〔Abstract〕 Objective To analyze the current status, influencing factors and optimization suggestions of medical record homepage data quality of diagnosis related groups (DRG) medical record management system in Xuchang Central Hospital. Methods Through the medical records quality control platform, we collected the first page data of 44184 medical records of Xuchang Central Hospital from June 2021 to December 2021. According to whether the medical records were qualified, the medical records were divided into qualified groups 40207 and unqualified groups 3977. The influencing factors of the data quality of the medical records first page were analyzed and suggestions for optimization were given. ResultsAmong the 44184 medical records, 2960328 items should be filled in, among which the error rate of basic patient information, surgical information and other information was higher, while the error rate of physician information and cost information was lower. Single factor analysis was carried out on the factors affecting the data quality of the first page of medical records. Working time, training of the first page filling, recognition of the importance of the first page filling and quality control of the first page filling affected the data quality of the first page of medical records. Multivariate logistic regression analysis showed that working time, homepage filling training, homepage importance cognition and homepage filling quality control were the factors affecting the quality of medical records homepage filling (P < 0.05). Conclusion In Xuchang Central Hospital, the data quality of the first page of medical records in DRG medical records management system still needs to be further improved, which requires efforts from improving the professional quality of clinicians, strengthening the construction of network information, and improving the examination system of hospital medical records.