In Jinan, a mobile phone can realize the "one -stop" full process medical service service

Consultation, medical insurance settlement, self -service drug collection, billing query ... Patients can realize the "one -stop" full -process medical service for only one mobile phone. This is exactly the vivid practice of Jinan to enhance the medical experience of the masses with wisdom.

In recent years, Jinan City has given full play to the advantages of supply and demand in the medical and pharmaceutical fields, driven by the digital reform of medical insurance, driven the innovation of medical and pharmaceutical service models, continuously optimize the allocation of resource allocation, improve service efficiency, truly do good things, do the practice of doing things Okay, to do it on the hearts of the masses. At present, the online handling rate of Jinan medical insurance business has reached 96%, and digital medical insurance services benefit 8.43 million crowds in the city.

Do not queue up medical insurance settlement towards the "fingertip era"

Registration, waiting, examination, settlement, medicine taking medicine ... Once, medical treatment is a "physical work" that needs to shuttle between different floors and various windows. In response to the cumbersome process of the masses and the painting of multi -window queuing and settlement, the Municipal Medical Insurance Bureau relies on medical insurance electronic voucher identity certification and online payment functions to promote the whole process of medical insurance for medical institutions. Inpatient construction, realize the "one -click" admission. After the treatment, you can go through the discharge procedures on the hospital bed. The medical insurance settlement is performed online. The information, medical insurance electronic invoices and follow -up precautions are sent directly to the patient's mobile phone. Traditional multi -window running procedures.

Taking the Municipal Maternal and Child Health Hospital as an example, the whole process of medical treatment has been carried out in less than one year for medical insurance settlement. A total of more than 30,000 people have handled the admission file and discharged settlement business through mobile phones, accounting for 80%of all hospitalized patients. The per capita waiting time is reduced In 40 minutes, the deep and intelligent empowerment of medical insurance services was realized, allowing medical insurance settlement to move towards the "fingertips era".

Online can be retracted medicines to get it to the door of the house

There are many patients with chronic diseases such as hypertension and diabetes. They need to take fixed drugs for a long time, but "queue for 2 hours and 2 minutes of treatment" to make regular medicines go to the hospital for their troubles.

Not long ago, with the help of the staff of the Municipal Medical Insurance Bureau, Aunt Wen, who lived in the Golden Age Community, experienced the convenient online consultation and medical insurance purchase service -0.02 seconds to extract historical medication information, completed identity verification and medical insurance binding in 2 minutes , A call to complete the medical insurance for the Slow Disease Renewal. After receiving electronic orders, doctors from Jinan Central Hospital used the Shandong Internet Medical Insurance Health Service Platform to check the condition of Aunt Wen online, and immediately retrieved historical medication information in the background. After asking the condition, the electronic prescription is prescribed in conjunction with historical medication information. Aunt Wen received an electronic prescription to confirm and settle in real time online, admiring: "It's too convenient! The medicine from the courier directly to the door of the house, just as convenient to shop online."

The online re -examination of online re -consultation, on -site delivery, medical insurance payment, scientific guidance, and health management service model created by our city have realized that patients with chronic diseases can be retracted online without leaving home. In less than two years Services 296,000, medical insurance payment is 14.015 million yuan, and about 20%of offline outpatient patients achieve online diversion.

Compensation online medical insurance, commercial insurance interconnection interoperability

"Last year, for commercial insurance compensation, I ran for two days. This year, I only uploaded materials on the Internet this year. I didn't expect it." What made Mr. Li, a citizen, was so emotional. The changes brought about by the station claim platform "Baoyi Tong".

"For a long time, the information data of basic medical insurance and commercial health insurance is not connected. It requires the people to submit materials and manually enter from hospitals and insurance companies. , The masses are very urgent to realize the demands of a one -stop "one -stop 'fast settlement of basic medical insurance and commercial health insurance." Li Wenxiu, secretary of the party group and director of the Municipal Medical Insurance Bureau, introduced that in order to solve the problem of inconvenience of the masses, the Municipal Medical Insurance Bureau conjuncts with big data The department has established a "medical treatment" service platform. The insured personally signed the electronic authorization letter and established a new model of data supported by personal authorized data. Simplified business processes, and greatly improved the efficiency and information accuracy of claims.

Since its launch in October 2020, the "Baoyi Tong" service platform has achieved system docking with 9 mainstream commercial insurance companies including China Life and Ping An Life, and achieved a total of 288,000 fast claims, 800 million yuan in compensation, and the average ordinary health insurance average of ordinary health insurance. The compensation time was compressed from 10 days to 1 day, and the insurance payment time of the corporate group supplementary insurance was compressed from 2 days to 10 minutes.

Zero -legged fertility treatment throughout the process "Enjoy it"

Traditional maternity insurance treatment settlement requires individuals of maternity employees to prepare capital first, and then bring a variety of materials to the unit, hospital and medical insurance agency hall to apply for medical expenses and apply for maternity allowances. The service pressure of the institution is under great pressure.

The pain point is the breakthrough point. The Municipal Medical Insurance Bureau deepen the process re -construction, integrate multiple processing links such as fertility filing, medical expenses settlement, and allowance issuance. Through the transformation of the original business information system and hospital -side information system, real -time interconnection of the system is realized. The following month was issued to my bank account, allowing the masses to worry about it, and experienced the convenience and fast of the whole process of "not seeing, zero -run legs".

Statistics show that the municipal medical insurance lobby's fertility treatment settlement settled from the original average daily amount of more than 400 components, decreased to less than 20 pieces, and from the previous annual fertility insurance paper files, more than 130,000 copies of the fertility insurance paper. It is convenient to check and practice the national environmental protection requirements. Rest assured that Chinese medicine digital empowering traditional Chinese medicine inheritance innovation

Traditional Chinese medicine has traditional advantages in the treatment of chronic diseases, and the masses' demand for high -quality traditional Chinese medicine medical services and medication services continues to expand. In order to solve the problem of large fluctuations in the price of Chinese medicinal materials and the different evaluation standards, the city rely on the 14 provinces of traditional Chinese medicine (material) procurement alliance to promote the Chinese medicine (material) Internet trading center and quality appraisal center Land medicinal materials manufacturers and traditional Chinese medicine institutions formed online comparison prices, realizing online integrated services that realize quality control, transaction, payment, settlement, and supervision, and create a "new Taobao" for Chinese medicinal materials procurement. At present, more than 2,200 merchants have settled in trading platforms and completed an online transaction value of more than 800 million yuan. At present, the Provincial and Municipal Medical Insurance Bureau is organizing centralized procurement in accordance with the model of government guidance, alliance procurement, and platform operations to promote the full -category transactions of traditional Chinese medicine such as traditional Chinese medicines, slices and formula particles from offline to online.

In order to ensure the quality of Chinese medicinal materials, the city rely on the trading center to promote the digital traceability of medicinal materials throughout the process, and achieve quality control and traceability from the entire origin to the patient's entire process. At the same time, support the development of smart Chinese pharmacies, and incorporate the independent smart Chinese pharmacy into the medical guarantee point. After the doctor prescribed the prescription, the traditional Chinese medicine decoction tablets were cooked uniformly through the smart Chinese medicine room to form the preparation directly to the patient. "". (Jinan Daily Reporter: Wang Xiaofei Correspondent: Chu Xinglu)

Edit: Zhang Yu

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