摘要
目的通过科学的管理方法,规范神经外科住院患者计费工作的管理,保障患者住院期间收费准确合理,符合国家的物价及相关政策;同时优化计费流程,便于护士操作。方法按照FOCUS-PDCA程序,对神经外科住院患者计费方面存在的问题进行分析、制定改进措施,不断规范住院患者计费的管理,实现住院患者计费工作的持续改进。结果通过FOCUS-PDCA程序的应用,神经外科住院患者计费正确率由80.1%提高至97.2%;危重患者首次通过医嘱计费时间由5分38秒降低至3分50秒;提高住院患者对科室工作的满意率,缩短护士在计费工作中花费的时间,真正落实“三满意”,以及将时间还给护士、将护士还给患者的优质护理服务要求。结论使用FOCUS-PDCA程序可有效改善神经外科患者计费方面存在的问题,保障患者住院期间收费准确合理,便于护士操作,值得推广。
Objective To standardize the billing management of the patients hospitalized in the department of neurosurgery through the scientific management methods so as to ensure accurate and reasonable hospitalization charges in line with national prices and related policies and facilitate the operation of nurses by optimizing the charging process.Methods According to the FOCUS-PDCA program,the problems of inpatient billing in the department of neurosurgery were analyzed,the improvement measures were made,the management of inpatient billing was continuously standardized,and the continuous improvement of inpatient billing was realized.Results Through the application of FOCUS-PDCA program,the correct billing rate of the patients hospitalized in department of neurosurgery was increased from 80.1% to 97.2%;the billing time of the critically patients for the first time by the doctor's advice was reduced from 5 minutes and 38 seconds to 3 minutes and 50 seconds;patients' trust for nurses was improved;the time nurses spent on billing was shortened;the goals for high quality nursing service including “three satisfaction” goals and the goals of giving the time back to the nurse,returning the nurse to the patient were achieved.Conclusion The FOCUS-PDCA program can effectively improve the billing services for the patients in the department of neurosurgery and ensure that the charges for patients' hospitalization are accurate and reasonable so as to facilitate the operation of nurses.
作者
于延玲
杨寒莉
申娜
马艳萍
缑杨杨
屈秋娟
YU Yanling;YANG Hanli;SHEN Na;MA Yanping;GOU Yangyang;QU Qiujuan(Second Department of Neurosurgery,First Affiliated Hospital of Xi'an Medical University,Xi'an 710077)
出处
《解放军医院管理杂志》
2019年第5期424-427,共4页
Hospital Administration Journal of Chinese People's Liberation Army