CN111785357A - Method for automatically accounting hospital performance compensation based on configuration - Google Patents

Method for automatically accounting hospital performance compensation based on configuration Download PDF

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CN111785357A
CN111785357A CN202010616621.8A CN202010616621A CN111785357A CN 111785357 A CN111785357 A CN 111785357A CN 202010616621 A CN202010616621 A CN 202010616621A CN 111785357 A CN111785357 A CN 111785357A
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陶真
梁波
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Zhejiang Tianda Intelligent Technology Co ltd
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Abstract

The invention discloses a method for automatically accounting hospital performance compensation based on configuration. The method specifically comprises the following steps: calculating the performance of the departments of the hospital by the department performance accounting; the personnel performance accounting is used for realizing the performance accounting of the personnel in the department; the data statistics is used for realizing the fine management of the hospital; the account security is bound by combining personal WeChat, and the user can log in only by scanning a code with WeChat, so that the risk of hospital data leakage caused by the fact that the user accidentally leaks a user name and a password is avoided; the DRG performance accounting is used for accounting the scores of all departments of the hospital, and the department performance bonus is accounted according to the scores. The invention has the beneficial effects that: the method has the advantages of improving the accounting efficiency, stimulating medical workers, improving the capacity of fine management of hospitals, providing powerful guarantee for improving the quality of public health services, and saving time, energy and cost.

Description

Method for automatically accounting hospital performance compensation based on configuration
Technical Field
The invention relates to the technical field of Internet correlation, in particular to a method for automatically accounting hospital performance compensation based on configuration.
Background
According to the comprehensive hospital reform goal of improving medical technology service level, improving public satisfaction and improving enthusiasm of medical staff, a complete performance assessment mechanism is further developed, income distribution is normalized, the post property and workload, service quality, behavior specification, technical capability, medical procedure and patient satisfaction of the medical staff are comprehensively assessed, distribution gaps are reasonably opened, the staff with prominent contribution and the like lean to the first line of clinic, key posts, business backbones and the like, much labor is really achieved, excellent performance and good return are achieved, diagnosis and treatment capability and treatment efficiency of the hospital are improved, and diagnosis and treatment safety is guaranteed. The existing system can not effectively assess departments and individuals aiming at hospitals and can not achieve the aim of exciting employees.
Disclosure of Invention
The invention provides a method for automatically accounting hospital performance compensation based on configuration, which well stimulates medical workers to overcome the defects in the prior art.
In order to achieve the purpose, the invention adopts the following technical scheme:
a method for automatically accounting hospital performance compensation based on configuration takes Java as a development language, SpringBoot as a development frame, a MySQL database as a data storage management system, information transmission is carried out through HTTPS, and information display is carried out through a browser, and specifically comprises the following steps:
(1) and (3) performing accounting on department performance: calculating the performance of the departments of the hospital by setting the departments, a comprehensive scoring scheme, a workload accounting scheme, performance configuration of the departments, comprehensive scoring of the departments and uploading and accounting of 6 parts of the department income and expenditure;
(2) and (4) performing accounting on personnel performance: the performance accounting of the personnel in the department is realized by 5 parts of a piece-counting submission scheme, a proportion submission scheme, post salary setting, personnel basic information, uploading and accounting personnel performance;
(3) and (3) data statistics: the refined management of the hospital is realized through 4 parts of total performance statistics of the whole hospital, department performance statistics, department profit statistics and department individual performance statistics;
(4) and (3) account security: the user can log in only by scanning the code with the WeChat in combination with personal WeChat binding, so that the risk of leakage of hospital data caused by the fact that the user accidentally leaks the user name and the password is avoided;
(5) DRG performance accounting: the scores of all departments of the hospital are checked through 7 parts of admission rate score of the hospital records home page, CMI score, expense consumption index score, time consumption index score, low-risk group mortality score, middle-low risk group mortality score and key subject area ranking score, and the performance bonus of the departments is checked according to the scores.
The method is combined with the application of the network technology, the application can be deployed in a hospital, one application can be deployed in a few minutes generally, the application can also be deployed on a public cloud, and an account can be opened in a few seconds generally. The method mainly has the functions of department comprehensive scoring, department workload accounting, personnel piece-counting and proportion accounting, personnel post salary setting, personnel performance accounting, data statistics and the like, provides a convenient calculating tool for the performance salary accounting of the hospital by setting up a department, personnel and performance accounting scheme, improves the efficiency of the accounting of the department and the personnel performance of financial personnel in the hospital, can well stimulate medical workers, improves the capacity of fine hospital management, and provides powerful guarantee for improving the quality of public health service. The performance accounting tool of departments and personnel of the hospital is established by adopting the Springboot technology and the MySQL database technology, and support is provided for the financial personnel of the hospital to perform the performance accounting of the departments and the personnel, so that the fine management level of the daily business of the hospital can be improved, the medical workers are effectively and timely stimulated, and the time, the energy and the cost are saved.
Preferably, the step (1) specifically includes the following steps:
(11) the department setting is used for adding or deleting departments of the hospital, and analyzing a department name list and storing the department name list into a MySQL database;
(12) setting different comprehensive scoring schemes aiming at different departments by the comprehensive scoring scheme, wherein the comprehensive scoring scheme of each department comprises scores of a plurality of sub-items, and storing the set comprehensive scoring scheme into a MySQL database;
(13) setting items for accounting in the workload accounting scheme, setting a balance type for each item, allocating accounting items according to a certain proportion, configuring various balances of departments of a hospital to meet the accounting of the department workload, and storing the set workload accounting scheme in a MySQL database;
(14) department performance configuration sets different comprehensive scoring schemes, workload accounting schemes and department balance extraction proportions for each department, and stores the set department performance configuration in a MySQL database;
(15) comprehensive scoring of departments: acquiring a comprehensive scoring scheme of each department according to department performance configuration, acquiring a specific scoring sub-item of each comprehensive scoring scheme according to the comprehensive scoring scheme, generating a specific scoring item for each department according to the data, generating an Excel acceptance and expenditure form, filling detailed scores of each department into the form after a user downloads the Excel form, uploading the detailed scores to a system, and storing the scores of each department by the system to prepare for performance accounting of subsequent departments;
(16) uploading and accounting department income and expenditure: uploading Excel collection and payment tables of a plurality of hospitals, wherein the Excel collection and payment tables comprise collection and payment fees of each department, the system sets up items for accounting according to department performance configuration and workload accounting schemes, the system extracts the collection and payment fees of each department and extracts specific expense items of each expense from the Excel collection and payment tables, and the system accounts the collection and payment tables of the departments
Preferably, in step (16), a calculation formula of income minus expenditure is adopted for each department, the balance cost a of each department is calculated, the equal division ratio R of the departments is calculated according to the department comprehensive score, the balance of the departments is C = A R, finally, the proportion T is extracted according to the departments in the department performance configuration, and finally, the performance bonus of the departments is calculated to be D = C T.
Preferably, the step (2) specifically includes the following steps:
(21) counting and extracting a scheme: setting a work amount of the medical workers, and carrying out a work amount lifting scheme according to the times;
(22) the proportion is extracted as the scheme: the daily work of a hospital is extracted according to the proportion, the daily work is extracted according to different proportions to meet different distribution proportions of different daily works, and a plurality of proportion extraction schemes of the daily work are set;
(23) setting post salary: setting the positions of the employees in the hospital, wherein each position can be provided with a department bonus coefficient, a fixed salary amount, a fixed allowance amount and any other fixed welfare amount, and providing salary accounting support for doctors in different levels of the hospital;
(24) basic information of personnel: importing the personnel information of all medical workers in the hospital, setting post salaries of each worker, setting departments where the workers are located, and preparing for performance accounting of the workers;
(25) uploading and accounting personnel performance: and uploading the specific workload of the medical workers, wherein the specific workload of the medical workers comprises a plurality of Excel tables, and the Excel tables record the specific workload of the medical workers in the whole hospital and account for the performance of the workers according to the piece counting and drawing scheme, the proportion drawing scheme, the post salary setting and the basic information of the workers.
Preferably, in step (25), the system extracts the workload of each person counting piece from the Excel table, multiplies the amount of each person counting piece by the amount of each single piece, and calculates the bonus A of the person counting piece; the system extracts the proportional lifting workload from the Excel table, and calculates the bonus B of each person according to different lifting proportions; the system knows the post of each person and the salary of each post, and calculates the post salary C of each person; in the department performance accounting in the step (1), the performance bonus Q of each department is known, the system knows the department bonus coefficient L of each employee post according to the post of each employee in each department, the department bonus coefficients of the employees in the department are added to obtain S, then the performance bonus of the department part of the personnel in the department is D = Q/S L, and then the final performance bonus of each person is M = A + B + C + D.
Preferably, the step (3) specifically includes the steps of:
(31) and (3) total performance statistics of the whole hospital: carrying out statistical ranking on all the total performances of the hospital monthly, and reflecting the historical trend of the performance of the hospital in a line graph and bar graph mode;
(32) department performance statistics: carrying out statistical ranking on department performance according to months and departments, carrying out proportion analysis, and reflecting the comparison condition of the performance between different months and different departments in a histogram and pie mode;
(33) and (3) carrying out earning statistics of departments: carrying out statistical ranking on the balance of departments according to months and departments, analyzing the proportion, reflecting the contribution conditions of different months and different departments to the hospital income in a histogram and pie mode;
(34) department individual performance statistics: the personnel performance of departments is counted and ranked according to months, the performance condition of the personnel of the departments is presented in a histogram and pie mode, and a manager can evaluate the personal performance more finely.
Preferably, the step (4) specifically includes the following steps:
(41) after a user inputs a system website in a browser, a WeChat two-dimensional code is displayed;
(42) the user opens the WeChat to scan the code, the system calls an interface of the WeChat to acquire the information of the WeChat user who scans the code at present, and the WeChat returns a unique ID representing the current user;
(43) the system judges whether the unique ID is bound with a system account or not, and if the unique ID is bound with the system account, the system directly enters the system; if the system account is not bound, entering the next step;
(45) popping up an input box by the WeChat, enabling a user to input and submit a mobile phone number, judging whether the mobile phone number is a system self account number or not by the system, and if the mobile phone number is the system self account number, binding the WeChat unique ID to the mobile phone number and entering the system; if the account number is not the system self account number, entering the next step;
(46) and prompting the user to contact a system administrator to allocate the mobile phone account by the WeChat.
Preferably, the step (5) specifically includes the steps of:
(51) score of group entry rate on first page of hospitalization case: scoring the group entry rate of each department, setting a group entry rate basic score and a regional qualified group entry rate, calculating the group entry rate score of each department on the group entry rate basis by comparing the group entry rate of the department with the regional qualified group entry rate, and storing the group entry rate score of each department into a database;
(52) CMI scoring: scoring the CMI of each department, setting a CMI basic score, comparing the CMI of each department with the CMI of the same period of the last year, calculating the CMI score of each department on the CMI basic score, and storing the CMI score of each department into a database;
(53) cost consumption index scoring: scoring the expense consumption index of each department, setting an expense consumption index basic score, comparing the expense consumption index of the department with the expense consumption index of the same period in the last year, calculating the expense consumption index score of each department on the expense consumption index basic score, and storing the expense consumption index score of each department into a database;
(54) time consumption index score: scoring the time consumption index of each department, setting a time consumption index basic score, comparing the department time consumption index with the last year synchronization time consumption index, calculating the time consumption index score of each department on the basis of the time consumption index, and storing the time consumption index score of each department into a database;
(55) low risk group mortality score: scoring the low-risk group mortality of each department, setting a low-risk group mortality basis score and a regional average low-risk group mortality score, comparing the department low-risk group mortality score with the regional average low-risk group mortality score, calculating the low-risk group mortality score of each department on the basis of the low-risk group mortality score, and storing the low-risk group mortality score of each department in a database;
(56) mortality score for the low and medium risk groups: the mortality of the low-risk group in each department is scored, the basic mortality of the low-risk group in each department and the average mortality of the low-risk group in the region are set, the mortality of the low-risk group in each department is compared with the average mortality of the low-risk group in the region, the mortality of the low-risk group in each department is calculated on the basis of the mortality of the low-risk group in each department, and the mortality of the low-risk group in each department is stored in a database;
(57) ranking and scoring of key subject areas: the method comprises the steps that the disciplines of certain departments are used as key disciplines of a hospital, the ranking of the disciplines of the departments in the whole area needs to be concerned, the current ranking and the last year ranking are compared, the score is increased when the ranking is increased, the score is reduced when the ranking is decreased, the key discipline area ranking basic score is set, the current ranking and the last year ranking are compared, the key discipline scores of the departments are calculated on the key discipline area ranking basic score, and the key discipline scores of the departments are stored in a database.
Preferably, in step (5), the method of accounting the department performance bonus includes: the hospital selects scores from the step (51) to the step (57) according to needs, selects some index scores or all index scores, adds the scores of the selected index scores to obtain a DRG performance assessment score S1 of each department, and divides the total bonus Q1 of the hospital by the total score S2 of all departments to obtain a bonus coefficient L1= Q1/S2, so that the performance bonus of each department is T1= S1L 1.
The invention has the beneficial effects that: the system provides a convenient calculation tool for performance compensation accounting of the hospital, improves the efficiency of performance accounting of departments and personnel of financial personnel in the hospital, can well stimulate medical workers, improves the capacity of fine management of the hospital, and provides powerful guarantee for improving the quality of public health service; not only can improve the fine management level of the daily business of the hospital, but also effectively and timely stimulate medical workers, thereby saving time, energy and cost.
Drawings
FIG. 1 is a flow chart of steps for account security in the present invention.
Detailed Description
The invention is further described with reference to the following figures and detailed description.
A method for automatically accounting hospital performance compensation based on configuration takes Java as a development language, SpringBoot as a development frame, a MySQL database as a data storage management system, information transmission is carried out through HTTPS, and information display is carried out through a browser, and specifically comprises the following steps:
(1) and (3) performing accounting on department performance: calculating the performance of the departments of the hospital by setting the departments, a comprehensive scoring scheme, a workload accounting scheme, performance configuration of the departments, comprehensive scoring of the departments and uploading and accounting of 6 parts of the department income and expenditure;
the method specifically comprises the following steps:
(11) the department setting is used for adding or deleting departments of the hospital, and analyzing a department name list and storing the department name list into a MySQL database; the department names can be directly copied from Excel or other files to the system, the system separates the text contents according to spaces or commas and analyzes the text contents into specific individual department lists, and the cost of manually inputting the department names one by one is greatly saved, so that the system knows which departments exist in the hospital.
(12) Setting different comprehensive scoring schemes aiming at different departments by the comprehensive scoring scheme, wherein the comprehensive scoring scheme of each department comprises scores of a plurality of sub-items, and storing the set comprehensive scoring scheme into a MySQL database; from the management of departments, such as satisfaction, quality of care, quality of sense of hospital, etc., each sub-item may set: the name, score and remark meet the examination of different aspects of departments in hospitals.
(13) Setting items for accounting in the workload accounting scheme, setting a balance type for each item, allocating accounting items according to a certain proportion, configuring various balances of departments of a hospital to meet the accounting of the department workload, and storing the set workload accounting scheme in a MySQL database; items of accounting are for example: hospitalization fee, oxygen fee, treatment fee, consultation fee, etc., each of which may be set as: income, income deduction, expenditure, etc.
(14) Department performance configuration sets different comprehensive scoring schemes, workload accounting schemes and department balance extraction proportions for each department, and stores the set department performance configuration in a MySQL database;
(15) comprehensive scoring of departments: acquiring a comprehensive scoring scheme of each department according to department performance configuration, acquiring a specific scoring sub-item of each comprehensive scoring scheme according to the comprehensive scoring scheme, generating a specific scoring item for each department according to the data, generating an Excel acceptance and expenditure form, filling detailed scores of each department into the form after a user downloads the Excel form, uploading the detailed scores to a system, and storing the scores of each department by the system to prepare for performance accounting of subsequent departments;
(16) uploading and accounting department income and expenditure: uploading Excel collection and payment tables of a plurality of hospitals, wherein the Excel collection and payment tables comprise collection and payment costs of each department, setting up items for accounting according to department performance configuration and workload accounting schemes by the system, extracting the collection and payment costs of each department and extracting specific cost items of each cost from the Excel collection and payment tables by the system, and accounting the department payment. These Excel tables can be derived from the hospital's existing system or automatically generated from data extraction.
And calculating balance expense A of each department by adopting a calculation formula of subtracting expenses from income for each department, calculating an equal division ratio R of the departments according to comprehensive scores of the departments, wherein the balance of the departments is C = A R, finally extracting a ratio T according to the departments in department performance configuration, and finally calculating the performance bonus of the departments is D = C T. Summarizing the performance bonus of the department: (income-income deduction-expenditure) department extracts proportion and department comprehensive score.
(2) And (4) performing accounting on personnel performance: the performance accounting of the personnel in the department is realized by 5 parts of a piece-counting promoting scheme, a proportion promoting scheme, post salary setting, personnel basic information, uploading and accounting personnel performance, the accounting efficiency of the performance salary of the personnel in the department is improved, and the enthusiasm of medical personnel is promoted in time;
the method specifically comprises the following steps:
(21) counting and extracting a scheme: setting a work amount of the medical workers, and carrying out a work amount lifting scheme according to the times; for example: 5 yuan for general outpatient examination, 10 yuan for expert outpatient examination, 5 yuan for major dressing change, 2 yuan for minor dressing change and the like.
(22) The proportion is extracted as the scheme: the daily work of a hospital is extracted according to the proportion, the daily work is extracted according to different proportions to meet different distribution proportions of different daily works, and a plurality of proportion extraction schemes of the daily work are set; for example, a surgical plan may set the surgical physician to 2%, the anesthesiologist to 1%, the instrumentation personnel to 0.5%, etc.
(23) Setting post salary: setting the positions of the employees in the hospital, wherein each position can be provided with a department bonus coefficient, a fixed salary amount, a fixed allowance amount and any other fixed welfare amount, and providing salary accounting support for doctors in different levels of the hospital; such as setting up a chief physician, assistant chief physician, etc.
(24) Basic information of personnel: importing the personnel information of all medical workers in the hospital, setting post salaries of each worker, setting departments where the workers are located, and preparing for performance accounting of the workers;
(25) uploading and accounting personnel performance: and uploading the specific workload of the medical workers, wherein the specific workload of the medical workers comprises a plurality of Excel tables, and the Excel tables record the specific workload of the medical workers in the whole hospital and account for the performance of the workers according to the piece counting and drawing scheme, the proportion drawing scheme, the post salary setting and the basic information of the workers. Such as: these Excel tables can be derived from the existing system of the hospital or automatically generated from data extraction, for a doctor who has performed several outpatient visits and a nurse who has done what matters.
The system extracts the workload of each person for counting the pieces from an Excel table, multiplies the workload by the amount of each single piece for counting, and calculates the bonus A of the person for counting the pieces; the system extracts the proportional lifting workload from the Excel table, and calculates the bonus B of each person according to different lifting proportions; the system knows the post of each person and the salary of each post, and calculates the post salary C of each person; in the department performance accounting in the step (1), the performance bonus Q of each department is known, the system knows the department bonus coefficient L of each employee post according to the post of each employee in each department, the department bonus coefficients of the employees in the department are added to obtain S, then the performance bonus of the department part of the personnel in the department is D = Q/S L, and then the final performance bonus of each person is M = A + B + C + D.
(3) And (3) data statistics: the method is characterized in that 4 parts of total performance statistics of the hospital, department performance statistics, department profit statistics and department individual performance statistics are used for realizing the fine management of the hospital, and mainly helping financial personnel or a hospital management layer to comprehensively know the performance bonus condition of the hospital, the department revenue condition and the like, and finding out the main income sources of the hospital and the places of the hospital which need to be improved;
the method specifically comprises the following steps:
(31) and (3) total performance statistics of the whole hospital: carrying out statistical ranking on all the total performances of the hospital monthly, and reflecting the historical trend of the performance of the hospital in a line graph and bar graph mode; the hospital management layer can clearly know the performance of the hospital, find problems and find deficiencies.
(32) Department performance statistics: carrying out statistical ranking on department performance according to months and departments, carrying out proportion analysis, and reflecting the comparison condition of the performance between different months and different departments in a histogram and pie mode; the hospital manager can know the performance condition of the department in time, and powerful data guarantee is provided for the development of the department.
(33) And (3) carrying out earning statistics of departments: carrying out statistical ranking on the balance of departments according to months and departments, analyzing the proportion, reflecting the contribution conditions of different months and different departments to the hospital income in a histogram and pie mode; so that the hospital manager can clearly know the income source of the hospital.
(34) Department individual performance statistics: the personnel performance of departments is counted and ranked according to months, the performance condition of the personnel of the departments is presented in a histogram and pie mode, and a manager can evaluate the personal performance more finely. Let administrative department layer can be clear master which staff's performance is outstanding, which staff's performance is not enough, timely deactivation individual promotes the enthusiasm.
(4) And (3) account security: the user can log in only by scanning the code with the WeChat in combination with personal WeChat binding, the risk of leakage of hospital data caused by the fact that the user unintentionally leaks the user name and the password is avoided, the user name and the password are not required to be input, and the whole login process is simple to operate and easy to use;
as shown in fig. 1, the method specifically comprises the following steps:
(41) after a user inputs a system website in a browser, a WeChat two-dimensional code is displayed;
(42) the user opens the WeChat to scan the code, the system calls an interface of the WeChat to acquire the information of the WeChat user who scans the code at present, and the WeChat returns a unique ID representing the current user;
(43) the system judges whether the unique ID is bound with a system account or not, and if the unique ID is bound with the system account, the system directly enters the system; if the system account is not bound, entering the next step;
(45) popping up an input box by the WeChat, enabling a user to input and submit a mobile phone number, judging whether the mobile phone number is a system self account number or not by the system, and if the mobile phone number is the system self account number, binding the WeChat unique ID to the mobile phone number and entering the system; if the account number is not the system self account number, entering the next step;
(46) and prompting the user to contact a system administrator to allocate the mobile phone account by the WeChat.
The account security strategy can be used for saving inconvenience caused by frequent forgetting of the password without remembering the user name and the password, effectively avoiding the leakage of the account password, and greatly improving the usability of the system, wherein the whole operation process is very simple and easy to operate.
(5) DRG (disease diagnosis related group) performance accounting: the method comprises the steps of accounting the scores of all departments of a hospital through 7 parts of hospitalized case home page group entry rate score, CMI score, cost consumption index score, time consumption index score, low-risk group mortality score, medium-low risk group mortality score and key subject area ranking score, and accounting the performance bonus of the departments according to the scores;
the method specifically comprises the following steps:
(51) score of group entry rate on first page of hospitalization case: scoring the group entry rate of each department, setting a group entry rate basic score and a regional qualified group entry rate, calculating the group entry rate score of each department on the group entry rate basis by comparing the group entry rate of the department with the regional qualified group entry rate, and storing the group entry rate score of each department into a database; for example: the group entry rate is 10 minutes on the basis, and the qualified regional group entry rate is 92 percent; deducting one minute when the grouping entering rate of the department is 1% lower than the qualified grouping entering rate of the region until the deduction is finished; increasing one minute when the grouping rate of the department is higher than the qualified grouping rate of the area by 1 percent;
(52) CMI (Case Mix Index) score: scoring the CMI of each department, setting a CMI basic score, comparing the CMI of each department with the CMI of the same period of the last year, calculating the CMI score of each department on the CMI basic score, and storing the CMI score of each department into a database; for example: the CMI is divided into 10 grades, and the department CMI is 1.05; deducting one point every time the CMI of the department is lower than 0.05 of the CMI of the same period in the last year until deduction is finished; every time the CMI of the department is higher than 0.05 of the CMI of the same period of the last year, the CMI is increased by one minute;
(53) cost consumption index scoring: scoring the expense consumption index of each department, setting an expense consumption index basic score, comparing the expense consumption index of the department with the expense consumption index of the same period in the last year, calculating the expense consumption index score of each department on the expense consumption index basic score, and storing the expense consumption index score of each department into a database; for example: the cost consumption index is divided into 10 points on the basis, and the department cost consumption index is 1.05; deducting one point when the expense consumption index of the department is lower than 0.05 of the expense consumption index of the same period in the last year until the expense consumption index is deducted; the expense consumption index of the department is increased by one minute when the expense consumption index is higher than 0.05 of the expense consumption index of the same period in the last year;
(54) time consumption index score: scoring the time consumption index of each department, setting a time consumption index basic score, comparing the department time consumption index with the last year synchronization time consumption index, calculating the time consumption index score of each department on the basis of the time consumption index, and storing the time consumption index score of each department into a database; for example: the time consumption index is divided into 10 minutes on the basis, and the department time consumption index is 1.05; deducting one point when the department time consumption index is lower than 0.05 of the current year contemporaneous time consumption index until deducting the point; increasing one minute when the time consumption index of the department is higher than 0.05 of the time consumption index of the same period of the last year;
(55) low risk group mortality score: scoring the low-risk group mortality of each department, setting a low-risk group mortality basis score and a regional average low-risk group mortality score, comparing the department low-risk group mortality score with the regional average low-risk group mortality score, calculating the low-risk group mortality score of each department on the basis of the low-risk group mortality score, and storing the low-risk group mortality score of each department in a database; for example: the mortality rate of the low-risk group is divided into 10 points on the basis, and the average regional mortality rate of the low-risk group is 0.017; the mortality rate of the department low-risk group is increased by one point when the mortality rate of the department low-risk group is lower than 0.001 percent of the average mortality rate of the regional low-risk group; deducting one point when the mortality rate of the department low-risk group is higher than 0.001% of the average mortality rate of the regional low-risk group until the deduction is finished;
(56) mortality score for the low and medium risk groups: the mortality of the low-risk group in each department is scored, the basic mortality of the low-risk group in each department and the average mortality of the low-risk group in the region are set, the mortality of the low-risk group in each department is compared with the average mortality of the low-risk group in the region, the mortality of the low-risk group in each department is calculated on the basis of the mortality of the low-risk group in each department, and the mortality of the low-risk group in each department is stored in a database; for example: the mortality of the middle and low risk group is divided into 10 points on the basis, and the average mortality of the middle and low risk group in the region is 0.21; the mortality rate of the low-risk group in the department is increased by one point when the mortality rate of the low-risk group in the department is lower than 0.01 percent of the average mortality rate of the low-risk group in the region; deducting one point when the mortality rate of the low-risk group in the department is higher than 0.01 percent of the average mortality rate of the low-risk group in the region until the deduction is finished;
(57) ranking and scoring of key subject areas: the method comprises the steps that the disciplines of some departments serve as key disciplines of a hospital, the ranking of the disciplines of the departments in the whole area needs to be concerned, the current ranking and the last year ranking are compared, the ranking is increased when the ranking is increased, the ranking is decreased when the ranking is decreased, the ranking basic score of key discipline areas is set, the current ranking and the last year ranking are compared, the key discipline scores of the departments are calculated on the key discipline area ranking basic score, and the key discipline scores of the departments are stored in a database; for example: the key subject area ranking basis is 10 points, the current ranking is increased by 2 points when the ranking is increased by 1 point in the last year, and the ranking is decreased by 2 points when the ranking is decreased by 1 point;
the method for accounting the performance bonus of the department comprises the following steps: the hospital selects scores from the step (51) to the step (57) according to needs, selects some index scores or all index scores, adds the scores of the selected index scores to obtain a DRG performance assessment score S1 of each department, and divides the total bonus Q1 of the hospital by the total score S2 of all departments to obtain a bonus coefficient L1= Q1/S2, so that the performance bonus of each department is T1= S1L 1. Wherein: each department performance prize T1 in step (5) is consistent with the performance prize Q for each department in step (2). The prize coefficient L1 in step (5) is consistent with the department prize coefficient L of each employee post in step (2).
The method takes Java as a development language, SpringBoot as a development framework, a MySQL database as a data storage management system and application of a network technology, the application can be deployed in a hospital, one application can be deployed in a few minutes generally, the application can also be deployed on a public cloud, and an account can be opened in a few seconds generally. The system mainly has the functions of department comprehensive scoring, department workload accounting, personnel piece counting and contribution, proportion contribution, personnel post salary setting, personnel performance accounting, data statistics and the like, and through setting up a department, personnel and performance accounting scheme, a convenient calculating tool is provided for performance salary accounting of the hospital, the efficiency of the financial personnel accounting department and the personnel performance of the hospital is improved, meanwhile, medical workers can be well excited, the capacity of fine management of the hospital is improved, and powerful guarantee is provided for improving the quality of public health service. The performance accounting tool of departments and personnel of the hospital is established by adopting the Springboot technology and the MySQL database technology, and support is provided for the financial personnel of the hospital to perform the performance accounting of the departments and the personnel, so that the fine management level of the daily business of the hospital can be improved, the medical workers are effectively and timely stimulated, and the time, the energy and the cost are saved.

Claims (9)

1. A method for automatically accounting hospital performance compensation based on configuration is characterized in that Java is used as a development language, SpringBoot is used as a development frame, a MySQL database is used as a data storage management system, information is transmitted through HTTPS, and information display is carried out through a browser, and specifically comprises the following steps:
(1) and (3) performing accounting on department performance: calculating the performance of the departments of the hospital by setting the departments, a comprehensive scoring scheme, a workload accounting scheme, performance configuration of the departments, comprehensive scoring of the departments and uploading and accounting of 6 parts of the department income and expenditure;
(2) and (4) performing accounting on personnel performance: the performance accounting of the personnel in the department is realized by 5 parts of a piece-counting submission scheme, a proportion submission scheme, post salary setting, personnel basic information, uploading and accounting personnel performance;
(3) and (3) data statistics: the refined management of the hospital is realized through 4 parts of total performance statistics of the whole hospital, department performance statistics, department profit statistics and department individual performance statistics;
(4) and (3) account security: the user can log in only by scanning the code with the WeChat in combination with personal WeChat binding, so that the risk of leakage of hospital data caused by the fact that the user accidentally leaks the user name and the password is avoided;
(5) DRG performance accounting: the scores of all departments of the hospital are checked through 7 parts of admission rate score of the hospital records home page, CMI score, expense consumption index score, time consumption index score, low-risk group mortality score, middle-low risk group mortality score and key subject area ranking score, and the performance bonus of the departments is checked according to the scores.
2. The method for automatically accounting for hospital performance compensation based on configuration as claimed in claim 1, wherein in step (1), the method comprises the following steps:
(11) the department setting is used for adding or deleting departments of the hospital, and analyzing a department name list and storing the department name list into a MySQL database;
(12) setting different comprehensive scoring schemes aiming at different departments by the comprehensive scoring scheme, wherein the comprehensive scoring scheme of each department comprises scores of a plurality of sub-items, and storing the set comprehensive scoring scheme into a MySQL database;
(13) setting items for accounting in the workload accounting scheme, setting a balance type for each item, allocating accounting items according to a certain proportion, configuring various balances of departments of a hospital to meet the accounting of the department workload, and storing the set workload accounting scheme in a MySQL database;
(14) department performance configuration sets different comprehensive scoring schemes, workload accounting schemes and department balance extraction proportions for each department, and stores the set department performance configuration in a MySQL database;
(15) comprehensive scoring of departments: acquiring a comprehensive scoring scheme of each department according to department performance configuration, acquiring a specific scoring sub-item of each comprehensive scoring scheme according to the comprehensive scoring scheme, generating a specific scoring item for each department according to the data, generating an Excel acceptance and expenditure form, filling detailed scores of each department into the form after a user downloads the Excel form, uploading the detailed scores to a system, and storing the scores of each department by the system to prepare for performance accounting of subsequent departments;
(16) uploading and accounting department income and expenditure: uploading Excel collection and payment tables of a plurality of hospitals, wherein the Excel collection and payment tables comprise collection and payment costs of each department, setting up items for accounting according to department performance configuration and workload accounting schemes by the system, extracting the collection and payment costs of each department and extracting specific cost items of each cost from the Excel collection and payment tables by the system, and accounting the department payment.
3. The method as claimed in claim 2, wherein in step (16), the balance cost a of each department is calculated by using a calculation formula of income minus expenditure for each department, and the division ratio R of the department is calculated according to the department comprehensive score, so that the balance of the department is C = a R, and finally the proportion T is extracted according to the department in the department performance configuration, and the performance bonus of the department is finally calculated as D = C T.
4. The method for automatically accounting for hospital performance compensation based on configuration as claimed in claim 2, wherein in the step (2), the method comprises the following steps:
(21) counting and extracting a scheme: setting a work amount of the medical workers, and carrying out a work amount lifting scheme according to the times;
(22) the proportion is extracted as the scheme: the daily work of a hospital is extracted according to the proportion, the daily work is extracted according to different proportions to meet different distribution proportions of different daily works, and a plurality of proportion extraction schemes of the daily work are set;
(23) setting post salary: setting the positions of the employees in the hospital, wherein each position can be provided with a department bonus coefficient, a fixed salary amount, a fixed allowance amount and any other fixed welfare amount, and providing salary accounting support for doctors in different levels of the hospital;
(24) basic information of personnel: importing the personnel information of all medical workers in the hospital, setting post salaries of each worker, setting departments where the workers are located, and preparing for performance accounting of the workers;
(25) uploading and accounting personnel performance: and uploading the specific workload of the medical workers, wherein the specific workload of the medical workers comprises a plurality of Excel tables, and the Excel tables record the specific workload of the medical workers in the whole hospital and account for the performance of the workers according to the piece counting and drawing scheme, the proportion drawing scheme, the post salary setting and the basic information of the workers.
5. The method for automatically accounting hospital performance compensation based on configuration as claimed in claim 4, wherein in step (25), the system extracts the workload of each person counting from Excel table, multiplies the amount of each person counting by the amount of each single piece, and accounts the bonus A of the person counting; the system extracts the proportional lifting workload from the Excel table, and calculates the bonus B of each person according to different lifting proportions; the system knows the post of each person and the salary of each post, and calculates the post salary C of each person; in the department performance accounting in the step (1), the performance bonus Q of each department is known, the system knows the department bonus coefficient L of each employee post according to the post of each employee in each department, the department bonus coefficients of the employees in the department are added to obtain S, then the performance bonus of the department part of the personnel in the department is D = Q/S L, and then the final performance bonus of each person is M = A + B + C + D.
6. The method for automatically accounting for hospital performance compensation based on configuration as claimed in claim 1, wherein in step (3), the method comprises the following steps:
(31) and (3) total performance statistics of the whole hospital: carrying out statistical ranking on all the total performances of the hospital monthly, and reflecting the historical trend of the performance of the hospital in a line graph and bar graph mode;
(32) department performance statistics: carrying out statistical ranking on department performance according to months and departments, carrying out proportion analysis, and reflecting the comparison condition of the performance between different months and different departments in a histogram and pie mode;
(33) and (3) carrying out earning statistics of departments: carrying out statistical ranking on the balance of departments according to months and departments, analyzing the proportion, reflecting the contribution conditions of different months and different departments to the hospital income in a histogram and pie mode;
(34) department individual performance statistics: the personnel performance of departments is counted and ranked according to months, the performance condition of the personnel of the departments is presented in a histogram and pie mode, and a manager can evaluate the personal performance more finely.
7. The method for automatically accounting for hospital performance compensation based on configuration as claimed in claim 1, wherein in step (4), the method comprises the following steps:
(41) after a user inputs a system website in a browser, a WeChat two-dimensional code is displayed;
(42) the user opens the WeChat to scan the code, the system calls an interface of the WeChat to acquire the information of the WeChat user who scans the code at present, and the WeChat returns a unique ID representing the current user;
(43) the system judges whether the unique ID is bound with a system account or not, and if the unique ID is bound with the system account, the system directly enters the system; if the system account is not bound, entering the next step;
(45) popping up an input box by the WeChat, enabling a user to input and submit a mobile phone number, judging whether the mobile phone number is a system self account number or not by the system, and if the mobile phone number is the system self account number, binding the WeChat unique ID to the mobile phone number and entering the system; if the account number is not the system self account number, entering the next step;
(46) and prompting the user to contact a system administrator to allocate the mobile phone account by the WeChat.
8. The method for automatically accounting for hospital performance compensation based on configuration as claimed in claim 1, wherein in step (5), the method comprises the following steps:
(51) score of group entry rate on first page of hospitalization case: scoring the group entry rate of each department, setting a group entry rate basic score and a regional qualified group entry rate, calculating the group entry rate score of each department on the group entry rate basis by comparing the group entry rate of the department with the regional qualified group entry rate, and storing the group entry rate score of each department into a database;
(52) CMI scoring: scoring the CMI of each department, setting a CMI basic score, comparing the CMI of each department with the CMI of the same period of the last year, calculating the CMI score of each department on the CMI basic score, and storing the CMI score of each department into a database;
(53) cost consumption index scoring: scoring the expense consumption index of each department, setting an expense consumption index basic score, comparing the expense consumption index of the department with the expense consumption index of the same period in the last year, calculating the expense consumption index score of each department on the expense consumption index basic score, and storing the expense consumption index score of each department into a database;
(54) time consumption index score: scoring the time consumption index of each department, setting a time consumption index basic score, comparing the department time consumption index with the last year synchronization time consumption index, calculating the time consumption index score of each department on the basis of the time consumption index, and storing the time consumption index score of each department into a database;
(55) low risk group mortality score: scoring the low-risk group mortality of each department, setting a low-risk group mortality basis score and a regional average low-risk group mortality score, comparing the department low-risk group mortality score with the regional average low-risk group mortality score, calculating the low-risk group mortality score of each department on the basis of the low-risk group mortality score, and storing the low-risk group mortality score of each department in a database;
(56) mortality score for the low and medium risk groups: the mortality of the low-risk group in each department is scored, the basic mortality of the low-risk group in each department and the average mortality of the low-risk group in the region are set, the mortality of the low-risk group in each department is compared with the average mortality of the low-risk group in the region, the mortality of the low-risk group in each department is calculated on the basis of the mortality of the low-risk group in each department, and the mortality of the low-risk group in each department is stored in a database;
(57) ranking and scoring of key subject areas: the method comprises the steps that the disciplines of certain departments are used as key disciplines of a hospital, the ranking of the disciplines of the departments in the whole area needs to be concerned, the current ranking and the last year ranking are compared, the score is increased when the ranking is increased, the score is reduced when the ranking is decreased, the key discipline area ranking basic score is set, the current ranking and the last year ranking are compared, the key discipline scores of the departments are calculated on the key discipline area ranking basic score, and the key discipline scores of the departments are stored in a database.
9. The method for automatically accounting for hospital performance compensation based on configuration as claimed in claim 8, wherein in step (5), the method for accounting for department performance bonus is: the hospital selects scores from the step (51) to the step (57) according to needs, selects some index scores or all index scores, adds the scores of the selected index scores to obtain a DRG performance assessment score S1 of each department, and divides the total bonus Q1 of the hospital by the total score S2 of all departments to obtain a bonus coefficient L1= Q1/S2, so that the performance bonus of each department is T1= S1L 1.
CN202010616621.8A 2020-07-01 2020-07-01 Method for automatically accounting hospital performance compensation based on configuration Pending CN111785357A (en)

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