The One Card Realization of Medical Insurance Card into the Medical Card

At present, the "one card" system has been widely used in hospital, subverting the traditional mode of queuing, registration, waiting, waiting, visiting, paying and taking medicine (inspection and checking), using the "one card" model to reduce the number of times of the patient's return to the charge office, consulting room, therapeutic room, pharmacy, and other places. The system has realized the sharing of information maximization. The system not only facilitates patient medical treatment, but also reduces the input of repeated information of medical staff, and improves work efficiency.

自2004年以来,新疆的人民医院Uygur Autonomous Region has realized the "one card" system. At present, there are more than 1000 person times a day, most of which have not been taken with the medical card. There are a number of medical cards in one person, which causes the inconvenient information of the patients to be incoherent, and it is also necessary to go to other hospitals. Go through a new medical card. At the same time, the patients with medical insurance must take the medical insurance card to the hospital for the settlement. Therefore, using the opportunity of the "self-help" project, the medical insurance card is integrated into the medical card, and the medical card is replaced by the medical insurance card, so as to realize the "one card" in the same area.

Achieve the goal

There are no residents' health cards issued in Xinjiang, but the unified medical insurance card has now exceeded 11 million of the population of 50% in the vicinity of Xinjiang. The medical card issued by the "one card" system established by each hospital is only circulated in the hospital system, and the medical insurance system and medicine can be fully utilized on the basis of this environment. Hospital system, the existing medical card and medical insurance card organic combination, patients with a medical insurance card can go to the hospital for medical treatment, and ensure that the existing medical card system more convenient application. At the same time, the hospital uses the existing information system and the medical insurance system, the bank system cooperation to optimize the treatment process on the business process, and optimize the charge payment, the appointment registration, the self-service medical insurance application and so on, to ensure the normal and efficient operation of the hospital business. The main objectives of the system are as follows:

In order to ease the business pressure of the toll window, the business shunting business is diverted to the self-service system.

In order to facilitate the settlement of medical insurance patients, the settlement function of medical insurance cards can be transferred to the self-help system to achieve the real-time settlement of medical insurance cards.

The registration of medical insurance card enables the patients holding the medical insurance card to register in the self-service system. After registration, the medical card can replace the original medical card of the hospital, and the medical insurance card can be used for medical treatment.

住院病人使用方便,小英特尔ligent devices to enable patients in the ward to do business without leaving the ward.

Application effect

Since the implementation of the medical insurance card instead of the medical card in the hospital, the hospital has optimized the hospital visiting process and achieved remarkable results. Since the medical insurance card issued by the Xinjiang region has the function of medical insurance card and bank card, the hospital and medical insurance settlement, hospital and bank transfer have been achieved with a card since the project has been realized. In the territory, if all medical institutions take this way, the "one card" in the real sense can be achieved.

At present, 30% of the patients in the hospital outpatient service begin to use self-help equipment. The manual settlement of the patients with medical insurance cards from the past toll window is also gradually adapting to the medical insurance registration and self-help medical insurance settlement on the self-help machine, which reduces the pressure of the toll window. The implementation of the system is not only convenient for patients to take only a medical card to the hospital, but also solves the problems of a number of medical cards, and ensures the continuity of the patient's information, so that the medical record information of the doctor can be fully displayed to help its diagnosis and treatment. From the overall application, the workload of medical staff has been reduced, the operation cost of hospitals has been reduced, and the work efficiency of hospitals has been improved.

When the project was implemented, the use of medical insurance cards on the self-service machine was solved, and the complexity of the implementation process resulted from the complexity of the medical insurance system. For example, if you want to implement self-help settlement in the self-help machine, there must be a regional co-ordinate coding, which requires the patient to fill in a regional co-ordinate code at the toll window first, resulting in poor workability of the medical insurance self-help settlement. Therefore, two ways are used to solve this problem. First, the charging window requires that the information registration must be added when registering information, but after doing so, it can only ensure that the information can be completed by medical insurance self-help, it is not convenient for the old patients to use, so even if there is no regional co-ordinate coding information, When the settlement is made, the medical insurance system should be opened and the regional co ordinating coding information will be written back to the hospital information system, which greatly enhances the availability of medical insurance self-help. Due to the separation of functions in the process of use, the type of self-service equipment is increased, and there are four kinds of self-help equipment in the hospital, which has caused the complexity of management and application. It should reduce the cost of application and management in the later period. At the same time, the "silver medical self-help" system should have a good extension of the application function, the residents' health card has not been issued yet, and the health card of the residents can be brought into the system. The regional information platform is now being built, and the interface for the future regional information platform is also left. This will make the patient more convenient to visit the hospital. . In a word, as long as the hospital in every link of the implementation of information for patients and medical personnel, can truly create a humanistic care, warm, equal treatment environment.