Self-examination report of the new rural cooperative medical sentinel hospital
We are now in society, we use the report more and more, the report has the characteristics of written after the fact. Then you really know how to write a good report? The following is my carefully organized self-inspection report of the new rural cooperative medicine designated hospital, welcome to share.
The new rural cooperative medical system as a representative of the interests of the broadest number of farmers "people's project" and "moral engineering", will fundamentally solve the problem of farmers to see a doctor, to see the big disease is more difficult, as well as due to illness, poverty, return to poverty due to illness. As a designated hospital for rural cooperative medical care, XXX People's Hospital, under the leadership of the municipal and county health administrative departments, strengthens its organizational leadership, reinforces its internal quality management, strictly implements the relevant rules, regulations and standards for designated medical institutions for cooperative medical care, and strives to provide quality medical care for the majority of insured farmers. The company is also committed to providing quality medical services to 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 responsibility to implement. 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 policies 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 measures and other relevant provisions, can always actively cooperate with the cooperative medical institutions check.
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 rate of referral 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 15 days.
The management of medicines, special diagnostic and service facilities
Strictly implement the relevant regulations on the scope of use of medicines, diagnostic and treatment items and service facilities in cooperative medicine. 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. Strictly grasp the indications and indications for the use of various types of special diagnosis and treatment and medicines, and never induce or force patients to accept special programs or use self-financed medicines. The actual use of diagnostic and therapeutic 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 A 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-ordinated fund, the establishment of a separate outpatient treatment medical record for special diseases, which is kept by the co-op medical office. 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 to enjoy better basic medical services, our hospital will be 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.
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