Digital health care system to the patient as the center, to the electronic medical records as the main line, changing the hospital's business processes, the patient's mode of care has changed, the hospital's management will need to be changed, the traditional mode of care, medical records and payment methods, replaced by electronic medical records, electronic payment and efficient diagnosis and treatment process, so that the hospital's management to a new level, but in the process of this transformation, will also be encounter resistance and many new problems, the need to formulate new management rules, and constantly improve the management of hospitals to adapt to new challenges and development.
1. Changes in the patient consultation process: software developers and the hospital side should be based on the actual situation of the hospital, in line with the principle of short, fast and convenient and reasonable process, and humbly listen to the patient's views, the design of the appropriate patient consultation process, as well as the location of the department arrangement, etc., and at the same time, to increase the number of hospital staff and the hospital's guide signs, with the implementation of digital hospital management system, through the medical staff to make some introductions and explanations to patients. At the same time, increase the number of hospital medical guides and hospital medical guide signs, with the implementation of digital hospital management system, through the medical guide to do some introduction and explanation work to patients, so that patients quickly adapt to the new hospital procedures. For example, the original registration window and the charging window into one, registration and charging from separate processing to synchronization, or registration by the doctor's workstation automatically completed or patient self-service completed, etc., our digital health care system in the doctor to the server at the same time to submit medical prescriptions can be automatically completed prepaid patients automatically pay and deductions, reducing the patient's payment process.
2. Diversity of patient payment methods: Also in line with the principle of short process, speed and convenience, hospitals can provide a variety of payment methods for patients to choose from, including prepaid, IC stored-value card, billing, combined with the public medical card, so that the system's operating efficiency to reach the highest. One of the prepaid, IC stored-value card in the hospital to promote the application of internal, there is a very great need, but the patient's traditional payment methods have formed a mindset, the promotion of the application of prepaid and IC stored-value card, there is a certain degree of difficulty, the need to do a good job of explaining the work, but also from within the hospital and outside the prevention of financial fraud occurs, to avoid unnecessary economic losses.
3. The application of electronic medical records and the patient's right to know: digital hospital management system in the full application of electronic medical records, the real realization of the hospital's paperless medical care, without the traditional medical records and prescription lists, the patient's right to know the problem has been highlighted, so the software developers and the hospital side should be based on the actual situation of the hospital, to provide some self-help for patients to learn about the medical records, prescriptions and examination results report platform, at the same time, but also from the hospital internal and external to prevent financial fraud. At the same time, it is necessary to do a good job of hospitals on both sides of the confidentiality of medical information, to take the necessary management and technical measures to really protect the privacy of patients.
4. Medical-centered: digital hospital management system highlights the clinical medical center, in the management of patient-centered, which will increase the scope of responsibility of clinicians and relative workload, we can through the doctor's workstation software features will understand the problem, therefore, will attract some clinicians' opposition and dissatisfaction, affecting the implementation of the digital hospital management system Therefore, hospital managers should do a good job in the ideological work of medical staff, at the same time, in the management of the workflow of doctors as much as possible to simplify the workflow of doctors, in the software system to take the necessary technical means to reduce the workload of doctors, to win the support of medical staff. Of course, a good system, after the medical staff to master the operation method, its work efficiency is very obvious.
5. Identity confirmation: digital hospital management system in the full application of electronic medical records, the real realization of the hospital's paperless medical care, there is no traditional medical records, in registration, payment, medicine, medical records printing and inspection, the patient's identity confirmation and its way to the problem, it must be resolved to the principle of convenience and reliability in the community has not yet been implemented before the implementation of uniform standards, we can be For choice: 1) IC card + password; 2) ID number + password; 3) social security card + password; 4) case number + password; 5) fingerprint identification + password; 6) digital photo + case number + password and other physiological identification, in the end, that method is better, should be based on the hospital's financial resources to decide, in which, regardless of the use of that way, the system should be based on the patient's basic information on the identity card number. We have found, however, in the actual implementation process, that many patients are unable to provide accurate ID card numbers and other basic information, or even provide false personal information of patients, which will lead to endless troubles in case of medical disputes. Therefore, we should recognize the importance of the problem of identity confirmation, and effectively do a good job of identifying patients from both technical and managerial aspects.
5. Hospital standardized scientific management: modern hospital management without the digital hospital system, it is difficult to reflect its efficiency: many hospitals in the development of hospital information technology in the process of the use of HIS system, are more HIS system is not satisfactory, the reason for most of them is due to the lack of understanding of the hospital management of hospital information technology, hoping to buy a medical instrument like that, without changing the management of the hospital, and the hospital's management. The implementation of digital hospital systems, the need for hospital management to make greater changes and adjustments to make it more reasonable and standardized, in the information technology has permeated all aspects of society, affecting everyone's food, clothing, housing and transportation today, if the lack of digital hospital systems and the support of modern information technology, and then the good hospital management Can not play its due efficiency. Therefore, the implementation of the digital hospital system is inseparable from the hospital standardized scientific management, hospital managers should understand is not to let the digital hospital system to cater to your management, but should reform your management to adapt to the development needs of the digital hospital, otherwise, the digital hospital system for you is a burden and a liability.
6. High-level application of digital hospital management system: the quality of hospital managers and medical staff put forward higher requirements: digital hospital system more comprehensive support for the hospital's window business and medical services, and greatly enhanced for the hospital's business data processing, finishing, analysis and eventual support for the hospital's decision-making function, the greatest use of the performance of the senior management in the Decision-making support, hospital senior management should continue to improve their own quality, learn to use the hospital's existing information for management and decision-making, to avoid blind decision-making and management; at the same time, due to the implementation of the doctor's medical behavior and the medical process are all included in the digital hospital system, for standardizing medical behavior, improve the level of medical technology and quality of doctors has an important role, but also the quality of medical personnel to put forward a higher demand, including computerized data, and the quality of medical staff. At the same time, as the medical behavior and medical process of doctors are all integrated into the digital hospital system, it has an important role in standardizing medical behavior and improving the level and quality of medical technology of doctors, and it also puts forward a higher requirement on the quality of medical staff, including the training of the operation technology of computers.
7. Standardized management: digital hospital system must use standardized management, in medical care, fees, prescription medication, disease diagnosis and many other aspects of hospital management, in addition to the implementation of national policies and regulations must be implemented in some areas of industry standards must be implemented in accordance with the lack of standards to rely on, hospital administrators must also formulate a unified standard within the hospital, hospitals, hospitals, various departments must be based on the hospital's unified standards for hospital management. Hospital management based on the hospital's unified standards, otherwise, the credibility of the data generated by the digital hospital system greatly reduced, the hospital's decision-making support will lose its role and significance.
8. System security and information security: the implementation of the digital hospital system, for the hospital's security management puts forward new requirements and challenges, hospital leaders must realize the importance of system security and information security, is no longer to increase a few security guards and to take some anti-theft measures of the problem, the hospital's economy, the safety of medical information and the normal operation of the system, the need for special security measures from the Reliability and stability of computer equipment, as well as software technology and strict management system in three aspects, to ensure that the hospital's various interests are not infringed upon and loss, which, but also can not be ignored in the hospital management information and medical information data disaster backup, must be responsible for special people and strict management.
9. Electronic medical records and other: today's national legal norms lag behind, is not conducive to the application and development of electronic medical records, but the digital hospital system can not be separated from the application of electronic medical records, how to effectively utilize the electronic medical records to promote the management of hospitals at the same time, but also to avoid the lagging behind national legal norms to bring about the negative impact of a practical solution to the role of the electronic medical records of evidence in the treatment of medical errors, the hospital Need to develop strict management specifications, including the adoption of the necessary technical measures, the author after more than eight years of exploration, that involves electronic medical records should pay attention to the following aspects of the appropriate:
9.1 electronic medical records should be generated in the daily medical process, is strictly prohibited to fabricate and add the content.
9.2 Limit unnatural modifications to the electronic medical record as well as the implementation of traced modifications.
9.3 While implementing electronic medical records, pay attention to the preservation of paper medical records, strengthen the role of proof, and, if necessary, audio and video recordings of conversations between doctors and patients as part of the electronic medical record.
9.4 Electronic medical records are regularly backed up to non-erasable media such as CD-R as well as disaster backup.
9.5 Limit the proliferation of electronic medical records to protect patient privacy.
9.6 Apply digital signatures to electronic medical records and strengthen technical protection means, including data encryption.
10. Investment and benefits: the hospital's management and digital hospital system bundled together, the hospital's management, business processes and subsequently run together, the hospital's management efficiency will be greatly improved, can reduce the number of hospital management personnel, streamline the unnecessary management departments, positions and personnel, while not increasing the premise of the medical staff, increase the workload of more than 50%, you can really do to the management to achieve the Benefits. At the same time, due to the establishment of the digital hospital system platform, through the development of telemedicine, remote outpatient, community medical services, network outpatient clinics, etc., to improve the overall competitiveness of the hospital. On the premise that many hospitals do not have large-scale radiology management system (RIS), medical image archiving and communication system (PACS) and test management system (LIS), how to apply and implement the digital hospital system, we have successfully solved the problem of lowering investment by adopting the electronic reporting mode, so that the digital hospital system can operate in various types of medical institutions with low investment and low cost, which is convenient for popularization and promotion. It is easy to popularize and promote.
11. Reform of hospital management organizations and streamlining of personnel positions: the implementation of the digital hospital management system will inevitably bring about the reform of hospital management organizations and streamlining of personnel positions. If we do not carry out the corresponding reform of hospital management organizations, merge the hospital management departments, streamline the personnel and positions, and redefine the scopes of responsibilities of the various management departments and the window departments in order to adapt to the needs of digital hospital management, we will not be able to truly improve the management of hospitals. Will not be able to really improve the efficiency of hospital management and management level, practice has proved that the application of digital hospital management system will prompt the hospital's business processes, organizational structure, the division of labor of the various departments of the business, the hospital's human resources structure, the mode of operation and even the evaluation method of the work of the many aspects of the changes that have occurred. Therefore, hospital leaders must have the determination to change the concept of effective management reform, in order to play the real effectiveness of digital hospital management system.
12. The success or failure of the digital hospital management system is the key to leadership: who needs digital hospital management system? First of all, the hospital's top decision-makers. The purpose of the digital hospital management system is first of all for the hospital management decision-making services, support for hospital operations. It is first and foremost a tool for top decision makers, built for directors and medical staff, not for computer experts. No digital initiative can succeed without the commitment and support of hospital leaders, the involvement of business executives, and the strong organization and coordination of the dean. The implementation of digital hospital management system involves all departments of the hospital, registration, charging, laboratory, pharmacy, physical examination (including medical imaging), outpatient departments, inpatient departments, nursing, pharmacy, equipment logistics, finance and other departments, which link can not keep up with the implementation of the entire system will affect. The implementation of the system will only be successful if the leaders are personally involved in organizing and coordinating the system, and if all departments work closely together. A hand of each department should also participate in the design and management of the relevant subsystems. The digital hospital management system is a weapon for hospitals to fight for survival and development, and is a necessary technical support environment for clinical care, hospital management, research and teaching, which must be highly valued by hospital directors and medical experts.
Abstract:
At present, with the emergence and gradual application of "patient-centered" digital hospital management system, while promoting the construction of hospital informatization to the digital hospital system, it also puts forward higher requirements for the scientific management of hospitals, which objectively promotes the management of hospitals from the traditional "rule of man" to "rule by man". The "rule of man", to the scientific "rule of law", but the digital hospital management system in the implementation of the system will encounter many problems, therefore, the author based on the "Huiyuan Hospital Management Information System", "digital hospital management system", "a number of issues in the implementation of the system". Implementation of a number of issues "with colleagues to discuss, in order to throw a brick to attract jade.
Digital health care system to the patient as the center, to the electronic medical records as the main line, changing the hospital's business processes, the patient's mode of care has changed, the hospital's management needs to be changed, the traditional mode of care, medical records and payment, replaced by electronic medical records, electronic payment and efficient diagnosis and treatment process, so that the hospital's management to a new level, but in the process of this transformation, but also encounter resistance and many new problems. However, in this transformation process, it also encounters resistance and many new problems, which require the formulation of new management rules and the continuous improvement of hospital management to adapt to the new challenges and development. The author expresses his views on the following aspects according to the problems encountered in the actual implementation of digital hospital management system: 1. Changes in the process of patient consultation; 2. Diversity of patient payment methods; 3. Application of electronic medical records and the patient's right to know; 4. Medical-centeredness; 5. Identity confirmation issues; 6. High-level application of digital hospital management system; 7. Standardized management; 8. System security and information security; 9. Electronic medical records and others; 10. Investment and benefits; 11. Hospital management reform and streamlining of staff positions; 12. The key to the success or failure of a digital hospital management system lies in the leadership;