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从半天到十分钟 四川省人民医院推出院结账一站式服务

2017-10-11 周子铭 四川新闻网

四川省人民医院推出一站式服务之后,出院结账的流程从大半天缩短到了十分钟左右。

先送出院资料到财务窗口,再找医保办审核出院资料,接着又去找医生完善出院病情诊断书,找药房划价,找科室补费退费……在医院有过住院治疗的患者,相信都经历过以上繁琐的办理出院手续的过程,反复的排队和多个窗口的来回奔波,让人又累又茫然,特别是在大型医院,往往一套流程办理下来,大半天的时间就过去了。

10月11日,四川新闻网记者从省医院获悉,在省医院,这种出院流程已经成为了过去式,自从9月11日省医院开始正式全面推行“出院结账一站式服务”流程改进工作以来,截至10月11日,该项服务已开展了1个月,成效显著,共有4600余名“计划性出院患者”感受到了这一服务带来的“方便、快捷、简化”,出院结账的流程也从大半天缩短到了十分钟左右。

十分钟办完出院结账患者点赞:太巴适了!

10月11日上午11时,在省人民医院出院结账办理窗口,市民余女士正在为老父亲办理出院结账手续,余女士的父亲因病在省医院泌尿科手术后,已经住院20多天,如今身体恢复得很好,医生建议老人家出院,余女士和家属在确认父亲身体已经好转后,也欣然答应。

得到余女士的同意后,患者被划入了“计划性出院患者”。对于过去繁琐的出院结账流程,现在余女士只需要到最后一个流程――到财务室办理结账、药房取药就可以了。所花费的时间,还不到十分钟。

“虽然我之前没有到省医院这种大医院来看过病,但也知道医院出院结账这一块费时费力,本来还担心给爸爸办出院很麻烦,哪晓得十分钟就搞定了,简直太巴适了。”余女士说。

医务人员多跑路让患者或家属少费力

“其实患者在办理出院结账时,所需要的这些流程仍然没有减少,只不过除了最后一步之外的过程,都由我们医务人员代劳了,这样能让患者少费时费力。”省人民医院财务部部长何映月告诉四川新闻网记者,原来的出院结账流程是这样的:患者出院当天,病区医生在HIS系统开“出院患者医嘱及出院带药处方”――病区护士站提交“出院患者费用结账单”至财务室――财务部初审“出院费用结账账单”――患者到药房划价“出院带药”――医保办审核“医保患者账目”――患者或家属返回财务室结账――患者或家属到药房领取出院带药。

“这些流程都是分散进行,每一步均需患者或家属亲自过问、跑路、排队等候。”何映月记得,在流程顺畅的情况下,患者或家属至少需往返奔波4次,耗时大半天时间方能办理完毕,故带给患者或家属很多不便。与此同时,这种长时间的等待和往返跑路,也造成了住院部财务及医保办结算窗口排队拥堵的情况。

本着为患者考虑的角度,省医院决定开展患者“出院结账一站式服务”流程改进工作,改进后的流程为,上述除患者或家属结账领药之外的流程,全部由医务人员代劳了,为此省医院还安排了专人为患者在各个科室之间传递需要的资料。“目前医院还没有完全无纸化办公,仍需要医护人员帮患者递交资料,等后期,我们希望能做到让‘信息多跑路’,医护人员和患者都不用再多跑路了。”何映月说道。

出院结账快了新入院的患者不用“久等”了

“除了能给出院的病人更便利的结账过程,也能让新入院的患者更快住上床位。”省医院医务部副部长罗树春告诉四川新闻网记者,“出院结账一站式”服务真正实现了让患者“只需跑一次”,即可完成出院结账报销手续的目标,切实改变了过去出院患者亲自过问、往返跑路、等候多时等情况,同时提高了各病区、财务部、医保办等部门的工作效率,缓解了医院服务窗口拥堵的情况。同时也有利于提高床位的使用率和周转率,最终缩短病人等待入院的时间,让等待入院的患者受益。

罗树春表示,要体验“出院结账一站式”服务十分简单,只需要入院时在入院处完成医保身份的确认,同时在出院时成为“计划出院病人”就可以。“在病人的病情好转之后,医生觉得可以出院会提前告知患者,如果患者同意,会被划入‘计划出院病人’,这样在患者出院的前一天,医务人员会为其办理相关出院手续,次日患者只需要缴费领药出院即可。”

“我们科室的床位相对比较紧张,以前患者办理出院需要大半天时间,有的患者入院后一时安排不上床位,只能坐在一旁的凳子上等待。”省医院细胞移植中心副主任医师骆乐告诉记者,从9月11日省医院开始推行“出院结账一站式”服务之后,过去出院病人可能要中午之后才能办理完成出院手续,现在十分钟左右就完成了,上午就可以完成床位的交接,让出院和入院的患者都能有良好的就医体验。

呼吁:成为“计划性出院患者”享受一站式服务

四川新闻网记者了解到,省医院每月大约有万名患者办理出院,但截至目前开展“出院结账一站式”服务一个月以来,只有4600余名“计划性出院患者”享受到快速办理的一站式服务。这是什么原因呢?

罗树春告诉记者,要成为“计划性出院患者”,也需要患者的配合。“当医生认为患者达到出院要求时,会提前一天与患者沟通,如果患者同意,便会被列为‘计划性出院患者’,我们的医务人员也会提前为患者办理手续,次日患者只需要缴费领药出院即可。”罗树春表示,外科的患者当中,有90%以上都愿意配合,但内科的患者这个比例却要少很多。原来,有的内科患者在医生告知可以出院或转院到下级医院进行康复治疗之后,仍想再留院观察一段时间,自行决定出院时间。这部分患者,医院没有办法提前为他们办理相关手续,往往是在他们觉得需要出院时,当天提出当天自行去办理。

罗树春呼吁,希望患者能够相信院方对他们病情的判断,加入到“计划性出院患者”的行列,不仅可以让自己更加便利地出院,也能让宝贵的医疗资源惠及更多需要的病人。

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    2017-12-26 fusion
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    2017-10-13 sunfeifeiyang

    学习

    0

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    2017-10-11 1821f5a60fm

    期待我们医院也可以这样

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1914929, encodeId=4b5a191492969, content=<a href='/topic/show?id=e823249e392' target=_blank style='color:#2F92EE;'>#人民医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24973, encryptionId=e823249e392, topicName=人民医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8143398, createdName=lily1616, createdTime=Sun Jul 01 06:59:00 CST 2018, time=2018-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951802, encodeId=37b61951802fa, content=<a href='/topic/show?id=7df11938efe' target=_blank style='color:#2F92EE;'>#一站式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19387, encryptionId=7df11938efe, topicName=一站式)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=743b215, createdName=fusion, createdTime=Tue Dec 26 20:59:00 CST 2017, time=2017-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=252483, encodeId=97222524838f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Fri Oct 13 08:58:17 CST 2017, time=2017-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=252057, encodeId=4b2125205e1e, content=期待我们医院也可以这样, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=02692096786, createdName=1821f5a60fm, createdTime=Wed Oct 11 23:09:07 CST 2017, time=2017-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=252044, encodeId=d7652520449d, content=好资料学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed Oct 11 21:55:16 CST 2017, time=2017-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=252041, encodeId=e39d25204107, content=方便人民群众的有力措施., beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Wed Oct 11 21:50:56 CST 2017, time=2017-10-11, status=1, ipAttribution=)]
    2017-10-11 thlabcde

    好资料学习了!

    0

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    2017-10-11 1e0f8808m18(暂无匿称)

    方便人民群众的有力措施.

    0

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