Public Hospital Management
Practice of building medical record coding centers under the background of group management in public hospitals
Wu Lijuan, Guo Jiayi, Xu Minhui, Jin Ni, Ge Bangbiao, Zheng Pan, He Guobin, Guo Minna
Published 2024-02-02
Cite as Chin J Hosp Admin, 2024, 40(2): 102-106. DOI: 10.3760/cma.j.cn111325-20230705-00525
Abstract
The quality of medical record homepage data is an important foundation for ensuring the smooth implementation of diagnostic related groups payment and public hospital performance evaluation. In January 2021, a public hospital medical group established a medical record coding center to uniformly manage the medical record homepage codes of member units. Through measures such as establishing regulations, constructing information systems, optimizing human resource integration and configuration, building coding personnel capabilities, and establishing a collaborative mechanism with clinical departments, the homogenization management of the medical record homepage group has been achieved, and the quality of the medical record homepage has been improved. The error rate of clinical doctors filling out medical record homepage has decreased from 11.15% in 2020 to 7.98% in 2022, and the error rate of coders has decreased from 3.45% in 2020 to 2.39% in 2021. This can provide reference for the quality management of medical record homepage and hospital refinement management in various medical institutions.
Key words:
Hospitals, public; Group management; Medical record management; International classification of diseases; Diagnosis related groups; Homogeneous management; Quality control
Contributor Information
Wu Lijuan
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
Guo Jiayi
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
Xu Minhui
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
Jin Ni
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
Ge Bangbiao
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
Zheng Pan
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
He Guobin
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China
Guo Minna
Quality Control Office, Jinhua Hospital Affiliated to Zhejiang University School of Medicine, Jinhua 321000, China