CN111242466A - Hospital performance management system and method based on payment according to disease types and disease component values - Google Patents
Hospital performance management system and method based on payment according to disease types and disease component values Download PDFInfo
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Abstract
The invention discloses a hospital performance management system and a method based on paying according to disease types and disease component values, wherein the system comprises a strategic guidance issuing system, a performance assessment and evaluation system, a performance result accounting system and a special operation management system; the invention takes the content information issued by the strategic guidance issuing system as the performance evaluation benchmark, and realizes the comprehensive evaluation of the medical staff through the performance evaluation and evaluation system, thereby obtaining more scientific and reasonable performance evaluation, fully guiding the overall development of departments, effectively integrating hospital resources, adjusting the medical expense structure and realizing the fine management of each department of the hospital.
Description
Technical Field
The invention relates to a hospital performance management system, in particular to a hospital performance management system and method based on paying according to disease types and disease component values.
Background
The medical insurance payment mode is improved from the payment per item to the total amount prepayment, and medical institutions are required to pay high attention to medical expense control. Therefore, how the medical institution stimulates doctors to pay attention to value medical treatment, provides proper technology and proper amount of service, ensures quality, improves hospital operation efficiency around improvement of patient diseases and sustainability of health state, and is the key point of hospital management; at present, the research in the aspect of domestic hospital performance management is mostly based on a workload method or economic index assessment as a basis for performance assessment, for example, a hospital performance management system adopting the workload method adopts RBRVS and other workload assessment methods to examine and measure the workload of medical staff, can objectively assess the workload of the medical staff, reflects much labor and is still a certain disadvantage, and because a piece counting mode is adopted to account the workload, the encouragement is more, so that the method is not suitable for a total pre-paid medical insurance payment mode, and is not beneficial to the active control expense of the medical staff; the economic index examination adopts a compensation distribution method for extracting bonus money according to the percentage of medical balance, namely the balance accounting coefficient is used as the bonus money extracting base number. Its management is oriented to increase business revenue and control costs, with emphasis on economic management only. With the gradual deepening of medical improvement policies in China, the level of measuring departments by only economic indexes does not meet the requirements of the country on third-level public hospitals, and is not favorable for guiding medical staff to implement value medical treatment; therefore, there is a need to develop and design a more scientific and reasonable hospital performance management system.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention provides a hospital performance management system and method based on paying according to disease types and disease component values.
The technical scheme adopted by the invention for solving the technical problems is as follows:
a hospital performance management system based on pay by disease category and disease component value comprising:
and the strategy guidance issuing system is used for updating and issuing medical improvement policy requirements of the country, the province and the city and strategy guidance provided by a hospital manager in real time.
And the performance assessment and evaluation system takes the release content of the strategic guidance release system as a benchmark to assess the medical staff in each department.
And the performance result accounting system is used for calculating and counting the performance evaluation scores of the medical staff in each department based on the evaluation results of the performance evaluation and assessment system.
And the special operation management system is used for analyzing the performance evaluation achievement condition of the medical staff in each department, communicating and investigating the medical staff in each department and feeding the investigation result back to the hospital manager.
Further, the performance assessment and evaluation system comprises a comprehensive assessment module and a special assessment module, wherein the special assessment module is used for assessing special indexes of medical staff in different departments, and the comprehensive assessment module comprises:
and the subject construction submodule is used for checking the subject construction condition of the medical staff.
And the medical quality safety management submodule is used for checking the medical quality condition of the medical staff when the medical staff treats the patient.
And the working efficiency submodule is used for checking the working efficiency condition of the medical staff when the medical staff treats the patient.
And the economic operation submodule is used for examining the medical economic operation condition of the medical staff when the medical staff treats the patient.
And the patient satisfaction feedback submodule is used for checking the satisfaction condition of the patient on the medical service of the medical staff.
Further, the performance appraisal score is positively correlated with the promotion of salary and job title of the medical staff.
Further, a hospital performance management method based on pay by disease type and disease component value is provided, which comprises the following steps:
and step S1, the hospital manager publishes medical improvement policy requirements of the state, province and city through a strategy guidance publishing system, and formulates the strategy guidance of the hospital according to the self condition of the hospital.
And step S2, performing comprehensive assessment and special index assessment on the medical level of medical staff in departments such as clinical departments, medical technical departments, medical and auxiliary departments and the like through the performance assessment and assessment system.
And step S3, performing performance evaluation accounting on the evaluation result of the medical staff in the performance evaluation and evaluation system through the performance result accounting system, and taking the counted result as the evaluation basis of salary increase and decrease and job title promotion of the medical staff.
And step S4, analyzing the performance evaluation condition of the medical staff in each department through the special operation management system, communicating and investigating with the medical staff in each department, and feeding investigation results back to the department and the hospital manager.
And step S5, the hospital manager further optimizes the strategic guidance of the hospital according to the survey result fed back by the special operation management system.
The invention has the beneficial effects that: the invention takes the content information issued by the strategic guidance issuing system as the performance evaluation benchmark, and realizes the comprehensive evaluation of the medical staff through the performance evaluation and evaluation system, thereby obtaining more scientific and reasonable performance evaluation, fully guiding the overall development of departments, effectively integrating hospital resources, adjusting the medical expense structure and realizing the fine management of each department of the hospital.
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The invention is further illustrated with reference to the following figures and examples.
FIG. 1 is a block diagram of the present invention;
fig. 2 is a flow chart of the present invention.
Detailed Description
Referring to fig. 1 and 2, a hospital performance management system based on pay by disease type and disease component value includes:
and the strategy guidance publishing system 1 is used for updating and publishing medical improvement policy requirements of the country, the province and the city and strategy guidance proposed by a hospital administrator in real time.
The performance appraisal and evaluation system 2 takes the release content of the strategic guidance release system 1 as a benchmark, the medical staff in each department is assessed, and further, in the embodiment, the performance assessment and evaluation system 2 comprises a comprehensive assessment module 21 and a special assessment module 22, the special assessment module 22 is used for performing special index assessment on medical staff in different departments, for example, the medical staff in different departments can be specially examined for medicines and sanitary materials, or the medical staff can be specially examined for critical patient treatment, difficult disease diagnosis and treatment, etc., in this embodiment, the special assessment module 22 further introduces DRGs (Diagnosis Related Groups) evaluation, which can make up for the current situation that the hospital pays for a single disease type and cannot objectively represent the labor of medical staff for the treatment of serious illness, and is beneficial to promoting the enthusiasm of medical staff for the treatment of serious illness.
The comprehensive assessment module comprises:
the subject construction submodule 211 is used for checking the subject construction condition of medical staff; in this embodiment, recording the subject construction condition of the medical staff refers to the authentication and evaluation of the medical staff by an authority such as a related professional committee;
the medical quality safety management submodule 212 is used for examining the medical quality condition of medical staff when the medical staff treats a patient; specifically, in the present embodiment, the medical quality of the medical staff can be reflected by recording the usage amount of antibiotics by the medical staff, the number of times of the unplanned secondary operations, and the like;
the working efficiency submodule 213 is used for examining the working efficiency condition of the medical staff when treating the patient; in the embodiment, the working efficiency condition of the medical staff can be known by observing the time from hospitalization to discharge of the patient after the patient is ill;
the economic operation sub-module 214 is used for examining the medical economic operation condition of the medical staff when the medical staff treats the patient; specifically, in the embodiment, a traditional pay-per-item mode is replaced by a pay-per-disease-category and disease-component-value mode, a medical institution is required to pay high attention to medical expense control, when a patient is treated at present, the budgeted total expense of the patient to be treated is obtained by analyzing the disease category, and under the premise, medical staff more reasonably control the expenditure conditions of medicines, sanitary materials and the like, and the medical cost economic condition of the medical staff is reflected by checking the income and expenditure condition of the medical staff when the medical staff is used for treating the patient;
a patient satisfaction feedback sub-module 215 for assessing the satisfaction of the patient with the medical services of the medical staff; in this embodiment, after the patient receives a diagnosis, the hospital can know the satisfaction degree of the patient for the medical service of the medical staff by means of telephone consultation of a third-party company or by providing a two-dimensional code scanning log-in for questionnaire survey and the like.
The performance result accounting system 3 calculates and counts performance appraisal scores of medical staff in each department based on the appraisal results of the performance appraisal and evaluation system 2, and further, the performance appraisal scores are positively correlated with salary and contribution promotion of the medical staff, specifically, in the embodiment, the appraisal results of the special appraisal module 22 are directly correlated with the salary and contribution promotion, and for the appraisal results of the comprehensive appraisal module 21, the subject construction submodule 211, the medical quality safety management submodule 212, the work efficiency submodule 213, the economic operation submodule 214 and the patient satisfaction feedback submodule 215 in the comprehensive appraisal module 21 are firstly divided according to a certain weight, the weight occupied by each submodule is divided based on the content issued by the strategic guidance issuing system 1, for example, the main policy in the content issued by the strategic guidance issuing system 1 is to improve the work efficiency of the medical staff, the work efficiency sub-module 213 will take a higher weight, in this embodiment, the scores of the medical staff in each sub-module are evaluated first, and each score is multiplied by the corresponding weight to obtain the final scores of the medical staff in each sub-module, and the final scores are added to obtain a total score, which is the evaluation result of the comprehensive evaluation module 21, and the total score is linked with salary and job title promotion; the examination result of the performance examination and evaluation system 2 is hooked with promotion of salary and job title, so that medical staff can be promoted to improve medical quality technology and subject development, the working efficiency is improved, the medical staff can control medical expenses more reasonably, medical insurance funds can be saved, and optimal medical service is provided for patients under the condition of controlling expenses, so that the brand effect of hospitals is improved, and the sustainable development of medical institutions is realized.
In this embodiment, the system further comprises a special operation management system 4, wherein the special operation management system 4 is used for analyzing performance evaluation scores of each department, communicating and investigating with medical staff in each department, and feeding investigation results back to a department and a hospital manager; in this embodiment, the professional operation management system 4 is used to communicate medical staff, a department and a hospital manager, so that on one hand, the strategic guidance provided by the hospital manager can be implemented more quickly, and on the other hand, the hospital manager can clearly understand the assessment conditions of all aspects of clinical specials, thereby optimizing and improving the strategic guidance provided by the hospital manager, and dynamically adjusting the whole performance system, so as to better manage the hospital.
In the embodiment, a hospital performance management method based on payment according to disease types and disease component values is provided, which comprises the following steps:
step S1, the hospital manager publishes medical improvement policy requirements of the state, province and city through the strategy guidance publishing system 1, and formulates the strategy guidance of the hospital according to the self condition of the hospital.
And step S2, performing comprehensive assessment and special index assessment of medical level on medical staff in departments such as clinical departments, medical technical departments, medical and auxiliary departments and the like through the performance assessment and assessment system 2.
And step S3, the performance evaluation and accounting is carried out on the evaluation results of the medical staff in the performance evaluation and evaluation system 2 through the performance result accounting system 3, and the counted results are used as evaluation basis of salary increase and decrease and job title promotion of the medical staff.
And step S4, analyzing the performance evaluation condition of the medical staff in each department through the special management system 4, communicating and investigating with the medical staff in each department, and feeding investigation results back to the department and hospital managers.
And step S5, the hospital manager further optimizes the strategic guidance of the hospital according to the survey result fed back by the special operation management system 4.
The invention takes the content information issued by the strategic guidance issuing system as the performance evaluation benchmark, and realizes the comprehensive evaluation of the medical staff through the performance evaluation and evaluation system, thereby obtaining more scientific and reasonable performance evaluation, fully guiding the overall development of departments, effectively integrating hospital resources, adjusting the medical expense structure and realizing the fine management of each department of the hospital.
Claims (4)
1. A hospital performance management system based on payment by disease category and disease component value, comprising:
the strategic guidance issuing system (1) is used for updating and issuing medical improvement policy requirements of the country, the province and the city and strategic guidance proposed by a hospital administrator in real time;
the performance assessment and evaluation system (2) takes the release content of the strategic guidance release system (1) as a benchmark to assess the medical staff in each department;
the performance result accounting system (3) is used for calculating and counting the performance evaluation scores of the medical staff in each department based on the evaluation results of the performance evaluation and evaluation system (2);
and the special operation management system (4) is used for analyzing the performance evaluation achievement condition of the medical staff in each department, communicating and investigating the medical staff in each department and feeding the investigation result back to the hospital manager.
2. The hospital performance management system based on pay-per-disease and disease-component values according to claim 1, wherein the performance assessment and evaluation system (2) comprises a comprehensive assessment module (21) and a special assessment module (22), the special assessment module (22) is used for performing special indicator assessment on medical staff in different departments, and the comprehensive assessment module (21) comprises:
the subject construction submodule (211) is used for checking the subject construction condition of medical staff;
the medical quality safety management submodule (212) is used for examining the medical quality condition of the medical staff when the medical staff treats the patient;
the working efficiency submodule (213) is used for examining the working efficiency condition of the medical staff when treating the patient;
the economic operation submodule (214) is used for checking the medical economic operation condition of the medical staff when the medical staff treats the patient;
and the patient satisfaction feedback sub-module (215) is used for checking the satisfaction condition of the patient to the medical service of the medical staff.
3. The hospital performance management system based on pay-per-disease-category and disease-component-value basis of claim 1, wherein the performance appraisal achievement is positively correlated with the promotion of compensation and job title of medical staff.
4. A hospital performance management method based on payment according to disease types and disease component values is characterized by comprising the following steps:
step S1, the hospital manager publishes medical improvement policy requirements of the country, province and city through the strategy guidance publishing system (1), and formulates the strategy guidance of the hospital according to the self condition of the hospital;
s2, performing comprehensive assessment and special index assessment of medical level on medical staff in departments such as clinical departments, medical technical departments, medical and auxiliary departments and the like through the performance assessment and assessment system (2);
step S3, the performance evaluation and accounting of the appraisal results of the medical staff in the performance appraisal and evaluation system (2) is carried out through the performance result accounting system (3), and the scores obtained through the evaluation and accounting are used as the evaluation basis of the increase and decrease of salary and the promotion of job title of the medical staff;
step S4, analyzing the performance evaluation condition of the medical staff in each department through the special operation management system (4), communicating and investigating with the medical staff in each department, and feeding investigation results back to the department and hospital managers;
and step S5, the hospital manager further optimizes the strategic guidance of the hospital according to the survey result fed back by the special operation management system (4).
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111816288A (en) * | 2020-07-22 | 2020-10-23 | 望海康信(北京)科技股份公司 | Hospital operation system |
| CN112786196A (en) * | 2021-02-02 | 2021-05-11 | 吕丽 | Intelligent nursing interaction system based on big data medical management |
| CN112907137A (en) * | 2021-03-26 | 2021-06-04 | 平安科技（深圳）有限公司 | Medical insurance policy evaluation method and device and computer equipment |
| CN114464301A (en) * | 2021-12-24 | 2022-05-10 | 武汉金豆医疗数据科技有限公司 | Abnormal case point settlement management system |
| CN115081668A (en) * | 2021-12-29 | 2022-09-20 | 南方医科大学深圳医院 | Disease category score prediction system and method based on disease diagnosis |
-
2020
- 2020-01-08 CN CN202010018685.8A patent/CN111242466A/en active Pending
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111816288A (en) * | 2020-07-22 | 2020-10-23 | 望海康信(北京)科技股份公司 | Hospital operation system |
| CN111816288B (en) * | 2020-07-22 | 2023-10-13 | 望海康信(北京)科技股份公司 | Hospital operation system |
| CN112786196A (en) * | 2021-02-02 | 2021-05-11 | 吕丽 | Intelligent nursing interaction system based on big data medical management |
| CN112907137A (en) * | 2021-03-26 | 2021-06-04 | 平安科技（深圳）有限公司 | Medical insurance policy evaluation method and device and computer equipment |
| CN114464301A (en) * | 2021-12-24 | 2022-05-10 | 武汉金豆医疗数据科技有限公司 | Abnormal case point settlement management system |
| CN114464301B (en) * | 2021-12-24 | 2023-03-24 | 武汉金豆医疗数据科技有限公司 | Abnormal case point settlement management system |
| CN115081668A (en) * | 2021-12-29 | 2022-09-20 | 南方医科大学深圳医院 | Disease category score prediction system and method based on disease diagnosis |
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Application publication date: 20200605 |