Magnezi Racheli, Ashkenazi Isaac
Department of Health System Management, Faculty of Health Sciences and School of Management, Ben Gurion University of the Negev, Beer Sheva, Israel.
Mil Med. 2005 Feb;170(2):121-4.
The Medical Corps of the Israel Defense Forces (IDF) provides health care services for hundreds of thousands of soldiers in IDF clinics and by purchasing services from civilian institutes. Monthly invoices from civilian institutes are so numerous that most are paid with insufficient scrutiny and valuable information regarding soldiers' health care is lost. Our objective was to develop a computerized system for reviewing invoices and gathering data. Based on Oracle software (Oracle, Redwood Shores, California), the system stores the terms of agreements with medical institutes, enters billing data, calculates invoice totals, manages information, and generates reports. It automatically checks for duplicate invoices and confirms payment. The system allows users to view data for decision-making, creates insurance claim files, identifies incorrect charges, assists in quality assurance, and maintains personal patient records. With the system in operation since 2001, savings significantly increased, to approximately 5% of the IDF health care budget. On the basis of information gathered by the system, changes in medical procedures were implemented that are expected to generate even greater savings.
以色列国防军医疗队通过在国防军诊所提供医疗服务以及从民用机构购买服务，为数十万士兵提供医疗保健服务。来自民用机构的月度发票数量众多，以至于大多数发票在支付时没有经过充分审查，有关士兵医疗保健的宝贵信息也随之丢失。我们的目标是开发一个用于审查发票和收集数据的计算机化系统。该系统基于甲骨文软件（甲骨文公司，加利福尼亚州红木海岸），存储与医疗机构的协议条款，输入计费数据，计算发票总额，管理信息并生成报告。它会自动检查重复发票并确认付款。该系统允许用户查看数据以进行决策，创建保险理赔文件，识别错误收费，协助进行质量保证，并维护患者个人记录。自2001年该系统投入使用以来，节省的费用大幅增加，约占以色列国防军医疗保健预算的5%。根据该系统收集的信息，实施了医疗程序方面的变革，预计将节省更多费用。
