Birth certificate self-inspection report

Our hospital in accordance with the relevant requirements of the development of XXX Hospital, "birth certificate" management system, the system of birth certificate issued by the location, backup, seal management, handover work, self-checking work, etc. have made clear provisions.

Our hospital has an independent medical birth certificate issuance room, located in the administrative office area on the fourth floor, the administrative office area has an independent anti-theft net, door and window security net, by the security guard responsible for the management of the gate. The doors and windows of the issuance room are equipped with stainless steel anti-theft nets, and surveillance cameras are installed outside the door to eliminate security risks; the computer for issuing medical certificates is properly secured with the relevant information backed up once a month; the certificates and seals are managed separately, with special cabinets for special people, and the blank birth certificates are managed by XXX, and the seals are managed by XXX, and the seal holders are not allowed to use the seals until the information is reviewed and approved each time. The establishment of a regular reporting system, encountered problems in a timely manner to the higher hospital XX hospital for instructions, regularly report to the higher leadership, the competent departments.

Second, do a good job of document issuance, issuance, inventory management.

Strict implementation of the documents in and out of the warehouse registration, to achieve real-time registration, at any time to grasp the hospital's "birth medical certificate" issued, issued and inventory. Arrangements for specialized personnel responsible for the issuance and issuance of documents, inventory personnel responsible for the issuance of Birth Medical Certificates, the issuance of birth medical certificates issued by the personnel responsible for the issuance of birth medical certificates. The information on birth certificates is entered into a specialized system by specialized personnel and then printed, with the stubs of the certificates retained and registered. Inventory personnel are responsible for the proper storage of blank




Birth Certificate, a special locker for safekeeping, stored in a clean environment, the temperature and humidity moderate.

Third, standardize the business process.

According to the first issuance of the "birth certificate" requirements standardized issuance of "birth certificate", and do a good job "birth certificate" first issuance of registration. The issuing officer enters the information into the computer and prints the Birth Certificate; the sealing officer checks the information of the Birth Certificate and stamps it after it is correct, and keeps the stub and registers the first issuance. For the replacement or reissuance of the "birth certificate" business, the issuer of the information carefully examined, in line with the replacement or reissuance requirements, in accordance with the replacement or reissuance of the procedures and requirements, the information prepared by the XX hospital for the replacement or reissuance.

Four, regular legal education and job training.

The hospital has targeted the management and issuance of birth certificates to carry out legal education and training, through the management of birth certificates management guidebook, related notices and other learning, enhance legal awareness, improve the destruction of the document, lost, fake, fake, fake, fake events to monitor the ability to prevent dereliction of duty occurred.

V. Regular reports.

The development of a regular reporting system to regularly report to the higher leadership, higher hospitals, higher health administrative departments on the management of the "Certificate of Birth". The relevant staff weekly statistics on the issuance of birth certificates, issuance, inventory, to the hospital "birth certificate" competent leadership to report and sign to confirm; monthly "birth certificate" management and use of statistics and registration, quarterly reports submitted to the Department of Health; in the usual carry out the "birth certificate" related to business processes encountered problems, timely to Pok Oi Hospital for instructions, and the "birth certificate" related to business processes. Timely to the POH for instructions and confirmation before processing, to avoid errors and omissions.

Sixth, strengthen supervision and management.

Supervision and management work is divided into internal and external supervision: internal supervision by the hospital internal specialized supervision team, regular self-examination of the management of the "birth medical certificate", check the "birth medical certificate" issued and used, check the "birth medical certificate" of the first issuance, reissuance, reissuing, seal management, abolition of the management of the certificate, information management, etc., check the management of the "birth medical certificate" and the issuance of the "birth medical certificate" and the management of the "birth medical certificate". The training and assessment of the personnel for the management and issuance of the Certificate of Birth Medicine, as well as to understand the problems encountered in the actual work; external supervision by the higher health administrative departments, commissioned organizations and relevant experts, such as the inspection team, to listen to the report, hold a forum, on-site inspection, access to information, etc., to effectively supervise and manage the management and use of the Hospital's "Certificate of Birth Medicine," and to conduct regular The inspection, assessment and evaluation of the problems found in a timely manner to give guidance to correct.

XXXXX Hospital

August 24, 20xx

"Birth Medical Certificate" is a legal medical certificate stipulated in the "Chinese People's **** and the State Maternal and Child Health Law", and it is an important basis for birth registration by the household registration authority. In order to further strengthen the management of the "birth medical certificate", standardize its receipt, issuance, registration and other work, our hospital in accordance with the specific requirements of the management of birth medical certificates in Jiangxi Province, and constantly improve the management system, strengthen the training of relevant personnel, and gradually make the management of the "birth medical certificate" standardization. Self-inspection work is reported as follows:

First, the establishment of a sound "birth certificate" management organization

In order to strengthen the management of the "birth certificate" management, the hospital set up a dean of the management of the first person in charge of the medical staff specifically responsible for the "birth certificate" of the daily work of the receipt, issuance and registration of the day-to-day management system. To ensure the standardized management of the birth certificate.

Second, strengthened the management of the "Certificate of Birth"

1, to receive: the Medical Department personnel in the Department of Health to receive the "Certificate of Birth" issued by the unit letter of introduction and identity documents, the number of on-the-spot examination, quality checking to receive after the receipt of the correct, into the warehouse and do a good job of registering, including the time of receipt, the number of documents, documents, the beginning of the code, the two people after checking the signature to confirm.

2, custody: "birth medical certificate" documents by the Medical Department (XXX) is responsible for the management of the issuance of "birth medical certificate" when the strict verification of information, control the rate of invalid certificates to confirm that there is no error according to the process of issuance, and do a good job of issuing the registration.

3, file management: "birth medical certificate" related materials in accordance with the management requirements of the permanent preservation of files properly preserved. Regular inspection of the storage of certificates and stubs, found damp, broken and other abnormalities in a timely manner to ensure that the certificate is clean and complete. Birth medical certificates of theft, loss, damage and other cases immediately reported to the hospital and higher authorities.

4, information management: conscientiously do a good job in the "birth medical certificate" issued by the report, 28 days before the end of each month will be this month's "birth medical certificate" issued by the network reported to the District Health Bureau, reported annually "birth medical certificate" management and use of the annual statistical tables.

5, the first issuance: our hospital is only responsible for the birth of babies born in this institution directly issued "birth medical certificate". Non-institutional births are not allowed to issue a "birth certificate". When issuing, according to the order of the number issued, all items filled out, accurate content, clear handwriting, signature formal, strictly prohibit alteration.

When issuing certificates, truthfully fill in the delivery information, the patient or family members to produce relevant materials and fill out the first issuance of the birth certificate registration form, the issuing officer to check the baby's parents valid original identity documents, accurately fill in the "birth certificate", all the couplets stamped with the special seal of the birth certificate. The original and copy to the applicant, stubs and related supporting materials (birth certificate, the first issuance of registration form) archived for permanent preservation.

6, reissue: due to the loss of the need to apply for reissue of the applicant for January 1, 1996 after the birth of babies born in our hospital, our hospital does not have reissue qualifications, our hospital is only responsible for checking and verifying the first issuance of the bottom of the archives and the issuance of supporting materials. The patient carries the relevant reissue materials to the relevant departments of the District Health Bureau to reissue.

7, the replacement and scrapping: in accordance with the Jiangxi Province, the management of birth medical certificates, due to a change of name, parents need to change the issuance of "birth medical certificates", you need to provide the relevant certifying documents of the household registration authority, the legal identification agency paternity test certificate.

Because of the issuance of the private cut, alteration of the secondary page, you need to provide the local household registration department issued a certificate of not on the household registration, the medical department after verification to give the replacement, but still in accordance with the first issuance of the bottom of the information in the exchange of the first issuance.

Because of the issuer writing errors not issued or in the process of storage, issuance of destroyed, lost blank "birth certificate" is a waste of certificates, the hospital to do a good job in the number, number and reason for the registration and transfer to the District Health Bureau to deal with.

8, the implementation of the certificate, the chapter separation management, special cabinet and lock.

Third, 20xx-20xx annual application and issuance

20xx *** issued 99, due to private disassembly and cutting, alteration **** replacement of 2, the abolition of the certificate 0, the issuance of lost birth certificates to replace the certificate of 7 people. Total issued 101 birth medical certificates. 20xx November 12, I applied for "birth medical certificates" 130, stock 10, a total of 140 copies.

No claims were made in 20xx. As of July 25, 20xx, the current year *** first issued 102, writing and alteration of the production of a waste certificate 1, 1 replacement, issued a replacement certificate 4 times, the total *** issued 104 birth medical certificates.

20xx-20xx **** detection to fake birth certificate fraudulent replacement of our hospital birth certificate events 4.

Fourth, there are shortcomings and improvement measures

In June of this year, our hospital appeared a request to change the parents of the newborn information, in accordance with the management of birth medical certificates in Jiangxi Province, the second point of Article 23, "the parties concerned to provide the statutory identification agencies related to paternity testing. The father of the baby issued a paternity test certificate on July 15, and the medical department verified the test certificate by phone and gave it a new one

The first time the certificate was issued, the mother and her family produced a certificate of paternity test, and it was issued by the medical department. The first time the issuance of maternal and family members to produce proof of identity, first of all, by the physician in charge of verification, the issuance of certificates of the medical section to check again, the newborn's father to fill in the newborn's parents information, because it is provided by the maternal sister's identity card, the similarity is high, the medical staff failed to recognize, resulting in the issuance of a successful. Later, because of its on the issue of household registration requirements to change, the baby's father at that time issued a false identification bear the corresponding consequences.

Learning from the above incident, in the future issuance process, the hospital should still strengthen the identification verification and inform the strength and require the licensee to issue a copy of the newborn's parents' ID card to be retained, and sign to confirm that the information is true, and permanently stored.

Strengthen the maternal and child health care law, Jiangxi Province, the management of birth medical certificates and other appropriate laws and regulations. Make medical personnel recognize the seriousness of issuing false certificates. Delivery personnel to fill out the "birth medical certificate" to check the newborn's parents ID card, fill out the handwriting clearly, the three information consistent, strictly prohibit alteration. The medical department stamped again check.

Strictly separate management of certificates and seals, stored in a special cabinet and locked. Monthly report on the issuance of the situation again carefully check the number of inventory. Strengthen the custody to prevent damage.

At the end of each year, the number of birth certificates in and out of the warehouse registration statistics and reported to the hospital, strictly control the rate of waste certificates.

In short, the management of the hospital's "birth certificate", can strictly implement the provisions of the higher authorities, so that the "birth certificate" of the receipt, issuance, registration has been gradually standardized. In the future, we will further strengthen the management, and constantly improve the staff's operational quality, so that the management of the "birth medical certificate" more standardized.

According to the Municipal Health Bureau "on the maternal and child health projects for special supervision and evaluation of the notice" (Cheng City Health Women [20xx] No. 10) requirements, the 20xx annual and 20xx recent maternal and child two major public **** health service projects and the "reduction and elimination" of the project situation has been supervised. Self-inspection, the situation is reported as follows:

First, supervision of the basic situation

I district composed of a supervisory group, supervisory team members by the deputy director Zhang Zhanbo, squatting experts in the county Dong Guifang, prevention and protection of Gu Chunjie and health care station director Xiu Dedong, supervisory time from May 24 to 26, 20xx three days, the supervisory units For the sixth hospital in Chengde City, Yingzi Township Health Center, Shouwangfen Township Health Center, North Mawei Township Health Center, Wangjiazhuang Township Health Center, as well as the Hebei Village Health Center, Luohuangou Village Health Center, North Mawei Village Health Center and Wangjiazhuang Village Health Center.

In 20xx, the region's rural maternity 261 people, hospital delivery subsidies 126 people, subsidies amounted to 50,400 yuan, the subsidy completion rate of 84 %. Folic acid issued 224 people, 1295 bottles, completion rate of 107.58%. The maternal emergency center in the county received 0 patients, and 0 patients were successfully rescued. The county's "Reduce and Eliminate" program trained 70 people, and 2 people were selected to participate in municipal further training. Towns: Yingzi Town Health Center hospital delivery subsidies 14 people, the amount of subsidies 0.56 million yuan, folic acid issued 90 people, 535 bottles; Wangjiazhuang Town Health Center folic acid issued 42 people, 240 bottles; Shouwangfen Town Health Center folic acid issued 39 people, 226 bottles; Beimazhou Town Health Center folic acid issued 42 people, 228 bottles; District Health Station folic acid issued 11 people, 66 bottles.

20xx 1-5 months of the region's rural maternity 60 people, hospital delivery subsidies 81 people, (including 20xx year did not subsidize the person), the amount of subsidies 3.24 million yuan. Folic acid distribution 141 people, 715 bottles. The town situation: Yingzi town health center hospital delivery subsidies 2 people, the amount of subsidies 0.08 million yuan, folic acid issued 43 people, 237 bottles; Wangjiazhuang town health center folic acid issued 24 people, 135 bottles; Shouwangfen town health center folic acid issued 33 people, 187 bottles; Beimazhou town health center folic acid issued 28 people, 83 bottles; district health station folic acid issued 13 people, 73 bottles.

Second, the main practice

Organizational management: the establishment of the project leading group and expert technical steering group, the establishment of multi-departmental cooperation mechanism, clear departmental responsibilities, and start work. Formulate the implementation program of each project and the annual plan and summary. It has formulated basic service items and price-limiting standards for hospitalized delivery of rural pregnant women in the region, formulated work specifications and subsidy process for hospitalized delivery of rural pregnant women in the region, and formulated the process of issuing folic acid in the region. Regular working meetings are held to carry out project activities, with detailed records, and relevant work systems are developed (including the system and process of critical maternal resuscitation; the management of folic acid medicines and distribution, information management and health education and publicity system, etc.).

The use of funds and management: the development of the project funds management approach, the central and provincial funds in full, timely from the county financial to the project using units, hospitalization subsidies for special account management, earmarked for special purposes, no crowding out, leveling, misappropriation (down to the elimination of funds and payment centers to do a good job of coordinating the work), the preservation of all the financial documents intact.

20xx project funds used: 1, rural maternal hospital delivery subsidy program, the municipal allocation of funds 187,400 yuan, subsidies of 50,400 yuan. 2, down to eliminate the project: the central financial arrangements for special funds 59,250,000 yuan. Which is used for training funds 30,000 yuan; social propaganda funds 10,000 yuan; health education funds 0.5 million yuan; in the county squatting expert funding subsidies 14.25 million yuan (in the county squatting expert on grass-roots training per county 10,000 yuan, in the county squatting expert per person transportation subsidies 250 yuan, subsidies for each of the 4,000 yuan).

20xx municipal project funds in place in December 20xx, in place of funds 73,600 yuan, the county financial allocation to the project unit funds in December 20xx, in place of funds 73,600 yuan yuan.

Personnel training and further training: to carry out district, town, village three-level management, maternal and child and obstetrics personnel technical training. In accordance with the provincial reduction and elimination of the project training content requirements, level by level training. Respectively in March, December training once, the content mainly includes the project objectives, management responsibilities at all levels, the implementation of the program, funding management, the establishment of referral emergency network, supervision and coordination.

The second is the training of operational personnel. District hospitals, maternal and child health institutions, town health centers midwifery staff training, in principle, the rotation of training once, the content mainly includes obstetric emergency basic knowledge, skills and technical specifications, in order to improve the ability of obstetric emergency, as well as the training of normal obstetrics treatment, common obstetric emergency basic skills and referral process of the basic first aid skills, etc., the training time of more than 4 days. Village health workers (village doctors) are trained in the objectives and content of the project, so that they can understand the content of the project, publicize it well, and assist in the referral of high-risk mothers. Clinical trainees to the basic knowledge of obstetric emergency, skills and technical specifications, basic first aid skills in the referral process, as well as neonatal asphyxia resuscitation techniques.

Health education and publicity: health education. The development of the region's "reduce elimination" project publicity and education work program, the use of various forms of publicity, increase the "reduce elimination" project publicity.

1, the implementation of "women as the core, the family as the best place" health education model, maternal health care during pregnancy and childbirth, safe delivery and other knowledge of publicity and education;

2, the organization of the "School for pregnant women", In village health offices, township (township) health centers, district health care institutions and public **** places, so that the masses understand the knowledge of pregnancy and childbirth health care, and improve the ability of maternal and child health care services.

5, make full use of television, the production of life encyclopedia publicity materials, widely publicized maternal and child health knowledge, so that the majority of women and children to improve self-care awareness.

Information management: the development of the District Maternal and Child Health Comprehensive Project information management work norms,

Assigned the District Health Station information section chief Huang Yanhong is specifically responsible for the information work, the establishment of the project's information management work system including information reporting, quality control, information security system. The information was reported in a timely manner and reviewed carefully. All original information, case registration forms and summary statements are well documented, well preserved and neatly filed.

File management: basically standardized management of all kinds of archival materials, the town and village level file management work is being rectified.

Maternal rescue center and green channel construction: the establishment of a sound rescue center systems, the establishment of a leading group and experts, there are feasible, clear call for help, operation, rescue operation procedures, the implementation of a 24-hour duty system, a dedicated maternal emergency telephone 120, 5017758, equipped with a functional ambulance, ambulance equipment and first aid medicines are perfect, and the ambulance is ready to go within 5 minutes. The ambulances are equipped with perfect equipment and emergency medicines and can be dispatched within 5 minutes. Critical Care Emergency Center. The layout of the center is reasonable, the access is smooth, 70% of the regular staff are on duty, and the doctors on duty are capable of providing emergency care for critically ill pregnant women and newborn babies. Emergency equipment, including ventilators, monitors, oxygen cylinders, suction, delivery kits, tracheal tubes and phlebotomy kits and other emergency drugs ≥ 20 kinds.

The squatting situation of the experts in the county for the REDD project: there is an annual work plan, including obstetrics management, business training, supervision of the project work and business guidance, and scheduling of visits to the countryside. However, due to special reasons, the experts came to my district in late May 20xx to supervise three days, respectively, Chengde City, the sixth hospital maternal emergency center, the towns and a village in each town for training and guidance.

Third, there are problems

1, file management is not standardized.

2, the basic public **** health services are not in place, especially the management of high-risk maternal management is not perfect, postpartum visit is not timely, some do not visit at all.

3, the grass-roots statements generally have the problem of omission.

Fourth, the improvement measures and the next step of the work intends

1, standardize the management of archives, send a person to supervise and assist in the management of a variety of information filing.

2, to strengthen the basic public **** health services, plans to organize the region in June, more than the town of maternal and child health care workers to Chengde County to learn, so that a solid and systematic promotion of maternal and child health care in our region.

3, training grass-roots statements to fill out, make a variety of statement samples, reduce the phenomenon of errors and omissions.

The counties and districts Health Bureau, Development Zone Health Management Office:

In order to grasp the understanding of the implementation of health livelihood projects around the world, to accelerate the progress of the implementation of livelihood projects, after the study, is scheduled to carry out the city's health livelihood project work in mid- to late June inspection. At the same time, in order to further standardize the management of the issuance of birth certificates, the management of birth certificates together with the inspection, the relevant inspection matters are notified as follows:

First, check the content

(a) a comprehensive understanding of the progress of the health livelihood projects. Focusing on the operation of the counties and districts of the new rural cooperative, the progress of the work of the major disease insurance, as well as the supervision of the new rural cooperative fund; basic public **** health services in the "two management" rate, health records, chronic disease management, management of severe mental illness and other project implementation, the management and use of the project funds in previous years, and the liquidation of the year 20xx, the year 20xx pre-allocation, etc., the situation. The situation of medical treatment of major infectious diseases.

(ii) Check the management of the issuance of birth certificates.

The inspection method

The inspection takes a combination of working talks, reviewing information and on-site inspection.

(a) talks to understand the operation of the new rural cooperative and the progress of the implementation of the major disease insurance, to understand the new rural cooperative fund expenditure and supervision;

(b) on-site inspection of the county and district maternal and child health care (hospital), randomly selected a township health center (or community health service center) and a village health room (or community health service station), the county, township, village three-level basic public **** health Service Program related data, annual report data for verification, assessment and evaluation. (See Annex 1 for details)

(c) The counties and districts should carry out self-inspection of the management of the issuance of birth medical certificates, and the self-inspection should cover all the management and issuing organizations. This on-site sampling of the relevant management agencies, county-level medical institutions, township health centers (or community health service centers) and private midwifery institutions. (See Annex 2 for details)

(d) Access to relevant information on medical treatment of major infectious diseases and the allocation of funds for treatment (See Annex 4 for details).

(e) to understand the first quarter of 20xx women and children special inspection problems rectification and implementation.

Three, inspectors and schedule

(a) inspectors

The first group

Group Leader: Yang Yang

Members: Chu Changshan Tong Qinghao Cheng Zhigang Wei Pingfu Yuan Hongyan

Li Yinnan (female)

The inspected counties and districts: Jinan District Huoshan County Jinzhai County Shou County

Liaison: Cheng Zhigang, contact number:

Group 2

Group Leader: He Shuchun

Members: Cheng Li Cao Yong Gao Zhiwen Peng Chunyan (female) Shi Yong (female)

The inspected counties and districts: Yu'an District Shucheng County Huoqiu County Yeji District

Liaison: Cheng Li, contact number:

(ii) Inspection time: June 16, 20xx began, the specific time to be announced.

Fourth, the relevant requirements

(a) Each county and district inspection time 1 day. Please make preparations to meet the inspection, the formation of text reporting materials, on-site inspection of a brief report;

(b) Each place to complete the birth medical certificate issuance management self-examination, and will be self-examination report and Annex 3 registration form to the inspection team;

(c) All inspectors should be a strict grasp of the standards, unified scale, and pragmatic. Firmly implement the central "eight provisions", on-site inspection, the local minimize the accompanying personnel, shall not exceed the standard reception, no gifts;

(d) The results of the inspection into the annual single livelihood project assessment.