CN111738574A - Medical insurance monitoring handheld management system and device - Google Patents
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- CN111738574A CN111738574A CN202010524856.4A CN202010524856A CN111738574A CN 111738574 A CN111738574 A CN 111738574A CN 202010524856 A CN202010524856 A CN 202010524856A CN 111738574 A CN111738574 A CN 111738574A
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 33
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- 238000001802 infusion Methods 0.000 claims abstract description 32
- 238000012550 audit Methods 0.000 claims abstract description 17
- 238000011156 evaluation Methods 0.000 claims description 14
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- 230000006872 improvement Effects 0.000 abstract description 2
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- 230000000694 effects Effects 0.000 description 3
- 230000010354 integration Effects 0.000 description 3
- 241000208340 Araliaceae Species 0.000 description 2
- 235000005035 Panax pseudoginseng ssp. pseudoginseng Nutrition 0.000 description 2
- 235000003140 Panax quinquefolius Nutrition 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 235000008434 ginseng Nutrition 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
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Abstract
The invention discloses a medical insurance monitoring handheld management system and device. The system comprises a data support module, a biological characteristic acquisition module, a verification and audit module, an infusion service confirmation module, a patient follow-up visit confirmation module and a rehabilitation service confirmation module. The medical insurance monitoring handheld management system monitors the personal security of the insured person in real time by arranging the infusion service confirmation module and the rehabilitation service confirmation module, and thoroughly avoids the possibility of cheating insurance. By arranging the follow-up visit confirming module and the rehabilitation service confirming module, the service level of doctors or nurses can be objectively evaluated, objective standards are provided for performance assessment of personnel in hospitals, the improvement service of the doctors and the nurses is actively promoted, and the service level is improved. The data transmitted by the rehabilitation service confirmation module is collected in the social security center, so that doctors, nurses and patients participating in security can conveniently look up the previous medical records.
Description
Technical Field
The invention belongs to the technical field of medical insurance monitoring, and particularly relates to a medical insurance monitoring handheld management system and device.
Background
With the continuous increase of the insured personnel, the reimbursement proportion and the diversification of reimbursement modes, a plurality of bugs exist in the traditional method for auditing the insured personnel by adopting a data report. If doctors and nurses in a hospital communicate with the personnel involved in the medical insurance, false medical insurance policies and hospitalization information are opened, false infusion records and the like, huge financial expenditure is brought to the medical insurance center every year, unfair governance of medical resources is caused, the benefits of normal medical demanders are damaged, how to attack the cheating of the personnel involved in the medical insurance becomes a difficult problem to be solved urgently.
The traditional technical means for preventing the insurance cheating of the insured person is mainly implemented by adopting standard management declaration documents and strengthening the management system of a hospital. Strict management is carried out on reimbursement of the insured personnel, such as reimbursement can be realized only by having an invoice and a doctor prescription at the same time and a diagnosis report handwritten by the doctor; for doctors and nurses in hospitals, the means such as camera monitoring and the like are adopted to prevent the doctors and the patients participating in the security from communicating; however, in the real management process, the strict reimbursement procedure brings great trouble to the normally required reimbursement participants, and the adoption of the camera cannot prevent the communication between the doctor and the nurse in the area outside the camera.
For the doctor seeing a doctor and nursing a nurse, an objective real-time evaluation system does not exist at present to evaluate the service level of the doctor and the nurse, so that the doctor and the nurse in a hospital are not actively served, and the doctor-patient relationship is tense; most evaluation and assessment standards in hospitals are peer-to-peer evaluation and public praise from patients, however, the evaluation indexes have great limitation and contingency, and cannot objectively evaluate the service level of doctors or nurses from mathematical statistics, and even cause evaluation bias.
For patients, at present, no system can count the previous sick experiences and rehabilitation processes, and if the patients want to inquire, the patients need to visit each hospital for consultation to call data or leave the data by themselves, which is very inconvenient.
Disclosure of Invention
The invention aims to provide a medical insurance monitoring handheld management system and device.
A medical insurance monitoring handheld management system, comprising:
the data support module is used for providing the identity information of the insured party as a basis for auditing and comparison and storing the medical insurance reimbursement document;
the biological characteristic acquisition module is used for acquiring the identity information of the participator and the security personnel and sending the identity information to the verification and auditing module;
the verification and audit module is used for comparing whether the identity information of the participating security personnel is consistent with the information stored in the data support module or not and outputting a comparison result;
the infusion service confirmation module is used for tracking and confirming the infusion condition of the reference and insurance person through the comparison of the reference and insurance person identity information in real time;
the patient follow-up visit confirmation module is used for confirming the follow-up visit of the patient and evaluating the patient;
and the rehabilitation service confirmation module is used for recording the rehabilitation service process and data of the patient and confirming the rehabilitation service.
The participant security identity information comprises a fingerprint, an identity card, a human face and an identity card number.
And the comparison result output by the verification and audit module is identity information coincidence or non-coincidence.
The infusion condition of the ginseng and radix angelicae sinensis comprises the type, specification and dosage of infusion and the start and finish time of the infusion.
The patient evaluation includes evaluation of the patient for nurse service and evaluation of the effect of material use.
The medical insurance monitoring handheld management system is also provided with a password login and setting module.
A medical insurance monitoring handheld management device comprises a data processing chip, wherein the data processing chip is connected with an external server through a wireless network, the data processing chip calls identity information of a patient to be insured from the external server and transmits the identity information to a data support module, and information in a verification and verification module, an infusion service confirmation module, a patient follow-up visit confirmation module and a rehabilitation service confirmation module is transmitted to a server for storage; the system also comprises a fingerprint identification device, an identity card scanning device and a face identification device.
The medical insurance monitoring handheld management device also comprises a liquid crystal display screen for displaying service items and an operation interface; the key keyboard is used for operating the buttons and transmitting the instructions to the data processing chip; and the battery pack is used for providing electric energy.
The invention has the beneficial effects that: the medical insurance monitoring handheld management system monitors the personal security of the insured person in real time by arranging the infusion service confirmation module and the rehabilitation service confirmation module, and thoroughly avoids the possibility of cheating insurance. By arranging the follow-up visit confirming module and the rehabilitation service confirming module, the service level of doctors or nurses can be objectively evaluated, objective standards are provided for performance assessment of personnel in hospitals, the improvement service of the doctors and the nurses is actively promoted, and the service level is improved. The data transmitted by the rehabilitation service confirmation module is collected in the social security center, so that doctors, nurses and patients participating in security can conveniently look up the previous medical records.
Drawings
Fig. 1 is an architecture diagram of a medical insurance monitoring handheld management system of the present invention.
Fig. 2 is a diagram of the medical insurance monitoring handheld management device of the invention.
Detailed Description
In order that the invention may be more fully understood, reference will now be made to the following description. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete.
The invention discloses a medical insurance monitoring handheld management system, which comprises a data support module 1, a biological characteristic acquisition module 2, a verification and audit module 3, an infusion service confirmation module 4, a patient follow-up visit confirmation module 5, a rehabilitation service confirmation module 6 and a server 7, as shown in figure 1.
The data support module 1 is used for providing the identity information of the participating security personnel as a reference for auditing and comparing and storing the medical insurance reimbursement document; the module is connected with an external server 7 through a wireless network, the external server 7 is arranged in a social security center, the data support module 1 is arranged in the medical insurance monitoring handheld management system, when data comparison is needed, the data support module 1 calls relevant information in the server 7 and temporarily stores the relevant information in the data support module 1, after data processing is finished, data is automatically deleted, and the identity information of the participant includes identity card information, portrait information, participant security information, diagnosis and treatment items, medical expense information and the like.
The biological characteristic acquisition module 2 is used for acquiring the identity information of the participants and the security personnel and sending the identity information to the verification and auditing module; the collected information comprises fingerprints, identity cards, human faces and identity card numbers; when fingerprint information needs to be collected, the module is started, the human body fingerprint is tightly attached to a liquid crystal screen of the system, and the fingerprint identification device automatically identifies the fingerprint information and transmits the fingerprint information to the verification and audit module; when the identity card information needs to be collected, the module is started, the portrait part on the front side of the identity card is centered, and the identity card scanning device automatically identifies the identity card information and transmits the identity card information to the verification and auditing module; when the face recognition information needs to be collected, the face is displayed on the liquid crystal display screen in the middle, and the face recognition device automatically recognizes the face information and transmits the face information to the verification and audit module.
The checking and verifying module 3 is used for comparing whether the identity information of the participating security personnel is consistent with the information stored in the data support module or not and outputting a comparison result; the comparison result output by the verification and audit module is identity information coincidence or non-coincidence; if the information of the participator is in accordance with the saved information of the participator, the infusion service confirmation module 4, the patient follow-up visit confirmation module 5 and the rehabilitation service confirmation module 6 are started to start the relevant services and records, and if the information of the participator is not in accordance with the identity information of the participator, the re-check is quitted.
The infusion service confirmation module 4 is used for tracking and confirming the infusion condition of the reference and insurance person through the comparison of the reference and insurance person identity information in real time; after entering the module, a nurse needs to input infusion information, the input information is stored in the data support module 1, after the information is confirmed by the participator, the data support module 1 sends the information to the external server 7 in real time, so that the social security center can master the infusion condition of the patient in real time, the traditional statistics by bills is prevented, the tradition of the nurse and the participator and the condition of cheating security appear. The infusion information comprises infusion type, specification, dosage and infusion start and finish time. The participator confirms that the participator needs to log in the biological characteristic acquisition module 2 firstly, and then sends the data stored in the data support module 1 to the external server 7 after passing the verification of the verification and verification module 3.
The patient follow-up visit confirmation module 5 is used for confirming the follow-up visit of the patient and evaluating the patient; the patient evaluation comprises the evaluation of the patient on nurse service and the evaluation of the material using effect; the medical insurance center requires the nurse to follow-up the patient within a certain period (such as within 10 days), if the follow-up cannot be answered by the patient or the patient refuses the follow-up, the corresponding score of the nurse is not increased or decreased and is 0; if the follow-up visit is answered by the patient, obtaining a positive score and a negative score according to the specific content of the answer; if problem 1 is set: when the self-fee material is used, whether a doctor asks for a suggestion or not is set as a yes or no option, if the selection of the participant is yes, the doctor accumulates 1 point, and if the selection is not, the doctor accumulates minus 1 point; a plurality of problems can be set, integration is carried out by adopting a similar integration rule, and the integrated integration is uploaded to a server of a medical insurance center through a data support module 1; the module is arranged to monitor the service conditions of doctors and nurses in the hospital and make assessment standards according to the service conditions.
And the rehabilitation service confirmation module is used for recording the rehabilitation service process and data of the patient and confirming the rehabilitation service. The rehabilitation service process comprises uploading detection lists, prescription lists and diagnosis records of the patient participating in the insurance, and classifying according to time; recording hospitalization, transfusion and medication of the patient; the operation records of the personnel participating in the insurance comprise information of the doctor, the medical equipment used, the treatment effect and the like; after each service is finished, the uploaded content is sent to a server 7 of a medical insurance center in real time through the data support module 1 for storage after the patient confirms.
The process of the medical insurance monitoring handheld management system for confirming the infusion service is as follows:
step 1): the biological characteristic acquisition module 2 acquires the identity information of the participant and the security personnel and sends the identity information to the verification and audit module 3, and the verification and audit module 3 calls the data in the data support module 1 to compare and verify and outputs a verification result; if the verification result passes, starting an input function through the data support module 1; if not, the recording function is not started;
step 2): the nurse starts the infusion service confirming module, starts to carry out infusion service on the insured person, records the infusion type and the dosage information, and uploads the information to the data support module 1 for storage; if the infusion is performed for multiple times, the infusion needs to be recorded and uploaded to the data support module 1 for storage each time;
step 3): after the transfusion service is finished, acquiring the identity information of the insured person again, sending the identity information to the verification and audit module 3, calling the data in the data support module 1 by the verification and audit module 3 for comparison and verification, and outputting a verification result; if the verification result passes, the data support module 1 is closed, the input function is started, and the data are transmitted to the external server 7; if the verification result does not pass, returning to the biological characteristic acquisition module 2, and recording the password again by the insured person; in this step, the number of times of logging-in may be set, for example, 6 times of logging-in, and after the end, the data support module 1 does not return any more, and sends the alarm information to the external server 7 (social security center).
The medical insurance monitoring handheld management system carries out the following process of patient follow-up confirmation:
step 1): a doctor or a nurse starts the patient follow-up visit confirmation module 5, inputs the name and/or the identity card number of the insured person, and the data support module 1 calls the information of the insured person from the external server 7 and outputs the contact way of the insured person;
step 2): the patient follow-up visit confirmation module 5 starts a question-answering mode, and automatically contacts the participator in a voice mode to carry out question-answering; the question answering mode can also adopt a manual calling mode to contact the participator, then the mode is converted into an automatic voice mode question answering, and after the question answering is finished, the final score and the detailed question answering result are transmitted to the data support module 1; if the ginseng protector refuses to ask and answer, the patient follow-up visit confirmation module 5 assigns a score of 0 and records that the follow-up visit is not finished once;
step 3): the data support module 1 transmits the final score and the question and answer detailed result to the external server 7 (social security center).
The process of the medical insurance monitoring handheld management system for confirming the rehabilitation service is as follows:
step 1): the biological characteristic acquisition module 2 acquires the identity information of the participant and the security personnel and sends the identity information to the verification and audit module 3, and the verification and audit module 3 calls the data in the data support module 1 to compare and verify and outputs a verification result; if the verification result passes, starting an input function through the data support module 1; if not, the recording function is not started;
step 2): the doctor starts the rehabilitation service confirmation module 6, starts rehabilitation service for the insured person, records detection indexes, diagnosis conclusions, prescribed prescriptions and the like generated in the rehabilitation service process, and uploads the detection indexes, the diagnosis conclusions, the prescribed prescriptions and the like to the data support module 1 for storage; if the hospital is involved, registering the relevant information of the hospital and uploading the information to the data support module 1 for storage;
step 3): after the rehabilitation service is finished, acquiring the identity information of the participant again, sending the identity information to the verification and audit module 3, calling the data in the data support module 1 by the verification and audit module 3 for comparison and verification, and outputting a verification result; if the verification result passes, the data support module 1 is closed, the input function is started, and the data are transmitted to the external server 7; if the verification result does not pass, returning to the biological characteristic acquisition module 2, and recording the password again by the insured person; in this step, the number of times of logging-in may be set, for example, 6 times of logging-in, and after the end, the data support module 1 does not return any more, and sends the alarm information to the external server 7 (social security center).
The medical insurance monitoring handheld management system is also provided with a password login and setting module.
The invention discloses a medical insurance monitoring handheld management device, and an external object diagram of the medical insurance monitoring handheld management device is shown in FIG. 2; the system comprises a data processing chip (Ruihe micro RK3288 four-core Corte-ALL GPU Mail-T764 main frequency: 1.8G internal memory: DDR 32G storage capacity: TF card 8GB/16GB/32GB), which is connected with an external server through a wireless network, the data processing chip calls identity information of a participant from the external server, transmits the identity information to a data support module, and transmits information in a verification and verification module, an infusion service confirmation module, a patient follow-up visit confirmation module and a rehabilitation service confirmation module to the server for storage; the system also comprises a fingerprint identification device, an identity card scanning device and a face identification device.
The medical insurance monitoring handheld management device also comprises a liquid crystal display screen for displaying service items and an operation interface; the key keyboard is used for operating the buttons and transmitting the instructions to the data processing chip; and the battery pack is used for providing electric energy.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.
Claims (8)
1. A medical insurance monitoring handheld management system, characterized in that it comprises:
the data support module is used for providing the identity information of the insured party as a basis for auditing and comparison and storing the medical insurance reimbursement document;
the biological characteristic acquisition module is used for acquiring the identity information of the participator and the security personnel and sending the identity information to the verification and auditing module;
the verification and audit module is used for comparing whether the identity information of the participating security personnel is consistent with the information stored in the data support module or not and outputting a comparison result;
the infusion service confirmation module is used for tracking and confirming the infusion condition of the reference and insurance person through the comparison of the reference and insurance person identity information in real time;
the patient follow-up visit confirmation module is used for confirming the follow-up visit of the patient and evaluating the patient;
and the rehabilitation service confirmation module is used for recording the rehabilitation service process and data of the patient and confirming the rehabilitation service.
2. The medical insurance monitoring handheld management system of claim 1, wherein the participant identity information includes a fingerprint, an identification card, a face and an identification number.
3. The handheld management system for medical insurance monitoring according to claim 1, wherein the comparison result output by the verification and audit module is identity information coincidence or non-coincidence.
4. The medical insurance monitoring handheld management system as claimed in claim 1, wherein the infusion condition of the paramedics includes infusion type, specification, dosage and infusion start and finish time.
5. The medical insurance monitoring handheld management system of claim 1, wherein the patient evaluation includes a patient evaluation of nurse services and an evaluation of material usage effectiveness.
6. The medical insurance monitoring handheld management system according to claim 1, wherein the medical insurance monitoring handheld management system is further provided with a password login and setting module.
7. A medical insurance monitoring handheld management device is characterized by comprising a data processing chip, wherein the data processing chip is connected with an external server through a wireless network, the data processing chip calls identity information of a person involved in insurance from the external server and transmits the identity information to a data support module, and information in a checking and verifying module, an infusion service confirming module, a patient follow-up visit confirming module and a rehabilitation service confirming module is transmitted to a server for storage; the system also comprises a fingerprint identification device, an identity card scanning device and a face identification device.
8. The medical insurance monitoring handheld management device according to claim 7, further comprising a liquid crystal display screen for displaying service items and an operation interface; the key keyboard is used for operating the buttons and transmitting the instructions to the data processing chip; and the battery pack is used for providing electric energy.
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| CN109509546A (en) * | 2018-10-23 | 2019-03-22 | 平安医疗健康管理股份有限公司 | Identity identifying method, device, terminal and medium based on bio-identification |
| CN109616171A (en) * | 2018-11-28 | 2019-04-12 | 四川省人民医院 | A kind of novel medical insurance card operational system |
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2020
- 2020-06-10 CN CN202010524856.4A patent/CN111738574A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102158520A (en) * | 2010-12-15 | 2011-08-17 | 朱永明 | Radio link-based disease follow-up system |
| CN105117613A (en) * | 2015-09-25 | 2015-12-02 | 河南群智信息技术有限公司 | Medical care system based on hand-held terminal |
| CN109360652A (en) * | 2018-09-20 | 2019-02-19 | 深圳易普森科技股份有限公司 | A kind of physical examination industry is prevented for detecting method, system, device and storage medium |
| CN109509546A (en) * | 2018-10-23 | 2019-03-22 | 平安医疗健康管理股份有限公司 | Identity identifying method, device, terminal and medium based on bio-identification |
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Application publication date: 20201002 |