摘要
在医保经办机构确定的次均住院费用结算指标一定的情况下,医院医保管理部门发挥信息化作用,把次均住院费用和与之关联的盈亏额度等数据进行合理架构,使医保住院病人的具体信息通过加工变成分析用的数据,再通过软件开发商编写程序,以医保住院考核报表方式输出,通过报表数据来掌握临床科室和医生个人的控费情况,并对发现的突出问题进行干预,可达到控制住院费用不合理增长的目的。
In the case of the medical insurance agencies determine the average cost of per hospital stay to a fixed amount, If we want to curb the irrational increase of hospitalization costs, we should allow the Hospital medical insurance management sector play the role of information technology management and compose the average cost per hospital stay and amount of such gains and losses to make them reasonable, process those information into data for analysis. And then those data will be provided to Software developers, in order to be out put as the assessment report of medical insurance of patients who stay in hospital, by those report we can master how the clinical departments and physicians control costs of patients and Solution the outstanding issues timely.
出处
《中国医疗保险》
2011年第4期50-53,共4页
China Health Insurance
关键词
医院医保管理
住院考核报表
次均住院费用
hospital medical insurance management, hospital inspection reports, inpatient expense pertime