JPH10187810A - Medical business management supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable income and expenditure management by desired managing indexes such as medical sections, clinical subjects, disease names and clinical actions based on various input income and expenditure data concerning a medical business management supporting system using computers. SOLUTION: A medical business management supporting system 1 is provided with an interface 2 for inputting individual income and expenditure data showing income and expenditure related with one of plural medical sections at least and common income and expenditure data showing income and expenditure related with plural sections among plural medical sections as input income and expenditure data. 1st selecting device 501 for selecting the individual income and expenditure data out of the input income and expenditure data, 2nd selecting device 502 for selecting the common income and expenditure data out of the input income and expenditure data, and charge processing device 503 for charging the income and expenditure shown by the selected individual income and expenditure data for each medical section as the income and expenditure corresponding to an individual code added to the individual income and expenditure data as it is and respectively charging the income and expenditure shown by the common income and expenditure data for each medical section after respectively multiplying it with a charge coefficient determined for each medical section corresponding to the attributes of common income and expenditure data.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention belongs to the technical field of a medical management support system using a computer and a storage medium storing a program for causing the computer to function as the medical management management system.

[0002]

2. Description of the Related Art Conventionally, according to a profit and loss calculation method using a computer in various industries including medical care, a profit and loss in a tax law and a finance are generally calculated, and more specifically, in a corporation unit. Or, only profit or loss is calculated for each hospital, each business or each business establishment. In addition, according to the method of calculating profit and loss in medical treatment using a computer system for cost management by department and product type used in the manufacturing industry, the same as in the case of cost management by department and product type in the manufacturing industry In addition, profits and losses by hospital ward and by ward are calculated.

In the manufacturing industry, in particular, the relationship between raw materials and products and the relationship between labor costs and products are uniform and relatively simple. Even a huge amount can be easily and quickly calculated by a computer. Then, by looking at the profit and loss calculated and output by section, product type, etc., for example, "This product is very profitable", "This product is hardly profitable", "What happened to this product?" By the way, it is in the red. " In other words, such a computer system for calculating profit and loss by section, product type, etc. functions as a business management support system.

[0004]

However, in the field of medical treatment, there are a variety of patients and medical conditions each having unique characteristics rather than uniform characteristics, and a large number of doctors and nurses each having unique skills rather than uniform characteristics. Women, one or more doctors and nurses, etc.
Since it is the basis of income and expenses (loss), in a computer system that handles uniform items, basically, for example, profit and loss by medical management index such as medical department, disease name, medical practice I can't calculate. In particular, in the medical field, it is not possible to specify which medical department, which disease name, which medical department, etc., belong to, for example, a rehabilitation department, a radiation department, a drug department, an intravenous department, a surgery department, a consultation department, or a common medical department. There are a number of management / assistance departments such as a logistics management department and a facility management department, and the costs associated therewith are so large that they cannot be ignored. For this reason, the above-described conventional profit and loss calculation method for each department and each product type cannot respond to the existence of income or cost (loss) in which it is basically unknown or uncertain which department or category belongs. Furthermore, with a slight modification to the conventional profit and loss calculation method, the divisions and classifications in these medical fields are intricately interconnected, and for example, the profit or loss in the rehabilitation division is calculated. Can not.

[0005] As a result of the above, only the figures showing the profits and losses by hospital or ward obtained from the conventional profit and loss calculation method are, for example, "whether the rehabilitation department should be abolished for management or not?" , "Does the physician perform business management in the medical field, such as whether the fired person has a business advantage?" And "Whether not treating a leukemia patient is a business advantage?" Impossible. That is, at present, there is virtually no medical management management support system using a computer. Furthermore, in the medical field in particular, there are even technical issues such as applying public subsidies for medical fees, or traditionally or humanitarianly, using a computer or the like to efficiently support business management. At present, it is not recognized among traders.

SUMMARY OF THE INVENTION The present invention has been made in view of the above-described problems, and has been developed based on various types of input profit and loss data, and can be used for different management indexes such as medical departments, medical departments, disease names, and medical care actions. An object of the present invention is to provide a medical business management support system that enables profit and loss management using a computer.

[0007]

In order to solve the above-mentioned problems, the medical business management support system according to claim 1 shows a profit and loss relating to one of a plurality of medical departments, and displays the profit and loss related to the one medical department. An individual profit and loss data with an individual code indicating that it is related to, and a common profit and loss data indicating the profit and loss related to a plurality of the plurality of medical departments and not having the individual code attached thereto, input profit and loss data Input means for inputting data as input; first selection means for selecting the individual profit / loss data from the input profit / loss data; second selection means for selecting the common profit / loss data from the input profit / loss data; The profit and loss indicated by the individual profit and loss data, and the same as the profit and loss of the medical department corresponding to the individual code attached to the selected individual profit and loss data for each medical department as it is, Imposition processing means for imposing the profit and loss indicated by the selected common profit and loss data, by multiplying each by a charging coefficient determined for each medical department according to the attribute of the selected common profit and loss data, and then for each medical department. Charge and loss file means for storing the imposed profit and loss of each medical department as charge and loss data for each division; and output means for outputting the charge and loss data for each division stored in the charge and loss file means in a predetermined format. It is characterized by having.

According to the medical management support system of the first aspect, first, various input profit and loss data are input by the input means. Here, on the other hand, for example, a medical fee for an outpatient ophthalmology department, it shows the profit and loss related to one of the plurality of medical departments and indicates that it is related only to the one medical department. Individual profit and loss data with an individual code such as a patient code of an outpatient or an outpatient ophthalmic department code is input as input profit and loss data. On the other hand, for example, the profit and loss relating to a plurality of the plurality of medical departments are shown, such as expenditures in a medical care common department such as a rehabilitation department and a management / assistance department such as a logistics management department, and the one medical Common profit and loss data without an individual code indicating that it is related only to the department is input as input profit and loss data. Next, from the input profit and loss data thus input,
The individual profit / loss data with the individual code is selected by the first selecting means, and the common profit / loss data without the individual code is selected by the second selecting means. Next, by the charge processing means, the profit and loss indicated by the individual profit and loss data selected in this way is directly charged to each medical department as the profit and loss of the medical department corresponding to the individual code attached to the selected individual profit and loss data. The profit and loss indicated by the common profit and loss data selected in this way is multiplied by a charge factor determined for each medical department in accordance with the attribute of the selected common profit and loss data, and then, for each medical department, Imposed. Here, the “payment” generally means that costs are allocated and paid. In this case, in particular, the costs that have been consumed (100%) in the own department are allocated and commonly consumed in a plurality of departments including the own department. This means allocating the portion (less than 100%) of the expenses consumed by the own department. Then, the profit and loss thus imposed for each medical department is stored as the imposed profit and loss data for each department by the imposed profit and loss file means. Finally, the output means outputs the charge / loss data for each department stored in the charge / loss file means in a predetermined format. Therefore, regardless of the existence of input profit / loss data for which it is unknown or indeterminate to which department, the profit / loss for each department is output.

A medical management support system according to a second aspect of the present invention is the medical management support system according to the first aspect, wherein the input means is predetermined in correspondence with the attribute of the common profit and loss data. At least one of charge coefficient data indicating a charge coefficient for each medical department and charge coefficient reference value data serving as a reference of the charge coefficient, and the charge processing means is configured to input the charge coefficient data. And the profit and loss indicated by the common profit and loss data is charged based on at least one of the charge coefficient reference value data.

[0010] According to the medical management support system of the second aspect, the input means causes at least one of the charge coefficient data indicating the charge coefficient for each medical department and the charge coefficient reference value data serving as a reference of the charge coefficient. Is entered.
Therefore, based on at least one of the charging coefficient data and the charging coefficient reference value data input as described above, there is no problem even if there is input profit / loss data whose belonging to an unknown or undetermined section, without any problem. Will impose sectoral gains and losses.

According to a third aspect of the present invention, there is provided the medical management support system according to the first or second aspect, wherein the charge and loss data for each department stored in the charge and loss file means. After multiplying the profit or loss indicated by the data related to the specific department by the allocation coefficient determined for each of the other medical departments excluding the specific department in accordance with the attribute of the data related to the specific department, for each of the other medical departments Allocation processing means for allocating, and allocation profit and loss file means for storing the profit and loss for each of the other medical departments allocated by the allocation processing means as allocation allocation profit and loss data, The output means outputs the divisional allocation profit and loss data stored in the allocation profit and loss file means together with the divisional allocation profit and loss data stored in the allocation profit and loss file means in a predetermined format. Characterized in that it comprises a.

According to the medical business management support system according to the third aspect, after the charge / loss data for each department is stored in the charge / loss file means, the charge / distribution processing means thus stored by the allocation processing means. Among profit and loss data, for example,
The profit and loss (mainly costs) of data related to a specific department, such as the management / assistance department that supports various medical departments that directly generate revenue, the common medical department, etc., is the attribute of the data related to the specific department. Is multiplied by an allocation coefficient determined for each of the other medical departments excluding the specific department, and then distributed for each of the other medical departments. Here, “allocation” generally means determining and allocating the amount, but here, in particular, the expenses in own department (payment-processed profit and loss)
Is assigned to another section in accordance with the degree of contribution of the own section to another section. The profits and losses for each of the other medical departments allocated in this way are stored in the allocation profit / loss file means as divisional profit / loss data for each department. Finally, the output means outputs, in a predetermined format, the divisional profit / loss data stored in the allocation / loss file means together with the divisional profit / loss data stored in the charge / loss file means. Therefore, not only the profit and loss including the individual expenses and the common charges imposed in the own department, but also the profit and loss to which the expenses and the like in the other specific departments are allocated are output.

According to a fourth aspect of the present invention, there is provided the medical management support system according to the third aspect, wherein the allocation processing means includes the allocation processing in the allocation profit / loss file means. After the profit and loss for each of the other medical departments after being allocated by the means are stored as the divisional profit and loss data by division, one of the other medical departments is set as a new specific department and the charge is performed. The profit and loss data by division and the profit and loss by division data stored in the profit and loss file means and the profit and loss file means respectively stored in the profit and loss file means, and the total of the profits and losses indicated by the data relating to the new specific section, respectively, in the new specific section Means for allocating for each of the remaining medical departments after multiplying by the allocation coefficient determined for each of the remaining medical departments excluding the new specific department in accordance with the attribute of the data according to Ri, the allocation income file means,
There is provided a means for storing the profit and loss of each of the remaining medical departments newly allocated by the allocation processing means as divisional allocation profit / loss data.

According to the medical management management support system according to the fourth aspect, in the operation of the system according to the third aspect, the profit and loss after being allocated by the allocation processing means are distributed as divisional allocated profit and loss data. After being stored in the profit and loss file means, one of the other medical departments is set as a new specific department. And by the allocation profit and loss file means,
The total of the profits and losses indicated by the data relating to the new specific section among the divisional charge / loss data and the divisional charge / loss data stored in the charge / loss file means and the charge / loss file means respectively is the new specific division. Is multiplied by an allocation coefficient determined for each of the remaining medical departments excluding the new specific department (ie, excluding both the previous specific department and the new specific department) according to the attribute of the data relating to After that,
Allocated for each of the remaining medical departments. Next, the remaining profit and loss of each medical department after the new allocation by the allocation processing means is stored in the allocation profit and loss file means as divisional allocation profit and loss data. Therefore, a plurality of medical departments can be sequentially set as the specific department, and the allocation process can be performed for each specific department.

According to a fifth aspect of the present invention, in the medical management support system according to the first or second aspect, the input profit and loss data is at least one of the plurality of medical departments. In one section, at least one of a plurality of medical management indices is classified into a plurality of classifications, and the charge processing means includes, for each of the plurality of classifications, the selected individual profit / loss data and common profit / loss data. Means for imposing profit and loss shown, the imposed profit and loss file means includes means for storing the imposed profit and loss data for each of the plurality of classifications, and the output means includes: Means for outputting in a format arranged according to at least one of the medical department, the medical management index, and the classification. And it features.

According to the medical business management support system of the fifth aspect, at least one of a plurality of medical management indices in at least one of the plurality of medical departments is classified into a plurality of categories. Data is input by the input means. Here, the plurality of medical management indexes are, for example, doctor-specific indexes, patient-specific indexes, medical department-specific indexes, medical practice-specific indexes, disease-specific indexes, and the like. Is Dr. Suzuki,
Classification by doctors such as Dr. Tanaka and Dr. Sato. In this case, at least one department is, for example, a medical care department in which such classification and index have a meaning, and the other department may be a management support department or the like. When such input profit / loss data is input, the profit / loss indicated by the individual profit / loss data and the common profit / loss data is charged by the charge processing means for each of the plurality of classifications. Then, the charge / loss data for each section is stored in the charge / loss file means for each of a plurality of classifications. Finally, the imposed profit / loss data by sector is, for example, by medical department, medical management index, and classification, such as a table by division and a table showing profit and loss for each medical management index and each classification. The data is output by the output means in a format in which at least one is arranged separately.

According to a sixth aspect of the present invention, in the medical management support system according to the third or fourth aspect, the input / output data is at least one of the plurality of medical departments. In at least one of the plurality of medical management indices is classified into a plurality of classifications, the charge processing means, for each of the plurality of classifications, the profit and loss indicated by the selected individual profit and loss data and common profit and loss data Means for imposing
The imposed profit / loss file means includes means for storing the imposed profit / loss data for each section for each of the plurality of classifications, and the allocation processing means includes means for allocating the profit or loss for each of the plurality of classifications. The allocation profit and loss file means,
Means for storing the divisional appropriation profit / loss data for each of the plurality of classifications, wherein the output means outputs the departmental appropriation / loss data together with the section appropriation profit / loss data by the medical department, the medical management There is provided means for outputting in a format arranged according to at least one of the index and the classification.

According to the medical business management support system of the sixth aspect, at least one of the plurality of medical management indices in at least one of the plurality of medical departments is classified into a plurality of categories. Data is input by the input means. When the input profit / loss data is input, the profit / loss indicated by the individual profit / loss data and the common profit / loss data is charged by the charge processing means for each of the plurality of classifications.
Then, the charge / loss data for each section is stored in the charge / loss file means for each of a plurality of classifications. Subsequently, the allocation processing means allocates the profit and loss for each of the plurality of classifications, and further stores the allocation profit and loss data for each division in the allocation profit and loss file means. Finally, the divisional appropriation profit / loss data together with the divisional appropriation profit / loss data are, for example, by medical department, such as a table for each department and a table showing the profit and loss meshed for each medical management index and for each category. The data is output by the output unit in a format arranged according to at least one of the medical management index and the classification.

In order to solve the above-mentioned problems, the medical management management support system according to claim 7, which shows profit or loss relating to each of a plurality of medical management indices or a plurality of classifications, and An input means for inputting the input profit and loss data to which an individual code indicating that it is related to the individual classification is attached when it is related to the classification and the individual code is not attached when it is related to the plurality of classifications First selection means for selecting, as the individual profit / loss data, the individual with the individual code from the input / output data for each of the medical management indexes; and the input / output data for each of the medical management indices. Of the above items, to which the individual code is not attached is selected as common profit and loss data.
Selecting means; for each of the medical management indices, the profit and loss indicated by the selected individual profit and loss data is directly charged as a profit and loss in a classification corresponding to the individual code assigned to the selected individual profit and loss data for each classification Along with
Charge processing means for respectively multiplying the profit and loss indicated by the selected common profit and loss data by a charge coefficient determined for each classification according to the attribute of the selected common profit and loss data, and then charging each of the classifications; Charge-and-loss file means for storing, as the charge-and-loss data for each category, the profit and loss of each classification imposed by the charge processing means with respect to each of the medical management indices; and A profit / loss indicated by data relating to a specific department among the stored department-applied profit / loss data, an allocation coefficient determined for each of the medical departments other than the specific department in accordance with the attribute of the data relating to the specific department Allocation processing means for allocating for each of the other medical departments after multiplying by; and the other medical care allocated by the allocation processing means for each of the medical management indices. Allocation profit and loss file means for storing profit and loss for each gate as allocation allocation profit and loss data; charge and loss data by classification stored in the allocation profit and loss file means; Output means for outputting profit and loss data in a format arranged by at least one of the medical management index, the classification, and the profit and loss type.

According to the medical management support system of the present invention, first, various input profit and loss data are input by the input means. Here, for each of a plurality of medical management indices such as, for example, an index for each department, an index for each medical department, an index for each disease name, an index for each medical practice, and the like, the profit and loss relating to individual or multiple classifications is shown. When it is related to an individual classification, an individual code is attached, and when it is related to the plurality of classifications, input profit and loss data without the individual code is input. Next, for each medical management index, from the input profit and loss data thus input,
The data to which the individual code is attached is selected by the first selection means as individual profit / loss data, and the data without the individual code is selected as common profit / loss data by the second selection means. Next, for each medical management index, the charge and loss processing means converts the profit and loss indicated by the individual profit and loss data thus selected as profit and loss in the classification corresponding to the individual code assigned to the selected individual profit and loss data. Imposed for each classification as it is, the profit and loss indicated by the selected common profit and loss data is multiplied by the imposition coefficient set for each classification according to the attribute of the selected common profit and loss data, and thereafter, for each classification Each is imposed. Then, for each medical management index, the profit and loss for each classification thus imposed is stored in the imposed profit and loss file means as the imposed profit and loss data for each classification. Then, about each medical management index,
The profit and loss indicated by the data relating to the specific department among the departmental charge / loss data stored in the charge / loss file means is distributed by the allocation processing means to other medical care excluding the specific department according to the attribute of the data relating to the specific department. After being multiplied by an allocation coefficient determined for each of the departments, it is allocated to each of the other medical departments. Then, for each medical management index, the profit or loss for each of the other medical departments allocated by the allocation processing means is stored in the allocation profit / loss file means as divisional profit / loss data for each department. Finally, by the output means, the imposed profit / loss data classified by class stored in the imposed profit / loss file means and the allocated profit / loss data by department stored in the allocated profit / loss file means are classified by medical management index, classification and profit / loss. It is output in a format arranged by at least one of the types. Therefore, regardless of the existence of the input / output data for which classification is unknown or uncertain, the profit / loss by classification is output.

The operation and other advantages of the present invention will become more apparent from the embodiments explained below.

[0022]

Embodiments of the present invention will be described below with reference to the drawings.

FIG. 1 is a block diagram of a medical management support system according to an embodiment of the present invention.

Referring to FIG. 1, a medical management support system 1 includes an interface 2 for inputting various input profit / loss data, reference value data serving as a basis for a payout coefficient and an allocation coefficient, and various input profit / loss data. A reading device 3 for reading the reference value data, the computer program, etc. from the recording medium 101; a processor 5 for performing a specific process on the input profit / loss data to calculate and output the payable profit / loss data for each department and the profit / loss allocated to each department; A memory 6 for storing divisional charge / loss data and division allocation profit / loss data outputted from the processor 5; and a keyboard for inputting various operation commands, various input profit / loss data, reference value data, and the like to the processor 5. 7, a divisional charge / loss data and a divisional charge / loss data stored in the memory 6 in response to an operation command from the keyboard 7. A display 8 for outputting images of the data in a predetermined format, and a printout of the divisional charge / loss data and the divisional charge / loss data stored in the memory 6 in accordance with an operation command from the keyboard 7 in a predetermined format. And a printer 9.

Here, on the other hand, as the various kinds of input profit / loss data, for example, profit / loss relating to only one of a plurality of medical departments, such as a medical fee for an outpatient ophthalmic medical department, an outpatient dermatological medical department, etc. There is individual profit and loss data with an individual code that indicates directly or indirectly that it is related only to the one medical department. As the individual code, for example, there is a patient code individually given to a patient who has come to the outpatient ophthalmological department. On the other hand, various types of input / output data include, for example, rehabilitation departments, radiation departments, pharmaceutical departments, infusion departments, nutrition departments, clinical examination departments, intensive care departments, and other common medical care departments, logistics management departments, education departments, welfare departments. There are common profit and loss data that show profit and loss related to a plurality of medical departments and do not have individual codes, such as expenses (expenditures) in the management / subsidiary departments such as the welfare department and the energy department. In addition, reference value data for determining the imposition coefficient includes each department, each medical department, each disease name, the number of doctors in each medical treatment, the number of nurses, the number of medical technicians, the floor area, the number of beds, the number of selections, There are various types of data indicating the amount of discharge, the number of meals, the usage time of a specific equipment facility, the amount of light, heat and gas electricity used.

Such input profit / loss data, reference value data, etc. are stored in, for example, an external medical accounting system 201, a physical distribution management system 202, an order system 203, a salary system 204, an accounting system 205, and a catering system 20.
6, may be input from the master management system 207 or the like from the interface 2 via communication means,
01 may be read from the reading device 3 or may be directly input manually from the keyboard 7. For example, from the medical accounting system 201, input profit / loss data and the like relating to medical profits, the number of various tests, and the like are input, and the
From 02, input profit / loss data relating to medical material release information, medicine release information, medical consumables release information, extraneous goods release information, etc. are input. From the order system 203, input gain / loss data relating to various medical information, etc. Is input from the salary system 204, and input profit / loss data relating to salary, retirement salary, staffing by department, and the like.
From 5, input profit and loss data relating to non-medical profits, consignment costs, various expenses, research and training costs, etc. are input, and the catering system 2
From 06, input profit and loss data and the like relating to the number of patient meals, staff meals and the like are input, and from the master management system 207, input profit and loss data and the like regarding account items and others are input. In particular, profit and loss data indicating variable costs such as material costs, fixed costs (expenses) such as labor costs, and profit and loss data indicating income such as medical fees include medical treatments such as departments, medical departments, patients, disease names, and medical treatments. When each of the management indices is associated with an individual classification such as, for example, an operation department, surgery, Taro Tanaka, fracture, or surgical operation, an individual code indicating the individual classification is directly or indirectly attached. On the other hand, for example, multiple departments,
Such individual codes are not attached to profit and loss data relating to a plurality of classifications such as medical departments. The judgment as to whether this is an individual cost or a common cost is made by the operator at the time of creating a slip in an external system such as the medical accounting system 201 or the physical distribution management system 202, or is automatically selected according to input items. It is. Note that these input / output data may be read via the recording medium 101 in which the data is written by each external system without passing through the interface 2.

As described above, in the present embodiment, an example of input means is constituted by the interface 2, the reading device 3, and the keyboard 7.

As shown in FIG. 1, the processor 5 stores, for example, medical profits, non-medical profits, etc. in the memory 6 in order to facilitate calculation and output of the section-related profit / loss data and the section-allocated profit / loss data. Record file 601 for storing the profit data of the purchase, and the purchase record file 60 for storing the purchase cost data of medical materials, medicines, medical consumables, etc.
2. A labor cost result file 603 for storing labor cost data such as salary performance, retirement salary, etc., and an expense performance file 604 for storing expense data such as commission costs, various expenses, and research and training expenses in advance. Keep it. Then, the processor 5 executes the interface 2 and the recording medium 1 as described above.
01 or the input profit / loss data via the keyboard 7, the input profit / loss data etc.
01 to 604.

The processor 5 further stores, in the memory 6, charge and distribution coefficient data directly indicating the charge and distribution coefficients, or reference value data of the charge and distribution coefficients serving as the basis of the distribution coefficients and distribution coefficients. The charge / distribution file 605 for storing the file is constructed in advance. Then, the processor 5 is connected to the interface 2 and the recording medium 10 as described above.
When the charge / distribution coefficient reference value data is input together with the input / output data and the like via the 1 or the keyboard 7, the charge / distribution coefficient is determined directly or stored in the charge / distribution file 605. It is configured as follows.

The processor 5 further includes a memory 6
Allocation of medical departments, various medical management indicators, various account items, etc.
A master file 606 for storing master data indicating a target item or the like of the charge processing is constructed in advance. When the master data is input together with the input / output data from the master management system 207 via the interface 2 or via the recording medium 101 or the keyboard 7, the processor 5 stores the master data in the master file 606. Is configured. The master data stored in the master file 606 is
Can be changed or modified as appropriate by inputting various commands from the operator, and a list of master data can be output by the display 8 and the printer 9.

In FIG. 1, a processor 5 includes a first selection device 501 for selecting individual profit and loss data from various input profit and loss data stored in files 601 to 604 constructed in a memory 6, Second selection device 502 for selecting common profit and loss data from data
, Charge processing device 503, distribution processing device 50
4 are logically configured.

The charge processing device 503 converts the profit and loss indicated by the individual profit and loss data selected by the first selection device 501 into the profit and loss of the medical department corresponding to the individual code assigned to the selected individual profit and loss data. The charge / discharge coefficient is determined based on at least one of the charge coefficient data and the charge coefficient reference value data stored in the charge / distribution file 205, and the common profit and loss selected by the second selection device 502. After multiplying the profit and loss indicated by the data, a charge is made for each medical department.

In response to this, the charge / loss file 607 for storing the charge / loss data for each section is previously constructed in the memory 6, and the allocation processing device 503 is thus configured.
Is stored in the charged profit / loss file 607.

The allocation processing device 504 transfers the profit and loss indicated by the data relating to the specific department, for example, the overall management department, to the charge / distribution file 205 from the charge / loss data for each section stored in the charge / loss file means 607. Is allocated with an allocation coefficient determined based on at least one of the allocation coefficient data and the allocation coefficient reference value data stored in the other medical department, for example, a management / auxiliary department excluding the overall management department Then, the profit and loss due to the allocation for each of the medical care common department and the medical care department are calculated. For example, the allocation processing device 504 provides a profit / loss (mainly cost) indicated by data relating to a specific department such as a management / auxiliary department which supports various medical departments and medical departments which directly raise medical fees. Is multiplied by an allocation coefficient determined for each of these medical departments and common medical departments according to the attribute of the data relating to the specific department, and then distributed to each of these medical departments and common medical departments.

In response to this, the allocation profit / loss file 608 for storing the allocation profit / loss data for each department is previously constructed in the memory 6.
4 is stored in the allocation profit and loss file 608.

As described above, the processor 5 constitutes an example of the first and second selecting means, the charge processing means, and the distribution processing means.
And the like, the first selection device 501, the second selection device 502, the charge processing device 5
03 and the allocation processing device 504 are logically configured to perform various functions such as the input processing, the selection processing, the charging processing, and the allocation processing as described above. Such a program may operate the processor while being stored in the recording medium 101, may operate the processor once read from the recording medium 101 into the memory 6, and may operate the processor. , The processor may be operated after being downloaded to the memory 6.

Next, the charge processing performed by the charge processing device 503 will be described in detail with reference to FIGS. FIG. 2 is a conceptual diagram showing a basic manner in which an individual cost and a common cost are charged using a charge coefficient, and FIG. 3 is a diagram showing an example in which a section common cost is actually charged using a charge coefficient as an example of a common cost. It is a conceptual diagram which shows a target state.

In FIG. 2, the expenses for each account item are shown by the input / output data, and it is assumed that there are three types of departments: each medical department 51, each medical common department 52, and each management / auxiliary department 53. On the other hand, on the other hand, since the connection with the individual department is a clear cost, the individual cost 54 indicated by the individual profit / loss data already attached with the individual code such as the patient code at the time of the input is added to the individual code. The individual costs in the corresponding one medical department 51, one common medical department 52, or one management / assistance department 53 are charged as they are (that is, assuming that the charge factor = 1). On the other hand, the common cost 55 indicated by the common profit / loss data without the individual code because it is a cost common to several departments.
Is multiplied by a fixed charge coefficient (<1) with respect to the common cost, and then the common cost is charged as a common cost in each medical department, each medical common department, or each management / auxiliary department. As a result of such charge processing, ultimately, in each department,
The cost spent in the own department (that is, the individual cost consumed entirely in the own department + the common cost partially consumed in the own department but not all) can be totaled.

In FIG. 3, regarding the department common expenses as an example of the common expenses, the account items include, as main items, medical treatment material expenses, full-time salaries, part-time salaries,... , And medical personnel, and there are detailed items below the table, such as oxygen, reference bedding, and other linens. In this case, the charge factor is the oxygen return ratio, the average unit price × the number of registered employees, the number of beds,..., And these charge factors are multiplied to give the medical department 51, the common medical department 52, and the management / assistance department 53 a large amount. Separated, outpatient department,
It is classified into inpatient departments, independent medical treatments, and so on, and is assigned to each department. As described above, if the charge factors corresponding to the attributes of each common cost are read from the charge / distribution file and used, the department common cost can be charged easily and quickly using the computer.

Next, the allocation process performed by the allocation processing device 504 will be described in detail with reference to FIGS. FIG. 4 is a conceptual diagram showing a basic situation of allocating from the imposed profit / loss by department, and FIG. 5 is a conceptual diagram showing a specific manner of allocating the imposed profit / loss of the general management department to other medical departments as an example. FIG. 6 is a conceptual diagram showing a specific example of allocating the imposed profit and loss of the management / assistance department to another medical department performed after the allocation of FIG. 5 is completed.

In FIG. 4, first, in step S1, the imposed profit and loss of the overall management section is determined based on the allocation coefficient data or the allocation coefficient reference value data read from the charge / distribution file. Allocated to the other medical departments except for the administration / assistance department, the common medical department, and the medical department. Next, in step S2, the total of the imposed profit / loss of the management / auxiliary department as a new specific division and the allocated profit / loss (generally, not the income) in step S1 is read from the imposed / allocated file. Based on the issued allocation coefficient data or the allocation coefficient reference value data, the allocation is performed to the medical common department and the medical department, which are the remaining medical departments excluding the management / auxiliary department. Next, in step S3, the imposed profit and loss of the medical treatment common department as a new specific department and step S3
The sum of the allocation profit and loss by 1 and S2 is allocated to the remaining medical departments based on the allocation coefficient data or the allocation coefficient reference value data read from the charge / allocation file.

As described above, in the example of FIG. 4, after the distribution from the general management department is executed by the distribution processing device 504, the management / auxiliary department which is not the general management department initially designated as a specific department is newly added. Allocation is performed from the management / subsidiary department to the remaining medical departments except for the overall management department which was initially designated as the specific department. Further, when this allocation is completed, the general management department and the medical treatment common department which are not the management / subsidiary departments, which are first and then the specific departments, are set as new specific departments. Allocation is performed. Finally, the same process can be repeated until the remaining medical departments become one (only the medical care department).

FIG. 5 shows a specific state of the allocation process using the allocation coefficient in step S1 of FIG.

In FIG. 5, the medical treatment section, the medical treatment common section,
Individual numerical codes 1 to 57 are assigned to individual departments belonging to the management / auxiliary department and the overall management department, respectively. In this case, the general administration department is a specific department, and the medical office common department (code 54) provides the respective medical departments (code 1), each ward (code 2), independent medical care (code 3),. In addition, the allocation is performed according to the allocation coefficient based on the ratio of the number of doctors. In addition, nursing department common department (code 5
From 5), allocation is performed to each medical department (code 1), each ward (code 2), independent medical care (code 3),... Using an allocation coefficient based on the ratio of the number of nurses. Also, the medical technology department common department (code 56) distributes to the radiation department (code 4), the medicine department (code 5), the image diagnostic department (code 6),... Based on the ratio of medical technicians. Allocation is performed according to the allocation factor. Also, from the hospital common department (code 57), the allocation coefficient based on the ratio of enrolled personnel to each medical department (code 1), each ward (code 2), independent medical care (code 3), ... Is allocated.

FIG. 6 shows a specific state of the allocation process using the allocation coefficient in step S2 of FIG.

In FIG. 6, individual departments belonging to the medical care department, the medical care common department, and the management / assistance department are shown in FIG.
Numerical codes 1 to 53 are assigned as in the case of (1). In this case, the management / assistance department is a specific department. For example, from the hospitalized medical department (code 29),
For each ward (code 2), an allocation is performed using an allocation coefficient based on the ratio of the number of patients. In addition, the outpatient department (code 30) allocates to each medical department (code 1) using an allocation coefficient based on the ratio of the number of patients. In addition, from the dental service (code 32), all allocations (that is, allocation with an allocation coefficient = 1) are performed for each medical department (code 1) and independent medical care (code 3).

In the present embodiment, in particular, each of a plurality of medical management indices in the medical department, such as an index for each doctor, an index for each patient, an index for each medical department, an index for each medical practice, and an index for each disease name, has a plurality of indexes. Input profit / loss data classified into classifications (for example, for doctor-specific indices, classifications by doctors such as Dr. Suzuki, Dr. Tanaka, Dr. Sato) are input through an interface or the like. Therefore, in FIG. 1, the selection processing by the first and second selection devices 501 and 502 is performed for each classification of the doctor-specific index and the like, and the charge processing device 5
03, the above-described allocation processing is performed, and the allocation processing device 503 performs the above-described allocation processing. As a result, the charge / loss data for each department is stored in the charge / loss file means 607, and the profit / loss data for each division is stored in the charge / loss file 608 for each classification such as a doctor-specific index.

In response to this, the display 8 and the printer 9, which output images, use the section-specific imposed profit / loss data and the section-appropriated profit / loss data in, for example, a section-by-section table as shown in FIG. The results are output in a format arranged by at least one of medical departments, medical management indexes, and categories, such as a table 300 in which profits and losses are meshed for each management index and each category.

In FIG. 7, more specifically, the plurality of tables 300 are displayed or printed out one sheet at a time for each section as one table 300a for each section. Each line shows revenue, own expenses (ie, charge and loss) and material expenses at variable costs (ie, charge and loss) and other charge (ie, allocation profit and loss), and own and other charge at fixed cost. The marginal profit spread from these revenues and variable costs and the divisional medical profit spread from these revenues and various costs are also allocated line by line. In addition, each column is assigned to a target value, a profit and loss by disease name, a profit and loss by medical treatment, a profit and loss by patient, and a profit and loss by doctor input by the keyboard 7 or the like. Note that, on the left side of the table 300, the above-described calculation procedure of the section-applied profit / loss and the section-appropriated profit / loss required to output the table 300 is performed by the medical care department 51, the medical care common department 52, and the management / assistance department 53. Each is shown conceptually.

In the present embodiment, first, the input / output data entered via the interface 2 or the like is not limited to the individual code only for the medical department. For each of the medical management indices other than the medical sector, such as an index by medical department, an index by disease name, an index by medical practice, etc., in the case of profit or loss related to the individual classification, an individual code is attached, and the plurality of classifications In the case of profit and loss related to the above, the input profit and loss data without the individual code may be used. For such input profit and loss data, the processor 5 selects, for each medical management index, the processor to which the individual code is assigned by the first selection device as individual profit and loss data from the input profit and loss data. It is configured to select and select, as the common profit and loss data, ones to which the individual code is not attached by the second selection device. Next, for each medical management index, as in the case of the medical department described above, the charge / loss indicated by the selected individual profit / loss data is converted by the charge processing device into the individual code assigned to the selected individual profit / loss data. Is imposed as it is in each category as profit or loss in the category corresponding to.
At the same time, similarly to the case of the medical department described above, the profit and loss indicated by the selected common profit and loss data is multiplied by the charge factor determined for each classification according to the attribute of the selected common profit and loss data, respectively. Later, each class will be charged separately. Then, for each medical management index, the profit and loss for each classification thus imposed is stored in the imposition profit and loss file 607 as the imposed profit and loss data for each classification. Further, similarly to the case of each medical department described above, the allocation processing by the allocation processing device is also performed for each classification of each medical management index. As a result, finally, the display 8 or the printer 9 compares the imposed profit / loss data classified by class and the allocated profit / loss data classified by class stored in the imposed profit / loss file 607 and the allocated profit / loss file 608 with the medical management index, the classification and the profit / loss. It is configured to output in any format arranged in at least one of the types.
It should be noted that, as described above, it is possible to calculate and output the imposed profit / loss data by division or the allocated profit / loss data by division and output the image, or calculate and output the imposed profit / loss data by classification and the allocated profit / loss data by classification in each medical management index. Whether or not to output the image depends on the input of an operation selection command from the keyboard 7 and the type of computer program read from the recording medium 101.

Next, FIG. 8 shows a conceptual diagram of a system focusing on the functions of the present embodiment configured as described above.

In FIG. 8, the medical accounting management support system according to the present embodiment is roughly divided into a department-based profit / loss management system 401 and a profit / loss management system 402 by index (by medical management index classification). Of these, the profit and loss management system 401 by section
Comprises a department-based performance management system 403, a department-based budget management system 404, and a department-based difference analysis system 405.

The department-based performance management system 403 receives, from an input of an interface or the like, department-based performance revenue information 403a as a performance value of individual revenue in the past, and department-based performance cost element information as a performance value of individual cost in the past. 4
03b, and a section-based allocation / payment reference value information 403c serving as a reference for the allocation coefficient and the allocation coefficient determined corresponding to various past performance values. Then, by applying the above-mentioned charge processing and distribution processing to these information, the actual cost information 403d for each section as the actual value of the cost for each section in the past and the charge and distribution for each section in the past are obtained. The section-based actual profit / loss information 403e is calculated as the actual value of the profit / loss including the installment (segment-related gain / loss and section-specific allocation profit / loss).

The departmental budget management system 404 receives input of various future reference values for revenue budget, cost budget, and charge / distribution via a keyboard or the like, and converts the respective revenue budget values into individual department budget values in the future. Budget revenue information 404
a, department-specific budget cost element information 404b as a budget value of individual costs in the future, and a charge factor determined in accordance with various budget values in the future and a division-specific allocation / payment reference value serving as a reference for the allocation coefficient The information 404c is generated. By performing the above-described charge processing and distribution processing on these pieces of information, the division budget cost information 404d as a budget value of the cost of each division in the future and the charge and distribution of each division in the future are included. Departmental budget profit / loss information 4 as budget value of profit / loss (imposed profit / loss by department and allocated profit / loss by department)
04e is calculated.

The section-by-section difference analysis system 405 mutually exchanges the various section-based actual values generated and calculated by the section-based performance management system 403 with the various budget values generated and calculated by the section-based budget management system 404. This is a system for comparing and analyzing differences.

On the other hand, the profit / loss management system 402 for each index is
It includes an index-based performance management system 406, an index-based budget management system 407, and an index-based difference analysis system 408. Here, the index is the above-mentioned medical management index, and is, for example, an index for each clinical department, an index for each disease name, an index for each medical practice, or the like.

The index-based performance management system 406 is a section-based performance gain / loss information 40 from the department-based performance management system 403.
3e or from input of input profit / loss data, allocation / payment processing based on individual codes indicating individual classifications of various medical management indices is performed instead of or in addition to individual codes indicating individual divisions in the division-specific performance management system 403. Index-based allocation / payment reference value information 406c, which is a reference value at the time, actual index cost information 406d indicating the actual value of the cost for each detailed classification of each medical management index in the past, and details of each medical management index in the past Index-based target value actual information 406f indicating a target value for each classification is generated. Then, the index-based performance management system 406 performs the above-described charge / distribution processing for each detailed classification of various medical management indices, and thereby performs the profit / loss including the charge / distribution for each index (the charge / loss for each index and the profit / loss for each index). The index-based actual profit / loss information 406e as the actual value of the profit / loss is calculated.

The index-based budget management system 407 is a section-based budget profit / loss information 40 from the section-based budget management system 404.
4e or from the input of the profit / loss data, allocation / payment processing based on individual codes indicating individual classifications of various medical management indexes is performed instead of or in addition to individual codes indicating individual divisions in the divisional budget management system 404. Index-based allocation / imposition reference value information 407c, which is the standard value at the time, budget-specific budget cost information 407d indicating the budget value of the cost for each detailed classification of each medical management index in the future, and details of each medical management index in the future Index-specific target value budget information 407f indicating a target value for each category is generated. Then, the index-based budget management system 407 performs the above-described charge / distribution processing for each detailed classification of various medical management indices, so that the profit / loss including the charge / distribution for each index (the charge / loss for each index and the profit / loss allocated for each index) The index-based budget profit / loss information 407e as the budget value of (gain / loss) is calculated.

The index-based difference analysis system 408 mutually exchanges various actual values for each index generated and calculated by the index-based performance management system 406 and various budget values generated and calculated by the index-based budget management system 407. This is a system for comparing and analyzing differences.

From the department-based performance management system 403 and index-based performance management system 406 configured as described above, for example, a performance revenue table, a performance revenue transition table, a performance cost table, a performance cost table for each department or index are provided. Transition table, actual profit and loss table,
A table 410 such as an actual profit / loss transition table, a target value actual table, and a target value actual transition table is output as an image by a display or a printer.

The department-based budget management system 404 and index-based budget management system 407 configured as described above provide, for example, a budget income table, a budget cost table, a budget profit / loss table, a budget application form for each section or index. , Such as a target value budget table, is output as an image by a display or a printer.

From the divisional difference analysis system 405 and index difference analysis system 408 configured as described above, for example, a profit difference analysis table, a cost difference analysis table, a profit and loss difference analysis table, A table 412 such as a target value difference analysis table is output as an image by a display or a printer.

In the embodiment described above, the basic unit of profit and loss calculation is the medical department as one medical management index,
The profits and losses by medical department are further divided by medical department, disease name,
Although the profit and loss of each medical management index by medical practice were calculated, the medical management index other than the medical department, such as the department, disease name, medical practice, etc., was used as such a basic unit to calculate the profit and loss. Arithmetic processing may be performed. in this case,
As the input / output data input via the interface or the like, for example, as a medical management index as a basic unit, a disease name such as stomach cancer, hepatitis, myocardial infarction, or stroke, individual (one disease name) or a plurality of classifications (multiple Input profit and loss data indicating the profit and loss related to the disease name) and having an individual code when it relates to the individual classification, and not having the individual code when it relates to the plurality of classifications. Is input. Next, based on the individual codes defined in this manner, selection, charge, and allocation processing are performed in the same manner as in the case of each medical department described above. That is, from the input profit and loss data, the data with the individual code added thereto is selected as the individual profit and loss data by the first selecting means, and the data without the individual code is selected as the common profit and loss data by the second selecting means. . Next, by the charge processing means, the profit or loss indicated by the selected individual profit / loss data is imposed as it is for each classification as profit / loss in the classification corresponding to the individual code, and is assigned to each classification in accordance with the attribute of the selected common profit / loss data. After the profit and loss indicated by the selected common profit and loss data are multiplied by the imposition coefficient determined for the respective items, they are respectively imposed for each classification. Then, in this case, with respect to the medical management index called the disease name, the profit and loss for each classification thus imposed is stored in the imposed profit and loss file as the imposed profit and loss data by classification, and the display or the printer uses the display or printer as a basic unit for each disease name. The image is output in a format that includes the part arranged in.

Next, the operation of the present embodiment configured as described above will be described with reference to the block diagram of FIG. 1, the flowchart of FIG. 9, and the table output illustrated in FIGS. 10 to 15. .

In FIG. 9, first, various kinds of input profit / loss data, payable coefficient reference value data, allocation coefficient reference value data, and the like are input via the interface 2, the reading device 3, or the keyboard 7 (step S11). In this case, the input profit and loss data includes (1) profit data indicating profit by department,
(2) Data showing revenue by patient and medical practice, (3)
Data indicating the cost in which the patient is specified, (4) data indicating the cost in which the office and the department are specified, (5) data indicating the actual specification values, and (6) only the business in the specified (7) Includes data indicating expenses for which no establishment or department is specified. Initially, these data are input by an operator in an external system such as the medical accounting system 201 and the distribution management system 202 in FIG. 1 in a format suitable for each external system.
Basically, it is input as it is via the interface 2 or the like. Therefore, various kinds of data exist as input profit and loss data.

Next, on the basis of the data indicating the expenses for which neither the business office nor the department is specified, the processing for imposing the expenses for which the business office cannot be specified is executed (step S1).
2). Next, data indicating the expense for which only the business office input in step S11 is specified and step S1
Based on the data subjected to the charge processing in 2, the charge processing for the expenses for which the department cannot be specified is executed (step S13).
As a result, the establishment and the department are grasped. However, at this stage, a common department exists.

Next, the transfer of the cost between the business establishments thus grasped is executed (step S14). As a result, the in-house costs are determined. Next, the allocation processing of the common department in the business establishment is executed based on the determined cost in the business establishment (step S15). As a result, the allocation of the common department expenses is completed, and the expenses in the minimum unit of the department are determined. Next, the cost of the general management department (for example, the overall management department such as the head office) is transferred to each business office (step S).
16). Next, the resulting data and step S
A spreadsheet process is performed based on the divisional profit data input in step 11, and, for example, a plurality of tables 301 including divisional profit and loss in each business office as shown in FIG. Images are output one by one (step S17).

In FIG. 10, one table 301a has a circle
× Shows the profit and loss of the business office,
In each of the large departments such as the common medical department, the departments are classified into individual small departments such as department A, department B,..., And the profit, material cost, labor cost,
Expenses are shown. In addition, one table 301b is represented by ○ ×
It shows the profit and loss of the business establishment, and is classified into small divisions of division C, division D,... In each of the large divisions such as the management / assistance division and the general management division.

In FIG. 9 again, next, in parallel with the process of allocating the management / assistance department cost and the general management department cost for each medical department (step S18), the information grasped for each department is extracted. (Step S19). That is, the cost and profit information grasped on a patient basis will be described later in step S.
Since it is acquired in the process of 29, it is omitted here.

Next, it is determined whether a profit or loss for each medical treatment is requested by the operator (step S20). This determination is made, for example, based on an operation command via the keyboard 7. Here, if a profit and loss for each medical practice is not requested (step S20: NO), a general administrative department expense allocation process is executed (step S21), and subsequently, a management / auxiliary department expense allocation process is performed. It is executed (Step S22). Next, a spreadsheet process is performed based on the data obtained as a result. For example, as shown in FIG. Images are output one by one (step S23).

In FIG. 11, one table 302a has a circle
× Shows the profit and loss of the business office,
In each of the large departments such as the common medical department, the departments are classified into individual small departments such as department A, department B,..., And the profit, material cost, labor cost,
.., Etc. calculated by the allocation processing in steps S21 and S22 as well as the expenses.

Referring again to FIG. 9, it is next determined whether the operator has requested profit or loss for each medical department (step S24). This determination is made, for example, based on an operation command via the keyboard 7. Here, if the profit and loss for each medical department is not requested (step S24: N
O), a process of allocating the medical treatment common section cost is executed (step S25). Next, a spreadsheet process is performed based on the data obtained as a result. For example, as shown in FIG. Images are output one by one (step S26).

In FIG. 12, one table 303a has a circle
× Indicates the profit and loss of the business office, and is classified into individual sub-sectors of the medical departments such as the department A, the department B,...
Shown are not only the material costs, labor costs, and expenses, but also other department costs 1, 2, 3,... Calculated by the allocation process in step S25. After the creation of the table, a series of processes is completed.

On the other hand, in step S24, if a profit and loss for each medical department is requested (step S24: YE
S), an allocation process is performed to each medical department of the medical department fee and the medical common department fee (step S27).

On the other hand, if it is determined in step S20 that a profit and loss for each medical treatment is requested (step S20: YE
S), and branches to step S28.

In step S28, based on the data serving as the reference of the imposition and allocation coefficient for each medical treatment input from the interface 2 or the like, for example, the reference for determining the imposition and allocation coefficient as shown in a table 304 of FIG. Reference value data such as quantity, reference time, difficulty level, etc. is generated for each medical treatment, and based on this reference value data, the costs are divided by medical treatment (that is, the allocation of costs in the sub-classification of medical treatment). ) Is performed (step S28). As a result, the costs grasped by departments are further apportioned by medical practice.

In FIG. 13, one table 304a
Indicates a reference value for × business establishments, and indicates a reference value according to the attribute of each medical practice for each of material costs, labor costs, expenses, and the like.

Referring again to FIG. 9, the profit and loss information for each medical treatment is merged (step S29). Specifically, first, the patient direct cost / revenue (that is, the cost directly linked to each patient) is obtained from the data indicating the profit for each patient and each medical treatment input and the data indicating the cost for which the patient is specified, which are input in step S11. And profits) are grasped on a table of contents and a monthly basis. Next, a merging process is performed in which the patient direct costs / revenues and the costs for each of the medical treatments apportioned in step S28 are totaled and fixed on a monthly basis. .

Next, it is determined whether profit or loss for each medical department is requested by the operator (step S30). This determination is made, for example, based on an operation command via the keyboard 7. Here, if the profit and loss for each medical department is not requested (step S30: NO), the profit and loss calculation processing for each disease name, each patient, each doctor, etc. is executed.
As shown in FIG. 4, a profit / loss bar graph 305 for each disease name, for each patient or for each physician with the horizontal axis representing the date is output by the display 8 or the printer 9 (step S31).

In FIG. 14, the profit and loss bar graph 305 is
It is divided into revenue, indirect costs and direct labor costs. After the creation of the graph, a series of processes is completed.

Referring again to FIG. 9, if a profit or loss for each medical department is requested in step S24 (step S30: Y
ES), after deleting the costs of the management / assistance department and the general management department (step S32), the summation into profit / loss information for each medical department is performed (step S33).

When the processing of step S27 or S33 and the processing of step S18 which is performed in parallel with this processing are completed, next, based on the data obtained as a result,
A spreadsheet process is performed, and, for example, a plurality of tables 306 including profits and losses for each medical department at each business office as shown in FIG. 15 are image-output one by one by the display 8 or the printer 9 (step S34).

In FIG. 15, one table 306a has a circle
× Indicates the profit and loss of the business establishment.In each of the individual medical departments, such as general internal medicine, the middle classes such as income, patient direct cost, and patient indirect cost are made. In it, material costs, labor costs, expenses, etc. are shown. After the creation of the table, a series of processes is completed.

As described in detail above, according to the present embodiment, regardless of the existence of input / output data for which the department does not belong or is uncertain, the profit / loss for each department is output. The profit and loss can be managed and evaluated. In addition, not only profits and losses including individual expenses and common expenses imposed in your own department, but also profits and losses allocated to expenses in other specific departments are output, so medical treatment from a broader perspective It is possible to manage and evaluate profit and loss by department. In addition, even if the healthcare sector interaction of costs is complex,
Profit and loss in which expenses and the like in other specific departments are allocated by the stepwise allocation processing can be performed by relatively simple allocation processing using a computer. Furthermore, since profits and losses by medical management index and classification in each medical sector can be output,
It is possible to manage and evaluate more detailed profit and loss, and not only by medical department, but also by more detailed management and evaluation of various medical management indexes such as medical departments, disease names, medical care actions, etc. . Looking at the various profits and losses by medical department, disease name, physician, medical department, and the like output in a spreadsheet in this way, for example, "Whether or not the abolition of the catering department is more advantageous in management? ”,“ Whether that medical technician is better off for fire or not? ”,“ Whether Alzheimer's disease is better off or not? ” Lee can do it.

[0085]

According to the medical business management support system according to the first aspect of the present invention, the profit and loss for each department is output irrespective of the presence or absence of input profit and loss data for which department it is unknown or uncertain. It is possible to manage and evaluate profit and loss by department.

According to the medical business management support system according to the second aspect, even if there is input profit / loss data for which a department does not belong or is uncertain using the charge coefficient data input by the input means. There is no problem and the profit and loss by section is charged by the charge processing means.

According to the medical management support system according to the third aspect, not only the profit and loss including the individual costs and the costs to which the common costs are imposed in the own department, but also the costs and the like in other specific departments are distributed. Since the profit and loss imposed is also output, it is possible to manage and evaluate the profit and loss by medical department from a broader perspective.

According to the medical business management support system according to the fourth aspect, since a plurality of medical departments can be sequentially allocated to the specific departments and the specific departments can be allocated to each other, the interrelationship between the medical departments of costs is complicated. Even in this case, the profit and loss to which the expenses and the like in other specific departments are allocated can be performed by a relatively simple allocation process using a computer.

According to the medical business management support system according to the fifth aspect, since the profit and loss of each medical department by medical management index and classification can be output, more detailed management and evaluation of profit and loss can be performed.

According to the medical management support system according to the sixth aspect, it is possible to output the profit and loss that has been charged and allocated by medical management index and classification in each medical department, so that more detailed profit and loss management can be performed.・ Evaluation becomes possible.

According to the medical business management support system according to the seventh aspect, regardless of the existence of input profit and loss data to which classification it belongs to is unknown or uncertain, the profit and loss for each classification on which the charge and distribution processing has been performed. Is output, it is possible to manage and evaluate not only medical departments but also profit / loss by various medical management indices such as medical departments, disease names, medical care actions, and the like.

As a result, according to the present invention, profit and loss management / evaluation can be efficiently and promptly performed by a computer using a mesh for each desired management index such as medical department, medical department, disease name, medical practice, etc. It is possible to realize a business management support system that is effective, can grasp more detailed profit / loss indicators that support medical business management in a timely manner, and can grasp the profit / loss of all hospital staff on the same scale.

[Brief description of the drawings]

FIG. 1 is a block diagram illustrating a configuration of a medical management support system according to an embodiment.

FIG. 2 is a conceptual diagram showing an imposition process in the medical management support system of the present embodiment.

FIG. 3 is a conceptual diagram showing a specific example of a charge process in the medical management support system of the present embodiment.

FIG. 4 is a conceptual diagram showing an allocation process in the medical management support system of the present embodiment.

FIG. 5 is a conceptual diagram showing a specific example of an allocation process in the medical management support system of the present embodiment.

FIG. 6 is another conceptual diagram showing a specific example of an allocation process in the medical management support system of the present embodiment.

FIG. 7 is a conceptual diagram showing a format of a mesh-like table that can be calculated and output by the medical management support system of the present embodiment.

FIG. 8 is a system conceptual diagram showing functions of the medical management support system of the present embodiment.

FIG. 9 is a flowchart showing the operation of the medical management support system of the present embodiment.

FIG. 10 is a conceptual diagram showing an example of a table that can be output by the medical management support system of the present embodiment.

FIG. 11 is a conceptual diagram showing another example of a table that can be output by the medical management support system of the present embodiment.

FIG. 12 is a conceptual diagram showing another example of a table that can be output by the medical management support system of the present embodiment.

FIG. 13 is a conceptual diagram showing a specific example of reference value data generated by the medical management support system of the present embodiment.

FIG. 14 is a conceptual diagram showing an example of a bar graph that can be output by the medical management support system of the present embodiment.

FIG. 15 is a conceptual diagram showing another example of a table that can be output by the medical management support system of the present embodiment.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Medical management support system 2 ... Interface 3 ... Reading device 5 ... Processor 6 ... Memory 7 ... Keyboard 8 ... Display 9 ... Printer 101 ... Recording medium 501 ... First selection device 502 ... Second selection device 503 ... Charge processing device 504: Allocation processing device 607: Imposed profit / loss file 608: Allocation profit / loss file

Claims (7)

[Claims] 1. An individual profit / loss data with an individual code indicating an income / loss associated with one of a plurality of medical departments and indicating that the medical department is associated with the one medical department, and Input means for inputting the common profit and loss data not showing the individual code and indicating the profit and loss related to a plurality of the above, as input profit and loss data, and a first selection for selecting the individual profit and loss data from the input profit and loss data Means, second selection means for selecting the common profit / loss data from the input profit / loss data, and a profit / loss indicated by the selected individual profit / loss data corresponding to the individual code assigned to the selected individual profit / loss data Immediately charged for each medical department as the profit and loss of the medical department to do, the profit and loss indicated by the selected common profit and loss data,
Charge processing means for multiplying by a charge factor determined for each medical department in accordance with the attribute of the selected common profit and loss data and then charging each medical department, and Profit and loss file means for storing the charge and loss data for each department, and output means for outputting the charge and loss data for each division stored in the charge and loss file means in a predetermined format. system. 2. The method according to claim 1, wherein the input means includes at least one of: a charge coefficient data indicating a charge coefficient for each medical department predetermined in correspondence with the attribute of the common profit and loss data; and a charge coefficient reference value data serving as a reference of the charge coefficient. One of them is configured to be able to be input, and the charge processing means charges the profit and loss indicated by the common profit and loss data based on at least one of the input charge coefficient data and the charge coefficient reference value data. The medical business management support system according to claim 1. 3. The medical unit according to claim 3, wherein the profit and loss indicated by the data related to the specific department among the departmental charge / loss data stored in the charged profit / loss file means is changed according to the attribute of the data relating to the specific department. Allocation processing means for multiplying by the allocation coefficient determined for each of the departments and then allocating for each of the other medical departments; and for each of the other medical departments after being allocated by the allocation processing means Further comprising: an allocation profit / loss file means for storing profit / loss as divisional allocation profit / loss data, wherein the output means stores the allocation profit / loss data means together with the divisional charge / loss data stored in the allocation profit / loss file means in the allocation profit / loss file means. Means for outputting stored divisional profit / loss data in a predetermined format.
3. The medical business management support system according to 1 or 2. 4. The allocation processing means stores the profit and loss for each of the other medical departments after being allocated by the allocation processing means in the allocation profit and loss file means as the divisional allocation profit and loss data. After that, one of the other medical departments is set as a new specific department, and the imposed profit / loss data and the allocated profit / loss data are stored in the imposed profit / loss file means and the allocated profit / loss file means, respectively. Out of the data relating to the new specific department is determined for each of the remaining medical departments excluding the new specific department according to the attribute of the data relating to the new specific department. Means for allocating for each of the remaining medical departments after multiplying by the allocation coefficient, and wherein the allocation profit / loss file means is for the remaining medical departments newly allocated by the allocation processing means. Profit and loss Medical management support system according to claim 3, characterized in that it comprises means for storing as Monbetsu distribution income data. 5. The input / output processing means, wherein at least one of the plurality of medical departments is classified into a plurality of classifications for at least one of a plurality of medical management indices; Comprises, for each of the plurality of classifications, means for imposing the profit and loss indicated by the selected individual profit and loss data and the common profit and loss data, wherein the imposed profit and loss file means comprises: Means for storing data, wherein the output means outputs the chargeable profit and loss data by sector in a format arranged by at least one of the medical sector, the medical management index, and the classification. The medical management support system according to claim 1 or 2, further comprising: 6. The imposition processing means, wherein the input profit and loss data is classified into a plurality of classes for at least one of a plurality of medical management indices in at least one of the plurality of medical departments. Comprises, for each of the plurality of classifications, means for imposing the profit and loss indicated by the selected individual profit and loss data and the common profit and loss data, wherein the imposed profit and loss file means comprises: Means for storing data, the allocation processing means includes means for allocating the profit and loss for each of the plurality of classifications, and the allocation profit and loss file means for each of the plurality of classifications Means for storing divisional profit / loss data by division, wherein the output means stores the divisional profit / loss data by division with the medical charge / distribution data together with the divisional charge / loss data. Medical management support system according to claim 3 or 4, further comprising a means for outputting an indication-specific and format arranged in another of the at least one of another said classification. 7. For each of the plurality of medical management indices, it indicates profit or loss related to an individual or a plurality of classifications, and when related to the individual classification, an individual indicating that it is related to the individual classification. Input means for inputting input / output data to which a code is attached and the individual code is not attached in the case of being related to the plurality of classifications; and for each of the medical management indices, First selecting means for selecting the one with the individual code as individual profit and loss data, and selecting, as the common profit and loss data, the one without the individual code from the input profit and loss data for each of the medical management indices. A second selecting means, and for each of the medical management indices, the profit and loss indicated by the selected individual profit and loss data, the individual code added to the selected individual profit and loss data. In addition to directly imposing as a profit and loss in the classification corresponding to each classification, the profit and loss indicated by the selected common profit and loss data, with the imposed coefficient determined for each classification according to the attribute of the selected common profit and loss data Charge processing means for charging each classification after each multiplication, and for each medical management index, charge and loss file means for storing profit and loss for each classification imposed by the charge processing means as charge and loss data for each classification For each of the medical management indices, the profit or loss indicated by the data related to the specific department among the departmental charge / loss data stored in the charge / loss file means is converted to the specific department according to the attribute of the data related to the specific department. Allocation processing means for multiplying by an allocation coefficient determined for each of the other medical departments except for each of the other medical departments and then allocating for each of the other medical departments; For each medical management index, allocation profit and loss file means for storing the profit and loss of each other medical department after allocation by the allocation processing means as allocation allocation profit and loss data, and A format in which the stored classified profit / loss data and the allocated profit / loss data stored in the allocated profit / loss file means are arranged according to at least one of the medical management index, the classification and the profit / loss type. A medical management support system, comprising: an output unit for outputting the medical management information.