文章主要阐述医院疾病诊断相关分组(Diagnosis Related Group,DRG)/按病种分值付费(Diagnosis-Intervention Packet,DIP)信息化建设现状、存在的问题,以及DRG与DIP的区别和联系,并在此基础上深入研究并探讨医院信息化建设实践策略,主要包括与医保部门系统衔接、应用医保信息业务编码标准、接口对接与信息反馈、构建病案首页质控体系、关注医院DRG/DIP管理关键环节及重视医保基金监管稽核方向等,以期促进医保DRG/DIP付费方式改革与医院信息化建设的协同发展.
Practice of Hospital Informatization Construction from the Perspective of Medical Insurance DRG/DIP Payment
This article elaborates on the current situation and existing problems of hospital Diagnosis Related Group(DRG)/Diagnosis-Intervention Packet(DIP)informatization construction,as well as the differences and connections between DRG and DIP.Based on this,in-depth research and exploration of hospital informatization construction practice strategies mainly include system integration with medical insurance departments,application of medical insurance information business coding standards,interface docking and information feedback,construction of medical record homepage quality control system,attention to key aspects of hospital DRG/DIP management,and emphasis on the direction of medical insurance fund supervision and audit.In order to promote the coordinated development of the reform of medical insurance DRG/DIP payment methods and hospital information construction.
万方数据
维普
