Maksereformi neli peamist mõju haiglatele
1. Suurim mõju on haiglatuludel
After the reform of the hospital's payment method, the compensation method of the medical insurance to the hospital has changed. The main influencing factors are:
1) The first page of the doctor's medical record is incorrectly filled or not standardized, the RW value of the wrong type of DRG entry is reduced or some cases cannot be enrolled, resulting in reduced payment or refusal to pay for medical insurance;
2) Teiseks on mõne haigusgrupi tegelikud ravikulud suuremad kui ravikindlustuse DRG grupi makse. Pärast DRG grupimakse rakendumist on selle haigusgrupi osa haiglaravi tulud vähenenud.
2. Suuremad nõuded haigla kuluarvestuse ning juhtimis- ja kontrollivõimalustele
Meditsiinireformi keskmesse on tõusnud makseviiside reform. Mitmetes meditsiinireformi poliitikates ja meetmetes, sealhulgas haiglate tulemuslikkuse hindamise ja kolmanda taseme haiglate hindamisstandardites, on selgelt öeldud, et haiguse tüüpide kaupa maksustatud haigustüüpide arvu tuleks suurendada, võttes aluseks meditsiiniteenuste mõistlikud kulud. Järk-järgult kehtestage laadimisstandardite dünaamiline reguleerimismehhanism.
In terms of cost accounting and management and control capabilities, disease cost accounting has also begun to move towards the "stage" due to its scientific and reasonable operability and strong promotion. Strengthening the refined management of disease cost accounting is an important measure to realize the good development of the hospital in the future, which is conducive to the high-quality development of the hospital.
3. Haigla haiguslugude kvaliteedi ja teabehalduse väljakutsete toomine
The implementation of the payment reform, the existing hospital's weak medical record management information application system, cannot meet the needs of the reform, and cannot support the number of disease groups, disease codes, medical order terms, discharge diagnosis codes, operation codes, medical record homepages, and cost costs Information and other big data technologies. If the hospital provides medical insurance-related medical records with inaccurate information, incorrect coding, incorrect diagnosis, and operation information after the reform, it will lead to the risk of not being compensated for the medical services provided.
4. Esitada kõrgemad nõuded haigla juhtimisele
Et tulla toime maksereformi mõju ja tohutute väljakutsetega haiglale, peab haigla rajama tervikliku juhtimissüsteemi läbi tipptaseme-disaini ning iga juhtimisosakond peab läbi viima vastavad funktsionaalsed muudatused, sh. algse stiimulimehhanismi reformimine projektipõhise -tasu, kvaliteedi hindamisnäitajate jne tingimusel, et edendada haiglate standardiseeritud toimimist ja juhtimist ning edendada veelgi haigla meditsiinitehnoloogia arengut ja diagnoosimise edasist täiustamist. ja ravivõimalused.
Shenzhen Deer Electronic(Dissmann Fuse) was founded in 2000 by Senior Engineers Team. The Engineers were responsible for products' RD in famous companies, reorganized and founded Shenzhen Deer in 2005. Focused on RD and production Current limiting Fuses. Now we've got 4 Patents of Invention of China and 12 Patents for Utility Model.
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