A ward-based nurse station-based one-stop settlement method for hospital admission and discharge and a hospital information system thereof

Abstract

The application discloses a bedside in-and-out hospital one-stop settlement method based on a ward nurse station and a hospital information system thereof, wherein a medical insurance settlement special line is extended and connected to the ward nurse station, and multiple operation permissions such as in-hospital registration, medical insurance settlement, fee collection and discharge handling are configured for nurses; the nurses complete patient identity verification, in-hospital registration and prepayment collection in front of the patient bed through a nursing PDA; after a doctor issues a discharge order, the system automatically pushes the task to the nurse station, the nurse initiates a settlement instruction, the system automatically calls a medical insurance interface to complete real-time segmented settlement and generates an electronic settlement sheet; the patient completes more refund and less supplement through aggregated payment, and the remaining prepayment is returned along the original route; the system prints a settlement voucher and automatically updates a bed state, the application moves the in-and-out hospital settlement service to the bedside, realizes zero running and zero queuing of the patient, significantly improves settlement efficiency and speeds up bed turnover, and simultaneously guarantees medical insurance compliance and operation safety through abnormal interception and biological recognition verification.

Description

Technical Field

[0001] This invention specifically relates to a one-stop settlement method for bedside admission and discharge based on the ward nurse station and its hospital information system. Background Technology

[0002] With the continuous advancement of medical informatization, Hospital Information Systems (HIS), medical insurance settlement platforms, and various mobile payment methods have been widely applied in clinical diagnosis and treatment. However, in the inpatient admission and discharge settlement process, existing technologies still have significant process bottlenecks and efficiency limitations, mainly reflected in the following aspects: First, at present, most hospitals rely heavily on centralized windows at the inpatient department or discharge service center for admission registration, medical insurance registration and discharge settlement. When patients are admitted, they need to queue at the window outside the ward to pay and enter information. When they are discharged, they need to go back and forth between the ward and the settlement center for fee review and settlement. This "back and forth" mode not only increases the physical burden on patients and their families, but also prolongs the time spent in the hospital. Especially during peak hours, it is easy to cause congestion at the windows. Secondly, the existing nursing station system has relatively simple functions, usually only having the functions of medical order execution and nursing record, lacking direct medical insurance settlement interface and fund processing capabilities. The medical insurance settlement line is usually only laid to the financial window and not extended to the ward, which means that nurses can only complete nursing work at the bedside and cannot complete the real-time verification and settlement of medical insurance identity at the same physical location, resulting in the business separation of "nursing at the bedside and settlement at the window". Third, under the traditional model, advance payments mostly rely on POS machine card swiping or cash at the window. Discharge refunds often require complicated reconciliation and offline approval processes, and may not even support refunds to the original payment method. Once online payment channels such as WeChat and Alipay are involved, the refund process becomes even more cumbersome, resulting in a long refund cycle and a poor patient experience. Fourth, since discharge settlement requires patients to go to the window to complete the process, even if the doctor has issued a discharge order, the bed status cannot be updated in the system in a timely manner as long as the settlement is not completed. This results in a large number of "empty beds" that are still occupied in the system, which hinders the hospital's dynamic scheduling of bed resources and improvement of turnover rate. Fifth, in the existing settlement process, the responsibilities of nurses and settlement personnel are separated, and information transmission relies on paper documents or verbal handover, which is prone to errors in cost entry or identity theft. At the same time, there is a lack of a system-level automatic temporary storage and review mechanism for situations such as failure of medical insurance interface calls and abnormal matching of cost catalogs, which increases the risk of medical insurance refusal to pay and the cost of manual intervention.

[0003] In summary, existing technologies have several technical problems, including fragmented business processes, unnecessary travel for patients, low bed turnover, inflexible payment and refund processes, and high risks associated with medical insurance settlement. Summary of the Invention

[0004] To address the shortcomings of existing technologies, this invention provides a one-stop bedside admission and discharge settlement method based on ward nurse stations, and also provides a corresponding hospital information system. It aims to break the physical space limitations of traditional admission and discharge settlement by extending the medical insurance network, reconstructing system permissions, and integrating mobile nursing terminals, thereby realizing "bedside admission and bedside discharge" and solving the above pain points, improving the efficiency of medical services and patient satisfaction.

[0005] The technical solution adopted by this invention to solve its technical problem is: A one-stop settlement method for bedside admission and discharge based on ward nurse stations includes the following steps: S1. System modification and permission configuration, the specific steps are as follows: S11. Extend the medical insurance settlement dedicated line network to the nursing stations of each ward in the hospital through the hospital's local area network; S12. Modify the functions of the hospital information system to enable inpatient registration, billing, and discharge settlement in the nurse workstation interface. At the same time, the system administrator configures permissions for the nurse station operation accounts, giving them multiple operation permissions for admission registration, medical insurance settlement, fee collection, and discharge processing. S2. Bedside Admission Registration: When a patient arrives at the designated ward nursing station with the doctor's admission slip, the nurse takes the patient to the bedside and then accesses the inpatient registration and payment interface of the modified nursing workstation via the nursing PDA. The nurse reads the patient's medical insurance card information and ID card information through the connected card reader and performs facial recognition through the camera to confirm the patient's information. Then, the nurse quickly enters the electronic admission slip information through the barcode scanning device and collects the patient's prepayment. The admission registration, medical insurance qualification confirmation, and prepayment collection registration are completed directly at the nursing station in one stop, generating an electronic inpatient file. Patients do not need to go to the centralized settlement center. At the same time, during the patient's hospitalization, the nurse can directly access the inpatient registration and payment interface of the modified nursing workstation at the bedside and enter the corresponding hospitalization number to quickly view the patient's inpatient registration information. S3. Bedside discharge settlement can be initiated. The specific steps are as follows: S31. After the doctor issues discharge orders to the patient, the hospital information system will automatically push the discharge task to the ward nursing station. S32. After receiving the task through the ward nursing station, the nurse selects the corresponding patient from the list of patients to be discharged by calling the discharge settlement interface and clicks to initiate the settlement instruction. S4. Automatic cost settlement and real-time medical insurance split settlement: After the system responds to the settlement instruction, it initiates patient information confirmation to the nurse. The nurse reads the patient's medical insurance card information and ID card information through the card reader of the nursing PDA and performs facial recognition through the camera connected to the nursing PDA. After the hospital information system confirms the patient information, it automatically retrieves the patient's inpatient expense details and calls the medical insurance interface to complete the real-time medical insurance split settlement. It calculates the medical insurance pooled payment amount, personal account payment amount, out-of-pocket amount and prepaid balance, generates an electronic settlement statement and displays the settlement amount. S5. Settlement of overpayment and underpayment: Patients or their families can complete the remaining payment through the aggregated payment device: If there is a surplus in the prepayment, the hospital information system will automatically refund it to the patient's original payment account; if the prepayment is insufficient, the patient or their family can make up the difference through the aggregated payment method; the aggregated payment supports one or more of the following methods: bank card, WeChat, Alipay; S6. Generate settlement voucher and patient discharge: After settlement is completed, the hospital information system will feed the information back to the nursing PDA. The nursing PDA will automatically print the discharge settlement notice and the detailed list of expenses. The nurse will deliver the documents to the patient or the patient's family in person and inform them of the precautions for leaving the hospital. The patient can leave the hospital directly without leaving the ward. S7. Automatic bed status update: After a patient completes the settlement and leaves the hospital, the hospital information system automatically updates the bed status of the corresponding bed and releases bed resources.

[0006] Furthermore, after generating the electronic inpatient record in step S2, the system also automatically sends the electronic inpatient record summary information and bedside settlement reminder SMS to the mobile phone number pre-bound by the patient or the patient's family, and pushes the daily expense list to the nursing PDA and the patient's mobile terminal at regular intervals during the patient's hospitalization, so that the patient can view it in real time.

[0007] Furthermore, in step S4, if the medical insurance settlement interface times out or fails, the system automatically stores the settlement request and supports retrying.

[0008] Furthermore, in step S4, the real-time medical insurance settlement includes: the system automatically verifies the patient's inpatient expense details, calls the medical insurance interface to calculate the medical insurance pooled payment amount, the personal account payment amount and the out-of-pocket amount, and generates an electronic settlement statement containing the total cost, the medical insurance reimbursement amount and the personal out-of-pocket amount.

[0009] Furthermore, the real-time medical insurance settlement described in step S4 also includes: while calling the medical insurance interface for settlement, the system automatically obtains the patient's historical inpatient and outpatient medical insurance settlement records and compares them with the medical insurance catalog matching rules for the current inpatient expenses. If abnormal expense items or medical insurance settlement conflicts are detected, the system automatically pops up a prompt and suspends settlement, waiting for manual review by the nurse or medical insurance office.

[0010] Furthermore, the specific method for refunding the remaining prepayment via the original payment method in step S5 is as follows: the system automatically records the payment source identifier based on the prepayment payment channel used by the patient during admission registration; when the discharge settlement triggers a refund for overpayment or supplement for underpayment, if the payment source is a bank card, a UnionPay cardless refund transaction is automatically initiated; if the payment source is WeChat or Alipay, the corresponding payment interface's original payment method refund instruction is called; if the prepayment was paid in cash, the system prompts the nurse to complete the refund in cash at the nurse station, and an electronic refund voucher is generated by the nursing PDA.

[0011] Furthermore, the present invention also provides a one-stop hospital information system for bedside admission and discharge based on the ward nurse station, which integrates the following modules: The network and access control module is used to extend the medical insurance settlement dedicated line network to the ward nurse station and configure multiple operation permissions for the nurse station operation account, including admission registration, medical insurance settlement, fee collection, and discharge procedures. The nurse workstation terminal module is set on the nursing PDA or ward computer, integrating the inpatient registration and billing interface and the discharge settlement interface, and connecting to the card reader, camera and barcode scanner to complete patient identity verification and information entry. The Admission Registration and Prepayment Management Module is used to complete admission registration, medical insurance eligibility confirmation and prepayment collection at the bedside in the ward, generate electronic inpatient records, and support the collection, return and payment of prepayment, and handling of any outstanding balances. The discharge order receiving and task management module is used to receive discharge orders issued by doctors, automatically push tasks to patients awaiting discharge to the ward nursing station, and support nurses in initiating settlement instructions. The expense settlement and medical insurance interface module is used to automatically retrieve the patient's inpatient expense details after responding to the settlement instruction, call the medical insurance interface to complete the real-time medical insurance segmentation settlement, calculate the medical insurance pooled payment, personal account payment, out-of-pocket amount and prepayment balance, and generate an electronic settlement statement; this module also includes an exception handling unit, which is used to automatically temporarily store the settlement request and support retry when the medical insurance interface times out or fails. The aggregated payment and fund settlement module is used to complete the payment of the remaining balance through one or more aggregated payment methods such as bank cards, WeChat, and Alipay, and supports the return of the remaining balance of the prepaid amount to the original payment method. The voucher generation and printing module is used to automatically print the discharge settlement notice and detailed expense list after settlement is completed, and to feed the settlement results back to the nursing PDA; The bed status management module is used to automatically update the bed status of the corresponding hospital bed after the patient is discharged.

[0012] Furthermore, the admission registration and prepayment management module also integrates a prepayment intelligent early warning unit, which automatically pushes a payment reminder to the nurse station and the patient's mobile device when the prepayment balance is lower than the system's preset threshold during the patient's hospitalization. It also supports patients to make payments remotely via their mobile devices without having to return to the nurse station.

[0013] Furthermore, the nurse workstation terminal module is also equipped with a dual biometric recognition unit of fingerprint or face, which is used to perform secondary biometric verification of the nurse's identity when the nurse initiates sensitive operations such as admission registration, fee settlement, and refund, and to record operation logs to prevent abuse of permissions.

[0014] The beneficial effects of this invention are as follows: By extending the medical insurance settlement line to the ward nurse station and transforming the hospital information system, this invention enables nurses to use PDAs at the bedside to complete admission registration, real-time medical insurance split settlement, aggregated payment with refunds or additional payments, and discharge procedures in one stop. This provides patients with a "zero-trip, zero-queue" bedside settlement experience, significantly shortening the time for admission and discharge procedures. At the same time, it automatically pushes expense lists and supports mobile prepayment and supplementary payment, improving cost transparency and patient satisfaction. For hospitals, it can significantly reduce the pressure on centralized settlement windows, optimize nurses' work efficiency, and accelerate bed turnover. Through nurse biometric verification, automatic interception of abnormal expenses, and return of funds to the original payment method, it ensures the accuracy, security, and traceability of medical insurance settlement, ultimately achieving a win-win situation for patients, nurses, and hospital management, thus improving convenience and efficiency. Attached Figure Description

[0015] Figure 1 This is a flowchart of a one-stop settlement method for bedside admission and discharge based on a ward nurse station according to the present invention; Figure 2 This is a schematic diagram of the architecture of a one-stop hospital information system for bedside admission and discharge based on the ward nurse station according to the present invention. Detailed Implementation

[0016] The present invention will be further described below with reference to the accompanying drawings and specific embodiments, so that those skilled in the art can better understand and implement the present invention. However, the embodiments are not intended to limit the present invention.

[0017] See Figure 1-2 The present invention provides a one-stop settlement method for bedside admission and discharge based on the ward nurse station, comprising the following steps: S1. System modification and permission configuration, the specific steps are as follows: S11. Extend the medical insurance settlement dedicated line network to the nursing stations of each ward in the hospital through the hospital's local area network; S12. Modify the functions of the hospital information system to enable inpatient registration, billing, and discharge settlement in the nurse workstation interface. At the same time, the system administrator configures permissions for the nurse station operation accounts, giving them multiple operation permissions for admission registration, medical insurance settlement, fee collection, and discharge processing. S2. Bedside Admission Registration: When a patient arrives at the designated ward nursing station with the doctor's admission slip, the nurse takes the patient to the bedside and then accesses the inpatient registration and payment interface of the modified nursing workstation via the nursing PDA. The nurse reads the patient's medical insurance card information and ID card information through the connected card reader and performs facial recognition through the camera to confirm the patient's information. Then, the nurse quickly enters the electronic admission slip information through the barcode scanning device and collects the patient's prepayment. The admission registration, medical insurance qualification confirmation, and prepayment collection registration are completed directly at the nursing station in one stop, generating an electronic inpatient file. Patients do not need to go to the centralized settlement center. At the same time, during the patient's hospitalization, the nurse can directly access the inpatient registration and payment interface of the modified nursing workstation at the bedside and enter the corresponding hospitalization number to quickly view the patient's inpatient registration information. S3. Bedside discharge settlement can be initiated. The specific steps are as follows: S31. After the doctor issues discharge orders to the patient, the hospital information system will automatically push the discharge task to the ward nursing station. S32. After receiving the task through the ward nursing station, the nurse selects the corresponding patient from the list of patients to be discharged by calling the discharge settlement interface and clicks to initiate the settlement instruction. S4. Automatic cost settlement and real-time medical insurance split settlement: After the system responds to the settlement instruction, it initiates patient information confirmation to the nurse. The nurse reads the patient's medical insurance card information and ID card information through the card reader of the nursing PDA and performs facial recognition through the camera connected to the nursing PDA. After the hospital information system confirms the patient information, it automatically retrieves the patient's inpatient expense details and calls the medical insurance interface to complete the real-time medical insurance split settlement. It calculates the medical insurance pooled payment amount, personal account payment amount, out-of-pocket amount and prepaid balance, generates an electronic settlement statement and displays the settlement amount. S5. Settlement of overpayment and underpayment: Patients or their families can complete the remaining payment through the aggregated payment device: If there is a surplus in the prepayment, the hospital information system will automatically refund it to the patient's original payment account; if the prepayment is insufficient, the patient or their family can make up the difference through the aggregated payment method; the aggregated payment supports one or more of the following methods: bank card, WeChat, Alipay; S6. Generate settlement voucher and patient discharge: After settlement is completed, the hospital information system will feed the information back to the nursing PDA. The nursing PDA will automatically print the discharge settlement notice and the detailed list of expenses. The nurse will deliver the documents to the patient or the patient's family in person and inform them of the precautions for leaving the hospital. The patient can leave the hospital directly without leaving the ward. S7. Automatic bed status update: After a patient completes the settlement and leaves the hospital, the hospital information system automatically updates the bed status of the corresponding bed and releases bed resources.

[0018] It should be noted that the above methods and steps form a complete, closed-loop bedside admission and discharge one-stop settlement process, which compresses the cumbersome process that patients originally had to go back and forth between the ward and the settlement center multiple times into a one-time process at the bedside, greatly reducing the time patients spend running around and queuing. Moreover, by extending the medical insurance hotline to the nurse station and configuring multiple operating permissions, the technical barrier of "the settlement center monopolizing the settlement function" in the traditional business process is broken, enabling the nurse station to independently complete the entire process.

[0019] Furthermore, the system automatically calls the medical insurance interface to complete real-time segmentation and settlement, avoiding errors from manual calculations; it supports refunds to the original payment method and aggregated payment for supplementary payments, enabling rapid settlement of funds; and the system automatically releases bed resources after the patient leaves the hospital, effectively improving the bed turnover rate.

[0020] After generating the electronic inpatient record in step S2, the system also automatically sends the electronic inpatient record summary information and bedside settlement reminder SMS to the pre-bound mobile phone number of the patient or the patient's family, and pushes the daily expense list to the nursing PDA and the patient's mobile terminal at regular intervals during the patient's hospitalization, so that the patient can view it in real time.

[0021] Specifically, patients are proactively informed of their admission registration results and bedside billing services, enhancing their understanding and trust in the process and preventing anxiety or omissions due to unfamiliarity. Furthermore, daily expense lists are sent to patients, allowing them to track their hospitalization costs in real time, improving cost transparency, and reducing medical disputes arising from unclear expense details upon discharge. These lists are also sent to nursing PDAs, enabling nurses to proactively explain the cost breakdown to patients during ward rounds or nursing care, thus enhancing the proactiveness of nursing services.

[0022] In step S4, if the medical insurance settlement interface times out or fails, the system automatically stores the settlement request and supports retries. This solution significantly improves the system's robustness and fault tolerance in the event of fluctuations in the medical insurance dedicated network or temporary interface unavailability, preventing the entire discharge settlement process from being interrupted or requiring patients to re-queue due to a single interface call failure, thus ensuring the continuity and reliability of bedside settlement. Furthermore, the automatic storage and retry mechanism reduces manual intervention by nurses or patients, lowering operational complexity and the probability of errors.

[0023] In step S4, the real-time medical insurance settlement includes: the system automatically verifies the patient's hospitalization expense details, calls the medical insurance interface to calculate the medical insurance pooled payment amount, the personal account payment amount, and the out-of-pocket amount, and generates an electronic settlement statement containing the total cost, the medical insurance reimbursement amount, and the personal co-payment amount. Specifically, the generated electronic settlement statement is complete in content and clear in structure, allowing patients to understand the cost composition at a glance, thus enhancing the credibility of the settlement results. Moreover, the electronic settlement statement is easy to archive, print, and push via mobile devices, supporting paperless office and remote access needs.

[0024] The real-time medical insurance settlement described in step S4 also includes: while calling the medical insurance interface for settlement, the system automatically obtains the patient's historical inpatient and outpatient medical insurance settlement records and compares them with the medical insurance catalog matching rules for the current inpatient expenses. If abnormal expense items or medical insurance settlement conflicts are detected, the system will automatically pop up a prompt and suspend settlement, waiting for manual review by the nurse or medical insurance office.

[0025] It's important to note that proactively identifying potential medical insurance violations before settlement, such as duplicate charges, mismatched prescriptions, and excessive medication prescriptions, prevents hospitals from having to bear losses themselves or pursue reimbursement from patients due to medical insurance refusal for non-compliant charges. Furthermore, automatically suspending settlement and introducing a manual review mechanism ensures settlement compliance while avoiding the dilemma of directly blocking patients from leaving the hospital, achieving a balance between risk control and patient experience. Overall, this mechanism acts as an "intelligent early warning" for nurses or the medical insurance office, reducing the workload and difficulty of post-event audits and rectification.

[0026] The specific method for refunding the remaining prepayment via the original payment method in step S5 is as follows: The system automatically records the payment source identifier based on the prepayment payment channel used by the patient during admission registration; when the discharge settlement triggers a refund for overpayment or supplement for underpayment, if the payment source is a bank card, a UnionPay cardless refund transaction is automatically initiated; if the payment source is WeChat or Alipay, the corresponding payment interface's original payment method refund instruction is called; if the prepayment was paid in cash, the system prompts the nurse to complete the refund in cash at the nurse station, and an electronic refund voucher is generated by the nursing PDA.

[0027] The above method enables an intelligent closed-loop fund system that automatically matches payment and refund channels. Patients no longer need to provide bank card numbers or account information, making the refund process convenient and secure. Furthermore, it covers four common payment scenarios: bank cards, WeChat Pay, Alipay, and cash, demonstrating complete practicality and eliminating any technical vulnerabilities that prevent refunds from being processed through different payment methods. Most importantly, in cash refund scenarios, the nursing PDA generates electronic refund vouchers, standardizing the cash refund process and providing traceable electronic evidence for subsequent financial audits, thus reducing compliance risks associated with cash management.

[0028] This invention also discloses a one-stop hospital information system for bedside admission and discharge based on ward nurse stations, which mainly integrates the following modules: The network and access control module is used to extend the medical insurance settlement dedicated line network to the ward nurse station and configure multiple operation permissions for the nurse station operation account, including admission registration, medical insurance settlement, fee collection, and discharge procedures. The nurse workstation terminal module is set on the nursing PDA or ward computer, integrating the inpatient registration and billing interface and the discharge settlement interface, and connecting to the card reader, camera and barcode scanner to complete patient identity verification and information entry. The Admission Registration and Prepayment Management Module is used to complete admission registration, medical insurance eligibility confirmation and prepayment collection at the bedside in the ward, generate electronic inpatient records, and support the collection, return and payment of prepayment, and handling of any outstanding balances. The discharge order receiving and task management module is used to receive discharge orders issued by doctors, automatically push tasks to patients awaiting discharge to the ward nursing station, and support nurses in initiating settlement instructions. The expense settlement and medical insurance interface module is used to automatically retrieve the patient's inpatient expense details after responding to the settlement instruction, call the medical insurance interface to complete the real-time medical insurance segmentation settlement, calculate the medical insurance pooled payment, personal account payment, out-of-pocket amount and prepayment balance, and generate an electronic settlement statement; this module also includes an exception handling unit, which is used to automatically temporarily store the settlement request and support retry when the medical insurance interface times out or fails. The aggregated payment and fund settlement module is used to complete the payment of the remaining balance through one or more aggregated payment methods such as bank cards, WeChat, and Alipay, and supports the return of the remaining balance of the prepaid amount to the original payment method. The voucher generation and printing module is used to automatically print the discharge settlement notice and detailed expense list after settlement is completed, and to feed the settlement results back to the nursing PDA; The bed status management module is used to automatically update the bed status of the corresponding hospital bed after the patient is discharged.

[0029] The aforementioned modules construct a complete and practically deployable one-stop settlement information system for bedside admission and discharge, which corresponds one-to-one with the one-stop settlement method for bedside admission and discharge based on ward nurse stations, providing a specific technical carrier for the implementation of this method.

[0030] The admission registration and prepayment management module also integrates a prepayment intelligent early warning unit. This unit automatically sends a payment reminder to the nursing station and the patient's mobile device when the prepayment balance falls below a preset threshold during the patient's hospitalization. Patients can also make payments remotely via their mobile devices without returning to the nursing station. Specifically, this proactively prevents the third risk of medical interruption due to insufficient prepayment, such as discontinuation of medication or medical orders, ensuring the continuity of treatment. Patients can complete the payment remotely via their mobile devices without needing to return to the nursing station or settlement center, further extending the scope of "bedside service." Furthermore, the nursing station receives the reminder simultaneously, allowing nurses to proactively remind patients or their families during the nursing process, reflecting a humanized service approach.

[0031] The nurse workstation terminal module is also equipped with a dual biometric recognition unit of fingerprint or face, which is used to perform secondary biometric verification of the nurse's identity when the nurse initiates sensitive operations such as admission registration, fee settlement, and refund, and to record the operation log to prevent abuse of permissions.

[0032] It should be noted that this mechanism effectively prevents financial and data security risks caused by shared nurse station accounts, password leaks, or unauthorized operations. This security mechanism is particularly important when nurse stations are granted multiple settlement permissions. The combination of fingerprint and facial recognition provides stronger identity authentication, meeting the healthcare industry's security and compliance requirements for sensitive operations. Furthermore, complete operation logs provide irrefutable evidence for post-event auditing and accountability, helping to standardize nursing staff's operational behavior and reduce hospital management risks.

[0033] The above embodiments of the present invention are not intended to limit the scope of protection of the present invention. The implementation of the present invention is not limited thereto. All other modifications, substitutions or alterations made to the above structure of the present invention based on the above content of the present invention, in accordance with ordinary technical knowledge and common practice in the field, without departing from the basic technical idea of ​​the present invention, shall fall within the scope of protection of the present invention.

Claims

1. A one-stop settlement method for bedside admission and discharge based on ward nurse stations, characterized in that, Includes the following steps: S1. System modification and permission configuration, the specific steps are as follows: S11. Extend the medical insurance settlement dedicated line network to the nursing stations of each ward in the hospital through the hospital's local area network; S12. Modify the functions of the hospital information system to enable inpatient registration, billing, and discharge settlement in the nurse workstation interface. At the same time, the system administrator configures permissions for the nurse station operation accounts so that they have multiple operation permissions for admission registration, medical insurance settlement, fee collection, and discharge processing. S2. Bedside Admission Registration: When a patient arrives at the designated ward nursing station with the doctor's admission slip, the nurse takes the patient to the bedside and then accesses the inpatient registration and payment interface of the modified nursing workstation via the nursing PDA. The nurse reads the patient's medical insurance card information and ID card information through the connected card reader and performs facial recognition through the camera to confirm the patient's information. Then, the nurse quickly enters the electronic admission slip information through the barcode scanning device and collects the patient's prepayment. The admission registration, medical insurance qualification confirmation, and prepayment collection registration are completed directly at the nursing station in one stop, generating an electronic inpatient file. Patients do not need to go to the centralized settlement center. At the same time, during the patient's hospitalization, the nurse can directly access the inpatient registration and payment interface of the modified nursing workstation at the bedside and enter the corresponding hospitalization number to quickly view the patient's inpatient registration information. S3. Bedside discharge settlement can be initiated. The specific steps are as follows: S31. After the doctor issues discharge orders to the patient, the hospital information system will automatically push the discharge task to the ward nursing station. S32. After receiving the task through the ward nursing station, the nurse selects the corresponding patient from the list of patients to be discharged by calling the discharge settlement interface and clicks to initiate the settlement instruction. S4. Automatic cost settlement and real-time medical insurance split settlement: After the system responds to the settlement instruction, it initiates patient information confirmation to the nurse. The nurse reads the patient's medical insurance card information and ID card information through the card reader of the nursing PDA and performs facial recognition through the camera connected to the nursing PDA. After the hospital information system confirms the patient information, it automatically retrieves the patient's inpatient expense details and calls the medical insurance interface to complete the real-time medical insurance split settlement. It calculates the medical insurance pooled payment amount, personal account payment amount, out-of-pocket amount and prepaid balance, generates an electronic settlement statement and displays the settlement amount. S5. Settlement of overpayment and underpayment: Patients or their families can complete the remaining payment through the aggregated payment device: If there is a surplus in the prepayment, the hospital information system will automatically refund it to the patient's original payment account; if the prepayment is insufficient, the patient or their family can make up the difference through the aggregated payment method; the aggregated payment supports one or more of the following methods: bank card, WeChat, Alipay; S6. Generate settlement voucher and patient discharge: After settlement is completed, the hospital information system will feed the information back to the nursing PDA. The nursing PDA will automatically print the discharge settlement notice and the detailed list of expenses. The nurse will deliver the documents to the patient or the patient's family in person and inform them of the precautions for leaving the hospital. The patient can leave the hospital directly without leaving the ward. S7. Automatic bed status update: After a patient completes the settlement and leaves the hospital, the hospital information system automatically updates the bed status of the corresponding bed and releases bed resources.

2. The one-stop settlement method for bedside admission and discharge based on the ward nurse station according to claim 1, characterized in that, After generating the electronic inpatient record in step S2, the system also automatically sends the electronic inpatient record summary information and bedside settlement reminder SMS to the pre-bound mobile phone number of the patient or the patient's family, and pushes the daily expense list to the nursing PDA and the patient's mobile terminal at regular intervals during the patient's hospitalization, so that the patient can view it in real time.

3. The one-stop settlement method for bedside admission and discharge based on the ward nurse station according to claim 1, characterized in that, In step S4, if the medical insurance settlement interface times out or fails, the system automatically stores the settlement request and supports retrying.

4. The one-stop settlement method for bedside admission and discharge based on the ward nurse station according to claim 1, characterized in that, In step S4, the real-time medical insurance settlement includes: the system automatically verifies the patient's inpatient expense details, calls the medical insurance interface to calculate the medical insurance pooled payment amount, the personal account payment amount and the out-of-pocket amount, and generates an electronic settlement statement containing the total cost, the medical insurance reimbursement amount and the personal out-of-pocket amount.

5. The one-stop settlement method for bedside admission and discharge based on the ward nurse station according to claim 1, characterized in that, The real-time medical insurance settlement described in step S4 also includes: while calling the medical insurance interface for settlement, the system automatically obtains the patient's historical inpatient and outpatient medical insurance settlement records and compares them with the medical insurance catalog matching rules for the current inpatient expenses. If abnormal expense items or medical insurance settlement conflicts are detected, the system will automatically pop up a prompt and suspend settlement, waiting for manual review by the nurse or medical insurance office.

6. The one-stop settlement method for bedside admission and discharge based on the ward nurse station according to claim 1, characterized in that, The specific method for refunding the remaining prepayment via the original payment method in step S5 is as follows: The system automatically records the payment source identifier based on the prepayment payment channel used by the patient during admission registration; when the discharge settlement triggers a refund for overpayment or supplement for underpayment, if the payment source is a bank card, a UnionPay cardless refund transaction is automatically initiated; if the payment source is WeChat or Alipay, the corresponding payment interface's original payment method refund instruction is called; if the prepayment was paid in cash, the system prompts the nurse to complete the refund in cash at the nurse station, and an electronic refund voucher is generated by the nursing PDA.

7. A one-stop hospital information system for bedside admission and discharge based on ward nurse stations, characterized in that, It integrates the following modules: The network and access control module is used to extend the medical insurance settlement dedicated line network to the ward nurse station and configure multiple operation permissions for the nurse station operation account, including admission registration, medical insurance settlement, fee collection, and discharge procedures. The nurse workstation terminal module is set on the nursing PDA or ward computer, integrating the inpatient registration and billing interface and the discharge settlement interface, and connecting to the card reader, camera and barcode scanner to complete patient identity verification and information entry. The Admission Registration and Prepayment Management Module is used to complete admission registration, medical insurance eligibility confirmation and prepayment collection at the bedside in the ward, generate electronic inpatient records, and support the collection, return and payment of prepayment, and handling of any outstanding balances. The discharge order receiving and task management module is used to receive discharge orders issued by doctors, automatically push tasks to patients awaiting discharge to the ward nursing station, and support nurses in initiating settlement instructions. The expense settlement and medical insurance interface module is used to automatically retrieve the patient's inpatient expense details after responding to the settlement instruction, call the medical insurance interface to complete the real-time medical insurance segmentation settlement, calculate the medical insurance pooled payment, personal account payment, out-of-pocket amount and prepayment balance, and generate an electronic settlement statement; this module also includes an exception handling unit, which is used to automatically temporarily store the settlement request and support retry when the medical insurance interface times out or fails. The aggregated payment and fund settlement module is used to complete the payment of the remaining balance through one or more aggregated payment methods such as bank cards, WeChat, and Alipay, and supports the return of the prepaid balance to the original payment method. The voucher generation and printing module is used to automatically print the discharge settlement notice and detailed expense list after settlement is completed, and to feed the settlement results back to the nursing PDA; The bed status management module is used to automatically update the bed status of the corresponding hospital bed after the patient is discharged.

8. The one-stop hospital information system for bedside admission and discharge based on the ward nurse station according to claim 7, characterized in that, The admission registration and prepayment management module also integrates a prepayment intelligent early warning unit, which automatically pushes a payment reminder to the nurse station and the patient's mobile device when the prepayment balance is lower than the system's preset threshold during the patient's hospitalization. It also supports patients to make payments remotely via their mobile devices without having to return to the nurse station.

9. The one-stop hospital information system for bedside admission and discharge based on the ward nurse station according to claim 7, characterized in that, The nurse workstation terminal module is also equipped with a dual biometric recognition unit of fingerprint or face, which is used to perform secondary biometric verification of the nurse's identity when the nurse initiates sensitive operations such as admission registration, fee settlement, and refund, and to record the operation log to prevent abuse of permissions.

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