On September 14th, under the auspices of the National Health and Health Commission, No. 2 Building, under the auspices of the State Health and Health Commission spokesperson and Deputy Director of the Propaganda Department, Song Shuhui, deputy director of the Medical and Hospital Management Bureau Jiao Yahui, executive vice president of West China Hospital of Sichuan University Dean Huang Yong and Dean of the Shaoyifu Hospital affiliated to Zhejiang University School of Medicine, Cai Xiujun, published an interpretation of three documents including the Internet Management and Management Measures (Trial).
At the scene, Cai Xiujun introduced the practical effects of the Sir Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine in Internet medical and telemedicine .
Shao Yifu Hospital affiliated to Zhejiang University School of Medicine, as a public comprehensive top three hospital, Shao Yifu Hospital affiliated to Zhejiang University School of Medicine has always taken the responsibility and responsibility of public hospitals as its mission, and explored the "Internet + medical" model with innovation to effectively enhance the majority. The health of the masses is acquired, happy and secure. As early as May 2013, Run Run Shaw Hospital used 4G technology to realize the earliest mobile remote consultation operation live broadcast in China, which opened the hospital's earliest exploration in the field of “Internet + medical healthâ€. On December 13, 2014, General Secretary Xi pointed out in the investigation of Zhenjiang Shiye Town Health Center that it is necessary to effectively solve the problem of "wartime conditions" in large hospitals.
In the same year, Shao Yifu Hospital closely focused on the blockage, pain points and difficulties of medical treatment for the people, and launched the “Future Hospital†construction project. The first two hospitals in China passed the highest level of international informationization certification, HIMSS Level 7 and JCI. The foundation is to take the lead in realizing the whole process of medical service transformation in China, to build the first smart medical cloud platform in China, and the first pilot medical insurance mobile payment in China, and fully implement the informationization of “Let the data run more and let the people run less errands†proposed by General Secretary Xi Jinping. The important concept of work has effectively solved the problem of people's difficulty in seeing a doctor and seeing a doctor. Through Internet medical treatment, more patients will be left at the grassroots level, and the patient experience will be continuously improved, and patients will be given a sense of medical treatment.
The first is to implement the concept of “Internet data + medical health†based on the “Internet + medical health†in the pre-hospital, in-hospital, and post-hospital concepts of “data information and more roads, patients running lessâ€. Second, through the construction of a remote platform, the grassroots patients can see the famous doctors at the doorstep, and the grassroots doctors learn the technology at the doorstep, and strive to improve the level of regional medical equalization.
"Internet +" covers patients in front of the hospital, in the hospital, after the hospital, patients are more convenient to seek medical treatment
The emergency department is faster and implements an integrated comprehensive first aid model. The hospital comprehensively explored the faster “Internet +†emergency mode, and created the pre-hospital emergency information interconnection. The hospital and the Hangzhou Emergency Center (120) built an information exchange platform to realize the real-time transmission of the patient's disease information in front of the hospital and the hospital. The room medical staff obtains various information of 120 ambulances and ambulance helicopters in advance, and conducts assessments. The emergency team and all relevant departments prepare various first aids before the patient arrives, and the emergency department specially sets up the DSA and the operating room. Won the rescue time and improved the success rate of rescue. It is equipped with emergency centers such as stroke center, chest pain center and trauma center to provide patients with green channels, making rescue more rapid and more standardized.
The hospital's Xiasha District has the largest emergency helipad in East China. The apron is only 20 meters away from the first-class emergency center of the Xiasha District. The landing from the air to the emergency center takes only 47 seconds. The rescue process is smooth and the distance is smooth. Short, the "Golden One Hour" first aid network covers the Yangtze River Delta.
The first emergency “one-stop†service model, supported by the in-hospital information system, provides a one-time payment check-out service for emergency patients and patients. The patients and their families are from emergency to discharge, “only one doorâ€.
The outpatient clinic is smoother, and patients can achieve zero queuing. In 2014, the hospital took the lead in launching the construction of “Future Hospitalâ€, facing the difficulties of medical reform, such as “it is difficult to register, and troubled by the doctorsâ€. It was the first in China to realize the whole process of mobile medical intelligentization and transformation, and created the first full-process mobile intelligent medical service in China. system. The “Handheld†medical treatment matrix with the core of Shaoyi Health WeChat Public No., Shaoyifu Hospital Official WeChat Public No., Run Run Shaw Hospital Alipay Life, Medical Insurance Mobile Payment APP and Medical Express is formed. It has realized business functions such as online appointment diagnosis, waiting for reminding, in-hospital navigation, service evaluation, health consultation, operation status inquiry, and medical examination reservation. The integration integrates various payment methods such as citizen card, silver medical communication, WeChat, Alipay, and major bank payment channels.
In 2016, the first pilot medical insurance mobile payment in China was successfully cracked. The core group of mobile payment, the settlement payment problem of medical insurance patients, was successfully solved. The range of mobile smart medical services reached 100%, and the patients realized zero-queue in the whole process.
The outpatient hall is equipped with a comprehensive service center. All kinds of auxiliary examinations such as video and endoscopy are centralized. The outpatient appointment application “Big Data†calculates the average visit time of each doctor in the past 3 years, and allocates the appointment interval to allow patients to see the clinic. Both the time and the inspection appointment time are accurate to "minutes". Multiple measures have changed the hospital's "wartime situation", and the patient's outpatient medical treatment time has been shortened from the original 4-5 hours to 1.7 hours, and patient satisfaction has reached 95%.
The “one-stop†service makes hospitalization more worry-free and easier to discharge. In 2007, the hospital established the first admission preparation center in China to ensure that the limited bed resources were fully utilized. The average hospitalization day was 6.31 days, which was the shortest in the top three hospitals in China. The patient completed all pre-hospital inspections and preoperative anesthesia consultations in the admission preparation center, effectively shortening the pre-operative bedtime and average hospitalization days. The completion of preoperative examination on the day of admission also ensured the smooth implementation of day surgery. The proportion of daytime surgery in the hospital has reached 21.63%. 65 common elective operations can be completed by day surgery, and are approved by the National Health and Health Commission and the Ministry of Human Resources and Social Security. Listed in the national day surgery pilot hospital.
It is more convenient to leave the hospital, and the hospital has completed the discharge procedure at the bedside. Inpatients can go through the formalities of checkout in the ward directly through the mobile settlement cart. Discharged from the hospital through the logistics track directly from the pharmacy to the patient. After settlement, the patient will be provided with a discharge invoice, a detailed list of expenses, a medical insurance settlement list at the bedside, and the remaining deposit will be directly returned to the patient's bank card.
Build a "mutually beneficial network + medical health" platform and open up the "last mile" of the grassroots service
Linkage is faster and referrals are more convenient. The hospital took the lead in building the nation's first smart medical cloud platform with a focus on diagnosis and treatment as the core and a physical hospital as the main body. The service extended its reach to 34 collaborative hospitals and 3 hospitals in Xinjiang, enabling online consultation, consultation and payment. , two-way referral, collaborative examination, Internet prescription, third-party drug distribution, remote joint clinic, distance education, telesurgery consultation and technical guidance.
With the Internet + medical "poverty alleviation", effectively improve the level of regional medical equalization. At present, among the 34 hospitals that Shao Yifu Hospital has established to help in the country, 3 counties of the close-help hospitals are all accelerating development counties in Zhejiang Province, and the medical level is relatively backward. The hospital makes full use of the platform and advantages of “Internet +†to form a special help mode combining “online + offlineâ€. The seamless connection between the General Hospital and the Helping Hospital on the “cloud†side has opened up the information islands of provincial hospitals and grassroots hospitals, and helped the grassroots patients of the hospital to refer through the “cloud†platform. After completing the hospitalization appointment online, they can be admitted directly to the hospital. , opened the "last mile" of serving patients at the grassroots level.
Triage is more feasible and referral is more convenient. The “cloud clinic†on the platform has been connected to nearly 100 community hospitals, providing visual visits for 20,000 grassroots residents, effectively achieving the “closed diagnosis in the community, major illnesses to the hospital, rehabilitation back to the communityâ€. “Cloud Review†enables patients to return to their homes. The doctor prescribes an electronic prescription on the platform, and after the online trial of the pharmacist, the third-party drug delivery is carried out, and the medicine is directly delivered to the patient.
"The people's longing for a better life is our goal." The requirements for the development of the national health policy and "Internet + medical health" are in accordance with the requirements of the three documents, and the hospital will accelerate the next step. "Internet + medical health" has been implemented, and efforts have been made to play a good role in demonstration and model. Based on the multi-level and diversified medical and health needs of the people, we will continue to build and improve the "Internet + medical health" service platform and strive to improve the management level of modern hospitals. In practice, we will continue to innovate, overcome difficulties, explore the "Internet + medical health" model and development direction in line with national conditions and hospital conditions, and constantly practice "Internet + medical health" to contribute to the realization of healthy China.
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