KR20180003345A - Apparatus and method for providing information of medical cost and lengh of stay of patient - Google Patents
Apparatus and method for providing information of medical cost and lengh of stay of patient Download PDFInfo
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- KR20180003345A KR20180003345A KR1020160083047A KR20160083047A KR20180003345A KR 20180003345 A KR20180003345 A KR 20180003345A KR 1020160083047 A KR1020160083047 A KR 1020160083047A KR 20160083047 A KR20160083047 A KR 20160083047A KR 20180003345 A KR20180003345 A KR 20180003345A
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
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Abstract
Description
Embodiments of the present invention are directed to techniques for providing information about hospitalization days and medical costs for a hospitalized patient.
Generally, when a patient is hospitalized in a hospital, it only provides information on the patient's ward and does not provide specific information on how long it takes to enter the hospital and how much it costs. This is because it is difficult to predict this in hospitals. As a result, it is inconvenient for the patient to make plans and budget for the future according to the hospitalization, and it is difficult to predict the timing of hospitalization of the inpatient .
An embodiment of the present invention is to provide an apparatus and a method for providing information on the number of days of hospitalization and the cost of medical care for a hospitalized patient, the number of hospital days and the medical cost information.
According to an exemplary embodiment of the present invention, there is provided an apparatus for providing information on the number of hospital days and a medical cost, comprising: a data collection unit for collecting discharge patient information of discharge patients; A data classifying unit classifying the discharged patients into predetermined categories based on the discharged patient information; A statistical analysis unit for analyzing the average hospitalization days and average medical expenses of discharged patients belonging to the category by the classified categories; And a guide unit for calculating and forecasting the estimated number of days of hospitalization and the estimated medical expenses based on the average hospitalization days and the average medical expenses of the discharged patients in the category corresponding to the expected hospitalized patients.
The discharged patient information may include basic information on the patient classification of the discharged patient, the date and time of the hospitalization, the date and time of discharge, and the medical cost information.
Wherein the patient classification basic information includes at least one of a DRG (Diagnosis Related Group) code, a CP (Critical Pathway) code, a medical care section code, a corporal punishment code, and a surgical code, The discharged patients can be classified into one of DRG patients, CP patients, and general patients.
If the DRG code is included in the patient classification basic information, the data classification unit classifies the discharged patient as a DRG patient, and classifies the discharged patient as a CP patient when the CP code is included in the patient classification basic information , And if the DRG code and the CP code are not included in the patient classification basic information, the discharged patient can be classified as a general patient.
The statistical analysis unit analyzes the average hospitalization days and the average medical expenses for each DRG code for discharge patients classified as the DRG patient for a predetermined period and measures the average hospitalization days and the average medical expenses for the discharged patients classified as the CP patients for the predetermined period The average length of stay and the average medical cost for each CP code are analyzed, and the average number of days of hospitalization and the average medical cost are determined according to at least one of the surgical code and the disease code for the patients discharged to the general patient during the predetermined period. Can be analyzed.
If the number of discharged patients included in the classified category exceeds the preset reference number, the statistical analysis unit may sort the discharged patients included in the category by the medical cost or the number of days in the hospital, The average length of hospital stay and the average cost of medical care can be analyzed for discharged patients who are discharged from the group.
The guide unit may calculate an estimated medical cost of the hospitalized patient by multiplying an average medical cost of the discharged patients in the category corresponding to the hospitalized patient, by a preset addition ratio.
Wherein the hospital discharge information includes information related to the hospital discharge of the patient discharged from the hospital, the number of days of hospitalization and the medical cost information providing apparatus are provided in the hospital And a bedside management unit for managing the allocation of the bedrooms.
The method of providing a patient's number of days and a medical cost information according to an exemplary embodiment includes a method performed on a computing device having one or more processors and a memory storing one or more programs executed by the one or more processors Collecting discharge patient information of discharged patients; Classifying the discharged patients into predetermined categories based on the discharged patient information; Analyzing the average number of days of hospitalization and the average medical cost of discharged patients belonging to the category by the classified category; And estimating the estimated number of days of hospitalization and the estimated medical expenses based on the average hospitalization days and the average medical expenses of the discharged patients in the category corresponding to the scheduled inpatient.
The discharged patient information may include basic information on the patient classification of the discharged patient, the date and time of the hospitalization, the date and time of discharge, and the medical cost information.
Wherein the patient classification basic information includes at least one of a DRG (Diagnosis Related Group) code, a CP (Critical Pathway) code, a medical care code, a disease code, and a surgical code, , The discharged patients can be classified into one of DRG patients, CP patients, and general patients.
Wherein the classifying step classifies the discharged patient as a DRG patient when the DRG code is included in the patient classification basic information and classifies the discharged patient as a CP patient when the CP code is included in the patient classification basic information And if the DRG code and the CP code are not included in the patient classification basic information, the discharged patient can be classified as a general patient.
Analyzing the average number of hospital days and the average medical expenses for each DRG code for discharge patients classified as the DRG patient for a predetermined period of time; Analyzing the average hospitalization days and the average medical expenses for each of the CP patients for the discharged patients classified as the CP patients during the predetermined period; And analyzing the average number of days of care and the average medical cost according to at least one of a surgical code and a disease code for each of the departments of the discharged patients classified as the general patient for the predetermined period.
Wherein the analyzing step includes the steps of: sorting the discharged patients included in the category by the medical expenses or the number of days in the hospital when the number of discharged patients included in the classified category exceeds a preset reference number; The average length of hospital stay and the average cost of medical care can be analyzed for the discharged patients who are discharged from the hospital except those discharged from the subgroups.
The guiding step may calculate the estimated medical cost of the hospitalized patient by multiplying the average medical cost of the discharged patients in the category corresponding to the hospitalized patient by the preset addition ratio.
Wherein the discharge patient information further includes information related to the patient in the discharged patient and managing the allocation of the patient in the hospital based on the information on the patient in the hospital and the expected number of days in the hospital As shown in FIG.
According to the embodiment of the present invention, by statistically analyzing the average number of days of hospitalization and the average medical cost for patients discharged from the hospital, statistical analysis information for each hospitalized patient is calculated using the statistical analysis information corresponding to the patient classification, You will be able to guide your anticipated healthcare costs. In this case, the hospitalized patient can know how long he / she will be hospitalized and how much the medical expenses will take, so that a proper living plan can be established accordingly. In addition, from the viewpoint of the hospital, the expected hospitalization days and the expected medical expenses are informed to the hospitalized patients, thereby increasing the patient satisfaction of the patients and increasing the turnover rate of the patients by predicting the discharge time of each patient.
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a block diagram showing the configuration of an apparatus for providing information on the number of hospital days and a medical cost information according to an exemplary embodiment of the present invention; FIG.
FIG. 2 is a flowchart illustrating a method of providing information on days of hospitalization and medical cost information of a patient according to an embodiment of the present invention.
3 is a block diagram illustrating and illustrating a computing environment including a computing device suitable for use in the exemplary embodiments.
Hereinafter, specific embodiments of the present invention will be described with reference to the drawings. The following detailed description is provided to provide a comprehensive understanding of the methods, apparatus, and / or systems described herein. However, this is merely an example and the present invention is not limited thereto.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings. In the following description, well-known functions or constructions are not described in detail since they would obscure the invention in unnecessary detail. The following terms are defined in consideration of the functions of the present invention, and may be changed according to the intention or custom of the user, the operator, and the like. Therefore, the definition should be based on the contents throughout this specification. The terms used in the detailed description are intended only to describe embodiments of the invention and should in no way be limiting. Unless specifically stated otherwise, the singular form of a term includes plural forms of meaning. In this description, the expressions "comprising" or "comprising" are intended to indicate certain features, numbers, steps, operations, elements, parts or combinations thereof, Should not be construed to preclude the presence or possibility of other features, numbers, steps, operations, elements, portions or combinations thereof.
On the other hand, an embodiment of the present invention may include a program for performing the methods described herein on a computer, and a computer-readable recording medium including the program. The computer-readable recording medium may include a program command, a local data file, a local data structure, or the like, alone or in combination. The media may be those specially designed and constructed for the present invention, or may be those that are commonly used in the field of computer software. Examples of computer-readable media include magnetic media such as hard disks, floppy disks and magnetic tape, optical recording media such as CD-ROMs and DVDs, and specifically configured to store and execute program instructions such as ROM, RAM, flash memory, Hardware devices. Examples of such programs may include machine language code such as those produced by a compiler, as well as high-level language code that may be executed by a computer using an interpreter or the like.
FIG. 1 is a block diagram showing a configuration of an apparatus for providing information on the number of hospital days and a medical cost according to an exemplary embodiment of the present invention.
1, a patient's number of days and medical cost
The
The
The
If the DRG code and the CP code are not included in the patient classification basic information, the
The
In addition, the
Also, the
When the number of patients in the classified category exceeds the preset reference number, the
The
The
The
In the same manner, when the hospitalized patient is a CP patient, the
The
According to the embodiment of the present invention, by statistically analyzing the average hospitalization days and the average medical expenses for the patients discharged from the hospital, statistical analysis information on the hospitalized patients according to the corresponding patient classification, You will be able to guide your anticipated healthcare costs. In this case, the hospitalized patient can know how long he / she will be hospitalized and how much the medical expenses will take, so that a proper living plan can be established accordingly. In addition, from the viewpoint of the hospital, the expected hospitalization days and the expected medical expenses are informed to the hospitalized patients, thereby increasing the patient satisfaction of the patients and increasing the turnover rate of the patients by predicting the discharge time of each patient.
FIG. 2 is a flowchart illustrating a method of providing information on the number of hospital days and medical expenses according to an embodiment of the present invention. Referring to FIG. The method shown in Fig. 2 can be performed, for example, by the above-described patient's number of days of stay and medical cost
Referring to FIG. 2, the patient's number of days of stay and medical cost
Next, the patient's number of days of hospitalization and medical cost
Next, the patient's number of days of stay and medical cost
Next, the number of hospital days and the medical cost
Next, the patient's number of days of care and the medical cost
3 is a block diagram illustrating and illustrating a
The illustrated
The
The computer-
The
While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, but, on the contrary, . Therefore, the scope of the present invention should not be limited to the above-described embodiments, but should be determined by equivalents to the appended claims, as well as the appended claims.
100: the number of hospital days and medical cost information provision device
102: Data collecting unit
104:
106: Statistical Analysis Department
108:
110:
112:
Claims (16)
A data classifying unit classifying the discharged patients into predetermined categories based on the discharged patient information;
A statistical analysis unit for analyzing the average hospitalization days and average medical expenses of discharged patients belonging to the category by the classified categories; And
And a guide unit for calculating and guiding the estimated number of days of hospitalization and expected medical expenses of the anticipated patient based on the average hospitalization days and the average medical expenses of the discharged patients in the category corresponding to the anticipated patient, Cost information providing device.
The discharge patient information includes:
And information on the hospital expiration date, hospitalization date information, discharge date information, and medical expense information of the discharged patient.
Wherein the patient classification basic information includes at least one of a DRG (Diagnosis Related Group) code, a CP (Critical Pathway) code, a medical care code, a CPC code,
Wherein the data classification unit classifies the discharge patients into one of a DRG patient, a CP patient, and a general patient based on the patient classification basic information.
Wherein the data classification unit comprises:
Classifying the discharged patient as a DR patient if the DRG code is included in the patient classification basic information, classifying the discharged patient as a CP patient when the CP code is included in the patient classification basic information, And if the information does not include the DRG code and the CP code, classifies the discharged patient as a general patient.
Wherein the statistical analysis unit comprises:
The average number of days of care and the average medical cost for each DRG code are analyzed for discharge patients classified as the DRG patient for a predetermined period of time, Wherein the average number of days and average medical costs are analyzed according to at least one of a surgical code and a disease code for each of the departments discharged from the hospitalized patients classified as the general patient for the predetermined period, The number of days of funding and the medical expense information providing device.
Wherein the statistical analysis unit comprises:
If the number of discharged patients included in the classified category exceeds the preset reference number, the discharged patients included in the category are sorted in the order of the medical expenses or the number of days in the hospital, and the discharged patients belonging to the upper group and the lower group The average number of days of hospitalization and the average cost of medical care for patients discharged from the hospital except for the hospital.
The guide portion
Wherein the estimated medical cost of the hospitalized patient is calculated by multiplying an average medical cost of the discharged patients in the category corresponding to the hospitalized patient by a preset addition ratio, and guidance is provided.
The discharge patient information further includes information related to the patient in the discharged patient,
Wherein the number of days of hospitalization and the medical cost information providing apparatus of the patient includes:
Further comprising a hospital management unit for managing the allocation of the sickroom in the hospital based on the sickroom related information and the estimated number of days of hospitalization of the patient scheduled to be hospitalized.
A method performed in a computing device having a memory storing one or more programs executed by the one or more processors,
Collecting discharge patient information of discharged patients;
Classifying the discharged patients into predetermined categories based on the discharged patient information;
Analyzing the average number of days of hospitalization and the average medical cost of discharged patients belonging to the category by the classified category; And
Calculating the estimated number of days of hospitalization and the estimated medical cost of the hospitalized patient on the basis of the average number of days of hospitalization and the average medical cost of the discharged patients in the category corresponding to the patient scheduled to be hospitalized, How to provide cost information.
The discharge patient information includes:
And information on the hospital expiration date and the medical expense information including the patient classification basic information, the hospitalization date information, the discharge date information, and the medical expense information of the discharged patient.
Wherein the patient classification basic information includes at least one of a DRG (Diagnosis Related Group) code, a CP (Critical Pathway) code, a medical care code, a CPC code,
Wherein said classifying comprises:
And classifying the discharge patients into one of a DRG patient, a CP patient, and a general patient based on the patient classification basic information.
Wherein said classifying comprises:
Classifying the discharged patient as a DR patient if the DRG code is included in the patient classification basic information, classifying the discharged patient as a CP patient when the CP code is included in the patient classification basic information, And if the DRG code and the CP code are not included in the information, classifies the discharged patient as a general patient.
Wherein the analyzing comprises:
Analyzing the average number of days of hospitalization and the average medical cost for each DRG code of discharged patients classified as the DRG patient for a predetermined period;
Analyzing the average hospitalization days and the average medical expenses for each of the CP patients for the discharged patients classified as the CP patients during the predetermined period; And
And analyzing the average number of days of care and the average medical cost according to at least one of a surgical code and a disease code for each of the departments discharged from the discharged patients classified as the general patient for the predetermined period, Information delivery method.
Wherein the analyzing comprises:
If the number of discharged patients included in the classified category exceeds the preset reference number, the discharged patients included in the category are sorted in the order of the medical expenses or the number of days in the hospital, and the discharged patients belonging to the upper group and the lower group The average number of days of hospitalization and the average cost of medical care for patients discharged from the hospital except for those who are discharged.
Wherein the step of guiding comprises:
And calculating an estimated medical cost of the hospitalized patient based on an average medical cost of the discharged patients in the category corresponding to the hospitalized patient, multiplied by a preset addition ratio, and guiding the estimated hospital cost to the hospitalized patient.
The discharge patient information further includes information related to the patient in the discharged patient,
After the guiding step,
Further comprising the step of managing hospitalization in the hospital based on the patient-related information and the expected number of days of hospitalization of the patient scheduled to be hospitalized.
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