The Exploratory Development Of Single Disease Of Business Process Reengineering On Manipulation Of The ALOS

Objective: Investigate and analyze the current conditions of single disease procedure reorganization in hospital, and rebuild it with such theories as the rebuild-theory in western enterprise, management science and quality management to perfect the working procedure. On one hand, to meet the needs of the patients and realize the serving aim of considering the patient as the key; on the other hand, to improve the working efficiency in the hospital and cut down the price.Method: To have fifty case histories respectively in lumbar-extrusion operation, uterine myoma operation, and oesophagus cancer operation in the Chief Hospital of Ji Nan Military District from Jan to Dec in 2006 as the results, and collect the basic data of the 150 case histories with the methods of field investigation and recollection research. ?Analyze and test the data with the SPSS15.0 software. Sort order the practical using conditions of the doctor's advice and make the picture according to the analysis. Compare the indexes with TOPSIS method, adopt the self-designed questionnaire research, and analyze the reliability with the 'a" modulus.Result: 1) After the reorganization of the inpatient procedure, the average length of stay is cut down. There is invalid inpatient day in the there disease inpatient procedures. The average length of stay for the lumbar-extrusion operation patient is cut down 4.16 day than before, with the before operation inpatient time being cut down 1 day, and the after operation inpatient time being cut down 3.54 day. The average length of stay for the uterine myoma operation patient is cut down 1.76 day than before, with the before operation inpatient time being cut down 1.08 day, and the after operation inpatient time being cut down 1 day. The average length of stay for the oesophagus cancer operation patient is cut down 3.82 day than before, with the before operation inpatient time being cut down 2.32 day, and the after operation inpatient time being cut down 1 day.2) The overall expense and the average inpatient expense is cut down distinctly after the reorganization of inpatient procedure. The overall expense for the lumbar-extrusion operation patient is cut down 32921.9 RMB, with the average inpatient expense is cut down 658.44 RMB. The overall expense for the uterine myoma operation patient is cut down 22488.9 RMB, with the average inpatient expense is cut down 449.78 RMB. The overall expense for the oesophagus cancer operation patient is cut down 28700.6 RMB, with the average inpatient expense is cut down 5740.11 RMB.3) Through questionnaire investigation, the satisfaction degree have improved after the reorganization of inpatient procedure. The satisfaction degree of the lumbar-extrusion operation patient have improved 0.99 cent; the satisfaction degree of the uterine myoma operation patient have improved 1.72 cent; the satisfaction degree of the oesophagus cancer operation patient have improved 0.64 cent.4) some of the data have no significant difference, but it is important in clinic practice. Through the compositive comparation, the disease procedures after reorganization are better than it before reorganization.Conclusion: According to the research result, identify the standard of the average inpatient day, devise the plan for inpatient procedure reorganization and use it in clinic. Make a comparing analysis of the indexes before and after practice, and get the result that after the reorganization the average length of stay and expense is cut down, the effect and satisfaction degree of the patient is improved. Analyze properly the reason of the invalid inpatient time, and try to solve such problems as nonstandard diagnosis and treat, waiting for operation and inspection, and waiting for leaving hospital after operation, and so on. All these ulteriorly prove the significant effect of the inpatient procedure reorganization in the control of average inpatient time.