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.
¡ñ 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.
¡ñ 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.
¡ñ 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.
¡ñ 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
¡ñ Xishui County People's Hospital is a national Grade III class B general hospital, which is a medical complex hospital attached to the hospital.
¡ñ The hospital has 31 clinical, medical and functional departments.
¡ñ The average daily number of outpatient visits is 3000.
¡ñ The growth rate of outpatient business is large, and the basic outpatient medical resources are tight.
¡ñ 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.
¡ñ The peak and valley phenomenon of outpatient visits are prominent, resulting in extreme concentration of medical service pressure and low efficiency of medical process.
¡ñ The pressure of outpatient treatment and waiting order maintenance is great, and the work pressure of front-line medical staff has increased sharply.
¡ñ The medical treatment process fails to meet the reform requirements of the national medical service improvement.
¡ñ The outpatient reservation rate is not up to standard, and the three-level evaluation of the hospital is affected.
¡ñ 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.
¡ñ 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.
¡ñ Realized orderly outpatient treatment and precise appointment at different times.
¡ñ Realized the mobile transformation of outpatient payment and the change and upgrade of electronic payment.
¡ñ Realize the intelligent push of inspection and inspection report results and self-service quick printing functions.
¡ñ 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.
¡ñ 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
¡ñ According to the data, there is an improved template process to optimize the reference, there is a real patient praise to do confidence.
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¡ñ General practitioners lack clinical experience, the diagnosis and treatment ability is still in need of improvement, and the outpatient rate is low.
¡ñ Patients' willingness to first diagnose at the grassroots level is not strong, resulting in greater difficulty in achieving hierarchical diagnosis and treatment.
¡ñ In the standardization construction of community health service centers, the government performance orientation is prominent and the demand orientation is relatively weak.
¡ñ Uneven development of basic medical care and basic public health in community health service centers.
¡ñ 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.
¡ñ The total number of contracted community health service centers in 7 districts and counties of Shantou has reached 99124.
¡ñ Through the mobile medical platform, residents can enjoy family doctor signing, health file creation, health hut, wearable devices and other services.
¡ñ 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
¡ñ 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.
¡ñ 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.
¡ñ 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.
¡ñ 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.
¡ñ 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.
¡ñ 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.
¡ñ The city's medical institutions apply a unified electronic health code to achieve "one-code universal" for medical treatment.
¡ñ 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.
¡ñ 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.
¡ñ 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.
¡ñ 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 Ø Public Health Platform ØMedical Supervision Platform
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