China News Service, Taizhou, May 15 (Fan Yubin, Zhang Yingying, Liu Binhui) "According to your current physical condition, it is recommended that you have a reasonable diet, a combination of meat and vegetables, and reduce sugar intake." 63-year-old patient Mr. Wu recently suffered from "three highs". "I came to the Qinggang Branch of the Health Community Group of the Second People’s Hospital of Yuhuan City, Taizhou City, Zhejiang Province. After patient consultation with the doctor, I finally got an exclusive chronic disease comprehensive assessment report, which records the patient’s past medical history and details in detail. Follow-up arrangements.
"The content of this assessment report is detailed and clear, and it allows me to further understand my condition and carry out targeted treatment. It is very convenient and practical." Mr. Wu said.
Such medical treatment scenarios are quite common in Yuhuan. The local medical system saves medical treatment costs and improves health status through health management and chronic disease prevention and control.
People in Yuhuan, Zhejiang seek medical treatment to fill in relevant information.
Photo by Wu Xiaohong
In the process of medical insurance payment reform in various regions, there have been problems such as opaque implementation of medical insurance fund budgets, lack of medical cost control methods, irregular medical service behaviors, and heavy burdens on people seeking medical care.
Zhejiang is a big province in the digital economy, and digital transformation is "one step ahead". Digitalization is infiltrating the lives of Zhejiang people in all aspects and multiple fields.
The reporter learned that Yuhuan City has innovatively developed a digital platform for medical insurance payment reform, relying on information technology to carry out fine management, and achieve the goal of "improving quality control fees" and "efficient and convenient" for medical insurance fund management.
According to Zheng Yuan, the main person in charge of the Yuhuan Medical Security Service Center, Yuhuan will launch a digital platform for medical insurance payment reform in early 2020 to collect, analyze, and share data on the use of medical insurance funds, diagnosis and treatment, and visits of medical institutions and insured users in the city in real time. , Updated daily to provide information support for the reform of medical insurance payment methods.
At the end of last year, the platform was selected as the excellent application of Zhejiang Province's highest honor for digital transformation, "Star Observatory".
Logging on to the digital platform for medical insurance payment reform in Yuhuan City is like entering a large database. The blue interface, pulsating numbers, columnar, pie-shaped, broken line and other statistical graphs are constantly changing... The total budget of the medical insurance fund, outpatient contract, and large-scale expense review , Outpatient chronic disease path, regional disease map, and medical heat map are included in five types of first-level core businesses.
The digital big screen of Yuhuan City's medical insurance payment reform.
Photo by Wu Xiaohong
Zheng Yuan said that more than 50 key indicators such as per capita medical insurance outpatient cost, average cost per visit, and reimbursement cost of 3 municipal public hospitals and 11 township health centers (centers) in Yuhuan City are open and transparent, which can be achieved by medical institutions at all levels. data sharing.
For municipal public hospitals, the digital platform for medical insurance payment reform is like a "commander", analyzing problems, pointing out shortcomings, and leading the development direction of future hospitals.
According to Dong Yin, President of the Health Community Group of Yuhuan People’s Hospital, “Through big data analysis, we can clearly see whether the insured is seeing a doctor in the city area or outside the city area, and which diseases are in order to stay closer. These conclusions can Practically help to increase the rate of consultation in the city."
At the same time, the Health Community Group of the People's Hospital of Yuhuan City also listed some common diseases and frequently-occurring diseases that insured persons often visit outside the city, and established 14 specialized clinical diagnosis and treatment centers for specialized diseases.
"By increasing the training of talents, we comprehensively improve the professional level of medical staff, and invite experts from higher-level hospitals to come to the hospital for consultation, so that ordinary people can see famous doctors at home." Dong Yin introduced.
Not only that, the digital platform for medical insurance payment reform is also like a "supervisor" that can promptly correct waste and abuse of medical insurance funds in the process of diagnosis and treatment, and reduce medical insurance fund expenditures.
"No irrelevant drugs or repeated drugs are prescribed." said Gao Chenglong, executive director of the Qinggang Branch of the Health Community Group of the Second People's Hospital of Yuhuan City. The basic needs can also control the medical insurance costs within a reasonable range, promote the medical insurance fund to become more stable, and allow the insured to save time and money during the medical treatment process."
The public receives the medical insurance idea certificate.
Photo by Wu Xiaohong
It is understood that the digital platform for medical insurance payment reform in Yuhuan City has been in operation for one year, and the trend of excessive fund growth has been significantly curbed. The outpatient fund expenditure for the year has been reduced by 35 million yuan, a year-on-year decrease of 7.6%; the medical expenses of insured citizens have been effectively reduced, and the per capita expenditure has been effectively reduced. Decrease by 17.45%; reduce paper data reports, settlement disputes, and increase settlement speed by 50%.
In addition, the Yuhuan City Medical Insurance Payment Reform Digital Platform has coordinated business cooperation and data sharing with the Civil Affairs Bureau, the Veterans Administration Bureau and other units to realize real-time credit card assistance settlement during the medical treatment process of the rescued object, effectively alleviating the pressure of paying medical expenses in advance.
Taking digital empowerment as a breakthrough, Yuhuan City has promoted the construction of a three-dimensional, networked, and convenient medical insurance system through measures such as strengthening data integration, strengthening data networking, and strengthening data extension. It is only Zhejiang Province that promotes digital reform in the field of people’s livelihood. A vivid epitome of.
Nowadays, with the wings of big data, the grassroots services in various parts of Zhejiang have become more intelligent. For example, Hangzhou uses the "urban brain" to pay for medical treatment to change the problem of "long waiting in line" in the past; Yiwu enables real estate registration to sign online through e-signing treasure, realizing "paperless and smart office"; Quzhou Qujiang Development" The "Cloud Wisdom Qujiang" platform gathers social governance information and extends the tentacles of "wisdom governance" to the nerve endings of grassroots governance... (End)