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drgs支付制度下內(nèi)部管控與統(tǒng)計(jì)分析-閱讀頁

2025-07-30 18:27本頁面
  

【正文】 加成率 ) (1+山地離島醫(yī)院加成 ) 費(fèi)用下限臨界 % 核實(shí)申報(bào) 費(fèi)用低於下限臨界 點(diǎn)者, 核實(shí)申報(bào) 定額 FeeforServices 定額 +marginal cost 超過部分 * DRG支付點(diǎn)數(shù) +固定停損額 (52,426) 外科系 RW 下限臨 界點(diǎn) 幾何平均住 院日 SPR 固定停損點(diǎn) DRG00301 40,276 11 33,252 52,426 p39。 Base rate分布 ? By MDC ? By DRG ? By Department ? By Doctor ?同儕比較 報(bào)表研讀 ?總數(shù)、占率 ? 重點(diǎn)管控: 80/20原理 ?變異係數(shù) ? 深入了解變異的原因 (DRG組內(nèi)差異小、組間差異大 ) ?比較分析 ? 成長量、盈虧比率 ?長期趨勢 心臟血管外科 健保碼 健保英文名稱 健保支付點(diǎn)數(shù) ICD ICD1 ICD2 68006B Exploratory cardiotomy including removal of foreign body 19220 68006B Exploratory cardiotomy including removal of foreign body 19220 68006B Exploratory cardiotomy including removal of foreign body 19220 68006B Exploratory cardiotomy including removal of foreign body 19220 68007B Creation of atrial septal defect ,BlalockHanlon type ,closed 17160 68009B Creation of . with inflow occlusion 19170 68010B Excision of tumor intracardiac 26340 68010B Excision of tumor intracardiac 26340 68011B Insertion or replacement of permanent interal pacenaker amp。 myocardial electrodes by thoracotomy 13970 68011B Insertion or replacement of permanent interal pacenaker amp。 myocardial electrodes by thoracotomy 13970 68011B Insertion or replacement of permanent interal pacenaker amp。 myocardial electrodes by thoracotomy 13970 實(shí)例分享
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