Appearance of supplementary leave application after request for verification
Regarding the denunciations of Ms. Tran Thi Hang - nurse of the Traditional Medicine Department of Gia Lai Provincial Central General Hospital, the Gia Lai Provincial Department of Health has established an inspection team to review records and documents and work with relevant individuals and collectives to clarify the denunciations.
According to the notice of the inspection conclusion, reviewing the settlement of complaints at the hospital, the Department of Health determined that the Traditional Medicine Department is simultaneously using 2 payroll boards: board on the hospital management system (HIS) and board for internal monitoring, managed by Ms. Tran Thi Bich Lien - Head Nurse of the department.
The timekeeping table on HIS software is identified as the official document for paying salaries and regimes. Meanwhile, an internal monitoring table is created to serve work administration, arranging duty and compensatory leave in the department.
The results of comparison with professional records show that many cases are recorded as retired in the internal monitoring table, but there are still documents showing that officials participate in medical examination, treatment or perform professional tasks.
However, according to the Department of Health, the above documents are not sufficient basis to determine that all the days shown in the internal monitoring table are the actual holidays of civil servants.
The Department of Health found that the simultaneous maintenance of 2 forms of workday monitoring has revealed limitations in management, causing information discrepancies and is one of the reasons leading to petitions.
Notably, through reviewing records and working with related individuals, the Department of Health determined that there were cases where leave applications were supplemented after the hospital's verification team worked and requested to provide records and documents for verification.
The individuals involved all confirmed that the application for additional leave was made based on comparison with internal monitoring documents of the department.
According to the Department of Health, supplementing leave applications after the incident occurs does not ensure the requirements for managing administrative records, reducing the evidentiary value of documents in accurately determining the actual time and number of days off.
However, this agency believes that there is no basis to determine that the supplementation of the leave application was for the purpose of legalizing the dossier or concealing the violation.
There is a situation where doctors hand over accounts to nurses
Regarding the management and use of accounts on HIS software, through working minutes and presentations of related individuals, the Department of Health recorded a situation where some doctors assigned accounts to nurses to assist in entering data on HIS software during the time when doctors were not directly present at the unit.
However, at the time of inspection, functional agencies could not access electronic data or other documents for verification. Therefore, the identification of this content is mainly considered based on the presentations of related individuals.
On that basis, the Department of Health has not detected documents or evidence proving that the use of the User account caused professional consequences or caused errors in the process of medical examination and treatment. At the same time, there is no basis to conclude that the use of the User account means that the doctor has quit his job or has not performed professional duties on a working day.
Regarding reflections related to factionalism, internal disunity, threats and insults to honor, the Department of Health also determined that there was not enough basis to conclude that there were acts as reported.
Through reviewing the hospital's handling of complaints, the Department of Health found that the verification process still has some limitations in collecting, analyzing, evaluating and using evidence.
Some contents have not been fully compared between management documents, professional records and related data; the legal value of each type of document has not been fully clarified. The identification of some contents still depends heavily on the presentations of individuals that have not been fully verified by other objective data sources.
Therefore, the Department of Health believes that Hospital Conclusion No. 1901 only reflects part of the content of the case, and has not fully assessed all relevant documents and evidence to clarify the nature of each content and each specific case.
There is no basis to determine intentional wrongdoing or self-interest
From the inspection results, the Department of Health determined that the above limitations and shortcomings were the responsibility of the collective leadership of the department, the head nurse and related individuals.
However, through inspection, the Department of Health said that there was no basis to determine that there was intentional violation of regulations or self-interest. The relevant collectives and individuals were requested to seriously review, draw experience and promptly overcome shortcomings.
The Department of Health requests the hospital to organize self-criticism for collectives and individuals related to limitations and shortcomings in managing working days, leave, administrative records and the use of User accounts on HIS software; clearly define responsibilities and implement rectification according to regulations.
The hospital must complete the process of managing working days, leave, compensatory leave, shift changes and the establishment and management of leave records; ensure the monitoring of working days in accordance with regulations; terminate the use of internal monitoring boards as a basis to replace or supplement the official timekeeping system.
Strengthen the management of the issuance, use and security of User accounts on HIS software; ensure that each account is only used by the correctly granted individual; fully implement decentralization, data trace saving, inspection and supervision according to regulations...
