Method and device for inpatient ward rounds for medical insurance patients, storage medium, and computer equipment

Abstract

The present application relates to the field of digital medicine, and discloses a method and device, storage medium, and computer equipment for inpatient ward rounds for medical insurance patients. The method includes: a hospital terminal obtains the hospitalization information of medical insurance-paying patients; the hospitalization information is sent to the medical insurance management terminal to request a ward round plan for the medical insurance-paying patients from the medical insurance management terminal; a ward round task is generated based on the ward round plan fed back by the medical insurance management terminal, and the execution result of the ward round task is sent to the medical insurance management terminal. The present application delegates the work of medical insurance ward rounds to the hospital, and the hospital can integrate the medical insurance ward round task into the original hospital ward round task to complete it, without occupying excess hospital resources, and solves the problem of insufficient auditors faced by medical insurance supervision work in various places.

Description

Technical Field

[0001] The present application relates to the field of digital medical technology, and in particular to a method and device for inpatient ward rounds for medical insurance patients, a storage medium, and a computer device. Background Art

[0002] Medical insurance funds are the "medical money" and "life-saving money" of the people. Their safe use involves the vital interests of the general public and is related to the healthy and sustainable development of the medical insurance system. The use of medical insurance funds has a long chain, involves many entities, and medical violations are hidden. In recent years, there have been repeated investigations and punishments of medical institutions and lawless elements who took risks to defraud medical insurance funds in order to gain profits, such as forging false medical records, using other people's social security cards to see a doctor, hanging beds in the hospital, leaving cards and swiping them empty, etc. Medical insurance supervision work in various places faces difficulties such as insufficient audit personnel and backward technical means. It is urgent to solve the problem of insufficient audit personnel and improve the efficiency of ward rounds. Summary of the invention

[0003] In view of this, the present application provides a method and apparatus, storage medium, and computer equipment for inpatient ward rounds for medical insurance patients.

[0004] According to one aspect of the present application, a method for inpatient ward rounds of medical insurance patients is provided, comprising:

[0005] Hospital terminals obtain hospitalization information of patients covered by medical insurance;

[0006] Sending the hospitalization information to the medical insurance management terminal to request a ward round plan for the medical insurance-paid patient from the medical insurance management terminal;

[0007] A ward round task is generated according to the ward round plan fed back by the medical insurance management terminal, and the execution result of the ward round task is sent to the medical insurance management terminal.

[0008] Optionally, the ward round plan includes ward round patients and their corresponding ward round time; generating a ward round task based on the ward round plan fed back by the medical insurance management terminal specifically includes:

[0009] Determine the ward round task corresponding to each ward round executor according to the ward round time and ward round bed corresponding to each ward round patient and at least one ward round executor information, wherein the ward round task includes the ward round patient, the ward round time and the ward round bed;

[0010] The ward round tasks are sent to the corresponding ward round executor terminals respectively.

[0011] Optionally, after sending the ward round tasks to corresponding ward round executor terminals respectively, the method further includes:

[0012] The terminal of the ward round executor displays the ward round task to prompt the ward round executor to perform the ward round task;

[0013] Acquire identity feature information, location information, and current time of the patient on ward rounds, and verify whether the identity feature information matches the reserved feature information corresponding to the patient on ward rounds, whether the location information matches the bed on ward rounds, and whether the current time matches the ward rounds time, wherein the reserved feature information includes at least one of facial feature information, sound wave information, and fingerprint information corresponding to the patient on ward rounds;

[0014] If the identity feature information, the location information and the current time are all verified, it is determined that the execution result of the ward round task is successful.

[0015] Optionally, after verifying whether the identity feature information matches the reserved feature information corresponding to the ward round patient, whether the location information matches the ward round bed, and whether the current time matches the ward round time, the method further includes:

[0016] If any one of the identity feature information, the location information and the current time fails to be verified, a verification failure message is output to prompt the ward round executor to re-perform the ward round task; and / or,

[0017] If a signal of execution failure of the ward round task is received, the execution result of the ward round task is determined to be a ward round failure, wherein the execution result of the ward round task of failed ward round includes the reason for the ward round failure, and the reason for the ward round failure includes any one of the ward round patient leaving without permission, the ward round patient being discharged, the ward round patient being transferred to another hospital, and the ward round patient taking leave.

[0018] Optionally, the ward round task also includes a check-in error tolerance time; the method further includes:

[0019] The hospital terminal receives the re-signing application for the ward round task from the ward round executor terminal, and sends a ward round re-signing notification carrying the re-signing tolerance time to the ward round patient terminal corresponding to the ward round task, so as to prompt the ward round patient to complete the ward round within the re-signing tolerance time;

[0020] The ward round executor terminal receives the re-signing application of the ward round patient, wherein the re-signing application includes the application time and application location;

[0021] If the application time is within the supplementary signing tolerance time, and the application location matches the bed information of the patient being rounded, the ward round executor terminal changes the ward round task to a task to be supplemented.

[0022] Optionally, the method further comprises:

[0023] The ward round executor terminal reports the execution result of the ward round task to the hospital terminal;

[0024] The hospital terminal sends the execution result to the medical insurance management terminal.

[0025] Optionally, the medical insurance management terminal determines the ward round plan corresponding to the medical insurance payment patient based on preset ward round rules and the personal medical insurance credit of the medical insurance payment patient and / or the hospital medical insurance credit of the hospitalized hospital; the preset ward round rules include regular ward round rules and spot check ward round rules; the regular ward round rules include the negative correlation between personal medical insurance credit and regular ward round frequency, the negative correlation between hospital medical insurance credit and regular ward round frequency, and the negative correlation between hospital medical insurance credit and regular ward round coverage; the spot check ward round rules include the negative correlation between personal medical insurance credit and spot check ward round frequency interval range, the negative correlation between hospital medical insurance credit and spot check ward round frequency interval range, and the negative correlation between hospital medical insurance credit and spot check ward round coverage interval range;

[0026] After the hospital terminal sends the execution result to the medical insurance management terminal, the method further includes:

[0027] According to the execution result, the personal medical insurance credit of the corresponding patient on ward rounds is updated.

[0028] According to another aspect of the present application, a device for inpatient ward rounds of medical insurance patients is provided, comprising:

[0029] Hospitalization information acquisition module, used by hospital terminals to obtain hospitalization information of patients covered by medical insurance;

[0030] A hospitalization information sending module, used to send the hospitalization information to the medical insurance management terminal, so as to request the medical insurance management terminal for a ward round plan for the medical insurance-paid patient;

[0031] The ward round task generating module is used to generate a ward round task according to the ward round plan fed back by the medical insurance management terminal, and send the execution result of the ward round task to the medical insurance management terminal.

[0032] Optionally, the ward round plan includes ward round patients and their corresponding ward round time; the ward round task generation module is specifically used to:

[0033] Based on the ward round time and ward round bed corresponding to each ward round patient, and at least one ward round executor information, determine the ward round task corresponding to each ward round executor, wherein the ward round task includes the ward round patient, the ward round time and the ward round bed; and send the ward round task to the corresponding ward round executor terminal respectively.

[0034] Optionally, the device further comprises:

[0035] The ward round execution module is used for sending the ward round task to the corresponding ward round executor terminal respectively, and the ward round executor terminal displays the ward round task to prompt the ward round executor to execute the ward round task; obtaining the identity feature information, positioning information and current time of the ward round patient, verifying whether the identity feature information matches the reserved feature information corresponding to the ward round patient, whether the positioning information matches the ward round bed, and whether the current time matches the ward round time, wherein the reserved feature information includes at least one of the facial feature information, sound wave information and fingerprint information corresponding to the ward round patient; if the identity feature information, the positioning information and the current time are all verified, then determining that the execution result of the ward round task is a successful ward round.

[0036] Optionally, the ward rounds execution module is further used to:

[0037] If any one of the identity feature information, the location information and the current time fails to be verified, a verification failure message is output to prompt the ward round executor to re-perform the ward round task; and / or,

[0038] If a signal of execution failure of the ward round task is received, the execution result of the ward round task is determined to be a ward round failure, wherein the execution result of the ward round task of failed ward round includes the reason for the ward round failure, and the reason for the ward round failure includes any one of the ward round patient leaving without permission, the ward round patient being discharged, the ward round patient being transferred to another hospital, and the ward round patient taking leave.

[0039] Optionally, the ward round task also includes a check-in error tolerance time; and the ward round execution module is further used to:

[0040] The hospital terminal receives the re-signing application for the ward round task from the ward round executor terminal, and sends a ward round re-signing notification carrying the re-signing tolerance time to the ward round patient terminal corresponding to the ward round task, so as to prompt the ward round patient to complete the ward round within the re-signing tolerance time;

[0041] The ward round executor terminal receives the re-signing application of the ward round patient, wherein the re-signing application includes the application time and application location;

[0042] If the application time is within the supplementary signing tolerance time, and the application location matches the bed information of the patient being rounded, the ward round executor terminal changes the ward round task to a task to be supplemented.

[0043] Optionally, the ward round execution module is also used for the ward round executor terminal to report the execution result of the ward round task to the hospital terminal; and the hospital terminal sends the execution result to the medical insurance management terminal.

[0044] Optionally, the medical insurance management terminal determines the ward round plan corresponding to the medical insurance payment patient based on preset ward round rules and the personal medical insurance credit of the medical insurance payment patient and / or the hospital medical insurance credit of the hospitalized hospital; the preset ward round rules include regular ward round rules and spot check ward round rules; the regular ward round rules include the negative correlation between personal medical insurance credit and regular ward round frequency, the negative correlation between hospital medical insurance credit and regular ward round frequency, and the negative correlation between hospital medical insurance credit and regular ward round coverage; the spot check ward round rules include the negative correlation between personal medical insurance credit and spot check ward round frequency interval range, the negative correlation between hospital medical insurance credit and spot check ward round frequency interval range, and the negative correlation between hospital medical insurance credit and spot check ward round coverage interval range;

[0045] The device further includes: an updating module, which is used to update the personal medical insurance credit of the corresponding patient on ward rounds according to the execution result after the hospital terminal sends the execution result to the medical insurance management terminal.

[0046] According to another aspect of the present application, a storage medium is provided, on which a computer program is stored, and when the program is executed by a processor, the above-mentioned inpatient ward rounds method for medical insurance patients is implemented.

[0047] According to another aspect of the present application, a computer device is provided, including a storage medium, a processor, and a computer program stored on the storage medium and executable on the processor, wherein the processor implements the above-mentioned inpatient ward rounds method for medical insurance patients when executing the program.

[0048] By means of the above technical solution, the present application provides a method and device, storage medium, and computer equipment for inpatient ward rounds for medical insurance patients. For inpatients who use medical insurance to pay, the hospital terminal sends the hospitalization information to the medical insurance management terminal, and the medical insurance management terminal formulates a ward round plan for each medical insurance payment patient based on the hospitalization information, so that the hospital terminal generates a ward round task according to the ward round plan, and after executing the ward round task, the corresponding execution result is fed back to the medical insurance management terminal. The embodiment of the present application delegates the medical insurance ward round work to the hospital, and the hospital can integrate the medical insurance ward round task into the original hospital ward round task to complete it, without occupying excess hospital resources, and solves the problem of insufficient audit personnel faced by medical insurance supervision work in various places.

[0049] The above description is only an overview of the technical solution of the present application. In order to more clearly understand the technical means of the present application, it can be implemented in accordance with the contents of the specification. In order to make the above and other purposes, features and advantages of the present application more obvious and easy to understand, the specific implementation methods of the present application are listed below. BRIEF DESCRIPTION OF THE DRAWINGS

[0050] The drawings described herein are used to provide a further understanding of the present application and constitute a part of the present application. The illustrative embodiments of the present application and their descriptions are used to explain the present application and do not constitute an improper limitation on the present application. In the drawings:

[0051] Figure 1 A schematic diagram of a process for a ward round method for inpatients with medical insurance provided in an embodiment of the present application is shown;

[0052] Figure 2 A schematic flow chart of another method for inpatient ward rounds of medical insurance patients provided in an embodiment of the present application is shown;

[0053] Figure 3 A structural schematic diagram of a device for inpatient ward rounds of medical insurance patients provided in an embodiment of the present application is shown. DETAILED DESCRIPTION

[0054] The present application will be described in detail below with reference to the accompanying drawings and in combination with embodiments. It should be noted that the embodiments and features in the embodiments of the present application can be combined with each other without conflict.

[0055] In this embodiment, a method for making ward rounds for inpatients with medical insurance is provided. Figure 1 As shown, the method includes:

[0056] Step 101, the hospital terminal obtains the hospitalization information of the patient covered by medical insurance;

[0057] Step 102, sending the hospitalization information to the medical insurance management terminal to request a ward round plan for the medical insurance-paid patient from the medical insurance management terminal;

[0058] Step 103: Generate a ward round task according to the ward round plan fed back by the medical insurance management terminal, and send the execution result of the ward round task to the medical insurance management terminal.

[0059] In recent years, medical cloud platforms have been welcomed by the majority of users. Medical cloud refers to the use of "cloud computing" to create a medical and health service cloud platform based on new technologies such as cloud computing, mobile technology, multimedia, 4G communication, big data, and the Internet of Things, combined with medical technology, to achieve the sharing of medical resources and the expansion of medical scope. Because of the application of cloud computing technology, medical cloud improves the efficiency of medical institutions and facilitates residents to seek medical treatment. For example, the current hospital appointment registration, electronic medical records, medical insurance, etc. are all products of the combination of cloud computing and the medical field. Medical cloud also has the advantages of data security, information sharing, dynamic expansion, and overall layout. In order to solve the problem of insurance fraud for inpatients using medical insurance, the embodiment of the present application provides a method for inpatient rounds for medical insurance patients, which can be applied to the server side of the online drug purchase platform. The server can be an independent server, or it can be a cloud server that provides basic cloud computing services such as cloud services, cloud databases, cloud computing, cloud functions, cloud storage, network services, cloud communications, middleware services, domain name services, security services, content delivery networks (Content Delivery Network, CDN), and big data and artificial intelligence platforms.

[0060] The hospital terminal collects statistics and summarizes the hospitalization information of the patients who pay for medical insurance, and sends the obtained hospitalization information to the medical insurance management terminal. The medical insurance management terminal formulates a ward round plan for each medical insurance payment patient based on the personal medical insurance credit of each medical insurance payment patient and the hospital medical insurance credit of the hospital where the patient is hospitalized. After the medical insurance management terminal formulates the ward round plan based on the hospitalization information, it feeds back the ward round plan to the hospital terminal. The hospital terminal generates a ward round task based on the ward round plan, and reports the execution result to the medical insurance management terminal after the ward round task is completed, so that the medical insurance management terminal, such as the medical insurance bureau, can realize online ward rounds and delegate the medical insurance ward round work to the hospital. The hospital can integrate the medical insurance ward round task into the original hospital ward round task to complete it without occupying excess hospital resources, thus solving the problem of insufficient auditors faced by medical insurance supervision work in various places.

[0061] Optionally, the medical insurance management terminal determines the ward round plan corresponding to the medical insurance payment patient based on preset ward round rules and the personal medical insurance credit of the medical insurance payment patient and / or the hospital medical insurance credit of the hospital where the patient is hospitalized; the preset ward round rules include regular ward round rules and spot ward round rules; the regular ward round rules include the negative correlation between personal medical insurance credit and regular ward round frequency, the negative correlation between hospital medical insurance credit and regular ward round frequency, and the negative correlation between hospital medical insurance credit and regular ward round coverage; the spot ward round rules include the negative correlation between personal medical insurance credit and the interval range of spot ward round frequency, the negative correlation between hospital medical insurance credit and the interval range of spot ward round frequency, and the negative correlation between hospital medical insurance credit and the interval range of spot ward round coverage.

[0062] Among them, the preset ward round rules for medical insurance patients can specifically be regular ward round rules: for hospitals: the lower the hospital's medical insurance credit, the higher the ward round coverage rate, where the hospital's medical insurance credit can be determined based on the number of medical insurance violations and the medical insurance violation rate in the previous year; the lower the hospital's ward round success rate, the higher the ward round coverage rate. For each patient: the lower the personal medical insurance credit, the higher the ward round frequency, where the medical insurance credit is determined based on whether the patient has violated medical insurance regulations; the lower the personal ward round success rate, the higher the ward round frequency. In addition, the ward round plan can specifically include a regular ward round plan and a temporary ward round plan, where the regular ward round plan can be created according to the above rules. The temporary ward round plan can be created randomly, or it can be created in the corresponding random interval by referring to the above rules to determine the random interval. For example, for each patient: the lower the personal medical insurance credit, the more temporary ward rounds are required. Several specific intervals can be set. For example, for patients with a credit score below 50, the number of temporary ward rounds per month is 5-10 times; the lower the personal ward round success rate, the more temporary ward rounds are required; if the personal medical insurance credit is higher than the first threshold, and / or the personal ward round success rate is higher than the second threshold, no temporary ward rounds are required. For hospitals: the lower the hospital's medical insurance credit, the more temporary ward rounds are required; the lower the hospital's ward round success rate, the more temporary ward rounds are required.

[0063] In addition, after receiving the execution results, the medical insurance management terminal can also update the personal medical insurance information of the corresponding patient and the hospital medical insurance credit of the hospital according to the execution results.

[0064] By applying the technical solution of this embodiment, for inpatients who use medical insurance to pay, the hospital terminal sends the hospitalization information to the medical insurance management terminal, and the medical insurance management terminal formulates a ward round plan for each medical insurance-paid patient based on the hospitalization information, so that the hospital terminal generates a ward round task according to the ward round plan, and after executing the ward round task, the corresponding execution result is fed back to the medical insurance management terminal. The embodiment of this application delegates the medical insurance ward round work to the hospital, and the hospital can integrate the medical insurance ward round task into the original hospital ward round task to complete it, without occupying excess hospital resources, and solves the problem of insufficient audit personnel faced by medical insurance supervision work in various places.

[0065] Further, as a refinement and expansion of the specific implementation of the above embodiment, in order to fully illustrate the specific implementation process of this embodiment, another inpatient ward rounds method for medical insurance patients is provided, such as Figure 2 As shown, the method includes:

[0066] Step 201, the hospital terminal obtains the hospitalization information of the patient covered by medical insurance;

[0067] Step 202, sending the hospitalization information to the medical insurance management terminal to request the medical insurance management terminal for a ward round plan for the medical insurance-paid patient;

[0068] Step 203, according to the ward round time and ward round bed corresponding to each ward round patient, and at least one ward round executor information, determine the ward round task corresponding to each ward round executor, wherein the ward round task includes the ward round patient, the ward round time and the ward round bed; send the ward round task to the corresponding ward round executor terminal respectively;

[0069] In the above embodiment, the ward rounds plan formulated by the Medical Insurance Bureau is for individual patients. After the hospital terminal receives the ward rounds plan, it can determine the ward rounds tasks of each ward rounds executor based on the working hours of the candidate ward rounds executors, the workload arrangement of each candidate ward rounds executor, and the bed location of each inpatient. The ward rounds task is for each ward rounds executor. Specifically, a ward rounds task can be established for each ward rounds behavior of each patient. For example, a ward round is conducted on bed A at 10 am; and a ward round is conducted on bed B at 2 pm. The ward rounds task of each ward rounds executor includes at least the ward rounds time and the ward rounds bed. After the hospital terminal assigns the ward rounds task to each ward rounds executor, it distributes the ward rounds task to the client held by each ward rounds executor. After receiving the ward rounds task, the ward rounds executor can conduct ward rounds according to the ward rounds time, ward rounds bed and other information indicated in the ward rounds task.

[0070] Step 204: the terminal of the ward round executor displays the ward round task to prompt the ward round executor to perform the ward round task; obtains the identity feature information, location information and current time of the ward round patient, verifies whether the identity feature information matches the reserved feature information corresponding to the ward round patient, whether the location information matches the ward round bed, and whether the current time matches the ward round time, wherein the reserved feature information includes at least one of the facial feature information, sound wave information and fingerprint information corresponding to the ward round patient;

[0071] In the above embodiment, after receiving the ward round task, the ward round executor can conduct the ward round according to the ward round time, ward round bed and other information indicated in the ward round task. In the specific execution process, the ward round executor can move the client to the vicinity of the bed and collect information about the inpatients in the bed. Specifically, a variety of different information such as facial images, sound wave information, fingerprint information, etc. can be collected to avoid the situation where the patient has head bandages and difficulty in speaking during treatment, which makes it difficult to identify the face image and sound wave information. In addition, after collecting the above-mentioned identity feature information of the patient, the client can identify the patient locally, or send the identity feature information to the hospital terminal for the hospital terminal to identify the patient's identity.

[0072] Step 205: if the identity feature information, the location information and the current time are all verified, then the execution result of the ward round task is determined to be successful;

[0073] Step 206: if any one of the identity feature information, the location information and the current time fails to be verified, then a verification failure message is output to prompt the ward round executor to re-perform the ward round task;

[0074] In the above embodiment, after the client of the ward round executor obtains the patient's identity feature information and obtains the identification result, it generates the ward round task execution information according to the patient's identity identification result, the current time, and the client's location information, and uploads the ward round task execution information to the hospital terminal. In the actual application scenario, if the current time does not match the ward round time, the ward round executor is prompted that the current time period does not belong to the ward round time period, and if the client's location information does not match the ward round bed location, the ward round executor is prompted to move and reposition.

[0075] Step 207, if a signal of execution failure of the ward round task is received, determining the execution result of the ward round task as ward round failure, wherein the execution result of the ward round task of ward round failure includes a reason for ward round failure, and the reason for ward round failure includes any one of ward round patient leaving without permission, ward round patient being discharged, ward round patient being transferred to another hospital, and ward round patient asking for leave;

[0076] In the above embodiment, for patients who have been discharged on the same day, transferred on the same day, patients on leave, etc., the ward round executor can also report the reason why the patient cannot sign in.

[0077] In step 208, the hospital terminal receives the re-signing application for the ward round task from the ward round executor terminal, and sends a ward round re-signing notification carrying the re-signing tolerance time to the ward round patient terminal corresponding to the ward round task, so as to prompt the ward round patient to complete the ward round within the re-signing tolerance time; the ward round executor terminal receives the re-signing application of the ward round patient, wherein the re-signing application includes the application time and the application location; if the application time is within the re-signing tolerance time, and the application location matches the bed information of the ward round patient, the ward round executor terminal changes the ward round task to a task to be re-signed.

[0078] In the above embodiment, if the patient is not at the ward round bed when the ward round executor is making the ward round, the ward round executor terminal can send a ward round re-signing notification to the patient terminal through the hospital terminal, and the ward round re-signing notification includes the re-signing fault tolerance time. After the patient returns to the ward round bed within the re-signing fault tolerance time, the patient terminal can send a re-signing application to the ward round executor client through the patient terminal (specifically, the patient can be considered to have returned to the bed when the positioning information of the patient terminal matches the ward round bed, or the re-signing application can be triggered by a trigger button near the bed). The re-signing application includes the application time. After the ward round executor client receives the re-signing application and agrees to the application, the application time is locked, the ward round task is changed to a task to be re-signed, and the patient is re-signed for the ward round in free time, and the application time is used as the time for the re-signing ward round. For example, a ward round is conducted at 10 o'clock in the morning for bed A, and re-signing is allowed, and the re-signing fault tolerance time is 1 hour, that is, the patient applies for re-signing before 11 o'clock, and the ward round to be re-signed task is successful, then the original ward round task can be considered to be successfully executed, and when the result is reported, this ward round task is reported as a successful execution result.

[0079] Step 209: the ward round executor terminal reports the execution result of the ward round task to the hospital terminal; the hospital terminal sends the execution result to the medical insurance management terminal; and based on the execution result, the personal medical insurance credit of the corresponding ward round patient is updated.

[0080] In the above embodiment, the hospital terminal summarizes the ward round task execution information fed back by all ward round executors’ clients, generates the ward round results corresponding to the entire hospital, and feeds back the ward round results to the medical insurance bureau terminal. Optionally, the hospital terminal can count the task completion of each ward round executor based on the ward round task execution information of each ward round executor’s client, and assess the ward round work of the ward round executor. The medical insurance bureau terminal can count the patients who failed the ward round in the ward round results, and analyze them in combination with the patient’s historical ward round records, the patient’s medical insurance credit and other information. For example, the number of ward round failures can be counted, and a reminder can be issued when the number exceeds a preset number. For example, patients with low medical insurance credit can be reminded as soon as they find that the ward round has failed, and patients with high medical insurance credit can set a tolerance number.

[0081] Further, as Figure 1 The specific implementation of the method, the embodiment of the present application provides a device for inpatient ward rounds of medical insurance patients, such as Figure 3 As shown, the device comprises:

[0082] Hospitalization information acquisition module, used by hospital terminals to obtain hospitalization information of patients covered by medical insurance;

[0083] A hospitalization information sending module, used to send the hospitalization information to the medical insurance management terminal, so as to request the medical insurance management terminal for a ward round plan for the medical insurance-paid patient;

[0084] The ward round task generating module is used to generate a ward round task according to the ward round plan fed back by the medical insurance management terminal, and send the execution result of the ward round task to the medical insurance management terminal.

[0085] Optionally, the ward round plan includes ward round patients and their corresponding ward round time; the ward round task generation module is specifically used to:

[0086] Based on the ward round time and ward round bed corresponding to each ward round patient, and at least one ward round executor information, determine the ward round task corresponding to each ward round executor, wherein the ward round task includes the ward round patient, the ward round time and the ward round bed; and send the ward round task to the corresponding ward round executor terminal respectively.

[0087] Optionally, the device further comprises:

[0088] The ward round execution module is used for sending the ward round task to the corresponding ward round executor terminal respectively, and the ward round executor terminal displays the ward round task to prompt the ward round executor to execute the ward round task; obtaining the identity feature information, positioning information and current time of the ward round patient, verifying whether the identity feature information matches the reserved feature information corresponding to the ward round patient, whether the positioning information matches the ward round bed, and whether the current time matches the ward round time, wherein the reserved feature information includes at least one of the facial feature information, sound wave information and fingerprint information corresponding to the ward round patient; if the identity feature information, the positioning information and the current time are all verified, then determining that the execution result of the ward round task is a successful ward round.

[0089] Optionally, the ward rounds execution module is further used to:

[0090] If any one of the identity feature information, the location information and the current time fails to be verified, a verification failure message is output to prompt the ward round executor to re-perform the ward round task; and / or,

[0091] If a signal of execution failure of the ward round task is received, the execution result of the ward round task is determined to be a ward round failure, wherein the execution result of the ward round task of failed ward round includes the reason for the ward round failure, and the reason for the ward round failure includes any one of the ward round patient leaving without permission, the ward round patient being discharged, the ward round patient being transferred to another hospital, and the ward round patient taking leave.

[0092] Optionally, the ward round task also includes a check-in error tolerance time; and the ward round execution module is further used to:

[0093] The hospital terminal receives the re-signing application for the ward round task from the ward round executor terminal, and sends a ward round re-signing notification carrying the re-signing tolerance time to the ward round patient terminal corresponding to the ward round task, so as to prompt the ward round patient to complete the ward round within the re-signing tolerance time;

[0094] The ward round executor terminal receives the re-signing application of the ward round patient, wherein the re-signing application includes the application time and application location;

[0095] If the application time is within the supplementary signing tolerance time, and the application location matches the bed information of the patient being rounded, the ward round executor terminal changes the ward round task to a task to be supplemented.

[0096] Optionally, the ward round execution module is also used for the ward round executor terminal to report the execution result of the ward round task to the hospital terminal; and the hospital terminal sends the execution result to the medical insurance management terminal.

[0097] Optionally, the medical insurance management terminal determines the ward round plan corresponding to the medical insurance payment patient based on preset ward round rules and the personal medical insurance credit of the medical insurance payment patient and / or the hospital medical insurance credit of the hospitalized hospital; the preset ward round rules include regular ward round rules and spot check ward round rules; the regular ward round rules include the negative correlation between personal medical insurance credit and regular ward round frequency, the negative correlation between hospital medical insurance credit and regular ward round frequency, and the negative correlation between hospital medical insurance credit and regular ward round coverage; the spot check ward round rules include the negative correlation between personal medical insurance credit and spot check ward round frequency interval range, the negative correlation between hospital medical insurance credit and spot check ward round frequency interval range, and the negative correlation between hospital medical insurance credit and spot check ward round coverage interval range;

[0098] The device further includes: an updating module, which is used to update the personal medical insurance credit of the corresponding patient on ward rounds according to the execution result after the hospital terminal sends the execution result to the medical insurance management terminal.

[0099] It should be noted that for other corresponding descriptions of the functional units involved in the inpatient ward rounds device for medical insurance patients provided in the embodiment of the present application, reference can be made to Figure 1 to Figure 2 The corresponding description in the method will not be repeated here.

[0100] Based on the above Figure 1 to Figure 2 The method shown in the embodiment of the present application is accordingly provided with a storage medium on which a computer program is stored, and when the computer program is executed by a processor, the above-mentioned Figure 1 to Figure 2 The inpatient ward rounds method for Medicare patients is shown.

[0101] Based on this understanding, the technical solution of the present application can be embodied in the form of a software product, which can be stored in a non-volatile storage medium (which can be a CD-ROM, a USB flash drive, a mobile hard disk, etc.), and includes a number of instructions for enabling a computer device (which can be a personal computer, a server, or a network device, etc.) to execute the methods described in each implementation scenario of the present application.

[0102] Based on the above Figure 1 to Figure 2 The method shown, and Figure 3 In order to achieve the above-mentioned purpose, the embodiment of the present application further provides a computer device, which can be a personal computer, a server, a network device, etc. The computer device includes a storage medium and a processor; the storage medium is used to store a computer program; the processor is used to execute the computer program to achieve the above-mentioned Figure 1 to Figure 2 The inpatient ward rounds method for Medicare patients is shown.

[0103] Optionally, the computer device may further include a user interface, a network interface, a camera, a radio frequency (RF) circuit, a sensor, an audio circuit, a WI-FI module, etc. The user interface may include a display, an input unit such as a keyboard, etc., and the optional user interface may also include a USB interface, a card reader interface, etc. The network interface may optionally include a standard wired interface, a wireless interface (such as a Bluetooth interface, a WI-FI interface), etc.

[0104] Those skilled in the art will appreciate that the computer device structure provided in this embodiment does not limit the computer device, and may include more or fewer components, or a combination of certain components, or different component arrangements.

[0105] The storage medium may also include an operating system and a network communication module. The operating system is a program that manages and saves the hardware and software resources of the computer device, and supports the operation of information processing programs and other software and / or programs. The network communication module is used to realize communication between the components inside the storage medium, and communication with other hardware and software in the physical device.

[0106] Through the description of the above implementation methods, those skilled in the art can clearly understand that the present application can be implemented by means of software plus a necessary general hardware platform, or by hardware. For inpatients who use medical insurance to pay, the hospital terminal sends the hospitalization information to the medical insurance management terminal, and the medical insurance management terminal formulates a ward round plan for each medical insurance payment patient based on the hospitalization information, so that the hospital terminal generates a ward round task according to the ward round plan, and after executing the ward round task, the corresponding execution result is fed back to the medical insurance management terminal. The embodiment of the present application delegates the medical insurance ward round work to the hospital, and the hospital can integrate the medical insurance ward round task into the original hospital ward round task to complete it, without occupying excess hospital resources, and solves the problem of insufficient audit personnel faced by medical insurance supervision work in various places.

[0107] Those skilled in the art will appreciate that the accompanying drawings are only schematic diagrams of a preferred implementation scenario, and the modules or processes in the accompanying drawings are not necessarily necessary for implementing the present application. Those skilled in the art will appreciate that the modules in the devices in the implementation scenario can be distributed in the devices of the implementation scenario according to the description of the implementation scenario, or can be changed accordingly and located in one or more devices different from the present implementation scenario. The modules of the above-mentioned implementation scenario can be combined into one module, or can be further split into multiple submodules.

[0108] The above serial numbers of this application are only for description and do not represent the advantages and disadvantages of the implementation scenarios. The above disclosure is only a few specific implementation scenarios of this application, but this application is not limited to them, and any changes that can be thought of by technicians in this field should fall within the scope of protection of this application.

Claims

1. A method for inpatient ward rounds of medical insurance patients, characterized in that: include: Hospital terminals obtain hospitalization information of patients covered by medical insurance; Sending the hospitalization information to the medical insurance management terminal to request a ward round plan for the medical insurance-paid patient from the medical insurance management terminal, wherein the ward round plan includes the ward round patient and the corresponding ward round time; According to the ward round time and ward round bed corresponding to each ward round patient, and at least one ward round executor information, the medical insurance ward round task is integrated into the original hospital ward round task to determine the ward round task corresponding to each ward round executor, wherein the ward round task includes the ward round patient, the ward round time, the ward round bed and the error tolerance time for re-signing, and the ward round executor information includes the working hours and workload arrangement of the ward round executor; Sending the ward round tasks to the corresponding ward round executor terminals respectively; When the patient is not at the ward round bed during the ward round executor's ward round, the hospital terminal receives the re-signing application for the ward round task from the ward round executor's terminal, and sends a ward round re-signing notification carrying the re-signing tolerance time to the ward round patient terminal corresponding to the ward round task, so as to prompt the ward round patient to complete the ward round within the re-signing tolerance time; The ward round executor terminal receives the re-signing application of the ward round patient, wherein the re-signing application includes the application time and application location; If the application time is within the re-signing tolerance time, and the application location matches the bed information of the patient in the ward round, the ward round executor terminal changes the ward round task to a task to be re-signed; The execution result of the ward round task is sent to the medical insurance management terminal, and the medical insurance management terminal updates the personal medical insurance credit of the corresponding ward round patient based on the execution result. The medical insurance management terminal determines the ward round plan corresponding to the medical insurance payment patient based on the preset ward round rules and the personal medical insurance credit of the medical insurance payment patient and / or the hospital medical insurance credit of the hospitalization hospital.

2. The method according to claim 1, characterized in that After sending the ward round tasks to the corresponding ward round executor terminals respectively, the method further includes: The terminal of the ward round executor displays the ward round task to prompt the ward round executor to perform the ward round task; Acquire identity feature information, location information, and current time of the patient on ward rounds, and verify whether the identity feature information matches the reserved feature information corresponding to the patient on ward rounds, whether the location information matches the bed on ward rounds, and whether the current time matches the ward rounds time, wherein the reserved feature information includes at least one of facial feature information, sound wave information, and fingerprint information corresponding to the patient on ward rounds; If the identity feature information, the location information and the current time are all verified, it is determined that the execution result of the ward round task is successful.

3. The method according to claim 2, characterized in that After verifying whether the identity feature information matches the reserved feature information corresponding to the ward round patient, whether the location information matches the ward round bed, and whether the current time matches the ward round time, the method further includes: If any one of the identity feature information, the location information and the current time fails to be verified, a verification failure message is output to prompt the ward round executor to re-perform the ward round task; and / or, If a signal of execution failure of the ward round task is received, the execution result of the ward round task is determined to be a ward round failure, wherein the execution result of the ward round task of failed ward round includes the reason for the ward round failure, and the reason for the ward round failure includes any one of the ward round patient leaving without permission, the ward round patient being discharged, the ward round patient being transferred to another hospital, and the ward round patient taking leave.

4. The method according to claim 2 or 3, characterized in that: The sending the execution result of the ward rounds task to the medical insurance management terminal specifically includes: The ward round executor terminal reports the execution result of the ward round task to the hospital terminal; The hospital terminal sends the execution result to the medical insurance management terminal.

5. The method according to claim 4, characterized in that The preset ward round rules include regular ward round rules and spot ward round rules; the regular ward round rules include the negative correlation between personal medical insurance credit and regular ward round frequency, the negative correlation between hospital medical insurance credit and regular ward round frequency, and the negative correlation between hospital medical insurance credit and regular ward round coverage; the spot ward round rules include the negative correlation between personal medical insurance credit and the range of spot ward round frequency, the negative correlation between hospital medical insurance credit and the range of spot ward round frequency, and the negative correlation between hospital medical insurance credit and the range of spot ward round coverage.

6. A device for inpatient ward rounds of medical insurance patients, characterized in that: include: Hospitalization information acquisition module, used by hospital terminals to obtain hospitalization information of patients covered by medical insurance; A hospitalization information sending module, used to send the hospitalization information to the medical insurance management terminal, so as to request the medical insurance management terminal to provide a ward round plan for the medical insurance-paid patient, wherein the ward round plan includes the ward round patient and the corresponding ward round time; A ward round task generation module is used to generate a ward round task according to the ward round plan fed back by the medical insurance management terminal, and send the execution result of the ward round task to the medical insurance management terminal, the medical insurance management terminal updates the personal medical insurance credit of the corresponding ward round patient according to the execution result, and the medical insurance management terminal determines the ward round plan corresponding to the medical insurance payment patient according to the preset ward round rules and the personal medical insurance credit of the medical insurance payment patient and / or the hospital medical insurance credit of the hospital where the patient is hospitalized; The ward round task generation module is specifically used to: integrate the medical insurance ward round task into the original hospital ward round task to determine the ward round task corresponding to each ward round executor according to the ward round time and ward round bed corresponding to each ward round patient and at least one ward round executor information, wherein the ward round task includes the ward round patient, the ward round time, the ward round bed and the re-signing fault tolerance time, and the ward round executor information includes the ward round executor's working hours and workload arrangement; send the ward round task to the corresponding ward round executor terminal respectively; The ward round execution module is used for: the hospital terminal receives the re-signing application for the ward round task from the ward round executor terminal, and sends a ward round re-signing notification carrying the re-signing tolerance time to the ward round patient terminal corresponding to the ward round task, so as to prompt the ward round patient to complete the ward round within the re-signing tolerance time; the ward round executor terminal receives the re-signing application of the ward round patient, wherein the re-signing application includes the application time and the application location; if the application time is within the re-signing tolerance time, and the application location matches the bed information of the ward round patient, the ward round executor terminal changes the ward round task to a task to be re-signed.

7. A storage medium having a computer program stored thereon, characterized in that: When the computer program is executed by a processor, the method according to any one of claims 1 to 5 is implemented.

8. A computer device comprising a storage medium, a processor, and a computer program stored in the storage medium and executable on the processor, characterized in that: When the processor executes the computer program, the method according to any one of claims 1 to 5 is implemented.

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