Method of medical performance evaluation based on disease risk adjustment application

Abstract

The invention discloses a method of medical performance evaluation based on disease risk adjustment application. The method includes calculating ACMI based on disease risk adjustment and CCHI base ontechnical operation difficulty, and evaluating performance, wherein that evaluating method comprises the following steps: 1, calculating total hospital performance through historical data; 2, calculate and distributing that total performance amount accord to grades to obtain the performance amounts of each grade; 3, calculate and distributing that performance amount of a single grade accord to thedepartments, and obtaining the performance amounts of each department; 4, calculating and distributing the performance amount of a single department according to the individual doctor, and obtainingthe individual performance amount. The invention provides a method for accurately calculating individual performance, which guarantees the fairness of evaluation, mobilizes the enthusiasm of medical personnel, and also promotes the improvement of individual and organization performance level.

Description

technical field [0001] The invention relates to the field of smart medical care, in particular to a method for evaluating medical performance based on disease risk adjustment. Background technique [0002] In recent years, the diagnosis and treatment association classification method determines the basis for medical insurance payment based on the clinical similarity and resource consumption similarity of inpatients, that is, according to the severity of disease and treatment methods of inpatients According to the degree of complexity and resource consumption, it is divided into a certain number of disease groups, and the standard of medical expenses is set up for collection and payment based on the group. It has and will become the main way of medical insurance payment in my country. However, in the process of applying the existing diagnosis and treatment association classification evaluation system in the hospital system, there are the following problems: [0003] The patie...

AI Technical Summary

Problems solved by technology

[0003] The patients diagnosed and treated by different service providers are different, the patients admitted by different departments are very different, and the cases of different members are even more different. How to compare is the most difficult problem in the performance evaluation of medical services. It is difficult to compare their performance.

Therefore, the diagnosis and treatment association classification and the corresponding evaluation method of disease complexity are likely to cause errors in the doctor's diagnosis and treatment tendencies. The cost-oriented orientation affects the treatment of seriously ill patients.

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