Wuwei City, Gansu Province has launched a "bedside settlement" convenience measure, and admission, payment, settlement, and discharge can be handled in a "one-stop" manner. Photo by Yu Fang Bright**.
[Theme education at the grassroots level].
In the past, it was necessary to go to the discharge settlement window to go to the discharge settlement window, and it was time-consuming and laborious to run upstairs and downstairs, and it was very inconvenient to queue up for review for medical insurance reimbursement. Now you don't need to leave the ward, you can hand in a list at the ** station, and you can get discharged and reimbursed by medical insurance in ten minutes. Recently, in the cardiology ward of Wuwei People's Hospital in Gansu Province, Mr. Wu, who was about to be discharged, experienced the convenient service of completing the settlement process in the ward. He gave a thumbs up and raved about the new service launched by the hospital.
Medical services are not real, and patients have the most right to speak. From the doctor's discharge order to the patient's mobile phone payment of the hospitalization fee, the electronic invoice is generated, and in Wuwei People's Hospital, the discharge settlement procedures can be completed in less than 20 minutes.
"Bedside settlement" is a convenient measure launched by the Wuwei Medical Security Bureau in the second batch of theme education. "This service breaks the traditional discharge settlement model, moves the handling window forward to the ward department, and allows the data to 'run' instead of the patient's 'errand', opening up the 'last mile' of serving patients. Wang Zhizhi, chief of the medical insurance management department of Wuwei People's Hospital, introduced that the hospital has opened all 30 clinical departments of the "bedside settlement" business, as of January 30, the total number of settlements has reached 6,030 people, and has been well received by patients and their families.
Wuwei Liangzhou Hospital also has the same convenient service initiative. At the pediatric ward of the hospital, a family member of a child is going through the hospitalization procedures, and the patient's identity is checked according to the patient's ID card information and the electronic hospitalization ticket issued by the doctor, and the patient is admitted to the department after confirmation.
At the same time, the ward staff confirmed the amount of the patient's deposit according to the patient's medical insurance network identity information, and it only took a few minutes to complete the admission registration for the patient. "I brought my children to the hospital alone, and it was very inconvenient to run around, but now all the cost settlement is 'one-stop', which really saves a lot of effort. The parents of the children said.
"Running to see a doctor and breaking a leg" and "many medical procedures" have always been the pain points and difficulties encountered by the masses in seeking medical treatment. Since the launch of the second batch of theme education, the Wuwei Medical Security Bureau has paid close attention to the problems of many medical treatment processes and long queuing times that have been strongly reflected by the masses, focusing on improving the quality of medical services, transforming the achievements of the theme education into a powerful driving force for improving the work, breaking through the blockages in the process of medical treatment for the masses, and launching convenient measures such as "bedside settlement" to warm the hearts of the people and benefit the people's livelihood with high-quality medical services.
We visited and investigated the insured units, the masses and pharmaceutical enterprises in the early stage, and after the successful pilot in Liangzhou Hospital in Wuwei City, we promoted the 'bedside one-stop' settlement service in the city. At present, 8 medical institutions in the city will "move" the window service function of the inpatient department into the ward, and change the "window service" to "ward service", and the patient's family only needs to submit materials at the ward nursing table, and the medical staff can handle the medical insurance business throughout the process, providing convenience for the majority of patients, especially those with reduced mobility. Zhu Ruoxia, chief of the treatment and security section of the Wuwei Medical Security Bureau, said.
In order to effectively solve the problems of the masses such as "unclear medical treatment policies, cumbersome discharge settlement processes, occasional disputes over medical reimbursement, and low efficiency in handling chronic diseases", since the launch of the second batch of theme education, Wuwei Medical Security Bureau has organized party members and cadres to go deep into the front-line medical units at the grassroots level, discuss and exchange with medical personnel and the masses of medical treatment, widely solicit opinions and suggestions, and open up the "last mile" of the implementation of the medical insurance policy with "zero distance" service, and solve the problems of the masses in the field of medical security.
By the end of 2023, the Wuwei Municipal Medical Security Bureau will sink to screen and handle chronic diseases15290,000 cases, will be 15750,000 people are included in the scope of outpatient hypertension and diabetes medication for urban and rural residents, and policy training is carried out for medical insurance personnel at all levels to facilitate public consultation in the jurisdiction; In-depth supervision and inspection of the "two fixed" medical insurance institutions (designated medical institutions, designated retail pharmacies), accepted 68 letters and visits from the masses, and the completion rate was 100%; Crack down on fraud and insurance fraud in the field of medical insurance, and recover violations**918590,000 yuan, 1 case of fraud and insurance fraud was investigated and handed over to the public security organs, and 5 illegal funds were recovered40,000 yuan; Promote the special treatment of oral implants, and the medical service fee for a single dental implant is less than 3,850 yuan, bidding farewell to the "era of 10,000 yuan".
In response to the problem of long medical insurance procedures, the Wuwei Medical Security Bureau has innovated the service model through visits and research, and launched the "16 convenient measures" for medical insurance, further simplifying procedures, streamlining materials, and compressing the time limit for inter-provincial transfer of basic medical insurance from 45 working days to 20 working days; The outpatient chronic disease declaration and identification service will be lowered to the designated medical institutions above the first level, and it will be handled immediately; Further optimize the medical insurance business handling items 28 items, to achieve all these matters "zero runaway", all the handling items service guidelines are published to the public in the government service network, the public's satisfaction with medical security services continues to improve.
Guided by the needs of patients, Wuwei Medical Security Bureau strives to build the "445" brand of medical insurance services, so as to realize the things of the day to be done on the same day, the things that can be done immediately, the time-limited things to be done on time, the complex things to be simplified, and the difficult things to be done. In the next step, Wuwei Medical Security Bureau will further improve information technology, continue to optimize the service process, and continuously improve the sense of access and satisfaction of patients and their families.
*:Light**.