Shijiazhuang City on the promotion of "Internet + medical health"
Development of the implementation of the program
In order to implement the "General Office of the People's Government of Hebei Province on the promotion of the
Development of the implementation of the implementation of the "Internet + health care" development of the views" (Hebei Government Office [2018] 182) requirements, standardize and guide the orderly development of the "Internet + health care", to promote the "health Shijiazhuang
One, the overall requirements
Comprehensive implementation of the health of China strategy, accelerate the deep integration of health care and the Internet, and constantly expand the content and space of health care services, improve the service model, optimize the supply of services, to better meet the people's growing demand for health care and health care, all-round, full-cycle maintenance and safeguard People's health, in order to promote the construction of "Healthy Shijiazhuang" to lay a solid foundation. By 2020, the city's "Internet + health care" service system is further improved, the infrastructure support system is gradually improved, the supervision and protection system continues to innovate, medical and health information to achieve cross-level, cross-region, cross-sector, cross-business interoperability, in the government, health care institutions, the residents *** enjoy the application of, the supply of medical and health services is more optimized, intelligent and health care services to meet the growing demand of the people. The supply of medical and health services will become more optimized, intelligent and precise, so that the people can effectively enjoy the benefits and convenience brought by "Internet+Medical and Health".
Two key tasks
(a) the development of "Internet +" medical services
1, encourage the development of Internet hospitals. Encourage medical institutions above the second level to actively build an integrated online and offline medical service model covering pre-diagnosis, diagnosis and post-diagnosis, and provide safe and appropriate Internet medical services. Medical institutions can use Internet hospital as the second name. Registered or filed licensed physicians are allowed to carry out online part of the common diseases, chronic disease follow-up, follow-up management and remote guidance services, and are allowed to issue online electronic signature prescriptions after grasping the patient's medical record information. Support and encourage hospitals to utilize health IoT devices, wearable or implantable smart devices to obtain patients' vital signs data, and carry out services such as mobile nursing, online monitoring of vital signs, and home monitoring. Health and wellness administrations should strictly access and regulate core medical services involving online diagnosis and treatment through the establishment of an Internet hospital regulatory system, and actively promote the prosperous development of non-core medical services such as appointment booking, mobile payment, and online querying of examination and test results. By 2020, city-run hospitals will have built at least two Internet hospitals, county-run hospitals will have built 1-2 Internet hospitals, and private hospitals and social capital will be encouraged to actively participate in the construction. (Responsible units: Municipal Healthcare Commission and Municipal Data Resources Management Bureau. The first in line for the lead unit, the same below)
2, vigorously develop telemedicine services. Build a municipal platform based on the provincial telemedicine center, integrate healthcare resources at the municipal and county levels, and realize comprehensive management and operational supervision of telemedicine services at the municipal and county levels. Promote telemedicine services to cover all medical associations and county-level medical institutions in the city, and gradually extend them to community health service organizations, township health centers and village health offices. Promoting Chinese medicine telemedicine services. The medical consortium shall realize the information***sharing and audio-video communication of images and medical records of medical institutions, and provide services such as remote consultation, remote image diagnosis, remote electrocardiographic diagnosis, remote room check, remote monitoring and remote training. Encourage and support conditional medical institutions to explore artificial intelligence-assisted diagnosis based on medical imaging big data, and improve the accuracy of telemedicine diagnosis and treatment.In 2019, impoverished counties should realize full coverage of telemedicine services. By 2020, full coverage of telemedicine services will be realized in all counties (cities and districts). (Responsible units: Municipal Health and Wellness Commission, Municipal Development and Reform Commission)
3. Promote intelligent health and convenient services. Relying on the Shijiazhuang universal health information platform, integration of hospitals, public **** health and reproductive health services and other information systems, to build "Shijiazhuang wisdom health network", to realize the examination and test results, medication prescriptions, health records, vaccination and other information online query, as well as appointment booking, maternity certificate filing and management, mother and child room navigation, health education and other information services for the people. education and other information services for the benefit of the people. By 2020, hospitals above the second level will generally realize the provision of online services for residents, such as appointment booking and treatment in time slots, intelligent doctor guidance and triage, waiting reminders, settlement between consultations, and mobile payment. Encourage and support medical institutions and qualified third-party organizations to build information platforms to carry out telemedicine, health consultation and health management services. (Responsible unit: Municipal Health Commission)
(2) Promote "Internet +" public health services
1, the use of Internet technology to carry out public health management services. Build public health collaborative information platform, comprehensive integration of basic public **** health service information resources. It focuses on strengthening the management of chronic diseases such as diabetes and hypertension in the elderly, and the management of online services for maternity and children aged 0-6 years and preventive vaccinations. Strengthening the audit, data analysis and quality control of morbidity reports for patients with severe mental disorders, and accurately doing follow-up assessment and categorized intervention. Utilizing intelligent bracelets, electronic tags and other Internet of Things devices to conduct real-time monitoring of patients with severe mental disorders. Build a reproductive health platform to provide a full range of reproductive healthcare services covering the premarital, pre-pregnancy, pregnancy, post-partum and child periods. On the premise of safeguarding the security of health information, it has gradually opened up online query services for electronic health records to society and medical and healthcare organizations, guiding the public to effectively prevent and treat diseases. Utilizing the new media on the Internet, the public will be provided with general knowledge on common and frequent diseases, the prevention and treatment of infectious diseases and nutritional health. (Responsible unit: Municipal Health Commission)
2. Optimize the "Internet+" family doctor contracting service. Construction and application of the comprehensive management system of family doctor contracting service, establishment of an interactive platform for the services of family doctors and contracted residents, and support for family doctors to provide contracted residents with online health counseling, appointment referral, chronic disease follow-up, health management, prescription extension and other services. The Internet and the Internet of Things are utilized to provide services such as online management of chronic diseases, assessment of health conditions, monitoring and early warning, guidance on medication, and tracking and follow-up. For the poverty-stricken population with documented cards, family doctor contracting services should be signed as much as possible, with a focus on strengthening the standardized management and health services for patients with hypertension, diabetes, tuberculosis, severe mental disorders and other chronic diseases in the contracted poverty-stricken population. (Responsible units: Municipal Health Commission, Municipal Data Resource Management Bureau, Municipal Finance Bureau)
(3) Improve the "Internet +" drug supply guarantee services
Based on the Internet to carry out shortages of medicines and multi-source information collection and supply of business synergistic application, improve the drug supply guarantee and the monitoring and early warning of shortages of medicines. supply security and the monitoring and early-warning capability of shortages of medicines. Explore the implementation of Internet services such as online diagnosis and issuance of prescriptions. In Internet hospitals or medical consortiums, doctors are allowed to issue online prescriptions for some common and chronic diseases for follow-up patients using Internet technology after getting hold of the patients' medical records. After online prescriptions are reviewed by pharmacists, they can be delivered by qualified third-party organizations commissioned by medical institutions or pharmaceutical companies. Explore and promote the construction of "cloud pharmacy" and "smart pharmacy" in hospitals with the conditions, and realize the seamless connection between the prescription system and the pharmacy dispensing system, so as to facilitate the public to take medicines in time. Explore the provision of Chinese medicine services based on the Internet medical information platform. (Responsible units: Municipal Health Commission, Municipal Market Supervision Bureau, Municipal Health Insurance Bureau, Municipal Industry and Information Bureau)
(4) Promote "Internet +" medical insurance settlement services
Speed up the interconnection and enjoyment of the health insurance information platform and the municipal universal health information platform. data***sharing. Further optimize the payment process, improve the settlement mode, and gradually expand the online payment function covering social security card payment, resident health card payment, bank card payment and third-party payment. Promoting "one-stop" settlement, exploring the use of multiple cards and taking cards off the table for medical treatment, and providing patients with a variety of online payment methods and more convenient services. Vigorously implementing intelligent auditing and real-time monitoring of medical insurance, embedding rules on clinical paths, rational use of medicines and payment policies into hospital information systems, and strictly supervising medical behaviors and costs. Do a good job of direct settlement for medical treatment in other places. (Responsible units: Municipal Health Insurance Bureau, Municipal Health Commission)
(E) Strengthening "Internet+" medical education and popularization services
Establishing a medical and healthcare education and training system, and making full use of the existing online educational resources to provide diversified medical online courses and medical education. It gradually builds a networked, digital, personalized, lifelong medical education and training system, and encourages medical workers to carry out online discussions and exchanges of difficult and complicated cases and cases of major diseases, so as to improve their business quality. It has implemented the "Continuing Medical Education + Promotion of Appropriate Technology" initiative, which focuses on the needs of poverty alleviation through health care, with emphasis on grass-roots and impoverished areas, and promotes the popularization of appropriate technology by means of distance education. Promote the integration of traditional media and new media to carry out public welfare propaganda on health science, use the Internet to provide accurate education on health science knowledge, popularize healthy lifestyles, and improve residents' self-health management ability and health literacy. (Responsible units: Municipal Health Commission, Municipal Education Bureau, Municipal Health Insurance Bureau, Municipal Association for Science and Technology)
(F) Promote the "Internet +" artificial intelligence application services
1, relying on institutions of higher learning, scientific research institutes, Internet enterprises, etc., to promote the health of big data and artificial intelligence basic research, results and transformation. Artificial intelligence basic research, transformation and application. Encourage medical institutions to explore the development of intelligent medical image recognition, pathology typing and multidisciplinary consultation, as well as a variety of healthcare scenarios under the application of intelligent voice technology, to support the application of Chinese medicine identification and treatment of intelligent auxiliary system. Carry out mobile medical demonstration based on artificial intelligence technology and medical and healthcare intelligent devices to realize real-time monitoring and assessment of personal health, disease early warning, chronic disease screening and active intervention. (Responsible units: Municipal Health Commission, Municipal Data Resource Management Bureau, Municipal Science and Technology Bureau, Municipal Industry and Information Technology Bureau)
2. Conform to the development trend of industrial Internet innovation, to enhance the digitalization of medical and health equipment, intelligent manufacturing level, and promote industrial upgrading. Actively promote the application of healthcare big data in clinical and scientific research **** enjoy. Support the research and development of healthcare-related artificial intelligence technology, medical robots, large-scale medical equipment, emergency rescue medical equipment, biological three-dimensional printing technology and wearable devices. (Responsible units: Municipal Data Resource Management Bureau, Municipal Science and Technology Bureau, Municipal Industry and Information Bureau, Municipal Health and Wellness Commission)
(VII) Promoting healthcare information interconnectivity and collaborative ****sharing
1. Establishing and perfecting the universal healthcare information platforms at the municipal and county levels, and relying on the e-government extranet to facilitate the exchange of resources and resources with the provincial double-activity data centers and the government information exchanges ***sharing platforms at all levels. The platform promotes interconnection and synergy with provincial dual-live data centers and government information exchange***sharing platforms at all levels. It focuses on the collection of data on population, public **** health, medical services, medical insurance, drug supply, comprehensive management, etc., smoothes the data **** enjoyment channels between departments, regions and industries, and promotes the application of national health information **** enjoyment. (Responsible units: Municipal Health Commission, Municipal Finance Bureau, Municipal Data Resource Management Bureau, Municipal Public Security Bureau, Municipal Health Insurance Bureau)
2. Enhance the level of informatization of medical and health institutions. City-run tertiary hospitals should reach the fourth level of electronic medical record application by the end of 2019, and realize the interoperability of medical service information within the hospital **** enjoy. Vigorously promote the interconnection of medical and health institutions at all levels with the universal health information platform at this level. Actively promote the construction of a healthy elderly care service system, and explore the medical care combination service model based on Internet technology. (Responsible units: Municipal Health Commission, Municipal Civil Affairs Bureau)
3. Improve the hierarchical diagnosis and treatment information system based on the Internet and big data technology. In accordance with the principle of "pilot first, gradually spread", the graded diagnosis and treatment information system is gradually installed and deployed in municipal hospitals, and all of them are connected to the member units of the medical association. Medical institutions through the provincial, municipal and other relevant professional medical quality control qualified, in the corresponding level of the administrative region to implement mutual recognition of test results, to avoid duplication of patient testing. Promote the regional 120 command and dispatch system, pre-hospital emergency vehicle monitoring system through the regional universal health information platform connected to the hospital information system, to do a good job of patient information standardization **** enjoy, remote emergency guidance and in-hospital emergency preparedness. (Responsible units: Municipal Health Commission, Municipal Data Resource Management Bureau, Municipal Finance Bureau)
4. Promote the interoperability of diagnostic and treatment information***sharing. By the end of 2019, the interoperability of diagnosis and treatment information, including outpatient and inpatient basic diagnosis and treatment information, cost details, medication records, test and inspection reports, long-term medical prescriptions, and temporary medical prescriptions, will be realized among all city-run hospitals, 17 county hospitals, and all county-run hospitals of traditional Chinese medicine. At the same time, it is exploring the realization of interoperability with 2-3 provincial hospitals. By the end of 2020, all public medical institutions at the provincial, municipal and county levels will realize information interoperability***sharing. (Responsible unit: Municipal Health Commission)
(H) Strengthening network and information security construction
Strengthening the construction of key information infrastructure and core systems for healthcare big data. Strengthen the information protection of medical and health institutions, health information platforms, intelligent medical equipment and other data application services, in accordance with the requirements of the information security level protection system, to clarify the protection responsibility, formulate protection measures, and implement the key work of grading and filing, level assessment and security construction and rectification, and to carry out regular information security hidden danger investigation, monitoring and early warning. Strictly implement national laws and regulations on healthcare data and confidentiality provisions, strictly implement the system of protection of patients' personal privacy information, strictly manage patient information, user data, genetic data, etc., and punish illegal trading and leaking of information in accordance with the law. (Responsible units: Municipal Health Commission, Municipal Public Security Bureau, Municipal Internet Information Office)
Three, safeguard measures
(a) Establishment of a sound policy system and industry regulatory mechanism. Timely development and improvement of the relevant supporting systems to promote and regulate the development of "Internet + health care", improve the access standards of the relevant organizations, and reduce access restrictions. The data generated by "Internet + healthcare" services should be traceable, queryable and traceable throughout the entire process, so as to strengthen supervision during and after the incident. A "blacklist" system for the healthcare industry will be established, and records, public announcements and early warnings of Internet-based dishonest behavior will be strengthened. It has established a mechanism for sharing medical responsibilities, implemented online informed consent notification, and prevented and resolved medical risks. Establishing and improving the joint disciplinary system in accordance with the law, and realizing the principle of "one violates the law, and is subject to restrictions everywhere". Establishing a mechanism for monitoring, rewarding and punishing the evaluation of Internet medical services. (Responsible unit: Municipal Health Commission, Municipal Internet Information Office)
(ii) Establishment of communication mechanism and joint meeting mechanism. The establishment of the municipal government leaders as the head of the "Internet + health care" leading group, held meetings, listening to reports, exchange of information, and give full play to the functional role of various departments to ensure that the tasks are steadily promoted and put into practice. Counties (cities, districts) and municipal departments should combine the actual timely introduction of supporting policies and measures to promote the implementation of work measures and tasks. Important situations are reported to the municipal government in a timely manner. (Responsible units: Municipal Health Commission, relevant municipal departments)
(C) Improve the mechanism of diversified investment and talent training. Innovate the investment and operation mechanism of the "Internet + healthcare" information technology project, and build a diversified information technology investment and financing mechanism guided by the government and with the participation of other social capital***. Strengthen the integrated management of socialized funds, take the government to purchase services and other forms to improve the efficiency of the use of funds, the project has a significant impact on the project and closely related to the people's livelihood to effectively solve the difficulties in access to medical care and blocked projects to be focused on tilting. At the same time, unified project planning, unified standards and specifications, record management, audit supervision and evaluation system, strengthen the integration of information systems **** enjoy, advocate the "Internet + health care" intensive construction. Establish a perfect talent training mechanism to guarantee the talent reserve and sustainable development of the "Internet + healthcare" industrial system. (Responsible units: Municipal Health Commission, Municipal Data Resource Management Bureau, Municipal Net Information Office, Municipal Development and Reform Commission, Municipal Finance Bureau)