ࡱ> uwt` pEbjbjss 8X H!H!H!H!d!uYj$"$"$"$"$"$$$XXXXXXX$ZhG]rXE$#@$$$X$"$"/Y===$$"$"X=$X==@RLV$"" `5"H!=$UV4EY0uY:U]=],LVLV]`V0$$=$$$$$XX=$$$uY$$$$dD S Y T LM NGCNG HA X HI CH NGH(A VIT NAM TRUNG TM Y T HUYN Lm H c lp  T do  Hnh phc S: /BC-YTTLm H, ngy 07 thng 10 nm 2015 BO CO V/v ng dng CNTT trong kham b#nh, cha b#nh BHYT Cn c thc hin: Cng vn s 2348/BYT-BH ngy 10 thng 04 nm 2015 ca B# Y t v/v y nhanh ng dng CNTT trong KCB v BHYT; Cng vn s 3360/BHXH-CSYT ngy 04 thng 09 nm 2015 ca BHXH Vit Nam v/v sa i, b sung ch tiu d liu thng k khm, cha bnh BHYT; Cng vn s 1864/SYT  NVYD ngay 11 thng 09 nm 2015 cu a S  Y t v/v y nhanh ng dng CNTT trong KCB v BHYT; Cng vn s 2008/BHXH-CSYT ngy 04 thng 09 nm 2015 ca BHXH tnh Lm ng v/v sa i, b sung ch tiu d liu thng k khm, cha bnh BHYT. Kt qu thc hin: i chiu cc ch tiu d liu : Cng vn 2348 - BYTCng vn 3360 - BHXHGhi chCh tiu s 14  bng 1Khng cTn bnh trong trng hp cha c m ICD XCh tiu s 17  bng 1Khng cM tai nn - bng 8  CV 2384Ch tiu s 24  bng 1Khng cMc hng BHYTCh tiu s 28 bng 1Khng cS tin NB c h tr t ngun khcCh tiu s 35  bng 1Khng cM PTTT quc t theo ICD 9 CM Vol 3Khng cT ch tiu 21->31Chi tit chi ph KCBKhng cCh tiu 35M khoa  bng 7  CV 2348Bng 2: ch tiu chi tit thuc thanh ton BHYTKhng cMt s ch tiu lin quan n mu 20/BHYTBng 3: ch tiu chi tit DVKT v vt t thanh ton BHYTKhng cMt s ch tiu lin quan n mu 19 v 21/BHYT Tnh hnh ng dng CNTT trong KCB v BHYT ti Trung tm: Hin ti Trung tm ang ng dng phn mm qun l thuc, bnh n, vin ph  ESM Medicine (gi tt l ESM). 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Mt s ch tiu theo hng dn ti cc ti cc bng 1, 2 v 3 ti cng vn 2348 ca B Y t v 3360 ca BHXH Vit Nam cha c kt sut t ESM l: Cng vn 2348 - BYTGhi chCh tiu 13, 35  bng 1Ko bt bucCh tiu 4, 12, 14, 15  bng 2Ko bt bucCh tiu 5, 10, 12, 13  bng 3Ko bt bucCng vn 3360 - BHXHCh tiu 12, 3512 trng 13-bng 1, CV 2348 35 trng 14-bng 2, CV 2348 Kh khn trong qu trnh thc hin: 3.1 Cng vn 2348-BYT: Ch tiu 21-Bng 1 -  ket_qua_dtri : ch p dng trong iu tr ni tr, khng th p dng trong iu tr ngoi tr v cp n v cha xc nh kt qu iu tr; Ch tiu 4, 5 v 7  bng 4 : cha c hng dn c th; Bng 7: cha c quy c m i vi cc PKKV, TYT x. 3.2 Cng vn 3360-BHXH: Ch tiu 12 -  ma_benhkhac : c th mt s bnh, triu chng cha c quy c theo ICD X. Ch tiu 35   ma_khoa : cc PKKV, TYT x/TT cha c quy c m, dn n d liu KCB ti cc PKKV v TYT x /TT b trng ti ct ny. 3.3 Mt s ch tiu quy nh ti cng vn 2348-BYT v cng vn 3360-BHXH khng trng khp (im 1, mc II ti cng vn ny). Kin ngh: i vi B Y t: Hng dn cch ghi kt qu iu tr trong KCB ngoi tr - bng 1; Hng dn c th cch lp cc ch tiu 4,5 v 7- bng 4 Quy c m i vi PKKV, TYT x  bng 7 i vi lin b Y t v BHXH Vit Nam: Thng nht cc ch tiu gia bng 1  CV 2348 v ph lc  CV 3360  thun li trong vic kt xut d liu theo ng quy nh. Knh mong S y t sm c vn bn hng dn c th. Trn trng./. Ni nhn: GIM C S Y t; ( k) BHXH tnh; P. KHTH, t CNTT Lu ./. 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