医院DRG季度月分析报告.docx
医院202*年1-5月DRG分析报告一、全院5月出院人数与入组率一2021各月出院人数一202恪月出院人数2021各月入境率2O2O月入组军202*年1-5月出院人数较去年同期增长1.96%,其中:202*年2月到5月出院人数较去年同期有所增长,2020年1月份出院人数较去年下降较多。202*年1-5月入组率较去年同期增长3.15%且202*年1月到5月均比去年同期有所增长,但202*年1月份入组率最高,达到98.9%,此后2-5月逐月均有所下降。出院人数增加的同时应当注意诊断的选择避免入组率降低。二、全院1-5月未入组原因未入组原因202*年1-5月2020年1-5月未入组例数占比未入组例数占比费用偏低8130.57%24638.92%费用偏高7227.17%406.33%无法分组的诊断31.13%30.47%主诊断为无效出院诊断00.00%10.16%住院天数大于等于180天10941.13%34254.11%总计265100.00%632100.00%202*年1-5月较2020年1-5月未入组份数大幅度降低。202*年1-5月与2020年1-5月未入组主要原因均是住院天数大于等于180天,其次是费用偏低,精神科与老年科应注意长期在院病人住院天数,避免因住院天数影响入组。三、全院1-5月DRG组数与CMI值2021各月DRG组数202Q月DRG组数2021各月CMl2020各月CMl202*年1-5月较去年同期DRG组数下降23组,CMI值下降0.04,其中202*年1月、3-5月DRG组数与CMl值较去年同期均有所下降,4月情况最为突出,202*年4月CMl较去年同期降低0.11,DRG组数也减少20组。四、全院1-5月各科室入组率、DRG组数与CMI值科室202*.1-202*.52020.1-2020.5入组率比较DRG组数比较CMl比较入组率DRG组数CMI入组率DRG组数CMI普外科97.55%751.05098.70%831.097-1.15%-8-0.046神经外科97.82%791.60797.47%751.1320.35%40.475骨科95.48%541.10396.94%691.083-1.46%-150.020肛肠科99.45%190.66698.41%260.7001.04%-7-0.034胸外科100.00%611.18897.10%701.0572.90%-90.131泌尿外科98.65%490.79699.05%470.763-0.40%20.034肿瘤微创介入科96.61%671.24897.95%791.076-1.34%-120.172手外科97.03%500.94995.57%491.0831.46%1-0.134口腔科100.00%60.890100.00%81.1050.00%-2-0.214耳鼻喉科98.63%150.60498.20%140.6400.43%1-0.036产科99.31%120.69698.74%120.6690.57%00.026妇科100.00%240.62299.70%390.5390.30%-150.083眼科100.00%130.42488.61%110.49611.39%2-0.072眼视光组100.00%20.620100.00%20.6310.00%0-0.010皮肤科100.00%70.438100.00%80.3970.00%-10.041神经重症科99.41%570.65099.33%750.6600.08%-18-0.011内分泌科96.60%370.610100.00%490.649-3.40%-12-0.039癫痫中心98.48%310.49195.40%310.4973.08%0-0.006消化内科98.39%550.61498.63%660.623-0.24%-11-0.010肾内科91.86%260.77297.85%210.912-5.99%5-0.139脑血管病科99.18%410.79399.04%221.1970.14%19-0.405血液科100.00%160.665100.00%230.8480.00%-7-0.183全科医学科98.84%690.73699.04%660.680-0.21%30.056康复医学科100.00%160.66699.43%220.6380.57%-60.028中医科100.00%200.592100.00%240.5130.00%-40.079风湿免疫科96.00%120.669100.00%90.689-4.00%3-0.020疼痛科100.00%40.516100.00%60.7000.00%-2-0.184新生儿科98.65%120.56997.97%110.6290.69%1-0.060重症医学科96.55%181.79893.10%192.0953.45%-1-0.298老年一科97.54%331.00187.94%351.0089.60%-2-0.007老年二科97.21%380.99195.97%481.0101.24%-10-0.019老年三科99.56%310.989100.00%341.002-0.44%-3-0.014老年四科99.44%200.98484.92%421.01014.52%-22-0.026精一科76.53%70.88672.60%110.8633.92%-40.023精二科98.96%70.92276.92%80.89122.04%-10.031精三科97.65%70.92078.08%60.90419.56%10.015精四科97.52%80.90866.67%110.91630.85%-3-0.009精五科87.41%40.90452.07%70.92535.34%-3-0.021精六科94.37%80.80975.95%70.79018.42%10.019精七科58.75%60.89644.44%80.94714.31%-2-0.050物质依赖科98.67%60.75391.18%70.6357.49%-10.118精神科短程病房75.00%40.69860.00%20.94215.00%2-0.244心理科99.52%70.72795.96%80.7613.56%-1-0.034心身科99.24%80.72297.87%80.7551.36%0-0.034儿少精神科97.54%60.80594.47%100.8333.07%-4-0.028睡眠医学科99.19%80.65899.58%120.679-0.39%-4-0.021普儿科一科99.71%350.31799.38%490.330/普儿科二科99.36%460.306呼吸内科一科100.00%300.70799.80%490.63/呼吸内科二科98.72%330.635心血管内科一科97.12%440.79998.99%700.79/心血管内科二科99.28%510.947功能神经外科100.00%101.300/肿瘤科98.68%290.705/全院合计97.78%4650.73993.93%4880.773.86%-23-0.036202*年1-5月与2020年1-5月均是外科系入组率较高,除骨科与手外科均达到97%以上。精神科封闭病区入组率较低,其中精七科入组率低于60%左右、精神科短程病房入组率低于75%左右。54个住院科室中29个住院科室202*年1-5月DRG组数较去年同期均有所下降,其中骨科、肿瘤微创介入科、妇科、神经重症科、内分泌科、消化内科、老年四科DRG组数下降超过10组。54个住院科室中30个住院科室202*年1-5月CMl值较去年同期均有所下降,其中老年科系与精神科开放病区202*年1-5月CMI值较去年同期均有所下降,此外脑血管病科、重症医学科、精神科短程病房、口腔科CMl值较去年同期下降0.2以上。