CN111986791A - Medical procurement full-flow supervision method and related equipment - Google Patents
Medical procurement full-flow supervision method and related equipment Download PDFInfo
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- CN111986791A CN111986791A CN202010893341.1A CN202010893341A CN111986791A CN 111986791 A CN111986791 A CN 111986791A CN 202010893341 A CN202010893341 A CN 202010893341A CN 111986791 A CN111986791 A CN 111986791A
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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
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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
- G06Q20/00—Payment architectures, schemes or protocols
- G06Q20/22—Payment schemes or models
- G06Q20/28—Pre-payment schemes, e.g. "pay before"
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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
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/02—Banking, e.g. interest calculation or account maintenance
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- G—PHYSICS
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- 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
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
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Abstract
The invention relates to the technical field of big data, and discloses a medical procurement full-process supervision method and related equipment, wherein the method comprises the following steps: receiving a purchase plan of a medical institution and conducting medical insurance bureau audit; calculating the prepaid amount and the prepaid payment amount after the examination and passing, and forwarding to the medical institution; receiving a prepayment request initiated by a medical institution and authorizing a bank to transfer the prepayment amount from a medical institution supervision account to a supplier account and freezing the prepayment amount; after the fulfillment is finished, generating a settlement list and a clearing list, and sequentially forwarding the settlement list and the clearing list to the supplier and the medical institution for rechecking in turn; and after the recheck is passed, receiving a clearing payment request initiated by the medical institution and authorizing the bank to transfer the clearing payment amount from the medical institution supervision account into the provider account and freezing the clearing payment amount. The invention realizes the special purpose of purchasing funds, ensures the whole course of transaction to be transparent, shortens the communication link between the medical institution and the supplier, and improves the transparency and smoothness of purchasing transaction.
Description
Technical Field
The invention relates to the technical field of big data, in particular to a medical procurement full-process supervision method and related equipment.
Background
Conventionally, settlement methods related to a medical instrument supply chain system are always limited by the fact that medical institutions occupy unequal leading positions as demanders and users, and therefore the problems of long settlement period, irregular settlement frequency, irregular settlement process and the like are caused. The monitoring organization is used as a monitoring main body of the whole medical instrument supply chain system, the past monitoring mode and means are single, or the monitoring main body uploads a command and a policy instruction, or rules early warning and intelligent wind control are carried out, but the effect is very little, the monitoring main body does not really participate in the supply and circulation link between the medical organization and an enterprise, and is not integrated into a transaction settlement system, and the monitoring lacking of a hand grip is natural and temporary solution but not permanent solution, so that the settlement and payment between the medical organization and the enterprise are not transparent and smooth.
Disclosure of Invention
The invention mainly aims to solve the technical problems that the settlement process of the existing medical instrument supply chain system is not standard and is lack of supervision.
The invention provides a medical procurement full-process supervision method, which comprises the following steps:
receiving a purchase plan of the settlement period submitted by a medical institution server, and forwarding the purchase plan to a medical insurance bureau server for auditing;
if the purchase plan is approved, calculating the prepaid amount and the prepaid payment amount corresponding to the purchase plan and forwarding the prepaid amount and the prepaid payment amount to the medical institution server so that the medical institution server can generate a prepaid payment order corresponding to the purchase order;
receiving a prepayment request of the prepayment payment sheet initiated by the medical institution service terminal, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service terminal so that the bank service terminal can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
after the supplier completes the fulfillment of the procurement plan, generating a payable settlement detail according to the actual fulfillment information, generating a settlement sheet according to the payable settlement detail, and forwarding the settlement sheet to the corresponding supplier service end and the corresponding medical institution service end for rechecking in turn;
if the settlement list passes the rechecking, calculating the clearing amount and the clearing payment amount corresponding to the purchase plan, generating a corresponding clearing list, and forwarding the clearing list to a corresponding supplier server and a corresponding medical institution server for rechecking in turn;
and if the clearing bill passes rechecking, receiving a clearing payment request initiated after the medical institution service end generates the clearing payment bill, generating a clearing payment authorization instruction and issuing the clearing payment authorization instruction to the bank service end so that the bank service end transfers the clearing payment amount from the medical institution supervision account to the supplier account and freezes the clearing payment amount.
Optionally, in a first implementation manner of the first aspect of the present invention, the medical procurement full-flow supervision method further includes:
after the payment of the prepaid payment bill is completed, receiving a purchase list and supplier information uploaded by a medical institution server for the medical insurance bureau server to check and recheck;
after the rechecking of the settlement list is completed, receiving a purchase order, a receipt, goods invoice information and logistics information which are uploaded by a medical institution server and actually performed in the settlement period, so that the medical insurance bureau server can check and recheck the purchase order, the receipt, the goods invoice information and the logistics information;
and after the payment of the clearing payment bill is finished, receiving a clearing payment file uploaded by the medical institution server for the medical insurance bureau server to check and recheck, wherein the clearing payment file comprises a bank transaction running water, a settlement invoice and a goods warehousing list.
Optionally, in a second implementation manner of the first aspect of the present invention, the medical procurement full-process supervision method further includes:
and after the payment of the prepayment payment order or the payment of the clearing payment order is finished, acquiring the actual payment information of the medical institution supervision account and the account arrival information of the supplier account from the bank server for the medical insurance bureau server to check and recheck.
Optionally, in a third implementation manner of the first aspect of the present invention, the medical procurement full-process supervision method further includes:
and acquiring bank transaction running water and account balance of the medical institution supervision account from the bank server at regular time so as to supervise and track the fund trend of the supervision account by the medical insurance bureau server.
The second aspect of the present invention provides a medical procurement full-process supervision apparatus, including:
the receiving module is used for receiving the purchase plan of the settlement period submitted by the medical institution server and forwarding the purchase plan to the medical insurance bureau server for auditing;
the calculation module is used for calculating the prepaid amount and the prepaid payment amount corresponding to the purchase plan and forwarding the prepaid amount and the prepaid payment amount to the medical institution server if the purchase plan is approved, so that the medical institution server can generate the prepaid payment list corresponding to the purchase order;
the prepayment module is used for receiving a prepayment request of the prepayment payment order initiated by the medical institution service end, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service end so that the bank service end can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
the settlement rechecking module is used for generating a payable settlement detail according to the actual fulfillment information after the supplier completes the fulfillment of the procurement plan, generating a settlement sheet according to the payable settlement detail, and forwarding the settlement sheet to the corresponding supplier server and the corresponding medical institution server for rechecking in turn;
the clearing and rechecking module is used for calculating the clearing amount and the clearing payment amount corresponding to the purchase plan and generating a corresponding clearing bill if the clearing bill rechecks, and forwarding the clearing bill to the corresponding supplier server and the corresponding medical institution server for rechecking in turn;
and the clearing payment module is used for receiving a clearing payment request initiated after the medical institution server generates the clearing payment order if the clearing order passes rechecking, generating a clearing payment authorization instruction and issuing the clearing payment authorization instruction to the bank server, so that the bank server transfers the clearing payment amount from the medical institution supervision account to the supplier account and freezes the clearing payment amount.
Optionally, in a first implementation manner of the second aspect of the present invention, the receiving module is further configured to:
after the payment of the prepaid payment bill is completed, receiving a purchase list and supplier information uploaded by a medical institution server for the medical insurance bureau server to check and recheck;
after the rechecking of the settlement list is completed, receiving a purchase order, a receipt, goods invoice information and logistics information which are uploaded by a medical institution server and actually performed in the settlement period, so that the medical insurance bureau server can check and recheck the purchase order, the receipt, the goods invoice information and the logistics information;
and after the payment of the clearing payment bill is finished, receiving a clearing payment file uploaded by the medical institution server for the medical insurance bureau server to check and recheck, wherein the clearing payment file comprises a bank transaction running water, a settlement invoice and a goods warehousing list.
Optionally, in a second implementation manner of the second aspect of the present invention, the medical procurement full-process supervision apparatus further includes:
and the acquisition module is used for acquiring the actual payment information of the medical institution supervision account and the account information of the supplier account from the bank server after completing the payment of the prepaid payment list or the payment of the clearing payment list so as to be checked and rechecked by the medical insurance bureau server.
Optionally, in a third implementation manner of the second aspect of the present invention, the medical procurement full-process supervision apparatus further includes:
and the query module is used for acquiring bank transaction running water and account balance of the medical institution supervision account from the bank server at regular time so as to supervise and track the fund trend of the supervision account by the medical insurance bureau server.
The third aspect of the present invention provides a medical procurement full-process monitoring system, which includes the above-mentioned medical procurement full-process monitoring device, and further includes: the system comprises a medical institution server, a bank server, a medical insurance bureau server and a supplier server; the medical procurement full-flow supervision device is in communication connection with the medical institution server, the bank server, the medical insurance bureau server and the supplier server respectively.
Optionally, in a first implementation manner of the third aspect of the present invention, the banking server is configured to:
receiving account opening requests of a supervising medical institution and a supplier respectively;
correspondingly creating a medical institution supervision account and a supplier account according to the account opening request;
when a purchase contract signed by a medical institution and a supplier is received, newly establishing a virtual sub-account under the supervision account in one-to-one correspondence with the purchase contract;
when budget transfer contracts signed by banks and medical insurance offices are received, correspondingly transferring purchase funds to supervision accounts of all medical institutions according to the purchase budgets of all medical institutions set in the budget transfer contracts;
when a prepayment authorization instruction is received, the prepayment amount corresponding to the prepayment authorization instruction is allocated to a supplier account from a medical institution supervision account and is frozen;
and when receiving a clearing payment authorization instruction, allocating the clearing payment amount corresponding to the clearing payment authorization instruction from the medical institution supervision account to the provider account and freezing.
Optionally, in a second implementation manner of the third aspect of the present invention, the medical institution server is configured to:
submitting the purchase plan of the settlement period to the medical purchase full-flow supervision device for the medical insurance bureau server side to examine and check;
generating a prepaid payment order corresponding to the purchase order according to the prepaid payment amount calculated by the medical purchase full-process supervision device, and initiating a prepaid payment request to the medical purchase full-process supervision device;
receiving a settlement list or a clearing list sent by the medical procurement full-flow supervision device, rechecking the settlement list or the clearing list and returning a rechecking result;
and generating a clearing payment bill corresponding to the clearing bill according to the clearing payment amount calculated by the medical purchasing full-flow supervision device, and initiating a clearing payment request to the medical purchasing full-flow supervision device.
The fourth aspect of the present invention provides a medical procurement full-process monitoring device, including: a memory and at least one processor, the memory having instructions stored therein; the at least one processor invokes the instructions in the memory to cause the medical procurement full-flow administration device to execute the medical procurement full-flow administration method described above.
A fifth aspect of the present invention provides a computer-readable storage medium having stored therein instructions, which when run on a computer, cause the computer to execute the above-mentioned medical procurement full-flow supervision method.
In the technical scheme provided by the invention, the medical procurement full-flow supervision device is provided with a plurality of functional interfaces and service interfaces for butt joint with a medical institution service end, a medical insurance bureau service end, a bank service end and a supplier service end, the payment of all the money is independently completed by a bank, and the medical institution only needs to initiate a request and authorize the payment, thereby realizing a procurement settlement mode based on bank account supervision. The purchase settlement mode of the invention enables the medical insurance supervision unit to participate in the whole process of purchase-transaction-settlement, ensures the transparency of the whole transaction process, shortens the communication link between the medical institution and the supplier, and improves the transparency and smoothness of the purchase transaction. A supervision unit is introduced to participate in a purchasing transaction link in a substantial sense, meanwhile, the bank gives credit and endorsement, the wind control safety of a settlement process is improved, and a settlement system which is mutually beneficial and win-win and meets the benefits of all parties is built through the four-party cooperation of a hospital, a medical insurance office, a bank and an enterprise.
Drawings
FIG. 1 is a schematic diagram of a medical procurement full-flow supervision method according to an embodiment of the invention;
FIG. 2 is a schematic diagram of an embodiment of a medical procurement full-flow supervision device according to the embodiment of the invention;
FIG. 3 is a schematic diagram of another embodiment of the medical procurement full-flow supervision device in the embodiment of the invention;
FIG. 4 is a schematic diagram of an embodiment of a medical procurement full-flow supervision system according to the embodiment of the invention;
fig. 5 is a schematic diagram of an embodiment of a medical procurement full-flow supervision device in the embodiment of the invention.
Detailed Description
The embodiment of the invention provides a medical procurement full-process supervision method and related equipment. The terms "first," "second," "third," "fourth," and the like in the description and in the claims, as well as in the drawings, if any, are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It will be appreciated that the data so used may be interchanged under appropriate circumstances such that the embodiments described herein may be practiced otherwise than as specifically illustrated or described herein. Furthermore, the terms "comprises," "comprising," or "having," and any variations thereof, are intended to cover non-exclusive inclusions, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
For understanding, the following describes a specific process of an embodiment of the present invention, and referring to fig. 1, an embodiment of a method for supervising a whole process of medical procurement according to an embodiment of the present invention includes:
101. receiving a purchase plan of the settlement period submitted by a medical institution server, and forwarding the purchase plan to a medical insurance bureau server for auditing;
it is understood that the execution subject of the present invention may be a medical procurement full-flow supervision apparatus, and may also be a terminal or a server, which is not limited herein. The embodiment of the present invention is described by taking a server as an execution subject.
In this embodiment, the medical institution formulates a purchase plan of medical materials such as medicines and medical devices in advance, and specifically includes: the name, quantity, unit price, supplier, supply plan and other contents of the purchased commodity are submitted to a medical purchasing full-flow supervision device (hereinafter referred to as supervision device) through a medical institution server for processing and entering a settlement period.
The supervision device forwards the purchase plan to a medical insurance bureau server through a relevant interface so as to be audited by the medical insurance bureau. The medical insurance bureau, as a fund provider for purchasing materials by medical institutions, needs to authorize and supervise the use of each fund. And through rechecking, the reasonable compliance of the purchasing plan is ensured. The rechecking mode may be manual rechecking, or may be a combination of manual rechecking and machine rechecking, for example, whether the purchased materials in the purchase plan are in the set material directory, whether the purchase price is in the set price interval, whether the supplier meets the set supply requirement, and the like are rechecked by the machine.
102. If the purchase plan is approved, calculating the prepaid amount and the prepaid payment amount corresponding to the purchase plan and forwarding the prepaid amount and the prepaid payment amount to the medical institution server so that the medical institution server can generate a prepaid payment order corresponding to the purchase order;
in this embodiment, after the medical insurance office rechecks and passes the purchase plan, the prepaid amount and the prepaid payment amount corresponding to the purchase plan are further generated and forwarded to the medical institution server through the monitoring device.
The settlement period corresponding to the settlement mode of the embodiment includes the following stages:
(1) prepayment phase
In this stage, the medical institution pays a part of the payment before the supplier actually performs.
The prepaid amount refers to a prepaid amount which is set by the medical insurance bureau to the medical institution for paying the purchase, wherein the prepaid amount is a planned purchase amount x N%, and N% is a preset prepaid proportion, such as a preset prepaid 30%.
The prepaid payment amount refers to the amount of money to be paid to the supplier during the prepaid period, which is related not only to the planned purchase amount but also to the balance amount in the medical institution supervision account after the end of the previous calculation period, and thus is prepaid-balance.
(2) Check phase
After the supplier actually completes the fulfillment of the procurement plan, the supplier needs to recheck the order of the actual fulfillment, the actual fulfillment amount, the accompanied item list, the invoice information, the logistics information and the like, wherein the actual fulfillment amount is all the actual material receiving amount-the actual material returning amount in the settlement period. The actual performance amount may be greater than the planned procurement amount or less than the planned procurement amount.
(3) Clearing stage
Since the medical institution pays the advance payment before receiving the medical materials delivered by the supplier, it is necessary to perform the clearing according to the actual amount of performance and the advance payment. And when the clearing amount is greater than 0, the clearing payment amount is equal to 0.
In this embodiment, the prepayment stage in the settlement period is entered after the verification of the purchase plan is passed, the monitoring device calculates the prepayment amount and the prepayment payment amount corresponding to the purchase plan and returns the prepayment amount and the prepayment payment amount to the medical institution server, and the medical institution generates a purchase order according to the purchase plan and generates a prepayment payment order according to the given prepayment amount.
103. Receiving a prepayment request of the prepayment payment sheet initiated by the medical institution service terminal, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service terminal so that the bank service terminal can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
in this embodiment, after the medical institution service terminal generates the prepaid payment order, a prepaid payment request is initiated to the monitoring device, and the monitoring device generates a prepaid authorization instruction according to the request and issues the prepaid authorization instruction to the bank service terminal for processing, so that the prepaid payment amount is allocated from the medical institution monitoring account to the supplier account through the bank, and the prepaid payment amount received in the supplier account is frozen.
In one embodiment, the medical institution supervision account and the provider account are preferably the same in the same bank account opening bank, that is, the medical institution opens the account in the same bank, so that the medical insurance bureau can conveniently monitor the fund flow direction and the account balance in each medical institution supervision account through the whole bank process.
In the embodiment, the prepaid payment amount is transferred from the medical institution supervision account to the provider account by the bank, and the medical institution only submits the request and issues the authorization instruction, thereby ensuring the special payment special for purchasing the medical material.
Optionally, in an embodiment, to facilitate the medical insurance bureau monitoring in the whole process, after the payment of the prepaid payment order is completed, the purchase list and the supplier information uploaded by the medical institution server are received, so that the medical insurance bureau server can check and recheck the purchase list and the supplier information.
104. After the supplier completes the fulfillment of the procurement plan, generating a payable settlement detail according to the actual fulfillment information, generating a settlement sheet according to the payable settlement detail, and forwarding the settlement sheet to the corresponding supplier service end and the corresponding medical institution service end for rechecking in turn;
in this embodiment, after the supplier completes the fulfillment of the procurement plan, the supplier enters a review stage in the settlement period. The supervising device acquires actual fulfillment information in the settlement period, including an order for actual fulfillment, a bill with the same delivery, invoice information and logistics information, then generates corresponding settlement details payable, and generates a settlement sheet according to the settlement details payable.
In this embodiment, the statement of account includes actual performance information, and in order to ensure the accuracy of the information, the monitoring device further forwards the statement of account to the supplier and the medical institution for rechecking in turn, and if the actual performance information is wrong, the statement of account is modified and rechecked in turn.
Optionally, in an embodiment, to facilitate the medical insurance bureau to monitor the whole process, after the check of the settlement ticket is completed, the purchase order, the accompanied order, the goods invoice information, and the logistics information that are actually performed in the settlement period and uploaded by the medical institution server are received, so that the medical insurance bureau server can check and recheck the purchase order, the accompanied order, the goods invoice information, and the logistics information.
105. If the settlement list passes the rechecking, calculating the clearing amount and the clearing payment amount corresponding to the purchase plan, generating a corresponding clearing list, and forwarding the clearing list to a corresponding supplier server and a corresponding medical institution server for rechecking in turn;
in this embodiment, the clearing stage is entered after the check of the settlement ticket is passed. The supervision device calculates the clearing amount and the clearing payment amount of the purchase according to the settlement list and generates a corresponding clearing list.
In this embodiment, the clearing amount is the actual performance amount — the prepaid amount, and when the clearing amount is greater than 0, the clearing payment amount is the clearing amount, and when the clearing amount is less than or equal to 0, the clearing payment amount is 0.
After the settlement list is generated, the settlement list is further forwarded to a medical institution and a supplier for rechecking in turn, so that the data of the purchase is ensured to be correct, and the settlement payment is facilitated. And if the rechecking is wrong, modifying and rechecking in turn.
106. And if the clearing bill passes rechecking, receiving a clearing payment request initiated after the medical institution service end generates the clearing payment bill, generating a clearing payment authorization instruction and issuing the clearing payment authorization instruction to the bank service end so that the bank service end transfers the clearing payment amount from the medical institution supervision account to the supplier account and freezes the clearing payment amount.
In this embodiment, after the clearance note is rechecked, the medical institution server generates a corresponding clearance payment note and issues a payment request, and the monitoring device generates a payment authorization instruction according to the request and issues the payment authorization instruction to the bank server for processing, so that the clearance payment amount is transferred from the medical institution monitoring account to the supplier account through the bank, and the clearance payment amount received in the supplier account is frozen.
Optionally, in an embodiment, for convenience of monitoring the entire process of the medical insurance bureau, after the payment of the clearing payment order is completed, a clearing payment file uploaded by the medical institution service end is received for the medical insurance bureau service end to check and recheck, where the clearing payment file includes a bank transaction flow, a settlement invoice, and a cargo warehousing list.
Optionally, in another embodiment, after the payment of the prepaid payment order or the clearing payment order is completed, the actual payment information of the medical institution supervision account and the account information of the provider account are acquired from the bank service end, so that the medical insurance bureau service end can check and recheck the information.
Optionally, in another embodiment, in order to facilitate dynamic monitoring of the administrative account, the bank transaction flow and the account balance of the administrative account of the medical institution are periodically obtained from the bank service end, so that the medical insurance bureau service end supervises and tracks the fund trend of the administrative account.
In this embodiment, the monitoring device is provided with a multifunctional interface and a service interface, and is used for interfacing with a medical institution service terminal, a medical insurance bureau service terminal, a bank service terminal and a supplier service terminal, all payments are completed by a bank independently, and the medical institution only needs to initiate a request and authorize the payment, thereby realizing a new purchase settlement mode based on bank account monitoring. The purchase settlement mode of the embodiment enables the medical insurance monitoring unit to participate in the whole process of purchase-transaction-settlement, ensures the transparency of the whole transaction process, shortens the communication link between the medical institution and the supplier, and improves the transparency and smoothness of the purchase transaction.
The above description of the method for supervising the whole medical purchasing process in the embodiment of the present invention, and the following description of the device for supervising the whole medical purchasing process in the embodiment of the present invention refer to fig. 2, where the first embodiment of the device for supervising the whole medical purchasing process in the embodiment of the present invention includes:
the receiving module 201 is used for receiving the purchase plan of the settlement period submitted by the medical institution server and forwarding the medical insurance bureau server for auditing;
the calculation module 202 is configured to calculate a prepaid amount and a prepaid payment amount corresponding to the purchase plan and forward the prepaid payment amount to the medical institution server, so that the medical institution server generates a prepaid payment order corresponding to the purchase order if the purchase plan is approved;
the prepayment module 203 is used for receiving a prepayment request of the prepayment payment order initiated by the medical institution service end, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service end so that the bank service end can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
the settlement rechecking module 204 is configured to generate a detail of settlement payable according to the actual fulfillment information after the supplier completes the fulfillment of the procurement plan, generate a settlement sheet according to the detail of settlement payable, and forward the settlement sheet to the corresponding supplier service end and the corresponding medical institution service end for rechecking in turn;
the clearing and rechecking module 205 is used for calculating the clearing amount and the clearing payment amount corresponding to the purchase plan and generating a corresponding clearing bill if the settlement bill is rechecked, and forwarding the clearing bill to the corresponding supplier server and the corresponding medical institution server for rechecking in turn;
and the clearing payment module 206 is configured to receive a clearing payment request initiated after the medical institution server generates a clearing payment order if the clearing order passes rechecking, generate a clearing payment authorization instruction, and issue the clearing payment authorization instruction to the bank server, so that the bank server transfers the clearing payment amount from the medical institution supervision account to the provider account and freezes the clearing payment amount.
Optionally, in an embodiment, the receiving module 201 is further configured to:
after the payment of the prepaid payment bill is completed, receiving a purchase list and supplier information uploaded by a medical institution server for the medical insurance bureau server to check and recheck;
after the rechecking of the settlement list is completed, receiving a purchase order, a receipt, goods invoice information and logistics information which are uploaded by a medical institution server and actually performed in the settlement period, so that the medical insurance bureau server can check and recheck the purchase order, the receipt, the goods invoice information and the logistics information;
and after the payment of the clearing payment bill is finished, receiving a clearing payment file uploaded by the medical institution server for the medical insurance bureau server to check and recheck, wherein the clearing payment file comprises a bank transaction running water, a settlement invoice and a goods warehousing list.
In this embodiment, the monitoring device is provided with a multifunctional interface and a service interface, and is used for interfacing with a medical institution service terminal, a medical insurance bureau service terminal, a bank service terminal and a supplier service terminal, all payments are completed by a bank independently, and the medical institution only needs to initiate a request and authorize the payment, thereby realizing a new purchase settlement mode based on bank account monitoring. The purchase settlement mode of the embodiment enables the medical insurance monitoring unit to participate in the whole process of purchase-transaction-settlement, ensures the transparency of the whole transaction process, shortens the communication link between the medical institution and the supplier, and improves the transparency and smoothness of the purchase transaction.
Referring to fig. 3, another embodiment of the medical procurement full-flow supervision apparatus according to the embodiment of the invention includes:
the receiving module 201 is used for receiving the purchase plan of the settlement period submitted by the medical institution server and forwarding the medical insurance bureau server for auditing;
the calculation module 202 is configured to calculate a prepaid amount and a prepaid payment amount corresponding to the purchase plan and forward the prepaid payment amount to the medical institution server, so that the medical institution server generates a prepaid payment order corresponding to the purchase order if the purchase plan is approved;
the prepayment module 203 is used for receiving a prepayment request of the prepayment payment order initiated by the medical institution service end, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service end so that the bank service end can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
the settlement rechecking module 204 is configured to generate a detail of settlement payable according to the actual fulfillment information after the supplier completes the fulfillment of the procurement plan, generate a settlement sheet according to the detail of settlement payable, and forward the settlement sheet to the corresponding supplier service end and the corresponding medical institution service end for rechecking in turn;
the clearing and rechecking module 205 is used for calculating the clearing amount and the clearing payment amount corresponding to the purchase plan and generating a corresponding clearing bill if the settlement bill is rechecked, and forwarding the clearing bill to the corresponding supplier server and the corresponding medical institution server for rechecking in turn;
the clearing payment module 206 is configured to receive a clearing payment request initiated after the medical institution server generates a clearing payment order if the clearing order passes rechecking, generate a clearing payment authorization instruction, and issue the clearing payment authorization instruction to the bank server, so that the bank server transfers the clearing payment amount from the medical institution supervision account to the provider account and freezes the clearing payment amount;
the acquisition module 207 is used for acquiring actual payment information of a medical institution supervision account and account information of a supplier account from a bank server after payment of a prepaid payment order or payment of a clearing payment order is completed, so that the medical insurance bureau server can check and recheck the information;
and the query module 208 is used for acquiring bank transaction running water and account balance of the medical institution supervision account from the bank server at regular time, so that the medical insurance bureau server supervises and tracks fund movement of the supervision account.
In this embodiment, the acquisition module 207 and the query module 208 ensure that the medical insurance bureau can monitor the whole process of the purchase transaction and track the capital movement and account balance of the supervision account. A supervision unit is introduced to participate in a purchasing transaction link in a substantial sense, meanwhile, the bank gives credit and endorsement, the wind control safety of a settlement process is improved, and a settlement system which is mutually beneficial and win-win and meets the benefits of all parties is built through the four-party cooperation of a hospital, a medical insurance office, a bank and an enterprise.
Referring to fig. 4, a schematic connection structure diagram of an embodiment of a medical procurement full-process monitoring system according to the embodiment of the invention is shown.
In this embodiment, the medical procurement full-flow supervision system includes: the system comprises a medical procurement full-flow supervision device 401, a medical institution server 402, a bank server 403, a medical insurance bureau server 404 and a supplier server 405. The medical procurement full-flow supervision device 401 is in communication connection with a medical institution server 402, a bank server 403, a medical insurance bureau server 404 and a supplier server 405 respectively.
The medical procurement full-flow supervision device 401 interacts with each server respectively, so that forwarding of various files, data and information and calculation of prepaid amount, prepaid payment amount, clearing amount and clearing payment amount are realized, and bank flow information of each procurement transaction, inquiry and supervision account fund change and the like are acquired. The medical institution server 402 is primarily used to submit a procurement plan, generate a prepaid payment order, clear the payment order, and initiate a payment request. The bank server 403 is mainly used for opening an account, transferring funds, transferring purchases and transactions, and the like. The medical insurance bureau server 404 is mainly used for auditing the procurement plans submitted by the medical structure and monitoring the whole procurement transaction process. The supplier server 405 is mainly used for submitting various data related to performance and participating in settlement and check-up and clearing check-up.
Optionally, in an embodiment, the banking server 403 is specifically configured to:
(1) creating medical institution administrative accounts and supplier accounts
Receiving account opening requests of a supervising medical institution and a supplier respectively;
correspondingly creating a medical institution supervision account and a supplier account according to the account opening request;
and when a purchase contract signed by a medical institution and a supplier is received, newly establishing a virtual sub-account under the supervision account in one-to-one correspondence with the purchase contract.
In this embodiment, in order to further ensure the exclusive use of the procurement fund of the medical insurance and ensure the integrity and the monitorability of the whole transaction information, each supervising medical institution and each supplier need to set up a bank account in a bank cooperating with the medical insurance bureau, the supervising medical institution sets up a medical institution supervising account, and the supplier sets up a supplier account.
In addition, considering that the same purchasing plan of the medical institution may have a plurality of purchasing contracts with a plurality of suppliers, further, when the bank receives the purchasing contracts signed by the medical institution and the supply enterprises, the virtual sub-accounts are newly established under the supervision account and correspond to the purchasing contracts one by one, so that the payment of the purchasing funds is ensured to correspond to the purchasing contracts one by one, and the real-time follow-up of the fund change condition of the supervision account is facilitated, and the subsequent settlement management is facilitated.
(2) Transfer of purchase funds and purchase order funds
When budget transfer contracts signed by banks and medical insurance offices are received, correspondingly transferring purchase funds to supervision accounts of all medical institutions according to the purchase budgets of all medical institutions set in the budget transfer contracts;
when a prepayment authorization instruction is received, the prepayment amount corresponding to the prepayment authorization instruction is allocated to a supplier account from a medical institution supervision account and is frozen;
and when receiving a clearing payment authorization instruction, allocating the clearing payment amount corresponding to the clearing payment authorization instruction from the medical institution supervision account to the provider account and freezing.
In this embodiment, after each supervising medical institution completes the establishment of the supervising account, the bank allocates the procurement budget of each medical institution set in the budget allocation contract to the supervising account of the corresponding medical institution according to the budget allocation contract signed with the medical insurance bureau. In each settlement period, when a prepayment authorization instruction or a payment authorization instruction is received, the bank transfers the corresponding payment amount from the corresponding medical institution supervision account to the corresponding supplier account, and simultaneously freezes the fund transferred to the supplier account until the frozen payment is thawed when a thawing authorization instruction issued by the medical institution is received.
Optionally, in an embodiment, the medical institution server 402 is specifically configured to:
submitting the purchase plan of the settlement period to the medical purchase full-flow supervision device for the medical insurance bureau server side to examine and check;
generating a prepaid payment order corresponding to the purchase order according to the prepaid payment amount calculated by the medical purchase full-process supervision device, and initiating a prepaid payment request to the medical purchase full-process supervision device;
receiving a settlement list or a clearing list sent by the medical procurement full-flow supervision device, rechecking the settlement list or the clearing list and returning a rechecking result;
and generating a clearing payment bill corresponding to the clearing bill according to the clearing payment amount calculated by the medical purchasing full-flow supervision device, and initiating a clearing payment request to the medical purchasing full-flow supervision device.
In this embodiment, the monitoring device is provided with a multifunctional interface and a service interface, and is used for interfacing with a medical institution service terminal, a medical insurance bureau service terminal, a bank service terminal and a supplier service terminal, all payments are completed by a bank independently, and the medical institution only needs to initiate a request and authorize the payment, thereby realizing a new purchase settlement mode based on bank account monitoring. The purchase settlement mode of the embodiment enables the medical insurance monitoring unit to participate in the whole process of purchase-transaction-settlement, ensures the transparency of the whole transaction process, shortens the communication link between the medical institution and the supplier, and improves the transparency and smoothness of the purchase transaction.
The medical procurement full-flow supervision device and system in the embodiment of the invention are respectively described in detail in the above fig. 3 and fig. 4 from the perspective of the modular functional entity, and the medical procurement full-flow supervision device in the embodiment of the invention is described in detail in the following from the perspective of hardware processing.
Fig. 5 is a schematic structural diagram of a medical procurement full-flow supervision apparatus 500 according to an embodiment of the present invention, which may have relatively large differences due to different configurations or performances, and may include one or more processors (CPUs) 510 (e.g., one or more processors) and a memory 520, one or more storage media 530 (e.g., one or more mass storage devices) for storing applications 533 or data 532. Memory 520 and storage media 530 may be, among other things, transient or persistent storage. The program stored on the storage medium 530 may include one or more modules (not shown), each of which may include a series of instruction operations for the medical procurement full-flow supervisory device 500. Still further, the processor 510 may be configured to communicate with the storage medium 530 to execute a series of instruction operations in the storage medium 530 on the medical procurement full-flow administration device 500.
The medical procurement full-flow supervisory device 500 may also include one or more power supplies 540, one or more wired or wireless network interfaces 550, one or more input-output interfaces 560, and/or one or more operating systems 531, such as Windows Server, Mac OS X, Unix, Linux, FreeBSD, and the like. Those skilled in the art will appreciate that the medical procurement full flow supervisory device architecture shown in FIG. 5 does not constitute a limitation on the medical procurement full flow supervisory device, and may include more or fewer components than shown, or combine certain components, or a different arrangement of components.
The invention also provides a medical procurement full-flow supervision device, which comprises a memory and a processor, wherein computer readable instructions are stored in the memory, and when being executed by the processor, the computer readable instructions cause the processor to execute the steps of the medical procurement full-flow supervision method in the embodiments.
The invention also provides a computer readable storage medium, which may be a non-volatile computer readable storage medium, or a volatile computer readable storage medium, having stored therein instructions, which when executed on a computer, cause the computer to perform the steps of the medical procurement full-process supervision method.
It is clear to those skilled in the art that, for convenience and brevity of description, the specific working processes of the above-described systems, apparatuses and units may refer to the corresponding processes in the foregoing method embodiments, and are not described herein again.
The integrated unit, if implemented in the form of a software functional unit and sold or used as a stand-alone product, may be stored in a computer readable storage medium. Based on such understanding, the technical solution of the present invention may be embodied in the form of a software product, which is stored in a storage medium and includes instructions for causing a computer device (which may be a personal computer, a server, or a network device) to execute all or part of the steps of the method according to the embodiments of the present invention. And the aforementioned storage medium includes: various media capable of storing program codes, such as a usb disk, a removable hard disk, a read-only memory (ROM), a Random Access Memory (RAM), a magnetic disk, or an optical disk.
The above-mentioned embodiments are only used for illustrating the technical solutions of the present invention, and not for limiting the same; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.
Claims (10)
1. A medical procurement full-flow supervision method is characterized by comprising the following steps:
receiving a purchase plan of the settlement period submitted by a medical institution server, and forwarding the purchase plan to a medical insurance bureau server for auditing;
if the purchase plan is approved, calculating the prepaid amount and the prepaid payment amount corresponding to the purchase plan and forwarding the prepaid amount and the prepaid payment amount to the medical institution server so that the medical institution server can generate a prepaid payment order corresponding to the purchase order;
receiving a prepayment request of the prepayment payment sheet initiated by the medical institution service terminal, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service terminal so that the bank service terminal can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
after the supplier completes the fulfillment of the procurement plan, generating a payable settlement detail according to the actual fulfillment information, generating a settlement sheet according to the payable settlement detail, and forwarding the settlement sheet to the corresponding supplier service end and the corresponding medical institution service end for rechecking in turn;
if the settlement list passes the rechecking, calculating the clearing amount and the clearing payment amount corresponding to the purchase plan, generating a corresponding clearing list, and forwarding the clearing list to a corresponding supplier server and a corresponding medical institution server for rechecking in turn;
and if the clearing bill passes rechecking, receiving a clearing payment request initiated after the medical institution service end generates the clearing payment bill, generating a clearing payment authorization instruction and issuing the clearing payment authorization instruction to the bank service end so that the bank service end transfers the clearing payment amount from the medical institution supervision account to the supplier account and freezes the clearing payment amount.
2. The medical procurement full-flow supervision method according to claim 1, characterized by further comprising:
after the payment of the prepaid payment bill is completed, receiving a purchase list and supplier information uploaded by a medical institution server for the medical insurance bureau server to check and recheck;
after the rechecking of the settlement list is completed, receiving a purchase order, a receipt, goods invoice information and logistics information which are uploaded by a medical institution server and actually performed in the settlement period, so that the medical insurance bureau server can check and recheck the purchase order, the receipt, the goods invoice information and the logistics information;
and after the payment of the clearing payment bill is finished, receiving a clearing payment file uploaded by the medical institution server for the medical insurance bureau server to check and recheck, wherein the clearing payment file comprises a bank transaction running water, a settlement invoice and a goods warehousing list.
3. The medical procurement full-flow supervision method according to claim 1, characterized by further comprising:
and after the payment of the prepayment payment order or the payment of the clearing payment order is finished, acquiring the actual payment information of the medical institution supervision account and the account arrival information of the supplier account from the bank server for the medical insurance bureau server to check and recheck.
4. The medical procurement full-flow supervision method according to any one of claims 1-3, characterized in that the medical procurement full-flow supervision method further comprises:
and acquiring bank transaction running water and account balance of the medical institution supervision account from the bank server at regular time so as to supervise and track the fund trend of the supervision account by the medical insurance bureau server.
5. A medical procurement full-flow supervision device is characterized by comprising:
the receiving module is used for receiving the purchase plan of the settlement period submitted by the medical institution server and forwarding the purchase plan to the medical insurance bureau server for auditing;
the calculation module is used for calculating the prepaid amount and the prepaid payment amount corresponding to the purchase plan and forwarding the prepaid amount and the prepaid payment amount to the medical institution server if the purchase plan is approved, so that the medical institution server can generate the prepaid payment list corresponding to the purchase order;
the prepayment module is used for receiving a prepayment request of the prepayment payment order initiated by the medical institution service end, generating a prepayment authorization instruction and issuing the prepayment authorization instruction to the bank service end so that the bank service end can allocate the prepayment amount from the medical institution supervision account to the supplier account and freeze the prepayment amount;
the settlement rechecking module is used for generating a payable settlement detail according to the actual fulfillment information after the supplier completes the fulfillment of the procurement plan, generating a settlement sheet according to the payable settlement detail, and forwarding the settlement sheet to the corresponding supplier server and the corresponding medical institution server for rechecking in turn;
the clearing and rechecking module is used for calculating the clearing amount and the clearing payment amount corresponding to the purchase plan and generating a corresponding clearing bill if the clearing bill rechecks, and forwarding the clearing bill to the corresponding supplier server and the corresponding medical institution server for rechecking in turn;
and the clearing payment module is used for receiving a clearing payment request initiated after the medical institution server generates the clearing payment order if the clearing order passes rechecking, generating a clearing payment authorization instruction and issuing the clearing payment authorization instruction to the bank server, so that the bank server transfers the clearing payment amount from the medical institution supervision account to the supplier account and freezes the clearing payment amount.
6. A medical procurement full-flow supervision system, characterized in that the medical procurement full-flow supervision system comprises the medical procurement full-flow supervision apparatus of claim 5, and further comprises: the system comprises a medical institution server, a bank server, a medical insurance bureau server and a supplier server; the medical procurement full-flow supervision device is in communication connection with the medical institution server, the bank server, the medical insurance bureau server and the supplier server respectively.
7. The medical procurement full-flow supervision system of claim 6, characterized by, the banking server is used to:
receiving account opening requests of a supervising medical institution and a supplier respectively;
correspondingly creating a medical institution supervision account and a supplier account according to the account opening request;
when a purchase contract signed by a medical institution and a supplier is received, newly establishing a virtual sub-account under the supervision account in one-to-one correspondence with the purchase contract;
when budget transfer contracts signed by banks and medical insurance offices are received, correspondingly transferring purchase funds to supervision accounts of all medical institutions according to the purchase budgets of all medical institutions set in the budget transfer contracts;
when a prepayment authorization instruction is received, the prepayment amount corresponding to the prepayment authorization instruction is allocated to a supplier account from a medical institution supervision account and is frozen;
and when receiving a clearing payment authorization instruction, allocating the clearing payment amount corresponding to the clearing payment authorization instruction from the medical institution supervision account to the provider account and freezing.
8. The medical procurement full-flow supervision system according to claim 6 or 7, characterized by that, the medical institution server is used for:
submitting the purchase plan of the settlement period to the medical purchase full-flow supervision device for the medical insurance bureau server side to examine and check;
generating a prepaid payment order corresponding to the purchase order according to the prepaid payment amount calculated by the medical purchase full-process supervision device, and initiating a prepaid payment request to the medical purchase full-process supervision device;
receiving a settlement list or a clearing list sent by the medical procurement full-flow supervision device, rechecking the settlement list or the clearing list and returning a rechecking result;
and generating a clearing payment bill corresponding to the clearing bill according to the clearing payment amount calculated by the medical purchasing full-flow supervision device, and initiating a clearing payment request to the medical purchasing full-flow supervision device.
9. A medical procurement full-flow supervision device, characterized by comprising: a memory and at least one processor, the memory having instructions stored therein; the at least one processor invokes the instructions in the memory to cause the medical procurement full flow administration device to perform the medical procurement full flow administration method of any of claims 1-4.
10. A computer readable storage medium having instructions stored thereon, wherein the instructions, when executed by a processor, implement the medical procurement full flow regulatory method of any of claims 1-4.
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