基于DRGs的医院内部绩效管理与评价  

Hospital Internal Performance Management and Evaluation Based on DRGs

作　　者：袁波英 林凯 杨永挺[1] 王锦毓 YUAN Bo-ying;LIN Kai;Yang Yong-ting;WANG Jin-yu(Zhejiang Cancer Hospital;Zhejiang Hospital Development Center)

机构地区：[1]浙江省肿瘤医院 [2]浙江省医院发展中心

出　　处：《医院管理论坛》2020年第2期18-20,共3页Hospital Management Forum

基　　金：浙江省医药卫生科技计划项目,编号:2015KYB101。

摘　　要：目的探讨DRGs在医院内部绩效考核管理与评价中的应用。方法利用浙江省医院质量管理与绩效评价平台提供的数据,对比分析2017年上半年和2018年上半年同科室5个医疗组的CMI指数、CEI系数和TEI系数,调整控费指标目标值。结果 5个医疗组RW≥2的病例数、CMI指数、CEI系数和TEI系数均有提高。各医疗组百元医疗收入消耗卫生材料费目标值设定在46.30~38.09元之间,住院均次费用增长率在4.77%~5.69%之间。结论基于DRGs的评价是实现医院精细管理的必然选择,是控制医疗费用不合理增长的迫切需要,还需进一步完善工作基础,改进评价方法。Objective To explore the application of DRGs in the internal performance management and evaluation of hospitals. Methods The data provided by the Hospital Quality Management and Performance Evaluation Platform of Zhejiang Province were used to compare and analyze the Case-Mix Index(CMI), cost-effectiveness index(CEI), time-effectiveness index(TEI) of five medical groups in the same department in the first half year of 2017 and the first half year of 2018. Then, the target value of the cost control indicators was adjusted. Results The number of cases with RW ≥ 2, CMI, CEI and TEI in the 5 medical groups all increased. The target value of medical materials costs per 100 CNY medical income of each medical group was set between 46.30~38.09 CNY, and the average growth rate of inpatient expenses was between 4.77%~5.69%. Conclusion DRGs-based evaluation is an inevitable choice to achieve lean management in hospitals, and it is an urgent need to control the irrational increase of medical expenses. It is necessary to further improve the work basis and improve the evaluation methods.

关 键 词：诊断相关分组 绩效管理 绩效评价 控费 

分 类 号：R197.6[医药卫生—卫生事业管理]