医院信息系统在门诊结算风险控制体系中的应用.pdfVIP

口财务管理 《中国卫生经济》第35卷第10期{总第404期) 2016年10 月 医院信息系统在门诊结算凤险控制体系中的应用 贾末①，王永刚②，孙震①，张沛①，张静③ 摘 要 目的:探讨提高门诊结算凤险控制水平，提升财务精细化管理的有效手段。方法:借助医院倍息系统对门诊结 算凤险加以控制，引入PDCA质量环模型对实施效果进行持续跟踪改进。结果:形成了结算凤险管理、凤险控制、风险监测、 持续改进为-体的门诊结算凤险控制体系。结论:借助PDCA质量环对现有门诊结算凤险控制体系进行了梳理改造，提高了财 务管理的精细化水平，借助医院信息系统有效降低了结算凤险的发生。 关键词 医院信息系统; POCA质量环; 1‘丁诊结算;风险控制 中图分类号 R1-9; F223 文献标志码 B 文章编号 1003-0743(2016)10-0087-03 001 10.7664/CHE201610025 The Application of Hospital Information System in the 阳sk Control System of Outpatient BillinglJIA Mo, WANG Yong- gang, SUN Zhen , et aIJ /Chinese HeaIth Economics, 2016,35(10) :87-89 Abstract Objective: 10 discuss the effective measurement for improving risk control level of outpatient settlement and promoting financial refinement management. Methods: Hospital information system was applied to control 由e outpatient settlement risk. 1he PD- CA 甲ality ring model was introduced to conduct sustainable following-up improvement for the implementation effects. Results: 1he formation of outpatient settlement risk control system included the setÙement risk management, risk control , risk monitoring and con- tinuous improvement. Conclusion: With PDCA 甲ality ring existing outpatient setÙement risk control system had combed transforma- tion and improved the refinement level of financial management, effectively reduce the incidence of risk by hospital information sys- tems. Key words hospital information system; PDCA quality ring; outpatient billing; risk control First-author s address Information Center, 1he Third Hospital Peking University , Beiji吨， 1 ∞191 ， China 我院作为一家全国知名的三级甲等综合医院，门 凭证验证等方面都做了严格的校验。 有效防范了费用 急诊量始终居于北京市各大医院前列。随着门急诊量 凭证造假导致的门诊结算风险的发生。 增加，门诊结算业务量越来越大，收费项目种类越来