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目的:为了能够更准确地提供有价值的原始信息资料和真实地反映财务信息,提高医院管理水平,促进医院的可持续发展。方法:针对内审问题,应用六西格玛质量管理体系中的DMAIC模式,即定义、测量、分析、改进和控制五个步骤对门诊收费流程进行分析,找出影响数据缺陷率的主要原因,制定相应的改进措施,并对改进前后的数据缺陷率进行比较。结果:通过审计整改,门诊收费数据的缺陷率从4.23%降低到2.01%,Z值从3.225提高到3.552。结论:加强收费员和医生培训、优化电脑系统、完善奖惩制度等方面改进是降低数据缺陷率的有效办法。
Objective: In order to provide more accurate original information and information and to truly reflect the financial information, improve hospital management and promote the sustainable development of the hospital. Methods: In order to solve the problem of internal audit, applying the DMAIC mode in Six Sigma Quality Management System, the five steps of defining, measuring, analyzing, improving and controlling were used to analyze the outpatient billing process, find out the main reasons that affect the data defect rate, Improve measures, and compare the data defect rate before and after the improvement. Results: Through the audit and rectification, the defect rate of outpatient billing data was reduced from 4.23% to 2.01% and the Z value increased from 3.225 to 3.552. Conclusion: The improvement of training of tutors and doctors, optimization of computer system and perfection of reward and punishment system are effective ways to reduce the data defect rate.