Founded in 1958, Xinhua Hospital of Shanghai Jiao Tong University School of Medicine is a tertiary hospital and a large teaching hospital. It is also a large general hospital featuring pediatrics. The hospital involves all professional disciplines except infectious diseases. The pediatrics and adult disciplines are complete, and the disciplines are second to none in the country. It is a well-known large hospital in the country.
Xinhua Hospital has nearly 3,000 beds and nearly 4,000 employees. The annual business volume is about 4.5 billion yuan. In 2017, it reached 4.6 billion yuan. It is a big hospital. In order to manage hospitals of this scale, Xinhua Hospital He has done a lot in digital medicine and is also at the forefront of China.
Digital medical and smart medical
Pan Weihua, director of the Big Data Center of Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, was originally a pediatrician. Now he has taken up the work of Xinhua Hospital's medical informatization . Combined with practical work experience and feelings, he has a deeper understanding of digital medical care. In recognition, he believes that "digital health" can be interpreted from two aspects: "digital" is a concept from the perspective of IT, and "medical" is based on the medical itself.
From the medical point of view, digital medical care corresponds to the original experience medical treatment. Experience medicine refers to the doctor's experience in medical treatment. Digital medicine advocates the use of clinical evidence, including long-term cumulative data such as symptoms, signs, and examination data to derive evidence chains. Based on this, accurate treatment, from medical concepts Digital health is the concept of precision medicine .
In terms of the concept of IT, digital medical is the medical industry application of IT. It evolved from Evidence-based medicine (EBM). However, IT can do much more than this. Pan Weihua believes that the number Medical treatment is only an intermediate transitional state. Ultimately, it is necessary to develop in the direction of smart medical care. The so-called smart medical care is the decision-making of clinical diagnosis and treatment after the accumulation of the evidence chain.
Pan Weihua's remarks about the relationship between digital medical care and smart medical care, also pointed out the development of the digitalization of the medical industry. From his introduction, it is learned that the application status of smart medical care at home and abroad is not satisfactory. In the United States, for example, most of the clinical applications that use artificial intelligence engines to make decision-making decisions are not approved by the final FDA (US Food and Drug Administration).
In the past one or two years, some hospitals in China have introduced foreign smart medical systems, but there are many problems in the process of use. The biggest problem is the lack of water and soil. This is because the imported systems are based on the local clinical diagnosis and treatment system. It is very different from the domestic ones. The physical fitness of people in different regions is very different. Not long ago, the news of artificial intelligence to open the wrong medicine was also exposed in the news.
However, Pan Weihua also expressed his belief in the development prospects of medical decision-making schemes based on artificial intelligence. He believes that some domestic decision-making systems will have further development. Of course, further digestive absorption is needed, and combined with the actual situation in the country. .
Problems facing digital health
Therefore, combined with the status quo and needs, the center of hospital informationization work is still to achieve digital medical care, digital medical content is nothing more than two aspects of design, one is the patient-oriented diagnosis and treatment process, one is the hospital's own management and operation, then digital medical care What problems will there be in reality?
Pan Weihua said that for the diagnosis and treatment process, the biggest problem of digital medical treatment lies in the clinical standards and the implementation of the standard. Digital medical is rooted in the clinical path. If the clinical path can not be standardized, digital medical treatment will be impossible, because IT technology is the most important. Standardization, if there is no standardized process, digital medical solutions are difficult to cure, and ultimately affect the development of digital medical.
In terms of hospital management, there is a general lack of good implementation tools for medical management in China. There is no good measurement tool for financial management or budget, and there is no good financial operation analysis or quality analysis tool. Where does this tool come from?
Like the problems encountered by smart medical care, the management of Chinese hospitals cannot apply the model of foreign counterparts. Pan Weihua said that before the domestic hospitals tried, but found that the gap between domestic and foreign is very large, the fundamental reason is that the business model of domestic and foreign hospitals is huge. Hospitals at home and abroad are set up in departments, and there is a wide gap in staffing access. Take doctors as an example. Chinese doctors are affiliated with hospitals, and doctors in some foreign countries are equal to hospitals. This huge difference determines that Chinese hospitals cannot copy foreign countries. Existing management tools can only build a system of their own from their own reality.
According to Pan Weihua's introduction, there have been some shortcomings in the operation management of the top three hospitals in the past three or five years. Many hospitals, including Xinhua Hospital, are modules and modules. They are more dispersed and some perform performance systems. Some do procurement and logistics systems, some do financial budgeting systems, but lack solutions from the perspective of the entire operation.
Xinhua Hospital's digital medical road
It’s not a copy, and there are drawbacks to the hospital’s exploration. Where does this plan come from?
In 2014, Xinhua Hospital changed its thinking and began cooperation with UF. Pan Weihua said that Xinhua Hospital is interested in the construction of UF's large enterprise management system, and hopes UF will transplant these experiences into the management of large hospitals.
In the past five years of cooperation, Xinhua Hospital has overturned the original independent systems and made many explorations, including personnel cost control and personnel output management, performance analysis, personnel analysis and operational status analysis of the entire hospital. Xinhua Hospital began to conduct comprehensive management of people and property from the perspective of operation and from the perspective of platform data. This is also the main task of Pan Weihua, director of the Big Data Center of Xinhua Hospital.
Outstanding knowledge of the current state of the medical industry, Pan Weihua believes that a good partner, a partner with advanced experience and a combination of medical industry will produce better HRP (Hospital Resource Planning, Hospital ERP) management tools in the medical field. He believes that some standardized products will be produced to provide management services for similar hospitals, and UF is such an ideal partner.
UFIDA has a wholly-owned subsidiary, UFIDA Medical Information System Co., Ltd., which provides products and services for urban health information, medical service organizations, and personal health management. In the awards selected by CCID Consulting, UFIDA won the 2017--2018 Chinese medical institution. The operational management system (HRP) market share of the first evaluation results. It can be seen from the industrial and commercial information that UF Medical was registered in 2009, and UF’s layout in the medical industry seems to have been a long-standing.
With the help of UF, the HRP built by Xinhua Hospital has in some ways made the top three hospitals in China feel shocked.
Today's Xinhua Hospital can achieve uniform information within the hospital, can achieve the uniformity of the corresponding code of various consumables, and began to do full budget management last year, all of which are very modern hospital management models. Not only that, Xinhua Hospital has also discovered some innovative applications in the HRP project, which has had a great impact in China, especially in the large-scale top three hospitals in China. In recent years, large-scale top three hospitals in Shanghai, Beijing, Guangdong and other places have visited Xinhua Hospital. The HRP management system is endless.
I hope that the achievements and concepts of the cooperation will be taken down, and some norms will be formulated in further cooperation. In the next two or three years, some standardized products will be promoted and promoted in the Shanghai Pediatric Medical Association and Chongming Medical Association. It is hoped that the medical association will achieve homogenization management. It is hoped that the 57 plus alliance units can also apply these innovative applications, so that the medical industry has a common development.
When talking about the planning of digital medical construction in Xinhua Hospital in the next stage, Pan Weihua said that the main task is to further integrate medical data and realize the interconnection of all information. In his vision, in the future, more accurate and detailed real-time information can be collected, provided to the hospital for decision analysis, and corresponding control instructions.
In the near future, through HRP, we can see the operation of the department, find out the defects of the operation, find out from the original management objectives, and find out the deviation of the management of the functional department from the original annual target. Making some guidance and corresponding management measures is what he hopes to achieve in the next process.
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