JPWO2020153207A1 - Medical facility balance calculation support system - Google Patents

Abstract

In the management analysis of medical facilities, increase the ratio of direct expenses, which is the amount of expenditure for each medical practice for each organization. A medical practice that has a patient attribute including a patient identifier and an order attribute that includes an order identifier and tissue information. An order management department that generates a consumer goods management order having a patient attribute and an order attribute, and a medical practice. Read the identifier of the article consumed in the above in association with the order for managing the consumer article related to the medical practice, and refer to the article master in which the identifier of the article and the article price are associated with each other, and manage the consumer article associated with the article. A medical facility balance calculation support system equipped with a spending processing unit that generates a list of directly charged consumables by adding article attributes including article prices to the order.

Description

The present invention relates to a medical facility balance calculation support system that supports balance calculation of a medical facility.

In recent years, information systems such as electronic medical record systems that manage medical records as electronic data have been developed in medical facilities, and various medical systems have been introduced. For example, an order entry system, a department system, a medical accounting system, a distribution management system, and the like. Generally, these systems are designed to work in tandem with each other.

The order entry system is an information transmission system related to inspections and prescriptions, and plays a central role in the electronic medical record system. Specifically, it is a system in which doctors input instructions given to medical technicians such as nurses into a computer and transmit them to each department.

The department system is an information system constructed corresponding to each department such as the surgery department, the examination department, and the diagnostic imaging department. An integrated department system that integrates individual departments may be established.

The medical accounting system is a system that supports billing and management of medical fees. In medical facilities, a receipt computer processing system that performs paperwork for medical fee billing online is becoming widespread, and in general, a medical accounting system is configured to correspond to a receipt computer processing system.

In the past, the medical treatment fee, which is the income of medical facilities, was calculated by accumulating the medical treatment contents one by one, but in recent years, it has been acute, which is the sum of the fixed medical fee per day of hospitalization and the amount of surgery. The number of medical facilities covered by the comprehensive payment system for inpatient medical care (DPC / PDPS) is expanding.

Medical facilities participating in DPC / PDPS are required to submit DPC data. The data submitted by the DPC includes Form 1 of simple medical record information, an EF integrated file that shows information such as how much medical treatment fee points are and how much medical treatment is performed, D file that is comprehensive receipt information, and medical department of outpatients. It is composed of an outpatient EF integrated file, etc., which is volume score information based on a score table.

A file showing the details of medical practice such as the EF integrated file shall be referred to as a medical practice detail file. Generally, in the medical practice detail file, medical practice is classified by a default data category consisting of codes and names such as "11 first visit", "25 prescription", "50 surgery", "54 anesthesia", and "70 image diagnosis". The medical practice included in the data classification may be further subdivided by the item of interpretation number. On the other hand, organizational information such as departments and sections (clinical departments) that performed the medical treatment is excluded.

For this reason, it is possible to grasp the medical treatment fee for each patient and medical treatment by using the medical treatment statement file, but it is not possible to specify which medical treatment was performed by which organization. ..

The distribution management system, also called SPD (Supply Processing & Distribution), is a system that unifies the management and supply of goods distributed in medical facilities. In principle, a bar code label indicating the article code, etc. is attached to the article to be managed, and it is used for consumption management, order management, etc.

Regarding a system that supports the management of medical facilities, Patent Document 1 describes a medical management management support system that enables profit and loss management by management index such as by department, department, disease name, and medical practice in medical care. However, Patent Document 2 describes an in-hospital cost analysis system that analyzes the cost structure of drugs and clinical materials used in medical facilities.

Japanese Unexamined Patent Publication No. 10-187810 JP-A-2007-58280

Cost accounting is attracting attention as a method of management analysis in medical facilities. In cost accounting, in order to grasp the expenditure of goods consumed in medical treatment, it is basic to calculate the expenditure amount of each organizational unit such as by department and clinical department, but in order to improve the accuracy, medical treatment for individual patients It is required to increase the ratio of direct duty, which is the amount of expenditure by act.

In this specification, the amount of expenditure that is linked to the individual medical practice of each organization is referred to as a direct charge. Therefore, the direct charge ratio is the ratio of the expenditure amount that can be treated as a direct charge to the expenditure amount of the organizational unit. Expenditures in organizational units that cannot be handled directly are processed as allocations.

By using the distribution management system, it is possible to obtain the expenditure amount of each item consumed in each organizational unit, but the obtained data as it is can be used to identify the patient and medical practice in which each item was used. Can't. For this reason, it only improves the accuracy of allocation, and cannot increase the direct duty ratio. Further, the techniques described in Patent Document 1 and Patent Document 2 are not considered to increase the ratio of direct charges, which is the amount of expenditure for each medical practice.

Therefore, an object of the present invention is to increase the ratio of direct charges, which is the amount of expenditure for each medical practice for each organization, in the management analysis of medical facilities.

In order to solve the above problems, the medical facility balance calculation support system according to the first aspect of the present invention is based on a medical practice order having a patient attribute including a patient identifier and an order attribute including an order identifier and tissue information. Then, the order management unit that generates the consumer goods management order having the patient attribute and the order attribute, and the identifier of the goods consumed in the medical practice are read in association with the consumer goods management order related to the medical practice. With reference to the article master in which the identifier of the article and the article price are associated with each other, the item attribute including the article price is added to the consumer article management order to which the article is associated, and the direct consumption article list is added. It is characterized by having an expense processing unit that generates the above.
Here, the expenditure processing department aggregates the article prices for each organization based on the direct charge consumables list, calculates the direct charge total which is the expenditure amount for each organization associated with the medical practice, and also calculates the articles. Distribution for each organization by aggregating the prices of consumables for each organization based on the distribution management consumables list provided by the distribution management system that manages the distribution of goods, and subtracting the direct total from the totaled consumables prices. The total levy may be calculated.
At this time, the expenditure processing unit may obtain the number of medical treatment activities for each organization and divide the total allocation amount for each organization by the number of medical treatment activities to calculate the allocation amount for each organization. Good.
In addition, the expenditure processing unit may output image information indicating the order identifier in order to read the identifier of the article consumed in the medical practice in association with the order for managing the consumer article related to the medical practice. ..
In addition, as one aspect of the medical practice order, a comprehensive treatment order for summarizing daily treatments can be included.
In addition, the article can include at least one of a medical material and a drug.
In addition, the order attribute further includes order implementation date information, and from the medical accounting system that manages medical fee billing, a medical practice detail file including data identification information that can identify the patient, medical fee amount information, and implementation date information is obtained. The order for consumables management is acquired, and at least with reference to the patient identifier and the order implementation date information of the consumables management order, the data identification information of the medical service detail file, and the implementation date information. May be further provided with an income processing unit that collates with the medical service detail file and adds the patient attribute and the order attribute to the collated medical service detail file.
At this time, the order attribute further includes medical information which is an identifier of the medical treatment related to the compensation request, and the medical practice detail file further includes the hospital score master information which is the identifier of the medical treatment related to the compensation request, and the income processing. When collating the consumer goods management order with the medical practice detail file, the department further refers to the medical information of the consumer goods management order and the hospital score master information of the medical practice detail file. You may.
In addition, the medical practice detail file further includes classification information for classifying the medical practice, and the income processing unit has a mapping table predetermined prior to collation of the consumer goods management order with the medical practice detail file. Is used to add estimated organization information to the medical practice detail file, and when collating the consumer goods management order with the medical practice detail file, further, with the tissue information of the consumer goods management order. , The estimated organization information of the medical practice detail file may be referred to.
In addition, the medical fee amount information can include any of medical practice, medical material, and drug fee information.
In addition, the direct department information that aggregates the direct department consumables list for each order identifier, the allocation amount for each organization, the medical practice detail file to which the patient attribute and the order attribute are added, and the transaction contents of the medical facility The balance of each subject included in the sorted financial accounting data is distributed to each organization according to a predetermined rule, and the financial accounting information divided by the number of medical treatments in that organization and the salary data showing the salary payment amount are aggregated for each organization. Further, it may further include a balance analysis unit that creates management accounting data for each organization and each medical practice based on salary information divided by the number of medical practices in the organization.
At this time, the income and expenditure analysis department divides each organization into a profit department that performs medical treatment and a common department that does not perform medical treatment, and the financial accounting information and salary information of the common department are treated in that organization. Instead of the number of acts, a value divided by the number of medical practices in all organizations may be calculated, and the value may be allocated to each medical practice in the profit department to create the management accounting data.
In order to solve the above problems, the computer program according to the second aspect of the present invention is based on the patient attribute including the patient identifier and the medical practice order having the order attribute including the order identifier and the tissue information. The order management unit that generates the attribute and the order for managing the consumer goods having the order attribute, and the identifier of the article consumed in the medical practice are read in association with the order for managing the consumer goods related to the medical practice, and the identifier of the article is read. With reference to the article master in which the article is associated with the article price, the expense to generate the direct consumable article list by adding the article attribute including the article price to the consumer article management order to which the article is associated. The information processing device functions as a processing unit.

According to the present invention, it is possible to increase the ratio of direct charges, which is the amount of expenditure for each medical practice for each organization, in the management analysis of medical facilities.

It is a block diagram which shows the structure of the medical information system including the medical facility balance calculation support system. It is a flowchart explaining the characteristic of an order entry system. It is a figure which shows the data structure example of the medical practice order. It is a flowchart explaining operation of an order management part. It is a figure which shows the data structure example of the order for consumable goods management. It is a flowchart explaining operation of an order identification code output part. It is a figure which shows the example of the mount which printed the order identification code. It is a flowchart explaining the operation of the consumable goods identifier reading processing unit. It is a figure which shows the data structure example of the direct charge consumable goods list. It is a figure which shows the data structure example of the article master information. It is a flowchart explaining the operation of the allocation goods expenditure calculation part. It is a figure which shows the data structure example of the physical distribution management consumer goods list. It is a flowchart explaining the operation of the medical practice detail file extension part. It is a figure which shows the data structure example of the medical practice detail file and extended medical practice detail file. It is a flowchart explaining operation of an order collation part. It is a figure which shows the data structure example of the modified medical practice detail file. It is a figure which shows an example of the summary table. It is a block diagram which shows the income and expenditure analysis part which added the data creation function for management accounting. It is a figure which shows an example of financial accounting data. It is a figure which shows an example of the organization classification information. It is a flowchart explaining the data creation process for management accounting performed by the income and expenditure analysis department. It is a figure which shows an example of the data for management accounting.

Embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing a configuration of a medical information system 10 including a medical facility balance calculation support system 100 according to the present embodiment. It is assumed that the medical information system 10 has an electronic medical record introduced and the medical information is digitized.

As shown in this figure, the medical information system 10 includes an order entry system 20, a department system 30, a medical accounting system 40, and a distribution management system 50 in addition to the medical facility balance calculation support system 100.

The order entry system 20, the department system 30, the medical accounting system 40, and the distribution management system 50 have the same functions as before. That is, the order entry system 20 is an information transmission system related to examinations, prescriptions, etc., and performs a process of inputting instructions given by a doctor to a medical engineer such as a nurse and transmitting them to a corresponding department system 30. Do it.

The department system 30 is an information system constructed corresponding to each department such as the surgery department, the examination department, and the diagnostic imaging department. An integrated department system that integrates individual departments may be included.

The medical accounting system 40 is a system that supports billing of medical fees and management work, and generates a medical practice statement file. The medical accounting system 40 handles DPC data as a medical practice detail file, but it may be a medical practice detail file of another standard. As will be described later, from the medical treatment fee statement file, it is possible to grasp the action material fee related to the medical treatment material, the action drug fee related to the drug, and the action medical fee related to the action as the medical treatment fee amount information.

The distribution management system 50 is a system that unifies the management and supply of goods distributed in medical facilities. In the present embodiment, the article consumed in the medical treatment includes a drug and a medical treatment material. However, either one may be used, or other items consumed in medical treatment may be used. In the distribution management system 50, the article master information 51, which is information about the articles to be handled, is defined. In addition, the physical distribution management system 50 can output a physical distribution management consumable goods list for goods purchased and consumed in the medical facility. As will be described later, by referring to the distribution management consumer goods list, it is possible to grasp the amount of expenditure for the consumed goods for each organization.

The medical facility balance calculation support system 100 includes an order management unit 110, an expenditure processing unit 120, an income processing unit 130, and a balance analysis unit 140. The expenditure processing unit 120 includes a direct item expenditure calculation unit 121 and an allocated item expenditure calculation unit 124, and the direct item expenditure calculation unit 121 includes an order identification code output unit 122 and a consumer item identifier reading processing unit 123. I have. The income processing unit 130 includes a medical practice detail file extension unit 131, an order collation unit 132, and a mapping table 133.

The medical facility balance calculation support system 100 can be configured by using an information processing device such as a personal computer or a server computer in which a computer program for executing each operation in these functional blocks is installed.

First, an outline of the operation of the medical facility balance calculation support system 100 will be described. The medical facility balance calculation support system 100 performs a process of associating the consumed goods with a medical practice regarding expenditure, and adds an organization information to a medical practice statement file including medical fee information regarding income.

Expenditures for goods associated with medical practice can be treated as a direct charge. Therefore, the direct charge ratio can be increased by associating the consumed goods with the medical practice. Regarding the allocation, the allocation amount can be calculated by calculating the expenditure amount of the organizational unit based on the distribution management consumer goods list acquired from the distribution management system 50 and subtracting the total of the direct charges for each organization. .. By dividing this allocation by the number of medical treatments for each organization, the allocation for each medical treatment unit for each organization is calculated.

Further, by adding the organization information to the medical practice detail file acquired from the medical accounting system 40, it is possible to specify which medical practice was performed by which organization and which medical practice is indicated by the medical practice detail file. Will be. As a result, the income breakdown for each organization can be grasped with high accuracy.

In this way, in the medical facility balance calculation support system 100, the income is generated for each medical practice by the process of associating the consumed goods with the medical practice and the process of adding the organization information to the medical practice statement file including the medical fee information. Make it possible to grasp the expenditure.

In the medical facility balance calculation support system 100 of the present embodiment, four items of expenditure for each medical practice are treated as direct medical care material, direct medical care material, allocated medical care material, and allocated medicine. As described above, the amount of expenditure that is linked to the individual medical practice of each organization is treated as a direct charge, and the expenditure of each organization that cannot be handled by the direct department is treated as an allocation. In addition, three items of income for each medical practice are the medical treatment fee, the material fee, and the drug fee.

The medical facility balance calculation support system 100 introduces the concept of a consumer goods management order in order to link the consumed goods to medical practice. The consumables management order is a convenient order generated based on the medical practice order via the department system 30 issued by the order entry system 20, and is consumed by the medical practice for this consumer goods management order. Link the items you have made. Here, it is assumed that a consumer goods management order is generated for each of the drug and the medical material.

To link the consumer goods management order and the consumer goods, the identification information of the consumer goods management order is coded and output as a barcode or the like, and the identification code and the barcode label attached to the consumer goods are read as an image. This is done by reading with a device.

For example, it is conceivable to print the identification code of the consumer goods management order on a mount, attach the barcode label of the consumer goods group to the mount, and read them all at once. Alternatively, it is conceivable to display the identification code of the consumer goods management order on the screen and read it continuously with the barcode label of the consumer goods.

By the way, in medical facilities, various examinations and treatments, which are medical practices that do not go through the department system 30, are also performed. For example, various tests and treatments performed on the first day of hospitalization or outpatients (hereinafter, may be collectively referred to as treatments). Information is sent to the medical accounting system 40 for each medical practice and recorded in the medical practice statement file. For each medical practice, an order for managing consumables is generated and the consumed goods are linked. Then, the processing becomes complicated. Therefore, in the present embodiment, a treatment comprehensive order is prepared as one aspect of the consumer goods management order.

The comprehensive treatment order is a convenient order for summarizing various examinations and treatments performed on the same patient without going through the department system 30 on a daily basis. The comprehensive treatment order may be generated once a day for each drug and medical material as needed, and the articles consumed in various tests and treatments performed on that day should be linked to the comprehensive treatment order. To.

Further, in the medical facility balance calculation support system 100, in order to add the organization information to the medical practice detail file, the medical care practice detail file and the medical practice detail file are used by using predetermined items indicating the patient identifier, the order implementation date, the medical care content, and the like. Match with the order for managing consumables. Since the order for managing consumer goods includes the organization information, the organization information can be added to the matched medical practice detail file.

Hereinafter, detailed operations of each part of the order entry system 20 and the medical facility balance calculation support system 100 will be described. First, the characteristic operation of the present embodiment of the order entry system 20 will be described with reference to the flowchart of FIG.

The order entry system 20 can accept medical practice orders from doctors and the like. The medical practice order is an order for medical practice via the department system 30.

When the order entry system 20 receives the medical practice order (S101: Yes), the order entry system 20 transmits the instruction content to the department system 30 related to the medical accounting system 40 (S102). In addition, a medical practice order is also transmitted to the order management unit 110 (S103). Prior to the transmission of the medical practice order, the medical practice order may be normalized or subdivided into a plurality of medical practice orders as necessary.

Here, the medical practice order depends on the order entry system 20 adopted, but can be, for example, a data structure as shown in FIG. As shown in this figure, the medical practice order has a patient attribute and an order attribute. The patient attribute includes a patient identifier, a patient name, and the like. The date of birth, gender, my number, etc. may be included.

The order attribute includes an order identifier, an order name, an order implementation date and time, a medical code, organizational information, admission / outpatient identification, and the like. The medical code is an identifier of medical treatment related to remuneration request, and is determined by the medical treatment content indicated by the order. The organizational information can have a hierarchical structure of departments and sections (clinical departments) according to the actual situation of the medical facility. In this case, the department can be "outpatient department", "inpatient department", "surgery department", "radiation department", or the like. The requesting doctor, ward name, etc. may be included in the order attribute. The order implementation date and time is an example of order implementation date information, and the medical code is an example of medical information.

Returning to the explanation of the flowchart of FIG. 2, when the order entry system 20 receives an instruction for treatment from a doctor or the like without going through the department system 30 (S104: Yes), the order entry system 20 generates a comprehensive treatment order (S105), and the order management unit It is transmitted to 110 (S106).

However, the treatment comprehensive order may be generated once a day, for example, based on the earliest treatment instruction. The comprehensive treatment order has the same data structure as the medical practice order shown in FIG. 3, and is treated as a kind of medical practice order. A value that does not overlap with other medical codes is recorded in the medical code of the treatment comprehensive order, and an identifier of the organization performing the treatment is recorded in the tissue information. The treatment comprehensive order may be generated by the order management unit 110 by receiving an instruction from a doctor or the like.

Next, the operation of the order management unit 110 will be described with reference to the flowchart of FIG. When the order management unit 110 receives a medical practice order from the order entry system 20 (S201: Yes), the order management unit 110 generates a consumer goods management order attached to the medical practice order (S202). As described above, the consumer goods management order is an order for associating the goods consumed in the medical practice in the medical facility balance calculation support system 100.

In the present embodiment, since the articles are classified into medical materials and drugs, an order for managing consumables is created for each of them, and the order is used as the order for managing consumable medical materials and the order for managing consumable drugs.

The consumer goods management order can have, for example, a data structure as shown in FIG. As shown in this figure, the consumer goods management order has a data structure in which the patient attribute and order attribute are inherited from the medical practice order that caused the generation, and the consumer goods management order identifier is added to the order attribute. It has become. The created consumer goods management order is saved and can be referred to in the medical facility balance calculation support system 100.

Next, the operation of the expenditure processing unit 120 will be described. As described above, the expenditure processing unit 120 includes a direct item expenditure calculation unit 121 and an allocated item expenditure calculation unit 124, and the direct item expenditure calculation unit 121 further includes an order identification code output unit 122 and a consumer item. It is provided with an identifier reading processing unit 123.

First, the operation of the order identification code output unit 122 of the direct charge goods expenditure calculation unit 121 will be described with reference to the flowchart of FIG. A doctor or the like can give an order identification code output instruction to the order identification code output unit 122. Print output and screen display output can be selected as the output mode of the order identification code. However, either one may be used, or the other output mode may be used.

When the order identification code output unit 122 receives an order identification code output instruction from a doctor or the like (S301: Yes), and if it is a print instruction (S302: print), the order identification code output unit 122 prints the order identification code on the mount (S303) and displays it. If it is an instruction (S302: display), the order identification code is displayed on the screen (S304). In the case of printing, the mount for medicine and the mount for medical materials are output, and in the case of screen display, the areas for medicine and medical materials are output separately.

The order identification code printed on the mount or displayed on the screen includes at least image information indicating a management order identifier, for example, a barcode, and further, a distinction between drugs / medical materials and a patient name for easy recognition by doctors and the like. Etc. can be included. FIG. 7A shows an example of a mount on which the order identification code is printed.

For goods consumed in medical practice, a barcode label is attached to the mount of the drug if it is a drug, and a barcode label is attached to the mount of the medical material if it is a medical material. FIG. 7B shows an example of a mount to which a barcode label of a medical material consumed in a medical practice is affixed.

The barcode label affixed to the article represents at least the article code of the article. The article code may be, for example, a JAN / GS code, but may be a code independently converted by the medical facility. In addition, information such as the article name, unit price, unit, redemption / non-redemption, etc. may be included in the barcode label.

The output instruction of the order identification code can be performed, for example, via an electronic medical record. In this case, when the order management unit 110 generates a management order for consumables, the order entry system 20 is requested to display a button for instructing the output of the order identification code on the electronic medical record.

Next, the operation of the consumable goods identifier reading processing unit 123 of the direct charge goods expenditure calculation unit 121 will be described with reference to the flowchart of FIG. As described above, the doctor or the like performs an operation of reading the barcode label affixed to the article consumed in the medical practice together with the order identification code output by the order identification code output unit 122. At this time, the consumer goods identifier reading processing unit 123 is operated. The consumer article identifier reading processing unit 123 has a scanner function of reading image information via an image scanner, a bar code scanner, or the like.

When the consumable item identifier reading processing unit 123 receives an image reading operation from a doctor or the like (S401: Yes), the direct-use consumable item in which the patient attribute, the order attribute, and the article code are associated with each other based on the read image information. Create a list (S402). The patient attribute and order attribute can be specified by referring to the consumer goods management order using the management order identifier printed on the mount or displayed as a barcode on the screen as a key. A list of direct-use consumables is created for each barcode label read.

The direct consumables list can have, for example, a data structure as shown in FIG. As shown in this figure, the direct consumables list includes the patient attributes such as the patient identifier and the patient name, the order attributes such as the order identifier and the order name, and the article attributes in the consumer goods management order (see FIG. 5). It has an added data structure. Since the patient identifier can be uniquely specified from the order identifier included in the order attribute, the patient attribute may be omitted.

The article attribute includes the article code, the article name, the article price, and the like. At this point, the article code read from the barcode label is recorded. If the barcode label includes the article name and article price, these may also be recorded.

Then, the consumer goods identifier reading processing unit 123 adds information such as the goods price and the goods name to the direct consumption goods list with reference to the goods master information 51 provided by the distribution management system 50 (S403). The list of direct-use consumer goods is saved and can be referred to in the medical facility balance calculation support system 100.

Here, as shown in FIG. 10, the article master information 51 is master information in which the article code is associated with the article name, the article price, and the like. The article master information 51 depends on the logistics management system 50 adopted, but can include various information about the article such as a manufacturer, a supplier, and a management field. The consumer goods identifier reading processing unit 123 can specify the goods price, the goods name, and the like by referring to the goods master information 51 using the goods code as a key.

The direct-use consumables list is generated for each medical material and drug consumed in the medical practice, and has information on the patient identifier, the order identifier, and the goods price. Therefore, it becomes possible to treat the expenditure for the consumed goods as a direct charge. It should be noted that the medical practice order based on the treatment comprehensive order can be treated in the same manner and can be treated as a direct department.

It is also possible to perform an order processing for replenishing the goods by using the barcode label of the consumer goods read by the consumer goods identifier reading processing unit 123. In addition, if there are items for which the barcode label cannot be attached due to various reasons, information on the items consumed in the medical practice may be obtained from the electronic medical record system and added to the list of direct-use consumable items.

Next, the operation of the allocated goods expenditure calculation unit 124 of the expenditure processing unit 120 will be described with reference to the flowchart of FIG. The allocated goods expenditure calculation unit 124 performs the following processing at a predetermined aggregation timing (S501). The aggregation timing can be, for example, the closing date of each month, and the aggregation period is from the day following the closing date of the previous month to the closing date of the current month. It is assumed that the list of direct consumption goods for the aggregation period has already been created.

The allocated goods expenditure calculation unit 124 acquires a distribution management consumer goods list, which is a list of goods consumed during the aggregation period, from the distribution management system 50, and totals the goods prices of the consumed goods by organization (S502). ). In the present embodiment, since the organization has a hierarchical structure of departments and sections (clinical departments), the total value of expenditures for medical materials and drugs consumed for each department and each section is calculated.

Here, the distribution management consumer goods list provided by the distribution management system 50 depends on the distribution management system 50 adopted, and has a data structure as shown in FIG. 12, for example. In the example of this figure, the consumption date, the article code, the article name, the article price, the organization information, etc. are included for each consumed article. By referring to the distribution management consumer goods list, it is possible to grasp the consumption date, the goods code, the goods name, the goods price, etc. for each goods consumed by each organization.

Returning to the explanation of the flowchart of FIG. 11, the allocated goods expenditure calculation unit 124 has an order implementation date from the direct consumption goods list (see FIG. 9) created by the consumer goods identifier reading processing unit 123 in the processing (S403). The data included in the aggregation period is extracted, and the article prices for the articles treated as direct charges are aggregated by organization (S503). As a result, the total value of the direct charge for medical materials and drugs is calculated for each department and each section.

Then, the total value of the allocation amount is calculated by subtracting the total value of the direct charge from the total value of the expenditure of goods for each organization (S504). As a result, the total value of the allocation amount for medical materials and drugs is calculated for each department and each section.

The allocation amount per medical practice for each organization is calculated by dividing the total value of the allocation amount for each organization by the number of medical treatment activities performed in that organization (S505). As a result, the medical material allocation amount and the drug allocation amount can be obtained for each organization (department, section).

Here, the number of medical treatments performed in the organization can be, for example, the number of consumables management orders of the organization. In this case, the treatment comprehensive order may be summarized as one medical treatment act, but it is desirable to count the number of treatment acts included in the treatment comprehensive order in the number of medical treatment acts. Alternatively, the number of medical practices for each organization may be calculated based on the medical practice details file for the aggregation period acquired from the medical accounting system 40 in order to expand the scope of medical practices treated as allocation. This process will be described later.

Through the above processing, direct medical care materials, direct medical care materials, allocated medical care materials, and distributed medicines can be obtained for each patient, organization, and medical practice. Here, the allocated medical care material and the allocated drug have common values for each organization. In addition, since each consumable item has a patient attribute and an order attribute, it is possible to easily obtain a list of medical treatment materials and a list of drugs treated as direct departments for each medical treatment.

Next, the operation of the income processing unit 130 will be described. First, the operation of the medical practice detail file extension unit 131 will be described with reference to the flowchart of FIG. The medical practice detail file extension unit 131 performs the following processing at a predetermined aggregation timing (S601). The aggregation timing and aggregation period can be the same as those of the expenditure processing unit 120.

The medical practice detail file for the aggregation period is acquired from the medical accounting system 40 (S602). At this time, the medical practice detail file of the data category related to the medical practice order and the treatment comprehensive order is extracted. The data categories related to the medical practice order and the comprehensive treatment order are, for example, "32 intravenous", "33 other", "40 treatment", "50 surgery", "54 anesthesia", "60 examination / pathology", "70 diagnostic imaging", and "80". Others "can be used. Organizational information etc. is added to the extracted medical practice detail file. However, the extraction target is not limited to these data categories.

Here, the medical practice detail file provided by the medical accounting system 40 has, for example, a data structure as shown in FIG. 14A. In the example of this figure, an EF integrated file is assumed, and the data identification number, data classification, hospital score master code, act score, act drug fee, act material fee, implementation date, etc. are included. In addition, an interpretation number may be included. The interpretation number may be able to subdivide the medical practice included in the data division. The data classification and interpretation number are examples of the classification information of medical practice, and the implementation date is an example of the implementation date information. Further, if necessary, the D file or the like may be referred to in addition to the EF integrated file.

The data identification number is an example of data identification information that can identify a patient, and corresponds to a patient identifier. The hospital score master code is an example of hospital score master information which is an identifier of medical treatment related to remuneration request, and corresponds to a medical code. The act score is the sum of the scores of the act, the drug, and the material, and one point is equivalent to 10 yen. The act drug fee is the drug fee for each act, and the act material fee is the medical treatment material fee for each act.

Estimated organization information (department, section) is added to the extracted medical practice detail file using the mapping table 133 (S603). Here, the mapping table 133 is a table in which the data divisions to be extracted are associated with the implementing organization that performs the most for each medical practice included in the data divisions. The estimated tissue information is treated as a provisional initial value in the process of adding the tissue information to the medical practice detail file.

In addition, for the extracted medical practice detail file, the action score is multiplied by 10, the action drug fee and the action material fee are subtracted to calculate the action medical fee equivalent to the doctor's technical fee, and the action medical fee is added to the medical practice detail file. (S604). As mentioned above, since one point is equivalent to 10 yen, the number of action points is multiplied by 10, but the conversion should correspond to the actual situation.

A medical practice detailed file to which estimated organization information and an action medical fee are added is called an extended medical practice detailed file. FIG. 14B shows an example of the data structure of the extended medical practice detail file. “*” In the figure indicates the added estimated organization information and the medical treatment fee.

Next, the operation of the order collation unit 132 of the income processing unit 130 will be described with reference to the flowchart of FIG. When the extended medical practice detail file is generated by the medical practice detail file extension unit 131, the order collation unit 132 of the income processing unit 130 performs the following processing (S701).

First, the extended medical practice detail file is collated with the consumer goods management order (consumable medical care material management order or consumer drug management order) generated by the order management unit 110 in the process (S202), and the extended medical practice detail file is created. A patient attribute and an order attribute are added (S702).

Here, the collation is a process performed to identify the extended medical practice detail file and the consumer goods management order for the same medical practice, and the extended medical practice detail file and the consumer goods management order satisfying the following conditions. Is determined to be the same medical practice.

1) The "data identification number" of the extended medical practice detail file and the "patient identifier" of the consumer goods management order match, and 2) the "implementation date" of the extended medical practice detail file and the consumer goods management. In addition to the fact that the "order implementation date and time" of the order can be regarded as the same day, 3) the "hospital score master code" of the extended medical practice detail file and the "medical code" of the consumer goods management order match, or 4 ) The "estimated organization information" in the extended medical practice detail file and the "organization information" in the consumer goods management order must match.

1) The fact that the "data identification number" in the extended medical practice detail file and the "patient identifier" in the consumer goods management order match is because the "data identification number" in the extended medical practice detail file corresponds to the patient identifier. Is. It is essential that they match in order to determine that they are the same medical practice.

2) Regarding the fact that the "implementation date" of the extended medical practice detail file and the "order implementation date and time" of the consumer goods management order can be regarded as the same day, the same medical practice can be used when the medical practice spans days. Even if there is, it is taken into consideration that the "implementation date" of the extended medical practice detail file and the "order implementation date and time" of the consumer goods management order may be different. Therefore, even if it is off by one day, it should be regarded as the same day. In order to judge that they are the same medical practice, it is essential that they can be regarded as the same day.

3) If the "hospital score master code" in the extended medical practice statement file and the "medical code" in the consumer goods management order match, the "hospital score master code" in the extended medical practice statement file and the consumer goods management This is because it corresponds to the "medical code" of the order. However, the "medical code" may change due to various circumstances during the process from order generation to order implementation. For this reason, even though they are the same medical practice, they may not be collated. Therefore, it is sufficient to satisfy either 3) or 4).

4) The match between the "estimated organization information" in the extended medical practice detail file and the "organization information" in the consumer goods management order is the same medical practice, but it is not collated because the medical code has been changed. This is to collate the extended medical practice detail file with the consumer goods management order.

In the process (S702), the extended medical practice detail file corresponding to the medical practice order excluding the treatment comprehensive order is collated. This is because the "medical code" recorded in the comprehensive treatment order does not match the "hospital score master code" in the extended medical practice detail file.

Therefore, for the extended medical practice detail file that was not collated with the consumer goods management order in the processing (S702), that is, the extended medical practice detail file corresponding to the processing comprehensive order, the consumer goods management order based on the treatment comprehensive order. The patient attribute and the order attribute are added to the extended medical practice detail file corresponding to the processing comprehensive order by collating with (consumption medical material management order or consumption drug management order) (S703).

For collation, 1) the "data identification number" of the extended medical practice detail file and the "patient identifier" of the consumer goods management order match, and 2) the "implementation date" of the extended medical practice detail file and consumption. It is a condition that the "order implementation date and time" of the goods management order can be regarded as the same day. Since treatments that span days are rare, the same day may be used as a condition.

The extended medical practice detail file to which the patient attribute and the order attribute are added by the process (S702) and the process (S703) is referred to as a modified medical practice detail file. FIG. 16 shows an example of a data structure of a modified medical practice detail file. As shown in this figure, the modified medical practice detail file has the patient attribute and the order attribute added to the extended medical practice detail file. The consumer goods management order that is not collated in the processing (S702) and the processing (S703) will be processed as an allocation.

Although duplicate information is generated when the patient attribute and the order attribute are added, it is preferable to adopt and normalize the information having the higher reliability as necessary (S704). For example, regarding the organization information of the order attribute and the estimated organization information of the extended medical practice detail file, the medical practice order may adopt the organization information of the order attribute, and the treatment comprehensive order may adopt the estimated organization information of the extended medical practice detail file. it can. In addition, for the comprehensive treatment order, the hospital score master code can be adopted instead of the medical code.

Through the above processing, it is possible to obtain an act material fee, an act drug fee, and an act medical fee for each patient, organization, and medical practice.

By the way, when calculating the number of medical treatments used when calculating the above-mentioned allocation amount based on the medical treatment details file, the medical treatment order such as "40 treatment", "50 surgery", "54 anesthesia", and the treatment comprehensive order It is preferable that not only the data categories related to the above but also the medical practice detail files of all the data categories are to be aggregated in the number of medical practices.

The data categories other than the medical practice order and the treatment comprehensive order are, for example, "11 initial consultation", "12 re-examination", "13 guidance", "21 internal use", "22 ingestion" and the like. Since the medical practice order and the comprehensive treatment order are not generated for these medical practice detail files, the organization information cannot be added by the above procedure. Therefore, the data classification and the medical practice included in the data classification are allotted. Make sure to predefine departments and sections for.

Finally, the operation of the balance analysis unit 140 will be described. The income and expenditure analysis unit 140 processes the income with the expenditure amount information calculated by the expenditure processing unit 120, that is, the direct medical treatment materials, the direct medicines, the allocated medical materials, and the allocated medicines for each patient, organization, and medical practice. The income and expenditure is analyzed with reference to the income amount information calculated by the department 130, that is, the act material fee, the act drug fee, and the act medical fee for each patient, organization, and medical practice. The analysis can be performed by totaling the expenditure amount and the income amount for each item according to the aggregation unit such as for each organization, each date, and each patient.

The analysis result can be output in a summary table format, for example. FIG. 17 shows an example of a summary table. In the example of this figure, for the medical treatment performed in one day in a certain organization, the direct medical treatment material, the direct medicine, the allocated medical material, the allocated medicine, the acting material fee, the acting drug fee, and the acting medical treatment fee are totaled. In addition, total income, total expenditure, and balance are calculated (dates, organizations, numbers, etc. are marked with * for convenience in the table).

Since each consumable item has a patient attribute and an order attribute, it is possible to refer to the medical materials and drugs consumed in the medical practice from the direct medical care material fee and the direct drug fee for each medical practice. it can. In the example of this figure, by specifying the direct medical treatment material of the medical treatment practice "Medical treatment B" surrounded by the broken line frame by double-clicking or the like, the list of medical treatment materials consumed in the medical treatment practice is displayed as shown by the arrow. It is displayed in a separate window.

What kind of aggregation unit should be used can be specified as appropriate according to the purpose of analysis. As a result, it is possible to arbitrarily create a monthly expenditure total for each organization, a total for each medical practice for a certain patient, and a list of medical materials and drugs consumed in the medical practice.

As described above, the medical facility balance calculation support system 100 calculates the direct medical treatment material fee, the direct medical treatment material fee, the allocated medical treatment material, and the allocated drug charge as expenditure information for each organization and each medical practice with high accuracy. However, the act material fee, the act drug fee, and the act medical fee can be calculated with high accuracy as the income amount information.

Revenues in medical facilities are mainly medical practice revenues from medical practice, and expenditures include medical material costs and drug costs. Since these differ greatly for each medical practice, it can be expected that the accuracy of management analysis of medical facilities will be further improved by using the expenditure amount information and income amount information for each medical practice as data for management accounting.

Therefore, a management accounting data creation function that performs the processing as described below may be added to the income and expenditure analysis unit 140 of the medical facility income and expenditure calculation support system 100.

In the data creation process for management accounting in the present embodiment, other income and expenditure information in the medical facility is converted into the medical practice unit for each organization and added to the expenditure amount information and income amount information for each medical practice for management accounting. Create data. That is, management accounting data is created for each medical practice. For management accounting data, it is desirable to divide expenditures into variable expenses and fixed expenses for the convenience of cost accounting.

As other income and expenditure information in the medical facility, financial accounting data indicating income and expenditure and salary data indicating expenditure can be used. Financial accounting data is data in which transaction details of medical facilities are sorted into accounts, and salary data is detailed data of salaries paid by medical facilities to employees and the like.

By allocating the amount of money indicated by these income and expenditure information to each organization and dividing by the number of medical treatment activities for each organization, it can be converted into medical treatment unit for each organization. Since salary data is a statement for each person to be paid, it can be easily allocated to an organization, but financial accounting data is information for the entire medical facility and does not have organizational information. For this reason, the amount of each subject is allocated to the organization according to the predetermined distribution rule described later.

Here, each organization is divided into either a profit department that performs medical treatment and a common department that does not perform medical treatment. The income and expenditure of the common department shall be evenly allocated to the medical practice of the entire medical facility.

FIG. 18 is a block diagram showing a balance analysis unit 140 to which a management accounting data creation function is added.

As described above, the income and expenditure analysis unit 140 inputs the direct medical care material fee, the direct drug charge, the allocated medical care material, and the allocated drug fee as the expenditure amount information from the expenditure processing unit 120, and receives income from the income processing unit 130. Enter the act material fee, act drug fee, and act medical fee as the amount information, and create a summary table. In addition, the expenditure processing unit 120 inputs the number of medical treatment activities by organization used for calculating the allocation amount. The number of medical treatments by organization shall be calculated for all data categories in the medical treatment details file.

Here, further, financial accounting data is input from the financial accounting system 60 included in the medical information system 10, and salary data is input from the salary system 70. In addition, input the distribution ratio calculation information used for the basic data when allocating the balance of financial accounting data to the organization.

The income and expenditure analysis unit 140 can refer to the organization classification information 141 and the account distribution rule 142, and creates the organization-specific income and expenditure intermediate table 143 as intermediate data when creating financial accounting data.

As shown in FIG. 19, the financial accounting data is, for example, journalizing medical facility transactions into accounts such as medical income, non-medical income, and medical expenses according to a predetermined distribution rule. Accounts are hierarchized, for example, medical practice revenue is subdivided into inpatient revenue, outpatient revenue, and the like.

The salary data is a salary statement for each payee belonging to any organization of the medical facility. Salary data is divided into overtime allowances and salaries excluding overtime allowances. Overtime allowances shall be treated as variable expenses, and salaries excluding overtime allowances shall be treated as fixed expenses. The handling of salaries for doctors in clinical departments can be appropriately determined according to the actual conditions of medical facilities.

The organization classification information 141 is, for example, as shown in FIG. 20, information indicating whether each organization in the medical facility is a profit department or a common department. The profit department, also called the profit center, is an organization that receives medical fees for medical treatment. The common department, also called a cost center, is an organization that does not perform medical treatment and does not receive medical fees.

Account distribution rule 142 is a rule for distributing the amount of each item of financial accounting data to an organization. The rules can be arbitrarily set for each subject, for example, "the remainder allocated to the common department at a predetermined ratio is distributed to each organization in the profit department in an amount proportional to the number of medical treatments", "each organization". In addition, it can be distributed in an amount proportional to the number of staff (occupied area, electricity usage, etc.), "distributed to each organization in a proportion according to past results", and the like.

The distribution ratio calculation information is basic data used when distributing an amount in accordance with the account distribution rule 142. According to the account distribution rule 142, for example, the number of employees for each organization, the occupied area, the amount of electricity used, the past record of income and expenditure, and the like can be included.

The organization-specific income and expenditure intermediate table 143 is a table that temporarily stores the total amount of income and expenditure distributed to each organization and the total amount of salary for each organization. The organizational balance interim table 143 shall be provided with items corresponding to the items of financial accounting data and items corresponding to salary excluding overtime allowance and overtime allowance in salary data.

Next, the management accounting data creation process performed by the income and expenditure analysis unit 140 will be described with reference to the flowchart of FIG. Data for management accounting can be created at any time, such as at the beginning of the period, at the end of the period, or monthly. In addition, data can be created on a monthly or yearly basis.

The balance analysis unit 140 acquires financial accounting data from the financial accounting system 60 (S801). If data is not available at the beginning of the period, budget values, actual values, etc. may be used. Compared to the income and expenditure based on medical practice and the expenditure by salary, the subjects that use the value of the financial accounting system 60 generally have less fluctuation, so such treatment is considered to be sufficient.

From the items of financial accounting data, a specific item for which more detailed data can be obtained is removed (S802). Specifically, "hospitalization income", "outpatient income", and "other medical practice income" of medical practice income, which is a subject corresponding to income amount information (act material fee, action drug fee, act medical practice fee) for each organization and each medical practice. , "Chemical cost" and "Medical material cost" of medical practice, which is a subject corresponding to the expenditure information (direct drug fee, direct medical material, allocated drug fee, distributed medical material) for each organization and medical practice. , "Salary expense", which is a subject corresponding to salary data for each organization that can be acquired from the salary system 70, is removed from the financial accounting data.

However, without removing these items, the items are distributed to each organization based on the account distribution rule 142, and the difference between the income amount information, the expenditure amount information, and the salary data acquired from the salary system 70 is calculated. The obtained value may be treated as an adjustment value in the management accounting data.

Next, the amount of each item of the financial accounting data is distributed to the organization according to the account distribution rule 142, and the income and expenditure intermediate table 143 by organization is created (S803).

In addition, the income and expenditure analysis unit 140 acquires salary data from the salary system 70 (S804). Then, it is totaled for each organization and added to the income and expenditure intermediate table 143 for each organization (S805). The salary data is aggregated by distinguishing between the overtime allowance treated as a variable cost and the salary excluding the overtime allowance treated as a fixed cost.

The items in the organization-specific income and expenditure intermediate table 143 can be arranged as necessary so that they can be easily used as management accounting data (S806). For example, a plurality of items can be aggregated, items can be renamed, and items can be hierarchized. In particular, it is data for management accounting that items related to expenditure can be classified into variable expenses and fixed expenses, income can be classified into direct income and indirect income, and expenditure can be classified into direct expenditure and indirect expenditure. It is effective in increasing the utility value.

Since the common department does not perform medical treatment, the income and expenditure of the common department is evenly allocated to all medical treatments performed in the profit department. For this reason, the income and expenditure of the common department is totaled for each item in the common department, and the amount of the medical treatment unit is calculated by dividing by the total number of medical treatment activities in the medical facility as a whole, that is, the total number of medical treatment activities in the profit department. These values are used as the common sector allocation balance (S807). The common sector allocation balance includes non-medical income, etc. as income, and includes "salary expenses," "expenses," "depreciation expenses," which are treated as fixed expenses, and "overtime allowance," which is treated as variable expenses. Is done.

For the income and expenditure of the profit department, the amount of medical treatment unit is calculated by dividing each item by the number of medical treatments performed by the organization. These values are used as the distribution balance for each revenue division organization (S808). Revenue department The distribution balance for each organization includes non-medical income as income, and as expenditure, "salary expenses", "expenses", "depreciation expenses" treated as fixed expenses, "overtime allowance" treated as variable expenses, etc. Is included.

When the common department allocation balance and the revenue division organization allocation balance are calculated, the direct medical treatment material fee, the direct drug charge, the allocated medical material, the allocated drug fee, and the income processing obtained as the expenditure amount information from the expenditure processing department 120. Data for management accounting is created in addition to the act material fee, the act drug fee, and the act medical fee acquired as income amount information from the department 130 (S809).

At this time, the distribution balance for each revenue department organization is added to the expenditure amount information and income amount information of each medical practice of the same organization. For the common sector allocation balance, a common value is added to all expenditure amount information and income amount information. In addition, the names of each item of income amount information and expenditure amount information may be changed so that they can be easily used as management accounting data.

When adding the distribution balance for each common department and the distribution balance for each revenue department organization, it is desirable to distinguish between the value of the organization that is the revenue department and the value of the common department in fixed expenses for the convenience of cost accounting.

FIG. 22 is a diagram showing an example of the created management accounting data. Data for management accounting can be created for each medical practice. Since the medical practice has organization information as an order attribute, it can be aggregated for each organization, and thus management accounting data for each organization, for example, for each clinical department can be obtained.

In the example of this figure, the revenue is divided into medical practice revenue and non-medical practice revenue, and items of direct revenue and indirect revenue are provided, respectively. The direct income of medical practice revenue is subdivided into "act medical practice", "act drug", and "act medical material" corresponding to the act material fee, the act drug fee, and the act medical fee of the income amount information.

Expenditures are divided into variable expenses and fixed expenses so that marginal profits and contribution profits in cost accounting can be easily grasped. For variable expenses, as direct expenditure (direct charge), "direct medicine" and "direct medical material" corresponding to the direct drug fee and direct medical material fee of the expenditure amount information are provided, and indirect expenditure (allocation) As a result, "allocated medicine" and "allocated medical material" corresponding to the allocated drug fee and the allocated medical material fee of the expenditure amount information are provided, and further, the food supply material cost, the overtime allowance, etc. are provided. For school lunch material costs, overtime allowances, etc., the value of the common department may be added to the value of the organization.

Fixed expenses are divided into revenue department and common department. The revenue department is a value indicating fixed expenses in the organization, and is subdivided into salary expenses, expenses, depreciation expenses, and the like. The common department is a value obtained by equally allocating the fixed costs of the common department to all medical treatment activities, and is subdivided into salary costs, expenses, depreciation costs, and the like.

In addition, the difference between the amount obtained from the financial accounting data for the relevant period and the amount calculated as management accounting data divided by the number of medical treatments performed during the target accounting period is distributed to the medical treatments for the relevant period. By allocating and treating it as "fixed cost adjustment", the financial accounting data and the management accounting data may be matched.

In this way, by creating management accounting data for each organization and each medical practice, the balance of payments for each organization can be easily calculated. In addition, it is possible to calculate the marginal profit and the department contribution profit for each medical practice. In addition, the procedure for creating management accounting data does not depend on differences in the medical insurance system, so it can be applied to other countries.

10 Medical information system 20 Order entry system 30 Department system 40 Medical accounting system 50 Logistics management system 51 Goods master information 60 Financial accounting system 70 Pay system 100 Medical facility income and expenditure calculation support system 110 Order management department 120 Expenditure processing department 121 Directly charged goods expenditure Calculation unit 122 Order identification code output unit 123 Consumable goods identifier reading processing unit 124 Allocated goods expenditure calculation unit 130 Income processing unit 131 Medical practice details file expansion unit 132 Order collation unit 133 Mapping table 140 Balance analysis unit 141 Organization classification information 142 Account Subject distribution rule 143 Balance by organization Intermediate table

Claims (13)

An order management unit that generates an order for managing consumables having the patient attribute and the order attribute based on a medical practice order having a patient attribute including a patient identifier and an order attribute including an order identifier and tissue information.
Read the identifier of the item consumed in the medical practice in association with the consumer goods management order related to the medical practice.
With reference to the article master in which the identifier of the article and the article price are associated with each other, the item attribute including the article price is added to the consumer article management order to which the article is associated, and the direct consumption article list is added. With the expenditure processing department to generate
A medical facility balance calculation support system characterized by being equipped with. The expenditure processing department
Based on the direct-charge consumer goods list, the goods prices are totaled for each organization, and the direct-charge total, which is the amount of expenditure for each organization associated with medical practice, is calculated.
Logistics management provided by the logistics management system that manages the distribution of goods The prices of consumer goods for each organization are aggregated based on the list of consumer goods, and the total of the direct charges is subtracted from the aggregated consumer goods prices for each organization. The medical facility balance calculation support system according to claim 1, wherein the total allocation amount is calculated. The expenditure processing department
The medical facility according to claim 2, wherein the allocation amount for each organization is calculated by acquiring the number of medical treatment activities for each organization and dividing the total allocation amount for each organization by the number of medical treatment activities. Balance calculation support system. The expenditure processing department
Claims 1 to 3 characterized in that image information indicating the order identifier is output in order to read the identifier of the article consumed in the medical practice in association with the consumer article management order related to the medical practice. The medical facility balance calculation support system described in any one of the items. The medical facility balance calculation support system according to any one of claims 1 to 4, wherein one aspect of the medical practice order includes a comprehensive treatment order for summarizing daily treatments. The medical facility balance calculation support system according to any one of claims 1 to 5, wherein the article contains at least one of a medical material and a drug. The order attribute further includes order implementation date information.
From the medical accounting system that manages medical fee billing, obtain a medical practice statement file that includes data identification information that can identify the patient, medical fee amount information, and implementation date information.
At least, referring to the patient identifier and the order implementation date information of the consumer goods management order, the data identification information of the medical practice detail file, and the implementation date information, the consumer goods management order and the medical treatment One of claims 1 to 6, further comprising an income processing unit that collates with the action detail file and adds the patient attribute and the order attribute to the collated medical action detail file. Medical facility balance calculation support system described in. The order attribute further includes medical information which is an identifier of medical treatment related to remuneration claim.
The medical practice detail file further includes hospital score master information which is an identifier of medical care related to remuneration claim.
The income processing department
When collating the consumer goods management order with the medical practice detail file, further referencing the medical information of the consumer goods management order and the hospital score master information of the medical practice detail file. The medical facility balance calculation support system according to claim 7, which is characterized. The medical practice detail file further contains classification information for classifying medical practice.
The income processing department
Prior to collation of the consumer goods management order with the medical practice detail file, an estimated organization information is added to the medical practice detail fill by using a predetermined mapping table, and the estimated organization information is added.
When collating the consumer goods management order with the medical practice detail file, the organization information of the consumer goods management order and the estimated organization information of the medical practice detail file are further referred to. The medical facility balance calculation support system according to claim 8. The medical facility balance calculation support system according to any one of claims 7 to 9, wherein the medical fee amount information includes fee information for any of medical practice, medical materials, and drugs. The order attribute further includes order implementation date information.
From the medical accounting system that manages medical fee billing, obtain a medical practice statement file that includes data identification information that can identify the patient, medical fee amount information, and implementation date information.
At least, referring to the patient identifier and the order implementation date information of the consumer goods management order, the data identification information of the medical practice detail file, and the implementation date information, the consumer goods management order and the medical treatment An income processing unit that collates with the action detail file and adds the patient attribute and the order attribute to the collated medical action detail file.
-Directly-administered information that aggregates the directly-administered consumables list for each order identifier-Allocation amount for each organization-Medical practice detail file to which the patient attribute and the order attribute are added-Sort the transaction contents of medical facilities Financial accounting information by distributing the balance of each subject included in the financial accounting data to each organization according to the prescribed rules and dividing by the number of medical treatments in that organization ・ Salary data showing the amount of salary payment is aggregated for each organization , The income and expenditure analysis department that creates management accounting data for each medical practice in each organization based on salary information divided by the number of medical practices in the organization.
The medical facility balance calculation support system according to claim 3, further comprising. The income and expenditure analysis unit
Each organization is divided into a profit department that performs medical treatment and a common department that does not perform medical treatment, and the financial accounting information and salary information of the common department are used in all organizations instead of the number of medical treatment in that organization. The medical facility balance calculation support system according to claim 11, wherein a value divided by the number of medical treatment activities is calculated, and the value is allocated to each medical treatment operation in the profit department to create the management accounting data. An order management unit that generates an order for managing consumables having the patient attribute and the order attribute based on a medical practice order having a patient attribute including a patient identifier and an order attribute including an order identifier and tissue information.
Read the identifier of the item consumed in the medical practice in association with the consumer goods management order related to the medical practice.
With reference to the article master in which the identifier of the article and the article price are associated, the item attribute including the article price is added to the consumer article management order to which the article is associated, and the direct consumption article list. A computer program that functions an information processing device as an expense processing unit that generates information.

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