Abstract: Objective The study was conducted to evaluate the performance of report management in respect of notifiable communicable diseases and death cases. Methods The quality of management and reporting of notifiable communicable diseases and deaths in 39 selected medical institutions (including 15 county-level hospitals, 12 township hospitals and 12 village clinics) using the cluster sampling method were investigated. Results The rate of communicable disease reporting was higher in district-level medical institutions than in township-level medical institutions (the former 98.12%, the latter 83.72%); the rate of death cases reporting was low, being 60.10% in the city. The diagnostic accordance rate of communicable diseases was relatively low (the diagnostic accordance rate of hepatitis B being 59.78%). Conclusion The diagnostic accuracy of certain communicable disease in medical institutions has become a major determinant factor for the quality of the reports. The relatively low diagnostic accordance rate of hepatitis B was due to the deficiency in the knowledge of the diagnostic criteria for hepatitis B and differentiating errors. Furthermore, the non-standardized management and reporting of death cases along with a serious omission directly affected the quality of death case reports from medical institutions.