JPH07134743A - Medical treatment processor for hospital - Google Patents

Abstract

PURPOSE:To accurately grasp the end of a medical treatment in each medical treatment section, to accurately and easily grasp a patient to be returned to a home without passing an accounting window and to more accurately grasp medical examination waiting time by providing a medical examination processor with a means for inputting the medical examination end information of a patient whose medical treatment ends in each medical treatment section. CONSTITUTION:End information indicating the end of a medical treatment is transmitted by a doctor or a nurse from a receiving controller 2, a CPU in a system controller 5 reads out the name and others of the end patient. Thereby whether or not a patient ending his (or her) medical examination passes the accounting window can easily be grasped, and for a patient returned to a home without executing accounting, the amount claimed can be informed to the home or reclaimed at the succeeding visit to the hospital. The CPU in the controller 5 counts up information showing the reception of a patient by the controller 2 and information showing the end of a medical treatment and updates the number of received patients and the number of end patients in each section on a receiving state monitor 10, so that waiting time can more accurately be estimated.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment apparatus for a hospital, and more particularly, it is capable of grasping the end of medical treatment for each patient.

[0002]

2. Description of the Related Art Conventionally, reception at a hospital is generally performed by issuing a medical care card at the time of the first medical examination and submitting the medical care card to a window after the medical examination again. Further, an automatic reception device has been considered in which reception is performed by reading information on an ID card brought by a patient.

On the other hand, when the medical treatment is completed at the medical department, the patient receives the medical treatment card and the accounting data from the nurse and submits it to the accounting calculation window, and after paying the self-paid portion of the medical expenses, receives the medicine. It is normal to return.

[0004]

As described above, conventionally, in general, the patient himself / herself submits the accounting data to the accounting counter, but in such a method, the patient does not directly submit it to the accounting counter. If you go home, there is the inconvenience that you will not be able to collect insurance payments as well as collect self-pay. In particular, since there is no particular inconvenience for patients who do not need medication, there are a considerable number of patients who go home without passing through the accounting window.

In this case, in a large hospital, the accounting calculation is performed by computer processing such as a host computer. Therefore, it is possible to make an acceptance by referring to the accounting calculation information and the medical treatment acceptance information by the acceptor. It is possible to list the patients who did not perform the accounting calculation despite this, and it is possible to know the patients who did not go through the calculation window. Patients who have not been accounted for are included, and there is a drawback that patients who have not been accounted for cannot be accurately grasped. It is also possible to grasp by listing the patients examined in each clinical department on that day and comparing this with the accounting calculation information, but it is very difficult because the above listing itself is manual work. There is an inconvenience that requires time and effort.

On the other hand, in the case of automatically accepting medical treatment by the reception device as described above, it is possible to grasp the current number of accepted patients for each clinical department by counting up the number of accepted patients. At the same time, by combining this with the number of patients who have completed the medical examination, it is considered that the number of people waiting can be grasped and the patient service that informs the patient how long to wait can be provided. In this case, conventionally, the method of grasping the end of medical treatment is only based on the accounting calculation information input at the time of accounting calculation, and there is a drawback that an accurate number of persons who are terminated cannot be grasped. In particular, as described above, since it is generally said that the patient himself / herself will appear at the accounting calculation window, even if the examination is completed, the patient himself / herself may appear later due to subsequent examinations, or As described above, when returning home without going through the counter, the grasped medical treatment end time is significantly behind the actual time, and the difference between the actual number of persons completed and the grasped number becomes very large.

That is, an object of the present invention is to accurately grasp the end of medical treatment for each clinical department, to accurately and easily grasp the patient returning home without passing through the accounting window as described above, and to wait for a medical examination. The point is to be able to grasp time more accurately.

[0008]

In order to solve the above problems, the present invention is characterized by comprising input means for inputting medical care completion information of a patient who has completed medical care in a clinical department. Is.

According to a second aspect of the present invention, in the above invention, the storage means for storing the inputted medical care end information and the storage means for storing the accounted information of the patient who has completed the transaction. , Patients who have completed medical treatment but have not completed accounting can be appropriately listed.

Further, it is conceivable that the medical care end information input means is an ID card reader for reading the patient information recorded on the ID card of each patient.

[0011]

In the above, the medical treatment input means is inputted by a doctor or a nurse in the clinical department, and by storing the inputted data, it is determined whether or not the patient who received the medical treatment has passed through the accounting window. Can be easily grasped. In addition, it is possible to more accurately grasp the number of patients who have completed the medical treatment as compared with the case where the medical treatment is completed at the end of the accounting calculation.

[0012]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The structure of the present invention will be described below with reference to the illustrated embodiments.

FIG. 1 is a block diagram showing the entire medical treatment receiving apparatus according to the present invention. In the figure, (1) is
Receiving devices installed in each medical department, (2) is a receiving controller, and this receiving controller (2) controls reading of card record information by the receiving device (1) and issuance of acceptance slips. To do. Further, the reception controller (2) is provided with an end ID card reader (3) for inputting the end of medical treatment, and is installed in a waiting room of each medical department to call the patient to the examination room. A calling display (4) is connected. These, reception device (1), reception controller (2), ID card reader for termination (3)
The call display (4) is installed in each medical department.

Reference numeral (5) is a system controller installed at one place in the hospital. The system controller (5) and the reception controller (2) are connected via a line interface (6) to a signal line (7). ) (7) ... tied together. (8) is installed in the medical record room,
The printer (8) is a printer that prints a reception patient list for issuing a medical record delivery command. The printer (8) is connected to the output side of the system controller (5). Similarly, on the output side of the system controller (5), a plurality of integrated reception status monitors (10) (10) ... According to each clinical department are connected via a monitor controller (9). This comprehensive reception status monitor (10) (10) ... displays the number of patients received and the number of completed patients in each clinical department, and is installed at the entrance of the hospital or entrance hall. Is able to know in advance whether it is crowded or busy today.
Reference numeral (11) is a journal printer which is also connected to the output side of the system controller (5), and prints and ejects a list of patients to be received and various other lists. Further, the system controller (5) is connected to a host computer (13) that receives an initial examination and processes an accounting by a communication line (12).

FIG. 4 shows the appearance of the above-mentioned reception device (1). On its front side, a card insertion slot (14), a reception slip ejection port (15) for ejecting a printed reception slip, Further, there are provided medical care content selection input buttons (16) (16) for the patient to input the medical care content.

FIG. 2 is a block diagram showing the structure of the reception controller (2) which controls the reception device (1) and communicates with the system controller (5). In the figure, (21) is a CPU (Central Processing Unit), and (22) is an RO
M (read only memory) and (23) indicate RAM (random access memory) as an internal storage device. The ROM (22) stores a program indicating the procedure of execution work. An external storage device (37) is an all-patient information storage unit (24) for storing information of all patients received by the receiver (1), and a reception patient information storage unit (24) for storing information of patients received on that day ( 25) and a current reception number storage unit (26) that stores the current reception number in the department,
It has an area of a reception time storage unit (27) for storing reception start and reception end times when automatic reception is performed. The reception time storage unit (27) stores the time input by the reception time setting device (35) provided in the reception device (1). Various means such as a dial or electricity can be considered as the means for setting the reception time of the reception time setting device (35). In addition, the reception device (1) has an ID card reader (28) for reading the stored information of the ID card inserted by the patient, a reception slip printer (29) for printing a reception slip, and a reception desk during or during the reception hours. A reception start / stop key (36) that can start or end is provided. In addition, CPU (2
In 1), the input information of the ending ID card reader (3) and the call input key (30) operated by the nurse is input. The timer (31) keeps track of the current time, and the CPU (21) determines the current time based on the input information from the timer (31). Furthermore, CPU
The patient calling display (4) is connected to the output side of (21). Reference numeral (32) denotes a communication interface for connecting the CPU (21) of the reception controller (2) and the system controller (5). The journal printer (34) connected via the printer interface (33) is for printing various lists and the like.

FIG. 3 shows the structure of the system controller (5) connected to the reception controller (2) side. In the figure, (41) is a CPU (Central Processing Unit), (42) is a ROM (Read Only Memory),
Reference numeral (43) denotes a RAM (random access memory) which is an internal storage device. A program for execution work is input to the ROM (42) as in the reception controller (2). Further, (52) indicates an external storage device,
All patient information storage unit (44), reception patient information storage unit (45) for patients received on that day, each department current reception number storage unit (46), and medical treatment end patient information storage unit (47) )
And the accounted patient information storage unit (48) of the patient who has completed the accounting transmitted from the host computer (13).

The output side of the CPU (41) is connected to the journal printer (5) through the interface (49).
0), a department chart medical record output printer (8), and a monitor controller (9) are connected. (51) is
Monitor controller (9) and interface (49)
The communication interface for the reception status controller provided between the reception controller and the reception status monitor (10) (10) (10) (10) that displays the number of patients received by each clinical department on the output side of the monitor controller (9). ) ... is connected.

Next, the procedures for issuing the acceptance slip and other acceptance processing will be described with reference to the flowcharts of FIGS. 8 and 9.
FIG. 8 shows the work procedure on the reception controller (2) side in FIG.
Shows the work procedure on the system controller (5) side.

The reception start and end times set and input by the reception time setting input means are stored in the reception time storage section (27) of the external storage device (37) on the reception controller (2) side. (21) compares the reception start time stored by the external storage device (37) with the current time input by the timer (31) (step S1), and if the reception time has not come, It is determined whether or not the reception start key (36), which is set to perform reception even before the reception time, has been pressed (S2). Then, if the reception start key (36) is pressed or the reception time is reached, it is judged whether or not the reception stop key (36) is pressed (S3). To determine whether a card is inserted (S
4).

Then, when the card is inserted, the record information of the card is read (S5), and then the medical care content selection keys (16) (16) ... Are pressed (S6). When the medical care content selection keys (16) (16) ... Are pressed, the medical care content is read (S7), and then the reception number is set and the number of reception people is counted (S8). When the system controller (5) is used as in this embodiment, the setting of the reception number and the counting of the number of reception persons are performed on the system controller (5) side. That is, the reception controller (2) transmits the read information to the system controller (5) side and receives the reception number set on the system controller (5) side. However, when using the reception controller (2) alone without using the system controller (5),
The reception controller (2) performs a calculation based on the reception number stored in the current reception number storage section (26) in the external storage device (37) and sets a new reception number.
Also, the newly set reception number is stored again in the external storage device (37). Then, the CPU (21) of the reception controller (2) controls the reception sheet printer (29) of the reception device (1) to print the reception sheet (S).
9), return this receipt and the inserted ID card,
The reception is ended (S10). FIG. 5 shows an example of such a reception slip, and the reception slip (61) is printed with the patient number, the date of birth, the department name, the medical treatment content, and the reception number printed.

Next, when the card is not inserted in step S4, the reception controller (2) determines whether or not the medical treatment end card is input (S11). The medical treatment completion card is the same as the ID card brought by the patient. For example, when the magnetic recording section of the ID card is passed through the groove of the ID card reader for termination (28), it is automatically terminated. Is read and input to the CPU (21) of the reception controller (2). When the medical care completion card is input in this way, the CPU (21) reads the name and other information of the medical care completion patient (S12), and sends the information to the system controller (5) (S13).

On the other hand, when the nurse operates the call key for calling in a specific patient (S14), the reception controller (2) reads the name of the called patient (S1).
5) The display for call-in (4) is controlled to display the entered patient reception number on the display (4). An example of the display method is shown in FIG. 7, and for example, one or a plurality of reception numbers are displayed below the letters “Please enter the next person”. This display can be kept displayed until the next call-in patient is input, so that even if a patient who was temporarily away from his / her seat returns, he / she can see it and see it. You can enter the room. Also, by comparing the displayed reception number with the one displayed on the self-reception slip, when the waiting patient learns that his or her number is approaching, it seems that the patient is waiting without leaving the waiting room. Therefore, the inconvenience of not being able to come to the examination room after being called in is greatly reduced, and the examination can be performed smoothly. Even if your reception number is not displayed, if you know that you have already passed that number when you return, you will be able to get a medical examination by notifying the examination room. .

Next, the operation on the system controller (5) side will be described. When the reception controller (2) sends information indicating that the patient has been received and the record information of the reception patient (S21), the reception Read patient information (S
22), which is stored in the all patient information storage section (44) and the reception patient information storage section (45) of the external storage device (52).
Then, the CPU (41) sets the reception number at the same time as counting the number of reception patients (S23) and transmits it to the reception controller (2) side (S24). at the same time,
The department chart printout table printer (8) is controlled via the interface (49) to print the names and other lists of patients accepted in the department (S2
5) In the medical record room, the medical record is delivered by this. In this case, when the reception of the medical treatment by the reception device (1) is performed before the medical treatment is started, the reception patient is stored in the reception patient information storage unit (45) of the external storage device (52) as described above. Then, just before the start of medical treatment, this should be printed at once. Further, the CPU
(41) controls the reception status monitor (10) installed at the entrance or entrance hall of the hospital and counts up the number of reception patients in FIG. 6 displayed on the reception status monitor (10) (S26). ). This allows a patient who visits the hospital to know how busy the department is.

Further, the CPU (41) is also adapted to receive the information of the first-visit patient received at the first-time consultation counter, that is, the host computer (13) in step 27, and the CPU (41) of the system controller (5).
However, the patient information is read (S22), and in combination with the return patient on the reception controller (2) side, the number of reception patients and the reception number are set (S2).
3). Then, the reception number of the first-visit patient assigned at the first-visit window in this case is transmitted to the host computer (13) side (S24). When the reception controller (2) sends end information indicating that the medical treatment has been completed (S2
8) Read the name and other information of the end patient (S
29), the number of completed patients is counted (S30), and the number of completed patients of the department in the reception status monitor (10) is counted up (S31). That is, the visitor can know how many patients are currently waiting for medical examination by comprehensively looking at the number of patients who have been accepted and the number of patients who have been completed, which are displayed on the acceptance status monitor (10). Here you can decide whether to do. Note that such information on the completed patient is stored in the medical care completed patient information storage unit (47) of the external storage device (52) in the system controller (5).

When the host computer (13) sends information indicating that the accounting of the patient who has finished the medical treatment is completed (S32), the patient information is read (S33), and this is stored in the external storage device (52). ) Stored in the accounted patient information storage section (48). That is, the external storage device (52) stores the information about the patient who has completed the medical treatment, but the content of this patient information and the name of the patient stored in the accounted patient information storage unit (48) are collated. By matching, it is possible to list patients who have been treated but have not paid the bill. In the past, there were often patients who returned home without paying a fee even though they had been treated, but there was a drawback that this could not be grasped accurately. By matching the accounted patients, there is an advantage that such patients can be easily listed. The list of patients who do not pay such a fee can be easily output to the journal printer (11) side by instructing the CPU (41). That is, when there is a request to output a specific list (S34), the CPU (41) can create a list according to the request and output it to the journal printer (11) side (S35). .

In addition, the reception patient information storage unit (45) in the external storage device (52) can also store the reception time of the received patient, and the medical treatment completion patient information storage unit (47) The medical treatment time can be stored, and by comparing and calculating the medical treatment end time and the reception time, the time from the reception to the medical treatment end time required for each person can be calculated. You can know what is required. In addition, the reception patient information storage unit (4
By storing the call-in time called by the call-in input means (30) in 5), the time excluding the waiting time from the time when the doctor is actually called in to the examination room to the end of medical treatment is excluded. Can be calculated, the average required time can be calculated, and the expected waiting time can be calculated.

[0028]

As described above, according to the present invention, the doctor or the nurse operates the medical care end information input means at the end of the medical care so that the medical treatment of each patient is accurately recognized. Yes, therefore, by storing this input data, it is possible to easily understand whether or not the patient who received medical treatment has passed the accounting window. For example, for a patient who returned home without accounting, There is an effect that it can contribute to the improvement of hospital management, such as being able to notify or recharge at the next visit.

Even when the medical treatment waiting time is estimated from the number of patients who have been accepted by the reception machine and the number of patients who have completed the medical treatment, the number of patients who have completed medical treatment is more accurate than when the medical treatment is grasped at the end of accounting calculation. Therefore, it is possible to improve the patient service as compared with the conventional method.

[Brief description of drawings]

FIG. 1 is an overall block diagram showing a configuration of the present invention.

FIG. 2 is a block diagram showing a structure of a reception controller.

FIG. 3 is a block diagram showing a structure on a system controller side.

FIG. 4 is a perspective view of a receiver.

FIG. 5 is a front view showing an example of a reception slip.

FIG. 6 is a front view showing an example of a display method by a reception status monitor.

FIG. 7 is a front view showing an example of a display method using a patient call-in display.

FIG. 8 is a flowchart of a program showing a work procedure on the reception controller side.

FIG. 9 is a flowchart of a program showing a work procedure on the system controller side.

[Explanation of symbols]

 (3) ... ID card reader for termination, (5) ... System controller,

 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Yoshihisa Miyashiro 2-2305, Sumido, Daito City, Osaka Daito Musical Instrument Co., Ltd.

Claims (3)

[Claims] 1. A medical treatment apparatus for a hospital, comprising an input means for inputting medical treatment end information of a patient who has finished medical treatment in a medical department. 2. Comprising a storage means for storing the input medical care end information and a storage means for storing the accounted information of the patient who has completed the accounting, and ends the accounting even though the medical care is completed. The medical treatment apparatus for a hospital according to claim 1, wherein the patients who have not done so can be appropriately listed. 3. The medical treatment apparatus for a hospital according to claim 1, wherein the medical treatment end information input means is an ID card reader for reading the patient information recorded on the ID card of each patient.