What Are the Different Methods of Inpatient Billing?

The basis of graded management of hospitals is the comprehensive level of hospital functions, tasks, facilities, technical construction, medical service quality and scientific management. The essence of hospital hierarchical management is the standardized management and objective management of hospitals implemented in accordance with the principles of modern hospital management and the scientific laws and characteristics of medical and health service work. The establishment and classification of hospitals should be determined by the unified planning of the local government's regional health plan under the principle of ensuring the reasonable structure and overall function of urban and rural medical and health networks.

Hospital classification management measures

The basis of graded management of hospitals is the comprehensive level of hospital functions, tasks, facilities, technical construction, medical service quality and scientific management. The essence of hospital hierarchical management is the standardized management and objective management of hospitals implemented in accordance with the principles of modern hospital management and the scientific laws and characteristics of medical and health service work. The setting and classification of hospitals should be based on ensuring the reasonable structure and overall function of urban and rural medical and health networks.

"Classification Management Measures for Hospitals"

The basis of graded management of hospitals is the comprehensive level of hospital functions, tasks, facilities, technical construction, medical service quality and scientific management. The essence of hospital graded management is standardized hospital management and objective management implemented in accordance with the principles of modern hospital management and the scientific laws and characteristics of medical and health service work. It is determined by the health administrative department according to the regional health plan of the local government.

Medical review committee levels and tasks

The hospital review committee is divided into three levels: ministerial, provincial and prefecture (city) level review committees. The tasks of the review committees at all levels are:

1. Ministerial Review Committee

The evaluation committee is managed by an experienced hospital hired by the health administrative department at the same level. It consists of experts in medical education, clinical, medical technology, nursing and finance. Members must be upright, honest, fair, private, healthy, and able to participate in the judging work in person.

The review committees at all levels shall formulate work regulations and establish and improve working systems. Strictly abide by national laws and regulations concerning the building of a clean government, diligence and thrift.

Hospitals applying for review (including review) shall pay the review fee. The accreditation fee income can only be used for normal expenses incurred in conducting hospital accreditation activities.

Each review cycle is 3 years. The hospital should submit an application and report the information 18 months before the end of the review cycle. After receiving the application, the review committee shall complete the review 3 months before the end of the review cycle.

Medical charges should be linked to hospital level. Different levels, outpatient registration, inpatient bed charges, etc. should be different, in order to properly open the grade.

Treatment of unqualified hospitals:

For hospitals with more problems, the review committees at all levels and the health administrative department should propose restrictions

Hospital Hierarchy Management Measures (Trial Draft) (Ministry of Health of the People's Republic of China)

Chapter I General Provisions

The first is to improve and strengthen the macro management of medical and health work, adjust and improve the three-level medical prevention system, make full and reasonable use of health resources, improve the scientific level of hospitals and the quality of medical and health services, and better protect health care.

According to the comprehensive level of the hospital, the hospitals are divided into first-level and ten-level. First and second-level hospitals are respectively divided into A, B, and C. Third-level hospitals are divided into Special, A, B, and C-four.

There are five main aspects of hospital grading standards and indicators.

First, the scale of the hospital. Including the requirements and indicators of four aspects, including bed, construction, staffing, and department configuration.

Second, the technical level of the hospital

Third, medical equipment

4. The management level of the hospital, including the requirements and indicators of the seven aspects of the director's quality, management, information management, modern management technology, hospital infection control, resource utilization, and economic benefits

5. The quality of the hospital, including the quality of diagnosis, treatment, nursing, and work

Beijing Fuwai Hospital

And comprehensive quality requirements and indicators

The total number of hospital beds for medical institutions named "hospitals" should be more than 20.

First-level general hospital

1. Beds: The total number of hospital beds is 20 to 99.

2. Department setting: The clinical department has at least an emergency room, internal medicine, surgery, gynecology (obstetrics), and preventive health care. The medical technology department has at least a pharmacy, laboratory, X-ray room, and disinfection supply room.

3. Personnel: Each bed must be equipped with at least 0.7 health technicians, at least 3 physicians, 5 nurses and corresponding pharmaceutical, inspection, radiation and other health technicians, and at least 1 physician with the title of physician or above.

Second-level general hospital

1. Beds: The total number of hospital beds is 100 to 499.

2. The settings of the second-level general hospital include otolaryngology, dentistry, dermatology, and infectious diseases. Among them, ophthalmology, otolaryngology, and dentistry can be combined with construction, and dermatology can be combined with internal medicine or surgery. The medical technology department has at least a pharmacy department, a laboratory department, a radiology department, a physiotherapy department, a disinfection supply room, an operating room, a pathology room, a blood bank (which can be incorporated into the laboratory department and facilities), a physiotherapy room, and a medical record room.

3. Personnel: Each bed must be equipped with at least 0.88 health technicians, each bed must be equipped with at least 0.4 nurses, at least 3 physicians with titles of associate chief physician or above, and at least 1 physicians with titles of physician or above in each specialty department.

Tertiary general hospital

1. Beds: More than 500 hospital beds.

2. Department setting: The clinical department has at least an emergency room, internal medicine, surgery, gynecology (obstetrics), preventive health care, pediatrics, ophthalmology, otolaryngology, dentistry, dermatology, infectious medicine, traditional Chinese medicine, rehabilitation, medical technology The department has at least a pharmacy, a laboratory, a radiology department, an operating room, a pathology department, a nuclear medicine department, a blood transfusion department, a physiotherapy department (can be set up with the rehabilitation department), a disinfection supply room, a medical record room, a nutrition department, and corresponding clinical functions. check room.

3. Personnel: Each bed must be equipped with at least 1.03 health technicians, and each bed must be equipped with at least 0.4 nurses. Professional departments should have titles of deputy chief physician or above, no less than 2 clinical nutritionists, and engineering technicians (technical technicians, assistant engineers or more) ) Accounted for no less than 1% of the total number of health technicians.

See also: "General Hospital Classification Management Standards (Trial Draft)"