DRGs is a widely used payment method in developed countries. This payment method is in line with the interests of the government, patients, hospitals and other subjects, and is helpful to promote the balanced development of medical expenses and medical quality. Therefore, DRGs have become an important direction for the reform of medical insurance payment mechanism at this stage.
DRGs refers to the expenses paid according to the relevant groups of disease diagnosis, that is, according to age, gender, surgical items, complications, hospitalization time, diagnosis content, treatment results and other factors, the disease is divided into several diagnosis groups. The hospital and the medical insurance institution negotiate to determine the payment standard of each diagnosis group, and the medical insurance institution pays the hospital according to this standard.
Benefits of drgs payment
1 to improve the standardization and uniformity of the database.
The hospital should check the database in combination with the data summarized by experts in medical record management, clinical diagnosis, statistics, medical insurance, hospital management and taxonomy. , in strict accordance with the specific provisions of the relevant clinical diagnosis codes, strictly implement and apply the latest domestic inpatient medical record homepage, and refer to DRGs transmission standards and interface information internally to build a unified and standardized ICD-related database such as disease codes.
Multi-dimensional, multi-dimensional and multi-dimensional data information can be verified before timely transmission, which can improve the participation rate of DRGs and achieve the management purposes of resource sharing and data exchange on the first page of medical records.
2. Reduce the error rate of manual entry.
Hospitals should rely on information technology to realize the automatic transmission and citation of medical record information system between relevant medical departments, which can reduce some repetitive manual input in different links, reduce the financial risk caused by manual input errors, ensure that the basic information of doctors and patients can be filled in and transmitted correctly, and also automatically extract the diagnosis and doctor's advice information of outpatient doctors to realize the purpose of calling and viewing relevant medical information in real time.