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Scientific Research Institute of Emergency Medicine of N.V. Sklifosovsky (Scientific Research Institute JV)

Company

Owners

GBUZ Scientific Research Institute JV of N.V. Sklifosovsky of DZM is the multi-profile scientific and practical center dealing with problems of emergency medical service, urgent surgery, resuscitation, the combined and burn injury, urgent cardiology and sharp poisonings.

Main directions

  • Thoracic and abdominal surgery
  • Cardiovascular surgery
  • Neurosurgery
  • Neurology
  • Gynecology
  • Combustiology
  • Traumatology
  • Cardiology
  • Toxicology
  • Transplantation

Information technologies in Scientific Research Institute of Emergency Medicine of N.V. Sklifosovsky

2019: Complex automation of medical and diagnostic processes of a multi-profile hospital: accounting, quality, economy

On each nosology the set of process charts in structure prepares:

  • process chart of complex service
  • process charts of services of instrumental and laboratory diagnostics
  • process charts of surgical interventions
  • process charts of anesteziologichesky benefits
  • process charts of physical methods of treatment

Complete normative cost value of process

On the basis of the developed standards (operogramm, process charts) processes the complete normative cost value of process of treatment of the patient (the finished case) including is calculated:

  • Wage fund of the medical personnel participating in process with charges
  • Expenses on medicines (medicines) appointed during treatment
  • Expenses on the supplies applied during treatment of the patient
  • Expenses on maintenance of the equipment
  • Depreciation of the equipment
  • Expenses on the soderzhaniyekoyki (FOT of not medical personnel with charges, utility payments, cleaning, a power supply, etc.)

Calculation of complete normative cost value

After calculation of complete normative cost value of treatment of the patient for a nosology the decision on submission of documents in DZM and Moscow City Compulsory Medical Insurance Fund for review of rates is made

On the provided scheme for 2019 13 rates are counted. By all carried-out calculations a difference between the approved rates and complete normative cost value from 20 to 470%.

For an example: based on review of rates on toxicology profiles, growth of a rate was up to 6 times (from 12,410 rub to 43,818 - 71,498 rub). The additional annual income of Institute due to increase in rates is not less than 89 million rubles
Data of 2019

Effects of implementation of virtual accounts

For the management of Institute and managers of departments – emergence of tools for managerial job analysis on the patient, the doctor, a nosology, department:

  • analysis of profitability/unprofitability of treatment of the specific patient
  • analysis of profitability/unprofitability of treatment of patients by the specific doctor for the period
  • the analysis of profitability/unprofitability of treatment of patients on a nosology for the period
  • analysis of profitability/unprofitability of department for the period
  • analysis of the number of staff of department and load of medical personnel
  • cost analysis on treatment of patients on a nosology on structure (material resources, the equipment, etc.), finding solutions on cost optimization
  • analysis of dynamics of all above-stated indicators for the period