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Preprinted Physician's Order and Case Payment System (For Reference) |
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OBS & GYN -- Spontaneous
delivery G-S -- Appendectomy Urology -- Transurethral
prostatectomy Orthopedics -- Total
hip replacement, unilateral Phacoemulsification
& IOL implantation ENT -- Resection
of palatine tonsil C-V -- Cardiac
catheterization, complicated
Cardiac catheterization Percutaneous coronary a. dilatation with Cath Percutaneous coronary a. dilatation Percutaneous coronary a. dilatation, >2 vessels C-V Surgery -- |
Due to economic pressures, The Bureau of National Health Insurance (BNHI) in Taiwan has gradually implemented the case payment system beginning in October 1997, to attempt to control resource utilization while maintaining or improving the quality of medical care. Under the case payment system, 65% of minimal requirements for preoperative preparations and tests should be performed during the patient’s admission. While patients discharge from the hospital, the discharge status recommended by BNHI should be checked to ensure the care quality. If patients are rehospitalization with the same diagnosis of disease within 2 weeks of hospital discharge, the admission charges will not be paid by BNHI. Untill now, 50 procedures have been covered by the case payment system. In this site, we have created preprinted physician's orders for these procedures to try to reduce the length of hospital stay, admission charges, practice variations, and to improve the quality of medical care. Preprinted physician's orders include admission order, preoperative (preprocedure) order, postoperative (postprocedure) order, discharge order, and discharge status. ----- Henry Chang, M.D.
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