JP2005275886A - Device for supporting medical treatment plan forming and hospital management - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical treatment plan forming/hospital management supporting device for grasping the expenditures of a hospital to be changed accompanying the passage of a medical treatment by each job type of a hospital staff. <P>SOLUTION: The device comprises a storage means 7 for storing the daily total labor coefficient of each hospital staff corresponding to the average number of medical treatment passage days for each disease name/diagnosis group classification code, labor expenditure per unit labor coefficient, and a revenue amount per average number of the medical treatment passage days with respect to a patient with the prescribed disease name/diagnosis group classification code; an input means 2; a retrieval means 3; a daily labor expenditure calculating means 4 for calculating the daily labor expenditure per number of the medical treatment passage days, with respect to the patient by multiplying the daily total labor coefficient, with respect to the patient of the disease name/diagnosis group classification code, which is retrieved by the retrieval means 3 from the storage means 7, by the labor expenditure per unit labor coefficient; an accumulation means 5 for accumulating the daily labor expenditure at each number of medical treatment passage days, so as to calculate an accumulative expenditure total amount and accumulating a daily revenue amount at each number of the medical treatment passage days so as to calculate an accumulative revenue total amount; and a display means 6 for comparing the accumulative expenditure total amount calculated by the accumulating means 5 with the accumulative revenue total amount, displaying them, and displaying a profit-and-loss point. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a treatment planning support and a hospital management support apparatus capable of supporting both hospital management and patient treatment planning.

  In hospitals, hospital staff, especially doctors, do not engage only in specific departments or wards, but often have multiple departments or wards. Therefore, for example, when focusing on a specific department, there are a number of other department staff engaged in the department, and the labor costs of hospital staff such as doctors that are truly spent in the department It was very difficult to grasp.

  For this reason, in hospital management, there is no detailed breakdown of how much labor is spent in which department, but the cost of certain events such as personnel expenses and surgery for the entire hospital staff. Costs for examinations, maintenance costs for hospital facilities, etc. were counted as hospital expenses. In other words, in conventional hospital management, it is unclear how much hospital staff labor is actually spent in which department.

  On the other hand, the amount of income from patients is determined for each diagnosis group classification code (DPC), hospitalization, examination, and treatment (these are called “events”), and is almost constant according to the diagnosis group classification code (DPC) Earn a pattern of income. Here, the DPC is a code classified by a patient's disease name, attribute, treatment action, and the like. In the conventional balance calculation of hospitals, it was not possible to compare the income from the above patients with the actual labor costs of each department or doctor.

  Because of this situation, in conventional hospitals, it is not known which departments are profitable and which departments are not profitable, and hospitalization of patients is not necessary to simply reduce bed space. Sometimes the patient's hospital stay was extended.

  The inability to grasp the actual distribution of labor in hospitals also affected doctors' treatment plans.

  For example, for a new patient who came to a hospital window, it was not possible to plan an efficient inpatient treatment because the profitable treatment and the length of hospital stay were unknown when treated at the hospital. .

  In addition, it was not possible to actively manage such as reducing investments in nonprofitable departments and wards and further enhancing profitable departments.

  Further, for patients who are currently hospitalized, how long the hospital stay is appropriate, and appropriate treatment cannot be performed in accordance with the hospital stay.

  On the other hand, an apparatus that enables management for each profit / loss management type by department, department, disease name, and medical practice has been proposed (Japanese Patent No. 3035235).

  This device sorts profit / loss data related to one of a plurality of medical departments from profit / loss data and profit / loss data related to a plurality of medical departments, and assigns individual profit / loss data to each medical department, The common profit / loss data is assigned to each medical department using the specified coefficient for each medical department, and the hospital's profit / loss data is distributed and managed by department, department, disease name, and medical practice. I am doing so.

In addition, Patent No. 3094294 describes the influence of distribution rate measurement error compared to doctors working in multiple medical departments, which were conventionally allocated to each medical department at a fixed allocation rate. Therefore, there has been proposed a cost calculation method for each medical element that can reflect the business contents dynamically in the cost calculation and can perform the cost calculation for each medical element.
Japanese Patent No. 3035235 Japanese Patent No. 3094294

  However, the proposed conventional technique does not have the viewpoint of the labor amount of hospital staff that changes with the transition of patient treatment.

  In general, for example, when a patient is hospitalized, the amount of labor actually taken at each stage of treatment varies with time, and depending on the period, the labor of the doctor is concentrated, and depending on the period, the labor of the nurse is concentrated. The quality of labor provided will also change over time. In this case, since the unit cost of labor costs for doctors and nurses is different, it cannot be generally evaluated as labor costs based on labor hours.

  Therefore, in any of the above conventional techniques, a method of allocating expenses to each medical department has been proposed, but it does not solve any fluctuations in expenses associated with the course of treatment of each patient.

  In actual inpatient treatment, the cost varies depending on the number of days after admission, and hospitalization of the patient up to a certain point contributes to the hospital's profit, but after that point the patient is admitted to the hospital On the contrary, an event occurs that results in a hospital loss.

  Also, for patients with certain symptoms, standardized treatment and hospitalization days at a hospital may be a cause of pressure on hospital management. None of the conventional techniques can evaluate the quality of such hospital treatment from the viewpoint of hospital management.

  If the hospital plans the treatment of a new patient and knows in advance the hospitalization period that is favorable for hospital management, it can plan the necessary treatments accordingly. Yes, not only can a healthy management be performed for the hospital, but also the patient will not be hospitalized for a long time, and an approximate guideline for discharge is known in advance, which is very useful.

  Therefore, the problem to be solved by the present invention is to understand the hospital expenses that change with the progress of treatment for each occupation of the hospital staff, and to support optimal hospital planning and sound hospital management. Is to provide.

The treatment planning support and hospital management support device according to the present invention are:
Daily total labor coefficient of hospital staff corresponding to the average number of days of treatment for each disease name or diagnosis group classification code, labor cost per unit labor coefficient, and average for patients with a given disease name or diagnosis group classification code Storage means for storing the amount of income for each elapsed treatment day;
An input means for inputting a patient's disease name or diagnosis group classification code;
Based on the disease name or diagnosis group classification code of the patient input by the input means, the daily total labor coefficient corresponding to the average number of days of treatment for the patient of the disease name or diagnosis group classification code from the storage means, and the unit labor coefficient Search means to search for labor costs per day and daily income corresponding to the average number of days of treatment,
Multiply the daily total labor coefficient for the patient of the disease name or diagnosis group classification code retrieved by the retrieval means by the labor cost per unit labor coefficient to calculate the daily labor cost for each elapsed treatment day for the patient. Daily labor cost calculation means,
Cumulative income corresponding to the number of treatment days elapsed by accumulating the daily labor cost for each treatment day and calculating the total amount of accumulated expenses corresponding to the treatment day number. A cumulative means for calculating the total amount;
A display means for comparing and displaying the total expense calculated by the total means and the total income total for each treatment elapsed days, and displaying a breakeven point;
It is characterized by having.

  The treatment planning support and hospital management support device according to the present invention inputs a patient's receipt, and from each patient's receipt, the data of the disease name or diagnosis group classification code, the data of the medical department or ward treated, and the number of treatment days And an input means for storing the data in the storage means so as to be able to handle them.

The treatment planning support and hospital management support device according to the present invention are:
The storage means includes a disease name or diagnosis group classification code of a hospitalized patient, a treatment already performed on the hospitalized patient, a scheduled treatment, a labor coefficient for each occupation of the hospital staff corresponding to the treatment, and each Remember the cost ratio of the labor coefficient of the occupation,
The input means allows the user to input the ID of a hospitalized patient,
The search means stores the hospitalized patient's disease name or diagnosis group classification code from the storage means based on the inputted hospitalized patient ID, the treatment already performed and the scheduled treatment, and the hospital corresponding to each treatment. Search the labor coefficient for each occupation of the staff, the cost ratio of the labor coefficient for each occupation, and the amount of income for each elapsed treatment day for the patient,
The daily labor cost calculation means includes the labor coefficient for each occupation of the hospital staff for each treatment and the respective treatments in the treatment and scheduled treatment already performed on the hospitalized patient searched by the search means. By multiplying the cost ratio of the labor coefficient of occupation and the labor cost per unit labor coefficient to calculate the daily labor cost for each elapsed treatment day for the hospitalized patient,
The accumulating means accumulates the daily labor costs for each elapsed treatment day to calculate a total accumulated amount corresponding to the elapsed treatment days of the hospitalized patient and treats the daily income of the patient. Calculate the total accumulated income corresponding to the number of days elapsed for treatment,
The display means displays the break-even point by comparing and displaying the total accumulated expense and total accumulated income of the hospitalized patient calculated by the accumulating means for each treatment day. is there.

In the treatment planning support and hospital management support device according to the present invention, the storage means includes a medical department for each patient, an amount of income for each elapsed treatment day, and a labor coefficient spent by the hospital staff of each medical department on the patient. And the cost ratio of the labor coefficient for each occupation of the hospital staff,
The amount of income for each patient's department and the number of days of treatment from the storage means, the labor coefficient spent by the hospital staff of each department for the patient, and the cost ratio of the labor coefficient for each occupation of the hospital staff Enter the labor cost per unit labor coefficient, total the income for each department for a given period, and further decompose the labor coefficient of the hospital staff spent for each patient for each department for each department Calculate the total labor cost for each department by multiplying the labor coefficient for each department by the labor coefficient cost ratio for each occupation of the hospital staff and the labor cost per unit labor coefficient. Means.

The treatment planning support and hospital management support device according to the present invention are:
The storage means is a ward for each patient, an amount of income for each number of elapsed days of treatment, a labor coefficient spent by the hospital staff of each ward for the patient, a cost ratio of a labor coefficient for each occupation of the hospital staff, Remember
From the storage means, the ward of all patients and the amount of income for each elapsed treatment day, the labor coefficient spent by the hospital staff of each ward for the patient, the cost ratio of the labor coefficient for each occupation of the hospital staff, and unit Enter the labor cost per labor coefficient, total the income for each ward for a predetermined period, and further disassemble and compile the labor coefficient of the hospital staff spent on each patient for each patient for each ward Ward balance calculating means for calculating the total labor cost of each ward by multiplying the labor coefficient of each ward by the labor ratio of the labor coefficient for each occupation of the hospital staff and the labor cost per unit labor coefficient, Can be.

The treatment planning support and hospital management support device according to the present invention are:
From the storage means, the daily total labor coefficient of the hospital staff corresponding to the average number of days of treatment of the patient for each diagnosis group classification code, the labor cost per unit labor coefficient, and the income for the average number of days of treatment Enter the amount and average the length of hospital stay for each diagnosis group classification code and the average hospital stay for each diagnosis group classification code, and the daily total labor coefficient for each diagnosis group classification code per unit labor coefficient The total daily labor cost for each diagnosis group classification code is calculated by multiplying the labor cost of the diagnosis group, and the total daily labor cost is summed up for each diagnosis group classification code, and the average for each diagnosis group classification code. It is possible to have a diagnostic group classification code balance calculation means for summing the income amount for each treatment elapsed days and outputting the total income for each diagnostic group classification code.

  According to the present invention, it is possible to calculate a preferable treatment period in hospital management for each disease name and DPC, and to make an optimal treatment plan be made by referring to the doctor. In addition, the patient can be notified of the approximate schedule of discharge, which can contribute to patient preparation.

  According to the present invention, it is possible to compare the treatments already performed on the currently hospitalized patient with the scheduled treatments, labor costs associated with them, and the income obtained from them in time series, thereby adjusting the execution time of the treatment. Thus, treatment can be advanced so that the patient can be discharged at a hospital discharge time that is favorable for hospital management.

  ADVANTAGE OF THE INVENTION According to this invention, the quality of each medical department on the management efficiency of a hospital can be determined by comparing the labor cost for every medical department with the labor cost of the said medical department. Similarly, according to the present invention, the cost of labor provided by the ward staff for each ward is compared with the labor cost of the ward, thereby determining the quality of each ward in terms of hospital management efficiency. be able to.

  According to the present invention, it is possible to output the average hospital stay, total expenses, and total income for each DPC, and it is possible to determine a DPC that is preferable for the hospital in terms of management.

  FIG. 1 shows the configuration of a treatment planning support apparatus according to an embodiment of the present invention.

  The treatment planning support / hospital management support apparatus 1 according to the present embodiment includes an input unit 2, a search unit 3, a daily labor cost calculation unit 4, a totaling unit 5, a display unit 6, and a storage unit 7. Have.

  In this embodiment, the treatment plan planning support / hospital management support device 1 is used as a device for planning a treatment plan for a new patient who has visited a hospital window.

  In the treatment planning support / hospital management support apparatus 1, the storage means 7 stores the daily total labor coefficient of the hospital staff corresponding to the average number of days of treatment for each disease name or DPC, the labor cost per unit labor coefficient, and a predetermined amount. An average amount of income for each patient who has a disease name or a diagnosis group classification code is stored.

  Here, “the daily total labor coefficient of hospital staff corresponding to the average number of days of treatment for each disease name or diagnosis group classification code”, “labor cost per unit labor coefficient”, “predetermined disease name or diagnosis group An explanation will be given of “average amount of income for each treatment elapsed day for patients with a classification code”.

  The daily total labor coefficient of hospital staff corresponding to the number of days of treatment is calculated as follows.

  First, the daily labor coefficient of the occupation type of the hospital staff corresponding to the number of days of treatment is calculated. The daily labor coefficient for each occupation is calculated for each disease name or diagnosis group classification code.

  FIG. 2 shows the “daily labor coefficient”. As shown in FIG. 2, the “daily labor coefficient” is defined as “general day” when the patient is not given any special treatment (referred to as “event”), and the labor amount of hospital staff on general day is 1. It is the ratio of the amount of labor of hospital staff on the day when there are special events such as the date of hospital admission, the date of discharge, the day before and after surgery.

  The table in Figure 2 is organized by department and ward. A table exists for each patient attribute, eg, symptom or DPC. This is because the labor amount of hospital staff consumed by symptoms and DPC differs. There is also a set of tables for each type of hospital staff. In other words, for each occupation of the hospital staff, the ratio of the amount of labor on the day when there is a special event such as the date of hospitalization, discharge, the day before surgery, or the day after surgery, with the amount of labor on “general day” as 1, is collected. The This is because, even for the same event of the same patient, for example, doctors and nurses have different amounts of labor depending on the occupation of the hospital staff.

  The figures in these tables can be based on the subjective judgment of hospital staff. For example, labor coefficient values can be collected in the form of a questionnaire or questionnaire.

  The labor coefficient is preferably obtained from as many hospital staff as possible according to job type. And it is good to take the average value for each occupation and to determine the daily labor coefficient for each occupational patient symptom and DPC.

  After the patient symptoms for each occupation and the daily labor coefficient for each DPC are determined, the labor coefficient for each occupation is standardized based on the cost ratio of the labor coefficient for each occupation. That is, the daily labor coefficient of the job type of interest is calculated by multiplying the labor coefficient of the job type of interest by the cost ratio for the standard job type.

  After standardizing the labor coefficient for each occupation, the total labor coefficient is calculated by summing the daily labor coefficients for each occupation after the standardization.

  The above-mentioned “daily total labor coefficient of hospital staff corresponding to the average number of days of treatment for each disease name or diagnosis group classification code” stored in the storage means 7 is calculated by the calculation method as described above. Since the time at which an event occurs is almost patterned according to the disease name or diagnosis group classification code, the average daily labor coefficient of hospital staff is allocated to the number of days elapsed since the start of treatment (the number of days of treatment). This is the daily total labor coefficient of hospital staff corresponding to the number of days of treatment.

  On the other hand, the “labor cost per unit labor coefficient” stored in the storage means 7 is obtained by dividing the labor cost of the hospital staff by the sum of the labor coefficients provided by all hospital staff. This is the unit labor coefficient unit price.

  Furthermore, “the amount of income per average number of days of treatment for patients with a predetermined disease name or diagnosis group classification code” stored in the storage means 7 corresponds to the average number of days of treatment per disease name or diagnosis group classification code. The amount charged. Necessary treatment and time (the number of treatment days) in which the treatment is executed are almost patterned by the disease name or diagnosis group classification code. Here, the amount billed to the patient is almost determined by the treatment for the treatment, so by determining the number of days required for the treatment and the number of elapsed treatment days, it is possible You can earn an income.

  When the treatment planning support / hospital management support apparatus 1 is used as a planning support apparatus for a treatment plan for a new patient who has visited a hospital window, the patient's disease name or diagnosis group classification code is first input by the input means 2.

  Disease name or diagnosis of the patient by the input means 2 (to distinguish in the following explanation, the patient who is planning treatment is referred to as “new patient”, and the average patient in hospital statistics is referred to as “general patient”) When the group classification code is input, the daily total labor corresponding to the average number of days of treatment for the general patient of the disease name or diagnosis group classification code from the storage means 7 based on the disease name or diagnosis group classification code input by the search means 3 The coefficient, the labor cost per unit labor coefficient, and the daily income corresponding to the average number of days of treatment are searched.

  Next, the daily labor cost calculation means 4 multiplies the daily total labor coefficient for the general patient of the disease name or diagnosis group classification code searched by the search means 3 by the labor cost per unit labor coefficient for the general patient. Calculate daily labor costs for each treatment days.

  Further, the accumulating means 5 calculates the total cost total corresponding to the treatment elapsed days by accumulating the daily labor costs for the general patient for each treatment elapsed days. The accumulating unit 5 calculates the total accumulated amount corresponding to the treatment elapsed days by accumulating the daily income amounts of the general patients retrieved by the retrieval unit 3 for each treatment elapsed days.

  Thus, after the accumulated total cost corresponding to the treatment elapsed days of the general patient and the total accumulated income corresponding to the elapsed treatment days are calculated, the display means 6 displays the total accumulated expenses, the accumulated total income, Are displayed so that they can be compared, and the break-even point is displayed.

  FIG. 3 shows an example of display by the display means 6.

  As shown in Fig. 3, in the actual treatment process, the expense will increase in the initial short period, then the income will increase, and then the expense will increase again. Become.

  Therefore, if a treatment plan is made so that the treatment is completed before the second time the expense increases (before the break-even point), a favorable treatment plan can be made for hospital management.

  The treatment planning support / hospital management support apparatus 1 can support a doctor to make a preferable treatment plan for hospital management by displaying a graph as shown in FIG. It is.

  In addition, by showing the treatment plan and hospitalization period to the patient in advance as described above, the patient can be discharged, the hospital can be planned for discharge, and the hospital can be prepared.

  In the above embodiment, the treatment planning support / hospital management support device 1 simply displays the total accumulated cost corresponding to the number of elapsed treatment days of a general patient and the total accumulated revenue corresponding to the number of elapsed treatment days. However, the treatment planning support / hospital management support apparatus 1 can be further provided with a simulation function.

  In other words, when a treatment plan for a new patient is drawn up and the type and date / time of the planned treatment are determined, the cost is calculated by multiplying the labor cost per unit labor coefficient by the daily total labor coefficient of the hospital staff for each treatment. be able to. On the other hand, since the amount that can be charged to the patient by each treatment, that is, the amount of income is determined by insurance or the like, the amount of income can be calculated. By comparing the results of the above calculations, it is possible to examine whether or not the treatment plan is a favorable plan for hospital management. By changing the execution date and time of the treatment, the state of the balance of the hospital also changes, so it is possible to devise an optimal treatment plan by examining a plurality of possibilities.

  The treatment planning support / hospital management support apparatus 1 can include means for inputting the amount of income from the patient and the labor coefficient of the hospital staff.

  In particular, since there are many standard formats such as a receipt for entering the amount of income from patients, data on the name of the disease or diagnosis group classification code from the receipt, data on the medical department or ward that was treated, and the amount of income for each elapsed treatment day It is preferable to include an input means for acquiring the data and storing them in the storage means 7 so that they can be handled. As a result, the input of income data is greatly saved.

  Next, a case where the treatment plan planning support / hospital management support apparatus 1 is used for examination of a treatment plan for a hospitalized patient will be described.

  In order to use the treatment planning support / hospital management support apparatus 1 for the examination of the treatment plan for the hospitalized patient, the storage means 7 stores the disease name or diagnosis group classification code of the hospitalized patient and the hospitalized patient. In addition, the treatment already performed and the scheduled treatment, the labor coefficient for each occupation of the hospital staff corresponding to the treatment, and the cost ratio of the labor coefficient for each occupation are stored.

  In other words, when planning a treatment plan for a new patient, the total cost and the total revenue for the general patient's treatment days are compared. It compares the expense spent on the patient inside with the income from the hospitalized patient.

  First, the input means 2 inputs the ID of a hospitalized patient.

  On the other hand, the search means 3 uses the inputted hospitalized patient ID from the storage means 7 for the disease name or diagnosis group classification code of the hospitalized patient, the treatment already performed, the scheduled treatment, and each treatment. The labor coefficient for each occupation of the corresponding hospital staff, the cost ratio of the labor coefficient for each occupation, and the amount of income for each elapsed treatment day for the patient are searched.

  Next, the daily labor cost calculation means 4 includes the labor coefficient for each occupation of the hospital staff for those treatments and the treatments already scheduled for the hospitalized patients searched by the search means 3. Multiply the cost ratio of the labor coefficient for each occupation by the labor cost per unit labor coefficient, and calculate the daily labor cost for each number of treatment days for hospitalized patients. Here, the calculated daily labor costs include both the previously performed treatment and the scheduled treatment. In addition, calculation is performed after specifying the number of days of treatment elapsed from the scheduled date of treatment or the date of execution.

  Next, the total cost 5 is accumulated by the cumulative means 5 for each number of elapsed treatment days to calculate the total accumulated amount corresponding to the number of elapsed treatment days of the patient in hospital. Similarly, the daily income of the patient Are accumulated for every elapsed treatment day, and the total accumulated income corresponding to the elapsed treatment day is calculated.

  After calculating the total accumulated cost and total accumulated income corresponding to the number of days of treatment, the display means 6 treats the accumulated total accumulated cost and accumulated total income of the hospitalized patient by the display means 6 as in the case of a new patient. Comparison display is possible for each number of days, and break-even point can be displayed.

  FIG. 4 shows an example in which the total accumulated expenses and the total accumulated income of hospitalized patients are compared and displayed for each treatment day.

  By showing the doctor in Fig. 4 and changing the schedule and taking actions that can be performed before the breakeven point (breaking date), hospitalized patients are discharged before the breakeven point (breaking date). be able to. In addition, a plurality of cases where the scheduled treatment is performed on an appropriate day can be simulated, and a hospital entrance / exit plan preferable for hospital management can be studied. In addition, the patient can be discharged at an appropriate time, and the adverse effects of being hospitalized to fill a so-called empty bed can be prevented.

  Next, a case where the treatment planning support / hospital management support apparatus is used as a hospital management support apparatus will be described below.

  FIG. 5 shows a configuration as a support device for hospital management. In FIG. 5, the same parts as those in FIG. 1 are denoted by the same reference numerals as those in FIG.

  When the treatment planning support / hospital management support apparatus 1 is used for examination of the balance of the medical department or ward, the treatment planning support / hospital management support apparatus 1 has the medical department / ward balance calculation means 8.

  In this case, the storage means 7 stores the medical department for each patient, the amount of income for each elapsed treatment day, the labor coefficient spent by the hospital staff of each clinical department on the patient, and the labor coefficient for each occupation of the hospital staff. The cost ratio is memorized.

  Information on the department that the patient was on can be obtained from the receipt. In addition, the amount of income for each elapsed treatment day can be obtained from the receipt. In addition, the labor coefficient spent by the hospital staff of each department on the patient can be obtained from the event, the patient's symptoms, attributes, and the like. For example, when a plurality of doctors and nurses provide labor to the patient, such as when a patient in department A receives treatment in department B, the individual treatment (event) for the patient is any treatment A labor coefficient for each medical department is specified for each treatment depending on whether it was performed by a doctor in the department or the type of the treatment. By accumulating such detailed breakdown labor factors, expenses for patients can be aggregated by department. The amount of income is also collected from the receipt by department.

  The medical department / ward balance calculation means 8 calculates the amount of income for each patient's clinical department and the number of elapsed treatment days from the storage means 3, the labor coefficient consumed by the hospital staff of each department for the patient, Enter the labor factor cost ratio for each occupation and the labor cost per unit labor factor, total the amount of income for each department for a given period, and hospital staff spent on each patient for all patients The labor coefficient for each department is divided and tabulated, and the labor coefficient for each department is multiplied by the labor ratio for each occupation of the hospital staff and the labor cost per unit labor coefficient. Calculate the total labor cost.

  This reveals the amount of income and actual expenses for each department. FIG. 6 shows an example of the output of the medical department / ward balance calculation means 8.

  The table in Fig. 6 shows expenses including labor costs that were actually spent on patients, while expenses for conventional departments could only be grasped by labor costs, fixed costs, and material costs. ing.

  According to this table, it is possible to compare the cost of the service that is truly provided to the patient and the amount charged to the patient, and to evaluate the management of each department from the viewpoint of labor efficiency.

  In addition, it is possible to evaluate the suitability of the labor cost by comparing the actual labor cost of each department and the labor cost that has been regarded as a conventional cost.

  The same applies to management analysis and evaluation by ward.

  In this case, the storage means 7 includes the ward for each patient, the amount of income for each elapsed treatment day, the labor coefficient for the hospital staff of each ward for the patient, and the labor coefficient for each occupation of the hospital staff. The cost ratio is memorized.

  Information on the ward where the patient took can be obtained from the reception. In addition, the amount of income for each elapsed treatment day can be obtained from the receipt. The labor coefficient spent by the hospital staff of each ward for the patient can be obtained from the event, the patient's symptoms, attributes, and the like.

  The medical department / ward balance calculation means 8 calculates the amount of income for each patient's ward and the number of elapsed treatment days from the storage means, the labor coefficient spent by the hospital staff of each ward for the patient, and each occupation of the hospital staff. Enter the labor ratio of labor coefficient and labor cost per unit labor coefficient, total the income amount for each ward for a predetermined period, and further calculate the labor coefficient of hospital staff spent on each patient for all patients The total labor cost of each ward is calculated by decomposing and tabulating each ward and multiplying the labor coefficient of each ward by the labor ratio of the labor coefficient for each occupation of the hospital staff and the labor cost per unit labor coefficient.

  FIG. 7 shows an example of output by the department / ward balance calculation means 8.

  Finally, a case where the treatment planning support / hospital management support apparatus 1 is used for evaluation of a diagnosis group classification code will be described.

  The treatment planning support / hospital management support device 1 in this case has a diagnosis group classification code balance calculation means 9.

  The diagnostic group classification code balance calculation means 9 includes the daily total labor coefficient of the hospital staff corresponding to the average number of elapsed treatment days of the patient for each diagnostic group classification code from the storage means 3, the labor cost per unit labor coefficient, Enter the average amount of income for each elapsed treatment day, average the patient's length of stay for each diagnosis group classification code, and the average number of days for each diagnosis group classification code, and the day for each diagnosis group classification code. Calculate the total daily labor cost for each diagnostic group classification code by multiplying the total labor coefficient by the labor cost per unit labor coefficient, and sum up the daily labor cost for each diagnostic group classification code and the diagnosis For each group classification code, the amount of income for each of the average number of elapsed treatment days is totaled, and the total income for each diagnosis group classification code is output.

  FIG. 8 is an example of the output of the diagnostic group classification code balance calculation means 9.

  The table in FIG. 8 reveals the average length of hospital stay, the average total cost, and the total average income for each diagnosis group classification code that is being treated in the hospital. It will be clear which treatments are less profitable. In addition, since data on the average length of stay is also output, it can be considered that profit can be improved by shortening the length of stay.

  As described above, according to the treatment planning support / hospital management support device 1 of the present invention, by introducing the parameter of the treatment elapsed days and grasping the labor changing with the treatment progress for each occupation of the hospital staff, Labor costs that are truly spent on patient treatment can be ascertained, thereby making it possible to formulate an optimal treatment plan and perform optimal hospital management.

1 is a block diagram of a treatment planning support / hospital management support apparatus according to an embodiment of the present invention. FIG. Explanatory drawing explaining the concept of a labor coefficient. The figure which showed the example of an output for supporting the planning of the treatment plan with respect to a new patient. The figure which showed the output example for assisting the planning of the treatment plan with respect to the patient in hospital. The block diagram of the treatment plan planning support / hospital management support apparatus by embodiment used as a hospital management support apparatus. The figure which showed the example of an output of the balance comparison according to the month according to medical department. The figure which showed the output example of the income and expenditure comparison according to month according to ward. The figure which showed the output example of the balance comparison according to diagnostic group classification code.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Treatment planning support / hospital management support apparatus 2 Input means 3 Search means 4 Daily labor cost calculation means 5 Accumulation means 6 Display means 7 Storage means 8 Medical department / ward balance calculation means 9 Diagnosis group classification code balance calculation means

Claims (6)

Daily total labor coefficient of hospital staff corresponding to the average number of days of treatment for each disease name or diagnosis group classification code, labor cost per unit labor coefficient, and average for patients with a given disease name or diagnosis group classification code Storage means for storing the amount of income for each elapsed treatment day;
An input means for inputting a patient's disease name or diagnosis group classification code;
Based on the disease name or diagnosis group classification code of the patient input by the input means, the daily total labor coefficient corresponding to the average number of days of treatment for the patient of the disease name or diagnosis group classification code from the storage means, and the unit labor coefficient Search means to search for labor costs per day and daily income corresponding to the average number of days of treatment,
Multiply the daily total labor coefficient for the patient of the disease name or diagnosis group classification code retrieved by the retrieval means by the labor cost per unit labor coefficient to calculate the daily labor cost for each elapsed treatment day for the patient. Daily labor cost calculation means,
Cumulative income corresponding to the number of treatment days elapsed by accumulating the daily labor cost for each treatment day and calculating the total amount of accumulated expenses corresponding to the treatment day number. A cumulative means for calculating the total amount;
A display means for comparing and displaying the total expense calculated by the total means and the total income total for each treatment elapsed days, and displaying a breakeven point;
A treatment planning support and hospital management support device characterized by comprising:   Enter the patient's receipt, and obtain the data of the disease name or diagnostic group classification code, the data of the treated department or ward, and the amount of income for each elapsed treatment day from each patient's receipt The treatment planning support and hospital management support device according to claim 1, further comprising an input unit for storing in the storage unit. The storage means includes a disease name or diagnosis group classification code of a hospitalized patient, a treatment already performed on the hospitalized patient, a scheduled treatment, a labor coefficient for each occupation of the hospital staff corresponding to the treatment, and each Remember the cost ratio of the labor coefficient of the occupation,
The input means allows the user to input the ID of a hospitalized patient,
The search means stores the hospitalized patient's disease name or diagnosis group classification code from the storage means based on the inputted hospitalized patient ID, the treatment already performed and the scheduled treatment, and the hospital corresponding to each treatment. Search the labor coefficient for each occupation of the staff, the cost ratio of the labor coefficient for each occupation, and the amount of income for each elapsed treatment day for the patient,
The daily labor cost calculation means includes the labor coefficient for each occupation of the hospital staff for each treatment and the respective treatments in the treatment and scheduled treatment already performed on the hospitalized patient searched by the search means. By multiplying the cost ratio of the labor coefficient of occupation and the labor cost per unit labor coefficient to calculate the daily labor cost for each elapsed treatment day for the hospitalized patient,
The accumulating means accumulates the daily labor costs for each elapsed treatment day to calculate a total accumulated amount corresponding to the elapsed treatment days of the hospitalized patient and treats the daily income of the patient. Calculate the total accumulated income corresponding to the number of days elapsed for treatment,
The display means displays the break-even point by comparing and displaying the total cost and total income of the hospitalized patient calculated by the total means for each treatment day. 1. A treatment planning support and hospital management support device according to 1. The storage means is the department for each patient, the amount of income for each treatment day, the labor coefficient spent by the hospital staff of each department for the patient, and the cost ratio of the labor coefficient for each occupation of the hospital staff And remember
The amount of income for each patient's department and the number of days of treatment from the storage means, the labor coefficient spent by the hospital staff of each department for the patient, and the cost ratio of the labor coefficient for each occupation of the hospital staff Enter the labor cost per unit labor coefficient, total the income for each department for a given period, and further decompose the labor coefficient of the hospital staff spent for each patient for each department for each department Calculate the total labor cost for each department by multiplying the labor coefficient for each department by the labor coefficient cost ratio for each occupation of the hospital staff and the labor cost per unit labor coefficient. The treatment planning support and hospital management support device according to claim 1, characterized by comprising: means. The storage means is a ward for each patient, an amount of income for each number of elapsed days of treatment, a labor coefficient spent by the hospital staff of each ward for the patient, a cost ratio of a labor coefficient for each occupation of the hospital staff, Remember
From the storage means, the ward of all patients and the amount of income for each elapsed treatment day, the labor coefficient spent by the hospital staff of each ward for the patient, the cost ratio of the labor coefficient for each occupation of the hospital staff, and unit Enter the labor cost per labor coefficient, total the income for each ward for a predetermined period, and further disassemble and compile the labor coefficient of the hospital staff spent on each patient for each patient for each ward Ward balance calculating means for calculating the total labor cost of each ward by multiplying the labor coefficient of each ward by the labor ratio of the labor coefficient for each occupation of the hospital staff and the labor cost per unit labor coefficient, The treatment planning support and hospital management support device according to claim 1, wherein   From the storage means, the daily total labor coefficient of the hospital staff corresponding to the average number of days of treatment of the patient for each diagnosis group classification code, the labor cost per unit labor coefficient, and the income for the average number of days of treatment Enter the amount and average the length of hospital stay for each diagnosis group classification code and the average length of hospital stay for each diagnosis group classification code, and the daily total labor coefficient for each diagnosis group classification code per unit labor coefficient The daily total labor cost for each diagnosis group classification code is calculated by multiplying the labor costs of the diagnosis group, and the daily labor costs are totaled to calculate the total cost for each diagnosis group classification code and the average for each diagnosis group classification code. 2. The treatment planning according to claim 1, further comprising: a diagnosis group classification code balance calculating means for summing up the amount of income for each treatment elapsed day and outputting the total income for each diagnosis group classification code. Support and hospital management support equipment.

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