Research And Implementation Of Midical Insurance Management Information System Of A New District

With China's health care reform deepens and the development of computer network information technology,different cities and regions have established with the region characteristic of medical insurance management information system,the new district as the forerunner of reform and opening up in dalian area,the original medical insurance management information system can not meet the business development needs.In this paper,the design of the district medical insurance management information system using the information technology,computer network technology as the foundation,with the help of the mainstream development framework and design patterns,develop and realize information management of the district health insurance business and management for health care center,hospitals,pharmacies and medical insurance group with ginseng,scratch card for medical treatment,treatment and settlement,and fund supervision information management system to provide a good interface and a friendly operation interface,let the medical insurance management more scientific and transparent,information,improve the oversight of the department of medical insurance management ability,increase the medical insurance fund supervision,prevent and eliminate the phenomenon of illegal medical institutions.This paper design the the district of medical insurance management information system can be divided into five main modules,respectively is approved medical care account management,health care treatment,health care treatment and settlement management,the medical establishment that decide a dot,management and supervision of audit management,medical insurance account management mainly take ginseng protect people health care account set up and change,is the basis of the medical insurance business;Medicare treatment for approval management is mainly responsible for check and ratify ginseng protect people should enjoy what treatment of medical treatment insurance;Health care treatment and settlement management is mainly responsible for settlement of fixed-point medical scratch card case,is the main channel of medical insurance fund pays;The medical establishment that decide a dot management is responsible for the medical establishment that decide a dot file and settlement of a license information management;Responsible for supervision and audit management to carry on the scientific analysis and monitoring of the medical insurance fund expenditure.In this paper,the design of five modules are independent of each other and complement each other between,through medical billing data sharing and analysis,the comprehensive implementation of medical insurance fund for approval.spending and regulation.In this paper,the design and implementation of the district medical insurance management information system mainly with the help of information technology and network principle,through information technology to reform the traditional management mode,can greatly reduce the medical insurance center management personnel's workload,through the window of simple design greatly shorten the business completed in time.Finally in the district medical insurance management information system operation are summarized,and the system operation modules during normal operation and stable,the hospital contained an illegal settlement situation,masses satisfaction get larger ascension,to achieve the expected effect of system design.