CN104134127A - Medical service provider performance management system and method - Google Patents
Medical service provider performance management system and method Download PDFInfo
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- CN104134127A CN104134127A CN201410389995.5A CN201410389995A CN104134127A CN 104134127 A CN104134127 A CN 104134127A CN 201410389995 A CN201410389995 A CN 201410389995A CN 104134127 A CN104134127 A CN 104134127A
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Abstract
The invention discloses a medical service provider performance management system. The medical service provider performance management system comprises an index definition module, a data obtaining module, a data processing module and a result display module, wherein the index definition module is used for defining medical service performance indexes and building a mathematical model used for calculating the medical service performance indexes, the data obtaining module is used for obtaining basic data used for calculating the medical service performance indexes, the data processing module is used for calculating the data obtained from the data obtaining module according to the mathematical model built by the index definition module and storing the calculated result into a database, and the result display module is used for displaying the calculated result. According to the medical service provider performance management system, comprehensive informatization management is carried out on the performance of a medical service provider by defining the multiple indexes; by the adoption of the informatization management mode, the management efficiency can be improved, and the management quality can be greatly improved. Meanwhile, the invention further discloses a medical service provider performance management method.
Description
Technical field
The present invention relates to Computer Applied Technology field, relate more specifically to a kind of medical services provider Performance Management System and method.
Background technology
For guaranteeing that insured people obtains the medical services of high-quality, control the expenditure of Medical Benefits Fund simultaneously, Medical Insurance Organizations need to manage fixed point medical services provider's performance; In order to reflect all sidedly that strictly according to the facts the medical service quality of designated medical organization, Medical Insurance Organizations need the multiple examination of integrated use and evaluation method.At present, for whole medical services provider's (hospital, outpatient service, pharmacy, health check-up mechanism etc.) performance management, remain and adopt the mode of labor management to carry out, yet, because of medical services provider's quantity huge, performance management content is complicated, adopts manual type inefficiency and easily makes mistakes.
Given this, be necessary to provide a kind of medical services provider Performance Management System and method to solve the defect of above-mentioned prior art.
Summary of the invention
A technical matters to be solved by this invention is to provide a kind of medical services provider Performance Management System to improve the efficiency of management and management quality.
Another technical matters to be solved by this invention is to provide a kind of medical services provider performance management system, method to improve the efficiency of management and management quality.
In order to address the above problem, the invention provides a kind of medical services provider Performance Management System, it comprises: indicator definition module, for defining medical services performance indicators and setting up for calculating the mathematical model of described medical services performance indicators; Data acquisition module, for obtaining for calculating the basic data of medical services performance indicators; Data processing module, for calculating and result of calculation be stored in database the data of being obtained by described data acquisition module according to the mathematical model of being set up by described indicator definition module; And result display module, for showing result of calculation.
Preferably, described data acquisition module obtains data by dock the mode of networking with medical services provider.
Preferably, described data acquisition module obtains data by the mode of data typing or uploading data file.
Preferably, the mode of described result display module output result of calculation is: with detailed and gather two kinds of report forms and show on the page and/or derive with file layout.
In order to address the above problem, the present invention also provides a kind of medical services provider performance management method, and it comprises the following steps: (a), adopt an indicator definition module define medical services performance indicators and set up for calculating the mathematical model of described medical services performance indicators; (b), adopt a data acquisition module to obtain to calculate the basic data of medical services performance indicators; (c), adopt a data processing module according to set up mathematical model, obtained data to be calculated and result of calculation is stored in database; And (d), adopt a result display module to export result of calculation.
Preferably, the mode of obtaining data in step (b) comprises: by dock the mode of networking with medical services provider, obtain.
Preferably, described data deposit in database after Data Analysis and data verification.
Preferably, the mode of obtaining data in step (b) comprises: the mode importing by data typing or file is obtained.
Preferably, when carrying out file importing, for importing abnormal conditions, identify, if identify abnormal conditions, send information; Described importing abnormal conditions comprise technical abnormal and logicality is abnormal.
Preferably, the way of output of described result of calculation is with detailed and gather two kinds of report forms and show on the page or derive with file layout.
Compared with prior art, medical services provider Performance Management System provided by the present invention is realized medical services provider's performance is carried out to general management by definition many indexes, utilize this system can draw easily for evaluating the indices of medical services provider performance, thereby can learn medical services provider's service quality, be convenient to Medical Insurance Organizations or other associated mechanisms is carried out further management work.Medical services provider Performance Management System of the present invention and method realize carries out the information system management of many indexs and various dimensions to medical services provider's performance, has greatly improved management quality and efficiency.
By following description also by reference to the accompanying drawings, it is more clear that the present invention will become, and these accompanying drawings are used for explaining embodiments of the invention.
Accompanying drawing explanation
Fig. 1 is the theory diagram of medical services provider Performance Management System of the present invention one embodiment.
Fig. 2 is the process flow diagram of medical services provider performance management method of the present invention one embodiment.
Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in embodiment is clearly and completely described, in accompanying drawing, similarly assembly label represents similar assembly.Obviously, below by the embodiment of description, be only the present invention part embodiment, rather than whole embodiment.Embodiment based in the present invention, those of ordinary skills, not making the every other embodiment obtaining under creative work prerequisite, belong to the scope of protection of the invention.
With reference to Fig. 1, it has shown an embodiment of medical services provider Performance Management System provided by the present invention.The medical services provider Performance Management System 100 of the present embodiment comprises indicator definition module 101, data acquisition module 102, data processing module 103, result display module 104 and database 105.
Indicator definition module 101 is for defining medical services performance indicators and setting up for calculating the mathematical model of described medical services performance indicators.Wherein, described medical services performance indicators refers to the index that can be used to assess medical services provider performance, budget overruns ratio for example, the corresponding mathematical model of this budget overruns ratio index is: volume is appraised and decided in budget overruns ratio=(volume is appraised and decided in actual expenses-medical insurance)/medical insurance.Wherein, input parameter is that volume is appraised and decided in actual expenses and medical insurance; Output parameter is budget overruns ratio.When learning the concrete data of input parameter, can calculate the value of output parameter, also obtain a desired value relevant to performance.
Data acquisition module 102 is for obtaining for calculating the basic data of medical services performance indicators.It can obtain data by following two kinds of modes: a kind of is to obtain data by dock the mode of networking with medical services provider, wherein, can adopt the networking that achieves a butt joint of the modes such as special line, public network VPN and public network encryption, host-host protocol can adopt socket, http etc., and the form of institute's message transmission can adopt xml, file or other user-defined format etc.Preferably, the data of obtaining by which will first be passed through Data Analysis and data verification before warehouse-in, after the accuracy of confirmation data, just deposit in database 105.Another kind of mode is that the mode importing by data typing or file is obtained data.Preferably, in described data acquisition module 102, be provided with abnormal prompt unit, this abnormal prompt unit, for identifying for importing abnormal conditions when carrying out file importing, imports abnormal conditions if identify and sends information.Described importing abnormal conditions comprise the technical abnormal and abnormal two kinds of situations of logicality, wherein, the technical situations such as file corruption, file layout mistake, code error that extremely comprise, logicality comprises field disappearance, field threshold values mistake etc. extremely.
Data processing module 103 is for the data of being obtained by described data acquisition module 102 being calculated and result of calculation is stored in database 105 according to the mathematical model of being set up by described indicator definition module 101.Wherein, the data that data acquisition module 102 obtains comprise regular data and enter parameter certificate.Described regular data is for determining the scope of application of every performance indicators and analyzing dimension; Describedly enter parameter according to being the data corresponding with input parameter, for the input of calculating as data, according to regular data, can enter parameter according to corresponding with corresponding mathematical model together to calculate corresponding performance indicators value.In actual applications, data acquisition module 102 can obtain mass data conventionally, and data processing module 103 can carry out computing to finally realize the information system management of many indexs and various dimensions to these data simultaneously.
Result display module 104 is for calling result of calculation and show in database 105.This result display module 104 can be by the data that embody performance by detailed and gather two kinds of forms and display on the page, and these data can derive with file layouts such as excel, csv, pdf.According to the detail finally displaying and consolidated statement, can be perfectly clear and see intuitively and evaluate medical services provider performance indices institute corresponding data, thereby can learn medical services provider's service quality, be convenient to Medical Insurance Organizations or other associated mechanisms is carried out further management work.
Correspondingly, the present invention also provides a kind of medical services provider performance management method, and it comprises the following steps:
Step S1: adopt indicator definition module 101 define medical services performance indicators and set up for calculating the mathematical model of described medical services performance indicators.Wherein, described medical services performance indicators refers to the index that can be used to assess medical services provider performance, budget overruns ratio for example, the corresponding mathematical model of this budget overruns ratio index is: volume is appraised and decided in budget overruns ratio=(volume is appraised and decided in actual expenses-medical insurance)/medical insurance.Wherein, input parameter is that volume is appraised and decided in actual expenses and medical insurance; Output parameter is budget overruns ratio.When learning the concrete data of input parameter, can calculate the value of output parameter, also obtain a desired value relevant to performance.
Step S2: adopt data acquisition module 102 to obtain to calculate the basic data of medical services performance indicators.Preferably, can obtain data by following two kinds of modes: a kind of is to obtain data by dock the mode of networking with medical services provider, wherein, can adopt the networking that achieves a butt joint of the modes such as special line, public network VPN and public network encryption, host-host protocol can adopt socket, http etc., and the form of institute's message transmission can adopt xml, file or other user-defined format etc.Preferably, the data of obtaining by which will first be passed through Data Analysis and data verification before warehouse-in, after the accuracy of confirmation data, just deposit in database 105.Another kind of mode is that the mode importing by data typing or file is obtained data.Preferably, when carrying out file importing, for importing abnormal conditions, identify, if identify, import abnormal conditions and send information.Described importing abnormal conditions comprise the technical abnormal and abnormal two kinds of situations of logicality, wherein, the technical situations such as file corruption, file layout mistake, code error that extremely comprise, logicality comprises field disappearance, field threshold values mistake etc. extremely.
Step S3: adopt data processing module 103 obtained data are calculated and result of calculation is stored in database 105 according to set up mathematical model.Wherein, the data of obtaining comprise regular data and enter parameter certificate.Described regular data is for determining the scope of application of every performance indicators and analyzing dimension; Describedly enter parameter according to being the data corresponding with input parameter, for the input of calculating as data, according to regular data, can enter parameter according to corresponding with corresponding mathematical model together to calculate corresponding performance indicators value.In actual applications, conventionally can obtain mass data and these data be carried out to computing to finally realize the information system management of many indexs and various dimensions simultaneously.
Step S4: adopt result display module 104 to export result of calculation.The data of the embodiment performance of calculating can and gather two kinds of forms by detail and display on the page, and these data can derive with file layouts such as excel, csv, pdf.According to the detail finally displaying and consolidated statement, can be perfectly clear and see intuitively and evaluate medical services provider performance indices institute corresponding data, thereby can learn medical services provider's service quality, be convenient to Medical Insurance Organizations or other associated mechanisms is carried out further management work.
As mentioned above, medical services provider Performance Management System provided by the present invention is realized medical services provider's performance is carried out to general management by definition many indexes, utilize this system can draw easily for evaluating the indices of medical services provider performance, thereby can learn medical services provider's service quality, be convenient to Medical Insurance Organizations or other associated mechanisms is carried out further management work.Medical services provider Performance Management System of the present invention and method realize carries out the information system management of many indexs and various dimensions to medical services provider's performance, has greatly improved management quality and efficiency.
Invention has been described for above combination most preferred embodiment, but the present invention is not limited to the embodiment of above announcement, and should contain the various modifications of carrying out according to essence of the present invention, equivalent combinations.
Claims (10)
1. a medical services provider Performance Management System, is characterized in that, comprising:
Indicator definition module, for defining medical services performance indicators and setting up for calculating the mathematical model of described medical services performance indicators;
Data acquisition module, for obtaining for calculating the basic data of medical services performance indicators;
Data processing module, for calculating and result of calculation be stored in database the data of being obtained by described data acquisition module according to the mathematical model of being set up by described indicator definition module; And
Result display module, for showing the result of calculation being calculated by described data processing module.
2. medical services provider Performance Management System as claimed in claim 1, is characterized in that: described data acquisition module obtains data by dock the mode of networking with medical services provider.
3. medical services provider Performance Management System as claimed in claim 1, is characterized in that: described data acquisition module obtains data by the mode of data typing or uploading data file.
4. medical services provider Performance Management System as claimed in claim 1, is characterized in that: the mode of described result display module output result of calculation is: with detailed and gather two kinds of report forms and show on the page and/or derive with file layout.
5. a medical services provider performance management method, is characterized in that, comprises the following steps:
(a), adopt an indicator definition module define medical services performance indicators and set up for calculating the mathematical model of described medical services performance indicators;
(b), adopt a data acquisition module to obtain to calculate the basic data of medical services performance indicators;
(c), adopt a data processing module according to set up mathematical model, obtained data to be calculated and result of calculation is stored in database; And
(d), adopt a result display module to export result of calculation.
6. medical services provider performance management method as claimed in claim 5, is characterized in that, the mode of obtaining data in step (b) comprises: by dock the mode of networking with medical services provider, obtain.
7. medical services provider performance management method as claimed in claim 6, is characterized in that, described data deposit in database after Data Analysis and data verification.
8. medical services provider performance management method as claimed in claim 5, is characterized in that, the mode of obtaining data in step (b) comprises: the mode importing by data typing or file is obtained.
9. medical services provider performance management method as claimed in claim 8, is characterized in that, when carrying out file importing, for importing abnormal conditions, identifies, if identify abnormal conditions, sends information; Described importing abnormal conditions comprise technical abnormal and logicality is abnormal.
10. medical services provider performance management method as claimed in claim 5, is characterized in that, the way of output of described result of calculation is with detailed and gather two kinds of report forms and show on the page or derive with file layout.
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| CN201410389995.5A CN104134127A (en) | 2014-08-08 | 2014-08-08 | Medical service provider performance management system and method |
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| CN108038583A (en) * | 2016-10-28 | 2018-05-15 | 开利公司 | For management performance index to solve the method and system of business facility operation management target |
| CN108415700A (en) * | 2017-10-23 | 2018-08-17 | 平安科技（深圳）有限公司 | Computational methods, application server and the computer of wages intermediary outcomes can storage mediums |
| WO2019071965A1 (en) * | 2017-10-13 | 2019-04-18 | 平安科技（深圳）有限公司 | Data processing method, data processing device, and computer readable storage medium |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN108038583A (en) * | 2016-10-28 | 2018-05-15 | 开利公司 | For management performance index to solve the method and system of business facility operation management target |
| WO2019071965A1 (en) * | 2017-10-13 | 2019-04-18 | 平安科技（深圳）有限公司 | Data processing method, data processing device, and computer readable storage medium |
| CN108415700A (en) * | 2017-10-23 | 2018-08-17 | 平安科技（深圳）有限公司 | Computational methods, application server and the computer of wages intermediary outcomes can storage mediums |
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