面對健保局自主管理政策之推行, 醫院面臨前所未有的困境, 為求正常營運, 成本管理顯得格外重要 o 本專案主旨在提升某地區醫院精神病房醫務收入利潤率, 本病房品管小組於2004.6.10至2004.10.31期間, 經由精神科成本及效益分析, 結果顯示2003年醫務收入利潤率為30.26%, 遠低於同級轄內同儕醫院35%, 經特性要因圖 , 柏拉圖分析及對精神醫療團隊進行問卷調查後, 發現導因所佔比率依序為: 護理人員漏記帳35.13%, 醫療團隊病歷書寫不完整18.73%, 高價藥品使用不當16.94%及無藥品使用規範10.36%. 藉由建立護理人員衛材使用登記制度,建立病歷書寫完整性監測及合理用藥機制等措施介入後, 使得醫務收入利潤率提高至42.29%, 因本專案的實施, 使精神科醫務收入利潤率得以提昇, 盡而增加醫院之競爭力.
關鍵詞: 生產力 , 收益力
- 1 0 年前最佳解答
Carrying out of facing the health insurance bureau independent regulatory policy, the hospital faced with the unprecedented difficult position, for asks the normal transport business, the cost management to appear the especially important o this special case primary intention in to promote some local hospital spirit hospital ward medical affairs income profit margin, this hospital ward tube group to 2004.6.10 to 2004.10.31 period, by way of the neurology department cost and the benefit analysis, finally demonstrated in 2003 the medical income profit margin is 30.26% in, far is lower than same level governs the associates hospital 35%, after the characteristic must because of the chart, Plato analyze and carries on the questionnaire survey after the spiritual medical service team, discovered leads because accounts for the ratio in order is: The nursing staff leaks keeps accounts 35.13%, medical team medical record writing is incomplete 18.73%, high price drugs use not when 16.94% and the non- drugs use standard 10.36%. affiliations protect the material use registration system by the establishment nursing staff, establishes the medical record writing integrity monitor and reasonably after measure involvement and so on medicine mechanism, causes the medical income profit margin to enhance to 42.29%, because of this special case implementation, enables the neurology department medical affairs income profit margin to promote, increases of competitive ability the hospital
收益力:Earning power參考資料： 自己
- 1 0 年前
Face independence in the health insurance bureau management policy it promote, the hospital faces an unprecedented dilemma, in order to beg normal operation, the cost management seems to be particularly important o origin the project subject Be promoting medical income profit margin of area hospital spirit sickroom in certain place, this sickroom quality control group shows as a result in 2003 by the spirit section cost and the benefit analysis medical income profit margin for 30.26% in 2004.6.10-2004.10.31 periods, away below governed with class a hospital is 35% inside the peers, after the characteristic important cause diagram, Plato analyzing and carrying on a questionnaire to the spirit medical treatment team found to lead because the ratio had one after another is: The personnel of the nursing leaks to keep accounts 35.13%, the medical treatment team medical history writes not complete 18.73%, the costliness drugs use not appropriate 16.94% and have no drugs usage standard 10.36%.By building up a nursing a personnel the Wei material usage register system build up medical history to write integrity to monitor and the reasonable use the medicine mechanism etc. the measure makes the medical income profit margin raise to 42.29% after getting involved, because the implement of this project, can make the medical income profit margin of the spirit section promote, exhausted and increase a hospital of competition ability.