C-DRG最小数据集信息传递流程总体设计

General Information Transfer Process Design of C-DRG Minimum Data Set

目的:在C-DRG信息系统改造的过程中,信息传递的流程设计直接影响着信息质量,需要设计合理流程,以保证数据质量。方法:要保证C-DRG最小数据集质量,最小数据集需从改造后的病案系统中抽出,同时设立数据三级审核机制,对数据空值、临床逻辑、数据结构等进行检测。结果:通过确定合理的信息传递和审核流程,保证了数据传递的准确。结论:医院信息系统改造是C-DRG实施的关键,在信息系统改造过程中,需要确定合理的数据传递流程,在数据审核过程中,需要临床、医务、病案等科室的积极配合,以保证C-DRG数据的准确。

Objective: In the process of C-DRG information system transformation, the process design of general information transfer directly affects the quality of information. It is necessary to design a reasonable process to ensure the data quality. Methods: To ensure the quality of the C-DRG minimum data set, the data set should be extracted from the reconstructed medical record system, and a three-level data audit mechanism should be set up to verify whether the data is correct. Results: Through the reasonable information transfer and audit process, the accuracy of data transmission has been ensured. Conclusion: Information system transformation is an essential part in pricing and payment reform on C-DRG. In the process of information system transformation, the rational data transmission process is very important. In the process of data audit, the cooperation of clinical, medical, medical records and other departments is required to ensure the accuracy of C-DRG data.