摘要
住院病案首页是医疗信息的核心载体,其准确性直接影响医保基金的支付。探讨医保DRG付费模式所面临的挑战以及住院病案首页管理问题,提出住院病案首页双联双控页管理策略。首先通过信息录入与审核环节的联动,结合数据校验和逻辑审核的控制,有效提升住院病案首页数据的准确性。其次通过单次编码操作,即可生成同时满足卫健委和医保局要求的双份首页,显著提高了数据管理的效率和一致性。该策略推动了医疗信息化的发展,进一步完善医保支付的管理机制,助力医疗机构实现高质量的发展。
The medical record front page of inpatient cases is the core carrier of medical information,and its accuracy directly affects the payment of the medical insurance fund.This paper discussed the challenges faced by the medical insurance DRGs payment mode and the management problems of the medical record front page and proposes the"double-link and double-control"page management strategy.This strategy effectively improved the accuracy of the data on the first page of inpatient medical records by linking the information entry and review links,combined with data verification and logical review controls.In addition,through a single coding operation,this strategy can generate two front pages that simultaneously meet the requirements of the Health Commission and the Medical Security Bureau,significantly improving the efficiency and ensuring the consistency of data management.This strategy has promoted the development of medical informatization,further improved medical insurance payment,and helped medical institutions achieve high-quality development.
作者
张翠红
樊涛
梁玲玲
高静
徐卉
涂开荣
王丽
李国华
Zhang Cuihong;Fan Tao;Liang Lingling;Gao Jing;Xu Hui;Tu Kairong;Wang Li;Li Guohua(The Sixth Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,China;不详)
出处
《中国病案》
2024年第11期51-53,共3页
Chinese Medical Record
关键词
DRGS
住院病案首页
医保结算清单
病案数据质量
DRGs
Medical record front page
Medical insurance settlement statement
Medical record data quality
作者简介
通信作者:李国华。
