To abandon the people to the hospital by summing up the "three long, one short," the medical treatment is difficult problem, with IT systems, Southwest Hospital, Chongqing, done a lot of actively trying.
Southwest Hospital, telemedicine site
There are a lot of people that go to a big hospital, first thought is to "see", especially in the clinic, "three one-short" phenomenon common: registered a long time, waiting a long time, obtaining medicine for a long time The treatment time is short. The more serious the situation easier to breed discontent in patients, thereby affecting the medical profession's reputation. Clearly, outpatient services and hospital volume has brought a rapid increase in development opportunities to the hospital, but also the hospital management and service faces a severe test.
Information technology to the healthcare industry represents a sea change in the doctor's work is entirely possible to Wan Cheng through a computer, all the information the patients are placed in the network, doctors can be used any time, Xiugai patient's information. These changes apply to the medical industry to find the direction of development.
IT to improve the patient environment
Southwest Hospital in Chongqing has 70 years of history. Now the First Affiliated Hospital, Third Military Medical University, and the First Clinical Medical College, is a set of health care, teaching, scientific research as one of the large-scale comprehensive "three-tier Class A" hospital. Southwest Hospital, opened a total of 2,200 beds in more than pieces of equipment worth 528 million yuan, more than 110 million in outpatient services. In recent years, due to the continuous heating of medical information, Southwest Hospital, began to explore means of how to use information technology to improve the patient environment.
"Southwest Hospital, the digital application of the tide under the influence of the digital hospital building has achieved outstanding results. Since 1999, has invested 4,000 million, built a 'Military One' hospital information system (HIS), PACS, LIS, health card system and office automation (OA) as the main body of the more complete the digital application systems. "Southwest Hospital Information Branch Director Professor Li Gangrong told reporters.
"Military I" system is a unified development of hospital information management system is the implementation of decentralized hospital information collection, unified management, focused on the use of fully shared computer network system, built the framework of the hospital business information network. Southwest Hospital in July 1998 to start the System, in August 1999 formally put into operation.
In order to further facilitate the people see a doctor, and doctors deal with patient information in a timely manner, as "Military I" system, the expansion of the full opening of Southwest Hospital, outpatient medical workstation, the goal is to serve the daily work of emergency department physicians, emergency department medical records implementation, diagnosis , prescription, examination / test for input and query the list of electronic. It is the clinical information system, one of the main components, with the "Military One" HIS system together constitute the basis for digital hospital system. So basically the digital out-patient information.
Previously, people began to see a doctor from the register with a pile of hand gripping the list on the various sections to see the doctor, after reading the hands of addition of a thick stack of documents, it is complicated, the doctors have to find from the list in the list again to fill out the above things, long time. "Now, with the HIS system, a reasonable standardized business processes, Emergency Department and Emergency Department Ji Lu, fully and completely in Diannao save various medical information, doctor workstation access to medicines and the first period can Feiyong information, Bing timely and reasonable arrange treatment plan. The system of data analysis functionality to facilitate the emergency department of statistics and query various information, such information is concentrated in the patient's health card, the card can only see the patient on the computer all the information, including doctor's prescription and treatment plan. This fundamentally eliminate the troubled hospital out-patient 'three long, one short' problems. "Ligang Rong said.
Today, Southwest Hospital, built a four networks are: Military Training Network, HIS network, campus network, Internet, each play their effectiveness. However, Professor Li Gangrong also stressed that to realize the health care industry information is necessary to achieve information sharing among hospitals, we must let people watched from a hospital disease, can still hold medical records to another hospital to see, not from scratch come and spend the same money a. The realization of information sharing among hospitals, the need for government guidance and assistance, to introduce the standards related to open up the islands of information among hospitals.
Registered with the SMS
Difficulty in resolving the issue of registration, Southwest Hospital, has also been exploring the use of high-tech means to facilitate people registered.
Initially, Southwest Hospital, tried to register online. In fact, outside the hospital network in the southwest, with Web medical search system, people can register, after the doctor can go through your login information check their medical records. In this interface to carry out an appointment for registration, in theory really convenient, it allows the patient does not enter the door of the hospital can think about to your doctor about.
However, after a period of time, online registration has been confirmed is not a viable option, why? Professor Li Gangrong told us, "on-line registration, no registration fee, so after some people registered online and did not come to see the doctor, which caused great inconvenience to the hospital, appointment of experts to do so to them? In the absence of constraints, Therefore the patient arrival rate is not very high. "
Online registration after defeat, Southwest Hospital, did not give up the exploration in this area. They gradually realize that the increasing popularity of mobile phones have, text messaging is also more and more acceptable. "So, how to use SMS a platform to expand the hospital information system, we further explore the issue." Thus, Southwest Hospital, China Mobile decided to co-develop such a system.
After six months of preparation and research, Southwest Hospital, the hospital's first use of the Internet platform and messaging platform HIS butt, the patient simply send text messages using mobile phones can receive timely information he wanted, such as the cost of information, inspection reports, test results, etc. can also make business consulting, text messaging complaints so. In addition, they also use this platform to the specific user group sending the message to assist hospital management. For example, organs and sections of hair to the Hospital of the daily volume, hospital volume, income, and the department bed usage and other information.
Will be registered SMS integration with existing online registration platform. Users get the same day scheduling conditions (including registered special service numbers), and then registered the special service number (according to a specified format) sent to the hospital Te Fuhao. If successful reservation, the system automatically sends an appointment serial number to the user. And build on the success in the appointment, depending on whether binding wallet service, the system will automatically choose whether to deduct the registration fee.
Using this platform, the doctor can also send health care information to patients. For example, your doctor SMS greetings - in the treatment of patients during hospitalization, hospital course of cases based on the patient, the patient will arrange a variety of inspection, open, according to a variety of prescription drugs, and give proper medical advice, the patient or nurse according to their own memory to remind, take medication or pathologic examination. Doctors also can build SMS group, the target customer groups to send health information.
"Patients can also call 9500988 to query information, open up the phone after entering a page, patients can prompt a different digital code to query the information he needs." Professor Li Gangrong explained. Registration through phone inquiries and the cost is not very high, probably more than 1 yuan per minute.
Adjust the imaging business processes
Southwest Hospital is the construction of information among the first comprehensive one teaching hospital, in the basic information system to be effective, they immediately proposed the establishment of covering radiology, Ultrasound, endoscopy room, pathology and other hospital main image department equipment, hospital-wide PACS system of ideas. Hospital-wide PACS system is actually composed of several main objectives: first, to achieve rapid transfer images without film, digital film diagnosis of physician time, clinicians quickly get the diagnostic imaging department reports and corresponding images. Second, to achieve full integration with the HIS, and patients the full range of information sharing. Third, through the network to other systems such as radiation treatment planning systems, three-dimensional reconstruction system, digital subtraction and other image data provided to meet the requirements.
"Perfect technical solution is a prerequisite to implement PACS in the PACS implementation process, need to pay attention to the key question is how to adjust business processes, make full use of equipment resources." Ligang Rong said, "PACS system implementation process is to adjust the imaging department work process, from diagnosis according to film, hand written inspection reports, into a display image according to the diagnosis, use the keyboard to write inspection reports. "
In the business process, the Southwest Hospital, made a great reform, that is from the room, such as CT room, X-ray room, DSA room read the slices separately, adjusted for the film in a central reading room focused on reading film, at any one diagnosis workstation can read any image film and write inspection reports. This change is a qualitative leap in the adjustment related to housing, office environment, reconstruction, re-arrangement of personnel working in many aspects.
For information systems, also related to the distribution network, the task of integration. The original cost of entry just for workstations, detailed register now; the original manual, "tick" of the application form to confirm, now made on the department's electronic application form to confirm. These changes are related to hardware and software adjustments, Southwest Hospital, the issue of the information was extremely persistent.
However, the effort pays off. With such a PACS system, Southwest Hospital, the service, management, diagnostic quality, financial control and other aspects of the fundamental change. Finish the examination of patients, clinicians can see the patient's diagnostic images; image diagnosis report finished practitioners, clinicians can access all the images are transmitted via high-speed networks, to achieve a "zero" to wait. At the same time video transmission in the hospital network to access images from the time and place restrictions.
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