DRGs-based disease composition data acquisition and accounting system

Abstract

The invention discloses a DRGs-based disease composition data acquisition and accounting system. The system comprises a medical record information unit, a department information unit, a data acquisition unit, a data processing unit and a database. The medical record information unit is used for importing and exporting medical record information and maintaining the medical record information; the department information unit is used for maintaining operation department information; the data acquisition unit is used for respectively acquiring medical record data and department information data from the medical record information unit and the department information unit, and storing the acquired medical record data and department information data into a database; the data processing unit performs disease type grouping and disease type composition book accounting based on the medical record data and the department information data; and the database is used for storing medical record information, department information data and cost information of each service unit. The disease composition can be quickly and accurately calculated, the hospital income can be subjected to fine-grained evaluation, and an effective data support is provided for hospital management and optimization.

Description

technical field [0001] The invention relates to the technical field of disease group cost accounting, in particular to a DRGs-based disease group cost data collection and accounting system. Background technique [0002] In recent years, with the continuous superimposition of a series of policies such as canceling drug markups, restricting medical device price increases, strengthening cost control, salary system reforms, and pension insurance reforms, the economic operation of public hospitals has generally declined. Strengthen cost management and improve internal management. level is imperative. At the same time, paying according to "Disease Diagnosis-Related Groups (DRGs)" is a new entry point for the reform of medical insurance payment methods in my country. The reform of collection and payment has become the general trend. The grouping of DRGs cases is the premise and basis for the implementation of DRGs disease cost accounting, and it is also the work requirement for th...

AI Technical Summary

Problems solved by technology

[0003] 1) As the provider of medical services, public hospitals lack the motivation to actively carry out disease cost management based on DRGs because they do not have independent pricing power;

[0004] 2) At present, there is no cost accounting system based on disease group that can realize automatic calculation;

[0005] 3) From the perspective of the payer of medical services (mainly the medical insurance fund), there is a conflict between the pricing of diseases based on DRGs and the existing pricing model of medical insurance;

However, based on the situation of single-disease payment in various parts of the country, the scope of single-disease is always relatively limited (generally between 50-100). Compared with tens of thousands of single-diseases, the coverage is small. It is also difficult to form a scale effect

[0008] To sum up, there is no suitable cost accounting system for disease group at present, and there is a lack of mature cases and experience that can be used for reference in the cost accounting of disease group. Therefore, a cost data of disease group based on DRGs is provided. Acquisition and accounting system is particularly necessary

Images