Quality monitoring method and device for insurance cooperative hospitals, storage medium and terminal

Abstract

The invention discloses a quality monitoring method and device for insurance cooperative hospitals, a storage medium and a terminal, relates to the data processing technology field and mainly solves aproblem that different patients have different evaluations of medical service items and can not reasonably provide insurance companies with the accurate information about costs, services and the medical quality. The method comprises steps that claims data of different cooperative hospitals for the insured personnel and the pre-inputted evaluation information of the cooperative hospitals are acquired; according to disease categories, disease subtypes and treatment strategies, diagnosis disease-related group DRGs grouping of the claims data is carried out, and expected values of the medical expenses are determined; the cost consumption index and the time consumption index in the evaluation information are analyzed; predictive classification is carried out according to the expected values ofthe medical expenses of the different cooperative hospitals, the cost consumption index and the time consumption index, and the quality results of the cooperative hospitals are determined. The methodis advantaged in that the method is suitable for carrying out quality monitoring of the insurance cooperative hospitals.

Description

technical field [0001] The invention relates to the field of data processing, in particular to a quality monitoring method and device, a storage medium and a terminal of an insurance cooperative hospital. Background technique [0002] In the process of business development, insurance companies need to designate hospitals in a certain area that meet the claims and medical conditions as designated hospitals for insured persons according to actual needs, so that insured persons can conduct inspections and issue medical certificates. In order to sign the specific cooperative inspection items of the designated hospitals, it is necessary to determine whether the service quality of the hospital meets the insurance company's claim settlement items, etc., and then sign a cooperation agreement with the qualified hospital to ensure that the cooperative hospital provides effective and reasonable medical treatment for the insured. Serve. [0003] At present, the existing determination o...

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Problems solved by technology

[0004] The embodiment of the present invention provides a quality monitoring method and device, a storage medium, and a terminal of an insurance cooperative hospital, which solves the problem that in the related art, due to different evaluations of medical service items by different patients, it is impossible to reasonably provide accurate information for insurance companies. Questions about the cost, service, quality of medical care and other information

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