Refined Management of the Medical Records Department Under the Background of DRG
DRG(Diagnosis Related Groups)work is rapidly and comprehensively spreading in China.In order to adapt to the challenges brought by DRG medical insurance payment,the medical records department must adopt comprehensive and refined management.Taking a certain hospital as an example,refined management will be achieved from the following three aspects.First,the medical record signing and archiving process is optimized,the digitization of historical medical records is realized,and future medical records are made paperless.Second,the quality control process on the front page of medical records is optimized.A full-process 4-level quality control review system for discharged medical records and two full-process reviews of problematic medical records returned by medical insurance DRG groups are adopted.Intelligent auxiliary coding is realized,while the medical record feedback function,coding quality control,and result display function are added.Real-time feedback to coders is provided,and medical record statistics informatization is implemented.Database statistical queries by training statisticians on database knowledge are implemented.Third,personnel reserves and talent training are strengthened.Through the above methods,work efficiency and work quality can be improved,and the quality of writing and coding on the front page of medical records can be improved so that the hospital can achieve a balance between revenue and expenditure in DRG medical insurance payment.
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