Evaluation method and system based on disease diagnosis related group
A disease diagnosis and evaluation method technology, applied in the field of medical service quality management, can solve problems such as lower management efficiency and quality, medical quality management omissions, and insufficient scientificity, so as to control medical expenses, reduce medical resource consumption, and enhance medical quality management effect
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Embodiment 1
[0048] An evaluation method 100 based on grouping related to disease diagnosis, such as figure 1 shown, including:
[0049] Step 110, according to the information of the evaluation object, obtain each case information corresponding to the evaluation object, and group each case information to obtain the group information related to disease diagnosis corresponding to each case information. The evaluation objects include: hospitals, departments and doctors.
[0050] Step 120, according to the disease diagnosis-related group information corresponding to each case information, determine the evaluation index information including the three dimensions of production capacity, efficiency and quality. The evaluation index information includes: group number, total weight, case combination index, cost consumption index, Time elapsed index, low-risk case fatality rate, and high-risk case fatality rate.
[0051] Step 130: Evaluate the index of the evaluation object according to the evaluat...
Embodiment 2
[0059] The second embodiment is an evaluation method based on the grouping related to disease diagnosis based on the method 100 described in the first embodiment.
[0060] Specifically, on the basis of Embodiment 1, the process of grouping each case information in step 110 to obtain the disease diagnosis-related grouping information corresponding to each case information, such as figure 2 shown, including:
[0061] Receive the case information, divide it into the corresponding basic group according to the main diagnosis code and operation code in the case information, and obtain the basic group code and basic group name, where the case information includes the main diagnosis code, operation code and hospitalization time.
[0062] According to the code of the basic group, judge whether the main diagnosis corresponding to the main diagnosis code belongs to the type of hospitalization time, or judge whether the basic group belongs to a specific basic group, if not, obtain the li...
Embodiment 3
[0073] On the basis of Embodiment 1 or Embodiment 2, in Embodiment 3, step 130 specifically includes:
[0074] When the evaluation object is a hospital, evaluate the comprehensive index index of the hospital according to the evaluation index information, the acquired benchmark information of the hospital, and the evaluation index information of the previous year; when the evaluation object is a department, compare the evaluation index information with the acquired department's Standard index information, evaluate the index of the department to determine the department with abnormal index; when the evaluation object is a doctor, compare the evaluation index with the obtained doctor's case index information, and evaluate the doctor's index to determine the abnormal index in the case information that the doctor is responsible for case information.
[0075] Therefore, in the third embodiment, if image 3 As shown, method 100 includes:
[0076] Step 110, according to the informat...
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