375 lines
15 KiB
Python
375 lines
15 KiB
Python
"""
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初始化绩效考核指标模板
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根据参考文档创建各类科室的考核指标模板
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"""
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import asyncio
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import json
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from app.core.database import async_session_maker
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from app.models.models import Indicator, IndicatorType, BSCDimension, DeptType
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async def init_indicator_templates():
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"""初始化指标模板数据"""
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async with async_session_maker() as db:
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# 检查是否已存在数据
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from sqlalchemy import text
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result = await db.execute(text("SELECT count(*) FROM indicators"))
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count = result.scalar()
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if count > 0:
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print("指标数据已存在，跳过初始化")
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return
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# 临床手术科室指标模板
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surgical_indicators = [
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# 财务维度
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Indicator(
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name="业务收入增长率",
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code="FIN001",
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indicator_type=IndicatorType.QUANTITY,
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bs_dimension=BSCDimension.FINANCIAL,
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weight=1.0,
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max_score=100.0,
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target_value=10.0,
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target_unit="%",
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calculation_method="(本期收入 - 同期收入)/同期收入 × 100%",
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assessment_method="统计报表",
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deduction_standard="每降低 1% 扣 2 分",
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data_source="HIS 系统",
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applicable_dept_types=json.dumps(["clinical_surgical"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="药品比例控制",
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code="FIN002",
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indicator_type=IndicatorType.COST,
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bs_dimension=BSCDimension.FINANCIAL,
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weight=1.2,
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max_score=100.0,
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target_value=40.0,
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target_unit="%",
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calculation_method="药品收入/总收入 × 100%",
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assessment_method="药事统计",
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deduction_standard="超 1% 扣 1 分",
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data_source="HIS 系统",
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applicable_dept_types=json.dumps(["clinical_surgical"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="医保扣款控制",
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code="FIN003",
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indicator_type=IndicatorType.COST,
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bs_dimension=BSCDimension.FINANCIAL,
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weight=1.5,
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max_score=100.0,
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target_value=0.0,
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target_unit="元",
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calculation_method="因违规导致的医保扣款金额",
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assessment_method="医保办统计",
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deduction_standard="每发生 1 例扣 5 分",
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data_source="医保系统",
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applicable_dept_types=json.dumps(["clinical_surgical"]),
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is_veto=False,
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is_active=True
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),
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# 客户维度
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Indicator(
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name="患者满意度",
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code="CUS001",
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indicator_type=IndicatorType.SERVICE,
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bs_dimension=BSCDimension.CUSTOMER,
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weight=1.5,
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max_score=100.0,
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target_value=90.0,
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target_unit="%",
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calculation_method="满意度调查表统计",
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assessment_method="问卷调查",
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deduction_standard="<90% 每降 1% 扣 1 分",
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data_source="满意度调查系统",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward", "clinical_nonsurgical_noward"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="服务投诉处理率",
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code="CUS002",
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indicator_type=IndicatorType.SERVICE,
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bs_dimension=BSCDimension.CUSTOMER,
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weight=1.0,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="已处理投诉/总投诉 × 100%",
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assessment_method="投诉记录统计",
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deduction_standard="每有 1 例未处理扣 5 分",
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data_source="投诉管理系统",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward", "clinical_nonsurgical_noward"]),
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is_veto=False,
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is_active=True
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),
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# 内部流程维度
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Indicator(
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name="病历书写合格率",
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code="PRO001",
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indicator_type=IndicatorType.QUALITY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=2.0,
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max_score=100.0,
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target_value=95.0,
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target_unit="%",
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calculation_method="合格病历数/总病历数 × 100%",
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assessment_method="每周抽查",
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deduction_standard="不合格每份扣 50 元",
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data_source="电子病历系统",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="手术安全核对表执行率",
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code="PRO002",
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indicator_type=IndicatorType.QUALITY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.5,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="执行核对的手术数/总手术数 × 100%",
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assessment_method="现场核查",
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deduction_standard="未执行每次扣 1 分",
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data_source="手术麻醉系统",
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applicable_dept_types=json.dumps(["clinical_surgical"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="手术分级管理制度执行",
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code="PRO003",
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indicator_type=IndicatorType.COMPLIANCE,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.5,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="符合分级的手术数/总手术数 × 100%",
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assessment_method="病历审查",
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deduction_standard="越级手术每例扣 2 分",
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data_source="手术麻醉系统",
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applicable_dept_types=json.dumps(["clinical_surgical"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="抗菌药物使用率",
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code="PRO004",
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indicator_type=IndicatorType.QUALITY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.5,
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max_score=100.0,
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target_value=50.0,
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target_unit="%",
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calculation_method="使用抗菌药物病例数/总病例数 × 100%",
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assessment_method="院感统计",
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deduction_standard="超 1% 扣 1 分",
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data_source="院感监测系统",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="院感控制达标率",
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code="PRO005",
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indicator_type=IndicatorType.SAFETY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=2.0,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="院感监测指标达标情况",
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assessment_method="现场抽查 + 数据监测",
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deduction_standard="违规每项扣 3 分",
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data_source="院感监测系统",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward", "medical_tech"]),
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is_veto=True,
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is_active=True
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),
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# 学习与成长维度
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Indicator(
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name="培训参与率",
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code="LRN001",
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indicator_type=IndicatorType.LEARNING,
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bs_dimension=BSCDimension.LEARNING_GROWTH,
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weight=1.0,
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max_score=100.0,
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target_value=90.0,
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target_unit="%",
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calculation_method="实际参与人数/应参与人数 × 100%",
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assessment_method="培训记录",
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deduction_standard="每降 1% 扣 1 分",
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data_source="科教科",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward", "medical_tech"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="继续教育学分达标率",
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code="LRN002",
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indicator_type=IndicatorType.LEARNING,
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bs_dimension=BSCDimension.LEARNING_GROWTH,
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weight=1.0,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="达标人数/总人数 × 100%",
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assessment_method="学分统计",
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deduction_standard="每降 1% 扣 1 分",
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data_source="科教科",
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applicable_dept_types=json.dumps(["clinical_surgical", "clinical_nonsurgical_ward", "medical_tech"]),
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is_veto=False,
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is_active=True
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),
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]
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# 行政科室指标模板
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admin_indicators = [
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# 工作业绩
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Indicator(
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name="工作计划完成率",
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code="ADM001",
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indicator_type=IndicatorType.QUANTITY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=2.0,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="实际完成工作数/计划工作数 × 100%",
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assessment_method="年度考核",
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deduction_standard="每项未完成扣 5 分",
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data_source="院办",
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applicable_dept_types=json.dumps(["admin"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="制度建设健全率",
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code="ADM002",
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indicator_type=IndicatorType.COMPLIANCE,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.0,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="已建立制度数/应建立制度数 × 100%",
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assessment_method="查记录",
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deduction_standard="每缺一项制度扣 2 分",
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data_source="院办",
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applicable_dept_types=json.dumps(["admin"]),
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is_veto=False,
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is_active=True
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),
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# 服务质量
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Indicator(
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name="临床对行政满意度",
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code="ADM003",
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indicator_type=IndicatorType.SERVICE,
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bs_dimension=BSCDimension.CUSTOMER,
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weight=1.5,
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max_score=100.0,
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target_value=90.0,
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target_unit="%",
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calculation_method="满意度调查统计",
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assessment_method="季度测评",
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deduction_standard="<90% 每降 1% 扣 1 分",
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data_source="满意度调查",
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applicable_dept_types=json.dumps(["admin"]),
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is_veto=False,
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is_active=True
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),
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# 内部管理
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Indicator(
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name="科务会召开率",
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code="ADM004",
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indicator_type=IndicatorType.COMPLIANCE,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.0,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="实际召开次数/应召开次数 × 100%",
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assessment_method="查会议记录",
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deduction_standard="<2 次/月扣 2 分",
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data_source="院办",
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applicable_dept_types=json.dumps(["admin"]),
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is_veto=False,
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is_active=True
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),
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]
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# 医技科室指标模板
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tech_indicators = [
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Indicator(
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name="报告及时率",
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code="TECH001",
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indicator_type=IndicatorType.EFFICIENCY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.5,
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max_score=100.0,
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target_value=100.0,
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target_unit="%",
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calculation_method="及时报告数/总报告数 × 100%",
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assessment_method="系统统计",
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deduction_standard="每降 1% 扣 1 分",
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data_source="LIS/PACS 系统",
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applicable_dept_types=json.dumps(["medical_tech"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="检查阳性率",
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code="TECH002",
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indicator_type=IndicatorType.QUALITY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.5,
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max_score=100.0,
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target_value=70.0,
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target_unit="%",
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calculation_method="阳性例数/总检查例数 × 100%",
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assessment_method="科室统计",
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deduction_standard="每降 1% 扣 1 分",
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data_source="LIS/PACS 系统",
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applicable_dept_types=json.dumps(["medical_tech"]),
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is_veto=False,
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is_active=True
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),
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Indicator(
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name="设备完好率",
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code="TECH003",
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indicator_type=IndicatorType.QUANTITY,
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bs_dimension=BSCDimension.INTERNAL_PROCESS,
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weight=1.0,
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max_score=100.0,
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target_value=95.0,
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target_unit="%",
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calculation_method="完好设备数/总设备数 × 100%",
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assessment_method="设备科统计",
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deduction_standard="每降 1% 扣 1 分",
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data_source="设备科",
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applicable_dept_types=json.dumps(["medical_tech"]),
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is_veto=False,
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is_active=True
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),
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]
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# 添加所有指标到数据库
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all_indicators = surgical_indicators + admin_indicators + tech_indicators
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for indicator in all_indicators:
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db.add(indicator)
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await db.commit()
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print(f"成功初始化 {len(all_indicators)} 个考核指标模板")
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if __name__ == "__main__":
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asyncio.run(init_indicator_templates())
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