CN109784645A - A kind of hospital department performance arrangement method and device - Google Patents
A kind of hospital department performance arrangement method and device Download PDFInfo
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Abstract
The embodiment of the invention provides a kind of hospital department performance arrangement method and devices, wherein method includes: the first page of illness case for obtaining multiple departments；First page of illness case is grouped according to medical diagnosis on disease associated packets；The following index of each department is calculated according to group result: for measuring the first index, the second index for measuring medical services efficiency, the third index for measuring medical safety degree of medical services ability；According to the first index, the second index, third index and preset each department's index weights, using the score of each department of calculated with weighted average method；Descending ranking is carried out to multiple departments according to the score of each department.Technical solution provided in an embodiment of the present invention is able to solve not scientific enough the objective problem of performance appraisal of department in the prior art.
Description
[technical field]
The present invention relates to field of computer technology more particularly to a kind of hospital department performance arrangement methods and device.
[background technique]
Currently, being cured inside medical institutions often through the rigid index such as patient populations, average cost, average length of hospitalization
Treat the evaluation of in-house each department.But the technical difficulty due to treating between each department is different, so as to the achievement of each department
Effect evaluation is not scientific objective enough.
[summary of the invention]
In view of this, the embodiment of the invention provides a kind of hospital department performance arrangement method and device, it is existing to solve
There is not scientific enough the objective problem of the performance appraisal of department in technology.
To achieve the goals above, according to an aspect of the invention, there is provided a kind of hospital department performance arrangement method,
The described method includes: obtaining the first page of illness case of multiple departments；The first page of illness case is divided according to medical diagnosis on disease associated packets
Group, wherein after the completion of grouping, each first page of illness case is associated with a diagnostic bank, and each department has at least one
The first page of illness case of a diagnostic bank；The following index of each department is calculated according to group result: for measuring medical services energy
First index of power, the second index for measuring medical services efficiency, the third index for measuring medical safety degree；Root
According to first index, second index, the third index and preset each department's index weights, using weighted mean method
Calculate the score of each department；Descending ranking is carried out to multiple departments according to the score of each department.
Further, after the first page of illness case for obtaining multiple departments, and described according to medical diagnosis on disease associated packets
Before being grouped to the first page of illness case, the method also includes: standardization processing is carried out to the data of the first page of illness case.
Further, described that the first page of illness case is grouped according to diagnostic result, comprising: to set the grouping of burster
Condition；The data of the first page of illness case after standardization processing are inputted into the burster；Obtain the burster output
The group result of the data of the first page of illness case.
Further, first index of each department is calculated according to the group result, wherein first index
Index of difficulty is treated including case type range specifications and case；It include: by the diagnosis of the department in the group result
Group number is as the case type range specifications；The Case-mix index CMI of the department is calculated, and the diagnostic cost group is referred to
Number CMI treats index of difficulty as the case；Wherein, the Case-mix index CMI is calculated according to following formula:
Further, second index of each department is calculated according to the group result, wherein second index
Long pointer when including medical expense index and treating；It include: the Charges per case C for calculating each diagnostic bank of the departmentiPeace
Equal hospital day Di；The Charges per case c of each diagnostic bank of hospital where calculating the departmentiWith average length of hospitalization di；According to formulaCalculate Charges per case ratio Kc；According to formulaCalculate average length of hospitalization ratio Kd；According to formula
Calculate medical expense index Ec；Wherein, Kc jFor department's diagnosis and treatment jth group diagnostic bank Charges per case ratio produced, njFor institute
State the case load of department's diagnosis and treatment jth group diagnostic bank；According to formulaLong pointer Ed when calculating treatment；Wherein, Kd j
For department's diagnosis and treatment jth group diagnostic bank average length of hospitalization ratio produced, njFor the disease of department's diagnosis and treatment jth group diagnostic bank
Number of cases.
To achieve the goals above, according to an aspect of the invention, there is provided a kind of hospital department performance ranking device,
Described device includes: acquiring unit, for obtaining the first page of illness case of multiple departments；Grouped element, for according to medical diagnosis on disease phase
It closes grouping to be grouped the first page of illness case, wherein after the completion of grouping, each first page of illness case is related to a diagnostic bank
Connection, each department have the first page of illness case of at least one diagnostic bank；First computing unit, for being calculated according to group result
The following index of each department: for measuring the first index of medical services ability, for measuring medical services efficiency
Second index, the third index for measuring medical safety degree；Second computing unit, for according to first index, institute
The second index, the third index and preset each department's index weights are stated, using obtaining for each department of calculated with weighted average method
Point；Sequencing unit, for carrying out descending ranking to multiple departments according to the score of each department.
Further, described device further include: first processing units, in the first page of illness case for obtaining multiple departments
Later, and it is described the first page of illness case is grouped according to medical diagnosis on disease associated packets before, to the first page of illness case
Data carry out standardization processing.
Further, the grouped element includes: condition setting subelement, for setting the grouping condition of burster；Point
Group subelement, for the data of the first page of illness case after standardization processing to be inputted the burster；First obtains son list
Member, the group result of the data of the first page of illness case for obtaining the burster output.
Further, first index includes case type range specifications and case treatment index of difficulty；Described first
Computing unit includes: the second acquisition subelement, for using the diagnostic bank number of the department in the group result as described in
Case type range specifications；First computation subunit, for calculating the Case-mix index CMI of the department, and by the disease
Example combinatorial index CMI treats index of difficulty as the case；Wherein, the Case-mix index CMI is according to following formula meters
It obtains:
To achieve the goals above, according to an aspect of the invention, there is provided a kind of storage medium, the storage medium
Program including storage, wherein equipment where controlling the storage medium in described program operation executes above-mentioned settlement of insurance claim
Method.
To achieve the goals above, according to an aspect of the invention, there is provided a kind of server, including memory and place
Device is managed, the memory is used to control the execution of program instruction, institute for storing the information including program instruction, the processor
State the step of above-mentioned hospital department performance arrangement method is realized when program instruction is loaded and executed by processor.
In the present solution, being cured by being grouped processing to Medical record database according to medical diagnosis on disease associated packets
The index parameters such as service ability, medical services efficiency, medical safety are treated, according to index parameter and preset index weights ratio meter
It calculates and obtains comprehensive score to complete the overall ranking to department, avoid the difference because of technical difficulty between each department, make
Obtain not scientific enough the objective problem of evaluation to each department.
[Detailed description of the invention]
In order to illustrate the technical solution of the embodiments of the present invention more clearly, below will be to needed in the embodiment attached
Figure is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for this field
For those of ordinary skill, without any creative labor, it can also be obtained according to these attached drawings other attached
Figure.
Fig. 1 is a kind of flow chart of hospital department performance arrangement method according to an embodiment of the present invention；
Fig. 2 is a kind of schematic diagram of hospital department performance ranking device according to an embodiment of the present invention；
Fig. 3 is a kind of schematic diagram of server according to an embodiment of the present invention.
[specific embodiment]
For a better understanding of the technical solution of the present invention, being retouched in detail to the embodiment of the present invention with reference to the accompanying drawing
It states.
It will be appreciated that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.Base
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts it is all its
Its embodiment, shall fall within the protection scope of the present invention.
The term used in embodiments of the present invention is only to be not intended to be limiting merely for for the purpose of describing particular embodiments
The present invention.In the embodiment of the present invention and the "an" of singular used in the attached claims, " described " and "the"
It is also intended to including most forms, unless the context clearly indicates other meaning.
It should be appreciated that term "and/or" used herein is only a kind of incidence relation for describing affiliated partner, indicate
There may be three kinds of relationships, for example, A and/or B, can indicate: individualism A, exist simultaneously A and B, individualism B these three
Situation.In addition, character "/" herein, typicallys represent the relationship that forward-backward correlation object is a kind of "or".
It will be appreciated that though terminal may be described using term first, second, third, etc. in embodiments of the present invention,
But these terminals should not necessarily be limited by these terms.These terms are only used to for terminal being distinguished from each other out.For example, not departing from the present invention
In the case where scope of embodiments, the first computing unit can also be referred to as the second computing unit, similarly, the second computing unit
The first computing unit can be referred to as.
Depending on context, word as used in this " if " can be construed to " ... when " or " when ...
When " or " in response to determination " or " in response to detection ".Similarly, depend on context, phrase " if it is determined that " or " if detection
(condition or event of statement) " can be construed to " when determining " or " in response to determination " or " when the detection (condition of statement
Or event) when " or " in response to detection (condition or event of statement) ".
Fig. 1 is a kind of flow chart of hospital department performance arrangement method according to an embodiment of the present invention, as shown in Figure 1, side
Method includes:
Step S101 obtains the first page of illness case of multiple departments；
Step S102 is grouped first page of illness case according to medical diagnosis on disease associated packets, wherein after the completion of grouping, each
First page of illness case is associated with a diagnostic bank, and each department has the first page of illness case of at least one diagnostic bank；
Step S103 calculates the following index of each department according to group result: for measuring the of medical services ability
One index, the second index for measuring medical services efficiency, the third index for measuring medical safety degree；
Step S104, according to the first index, the second index, third index and preset each department's index weights, using adding
Weight average method calculates the score of each department；
Step S105 carries out descending ranking to multiple departments according to the score of each department.Wherein, first page of illness case is hospital
The main foundation of Medical Record registration, classification of diseases, examination etc. is carried out, hospital can be in the basic feelings of first page of illness case record patient
Condition, inpatient medical and diagnosis situation, the information such as inpatient medical funds situation.
In the present solution, being cured by being grouped processing to Medical record database according to medical diagnosis on disease associated packets
The index parameters such as service ability, medical services efficiency, medical safety are treated, according to index parameter and preset index weights ratio meter
It calculates and obtains comprehensive score to complete the overall ranking to department, avoid the difference because of technical difficulty between each department, make
Obtain not scientific enough the objective problem of evaluation to each department.
Optionally, after the first page of illness case for obtaining multiple departments, and according to medical diagnosis on disease associated packets to first page of illness case
Before being grouped, method further include: standardization processing is carried out to the data of first page of illness case.For example, being picked from each first page of illness case
Regular case information is write except First page information is not met.Alternatively, correction is unsatisfactory for writing the first page of illness case of rule, so as to subsequent
Medical record is accurately grouped.Wherein, first page of illness case is that hospital carries out the main of Medical Record registration, classification of diseases, examination etc.
Foundation, each medical institutions all have recorded basic condition, inpatient medical and diagnosis situation, the inpatient medical warp of patient in first page of illness case
Take the information such as situation, first page of illness case is also the important evidence of medical insurance related service.
Optionally, first page of illness case is grouped according to medical diagnosis on disease associated packets, comprising: set the grouping item of burster
Part；The data of first page of illness case after standardization processing are inputted into burster；Obtain the data of the first page of illness case of burster output
Group result.
Specifically, burster is carried out according to data of the medical diagnosis on disease associated packets to the first page of illness case after standardization processing
Packet transaction.Medical diagnosis on disease associated packets (Diagnosis Related Groups, hereinafter referred to as DRG) are a kind of patients point
Class scheme, it is according to the age of patient, gender, length of stay, clinical diagnosis, illness, operation, disease severity, complication
With complication and the factors such as lapse to patient be divided into 500-600 diagnostic bank (DRG group), be a kind of sorting code number standard.Classification
Scheme meets Chinese Clinical real current situation, can realize unified coding rule in China, eliminates human factor and each
The difference on ground facilitates the unified management of administrative department of public health and medical insurance department to case, combines clinical practice, operation well
Property is strong.
Optionally, grouping condition can there are many, for example, can to according to disease weight difference, type it is different into
Row grouping.Slight, three kinds of situations of moderate and severe can be divided into according to the difference of disease weight, then may be used according to kinds of Diseases differentiation
To be classified based on disease name, then two kinds of situations of disease weight and kinds of Diseases are combined and are grouped, are obtained each
The grouping situation of a each kinds of Diseases difference severity of hospital.
Optionally, the first index of each department is calculated according to group result, wherein the first index includes case type model
Enclose index and case treatment index of difficulty；It specifically includes:
It regard the diagnostic bank number (DRG group number) of the department in group result as case type range specifications；Calculate department
Case-mix index CMI, and index of difficulty is treated using Case-mix index CMI as case；Wherein, Case-mix index CMI
It is calculated according to following formula:
Various case types are treated it is to be appreciated that accepting the DRG group number that patient is covered for medical treatment using department and representing department
Range represents the technical difficulty for accepting case for medical treatment with Case-mix index CMI, and DRG group number is more, indicates the disease of medical institutions' treatment
Example Type Range is bigger, and CMI value is bigger, indicates that the technical difficulty for accepting case for medical treatment is bigger.
Optionally, calculate each department according to group result second refers to calibration method, wherein the second index includes treatment
Long pointer when fee forecast and treatment；It specifically includes:
Calculate the Charges per case C of each diagnostic bank of departmentiWith average length of hospitalization Di；Each of hospital where calculating department
The Charges per case c of diagnostic bankiWith average length of hospitalization di；According to formulaCalculate Charges per case ratio Kc；According to formula
Calculate average length of hospitalization ratio Kd；
According to formulaCalculate medical expense index Ec；Wherein, Kc jFor department's diagnosis and treatment jth group diagnostic bank
Charges per case ratio produced, njFor the case load of department's diagnosis and treatment jth group diagnostic bank；
According to formulaLong pointer E when calculating treatmentd；Wherein, Kd jFor diagnosis and treatment jth group diagnostic bank institute, department
The average length of hospitalization ratio of production, njFor the case load of department's diagnosis and treatment jth group diagnostic bank.
Such as: EcOr EdCalculated value 1 or so, indicate close to average level；EcLess than 1, indicate that medical expense is lower；
EcGreater than 1, indicate that medical expense is higher；EdLess than 1, indicate that treatment duration is shorter；EdGreater than 1, indicate that treatment duration is longer.It controls
Treating duration can be duration of being hospitalized.The efficiency that department is represented with similar disease medical expense height and the length of hospital stays,
Under same disease, medical expense is lower, and the hospital stays is shorter, then it represents that efficiency of service is higher.
Optionally, the second index of each department is calculated according to group result, comprising: filter out Band 1, first group
Not Wei case mortality be lower than the group of the default death rate, calculate the death rate of the Band 1 of each department；According to each section
The death rate of the Band 1 of room calculates separately the third index of each department.
The lower DRG group of the death rate in all cases is defined as low-risk group, it is each to evaluate with the low-risk group death rate
The medical safety of medical institutions, the death rate is lower, evaluates medical institutions more advantageous.
Optionally, according to the first index, the second index, third index and preset each department's index weights, using weighting
The method of average calculates the score of each department.For example,+50% second index+20% of the first index of score=30%* of general surgery
Third index.+ 20% third index of+30% second index of the first index of score=50%* of orthopaedics.When general surgery and orthopaedics
The first index (being scored at 1.5), the second index (being scored at 1.2) and when identical third index (being scored at 0.8), general surgery
1.21 are scored at, and orthopaedics is scored at 1.27, by the way that the index weights of different department are arranged, allow the department that technical difficulty is big
The first index weights it is big, the second index or third index weights of the small department of technical difficulty are big, so that each department
Evaluation it is more objective.
The embodiment of the invention provides a kind of hospital department performance ranking device, hospital department performance ranking device is for holding
The above-mentioned hospital department performance arrangement method of row, as shown in Fig. 2, device includes: acquiring unit 10, the calculating of grouped element 20, first
Unit 30, the second computing unit 40, sequencing unit 50.
Acquiring unit 10, for obtaining the first page of illness case of multiple departments；
Grouped element 20, for being grouped according to medical diagnosis on disease associated packets to first page of illness case, wherein grouping is completed
Afterwards, each first page of illness case is associated with a diagnostic bank, and each department has the first page of illness case of at least one diagnostic bank；
First computing unit 30, for calculating the following index of each department according to group result: for measuring medical clothes
First index of business ability, the second index for measuring medical services efficiency refer to for measuring the third of medical safety degree
Mark；
Second computing unit 40, according to the first index, the second index, third index and preset each department's index weights,
Using the score of each department of calculated with weighted average method；
Sequencing unit 50 carries out descending ranking to multiple departments according to the score of each department.
Wherein, first page of illness case is the main foundation that hospital carries out Medical Record registration, classification of diseases, examination etc., hospital's meeting
In the basic condition of first page of illness case record patient, inpatient medical and diagnose the information such as situation, inpatient medical funds situation.
In the present solution, obtaining medical treatment by being grouped processing to Medical record database according to medical diagnosis on disease associated packets
The index parameters such as service ability, medical services efficiency, medical safety are calculated according to index parameter and preset index weights ratio
Comprehensive score is obtained to complete the overall ranking to department, avoids the difference because of technical difficulty between each department, so that
To not scientific enough the objective problem of evaluation of each department.
Optionally, device further include: first processing units, for after the first page of illness case for obtaining multiple departments, and
Before being grouped according to medical diagnosis on disease associated packets to first page of illness case, standardization processing is carried out to the data of first page of illness case.Example
Such as, First page information is rejected from each first page of illness case do not meet the case information for writing rule.Alternatively, correction is unsatisfactory for writing rule
First page of illness case, medical record is accurately grouped so as to subsequent.Wherein, first page of illness case is that hospital carries out Medical Record registration, disease
Disease classification, the main foundation examined etc., each medical institutions all first page of illness case have recorded the basic condition of patient, inpatient medical and
Diagnosing information, the first page of illness case such as situation, inpatient medical funds situation is also the important evidence of medical insurance related service.
Optionally, grouped element 20 includes: condition setting subelement, grouping subelement, the first acquisition subelement.
Condition setting subelement, for setting the grouping condition of burster；Be grouped subelement, for by standardization processing it
The data of first page of illness case afterwards input burster；First obtains subelement, the number of the first page of illness case for obtaining burster output
According to group result.
Specifically, burster is carried out according to data of the medical diagnosis on disease associated packets to the first page of illness case after standardization processing
Packet transaction.Medical diagnosis on disease associated packets (Diagnosis Related Groups, hereinafter referred to as DRG) are a kind of patients point
Class scheme, it is according to the age of patient, gender, length of stay, clinical diagnosis, illness, operation, disease severity, complication
With complication and the factors such as lapse to patient be divided into 500-600 diagnostic bank (DRG group), be a kind of sorting code number standard.Classification
Scheme meets Chinese Clinical real current situation, can realize unified coding rule in China, eliminates human factor and each
The difference on ground facilitates the unified management of administrative department of public health and medical insurance department to case, combines clinical practice, operation well
Property is strong.
Optionally, grouping condition can there are many, for example, can to according to disease weight difference, type it is different into
Row grouping.Slight, three kinds of situations of moderate and severe can be divided into according to the difference of disease weight, then may be used according to kinds of Diseases differentiation
To be classified based on disease name, then two kinds of situations of disease weight and kinds of Diseases are combined and are grouped, are obtained each
The grouping situation of a each kinds of Diseases difference severity of hospital.
Optionally, the first index includes case type range specifications and case treatment index of difficulty；First computing unit packet
Include the second acquisition subelement, the first computation subunit.
Second obtains subelement, for using the diagnostic bank number of the department in group result as case type range specifications；
First computation subunit is treated for calculating the Case-mix index CMI of department, and using Case-mix index CMI as case
Index of difficulty；Wherein, Case-mix index CMI is calculated according to following formula:
Various case types are treated it is to be appreciated that accepting the DRG group number that patient is covered for medical treatment using department and representing department
Range represents the technical difficulty for accepting case for medical treatment with Case-mix index CMI, and DRG group number is more, indicates the disease of medical institutions' treatment
Example Type Range is bigger, and CMI value is bigger, indicates that the technical difficulty for accepting case for medical treatment is bigger.
Optionally, long pointer when the second index includes medical expense index and treatment；First computing unit further includes second
Computation subunit, third computation subunit, the 4th computation subunit, the 5th computation subunit, the 6th computation subunit, the 7th meter
Operator unit.
Second computation subunit, the Charges per case C of each diagnostic bank for calculating departmentiWith average length of hospitalization Di；Third
Computation subunit, the Charges per case c of each diagnostic bank for hospital where calculating departmentiWith average length of hospitalization di；4th calculates
Subelement, for according to formulaCalculate Charges per case ratio Kc；5th computation subunit, for according to formulaMeter
Calculate average length of hospitalization ratio Kd；6th computation subunit, for according to formulaCalculate medical expense index Ec；
Wherein, Kc jFor department's diagnosis and treatment jth group diagnostic bank Charges per case ratio produced, njFor the case of department's diagnosis and treatment jth group diagnostic bank
Number；7th computation subunit, for according to formulaLong pointer E when calculating treatmentd；Wherein, Kd jIt is examined for department
Control jth group diagnostic bank average length of hospitalization ratio produced, njFor the case load of department's diagnosis and treatment jth group diagnostic bank.
Such as: EcOr EdCalculated value 1 or so, indicate close to average level；EcLess than 1, indicate that medical expense is lower；
EcGreater than 1, indicate that medical expense is higher；EdLess than 1, indicate that treatment duration is shorter；EdGreater than 1, indicate that treatment duration is longer.It controls
Treating duration can be duration of being hospitalized.The efficiency that department is represented with similar disease medical expense height and the length of hospital stays,
Under same disease, medical expense is lower, and the hospital stays is shorter, then it represents that efficiency of service is higher.
Optionally, the first computing unit further includes screening subelement, the 8th computation subunit, the 9th computation subunit.
Subelement is screened, for filtering out Band 1, Band 1 is the group that case mortality is lower than the default death rate
Not；8th computation subunit, the death rate of the Band 1 for calculating each department；9th computation subunit is used for basis
The death rate of the Band 1 of each department calculates separately the third index of each department.
In one embodiment, the lower DRG group of the death rate in all cases is defined as low-risk group, with low-risk
The death rate is organized to evaluate the medical safety of each medical institutions, the death rate is lower, evaluates medical institutions more advantageous.
Optionally, the second computation subunit, for according to the first index, the second index, third index and preset each section
Room index weights, using the score of each department of calculated with weighted average method.For example, score=30%* first of general surgery refers to
Mark+20% third index of+50% second index.+ 20% third of+30% second index of the first index of score=50%* of orthopaedics
Index.When the first index (being scored at 1.5) of general surgery and orthopaedics, the second index (being scored at 1.2) and third index (score
When being 0.8) identical, general surgery is scored at 1.21, and orthopaedics is scored at 1.27, and the index by the way that different department is arranged is weighed
Weight, the first index weights of the department for making technical difficulty big are big, the second index or third the index power of the small department of technical difficulty
It is great, so that the evaluation of each department is more objective.
The embodiment of the invention provides a kind of storage medium, storage medium includes the program of storage, wherein is run in program
When control storage medium where equipment execute following steps:
Obtain the first page of illness case of multiple departments；
First page of illness case is grouped according to medical diagnosis on disease associated packets, wherein after the completion of grouping, each first page of illness case with
One diagnostic bank is associated, and each department has the first page of illness case of at least one diagnostic bank；
The following index of each department is calculated according to group result: for measuring the first index of medical services ability, using
In the second index, the third index for measuring medical safety degree of measuring medical services efficiency；
According to the first index, the second index, third index and preset each department's index weights, using weighted mean method meter
Calculate the score of each department；
Descending ranking is carried out to multiple departments according to the score of each department.
Wherein, the first index includes case type range specifications and case treatment index of difficulty；Second index includes treatment
Long pointer when fee forecast and treatment.
Optionally, when program is run, equipment where control storage medium also executes following steps: to the number of first page of illness case
According to progress standardization processing.
Optionally, program run when control storage medium where equipment also execute following steps: by standardization processing it
The data of first page of illness case afterwards input burster；Obtain the group result of the data of the first page of illness case of burster output.
Optionally, when program is run, equipment where control storage medium also executes following steps: will be in group result
The diagnostic bank number of department is as case type range specifications；The Case-mix index CMI of department is calculated, and by Case-mix index
CMI treats index of difficulty as case；Wherein, Case-mix index CMI is calculated according to following formula:
Optionally, when program is run, equipment where control storage medium also executes following steps: calculating each of department
The Charges per case C of diagnostic bankiWith average length of hospitalization Di；The Charges per case c of each diagnostic bank of hospital where calculating departmentiPeace
Equal hospital day di；According to formulaCalculate Charges per case ratio Kc；According to formulaCalculate average length of hospitalization ratio Kd；Root
According to formulaCalculate medical expense index Ec；Wherein, Kc jIt is produced for department's diagnosis and treatment jth group diagnostic bank
Charges per case ratio, njFor the case load of department's diagnosis and treatment jth group diagnostic bank；According to formulaTreatment duration is calculated to refer to
Mark Ed；Wherein, Kd jFor department's diagnosis and treatment jth group diagnostic bank average length of hospitalization ratio produced, njFor department's diagnosis and treatment jth group diagnostic bank
Case load.
As shown in figure 3, the embodiment of the invention provides a kind of server 60, including memory 62 and processor 61, storage
Device 62 is used to control the execution of program instruction 63, program instruction quilt for storing the information including program instruction 63, processor 61
Processor is loaded and is performed the steps of when executing
Obtain the first page of illness case of multiple departments；
First page of illness case is grouped according to medical diagnosis on disease associated packets, wherein after the completion of grouping, each first page of illness case with
One diagnostic bank is associated, and each department has the first page of illness case of at least one diagnostic bank；
The following index of each department is calculated according to group result: for measuring the first index of medical services ability, using
In the second index, the third index for measuring medical safety degree of measuring medical services efficiency；
According to the first index, the second index, third index and preset each department's index weights, using weighted mean method meter
Calculate the score of each department；
Descending ranking is carried out to multiple departments according to the score of each department.
Wherein, the first index includes case type range specifications and case treatment index of difficulty；Second index includes treatment
Long pointer when fee forecast and treatment.
Optionally, also performed the steps of when program instruction is loaded and executed by processor to the data of first page of illness case into
Row standardization processing.
Optionally, also performing the steps of when program instruction is loaded and executed by processor will be after standardization processing
The data of first page of illness case input burster；Obtain the group result of the data of the first page of illness case of burster output.
Optionally, it is also performed the steps of when program instruction is loaded and executed by processor by the department in group result
Diagnostic bank number as case type range specifications；The Case-mix index CMI of department is calculated, and by Case-mix index CMI
Index of difficulty is treated as case；Wherein, Case-mix index CMI is calculated according to following formula:
Optionally, each diagnosis for calculating department is also performed the steps of when program instruction is loaded and executed by processor
The Charges per case C of groupiWith average length of hospitalization Di；The Charges per case c of each diagnostic bank of hospital where calculating departmentiWith it is average live
Institute day di；According to formulaCalculate Charges per case ratio Kc；According to formulaCalculate average length of hospitalization ratio Kd；According to public affairs
FormulaCalculate medical expense index Ec；Wherein, Kc jIt is equal for department's diagnosis and treatment jth group diagnostic bank example produced
Expense ratio, njFor the case load of department's diagnosis and treatment jth group diagnostic bank；According to formulaLong pointer when calculating treatment
Ed；Wherein, Kd jFor department's diagnosis and treatment jth group diagnostic bank average length of hospitalization ratio produced, njFor department's diagnosis and treatment jth group diagnostic bank
Case load.
It is understood that the application can be mounted in the application program (nativeApp) in terminal, or may be used also
To be a web page program (webApp) of browser in terminal, the embodiment of the present invention is to this without limiting.
It is apparent to those skilled in the art that for convenience and simplicity of description, the system of foregoing description,
The specific work process of device and unit, can refer to corresponding processes in the foregoing method embodiment, and details are not described herein.
In several embodiments provided by the present invention, it should be understood that disclosed system, device and method can be with
It realizes by another way.For example, the apparatus embodiments described above are merely exemplary, for example, the unit
It divides, only a kind of logical function partition, there may be another division manner in actual implementation, for example, multiple units or group
Part can be combined or can be integrated into another system, or some features can be ignored or not executed.Another point, it is shown
Or the mutual coupling, direct-coupling or communication connection discussed can be through some interfaces, device or unit it is indirect
Coupling or communication connection can be electrical property, mechanical or other forms.
The unit as illustrated by the separation member may or may not be physically separated, aobvious as unit
The component shown may or may not be physical unit, it can and it is in one place, or may be distributed over multiple
In network unit.It can select some or all of unit therein according to the actual needs to realize the mesh of this embodiment scheme
's.
It, can also be in addition, the functional units in various embodiments of the present invention may be integrated into one processing unit
It is that each unit physically exists alone, can also be integrated in one unit with two or more units.Above-mentioned integrated list
Member both can take the form of hardware realization, can also realize in the form of hardware adds SFU software functional unit.
The above-mentioned integrated unit being realized in the form of SFU software functional unit can store and computer-readable deposit at one
In storage media.Above-mentioned SFU software functional unit is stored in a storage medium, including some instructions are used so that a computer
It is each that device (can be personal computer, server or network equipment etc.) or processor (Processor) execute the present invention
The part steps of embodiment the method.And storage medium above-mentioned includes: USB flash disk, mobile hard disk, read-only memory (Read-
Only Memory, ROM), random access memory (Random Access Memory, RAM), magnetic or disk etc. it is various
It can store the medium of program code.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all in essence of the invention
Within mind and principle, any modification, equivalent substitution, improvement and etc. done be should be included within the scope of the present invention.
Claims (10)
1. a kind of hospital department performance arrangement method, which is characterized in that the described method includes:
Obtain the first page of illness case of multiple departments；
The first page of illness case is grouped according to medical diagnosis on disease associated packets, wherein after the completion of grouping, each medical record is first
Page is associated with a diagnostic bank, and each department has the first page of illness case of at least one diagnostic bank；
The following index of each department is calculated according to group result: for measuring the first index of medical services ability, using
In the second index, the third index for measuring medical safety degree of measuring medical services efficiency；
According to first index, second index, the third index and preset each department's index weights, using weighting
The method of average calculates the score of each department；
Descending ranking is carried out to multiple departments according to the score of each department.
2. the method according to claim 1, wherein after the first page of illness case for obtaining multiple departments, and
It is described the first page of illness case is grouped according to medical diagnosis on disease associated packets before, the method also includes:
Standardization processing is carried out to the data of the first page of illness case.
3. according to the method described in claim 2, it is characterized in that, described first to the medical record according to medical diagnosis on disease associated packets
Page is grouped, comprising:
Set the grouping condition of burster；
The data of the first page of illness case after standardization processing are inputted into the burster；
Obtain the group result of the data of the first page of illness case of the burster output.
4. the method according to claim 1, wherein calculating described the of each department according to the group result
One index, wherein first index includes case type range specifications and case treatment index of difficulty；Include:
Using the diagnostic bank number of the department in the group result as the case type range specifications；
The Case-mix index CMI of the department is calculated, and treats difficulty for the Case-mix index CMI as the case
Index；Wherein, the Case-mix index CMI is calculated according to following formula:
5. the method according to claim 1, wherein calculating described the of each department according to the group result
Two indexs, wherein long pointer when second index includes medical expense index and treatment；Include:
Calculate the Charges per case C of each diagnostic bank of the departmentiWith average length of hospitalization Di；
The Charges per case c of each diagnostic bank of hospital where calculating the departmentiWith average length of hospitalization di；
According to formulaCalculate Charges per case ratio Kc；
According to formulaCalculate average length of hospitalization ratio Kd；
According to formulaCalculate medical expense index Ec；Wherein, Kc jFor department's diagnosis and treatment jth group diagnostic bank
Charges per case ratio produced, njFor the case load of department's diagnosis and treatment jth group diagnostic bank；
According to formulaLong pointer E when calculating treatmentd；Wherein, Kd jFor department's diagnosis and treatment jth group diagnostic bank institute
The average length of hospitalization ratio of production, njFor the case load of department's diagnosis and treatment jth group diagnostic bank.
6. a kind of hospital department performance ranking device, which is characterized in that described device includes:
Acquiring unit, for obtaining the first page of illness case of multiple departments；
Grouped element, for being grouped according to medical diagnosis on disease associated packets to the first page of illness case, wherein after the completion of grouping,
Each first page of illness case is associated with a diagnostic bank, and each department has the first page of illness case of at least one diagnostic bank；
First computing unit, for calculating the following index of each department according to group result: for measuring medical services
First index of ability, the second index for measuring medical services efficiency, the third index for measuring medical safety degree；
Second computing unit, for according to first index, second index, the third index and preset each department
Index weights, using the score of each department of calculated with weighted average method；
Sequencing unit, for carrying out descending ranking to multiple departments according to the score of each department.
7. device according to claim 6, which is characterized in that described device further include:
First processing units, for after the first page of illness case for obtaining multiple departments, and described according to medical diagnosis on disease phase
Before pass grouping is grouped the first page of illness case, standardization processing is carried out to the data of the first page of illness case.
8. device according to claim 7, which is characterized in that the grouped element includes:
Condition setting subelement, for setting the grouping condition of burster；
It is grouped subelement, for the data of the first page of illness case after standardization processing to be inputted the burster；
First obtains subelement, the group result of the data of the first page of illness case for obtaining the burster output.
9. device according to claim 6, which is characterized in that first index includes case type range specifications and disease
Example treatment index of difficulty；First computing unit includes:
Second obtains subelement, for using the diagnostic bank number of the department in the group result as the case type model
Enclose index；
First computation subunit, for calculating the Case-mix index CMI of the department, and by the Case-mix index CMI
Index of difficulty is treated as the case；
Wherein, the Case-mix index CMI is calculated according to following formula:
10. a kind of server, including memory and processor, the memory is for storing the information including program instruction, institute
Processor is stated for controlling the execution of program instruction, it is characterised in that: described program instruction is real when being loaded and executed by processor
The step of hospital department performance arrangement method described in existing claim 1 to 5 any one.
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111325576A (en) * | 2020-02-17 | 2020-06-23 | 卫宁健康科技集团股份有限公司 | Method and system for predicting cost of disease diagnosis related group and electronic equipment |
| CN115547466A (en) * | 2022-09-05 | 2022-12-30 | 西安启玥华辰软件咨询开发有限公司 | Medical institution registration and review system and method based on big data |
| CN117352152A (en) * | 2023-12-06 | 2024-01-05 | 济宁医学院附属医院 | Assessment method of comprehensive evaluation index system for hospital discipline construction |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104182844A (en) * | 2014-08-27 | 2014-12-03 | 浪潮软件股份有限公司 | Hospitalization service performance evaluation method of medical institutions |
-
2018
- 2018-12-14 CN CN201811535114.0A patent/CN109784645A/en active Pending
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104182844A (en) * | 2014-08-27 | 2014-12-03 | 浪潮软件股份有限公司 | Hospitalization service performance evaluation method of medical institutions |
Non-Patent Citations (1)
| Title |
|---|
| 简伟研，胡牧，张修梅: "基于DRGs的医疗服务绩效评估方法与案例应用研究" * |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111325576A (en) * | 2020-02-17 | 2020-06-23 | 卫宁健康科技集团股份有限公司 | Method and system for predicting cost of disease diagnosis related group and electronic equipment |
| CN115547466A (en) * | 2022-09-05 | 2022-12-30 | 西安启玥华辰软件咨询开发有限公司 | Medical institution registration and review system and method based on big data |
| CN115547466B (en) * | 2022-09-05 | 2023-06-16 | 西安启玥华辰软件咨询开发有限公司 | Medical institution registration and review system and method based on big data |
| CN117352152A (en) * | 2023-12-06 | 2024-01-05 | 济宁医学院附属医院 | Assessment method of comprehensive evaluation index system for hospital discipline construction |
| CN117352152B (en) * | 2023-12-06 | 2024-02-09 | 济宁医学院附属医院 | Assessment method of comprehensive evaluation index system for hospital discipline construction |
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Application publication date: 20190521 |