Performance accounting method driven by multi-dimensional value based on DRG integral

Abstract

The invention discloses a multi-dimensional value-driven performance accounting method based on DRG integral, and belongs to the technical field of medical industry performance management, and the method comprises the following steps: 1) data collection and preprocessing: collecting data related to performance accounting from an information system of a medical institution, comprising but not limited to basic information, diagnosis information, treatment information, cost information, medical quality index data, medical efficiency index data, cost data and patient satisfaction survey data of a patient, and cleaning, converting and standardizing the collected data; according to the method, the DRG integral and value factors of multiple dimensions such as medical quality, medical efficiency, cost effectiveness and patient satisfaction are comprehensively considered, so that the real contribution and value of medical personnel or medical institutions can be reflected more comprehensively and accurately, and one-sided performance accounting of a traditional performance accounting method is avoided; performance accounting is more scientific and reasonable by performing quantification and weighted calculation on the multi-dimensional value indexes.

Description

Technical Field

[0001] The present invention belongs to the technical field of medical industry performance management, and particularly relates to a performance accounting method driven by multi-dimensional value based on DRG points. Background Art

[0002] The hospital workload performance plan is a performance distribution system that takes workload as the accounting basis, mainly based on achievements such as job positions, technical content, risk level, and service quantity, and uses indicators such as work efficiency and benefit, work quality, and patient satisfaction as a comprehensive assessment system for comprehensive measurement and evaluation. DRG is an important tool for measuring the quality and efficiency of medical services and for medical insurance payment.

[0003] Currently, most methods only measure performance based on single indicators such as the number of DRG groups and weights. Although this approach considers the complexity of diseases to a certain extent, it is still not comprehensive enough. Most of the existing performance accounting methods fail to effectively integrate and consider these dimensions, resulting in the performance accounting results not being able to accurately reflect the true contributions and values of medical staff or medical institutions. Summary of the Invention

[0004] The purpose of the present invention is to propose a performance accounting method driven by multi-dimensional value based on DRG points in order to solve the above-mentioned existing problems.

[0005] In order to achieve the above purpose, the present invention adopts the following method: a performance accounting method driven by multi-dimensional value based on DRG points, which includes the following steps:

[0006] 1) Data collection and preprocessing: Collect data related to performance accounting from the information system of a medical institution, including but not limited to the basic information, diagnosis information, treatment information, cost information, medical quality index data, medical efficiency index data, cost data, and patient satisfaction survey data of patients. Clean, transform, and standardize the collected data, remove duplicate, incorrect, and missing data, and unify the data format;

[0007] 2) DRG point calculation: According to the diagnosis information and treatment information of patients, assign patients to the corresponding DRG groups according to the internationally or domestically common DRG grouping standards. Determine the weight of each DRG group by referring to the DRG grouping standard table or using relevant calculation models. Calculate the DRG points according to the DRG groups to which the patients admitted by each medical staff or medical institution belong and their weights;

[0008] 3) Multi-dimensional value index quantification: In the dimension of medical quality, representative medical quality indicators are selected, such as infection rate, complication incidence rate, readmission rate, etc. In the dimension of medical efficiency, the average length of stay, operation time, bed turnover rate, etc. are selected as medical efficiency indicators. In the dimension of cost-benefit, various medical costs such as drug cost, consumable cost, inspection cost, etc. are calculated. In the dimension of patient satisfaction, patient satisfaction data is collected through questionnaire surveys, online evaluations, etc.;

[0009] 4) Comprehensive performance accounting: Determine the weights of each dimension. According to the strategic goals and development priorities of medical institutions, determine the DRG points and the weights of each dimension such as medical quality, medical efficiency, cost-benefit, and patient satisfaction. The sum of the weights of each dimension is 1. The calculation formula for the comprehensive performance score P is:

[0010] P = DRG points × α + medical quality dimension score × β + medical efficiency dimension score × γ + cost-benefit dimension score × δ + patient satisfaction dimension score × ε, where α, β, γ, δ, and ε are the weights of the DRG points, medical quality dimension, medical efficiency dimension, cost-benefit dimension, and patient satisfaction dimension respectively;

[0011] 5) Application of performance results: Performance reward distribution, according to the comprehensive performance score, perform performance reward distribution for medical staff or medical institutions. Improvement suggestions and feedback, analyze the performance accounting results to find out the existing problems and deficiencies.

[0012] As a further description of the above technical solution:

[0013] In step 2) above, the formula for calculating DRG points is:

[0014]

[0015] where n is the number of different DRG groups admitted, DRG weight i is the weight of the i-th DRG group, and case number i is the number of patients in the i-th DRG group admitted.

[0016] As a further description of the above technical solution:

[0017] In step 3) above, by comparing the actual data with the target value, calculate the score of each indicator, and then perform weighted summation according to the weights to obtain the comprehensive score of the medical quality dimension.

[0018] As a further description of the above technical solution:

[0019] In step 3) above, calculate the score by comparing the actual data with the target value and perform weighted summation to obtain the comprehensive score of the medical efficiency dimension.

[0020] As a further description of the above technical solution:

[0021] In step 3), set the cost control target value and weight, calculate the score by comparing the actual cost with the target cost, and sum them up with weights to obtain the comprehensive score of the cost-benefit dimension.

[0022] In summary, due to the adoption of the above technical solution, the beneficial effects of the present invention are as follows:

[0023] In the present invention, by comprehensively considering the DRG points and value factors in multiple dimensions such as medical quality, medical efficiency, cost-benefit, and patient satisfaction, it can more comprehensively and accurately reflect the true contributions and values of medical staff or medical institutions, avoiding the one-sidedness of traditional performance accounting methods. By quantifying and weighting multi-dimensional value indicators, the performance accounting becomes more scientific and reasonable. At the same time, by making full use of the big data resources of medical institutions, the accuracy and reliability of performance accounting are improved. It can encourage medical staff to pay more attention to the quality, efficiency, cost control, and patient satisfaction of medical services while increasing the workload, promoting the sustainable development of medical institutions. According to the strategic goals and development priorities of medical institutions, flexibly adjust the weights of each dimension, provide a clear development orientation for medical staff and medical institutions, and guide them to rationally allocate medical resources and optimize the medical service process. BRIEF DESCRIPTION OF THE DRAWINGS

[0024] Figure 1 It is a flowchart of a performance accounting method driven by multi-dimensional values based on DRG points. DETAILED DESCRIPTION OF THE EMBODIMENTS

[0025] Next, the technical solutions in the embodiments of the present invention will be clearly and completely described in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts belong to the protection scope of the present invention.

[0026] Embodiment:

[0027] S01: Data collection and preprocessing: Collect data related to performance accounting from the information system of a medical institution, including but not limited to the basic information, diagnosis information, treatment information, cost information, medical quality index data, medical efficiency index data, cost data, and patient satisfaction survey data of patients. Clean, transform, and standardize the collected data, remove duplicate, incorrect, and missing data, and unify the data format for subsequent analysis;

[0028] S02: DRG Score Calculation: Based on the patient's diagnosis information and treatment information, according to the internationally or domestically common DRG grouping criteria, the patient is assigned to the corresponding DRG group. By referring to the DRG grouping standard table or using relevant calculation models, the weight of each DRG group is determined. According to the DRG groups to which the patients admitted by each medical staff or medical institution belong and their weights, the DRG score is calculated;

[0029] Specifically, based on the International Classification of Diseases (ICD) coding and relevant DRG grouping rules, the patient's diagnosis information and treatment information are analyzed, and the patient is accurately assigned to the corresponding DRG group. By referring to the local DRG grouping standard manual, the weight corresponding to each DRG group is obtained. Suppose a doctor admitted patients from 3 different DRG groups within an accounting period. The weight of DRG group 1 is 1.2, and the number of cases is 10; the weight of DRG group 2 is 1.5, and the number of cases is 8; the weight of DRG group 3 is 0.8, and the number of cases is 12. Then the DRG score of this doctor is calculated as follows: DRG score = 1.2×10 + 1.5×8 + 0.8×12 = 12 + 12 + 9.6 = 33.6;

[0030] S03: Quantification of Multi - dimensional Value Indicators:

[0031] For the medical quality dimension, representative medical quality indicators are selected, such as the infection rate, complication incidence rate, readmission rate, etc. By comparing the actual data with the target values, the score of each indicator is calculated, and then weighted summation is performed according to the weights to obtain the comprehensive score of the medical quality dimension;

[0032] For the medical efficiency dimension, the average length of stay, operation time, bed turnover rate, etc. are selected as medical efficiency indicators. By comparing the actual data with the target values, the scores are calculated and weighted summation is performed to obtain the comprehensive score of the medical efficiency dimension;

[0033] For the cost - benefit dimension, various medical costs such as drug costs, consumable costs, inspection and testing costs, etc. are accounted for. The cost control target values and weights are set. By comparing the actual costs with the target costs, the scores are calculated and weighted summation is performed to obtain the comprehensive score of the cost - benefit dimension;

[0034] For the patient satisfaction dimension, patient satisfaction data is collected through methods such as questionnaires and online evaluations;

[0035] Specifically, the comprehensive score of the medical quality dimension is 0.352; the comprehensive score of the medical efficiency dimension is 1.124; the comprehensive score of the cost - benefit dimension is 0.09; the score of the patient satisfaction dimension is 17;

[0036] S04: Comprehensive Performance Accounting: Determine the weights of each dimension. According to the strategic goals and development priorities of medical institutions, determine the DRG points and the weights of each dimension such as medical quality, medical efficiency, cost - effectiveness, and patient satisfaction. The sum of the weights of each dimension is 1. The calculation formula for the comprehensive performance score P is:

[0037] P = DRG points × α + medical quality dimension score × β + medical efficiency dimension score × γ + cost - effectiveness dimension score × δ + patient satisfaction dimension score × ε, where α, β, γ, δ, ε are the weights of the DRG points, medical quality dimension, medical efficiency dimension, cost - effectiveness dimension, and patient satisfaction dimension respectively;

[0038] Specifically, assuming that according to the strategic goals of the medical institution, the DRG points weight α is determined to be 0.3, the medical quality dimension weight β is 0.2, the medical efficiency dimension weight γ is 0.2, the cost - effectiveness dimension weight δ is 0.1, and the patient satisfaction dimension weight ε is 0.2, then the comprehensive performance score P of this department is:

[0039] P = 33.6×0.3 + 0.352×0.2 + 1.124×0.2 + 0.09×0.1 + 17×0.2;

[0040] S05: Application of Performance Results: Performance Reward Distribution. According to the comprehensive performance score, conduct performance reward distribution for medical staff or medical institutions. Improvement Suggestions and Feedback. Analyze the performance accounting results to find out existing problems and deficiencies.

[0041] The above - mentioned is only the preferred specific implementation manner of the present invention, but the protection scope of the present invention is not limited thereto. Any person skilled in the art within the technical scope disclosed by the present invention, according to the technical solution and inventive concept of the present invention, makes equivalent substitutions or changes, and should be covered by the protection scope of the present invention.

Claims

1. A performance accounting method based on multi-dimensional value-driven under DRG integration, characterized in that: It includes the following steps: 1) Data collection and preprocessing: Collect data related to performance accounting from the information system of medical institutions, including but not limited to basic information of patients, diagnosis information, treatment information, cost information, medical quality index data, medical efficiency index data, cost data, and patient satisfaction survey data. Clean, transform, and standardize the collected data to remove duplicate, incorrect, and missing data and unify the data format; 2) DRG score calculation: According to the diagnosis information and treatment information of patients, allocate patients to the corresponding DRG groups according to the internationally or domestically common DRG grouping standards. Determine the weight of each DRG group by referring to the DRG grouping standard table or using relevant calculation models. Calculate the DRG scores according to the DRG groups to which the patients admitted by each medical staff or medical institution belong and their weights; 3) Quantification of multi-dimensional value indicators: In the dimension of medical quality, select representative medical quality indicators such as infection rate, complication rate, readmission rate, etc. In the dimension of medical efficiency, select the average length of stay, operation time, bed turnover rate, etc. as medical efficiency indicators. In the dimension of cost-benefit, calculate various medical costs such as drug cost, consumable cost, inspection cost, etc. In the dimension of patient satisfaction, collect patient satisfaction data through questionnaire surveys, online evaluations, etc.; 4) Comprehensive performance accounting: Determine the weights of each dimension. According to the strategic goals and development priorities of medical institutions, determine the weights of DRG scores and each dimension such as medical quality, medical efficiency, cost-benefit, and patient satisfaction. The sum of the weights of each dimension is 1. The calculation formula for the comprehensive performance score P is: P = DRG score × α + medical quality dimension score × β + medical efficiency dimension score × γ + cost-benefit dimension score × δ + patient satisfaction dimension score × ε, where α, β, γ, δ, and ε are the weights of the DRG score, medical quality dimension, medical efficiency dimension, cost-benefit dimension, and patient satisfaction dimension respectively; 5) Application of performance results: Performance reward distribution, conduct performance reward distribution for medical staff or medical institutions according to the comprehensive performance score. Improvement suggestions and feedback, analyze the performance accounting results to find existing problems and deficiencies.

2. The performance accounting method based on multi-dimensional value-driven under DRG integration according to claim 1, wherein, In step 2), the formula for DRG score calculation is: where n is the number of different DRG groups admitted, DRG weight i is the weight of the i-th DRG group, and the number of cases i is the number of patients in the i-th DRG group admitted.

3. A multi-dimensional value-driven performance accounting method based on DRG points according to claim 1, characterized in that, In step 3), calculate the score of each indicator by comparing the actual data with the target value, and then perform weighted summation according to the weights to obtain the comprehensive score of the medical quality dimension.

4. A multi-dimensional value-driven performance accounting method based on DRG points according to claim 1, characterized in that In step 3), calculate the score by comparing the actual data with the target value and perform weighted summation to obtain the comprehensive score of the medical efficiency dimension.

5. A performance accounting method based on multi-dimensional value-driven under DRG points, as claimed in claim 1, wherein In step 3), set the cost control target value and weight, calculate the score by comparing the actual cost with the target cost and perform weighted summation to obtain the comprehensive score of the cost-benefit dimension.

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