CN111145878B - Dynamic monitoring method and system for hospital medical improvement progress monitoring index - Google Patents
Dynamic monitoring method and system for hospital medical improvement progress monitoring index Download PDFInfo
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Abstract
The invention provides a dynamic monitoring method and a system for monitoring indexes of medical improvement progress of a hospital, wherein the method comprises the steps of refining and disassembling various detection indexes in a medical improvement monitoring working scheme, configuring a monitoring theme and monitoring indexes corresponding to the monitoring theme, and constructing a monitoring index system based on the monitoring theme; configuring a standardized data interface, defining a standard calculation formula and configuring a data display mode according to each monitoring index in a monitoring index system; setting target values and standard values of all monitoring indexes in all time periods; during monitoring, the numerical value of each monitoring index 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 a configured data display mode, and the numerical value of each monitoring index is early-warned according to a configured target value and a configured standard value. The invention has the advantages that: the new monitoring subject and the monitoring index can be defined flexibly and dynamically at the right time according to the promotion of the medical improvement policy and the adjustment of the monitoring work, and the medical improvement policy can be matched well.
Description
Technical Field
The invention relates to the field of hospital supervision, in particular to a dynamic monitoring method and a system for monitoring indexes of medical improvement progress of a hospital.
Background
Since the 3 rd month in 2009 proposes the aim of ' effectively relieving resident medical expense burden, really relieving ' difficult to see and expensive to see ', all relevant departments go out of the platform successively to deepen new medical policies and actively explore and advance medical improvement processes. Over a decade of effort, hospital management has now entered a profound new state of medicine. With the continuous release of medical improvement policies and the continuous promotion of the medical improvement process, whether the management of regional hospitals is reformed and promoted according to the time required by the policies is an important problem that the management of medical institutions at all levels needs to pay attention. By means of informatization, the real-time monitoring of the regional medical improvement progress detection index is realized, and the method becomes a preferred mode for comprehensively mastering the medical improvement process, timely finding out the medical improvement deficiency and performing pre-intervention regulation in all levels of hospitals.
However, none of the existing medical institutions at all levels specifically develop a set of information monitoring systems for medical improvement progress monitoring, often develop a medical improvement topic analysis in the existing monitoring systems for displaying medical improvement indexes of interest to the hospital leadership, and basically mainly display static index data. This results in the following disadvantages of existing medical improvement progress regulatory systems:
(1) The supervision indexes are built by the personal focus points of the hospital leaders, the individuation of the indexes is strong, the supervision indexes cannot be completely matched with the medical improvement policy, and the standardization, the standardization and the homogenization are not achieved;
(2) Mostly, manual filling is the main way, and automatic collection and real-time supervision of data cannot be realized;
(3) 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 that the monitoring index cannot be completely matched with the medical improvement policy and the automatic acquisition and real-time supervision of data cannot be realized in the existing supervision system.
The invention is realized in the following way: a method for dynamically monitoring a hospital medical improvement progress monitoring index, the monitoring method comprising:
each detection index in the medical modification monitoring working scheme is refined and disassembled, each monitoring theme and the corresponding monitoring index of the monitoring theme are configured in the provided index configuration interface, and therefore a monitoring index system based on the monitoring theme is constructed;
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 medical improvement progress supervision targets of each medical institution and the availability of information; 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;
according to the requirements of the medical modification monitoring working scheme, the configuration file reporting format specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting;
when monitoring, automatically acquiring original data from other systems through each standardized data interface; 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;
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 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 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.
Further, the monitoring topics at least comprise a health level topic, a basic public health service capability topic, a traditional Chinese medicine development topic, a medical education collaborative deepening medical education topic, a health investment topic, a cost control topic, a hierarchical diagnosis and treatment topic and a utilization efficiency 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 utility model provides a dynamic monitoring system of hospital medical improvement progress monitoring index, the monitoring system includes index configuration module, interface configuration module, formula configuration module, show configuration module, early warning configuration module, uploading format configuration module, monitoring module and file reporting module;
The index configuration module is used for refining and disassembling each detection index in the medical modification monitoring working scheme, and each monitoring theme and the corresponding monitoring index of the monitoring theme are configured in the provided index configuration interface so as to construct a monitoring index system based on the monitoring theme;
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 medical improvement progress supervision targets of each medical institution and the availability of information 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 uploading format configuration module is used for configuring a file reporting format according to the requirements of the medical modification monitoring working scheme, and specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting;
the monitoring module is used for automatically acquiring original data from other systems through each standardized data interface when monitoring; 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;
and the file reporting module is used for automatically generating an index reporting file according to the configured file reporting format and reporting the index reporting file when calculating the numerical value of each monitoring index in the monitoring index system.
Further, the system also includes a manual configuration monitoring 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 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.
Further, the monitoring topics at least comprise a health level topic, a basic public health service capability topic, a traditional Chinese medicine development topic, a medical education collaborative deepening medical education topic, a health investment topic, a cost control topic, a hierarchical diagnosis and treatment topic and a utilization efficiency 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 self-defined monitoring topics and the monitoring indexes corresponding to the monitoring topics are realized by providing the configurable index configuration interface, so that when the self-defined monitoring topics and the monitoring indexes corresponding to the monitoring topics are implemented, new monitoring topics and the monitoring indexes corresponding to the monitoring topics can be defined flexibly and timely and dynamically according to the promotion of medical modification policies and the adjustment of monitoring work, and the medical modification policies can be matched well; meanwhile, the monitoring index system of different medical institutions is customized by providing the institution configuration interface, so that the supervision requirement on the medical improvement progress of the area Wei Jian can be met and the supervision requirement on the medical improvement progress of different medical institutions can be met at the same time when the system is implemented;
(2) The method can automatically collect the original data of each monitoring index through a standardized data interface, so that the input workload of medical improvement progress 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 formulas of the monitoring indexes are customized by providing a configurable formula definition interface, so that the standard calculation formulas of the new monitoring indexes 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 the planning and the policy of the progress of medical improvement in the 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 flowchart of an implementation of a method for dynamically monitoring a hospital medical improvement progress monitoring index according to the present invention.
Fig. 2 is a schematic block diagram of a dynamic monitoring system for monitoring an index of progress of medical improvement in a hospital according to the present invention.
Detailed Description
Referring to fig. 1, a preferred embodiment of a method for dynamically monitoring a medical improvement progress monitor index in a hospital according to the present invention includes:
each detection index in the medical modification monitoring working scheme is refined and disassembled, each monitoring theme and the corresponding monitoring index of the monitoring theme are configured in the provided index configuration interface, and therefore a monitoring index system based on the monitoring theme 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 policy 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 delegation management system to obtain raw data such as regional population, expected service life and the like from the Wei Jian delegation 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, the classified diagnosis and treatment and the medical records, so as to obtain medical service original data such as service quantity, public and guard service information, classified diagnosis and treatment information and the like from the HIS, the classified diagnosis and treatment and the medical records; 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 standard calculation formula of each monitoring index by providing the configurable formula definition interface, so that the standard calculation formula of the new monitoring index can be conveniently defined according to actual needs when the invention is concretely implemented.
Respectively configuring a supervision index system of each medical institution in the provided institution configuration interface according to the difference of the medical improvement progress supervision targets of each medical institution and the availability of information; 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 by providing the institution configuration interface, so that the monitoring index system can meet the supervision requirement of the regional Wei Jian commission of medical improvement progress and can be simultaneously suitable for the supervision requirement of the medical improvement progress of different medical institutions when in specific implementation. For example, in the specific implementation, according to the difference of the medical improvement progress supervision targets and the availability of information of each medical institution, the supervision index systems of the province and city Wei Jian commission, the county-level hospital, the county-level middle hospital and the primary sanitary 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 self-defined 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 planning and the policy of the progress of medical improvement in the specific implementation.
According to the requirements of the medical modification monitoring working scheme, the report format of the configuration file specifically comprises standard contents, printing typesetting formats and corresponding data embodying modes of the report of the configuration file, and meanwhile, the printing function can be set according to the requirements; because the file reporting format of each medical institution is specifically required in the medical modification monitoring working scheme, in the specific implementation, only standard content, printing typesetting format and corresponding data embodiment mode of the file reporting are required to be configured according to the file reporting format specified in the medical modification monitoring working scheme.
When monitoring, automatically acquiring original data from other systems through each standardized data interface; 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;
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.
The method further comprises the steps of:
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 an uploaded index related file through the file uploading window, and 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;
in the invention, the monitoring subjects at least comprise a health level subject, a basic public health service capability subject, a traditional Chinese medicine development subject, a medical education and education cooperative deepening medical education subject, a health investment subject, a cost control subject, a grading diagnosis and treatment subject and a utilization efficiency subject.
Wherein the health level topic includes, but is not limited to, 5 indicators such as life expectancy per person, infant mortality, maternal mortality, child mortality under 5 years old, and number of preventive screening findings;
The basic public health service capability topics include, but are not limited to, 13 indexes such as resident health record electronic filing rate, number of family doctors team developing subscription service, coverage rate of key family doctor subscription service, system management rate of pregnant and lying-in women, hospitalization delivery rate of rural pregnant and lying-in women, system management rate of children under 3 years old, cervical cancer and breast cancer screening coverage rate of rural age-appropriate women, age-appropriate children immunization planning vaccination rate, number of old people health management above 65 years old, chronic disease patient management number, serious mental disorder management number, number of tuberculosis patient health management number, number of centralized rescuing and curing diseases of poor population;
the traditional Chinese medicine development theme comprises, but is not limited to, 5 indexes such as the ratio/quantity of basic medical health institutions providing middle hospital services, the proportion of the outpatient service quantity of traditional Chinese medicine medical institutions to the total quantity of outpatient service, the standardized training number of traditional Chinese medicine general professionals, the standardized training number of traditional Chinese medical assistants general doctors, the standardized training number of traditional Chinese medical doctors, the health management number of middle hospitals and the like;
the medical education collaborative deepening medical education theme comprises 6 indexes such as the standardized number of training persons of general professionals and doctors, the training persons of assistant general doctors, the turning training persons of general doctors, the standardized number of training persons of doctors, the number of students of rural order oriented free cultivation of the family medical science, the number of times that basic medical staff goes to the advanced hospital for study, and the like;
The sanitary input subjects include, but are not limited to, such as the annual growth rate of financial medical and health expenses, the proportion of financial subsidy income to the total expense of hospitals, the proportion of medical and health expenses to the total expense of sanitation, the proportion of total hospital staff, the number of sanitary technicians, the number of rural general medical assistant doctors, the number of resident population (assistant) doctors, the number of resident nurses per thousand, the number of general medical doctors per thousand, the number of public health staff per ten thousand, the number of basic medical and health staff per thousand, the number of resident medical pharmacists per ten thousand, the number of resident medical institutions (doctor) per ten thousand, the proportion of village health staffs having more than 1 registered general doctor, the number of multi-mechanism medical doctors, the number of medical staff (assistant) in the medical staff, the number of medical staff special settings of the general doctor, the number of medical staff bed per thousand, the actual open position, the number of medical staff bed in the county, the average income index of 23;
such cost control topics include, but are not limited to, 18 indicators such as, for example, regional healthcare facility total revenue augmentation, clinic revenue to medical revenue proportion, hospitalization revenue to medical revenue proportion, medicine proportion (without decoction pieces of traditional Chinese medicine), examination and assay revenue to medical revenue proportion, sanitary material revenue to medical revenue proportion, registration/examination/bed/treatment/operation and nursing revenue sum to medical revenue proportion, medical total revenue augmentation, clinic patient number average medical cost and augmentation, hospitalization patient number average medical cost and augmentation, personal health expense to sanitary total cost proportion, participating patient personal expense proportion (hospitalization, clinic), average hospitalization day, hospitalization number average, patient cost composition, basic medicine usage rate, medical insurance out-of-order cost proportion, management cost rate;
The grading diagnosis and treatment subjects comprise, but are not limited to, 8 indexes such as the number of times of developing remote medical service persons, the ratio of inpatients in public-standing hospitals to basic medical and health institutions, the ratio of patients in basic medical and health institutions to advanced hospitals, the consultation rate in county, the diagnosis and treatment amount ratio and the increment rate of basic medical and health institutions, the ratio of the outpatient service amount of basic medical and health institutions to the total quantity of outpatient service, the construction ratio of operation types, the range of daily operation types and the like;
the utilization efficiency topics include, but are not limited to, 13 indicators such as annual outpatient times, annual emergency times, average resident visit times, resident annual inpatients rates, annual inpatients admission count, annual inpatients discharge count, annual inpatients operation count, annual outpatient operation count, health physical examination times, average daily bed work day, bed use rate, bed turnover times, daily operation disease count, and the like.
According to the invention, various detection indexes in the medical improvement monitoring working scheme are decomposed and refined, namely, a plurality of topics such as a health level topic, a basic public health service capability topic, a traditional Chinese medicine development topic, a medical education cooperative deepening medical education topic, a health input topic, a cost control topic, a grading diagnosis and treatment topic and a utilization efficiency topic are decomposed and refined, and a plurality of indexes are decomposed and refined for each topic, so that an index supervision system meeting requirements of matching projects of medical institutions and Wei Jian commissions can be well constructed.
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, such as prompt of 'not reaching 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, carrying out standard prompt on the monitoring index, such as prompt of reaching the standard value.
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:
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 dynamic monitoring system for monitoring the progress of medical improvement of a hospital corresponding to the method, wherein the monitoring system comprises an index configuration module, an interface configuration module, a formula configuration module, a display configuration module, an early warning configuration module, an uploading format configuration module, a monitoring module and a file reporting module;
the index configuration module is used for refining and disassembling each detection index in the medical modification monitoring working scheme, and each monitoring theme and the corresponding monitoring index of the monitoring theme are configured in the provided index configuration interface so as to construct a monitoring index system based on the monitoring theme; 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 policy 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 delegation management system to obtain raw data such as regional population, expected service life and the like from the Wei Jian delegation 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, the classified diagnosis and treatment and the medical records, so as to obtain medical service original data such as service quantity, public and guard service information, classified diagnosis and treatment information and the like from the HIS, the classified diagnosis and treatment and the medical records; 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 standard calculation formula of each monitoring index by providing the configurable formula definition interface, so that the standard calculation formula of the new monitoring index can be conveniently defined according to actual needs when the invention is concretely implemented.
The display configuration module is used for respectively configuring the supervision index system of each medical institution according to the difference of the medical improvement progress supervision targets of each medical institution and the availability of information 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 by providing the institution configuration interface, so that the monitoring index system can meet the supervision requirement of the regional Wei Jian commission of medical improvement progress and can be simultaneously suitable for the supervision requirement of the medical improvement progress of different medical institutions when in specific implementation. For example, in the specific implementation, according to the difference of the medical improvement progress supervision targets and the availability of information of each medical institution, the supervision index systems of the province and city Wei Jian commission, the county-level hospital, the county-level middle hospital and the primary sanitary 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 self-defined 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 planning and the policy of the progress of medical improvement in the specific implementation.
The uploading format configuration module is used for configuring a file reporting format according to the requirements of the medical modification monitoring working scheme, and specifically comprises standard content, a printing typesetting format and a corresponding data embodiment mode of the configuration file reporting, and can set a printing function according to requirements; because the file reporting format of each medical institution is specifically required in the medical modification monitoring working scheme, in the specific implementation, only standard content, printing typesetting format and corresponding data embodiment mode of the file reporting are required to be configured according to the file reporting format specified in the medical modification monitoring working scheme.
The monitoring module is used for automatically acquiring original data from other systems through each standardized data interface when monitoring; 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;
And the file reporting module is used for automatically generating an index reporting file according to the configured file reporting format and reporting the index reporting file when calculating the numerical value of each monitoring index in the monitoring index system.
The system further includes a manual configuration monitoring 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 an uploaded index related file through the file uploading window, and 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;
in the invention, the monitoring subjects at least comprise a health level subject, a basic public health service capability subject, a traditional Chinese medicine development subject, a medical education and education cooperative deepening medical education subject, a health investment subject, a cost control subject, a grading diagnosis and treatment subject and a utilization efficiency subject.
Wherein the health level topic includes, but is not limited to, 5 indicators such as life expectancy per person, infant mortality, maternal mortality, child mortality under 5 years old, and number of preventive screening findings;
the basic public health service capability topics include, but are not limited to, 13 indexes such as resident health record electronic filing rate, number of family doctors team developing subscription service, coverage rate of key family doctor subscription service, system management rate of pregnant and lying-in women, hospitalization delivery rate of rural pregnant and lying-in women, system management rate of children under 3 years old, cervical cancer and breast cancer screening coverage rate of rural age-appropriate women, age-appropriate children immunization planning vaccination rate, number of old people health management above 65 years old, chronic disease patient management number, serious mental disorder management number, number of tuberculosis patient health management number, number of centralized rescuing and curing diseases of poor population;
the traditional Chinese medicine development theme comprises, but is not limited to, 5 indexes such as the ratio/quantity of basic medical health institutions providing middle hospital services, the proportion of the outpatient service quantity of traditional Chinese medicine medical institutions to the total quantity of outpatient service, the standardized training number of traditional Chinese medicine general professionals, the standardized training number of traditional Chinese medical assistants general doctors, the standardized training number of traditional Chinese medical doctors, the health management number of middle hospitals and the like;
The medical education collaborative deepening medical education theme comprises 6 indexes such as the standardized number of training persons of general professionals and doctors, the training persons of assistant general doctors, the turning training persons of general doctors, the standardized number of training persons of doctors, the number of students of rural order oriented free cultivation of the family medical science, the number of times that basic medical staff goes to the advanced hospital for study, and the like;
the sanitary input subjects include, but are not limited to, such as the annual growth rate of financial medical and health expenses, the proportion of financial subsidy income to the total expense of hospitals, the proportion of medical and health expenses to the total expense of sanitation, the proportion of total hospital staff, the number of sanitary technicians, the number of rural general medical assistant doctors, the number of resident population (assistant) doctors, the number of resident nurses per thousand, the number of general medical doctors per thousand, the number of public health staff per ten thousand, the number of basic medical and health staff per thousand, the number of resident medical pharmacists per ten thousand, the number of resident medical institutions (doctor) per ten thousand, the proportion of village health staffs having more than 1 registered general doctor, the number of multi-mechanism medical doctors, the number of medical staff (assistant) in the medical staff, the number of medical staff special settings of the general doctor, the number of medical staff bed per thousand, the actual open position, the number of medical staff bed in the county, the average income index of 23;
Such cost control topics include, but are not limited to, 18 indicators such as, for example, regional healthcare facility total revenue augmentation, clinic revenue to medical revenue proportion, hospitalization revenue to medical revenue proportion, medicine proportion (without decoction pieces of traditional Chinese medicine), examination and assay revenue to medical revenue proportion, sanitary material revenue to medical revenue proportion, registration/examination/bed/treatment/operation and nursing revenue sum to medical revenue proportion, medical total revenue augmentation, clinic patient number average medical cost and augmentation, hospitalization patient number average medical cost and augmentation, personal health expense to sanitary total cost proportion, participating patient personal expense proportion (hospitalization, clinic), average hospitalization day, hospitalization number average, patient cost composition, basic medicine usage rate, medical insurance out-of-order cost proportion, management cost rate;
the grading diagnosis and treatment subjects comprise, but are not limited to, 8 indexes such as the number of times of developing remote medical service persons, the ratio of inpatients in public-standing hospitals to basic medical and health institutions, the ratio of patients in basic medical and health institutions to advanced hospitals, the consultation rate in county, the diagnosis and treatment amount ratio and the increment rate of basic medical and health institutions, the ratio of the outpatient service amount of basic medical and health institutions to the total quantity of outpatient service, the construction ratio of operation types, the range of daily operation types and the like;
The utilization efficiency topics include, but are not limited to, 13 indicators such as annual outpatient times, annual emergency times, average resident visit times, resident annual inpatients rates, annual inpatients admission count, annual inpatients discharge count, annual inpatients operation count, annual outpatient operation count, health physical examination times, average daily bed work day, bed use rate, bed turnover times, daily operation disease count, and the like.
According to the invention, various detection indexes in the medical improvement monitoring working scheme are decomposed and refined, namely, a plurality of topics such as a health level topic, a basic public health service capability topic, a traditional Chinese medicine development topic, a medical education cooperative deepening medical education topic, a health input topic, a cost control topic, a grading diagnosis and treatment topic and a utilization efficiency topic are decomposed and refined, and a plurality of indexes are decomposed and refined for each topic, so that an index supervision system meeting requirements of matching projects of medical institutions and Wei Jian commissions can be well constructed.
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, such as prompt of 'not reaching 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, carrying out standard prompt on the monitoring index, such as prompt of reaching the standard value.
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:
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 beneficial effects:
(1) The self-defined monitoring topics and the monitoring indexes corresponding to the monitoring topics are realized by providing the configurable index configuration interface, so that when the self-defined monitoring topics and the monitoring indexes corresponding to the monitoring topics are implemented, new monitoring topics and the monitoring indexes corresponding to the monitoring topics can be defined flexibly and timely and dynamically according to the promotion of medical modification policies and the adjustment of monitoring work, and the medical modification policies can be matched well; meanwhile, the monitoring index system of different medical institutions is customized by providing the institution configuration interface, so that the supervision requirement on the medical improvement progress of the area Wei Jian can be met and the supervision requirement on the medical improvement progress of different medical institutions can be met at the same time when the system is implemented;
(2) The method can automatically collect the original data of each monitoring index through a standardized data interface, so that the input workload of medical improvement progress 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 formulas of the monitoring indexes are customized by providing a configurable formula definition interface, so that the standard calculation formulas of the new monitoring indexes 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 the planning and the policy of the progress of medical improvement in the 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 (6)
1. A dynamic monitoring method for monitoring indexes of medical improvement progress of a hospital is characterized by comprising the following steps: the monitoring method comprises the following steps:
each detection index in the medical modification monitoring working scheme is refined and disassembled, each monitoring theme and the corresponding monitoring index of the monitoring theme are configured in the provided index configuration interface, and therefore a monitoring index system based on the monitoring theme is constructed; the monitoring theme at least comprises a health level theme, a basic public health service capability theme, a traditional Chinese medicine development theme, a medical teaching synergistic deepened medical education theme, a health investment theme, a cost control theme, a grading diagnosis and treatment theme and a utilization efficiency theme;
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 medical improvement progress supervision targets of each medical institution and the availability of information; 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;
according to the requirements of the medical modification monitoring working scheme, the configuration file reporting format specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting;
when monitoring, automatically acquiring original data from other systems through each standardized data interface; 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;
when the numerical value of each monitoring index in the monitoring index system is calculated, automatically generating an index report file according to a configured file report format and reporting the index report file;
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 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. The method for dynamically monitoring the progress monitoring index of medical improvement in a hospital according to claim 1, wherein the method comprises the following steps: 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.
3. The method for dynamically monitoring the progress monitoring index of medical improvement in a hospital according to claim 1, wherein the method comprises the following steps: 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.
4. A dynamic monitoring system for monitoring indexes of medical improvement progress of a hospital is characterized in that: the monitoring system comprises an index configuration module, an interface configuration module, a formula configuration module, a display configuration module, an early warning configuration module, an uploading format configuration module, a monitoring module, a file reporting module and a manual configuration monitoring module;
the index configuration module is used for refining and disassembling each detection index in the medical modification monitoring working scheme, and each monitoring theme and the corresponding monitoring index of the monitoring theme are configured in the provided index configuration interface so as to construct a monitoring index system based on the monitoring theme; the monitoring theme at least comprises a health level theme, a basic public health service capability theme, a traditional Chinese medicine development theme, a medical teaching synergistic deepened medical education theme, a health investment theme, a cost control theme, a grading diagnosis and treatment theme and a utilization efficiency theme;
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 medical improvement progress supervision targets of each medical institution and the availability of information 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 uploading format configuration module is used for configuring a file reporting format according to the requirements of the medical modification monitoring working scheme, and specifically comprises standard content, printing typesetting formats and corresponding data embodying modes of the configuration file reporting;
the monitoring module is used for automatically acquiring original data from other systems through each standardized data interface when monitoring; 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 file reporting module is used for automatically generating an index reporting file according to a configured file reporting format and reporting the index reporting file when calculating the numerical value of each monitoring index in the monitoring index system;
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 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.
5. The dynamic monitoring system for hospital medical improvement progress monitoring indicators according to claim 4, 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.
6. The dynamic monitoring system for hospital medical improvement progress monitoring indicators according to claim 4, 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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