Research on payment system based on diagnosis related groups in Beijing / 中华医院管理杂志

The medical service payment system reform is one of core issues in medical and health system reform.The main content of diagnosis related groups-prospective payment system includes diagnosis coding standardization,medical records front sheet standardization,diagnosis grouping,medical information management.To successfully implement the payment system,it is important to implement clinical pathway,sign medical services agreement,accurately complete medical records from sheet,interdepartmentally cooperate.

Impacts of Diagnosis Related Groups and Balanced Score-card on inpatient medical services / 中华医院管理杂志

Objective To improve overall value of healthcare industry through setting up critical inpatient medical services strategic plan.Methods Identify major objectives which the local government expects to achieve through strategic map; Standardize inpatient output and assign weight to each group through diagonosis related groups; Translate the objectives of strategic map and result of diagnosis related group to Balanced Score-card; Finally build up strategic map and according action plans.ResultsPreliminarily established 16 objectives、23 measures and 13 tasks in four perspectives including customer,internal work flow,learning and growing and finance.ConclusionThe strategy map and the balanced score-card can help implement full strategic plan of regional inpatient medical services; DRGs is a core management tool of patient-centred service output management; Balanced Score-card is able to realize continuous improvement of Beijing inpatient medical services from macro to micro persoetive.