link in controlling medical quality and preventing medical disputes. The hospitalized medical records are scored, the chief of the department reviews the initial evaluation, and the hospital quality control is reviewed again. At the same time actively carry out medical record quality inspection and evaluation activities, the quality and operation of medical records have been effectively monitored, and the quality of medical care has improved significantly. Fifth, strengthen the safety awareness, the doctor-patient relationship is becoming more and more harmonious. Our hospital continuously strengthens medical safety education, improves the awareness of quality responsibility, standardizes medical operation procedures, establishes and improves the system of doctor-patient communication, adopts a variety of ways to strengthen communication with patients, and patiently and meticulously informs or explains the condition to patients. We are prudent in preoperative, precise in intraoperative and strict in postoperative. Further optimize the service process to facilitate patients' access to medical treatment. By adjusting the layout of departments, increasing service windows, simplifying the medical links, shortening the waiting time of patients, and transferring personnel who are not competent for the window industry out of their positions. The outpatient hall has set up a medical consulting desk, equipped with drinking water, computers, wheelchairs and other service facilities to provide patients with information guidance and medical services, and promptly solve the various difficulties encountered by the patients during their visits to the clinic. The implementation of medical services and the first medical responsibility system, standardize the service language, strengthen the training of nursing etiquette, put an end to the phenomenon of raw, cold, hard, top, push the phenomenon of patient care service enthusiasm, nursing care, careful operation, answer patience. Four, strengthen the hospitalization management, standardize the hospitalization procedures and charges settlement In order to strengthen the standardized management of health insurance work, so that the health insurance policy has been fully implemented, according to the requirements of the county health insurance department, the treating physician to do the treatment of disease, reasonable inspection, reasonable use of drugs. Strengthen the quality management of medical records, strictly implement the first physician responsibility system, standardize the clinical use of medication, treating physicians should be based on clinical needs and health insurance policy, consciously use safe and effective, reasonably priced drugs in the "Drug List". The company's products and services are available in a wide range of colors and sizes, including: (1) a variety of colors, (2) a variety of colors, (3) a variety of colors, (4) a variety of colors, (5) a variety of colors, (6) a variety of colors, (7) a variety of colors, (8) a variety of colors, (9) a variety of colors, and (10) a variety of colors. V. Strict implementation of provincial and municipal pricing standards Medical costs are another focus of attention for insured patients. We adhere to the cost list system, the daily cost to the patient, so that the insured person is clear and transparent consumption. Sixth, system maintenance and management The hospital attaches importance to the maintenance and management of the insurance information management system, timely elimination of obstacles to the hospital's information management system to ensure that the system operates normally, in accordance with the requirements of the county health insurance office of the specialized computer technology managers responsible for the requirements of the special computer insurance computer is strictly in accordance with the provisions of the dedicated machine, in case of problems with Neusoft and the medical care company in time. Problems with Neusoft and medical insurance office in a timely manner to contact, can not be due to the occurrence of problems in the program and lead to medical costs can not be settled problems occur, to ensure that participants in a timely and rapid settlement.