The growing demand for health care services of urban and rural residents has put forward higher requirements for grassroots medical and health institutions. The basic informatization of grassroots medical and health institutions in our province is relatively weak, which restricts the improvement of service ability to a certain extent, and it is urgent to strengthen the informatization construction. In March 2009, the clarion call was sounded to deepen the reform of the medical and health system. As one of the four beams and eight pillars of deepening medical reform, information construction is included in the important agenda of decision-making departments at all levels. In 2012, the National Development and Reform Commission and the former Ministry of Health jointly issued the Guiding Opinions on the Construction Project of Management Information System for Primary Medical and Health Institutions, requiring the promotion of information construction of primary medical and health institutions; In July 2013, the Provincial Development and Reform Commission officially approved the construction of the management information system for primary medical and health institutions in Guangdong Province, with a total investment of 443.34 million yuan; In September 2015, the Provincial Development and Reform Commission officially approved the preliminary design plan of the project, and the construction of the management information system for grassroots medical and health institutions in Guangdong Province has kicked off.
● The project involved 15 prefecture-level cities, built 1 provincial data center and 15 prefecture-level data centers, and set up a provincial grassroots medical and health private cloud platform with 16 nodes.
● The project built a provincial and 15 prefecture-level primary medical and health data exchange and application platform, laying the foundation for the province's primary medical and health data interconnection.
● The project has built a unified grass-roots medical and health information standard system in the province, and unified the standards of data docking and business coordination. The project provides a public health - medical integration application system for 1967 primary medical and health institutions in the province, equipped with computers, card readers and other terminal equipment.
● The multi-level system operation and maintenance management center completed by the project effectively supports the overall operation and maintenance of the project, cooperating with the on-site operation and maintenance team of each district in the province to escort the stable operation of the province's basic health platform.
To enhance the basic medical and health services with information technology
Xishui County People's Hospital, Zunyi, Guizhou
Hospital overview
● Xishui County People's Hospital is the largest general hospital in the county, quasi-national grade III class B general hospital, and is a medical complex hospital attached to the hospital.
● The hospital has 25 clinical departments, 19 wards and 14 medical technical departments.
● The hospital outpatient service has 3,000 daily visits and nearly 1,000 beds.
Overview of digital hospital construction
The total investment of the digital and information construction project of Xishui County People's Hospital exceeds 10 million yuan, which is undertaken by Heyu Health Technology. The project has been strongly supported by the president of the hospital and leaders at all levels. Under the leadership of the president, the electronic medical record has been gradually built. Covering clinical informatization, medical technology informatization, resource informatization and other major business areas of the hospital's digital information system. It mainly includes HIS, LIS, EMR, PACS, physical examination, clinical pathway, rational drug use, CA digital certification and other systems.
In addition, it also connects with major medical information platforms such as Guizhou Provincial medical information platform, Zunyi regional medical information platform, Guizhou provincial appointment registration platform, etc., realizing the interconnection between the hospital and the hospital.
Implementation effect
For patients: we provide intelligent medical services such as wechat booking fee payment, self-service payment, inspection report inquiry, queuing number call, self-service report and film printing, providing medical services for patients through various ways, bringing convenience to patients, improving patient satisfaction, and enhancing the hospital's comprehensive service capability;
For medical care: It provides business systems such as clinical pathway, EMR, rational drug use, and CA certification to help the hospital develop in the direction of intelligence; Through the implementation of EMR and CA certification, hospitals gradually turn to the direction of paperless diagnosis and treatment;
Resource-oriented: It provides an integrated hospital resource management system for the unified management of hospital materials, drugs, equipment and supply room, and realizes the batch management of pharmaceutical materials and the traceability management of disinfection kits; Through docking with the Chinese medicine granule self-service dispensing machine, the dispensing automation is realized, which greatly reduces the work burden of pharmacy personnel and improves the work quality of pharmacy personnel.
For managers: to provide a visual comprehensive statistical query system for managers to provide all kinds of auxiliary decision support reports;
Shantou Jinping Hospital
Hospital overview
Shantou Jinping is a public level-2 Chinese medicine hospital, the rehabilitation branch of Shantou Central Hospital, and a member unit of Shantou Central Hospital Medical Alliance.
● The hospital has 15 clinical departments in accordance with regulations and 4 wards.
● The hospital has an average of daily outpatient visits and nearly 500 beds.
● Shantou Jinping District Chinese Hospital signed a cooperation agreement with Shantou Central Hospital to jointly build the "Shantou Central Hospital Rehabilitation Branch" and "Guangdong Provincial Work-related Injury Rehabilitation Center East China Branch" in the hospital, and strive to build a specialized hospital with a large specialty and a small
Project profile
This project mainly includes two parts: computer room construction and medical information system.
In terms of computer room construction, complete the overall network transformation, including integrated cabling, computer room construction, no-dead corner monitoring, corresponding server/storage system configuration, and realize national security standards;
In terms of medical information system, he completed the construction of HIS information system, successfully implemented RIS system, LIS system and PACS system, improved the electronic medical record system, realized the information management of clinical system, and implemented the quality control management and hospital sense management system.
In addition, a health cloud platform has been built to provide appointment registration, payment, fee inquiry, hospital promotion and other content.
Product application
The overall framework of the system should include basic business system, operation management system, hospital integrated information service, hospital information integration platform and other products. The system combines the actual situation of the hospital, focuses on the application needs of the hospital's medical business and management, and carries out overall planning and design through the whole system with health records as the core, forming a complete integrated hospital information system covering all the hospital's business and management based on information integration platform, promoting the efficient utilization of information resources, optimizing resource allocation, and improving medical efficiency and quality. Improve management level, reduce medical errors, reduce operating costs, and benefit people's livelihood.
● Xishui County People's Hospital is a national Grade III class B general hospital, which is a medical complex hospital attached to the hospital.
● The hospital has 31 clinical, medical and functional departments.
● The average daily number of outpatient visits is 3000.
● The growth rate of outpatient business is large, and the basic outpatient medical resources are tight.
● The distribution of outpatient departments is more concentrated, resulting in high density of medical treatment and waiting for treatment, and the risk of cross infection is large.
● The peak and valley phenomenon of outpatient visits are prominent, resulting in extreme concentration of medical service pressure and low efficiency of medical process.
● The pressure of outpatient treatment and waiting order maintenance is great, and the work pressure of front-line medical staff has increased sharply.
● The medical treatment process fails to meet the reform requirements of the national medical service improvement.
● The outpatient reservation rate is not up to standard, and the three-level evaluation of the hospital is affected.
● Single means of outpatient settlement, unable to meet the actual needs of the people.
Heyu Health builds "intelligent outpatient system" for Xishui County People's Hospital, through the Internet technology dividend and service concept, Set up "wechat intelligent information query", "Wechat smart portal", "Wechat appointment registration platform", "wechat medical reminder", "Wechat smart diagnosis payment", "Wechat report quick check", "self-help report printing (including film)", "electronic medical card", "intelligent consultation" and other related systems. Greatly improve the hospital treatment process management, service improvement and resource optimization allocation. At the same time, it also effectively improves the process experience of patients' treatment by means of convenient wechat public account and wechat payment, and reduces the situation of outpatient congestion and multiple queues; It has realized many civilian-oriented services such as time-sharing appointment, flexible medical treatment, intelligent registration, and fast payment.
● Build the wechat smart clinic of Xishui County People's Hospital, and realize the functions of appointment registration, time-sharing treatment, quick one-stop payment, electronic inspection report push, electronic medical card full medical treatment process application.
● Realized orderly outpatient treatment and precise appointment at different times.
● Realized the mobile transformation of outpatient payment and the change and upgrade of electronic payment.
● Realize the intelligent push of inspection and inspection report results and self-service quick printing functions.
● Realized the comprehensive upgrade of the electronic hospital medical treatment card of the whole process, and took the lead in realizing the one-code full process medical treatment.
● Through the effective analysis of operational data, it provides the hospital with data support for outpatient process optimization and resource allocation, so that the hospital can make decisions based on real data in the entire outpatient service upgrade process
● According to the data, there is an improved template process to optimize the reference, there is a real patient praise to do confidence.
贵州省习水县人民医院微信公众号上线啦!
● General practitioners lack clinical experience, the diagnosis and treatment ability is still in need of improvement, and the outpatient rate is low.
● Patients' willingness to first diagnose at the grassroots level is not strong, resulting in greater difficulty in achieving hierarchical diagnosis and treatment.
● In the standardization construction of community health service centers, the government performance orientation is prominent and the demand orientation is relatively weak.
● Uneven development of basic medical care and basic public health in community health service centers.
● Chronic diseases such as diabetes, hypertension and metabolic diseases are common in the area.
Heyu Health has built a "smart medical" construction with advanced technology and perfect service for Shantou community health service center. Focus on the use of current mobile Internet, Internet of Things and other technologies to improve the details of each business scenario, basic medical services, public health services for information, intelligent upgrade. Achieve comprehensive intelligent optimization of business services, management decisions, performance improvement and other aspects.
Family doctor signing service: Provide online (PC terminal, wechat service number, APP and other terminals) family doctor signing service for residents who have lived in the area for more than six months, and the signed residents can enjoy a series of individualized health services such as regular physical examination, on-site follow-up, and health consultation. Through the family doctor contract service, to provide more comprehensive, diversified and differentiated family doctor services for different groups, such as pregnant women, hypertension patients, chronic disease patients, etc.
Health record management: taking the life cycle as the main line, it gathers health information such as medical treatment, prevention, health care, immunization, physical examination, consultation and medicine purchase in the entire life cycle of residents from birth to death, forming a complete and continuous electronic health record. Through mobile Internet information technology, residents can consult and manage health records anytime and anywhere.
My Zhikang Hut service: My Zhikang Hut focuses on serving the residents in the jurisdiction, takes health education, health guidance and health intervention as the main working methods, and guides the community to participate in and manage themselves. Using the intelligent health integrated machine and follow-up package in the institution, the health file establishment and physical examination registration of residents were completed for the initial physical examination.
● The total number of contracted community health service centers in 7 districts and counties of Shantou has reached 99124.
● Through the mobile medical platform, residents can enjoy family doctor signing, health file creation, health hut, wearable devices and other services.
● Family doctors contract to provide residents with more and more complete basic public health and basic medical services, and gradually realize the "minor illness to the community, serious illness to the hospital, recovery back to the community", and promote the basic medical resources to sink to the community
● District, to build a sound national health information platform, to achieve the signing of residents health records, electronic medical records, inspection reports and other information sharing and business collaboration.
● Mobile follow-up: Community doctors can carry mobile public health workstations and related physical examination equipment, and residents can collect physical signs data outside the hospital and form health records.
● In recent years, Lianzhou Municipal Party Committee and municipal government attach great importance to the development of medical and health care. In order to ensure the sustainable development of medical quality and medical services, and carry out medical and health services for the convenience of the people, special funds have been invested to build a comprehensive management platform for health information at the Lianzhou level. The project was officially launched in September 2019, lasted for 11 months, and was officially launched for trial operation in July this year.
Up to now, all public medical institutions and 30 public and private medical institutions such as Red Ten Hospital, municipal Trade union Hospital, Municipal Rehabilitation Hospital for the disabled, Beishan Hospital, and 163 village health stations in the city have successively connected to the platform, and Heyu Health has helped Lianzhou take the lead in realizing the compact county medical community "grassroots first diagnosis, two-way referral, emergency and slow treatment, upper and lower linkage" model. Real-time sharing of medical data and public health data, mutual recognition of reports, optimization of medical procedures, and more convenient medical treatment.
Lianzhou Health information management platform realizes the interworking and integration of the four databases of population information database, electronic health record resource, electronic medical record information database and health and family planning comprehensive management information database, connects medical and health institutions at all levels and of various types, and builds and improves the application information system of public health, family planning, medical service, medical security, drug management, comprehensive management and decision analysis. The business coordination and sharing of national health information will be realized, and a national health information service system covering the whole population and the whole life cycle will be formed.
As a pilot county for the construction of a national compact county medical community, Lianzhou City has gradually formed the "six unified" management of administration, personnel, finance, medical quality, medical equipment and information system with the help of regional health information system and "Internet +" technology to promote the development of medical technology. So that the economy is less developed, the transportation is not convenient, and the medical technology is weak, the people of Lianzhou City can enjoy the quality medical services of the county and even the provincial experts at their doorstep, and effectively promote the county medical and health service capacity.
● The project covers 30 medical institutions and 163 village health stations in the city, forming a tight county medical community model of "grassroots first diagnosis, two-way referral, emergency and slow treatment, upper and lower linkage", realizing real-time sharing of medical data and public health data, mutual recognition of reports, optimizing medical treatment process, and making medical treatment more convenient.
● Make regional appointments for medical technology examination, allocate and utilize regional medical resources rationally, improve the efficiency of medical services, and enhance the satisfaction of the masses.
● Communication and integration of population information resource database, electronic health record resource, electronic medical record resource database and comprehensive health and family planning management resource, laying a foundation for the information construction of medical and health inquiry, supervision, statistical analysis and business application.
● The city's medical institutions apply a unified electronic health code to achieve "one-code universal" for medical treatment.
● Rational drug use query, real-time drug use analysis system, problem prescription statistical analysis system, pharmaceutical information query prescription spot check and comment system, antibacterial drug report analysis system, to help the county medical community to standardize drug use.
● The use of artificial intelligence technology to achieve parallel derivation of multiple specialties to guide diagnostic thinking in line with the norms of single diseases, assist primary-level doctors in clinical diagnosis, and prevent misdiagnosis and missed diagnosis.
● Realize family doctor business monitoring, medical and public health data business supervision, health education promotion, complaints and supervision management, health information release, cross-institutional document sharing, home democracy index management, platform control center, real-time data message monitoring, unified resource management and decision analysis.
● Relying on the public account of "Lianzhou Medical Group" and residents' health APP, residents can enjoy health education online, consult personal health records, make appointments, intelligent (guided) diagnosis and treatment, query inspection reports, unified payment and online signing by family doctors to enhance the masses' sense of medical experience.
Supervision Platform 丨 Public Health Platform 丨Medical Supervision Platform
10月16日上午,中国共产党第二十次天下代表大会在人民大礼堂开幕。报告提出,“推进康健中国建设。把包管人民康健放在优先生长的战略位置,完善人民康健增进政策。深入开展康健中国行动和爱国卫生运动,提倡文明康健生涯方法。”
聚会报告也为我国医药康健事业的生长指明晰偏向。奋进新征程,要再接再厉,一连增进人民群众康健福祉,为我国医药康健事业生长作出应有的孝顺,为周全推进社会主义现代化国家、周全推进中华民族伟大再起孝顺实力。
新时代,康健事业生长取得显著成绩
会上,卫生康健领域参会代表们纷纷体现,康健毗连着千家万户的幸福,关系国家民族的未来。中国式现代化这条路之以是走得通、走得对、走得稳,就是由于它既遵照现代化的普遍纪律,又驻足国情举行自力自主的探索,具有鲜明的中国特色,这也充分体现在了我国卫生康健事业的生长历程中。
进入新时代这十年,我国起劲推动从以治病为中心向以人民康健为中心转变的历程,着力解决群众看病难、看病贵问题,效果一连展现,彰显了中国特色基本医疗卫生制度的优势和活力。新征程上,要深入贯彻落实党的二十大精神,继续补短板、强下层、建机制,推进康健中国建设,更好地包管人民康健。
新使命,继续深化医药卫生体制刷新
首先,要健全社会包管系统。医疗领域,扩大社会包管笼罩面,健全基本养老、基本医疗包管筹资和待遇调解机制,推动基本医疗包管、失业包管、工伤包管省级统筹。增进多条理医疗包管有序衔接,完善大病包管和医疗救助制度,落实异地就医结算,建设恒久照顾护士包管制度,起劲生长商业医疗包管。
同时,继续推进康健中国建设。继续推进康健中国建设。把包管人民康健放在优先生长的战略位置,完善人民康健增进政策。优化生齿生长战略,建设生育支持政策系统,降低生育、养育、教育本钱。
实验起劲应对生齿老龄化国家战略,生长养老事业和养老工业,优化孤寡老人效劳,推动实现全体晚年人享有基本养老效劳。深化医药卫生体制刷新,增进医保、医疗、医药协同生长和治理。增进优质医疗资源扩容和区域平衡结构,坚持预防为主,增强重大慢性病康健治理,提高下层防病治病和康健治理能力。深化以公益性为导向的公立医院刷新,规范民营医院生长。
生长壮大医疗卫生步队,把事情重点放在农村和社区。重视心理康健和精神卫生。增进中医药传承立异生长。立异医防协同、医防融合机制,健全公共卫生系统,提高重大疫情早发明能力,增强重大疫情防控救治系统和应急能力建设,有用阻止重大熏染性疾病撒播。深入开展康健中国行动和爱国卫生运动,提倡文明康健生涯方法。
新征程,增强药品监视治理力度
今年以来,天下各级药品羁系部分深入贯彻党的十九届六中全会和中央经济事情聚会精神,坚持效劳阵势、深化刷新、强化羁系和优化效劳一体推进,有力包管疫情防控事情阵势,有用维护天下药品清静形势总体稳固。保清静促生长各项事情统筹推进,药品清静专项整治行动取得阶段性效果,审评审批制度刷新盈利一连释放。
未来,各级部分仍需要深化药品清静专项整治,重办重处危害药品清静违法犯法行为,周全排查化解药品清静危害,完善规则制度梗塞羁系误差,强化协同联动凝聚事情协力,切实包管药品清静形势稳固。
其次,需一直优化药品羁系情形,一连深化药品羁系刷新,增进中药守正立异,坚韧不拔提升政务效劳水平,切实效劳支持医药工业高质量生长。最后,周全增强药品羁系能力建设,强化人才和手艺支持,立异药品羁系方法要领,强化全系统协调联动,加速推进药品羁系系统和羁系能力现代化。
新偏向,加速药品供应系统建设
此次聚会报告同时为我国药品供应系统的建设生长明确了主要偏向。我国高度重视减轻人民群众用药肩负和增进生物医药工业高质量生长,国家医疗包管局建设以来,创立性开展了集中带量采购、医保药品目录准入谈判等事情,实现了参�;颊摺⒁奖;稹⒁搅苹购鸵揭┢笠档亩喾焦灿�。
从聚会报告聚焦的行业问题中可以看出,十四五重点解决的是医疗康健包管的笼罩面问题,其中带量采购和医保谈判均是重大决议安排和政策抓手。带量采购和医保谈判是医保部分打出的一套“组合拳”,目的是缓解患者用药难、用药贵问题,提高医�;鹗褂眯б�,提升患者药品包管水平,净化医药行业生态情形,增进医药工业高质量生长。
近年来,天下多地对医保谈判药品也实验了双通道包管,提高患者对医保谈判药品的可及性。相生相伴的带量采购与医保谈判,充分运用了需求指导供应的经济杠杆,引领药品领域供应侧刷新。