At that time, 466 hospital's information construction was generally not bad, although there was no network, but there were more than 20 computers, and some small systems, such as charging, reporting system. However, in the military system, 466 after all, only belongs to the central hospital (above the large military hospitals, the PLA General Hospital), in comparison, 466 hospital information technology construction started late because, firstly, there is no technical personnel in this area, and secondly, the hospital is to build a new outpatient clinic building, the equipment update, network wiring and other basic work is not good. Huang Weicheng thought at the time, this is nothing, the hospital leadership is so concerned about support, this situation will soon change.
An incident that happened after that made Huang Weicheng laugh and cry. One day, Huang Weicheng called a colleague to help find a document, colleagues asked where, he said on the computer desktop. Colleagues looking for half a day did not find, it gave Huang Weicheng call back, said the desktop is not, open the drawer also did not find.
"With this incident, I am y aware of the need to strengthen training. I feel that the implementation of the 'Military Word One' project, the workload is relatively large is the people and the system of integration as well as the training of personnel. Some nurses had never touched a computer in the past, so we started with the left and right keys and taught them how to double-click the mouse. It's a process, and that's what happened in many hospitals before the implementation of the 'Military One' project." The "Military Word One" project is by far the largest management software system in the military, focusing on the ingenuity of many outstanding engineering and technical personnel from all military branches. In the "military word one" project before there have been many systems of stand-alone version of the application, Huang Weicheng was involved in the development of medical equipment management system is one of them. 1992, the General Logistics Department of Health in Shanghai held a military medical equipment application review meeting, asked the major military regions to do their own medical equipment management software to the meeting for review, but also for the whole military equipment management software. The review of the meeting, but also for the army's future development of a common system to do some talent, technical preparations.
The medical equipment management system that Huang Weicheng participated in the review was highly evaluated by the experts at the meeting. This system was done in 1987 in the Nanjing Military Region, when the whole army reported medical equipment are in the form of statements - a large amount of equipment, reported the table has no spectrum; statements are filled in manually, how to fill in how it is, summarize the workload is quite huge; the whole army equipment figures are finally to be estimated, the accuracy of which can be imagined. So the General Logistics Department decided to draw people from all military branches to make a medical equipment management system. This system is very large, from hospital warehouses, medicines to all kinds of equipment, everything, technologically advanced, but because of the integrated, generalized is too strong, warehouses can also be used, the troops can also be used, hospitals can also be used, the authorities can also be used, from the system in, all the way into the business area is more troublesome, so the application of the application is limited. "It's true that a generalized system is not quite right for a particular specialty. But doing that got an Army standard for medical equipment, which played a big role in later development."
After the 1992 review meeting, seeing that the time was more ripe, the General Logistics Department of Health asked to redo the medical equipment management system again. At that time, the leader in charge of Huang Weicheng said, "I'm not looking for anyone else, just you, no matter to whom you have to do, you have to participate. Huang Weicheng thought, since the leadership so trust, then do it.
Doing this thing, everyone's pressure is great, many people have warned in this matter to be cautious - because the difficulty is too high, people's expectations are too high. But since we did it, the pressure is also to withstand, it is imperative to hurry up to do. 1993 early, the project team began to organize this thing, the original plan for the whole army in 1994 on the new system, and then look at the progress of the good, and then the time ahead of schedule. In any case, the system was successfully used throughout the army, and at the time there was an evaluation that for the first time, the level of medical equipment in the army was relatively accurately reflected.
The system was used for six years, and from 1999 it was linked to the "Military Word No. 1" and, like other stand-alone systems (e.g., pharmaceuticals, medical care, etc.), was hooked up to the "Military Word No. 1" project as a sub-system by the PLA General Hospital (hereinafter referred to as 301), the former director of the computer room, the Army Computer Application Specialist Committee experts, "Military One" project team leader, now retired senior Ren Lianzhong direct leadership. The name of "Military Word No. 1" was not proposed by the army. 1995, the former State Ministry of Electronics Industry set up a "Golden Word Project Office", which started as "Golden Card, Golden Tax, Golden Pass". In 1995, the former Ministry of Electronics Industry set up a "Golden Project Office", which started with the "Golden Card, Golden Tax, and Golden Customs" projects, and later developed a "Golden Guard" mainly for hospital system applications. At that time, the military system also wanted to start a similar thing, involved in the decision-making of the Ministry of Electronics Industry officials, one of the director suggested that, can not be linked to a national project? The country has a project called "Golden Health Project", is after the Vice Premier's nod, how about this is called "Golden Health Project" military word No. 1, No. 2, No. 3 - No. 1 is a hospital Information Management System, No. 2 is a telemedicine system, No. 3 for the authorities, equivalent to the office automation system of the military health authorities. This idea was put forward, we all think it is good, we will hasten to draw up a document, reported to the "Golden Project Office", soon approved, the General Logistics Department of Health, the State Ministry of Health also recognized this matter. Although this matter in the "Golden Word Project Office" has a number, but the design, implementation, funding by the army to solve their own problems. 1996, the "military word one" project was formally established.
The "military word one" project is mainly centered on patient information, according to the health economy, medical supplies, clinical three lines. The health economy includes outpatient charges, inpatient charges, and cost accounting, and the medical materials include drugs, medical instruments, medical equipment, and consumables. The financial and personnel management systems were not done because the military already had a common system for each, and the project team's idea was to connect these systems in the future and promote this huge system to all hospitals in the whole military. In fact, some sub-systems are more mature in stand-alone applications, such as the medical equipment management system. The "military word one" project to upgrade the original system, and the hospital's other systems integrated into a piece - integration will bring a lot of stand-alone version is difficult to achieve the new benefits, such as hospitals to calculate the cost of medical care, how much money this year's income, the cost of how much, in fact, is the calculation of the benefits. In fact, it is counting the benefits. Inside the costing, there is the input of medical instruments, according to the depreciation rate, how much the instruments come in, how long the life cycle of the budget, then how much is the depreciation rate for a year, how much for a month, one by one, and finally summarized and reported to the costing department. Now there is no need for such complexity, the system has everything, give a command, all calculated at once. There are other benefits, for example, a department of the hospital wants to apply for a ventilator, reported to the dean for approval, the dean will enter a comprehensive query system to see how many ventilators in the hospital a ****, where they are distributed, the department's request is reasonable and unreasonable, reasonable on the approval, unreasonable on the disapproval. Approval of the instrument to be based on the past is very cumbersome, now integrated into a piece, the value and role is reflected.
"Military word one" project from the project to the successful application of four years, this system in the hospital is also called the auxiliary management system, many people recognize because it is true that the hospital administration, economic, medical and other aspects of management play an irreplaceable role in supporting. For example, many hospitals have the habit of holding regular meetings, mainly to discuss some business issues. In the past, it was prepared by various departments or secretaries to prepare materials, now changed by the director of the information section to prepare, or directly from the Internet to find information. From the leadership point of view, talking about material, no need for others to collect, and is no longer a big and empty things, are relying on data to speak, very persuasive. Leaders also have a feeling that the original what things are reported level by level, the middle will go through a lot of filtration, deformation, giving instructions is also the case, now feel the distance from the grassroots to shorten the distance to him, the following situation, such as outpatient, in and out of the revenue, consumption, etc. at a glance on the Internet, do not have to look at the statement, convenient. The company's website has been updated with the latest information about the company's products and services, as well as the latest information about the company's products and services, and the company's website.
It is for this reason that many people are asking for the continuation of the development of the "military word one", specifically the medical imaging system (PACS), which is to digitize all the medical images - to put all the films on the server, for the doctor, it is your patient, you can look at it. For doctors, you can watch them if they are your patients, and you can watch them if they are not your patients and you want to study them, and we can discuss them together. The other is an electronic medical record system - the doctor writes a lab order for the patient, takes a blood sample and sends it to the lab department, and then sends it to the doctor, and this process can be done online. The patient's medical record and all the medical documents in the hospital are digitized to bring more than just the convenience of storage and use - for example, a patient today in Beijing to see a doctor, tomorrow in Guangzhou, but also want to see a doctor. The current situation is that the hospital in Guangzhou needs to re-examine him, and doctors with poorer medical skills will not be able to reach a clear conclusion within a period of time. If the electronic medical record system is applied, the hospital in Guangzhou can continue the examination and treatment of the patient in Beijing. For the "military word one" of the specific development process, the project team does not seem to have any particularly deep feelings, but other aspects of the feelings are quite a lot - a lot of domestic management information systems, the real application of the proportion of successful systems is extremely low. The first important reason is that the leadership is really important; secondly, the project has not been fully demonstrated, really grasp the demand; thirdly, the software in the development process of quality there is no strict control; fourthly, the new software system will certainly have a lot of problems, there is no insist on the maintenance and supplementation to improve the strength of the four aspects of any one of the problems, the system's application of the quality and level of the system should be greatly compromised. Any one of the four aspects of the problem, the quality and level of the system application will be greatly reduced. In the four steps, the fourth step is the least easy to implement, because the work behind even more complex than the development, hard work, do not have a name, not easy to hold on to, but, this step is not good enough to have a good result.
Because these links are often ignored, so the project team thinks that although there are many domestic software companies, there are very few software products. Some of them had pondered the CMM software maturity model, and felt that if divided according to this model, more than 90% of the domestic software can only belong to the first level, only individual will reach the second level, to enter into the third and fourth level will be unusually laborious. "However, to develop into a software power, a strong country, we all have to enter the third and fourth level, so we have to strengthen the management of software development and application, and we were thinking when we were doing the 'Military Word One' to strengthen the management with reference to this model."
"Military word one" after the completion of the first is facing the problem of promotion, for some time, some hospitals have been in a wait-and-see state. early November 1999, "military word one" project in the name of the Computer Specialty Board held a In early November 1999, the "Military Word No. 1" project held an on-site seminar in the name of the Computer Specialty Committee, which was in fact a presentation of the experiences and experiences of several successful hospitals, as well as a report by the Minister of the General Logistics Department. The authorities of the major units came, the report after the end of the group discussion, many people said, there is nothing to say, go back and hurry to get it.
Later, it is said that there is a hospital on the "military word one", from which the president tasted the "sweetness". Once, he went elsewhere to make a report, the middle of a joke: hospitals on the system, nurses to play the computer very skillful, the quality of the overall improvement, looking for a good find. As the largest hospital in the military, 301 often become the base of the development of large systems. However, the "military word one" project was launched but there are several strong competitors, 301 to get the project or use some brains. It's a long story.
Counting, "military word one" system in 301 should be the third generation. The first generation was made on a small machine, launched in 1985, in cooperation with Renmin University. Since the developers didn't know much about the details of the hospital's business, the final system didn't work. Later, 301 managed to select some top talents who knew both technology and hospital business process, and they were responsible for the design and development. After a long time of supplementation, integration, and slowly also used, but one step deeper, it can not go on, because the processing power of the small machine is not enough. This small machine model is HP3000, not small, but limited capacity, in fact, the United States in the late 1970s. At that time, the desire for advanced machines can not be, because of the "Ba Tong" policy to control the export of high-tech products to China. Machine to be upgraded, a build budget is two to three million dollars, the hospital could not come up with that much money. Later, 301 computer room technicians thought of a way: at that time, 286 PC has come out, although the PC can not do big things, but do simple business processing is no problem, provided that the network. So they chose PC servers in the background, the key data on the host in the centralized management, the PC and the host server connected to the front of the many business processing, which can greatly diversify the load on the server. This decentralized approach is even the second generation of the 301 system, spend little money, but the application is more widespread. At that time, a vice president said to Ren Lianzhong, director of the computer lab, "You are taking advantage of both central and local initiatives."
In 1995, some hospitals came to 301 hospitals to see after the system or its platform, the hospital did not have a specialized marketing agency, the military system in many areas and restrictions, so the relationship is good to give it a set of barely send someone to go to a three to five days, of course, can not talk about professional services. Ren Lianzhong remembers the State Information Center to 301 also want a set, they look at the platform to do well, said Ren Lianzhong: "knowledge of this thing we can not want for nothing, we have to pay, but you do not want to be high, our funding is also very limited." Ren Lianzhong was worried at that time, how much money to ask for? This is a problem. Later, a director of the Information Center called Ren Lianzhong and said, "How much do you want, you open a mouth, I listen to the line." Ren Lianzhong thought for half a day before saying, "Let's do it this way, 10,000 ~ 15,000 yuan this range, do you think it's okay?" "That's good, I'll give you a check for $10,000 plus $3,000 in cash." As soon as he heard the other party was very excited, Ren Lianzhong knew it was going to be less, but having the cash was a comfort, at least it could give some encouragement in the computer room.
Prior to the "Military Word One" project, several single-computer systems used throughout the military could not be applied to solve the internal management problems of hospitals, especially for large hospitals. Single machine is not enough, these hospitals to the General Logistics Department of Health to write a report, meaning to give some money, to the network system. At that time, the Ministry of Health's managers thought, take two to three million dollars is not a problem, but this one to give some, that one to give some, two years later can see what results? It would be better to concentrate human, material and financial resources to use, make a set of standard software, do a good job after the first few prototypes, prototype line, and then to the whole army to promote the 301 was soon informed of this information, they very much hope that the development of bases and prototypes can be placed in the 301 - it is said that the technical strength of the big hospitals in Nanjing, Shanghai, also competing for this "base! The company is also competing for this "base and prototype".
Ren Lianzhong thought of an idea, he mobilized the power of the computer room to engage in a seminar, specially invited the General Logistics Department of Health to participate in the leadership, the purpose is to let the head of the seminar to listen to them to hear how things. Everything is ready, Ren Lianzhong called the head: "We have a seminar tonight, I hope you can attend." The chief said, "Seminar ah? If it's a seminar I can't go, it's more troublesome, I still have to report with the higher authorities." Ren Lianzhong heard bad, rushed to say, not a seminar, is a salon. The chief said, "Salon line, this doesn't need to be reported. Then I'll go." In the evening, the head came, and we ate a boxed lunch together after a piece of listening, listening to another half an hour, basically put all their ideas out. The head of the speech was recorded, organized and then handed over to the dean. Later, once the dean ran into the chief in the elevator and said, "Your speech in our computer room is very good ah!" Soon afterward, 301 was given the task of developing the "Military One" project. Said "public relations" is a joke, in fact, in charge of the leadership in addition to see the 301 hospital computer room power in the military and even the country are quite strong, the key also lies in the 301 in the hospital information management ideas, which is the real "impressed" the head of the reason! This is the reason why the head of the real "impressed". The "military word one" project was successfully completed, a very important reason is to participate in the development of people are engineers and technicians, but most of the long-term work in the hospital, for the hospital's business processes are quite familiar with. "You'd be damned if you'd be doing this as a pure engineering technician."
There were software companies that tried to do something similar at the time and didn't make it in the end, the root cause being that they wouldn't take the time to go deeper into the business or didn't go deeper into the real business even when they did take the time. Hospitals and businesses are not the same, many of the management model between the enterprise is similar, the hospital's business processes are very different, the rules and regulations are quite strict, for example, nurses often hang on the verbal sentence: three check seven right. Doctors give orders, what medication to use, until the delivery of the patient to take, this process needs to be "triple-checked", because sometimes the doctor may also be negligent. When designing software, these rules need to be incorporated. Therefore, the "military word one" project team members must first go to the nurse class to follow the labor for two weeks, the design of the "nurses station" to hold a thick pile of medical advice repeatedly to figure out the need for repeated speculation and the dictionary as thick as the rules of medical and nursing operations. The project team believes that technicians who have been working in hospitals for a long time can produce something closer to reality.
In the past, hospitals basically operated manually, but now with the use of computerized systems, the means have changed, but the rules can't be easily changed, but there is still some flexibility in the specific methods. For example, charges, manual processing, the doctor issued a prescription, the nurse "three check seven right" to the pharmacy to grab the medicine, a set of drugs to be counted, and then also need to check: money, medicine out; no money, the medicine can not get out. Some hospitals insist on doing this, but with the computerized process, this does not make sense: in order to get stuck not to pay the bill and designed this threshold, but if the rescue of the patient's urgent need for medicines, the person who set up the medicine or the medicine to hold back. Human life is at stake, this is too inhumane. "We also have let the hospital does not owe fees or less means, such as in the doctor's orders can check the patient's cost, if the cost is enough, need to do a big checkup, can be opened on the open, if the cost is not enough, with the X-ray to be able to check with the nuclear magnetic is better, in this case, the nuclear magnetic is not open. There is also a pre-payment alarm system, the patient's money spent to 80% or 90%, the system will automatically alarm, to remind the patient to prepare the cost. These are the business characteristics of hospitals, and grasping these business characteristics is sometimes more important than technology." The huge change in the concept of talent is a by-product of the "military word one" project. After the successful development and better application of the "military word one" project, leaders at all levels of the military are very important, very determined, 466 Hospital is no exception, the hospital leadership said to "overcome all the difficulties to catch up". Since then, 466 Hospital started to do a lot of preparations in terms of talent and technology, and Huang Weicheng came to 466 Hospital in this context. It is said that 466 hospital to Huang Weicheng from 464 hospital "digging" over a lot of trouble.
The development of hospitals requires the combination of science, engineering and medicine, and in the past, the proportion of "labor" in hospitals was very small and the status was very low. In the past two years, the situation has changed significantly, the proportion of "work" is getting bigger and bigger, and many hospitals have an unprecedented demand for information technology personnel. Originally, the hospital's "sign" mainly rely on famous doctors and experts, and now there is a new "sign" - to see if the hospital has high-quality information technology personnel. Ren Lianzhong is now often walking in some hospitals, the dean met him and said: "Lao Ren, computer professionals, you help us to increase the activities of a few activities." Ren Lianzhong believes that this is actually a change in perception, in the past, said into the information technology personnel, the hospital pushed that there is no establishment, in fact, the military hospitals should not be because of the establishment and can not enter the people. Subtract a few other departments of the idle staff of the hospital does not affect, but increased a few computer talent, the hospital's information technology level has increased. Now, almost all military hospitals can recognize this problem.
Computer, network application of the general environment is good, there are many difficulties, the system application does not go mainly due to the traditional forces of obstruction. Some hospitals are always holding a set of artificial not put, have to let the computer to adapt to manual operation - most people involved in the development of the "military word one" project believe that there are many unreasonable places, with the computer, the network can be changed, this is also an opportunity for change. This is also an opportunity for change.
Military word one, the full name is called "National Golden Guard Project military word one", is led by the PLA General Logistics Department of Health, in 1997 began to organize the whole army more than 60 experts, in the original "advanced version" on the basis of the redesign planning, over a period of three years, in 2000, the official development of the "military word one" project. It took three years and was officially issued for use by the whole army in 2000. In fact, in 1999, it began to be used on a small scale, and Dainty Company became the enterprise that promoted the use of "Military Word No. 1" in the local area, and it was called "Military Benefit" when it was used in the local area. Later, for some reasons, another company called Zhanhua also promoted the "Military No. 1" product, forming a competitive relationship with Dayin. Later, another company called "Junhui'an" was also promoting the "Military No. 1" product, and the local versions of the "Military No. 1" product began to be confused.
In 2002, Tianjian and the Ministry of Health of the General Logistics Department signed an agreement to exclusively represent the 3.0 version of the "Military Word No. 1" product comprehensively upgraded, the local version was renamed "Tianjian Military HIS", the 3.0 version of which was promoted only by Tianjian. The company is the only agent to promote the 3.0 version of Tianjian.
In addition to the above companies, there are other companies in the market to promote the implementation of the "military word No. 1" product, which is mostly from the authorization of the above companies, directly from the total after the authorization of the 3.0 version of the company only Tianjian, the version of the following, I'm not clear.