Hospital management information system is developed based on the needs of large hospitals, taking into account the application practice of small and medium-sized hospitals, covering all the main links of hospital management and patient treatment. It is a set of hospital intelligent omni-directional management information system that can adapt to various types of hospitals.
Hospital management system takes patient information as the center and cost information as the main line, and its goal is to reduce the labor intensity of business personnel and improve the medical quality and management level of the hospital. It is not only a simple computer system that combines software and hardware, but also a system that combines advanced management ideas, business management experience of hospital departments and advanced computer technology. The starting point of developing this software is to make the hospital better manage drugs, equipment and medical records; So that hospital leaders can know the quantity and quality of drugs and equipment in time, and understand the sales of drugs, hospitalization expenses and medical records. According to the survey data, the annual economic loss caused by poor management of drugs and equipment in a small and medium-sized hospital is more than100000 yuan, or even more. If the hospital management information system is used, this loss can be avoided. This is much easier than creating the same profit every year, and your return on investment is over 70%.
The hospital management system adopts the current advanced client/server computer network architecture and large-scale database management system, making full use of the data sharing ability of the network. It is a practical, complete, efficient and advanced hospital computer management information system, and its technology has reached the domestic advanced level. Combined with the characteristics of hospital management, the system makes full use of advanced computer technologies such as local area network, wide area network and large distributed database, and integrates the information processing process of various components of the hospital into an organic whole by using systematic theories and methods, which provides decision-making basis for the daily management and development of the hospital in time and effectively, and makes the hospital information management meet the requirements of standardization. As soon as possible, it should be institutionalized and scientific, so as to realize the ultimate goal of all-electronic paperless and film-based management of hospital information technology.
The hospital management information system transforms all the work in the hospital into a networked control structure of transaction processing information flow, financial management information flow, material management information flow, clinical data information flow and academic information flow. Greatly improve the efficiency and accuracy of the dean's decision.
Reduce drug losses caused by management reasons by more than 80%!
Reduce more than 95% of equipment losses caused by management reasons!
Shorten the waiting time of patients in line by more than 50%!
Reduce the loss caused by overdue payment by more than 50%!
Improve the efficiency of query statistics by more than 95%!
Reduce the man-made error rate in finance, price planning and doctor's advice to zero!
Any adjustment made by the hospital to itself will be implemented in every specific post in an instant!
Through the high sharing of information and data, with the support of powerful database, the overall management level and service quality of the hospital will be upgraded to a higher level!
In short, the hospital management information system can bring at least several hundred thousand yuan of economic benefits and considerable social benefits to the hospital every year!
Second, the design ideas:
Hospital management information system originated from the advanced concept of Rouses Planning, an internationally renowned enterprise, and was designed for the unique part of the hospital. The main purpose is to fully allocate and balance all aspects of hospital resources, including human, financial, material, medical care, medical assistance and so on. In order to achieve the best economic effect of management. The system has the characteristics of practicality, compatibility and stability, and can meet the needs of hospitals at different levels. According to the composition and technical level of the hospital,
Hospitals are divided into different levels, and different levels of hospitals will have different needs in effective information processing; Hospitals at the same level also have different management methods. Therefore, we fully consider the practicability and compatibility of the system, so that the system can meet the needs of different levels. At the same time, it also creates conditions for the continuous expansion and development of hospital information management system.
Third, the system design.
Systematically design the functions of hospital management information system;
According to the specific situation of the hospital, the network, information and intelligent management system of the whole hospital is established to achieve the following objectives:
1. Establish a network management system centered on the dean, so as to completely improve work efficiency and improve the medical environment.
2. Establish a financial charge management system-flexible and easy to master-economic management drives administrative management.
3. Hospital management information system
Fourth, the main subsystem functions
Part I: Outpatient service system
1. Outpatient registration subsystem function: it is responsible for establishing and maintaining patients' main index information, assigning patients' ID numbers, ensuring the uniqueness of patients' information, establishing medical cards for patients, registering or booking outpatient numbers, and providing information for outpatient follow-up activities and outpatient workload statistics.
2, outpatient pricing and charging subsystem 3 functions:
★ Outpatient pricing module: mainly completes the pricing of outpatient prescriptions, examination applications, treatment applications and other medical expenses, and determines the prescription (application) department/doctor and the prescription (application) department/doctor. This module can be set up separately or incorporated into the charging module, and drug pricing can also be incorporated into pharmacy management. The key is to ensure fast and accurate pricing according to the sources of various dictionaries, and form an online connection with the charging module to provide data basis for them.
★ Outpatient charge management module: it is mainly used to collect all kinds of medical expenses of outpatients, and can query patients' pricing information according to the pricing list (or in other ways), collect fees, print receipts and save operation records for future reference.
★ Main function modules of the system: 1, drug prescription pricing 2, examination application pricing 3, treatment application pricing 4, expense collection and payment 5, receipt processing 6, refund settlement 7, statistics/inquiry.
3, outpatient physician workstation subsystem function:
★ Outpatient doctor workstation is the key module of hospital medical information system and the main information source of patients' medical work. The main function is to fill in the basic indicators of medical records, record the illness and medical history, open and implement the doctor's orders and related auxiliary functions, and realize the digitalization of the doctor's medical record mailroom and doctor's orders.
★ Main functional modules of the system: 1. Medical record processing II. Doctor's advice. Auxiliary diagnosis system 4. Drug information/attribute query 5. Examination item inquiry 6. Treatment project inquiry 7. Workload statistics. Department affairs management.
4, outpatient pharmacy management subsystem function:
★ Outpatient pharmacy management is an integral part of hospital drug management system, which mainly completes the management of outpatient drug sales in hospital drug purchase, sale and storage management.
★ Main functional modules of the system: 1. Drug collection ii. Drug return 3. Delivery of medicine at window 4. Return the medicine at window 5. Emergency drug collection. Prescription maintenance 7. The pharmacy's drug inventory. Drug loss report. Statistics/inquiry.
5, outpatient medical workstation subsystem function:
★ Mainly complete the appointment and execution of outpatient laboratory sheets, and distribute laboratory sheets and test result reports. Pricing of some non-standard inspection items, etc. I queue up to register the examination application, provide doctors with tools to write reports, archive the reports as part of patient information, and provide information on the fees charged.
★ Main functional modules of the system: 1. Application form processing. Report processing. Auxiliary reporting system. Material use management. Equipment use management. Workload statistics.
Part II: Hospitalization system.
1, inpatient ward management subsystem function:
★ This system refers to the completion of the patient's admission registration, the record of the patient's basic information, the process control and management of the patient during hospitalization, and the provision of the patient's basic information for modules such as cost management, ward nursing station and doctor workstation.
★ Main functional modules of the system: 1. Registration of hospitalized patients II. The allocation of hospital beds in the department and the setting/modification of hospital bed related expenses. Patient change specialty/bed transfer 4. The patient left the hospital for treatment. Statistical query.
2, hospitalization expenses management subsystem function:
★ Complete the recording and supervision of hospitalization expenses, advance payment, patient advance payment reminder, patient discharge expenses settlement and receipt processing. In order to avoid missing fees to the greatest extent, this system realizes the decentralized pricing mode of the place where the fees occur, and the pricing mode combining automatic and manual.
★ Main functional modules of the system: 1. Prepayment treatment II. Fixed fee processing. Prescription (examination and treatment list) expense handling 4. Patient expense settlement. Patient fund account management. Receipt processing 7. Daily/monthly statement and related report processing.
3, resident workstation subsystem function:
★ The main function is to fill in the basic indicators of medical records, record the illness and medical history, open and implement the doctor's orders and related auxiliary functions, and realize the digitalization of the doctor's medical record mailroom and doctor's orders.
★ Main functional modules of the system: 1. Medical record processing II. Doctor's advice. Auxiliary diagnosis system 4. Drug information/attribute query 5. Examination item inquiry 6. Treatment project inquiry 7. Workload statistics. Department affairs management.
4, in-patient nurse workstation subsystem function:
★ Nurse workstation is an important subsystem of clinical service. It is aimed at the daily work of nurses, including the main functions of ward access and doctor's advice processing, and is an important front end to realize the charging of inpatients.
5, inpatient pharmacy management subsystem function:
★ When the ward management system (nursing workstation and doctor workstation) is established, it should be able to obtain the information of medication orders associated with it, and complete the work of drug pricing increase or decrease, drug placement and drug distribution. When it is connected with the inpatient charging office, it should be able to automatically transfer the fee information to the inpatient charging office to complete the charging work.
★ Main functional modules of the system: 1. Drug storage management. The drug storage area in ward three. Deliver medicine at window 4. Return the medicine at window 5. Emergency drug collection. The pharmacy's drug inventory. Statistics/inquiry.
6, inpatient medical workstation subsystem function:
★ It mainly completes the appointment and execution of the application form for laboratory test of inpatients, and issues the report form of laboratory test results. Pricing of some non-standard inspection items, etc.
★ Register and queue the examination application, provide the tools for doctors to write reports, archive the reports as part of the patient information, and provide information on the fees charged.
★ Main functional modules of the system: 1. Application form processing. Report processing. Auxiliary reporting system. Material use management. Equipment use management. Workload statistics.
7, operating room management subsystem function:
★ According to the doctor's operation appointment list, arrange the instruments and equipment needed for the operation, ensure the execution of the operation, issue a report on the execution result, register the postoperative medication, anesthesia and deduct various expenses. So as to improve the reaction speed and medical level of surgery.
★ The main function module of the system is 1. Operation arrangement 2. Operation record 3. Anesthesia management. Management of drugs and articles. Statistical query.
Part III: Warehouse system.
1, pharmacy management subsystem function:
★ The drug storehouse management system adopts a brand-new management mode: parallel management of logistics and capital flow, and realizes drug purchase analysis, payable management, automatic early warning of drug expiration, cost accounting analysis, etc. Completely solve the problem of drug loss. Effectively prevent drug loss!
★ Main functional modules of the system: 1. Procurement plan 2. Supplier management. Deal with management. Drug storage. Drug delivery. Inventory management. Price adjustment. Drug loss report. Drug inquiry 10. Print the report.
2, commodity management subsystem function:
★ Manage all kinds of hospital materials in a unified way to prevent material loss.
★ Main functional modules of the system: 1. Material procurement plan II. Inventory management. System maintenance.
3. Functions of instrument library management subsystem:
★ Manage all kinds of hospital equipment in a unified way to prevent equipment from being lost or damaged.
★ Main functional modules of the system: 1. Procurement plan 2. Inventory management. System maintenance.
Part IV: Other systems
Functions of medical record statistics management subsystem:
★ The medical record management system is a collection of patients' medical history data, which truly and accurately reflects the comprehensive information of each patient's condition diagnosis, treatment, nursing and laboratory tests, and is the true embodiment of the medical level and medical effect of hospitals and medical staff. The system provides reliable information for the hospital to realize modern management, improve medical quality and teaching and scientific research.
★ Main function module of inpatient medical record management system: 1. Medical record editing II. Query statistics 3. Report printing 4. Medical record inquiry.
★ Main function module of outpatient medical record management system: 1. Index editing II. Outpatient inquiry 3. Medical record inquiry.
Personnel salary management system functions:
★ Manage hospital staff.
★ Main functional modules 1. Index classification 2. Department information 3. Pay attendance 4. Query statistics 5. Personnel report.
Functions of financial management subsystem:
★ Provide support for all kinds of financial work in the hospital.
★ The financial management system consists of the following modules: 1. Voucher management II. Financial treatment. Department accounting. Salary accounting 5. Financial analysis. Data maintenance.
Report processing subsystem functions:
★ Automatically generate daily, monthly and annual reports: the categories and items in the table can be set at will according to the different needs of the hospital.
★ Contains more than 20 commonly used reports. Other arbitrary reports can be generated according to users' needs.
Dean query subsystem function:
★ The dean inquiry system is designed to meet the daily needs of the dean and senior hospital leaders. Through this system, the dean can query the dynamic information of medical treatment, finance, personnel and logistics at any time and in all directions, and provide decision support information for the next leadership work.
★ System function module: 1. Basic information query II. Financial information inquiry. Hospital comprehensive inquiry.
Functions of patient inquiry subsystem:
★ Patients can check their own cases, expenses, test results and doctor's advice at any time through the workstation set up by the hospital, so that patients can know their own situation at any time.
Advantages of hospital intelligent system
1. The system can be flexibly configured and expanded. In order to solve the problems of universality and compatibility, the system adopts the following design: a custom dictionary is set in the system to meet the needs of hospitals in different regions. The system has flexible information collection points.
2. The system ensures the security and reliability of information. Hospital information management system has a unified management method for information security in the system. There are two levels of security management measures: database and application. Users of information systems can establish their own database accounts and access database contents through the authorization of database administrators. Application-level management can control the applications that everyone can access. Specific applications can only be used by specific people. The confidentiality and security of users' own accounts are managed by themselves, and other personnel cannot obtain passwords set by others in any way.
3. Hospital information management system pays attention to practicality from the outside to the inside. Hospital information management system adopts consistent graphical operation interface, with easy-to-learn and easy-to-use input methods and detailed help information. It contains all kinds of practical data related to medical treatment, such as diseases, operations, examinations, diagnosis and treatment, equipment and materials, as well as authoritative, regular and complete dictionaries such as demographic information and financial information, and provides a set of user management, work information and data information.
4. The hospital information management system scientifically collects information to realize electronic medical records, so that the recording speed of medical documents is 3-5 times higher than that of manual writing, and the quality of medical records is obviously improved; The transmission and feedback speed of medical treatment, inspection, examination, surgical anesthesia and other information has been improved by thousands of times, and errors have been significantly reduced; Reflect the patient's expenses in real time and accurately, and block the mistakes and omissions in time. Electronic medical record will surely become the goal of hospital modernization.
5. The framework of hospital information management system, which protects users' interests and supports long-term development, not only meets the current needs, but also provides convenience for long-term development, and can directly establish electronic medical records that meet national standards. It is integrated with PACS and can be directly used in distance education and telemedicine. Hospital information management system can be used as a query and statistics system for leading organs, so that provincial and municipal departments can know the medical situation of their hospitals at any time and support high-level decision-making.
6, the whole process of economic management, strengthening cost accounting economy is the lifeblood of the hospital, patient-centered, collecting information from the original point of information, while meeting the medical needs, but also accurately and timely extract the patient's expenses, convenient for patients to pay medical expenses, to achieve anti-disclosure. Separate revenue and expenditure, truly realize cost accounting, and improve the economic benefits of hospitals.
7, strict material management, reduce operating costs, thousands of drugs, hundreds of sanitary materials and hundreds of instruments in quantity, quality and amount in and out of the warehouse. Adopting advanced management mode, modern management means and closed tracking management in the whole process can effectively reduce inventory, speed up turnover and reduce the overall operating cost of the hospital, with remarkable social and economic benefits.
8. Provide comprehensive information, support the dean's decision with modern management means, and provide timely and accurate comprehensive information feedback to provide scientific basis for hospital leaders' decision-making. The scientific model of hospital information system provides a reliable guarantee for hospital management. If you can't leave home, the hospital knows everything; Analysis and comparison show that the management decision is well-founded.
9. The hospital information management system has strong expansibility and high degree of informatization. The hospital system is not an isolated environment. The hospital information management system provides all-round on-line inspection equipment interface, remote consultation support, bank cards and medical insurance cards circulating in the hospital, and highly sharing information with the outside world, which makes the modern management of the hospital step into the developing information highway.