DRG改革视角下编码员考核体系构建路径研究

Construction of coder assessment system under DRG reform

编码员考核体系的构建和实施是强化DRG支付改革、推动医院高质量发展的关键环节。本文在DRG支付改革背景下,从病案编码员考核的目标体系、指标体系和结果应用反馈机制三方面,分析编码员考核体系的构建路径和内在逻辑,并从模块化分解考核目标、引入绩效管理工具、做好基线数据测算三方面,讨论考核体系构建之后的实现方法。

The construction and implementation of a coder assessment system are crucial for strengthening DRG payment reform and promoting high-quality development of hospitals.Against the backdrop of DRG payment reform,this paper analyzes the construction and internal logic structure of the coder assessment system from three perspectives:target system,index system,and mechanism of results application and feedback.It also discusses the implementation methods after establishing the assessment system from three angles:modular decomposition of assessment objectives,introduction of performance management tools,and baseline data measurement.