首页|基于DRG对病案首页进行质量控制的探讨

基于DRG对病案首页进行质量控制的探讨

扫码查看
目的 分析北京同仁医院近两年间有创呼吸机治疗的病例数据,为推进病案首页质控及DRG精细化管理提供指导及借鉴.方法 统计并分析该院2021年1月—12月及2022年4月—2023年3月间接受有创呼吸机治疗的病例数据,统计入选病例在不同DRG平台的分组信息,并对影响其分组结果的因素进行分析.结果 分组结果因不同DRG平台中分组方案对操作编码的兼容性而产生差异,两个DRG平台均对AH1组新增加了入组条件.结论 CHS-DRG的入组条件较CN-DRG更为复杂;对病案首页中操作编码进行前置质控,可提高医保基金结算清单的数据质量,有利于对其进行精细化管理.
Discussion on the Quality Control of the Homepage of Medical Records Based on DRG
Objective Analyze the case data of invasive ventilator treatment in certain hospital in recent 2 years,providing guidance and reference for promoting the quality control of medical record homepage and refined DRG management.Methods Collect and analyze the data of cases receiving invasive ventilation treatment in a certain hospital from January to December 2021 and from April 2022 to March 2023.Collect the grouping information of selected cases on different DRG platforms,and analyze the factors that affect their grouping results.Results The grouping results differ due to the compatibility of grouping schemes with operation code in different DRG platforms,and both DRG platforms have added new grouping conditions for the AH1 group.Conclusion The entry conditions of CHS-DRG are more complex than those of CN-DRG,and pre-quality control of the operation code in the medical record homepage can improve the data quality of the medical insurance fund settlement list,which is conducive to refined management.

diagnosis related groupspre-quality controlinformatization constructioninvasive ventilator treatment

郝靖、郝建、郭敬鹏

展开 >

首都医科大学附属北京同仁医院,北京市,100730

中国电子科技集团公司第十一研究所,北京市,100015

疾病诊断相关分组 前置质控 信息化建设 有创呼吸机治疗

2024

中国卫生信息管理杂志
卫生部统计信息中心

中国卫生信息管理杂志

CSTPCD
影响因子:1.2
ISSN:1672-5166
年,卷(期):2024.21(2)
  • 15