Skip to main content

tv   [untitled]    December 10, 2023 3:00pm-3:30pm IRST

3:00 pm
well, we are with the economy table, let's quickly go to our numbers and figures, what would have happened, the central insurance says that, sir, when i talk to the insurance companies , i say that the ministry of health has not given us accurate statistics. insurance and supplementary insurance should clarify their duties together. what do the statistics say? i got these statistics from the central insurance and i will read them to you. here you are looking. out of 10 million outpatient prescriptions, we had 9 from 5 to 17. here is the number. there is the fact that cases without supplementary insurance tags come with supplementary insurance tags what central insurance is telling us is that this information reaches us in a mixed manner, and i am sorry for your presence , it was not easy for them to separate the 10 million copies that i had for outpatients, the information was not clean, so to speak , they could not do it. the electronicization and citation
3:01 pm
of the body will be done in the next picture. let's see together what happened in the last month, an initial persian validation was performed by the ministry of health , and now the information is provided to the central insurance in a regular order, according to what the central insurance itself announced. he has done seven in the past month we had a million electronic prescriptions for outpatients, and i thank you for your presence . now, we have different types of basic insurances and screw prescriptions . here we can see the next picture together. the electronic health record is fine. if i want to tell you very quickly , we have 13,000 medical centers that are connected and the 10,800 prescriptions that we have seen so far are outpatient prescriptions coming to the electronic health record, for example, where are most of them for? hospitals are 1 million and wide your presence is 600 unspecified and 6 million others are also connected to the information and the work is being done. this is the number
3:02 pm
. let's see the next video together. if we want to separate these activities , we will see how many supplementary insurances people want to pay for. there are categories, one of them was the outpatient version, the other one was the inpatient version . there is a slight difference between them. we talk more about it in the program. in the inpatient version , there was the same challenge as the outpatient version. there have been cases, you can see that the supplementary insurance is not clear it is unclear, the next picture is the same as the initial validation of the ministry. health has made it a little more specific, it has made the work easier, but the 100-day work is still not done. let's see the next picture together . we are seeing how 94 health centers are connected to this system, and 1,800,000 cases have been completed here. you can see where it came from, for example, 1,600 were for hospitalization cases for hospitals, and the rest were for limited surgery elsewhere, for example, 51,000 came to the rehabilitation community center, which had two cases , see the next picture together, we are saying
3:03 pm
this information is not coordinated . where has it shown itself and incomplete information has gone? this coordination between the devices has not happened as it should and maybe we still want to cite it. let's get up a few hundred years ago , let's go this way and that way, mr. tour, god give us our money , we gave this money for supplementary insurance, and now you are looking at the information given by the physical documents on the basic insurance contribution, sir. you see 20 million tomans, but here it is only two million multiply the 1 million files that are for hospitalization or your sect by, for example, 1 million patients , 10 million documents, the version of which is reliable , and see what statistical change there is, and practically , that this did not happen and that everything is not clear. it didn't happen in an electronic platform , it seems that they are making a profit. let me give an example and let's go see the report. if you remember, many
3:04 pm
stock exchange companies didn't want to deposit people's profit to them through the sejam system, because sometimes the amount of profit is small. and people did not want to take their profit at all, this profit was precipitated it is in that company's account and because of this he did not want to pay me a profit on the supplementary insurance . many of us who also have supplementary insurance have to pay a very low price for a series of works. to fall if we lose our work and life, then naturally this money will remain, or the other point that we saw in my picture, this is the difference, we have to see where this money goes , because there are not many people who are interested in this, the whole business that i explained to you is done electronically, let's go. let's see the report quickly and get back to our conversation let's start at the end of february, the finish line of supplementary insurance paperwork in the drug sector. by the end of february
3:05 pm
, we will remove paper from the country's drug process in the field of supplementary insurers. paper games that flowed well despite the claim of information flow between insurance organizations. it is still in place for the outpatient department until the end of june 1403. the statements of the central insurance officials indicate that the prospects are not clear in the field of hospitalization. there is a major deficiency in the sector related to private medical centers and most of all private hospitalization centers. and because the supplementary insurance organizations are more with this department is working, this is the achilles heel of removing paper in supplementary insurance companies, although the officials of the central insurance company say that the ministry of health should
3:06 pm
oblige the medical centers to send information, but the ministry of health says that the central insurance company has sent a lot of information so far. they did not use the central lens now in the interface. with the same hospitals that atla receives, the policies of collecting paper documents have been implemented . my impression is that they have technical problems. the problem of the people, which should have been done according to the budget law by the end of last year, but despite the repeated deadlines of the legislator, the ball is still sometimes in the court of the central insurance and sometimes in the court of the ministry of health. according to the deputy official of the central insurance, this plan has been pending for 18 years, and it has been pending in the country for 18 years, which should be completed by the end of june this year , but i came from growth, but i don't know anyone here in tehran. get insurance if it's online, it's much better for us, because
3:07 pm
i won't come here to give documents with the difficulty that i have now with my knee and prp. addressing the performance of the devices from the act of the budget law. it is the responsibility of the accounts court, of course , a case has also been filed to deal with it. razieh ranjber of sed and sima news agency , we saw ms. ranjbar's report together and the problems that people faced, well, here in the studio of the economics desk, mr. akhtardanesh is the technical deputy of information technology statistics management. the ministry of health is present, also mr. mokhtari , the deputy of information technology of the central insurance, mr. bagheri will be added to jamoon by phone and we will talk with them, the executive secretary of fana council. let me start with this question that mr. akhtardanesh why is this not happening? what should you have done in the ministry of health? what information would you have provided to the insurance company that this
3:08 pm
has not happened yet? which is to complete the electronic health document processing chain. in the country , as it was in your report, it started many years ago under the name of the electronic health record project . the topic of today's meeting is about supplementary insurance , if we want to answer the question of whether the people and the recipients of the service to receive. i can say that the set of electronic systems that exist in the field of health now in the country, including systems and exchange services between the insurance organizations of the ministry of health, institutions and
3:09 pm
health service providers yes, the answer is no , if this is happening, but the report shows something else, i mean, if this is happening, it is happening to us. regarding the inpatient cases that have been here for years the problem had started to separate these two , two different trajectories, but with a complete cycle now established at the country level in the field of electronic health
3:10 pm
. recently, it is getting worse, and so to speak, based on the introduction of surveillance devices, it has become more serious . in the past months , it has been in this direction. we didn't say how advanced the rest are, see in the field outpatient data flow is like this now that all outpatient prescriptions from prescribing or electronic prescriptions are firstly sent through the systems through the panels to the basic insurance organizations and finally in the format the services provided to these insurance organizations by the ministry of health and with the standard and in fact the exchange reference model that
3:11 pm
is approved by the ministry of health, it is stipulated that these data will be sent back to the ministry of health and naturally based on those labels or the same tags that you mentioned in the tags report supplemental insurance, if it was originally issued, to this copy of this copy by the ministry of health. the central insurance organization and of course some other organizations that are not subordinate to the central insurance, similar to hafez donors, are sent separately and it is possible to pay damages in this way. now there are 100 outpatients, so the information is coming, 100 information that reaches the ministry of health. that's it, i mean, how much of the total information is 100% of the information? we have a better situation in the field of electronic prescriptions, but our problem is probably more in the field of electronic prescriptions and receiving services, because the volume
3:12 pm
in that area, people pay more riyals. naturally, the cost of medicine, tests and services they receive is more than the cost of a visa. in our opinion, this number should reach 100, at least for both basic health insurance and 30 insurance. by 50th, 30th to 500th information that should be given to the ministry of health, of course, the pathology was diagnosed
3:13 pm
in that workshop and now i can say that we need to have a re-visit in the next few days and a re-study and we hope that so that you don't give up , only now 30 to 70 to 50 to 70 percent of information you don't know who is to blame. see, in my opinion , basic insurance organizations are required by law , but if it is allowed to
3:14 pm
exist, but if i want to have the so-called division of insurance organizations , in the social security organization, i'm sorry, if it's possible, it's like a private one. let's go now . i told you what percentage of the total information that should be given to you . because there is a so-called unknown part , i can enter into this case based on the insurance organizations . currently, their private hospitals do not send us the documents of insured patients
3:15 pm
the mechanism has been prepared, but for social security patients in private hospitals, social security documents are not available. yes, but non-social security patients are sent to us . all hospitals in the country are government, private , public, non-governmental, documents related to the health insurance organization. . they are currently sending it to the ministry of health, that is, if an institution is a party to the contract with the health insurance, then definitely the documents of the hospitalized patients of that institution. we are in the process of finding him at the ministry. so, you have all the information except social security. thank you very much, mr. mokhtari astrologers say that the position of the ministry of health has been done, the insurance organizations, which you naturally have to supervise , are not doing what they should be doing, and the result is what we saw in the report, people are still wandering in the name
3:16 pm
of allah, the most merciful, the most merciful. i am at your service. and my dear people , let me give you an explanation about what mr. doctor said. first of all, we are willing to take care of supplementary insurances online because the path will be clarified and our work will be easier. the second point that supplementary insurances are at the end of the road is the document electronics should be handled by basic insurances after the share of basic insurances is determined. the third point is that many of the centers that are now part of the supplementary insurance account are online, that is, the patient comes and gives the national code, there is no problem, where is the problem , there are medical centers that are not part of the supplementary account, for whatever reason the most important issue in the discussion of access to
3:17 pm
electronic files here is the electronic file created for the patient in these centers. additional insurances are required upon request providing the service through the system of the version of the ministry of health or the common operator, so the route in the guiding document is quite clear that the ministry of health, why the ministry of health has been designated, the number of medical centers we have in the country is over 200,000.
3:18 pm
let's all, sir, send it to us, the moderator of the section. the ministry of health has also created a hub called datas, see this issue in the first discussion , this is happening now, so it doesn't happen. see , by the way, the same thing happened to the central insurance . it has created a treatment hub on the ministry's datas account side. health has been done by the ministry of health. we are receiving the data. in the inpatient area, i am grateful for your presence . we have been receiving it for the past one year, since the electronic prescription was made. now, in the outpatient area, you do not want anything from the ministry of health. if you do not receive it, you cannot serve. go to the people , the most important issue in not handling the electronic version is that the data that is provided to us is not complete, that is, the ministry does not know what to give you, it does not give you a few examples. see, in the field of hospitalization, well, there is a huge difference between the physics paper discussion.
3:19 pm
and there is an electronic version, you can eat it one of which you showed is the mismatch of the numerical value. the number that comes to us in the electronic version is different from the number that is in the electronic version. the number on the paper is the same as the electronic version that you showed a name of 2 million tomans, only the basic share was different. there is a lot of difference, for example , see how much, maybe 30-40, we have a price difference in , for example, the number of drug prescriptions is not much. in medicine, we have a lot. we have a lot.
3:20 pm
the files that we have received are 68,000 of those that have been completed 1 million cases, 6 parentheses, let me ask , who is going to pay for this price difference now ? for example, who is cutting the same 1 million prescriptions? now, how can you see these things from a data, for example , the hospital gate, the description of the procedure, the doctor's order, the required images, are not sent to the service at all, in the outpatient field. prescription items, the prescription that the doctor writes , is handled when he goes, now whether in the field of service or in the field of medicine, the items are not the same again.
3:21 pm
the total amount does not add up, the share of the basic insurance is not clear, our request is that the correct data must come first, and secondly, the basic share must be processed, after the basic share is processed, the supplementary insurance share can be separated. this order must be followed in sending the data. you have to see how long this will happen. this is not our part anymore. it is not our part. you are on your side. everything is complete . we are now receiving the complete documents of every document that the ministry of health is sending. we received nearly 10 million copies in the outpatient field we took care of it, but i will tell you that the hospital is not coming, now who is to blame? see, many centers do not send. why should it be taken by the ministry of health, see who is the supervisor in the field , the ministry of health, the ministry of health, see in the field, in the health field, i will give you a statistic, but before we give the statistics, i will go to see mr. bagheri
3:22 pm
asl, the executive secretary of the information technology council of the country , mr. bagheri asl now. we got into a dispute , central insurance says that all their information is complete , everything is correct, and it is true that the ministry of health claims the same, but what happened is that the work still, according to the statistics provided by bim central insurance, it works in the name of allah, most gracious, most merciful . as far as i have heard, my friends and abim central insurance are making a claim because the basic insurance must be processed first, then the supplementary insurance. i have a completely wrong word, part of the truth of the process can be done by the central insurance in the form of a stand-alone or it can be done independently . this incident, which may have caused the services to never be completed, means that both sides assume that, in fact, basic insurance should be provided first.
3:23 pm
ok, well, this process, well, in some places , the data is incomplete, or anything that is now claimed by a central insurance, for this reason, my suggestion to the friends of the central insurance has been that from the beginning, when they receive the data, they make an agreement with the health centers. and the service provider and the insurance companies who now have the prescription panel at their disposal, the data they get from the prescription or the data they get from the his of the hospitals, before even the basic insurances accept the share that they now have to accept according to the insurance rules. do it and do the work, if they accept this, it is part of the work ahead people are relieved, the basic insurance section will be dealt with later. if they are entitled , they will not receive anything. it is related to the supplementary insurance itself. the supplementary insurance is also given a specific contract. he mentioned how many doctors accept this, in my opinion, it was possible
3:24 pm
, so there must be a claim that there is a part of it that has a problem in terms of the process that can be corrected. he wants to be available to them. did not take of course, in the meetings where we served the friends of the basic insurances, and also the ministry of health, under the supervision of the ministry of health, has been appointed to do this work . we can't say where the bottleneck is. it is one of the processes. what should we do? i thought that in order to overcome the problem, the only way was to be sick. to accept a supplement regardless of whether the basic insurance has been taken care of or not according to the relationship between the actual contract that a person has with he has basic insurance, and with supplementary insurance
3:25 pm
, part of the cost of treatment will be paid to him, which means that this is the responsibility of the central insurance, which he must do, and ask the supplementary insurance system , the regulator of which is the central insurance. the central government should put these together as we expect from the ministry of health . they should use the electronic prescription health center. we also expect from the central insurance that the insurance companies will act based on the same principles that the central insurance has communicated to them, and in the opinion of the health center in klan. now that it is a matter of processing information and exchanging information, what timeframes have you specified for all the rejected timeframes, that is, we do not have a timeframe to say, for example, that it should be done within two months. it was supposed to be done by the end of september, according to the agreement. what we have and it cannot be done, what should we do, it can't be done, i think a part of it has been done, that is, we have a disease in the supervision of the same part that you mentioned
3:26 pm
, it has not been done. we did not consider a chance for them. according to the law, they have one chance until the end of the year that this work is done , i hope they can do this under the budget law of 1402. thank you very much , mr. akhtardanesh . please let me know how many challenges have been raised. it can be sent on time, but we have a very short time. yes, if you allow me , there are two discussions about the orders of mr. dr. mokhtari . or basic insurance now the joint operator can be the two basic insurances of ours at the moment. i think i called the basic insurances just today . before this meeting, both of our basic insurances , that is, health insurance and social security, those necessary services. to provide the information of their patients
3:27 pm
to the so-called central insurance organization . one thing to say about the discrepancies is that according to the electronic commerce law, the paper file is no longer paper. it means that when the data is sent to spas, in fact, we as the ministry we give the health of that data the so-called formality and that data we know that it is official and we base it on our behavior. mr. bagheri's point is to mention how long it is going to be resolved in the ministry of health. the part that is on your side, just raise it for a while and i will get the answers. you see, the ministry of health expects that supplementary insurances and basic insurances, especially in the case of the basic insurances of the social security organization , will not receive paper documents from hospitals and service centers, so that they will be obliged to exchange with the salaam files, which say, for example, don't do this. when these alternative paths are currently available for institutions
3:28 pm
and unfortunately, they impose institutions on people , they just tell me about my time. i just told you that we don't need any time. we have already provided all the necessary services in the ministry of health and we have the possibility . mr. mokhtari, you have one minute. mr. bagheri is pointing out how long you will do. the point that mr. bagheri mentioned is where the number and cost are included in the screw version that is done. of the data that was sent to us, out of the 7 million data that we received, only 99 are included. the version of the screw that contains the number has come to us. this is the first point and the second point of the discussion in some prescriptions, such as drug prescriptions, the number of basic insurance contributions is different, it is not like we only consider the deductible, somewhere it is 100, somewhere it is 80 , this is the difference, so you have to get the percentage of the basic insurance company, which is characteristic, what mr. bagheri does. i said, how long have you been doing this, see mr. bagheri, i have this issue, they say that we have reached 99 numbers, if the data arrives, we will take care of it, the problem is that the data has not reached us, this is the point
3:29 pm
of the number that came from the basic insurance side to the ministry of health. and that's what i mean, the basic insurance companies are ready for this right now i will report the information directly to the central insurance or to the organization of rome. the next point is that out of 150,000 medical centers, only 13,000 have them . 13,753 centers have reached us.
3:30 pm
in the name of allah, the most merciful, the most merciful. hello, dear viewer , welcome to the news of the central depository exchange.

13 Views

info Stream Only

Uploaded by TV Archive on