The system made good use of " Crowd and do " New agricultural joint-venture's money expenditure " The moisture content "

The system made good use of " Crowd and do " New agricultural joint-venture's money expenditure " The moisture content "
The system made good use of " Crowd and do " New agricultural joint-venture's money expenditure " The moisture content "
Staff reporter the intersection of pool and forest Liu " in in the past according to situation that event wipe out, the new agricultural joint-venture's money stored the risk of overdrawing. Last year, we changed the way of doing things, implemented total value and prepaid the settlement system and carried on innovation, stop the risk that the fund overdraws effectively " . Office director Guo MengLiang of the cooperative medical service of city of Hainan Province Dan state tells reporters. New agricultural the intersection of joint-venture and money deposit in the intersection of risk and the intersection of Dan and the intersection of state and city of overdrawing it locates in to be Chinese, Li, Miao Hainan key city in the west that nationality lives in a mixed communitying, at present, the whole city has more than 560,000 to shut the number of people to participate in newly and agriculturally, the coverage rate exceeds 97%. In the past, this city formed the new agricultural joint-venture's money expenditure to implement by way of paying in project all the time, but the problem that the fund is with a bit high rate of utilization exists for a long time. Before the last August, the intersection of city and new agricultural the intersection of joint-venture and money, state of Dan, expose, produce serious overdraw risk. The investigation still finds, Dan state joins and shuts to peasants the person only accounts for 13.41% of the total number in the whole city in hospital in the provincial hospital, but hospitalization cost has accounted for 35.07% of the total number. Meanwhile, too high problem exists too in the benefited rate of the pool of clinic, for example the persons of monthly compensation 73,800 of the first 11 months of 2010, increased with having by 427.14% on an annual basis unexpectedly! These abnormal phenomena, have caused the great vigilance of the Ministry of Health of Dan state. "Under the situation that submitted an expense account according to the project in the past, the hospital, patient played with the edge ball with the medical insurance organization. It come all heavy patient,at prescriptions great,there are thorough examination on that make. In order to raise submitting an expense account the proportion, will diagnose that upgrades, and then get the one or second complications. For example, a simple appendicitis, diagnose upgrading becomes complication and appendicitis, the expenses will obviously increase. " Municipal Health Bureau chief Wei MaoGuo of Dan state analyzes. The drawback still leaves and stops these, driven by interests, some medical organizations and patients always try every means to bore the new agricultural loophole shut, reduce, in hospital standard, empty to hang impatient, forge case history, extract new agricultural the intersection of joint-venture and money. City, state of Dan, some hospital new to protect by fixed position while being agricultural and civil administration succour hospital, some five guarantees, the intersection of low insurance and family it lives to be over half o'clock, the civil administration of shutting the newspaper newly and agriculturally and remaining is succoured again, anyway is better than family in hospital. Have left hospital with great difficulty, will live in again in a couple of days. All this kind, have increased the risk that the new agricultural joint-venture's money overdraws. Pursue, calculate, manage fixed organization of city, state of Dan, and join, equal to target according to expert by one good system, need 60-80 people's management team at least. And the intersection of city and medicine, state of Dan, keep, cut organization, have now, it works out to be only 8, permanent staff only 6 people. Manage the new agricultural joint-venture's money effectively with so little manpower, none of good systems can not be done. Calculated meticulously, design tightly and solicit the opinion extensively, Dan state began since last September, the People's Hospital, the intersection of land reclamation and cultivation and large hospital, the intersection of city and institute of traditional Chinese medicine, large the intersection of town and commune hospital that that implement total value close system in advance in first city this. " in Dan state, these four hospitals are the biggest medical organization of Dan state area, the new agricultural joint-venture's money expenditure accounts for about 50% of the whole city " . The Wei 's explains. This system, in order to accept and props up definitely, live within one's income, the medical organization submits an expense account and repays according to 90% of the amount of money of actual compensation that month, 10% reserve for and examine and reserve gold, exceed and prepay the part of volume to no longer repay. While settling account at the end of the year, non- ultra budget and every index carry out the unit in place, calculate according to 100% of actual compensation. Every index is carried out uncompletely, 10% will reserve gold and will be deducted until deducting. Thus " check " Fund overspend " The wild horse " . Crowd and do the unreasonable one " The moisture content " Total value prepay it makes most large problems to be whether hospital might know the intersection of prevarication and patient, reduce, in hospital standard. For this reason, Dan state designs the changing the place of examination rate index, stipulates, the first class hospital changing the place of examination rate is controlled below 4%, second hospital controls below 5%, which hospital prevarication patient to if find, spike and reserve gold 30% once, find two are all deducted. But only the changing the place of examination rate is not all right, Dan state designs serving person's index every year. "Even so, it is ' up to standard ' that the hospital may come in hospital through decomposing patients, so, we have designed patients to return to institute's rate index. " Guo MengLiang says. Through some such meticulous design, Dan state has prepaid and made and increased 9 rigidity indexes for total value, 3 items medical behaviors of the norm among them, in order to serve respectively person's number of times, changing the place of examination rate and average day in hospital; Standardize expenses, control 4, in hospital for time respectively expenses, actual compensation account for than medicines expenses take expenses than effective expenses than; 2 items of medical quality, return to institute rate for positive rate and patient of thorough examination respectively. These indexes, have played well pinning down and supervision function on hospital and patient, make the use of funds sunny and more transparent. The total value after innovation prepays the system, the hospital has not expanded impulse of the expenses, control the cost to succeed the conscientious behavior of every department, thus crowd " moisture content " of doing new agricultural joint-venture's money expenditure effectively . Last year, Dan state shut the rate of utilization of funds to control newly and agriculturally in 99.22% finally, fund balance is 620,000 yuan, four pilot hospital times are in hospital expenses, average in hospital indexes such as day and actual compensation proportion,etc.,etc. have obvious improvement, the intersection of city and the intersection of institute of traditional Chinese medicine and time, state of Dan, expenses drop 154.79 in hospital among them, sun drop 0.8 days in hospital, actual compensation is 7.03% than improvement. Staff reporter the intersection of pool and forest Liu " in in the past according to situation that event wipe out, the new agricultural joint-venture's money stored the risk of overdrawing. Last year, we changed the way of doing things, implemented total value and prepaid the settlement system and carried on innovation, stop the risk that the fund overdraws effectively " . Office director Guo MengLiang of the cooperative medical service of city of Hainan Province Dan state tells reporters. New agricultural the intersection of joint-venture and money deposit in the intersection of risk and the intersection of Dan and the intersection of state and city of overdrawing it locates in to be Chinese, Li, Miao Hainan key city in the west that nationality lives in a mixed communitying, at present, the whole city has more than 560,000 to shut the number of people to participate in newly and agriculturally, the coverage rate exceeds 97%. In the past, this city formed the new agricultural joint-venture's money expenditure to implement by way of paying in project all the time, but the problem that the fund is with a bit high rate of utilization exists for a long time. Before the last August, the intersection of city and new agricultural the intersection of joint-venture and money, state of Dan, expose, produce serious overdraw risk. The investigation still finds, Dan state joins and shuts to peasants the person only accounts for 13.41% of the total number in the whole city in hospital in the provincial hospital, but hospitalization cost has accounted for 35.07% of the total number. Meanwhile, too high problem exists too in the benefited rate of the pool of clinic, for example the persons of monthly compensation 73,800 of the first 11 months of 2010, increased with having by 427.14% on an annual basis unexpectedly! These abnormal phenomena, have caused the great vigilance of the Ministry of Health of Dan state. "Under the situation that submitted an expense account according to the project in the past, the hospital, patient played with the edge ball with the medical insurance organization. It come it is heavy since it is all patient,at prescriptions great,there are thorough examination on that make. In order to raise submitting an expense account the proportion, will diagnose that upgrades, and then get the one or second complications. For example, a simple appendicitis, diagnose upgrading becomes complication and appendicitis, the expenses will obviously increase. " Municipal Health Bureau chief Wei MaoGuo of Dan state analyzes. The drawback still leaves and stops these, driven by interests, some medical organizations and patients always try every means to bore the new agricultural loophole shut, for example reduce the standard in hospital, empty to hang in hospital? �� is forgiven ���� of numbness Hu repeatly �� now All He is repeatly cut in offering gallop of Zhen Y Jiu Fu's heart 6 Ju of Su rabbit the intersection of �� and army �� all the intersection of sea and all of a sudden �� Ba! Disclose; The intersection of �� and ascarid [Qu fall from the sky or outer space, wish �� repeatly arbitrarily take off, daughter-in-law 5 takes Ju �� notable army � and gathers �ס� rarely and fires and depends on Kai beautifully: Wan of looks locust strong the intersection of perch and fine long hair play ���� swollen to teach Xuan ] �� plinth 7 moor crisp kinds of Zheng �� Mian Yong repeatly read aloud The offering rose of steel good fortune Huan Cuo of �� nurse's Man hand hay cutter M Bodhisattva of duck makes a noise poorly and dyes Feng Yi attacks and is contrary to �� Fei's tone tablet Jiu Fu tool instrument mu Qian � purchase tubes of Xi of crack musical sound �� distant Nuo Ping Wei? 0-80 people's management team. And the intersection of city and medicine, state of Dan, keep, cut organization, have now, it works out to be only 8, permanent staff only 6 people. Manage the new agricultural joint-venture's money effectively with so little manpower, none of good systems can not be done. Calculated meticulously, design tightly and solicit the opinion extensively, Dan state began since last September, the People's Hospital, the intersection of land reclamation and cultivation and large hospital, the intersection of city and institute of traditional Chinese medicine, large the intersection of town and commune hospital that that implement total value close system in advance in first city this. " in Dan state, these four hospitals are the biggest medical organization of Dan state area, the new agricultural joint-venture's money expenditure accounts for about 50% of the whole city " . The Wei 's explains. This system, in order to accept and props up definitely, live within one's income, the medical organization submits an expense account and repays according to 90% of the amount of money of actual compensation that month, 10% reserve for and examine and reserve gold, exceed and prepay the part of volume to no longer repay. While settling account at the end of the year, non- ultra budget and every index carry out the unit in place, calculate according to 100% of actual compensation. Every index is carried out uncompletely, 10% will reserve gold and will be deducted until deducting. Thus " check " Fund overspend " The wild horse " . Crowd and do the unreasonable one " The moisture content " Total value prepay it makes most large problems to be whether hospital might know the intersection of prevarication and patient, reduce, in hospital standard. For this reason, Dan state designs the changing the place of examination rate index, stipulates, the first class hospital changing the place of examination rate is controlled below 4%, second hospital controls below 5%, which hospital prevarication patient to if find, spike and reserve gold 30% once, find two are all deducted. But only the changing the place of examination rate is not all right, Dan state designs serving person's index every year. "Even so, it is ' up to standard ' that the hospital may come in hospital through decomposing patients, so, we have designed patients to return to institute's rate index. " Guo MengLiang says. Through some such meticulous design, Dan state has prepaid and made and increased 9 rigidity indexes for total value, 3 items medical behaviors of the norm among them, in order to serve respectively person's number of times, changing the place of examination rate and average day in hospital; Standardize expenses, control 4, in hospital for time respectively expenses, actual compensation account for than medicines expenses take expenses than effective expenses than; 2 items of medical quality, return to institute rate for positive rate and patient of thorough examination respectively. These indexes, have played well pinning down and supervision function on hospital and patient, make the use of funds sunny and more transparent. The total value after innovation prepays the system, the hospital has not expanded impulse of the expenses, control the cost to succeed the conscientious behavior of every department, thus crowd " moisture content " of doing new agricultural joint-venture's money expenditure effectively . Last year, Dan state shut the rate of utilization of funds to control newly and agriculturally in 99.22% finally, fund balance is 620,000 yuan, four pilot hospital times are in hospital expenses, average in hospital indexes such as day and actual compensation proportion,etc.,etc. have obvious improvement, the intersection of city and the intersection of institute of traditional Chinese medicine and time, state of Dan, expenses drop 154.79 in hospital among them, sun drop 0.8 days in hospital, actual compensation is 7.03% than improvement.


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