preface
Through discussing the importance of medical service management for employees in enterprises, the main content and current situation of medical service management in enterprises are pointed out. The comprehensive management system of medical service for enterprise employees is established through information technology, and the electronic health archives and electronic medical reimbursement archives of employees are established through this information system, so as to complete the online enterprise medical reimbursement workflow and improve the medical service experience of employees, and make the medical service management of employees more standardized and information-based. Let employees feel convenient and fast, so as to improve their sense of identity and belonging to the enterprise, and put into work in a more energetic state.
1、 Improving the advantages of medical service management of enterprise employees by informatization
1. Electronic health records can be established
After the medical examination of employees, the medical examination results of each employee can establish permanent electronic health files through information management, which is convenient for retrieval, reference, analysis and export. The electronic files provide a working basis for human resources, can provide health data statistics of different dimensions and object ranges, and provide data support for analyzing employee health changes, It also provides raw data for the implementation of enterprise employee health management measures. Through the establishment of electronic health records of enterprise employees, the process of health evaluation, health plan formulation, and health intervention for enterprise employees can improve the health status of enterprise employees, prevent the occurrence and development of chronic diseases, improve the quality of life of enterprise employees, and reduce the medical expenses of employees. Through the accumulation of the system data of each physical examination or employee examination year by year, it can form the personal health big data of enterprise employees, and can provide employees with trend reference of health status, and can also warn employees of some possible serious diseases, thus playing a very good role in promoting and guiding the implementation of health management for employees. With the popularization of computers, large capacity electronic information storage cards have also begun to be used in various fields. Relevant information in electronic health records can be stored on the network platform, which is not only accessible to employees at any time, but also accessible to doctors at any time. Regular physical examination reminders can be automatically sent, and physical function information can be automatically entered according to the physiological parameters of employees, Provide more intelligent and humanized health services.
2. Electronic medical reimbursement files can be created
Secondary reimbursement based on medical insurance, including secondary reimbursement for general outpatient service, secondary reimbursement for special and chronic diseases, secondary reimbursement for hospitalization, and secondary reimbursement for major and serious diseases. A permanent electronic medical reimbursement file is established. Each historical reimbursement record is easy to retrieve and have evidence to check. Reimbursement in each time period is convenient for statistics, analysis, viewing, and account export, Provide intuitive data support for relevant decisions. In the electronic medical reimbursement file, the medical information of employees can be sorted and analyzed, which can help employees settle medical expenses quickly, avoid the tedious manual settlement, improve work efficiency, and bring more convenient medical services.
3. Standardize reimbursement workflow by using information system
Ensure that the reimbursement work can be carried out in strict accordance with the standardized process, and avoid the error rate of manual operation and calculation by staff through automation technology. It can be reported and handled immediately through the information system, accepted, reviewed, entered and reimbursed in time. So as to improve the efficiency of enterprise medical reimbursement services. By means of informatization, it is possible to improve the efficiency of the reimbursement process, improve data security, and improve the convenience of management and data analysis with automated technical means and convenient design. The information of each reimbursement is automatically archived to form a complete record, making the workflow transparent, and facilitating management personnel to search, consult, and analyze statistics.
4. Improve employee service experience
Optimize the reimbursement process and reduce the time cost of employees in the reimbursement process, so as to improve the reimbursement experience of employees. Further improve the efficiency of the overall human resources management of the enterprise, open the query of employees' personal health information, reimbursement information, etc., make work transparent, and use the health data, health analysis and health assessment of employees in the information system to create a more comprehensive personal "intelligence health file", providing effective decision-making basis for employees' health intervention, It can also better guide enterprise managers to carry out various activities that are beneficial to the physical and mental health of employees. In combination with health management, we can give professional medical advice on the current physical and mental status of employees. We can also combine the changes in physical examination parameters in recent years, synthesize all the situations, propose the best health plan for employees, develop targeted and accurate health plans, and form health advice, including diet, rest, sleep, exercise Work, physical exercise, etc., to create personalized health programs for each employee, coordinate healthy life and work, combine work and rest, and make the best adjustments according to employees' working hours and work content. All schemes vary from person to person. Reminders can be popped up at an appropriate time, or reasonable arrangements can be made. According to the physical condition of employees, diagnosis and treatment appointments can also be made automatically to provide one-on-one medical services for employees. At the same time, combined with medical expenses, reasonable suggestions including commercial medical insurance can be given.
2、 Main methods to improve medical service management of enterprise employees by informatization
Establish the Comprehensive Management System of Enterprise Employee Medical Service, and apply information technology to realize the informatization of employee medical service management. With the help of information technology, it can not only realize real-time sharing of high-quality health resources, but also help enterprises to use big data for high-performance analysis. Improve the independent health management of enterprise employees, stimulate employees' awareness of self health management, so as to guide enterprise employees to care about their own health. In order to meet the medical service management needs of enterprise employees, give play to the advantages of information management and combine specific needs.
3、 Informatization improves the system requirements of medical service management for enterprise employees
1. Establish health examination and monitoring management mechanism
Establish a management mechanism for health examination and detection, and conduct regular and irregular health examination for enterprise employees. The purpose of health examination is to effectively discover health risk factors. Health monitoring is to regularly and continuously observe the main health risk factors and grasp their dynamic changes.
Collect the health risk factors in the daily life behavior, medical history and family history of enterprise employees through personal health information questionnaire (questionnaire), which should be an important part of health examination. According to the age, gender, living and working environment of employees, and according to the differences of different health risk factors and disease susceptibility, targeted health examination items and review cycle are designed. Pay attention to the abnormal indicators of the health data of enterprise employees, take the initiative to care for employees, and remind employees to have regular re examinations; For employees with diseases, immediately start the medical access service, establish disease management files, and track the disease situation of employees. By checking and accumulating the basic data of individual dynamic health monitoring, establishing health files, and completely recording the personal data, physical health, psychological test results and other information of enterprise employees, we can provide accurate and detailed information for enterprise employees to master their physical health, and also provide scientific basis for enterprise employees to develop health maintenance plans.
2. Formulate standardized procedures, rules and regulations for information-based medical service management
Make the medical service management of enterprise employees reach the goal of standardization and strong implementation, require relevant staff to strictly implement, standardize the process, improve efficiency, keep all work processes and operation records, and make all reports and account data easy to retrieve, view and export. Pay attention to the confidentiality of enterprise employees' health data. Every employee's health data has its own confidentiality attribute. The authority and behavior of data query need to be fixed in the form of a system to ensure that the medical management of enterprise employees is realized by means of information technology while abiding by the privacy rights granted to everyone by law.
epilogue
The management improvement objectives of medical services for enterprise employees include clear data information, forming a certain plan for work, making plans and making decisions with certain data support, improving the efficiency of work execution, changing the work mode from traditional forms and approval forms to informatization, solidifying the work process with informatization means, and achieving standardization and improving work efficiency, The service experience of employees has also been improved. Work records and employee health form a database. With the accumulation of data, further data support is formed for the optimization of planning. The work is iterative and develops well.
