WO2020082797A1 - Drug cost over-standard early-warning method and apparatus based on data processing - Google Patents

Drug cost over-standard early-warning method and apparatus based on data processing Download PDF

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Publication number
WO2020082797A1
WO2020082797A1 PCT/CN2019/095030 CN2019095030W WO2020082797A1 WO 2020082797 A1 WO2020082797 A1 WO 2020082797A1 CN 2019095030 W CN2019095030 W CN 2019095030W WO 2020082797 A1 WO2020082797 A1 WO 2020082797A1
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WIPO (PCT)
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drug
monitored
medical unit
drug cost
medical
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PCT/CN2019/095030
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French (fr)
Chinese (zh)
Inventor
袁刚
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平安医疗健康管理股份有限公司
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Publication of WO2020082797A1 publication Critical patent/WO2020082797A1/en

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    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B31/00Predictive alarm systems characterised by extrapolation or other computation using updated historic data
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the present application relates to the field of medical technology, and in particular to a method and device for early warning of drug cost exceeding standards based on data processing.
  • Various medication monitoring mechanisms are used to monitor medication for various medical units, including but not limited to medical units (or representatives of medical units) such as various hospitals, departments of various hospitals, various clinics, and even various physicians.
  • the evaluation of the medication standard of each medical unit mainly adopts the sub-average prescription standard, that is, the average cost of prescriptions calculated each time (abbreviated as the sub-average prescription cost) is used as the evaluation standard of each medical unit.
  • the evaluation criteria for the above-mentioned average prescription cost are calculated by dividing the total prescription by the number of prescriptions.
  • the use of sub-average prescription cost as the evaluation standard of each medical unit has led each medical unit to be evaluated in order to avoid large prescriptions.
  • the number of prescription days is reduced to reduce the average prescription cost, or a single prescription is broken down by breaking down the prescription.
  • Embodiments of the present application provide a data processing-based early warning method and device for drug cost overrun, which is simple to operate, can improve the timeliness of drug monitoring of medical units, enhance the reliability of drug monitoring of medical units, and improve the effectiveness of medical resources The utilization rate is more applicable.
  • an embodiment of the present application provides a data processing-based early warning method for drug cost overruns.
  • the method includes:
  • an embodiment of the present application provides an early warning device for exceeding drug standards based on data processing.
  • the drug monitoring device includes:
  • the data acquisition unit is used to acquire the medication prescription of the medical unit to be monitored
  • a medicine information processing unit configured to obtain the medicine information included in the medicine prescription obtained by the data obtaining unit, and determine the average daily medicine cost of the medical unit to be monitored based on the medicine information;
  • a drug cost monitoring unit used to determine whether the daily average drug cost determined by the drug information processing unit is greater than or equal to the daily average drug cost threshold corresponding to the medical unit to be monitored;
  • the drug cost exceeding standard early warning unit is used to send the drug cost exceeding standard early warning information to the medical unit to be monitored when the drug cost monitoring unit determines that the daily average drug cost is greater than or equal to the daily average drug cost threshold.
  • an embodiment of the present application provides a terminal device.
  • the terminal device includes a transceiver, a processor, and a memory, and the transceiver, the processor, and the memory are connected to each other.
  • the memory is used to store a computer program that supports the terminal device to perform the method provided in the first aspect and / or any possible implementation manner of the first aspect, the computer program includes program instructions, and the transceiver and the processor are configured to When the above program instructions are invoked, the method provided in the first aspect and / or any possible implementation manner of the first aspect is executed.
  • an embodiment of the present application provides a computer-readable storage medium storing a computer program, the computer program including program instructions, which when executed by a processor causes the processor to execute The method provided in the foregoing first aspect and / or any possible implementation manner of the first aspect.
  • FIG. 1 is a schematic flowchart of a data processing-based early warning method for drug cost exceeding standards provided by an embodiment of the present application
  • FIG. 2 is another schematic flowchart of an early warning method for drug cost over-standard based on data processing provided by an embodiment of the present application;
  • FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for drug cost exceeding standards provided by an embodiment of the present application
  • FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
  • the embodiments of the present application provide a data processing-based early warning method for exceeding the drug cost, which can be based on the date of each hospital, each hospital department, each clinic, and each medical unit (or a representative (or team) of the medical unit), etc.
  • the medical unit to be monitored is issued with a prescribing medication to prevent the medical unit to be monitored from continuously exceeding the standard, and to avoid the waste of medical resources such as the medical unit to be monitored.
  • the medical unit's medical expense reimbursement request and / or claim request may be rejected to realize the early warning of the medical unit's excessive medical cost and remind the medical
  • the unit controls the cost of prescription drugs to avoid wasting medical resources.
  • the assessment dimensions represented by the representatives of the above-mentioned hospitals, departments of various hospitals, clinics, and even doctors or other medical units or medical units will be described using the evaluation dimension of the medical unit as an example, and will not be described below.
  • the medication prescriptions provided in the embodiments of the present application may include prescriptions issued by various doctors of various medical units for the symptoms of various patients, or referred to as prescriptions prescribed by various physicians for the symptoms of various patients, or prescription papers, etc., in There are no restrictions.
  • the prescription will be described as an example below.
  • the prescriptions issued by various doctors in various medical units may include but are not limited to the time of prescription issuance, prescription number, department number, patient personal information, drug details and physician signature, which can be determined according to the actual application scenario. There are no restrictions.
  • each prescription will contain the details of the medicine issued by the medical unit, including but It is not limited to the name of the drug, the amount of the drug, the method of using the drug, and the number of days the drug is used. Therefore, whether it is a large prescription or a small prescription or other, it is inseparable from the drug details. Therefore, based on the average daily drug cost of each medical unit, the evaluation of the drug cost of each medical unit can be realized to monitor the drug use of each medical unit. The operation is simple and can better and more comprehensively cover the prescriptions of each medical unit. Medication monitoring.
  • the drug monitoring of each medical unit can be more accurately in place, which can improve the accuracy of the drug monitoring of each medical unit.
  • the comparison can realize the early warning of the medical unit's drug cost exceeding the standard, which can improve the timeliness of the monitoring of the drug use of each medical unit, and thus can improve the reliability of the early warning of the medical cost of the medical unit based on the drug use of each medical unit. Improve the effective utilization of medical resources and have higher applicability.
  • the medical unit's drug use can be monitored daily, and then the daily average of the medical unit can be settled daily
  • the drug cost is based on the daily average drug cost per day to monitor the medical unit's drug use.
  • a comprehensive evaluation of the medication use of the medical unit based on the cumulative multi-day medication monitoring situation such as one week, one month, and one quarter Or one year, etc., which can be determined according to the actual application scenario, without limitation.
  • the calculation of the average daily drug cost for any day (for convenience, the following will be explained with a single day as an example) and the monitoring of the medical unit's drug use based on the daily average daily drug cost and / or Or evaluation is taken as an example to describe the early warning method of drug cost exceeding standard based on data processing provided by the embodiments of the present application.
  • the data processing-based early warning method for exceeding drug standards may be executed by terminal devices associated with the drug monitoring units such as the medical unit to be monitored, the drug regulatory authority, the health committee, the health and health committee, and the medical claim unit.
  • the above terminal device may be a tool used by the medical unit to be monitored to monitor the drug cost of each doctor's prescription and early warning of excessive drug costs, such as the doctor's prescription Tools, etc., are not restricted here.
  • the terminal device may be a client and / or a human-computer interaction device for monitoring drug use of each medical unit, which is not limited herein.
  • the terminal device will be taken as an example for description below.
  • FIG. 1 is a schematic flowchart of a data processing-based early warning method for drug cost exceeding standards provided by an embodiment of the present application.
  • the method for early warning of excessive drug cost based on data processing provided in the embodiments of the present application can be described by the implementation manners provided in the following steps S11 to S14.
  • the medical unit to be monitored may be any medical unit monitored by the medication monitoring unit, which may be determined according to actual application scenarios, and is not limited herein.
  • any medical unit may be monitored by the medication monitoring unit, so the selected monitoring object may be the medical unit to be monitored.
  • the medical unit to be monitored will be described as an example below.
  • the medication prescriptions of the above medical units may include all medication prescriptions generated by the medical unit to be monitored within a single day.
  • all medication prescriptions generated by the above-mentioned medical unit to be monitored within a single day can be explained by taking a single-day prescription as an example.
  • the single-day prescription of the above medical unit may refer to all prescriptions issued by the medical unit on any day, including but not limited to all prescriptions issued by all doctors in all departments of the hospital within a single day, and all doctors in a department of the hospital within a single day All prescriptions issued, or any prescriptions issued by a physician in a department of a hospital within a single day.
  • the specific conditions indicated by the above single-day prescriptions are based on the evaluation dimension of the medical unit's medication monitoring in the actual application scenario (for example, the medical unit's medication monitoring, the medical unit's medication monitoring for a medical department, or the medical unit's medication monitoring A certain doctor in a department carries out medication monitoring, etc.), and it is not restricted here.
  • the following will take all prescriptions issued by all doctors in all departments of the hospital within a single day as an example, hereinafter referred to as a single-day prescription.
  • the above-mentioned single-day prescription of the medical unit to be monitored may be a prescription for real-time warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be issued by each doctor within a single day of the medical unit to be monitored All or part of the prescription.
  • the real-time drug cost warning of the medical unit to be monitored may be generated when the daily medical cost of the medical unit to be monitored reaches the critical point of the daily drug cost exceeding the standard (that is, the daily drug cost is greater than or equal to the daily drug cost threshold) , Used to notify the doctor of the medical unit to be monitored in real time that the next prescription may lead to a prescription for the medical unit to be monitored that exceeds the daily standard, so that the physician can determine whether to continue to prescribe.
  • the above-mentioned single-day prescription of the medical unit to be monitored may also be a prescription for early warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be all prescriptions issued by various doctors within a single day of the medical unit to be monitored.
  • the early warning of excessive drug cost may be based on the single-day prescription of the current evaluation period (for example, a certain day) of the medical unit to be monitored to determine that the average daily drug cost of the medical unit to be monitored exceeds the standard (that is, the average daily drug cost is greater than the daily average drug cost threshold) Generated at the time, and when it is determined that the average daily drug cost of the medical unit to be monitored exceeds the standard in the current evaluation cycle, the medical unit to be monitored is issued an early warning of drug cost exceeding the standard, to remind the medical unit to be monitored to pay attention to the control of the average daily drug cost in the subsequent evaluation cycle In order to prevent the recurrence of the daily average drug cost and the punishment of drug cost refusal and / or claim settlement.
  • the standard that is, the average daily drug cost is greater than the daily average drug cost threshold
  • the specific manifestation of the single-day prescription of the medical unit to be monitored can be determined according to the application scenario (real-time or later) demand of early warning of drug cost exceeding the actual application scenario, and no limitation is made here.
  • the following single-day prescriptions will be described using real-time obtained prescriptions as examples, including but not limited to all or part of the prescriptions issued by various doctors in various departments of the medical unit.
  • the terminal device can be docked with the data system of the medical unit to be monitored to obtain the access qualification of the data system of the medical unit to be monitored, and from the medical system to be monitored based on the data system access qualification of the medical unit to be monitored
  • the unit's data system obtains the prescription of the medical unit to be monitored, for example, the single-day prescription of the medical unit to be monitored.
  • the terminal device may also screen out the medical claim data to obtain prescription data such as the single-day prescription of the medical unit to be monitored.
  • the terminal device can also obtain prescription data such as the single-day prescription of the medical unit to be monitored from the medical records of patients in each medical unit based on big data analysis, and so on.
  • the terminal device may obtain a single-day prescription of the medical unit to be monitored based on any data acquisition path other than the above-mentioned data acquisition method, which may be determined according to actual application scenarios, without limitation.
  • any single prescription of the medical unit to be monitored here can include the details of the drugs prescribed in the prescription, including but not limited to the name of the drug, the amount of the drug, the way of using the drug (or the method of taking the drug, etc.) ) And the number of days the drug is used can be determined according to the actual application scenario, and is not limited here.
  • the drug information of each drug included in all prescriptions of the single-day prescription of the medical unit to be monitored may be determined, wherein the drug information of any drug includes but not Limited to the amount of medicine and days of medicine use.
  • the drug information of each drug included in all prescriptions in the single-day prescription of the medical unit to be monitored the total number of drugs included in the single-day prescription of the medical unit to be monitored, the total amount of drugs, and the total number of days of drug use, etc. can be determined.
  • the drug amount of any of the above drugs is the price of a single drug by multiplying the unit price and quantity of any drug.
  • the above-mentioned total number of medicines represents the total number of medicines used in all prescriptions in a single-day prescription after accumulation.
  • the total amount of the above drugs is based on the unit price and quantity of each drug included in the single-day prescription to obtain the drug amount of the single drug, and then the drug amounts of all the drugs included in the single-day prescription are accumulated to obtain the drugs of all drugs
  • the total price ie the total amount of medicine.
  • the total number of days of use of the above drugs is the cumulative value of the number of days of use of each drug in all drugs in a single-day prescription.
  • the average daily drug cost of the single-day prescription of the medical unit to be monitored represents the average cost of all drugs included in the single-day prescription of the medical unit to be monitored.
  • the average daily drug cost can be explained. Among them, the average daily drug cost of the single-day prescription of the medical unit to be monitored can be calculated based on the following formula (1):
  • Average daily drug cost total drug / total days of drug use.
  • the total amount of medicines in the above formula (1) is the total price of all medicines obtained by accumulating the medicine amounts of all medicines in a single day prescription
  • the total number of days of use of the above medicines is the number of days of use of each medicine in all medicines in a single day prescription Accumulated value.
  • the evaluation index thresholds of the drug monitoring standards and / or drug evaluation standards of each medical unit may be preset.
  • the threshold of the above assessment index may be the threshold of the daily average drug cost, for example, the upper limit of the daily average drug cost, or the upper limit of the daily average drug cost.
  • the daily average drug cost limit corresponding to the medical unit to be monitored can be set based on the historical drug record or drug use policy of the medical unit to be monitored, and then based on the above determined to be monitored.
  • the average daily drug cost of a medical unit, combined with the threshold of the assessment index corresponding to the medical unit to be monitored determines whether the medical unit's medication exceeds the standard. In other words, whether the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost ceiling.
  • the average daily drug cost of the medical unit to be monitored is less than or equal to the upper limit of the corresponding average daily drug cost, it can be determined that the medical unit to be monitored is in compliance with the standard, that is, the medical unit to be monitored does not exceed the standard. If the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost upper limit, it can be determined that the medical unit of the medical unit to be monitored exceeds the standard, that is, the medical cost of the medical unit to be monitored exceeds the standard.
  • the terminal device when the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost threshold, when the terminal device obtains the prescribing request submitted by any physician of the medical unit to be monitored, it can output a warning sign that the drug cost exceeds the standard to The homepage of the doctor's prescription tool of the medical unit to be monitored, based on the warning indicator of the drug cost exceeding the standard displayed on the homepage of the doctor's prescription tool, a warning of the drug cost exceeding the standard is issued to the doctor of the medical unit to be monitored to remind the doctor of the medical unit to monitor the prescription Use medicine to prevent drug costs from exceeding the standard.
  • the terminal device when it obtains the prescribing request submitted by any doctor of the medical unit to be monitored, it can output a warning sign of excessive warning of drug costs on the home page of the prescribing tool of the doctor (such as the user operation interface of the prescribing tool) (for example, the red exclamation mark, etc.) or the warning information such as the early warning of the drug cost exceeding the standard.
  • a warning sign of excessive warning of drug costs on the home page of the prescribing tool of the doctor (such as the user operation interface of the prescribing tool) (for example, the red exclamation mark, etc.) or the warning information such as the early warning of the drug cost exceeding the standard.
  • the doctors of the medical unit to be monitored are reminded that the average daily drug cost of the prescription of the medical unit to be monitored has reached the upper limit of the standard (that is, the day of the prescription of the medical unit to be monitored within the current evaluation cycle
  • the average drug cost is greater than or equal to the daily average drug cost threshold
  • the physician of the medical unit to be monitored can be controlled to prescribe medication to prevent the drug cost from exceeding the standard, so that the early warning of the drug cost of the medical unit to be monitored can be exceeded.
  • the daily average drug cost difference (that is, the data of the drug cost exceeding the standard) of the above-mentioned daily average drug cost of the medical unit to be monitored can be determined.
  • the drug cost exceeding warning warning information is sent to the medical unit to be monitored, and based on the above drug cost exceeding warning information, the control prescription medication is sent to the medical unit to be monitored to prevent one or more evaluation cycles after the current evaluation cycle Early warning of daily drug cost exceeding standard.
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the terminal device may publish the above-mentioned average daily drug cost and the above-mentioned average daily drug cost difference, and based on the published average daily drug cost and the above-mentioned average daily drug cost difference, it may prompt the doctor of the medical unit to be monitored to control the prescribing medication.
  • the doctor of the medical unit may be monitored to control the prescribing medication.
  • the medical unit ’s daily drug monitoring daily report will be publicized to control the medications of the medical unit to be monitored and its various doctors ’prescriptions, to avoid the waste of medical resources caused by the continuous daily exceeding of the standard drug cost of the drug prescriptions of the medical unit to be monitored, and to achieve this Early warning of drug cost overdue for medical units to be monitored.
  • the above-mentioned average daily drug cost and the above-mentioned average daily drug cost difference can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or On the homepage of the prescribing tool, publicity, etc., can be determined according to the actual application scenario, without limitation.
  • the daily average drug cost of the medical unit to be monitored can be determined based on the drug information included in the medication prescription of the medical unit to be monitored, and then the day of the medical unit to be monitored can be determined based on the average daily drug cost of the medical unit to be monitored Whether the average drug cost is greater than or equal to the daily average drug cost threshold, and then when the average daily drug cost of the medical unit to be monitored is greater than or equal to the daily average drug cost threshold, an early warning message that the drug cost exceeds the standard can be sent to the medical unit to be monitored to remind The monitoring medical unit controls the prescribing medicine to avoid the waste of medicine resources of the medical unit to be monitored, and the operation is simple.
  • FIG. 2 is another schematic flowchart of an early warning method for drug cost exceeding standards based on data processing provided by an embodiment of the present application.
  • the data processing-based early warning method for drug costs exceeding the standards provided by the embodiments of the present application can realize the monitoring of the medication situation of the medical unit to be monitored in a single assessment cycle.
  • the method can be implemented by the implementation methods provided in the following steps S21 to S25 Instructions.
  • the implementation manner of obtaining the medication prescription of the medical unit to be monitored may refer to the implementation manner provided in step S11 in the foregoing embodiment, and details are not described herein again.
  • the medication prescription of the medical unit may further include all medication prescriptions generated by the medical unit to be monitored within a single assessment cycle, wherein the single assessment cycle is greater than one day, such as one week, one Months, quarters, or years, etc., no restrictions here.
  • the single assessment cycle is greater than one day, such as one week, one Months, quarters, or years, etc., no restrictions here.
  • all medication prescriptions generated by the above-mentioned medical unit to be monitored in a single assessment cycle can be illustrated by taking a single assessment cycle prescription as an example.
  • the single assessment cycle prescription of the medical unit may refer to all prescriptions issued in any assessment cycle of the medical unit, including but not limited to all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle, and a single All the prescriptions issued by all the doctors in a certain department of the hospital during the assessment cycle, or all the prescriptions issued by a certain doctor in a certain department of the hospital in a single assessment cycle.
  • the specific conditions indicated in the above single assessment cycle prescriptions are based on the evaluation dimensions of the medical unit's medication monitoring in the actual application scenario (for example, the medical unit's medication monitoring, the medical unit's medication monitoring for a medical department or the medical unit's medication monitoring A certain doctor in a certain department conducts medication monitoring, etc.), and it is not restricted here.
  • the following will take all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle as an example for explanation, hereinafter referred to as a single assessment cycle prescription.
  • any prescription included in the single assessment cycle prescription of the medical unit to be monitored here can include the details of the drugs prescribed in the prescription, including but not limited to the name of the drug, the amount of the drug, the method of use of the drug and the use of the drug
  • the number of days can be determined according to the actual application scenario, without limitation.
  • the average daily drug cost based on the prescription of the medical unit to be monitored may also be processed to obtain the average daily drug cost of the medical unit to be monitored within a specified time period, for example, one week, one The average daily drug cost per month, quarter or year.
  • a specified time period for example, one week, one The average daily drug cost per month, quarter or year.
  • the following can be used as an assessment cycle for a week, taking the average daily drug cost of a week as an example for explanation, referred to as the average daily drug cost for prescriptions in a single assessment cycle.
  • the average daily drug cost for a single assessment cycle prescription can meet the following formula (2):
  • Average daily drug cost total periodical drug / total days of periodical drug use.
  • the total amount of periodic drugs can be the total amount of all drugs obtained by accumulating the amounts of all drugs included in all prescriptions in a single assessment cycle. The cumulative value of the number of days of use of each drug in all drugs included in the prescription.
  • the medication prescription of any day within a single assessment cycle can be obtained (for convenience of description, the following will A single-day medication prescription is taken as an example), and the drug information of each drug included in any single-day medication prescription is obtained, where the drug information includes but is not limited to the amount of drugs and the number of days of use of the drugs.
  • Determine the daily average drug cost for any day of the medical unit to be monitored according to the drug amount and the number of days of drug use included in any single-day drug prescription (for convenience of description, the following will take the single-day daily drug cost as an example for explanation ).
  • the daily average daily drug cost of any day of the medical unit to be monitored may refer to the implementation manner corresponding to formula (1) in the foregoing embodiment, and details are not described herein again.
  • the total number of days of drug use in the daily prescription can be determined, and then the waiting period can be determined based on the total number of days of drug use in the daily prescription Monitor the total days of drug use for all drugs included in the single assessment cycle prescription of the medical unit.
  • the total number of days of drug use on any day within a single assessment period of the medical unit to be monitored is the sum of the number of days of drug use of each drug included in any single-day prescription.
  • the average daily drug cost of the medical unit to be monitored within a single evaluation cycle can be determined.
  • the cumulative value of the average daily drug cost per day in a single evaluation cycle of the medical unit to be monitored can be determined according to the daily average daily drug cost of each day in the single evaluation cycle.
  • the accumulated value of the average daily drug cost According to the total number of days of drug use in each day of the single assessment cycle, the accumulated value of the total number of days of drug use in the single assessment period of the medical unit to be monitored can be determined.
  • the daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the above-mentioned average daily daily drug cost and the cumulative value of the above-mentioned total days of drug use.
  • the average daily drug cost of the medical unit to be monitored (that is, the average daily drug cost of the medical unit to be monitored in a single assessment cycle) can satisfy the following formula (3):
  • Daily average drug cost cumulative value of daily average daily drug cost / cumulative value of total days of drug use.
  • the cumulative value of the average daily drug cost in the above formula (3) may be the cumulative average of the daily drug cost of each single-day prescription in 7 single-day prescriptions within a week Value
  • the cumulative value of the total number of days of drug use in the above formula (3) may be the cumulative value of the total number of days of drug use in each of the 7 single-day prescriptions within a week.
  • S24 Determine whether the medical cost of the medical unit to be monitored exceeds the standard according to the daily average drug cost of the medical unit to be monitored and the threshold of the daily medical cost of the medical unit to be monitored determined above.
  • the specific implementation manner of determining whether the medication of the medical unit to be monitored exceeds the standard according to the daily average drug cost of the medical unit to be monitored and the daily average drug cost threshold corresponding to the medical unit to be monitored can be referred to the above embodiment
  • the implementation method provided in step S13 in FIG. 3 will not be described here.
  • the evaluation index thresholds of the drug monitoring standards and / or drug evaluation standards of each medical unit may also be determined based on the unit attribute information of each medical unit, That is, the daily average drug cost threshold, such as the upper limit of the daily average drug cost.
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit, which can be determined according to the actual application scenario. There are no restrictions here. For example, based on different medical units associated with parameters such as different regions, different cities, different drug supply channels, or different patient flows, the evaluation thresholds for drug monitoring may vary.
  • the upper limit of the average daily drug cost can be set higher. That is, the threshold of the assessment index of the corresponding medication monitoring standard can be set to a higher assessment index.
  • the upper limit of the average daily drug cost can be set lower, that is, its The threshold of the assessment index of the corresponding medication monitoring standard can be set to a lower assessment index.
  • the medical unit to be monitored can be determined based on the above-mentioned average daily drug cost of the medical unit to be monitored, combined with the assessment index threshold (that is, the average daily drug cost threshold) determined based on the unit attribute information of the medical unit to be monitored Whether the medication used exceeds the standard, in other words, whether the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost threshold. If the average daily drug cost of the medical unit to be monitored is less than or equal to its corresponding daily average drug cost threshold, it can be determined that the medication of the medical unit to be monitored does not exceed the standard, otherwise the medical unit of the medical unit is exceeding the standard.
  • the assessment index threshold that is, the average daily drug cost threshold
  • an early warning sign of drug cost overrun is output to the homepage of the doctor ’s prescription tool of the medical unit to be monitored to issue a warning to the doctor of the medical unit to be exceeded.
  • the publicity of the daily average drug cost difference of the above-mentioned medical unit to be monitored, to achieve the early warning of the medical cost of the medical unit to be monitored please refer to the implementation provided by step S14 in the above embodiment, here No longer.
  • the average daily drug cost in the current evaluation period for the medical entity to be monitored may be exceeded by rejecting the drug expense reimbursement request or the drug expense claim request of the medical entity to be monitored
  • the punishment for each evaluation standard is used to give early warning to the medical unit that the drug cost of the subsequent evaluation cycle exceeds the standard.
  • the medical unit ’s average daily drug cost exceeds a certain day when receiving the medical unit ’s reimbursement and / or request for the day ’s drug cost, the medical unit may be fed back the medical cost of all prescriptions for that day Reimbursement failed.
  • the terminal device can feed back the medical unit's day when receiving the prescription drug cost reimbursement and / or claim request from the medical unit for that day Refusal to reimburse or settle claims for prescription drug costs, and may prompt the medical unit to self-control the daily daily drug cost of daily prescriptions to prevent the daily average drug cost from exceeding the standard for one or more days in order to achieve the drug cost of the medical unit.
  • the terminal device may calculate the medical unit to be monitored The difference between the average daily drug cost and the above average daily drug cost threshold.
  • the terminal device may respond to the difference between the daily average medical cost of the medical unit to be monitored and the above-mentioned average daily drug cost threshold Monitor the medical unit's single-day prescription drug cost difference and refuse to reimburse or settle claims to carry out follow-up assessment of the medical unit's drug cost over-warning.
  • the terminal device determines that the prescribed medication within a certain evaluation cycle of the medical unit to be monitored (that is, the current evaluation cycle, such as one day or one week, etc.) exceeds the standard, for example, a certain medical unit to be monitored
  • the terminal device can be in the evaluation cycle (the daily average drug cost of a single-day prescription exceeds a certain day, such as Monday)
  • the daily average drug cost of the assessment cycle is reported via instant messaging, email, and / or notice One or more types of information are sent to the medical unit to be monitored.
  • the daily average drug cost exceeding report is used to remind the medical unit to be monitored to exceed the standard within the evaluation period, and can also remind the medical unit to be monitored if it is within the next evaluation period or multiple consecutive evaluation periods within the specified time. If the average drug cost still exceeds the standard, the medical unit to be monitored will be given an early warning of the drug cost exceeding the punishment.
  • the above-mentioned punishment includes the refusal to reimburse or settle all the daily average medical expenses for the medical unit to be monitored, or the refusal to reimburse or claim the excessive daily medical expenses of the medical unit to be monitored.
  • the above-mentioned daily average drug cost exceeding report is used to prompt the medical unit to be monitored to self-control the daily average drug cost to realize early warning of the medical cost of the medical unit to be monitored exceeding the standard.
  • the embodiment of the present application may determine the average daily drug cost of the medical unit to be monitored in a single evaluation cycle based on the drug information included in the medication prescription of the medical unit to be monitored in a single evaluation cycle.
  • the single evaluation cycle includes a single day
  • the assessment period includes any period longer than one day. Based on the average daily drug cost of the medical unit to be monitored during the assessment period, it is judged whether the medication of the medical unit to be monitored exceeds the standard, and the evaluation of the drug index of the medical unit to be monitored is realized, and the operation methods are diverse.
  • the medical drug monitoring operation modes of various medical units are various, which can not only improve the accuracy of medical drug monitoring of medical units, but also improve the reliability of medical drug monitoring of medical units, and can also enhance the medical treatment of medical units.
  • the operational flexibility of the unit ’s medication monitoring can further improve the publicity of early warning of drug cost overruns for each medical unit ’s prescriptions based on the drug use of each medical unit, and / or rejection of drug cost reimbursement and / or corresponding to daily average drug cost overruns
  • the reliability of early warning of excessive drug costs such as claims claims can improve the timeliness of early warning of excessive drug costs of medical units to be monitored, thereby improving the effective utilization of medical resources and making it more applicable.
  • FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for drug cost exceeding standards based on data processing provided by an embodiment of the present application.
  • the data processing-based early warning device for exceeding drug standards provided by embodiments of the present application includes:
  • the data obtaining unit 31 is used to obtain the medication prescription of the medical unit to be monitored.
  • the medicine information processing unit 32 is configured to obtain the medicine information included in the medicine prescription obtained by the data obtaining unit 31, and determine the average daily medicine cost of the medical unit to be monitored according to the medicine information.
  • the drug cost monitoring unit 33 is configured to determine whether the daily average drug cost determined by the drug information processing unit 32 is greater than or equal to a daily average drug cost threshold corresponding to the medical unit to be monitored.
  • the medicine cost exceeding warning unit 34 is used to send the medicine cost exceeding warning information to the medical unit to be monitored when the medicine cost monitoring unit 33 determines that the daily average medicine cost is greater than or equal to the daily average medicine cost threshold.
  • the above warning information for exceeding the drug cost includes the warning label for exceeding the drug cost
  • the above-mentioned early warning unit 34 for drug cost exceeding is used for:
  • the above medication prescription includes all medication prescriptions of the medical unit to be monitored within the current assessment period;
  • the above-mentioned early warning unit 34 for drug cost exceeding is used for:
  • the above-mentioned daily average drug cost and the above-mentioned average daily drug cost threshold determine the data of the drug cost exceeding the standard of the medical unit to be monitored in the current evaluation period
  • the drug cost exceeding warning early warning information is sent to the medical unit to be monitored, and based on the above drug cost exceeding warning early warning information, the control prescription medication is sent to the medical unit to be monitored to prevent one or more evaluations after the current evaluation cycle Early warning of daily drug cost exceeding the standard within the cycle;
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the data acquisition unit 31 is used to:
  • the medication prescription of the medical unit to be monitored includes all medication prescriptions of the medical unit to be monitored in a single assessment cycle, and the duration of the single assessment cycle includes a single day or multiple days.
  • the medication prescription of the medical unit to be monitored includes all prescriptions of the medication of the medical unit to be monitored within a single assessment cycle on a single day;
  • the above drug information processing unit 32 is used to:
  • the above drug information includes at least the drug amount and the number of days the drug is used;
  • Average daily drug cost total drug / total days of drug use.
  • the drug prescriptions of the medical unit to be monitored include all drug prescriptions of the medical unit to be monitored in a single assessment period of multiple days;
  • the above drug information processing unit 32 is used to:
  • the above-mentioned drug information includes at least the drug amount and the number of days of drug use;
  • the total number of days of drug use for any one day is the sum of the number of days of drug use for each drug included in any one-day medication prescription.
  • the above-mentioned drug information processing unit 32 is used to:
  • Daily average drug cost cumulative value of daily average daily drug cost / cumulative value of total days of drug use.
  • the above-mentioned drug cost monitoring unit 33 is used to:
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the drug supply channel of the unit, and the number of patients of the unit.
  • the above-mentioned data processing-based early warning device for drug cost exceeding standards may implement the implementation manners provided by the steps in FIG. 1 to FIG. 2 through various built-in functional modules.
  • the data processing-based early warning device for exceeding the drug cost may be the terminal device described in the foregoing embodiments, which is not limited herein.
  • the above-mentioned data acquisition unit 31 may be used to perform the acquisition of the medication prescription of the medical unit to be monitored in each of the above steps.
  • the implementation manner provided in each of the above steps and details are not described herein again.
  • the above-mentioned drug information processing unit 32 may be used to implement the drug amount of each drug included in the drug prescription of the medical unit to be monitored in the above steps, the average daily drug cost per day, and / or the average daily drug cost to the medical unit to be monitored, etc.
  • the average daily drug cost per day may be monitored in the above steps.
  • the above drug cost monitoring unit 33 may be used to perform the above steps to determine the daily average drug cost threshold value of the medical unit to be monitored based on the unit attribute information of the medical unit to be monitored, and to determine the medical unit to be monitored based on the average daily drug cost of the medical unit to be monitored Whether the drug cost exceeds the standard and other implementation methods can be found in the implementation methods provided in the above steps, which will not be repeated here.
  • the above-mentioned drug cost over-warning unit 34 is used to implement the above-mentioned daily average drug cost determined by the above-mentioned drug information processing unit 32 to implement the medical cost over-warning and other implementation methods of the medical unit to be monitored. For details, please refer to the implementation provided in the above steps. This will not be repeated here.
  • the embodiment of the present application may determine the average daily drug cost of the medical unit to be monitored in a single evaluation cycle based on the drug information included in the medication prescription of the medical unit to be monitored in a single evaluation cycle.
  • the single evaluation cycle includes a single day
  • the assessment period includes any period longer than one day. Based on the average daily drug cost of the medical unit to be monitored during the assessment period, it is judged whether the medication of the medical unit to be monitored exceeds the standard, and the evaluation of the drug index of the medical unit to be monitored is realized, and the operation methods are diverse.
  • the medical drug monitoring operation modes of various medical units are various, which can not only improve the accuracy of medical drug monitoring of medical units, but also improve the reliability of medical drug monitoring of medical units, and can also enhance the medical treatment of medical units.
  • the operational flexibility of the unit ’s medication monitoring can further improve the publicity of early warning of drug cost overruns for each medical unit ’s prescriptions based on the drug use of each medical unit, and / or rejection of drug cost reimbursement and / or corresponding to daily average drug cost overruns
  • the reliability of early warning of excessive drug costs such as claims claims can improve the timeliness of early warning of excessive drug costs of medical units to be monitored, thereby improving the effective utilization of medical resources and making it more applicable.
  • FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
  • the terminal device in this embodiment may include: one or more processors 401, a memory 402, and one or more transceivers 403.
  • the processor 401, the memory 402, and the transceiver 403 are connected through a bus 404.
  • the memory 402 is used to store a computer program, and the computer program includes program instructions.
  • the processor 401 and the transceiver 403 are used to execute the program instructions stored in the memory 402.
  • the processor 401 is configured to call the program instruction to perform the following operations:
  • the transceiver 403 is used for the processor 402 to determine that the daily average drug cost is greater than or equal to the daily average drug cost threshold, and then send early warning information of excessive drug cost to the medical unit to be monitored.
  • the above warning information for exceeding the drug cost includes the warning label for exceeding the drug cost
  • the above transceiver 403 is used to:
  • the above medication prescription includes all medication prescriptions of the medical unit to be monitored within the current assessment period;
  • the processor 401 is configured to determine, according to the daily average drug cost and the daily average drug cost threshold, the drug cost exceeding the standard data of the medical unit to be monitored in the current evaluation period;
  • the above-mentioned transceiver 403 is used to send the warning information of exceeding the drug cost to the medical unit to be monitored according to the data of exceeding the drug cost determined by the processor 402, and to send the prescribing medication to the medical unit to be monitored based on the warning information of the exceeding drug cost.
  • Early warning to prevent the average daily drug cost from exceeding one or more assessment cycles after the current assessment cycle;
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the foregoing processor 401 is configured to:
  • the medication prescriptions of the medical units to be monitored include all the prescriptions of the medical units to be monitored within a single day, or all the prescriptions of the medical units to be monitored within a single evaluation period, and the single evaluation period is greater than one day.
  • the medication prescription of the medical unit to be monitored includes all prescriptions of the medication of the medical unit to be monitored within a single assessment cycle on a single day;
  • the above processor 401 is used to:
  • the above drug information includes at least the drug amount and the number of days the drug is used;
  • Average daily drug cost total drug / total days of drug use.
  • the drug prescriptions of the medical unit to be monitored include all drug prescriptions of the medical unit to be monitored in a single assessment period of multiple days;
  • the above processor 401 is used to:
  • the above-mentioned drug information includes at least the drug amount and the number of days of drug use;
  • the total number of days of drug use for any one day is the sum of the number of days of drug use for each drug included in any one-day medication prescription.
  • the foregoing processor 401 is configured to:
  • the daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the above-mentioned daily average daily drug cost and the cumulative value of the above-mentioned total days of drug use.
  • Daily average drug cost cumulative value of daily average daily drug cost / cumulative value of total days of drug use.
  • the daily medical expenses of the medical unit to be monitored meet:
  • Average daily drug cost total periodical drugs / total days of periodical drugs
  • the total amount of medicines in the above period may be the total amount of all medicines obtained by accumulating the amount of all prescription medicines in a single assessment period, and the total number of days of use of the above period medicines may be each medicine in all medicines in a single assessment period The cumulative value of the number of days of medicine used.
  • the foregoing processor 401 is further used to:
  • the unit attribute information of the medical unit to be monitored includes the unit type, the location of the unit, the city of the unit, and the supply channel of the unit And one or more of the patient visits per unit.
  • the processor 401 may be a central processing unit (CPU), and the processor may also be other general-purpose processors, digital signal processors (DSPs), and dedicated integrations. Circuit (application specific integrated circuit, ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc.
  • the general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
  • the memory 402 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401. A portion of the memory 402 may also include non-volatile random access memory. For example, the memory 402 may also store device type information.
  • the above-mentioned terminal device may execute the implementation manners provided by the above steps in FIG. 1 to FIG. 2 through the respective functional modules of the built-in processor 401 and the transceiver 403. For details, see the above steps The implementation provided will not be repeated here.
  • the embodiment of the present application may determine the average daily drug cost of the medical unit to be monitored in a single evaluation cycle based on the drug information included in the medication prescription of the medical unit to be monitored in a single evaluation cycle.
  • the single evaluation cycle includes a single day
  • the assessment period includes any period longer than one day. Based on the average daily drug cost of the medical unit to be monitored during the assessment period, it is judged whether the medication of the medical unit to be monitored exceeds the standard, and the evaluation of the drug index of the medical unit to be monitored is realized, and the operation methods are diverse.
  • the medical drug monitoring operation modes of various medical units are various, which can not only improve the accuracy of medical drug monitoring of medical units, but also improve the reliability of medical drug monitoring of medical units, and can also enhance the medical treatment of medical units.
  • the operational flexibility of the unit ’s medication monitoring can further improve the publicity of early warning of drug cost overruns for each medical unit ’s prescriptions based on the drug use of each medical unit, and / or rejection of drug cost reimbursement and / or corresponding to daily average drug cost overruns
  • the reliability of early warning of excessive drug costs such as claims claims can improve the timeliness of early warning of excessive drug costs of medical units to be monitored, thereby improving the effective utilization of medical resources and making it more applicable.
  • Embodiments of the present application also provide a computer-readable storage medium that stores a computer program, and the computer program includes program instructions, which are implemented by a transceiver and / or a processor to implement FIG. 1 to FIG.
  • the computer program includes program instructions, which are implemented by a transceiver and / or a processor to implement FIG. 1 to FIG.
  • the foregoing computer-readable storage medium may be the data processing-based early warning device for exceeding drug standards based on data processing provided in any of the foregoing embodiments or the internal storage unit of the foregoing terminal device, such as the hard disk or memory of the electronic device.
  • the computer-readable storage medium may also be an external storage device of the electronic device, such as a plug-in hard disk equipped on the electronic device, a smart memory card (smart media card, SMC), a secure digital (SD) card, Flash card (flash card), etc.

Abstract

Disclosed are a drug cost over-standard early-warning method and apparatus based on data processing, wherein same can improve the timeliness of drug use monitoring on a medical unit, enhance the reliability of drug use monitoring on the medical unit and improve the effective utilization of a medical resource, and are of great applicability. The method comprises: acquiring a drug use prescription of a medical unit to be monitored (S11); acquiring drug information comprised in the drug use prescription, and determining, according to the drug information, an average daily drug cost of the medical unit to be monitored (S12); determining whether the average daily drug cost is greater than or equal to an average daily drug cost threshold value corresponding to the medical unit to be monitored (S13); and if the average daily drug cost is greater than or equal to the average daily drug cost threshold value, sending drug cost over-standard early-warning information to the medical unit to be monitored (S14).

Description

基于数据处理的药品费用超标预警方法及装置Early warning method and device for drug cost exceeding standard based on data processing
本申请要求于2018年10月22日提交中国专利局、申请号为201811228742.4、申请名称为“基于数据处理的药品费用超标预警方法及装置”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application requires the priority of the Chinese patent application submitted to the China Patent Office on October 22, 2018, with the application number 201811228742.4 and the application name "Method and Device for Early Warning of Excessive Drug Expenses Based on Data Processing", the entire contents of which are incorporated by reference In this application.
技术领域Technical field
本申请涉及医疗技术领域,尤其涉及一种基于数据处理的药品费用超标预警方法及装置。The present application relates to the field of medical technology, and in particular to a method and device for early warning of drug cost exceeding standards based on data processing.
背景技术Background technique
当前为了规范各个医疗单位的用药标准,规避大处方行为,从而避免药品的滥用和浪费,起到合理施治的目的,各式各样的用药监控机制应运而生。各式各样的用药监控机制用于对各个医疗单位进行用药监控,包括但不限于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表)进行用药监控。At present, in order to standardize the medication standards of various medical units, circumvent large prescriptions, thereby avoiding the abuse and waste of drugs, and serve the purpose of reasonable treatment, various medication monitoring mechanisms have emerged. Various medication monitoring mechanisms are used to monitor medication for various medical units, including but not limited to medical units (or representatives of medical units) such as various hospitals, departments of various hospitals, various clinics, and even various physicians.
现有技术中,对于各个医疗单位的用药标准的评价主要是采用次均处方标准,也就是将每次计算的处方平均费用(简称次均处方费用)作为各个医疗单位的用药评价标准。其中,上述次均处方费用的用药评价标准是采用处方总额除以处方数量的方式来计算得到。现有技术采用次均处方费用作为各个医疗单位的用药评价标准导致各个医疗单位为了规避大处方行为被考核,通常会采用缩减处方天数来减低次均处方费用,或者通过分解处方的方式将单个处方总额较大的大处方分解为多个单个处方总额较小的小处方等方式来降低次均处方费用,从而规避大处方的监控。现有技术的实现方式使得各个医疗单位的用药监控的漏洞较大,对各个医疗单位的用药监控准确率低,适用性差。In the prior art, the evaluation of the medication standard of each medical unit mainly adopts the sub-average prescription standard, that is, the average cost of prescriptions calculated each time (abbreviated as the sub-average prescription cost) is used as the evaluation standard of each medical unit. Among them, the evaluation criteria for the above-mentioned average prescription cost are calculated by dividing the total prescription by the number of prescriptions. In the prior art, the use of sub-average prescription cost as the evaluation standard of each medical unit has led each medical unit to be evaluated in order to avoid large prescriptions. Usually, the number of prescription days is reduced to reduce the average prescription cost, or a single prescription is broken down by breaking down the prescription. Large prescriptions with large totals are broken down into multiple small prescriptions with small total prescriptions to reduce the average cost of prescriptions, thereby avoiding the monitoring of large prescriptions. The implementation method of the prior art makes the loopholes of drug monitoring of each medical unit larger, the accuracy of drug monitoring of each medical unit is low, and the applicability is poor.
发明内容Summary of the invention
本申请实施例提供一种基于数据处理的药品费用超标预警方法及装置,操作简单,可提高对医疗单位的用药监控的时效性,增强对医疗单位的用药监控的可靠性,提高医疗资源的有效利用率,适用性更强。Embodiments of the present application provide a data processing-based early warning method and device for drug cost overrun, which is simple to operate, can improve the timeliness of drug monitoring of medical units, enhance the reliability of drug monitoring of medical units, and improve the effectiveness of medical resources The utilization rate is more applicable.
第一方面,本申请实施例提供了一种基于数据处理的药品费用超标预警方法,该方法包括:In a first aspect, an embodiment of the present application provides a data processing-based early warning method for drug cost overruns. The method includes:
获取待监控医疗单位的用药处方;Obtain medication prescriptions for medical units to be monitored;
获取上述用药处方中所包括的药品信息,并根据上述药品信息确定上述待监控医疗单位的日均药品费用;Obtain the drug information included in the above drug prescription, and determine the average daily drug cost of the medical unit to be monitored based on the above drug information;
确定上述日均药品费用是否大于或者等于上述待监控医疗单位对应的日均药品费用阈值;Determine whether the above-mentioned average daily drug cost is greater than or equal to the above-mentioned average daily drug cost threshold corresponding to the medical unit to be monitored;
若上述日均药品费用大于或者等于上述日均药品费用阈值,则向上述待监控医疗单位发送药品费用超标预警信息。If the above-mentioned average daily drug cost is greater than or equal to the above-mentioned average daily drug cost threshold, then an early warning message that the drug cost exceeds the standard is sent to the medical unit to be monitored.
第二方面,本申请实施例提供了一种基于数据处理的药品费用超标预警装置,该用药监控装置包括:In a second aspect, an embodiment of the present application provides an early warning device for exceeding drug standards based on data processing. The drug monitoring device includes:
数据获取单元,用于获取待监控医疗单位的用药处方;The data acquisition unit is used to acquire the medication prescription of the medical unit to be monitored;
药品信息处理单元,用于获取上述数据获取单元获取的上述用药处方中所包括的药品 信息,并根据上述药品信息确定上述待监控医疗单位的日均药品费用;A medicine information processing unit, configured to obtain the medicine information included in the medicine prescription obtained by the data obtaining unit, and determine the average daily medicine cost of the medical unit to be monitored based on the medicine information;
药品费用监控单元,用于确定上述药品信息处理单元确定的上述日均药品费用是否大于或者等于上述待监控医疗单位对应的日均药品费用阈值;A drug cost monitoring unit, used to determine whether the daily average drug cost determined by the drug information processing unit is greater than or equal to the daily average drug cost threshold corresponding to the medical unit to be monitored;
药品费用超标预警单元,用于在上述药品费用监控单元确定上述日均药品费用大于或者等于上述日均药品费用阈值时,向上述待监控医疗单位发送药品费用超标预警信息。The drug cost exceeding standard early warning unit is used to send the drug cost exceeding standard early warning information to the medical unit to be monitored when the drug cost monitoring unit determines that the daily average drug cost is greater than or equal to the daily average drug cost threshold.
第三方面,本申请实施例提供了一种终端设备,该终端设备包括收发器、处理器和存储器,该收发器和处理器和存储器相互连接。该存储器用于存储支持该终端设备执行上述第一方面和/或第一方面任一种可能的实现方式提供的方法的计算机程序,该计算机程序包括程序指令,该收发器和处理器被配置用于调用上述程序指令,执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。In a third aspect, an embodiment of the present application provides a terminal device. The terminal device includes a transceiver, a processor, and a memory, and the transceiver, the processor, and the memory are connected to each other. The memory is used to store a computer program that supports the terminal device to perform the method provided in the first aspect and / or any possible implementation manner of the first aspect, the computer program includes program instructions, and the transceiver and the processor are configured to When the above program instructions are invoked, the method provided in the first aspect and / or any possible implementation manner of the first aspect is executed.
第四方面,本申请实施例提供了一种计算机可读存储介质,该计算机可读存储介质存储有计算机程序,该计算机程序包括程序指令,该程序指令当被处理器执行时使该处理器执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。According to a fourth aspect, an embodiment of the present application provides a computer-readable storage medium storing a computer program, the computer program including program instructions, which when executed by a processor causes the processor to execute The method provided in the foregoing first aspect and / or any possible implementation manner of the first aspect.
基于本申请实施例提供的方法实现对各医疗单位的用药监控操作简单,可提高对医疗单位的用药监控的时效性,提高对医疗单位的用药监控的可靠性,提高医疗资源的有效利用率,适用性更强。Based on the method provided in the embodiments of the present application, it is simple to implement the medication monitoring operation of each medical unit, which can improve the timeliness of the medication monitoring of the medical unit, improve the reliability of the medication monitoring of the medical unit, and increase the effective utilization rate of medical resources. More applicable.
附图说明BRIEF DESCRIPTION
为了更清楚地说明本申请实施例技术方案,下面将对实施例描述中所需要使用的附图作简单地介绍。In order to more clearly explain the technical solutions of the embodiments of the present application, the drawings required in the description of the embodiments will be briefly introduced below.
图1是本申请实施例提供的基于数据处理的药品费用超标预警方法的一流程示意图;FIG. 1 is a schematic flowchart of a data processing-based early warning method for drug cost exceeding standards provided by an embodiment of the present application;
图2是本申请实施例提供的基于数据处理的药品费用超标预警方法的另一流程示意图;FIG. 2 is another schematic flowchart of an early warning method for drug cost over-standard based on data processing provided by an embodiment of the present application;
图3是本申请实施例提供的基于数据处理的药品费用超标预警装置的实施例结构示意图;FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for drug cost exceeding standards provided by an embodiment of the present application;
图4是本申请实施例提供的一种终端设备的实施例结构示意图。4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
具体实施方式detailed description
下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述。The technical solutions in the embodiments of the present application will be described clearly and completely with reference to the drawings in the embodiments of the present application.
本申请实施例提供了一种基于数据处理的药品费用超标预警方法,可基于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表(或称团队))的日均药品费用来评价各个医疗单位(包括医院、科室、诊所或者医师)的用药是否超标(或称不合理),并可基于医疗单位的用药情况向待监控医疗单位发送药品费用超标预警信息,以向待监控医疗单位发出控制开方用药,防止待监控医疗单位的药品费用持续超标的预警,避免待监控医疗单位的药品等医疗资源的浪费。可选的,可基于医疗单位的用药情况在医疗单位的药品费用超标时拒绝该医疗单位提交的药品费用报销请求和/或理赔请求,以实现对该医疗单位的药品费用超标的预警,提醒医疗单位对处方药品费用进行控制,避免医疗资源的浪费。为方便描述,上述各个医院、各个医院的科室、各个诊所乃至各个医师等等医疗单位或者医疗单位的代表所表示的考核维度将以医疗单位的这个考核维度为例进行说明,下面不再赘述。The embodiments of the present application provide a data processing-based early warning method for exceeding the drug cost, which can be based on the date of each hospital, each hospital department, each clinic, and each medical unit (or a representative (or team) of the medical unit), etc. Evaluate whether each medical unit (including hospitals, departments, clinics or physicians) exceeds the standard (or unreasonable) of medicines by the average drug cost, and can send early warning information of excessive drug costs to the medical units to be monitored based on the drug use of the medical unit to The medical unit to be monitored is issued with a prescribing medication to prevent the medical unit to be monitored from continuously exceeding the standard, and to avoid the waste of medical resources such as the medical unit to be monitored. Optionally, based on the medical unit's medication situation, when the medical unit's drug cost exceeds the standard, the medical unit's medical expense reimbursement request and / or claim request may be rejected to realize the early warning of the medical unit's excessive medical cost and remind the medical The unit controls the cost of prescription drugs to avoid wasting medical resources. For the convenience of description, the assessment dimensions represented by the representatives of the above-mentioned hospitals, departments of various hospitals, clinics, and even doctors or other medical units or medical units will be described using the evaluation dimension of the medical unit as an example, and will not be described below.
本申请实施例所提供的用药处方可包括各个医疗单位的各个医师针对各个病患的病症所开具的处方,或称各个医师针对各个病患的病症所开具的药方,或称处方笺等,在此不做限制。为方便描述,下面将以处方为例进行说明。通常来讲,各个医疗单位的各个医师所开具的处方中可包括但不限于处方开具时间、处方编号、科室编号、病患个人信息、药品详情以及医师签字,具体可根据实际应用场景确定,在此不做限制。换句话说,无论是单个处方总额较大的大处方,还是单个处方总额较小的小处方,或者其他更多表现形式的处方,每个处方中均会有医疗单位开具的药品详情,包括但不限于药品名称、药品金额、药品使用方式以及药品使用天数等。因此无论是大处方还是小处方还是其他,均离不开药品详情。因此,基于各个医疗单位的日均药品费用实现对各个医疗单位的药品费用评价从而实现对各个医疗单位的用药监控,操作简单并且可更好地、更加全面地覆盖到对医疗单位的各个处方的用药监控。同时基于医疗单位的日均药品费用实现对各个医疗单位的用药监控更加准确到位,从而可提高对各个医疗单位的用药监控的准确率,基于各个医疗单位的日均药品费用与日均药品费用阈值的比较实现对医疗单位的药品费用超标预警,可提高对各个医疗单位的用药监控的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位进行用药费用超标预警的可靠性,从而可提高医疗资源的有效利用率,适用性更高。The medication prescriptions provided in the embodiments of the present application may include prescriptions issued by various doctors of various medical units for the symptoms of various patients, or referred to as prescriptions prescribed by various physicians for the symptoms of various patients, or prescription papers, etc., in There are no restrictions. For the convenience of description, the prescription will be described as an example below. Generally speaking, the prescriptions issued by various doctors in various medical units may include but are not limited to the time of prescription issuance, prescription number, department number, patient personal information, drug details and physician signature, which can be determined according to the actual application scenario. There are no restrictions. In other words, whether it is a large prescription with a large total prescription, a small prescription with a small total prescription, or a prescription with more manifestations, each prescription will contain the details of the medicine issued by the medical unit, including but It is not limited to the name of the drug, the amount of the drug, the method of using the drug, and the number of days the drug is used. Therefore, whether it is a large prescription or a small prescription or other, it is inseparable from the drug details. Therefore, based on the average daily drug cost of each medical unit, the evaluation of the drug cost of each medical unit can be realized to monitor the drug use of each medical unit. The operation is simple and can better and more comprehensively cover the prescriptions of each medical unit. Medication monitoring. At the same time, based on the average daily drug cost of the medical unit, the drug monitoring of each medical unit can be more accurately in place, which can improve the accuracy of the drug monitoring of each medical unit. Based on the daily average drug cost of each medical unit and the daily average drug cost threshold The comparison can realize the early warning of the medical unit's drug cost exceeding the standard, which can improve the timeliness of the monitoring of the drug use of each medical unit, and thus can improve the reliability of the early warning of the medical cost of the medical unit based on the drug use of each medical unit. Improve the effective utilization of medical resources and have higher applicability.
在一些可行的实施方式中,基于医疗单位的日均药品费用对医疗单位进行用药监控(或称药品费用监控)时可每天对医疗单元的用药情况进行监控,进而可每天结算医疗单位的日均药品费用,基于每天的日均药品费用对医疗单位的用药情况进行监控。可选的,基于每天的日均药品费用对医疗单位进行用药监控的同时,也可基于累计多天的用药监控情况对医疗单位进行用药情况的综合评价等,例如一个星期、一个月、一个季度或者一年等,具体可根据实际应用场景确定,在此不做限制。为方便描述,下面将以任一日(为方便描述下面将以单日为例进行说明)的日均药品费用的计算以及基于每日的日均药品费用对医疗单位的用药情况进行监控和/或评价为例,对本申请实施例提供的基于数据处理的药品费用超标预警方法进行描述。In some feasible implementation manners, when the medical unit is monitored based on the average daily drug cost of the medical unit (or called drug cost monitoring), the medical unit's drug use can be monitored daily, and then the daily average of the medical unit can be settled daily The drug cost is based on the daily average drug cost per day to monitor the medical unit's drug use. Optionally, while monitoring the medication use of the medical unit based on the average daily drug cost per day, a comprehensive evaluation of the medication use of the medical unit based on the cumulative multi-day medication monitoring situation, such as one week, one month, and one quarter Or one year, etc., which can be determined according to the actual application scenario, without limitation. For the convenience of description, the calculation of the average daily drug cost for any day (for convenience, the following will be explained with a single day as an example) and the monitoring of the medical unit's drug use based on the daily average daily drug cost and / or Or evaluation is taken as an example to describe the early warning method of drug cost exceeding standard based on data processing provided by the embodiments of the present application.
本申请实施例提供的基于数据处理的药品费用超标预警方法可由待监控医疗单位、药品监督管理局、卫生委员会、卫生与健康委员会以及医疗理赔单位等用药监控单位所关联的终端设备执行,在此不做限制。例如,当上述用药监控单位为待监控医疗单位自身时,上述终端设备可以是待监控医疗单位用于对各个医师的开方用药情况进行药品费用监控和药品费用超标预警的工具,例如医师开方工具等等,在此不做限制。当上述用药监控单位为待监控医疗单位之外的其他单位时,上述终端设备可以是用于对各个医疗单位进行用药监控的客户端和/或人机交互设备等,在此不做限制。为方便描述,下面将以终端设备为例进行说明。The data processing-based early warning method for exceeding drug standards provided by the embodiments of the present application may be executed by terminal devices associated with the drug monitoring units such as the medical unit to be monitored, the drug regulatory authority, the health committee, the health and health committee, and the medical claim unit. No restrictions. For example, when the above drug monitoring unit is the medical unit to be monitored itself, the above terminal device may be a tool used by the medical unit to be monitored to monitor the drug cost of each doctor's prescription and early warning of excessive drug costs, such as the doctor's prescription Tools, etc., are not restricted here. When the drug monitoring unit is a unit other than the medical unit to be monitored, the terminal device may be a client and / or a human-computer interaction device for monitoring drug use of each medical unit, which is not limited herein. For convenience of description, the terminal device will be taken as an example for description below.
实施例一:Example one:
参见图1,图1是本申请实施例提供的基于数据处理的药品费用超标预警方法的一流程示意图。本申请实施例提供的基于数据处理的药品费用超标预警方法,可通过如下步骤S11至S14中各个步骤所提供的实现方式进行说明。Referring to FIG. 1, FIG. 1 is a schematic flowchart of a data processing-based early warning method for drug cost exceeding standards provided by an embodiment of the present application. The method for early warning of excessive drug cost based on data processing provided in the embodiments of the present application can be described by the implementation manners provided in the following steps S11 to S14.
S11,获取待监控医疗单位的用药处方。S11. Obtain the medication prescription of the medical unit to be monitored.
在一些可行的实施方式中,上述待监控医疗单位可为用药监控单位所监控的任一医疗 单位,具体可根据实际应用场景确定,在此不做限制。换句话说,任一医疗单位都可能被用药监控单位作为监控对象,因此被选中的监控对象则可为待监控医疗单位。为方便描述,下面将以待监控医疗单位为例进行说明。In some feasible implementation manners, the medical unit to be monitored may be any medical unit monitored by the medication monitoring unit, which may be determined according to actual application scenarios, and is not limited herein. In other words, any medical unit may be monitored by the medication monitoring unit, so the selected monitoring object may be the medical unit to be monitored. For convenience of description, the medical unit to be monitored will be described as an example below.
在一些可行的实施方式中,上述医疗单位的用药处方可包括待监控医疗单位在单日内所产生的所有用药处方。为方便描述,上述待监控医疗单位在单日内所产生的所有用药处方可以单日处方为例进行说明。上述医疗单位的单日处方可以是指医疗单位的任一日所开具的所有处方,包括但不限于单日内医院的所有科室所有医师所开具的所有处方、单日内医院的某一个科室的所有医师所开具的所有处方,或者单日内医院的某一个科室的某一个医师所开具的所有处方中的任一种情况。其中,上述单日处方所表示的具体情况根据实际应用场景中对医疗单位进行用药监控的考核维度(例如针对医疗单位进行用药监控、针对医疗单位的某一个科室进行用药监控或者针对医疗单位的某一个科室的某一个医师进行用药监控等)确定,在此不做限制。为方便描述,下面将以单日内医院的所有科室所有医师所开具的所有处方为例进行说明,以下简称单日处方。In some feasible implementation manners, the medication prescriptions of the above medical units may include all medication prescriptions generated by the medical unit to be monitored within a single day. For convenience of description, all medication prescriptions generated by the above-mentioned medical unit to be monitored within a single day can be explained by taking a single-day prescription as an example. The single-day prescription of the above medical unit may refer to all prescriptions issued by the medical unit on any day, including but not limited to all prescriptions issued by all doctors in all departments of the hospital within a single day, and all doctors in a department of the hospital within a single day All prescriptions issued, or any prescriptions issued by a physician in a department of a hospital within a single day. Among them, the specific conditions indicated by the above single-day prescriptions are based on the evaluation dimension of the medical unit's medication monitoring in the actual application scenario (for example, the medical unit's medication monitoring, the medical unit's medication monitoring for a medical department, or the medical unit's medication monitoring A certain doctor in a department carries out medication monitoring, etc.), and it is not restricted here. For convenience of description, the following will take all prescriptions issued by all doctors in all departments of the hospital within a single day as an example, hereinafter referred to as a single-day prescription.
在一些可行的实施方式中,上述待监控医疗单位的单日处方可以是用于对待监控医疗单位进行实时药品费用超标预警的处方,这部分处方可以是待监控医疗单位单日内各个医师所开具的处方中的全部或者部分。这里,对待监控医疗单位的实时药品费用超标预警可以是在待监控医疗单位的日均药品费用来到日均药品费用超标的临界点(即日均药品费用大于或者等于日均药品费用阈值)时生成,用于实时告知待监控医疗单位的医师接下来开具的处方可能会导致待监控医疗单位的日均药品费用超标的处方,以供医师确定是否继续开具处方。可选的,上述待监控医疗单位的单日处方也可以是用于对待监控医疗单位进行后期药品费用超标预警的处方,这部分处方可以是待监控医疗单位单日内各个医师所开具的所有处方。这里,后期药品费用超标预警可以是在基于待监控医疗单位当前考核周期(例如某一天)的单日处方确定待监控医疗单位的日均药品费用超标(即日均药品费用大于日均药品费用阈值)时生成,并在确定待监控医疗单位在当前考核周期的日均药品费用超标时向待监控医疗单位发出药品费用超标预警,以提示待监控医疗单位注意后续考核周期内的日均药品费用的控制以防止再次出现日均药品费用超标而遭受药品费用拒绝报销和/或拒绝理赔等惩罚。其中,上述待监控医疗单位的单日处方的具体表现形式可根据实际应用场景中药品费用超标预警的应用场景(实时或者后期)需求确定,在此不做限制。为方便描述,下面单日处方将以实时获取到的处方为例进行说明,包括但不限于医疗单位的各个科室的各个医师所开具的处方中的全部或者部分。In some feasible implementation manners, the above-mentioned single-day prescription of the medical unit to be monitored may be a prescription for real-time warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be issued by each doctor within a single day of the medical unit to be monitored All or part of the prescription. Here, the real-time drug cost warning of the medical unit to be monitored may be generated when the daily medical cost of the medical unit to be monitored reaches the critical point of the daily drug cost exceeding the standard (that is, the daily drug cost is greater than or equal to the daily drug cost threshold) , Used to notify the doctor of the medical unit to be monitored in real time that the next prescription may lead to a prescription for the medical unit to be monitored that exceeds the daily standard, so that the physician can determine whether to continue to prescribe. Optionally, the above-mentioned single-day prescription of the medical unit to be monitored may also be a prescription for early warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be all prescriptions issued by various doctors within a single day of the medical unit to be monitored. Here, the early warning of excessive drug cost may be based on the single-day prescription of the current evaluation period (for example, a certain day) of the medical unit to be monitored to determine that the average daily drug cost of the medical unit to be monitored exceeds the standard (that is, the average daily drug cost is greater than the daily average drug cost threshold) Generated at the time, and when it is determined that the average daily drug cost of the medical unit to be monitored exceeds the standard in the current evaluation cycle, the medical unit to be monitored is issued an early warning of drug cost exceeding the standard, to remind the medical unit to be monitored to pay attention to the control of the average daily drug cost in the subsequent evaluation cycle In order to prevent the recurrence of the daily average drug cost and the punishment of drug cost refusal and / or claim settlement. Among them, the specific manifestation of the single-day prescription of the medical unit to be monitored can be determined according to the application scenario (real-time or later) demand of early warning of drug cost exceeding the actual application scenario, and no limitation is made here. For the convenience of description, the following single-day prescriptions will be described using real-time obtained prescriptions as examples, including but not limited to all or part of the prescriptions issued by various doctors in various departments of the medical unit.
在一些可行的实施方式中,终端设备可与待监控医疗单位的数据系统对接,获取待监控医疗单位的数据系统准入资格,进而可基于待监控医疗单位的数据系统准入资格从待监控医疗单位的数据系统中获取待监控医疗单位的处方,例如待监控医疗单位的单日处方等。可选的,终端设备也可基于待监控医疗单位所提供了医疗理赔数据,从医疗理赔数据中筛选得到待监控医疗单位的单日处方等处方数据。可选的,终端设备也可基于大数据分析,从各个医疗单位的病患就诊记录中筛选得到待监控医疗单位的单日处方等处方数据,等等。终端设备可基于上述数据获取方式之外的任一数据获取路径获取得到待监控医疗单位的单日处方,具体可根据实际应用场景确定,在此不做限制。In some feasible implementation manners, the terminal device can be docked with the data system of the medical unit to be monitored to obtain the access qualification of the data system of the medical unit to be monitored, and from the medical system to be monitored based on the data system access qualification of the medical unit to be monitored The unit's data system obtains the prescription of the medical unit to be monitored, for example, the single-day prescription of the medical unit to be monitored. Optionally, based on the medical claim data provided by the medical unit to be monitored, the terminal device may also screen out the medical claim data to obtain prescription data such as the single-day prescription of the medical unit to be monitored. Optionally, the terminal device can also obtain prescription data such as the single-day prescription of the medical unit to be monitored from the medical records of patients in each medical unit based on big data analysis, and so on. The terminal device may obtain a single-day prescription of the medical unit to be monitored based on any data acquisition path other than the above-mentioned data acquisition method, which may be determined according to actual application scenarios, without limitation.
可以理解,这里待监控医疗单位的单日处方中任一处方上均可包括该处方中所开药品的药品详情,包括但不限于药品名称、药品金额,药品使用方式(或称药品服用方式等)以及药品使用天数,具体可根据实际应用场景确定,在此不做限制。It can be understood that any single prescription of the medical unit to be monitored here can include the details of the drugs prescribed in the prescription, including but not limited to the name of the drug, the amount of the drug, the way of using the drug (or the method of taking the drug, etc.) ) And the number of days the drug is used can be determined according to the actual application scenario, and is not limited here.
S12,获取上述用药处方中所包括的药品信息,并根据上述药品信息确定所述待监控医疗单位的日均药品费用。S12. Obtain the drug information included in the above drug prescription, and determine the average daily drug cost of the medical unit to be monitored according to the above drug information.
在一些可行的实施方式中,基于待监控医疗单位的单日处方可以确定待监控医疗单位的单日处方中所有处方所包括各药品的药品信息,其中,任一药品的药品信息中包括但不限于药品金额和药品使用天数。基于上述待监控医疗单位的单日处方中所有处方所包括的各药品的药品信息可确定待监控医疗单位的单日处方中所包括的药品总数、药品总额以及药品使用总天数等等。其中,上述任一药品的药品金额为任一药品的单价和数量相乘得到单个药品的价格。上述药品总数表示单日处方中所有处方中所使用的药品累加之后的药品总数。上述药品总额为基于单日处方中所包括的每个药品的单价和数量相乘得到单个药品的药品金额之后,再将单日处方中所包括的所有药品的药品金额进行累加得到所有药品的药品总价(即药品总额)。上述药品使用总天数为单日处方中所有药品中每个药品的药品使用天数的累加值。待监控医疗单位的单日处方的日均药品费用表示待监控医疗单位单日处方中所包括的所有药品的平均费用,这里可以日均药品费用进行说明。其中,上述待监控医疗单位的单日处方的日均药品费用可基于如下公式(1)计算得到:In some feasible implementation manners, based on the single-day prescription of the medical unit to be monitored, the drug information of each drug included in all prescriptions of the single-day prescription of the medical unit to be monitored may be determined, wherein the drug information of any drug includes but not Limited to the amount of medicine and days of medicine use. Based on the drug information of each drug included in all prescriptions in the single-day prescription of the medical unit to be monitored, the total number of drugs included in the single-day prescription of the medical unit to be monitored, the total amount of drugs, and the total number of days of drug use, etc. can be determined. Among them, the drug amount of any of the above drugs is the price of a single drug by multiplying the unit price and quantity of any drug. The above-mentioned total number of medicines represents the total number of medicines used in all prescriptions in a single-day prescription after accumulation. The total amount of the above drugs is based on the unit price and quantity of each drug included in the single-day prescription to obtain the drug amount of the single drug, and then the drug amounts of all the drugs included in the single-day prescription are accumulated to obtain the drugs of all drugs The total price (ie the total amount of medicine). The total number of days of use of the above drugs is the cumulative value of the number of days of use of each drug in all drugs in a single-day prescription. The average daily drug cost of the single-day prescription of the medical unit to be monitored represents the average cost of all drugs included in the single-day prescription of the medical unit to be monitored. Here, the average daily drug cost can be explained. Among them, the average daily drug cost of the single-day prescription of the medical unit to be monitored can be calculated based on the following formula (1):
公式(1):日均药品费用=药品总额/药品使用总天数。Formula (1): Average daily drug cost = total drug / total days of drug use.
其中,在上述公式(1)中药品总额即单日处方中所有药品的药品金额累加得到的所有药品的总价,上述药品使用总天数即单日处方中所有药品中每个药品的药品使用天数的累加值。Among them, the total amount of medicines in the above formula (1) is the total price of all medicines obtained by accumulating the medicine amounts of all medicines in a single day prescription, and the total number of days of use of the above medicines is the number of days of use of each medicine in all medicines in a single day prescription Accumulated value.
S13,确定上述日均药品费用是否大于或者等于上述待监控医疗单位对应的日均药品费用阈值。S13. Determine whether the daily average drug cost is greater than or equal to the daily average drug cost threshold corresponding to the medical unit to be monitored.
在一些可行的实施方式中,针对不同医疗单位进行用药监控时,可预先设定各个医疗单位的用药监控标准和/或用药评价标准的考核指标阈值。其中,上述考核指标阈值可为日均药品费用阈值,例如日均药品费用的达标上限,或称日均药品费用上限等。例如,针对待监控医疗单位进行用药监控时,可基于待监控医疗单位的历史用药记录或者药品使用政策等信息设定待监控医疗单位对应的日均药品费用上限,进而可基于上述确定的待监控医疗单位的日均药品费用,结合该待监控医疗单位对应的考核指标阈值(即日均药品费用上限)确定该医疗单位的用药是否超标。换句话说,就是该待监控医疗单位的日均药品费用是否大于其对应的日均药品费用上限。若该待监控医疗单位的日均药品费用小于或者等于其对应的日均药品费用上限,则可确定待监控医疗单位的用药是达标的,即待监控医疗单位的用药不超标。若待监控医疗单位的日均药品费用大于其对应的日均药品费用上限,则可确定待监控医疗单位的用药是超标的,即待监控医疗单位的用药费用超标。In some feasible implementation manners, when drug monitoring is performed for different medical units, the evaluation index thresholds of the drug monitoring standards and / or drug evaluation standards of each medical unit may be preset. Wherein, the threshold of the above assessment index may be the threshold of the daily average drug cost, for example, the upper limit of the daily average drug cost, or the upper limit of the daily average drug cost. For example, when drug monitoring is performed on the medical unit to be monitored, the daily average drug cost limit corresponding to the medical unit to be monitored can be set based on the historical drug record or drug use policy of the medical unit to be monitored, and then based on the above determined to be monitored The average daily drug cost of a medical unit, combined with the threshold of the assessment index corresponding to the medical unit to be monitored (that is, the upper limit of the average daily drug cost), determines whether the medical unit's medication exceeds the standard. In other words, whether the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost ceiling. If the average daily drug cost of the medical unit to be monitored is less than or equal to the upper limit of the corresponding average daily drug cost, it can be determined that the medical unit to be monitored is in compliance with the standard, that is, the medical unit to be monitored does not exceed the standard. If the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost upper limit, it can be determined that the medical unit of the medical unit to be monitored exceeds the standard, that is, the medical cost of the medical unit to be monitored exceeds the standard.
S14,若上述日均药品费用大于或者等于上述日均药品费用阈值,则向上述待监控医疗单位发送药品费用超标预警信息。S14. If the daily average drug cost is greater than or equal to the daily average drug cost threshold, then send an early warning message that the drug cost exceeds the standard to the medical unit to be monitored.
在一些可行的实施方式中,在针对待监控医疗单位进行实时药品费用超标预警的应用场景中,若基于待监控医疗单位在当前考核周期已经开具的处方确定待监控医疗单位的用 药标准超标。即在待监控医疗单位的日均药品费用大于其对应的日均药品费用阈值时,当终端设备获取到待监控医疗单位的任一医师提交的开方请求时,可输出药品费用超标预警标识至待监控医疗单位的医师开方工具首页,基于医师开方工具首页上显示的药品费用超标预警标识,向待监控医疗单位的医师发出药品费用超标预警,以提示待监控医疗单位的医师控制开方用药以防止药品费用超标。例如,当终端设备获取到待监控医疗单位的任一医师提交的开方请求时,可在该医师的开方工具首页(例如开方工具的用户操作界面)上输出药品费用超标预警的标志(例如红色感叹号等)或者药品费用超标预警的语音信息等药品费用超标预警信息。基于上述药品费用超标预警信息提示待监控医疗单位的医师,待监控医疗单位当前考核周期的处方对应的日均药品费用已经到达达标上限(即待监控医疗单位在当前考核周期内的处方对应的日均药品费用已经大于或者等于日均药品费用阈值),医师接下来开具的处方所带来的药品费用可能会导致待监控医疗单位在当前考核周期内药品费用超标,以供医师确定是否继续开方等。基于上述实现方式可提示待监控医疗单位的医师控制开方用药以防止药品费用超标,从而可实现对待监控医疗单位的药品费用超标的预警。In some feasible implementation manners, in an application scenario in which real-time drug cost overrun warning is conducted for the medical unit to be monitored, if the medical standard of the medical unit to be monitored is determined to be in excess of the standard based on the prescription that the medical unit to be monitored has issued in the current assessment cycle. That is, when the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost threshold, when the terminal device obtains the prescribing request submitted by any physician of the medical unit to be monitored, it can output a warning sign that the drug cost exceeds the standard to The homepage of the doctor's prescription tool of the medical unit to be monitored, based on the warning indicator of the drug cost exceeding the standard displayed on the homepage of the doctor's prescription tool, a warning of the drug cost exceeding the standard is issued to the doctor of the medical unit to be monitored to remind the doctor of the medical unit to monitor the prescription Use medicine to prevent drug costs from exceeding the standard. For example, when the terminal device obtains the prescribing request submitted by any doctor of the medical unit to be monitored, it can output a warning sign of excessive warning of drug costs on the home page of the prescribing tool of the doctor (such as the user operation interface of the prescribing tool) ( For example, the red exclamation mark, etc.) or the warning information such as the early warning of the drug cost exceeding the standard. Based on the above warning information of drug cost exceeding the standard, the doctors of the medical unit to be monitored are reminded that the average daily drug cost of the prescription of the medical unit to be monitored has reached the upper limit of the standard (that is, the day of the prescription of the medical unit to be monitored within the current evaluation cycle The average drug cost is greater than or equal to the daily average drug cost threshold), the drug cost caused by the doctor's next prescription may cause the medical unit to be monitored to exceed the drug cost in the current evaluation cycle, so that the doctor can decide whether to continue the prescription Wait. Based on the above-mentioned implementation manner, the physician of the medical unit to be monitored can be controlled to prescribe medication to prevent the drug cost from exceeding the standard, so that the early warning of the drug cost of the medical unit to be monitored can be exceeded.
可选的,在一些可行的实施方式中,在针对待监控医疗单位的后期药品费用超标预警的应用场景汇中,当上述待监控医疗单位的药品费用超标,例如医疗单位的日均药品费用大于日均药品费用阈值时,可确定上述待监控医疗单位的日均药品费用中超出日均药品费用阈值部分的日均药品费用差值(即药品费用超标数据)。根据上述药品费用超标数据向待监控医疗单位发送药品费用超标预警信息,基于上述药品费用超标预警信息向待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内日均药品费用超标的预警。其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。例如,终端设备可将上述日均药品费用以及上述日均药品费用差值进行公示,基于公示的日均药品费用以及上述日均药品费用差值提示待监控医疗单位的医师控制开方的用药,避免该待监控医疗单位的医师在开方过程中随意用药造成药品等医疗资源的浪费,实现对待监控医疗单位的用药处方超标的风险控制。可选的,基于上述日均药品费用以及上述日均药品费用差值可在该待监控医疗单位的单位大厅公告界面(例如单位大厅的消息公告显示屏)上进行公示或者在用药监管单位所出的医疗单位用药监控日报上进行公示,以控制待监控医疗单位及其各个医师开方的用药,避免待监控医疗单位的用药处方的日均药品费用持续超标带来的医疗资源浪费,实现对该待监控医疗单位的药品费用超标预警。可选的,基于上述日均药品费用以及上述日均药品费用差值也可在该待监控医疗单位的各个科室的信息公告界面上进行公示,和/或在该待监控医疗单位的各个医师的开方工具的首页上进行公示等,具体可根据实际应用场景确定,在此不做限制。Optionally, in some feasible implementation manners, in the application scenario of early warning of excessive drug cost for the medical unit to be monitored, when the medical cost of the medical unit to be monitored exceeds the standard, for example, the average daily drug cost of the medical unit is greater than When the daily average drug cost threshold value, the daily average drug cost difference (that is, the data of the drug cost exceeding the standard) of the above-mentioned daily average drug cost of the medical unit to be monitored can be determined. According to the above drug cost exceeding standard data, the drug cost exceeding warning warning information is sent to the medical unit to be monitored, and based on the above drug cost exceeding warning information, the control prescription medication is sent to the medical unit to be monitored to prevent one or more evaluation cycles after the current evaluation cycle Early warning of daily drug cost exceeding standard. Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices. For example, the terminal device may publish the above-mentioned average daily drug cost and the above-mentioned average daily drug cost difference, and based on the published average daily drug cost and the above-mentioned average daily drug cost difference, it may prompt the doctor of the medical unit to be monitored to control the prescribing medication. To avoid the waste of medicine and other medical resources caused by the doctors of the medical unit to be monitored during the prescribing process, and to realize the risk control of the prescription of the medical unit to be monitored exceeding the standard. Optionally, based on the above-mentioned average daily drug cost and the above-mentioned average daily drug cost difference, it can be publicized on the announcement interface of the unit hall of the medical unit to be monitored (such as the message announcement display screen of the unit hall) or issued by the drug regulatory unit The medical unit ’s daily drug monitoring daily report will be publicized to control the medications of the medical unit to be monitored and its various doctors ’prescriptions, to avoid the waste of medical resources caused by the continuous daily exceeding of the standard drug cost of the drug prescriptions of the medical unit to be monitored, and to achieve this Early warning of drug cost overdue for medical units to be monitored. Optionally, based on the above-mentioned average daily drug cost and the above-mentioned average daily drug cost difference can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or On the homepage of the prescribing tool, publicity, etc., can be determined according to the actual application scenario, without limitation.
本申请实施例可基于待监控医疗单位的用药处方中所包括的药品信息,确定待监控医疗单位的日均药品费用,进而可基于待监控医疗单位的日均药品费用判断待监控医疗单位的日均药品费用是否大于或者等于日均药品费用阈值,进而可在待监控医疗单位的日均药品费用大于或者等于日均药品费用阈值时,向待监控医疗单位发送药品费用超标预警信息,以提示待监控医疗单位控制开方用药,以避免待监控医疗单位的药品资源浪费,操作简单。基于本申请实施例提供的方法实现对各医疗单位的用药监控操作简单,可提高对医疗单位 的用药监控的准确性,提高对医疗单位的药品费用超标预警的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的可靠性,提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。In the embodiments of the present application, the daily average drug cost of the medical unit to be monitored can be determined based on the drug information included in the medication prescription of the medical unit to be monitored, and then the day of the medical unit to be monitored can be determined based on the average daily drug cost of the medical unit to be monitored Whether the average drug cost is greater than or equal to the daily average drug cost threshold, and then when the average daily drug cost of the medical unit to be monitored is greater than or equal to the daily average drug cost threshold, an early warning message that the drug cost exceeds the standard can be sent to the medical unit to be monitored to remind The monitoring medical unit controls the prescribing medicine to avoid the waste of medicine resources of the medical unit to be monitored, and the operation is simple. Based on the method provided by the embodiment of the present application, it is simple to implement the medication monitoring operation of each medical unit, which can improve the accuracy of the medication monitoring of the medical unit, improve the timeliness of early warning of the medical unit's drug cost exceeding the standard, and further improve the Unit's medication situation Reliability of pre-warning of drug costs for prescriptions of various medical units is improved, which improves the controllability of the prescription of the medical unit, thereby improving the effective utilization of medical resources and making it more applicable.
实施例二:Example 2:
参见图2,图2是本申请实施例提供的基于数据处理的药品费用超标预警方法的另一流程示意图。本申请实施例提供的基于数据处理的药品费用超标预警方法可实现对待监控医疗单位在单个考核周期内的用药情况进行监控,该方法可通过如下步骤S21至S25中各个步骤所提供的实现方式进行说明。Referring to FIG. 2, FIG. 2 is another schematic flowchart of an early warning method for drug cost exceeding standards based on data processing provided by an embodiment of the present application. The data processing-based early warning method for drug costs exceeding the standards provided by the embodiments of the present application can realize the monitoring of the medication situation of the medical unit to be monitored in a single assessment cycle. The method can be implemented by the implementation methods provided in the following steps S21 to S25 Instructions.
S21,获取待监控医疗单位的用药处方。S21. Obtain the medication prescription of the medical unit to be monitored.
在一些可行的实施方式中,上述获取待监控医疗单位的用药处方的实现方式可参见上述实施例中步骤S11所提供的实现方式,在此不再赘述。In some feasible implementation manners, the implementation manner of obtaining the medication prescription of the medical unit to be monitored may refer to the implementation manner provided in step S11 in the foregoing embodiment, and details are not described herein again.
可选的,在一些可行的实施方式中,上述医疗单位的用药处方还可包括待监控医疗单位在单个考核周期内产生的所有用药处方,其中上述单个考核周期大于一日,例如一个星期、一个月、一个季度或者一年等,在此不做限制。为方便描述,上述待监控医疗单位在单个考核周期内所产生的所有用药处方可以单考核周期处方为例进行说明。Optionally, in some feasible implementation manners, the medication prescription of the medical unit may further include all medication prescriptions generated by the medical unit to be monitored within a single assessment cycle, wherein the single assessment cycle is greater than one day, such as one week, one Months, quarters, or years, etc., no restrictions here. For convenience of description, all medication prescriptions generated by the above-mentioned medical unit to be monitored in a single assessment cycle can be illustrated by taking a single assessment cycle prescription as an example.
可选的,上述医疗单位的单考核周期处方可以是指医疗单位的任一考核周期内所开具的所有处方,包括但不限于单个考核周期内医院的所有科室所有医师所开具的所有处方、单个考核周期内医院的某一个科室的所有医师所开具的所有处方,或者单个考核周期内医院的某一个科室的某一个医师所开具的所有处方中的任一种情况。其中,上述单个考核周期处方所表示的具体情况根据实际应用场景中对医疗单位进行用药监控的考核维度(例如针对医疗单位进行用药监控、针对医疗单位的某一个科室进行用药监控或者针对医疗单位的某一个科室的某一个医师进行用药监控等)确定,在此不做限制。为方便描述,下面将以单个考核周期内医院的所有科室所有医师所开具的所有处方为例进行说明,以下简称单考核周期处方。Optionally, the single assessment cycle prescription of the medical unit may refer to all prescriptions issued in any assessment cycle of the medical unit, including but not limited to all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle, and a single All the prescriptions issued by all the doctors in a certain department of the hospital during the assessment cycle, or all the prescriptions issued by a certain doctor in a certain department of the hospital in a single assessment cycle. Among them, the specific conditions indicated in the above single assessment cycle prescriptions are based on the evaluation dimensions of the medical unit's medication monitoring in the actual application scenario (for example, the medical unit's medication monitoring, the medical unit's medication monitoring for a medical department or the medical unit's medication monitoring A certain doctor in a certain department conducts medication monitoring, etc.), and it is not restricted here. For the convenience of description, the following will take all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle as an example for explanation, hereinafter referred to as a single assessment cycle prescription.
可以理解,这里待监控医疗单位的单考核周期处方中所包括的任一处方上均可包括该处方中所开药品的药品详情,包括但不限于药品名称、药品金额,药品使用方式以及药品使用天数,具体可根据实际应用场景确定,在此不做限制。It can be understood that any prescription included in the single assessment cycle prescription of the medical unit to be monitored here can include the details of the drugs prescribed in the prescription, including but not limited to the name of the drug, the amount of the drug, the method of use of the drug and the use of the drug The number of days can be determined according to the actual application scenario, without limitation.
S22,获取上述用药处方中所包括的药品信息,并根据上述药品信息确定所述待监控医疗单位的日均药品费用。S22: Obtain the medicine information included in the above medicine prescription, and determine the average daily medicine cost of the medical unit to be monitored according to the above medicine information.
在一些可行的实施方式中,上述基于待监控医疗单位的用药处方所包括的药品信息确定待监控医疗单位的日均药品费用的具体实现方式可参见上述实施例中步骤S12所提供的实现方式,在此不再赘述。In some feasible implementation manners, for the specific implementation manner of determining the average daily drug cost of the medical unit to be monitored based on the drug information included in the medical prescription of the medical unit to be monitored may refer to the implementation manner provided in step S12 in the foregoing embodiment, I will not repeat them here.
可选的,在一些可行的实施方式中,基于上述待监控医疗单位的用药处方的日均药品费用还可处理得到指定时间段内待监控医疗单位的日均药品费用,例如,一个星期,一个月,一个季度或者一年的日均药品费用等。为方便描述,下面可以一个星期作为一个考核周期,以一个星期的日均药品费用为例进行说明,简称单考核周期处方的日均药品费用。Optionally, in some feasible implementation manners, the average daily drug cost based on the prescription of the medical unit to be monitored may also be processed to obtain the average daily drug cost of the medical unit to be monitored within a specified time period, for example, one week, one The average daily drug cost per month, quarter or year. For the convenience of description, the following can be used as an assessment cycle for a week, taking the average daily drug cost of a week as an example for explanation, referred to as the average daily drug cost for prescriptions in a single assessment cycle.
可选的,单考核周期处方的日均药品费用可满足如下公式(2):Optionally, the average daily drug cost for a single assessment cycle prescription can meet the following formula (2):
公式(2):日均药品费用=周期药品总额/周期药品使用总天数。Formula (2): Average daily drug cost = total periodical drug / total days of periodical drug use.
其中,在上述公式(2)中周期药品总额可以是单个考核周期内的所有处方中所包括的所有药品的药品金额累加得到的所有药品的总金额,上述周期药品使用总天数可以是单考核周期处方所包括的所有药品中每个药品的药品使用天数的累加值。In the above formula (2), the total amount of periodic drugs can be the total amount of all drugs obtained by accumulating the amounts of all drugs included in all prescriptions in a single assessment cycle. The cumulative value of the number of days of use of each drug in all drugs included in the prescription.
可选的,在一些可行的实施方式中,基于待监控医疗单位的单考核周期处方中所包括的药品信息,可获取单个考核周期内任一日的用药处方(为方便描述,下面将以任一单日用药处方为例进行说明),并获取任一单日用药处方中所包括的各药品的药品信息,其中药品信息中包括但不限于药品金额和药品使用天数。根据任一单日用药处方所包括的各药品的药品金额和药品使用天数确定待监控医疗单位任一日的日均药品费用(为方便描述,下面将以单日日均药品费用为例进行说明)。其中,上述待监控医疗单位的任一日的单日日均药品费用可参见上述实施例中公式(1)对应的实现方式,在此不再赘述。此外,基于待监控医疗单位在单个考核周期内每日处方中所包括的各药品的药品使用天数可确定每日处方中的药品使用总天数,进而可基于每日处方的药品使用总天数确定待监控医疗单位的单考核周期处方中所包括的所有药品的药品使用总天数。其中,待监控医疗单位在单个考核周期内的任一日的药品使用总天数为任一单日处方中所包括的各药品的药品使用天数的总和。根据上述待监控医疗单位在单个考核周期内各日的单日日均药品费用和药品使用总天数可确定待监控医疗单位在单个考核周期内的日均药品费用。Optionally, in some feasible implementations, based on the drug information included in the single assessment cycle prescription of the medical unit to be monitored, the medication prescription of any day within a single assessment cycle can be obtained (for convenience of description, the following will A single-day medication prescription is taken as an example), and the drug information of each drug included in any single-day medication prescription is obtained, where the drug information includes but is not limited to the amount of drugs and the number of days of use of the drugs. Determine the daily average drug cost for any day of the medical unit to be monitored according to the drug amount and the number of days of drug use included in any single-day drug prescription (for convenience of description, the following will take the single-day daily drug cost as an example for explanation ). The daily average daily drug cost of any day of the medical unit to be monitored may refer to the implementation manner corresponding to formula (1) in the foregoing embodiment, and details are not described herein again. In addition, based on the number of days of use of each drug included in the daily prescription of the medical unit to be monitored in a single assessment cycle, the total number of days of drug use in the daily prescription can be determined, and then the waiting period can be determined based on the total number of days of drug use in the daily prescription Monitor the total days of drug use for all drugs included in the single assessment cycle prescription of the medical unit. Among them, the total number of days of drug use on any day within a single assessment period of the medical unit to be monitored is the sum of the number of days of drug use of each drug included in any single-day prescription. Based on the above-mentioned daily average daily drug cost and the total number of days of drug use of each medical unit to be monitored in a single evaluation cycle, the average daily drug cost of the medical unit to be monitored within a single evaluation cycle can be determined.
在一些可行的实施方式中,根据上述单个考核周期内各日的单日日均药品费用可确定待监控医疗单位在单个考核周期的单日日均药品费用的累加值,为方便描述可简称单日日均药品费用累加值。根据上述单个考核周期内各日的药品使用总天数可确定待监控医疗单位在单个考核周期内的药品使用总天数的累加值,为方便描述可简称药品使用总天数累加值。根据上述单日日均药品费用累加值和上述药品使用总天数累加值确定待监控医疗单位的日均药品费用。In some feasible implementation manners, the cumulative value of the average daily drug cost per day in a single evaluation cycle of the medical unit to be monitored can be determined according to the daily average daily drug cost of each day in the single evaluation cycle. The accumulated value of the average daily drug cost. According to the total number of days of drug use in each day of the single assessment cycle, the accumulated value of the total number of days of drug use in the single assessment period of the medical unit to be monitored can be determined. The daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the above-mentioned average daily daily drug cost and the cumulative value of the above-mentioned total days of drug use.
这里,待监控医疗单位的日均药品费用(即待监控医疗单位在单个考核周期内的日均药品费用)可满足如下公式(3):Here, the average daily drug cost of the medical unit to be monitored (that is, the average daily drug cost of the medical unit to be monitored in a single assessment cycle) can satisfy the following formula (3):
公式(3):日均药品费用=单日日均药品费用累加值/药品使用总天数累加值。Formula (3): Daily average drug cost = cumulative value of daily average daily drug cost / cumulative value of total days of drug use.
假设,这里单个考核周期为一个星期,则在上述公式(3)中的单日日均药品费用累加值可以是一个星期内的7个单日处方中各个单日处方的日均药品费用的累加值,上述公式(3)中的药品使用总天数累加值可以是一个星期内的7个单日处方中各个单日处方的药品使用总天数的累加值。Assuming that the single assessment cycle here is one week, the cumulative value of the average daily drug cost in the above formula (3) may be the cumulative average of the daily drug cost of each single-day prescription in 7 single-day prescriptions within a week Value, the cumulative value of the total number of days of drug use in the above formula (3) may be the cumulative value of the total number of days of drug use in each of the 7 single-day prescriptions within a week.
S23,根据上述待监控医疗单位的单位属性信息确定上述待监控医疗单位的日均药品费用阈值。S23. Determine the daily average drug cost threshold of the medical unit to be monitored according to the unit attribute information of the medical unit to be monitored.
S24,根据上述待监控医疗单位的日均药品费用,和上述确定的待监控医疗单位的日均药品费用阈值确定待监控医疗单位的药品费用是否超标。S24. Determine whether the medical cost of the medical unit to be monitored exceeds the standard according to the daily average drug cost of the medical unit to be monitored and the threshold of the daily medical cost of the medical unit to be monitored determined above.
在一些可行的实施方式中,上述根据待监控医疗单位的日均药品费用,和待监控医疗单位对应的日均药品费用阈值确定待监控医疗单位的用药是否超标的具体实现方式可参见上述实施例中步骤S13所提供的实现方式,在此不再赘述。In some feasible implementation manners, the specific implementation manner of determining whether the medication of the medical unit to be monitored exceeds the standard according to the daily average drug cost of the medical unit to be monitored and the daily average drug cost threshold corresponding to the medical unit to be monitored can be referred to the above embodiment The implementation method provided in step S13 in FIG. 3 will not be described here.
可选的,在一些可行的实施方式中,针对不同医疗单位进行用药监控时,还可基于各个医疗单位的单位属性信息确定各个医疗单位的用药监控标准和/或用药评价标准的考核 指标阈值,即日均药品费用阈值,例如日均药品费用的达标上限等。其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,具体可根据实际应用场景确定,在此不做限制。例如,基于不同地域、不同城市、不同药品供应渠道或者不同病患流动量等参数所关联的不同医疗单元,用药监控的考核指标阈值可不尽相同。例如,对于物价较高的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较高所关联的医疗单元,则可将其日均药品费用的达标上限可设置得较高一些,即其对应的用药监控标准的考核指标阈值则可设定为较高的考核指标等。对于物价较低的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较低所关联的医疗单元,则可将其日均药品费用的达标上限可设置得较低一些,即其对应的用药监控标准的考核指标阈值则可设定为较低的考核指标等。具体可根据实际应用场景确定,在此不做限制。Optionally, in some feasible implementations, when drug monitoring is performed for different medical units, the evaluation index thresholds of the drug monitoring standards and / or drug evaluation standards of each medical unit may also be determined based on the unit attribute information of each medical unit, That is, the daily average drug cost threshold, such as the upper limit of the daily average drug cost. Among them, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit, which can be determined according to the actual application scenario. There are no restrictions here. For example, based on different medical units associated with parameters such as different regions, different cities, different drug supply channels, or different patient flows, the evaluation thresholds for drug monitoring may vary. For example, for a medical unit associated with a city with a higher price or a medical unit associated with a higher drug cost caused by a drug supply channel, the upper limit of the average daily drug cost can be set higher. That is, the threshold of the assessment index of the corresponding medication monitoring standard can be set to a higher assessment index. For a medical unit associated with a city with a lower price or a medical unit associated with a lower drug cost caused by a drug supply channel, the upper limit of the average daily drug cost can be set lower, that is, its The threshold of the assessment index of the corresponding medication monitoring standard can be set to a lower assessment index. The specifics can be determined according to actual application scenarios, and no limitation is made here.
在一些可行的实施方式中,基于上述确定的待监控医疗单位的日均药品费用,结合基于待监控医疗单位的单位属性信息所确定的考核指标阈值(即日均药品费用阈值)可确定该医疗单位的用药是否超标,换句话说,就是待监控医疗单位的日均药品费用是否大于其对应的日均药品费用阈值。若待监控医疗单位的日均药品费用小于或者等于其对应的日均药品费用阈值,则可确定待监控医疗单位的用药不超标,否则该医疗单位的用药则是超标的。In some feasible embodiments, the medical unit to be monitored can be determined based on the above-mentioned average daily drug cost of the medical unit to be monitored, combined with the assessment index threshold (that is, the average daily drug cost threshold) determined based on the unit attribute information of the medical unit to be monitored Whether the medication used exceeds the standard, in other words, whether the average daily drug cost of the medical unit to be monitored is greater than its corresponding daily average drug cost threshold. If the average daily drug cost of the medical unit to be monitored is less than or equal to its corresponding daily average drug cost threshold, it can be determined that the medication of the medical unit to be monitored does not exceed the standard, otherwise the medical unit of the medical unit is exceeding the standard.
S25,若上述待监控医疗单位的药品费用超标,则基于上述待监控医疗单位的日均药品费用向上述待监控医疗单位发送药品费用超标预警信息。S25: If the medical cost of the medical unit to be monitored exceeds the standard, then based on the daily average medical cost of the medical unit to be monitored, early warning information that the medical cost is exceeded is sent to the medical unit to be monitored.
在一些可行的实施方式中,基于上述待监控医疗单位的日均药品费用输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页以向待监控医疗单位的医师发出药品费用超标预警,以及对上述待监控医疗单位超标部分的日均药品费用差值进行公示,以实现对待监控医疗单位的药品费用超标预警的实现方式可参见上述实施例中步骤S14所提供的实现方式,在此不再赘述。In some feasible embodiments, based on the daily medical expenses of the medical unit to be monitored, an early warning sign of drug cost overrun is output to the homepage of the doctor ’s prescription tool of the medical unit to be monitored to issue a warning to the doctor of the medical unit to be exceeded. , And the publicity of the daily average drug cost difference of the above-mentioned medical unit to be monitored, to achieve the early warning of the medical cost of the medical unit to be monitored, please refer to the implementation provided by step S14 in the above embodiment, here No longer.
可选的,在一些可行的实施方式中,在针对待监控医疗单位的后期药品费用超标预警的应用场景中,基于上述日均药品费用差值,还可在接收到该待监控医疗单位提交的药品费用报销请求或者药品费用理赔请求时,可通过拒绝该待监控医疗单位的药品费用报销请求或者药品费用理赔请求,实现针对该待监控医疗单位的在当前考核周期内日均药品费用超标的这项考核标准进行惩罚,以对该医疗单位进行后续考核周期的药品费用超标预警。例如,当该医疗单位的某一天的日均药品费用超标时,可在接收到医疗单位提报的该天的药品费用报销和/或请求时,向该医疗单位反馈该天所有处方的药品费用的报销失败。换句话说,当该医疗单位的某一天的日均药品费用超标时,终端设备接收到医疗单位提报的该天的处方药品费用报销和/或理赔请求时,可对该医疗单位反馈该天的处方药品费用拒绝报销或者理赔,进而可提示该医疗单位对每天处方的日均药品费用进行自我把控,防止后续一天或者多天内日均药品费用超标以实现对该医疗单位的药品费用超标的预警。Optionally, in some feasible implementation manners, in the application scenario of early warning of excessive drug costs for the medical unit to be monitored, based on the above-mentioned average daily drug cost difference, the When a drug expense reimbursement request or a drug expense claim is requested, the average daily drug cost in the current evaluation period for the medical entity to be monitored may be exceeded by rejecting the drug expense reimbursement request or the drug expense claim request of the medical entity to be monitored The punishment for each evaluation standard is used to give early warning to the medical unit that the drug cost of the subsequent evaluation cycle exceeds the standard. For example, when the medical unit ’s average daily drug cost exceeds a certain day, when receiving the medical unit ’s reimbursement and / or request for the day ’s drug cost, the medical unit may be fed back the medical cost of all prescriptions for that day Reimbursement failed. In other words, when the average daily drug cost of the medical unit exceeds a certain day, the terminal device can feed back the medical unit's day when receiving the prescription drug cost reimbursement and / or claim request from the medical unit for that day Refusal to reimburse or settle claims for prescription drug costs, and may prompt the medical unit to self-control the daily daily drug cost of daily prescriptions to prevent the daily average drug cost from exceeding the standard for one or more days in order to achieve the drug cost of the medical unit. Early warning.
可选的,在一些可行的实施方式中,当待监控医疗单位的用药标准超标,例如医疗单位单日处方的日均药品费用大于日均药品费用阈值时,终端设备可计算待监控医疗单位的日均药品费用与上述日均药品费用阈值之间的差值。当终端设备接收到该待监控医疗单位 的药品费用报销和/或理赔请求时,则可针对该待监控医疗单位的日均药品费用与上述日均药品费用阈值之间的差值,对该待监控医疗单位单日处方的药品费用中差值部分药品费用拒绝报销或者理赔以对该医疗单位进行后续考核周期的药品费用超标预警。Optionally, in some feasible implementations, when the medical standard of the medical unit to be monitored exceeds the standard, for example, when the average daily drug cost of a single day prescription of the medical unit is greater than the daily average drug cost threshold, the terminal device may calculate the medical unit to be monitored The difference between the average daily drug cost and the above average daily drug cost threshold. When the terminal device receives the medical expense reimbursement and / or claim request of the medical unit to be monitored, it may respond to the difference between the daily average medical cost of the medical unit to be monitored and the above-mentioned average daily drug cost threshold Monitor the medical unit's single-day prescription drug cost difference and refuse to reimburse or settle claims to carry out follow-up assessment of the medical unit's drug cost over-warning.
可选的,在一些可行的实施方式中,当终端设备确定待监控医疗单位某一个考核周期(即当前考核周期,例如一天或者一星期等)内的处方的用药超标,例如待监控医疗单位某个考核周期内的处方(例如单日处方)的日均药品费用大于日均药品费用阈值时,终端设备则可在该考核周期(单日处方的日均药品费用超标是某一天,例如周一)之后的下一个考核周期(单日处方的日均药品费用超标这天的第二天,例如周二)的开始时将该考核周期的日均药品费用超标报告通过即时通讯信息、邮件和/或告示中的一种或者多种信息类型发送给该待监控医疗单位。其中,该日均药品费用超标报告用于提示该待监控医疗单位在该考核周期内用药超标,并可提醒该待监控医疗单位若在下一个考核周期或者指定时间内的连续多个考核周期内日均药品费用依然超标,则将对该待监控医疗单位进行日均药品费用超标的惩罚的药品费用超标预警。其中,上述惩罚包括对该待监控医疗单位超标的日均药品费用全部拒绝报销或者理赔,或者对该待监控医疗单位的日均药品费用的超标部分拒绝报销或者理赔等。上述日均药品费用超标报告用于提示该待监控医疗单位对日均药品费用进行自我把控以实现对该待监控医疗单位的药品费用超标预警。Optionally, in some feasible implementation manners, when the terminal device determines that the prescribed medication within a certain evaluation cycle of the medical unit to be monitored (that is, the current evaluation cycle, such as one day or one week, etc.) exceeds the standard, for example, a certain medical unit to be monitored When the average daily drug cost of prescriptions (such as a single-day prescription) within an evaluation period is greater than the daily average drug cost threshold, the terminal device can be in the evaluation cycle (the daily average drug cost of a single-day prescription exceeds a certain day, such as Monday) At the beginning of the next assessment cycle (the second day of the day when the daily average drug cost exceeds the standard, for example, Tuesday), the daily average drug cost of the assessment cycle is reported via instant messaging, email, and / or notice One or more types of information are sent to the medical unit to be monitored. Among them, the daily average drug cost exceeding report is used to remind the medical unit to be monitored to exceed the standard within the evaluation period, and can also remind the medical unit to be monitored if it is within the next evaluation period or multiple consecutive evaluation periods within the specified time. If the average drug cost still exceeds the standard, the medical unit to be monitored will be given an early warning of the drug cost exceeding the punishment. Among them, the above-mentioned punishment includes the refusal to reimburse or settle all the daily average medical expenses for the medical unit to be monitored, or the refusal to reimburse or claim the excessive daily medical expenses of the medical unit to be monitored. The above-mentioned daily average drug cost exceeding report is used to prompt the medical unit to be monitored to self-control the daily average drug cost to realize early warning of the medical cost of the medical unit to be monitored exceeding the standard.
本申请实施例可基于待监控医疗单位在单个考核周期内的用药处方中所包括的药品信息,确定待监控医疗单位在单个考核周期内的日均药品费用,这里单个考核周期包括单日,也包括多于一日的任一时长的考核周期。基于待监控医疗单位在该考核周期内的日均药品费用判断待监控医疗单位的用药是否超标,实现对待监控医疗单位的用药指标的评价,操作方式多样。基于本申请实施例提供的方法实现对各医疗单位的用药监控操作方式多样,既可提高对医疗单位的用药监控的准确性,提高对医疗单位的用药监控的可靠性,同时也可增强对医疗单位的用药监控的操作灵活性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的公示、和/或拒绝日均药品费用超标对应的药品费用报销和/或理赔请求等药品费用超标预警的可靠性,可提高对待监控医疗单位的药品费用超标预警的时效性,从而可提高医疗资源的有效利用率,适用性更强。The embodiment of the present application may determine the average daily drug cost of the medical unit to be monitored in a single evaluation cycle based on the drug information included in the medication prescription of the medical unit to be monitored in a single evaluation cycle. Here, the single evaluation cycle includes a single day, and The assessment period includes any period longer than one day. Based on the average daily drug cost of the medical unit to be monitored during the assessment period, it is judged whether the medication of the medical unit to be monitored exceeds the standard, and the evaluation of the drug index of the medical unit to be monitored is realized, and the operation methods are diverse. Based on the method provided by the embodiment of the present application, the medical drug monitoring operation modes of various medical units are various, which can not only improve the accuracy of medical drug monitoring of medical units, but also improve the reliability of medical drug monitoring of medical units, and can also enhance the medical treatment of medical units. The operational flexibility of the unit ’s medication monitoring can further improve the publicity of early warning of drug cost overruns for each medical unit ’s prescriptions based on the drug use of each medical unit, and / or rejection of drug cost reimbursement and / or corresponding to daily average drug cost overruns The reliability of early warning of excessive drug costs such as claims claims can improve the timeliness of early warning of excessive drug costs of medical units to be monitored, thereby improving the effective utilization of medical resources and making it more applicable.
实施例三:Example three:
参见图3,图3是本申请实施例提供的基于数据处理的药品费用超标预警装置的实施例结构示意图。本申请实施例提供的基于数据处理的药品费用超标预警装置包括:Referring to FIG. 3, FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for drug cost exceeding standards based on data processing provided by an embodiment of the present application. The data processing-based early warning device for exceeding drug standards provided by embodiments of the present application includes:
数据获取单元31,用于获取待监控医疗单位的用药处方。The data obtaining unit 31 is used to obtain the medication prescription of the medical unit to be monitored.
药品信息处理单元32,用于获取上述数据获取单元31获取的上述用药处方中所包括的药品信息,并根据上述药品信息确定上述待监控医疗单位的日均药品费用。The medicine information processing unit 32 is configured to obtain the medicine information included in the medicine prescription obtained by the data obtaining unit 31, and determine the average daily medicine cost of the medical unit to be monitored according to the medicine information.
药品费用监控单元33,用于确定上述药品信息处理单元32确定的上述日均药品费用是否大于或者等于上述待监控医疗单位对应的日均药品费用阈值。The drug cost monitoring unit 33 is configured to determine whether the daily average drug cost determined by the drug information processing unit 32 is greater than or equal to a daily average drug cost threshold corresponding to the medical unit to be monitored.
药品费用超标预警单元34,用于在上述药品费用监控单元33确定上述日均药品费用大于或者等于上述日均药品费用阈值时,向上述待监控医疗单位发送药品费用超标预警信息。The medicine cost exceeding warning unit 34 is used to send the medicine cost exceeding warning information to the medical unit to be monitored when the medicine cost monitoring unit 33 determines that the daily average medicine cost is greater than or equal to the daily average medicine cost threshold.
在一些可行的实施方式中,上述药品费用超标预警信息包括药品费用超标预警标识;In some feasible implementation manners, the above warning information for exceeding the drug cost includes the warning label for exceeding the drug cost;
上述药品费用超标预警单元34用于:The above-mentioned early warning unit 34 for drug cost exceeding is used for:
输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页,基于上述医师开方工具首页上显示的上述药品费用超标预警标识,向上述待监控医疗单位的医师发出药品费用超标预警,以提示上述待监控医疗单位的医师控制开方用药以防止药品费用超标。Output the warning sign of excessive drug cost to the front page of the doctor's prescription tool of the medical unit to be monitored. Based on the warning sign of the above drug cost display on the front page of the doctor's prescription tool, the doctor of the medical unit to be monitored will be given a warning of the drug cost. In order to remind the doctors of the above-mentioned medical units to control the prescribing medication to prevent the drug cost from exceeding the standard.
在一些可行的实施方式中,上述用药处方包括上述待监控医疗单位在当前考核周期内的所有用药处方;In some feasible implementation manners, the above medication prescription includes all medication prescriptions of the medical unit to be monitored within the current assessment period;
上述药品费用超标预警单元34用于:The above-mentioned early warning unit 34 for drug cost exceeding is used for:
根据上述日均药品费用和上述日均药品费用阈值确定上述待监控医疗单位在上述当前考核周期内的药品费用超标数据;According to the above-mentioned daily average drug cost and the above-mentioned average daily drug cost threshold, determine the data of the drug cost exceeding the standard of the medical unit to be monitored in the current evaluation period;
根据上述药品费用超标数据向上述待监控医疗单位发送药品费用超标预警信息,基于上述药品费用超标预警信息向上述待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内日均药品费用超标的预警;According to the above drug cost exceeding standard data, the drug cost exceeding warning early warning information is sent to the medical unit to be monitored, and based on the above drug cost exceeding warning early warning information, the control prescription medication is sent to the medical unit to be monitored to prevent one or more evaluations after the current evaluation cycle Early warning of daily drug cost exceeding the standard within the cycle;
其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
在一些可行的实施方式中,上述数据获取单元31用于:In some feasible implementation manners, the data acquisition unit 31 is used to:
获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的用药处方;和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the medication prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的用药处方;Obtain the medical claim data provided by the medical unit to be monitored, and obtain the medication prescription of the medical unit to be monitored from the medical claim data;
其中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在单个考核周期内的所有用药处方,上述单个考核周期的周期时长包括单日或者多日。Wherein, the medication prescription of the medical unit to be monitored includes all medication prescriptions of the medical unit to be monitored in a single assessment cycle, and the duration of the single assessment cycle includes a single day or multiple days.
在一些可行的实施方式中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在单日的单个考核周期内的所有用药处方;In some feasible implementation manners, the medication prescription of the medical unit to be monitored includes all prescriptions of the medication of the medical unit to be monitored within a single assessment cycle on a single day;
上述药品信息处理单元32用于:The above drug information processing unit 32 is used to:
获取上述所有用药处方中所包括的各药品的药品信息,上述药品信息中至少包括药品金额和药品使用天数;Obtain the drug information of each drug included in all the above drug prescriptions. The above drug information includes at least the drug amount and the number of days the drug is used;
根据上述各药品的药品金额确定上述所有用药处方所包括的所有药品的药品总额,并根据上述各药品的药品使用天数确定上述所有用药处方的药品使用总天数;Determine the total amount of all drugs included in all the above prescriptions based on the drug amount of each of the above drugs, and determine the total number of days of use of all the above drug prescriptions based on the number of days of use of each of the above drugs;
根据上述药品总额和上述药品使用总天数确定上述待监控医疗单位的日均药品费用。Determine the average daily drug cost of the medical unit to be monitored based on the total amount of the above drugs and the total number of days of use of the above drugs.
其中,上述待监控医疗单位的日均药品费用满足:Among them, the daily medical expenses of the above-mentioned medical units to be monitored meet:
日均药品费用=药品总额/药品使用总天数。Average daily drug cost = total drug / total days of drug use.
在一些可行的实施方式中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在多日的单个考核周期内的所有用药处方;In some feasible implementation manners, the drug prescriptions of the medical unit to be monitored include all drug prescriptions of the medical unit to be monitored in a single assessment period of multiple days;
上述药品信息处理单元32用于:The above drug information processing unit 32 is used to:
获取上述单个考核周期内任一日的任一单日用药处方,并获取上述任一单日用药处方中所包括的各药品的药品信息,上述药品信息中至少包括药品金额和药品使用天数;Obtain any single-day medication prescription on any day within the above-mentioned single assessment cycle, and obtain the drug information of each drug included in any of the single-day medication prescriptions. The above-mentioned drug information includes at least the drug amount and the number of days of drug use;
根据上述任一单日用药处方所包括的各药品的药品金额和药品使用天数确定上述待监控医疗单位的单日日均药品费用;Determine the average daily drug cost of the above-mentioned medical unit to be monitored based on the drug amount of each drug and the number of days of drug use included in any of the above single-day drug prescriptions;
根据上述待监控医疗单位在上述单个考核周期内各日的单日日均药品费用和药品使用总天数确定上述待监控医疗单位的日均药品费用;Determine the average daily drug cost of the medical unit to be monitored based on the average daily drug cost and the total number of days of drug use of the medical unit to be monitored in each day of the single assessment cycle;
其中,任一日的药品使用总天数为上述任一单日用药处方中所包括的各药品的药品使用天数的总和。Among them, the total number of days of drug use for any one day is the sum of the number of days of drug use for each drug included in any one-day medication prescription.
在一些可行的实施方式中,上述药品信息处理单元32用于:In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
根据上述单个考核周期内各日的单日日均药品费用确定上述单个考核周期的单日日均药品费用累加值,根据上述单个考核周期内各日的药品使用总天数确定上述单个考核周期内的药品使用总天数累加值;Determine the accumulated value of the average daily single-day drug cost of each day in the above single assessment cycle based on the daily average daily drug cost of each day in the above-mentioned single evaluation cycle, and determine the total number of days of drug use in each day of the above single evaluation period. Cumulative value of total days of drug use;
根据上述单日日均药品费用累加值和上述药品使用总天数累加值确定上述待监控医疗单位的日均药品费用;Determine the daily average drug cost of the medical unit to be monitored based on the cumulative value of the above-mentioned daily average daily drug cost and the cumulative value of the above-mentioned total days of drug use;
其中,上述待监控医疗单位的日均药品费用满足:Among them, the daily medical expenses of the above-mentioned medical units to be monitored meet:
日均药品费用=单日日均药品费用累加值/药品使用总天数累加值。Daily average drug cost = cumulative value of daily average daily drug cost / cumulative value of total days of drug use.
在一些可行的实施方式中,上述药品费用监控单元33用于:In some feasible implementation manners, the above-mentioned drug cost monitoring unit 33 is used to:
根据上述待监控医疗单位的单位属性信息确定上述待监控医疗单位的日均药品费用阈值;Determine the daily average drug cost threshold of the medical unit to be monitored according to the unit attribute information of the medical unit to be monitored;
其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种。Among them, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the drug supply channel of the unit, and the number of patients of the unit.
在一些可行的实施方式中,上述基于数据处理的药品费用超标预警装置可通过其内置的各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式。可选的,上述基于数据处理的药品费用超标预警装置可为上述各个实施例中所描述的终端设备,在此不做限制。例如,上述数据获取单元31可用于执行上述各个步骤中待监控医疗单位的用药处方的获取,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。上述药品信息处理单元32可用于执行上述各个步骤中待监控医疗单位的用药处方中所包括的各药品的药品金额、单日日均药品费用和/或待监控医疗单位的日均药品费用等实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。上述药品费用监控单元33可用于执行上述各个步骤中基于待监控医疗单位的单位属性信息确定待监控医疗单位的日均药品费用阈值,以及基于待监控医疗单位的日均药品费用判断待监控医疗单位的药品费用是否超标等实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。上述药品费用超标预警单元34用于执行基于上述药品信息处理单元32确定的上述日均药品费用对待监控医疗单位进行药品费用超标预警等实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。In some feasible implementation manners, the above-mentioned data processing-based early warning device for drug cost exceeding standards may implement the implementation manners provided by the steps in FIG. 1 to FIG. 2 through various built-in functional modules. Optionally, the data processing-based early warning device for exceeding the drug cost may be the terminal device described in the foregoing embodiments, which is not limited herein. For example, the above-mentioned data acquisition unit 31 may be used to perform the acquisition of the medication prescription of the medical unit to be monitored in each of the above steps. For details, refer to the implementation manner provided in each of the above steps, and details are not described herein again. The above-mentioned drug information processing unit 32 may be used to implement the drug amount of each drug included in the drug prescription of the medical unit to be monitored in the above steps, the average daily drug cost per day, and / or the average daily drug cost to the medical unit to be monitored, etc. For details, reference may be made to the implementation provided by the above steps, and details are not described herein again. The above drug cost monitoring unit 33 may be used to perform the above steps to determine the daily average drug cost threshold value of the medical unit to be monitored based on the unit attribute information of the medical unit to be monitored, and to determine the medical unit to be monitored based on the average daily drug cost of the medical unit to be monitored Whether the drug cost exceeds the standard and other implementation methods can be found in the implementation methods provided in the above steps, which will not be repeated here. The above-mentioned drug cost over-warning unit 34 is used to implement the above-mentioned daily average drug cost determined by the above-mentioned drug information processing unit 32 to implement the medical cost over-warning and other implementation methods of the medical unit to be monitored. For details, please refer to the implementation provided in the above steps. This will not be repeated here.
本申请实施例可基于待监控医疗单位在单个考核周期内的用药处方中所包括的药品信息,确定待监控医疗单位在单个考核周期内的日均药品费用,这里单个考核周期包括单日,也包括多于一日的任一时长的考核周期。基于待监控医疗单位在该考核周期内的日均药品费用判断待监控医疗单位的用药是否超标,实现对待监控医疗单位的用药指标的评价,操作方式多样。基于本申请实施例提供的方法实现对各医疗单位的用药监控操作方式多样,既可提高对医疗单位的用药监控的准确性,提高对医疗单位的用药监控的可靠性,同时也可增强对医疗单位的用药监控的操作灵活性,进而可提高基于各个医疗单位的用药情况对 各个医疗单位的处方进行药品费用超标预警的公示、和/或拒绝日均药品费用超标对应的药品费用报销和/或理赔请求等药品费用超标预警的可靠性,可提高对待监控医疗单位的药品费用超标预警的时效性,从而可提高医疗资源的有效利用率,适用性更强。The embodiment of the present application may determine the average daily drug cost of the medical unit to be monitored in a single evaluation cycle based on the drug information included in the medication prescription of the medical unit to be monitored in a single evaluation cycle. Here, the single evaluation cycle includes a single day, and The assessment period includes any period longer than one day. Based on the average daily drug cost of the medical unit to be monitored during the assessment period, it is judged whether the medication of the medical unit to be monitored exceeds the standard, and the evaluation of the drug index of the medical unit to be monitored is realized, and the operation methods are diverse. Based on the method provided by the embodiment of the present application, the medical drug monitoring operation modes of various medical units are various, which can not only improve the accuracy of medical drug monitoring of medical units, but also improve the reliability of medical drug monitoring of medical units, and can also enhance the medical treatment of medical units. The operational flexibility of the unit ’s medication monitoring can further improve the publicity of early warning of drug cost overruns for each medical unit ’s prescriptions based on the drug use of each medical unit, and / or rejection of drug cost reimbursement and / or corresponding to daily average drug cost overruns The reliability of early warning of excessive drug costs such as claims claims can improve the timeliness of early warning of excessive drug costs of medical units to be monitored, thereby improving the effective utilization of medical resources and making it more applicable.
实施例四:Example 4:
参见图4,图4是本申请实施例提供的一种终端设备的实施例结构示意图。如图4所示,本实施例中的终端设备可以包括:一个或多个处理器401、存储器402和一个或者多个收发器403。上述处理器401、存储器402和收发器403通过总线404连接。存储器402用于存储计算机程序,该计算机程序包括程序指令,处理器401和收发器403用于执行存储器402存储的程序指令。其中,上述处理器401被配置用于调用该程序指令执行如下操作:Referring to FIG. 4, FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application. As shown in FIG. 4, the terminal device in this embodiment may include: one or more processors 401, a memory 402, and one or more transceivers 403. The processor 401, the memory 402, and the transceiver 403 are connected through a bus 404. The memory 402 is used to store a computer program, and the computer program includes program instructions. The processor 401 and the transceiver 403 are used to execute the program instructions stored in the memory 402. The processor 401 is configured to call the program instruction to perform the following operations:
获取待监控医疗单位的用药处方;Obtain medication prescriptions for medical units to be monitored;
获取上述用药处方中所包括的药品信息,并根据上述药品信息确定上述待监控医疗单位的日均药品费用;Obtain the drug information included in the above drug prescription, and determine the average daily drug cost of the medical unit to be monitored based on the above drug information;
确定上述日均药品费用是否大于或者等于上述待监控医疗单位对应的日均药品费用阈值。Determine whether the above-mentioned average daily drug cost is greater than or equal to the above-mentioned average daily drug cost threshold corresponding to the medical unit to be monitored.
上述收发器403,用于在上述处理器402确定上述日均药品费用大于或者等于上述日均药品费用阈值,则向上述待监控医疗单位发送药品费用超标预警信息。The transceiver 403 is used for the processor 402 to determine that the daily average drug cost is greater than or equal to the daily average drug cost threshold, and then send early warning information of excessive drug cost to the medical unit to be monitored.
在一些可行的实施方式中,上述药品费用超标预警信息包括药品费用超标预警标识;In some feasible implementation manners, the above warning information for exceeding the drug cost includes the warning label for exceeding the drug cost;
上述收发器403,用于:The above transceiver 403 is used to:
输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页,基于上述医师开方工具首页上显示的上述药品费用超标预警标识,向上述待监控医疗单位的医师发出药品费用超标预警,以提示上述待监控医疗单位的医师控制开方用药以防止药品费用超标。Output the warning sign of excessive drug cost to the front page of the doctor's prescription tool of the medical unit to be monitored. Based on the warning sign of the above drug cost display on the front page of the doctor's prescription tool, the doctor of the medical unit to be monitored will be given a warning of the drug cost. In order to remind the doctors of the above-mentioned medical units to control the prescribing medication to prevent the drug cost from exceeding the standard.
在一些可行的实施方式中,上述用药处方包括上述待监控医疗单位在当前考核周期内的所有用药处方;In some feasible implementation manners, the above medication prescription includes all medication prescriptions of the medical unit to be monitored within the current assessment period;
上述处理器401,用于根据上述日均药品费用和上述日均药品费用阈值确定上述待监控医疗单位在上述当前考核周期内的药品费用超标数据;The processor 401 is configured to determine, according to the daily average drug cost and the daily average drug cost threshold, the drug cost exceeding the standard data of the medical unit to be monitored in the current evaluation period;
上述收发器403,用于根据上述处理器402确定的药品费用超标数据向上述待监控医疗单位发送药品费用超标预警信息,基于上述药品费用超标预警信息向上述待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内日均药品费用超标的预警;The above-mentioned transceiver 403 is used to send the warning information of exceeding the drug cost to the medical unit to be monitored according to the data of exceeding the drug cost determined by the processor 402, and to send the prescribing medication to the medical unit to be monitored based on the warning information of the exceeding drug cost. Early warning to prevent the average daily drug cost from exceeding one or more assessment cycles after the current assessment cycle;
其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的用药处方;和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the medication prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的用药处方;Obtain the medical claim data provided by the medical unit to be monitored, and obtain the medication prescription of the medical unit to be monitored from the medical claim data;
其中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在单日内的所有用药 处方,或者上述待监控医疗单位在单个考核周期内的所有用药处方,上述单个考核周期大于一日。Among them, the medication prescriptions of the medical units to be monitored include all the prescriptions of the medical units to be monitored within a single day, or all the prescriptions of the medical units to be monitored within a single evaluation period, and the single evaluation period is greater than one day.
在一些可行的实施方式中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在单日的单个考核周期内的所有用药处方;In some feasible implementation manners, the medication prescription of the medical unit to be monitored includes all prescriptions of the medication of the medical unit to be monitored within a single assessment cycle on a single day;
上述处理器401,用于:The above processor 401 is used to:
获取上述所有用药处方中所包括的各药品的药品信息,上述药品信息中至少包括药品金额和药品使用天数;Obtain the drug information of each drug included in all the above drug prescriptions. The above drug information includes at least the drug amount and the number of days the drug is used;
根据上述各药品的药品金额确定上述所有用药处方所包括的所有药品的药品总额,并根据上述各药品的药品使用天数确定上述所有用药处方的药品使用总天数;Determine the total amount of all drugs included in all the above prescriptions based on the drug amount of each of the above drugs, and determine the total number of days of use of all the above drug prescriptions based on the number of days of use of each of the above drugs;
根据上述药品总额和上述药品使用总天数确定上述待监控医疗单位的日均药品费用。Determine the average daily drug cost of the medical unit to be monitored based on the total amount of the above drugs and the total number of days of use of the above drugs.
其中,上述待监控医疗单位的日均药品费用满足:Among them, the daily medical expenses of the above-mentioned medical units to be monitored meet:
日均药品费用=药品总额/药品使用总天数。Average daily drug cost = total drug / total days of drug use.
在一些可行的实施方式中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在多日的单个考核周期内的所有用药处方;In some feasible implementation manners, the drug prescriptions of the medical unit to be monitored include all drug prescriptions of the medical unit to be monitored in a single assessment period of multiple days;
上述处理器401,用于:The above processor 401 is used to:
获取上述单个考核周期内任一日的任一单日用药处方,并获取上述任一单日用药处方中所包括的各药品的药品信息,上述药品信息中至少包括药品金额和药品使用天数;Obtain any single-day medication prescription on any day within the above-mentioned single assessment cycle, and obtain the drug information of each drug included in any of the single-day medication prescriptions. The above-mentioned drug information includes at least the drug amount and the number of days of drug use;
根据上述任一单日用药处方所包括的各药品的药品金额和药品使用天数确定上述待监控医疗单位的单日日均药品费用;Determine the average daily drug cost of the above-mentioned medical unit to be monitored based on the drug amount of each drug and the number of days of drug use included in any of the above single-day drug prescriptions;
根据上述待监控医疗单位在上述单个考核周期内各日的单日日均药品费用和药品使用总天数确定上述待监控医疗单位的日均药品费用;Determine the average daily drug cost of the medical unit to be monitored based on the average daily drug cost and the total number of days of drug use of the medical unit to be monitored in each day of the single assessment cycle;
其中,任一日的药品使用总天数为上述任一单日用药处方中所包括的各药品的药品使用天数的总和。Among them, the total number of days of drug use for any one day is the sum of the number of days of drug use for each drug included in any one-day medication prescription.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
根据上述单个考核周期内各日的单日日均药品费用确定上述单个考核周期的单日日均药品费用累加值,根据上述单个考核周期内各日的药品使用总天数确定上述单个考核周期内的药品使用总天数累加值;Determine the accumulated value of the average daily single-day drug cost of each day in the above single assessment cycle based on the daily average daily drug cost of each day in the above-mentioned single evaluation cycle, and determine the total number of days of drug use in each day of the above single evaluation period. Cumulative value of total days of drug use;
根据上述单日日均药品费用累加值和上述药品使用总天数累加值确定上述待监控医疗单位的日均药品费用。The daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the above-mentioned daily average daily drug cost and the cumulative value of the above-mentioned total days of drug use.
其中,上述待监控医疗单位的日均药品费用满足:Among them, the daily medical expenses of the above-mentioned medical units to be monitored meet:
日均药品费用=单日日均药品费用累加值/药品使用总天数累加值。或者Daily average drug cost = cumulative value of daily average daily drug cost / cumulative value of total days of drug use. or
可选的,上述待监控医疗单位的日均药品费用满足:Optionally, the daily medical expenses of the medical unit to be monitored meet:
日均药品费用=周期药品总额/周期药品使用总天数;Average daily drug cost = total periodical drugs / total days of periodical drugs;
其中,在上述周期药品总额可以是单个考核周期内的所有处方的所有药品的药品金额累加得到的所有药品的总金额,上述周期药品使用总天数可以是单个考核周期内的所有药品中每个药品的药品使用天数的累加值。Among them, the total amount of medicines in the above period may be the total amount of all medicines obtained by accumulating the amount of all prescription medicines in a single assessment period, and the total number of days of use of the above period medicines may be each medicine in all medicines in a single assessment period The cumulative value of the number of days of medicine used.
在一些可行的实施方式中,上述处理器401,还用于:In some feasible implementation manners, the foregoing processor 401 is further used to:
根据上述待监控医疗单位的单位属性信息确定上述待监控医疗单位的日均药品费用阈 值,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种。Determine the daily average drug cost threshold of the medical unit to be monitored according to the unit attribute information of the medical unit to be monitored. The unit attribute information of the medical unit to be monitored includes the unit type, the location of the unit, the city of the unit, and the supply channel of the unit And one or more of the patient visits per unit.
在一些可行的实施方式中,上述处理器401可以是中央处理单元(central processing unit,CPU),该处理器还可以是其他通用处理器、数字信号处理器(digital signal processor,DSP)、专用集成电路(application specific integrated circuit,ASIC)、现成可编程门阵列(field-programmable gate array,FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。该存储器402可以包括只读存储器和随机存取存储器,并向处理器401提供指令和数据。存储器402的一部分还可以包括非易失性随机存取存储器。例如,存储器402还可以存储设备类型的信息。In some feasible implementation manners, the processor 401 may be a central processing unit (CPU), and the processor may also be other general-purpose processors, digital signal processors (DSPs), and dedicated integrations. Circuit (application specific integrated circuit, ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. The general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like. The memory 402 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401. A portion of the memory 402 may also include non-volatile random access memory. For example, the memory 402 may also store device type information.
在一些可行的实施方式中,上述终端设备可通过其内置的处理器401和收发器403的各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。In some feasible implementation manners, the above-mentioned terminal device may execute the implementation manners provided by the above steps in FIG. 1 to FIG. 2 through the respective functional modules of the built-in processor 401 and the transceiver 403. For details, see the above steps The implementation provided will not be repeated here.
本申请实施例可基于待监控医疗单位在单个考核周期内的用药处方中所包括的药品信息,确定待监控医疗单位在单个考核周期内的日均药品费用,这里单个考核周期包括单日,也包括多于一日的任一时长的考核周期。基于待监控医疗单位在该考核周期内的日均药品费用判断待监控医疗单位的用药是否超标,实现对待监控医疗单位的用药指标的评价,操作方式多样。基于本申请实施例提供的方法实现对各医疗单位的用药监控操作方式多样,既可提高对医疗单位的用药监控的准确性,提高对医疗单位的用药监控的可靠性,同时也可增强对医疗单位的用药监控的操作灵活性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的公示、和/或拒绝日均药品费用超标对应的药品费用报销和/或理赔请求等药品费用超标预警的可靠性,可提高对待监控医疗单位的药品费用超标预警的时效性,从而可提高医疗资源的有效利用率,适用性更强。The embodiment of the present application may determine the average daily drug cost of the medical unit to be monitored in a single evaluation cycle based on the drug information included in the medication prescription of the medical unit to be monitored in a single evaluation cycle. Here, the single evaluation cycle includes a single day, and The assessment period includes any period longer than one day. Based on the average daily drug cost of the medical unit to be monitored during the assessment period, it is judged whether the medication of the medical unit to be monitored exceeds the standard, and the evaluation of the drug index of the medical unit to be monitored is realized, and the operation methods are diverse. Based on the method provided by the embodiment of the present application, the medical drug monitoring operation modes of various medical units are various, which can not only improve the accuracy of medical drug monitoring of medical units, but also improve the reliability of medical drug monitoring of medical units, and can also enhance the medical treatment of medical units. The operational flexibility of the unit ’s medication monitoring can further improve the publicity of early warning of drug cost overruns for each medical unit ’s prescriptions based on the drug use of each medical unit, and / or rejection of drug cost reimbursement and / or corresponding to daily average drug cost overruns The reliability of early warning of excessive drug costs such as claims claims can improve the timeliness of early warning of excessive drug costs of medical units to be monitored, thereby improving the effective utilization of medical resources and making it more applicable.
本申请实施例还提供一种计算机可读存储介质,该计算机可读存储介质存储有计算机程序,该计算机程序包括程序指令,该程序指令被收发器和/或处理器执行时实现图1至图2中各个步骤所提供的基于数据处理的药品费用超标预警方法,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。Embodiments of the present application also provide a computer-readable storage medium that stores a computer program, and the computer program includes program instructions, which are implemented by a transceiver and / or a processor to implement FIG. 1 to FIG. For the early warning method for the drug cost exceeding standard based on the data processing provided in each step in 2, please refer to the implementation provided in each step above, which will not be repeated here.
上述计算机可读存储介质可以是前述任一实施例提供的基于数据处理的药品费用超标预警装置或者上述终端设备的内部存储单元,例如电子设备的硬盘或内存。该计算机可读存储介质也可以是该电子设备的外部存储设备,例如该电子设备上配备的插接式硬盘,智能存储卡(smart media card,SMC),安全数字(secure digital,SD)卡,闪存卡(flash card)等。The foregoing computer-readable storage medium may be the data processing-based early warning device for exceeding drug standards based on data processing provided in any of the foregoing embodiments or the internal storage unit of the foregoing terminal device, such as the hard disk or memory of the electronic device. The computer-readable storage medium may also be an external storage device of the electronic device, such as a plug-in hard disk equipped on the electronic device, a smart memory card (smart media card, SMC), a secure digital (SD) card, Flash card (flash card), etc.
以上所述,仅为本申请的具体实施方式,但本申请的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本申请揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本申请的保护范围之内。因此,本申请的保护范围应以所述权利要求的保护范围为准。The above is only the specific implementation of this application, but the scope of protection of this application is not limited to this, any person skilled in the art can easily think of changes or replacements within the technical scope disclosed in this application. It should be covered by the scope of protection of this application. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims (20)

  1. 一种基于数据处理的药品费用超标预警方法,其特征在于,所述方法包括:A warning method for drug cost exceeding standard based on data processing is characterized in that the method includes:
    获取待监控医疗单位的用药处方;Obtain medication prescriptions for medical units to be monitored;
    获取所述用药处方中所包括的药品信息,并根据所述药品信息确定所述待监控医疗单位的日均药品费用;Obtain the drug information included in the drug prescription, and determine the average daily drug cost of the medical unit to be monitored based on the drug information;
    确定所述日均药品费用是否大于或者等于所述待监控医疗单位对应的日均药品费用阈值;Determine whether the daily average drug cost is greater than or equal to the daily average drug cost threshold corresponding to the medical unit to be monitored;
    若所述日均药品费用大于或者等于所述日均药品费用阈值,则向所述待监控医疗单位发送药品费用超标预警信息。If the daily average drug cost is greater than or equal to the daily average drug cost threshold, warning information that the drug cost exceeds the standard is sent to the medical unit to be monitored.
  2. 根据权利要求1所述的方法,其特征在于,所述药品费用超标预警信息包括药品费用超标预警标识;The method according to claim 1, wherein the warning information for exceeding the drug cost includes a warning indicator for exceeding the drug cost;
    所述向所述待监控医疗单位发送药品费用超标预警信息包括:The early warning information that the medical expenses to be monitored are sent to the medical unit to be monitored includes:
    输出药品费用超标预警标识至所述待监控医疗单位的医师开方工具首页,基于所述医师开方工具首页上显示的所述药品费用超标预警标识,向所述待监控医疗单位的医师发出药品费用超标预警,以提示所述待监控医疗单位的医师控制开方用药以防止药品费用超标。Output an early warning sign of excessive drug cost to the homepage of the doctor's prescription of the medical unit to be monitored, and issue a medicine to the doctor of the medical unit to be monitored based on the early warning sign of the drug cost exceeding the standard displayed on the homepage of the medical prescription Early warning of over-expenditure to remind the doctor of the medical unit to be controlled to control the prescribing medication to prevent over-expense of the drug cost.
  3. 根据权利要求1所述的方法,其特征在于,所述用药处方包括所述待监控医疗单位在当前考核周期内的所有用药处方;The method according to claim 1, wherein the medication prescription includes all medication prescriptions of the medical unit to be monitored in the current assessment period;
    所述向所述待监控医疗单位发送药品费用超标预警信息包括:The early warning information that the medical expenses to be monitored are sent to the medical unit to be monitored includes:
    根据所述日均药品费用和所述日均药品费用阈值确定所述待监控医疗单位在所述当前考核周期内的药品费用超标数据;Determining, according to the daily average drug cost and the daily average drug cost threshold, the drug cost data of the medical unit to be monitored in the current evaluation period exceeds the standard;
    根据所述药品费用超标数据向所述待监控医疗单位发送药品费用超标预警信息,基于所述药品费用超标预警信息向所述待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内日均药品费用超标的预警;According to the drug cost exceeding standard data, the drug unit exceeding the standard warning information is sent to the medical unit to be monitored, and based on the drug cost exceeding standard warning information, the control prescribing medicine is sent to the medical unit to be monitored to prevent one after the current evaluation cycle Or early warning of daily drug cost exceeding the standard in multiple assessment cycles;
    其中,所述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Wherein, the pre-warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  4. 根据权利要求2或3所述的方法,其特征在于,所述获取待监控医疗单位的用药处方包括:The method according to claim 2 or 3, characterized in that, obtaining the medication prescription of the medical unit to be monitored includes:
    获取所述待监控医疗单位的数据系统准入资格,基于所述数据系统准入资格从所述待监控医疗单位的数据系统中获取所述待监控医疗单位的用药处方;和/或Acquiring the data system access qualification of the medical unit to be monitored, and obtaining the medication prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the data system access qualification; and / or
    获取所述待监控医疗单位提供的医疗理赔数据,从所述医疗理赔数据中获取所述待监控医疗单位的用药处方;Obtain medical claim data provided by the medical unit to be monitored, and obtain medication prescriptions of the medical unit to be monitored from the medical claim data;
    其中,所述待监控医疗单位的用药处方包括所述待监控医疗单位在单个考核周期内的所有用药处方,所述单个考核周期的周期时长包括单日或者多日。Wherein, the medicine prescription of the medical unit to be monitored includes all the medicine prescriptions of the medical unit to be monitored in a single assessment cycle, and the period duration of the single assessment cycle includes a single day or multiple days.
  5. 根据权利要4所述的方法,其特征在于,所述待监控医疗单位的用药处方包括所述待监控医疗单位在单日的单个考核周期内的所有用药处方;The method according to claim 4, characterized in that the medicine prescription of the medical unit to be monitored includes all medicine prescriptions of the medical unit to be monitored within a single assessment period on a single day;
    所述获取所述用药处方中所包括的药品信息,并根据所述药品信息确定所述待监控医疗单位的日均药品费用包括:The acquiring the drug information included in the drug prescription and determining the average daily drug cost of the medical unit to be monitored based on the drug information includes:
    获取所述所有用药处方中所包括的各药品的药品信息,所述药品信息中至少包括药品金额和药品使用天数;Obtain the medicine information of each medicine included in all the medicine prescriptions, and the medicine information at least includes the medicine amount and the number of days of medicine use;
    根据所述各药品的药品金额确定所述所有用药处方所包括的所有药品的药品总额,并根据所述各药品的药品使用天数确定所述所有用药处方的药品使用总天数;Determine the total amount of medicines of all medicines included in the prescriptions of all medicines according to the amount of medicines of the medicines, and determine the total number of days of medicines usage of all prescriptions of medicines according to the days of medicine use of the medicines
    根据所述药品总额和所述药品使用总天数确定所述待监控医疗单位的日均药品费用。The average daily drug cost of the medical unit to be monitored is determined according to the total amount of the drug and the total number of days the drug is used.
  6. 根据权利要求4所述的方法,其特征在于,所述待监控医疗单位的用药处方包括所述待监控医疗单位在多日的单个考核周期内的所有用药处方;The method according to claim 4, wherein the medication prescriptions of the medical unit to be monitored include all prescriptions of the medication of the medical unit to be monitored within a single assessment period of multiple days;
    所述获取所述用药处方中所包括的药品信息,并根据所述药品信息确定所述待监控医疗单位的日均药品费用包括:The acquiring the drug information included in the drug prescription and determining the average daily drug cost of the medical unit to be monitored based on the drug information includes:
    获取所述单个考核周期内任一日的任一单日用药处方,并获取所述任一单日用药处方中所包括的各药品的药品信息,所述药品信息中至少包括药品金额和药品使用天数;Obtain any single-day medication prescription for any day within the single assessment period, and obtain drug information for each drug included in the any single-day medication prescription, at least the drug amount and drug use are included in the drug information Days
    根据所述任一单日用药处方所包括的各药品的药品金额和药品使用天数确定所述待监控医疗单位的单日日均药品费用;Determine the single-day average daily drug cost of the medical unit to be monitored according to the drug amount of each drug included in the single-day drug prescription and the number of days of drug use;
    根据所述待监控医疗单位在所述单个考核周期内各日的单日日均药品费用和药品使用总天数确定所述待监控医疗单位的日均药品费用;Determine the average daily drug cost of the medical unit to be monitored according to the daily average daily drug cost and the total number of days of drug use of the medical unit to be monitored in each day of the single assessment cycle;
    其中,任一日的药品使用总天数为所述任一单日用药处方中所包括的各药品的药品使用天数的总和。Wherein, the total number of days of drug use for any day is the sum of the number of days of drug use for each drug included in the prescription for any single-day drug.
  7. 根据权利要求6所述的方法,其特征在于,所述根据所述待监控医疗单位在所述单个考核周期内各日的单日日均药品费用和药品使用总天数确定所述待监控医疗单位的日均药品费用包括:The method according to claim 6, characterized in that the medical unit to be monitored is determined according to the daily average daily drug cost and the total number of days of drug use of each day of the medical unit to be monitored in the single assessment period The average daily drug cost includes:
    根据所述单个考核周期内各日的单日日均药品费用确定所述单个考核周期的单日日均药品费用累加值,根据所述单个考核周期内各日的药品使用总天数确定所述单个考核周期内的药品使用总天数累加值;The cumulative value of the average daily single-day drug cost of the single assessment cycle is determined according to the daily average daily drug cost of each day in the single evaluation period, and the individual is determined based on the total number of days of drug use for each day in the single evaluation period The cumulative value of the total number of days of drug use during the assessment period;
    根据所述单日日均药品费用累加值和所述药品使用总天数累加值确定所述待监控医疗单位的日均药品费用。The daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the daily average daily drug cost and the cumulative value of the total days of drug use.
  8. 一种基于数据处理的药品费用超标预警装置,其特征在于,所述装置包括:An early warning device for drug cost exceeding standard based on data processing is characterized in that the device includes:
    数据获取单元,用于获取待监控医疗单位的用药处方;The data acquisition unit is used to acquire the medication prescription of the medical unit to be monitored;
    药品信息处理单元,用于获取所述数据获取单元获取的所述用药处方中所包括的药品信息,并根据所述药品信息确定所述待监控医疗单位的日均药品费用;A drug information processing unit, configured to obtain the drug information included in the medication prescription obtained by the data obtaining unit, and determine the average daily drug cost of the medical unit to be monitored according to the drug information;
    药品费用监控单元,用于确定所述药品信息处理单元确定的所述日均药品费用是否大于或者等于所述待监控医疗单位对应的日均药品费用阈值;A drug cost monitoring unit, configured to determine whether the average daily drug cost determined by the drug information processing unit is greater than or equal to a daily average drug cost threshold corresponding to the medical unit to be monitored;
    药品费用超标预警单元,用于在所述药品费用监控单元确定所述日均药品费用大于或者等于所述日均药品费用阈值时,向所述待监控医疗单位发送药品费用超标预警信息。A drug cost exceeding warning unit is used to send early warning information of drug cost exceeding the standard to the medical unit to be monitored when the drug cost monitoring unit determines that the average daily drug cost is greater than or equal to the daily average drug cost threshold.
  9. 根据权利要求8所述的装置,其特征在于,上述药品费用超标预警信息包括药品费用超标预警标识;The device according to claim 8, characterized in that the early warning information for exceeding the drug cost includes a warning indicator for exceeding the drug cost;
    上述药品费用超标预警单元用于:The above-mentioned early warning unit for drug cost exceeding standard is used for:
    输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页,基于上述医师开方工具首页上显示的上述药品费用超标预警标识,向上述待监控医疗单位的医师发出 药品费用超标预警,以提示上述待监控医疗单位的医师控制开方用药以防止药品费用超标。Output the warning sign of excessive drug cost to the front page of the doctor's prescription tool of the medical unit to be monitored. Based on the warning sign of the above drug cost display on the front page of the doctor's prescription tool, the doctor of the medical unit to be monitored will be given a warning of the drug cost. In order to remind the doctors of the above-mentioned medical units to control the prescribing medication to prevent the drug cost from exceeding the standard.
  10. 根据权利要求8所述的装置,其特征在于,上述用药处方包括上述待监控医疗单位在当前考核周期内的所有用药处方;The device according to claim 8, wherein the medication prescription includes all medication prescriptions of the medical unit to be monitored within the current assessment period;
    上述药品费用超标预警单元用于:The above-mentioned early warning unit for drug cost exceeding standard is used for:
    根据上述日均药品费用和上述日均药品费用阈值确定上述待监控医疗单位在上述当前考核周期内的药品费用超标数据;According to the above-mentioned daily average drug cost and the above-mentioned average daily drug cost threshold, determine the data of the drug cost exceeding the standard of the medical unit to be monitored in the current evaluation period;
    根据上述药品费用超标数据向上述待监控医疗单位发送药品费用超标预警信息,基于上述药品费用超标预警信息向上述待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内日均药品费用超标的预警;According to the above drug cost exceeding standard data, the drug cost exceeding warning early warning information is sent to the medical unit to be monitored, and based on the above drug cost exceeding warning early warning information, the control prescription medication is sent to the medical unit to be monitored to prevent one or more evaluations after the current evaluation cycle Early warning of daily drug cost exceeding the standard within the cycle;
    其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  11. 根据权利要求9或10所述的装置,其特征在于,上述数据获取单元用于:The apparatus according to claim 9 or 10, wherein the data acquisition unit is used to:
    获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的用药处方;和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the medication prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
    获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的用药处方;Obtain the medical claim data provided by the medical unit to be monitored, and obtain the medication prescription of the medical unit to be monitored from the medical claim data;
    其中,上述待监控医疗单位的用药处方包括上述待监控医疗单位在单个考核周期内的所有用药处方,上述单个考核周期的周期时长包括单日或者多日。Wherein, the medication prescription of the medical unit to be monitored includes all medication prescriptions of the medical unit to be monitored in a single assessment cycle, and the duration of the single assessment cycle includes a single day or multiple days.
  12. 根据权利要求11所述的装置,其特征在于,上述待监控医疗单位的用药处方包括上述待监控医疗单位在单日的单个考核周期内的所有用药处方;The device according to claim 11, wherein the medication prescriptions of the medical unit to be monitored include all prescriptions of the medication of the medical unit to be monitored within a single assessment period on a single day;
    上述药品信息处理单元用于:The above drug information processing unit is used for:
    获取上述所有用药处方中所包括的各药品的药品信息,上述药品信息中至少包括药品金额和药品使用天数;Obtain the drug information of each drug included in all the above drug prescriptions. The above drug information includes at least the drug amount and the number of days the drug is used;
    根据上述各药品的药品金额确定上述所有用药处方所包括的所有药品的药品总额,并根据上述各药品的药品使用天数确定上述所有用药处方的药品使用总天数;Determine the total amount of all drugs included in all the above prescriptions based on the drug amount of each of the above drugs, and determine the total number of days of use of all the above drug prescriptions based on the number of days of use of each of the above drugs;
    根据上述药品总额和上述药品使用总天数确定上述待监控医疗单位的日均药品费用。Determine the average daily drug cost of the medical unit to be monitored based on the total amount of the above drugs and the total number of days of use of the above drugs.
  13. 根据权利要求11所述的装置,其特征在于,上述待监控医疗单位的用药处方包括上述待监控医疗单位在多日的单个考核周期内的所有用药处方;The device according to claim 11, wherein the medication prescription of the medical unit to be monitored includes all prescriptions of the medication of the medical unit to be monitored in a single assessment period of multiple days;
    上述药品信息处理单元用于:The above drug information processing unit is used for:
    获取上述单个考核周期内任一日的任一单日用药处方,并获取上述任一单日用药处方中所包括的各药品的药品信息,上述药品信息中至少包括药品金额和药品使用天数;Obtain any single-day medication prescription on any day within the above-mentioned single assessment cycle, and obtain the drug information of each drug included in any of the single-day medication prescriptions. The above-mentioned drug information includes at least the drug amount and the number of days of drug use;
    根据上述任一单日用药处方所包括的各药品的药品金额和药品使用天数确定上述待监控医疗单位的单日日均药品费用;Determine the average daily drug cost of the above-mentioned medical unit to be monitored based on the drug amount of each drug and the number of days of drug use included in any of the above single-day drug prescriptions;
    根据上述待监控医疗单位在上述单个考核周期内各日的单日日均药品费用和药品使用总天数确定上述待监控医疗单位的日均药品费用;Determine the average daily drug cost of the medical unit to be monitored based on the average daily drug cost and the total number of days of drug use of the medical unit to be monitored in each day of the single assessment cycle;
    其中,任一日的药品使用总天数为上述任一单日用药处方中所包括的各药品的药品使用天数的总和。Among them, the total number of days of drug use for any one day is the sum of the number of days of drug use for each drug included in any one-day medication prescription.
  14. 根据权利要求13所述的装置,其特征在于,上述药品信息处理单元用于:The apparatus according to claim 13, wherein the medicine information processing unit is used to:
    根据上述单个考核周期内各日的单日日均药品费用确定上述单个考核周期的单日日均药品费用累加值,根据上述单个考核周期内各日的药品使用总天数确定上述单个考核周期内的药品使用总天数累加值;Determine the accumulated value of the average daily single-day drug cost of each day in the above single assessment cycle based on the daily average daily drug cost of each day in the above-mentioned single evaluation cycle, and determine the total number of days of drug use in each day of the above single evaluation period. Cumulative value of total days of drug use;
    根据上述单日日均药品费用累加值和上述药品使用总天数累加值确定上述待监控医疗单位的日均药品费用。The daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the above-mentioned daily average daily drug cost and the cumulative value of the above-mentioned total days of drug use.
  15. 一种终端设备,其特征在于,包括收发器、处理器和存储器,所述收发器、所述处理器和所述存储器相互连接,其中,所述存储器用于存储计算机程序,所述计算机程序包括程序指令,所述收发器和所述处理器被配置用于调用所述程序指令,执行如下操作:A terminal device is characterized by comprising a transceiver, a processor and a memory, wherein the transceiver, the processor and the memory are connected to each other, wherein the memory is used to store a computer program, and the computer program includes Program instructions, the transceiver and the processor are configured to call the program instructions and perform the following operations:
    所述处理器,用于获取待监控医疗单位的用药处方;The processor is used to obtain the medication prescription of the medical unit to be monitored;
    所述处理器,还用于获取所述用药处方中所包括的药品信息,并根据所述药品信息确定所述待监控医疗单位的日均药品费用;The processor is further used to obtain the medicine information included in the medicine prescription, and determine the average daily medicine cost of the medical unit to be monitored according to the medicine information;
    所述处理器,还用于确定所述日均药品费用是否大于或者等于所述待监控医疗单位对应的日均药品费用阈值The processor is further configured to determine whether the daily average drug cost is greater than or equal to the daily average drug cost threshold corresponding to the medical unit to be monitored
    所述收发器,用于在所述处理器确定所述日均药品费用大于或者等于所述日均药品费用阈值时,向所述待监控医疗单位发送药品费用超标预警信息。The transceiver is configured to send early warning information of excessive drug cost to the medical unit to be monitored when the processor determines that the average daily drug cost is greater than or equal to the daily average drug cost threshold.
  16. 根据权利要求15所述的终端设备,其特征在于,所述药品费用超标预警信息包括药品费用超标预警标识;The terminal device according to claim 15, wherein the warning information for exceeding the drug cost includes a warning indicator for exceeding the drug cost;
    所述收发器用于:The transceiver is used for:
    输出药品费用超标预警标识至所述待监控医疗单位的医师开方工具首页,基于所述医师开方工具首页上显示的所述药品费用超标预警标识,向所述待监控医疗单位的医师发出药品费用超标预警,以提示所述待监控医疗单位的医师控制开方用药以防止药品费用超标。Output an early warning sign of excessive drug cost to the homepage of the doctor's prescription of the medical unit to be monitored, and issue a medicine to the doctor of the medical unit to be monitored based on the early warning sign of the drug cost exceeding the standard displayed on the homepage of the medical prescription Early warning of over-expenditure to remind the doctor of the medical unit to be controlled to control the prescribing medication to prevent over-expense of the drug cost.
  17. 根据权利要求15所述的终端设备,其特征在于,所述用药处方包括所述待监控医疗单位在当前考核周期内的所有用药处方;The terminal device according to claim 15, wherein the medication prescription includes all medication prescriptions of the medical unit to be monitored in the current assessment period;
    所述处理器,用于根据所述日均药品费用和所述日均药品费用阈值确定所述待监控医疗单位在所述当前考核周期内的药品费用超标数据;The processor is configured to determine, according to the daily average drug cost and the daily average drug cost threshold, the drug cost exceeding standard data of the medical unit to be monitored in the current evaluation period;
    所述收发器,用于根据所述处理器确定的所述药品费用超标数据向所述待监控医疗单位发送药品费用超标预警信息,基于所述药品费用超标预警信息向所述待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内日均药品费用超标的预警;The transceiver is configured to send early warning information of excessive drug cost to the medical unit to be monitored according to the data of excessive drug cost determined by the processor, and send to the medical unit to be monitored based on the early warning information of excessive drug cost Pre-warning to control prescribing medication to prevent the daily average drug cost exceeding the standard in one or more evaluation cycles after the current evaluation cycle;
    其中,所述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Wherein, the pre-warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  18. 根据权利要求16或17所述的终端设备,其特征在于,所述处理器用于:The terminal device according to claim 16 or 17, wherein the processor is used to:
    获取所述待监控医疗单位的数据系统准入资格,基于所述数据系统准入资格从所述待监控医疗单位的数据系统中获取所述待监控医疗单位的用药处方;和/或Acquiring the data system access qualification of the medical unit to be monitored, and obtaining the medication prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the data system access qualification; and / or
    获取所述待监控医疗单位提供的医疗理赔数据,从所述医疗理赔数据中获取所述待监控医疗单位的用药处方;Obtain medical claim data provided by the medical unit to be monitored, and obtain medication prescriptions of the medical unit to be monitored from the medical claim data;
    其中,所述待监控医疗单位的用药处方包括所述待监控医疗单位在单个考核周期内的所有用药处方,所述单个考核周期的周期时长包括单日或者多日。Wherein, the medicine prescription of the medical unit to be monitored includes all the medicine prescriptions of the medical unit to be monitored in a single assessment cycle, and the period duration of the single assessment cycle includes a single day or multiple days.
  19. 根据权利要求18所述的终端设备,其特征在于,所述处理器用于:The terminal device according to claim 18, wherein the processor is configured to:
    根据所述单个考核周期内各日的单日日均药品费用确定所述单个考核周期的单日日均药品费用累加值,根据所述单个考核周期内各日的药品使用总天数确定所述单个考核周期内的药品使用总天数累加值;The cumulative value of the average daily single-day drug cost of the single assessment cycle is determined according to the daily average daily drug cost of each day in the single evaluation period, and the individual is determined based on the total number of days of drug use for each day in the single evaluation period The cumulative value of the total number of days of drug use during the assessment period;
    根据所述单日日均药品费用累加值和所述药品使用总天数累加值确定所述待监控医疗单位的日均药品费用。The daily average drug cost of the medical unit to be monitored is determined according to the cumulative value of the daily average daily drug cost and the cumulative value of the total days of drug use.
  20. 一种计算机可读存储介质,其特征在于,所述计算机可读存储介质存储有计算机程序,所述计算机程序被处理器执行以实现权利要求1-7任一项所述的方法。A computer-readable storage medium, characterized in that the computer-readable storage medium stores a computer program, which is executed by a processor to implement the method according to any one of claims 1-7.
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Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109524077A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 Prescriptions of traditional Chinese medicine drug expenditure control method and device based on data processing
CN109360623A (en) * 2018-10-22 2019-02-19 平安医疗健康管理股份有限公司 Use effective prescription risk control method and device based on data processing
CN109308793A (en) * 2018-10-22 2019-02-05 平安医疗健康管理股份有限公司 The exceeded method for early warning of drug expenditure and device based on data processing
CN109523762A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing
CN111161891B (en) * 2019-12-31 2023-06-30 重庆亚德科技股份有限公司 Traditional Chinese medicine information management platform

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014225176A (en) * 2013-05-17 2014-12-04 株式会社日立製作所 Analysis system and health business support method
CN107833621A (en) * 2017-03-06 2018-03-23 平安医疗健康管理股份有限公司 Medical expense control method and apparatus
CN107895593A (en) * 2017-10-27 2018-04-10 深圳市健康易信息科技有限公司 Data processing method and related product
CN108492196A (en) * 2018-03-08 2018-09-04 平安医疗健康管理股份有限公司 The air control method of medical insurance unlawful practice is inferred by data analysis
CN109308793A (en) * 2018-10-22 2019-02-05 平安医疗健康管理股份有限公司 The exceeded method for early warning of drug expenditure and device based on data processing
CN109360623A (en) * 2018-10-22 2019-02-19 平安医疗健康管理股份有限公司 Use effective prescription risk control method and device based on data processing

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104134157B (en) * 2014-08-08 2018-04-13 平安养老保险股份有限公司 Suspicious actions auditing system and checking method during a kind of medical insurance reimbursement
CN107123072A (en) * 2017-05-11 2017-09-01 杭州逸曜信息技术有限公司 Medical expense restriction rule generation method
CN107451401A (en) * 2017-07-11 2017-12-08 武汉金豆医疗数据科技有限公司 A kind of medical insurance intelligent checks method and system
CN108062973A (en) * 2017-11-30 2018-05-22 江西洪都航空工业集团有限责任公司 A kind of health care data analysing method
CN108172302A (en) * 2017-12-15 2018-06-15 广州市康软信息科技有限公司 Rational use of medicines information monitoring method and system
CN108154917A (en) * 2017-12-27 2018-06-12 广州水木星尘信息科技有限公司 The analysis method and system that medical industry is charged in violation of rules and regulations

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014225176A (en) * 2013-05-17 2014-12-04 株式会社日立製作所 Analysis system and health business support method
CN107833621A (en) * 2017-03-06 2018-03-23 平安医疗健康管理股份有限公司 Medical expense control method and apparatus
CN107895593A (en) * 2017-10-27 2018-04-10 深圳市健康易信息科技有限公司 Data processing method and related product
CN108492196A (en) * 2018-03-08 2018-09-04 平安医疗健康管理股份有限公司 The air control method of medical insurance unlawful practice is inferred by data analysis
CN109308793A (en) * 2018-10-22 2019-02-05 平安医疗健康管理股份有限公司 The exceeded method for early warning of drug expenditure and device based on data processing
CN109360623A (en) * 2018-10-22 2019-02-19 平安医疗健康管理股份有限公司 Use effective prescription risk control method and device based on data processing

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