病案首页疾病编码质量提升对DRGs绩效综合评价的影响

目的 探讨病案首页疾病编码质量提升对疾病诊断相关分组(DRGs)绩效综合评价的影响.方法 整理分析医院病案首页疾病诊断编码缺陷明细和DRGs具体指标,采用卡方检验或Fisher精确检验对2019-2020年缺陷例数进行比较,采用TOPSIS法对医院同期DRGs绩效综合评价指标进行排序.结果 该院2020年出院病案缺陷例...

Influence of Quality Improvement of Disease Coding in Medical Records Home Page on DRGs Performance Comprehensive Evaluation

Objective:To explore the effect of quality improvement of disease coding in medical records home page on performance comprehensive evaluation of disease diagnosis related groups(DRGs).Method:The defect details of disease diagnosis coding and DRGs specific indicators on the home page of hospital medical records were collated and analyzed.The number of defects in 2019-2020 was compared by usingχtest or Fisher’s exact test,and TOPSIS method was used to rank the comprehensive evaluation indexes of hospital DRGs performance in the same period.Result:The number of defects in discharged medical records in 2020(20 cases,0.033%)was significantly lower than that in 2019(406 cases,0.603%),and the difference was statistically significant(P<0.001).From the evaluation results of TOPSIS method,the hospital’s corresponding period value increased from 0.488 to 0.512,and the comprehensive DRGs performance of the hospital kept improving,which was consistent with the quality improvement trend of the hospital’s medical record home page.Conclusion:The effective quality improvement of filling in the disease diagnosis coding on the home page of medical records lays a solid foundation for the comprehensive performance evaluation of DRGs and the improvement of medical quality.