CN111145007B - Result-oriented type medical improvement promotion loan project dynamic monitoring method and system - Google Patents
Result-oriented type medical improvement promotion loan project dynamic monitoring method and system Download PDFInfo
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- CN111145007B CN111145007B CN201911134092.1A CN201911134092A CN111145007B CN 111145007 B CN111145007 B CN 111145007B CN 201911134092 A CN201911134092 A CN 201911134092A CN 111145007 B CN111145007 B CN 111145007B
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Abstract
The invention provides a dynamic monitoring method for result-oriented medical modification promotion loan projects, which comprises the steps of thinning and disassembling various detection indexes and various payment association indexes of medical modification promotion loan projects, and configuring various monitoring subjects and monitoring indexes corresponding to the monitoring subjects in a provided index configuration interface so as to construct a monitoring index system based on the monitoring subjects; configuring a standardized data interface, defining a standard calculation formula, configuring a data display mode, and setting a target value and a standard value according to each monitoring index in a monitoring index system; when monitoring, the numerical value of each monitoring index in the monitoring index system is calculated according to a defined standard calculation formula and the acquired original data, the numerical value of each monitoring index is displayed according to the configured data display mode, and the numerical value of each monitoring index is early-warned according to the configured target value and standard value. The invention has the advantages that: the method can be well applied to medical improvement promotion loan project supervision requirements of different medical institutions.
Description
Technical Field
The invention relates to the field of hospital supervision, in particular to a method and a system for dynamically monitoring a result-oriented medical improvement promotion loan item.
Background
Since the world banks approve providing a 6-hundred million dollar loan to the Chinese medical and health reform promotion project, the method is used for helping to improve the quality and efficiency of medical and health service in part of areas, the related areas are in disputed with a plurality of government documents so as to actively promote the progress of medical improvement and greatly promote the compact medical co-construction in county areas. The project adopts a result-oriented loan mode, the result obtained by fund payment and the project in the field is directly hooked, 19 detection indexes and 8 payment association indexes are set in total. How to reasonably decompose the detection index and the payment related index, and construct a corresponding supervision index system by means of informatization to realize real-time monitoring becomes a main problem faced by the relevant region Wei Jian commission and each medical institution to control the medical improvement and promote the progress of loan projects, and the construction of a dynamic monitoring system for promoting the loan projects based on medical improvement becomes urgent demands of each Wei Jian commission and medical institution.
However, none of the existing medical institutions specifically develop a set of information monitoring systems for promoting loan item monitoring for medical improvement, often develop a medical improvement topic analysis for displaying medical improvement indexes of principal/institute leadership, and mainly static display of index data in the existing monitoring systems of the medical institutions. This results in the following deficiencies with existing regulatory systems that promote loan projects:
(1) The method is only suitable for one party of each medical institution or the regulatory unit Wei Jian commission, and is not suitable for both the regulatory unit and the regulated unit, so that the adaptability is poor;
(2) The supervision indexes are built by the personal attention points of the commission/hospital leaders, the individuation of the indexes is strong, the supervision indexes are not systemized, and the standardization, the standardization and the homogenization are not realized;
(3) Mostly, manual filling is the main way, and automatic collection and real-time supervision of data cannot be realized;
(4) The supervision indexes are statically displayed, so that data sources cannot be drilled dynamically in real time, and deep reasons are analyzed.
Disclosure of Invention
The invention aims to solve the technical problems of poor adaptability and non-systemization of supervision indexes of the existing supervision system by providing a method and a system for promoting dynamic monitoring of loan projects by result-oriented type medical improvement.
The invention is realized in the following way: a method of dynamic monitoring of a result-oriented medical modification facilitating loan program, the method comprising:
refining and dismantling various detection indexes and various payment association indexes of the medical improvement promotion loan project, and configuring various monitoring topics and monitoring indexes corresponding to the monitoring topics in a provided index configuration interface so as to construct a monitoring index system based on the monitoring topics;
According to the index data required by each monitoring index in the monitoring index system, configuring a standardized data interface for docking each other system to acquire the index data in a provided interface configuration interface;
defining a standard calculation formula of each monitoring index in the monitoring index system in a provided formula definition interface according to the index release meaning of each monitoring index in the monitoring index system;
respectively configuring a supervision index system of each medical institution in the provided institution configuration interface according to the difference of the supervision targets of the loan item and the availability of information promoted by the medical institution medical improvement; meanwhile, based on supervision index systems of different medical institutions, configuring a data display mode of each monitoring index in the monitoring index system in a provided visual display configuration interface;
setting target values and standard values of all the monitoring indexes in the monitoring index system in all time periods in a provided early warning value configuration interface;
when monitoring, automatically acquiring original data from other systems through each standardized data interface; respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula and the acquired original data; displaying the numerical value of each monitoring index in the monitoring index system according to the configured data display mode; and simultaneously, carrying out early warning on the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value.
Further, the method further comprises:
configuring a manual input window of index related data and a file uploading window of an index related file; when the standardized data interface cannot be used for automatically acquiring the original data, acquiring the input index related data through the manual input window, acquiring the uploaded index related file through the file uploading window, and respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula, the input index related data and the uploaded index related file;
the method comprises the steps of configuring a file reporting format according to requirements of medical modification promotion loan projects, wherein the file reporting format specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting; and when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to the configured file report format and reporting the index report file.
Further, the monitoring topics at least comprise a basic situation topic, a service providing topic, a homogeneous fee topic, a clinical path management topic, a basic medical insurance system construction topic, a pay-per-disease management topic, a basic personnel topic, a basic public health service topic and a basic service topic.
Further, the pre-warning of the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value specifically includes:
when each configured time period is cut off, comparing the numerical value of each monitoring index in the monitoring index system with the target value and the standard value respectively, and if the numerical value of the monitoring index is smaller than the target value, carrying out early warning prompt on the monitoring index; and if the numerical value of the monitoring index is larger than or equal to the standard value, prompting the monitoring index to reach the standard.
Further, the data display mode of configuring each monitoring index in the monitoring index system in the provided visual display configuration interface specifically includes:
configuring a data display mode of each monitoring index in the monitoring index system in the provided visual display configuration interface, and dividing the display interface into an upper interface, a middle interface and a lower interface; the upper interface is used for displaying query conditions capable of performing condition matching, the middle interface is used for displaying a coordinate graph of a query result, and the lower interface is used for displaying detail information corresponding to the query result.
The invention is realized in the following way: the system comprises an index configuration module, an interface configuration module, a formula configuration module, a display configuration module, an early warning configuration module and a monitoring module;
The index configuration module is used for refining and disassembling various detection indexes and various payment association indexes of the medical improvement promotion loan project, and configuring various monitoring subjects and monitoring indexes corresponding to the monitoring subjects in a provided index configuration interface so as to construct a monitoring index system based on the monitoring subjects;
the interface configuration module is used for configuring standardized data interfaces for butting other systems to acquire the index data in the provided interface configuration interface according to the index data required by each monitoring index in the monitoring index system;
the formula configuration module is used for defining a standard calculation formula of each monitoring index in the monitoring index system in a provided formula definition interface according to the index interpretation of each monitoring index in the monitoring index system;
the display configuration module is used for respectively configuring the supervision index system of each medical institution according to the difference of the supervision targets of the loan item and the availability of information of the medical improvement promotion loan item of each medical institution in the provided institution configuration interface; meanwhile, based on supervision index systems of different medical institutions, configuring a data display mode of each monitoring index in the monitoring index system in a provided visual display configuration interface;
The early warning configuration module is used for setting target values and standard values of the monitoring indexes in the monitoring index system in each time period in a provided early warning value configuration interface;
the monitoring module is used for automatically acquiring original data from other systems through each standardized data interface when monitoring; respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula and the acquired original data; displaying the numerical value of each monitoring index in the monitoring index system according to the configured data display mode; and simultaneously, carrying out early warning on the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value.
Further, the system also comprises a manual configuration monitoring module and a file reporting module;
the manual configuration monitoring module is used for configuring a manual input window of index related data and a file uploading window of an index related file; when the standardized data interface cannot be used for automatically acquiring the original data, acquiring the input index related data through the manual input window, acquiring the uploaded index related file through the file uploading window, and respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula, the input index related data and the uploaded index related file;
The file reporting module is used for configuring a file reporting format according to the requirements of medical improvement promotion loan projects, and specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the file reporting; and when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to the configured file report format and reporting the index report file.
Further, the monitoring topics at least comprise a basic situation topic, a service providing topic, a homogeneous fee topic, a clinical path management topic, a basic medical insurance system construction topic, a pay-per-disease management topic, a basic personnel topic, a basic public health service topic and a basic service topic.
Further, the pre-warning of the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value specifically includes:
when each configured time period is cut off, comparing the numerical value of each monitoring index in the monitoring index system with the target value and the standard value respectively, and if the numerical value of the monitoring index is smaller than the target value, carrying out early warning prompt on the monitoring index; and if the numerical value of the monitoring index is larger than or equal to the standard value, prompting the monitoring index to reach the standard.
Further, the data display mode of configuring each monitoring index in the monitoring index system in the provided visual display configuration interface specifically includes:
configuring a data display mode of each monitoring index in the monitoring index system in the provided visual display configuration interface, and dividing the display interface into an upper interface, a middle interface and a lower interface; the upper interface is used for displaying query conditions capable of performing condition matching, the middle interface is used for displaying a coordinate graph of a query result, and the lower interface is used for displaying detail information corresponding to the query result.
The invention has the following advantages:
(1) The monitoring index system of different medical institutions is customized by providing the institution configuration interface, so that the method can be well suitable for the medical improvement promotion loan item supervision requirements of different medical institutions in the concrete implementation; meanwhile, a configurable index configuration interface is provided to realize self-defining of the monitoring theme and the monitoring index corresponding to the monitoring theme, so that when the monitoring theme is implemented, new monitoring theme and the monitoring index corresponding to the monitoring theme can be defined flexibly and timely according to the promotion of medical improvement and the promotion of credit and the adjustment of monitoring work;
(2) The method can automatically collect the original data of each monitoring index in the monitoring index system through the standardized data interface, so that the workload of medical improvement and promotion of the entry of loan project supervision index data can be reduced; meanwhile, a configurable interface configuration interface is provided to realize a standardized data interface for obtaining the required index data in a self-defined way, so that the ductility and the expandability of the system can be improved, and the monitoring requirements of different changes can be met; in addition, the system is compatible with a manual input function, and can meet the data processing requirements of different construction periods;
(3) The standard calculation formula of each monitoring index in the self-defined monitoring index system is realized by providing a configurable formula definition interface, so that the standard calculation formula of a new monitoring index can be conveniently defined according to actual needs when the method is implemented;
(4) The user-defined configuration of the target value and the standard value is realized by providing a configurable early warning value configuration interface, so that the supervision period and the supervision target can be flexibly adjusted according to the requirements of planning and policy for promoting the promotion of loan projects during specific implementation;
(5) The data display modes are rich, and multiple display modes such as a graph, a table and the like can be supported under the same monitoring subject.
Drawings
The invention will be further described with reference to examples of embodiments with reference to the accompanying drawings.
FIG. 1 is a flow chart illustrating an implementation of a method for dynamic monitoring of a result-oriented type medical improvement facilitating loan item, according to the present invention.
FIG. 2 is a schematic block diagram of a result-oriented type medical improvement facilitating loan item dynamic monitoring system of the invention.
Detailed Description
Referring to FIG. 1, a preferred embodiment of a method for dynamic monitoring of a result-oriented medical improvement facilitating loan item according to the present invention comprises:
refining and disassembling various detection indexes and various payment association indexes of the medical improvement promotion loan project, wherein the existing medical improvement promotion loan project totally comprises 19 detection indexes and 8 payment association indexes, and each monitoring topic and the monitoring index corresponding to the monitoring topic are configured in a provided index configuration interface, so that a monitoring index system based on the monitoring topic is constructed; in the technical scheme of the invention, the self-defined monitoring theme and the monitoring index corresponding to the monitoring theme are realized by providing the configurable index configuration interface, so that when the method is implemented, new monitoring theme and the monitoring index corresponding to the monitoring theme can be defined flexibly and timely and dynamically according to the promotion of medical improvement and the promotion of credit and the adjustment of monitoring work;
According to the index data required by each monitoring index in the monitoring index system, configuring a standardized data interface for docking each other system to acquire the index data in a provided interface configuration interface; the invention realizes the standardized data interface for obtaining the required index data by providing the configurable interface configuration interface, can improve the ductility and the expandability of the system and meets the monitoring requirements of different changes.
In the technical scheme of the invention, the configured standardized data interface comprises but is not limited to: configuring a standardized data interface of the Wei Jian client management system to obtain raw data such as regional population, participants and the like from the Wei Jian client management system; configuring a standardized data interface of a national medical institution/doctor/nurse electronic registration system to acquire raw data such as the total number of hospital registration practise (assistant) doctors, the total number of hospital synchronous registration nurses, the total number of hospital synchronous doctors and the like from the national medical institution/doctor/nurse electronic registration system; configuring standardized data interfaces of the HIS and the medical records front page to acquire medical service raw data such as clinical paths, disease types, service amounts and the like from the HIS and the medical records front page; and configuring a standardized data interface of the hospital operation management system to obtain operation business original data such as cost, personnel, resources and the like from the hospital operation management system.
Defining a standard calculation formula of each monitoring index in the monitoring index system in a provided formula definition interface according to the index release meaning of each monitoring index in the monitoring index system; the invention realizes the self-definition of the standard calculation formula of each monitoring index in the monitoring index system by providing the configurable formula definition interface, so that the standard calculation formula of a new monitoring index can be conveniently self-defined according to actual needs when the method is implemented.
Respectively configuring a supervision index system of each medical institution (or Wei Jianwei) according to the difference of the supervision targets of the loan item and the availability of information of each medical institution in the provided institution configuration interface; meanwhile, based on supervision index systems of different medical institutions, configuring a data display mode of each monitoring index in the monitoring index system in a provided visual display configuration interface;
the invention realizes the self-definition of the monitoring index system of different medical institutions (or Wei Jianwei) by providing the institution configuration interface, so that the invention can meet the supervision requirement of promoting loan item for the commission of medical improvement in the area Wei Jian and can be simultaneously suitable for the supervision requirement of promoting loan item for the medical improvement of different medical institutions when in specific implementation. For example, in the specific implementation, according to the difference of the medical improvement promotion loan project supervision targets and the availability of information of each medical institution (or Wei Jianwei), supervision index systems of the province Wei Jian commission, the county-level hospital, the county-level middle hospital and the basic health institution can be respectively configured; on the basis, a data collection mode is configured, wherein the data collection mode comprises dimensions of whole province, various cities, county hospitals, primary hospitals and the like.
Setting target values and standard values of all the monitoring indexes in the monitoring index system in all time periods in a provided early warning value configuration interface; the invention realizes the custom configuration of the target value and the standard value by providing the configurable early warning value configuration interface, so that the supervision period and the target can be flexibly adjusted according to the requirements of the plan and the policy of promoting the progress of loan projects during the specific implementation.
When monitoring, automatically acquiring original data from other systems through each standardized data interface; respectively calculating the numerical value of each monitoring index in the monitoring index system according to a standard calculation formula and the acquired original data; displaying the numerical value of each monitoring index in the monitoring index system according to the configured data display mode; and simultaneously, carrying out early warning on the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value.
In an embodiment of the present invention, the method further includes:
configuring a manual input window of index related data and a file uploading window of an index related file; when the standardized data interface cannot be used for automatically acquiring the original data, acquiring the input index related data through the manual input window, acquiring the uploaded index related file through the file uploading window, and respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula, the input index related data and the uploaded index related file; of course, when the invention is implemented, the functions of on-line document review, archiving and the like can be designed according to the needs;
The report format of the configuration file is configured according to the requirements of the medical improvement promotion loan project, specifically comprises standard contents, a printing typesetting format and corresponding data embodying modes of the report of the configuration file, and can also set a printing function according to requirements; because the file reporting format of each medical institution is specifically required in the medical improvement promoting loan project, in the specific implementation, only the standard content, the printing typesetting format and the corresponding data embodiment mode of the file reporting are required to be configured according to the file reporting format specified in the medical improvement promoting loan project. And when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to the configured file report format and reporting the index report file.
In the embodiment of the invention, the monitoring topics at least comprise a basic situation topic, a service providing situation topic, a uniform fee topic, a clinical path management topic, a basic medical insurance system construction situation topic, a disease-based payment management situation topic, a basic personnel situation topic, a basic public health service situation topic and a basic service situation topic.
Wherein the basic situation theme includes, but is not limited to, 15 indexes such as financial medical and health expenditure annual growth rate, medical and health expenditure proportion of general public budget expenditure proportion, personal health expenditure proportion of health total expense, thousands of population medical practitioners, thousands of population registration nurses, thousands of population beds, number of hospital on-duty personnel, health technical personnel proportion, medical practitioners proportion of medical practitioners, number of annual hospital outflow personnel, number of hospital on-duty beds, number of basic institutions, number of general population general doctors, rural health hospital on-duty annual staff income, community health service center on-duty staff annual income and the like;
The service providing condition subjects include, but are not limited to, 8 indexes such as number of times of diagnosis and treatment in hospital, number of times of reservation of diagnosis and treatment in hospital, number of times of discharge in hospital, sickbed usage rate, average inpatient day, prescription ratio of use of antibacterial drugs, discharge ratio of charge according to disease types, discharge ratio of standard implementation of clinical path management, and the like;
the average cost theme includes, but is not limited to, 5 indexes such as average clinic cost, average hospitalization cost, technical labor income ratio, medicine ratio, examination ratio and the like;
the clinical path management subjects include, but are not limited to, 5 indexes such as the ratio of the number of discharge persons to the total number of discharge persons as in clinical path management, the average number of disease seeds for clinical path management in each hospital, the rate of disease seed diameter for clinical path management, the patient time average hospitalization cost for clinical path management, the patient time average hospitalization actual reimbursement ratio for clinical path management;
the basic medical insurance system construction condition subjects comprise 7 indexes such as a participation ratio, a basic medical insurance hospitalization cost policy reimbursement ratio, a basic medical insurance hospitalization cost actual reimbursement ratio, a town employee hospitalization cost policy reimbursement ratio, a town employee hospitalization cost actual reimbursement ratio, an urban and rural resident hospitalization cost policy reimbursement ratio, an urban and rural resident hospitalization cost actual reimbursement ratio and the like;
The disease-based payment management condition subjects include, but are not limited to, 4 indexes such as the ratio of the number of patients to be hospitalized (dividing urban staff and urban and rural residents), the average number of disease-based payment in each hospital, the hospitalization cost of the same number of disease-based payment, the actual reimbursement ratio of the disease-based payment (dividing urban staff and urban and rural residents), and the like;
the basic staff situation theme includes, but is not limited to, 9 indexes such as basic practitioner number, basic practitioner ratio to total number of medical practitioners, basic assistant physician number, basic assistant physician ratio to total number of medical assistant practitioners, basic registration nurse number, basic registration nurse ratio to total number of registration nurses, basic practitioner (assistant) physician/registration nurse ratio to total number of staff, basic bed number to total bed number ratio, etc.;
the basic public health service condition theme comprises, but is not limited to, 10 indexes such as hypertension sickness people, hypertension standard management rate, blood pressure control rate, diabetes people, diabetes standard management rate, blood sugar control rate, integrated management people, important crowd family doctor subscription proportion and the like;
The basic service condition theme comprises, but is not limited to, 4 indexes such as basic clinic volume ratio, basic inpatient volume ratio, inpatient volume ratio in county area, basic diagnosis and treatment person frequency ratio and the like.
According to the invention, 19 detection indexes and 8 payment association indexes included in the medical improvement promotion loan project are disassembled and refined, namely, a plurality of topics including a basic situation topic, a service provision topic, a uniform cost topic, a clinical path management topic, a basic medical insurance system construction topic, a disease-based payment management topic, a basic personnel topic, a basic public health service topic, a basic service topic and the like are disassembled and refined, and a plurality of indexes are disassembled and refined for each topic, so that an index supervision system meeting the requirements of matching projects of medical institutions and Wei Jian committees can be well constructed.
In the embodiment of the present invention, the pre-warning of the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value specifically includes:
when each configured time period is cut off, comparing the numerical value of each monitoring index in the monitoring index system with the target value and the standard value respectively, and if the numerical value of the monitoring index is smaller than the target value, carrying out early warning prompt on the monitoring index, for example, prompting that the monitoring index does not reach the target value, and supporting multi-layer drilling query of index data so as to analyze the reasons of insufficient progress of the index data; and if the numerical value of the monitoring index is larger than or equal to the standard value, prompting the monitoring index to reach the standard value, such as prompting that the monitoring index reaches the standard value, and the like.
In the embodiment of the present invention, the data display manner of configuring each monitoring index in the monitoring index system in the provided visual display configuration interface specifically includes:
the data display modes of the monitoring indexes in the monitoring index system are configured in the provided visual display configuration interface, and when the method is implemented, multiple display modes such as a graph, a table and the like can be supported under the same monitoring subject, and the display interface is divided into an upper interface, a middle interface and a lower interface; the upper interface is used for displaying query conditions capable of performing condition matching, the middle interface is used for displaying a coordinate graph of a query result, and the lower interface is used for displaying detail information corresponding to the query result.
Referring to fig. 2, the invention also provides a result-oriented medical modification promotion loan item dynamic monitoring system corresponding to the method, wherein the system comprises an index configuration module, an interface configuration module, a formula configuration module, a display configuration module, an early warning configuration module and a monitoring module;
the index configuration module is used for refining and disassembling all detection indexes and all payment association indexes of the medical improvement promotion loan project, wherein the existing medical improvement promotion loan project comprises 19 detection indexes and 8 payment association indexes in total, and each monitoring topic and the monitoring index corresponding to the monitoring topic are configured in the provided index configuration interface, so that a monitoring index system based on the monitoring topic is constructed; in the technical scheme of the invention, the self-defined monitoring theme and the monitoring index corresponding to the monitoring theme are realized by providing the configurable index configuration interface, so that when the method is implemented, new monitoring theme and the monitoring index corresponding to the monitoring theme can be defined flexibly and timely and dynamically according to the promotion of medical improvement and the promotion of credit and the adjustment of monitoring work;
The interface configuration module is used for configuring standardized data interfaces for butting other systems to acquire the index data in the provided interface configuration interface according to the index data required by each monitoring index in the monitoring index system; the invention realizes the standardized data interface for obtaining the required index data by providing the configurable interface configuration interface, can improve the ductility and the expandability of the system and meets the monitoring requirements of different changes.
In the technical scheme of the invention, the configured standardized data interface comprises but is not limited to: configuring a standardized data interface of the Wei Jian client management system to obtain raw data such as regional population, participants and the like from the Wei Jian client management system; configuring a standardized data interface of a national medical institution/doctor/nurse electronic registration system to acquire raw data such as the total number of hospital registration practise (assistant) doctors, the total number of hospital synchronous registration nurses, the total number of hospital synchronous doctors and the like from the national medical institution/doctor/nurse electronic registration system; configuring standardized data interfaces of the HIS and the medical records front page to acquire medical service raw data such as clinical paths, disease types, service amounts and the like from the HIS and the medical records front page; and configuring a standardized data interface of the hospital operation management system to obtain operation business original data such as cost, personnel, resources and the like from the hospital operation management system.
The formula configuration module is used for defining a standard calculation formula of each monitoring index in the monitoring index system in a provided formula definition interface according to the index interpretation of each monitoring index in the monitoring index system; the invention realizes the self-definition of the standard calculation formula of each monitoring index in the monitoring index system by providing the configurable formula definition interface, so that the standard calculation formula of a new monitoring index can be conveniently self-defined according to actual needs when the method is implemented.
The display configuration module is used for respectively configuring the supervision index system of each medical institution according to the difference of the supervision targets of the loan item and the availability of information of each medical institution (or Wei Jianwei) in the provided institution configuration interface; meanwhile, based on supervision index systems of different medical institutions, configuring a data display mode of each monitoring index in the monitoring index system in a provided visual display configuration interface;
the invention realizes the self-definition of the monitoring index system of different medical institutions (or Wei Jianwei) by providing the institution configuration interface, so that the invention can meet the supervision requirement of promoting loan item for the commission of medical improvement in the area Wei Jian and can be simultaneously suitable for the supervision requirement of promoting loan item for the medical improvement of different medical institutions when in specific implementation. For example, in the specific implementation, according to the difference of the medical improvement promotion loan project supervision targets and the availability of information of each medical institution (or Wei Jianwei), supervision index systems of the province Wei Jian commission, the county-level hospital, the county-level middle hospital and the basic health institution can be respectively configured; on the basis, a data collection mode is configured, wherein the data collection mode comprises dimensions of whole province, various cities, county hospitals, primary hospitals and the like.
The early warning configuration module is used for setting target values and standard values of the monitoring indexes in the monitoring index system in each time period in a provided early warning value configuration interface; the invention realizes the custom configuration of the target value and the standard value by providing the configurable early warning value configuration interface, so that the supervision period and the target can be flexibly adjusted according to the requirements of the plan and the policy of promoting the progress of loan projects during the specific implementation.
The monitoring module is used for automatically acquiring original data from other systems through each standardized data interface when monitoring; respectively calculating the numerical value of each monitoring index in the monitoring index system according to a standard calculation formula and the acquired original data; displaying the numerical value of each monitoring index in the monitoring index system according to the configured data display mode; and simultaneously, carrying out early warning on the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value.
In the embodiment of the invention, the system further comprises a manual configuration monitoring module and a file reporting module;
the manual configuration monitoring module is used for configuring a manual input window of index related data and a file uploading window of an index related file; when the standardized data interface cannot be used for automatically acquiring the original data, acquiring the input index related data through the manual input window, acquiring the uploaded index related file through the file uploading window, and respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula, the input index related data and the uploaded index related file; of course, when the invention is implemented, the functions of on-line document review, archiving and the like can be designed according to the needs;
The file reporting module is used for configuring a file reporting format according to the requirements of medical improvement promotion loan projects, specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting, and can also set a printing function according to requirements; because the file reporting format of each medical institution is specifically required in the medical improvement promoting loan project, in the specific implementation, only the standard content, the printing typesetting format and the corresponding data embodiment mode of the file reporting are required to be configured according to the file reporting format specified in the medical improvement promoting loan project. And when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to the configured file report format and reporting the index report file.
In the embodiment of the invention, the monitoring topics at least comprise a basic situation topic, a service providing situation topic, a uniform fee topic, a clinical path management topic, a basic medical insurance system construction situation topic, a disease-based payment management situation topic, a basic personnel situation topic, a basic public health service situation topic and a basic service situation topic.
Wherein the basic situation theme includes, but is not limited to, 15 indexes such as financial medical and health expenditure annual growth rate, medical and health expenditure proportion of general public budget expenditure proportion, personal health expenditure proportion of health total expense, thousands of population medical practitioners, thousands of population registration nurses, thousands of population beds, number of hospital on-duty personnel, health technical personnel proportion, medical practitioners proportion of medical practitioners, number of annual hospital outflow personnel, number of hospital on-duty beds, number of basic institutions, number of general population general doctors, rural health hospital on-duty annual staff income, community health service center on-duty staff annual income and the like;
the service providing condition subjects include, but are not limited to, 8 indexes such as number of times of diagnosis and treatment in hospital, number of times of reservation of diagnosis and treatment in hospital, number of times of discharge in hospital, sickbed usage rate, average inpatient day, prescription ratio of use of antibacterial drugs, discharge ratio of charge according to disease types, discharge ratio of standard implementation of clinical path management, and the like;
the average cost theme includes, but is not limited to, 5 indexes such as average clinic cost, average hospitalization cost, technical labor income ratio, medicine ratio, examination ratio and the like;
the clinical path management subjects include, but are not limited to, 5 indexes such as the ratio of the number of discharge persons to the total number of discharge persons as in clinical path management, the average number of disease seeds for clinical path management in each hospital, the rate of disease seed diameter for clinical path management, the patient time average hospitalization cost for clinical path management, the patient time average hospitalization actual reimbursement ratio for clinical path management;
The basic medical insurance system construction condition subjects comprise 7 indexes such as a participation ratio, a basic medical insurance hospitalization cost policy reimbursement ratio, a basic medical insurance hospitalization cost actual reimbursement ratio, a town employee hospitalization cost policy reimbursement ratio, a town employee hospitalization cost actual reimbursement ratio, an urban and rural resident hospitalization cost policy reimbursement ratio, an urban and rural resident hospitalization cost actual reimbursement ratio and the like;
the disease-based payment management condition subjects include, but are not limited to, 4 indexes such as the ratio of the number of patients to be hospitalized (dividing urban staff and urban and rural residents), the average number of disease-based payment in each hospital, the hospitalization cost of the same number of disease-based payment, the actual reimbursement ratio of the disease-based payment (dividing urban staff and urban and rural residents), and the like;
the basic staff situation theme includes, but is not limited to, 9 indexes such as basic practitioner number, basic practitioner ratio to total number of medical practitioners, basic assistant physician number, basic assistant physician ratio to total number of medical assistant practitioners, basic registration nurse number, basic registration nurse ratio to total number of registration nurses, basic practitioner (assistant) physician/registration nurse ratio to total number of staff, basic bed number to total bed number ratio, etc.;
The basic public health service condition theme comprises, but is not limited to, 10 indexes such as hypertension sickness people, hypertension standard management rate, blood pressure control rate, diabetes people, diabetes standard management rate, blood sugar control rate, integrated management people, important crowd family doctor subscription proportion and the like;
the basic service condition theme comprises, but is not limited to, 4 indexes such as basic clinic volume ratio, basic inpatient volume ratio, inpatient volume ratio in county area, basic diagnosis and treatment person frequency ratio and the like.
According to the invention, 19 detection indexes and 8 payment association indexes included in the medical improvement promotion loan project are disassembled and refined, namely, a plurality of topics including a basic situation topic, a service provision topic, a uniform cost topic, a clinical path management topic, a basic medical insurance system construction topic, a disease-based payment management topic, a basic personnel topic, a basic public health service topic, a basic service topic and the like are disassembled and refined, and a plurality of indexes are disassembled and refined for each topic, so that an index supervision system meeting the requirements of matching projects of medical institutions and Wei Jian committees can be well constructed.
In the embodiment of the present invention, the pre-warning of the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value specifically includes:
when each configured time period is cut off, comparing the numerical value of each monitoring index in the monitoring index system with the target value and the standard value respectively, and if the numerical value of the monitoring index is smaller than the target value, carrying out early warning prompt on the monitoring index, for example, prompting that the monitoring index does not reach the target value, and supporting multi-layer drilling query of index data so as to analyze the reasons of insufficient progress of the index data; and if the numerical value of the monitoring index is larger than or equal to the standard value, prompting the monitoring index to reach the standard value, such as prompting that the monitoring index reaches the standard value, and the like.
In the embodiment of the present invention, the data display manner of configuring each monitoring index in the monitoring index system in the provided visual display configuration interface specifically includes:
the data display modes of the monitoring indexes in the monitoring index system are configured in the provided visual display configuration interface, and when the method is implemented, multiple display modes such as a graph, a table and the like can be supported under the same monitoring subject, and the display interface is divided into an upper interface, a middle interface and a lower interface; the upper interface is used for displaying query conditions capable of performing condition matching, the middle interface is used for displaying a coordinate graph of a query result, and the lower interface is used for displaying detail information corresponding to the query result.
In summary, the invention has the following advantages:
(1) The monitoring index system of different medical institutions is customized by providing the institution configuration interface, so that the method can be well suitable for the medical improvement promotion loan item supervision requirements of different medical institutions in the concrete implementation; meanwhile, a configurable index configuration interface is provided to realize self-defining of the monitoring theme and the monitoring index corresponding to the monitoring theme, so that when the monitoring theme is implemented, new monitoring theme and the monitoring index corresponding to the monitoring theme can be defined flexibly and timely according to the promotion of medical improvement and the promotion of credit and the adjustment of monitoring work;
(2) The method can automatically collect the original data of each monitoring index in the monitoring index system through the standardized data interface, so that the workload of medical improvement and promotion of the entry of loan project supervision index data can be reduced; meanwhile, a configurable interface configuration interface is provided to realize a standardized data interface for obtaining the required index data in a self-defined way, so that the ductility and the expandability of the system can be improved, and the monitoring requirements of different changes can be met; in addition, the system is compatible with a manual input function, and can meet the data processing requirements of different construction periods;
(3) The standard calculation formula of each monitoring index in the self-defined monitoring index system is realized by providing a configurable formula definition interface, so that the standard calculation formula of a new monitoring index can be conveniently defined according to actual needs when the method is implemented;
(4) The user-defined configuration of the target value and the standard value is realized by providing a configurable early warning value configuration interface, so that the supervision period and the supervision target can be flexibly adjusted according to the requirements of planning and policy for promoting the promotion of loan projects during specific implementation;
(5) The data display modes are rich, and multiple display modes such as a graph, a table and the like can be supported under the same monitoring subject.
While specific embodiments of the invention have been described above, it will be appreciated by those skilled in the art that the specific embodiments described are illustrative only and not intended to limit the scope of the invention, and that equivalent modifications and variations of the invention in light of the spirit of the invention will be covered by the claims of the present invention.
Claims (8)
1. A result-oriented medical improvement promotion loan item dynamic monitoring method is characterized by comprising the following steps of: the method comprises the following steps:
Refining and dismantling various detection indexes and various payment association indexes of the medical improvement promotion loan project, and configuring various monitoring topics and monitoring indexes corresponding to the monitoring topics in a provided index configuration interface so as to construct a monitoring index system based on the monitoring topics; the monitoring topics at least comprise a basic situation topic, a service providing situation topic, a uniform fee topic, a clinical path management topic, a basic medical insurance system construction situation topic, a disease-based payment management situation topic, a basic personnel situation topic, a basic public health service situation topic and a basic service situation topic;
according to the index data required by each monitoring index in the monitoring index system, configuring a standardized data interface for docking each other system to acquire the index data in a provided interface configuration interface;
defining a standard calculation formula of each monitoring index in the monitoring index system in a provided formula definition interface according to the index release meaning of each monitoring index in the monitoring index system;
respectively configuring a supervision index system of each medical institution in the provided institution configuration interface according to the difference of the supervision targets of the loan item and the availability of information promoted by the medical institution medical improvement; meanwhile, based on supervision index systems of different medical institutions, configuring a data display mode of each monitoring index in the monitoring index system in a provided visual display configuration interface;
Setting target values and standard values of all the monitoring indexes in the monitoring index system in all time periods in a provided early warning value configuration interface;
when monitoring, automatically acquiring original data from other systems through each standardized data interface; respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula and the acquired original data; displaying the numerical value of each monitoring index in the monitoring index system according to the configured data display mode; meanwhile, carrying out early warning on the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value;
configuring a manual input window of index related data and a file uploading window of an index related file; when the standardized data interface cannot be used for automatically acquiring the original data, acquiring the input index related data through the manual input window, acquiring the uploaded index related file through the file uploading window, and respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula, the input index related data and the uploaded index related file.
2. A result-oriented medical modification facilitating loan item dynamic monitoring method according to claim 1, wherein: the method further comprises the steps of:
the method comprises the steps of configuring a file reporting format according to requirements of medical modification promotion loan projects, wherein the file reporting format specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting; and when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to the configured file report format and reporting the index report file.
3. A result-oriented medical modification facilitating loan item dynamic monitoring method according to claim 1, wherein: the pre-warning of the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value specifically comprises the following steps:
when each configured time period is cut off, comparing the numerical value of each monitoring index in the monitoring index system with the target value and the standard value respectively, and if the numerical value of the monitoring index is smaller than the target value, carrying out early warning prompt on the monitoring index; and if the numerical value of the monitoring index is larger than or equal to the standard value, prompting the monitoring index to reach the standard.
4. A result-oriented medical modification facilitating loan item dynamic monitoring method according to claim 1, wherein: the data display mode for configuring each monitoring index in the monitoring index system in the provided visual display configuration interface specifically comprises the following steps:
configuring a data display mode of each monitoring index in the monitoring index system in the provided visual display configuration interface, and dividing the display interface into an upper interface, a middle interface and a lower interface; the upper interface is used for displaying query conditions capable of performing condition matching, the middle interface is used for displaying a coordinate graph of a query result, and the lower interface is used for displaying detail information corresponding to the query result.
5. A result-oriented medical improvement promotion loan item dynamic monitoring system is characterized in that: the system comprises an index configuration module, an interface configuration module, a formula configuration module, a display configuration module, an early warning configuration module, a monitoring module and a manual configuration monitoring module;
the index configuration module is used for refining and disassembling various detection indexes and various payment association indexes of the medical improvement promotion loan project, and configuring various monitoring subjects and monitoring indexes corresponding to the monitoring subjects in a provided index configuration interface so as to construct a monitoring index system based on the monitoring subjects; the monitoring topics at least comprise a basic situation topic, a service providing situation topic, a uniform fee topic, a clinical path management topic, a basic medical insurance system construction situation topic, a disease-based payment management situation topic, a basic personnel situation topic, a basic public health service situation topic and a basic service situation topic;
The interface configuration module is used for configuring standardized data interfaces for butting other systems to acquire the index data in the provided interface configuration interface according to the index data required by each monitoring index in the monitoring index system;
the formula configuration module is used for defining a standard calculation formula of each monitoring index in the monitoring index system in a provided formula definition interface according to the index interpretation of each monitoring index in the monitoring index system;
the display configuration module is used for respectively configuring the supervision index system of each medical institution according to the difference of the supervision targets of the loan item and the availability of information of the medical improvement promotion loan item of each medical institution in the provided institution configuration interface; meanwhile, based on supervision index systems of different medical institutions, configuring a data display mode of each monitoring index in the monitoring index system in a provided visual display configuration interface;
the early warning configuration module is used for setting target values and standard values of the monitoring indexes in the monitoring index system in each time period in a provided early warning value configuration interface;
the monitoring module is used for automatically acquiring original data from other systems through each standardized data interface when monitoring; respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula and the acquired original data; displaying the numerical value of each monitoring index in the monitoring index system according to the configured data display mode; meanwhile, carrying out early warning on the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value;
The manual configuration monitoring module is used for configuring a manual input window of index related data and a file uploading window of an index related file; when the standardized data interface cannot be used for automatically acquiring the original data, acquiring the input index related data through the manual input window, acquiring the uploaded index related file through the file uploading window, and respectively calculating the numerical value of each monitoring index in the monitoring index system according to a defined standard calculation formula, the input index related data and the uploaded index related file.
6. A result-oriented medical modification facilitating loan item dynamic monitoring system as recited in claim 5, wherein: the system also comprises a file reporting module;
the file reporting module is used for configuring a file reporting format according to the requirements of medical improvement promotion loan projects, and specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the file reporting; and when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to the configured file report format and reporting the index report file.
7. A result-oriented medical modification facilitating loan item dynamic monitoring system as recited in claim 5, wherein: the pre-warning of the numerical value of each monitoring index in the monitoring index system according to the configured target value and standard value specifically comprises the following steps:
when each configured time period is cut off, comparing the numerical value of each monitoring index in the monitoring index system with the target value and the standard value respectively, and if the numerical value of the monitoring index is smaller than the target value, carrying out early warning prompt on the monitoring index; and if the numerical value of the monitoring index is larger than or equal to the standard value, prompting the monitoring index to reach the standard.
8. A result-oriented medical modification facilitating loan item dynamic monitoring system as recited in claim 5, wherein: the data display mode for configuring each monitoring index in the monitoring index system in the provided visual display configuration interface specifically comprises the following steps:
configuring a data display mode of each monitoring index in the monitoring index system in the provided visual display configuration interface, and dividing the display interface into an upper interface, a middle interface and a lower interface; the upper interface is used for displaying query conditions capable of performing condition matching, the middle interface is used for displaying a coordinate graph of a query result, and the lower interface is used for displaying detail information corresponding to the query result.
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| TW201918975A (en) * | 2017-11-14 | 2019-05-16 | 睿富金融科技股份有限公司 | Intelligent medical loan system |
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| CN103874462A (en) * | 2011-10-17 | 2014-06-18 | 皇家飞利浦有限公司 | A medical monitoring system based on sound analysis in a medical environment |
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