echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Medical News > Medical World News > The State Council pushed the hospital information, this health and health committee just investigated the city did the right thing?

    The State Council pushed the hospital information, this health and health committee just investigated the city did the right thing?

    • Last Update: 2021-01-18
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    the | It is difficult for most people to realize how much basic information construction work the hospital and health care system need to do behind the queue for less hospital visits.
    may be very few people notice, when to start, to the hospital do not have to queue up so much, through the mobile phone can make an appointment registration, self-service machine can pay, the cloud can see the report.
    Xu Ying, deputy director of the health bureau of Jintan District, Changzhou, Jiangsu Province, said that the key to hospital information construction is to let the pain point of medical treatment "no sense" disappear.
    because of the "no sense", most people find it difficult to realize that an appointment registration program behind the hospital to do how much basic information construction work.
    information technology has been the hospital and health departments must embrace the general trend, how to improve the patient's feelings of medical treatment, promote graded diagnosis and treatment, break through the bottleneck of medical efficiency, this is a problem that must be considered.
    information is also the policy of the state to push for many years.
    August 2018, the National Health and Wellness Commission issued a Notice on Further Promoting the Information Construction of Medical Institutions with Electronic Medical Records as its Core, and in January 2019, the State Council issued the Opinions on Strengthening the Performance Assessment of Three Levels of Public Hospitals, emphasizing that three Public hospitals at the level should strengthen the construction of hospital information with electronic medical records as the core, and on October 10, 2020, the Health and Safety Commission issued the Opinions on Strengthening the Standardization System of Health Information for All, and once again proposed to speed up the construction of hospital information platform and clinical data center based on electronic medical records.
    The latest document was released the same month, at the end of October this year, the National Health and Health Commission of the Department of Physical Reform organized a survey of the pilot provinces of comprehensive medical reform, in Jiangsu Province, Changzhou was selected as the information technology and Internet and medical health construction typical, hoping to share experience throughout the country.
    this time, Changzhou and Fuzhou, Xiamen, Nanjing was selected as the "National Health care data center and industrial park construction" pilot city, has been four years.
    4 years, Changzhou's hospitals, health departments are also facing almost all the difficulties in the current process of information construction, this adhere to the "pragmatic spirit" of the small town, why has become the national multi-site hospitals, health departments to visit the typical? Source: Introduction to the Wisdom Medical Records of Changzhou Second Hospital.
    3.8 million, through the hospital's self-built HIS system Changzhou Jintan District medical and health information construction, can represent the domestic health information construction of the exploration of the road.
    now, almost all hospitals have their own HIS system.
    , known as the Hospital Information System, includes several subsyscies such as clinical treatment, drug management, financial management, integrated management, and statistical analysis.
    2010, in the tide of information technology, hospitals at all levels have been on the horse HIS.
    Jintan District is no exception.
    2013, the state issued a variety of normative documents, connectivity has become the key word of information construction.
    2014, Jintan District began to build a number of inspection, imaging, pathology and electrostitectric systems.
    these synthetic clinical clinic subsyscies (CIS) also need to be integrated into the regional health information platform in order to open up the upper and lower level hospitals and establish intensive telemedic service centers in the region.
    't easy to get through.
    , Jintan nine small township hospitals share a HIS, six secondary hospitals have their own independent HIS.
    2017, Xu Ying became deputy director of the Health and Safety Bureau, in charge of information construction, "I came, determined that the construction of a county health information system, must be unified planning, unified standards, unified management."
    the original hospital self-built system standards are not unified, can not be integrated, Jintan District Health Bureau decided to overturn, re-planning.
    project started in 2017, spent more than 3.8 million yuan to build a regional cloud HIS, "only one control terminal, in our bureau, the following township health hospitals can access the cloud platform, direct use of this system."
    " Jintan District People's Hospital and China Hospital, because of the large volume of business, HIS data load is too large, difficult to integrate into the cloud platform, only in the evening server idle to upload the day's data, can not be real-time.
    Xu Ying hopes that technological breakthroughs will solve this problem.
    : Introduction to the Wisdom Medical Records of Changzhou II Hospital.
    structured electronic medical records: writing a large medical records from 40 to 15 minutes of standardized data and connectivity, are the most difficult problems in the process of information construction.
    a single diagnostic criterion, and from 2016 to the end of 2017, jintan district groped for nearly two years.
    Health Bureau set up a special scientific research group, and cooperation with information companies, the Jintan District commonly used disease diagnosis, one by one all out to comb through, a total of more than 30,000, and then unified application.
    to the township, village-level medical institutions, the situation is completely different, some older doctors, only know some common diseases.
    in order to allow the most basic health care institutions to also produce standardized medical and treatment data, "we can only organize the common disease classification code of the table, posted to the village health room."
    ," said Shen Li, director of the Information Section of the Jintan District Health Bureau.
    in the independent exploration of data standards, Changzhou City Second People's Hospital went further.
    realized that the electronic medical record system will become the cornerstone of hospital information construction in the future, Changzhou Second Hospital began to explore the development of its own intelligent medical record system in 2018.
    " Our country in order to interconnect under a lot of documents, between the hospital system, between the hospital and the hospital, between the city, between the province and the province, but if the core and the most basic data are not unified, how to pass? And how do you value your data? Qin Xihu, secretary of the Changzhou Second House Party Committee, asked the eight-point question.
    Qin Xihu introduced, the country after many years of exploration of electronic diseases, only to achieve a partial structure of the home page of the case, the traditional electronic medical records are only the use of computer input instead of manual input.
    rather than structured electronic medical records do not have uniform standards and are difficult to be effectively identified and utilized.
    Changzhou Hospital as a comprehensive triple-A hospital, a year to produce about 2.4 million outpatient medical records, about 100,000 inpatient medical records.
    electronic medical records are fully structured and very difficult.
    most of the well-informationed hospitals in China still use the Python method, which is to extract information and knowledge from various non-formatted medical record texts and fill them in electronic medical records templates.
    this approach does not change the existing framework of electronic medical records, but the electronic medical records produced are not standard, comprehensive and standardized.
    Changzhou Second Hospital decided to adopt another approach, the hospital's business department deeply involved, the establishment of an electronic medical records office, composed of experts from various departments, the preparation of a standardized dictionary of medical terms, and then work with software companies to build the development of a fully structured intelligent medical records system at the time of writing.
    doctors write medical records by compiling and transferring standardized medical terms, and in the course of writing medical records, directly access medical advice, prescriptions, examinations, examinations and other data.
    the original version in April 2018 and launched version 2.0 last September.
    was first introduced, there was a lot of resistance.
    it is not easy for doctors to change their original medical record writing habits.
    addition, just started, a complex hospitalization of the whole course of medical records, it takes 40 minutes to write, and the original system as long as 30 minutes.
    even now, there are a lot of people who oppose it.
    " at the end of October, the National Health and Wellness Commission organized research, Qin Xihu admitted at the symposium, the most critical issue in the implementation of intellectual medical records, is the acceptance of doctors.
    but he didn't talk much about resistance, saying only, "Our hospital's administrative push is very strong, and the doctor's execution is very strong."
    2020, the Smart Medical Record System completely replaced the previous inpatient medical record writing system.
    doctors have been using it for a long time, developing more templates, and operating time is getting shorter and shorter.
    most skilled doctor in the world, has been able to complete a major medical record in 15 minutes.
    Let Qin Xihu feel very encouraged, in September this year, Jiangsu Province Health Committee Deputy Director Li Shaodong in Jiangsu Province structured door (urgent) diagnosis and treatment of electronic medical records upgrade pilot work start-up meeting, to "take Changzhou second hospital wisdom medical records as an example, in the province's 72 sentinel hospitals to promote the use of standardized outpatient electronic medical records."
    " and other future to build a more perfect, more advanced artificial intelligence version 3.0, 4.0, Qin Xihu hope, this Changzhou version of the wisdom of medical records, can be extended to the whole country.
    do you want to serve in the end? Qin Xihu gave this electronic medical record system a lot of names, at first called structured electronic medical records, and later called wisdom medical records, and recently, he gave a new name, called intelligent navigation diagnostic medical records.
    because the medical record system can guide doctors in accordance with the standard path to complete the collection of medical history, in this process, can regulate the behavior of diagnosis and treatment.
    Qin Xihu was a liver and bile surgeon, see many doctors write medical records as a burden, the writing process lacks clinical thinking navigation function.
    "I have been a doctor for more than thirty years, but also see the great impact of information technology on other industries, why can't we use a software to help doctors? "Serving doctors is one of the important goals of hospital information construction.
    March 2019, the National Health and Wellness Commission defined the meaning of "smart hospitals", including "smart medicine" for medical personnel, "smart services" for patients, and "smart management" for hospital managers.
    year, Changzhou Second Hospital's self-developed iDoctor system is another case of serving medical personnel.
    on iDoctor, the hospital's systems for diagnosis, video, testing, pathology, etc. are integrated into a cloud platform.
    doctors through the iPad, log on to iDoctor, you can access all the patient's imaging, pathology and other diagnostic information, but also at any time to write medical advice, online prescription, to achieve a real mobile office.
    iDoctor interface for the Jintan District Health Bureau, through the system in the region, but the information construction has set a good foundation, and then a little bit to promote a variety of applications.
    not much pressure to use information to ease the difficulty of seeing a doctor, " we now think is to try to improve the feelings of residents around the article.
    ," Xu said.
    projects that have been done in the past, the most successful are the construction of five regional centers, including imaging, pro-testing, pathology, disinfection supply, and electrostation centers.
    take the imaging consultation center as an example.
    , the proportion of imaging doctors in township hospitals in Jintan District was less than 50%.
    township residents, want to make a film, can only run to the district hospital.
    In 2014, after the completion of the imaging consultation center of the District People's Hospital, the center connected all township hospitals and Jintan District Ii Hospitals through the platform, and the DR and CT images taken in various places will be uploaded in real time, experts will view the images, issue a diagnostic report, and then re-pass the diagnostic results back in real time.
    there is no need for an imaging doctor at the grass-roots level, as long as you have an inspection technician.
    in Jintan District People's Hospital, there are 40 or 50 imaging doctors in the consultation center shift.
    8 o'clock at the scene to see, at 10:17 a.m., the patient in Jintan District Tong Center Health Hospital completed the examination, 10:23, the imaging consultation center can complete the report writing, and feedback to the hospital.
    the Jintan District Imaging Consultation Center.
    by Zhu Xuexuan.
    2019, nearly 60,000 video consultation centers will be screened at the grass-roots level.
    " this integration is very real, higher-level hospitals and grass-roots township hospitals, through this platform is very smooth to complete the business of help and coordination.
    " Xu Ying said, "to a certain extent, to solve the grass-roots shortage of talent, lack of technology, lack of funds of the short board, grass-roots capacity to improve a lot, but also reduce the low level of repeated investment."
    " problem is inevitable, "until 2019, our information construction is mainly around patients and medical personnel."
    service management, which is easy to say, but difficult to do well.
    " Shen Li, for example, at the end of last year, the District Health and Health Bureau of the hospital's year-end assessment, although each hospital system has data, but the report is still manually reported.
    Service managers of the "IMIS platform" just put into use this year, can query all hospitals in the region by year, month, day, diagnosis and treatment volume, hospitalization, discharge data, drug revenue, in addition to Jintan District People's Hospital and Chinese Hospital data uploaded on a timely night and delayed, other hospitals are real-time data.
    how to apply the data to improve the scientific decision-making of hospital and health department managers, there is no ideal answer.
    health information IMIS platform in Jintan District on his mobile phone.
    by Zhu Xuexuan.
    to ensure that the participants form a community of interests, in order to do the construction of the five major centers of the Real Gold Temple District, has been Changzhou City Health Committee as a clear demand, process, and the establishment of a mechanism typical.
    Liu Zhihong, deputy director of Changzhou Municipal Health Committee, was in charge of information construction, and in 2013, after being transferred to the health department, he found that Changzhou's health information construction, although it did a lot of work, was basically not easy to use or used very little.
    the main reason for this is the decoupling of system construction and business requirements.
    , the business needs were not fully investigated and business units were involved.
    " 2013, Jintan District began planning the construction of five major centers.
    the early days of the planning is very detailed, each center has come up with a system, the provisions of each case of how to pay the fee.
    E.g., an image examination in the primary medical institutions to charge 80 yuan examination fee, 5 yuan to the imaging consultation center to read the doctor, "a system platform through, but only a successful aspect, there must be institutional protection to form a community of interests, in order to do real."
    ," Xu said.
    Liu Zhihong also believes that Changzhou City in recent years to do a successful medical information projects, most of them are to pay attention to, support the needs of the business.
    2018, Changzhou Second Hospital introduced inter-clinic payments, which can be made through a doctor's workstation when patients are treated on a card.
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.