CN111210112A - Hospital toll collector supervision method - Google Patents
Hospital toll collector supervision method Download PDFInfo
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- CN111210112A CN111210112A CN201911335983.3A CN201911335983A CN111210112A CN 111210112 A CN111210112 A CN 111210112A CN 201911335983 A CN201911335983 A CN 201911335983A CN 111210112 A CN111210112 A CN 111210112A
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- toll collector
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
- G06Q10/063—Operations research, analysis or management
- G06Q10/0639—Performance analysis of employees; Performance analysis of enterprise or organisation operations
- G06Q10/06398—Performance of employee with respect to a job function
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
Abstract
The invention provides a hospital toll collector supervision method in the field of hospital personnel supervision, which comprises the following steps: step S10, establishing a payment management platform of the toll collector; step S20, establishing an abnormal monitoring interface of the toll collector; step S30, creating a workload statistic module of the toll collector; step S40, establishing a continuity check interface of the outpatient service invoice and the hospitalization invoice serial number; step S50, creating an outpatient and hospitalized billing and checking interface; and step S60, monitoring the toll collector by using the payment management platform, the abnormity monitoring interface, the workload statistic module, the continuity check interface and the invoicing check interface. The invention has the advantages that: the behavior of a toll collector is standardized, the working efficiency and the service safety of a toll collection department are improved, and the fund is comprehensively supervised in real time, so that the development of a hospital is promoted.
Description
Technical Field
The invention relates to the field of hospital personnel supervision, in particular to a hospital toll collector supervision method.
Background
The development of hospitals nowadays focuses on how to improve the medical quality, and on the premise that the life is higher than all, people pursue medical quality too much, pursue new tips of medical technology at a time, and focus on the first-line work of clinic tightly, but neglect the coordinated development of auxiliary departments, so that the administrative work of the auxiliary departments becomes a short board restricting the development of hospitals, leading to the first-class medical science, and the current situation that the service public praise is three-class.
The charge supervision work of the hospital is also the same, the charge link is the first link for patients to see doctors, and the professional quality and the professional moral quality of charge personnel directly influence the credibility and service quality of the hospital. The low professional toll collector causes inconvenience in hospital toll management, property loss and financial supervision vulnerability caused by poor skills undoubtedly bring damage to the public image of the hospital, which is undoubtedly fatal to the development of the hospital. Therefore, on the premise of enhancing the professional quality of the toll collector, how to enhance the supervision of the hospital toll collector is urgent.
Aiming at the supervision of a toll collector, the self-discipline and the subsequent financial audit of the toll collector are traditionally adopted, and the financial audit only obtains the data of a bank system and a toll system through a single interface to carry out single account checking operation, so that the defects that the payment data of a third party is changed in real time and the transfer-in and transfer-out cannot be tracked in time exist, and effective supervision and informatization management are lacked; the single interface causes a certain problem of the return of the data of the toll collector among the systems, the interface cannot acquire the amount delivery data outside the bank system, and when the toll collector has a working error, the interface cannot give an early warning in time and return the data to the financial system of the hospital, so that the condition of charge increase or decrease occurs in the financial system of the hospital; in addition, the bank mostly adopts the mode of "T + 1" to the bill, and the business date detail of will posting is gathered and is sent to hospital's financial department and is checked the business date next day promptly, produces the unable real-time problem of confirming of fund that the patient paid or returned from this, if the business data trouble takes place, hospital's financial department can ' T in time carry out the correction to the account.
With the reform and improvement of the national medical insurance policy, the medical insurance guarantee range is wider and wider, the types are more and more, the reimbursement proportion is also greatly improved, on one hand, the development of the national medical health care business is stimulated, simultaneously, the rapidly increased business volume of a hospital is caused, the difficulty of charge bill management and fund management is increased, the workload of fund audit and charge bill verification is increased, the number of auditors is small, and various problems are easily caused in the working process.
Therefore, how to provide a hospital toll collector supervision method, which realizes the standard of toll collector behaviors, improves the working efficiency and the service safety of toll departments, carries out comprehensive real-time supervision on funds, further promotes the development of hospitals, and becomes a problem to be solved urgently.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a hospital toll collector supervision method, which realizes the standard of toll collector behaviors, improves the working efficiency and the service safety of a toll collection place, carries out comprehensive real-time supervision on funds and further promotes the development of hospitals.
The invention is realized by the following steps: a hospital toll collector supervision method comprises the following steps:
step S10, establishing a payment management platform of the toll collector;
step S20, establishing an abnormal monitoring interface of the toll collector;
step S30, creating a workload statistic module of the toll collector;
step S40, establishing a continuity check interface of the outpatient service invoice and the hospitalization invoice serial number;
step S50, creating an outpatient and hospitalized billing and checking interface;
and step S60, monitoring the toll collector by using the payment management platform, the abnormity monitoring interface, the workload statistic module, the continuity check interface and the invoicing check interface.
Further, the step S10 is specifically:
and a payment management platform connected with the prepayment system and the financial system is established in the hospital information system and used for counting the amount to be paid and the amount actually paid of each toll collector, and monitoring and counting the amount of the received and refunded money and the information of the received and refunded balance of the toll collector in real time.
Further, the step S20 is specifically:
and establishing an abnormal monitoring interface on the payment management platform, and acquiring the deposit and refund record of the pre-paid money of the financial institution, the software record of the recharging platform, the record of the pre-paid money and the refund of the hospital information system, and performing statistics to generate a chart.
Further, the step S30 is specifically:
and a workload counting module is established on the payment management platform and used for accessing an account checking system to acquire the pre-paid deposit and refund records of each financial institution, acquiring the number of payment and refund strokes of the toll collector corresponding to different project types, acquiring the number of people who get into the hospital from a hospital information system, and counting and monitoring the workload of the toll collector based on a preset threshold value.
Further, the step S40 is specifically:
and establishing a continuity check interface of the serial numbers of the outpatient services and the hospitalization invoices in the hospital information system, calling the outpatient services and the serial numbers of the hospitalization invoices of the toll collector from the financial system, and checking the continuity of the serial numbers of the outpatient services and the hospitalization invoices.
Further, the step S50 is specifically:
an outpatient service and inpatient billing and checking interface is established in a hospital information system and used for calling the outpatient service and inpatient charging information of a toll collector within a set time from a financial system and dividing the charging information into self-payment and medical insurance.
The invention has the advantages that:
through establishing payment management platform, unusual monitor interface, work load statistics module, continuity check-up interface and check-up interface of making out an invoice, can carry out many units, real-time, comprehensive account checking operation, carry out omnidirectional supervision to the toll collector's work, the action of toll collector has been standardized, and hospital information system has connected advance money system, financial system, realize data sharing, the work efficiency and the operational safety of charge department have been improved, owing to carry out comprehensive real-time supervision to the fund, the loss that has avoided the supervision not in place and causes, very big promotion the development of hospital.
Drawings
The invention will be further described with reference to the following examples with reference to the accompanying drawings.
Fig. 1 is a flow chart of a hospital toll collector supervision method of the present invention.
Detailed Description
The technical scheme in the embodiment of the application has the following general idea:
the prepayment money is divided into management aiming at the toll collector and the invoice, so that classified monitoring is realized; through the payment management, abnormal monitoring and workload statistics of the toll collector, the continuity of serial numbers of outpatients and in-patient invoices and the number of invoices are dynamically supervised, the truth, the effectiveness and the omission of data are ensured, and the barrier-free supervision of the working process of the toll collector is realized.
Referring to fig. 1, a preferred embodiment of a hospital toll collector monitoring method according to the present invention includes the following steps:
step S10, establishing a payment management platform of the toll collector;
step S20, establishing an abnormal monitoring interface of the toll collector;
step S30, creating a workload statistic module of the toll collector;
step S40, establishing a continuity check interface of the outpatient service invoice and the hospitalization invoice serial number;
step S50, creating an outpatient and hospitalized billing and checking interface;
and step S60, monitoring the toll collector by using the payment management platform, the abnormity monitoring interface, the workload statistic module, the continuity check interface and the invoicing check interface.
The step S10 specifically includes:
and a payment management platform connected with the prepayment system and the financial system is established in the hospital information system and used for counting the amount to be paid and the amount actually paid of each toll collector, and monitoring and counting the amount of the received and refunded money and the information of the received and refunded balance of the toll collector in real time. And the information inquiry and comparison are carried out for the time period selected by searching and a specific toll collector.
The step S20 specifically includes:
and establishing an abnormal monitoring interface on the payment management platform, and acquiring the deposit and refund record of the pre-paid money of the financial institution, the software record of the recharging platform, the record of the pre-paid money and the refund of the hospital information system, and performing statistics to generate a chart.
Triggering early warning and sending data to an administrator if various data in each report period and current data are greatly changed; and the abnormity monitoring interface extracts the data of the amount to be paid from the pre-payment system, each piece of the data to be paid is transversely compared with the actual amount to be paid by the toll collector, and if the data are inconsistent or reach a preset deviation value, an early warning is triggered and the data are sent to a data manager. The balance information of the refunds and receipts of each item type of a specific toll collector can be displayed through the abnormal monitoring interface; the method supports clicking a specific toll collector and checking the refund amount data of the specific toll collector; the click item type is supported to check the corresponding receiving and returning total amount; supporting chart display data including proportion graphs, trend graphs and the like, and managing the payment condition of the toll collector more objectively and clearly; the monthly payment list of the toll collector is supported to be counted, monthly audit settlement of the payment amount of the toll collector is carried out, and the fund safety is enhanced.
The step S30 specifically includes:
and a workload counting module is established on the payment management platform and used for accessing an account checking system to acquire the pre-paid deposit and refund records of each financial institution, acquiring the number of payment and refund strokes of the toll collector corresponding to different project types, acquiring the number of people who get into the hospital from a hospital information system, and counting and monitoring the workload of the toll collector based on a preset threshold value. The method comprises the steps of supporting input of specific search time, displaying data of a last week by default and generating a workload statistical chart; the workload supports the statistics of data such as the types of charging items, the number of refunds and receipts, the number of people coming in and going out of a hospital and the like; and if the two data in the statistical data reach the preset deviation value, triggering early warning and sending the early warning to an administrator.
The step S40 specifically includes:
the method comprises the steps of establishing a continuity check interface of the serial numbers of the outpatients and the hospitalization invoices in a hospital information system, calling the outpatients and the serial numbers of the hospitalization invoices of the toll collector from a financial system, checking the continuity of the serial numbers of the outpatients and the hospitalization invoices, and triggering early warning and sending to a manager if the continuity is not continuous. The system supports the calling of the billing serial number information of all outpatients and hospitalizations of specific toll collectors within the search time from the financial system, and supports the display of data information such as collection, refund, balance, total number of strokes, invoice intervals, pre-payment serial number intervals and the like.
The step S50 specifically includes:
an outpatient service and inpatient billing and checking interface is established in a hospital information system and used for calling the outpatient service and inpatient charging information of a toll collector within a set time from a financial system, and automatically generating a list after dividing the charging information into self-fee and medical insurance. Support to send the toll collector information with larger deviation value from other toll collectors to the administrator for rechecking.
The application scenario of the invention is as follows:
paying management by a toll collector: according to the statistical time, the hospital information system synchronizes the charging conditions of the toll collectors, the administrator records the payment condition of each toll collector according to the actual condition and generates a report, and all the charging details of the toll collector in the statistical time are checked through the detail function.
Abnormal monitoring of the toll collector: and checking the fee amount of the toll collector and monitoring the fee amount of the toll collector and the fee balance information according to the statistical time, and displaying the fee amount of the toll collector and the fee balance information of each item type. And generating a trend chart according to the collection, refund, balance and third party proportion of the toll collector, and achieving the purpose of monitoring the abnormity of the toll collector through fluctuation of the trend chart.
And (3) carrying out toll collector workload statistics: the system counts the workload of the toll collector according to the statistical interval, displays the number of the refund payment pens and the number of the people going in and out of the hospital corresponding to different project types of the toll collector, and defaults to display the data of the last week, namely, the previous day goes back for 7 days. And if the two data in the statistical data reach the preset deviation value, triggering early warning and sending the early warning to an administrator.
Checking the continuity of the flow number of the outpatient service invoice: according to the financial safety requirement of the hospital, the actual payment amount and the payment amount to be paid by the outpatient toll collector are monitored, and whether the outpatient invoice number pre-paid serial number is continuous or not is verified. And if the invoice flow number is not continuous, triggering early warning and sending the early warning to a manager.
Checking the serial number continuity of the hospitalization invoice: according to the financial safety requirement of the hospital, the actual payment amount and the payment amount to be paid of the in-hospital toll collector are monitored, and whether the in-hospital invoice number pre-payment serial number is continuous or not is verified. And if the invoice flow number is not continuous, triggering early warning and sending the early warning to a manager.
Checking out the outpatient service by invoicing: and according to the statistical time, checking the self-fee and medical insurance toll collector number of the check out clinic toll collector and the proportion of the number of the check out clinic toll collector to the total number of the check out clinic toll collector to form a chart, comparing the data in the past optional time period, and uploading the data to a manager if the deviation value reaches a preset value.
Checking the admission of hospitalization: and according to the statistical time, checking and verifying the self-fee of the hospital toll collector, the number of medical insurance toll charges and the proportion of the number of the medical insurance toll charges to the total number of the hospital toll collector to form a chart, comparing the data in the past optional time period, and uploading the data to a manager if the deviation value reaches a preset value.
In summary, the invention has the advantages that:
through establishing payment management platform, unusual monitor interface, work load statistics module, continuity check-up interface and check-up interface of making out an invoice, can carry out many units, real-time, comprehensive account checking operation, carry out omnidirectional supervision to the toll collector's work, the action of toll collector has been standardized, and hospital information system has connected advance money system, financial system, realize data sharing, the work efficiency and the operational safety of charge department have been improved, owing to carry out comprehensive real-time supervision to the fund, the loss that has avoided the supervision not in place and causes, very big promotion the development of hospital.
Although specific embodiments of the invention have been described above, it will be understood by those skilled in the art that the specific embodiments described are illustrative only and are not limiting upon the scope of the invention, and that equivalent modifications and variations can be made by those skilled in the art without departing from the spirit of the invention, which is to be limited only by the appended claims.
Claims (6)
1. A hospital toll collector supervision method is characterized by comprising the following steps: the method comprises the following steps:
step S10, establishing a payment management platform of the toll collector;
step S20, establishing an abnormal monitoring interface of the toll collector;
step S30, creating a workload statistic module of the toll collector;
step S40, establishing a continuity check interface of the outpatient service invoice and the hospitalization invoice serial number;
step S50, creating an outpatient and hospitalized billing and checking interface;
and step S60, monitoring the toll collector by using the payment management platform, the abnormity monitoring interface, the workload statistic module, the continuity check interface and the invoicing check interface.
2. The hospital toll collector supervision method of claim 1 in which: the step S10 specifically includes:
and a payment management platform connected with the prepayment system and the financial system is established in the hospital information system and used for counting the amount to be paid and the amount actually paid of each toll collector, and monitoring and counting the amount of the received and refunded money and the information of the received and refunded balance of the toll collector in real time.
3. The hospital toll collector supervision method of claim 1 in which: the step S20 specifically includes:
and establishing an abnormal monitoring interface on the payment management platform, and acquiring the deposit and refund record of the pre-paid money of the financial institution, the software record of the recharging platform, the record of the pre-paid money and the refund of the hospital information system, and performing statistics to generate a chart.
4. The hospital toll collector supervision method of claim 1 in which: the step S30 specifically includes:
and a workload counting module is established on the payment management platform and used for accessing an account checking system to acquire the pre-paid deposit and refund records of each financial institution, acquiring the number of payment and refund strokes of the toll collector corresponding to different project types, acquiring the number of people who get into the hospital from a hospital information system, and counting and monitoring the workload of the toll collector based on a preset threshold value.
5. The hospital toll collector supervision method of claim 1 in which: the step S40 specifically includes:
and establishing a continuity check interface of the serial numbers of the outpatient services and the hospitalization invoices in the hospital information system, calling the outpatient services and the serial numbers of the hospitalization invoices of the toll collector from the financial system, and checking the continuity of the serial numbers of the outpatient services and the hospitalization invoices.
6. The hospital toll collector supervision method of claim 1 in which: the step S50 specifically includes:
an outpatient service and inpatient billing and checking interface is established in a hospital information system and used for calling the outpatient service and inpatient charging information of a toll collector within a set time from a financial system and dividing the charging information into self-payment and medical insurance.
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CN111882311A (en) * | 2020-06-12 | 2020-11-03 | 福建亿能达信息技术股份有限公司 | Hospital charge supervision system, equipment and medium |
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CN111882311A (en) * | 2020-06-12 | 2020-11-03 | 福建亿能达信息技术股份有限公司 | Hospital charge supervision system, equipment and medium |
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