Study On The Refined Management Of Medical Consumables In A Hospital Under The Control Of Medical Expenses

Solving the problem of "difficult and expensive medical treatment" has always been a top priority in the reform of the medical system.The problem of "expensive medical treatment" is mainly reflected in the rapid growth of medical expenses,which does not match the social and economic development.The total increase in medical expenses is relatively large,among which the proportion of medicine revenue is high.The proportion of the income of large-scale medical equipment inspection and treatment and medical consumables has increased rapidly.The total amount of medical services caused by unreasonable diagnosis and treatment has increased rapidly.The consumption ratio is another factor that accounts for the larger medical cost after the medicine ratio,especially the rational use and cost control of high-value consumables have always been the most concerned by the public in medical behavior.With the deepening of medical reforms,policies and systems such as graded diagnosis and treatment,the elimination of drug consumables additions and strict medical insurance control fees have been fully implemented.The use of cost control to improve economic efficiency and enhance competitiveness has gradually been recognized by the public.Doing a good job of hospital cost control is an effective way to control medical expenses and reduce medical expenses.This article takes Hospital A as the research object and finds out the unreasonable organizational structure system by combing the management process of hospital A’s consumables;after statistical analysis of the data in the logistics management system(HERP)of the consumables and the comprehensive operation management system(His)of the hospital,Found out that the hospital A has high consumption,non-standard charges,over-collection,collection,consumables verification is not timely,issuance is not standardized,unreasonable use and other issues;at the same time also raised the problem of consumable information construction lag For example,there are problems such as "islands" between information,no closed-loop management,and staff are not familiar with information systems.The existence of these problems will not only increase the operating cost ofthe hospital,but also increase the burden of patients’ medical expenses and exacerbate doctor-patient disputes.It may even affect the normal operation of the medical security system.After analyzing the reasons for the existing problems,the focus is to improve the management of consumables in hospital A using refined management,first from the organizational structure and system optimization,and then to optimize the management process of low-value consumables and implement real-time medical write-off of high-value consumables.Consumables issuance and use process,formulate the upper limit threshold of the corresponding use quantity,and control unreasonable use.Strictly regulate the charging process of consumables,carry out the evaluation of the use of consumables,supervise the charging behavior,prevent excessive treatment and unreasonable charging.In addition,suggestions are made to the relevant government departments for the common problems caused by A hospital..Improve information construction to ensure the synchronization and unity of data transmission,eliminate the island of information transmission,and ensure the authenticity and reliability of consumables management.Solve the problem of non-closed-loop management of consumables and ensure the monitoring and review of the management of key consumables throughout the process.Through refined management,the consumables can reach the expected optimal state as much as possible in each link,reduce the proportion of consumable costs,further reduce the unreasonable growth of medical expenses,reduce the medical burden of the masses,and let the masses get better medical services.