CN1947139A - A system for determining medical resource utilization characteristics - Google Patents

A system for determining medical resource utilization characteristics Download PDF

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Publication number
CN1947139A
CN1947139A CNA2005800133248A CN200580013324A CN1947139A CN 1947139 A CN1947139 A CN 1947139A CN A2005800133248 A CNA2005800133248 A CN A2005800133248A CN 200580013324 A CN200580013324 A CN 200580013324A CN 1947139 A CN1947139 A CN 1947139A
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income
data
medical devices
cost
resource
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CNA2005800133248A
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Chinese (zh)
Inventor
A·莫尼策尔
B·古达
V·切米蒂甘蒂
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Siemens Medical Solutions USA Inc
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Siemens Medical Solutions Health Services Corp
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Publication of CN1947139A publication Critical patent/CN1947139A/en
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Abstract

A system is interfaced with multiple different financial, clinical and inventory information systems that provide information for on-line analytical processing to provide resource usage characteristics. A system for determining characteristics of resource usage, includes an acquisition processor for automatically acquiring data representing information. The acquired information includes revenue received for a particular usage of a particular resource by a particular patient, operating cost of maintaining the resource, and an acquisition cost of the resource. A data analyzer processes the acquired information to determine a profit or loss attributable to the resource. A communication processor communicates a message to a remote unit indicating the profit or loss in response to user command.

Description

Be used for determining the system of medical resource use characteristic
This is to be the non-provisional application of 60/566,564 provisional application by the sequence number that people such as A.Monitzer submitted on April 29th, 2004.
Technical field
The present invention relates to a kind of system and user interface that the costs and benefits rate of above-mentioned resource was used and be used for determining to monitoring (for example Medical Devices as the MR image-generating unit) resource that be used for.
Background technology
For instance, for the purchasing, allocate and use of the resource of optimizing Medical Devices in the hospital for example and so on, be necessary accurately to determine to be attributable to the actual gain or the loss of specific resources.This need be attributable to the total cost of each resource on the specific duration and accurately determining of income.Also expectation can be determined this information based at once and real-time time basically, can particular medical device being made accurate, current income or loss is determined according to user's request.The profit that accurate cost, income and the earning rate of particular medical device (or loss) information makes equipment control and maximization income, minimize cost and optimize above-mentioned Medical Devices becomes easy.Above-mentioned information also allows to carry out stock control and the needs of redundant equipment that the Medical Devices that fully use or excessively use are identified and maybe can be removed extras identify.
There are many problems related when special time is accurately determined cost, income and earning rate (or loss) information of particular medical device or other resources.Especially, asset depreciation, cost, income and other relevant informations may be difficult to obtain or be maintained in the different remote computer systems.In addition, resources costs and income information may by the third party who comprises extra various computing machine system assess or determine and must delayed accurate cost and income data determine communicate by letter.For instance, relate to the optimization of cost, but can not determine actual cost, remuneration, income and earning rate at the existing system aspect supply chain management, price fixing and sale and the service recompense repayment.System has solved determined defective and relevant issues in accordance with the principles of the present invention.
Summary of the invention
A kind of system adopts on-line analysis to handle the establishment that true and dimension table are supported in (OLAP) compatible data storehouse, and the above-mentioned fact and dimension table comprise from revenue control system of hospital (for example clinical and financial information system), spending system (for example Ariba compatible system) and the medical device inventory management system information of acquisition automatically and seamlessly.A kind of system that is used for determining resource usage characteristic (for example Shi Ji cost, income and income or loss) comprises the processor that obtains of the data that are used for obtaining automatically expression information.The information of being obtained comprises: at particular patient to the income that specific use received of specific resources, the operating cost of safeguarding above-mentioned resource and the acquisition cost of above-mentioned resource.The information that the data-analyzing machine processing is obtained is to determine to be attributable to the income or the loss of above-mentioned resource.Communication processor will indicate the message of income or loss to be sent to remote unit in response to user command.
Description of drawings
Fig. 1 illustrates the system that is used to provide resource usage characteristic according to inventive principle.
Fig. 2 illustrate according to inventive principle, by the employed process flow diagram that is used for the method for access resources use characteristic of the system of Fig. 1.
Fig. 3 illustrates the process flow diagram that is used to provide the finance and the method for other resource usage characteristics according to inventive principle.
Embodiment
Fig. 1 illustrates a kind of system, and this system comprises the interface with a plurality of different finance, clinical and inventory information system, is used for automatically obtaining being used for information that on-line analysis handles so that for example resource usage characteristic of cost, income and earning rate and so on to be provided.Said system provides the user-selected time cycle or the resource usage characteristic of specific use-case.For this purpose, said system adopts the on-line analysis of the establishment of supporting true and dimension table to handle (OLAP) compatible data storehouse, the information that these data and dimension table comprise automatically and seamlessly obtain from revenue control system of hospital (for example clinical and financial information system), spending system (for example Ariba compatible system) and medical device inventory management system.
The inventor advantageously recognizes: can come accurately to determine the use characteristic of Medical Devices (and other resources) by a kind of system, the integrated and configuration customizing messages system of said system.For instance, in hospital, said system advantageously makes equipment control related system and hospital's revenue control system integration together, and can realize determining of use characteristic, above-mentioned use characteristic comprises accurate cost, income and the earning rate of particular medical device (for example magnetic resonance (MR), X-ray, computer tomography (CT) scanning or other imaging devices).Be used for determining that the fact that independent cost or the required data of income numerical value may be positioned at a plurality of different disposal systems has hindered the accurate income of use and the determining of cost data of particular medical device.In addition, these different disposal systems can be mutual exclusions, and can comprise required cost or the income information of utilizing the addressable different recording formats of different parameters.Can also obtain above-mentioned data at different time, and above-mentioned data can be available behind the period of change of time delay.
By determining that from the Medical Devices (or other resource) that utilize that insurance company and other disbursers received be the final reimbursemen amount of money of the performed service of patient, system's executory cost is optimized.The final income remuneration of being carried out when the specific service of utilizing Medical Devices to offer particular patient is repaid typically depends on the clause that is present in the special contract between insurance company and the health care supplier.Medical insurance contract terms is different because of different patients, because the patient participates in the different health care scheme with different insurance companies.Revenue control system of hospital (for example clinic information system and financial system) store contract information.Revenue control system of hospital also handles the financial transaction that comprises the amended claims between health care supplier and the insurance company.Said system and revenue control system of hospital, clinical and inventory information system docking so as automatically to obtain information and determine Medical Devices real cost and at Medical Devices receive to being the remuneration of performed each service of patient.For this purpose, said system is automatically visited the account in other financial systems of revenue control system of hospital and health care supplier.
Said system adopts current, the accurate information obtain automatically, to determine use characteristic such as the optimization of the such Medical Devices of real cost, income and the earning rate of Medical Devices in the predetermined time cycle or at specific use-case.These features can be optimized the user and how and when to be allocated Medical Devices and how to use the said equipment, the type of the service that its frequency of utilization and it are used to provide is provided.Said system is loaded current, accurate data, and above-mentioned data are from revenue control system of hospital (for example at the remuneration of receiving according to the service that image mode provided) with from spending system (for example depreciation of the assets of image mode expenditure) and also from financial system (for example operation of image mode spending) acquisition.Said system advantageously makes definite robotization of the use characteristic of optimization together by it and hospital's revenue control system integration that accurate and up-to-date equipment cost is provided.
For instance, said system is created the fact table and the dimension table of the tissue of the data that are supported in line analysis processing and cubic structure.For rate of return analysis, this structure is convenient to search and search becomes more meticulous (for example excavate downwards, and section and the search of dice (dice) type).In order to make accurate operational decision making in hospital, for example, said system advantageously utilizes the information that is stored in revenue control system of hospital, spending system (financial system) and the inventory management system to create and construct the fact and dimension table.Said system adopts the module of from online transaction database information extraction or its copy, and transmission and utilize analytical algorithm to revise above-mentioned data to be created in fact table and the dimension table in the line analysis process database (olap database).
Executable application programs comprises and is used in response to user command or input and realizes the code or the machine readable instructions of predetermined function, and above-mentioned predetermined function for example comprises those predetermined functions of operating system, healthcare information system or other information handling systems.Processor as used herein is equipment and/or the set of machine-readable instruction that is used to execute the task.Processor comprises any one or its combination in hardware, firmware and/or the software.Be used for by the information of executable program or information equipment use and/or by above-mentioned information is routed to output device by operating, analyze, revise, change or transmitting, processor acts on information.For instance, processor can use or comprise the performance of controller or microprocessor.Data-analyzing machine comprises and is used for comprising that by execution the combination, algebraically, logic of financial accounting function and other analytic function come the processor of deal with data.Database is that the record of data search, location and extraction and one or more centralized data repository or a plurality of Distributed Storage storehouse of related data are supported in storage.
In the system of Fig. 1, extraction module (processor) 10 and a plurality of different finance, clinical and inventory information system docking so that automatically obtain is used for information that on-line analysis handles so that resource (for example Medical Devices) use characteristic, for example cost, income and earning rate to be provided.Especially, extraction module 10 and inventory database 60, clinical and financial information database 70, financial ledger system database 75 and expense system database 80 are carried out two-way communication and are used for the information that on-line analysis is handled so that automatically visit and obtain.Inventory database 60 comprises the stock's of the Medical Devices that sign health care supplier organizes information.Inventory database 60 keeps automatically following the tracks of current stock's the record of variation of the Medical Devices of health care supplier tissue.This inventory database is realized this point by adopt inserting and follow the tracks of (plug-and-track) tag system, this insertion with follow the tracks of tag system in when equipment is connected with network and the said equipment is powered via network automatically the sign of transfer equipment and positional information so that be stored in the database 60.This communication can be wired or wireless or both combinations.Inventory database 60 is preserved the record of each Medical Devices, and this record comprises: unique equipment mark code, device type and manufacturer's information and equipment use data (comprise and use history).
Clinical and financial information database 70 (for example comprising revenue control system of hospital) is preserved the record that the service that offers the patient is followed the tracks of, and this record is included in the date and time that the time and date that when specific service is provided Medical Devices used identifies and stabs and the reimbursemen of above-mentioned specific service and the current state of payment.The ledger data that financial ledger system database 75 (for instance, such as SAP or Peoplesoft compatible system) storage is gathered.Expense system database 80 is preserved and is followed the tracks of the spending recording of information.The purchase cost of concrete purchase of this spending message identification medical device inventory and assets (purchase) the cost depreciation of date, Medical Devices service and operating cost and cost and each Medical Devices.
Extraction module (ETL) 10 automatically obtains data in the table from be stored in inventory database 60, clinical and financial information database 70, financial ledger database 75 and expense system database 80.Module 10 is automatically checked, is changed and transmits the data of being obtained so that be stored in the olap database 20 and create fact table 30 and dimension table 40.Module 10 adopts analytical algorithm 50 so that be sent to olap database 20 when revising and handling from data that database 60-80 obtains.Analytical algorithm 50 also is created in fact table 30 and the dimension table 40 in the line analysis process database 20.Module 10 adopt analyze and visualization applications (for example Cognos and Microsoft analysis application) produce comprise represent organized structured message cube (cube) 90 so that in displayed image, show to the user.For instance, cube structure information comprise that equipment library is deposited, time cycle, medical procedure and medical condition sign and selection information.This is convenient to search criterion that the user selects to be used to realize searching for so that the feature relevant with the Medical Devices earning rate of being classified according to particular device, medical procedure, patient medical condition and other parameters to be provided.Therefore, in displayed image, present to user's data cube 90 and simplify data mining and hierarchical search and the analysis that the user starts.The CognosVisualizer application program is created perfect visual report and is shown a plurality of measuring (measure) simultaneously, to transmit complicated business data fast and intuitively.Similarly, the Microsoft analysis application data analysis that the on-line analysis of the data in fact table 30 and the dimension table 40 is handled that provides support is with the data mining of supporting database 20.
Fig. 2 illustrates extraction module 10 (Fig. 1) process flow diagram that use, that be used for the method for access resources use characteristic by the system of Fig. 1.In step 210, after step 200 place began, module 10 was extracted data from inventory database 60, clinical information database 70, financial ledger database 75 and the expense system database 80 of automatic renewal.Module 10 in step 220, utilize analytical algorithm 50 come data that conversion extracts and with amended data storage in olap database 20.In step 230, module 10 utilizes analysis application to produce to have the cube 90 from the data of fact table 30 and dimension table 40.Data cube 90 comprises to be convenient at desired stock, cost income and other resource usage characteristics search index, key word and other data with database 20 finecombs one time.Data cube 90 can also comprise the data that the vision of indication equipment stock, time cycle, medical procedure and the medical condition sign and the information of selection presents.This is convenient to search criterion that the user selects to be used to realize searching for so that the feature relevant with the Medical Devices earning rate of being classified according to particular device, medical procedure, patient medical condition and other parameters to be provided.Alternatively, in response to user command, data cube can also comprise the data of representing display image, and this display image illustrates the data of the feature relevant with the Medical Devices earning rate that indication classifies according to particular device, medical procedure, patient medical condition and other parameters.The method of Fig. 2 stops at step 240 place.
Fig. 3 illustrates the process flow diagram that the method for finance and other resource usage characteristics was provided by module 10 (Fig. 1) being used to of adopting.Module 10 is set up in step 702 after step 700 place begins and the communicating by letter of the executable application programs that long-range inventory database 60, clinical information database 70, financial ledger database 75 and expense system database 80 are managed.The tentation data form that module 10 utilizes the communication data mapping table from unit 10 to obtain is set up with communication protocol information and is communicated by letter, and described communication data mapping table is associated the specific associated databases of communication data form and agreement and (among the database 60-80).Module 10 is automatically obtained the data of expression information in step 705, described information comprises at the income of particular patient to receiving such as the specific use of the such particular medical device of MR image-generating unit (resource).Similarly, module 10 is automatically obtained the data of the information of the acquisition cost that expression comprises the operating cost of safeguarding Medical Devices and Medical Devices, and this information is attributable to the specific use of particular patient to Medical Devices.Especially, module 10 accumulation datas to be being provided in the predetermined period by the gross income value that above-mentioned Medical Devices were produced, and described data are illustrated in the income of the specific use of particular medical device being received at particular patient for each use incident of Medical Devices during the predetermined period.
The income of each specific use of particular medical device being received at particular patient comprises the actual reimbursemen amount of money of receiving from this tissue at specific use in response to the amended claims that propose to tissue.The income data that module 10 accumulation are received the use of particular medical device at a plurality of different patients for each use incident of Medical Devices in response to the amended claims that propose to a plurality of different tissues.The operating cost of safeguarding Medical Devices comprise (a) be used for safeguarding cost, (b) of the service of Medical Devices be used to safeguard Medical Devices part cost and (c) owing at least one of the cost of the related management expense that is used to safeguard Medical Devices.
In step 708, module 10 is in conjunction with above-mentioned operating cost and above-mentioned acquisition cost and above-mentioned resource income, so that income or the defective value that is attributable to particular medical device to be provided.For instance, module 10 deducts operating cost and acquisition cost so that income or the loss that is attributable to Medical Devices to be provided from Medical Devices incomes.In other embodiment, module 10 utilizes other data to purchase with explanation in conjunction with operating cost and acquisition cost and resource income deferred, loan repayment and other factors of deferred, income of depreciation, tax, lease or rent arrangement, the cost of (assets) cost in more complicated mode (as known), so that income or the defective value that is attributable to particular medical device is provided.In response to user command, unit 10 will indicate the message of in step 708 determined income or defective value to be sent to remote unit in step 713 and this value of storage in step 717.The method of Fig. 3 stops at step 723 place.
The system and method that is presented among Fig. 1-3 is not unique.The system and method that can obtain other according to principle of the present invention is to finish identical target.Although described the present invention, it should be understood that shown herely to go out to be only used for illustration purpose with described embodiment and flexible program with reference to specific embodiment.Without departing from the scope of the invention, those skilled in the art can realize the modification to current design.In addition, can realize by in the function that system and method was provided among Fig. 1-3 any one with hardware, software or both combinations.Advantageously in conjunction with the real cost and the earning rate of each Medical Devices that provides automated inventory that Medical Devices utilize data to find to be followed the tracks of to determine in inventory system, above-mentioned data comprise the accurate financial information from financial system, income system of hospital and spending system in this system.For instance, this system's basis extracts from inventory database, hospital's income system database and expense system database and the data of institute's conversion produce fact table and dimension table, so that utilize the cube structure data to carry out rate of return analysis.This system can be used in the various environment and is not only to be used for the health care environment.

Claims (14)

1, a kind of system that is used for determining resource usage characteristic comprises:
Obtain processor, be used for obtaining automatically the data of expression information, described information comprises:
The income of the specific use of specific resources being received at particular patient,
Safeguard the operating cost of described resource, and
The acquisition cost of described resource;
Data-analyzing machine is used to handle the described information of obtaining to determine to be attributable to the income or the loss of described resource; And
Storage of processor is used for the data of described income of storage representation or loss.
2, according to the system of claim 1, wherein,
Described resource comprises Medical Devices, and
Described data-analyzing machine accumulation data to be being provided in the predetermined period gross income that is produced by described Medical Devices, and described data are illustrated in the income of the specific use of specific resources being received at particular patient for each use incident of described Medical Devices during the described predetermined period.
3, according to the system of claim 2, wherein,
The described income of the described specific use of described particular medical device being received at described particular patient comprises the actual reimbursemen amount of money of receiving from described tissue at described specific use in response to the amended claims that propose to tissue, and
The income data that described data-analyzing machine accumulation is received the use of described Medical Devices at a plurality of different patients for each use incident of particular medical device in response to the amended claims that propose to a plurality of different tissues.
4, according to the system of claim 2, wherein,
The described operating cost of safeguarding described Medical Devices comprises at least one in following: cost, (b) that (a) is used to safeguard the service of described Medical Devices be used to safeguard described Medical Devices part cost and (c) owing to the cost of the related management expense that is used to safeguard described Medical Devices, and
The described processor that obtains docks with financial executable application programs, thus make it possible to for each use incidents of described Medical Devices at use automatic reception and the accumulation income data of a plurality of different patients to particular medical device.
5, according to the system of claim 2, wherein,
Described data-analyzing machine in conjunction with described operating cost and described acquisition cost and described Medical Devices income so that described income or the loss that is attributable to described Medical Devices to be provided, and
Described data-analyzing machine deducts described operating cost and described acquisition cost so that described income or the loss that is attributable to described Medical Devices to be provided from described Medical Devices income.
6, according to the system of claim 1, wherein,
Described data-analyzing machine provides described income or the loss that is attributable to described resource in conjunction with described operating cost and described acquisition cost and described Medical Devices income so that at least one the mode in following to be described:
Deferred, (e) income of (a) depreciation, (b) tax, (c) lease or rent arrangement, (d) cost deferred and (f) loan repayment, and
The described predetermined communication protocol data of processor utilization of obtaining is automatically set up and the communicating by letter to obtain described information of at least one thesaurus.
7, according to the system of claim 1, wherein,
The described processor that obtains is to be suitable for being handled to determine to be attributable to the income of described resource or the data layout of loss by described data-analyzing machine with the described information translation of obtaining.
8, a kind of method that is used for determining resource usage characteristic comprises following operation:
Automatically obtain the data of expression information, described information comprises:
The income of the specific use of specific resources being received at particular patient,
Safeguard the operating cost of described resource, and
The acquisition cost of described resource;
Handle the described information of obtaining to determine to be attributable to the income or the loss of described resource; And
To indicate the message of described income or loss to be sent to remote unit in response to user command.
9, a kind of system that is used for determining the Medical Devices use characteristic comprises:
Obtain processor, be used for obtaining automatically the data of expression information, described information comprises:
The income of the specific use of particular medical device being received at particular patient,
Safeguard the operating cost of described Medical Devices, and
The acquisition cost of described Medical Devices; And
Data-analyzing machine is used for:
Accumulation data is to be provided at the gross income that is produced by described Medical Devices in the predetermined period, described data are illustrated in the income of the specific use of specific resources being received at particular patient for each use incident of described Medical Devices during the described predetermined period, and
Handle the described information of obtaining to determine to be attributable to the income or the loss of described Medical Devices.
10, according to the system of claim 9, wherein,
The described income of the described specific use of described particular medical device being received at described particular patient comprises the actual reimbursemen amount of money of receiving from described tissue at described specific use in response to the amended claims that propose to tissue, and
The income data that described data-analyzing machine accumulation is received the use of particular medical device at a plurality of different patients for each use incident of described Medical Devices in response to the amended claims that propose to a plurality of different tissues.
11, a kind of system that is used for the financial characteristics of definite Medical Devices use comprises:
Obtain processor with financial executable application programs communicates, be used for obtaining automatically the data of expression information, described information comprises:
The income of the specific use of particular medical device being received at particular patient,
Safeguard the operating cost of described Medical Devices, and
The acquisition cost of described Medical Devices;
Data-analyzing machine is used in conjunction with described operating cost and described acquisition cost and described resource income so that income or the defective value that is attributable to described particular medical device to be provided; And
Storage of processor is used for storing described income or defective value in response to user command.
12, according to the system of claim 11, wherein,
The described data of obtaining the processor accumulation from described financial executable application programs, the income that described data representation is received the specific use of described particular medical device at particular patient for each use incident of described particular medical device.
13, according to the system of claim 11, wherein,
Described each use incident of described Medical Devices takes place during predetermined period, and
Described data-analyzing machine is provided at the gross income that is produced by described particular medical device in the described predetermined period, and
Described data-analyzing machine deducts described operating cost and described acquisition cost so that described income or the loss that is attributable to described particular medical device to be provided from described particular medical device income.
14, according to the system in the claim 11, wherein,
The described income of receiving is at the specific use of particular patient to described particular medical device, and
Described particular patient comprises the actual reimbursemen amount of money of receiving from described tissue at described specific use in response to the amended claims that propose to tissue to the described specific use of described particular medical device.
CNA2005800133248A 2004-04-29 2005-03-02 A system for determining medical resource utilization characteristics Pending CN1947139A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US56656404P 2004-04-29 2004-04-29
US60/566,564 2004-04-29
US10/950,907 2004-09-27

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CN1947139A true CN1947139A (en) 2007-04-11

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112509686A (en) * 2020-12-02 2021-03-16 广州天成医疗技术股份有限公司 Medical equipment information management method and system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112509686A (en) * 2020-12-02 2021-03-16 广州天成医疗技术股份有限公司 Medical equipment information management method and system

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