Skip to content

Inpatient Management

Binuthi Nilakna Ariyaratne edited this page May 25, 2024 · 3 revisions

Admissions

Different Types

Overview of the various admission categories, each with unique protocols.

Examples:

  • Ward Admission: Standard admission process, including bed assignment and initial care planning.
  • ETU (Emergency Treatment Unit): Protocols for urgent care admissions, focusing on rapid response and stabilization.
  • Eye Surgery: Specialized admissions for ophthalmic procedures, detailing pre-operative and post-operative care.

Capture Details

Comprehensive data collection at the point of admission to ensure holistic care.

  • Patient Details: Personal information, contact details, and medical history.
  • Clinical Details: Presenting symptoms, diagnosis, and treatment plans.
  • Referral Details: Information from referring physicians or hospitals, if applicable.
  • Care Team Details: Record of healthcare professionals involved in patient care.

Charges

By Admission Type: Differentiating charges based on the category of admission, ensuring billing aligns with the level of care provided. Charged only once at the time of the admission.

By Stay Duration: Charging based on the length of hospital stay, including room charges and other amenities.

Examples:

  • Room Charges: Costs associated with different types of accommodation (private, semi-private, general ward).
  • MO (Medical Officer) Charges: Fees for medical consultations and treatment management.
  • NO (Nursing Officer) Charges: Charges for nursing care and support services.
  • Administrative Charges: Fees for administrative tasks, record-keeping, and processing.
  • Etc: Other miscellaneous charges related to the patient's stay.

Services, Investigations & Radiology Tests:

Examples:

  • Nebulisation: Charges for respiratory treatments, including equipment and medication.
  • Cleaning & Dressings: Fees for wound care and management.
  • Professional Charges: Fees for consultations and services provided by healthcare professionals.
  • Medicinal/Consumable Charges: Costs associated with medication, medical consumables, and supplies used during the stay.
  • Timed Service Charges: Billing for services based on duration.

Examples:

  • Oxygen Therapy (O2): Charges based on the duration of oxygen administration.
  • Pulse Oximeter: Monitoring charges, calculated based on usage time (start time, end time), with rates determined per minute/hour.
  • Outside Charges: Fees for services or consultations referred outside the hospital facility.
  • Surgical Services: Capture Surgery Details & Due Fees: Recording specific details about the surgical procedure and associated costs.

By Surgery Charges:

  • Consultants: Professional/Consultant fees for primary and assisting surgeons.
  • Other Doctors: Charges for anaesthetists, radiologists, or other specialists involved.
  • Non-Doctors: Fees for support staff such as nursing, technical, and administrative personnel.
  • Medicine: Costs for medications administered before, during, or after the procedure. Services/Investigations/Radiology Tests: Charges for pre-operative and post-operative diagnostics and supportive services.
  • Time-Based Services: Billing for services that are charged based on duration, similar to the in-patient timed services.

Payments and Billing

  • Payment Responsibility: Handling payments made by the patient or through insurance providers.

  • Interim Bills: Issuing up-to-date bills detailing charges incurred during the patient's stay.

  • Final Billing: Upon discharge, finalizing the bill that includes all charges from admission to discharge.

  • Managing credits from insurance and ensuring accurate reflection in the final bill.

  • Settlements: Ensuring timely payment to doctors, external service providers, and other stakeholders.

  • Documentation: Issuing a discharge summary and diagnosis card, outlining the care provided and recommendations for follow-up or outpatient care. This expanded structure provides a comprehensive and detailed framework for managing admissions, charging mechanisms, and the billing process in a healthcare setting, ensuring clarity and transparency in all aspects of inpatient care and financial transactions.

Back

Clone this wiki locally