Resident health record management information system refers to the computer information software for residents to provide health management, the system provides all the health records for the residents from birth to death in a complete life cycle, as well as this life cycle related to the paternal and maternal genetic health history, which uses the health card as an electronic file of the resident's identity, collection, organization and management of residents in the process of medical treatment, health care and other relevant information generated in the future health care process to provide a complete medical diagnostic basis for the process of health care. It collects, organizes and manages the relevant information generated by the residents in the process of medical treatment and health care, and provides a complete basis for medical diagnosis in the future health care process.
Overall Planning
The Resident Information System consists of city-county-township-village multilevel business networks, adopting the principle of "centralized data and hierarchical services". The whole system is divided into city, county, township and village business platforms at four levels, with data centralized in the county data centers, the municipal platforms are the same as the county data centers, and the business platforms at each level interact with each other through the network.
The new rural cooperative medical system is an important part of the whole new rural cooperative integrated information platform. According to the strategy of overall planning, sub-systems, step-by-step implementation, and overall integration, we have established the database of the rural cooperative medical center, and at the same time centralized the storage of health record data, which laid a solid foundation for the construction of the regional health information platform based on health records. Eventually, through the integration of data from other health information systems, we gradually formed a distributed health information data warehouse with massive data resources for query, statistics and data analysis.
1 Diagram of the overall process
The Procurement Office determines the procurement ** catalog according to the basic ** catalog of the New Rural Cooperative Program, the village health office reports the ** demand to the township health centers, and the municipal and county hospitals and the township health centers report the summary demand; after the unified procurement by the Procurement Office, the distribution center distributes the ** to the municipal and county hospitals and the township health centers; the township health centers implement the integrated management of the health rooms, and distribute to the health centers. Health room ** distribution;
Participating farmers in the county and municipal hospitals, township health centers and village health rooms and other designated medical institutions for treatment, settlement of the compensation amount by the system according to the reimbursement method automatically calculated, the designated medical institutions of the medical cost of the first review and in accordance with the implementation of the program advances should be compensated for the funds, the designated medical institutions advances of the medical costs by the township (township) agency audit and qualification to be reported to the county (city, district) agency review The medical expenses advanced by the fixed-point medical institutions are examined and approved by the township (township) management agency and submitted to the county (city, district) management agency for review, and the expenses advanced are promptly reimbursed to the fixed-point medical institutions through the financial departments or banks.
The system data **** enjoy, the relevant institutions throughout the full range of supervision and management, the implementation of integrated supervision and management of the new rural cooperative network, standardized.
2 Process Analysis
2.1 Hospital Reimbursement Compensation Process
The New Rural Cooperative business system provides a data interaction interface with the hospital's HIS system, and hospitals that have already used the HIS system, when calculating the amount of compensation, can import the patient's detailed data through the interface, including **costs, diagnostic and treatment costs, hospitalization costs and so on, and if there is no HIS system, you have to manually enter the data one by one, and then you have to enter the data one by one. If there is no HIS system, these detailed data must be entered manually one by one. At the same time, the whole process of supervision and management.
The combination of the NAC business system and the HIS system can realize the "direct subsidy" for patients, i.e., after the patient's visit to the clinic, when settling the medical expenses, the NAC reimbursement costs will be directly calculated and deducted, and the patient will only need to pay the difference, and the relevant vouchers will be submitted by the hospital to the staff of the HIS office.
System highlights:
1. Improve the speed and accuracy of settlement. The NAC business system directly reads business data from the hospital's HIS system, which reduces the workload of reimbursement entry and avoids inaccuracies brought about by secondary input;
2. Improve efficiency and simplify reimbursement process. The realization of "direct reporting" eliminates the need for patients to go to the Harmonization and Management Office to settle the compensation amount, which saves patients' time;
3. Reducing the burden on patients. Reduce the amount of money that patients pay directly to the hospital, greatly saving the patient's burden;
4, data security and accuracy. Hospital HIS according to the exchange of data with the New Agricultural Cooperative, the HIS has been settled data within the HIS to lock, to avoid irregularities;
2.2 Village health office business processes
Health office integrated management for the unified purchasing and distribution to provide the conditions to ensure that the unified purchasing and distribution of the smooth progress of the procurement process. The village health office reports the ** demand of the health center, receives the ** updated information of the integrated management and the data of drug allocation; and sends the business data and the data of the agricultural cooperative reimbursement to the health center. It realizes the instant reimbursement of the participating farmers when they visit the hospital, queuing up for reimbursement, and locking the reported documents.
System highlights:
1. Unified management and assessment of health center personnel, unified catalog, unified distribution and unified price for **.
2, health room management system and the new rural cooperative reimbursement system integrated into one.
3. There is a queuing function for outpatient reimbursement, and no reimbursement can be made without review.
4, to ensure the quality of grass-roots medicine, so that the people use assured medicine.
5, not distribution ** can not enter the integrated system (no entry window, only automatic import).
2.3 Procurement and Distribution Process