Research on application of six sigma and RBRVS in quality management of medical record home pages in tertiary hospitals
10.3969/j.issn.1671-332X.2025.10.015
- VernacularTitle:六西格玛法与RBRVS在三级医院病案首页质量管理中的应用
- Author:
Jing XU
1
;
Jialong ZHANG
;
Jingtao YE
;
Fujin JIANG
;
Dongfu QIAN
Author Information
1. 淮安市第二人民医院 江苏淮安 223001
- Publication Type:Journal Article
- Keywords:
Medical record home page;
DIP payment;
RBRVS;
Six sigma;
Resident physicians
- From:
Modern Hospital
2025;25(10):1539-1542
- CountryChina
- Language:Chinese
-
Abstract:
Objective Under the background of DIP payment reform,the data quality of medical record home pages has become a core factor affecting the efficiency of hospital medical insurance settlement and economic benefits.Methods This study aimed to address the issues in the completion of medical record home pages by residents in tertiary hospitals and constructed an improvement system based on the Six Sigma method and RBRVS.Results In 2023,the defect rate of medical record home pages was 5.97％,with major defects concentrated in the names of surgical procedures(19.9％)and the filling of primary diag-noses(18.15％).By establishing a closed-loop management scheme under the"structure-process-outcome"theoretical frame-work-including standardized entry processes,a"three-medical linkage"supervision mechanism,and an RBRVS-based perform-ance appraisal system-the error rate of medical record home pages dropped to 2.04％in 2024 after applying Six Sigma improve-ments.Conclusion The RBRVS performance indicators,through differentiated weight design,can motivate physicians'initia-tive and improve the data quality of medical record home pages,thereby achieving accurate medical insurance settlement.It is recommended to explore intelligent verification paths combined with AI technology in the future to achieve synergistic optimization of medical record quality and hospital operations.
