Requirements Analysis And Design Of Reimbursement Policy Configurates Subsystem Of NCMS Cross-provincial Medical Treatment

Objective:This paper probes into the configurates solution of the online settlement reimbursement policy of NCMS cross-provincial medical treatment from the theoretical and empirical two aspects.Taking the reimbursement policy of cross-provincial medical treatment of research provinces as its object,analyzes and designs the reimbursement policy configurates subsystem of NCMS cross-provincial medical treatment based on national NCMS Information Platform to realize reimbursement policy configuration management and calculation functions.Contents:1.Analysis of the reimbursement policy factors of NCMS cross-provincial medical treatment.2.System Requirements Analysis,including business requirements,functional requirements,system data requirements,role permission definition.3.System Design,including system design principles,system architecture design,system functional architecture design,system business process design and system data table design.4.Summary and prospect,based on system requirements analysis and design.Methods:1.Literature reviewBy searching the databases,such as CNKI,Chinese VIP,Wan Fang database and Pubmed,Springer,the domestic and foreign related literatures are combed.2.Field investigationBy field investigation,Understanding the reimbursement policy of NCMS cross-provincial medical treatment and progress of the earlier stage.3.Expert adviceBy consulting experts in the field of health service management and information construction,Consulting the rigor and reliability of the reimbursement policy’s algorithm and calculation process.4.UML modelingBy UML,implementation the system requirements Analysis and system design.Conclusion:Based on literature review and field investigation,This paper analyzes the reimbursement policy factors of research provinces,Through the analysis,it is difficult to realize the configuration of compensatory directory on the system due to the large difference in the compensation scope of the provinces,and it is possible to be configured on the system by similar category of compensation standard.Identify the requirements of the reimbursement policy configurates subsystem of NCMS cross-provincial medical treatment by analyzing business requirements,functional requirements,system data requirements,role permission definition.Design the subsystem by system design principles set,system architecture design,system functional architecture design,system business process design and system data table design.Complete the system policy configuration function,audit function and calculation function design.Summary and prospect:The reimbursement policy of cross-provincial medical treatment configuration,audit and calculation function are realized,through the requirement analysis and design of the system.It is of great significance to protect the patients enjoy the immediate settlement services,and reduce the medical expenses burden of the patients.Put forward some prospects of future functional improvement of the system.