工伤经办机构对工伤康复的管理流程和费用控制.ppt

Procedures and Cost Management in the Work injury Rehabilitation in the Line Department工伤经办机构对工伤康复的管理流程和费用控制 The Supervision and Monitoring of Rehabilitation Facility by the Government 经办机构对康复机构的监督和管理 The Situation on the EU欧盟国家的状况 Every State has it own bills regulating Work accidents 每个国家对工作事故都有调节法案 The German Statute Accident Insurance德国事故保险法案 History (Founded 1885) 历史（成立于1885年） Legal basis in the BRD 在全联邦德国享有法律依据 Social Security Code VII 社会保障号VII Form of Organisation 组织构成 Financing 财务 Tasks 任务 Treatment and Rehabilitation of Working accidents 对工作事故进行治疗和康复 Occupational Rehabilitation 职业康复 Vocational Disease Treatment and Prevention 职业疾病的治疗和预防 Accident Annuity 事故保险 Check Safety of the Enterprises 对企业进行安全检查 Instruction the Responsible for Security 对保障责任进行指导 Monitoring Rehabilitation康复检测 Information by the Entrepreneur/Medicine 来自企业/医院的信息 Administration decides: 管理决策 Work accident: yes or no 是否为工作事故 Yes: Case Manager gets in contact (injured person, doctor, clinical administration, Relatives 是工作事故：由负责人联系（伤者、医生、临床管理者、亲人） Medical costs are guaranteed 医疗费用被担保的 Tasks of the Case-Manager负责人的任务 Follow up of the treatment process 跟进治疗流程 Informing the patient and his relatives about their rights and possibilities 将权力和可能性通知给病人及其家属 Close contact to Doctors and Therapists 紧密联系医生和治疗师 Quality of treatment 保证治疗质量 Inform the administration 同时单位 Tasks of the Case Manager负责人的任务 Initiating Rehabilitation 康复介入 Initiating occupational rehabilitation 职业康复介入 Preparing back to work 为重返工作准备 Adapts the domestic environment to the handicap including rebuilding measures 对市内环境进行改造，如修建无障碍通道 Task of the Administration单位的任务 Paying the complete treatment costs including occupational rehabilitation, necessary devices, rebuilding measures 对全部治疗费用付款，包括职业康复、购买必要的设备、重建等 Paying injury benefit 支付受伤保险费 Paying the costs of back to work 对重返工作支付费用 Paying Accident annuity 支付事故赔偿养老金 * Dr.med. Arne Voss *