CN103745424A - Hospital comprehensive performance information processing system and method - Google Patents
Hospital comprehensive performance information processing system and method Download PDFInfo
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- CN103745424A CN103745424A CN201410052055.7A CN201410052055A CN103745424A CN 103745424 A CN103745424 A CN 103745424A CN 201410052055 A CN201410052055 A CN 201410052055A CN 103745424 A CN103745424 A CN 103745424A
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Abstract
The invention relates to an information processing technology and discloses a hospital comprehensive performance information processing system and a method thereof. In the invention, the system integrates and stores data in the data source of each service system and the external data source in a layered manner by using the technologies of data warehouse, data mining and the like, and uses the temporary data area to store data so as to reduce the influence on the service system server and ensure the stability and the safety of the operation of each service system server; the basic data area is divided into an operation data area, an analysis data area and a filing data area, and data are classified and detected in the operation data area, so that the calculation efficiency and accuracy of the data are improved; the data subjected to data mining is additionally stored in a summarized data area for front-end use, so that query and access are facilitated. The system realizes the automation of hospital data integration, greatly reduces manpower, can provide performance index information in real time, and reflects the running condition of the whole hospital in time so as to support scientific management and decision-making.
Description
Technical field
The present invention relates to the information processing technology, particularly comprehensive hospital performance information disposal system and method thereof.
Background technology
Since national public hospital pilot reform in 2010 starts, Shanghai City is according to national requirements, in conjunction with actual, actively implement every reform task, advancing " four separately ", optimize medical resource layout, improve government's plunge mechanism, adjust medical service prices, the reform medical insurance modes of payments, control medical expense, set up Standardized Training of Residents system, advance health informatization construction, strengthen public hospital's inner management and improve medical services, set up doctor-patient dispute third party and reconcile the aspects such as machine-processed, obtained interim effect.
< < further deepens in Shanghai City public hospital's institutional mechanisms reform and in action plan > >, proposes for 3 years, change by Balance of payments and extract the mode that hospital can distribute total value, in conjunction with performance pay reform, set up take workload and appraise and decide with personnel cost and appraise and decide as basic gross pay and appraise and decide way.Change by the internal distribution mode of business income deduction, set up the distribution of earnings mechanism based on medical worker's performance appraisal, the direct basis using performance appraisal results such as post workload, service quality, service effectiveness, patient satisfactions as distribution of earnings.In propose in conjunction with Development of Hospital " 12 planning " 5 years, enter the strategic objective of the first square formation, hospital will set up take service quality as core, take job responsibility and job performance as weighing basic incentive system, form the permanent mechanism that ensures equitable efficiency.Accomplish that more pay for more work, the reward of excellent good performance, conscientiously improve frontline medical staff's salary and conditions level.
But, the present inventor finds, in current hospital, do not have the assessment indicator system of overall scientific and method to comprehensive hospital performance management evaluate, and often need by manually extracting data and carry out Treatment Analysis from each system, in the hospital of the larger big-and-middle-sized scale of data processing amount, often waste time and energy, and data accuracy can not be guaranteed.
Therefore,, in order to realize scientific management and the decision-making of hospital, need a kind of comprehensive performance information processing system that can automatically integrate hospital's data method of unifying badly.
Summary of the invention
The object of the present invention is to provide a kind of comprehensive hospital performance information disposal system and method thereof, when guaranteeing the stability and security of each operation system operation, improved counting yield and accuracy, in order to monitor in time, hospital operates to realize scientific management and decision-making provides support.
For solving the problems of the technologies described above, embodiments of the present invention disclose a kind of comprehensive hospital performance information disposal system, and this comprehensive hospital performance information disposal system comprises:
One or more data collection stations;
Data dictionary, for defining performance information;
Data warehouse server, for storing and analyze data; And
One or more clients, client and data warehouse server communication connection;
Wherein, data warehouse server comprises ephemeral data district, basic data district, combined data district, data pick-up unit, Date Conversion Unit, data loading unit and Data Detection unit;
Basic data district comprises operation data district, analyzes data field and filing data district;
Data pick-up unit is used for adopting directly access of database, database replication or file access, timing from business DSN or external data source extracted data, and determines that in Data Detection unit data in data and operation system data source or the external data source in operation data district extract related data again when inconsistent by data collection station;
Date Conversion Unit is for carrying out data-switching and data mining according to data dictionary by the data in basic data district;
Data loading unit is loaded into ephemeral data district for the data that data pick-up unit is extracted, data in ephemeral data district are loaded in operation data district, the data of carrying out data-switching through Date Conversion Unit in basic data district are loaded into and are analyzed in data field, the data of carrying out data mining through Date Conversion Unit in basic data district are loaded in combined data district, and by operation data district with analyze the Historical archiving data that produce in data field and be loaded in filing data district;
Data Detection unit is for by singular value, preset quality threshold or record singular value and statistical value and detect whether be loaded into the data in operation data district consistent with the data in operation system data source or external data source;
Operation data district is for the data from the loading of ephemeral data district according to the storage of operation theme, analyze data field for storing the data of being carried out data-switching by Date Conversion Unit with Multidimensional Data Model, filing data district is for storing operation data district and analyzing the Historical archiving data that data field produces.
Embodiments of the present invention also disclose a kind of comprehensive hospital performance information disposal route, adopt as comprehensive hospital performance information disposal system above, this comprehensive hospital performance information disposal system comprises one or more data collection stations, the data dictionary that performance information is defined, store and analyze the data warehouse server of data and the one or more clients with this data warehouse server communication connection, data warehouse server comprises ephemeral data district, basic data district and combined data district, basic data district comprises operation data district, analyze data field and filing data district,
The method comprises the following steps:
Data warehouse server adopts database directly access, database replication or file access, and timing, and is loaded into the data of extraction in ephemeral data district from business DSN or external data source extracted data by data collection station;
Data warehouse server is loaded into the data in ephemeral data district in operation data district and according to operation theme and stores;
Data warehouse server carries out data-switching and data mining according to data dictionary by the data in basic data district, and analyze in data field and store with Multidimensional Data Model being loaded into through the data of data-switching, will be loaded in combined data district through the data of data mining;
Data warehouse server is loaded into the Historical archiving data that produce in operation data district and analysis data field in filing data district;
Data Detection unit is by singular value, preset quality threshold or record singular value and statistical value whether detect the data that are loaded in operation data district consistent with the data in operation system data source or external data source, if inconsistent, data warehouse server extracts related data again.
Compared with prior art, the key distinction and effect thereof are embodiment of the present invention:
The technology such as comprehensive hospital performance information disposal system maintenance data of the present invention warehouse, data mining are integrated the data in each operation system data source and external data source layering storage, use storage data in ephemeral data district to reduce the impact on business system server, guaranteed stability and the security of each business system server operation; Basic data zoning is divided into operation data district, analyzes data field and filing data district, in operation data district, data classified and detect, improved counting yield and the accuracy of data; By storing in addition through the data of data mining in combined data district, to offer front end, use, facilitated inquiry and access.Said system has realized the robotization of hospital's Data Integration, when greatly reducing manpower, can provide in real time performance indicators information, reflects in time the ruuning situation of full institute, to support scientific management and decision-making.
Further, the executive mode of Data Detection unit can be set according to the operation conditions of hospital's different times, to guarantee the accuracy of data.
Further, according to different job category, corresponding performance information is set in data dictionary, can conscientiously reflects exactly the process of work of all departments.
Further, the good data of decision analysis server reception & disposal are set, can facilitate each leader of section office and president inquiry and access and carry out corresponding decision analysis.
Accompanying drawing explanation
Fig. 1 is the structural representation of a kind of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 2 is the integrated stand composition of a kind of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 3 is the network architecture diagram of a kind of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 4 is the schematic flow sheet of a kind of data ETL of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 5 is the schematic flow sheet of a kind of Data Integration of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 6 is the process flow diagram of a kind of data Storage and Processing of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 7 is the functional block diagram of a kind of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 8 is the process flow diagram of a kind of foundation of comprehensive hospital performance information disposal system in first embodiment of the invention;
Fig. 9 is the process flow diagram that the lump sum bonus of a kind of comprehensive hospital performance information disposal system in first embodiment of the invention generates and provides;
Figure 10 is the schematic flow sheet of a kind of comprehensive hospital performance information disposal route in second embodiment of the invention.
Embodiment
In the following description, in order to make reader understand the application better, many ins and outs have been proposed.But, persons of ordinary skill in the art may appreciate that even without these ins and outs and the many variations based on following embodiment and modification, also can realize the each claim of the application technical scheme required for protection.
For making the object, technical solutions and advantages of the present invention clearer, below in conjunction with accompanying drawing, embodiments of the present invention are described in further detail.
First embodiment of the invention relates to a kind of comprehensive hospital performance information disposal system.Fig. 1 is the structural representation of this comprehensive hospital performance information disposal system.As shown in Figure 1, this comprehensive hospital performance information disposal system comprises:
One or more data collection stations.
Data dictionary, for defining performance information.
Data warehouse server, for storing and analyze data.And
One or more clients, client and data warehouse server communication connection.
Wherein, data warehouse server comprises ephemeral data district, basic data district, combined data district, data pick-up unit, Date Conversion Unit, data loading unit and Data Detection unit.
Basic data district comprises operation data district, analyzes data field and filing data district.
Data pick-up unit is used for adopting directly access of database, database replication or file access, timing from business DSN or external data source extracted data, and determines that in Data Detection unit data in data and operation system data source or the external data source in operation data district extract related data again when inconsistent by data collection station.The period that is appreciated that extracted data can stagger with the working hour of operation system data source or external data source, and for example night, to reduce the impact on these data sources.
Date Conversion Unit is for carrying out data-switching and data mining according to data dictionary by the data in basic data district.Be appreciated that above-mentioned data-switching can comprise form and type conversion, data translation, Data Matching etc.
Data loading unit is loaded into ephemeral data district for the data that data pick-up unit is extracted, data in ephemeral data district are loaded in operation data district, the data of carrying out data-switching through Date Conversion Unit in basic data district are loaded into and are analyzed in data field, the data of carrying out data mining through Date Conversion Unit in basic data district are loaded in combined data district, and by operation data district with analyze the Historical archiving data that produce in data field and be loaded in filing data district.
Data Detection unit is for by singular value, preset quality threshold or record singular value and statistical value and detect whether be loaded into the data in operation data district consistent with the data in operation system data source or external data source.Alternatively, in each embodiment of the present invention, the executive mode that can Data Detection unit be set according to the operation conditions of hospital's different times is random, planned or Event triggered, to guarantee the accuracy of data.
Operation data district is for the data from the loading of ephemeral data district according to the storage of operation theme, analyze data field for storing the data of being carried out data-switching by Date Conversion Unit with Multidimensional Data Model, filing data district is for storing operation data district and analyzing the Historical archiving data that data field produces.Be appreciated that above-mentioned operation data district also can store data with other mode classifications, is not limited to above-mentioned operation theme.
In addition, be appreciated that above-mentioned data warehouse server can be realized by one or more server.
In a preferred example, the integrated stand composition of comprehensive hospital performance information disposal system and network architecture diagram are respectively as shown in Figure 1 and Figure 2, this information handling system is utilized hospital's existing network basic environment, by information integrated platform by HIS system (hospital information system) in business datum platform, LIS system (laboratory information system), RIS system (radiology information system), HR system (manpower system), ERP(network public relations) etc. system data extract data warehouse, then carry out data mining analysis and manage for comprehensive performance.In this information integrated platform, also comprise message-oriented middleware and Database Systems.
The comprehensive hospital performance information disposal system that system of above-mentioned exploitation is feasible, comprising: one or more server, and described server is for storing, analyze hospital foundation data and performance management information; Data dictionary, described data dictionary is for defining performance management basic data; One or more operated client, described client is connected by network with described server, for carrying out communication with described server; One or more hospitals data collection station, described data collection station is used for gathering the basic data of managed object, and described data are sent to described server; Described comprehensive hospital performance information disposal system communicates by communication interface and other infosystems, and carries out data sharing and business cooperation.
Alternatively, the each data of information system of this comprehensive hospital performance information disposal system and hospital is realized interactive mode and can be comprised:
A. section office's expense expenditure
At present all section office's expense expenditure module datas are in former financial system, adopt standard interface, with ODI(Oracle Data Integrator) etc. extract conversion load (Extract Transform and Load, being called for short " ETL ") instrument carries out data pick-up, realize expenditure datamation, reduce mistake and time delay.
B. medical income
The data of hospital are divided into type and divide, the two parts that can be divided into outpatient service and be in hospital.Outpatient Department data all has doctor's the doctor who opens Dan doctor and the associated current diagnosis and treatment group of doctor for detailed the charge from registering to of charging each time.The part of being in hospital can and can be recorded to out Dan doctor, the doctor in charge, physician, the information at that time of archiater's relevant information and diagnosis and treatment group according to the date of leaving hospital, Settlement Date, the instant expense that counts on each occurring.
Preferably, above-mentioned data storage refers to the integrated storage of all hospitals relevant information.In order to solve the contradiction of " model stability and demand mutability ", as shown in Figure 4, for the data in integrated data platform, can adopt individual-layer data memory model, be mainly divided into following three levels: ephemeral data district, basic data district, combined data district.
A. ephemeral data district: the reason that first data of different pieces of information origin system is loaded into an ephemeral data district has two, the one, for fear of the data pick-up work repeating, data source is impacted, the 2nd, for to do associated grade for operation from the tables of data of homologous system not.Ephemeral data district is not only present in data source systems in the conversion loading in basic data district.
B. basic data district: basic data district is the core of whole data storage, by building multidimensional model, analyzes each fact from different dimensions.Basic data district can be divided into again: operation data district, analysis data field, filing data district.Wherein the storage of operation data district, by the quasi real time data of the operatable object (as the finance in Fig. 4, medical insurance etc.) of subject classification, provides unified hospital's Data View; Analyze the historical data that data area stores is analyzed towards business decision; Filing data district is for storing operation data district and analyzing the Historical archiving data that data field produces.
C. combined data district: in order to improve the access performance of cross-domain form and analysis, need to carry out extra storage with Data Mart to the good data of pre-service, offer front end and use (offering comprehensive hospital performance management analysis platform analyzes).This part is virtual level, not actual storage data.We are integrated into direct business terms and index name of showing for front end in this section table, field and their complex relationship.This part is referred to as " semantic layer ".
From timing extracted data such as data source HIS/LIS/RIS/HR/ERP to ephemeral data district, then the data in ephemeral data district arrive the data warehouse in basic data district through Data Integration ETL, the data in basic data district arrive the Data Mart in combined data district through ETL and data mining, whole process as shown in Figure 6.
By Fig. 4 and Fig. 6, can be seen, comprehensive hospital performance information disposal system is for the data of multiple data source systems such as integrated HIS system, LIS system, RIS system, HR system, ERP, in each data source systems, set up view, and adopt the ETL instrument Data Services of SAP Business Objects to complete the work of data-interface.The view that each data source systems is provided imports Data Services, and through operations such as extraction, cleaning, de-redundancy, merging, finally for decision support system (DSS), provides the data warehouse of data.Wherein, ETL technology is the core of interfacing.
Specifically, ETL technology mainly contains 3 functions: A. data pick-up: data pick-up, by the data that are dispersed in various different pieces of information origin systems, extracts in the mode of efficient stable in the pending database of data warehouse.B. data-switching: data-switching is the core of ETL technology.Data-switching by data are merged, the sequence of operations such as fractionation, cleaning, integration makes reach consistance semantically and wrong data are cleaned from data and the information of different pieces of information source, different-format, guarantees the quality of decision support system (DSS) data.C. data load: it is that the data of having changed are put into data warehouse that data load, and the data that load through data can be taken by decision support system (DSS) fast.
In principle, by the use of ETL instrument, can complete fast at operation process the processing of database, and all tasks including gathering, merging, comparing etc. are incorporated in same service, the high availability in augmentation data storehouse, and directly carry out warning and the report of problem.
In above-mentioned Data Integration process, preferably, by technology such as integrated use data warehouse (DW), on-line analytical processing (OLAP), data minings (DM), data are integrated, realize extraction, processing and the conversion of data, regularly obtain data night from data generation server, and guarantee these data between the different blocks of data storage efficiently, in order, exactly flow, be implement important step.As shown in Figure 5, Data Integration can be divided into again the aspects such as data pick-up, data-switching, data loading, Data Detection.
A. data pick-up
Data pick-up carrys out integral data from origin system by number of ways, comprise directly access of database, database replication technology, file access etc.From existing metadata, determine which metadata is relevant to this data analysis, according to different data sources, mate predefined regular flow process, under the scheduling of task engine, according to the flow process defining, through data pick-up, data preparation, data-switching, data, load several key links and finally store in ephemeral data district.In addition, the file metadata that some pre-service is good can directly be brought basic data district by data load mode into data, as shown in Figure 4.
B. data-switching
For the data of selecting, carry out data cleansing work, data are transformed into the data (even if each data semantic is consistent and remove wrong data) of " totally ", the data-switching of " totally " is become to the required form of data player algorithm, and use suitable data mining algorithm and OLAP technology analysis data.Data-switching comprises form and type conversion, data translation, Data Matching, data aggregate and other complicated calculations etc.In most cases, data source is format conversion, data translation, Data Matching to main conversion between the each block of data warehouse, and data aggregate and other complicated calculations mainly occur when data gather.
C. data load
Data load the data that extract after conversion are loaded in the each block of data warehouse, comprise that data line loads and data block loads, and are considering specified data loading cycle and data supplementing strategy on the factor bases such as efficiency and business realizing.And, by combined data, district carrys out demonstrating data, with suitable visualization technique and knowledge presentation technology, the model of foundation is offered to terminal user or analyst with suitable form, can make explanations to model result, validity that simultaneously can assessment models.
D. Data Detection
Data Detection is the business consistance of the each layer data of data warehouse and source system data and the important leverage of data accuracy.Whether Data Detection can assessment data meet data rule, as found singular value, preset quality threshold, recording singular value and statistical value.The executive mode detecting can be random, planned, Event triggered etc.
These are only a preferred example, configuration wherein also can be carried out suitable adjustment as the case may be.
The technology such as the comprehensive hospital performance information disposal system maintenance data warehouse of present embodiment, data mining are integrated the data in each operation system data source and external data source layering storage, use storage data in ephemeral data district to reduce the impact on business system server, guaranteed stability and the security of each business system server operation.Basic data zoning is divided into operation data district, analyzes data field and filing data district, in operation data district, data classified and detect, improved counting yield and the accuracy of data.By storing in addition through the data of data mining in combined data district, to offer front end, use, facilitated inquiry and access.Said system has realized the robotization of hospital's Data Integration, when greatly reducing manpower, can provide in real time performance indicators information, reflects in time the ruuning situation of full institute, to support scientific management and decision-making.
In addition, be appreciated that, can corresponding performance information be set in data dictionary according to different job category, can conscientiously reflect exactly the process of work of all departments, and decision analysis server is further set and carrys out the data that reception & disposal is good, can facilitate each leader of section office and president inquiry and access and carry out corresponding decision analysis.Specifically:
As shown in Figure 1, above-mentioned comprehensive performance information handling system comprises following 5 modules:
Doctor's performance module, for setting up take workload as basic doctor's lump sum bonus calculates and allocation model, changes the pattern of the granting of Balance of payments deduction in the past bonus, meets new medical reform requirement;
Nursing performance module, is multiplied by certain coefficient ratio as paramedic basis bonus for setting up using section office or the main average bonus of group clinician of examining, then carries out certain performance adjustment according to the actual open bed number of days of hospital and door emergency treatment person-time;
Medical technologies performance module, for setting up the comprehensive examination to medical and technical staff, method and doctor are similar, but different on point proportional and relevant item;
Administration and logistics performance module, for setting up the comprehensive examination to administration and logistics personnel, determines a post according to delimiting the organizational structure, determines firewood examine by hilllock; (doctor's performance expense, nursing performance expense, Medical Laboratory be set in above-mentioned performance information and can divide the performance informations such as bonus and administration and logistics performance)
Decision analysis module, provides support for the analysis decision of supporting hospital administrators.This comprehensive hospital performance information disposal system also comprises decision analysis server, as shown in Figure 3, it carries out the data of data-switching and data mining for receiving Date Conversion Unit, for receiving the performance information of doctor, nursing, medical technologies, administration and logistics module, for hospital's managerial decision support provides foundation.
As shown in Figure 7, doctor's performance module, nursing performance module, medical technologies performance module, administration and logistics performance module, these five modules of decision analysis module restrict mutually.Wherein, decision analysis module is used for, based on four result these situations of statistical study that module gathers above, being used for constantly revising Performance Management & Examination system.In principle, by the cooperation of above-mentioned five modules, can realize science performance management and decision-making, improving Hospital operation efficiency has important realistic meaning with new medical reform performance scheme.
Preferably, the Index Establishment process of above-mentioned doctor's performance module is as follows:
According to medical procedures, whether in person operate, open single interpretation, supervise and guide, doctor's professional technique expense is divided into technology interpretation expense, technology execution expense and know-how fee, i.e. take=∑ of doctor's professional technique (technology interpretation expense+technology is carried out expense+know-how fee),
Wherein, technology interpretation expense=∑ (count × number of cases of technology interpretation project), technology interpretation project is counted and is mainly doctor oneself and opens list, entrusts his section to carry out, or counting of also needing that the project such as treatment, inspection, chemical examination of own interpretation produces.Technology interpretation project only limits to check, the inspection that outpatient service is opened at present, counts and substitutes with 3% of expenses standard unit price;
Technology is carried out expense=∑ (count × number of cases of technology project implementation), and technology project implementation is counted as counting that the projects such as the diagnosis that doctor self carries out, treatment, operation, inspection, chemical examination produce;
Know-how fee=∑ (count × number of cases of technological guidance's project), technological guidance's project is counted as instructing, supervising other people and complete counting of diagnosis and treatment behavior generation,
Service allowance=∑ (count × number of cases of service item), service item comprises that part cannot be with the income service that embody, as the consultation of doctors, training, teaching, scientific research etc., service item count according to relative set count add up,
Doctor's expense=∑ (doctor withholds and counts × number of cases) of withholing, comprises that the doctors such as medical insurance, department of medical administration withhold, and as all time expense, medicine accounting, medical error, second class case histories etc. of medical insurance, produces thus doctor and withholds and count.
Therefore, the account form of doctor's performance expense is: doctor's performance expense=doctor professional technique expense+service allowance-doctor expense of withholing.
Preferably, the Index Establishment process of above-mentioned nursing performance module is as follows:
Nursing performance employing and section office or the main average bonus of group clinician of examining are multiplied by certain coefficient ratio as paramedic basis bonus, i.e. basic bonus=doctor average bonus × 0.7 × nursing number,
Understaffed prize: according to reality open bed number of days and door emergency treatment person-time, by Human Resource Department, appraise and decide the understaffed number of nursing, increase by a certain percentage understaffed prize,
Special rewards and punishments: material cost control is special rewards and nursing quality examination rewards and punishments.
Therefore, the account form of nursing performance expense is: nursing performance expense=basic bonus+understaffed prize+special fund
Preferably, the Index Establishment process of above-mentioned medical technologies performance module is as follows:
Medical technologies wire examination method and doctor are similar, but different on point proportional and relevant item.Medical Laboratory can divide bonus=(effectively taking in this month-of that month cost) × management index=benefit bonus+doctor professional technique expense,
Defined declaration:
Of that month effectively income: be, according to fee for service standard, income is carried out to Perform Project Financial Aanalysis classification, different classes of project according to open the attributes such as list, execution and cooperation determine different points proportional, similar projects similar properties point proportional consistent.
Of that month cost, on the basis of full cost accounting, increases controllable costs examination.And include section office's controllable costs such as without charge medical consumables, office appliance in emphasis and adjust, take the actual generation expense of section office's controllable costs in 2012 as standard, plan 50% of actual surplus and include medical department cost control rewards and punishments in.When monthly income and cost calculate by cash basis at present temporarily, condition maturity,, according to new accounting system requirement, adopts accrual basis, embodies the of that month performance in real time of medical worker.
Preferably, above-mentioned administration and logistics performance module comprises with hilllock determines firewood, bonus coefficient intersection, same post level different brackets formation sequence between the level of post.
By enforcement, comprise the comprehensive hospital performance information disposal system of above-mentioned five modules, each section office mainly leader can obtain these section office performance evaluation condition information at any time and any place in time, to support high-quality medical services, strengthen inner operation management; All departments can grasp the target of self and the employee's of department process of work; Individual can grasp and obtain the work progress of oneself; President can control the performance implementation information of full institute comprehensively, and monitor control index situation in time, dynamically grasps the health resources of full institute and utilize information, realizes scientific management and decision-making.
As shown in Figure 8, the process of establishing of above-mentioned comprehensive hospital performance information disposal system is roughly as follows:
According to hospital's strategic objective definition KPI Key Performance Indicator, performance information system is tentatively set; By expert consulting, prove, determine performance appraisal index and weight; Set up performance information system, inquire into method and the step of management evaluation, and design feasible embodiment; By hospital's existing network basis and information integrated platform collection and generated data, data are carried out to Macro or mass analysis, generate performance report; Then performance report is discussed, analyze its defect, propose recommendation on improvement, improve comprehensive performance information systems.
Particularly, in the process of establishing of comprehensive hospital performance information system, also will be applied to " Delphi method " three-wheel expert consulting index system will be proved, establish performance appraisal index; Use expert's marking and analytical hierarchy process to determine the weight of each index.
In addition, above-mentioned performance information also comprises the information of lump sum bonus, and the account form of this lump sum bonus requires to arrange according to the performance indicators of doctor, nursing, medical technologies, administration and logistics.As shown in Figure 9, after said system is set up, the process that generates lump sum bonus and granting according to this system is mainly as follows:
According to section office's bonus cardinal sum performance score, calculate and should issue bonuses; Section office should issue bonuses and hospital performance fund is issued bonuses for section office are real afterwards; Then doctor, nursing, medical technologies, the executive function distribution of awards scheme according to hospital, formulated are issued to each section office, and residue bonus accumulative total enters in next period bonus.
Particularly, to calculate from allocation model be to be that the system that 4 of doctors, nursing, technician, administration and logistics are different is calculated according to the different demarcation of Hospital Employee work position and job specification to comprehensive hospital lump sum bonus.According to its different key to work performance indicators requirement separately, analyze the needed technology of its work, time, degree of risk, need the resource that consumes and cost, outcome quality etc., then design corresponding lump sum bonus apportion model according to these features.
To sum up, the comprehensive hospital performance information disposal system of present embodiment mainly comprises three aspects: (1) is evaluated comprehensive hospital performance information for the assessment indicator system and the method that there is no overall scientific in prior art, and comprehensive hospital performance information disposal system and evaluation criterion are provided.(2) utilize hospital's existing network basic environment, by information integrated platform, the system datas such as HIS system, LIS system, RIS system, HR system, ERP in business datum platform are extracted to data warehouse, then carry out data mining analysis for the utilization of comprehensive performance management information system.(3) by technology such as integrated use data warehouse (DW), on-line analytical processing (OLAP), data minings (DM), data are integrated, realize extraction, processing and the conversion of data, with suitable visualization technique and knowledge presentation technology, the model of foundation is offered to supvr's decision analysis with suitable form.
Further, by implementing comprehensive hospital performance information disposal system, the leader of hospital can control the performance implementation information of full institute comprehensively, monitor control index situation in time, dynamically grasp the health resources of full institute and utilize information, realize scientific management and decision-making, improving Hospital operation efficiency has important realistic meaning with new medical reform performance scheme.
It should be noted that, each unit of mentioning in the each equipment embodiment of the present invention is all logical block, physically, a logical block can be a physical location, also can be a part for a physical location, can also realize with the combination of multiple physical locations, the physics realization mode of these logical blocks itself is not most important, and the combination of the function that these logical blocks realize is only the key that solves technical matters proposed by the invention.In addition, for outstanding innovation part of the present invention, the above-mentioned each equipment embodiment of the present invention is not introduced the unit not too close with solving technical matters relation proposed by the invention, and this does not show that the said equipment embodiment does not exist other unit.
Second embodiment of the invention relates to a kind of comprehensive hospital performance information disposal route.Figure 10 is the schematic flow sheet of this comprehensive hospital performance information disposal route.This comprehensive hospital performance information disposal route adopts comprehensive hospital performance information disposal system as shown in Figure 1, data dictionary, the storage that this comprehensive hospital performance information disposal system comprises one or more data collection stations, define performance information and analyze the data warehouse server of data and with one or more clients of this data warehouse server communication connection, data warehouse server comprises ephemeral data district, basic data district and combined data district, and basic data district comprises operation data district, analyzes data field and filing data district.
As shown in figure 10, the method comprises the following steps:
In step 1001, data warehouse server adopts database directly access, database replication or file access, and timing, and is loaded into the data of extraction in ephemeral data district from business DSN or external data source extracted data by data collection station.
After this enter step 1002, data warehouse server is loaded into the data in ephemeral data district in operation data district and according to operation theme and stores.
After this enter step 1003, data warehouse server carries out data-switching and data mining according to data dictionary by the data in basic data district, and analyze in data field and store with Multidimensional Data Model being loaded into through the data of data-switching, will be loaded in combined data district through the data of data mining.
After this enter step 1004, data warehouse server is loaded into the Historical archiving data that produce in operation data district and analysis data field in filing data district.
After this enter step 1005, Data Detection unit is by singular value, preset quality threshold or record singular value and statistical value whether detect the data that are loaded in operation data district consistent with the data in operation system data source or external data source, if consistent, after this process ends, otherwise return to step 1001, data warehouse server extracts related data again.
It will be appreciated, of course, that above-mentioned detection can, the data in ephemeral data district being loaded into any moment behind operation data district, be not limited to the priority of above-mentioned steps.
The technology such as the comprehensive hospital performance information disposal route maintenance data warehouse of present embodiment, data mining are integrated the data in each operation system data source and external data source layering storage, use storage data in ephemeral data district to reduce the impact on business system server, guaranteed stability and the security of each business system server operation; Basic data zoning is divided into operation data district, analyzes data field and filing data district, in operation data district, data classified and detect, improved counting yield and the accuracy of data; By storing in addition through the data of data mining in combined data district, to offer front end, use, facilitated inquiry and access; Said system has realized the robotization of hospital's Data Integration, when greatly reducing manpower, can provide in real time performance indicators information, reflects in time the ruuning situation of full institute, to support scientific management and decision-making.
Present embodiment is the method embodiment corresponding with the first embodiment, present embodiment can with the enforcement of working in coordination of the first embodiment.The correlation technique details of mentioning in the first embodiment is still effective in the present embodiment, in order to reduce repetition, repeats no more here.Correspondingly, the correlation technique details of mentioning in present embodiment also can be applicable in the first embodiment.
Each method embodiment of the present invention all can be realized in modes such as software, hardware, firmwares.No matter the present invention realizes with software, hardware or firmware mode, instruction code can be stored in the storer of computer-accessible of any type (for example permanent or revisable, volatibility or non-volatile, solid-state or non-solid-state, fixing or removable medium etc.).Equally, storer can be for example programmable logic array (Programmable Array Logic, be called for short " PAL "), random access memory (Random Access Memory, be called for short " RAM "), programmable read only memory (Programmable Read Only Memory, be called for short " PROM "), ROM (read-only memory) (Read-Only Memory, be called for short " ROM "), Electrically Erasable Read Only Memory (Electrically Erasable Programmable ROM, be called for short " EEPROM "), disk, CD, digital versatile disc (Digital Versatile Disc, be called for short " DVD ") etc.
By implementing above-mentioned comprehensive hospital performance information disposal system and method thereof, realized following effect:
1, improve counting yield and accuracy before native system and method are not implemented, performance is done employee need to extract data from each system, then will in data importing Microsoft Excel, by functions such as perspective tables, calculate, in process, can relate to data layout and transform and contrast, the accuracy of data can't be guaranteed (as shown in Figure 4).The data that originally needed 5 working days and process, now by just getting in native system and 1 working day of method.
2, reduce the impact that data are produced to server and from data, produce server (HIS/LIS/RIS/HR/ERP etc.) extracted data to data warehouse server (as shown in Figure 3) by 11 beginnings every night, the technology such as integrated use data warehouse (DW), on-line analytical processing (OLAP), data mining (DM) are integrated data, realize extraction, processing and the conversion of data, effectively reduce original performance mode and data are produced to the impact of server performance, guaranteed the security of information for hospital business.
3, promoted the sustainable development comprehensive hospital performance information of the present invention disposal system of section office and hospital and method that safe and effective medical and health services are being provided for common people, solved the aspects such as the masses' " Expensive and hard to visit doctors " problem and hospital's sustainable development and can play positive facilitation.
Although pass through with reference to some of the preferred embodiment of the invention, the present invention is illustrated and described, but those of ordinary skill in the art should be understood that and can do various changes to it in the form and details, and without departing from the spirit and scope of the present invention.
Claims (11)
1. a comprehensive hospital performance information disposal system, is characterized in that, this comprehensive hospital performance information disposal system comprises:
One or more data collection stations;
Data dictionary, for defining performance information;
Data warehouse server, for storing and analyze data; And
One or more clients, described client and the communication connection of described data warehouse server;
Wherein, described data warehouse server comprises ephemeral data district, basic data district, combined data district, data pick-up unit, Date Conversion Unit, data loading unit and Data Detection unit;
Described basic data district comprises operation data district, analyzes data field and filing data district;
Described data pick-up unit is used for adopting directly access of database, database replication or file access, timing from business DSN or external data source extracted data, and determines that in Data Detection unit data in data and operation system data source or the external data source in operation data district extract related data again when inconsistent by described data collection station;
Described Date Conversion Unit is for carrying out data-switching and data mining according to described data dictionary by the data in described basic data district;
Described data loading unit is loaded into described ephemeral data district for the data that described data pick-up unit is extracted, data in described ephemeral data district are loaded in described operation data district, the data of carrying out data-switching through described Date Conversion Unit in described basic data district are loaded in described analysis data field, the data of carrying out data mining through described Date Conversion Unit in described basic data district are loaded in described combined data district, and the Historical archiving data that produce in described operation data district and described analysis data field are loaded in described filing data district,
Described Data Detection unit is for by singular value, preset quality threshold or record singular value and statistical value and detect whether be loaded into the data in described operation data district consistent with the data in operation system data source or external data source;
Described operation data district is for the data from the loading of described ephemeral data district according to the storage of operation theme, described analysis data field is used for storing the data of being carried out data-switching by described Date Conversion Unit with Multidimensional Data Model, the Historical archiving data that described filing data district produces for storing described operation data district and described analysis data field.
2. comprehensive hospital performance information disposal system according to claim 1, is characterized in that, described data-switching comprises form and type conversion, data translation, Data Matching.
3. comprehensive hospital performance information disposal system according to claim 1, is characterized in that, the executive mode of described Data Detection unit is random, planned or Event triggered.
4. comprehensive hospital performance information disposal system according to claim 1, is characterized in that, described performance information comprises the information of doctor's performance expense, and the account form that described doctor's performance is taken is as follows:
Doctor's performance expense=doctor professional technique expense+service allowance-doctor expense of withholing;
Wherein, take=∑ of doctor's professional technique (technology interpretation expense+technology is carried out expense+know-how fee),
Technology interpretation expense=∑ (count × number of cases of technology interpretation project), described technology interpretation project is counted and is opened list by doctor oneself, entrusts his section to carry out, or the project of the treatment of own interpretation, inspection, chemical examination produces,
Technology is carried out expense=∑ (count × number of cases of technology project implementation), and described technology project implementation is counted and produced by the project of the diagnosis of doctor self execution, treatment, operation, inspection, chemical examination,
Know-how fee=∑ (count × number of cases of technological guidance's project), described technological guidance's project is counted by the behavior generation that instructs, supervises other people and complete diagnosis and treatment;
Service allowance=∑ (count × number of cases of service item), described service item the counting for the consultation of doctors, training, teaching, Scientific Research Service relative set of counting;
Doctor's expense=∑ (doctor withholds and counts × number of cases) of withholing, described doctor withholds and counts that all time expense, medicine accounting, medical error, second class case history produce by medical insurance.
5. comprehensive hospital performance information disposal system according to claim 1, is characterized in that, described performance information comprises the information of nursing performance expense, and the account form that this nursing performance is taken is as follows:
Nursing performance take=basic bonus+understaffed prize+special fund;
Wherein, basic bonus=doctor average bonus × 0.7 × nursing number, the average bonus of described doctor is section office or main average bonus of examining group clinician,
Understaffed prize, according to reality open bed number of days and door emergency treatment person-time, is appraised and decided the understaffed number of nursing by Human Resource Department, increases by a certain percentage,
Special fund is the special award of material cost control and nursing quality examination rewards and punishments.
6. comprehensive hospital performance information disposal system according to claim 1, is characterized in that, described performance information comprises that Medical Laboratory can divide the information of bonus, and this Medical Laboratory can divide the account form of bonus as follows:
Medical Laboratory can divide bonus=(effectively taking in this month-of that month cost) × management index.
7. comprehensive hospital performance information disposal system according to claim 1, it is characterized in that, described performance information comprises the information of administration and logistics performance, and this administration and logistics performance comprises with hilllock determines firewood, bonus coefficient intersection, same post level different brackets formation sequence between the level of post.
8. according to the comprehensive hospital performance information disposal system described in any one in claim 1 to 7, it is characterized in that, also comprise decision analysis server, for receiving data that described Date Conversion Unit carries out data-switching and data mining to carry out decision analysis.
9. comprehensive hospital performance information disposal system according to claim 8, it is characterized in that, performance indicators in described performance information proves to establish by " Delphi method " three-wheel expert consulting, and the respective weights of described performance indicators is determined with expert's marking and analytical hierarchy process.
10. comprehensive hospital performance information disposal system according to claim 8, it is characterized in that, described performance information also comprises the information of lump sum bonus, and the account form of this lump sum bonus requires to arrange according to the performance indicators of doctor, nursing, medical technologies, administration and logistics.
11. 1 kinds of comprehensive hospital performance information disposal routes, it is characterized in that, adopt the comprehensive hospital performance information disposal system described in claim 1 to 10, this comprehensive hospital performance information disposal system comprises one or more data collection stations, the data dictionary that performance information is defined, store and analyze the data warehouse server of data and the one or more clients with this data warehouse server communication connection, described data warehouse server comprises ephemeral data district, basic data district and combined data district, described basic data district comprises operation data district, analyze data field and filing data district,
The method comprises the following steps:
Described data warehouse server adopts directly access of database, database replication or file access, and timing, and is loaded into the data of extraction in described ephemeral data district from business DSN or external data source extracted data by described data collection station;
Described data warehouse server is loaded into the data in described ephemeral data district in described operation data district and according to operation theme and stores;
Described data warehouse server carries out data-switching and data mining according to described data dictionary by the data in described basic data district, and will through the data of data-switching, be loaded in described analysis data field and store with Multidimensional Data Model, will through the data of data mining, be loaded in described combined data district;
Described data warehouse server is loaded into the Historical archiving data that produce in described operation data district and analysis data field in described filing data district;
Described Data Detection unit is by singular value, preset quality threshold or record singular value and statistical value whether detect the data that are loaded in described operation data district consistent with the data in operation system data source or external data source, if inconsistent, described data warehouse server extracts related data again.
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