The health ministry office about promotion

application disease diagnosis Related

group (DRGs) in hospital evaluation notice

Health ministry of China

Who do medical tube letter [2011] no. 683

The provinces, autonomous regions, municipalities directly under the central government health TingJu, xinjiang production and construction corps health bureau:

Since 2004, the Beijing health bureau surrounding the medical service organizational reform need, from standard medical record home page with disease classification and coding, provided the first of cases reported in the network, to strengthen the straight of personnel training, regular monitoring and inspection and other measures to improve the first of cases in hospital information coding and fill in, report to quality, and on this basis, completed in 2008, the Beijing edition disease diagnosis related group (BJ-DRGs), based on the first of cases for the exploration of the medical quality performance evaluation information public hospital and billing system reform has laid a good foundation. Since 2008, the Beijing health bureau of three consecutive years of application in hospital for the first of cases information, the second class above hospital service scope, technical level, the service efficiency and quality of medical treatment for quantitative evaluation and industry, and gradually released applied to evaluate the effect of mouth support key specialty, clinical evaluation DuoGe field, obtain good effect. Beijing to further strengthen the practice of medical service, improve supervision and evaluation of the hospital service ability and the management level provided valuable experience.

To deepen the medical health system reform, and promote public hospital reform pilot work on developing, strengthen medical service regulation and review evaluation work, improve the service level and ability of hospital, the ministry decided to promote national health system of Beijing practice. Experience The request is as follows:

A, recommend using Beijing clinical version ICD-10 ICD-9, strengthen and disease classification management work

In 2001, China formally promote Beijing union medical college hospital by the world health organization disease classification cooperation center of the disease and the compilation of the health problems of international statistical classification (10 times revision) "(second edition) and the international disease classification surgery and operation (ICD-9-CM-3)" (ninth edition). Beijing on this basis, according to the clinical medical progress, organization research experts formulated the "international disease classification (ICD-10) clinical version" and "international operation classification (ICD-9) clinical version" (hereinafter referred to as Beijing edition ICD-10 and ICD-9, see appendix 1-encoding dictionary library), in 2006 through the national specialist. The Beijing second class above hospital in five years, the application of high accuracy, and can meet coding health statistics report and medical quality performance evaluation requirements. Each provincial health administrative departments at all levels to organizations of all kinds of medical institutions seriously study the relevant personnel, from Beijing edition ICD-10 and ICD-9, do the medical staff can correctly fill out the first of cases in hospital comprehensive information, coding personnel to write code, increase ICD accurate disease classification accuracy.

Second, perfect information and regulating the first of cases provided, establish the first of cases information report system at the provincial level

Medical record home page is health information, is an important source of public health administrative department at various levels to hospital macro decision, such examination and allocation health funds, evaluation of hospital medical work is an important basis. Beijing in traditional medical record home page, and on the basis of medical payment reform with, in the medical records in the first of a supplement to reflect the medical quality and the use of medical resources, the effect, the benefit of project information, expenses, etc. At the same time, made clear the medical record collection project home page standards and definitions, provides an important for the development of the evaluation data sources. The health administrative departments at the provincial level according to the ministry of hospital medical record for the home page "(health medical hair [2001] no. 286), with reference to the first of cases and the attached sheet (see appendix 2-home page and the attached sheet), according to the medical quality content safety supervision and medical payment reform demand in the local characteristics, work of medical record information related to home page disastrous first of cases, to further improve the information. At the same time, relying on local health information basis conditions and updates the relevant standards, reform, discharged patients questionnaire, set up perfect interface provincial medical record home page report system, gradually realize the medical treatment organization medical record straight home page for network. Medical institutions at various levels and to further standardize provided work and ensure the first of cases of medical statistics objective and accurate, complete and norms.

Three, use diagnosis related disease group (DRGs) in hospital evaluation method

Diagnosis Related disease Group (DRGs) is characterized by the diagnosis of cases and (or) operation as the basic foundation of case mix, considering the characteristics of the individual cases such as age, major disease, complications, and associated with disease, clinical process, cost consumption of similar to the same Group of similar cases (Diagnostic, DRG) that will offer an order. In DRGs system under the help of the administrative department of, can the different medical institutions, different diagnosis and treatment in a more objective medical quality, service performance evaluation, and applied to compare billing system reform. The provinces (autonomous regions and municipalities) complete province hospital medical record home page information collection and filing, available after diagnosis related disease with the method of set of subgrouped hospital service performance and other relevant evaluation.

Four, strengthen the disease classification quality evaluation and supervision work

Strengthen the disease classification and the first of cases management is electronic medical records management and medical service payment reform important basic work, strengthen the health service is to carry out comprehensive medical quality supervision, safety evaluation of the important means. The health administrative departments at the provincial level to set about the organization established medical records management center of quality evaluation and other professional organization, with the specialized subject evaluation center to coordinate with each other, strengthen the disease classification and medical record provided quality management, home page evaluation and analysis of the requirements of work and ensure the implementation. Will fill in the first of cases be regular examination content, will doctors first of cases analysis results into information to hospital evaluation, and as a daily hospital evaluation and quality of the important basis for hospital create. I will form a national hospital evaluation evaluation center is responsible for collecting data and the first of cases gradually realize the first of cases for network straight.

Five, actively develop related training

I will, in the near future organization provinces (autonomous regions and municipalities) hospital management, medical record statistics, health information and other relevant professional backbone training teaching staff, the training content involves hospital medical record home page data dictionary, international diagnostic classification (ICD-10 clinical version), international operation classification (ICD-9 clinical version or ICD-10 PCS), charge classification, main diagnostic choose norms, and discharged patients questionnaire interface standards, DRGs method and for medical institutions group, clinical science develop performance evaluation index system.

By Beijing health around information network (www.bjhb.gov.cn) "special section" of the "download center" download content related accessories (appendix unzip password for: 68792731). Should be around in 2011 by the end of December this disease classification management and coding unity, further standardizing medical record home page set up perfect declared, provincial medical record home page report system. Please all the work will be in January 2012 10 medical service director submitted the ministry. I ministry will organize experts in various unified management and standardize the disease classification work first of cases inspection instruction. In the work such as have questions or Suggestions, please contact with the director of the ministry of health services.

The director of health medical service contacts: ChenHu

The telephone number: 010-68792731

The true: 010-68792959

E-mail: mohygspjc@163.com

The Beijing health bureau contacts: ChenJing

The telephone number: 010-83970635

The true: 010-83560322

E-mail: yzc@bjhb.gov.cn

Two ○ in one of July 28