The emergence of digital hospitals has brought about profound changes in traditional medical methods. In some countries in the United States, Europe or Asia, digital hospitals have entered a substantive stage; domestic digital hospitals are also being carried out, such as the promotion and application of the "Junzi No. 1" project. Some experts predict that the next 5 to 10 years will be a period of rapid development of digital hospitals. What is the difference between traditional hospitals and digital hospitals? What are the characteristics of a digital hospital? Which companies are focusing on digital hospital solutions? To this end, the arterial network combs the development history of domestic digital hospitals, and counts more than 50 enterprises that provide digital hospital solutions for hospitals, hoping to answer these doubts. Policy accelerates the progress of digital hospitals Digital hospitals can benefit all parties in the medical industry , so the country is also aggressively advancing its development process. On March 6, 2015, the General Office of the State Council issued the “National Health Care Service System Planning Outline (2015-2020)â€, which pointed out the rapid development of information technology in cloud computing, Internet of Things, mobile Internet, and big data. Under the background, it provides conditions for optimizing medical and health business processes and improving service efficiency, which will definitely promote the profound transformation of medical service mode and management mode. In January 2018, the National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine issued the Notice on Printing and Distributing the Action Plan for Further Improving Medical Services (2018-2020) to deploy medical service improvement work in the next three years. The combination of effective and effective measures and innovative medical service models will be carried out, and many highly anticipated requirements and goals will be put forward. Patient-centered, multi-disciplinary diagnosis and treatment models will be promoted, and smart hospitals will be built with the aid of “Internet +â€. It is a general trend to build a smart hospital with Chinese characteristics, and Chinese hospitals have entered a new stage of development of a new digital hospital. In recent years, with the continuous deepening of medical reform, information construction has undergone tremendous changes in the process of digital hospital construction. From information technology construction, the “helper†of hospital business has gradually changed to “leaderâ€. The hospital construction has changed from “construction†to “managementâ€, and the hospital has also changed from “extensive†management to “fine†management by means of informationization. From the perspective of the entire business structure of the hospital, informatization construction is to improve service efficiency, reduce medical errors, control medical costs, and improve medical experience; from an operational point of view, it is high efficiency, low cost, and error-free; from a service perspective Seeing is convenient for medical treatment, patient satisfaction, and elimination of medical disputes. From the management point of view, it is patient-centered patient relationship management, clinical management with electronic medical records as the core, resource management with the goal of hospital operation guarantee, fee management based on medical order execution, and organization management coordination. Five aspects of service management. The difference between traditional hospitals and digital hospitals In China, the term digital hospital first appeared in the 1990s, and in 2001 the concept of digital hospital was proposed. In foreign countries, digital hospitals generally have two meanings: one is the virtual network hospital, the cyber hospital, the silicon hospital, and the virtual hospital. Virtual hospital), etc.; another meaning is the digital and intelligent hospitals in China that are related to hospital informationization. According to the definition of digital hospitals by Baidu Encyclopedia, the digital hospital system is a three-in-one comprehensive information system composed of hospital business software, digital medical equipment and network platform. The digital hospital project helps the hospital realize resource integration, process optimization and reduce operation. Cost, improve service quality, work efficiency and management level. The narrowly digitized hospital refers to the use of information technology such as computers and digital communication networks to digitally collect, store, read, copy, process, retrieve and transmit voice, images, text, data, graphics and other information. That is, digital and medical equipment, hospital information systems (HIS), medical imaging and communication systems (PACS), and office automation systems (OA). Its characteristics: paperless, no film, wireless network. The generalized digital hospital is based on the development of computer network technology, using computer, communication, multimedia, network and other information technology, breaking through the time and space restrictions of traditional medical models, realizing the disease management, health care, diagnosis and treatment, nursing and other business management and administrative automation digital operation . Achieve comprehensive digitalization, namely online business processing system (OLTP), hospital information system (HIS), clinical information system (CIS), online analytical processing system (OLAP), Internet system (Intranet/Internet), telemedicine system (Tele medicine) ), intelligent building management system. Its characteristics: full network (multi-system comprehensive high-performance network), all-round (medical education and research), all-in-one (hospital, social, banking, community, family). Digital hospitals bring many benefits to patients, hospital administrators, and doctors So what are the beneficiaries of digital hospitals? What are the benefits of them? From the hospital participants, there are providers of medical services (hospitals), and demanders (patients). For patients, the benefits of digital hospitals are that the “three long and one short†problems are effectively solved, making the medical environment more comfortable and humanized; the consumption is more clear and more informed; the information is more comprehensive, the diagnosis and treatment is more accurate; And the approach is closer; At the doctor's end, the biggest change is the paperless, film-free, fast information transmission and timely diagnosis of the medical office; the complete electronic medical record helps the doctor to understand the medical history, conduct comparative analysis and auxiliary diagnosis; the application of various clinical diagnostic tools, Improve the diagnostic level; use the drug knowledge base to help doctors rationally use drugs, automatically identify incompatibility taboos; mobile office to close the distance between doctors and patients; effectively reduce medical errors and reduce medical accidents; For hospital administrators, digital hospitals break the time and space restrictions, and understand the hospital's medical and operational status in real time at any time and any place; refined management can effectively control costs, plug loopholes, and rationally allocate resources; functional departments and hospital leaders can conduct medical quality and Medical process monitoring; data warehousing and data mining technologies provide support for leadership decisions. It can be seen that digital hospitals have changed in terms of medical service model, medical workflow, hospital management model, telemedicine model, hospital operation mode, and medical research and research work mode. Of course, this change is a change in the good aspects that people expect. Seven maturity levels of digital hospital reviews So how do you judge a digital hospital? In the second half of 2011 (Hospital Management Institute of the Ministry of Health) issued a policy mentioning the seven maturity of the evaluation of digital hospitals: Not only that, but the corresponding review rules have been issued throughout the country. For example, Sichuan Province and Henan Province. In Henan Province, the Henan Provincial Health and Family Planning Commission conducted a survey on the degree of hospital informationization construction conducted by the hospitals at the second and above levels in the province. Through this work, the level of informatization construction of hospitals in the second and above provinces was comprehensively measured. Help the hospital to identify the deficiencies and continue to improve, and comprehensively promote the construction of health information in Henan Province. It is also pointed out that the construction of digital hospitals is not a face-to-face project to increase the burden on hospitals, but a necessary means to ensure medical safety, standardize medical services, improve work efficiency, and carry out refined management. It is one of the core competitiveness of hospitals. The purpose is to unify the construction of standards and standards, promote the importance of evaluation to promote construction, guide and lead to avoid detours, and comprehensively advance with points. To this end, special measures have also been introduced: (1) Establishing an expert organization and sharing successful experiences: a digital hospital construction expert advisory committee and a digital hospital construction expert library were established; a digital hospital construction training class was held to carry out evaluation standard training. (2) The wisdom of the assembly body, the introduction of the standard: the preparation of the "Henan Province Digital Hospital Construction Guide", the introduction of "Henan Province Digital Hospital Evaluation Standards." (3) The evaluation of the hook level has attracted great attention: linking the digital hospital review with the hospital level review (review), which has attracted the attention of hospital administrators. (4) Innovative review methods to ensure the quality of the evaluation: the innovative evaluation method to carry out online self-evaluation; the use of self-evaluation, and then declare to take care of the hospital's enthusiasm and ensure the quality of the review; conduct special training, unified review scale. The informationization of hospitals is the basis and cell of regional health informationization. Only the standardization of hospital information construction can ensure the accuracy of regional medical data sources, and provide a reliable basis for the decision-making of health administrative departments. The largest number of national digital hospitals in East China As a result, the number of digital hospitals across the country has grown like a mushroom. According to the HC3i China Digital Medical Network released in March 2018, the results of the national digital hospital construction results show that 100 hospitals from 26 provinces across the country brought 189 key projects, 80 general hospitals, cancer hospitals, women, children, oral and other specialties. There are 16 hospitals and 4 Chinese medicine hospitals. The specific list is as follows: As can be seen from the list, the number of hospitals selected by digital hospitals in North China is the largest, including Anhui Province, Shandong Province, Zhejiang Province, Shanghai, etc. These regions have a large population, and people are eager to change their medical experience, and the demand is the most urgent. The results of the selected hospitals cover the hospital's refined management, clinical business support, diagnosis and treatment process optimization, medical resource coordination, standardization construction, aviation emergency, international remote consultation, specialist development and other application areas, involving cloud computing, The landing methods of various emerging technologies such as big data, Internet+, Internet of Things, and artificial intelligence cover the characteristics of mobile payment, asset positioning, active intervention, intelligent monitoring, and information security. They fully demonstrate the hospitals at all levels in China for five years. The digital construction of a flourishing scene of a hundred flowers and a hundred schools of thought contend. 57 companies offering digital hospital solutions nationwide With the advancement of medical reform, many companies have also turned their attention to the medical industry, hoping to get a piece of it. According to the "Healthy China 2030" Planning Outline issued by the State Council in 2016, the scale of the health service industry will exceed 8 trillion yuan and 16 trillion yuan in 2020 and 2030. Those who participated in the Health Industry Investment and Financing Branch predicted that the proportion of medical expenditure in GDP in the next five years is expected to reach about 10%, and the output value will reach about 10 trillion yuan. With the changes in the medical industry, these companies serving hospitals have also changed. Some are from other industries, some are focused on the medical industry, and some are new to the medical industry. In order to find the development track of these enterprises, the arterial network selected 57 domestic enterprises that provide digital hospital solutions. as the picture shows: Established for a period of 30 years, the earliest was 1987 According to the list, the company provided a digital hospital solution. The earliest time was in 1987, and the company was Huawei. It is a digital hospital solution proposed in 2016, because it is a technology industry, so it is easier than other companies. Most of the companies were born in 2016, because in 2015, the policy on digital hospitals was just introduced, and everyone believes that this is a slogan, seize this opportunity and rise to the wind. Area: More companies in first-tier cities From the perspective of the location of the birth company, Beijing has the largest number of nine, while Guangzhou and Nanjing rank second, reaching seven. This is related to the number of hospitals. Large cities have abundant medical resources and a large number of hospitals. Provide a wide range of products, up to a variety of information products In fact, this is directly related to the definition of digital hospitals. In general, all hospitals will install information systems, but only a variety of types. On the other hand, the digital hospital review is largely linked to the grade review. Whether it is to declare the top three hospitals or the secondary hospitals to apply for the third-level hospitals, it is necessary to pass the digital hospital review. For this matter, you can check the “Detailed Rules for the Implementation of the Evaluation Standards for Level 3 General Hospitalsâ€. In the 378 standards and monitoring indicators of the Rules, there are many rules directly or indirectly related to informatization. For example, in the core evaluation items, the evaluation of the effect of information application is 10.4%, and the medical quality and safety are directly related to 17.8%, and management is 25%. The role of informatization construction in hospital grade review plays an important role. The results of grade review rely heavily on the level of hospital informationization. Therefore, many enterprises that have made information technology have gradually developed and expanded, and carefully prepared according to the guidelines for digital hospital construction. They have comprehensively evaluated the informationization of hospitals, re-planned, redesigned, and rebuilt existing systems to help hospitals meet the level. Make an informational title when reviewing. 45% of these companies are involved in multiple industries From these industries, 45% of companies are involved in multiple industries. For example, Huawei, 360, Kingdee Cloud Hospital, Da Shi Intelligence, Wei Ning Health, etc. Patient-centered is the future trend Although there are a large number of digital hospitals built nationwide, in general, the overall level is different from that of developed countries. There are limited investment in infrastructure construction in these areas; there is a shortage of professional talents, and the application effect is not good; Weak scientific research; unsound management institutions; imperfect supporting regulations; standardization issues; low information availability and utilization; system security and data security issues. Overcoming the above difficulties, China's digital hospitals have many opportunities to explore, both in terms of form and profit model. For example, in terms of care, because of the development of communication, ubiquitous smartphones and mobile devices, it helps medical staff to work more efficiently. With the promotion of policies such as grading medical treatment, doctors' multi-point practice, and Internet + medical health, it is no longer a dream for China's medical market to move from digital hospitals to digital medicine. In the future, under the dual promotion of the government and industry, medical resources can be relatively less concentrated or the level of community medical care can be rapidly improved. Graded diagnosis and treatment will play a huge role. Big data integration and research and development data security system make technology giants and medical health industry There will be more opportunities for cooperation. In the near future, it is expected that cloud electronic medical records and prescriptions will also be widely used in China. As well, there are a lot of mobile health monitoring hardware in China. Although similar medical devices, their large-scale promotion still needs government recognition, but market demand will accelerate the application of such products in the medical field. Just in the process of change, thinking should also change. Always adhere to the people-oriented concept, planting the "patient-centered" thinking in the whole process of digital hospital construction, running through all aspects of digital hospital construction, using the most optimized process and the most convenient service to create convenient, reliable and satisfactory medical treatment for patients. surroundings. Case: Heart Medicine International Xinyi International has successively undertaken provincial-level telemedicine platform demonstration projects in Qinghai, Henan, Guizhou and Shanxi provinces and actively participated in operational services. Among them, Guizhou Province's telemedicine platform has achieved remarkable results. Between June 2016 and October 2017, Guizhou has accumulated more than 21,000 remote consultations, which is 80 times the total number of previous years. Through the telemedicine platform, the top three hospitals in the provinces and municipalities have conducted more than 300 regular trainings and nearly 300,000 person-times for the medical institutions in the province. These powerful data are undoubtedly the best proof that the medical doctor has successfully assisted "Internet + medical health" and created a new and intelligent way of intelligent medical services. According to the definition of the International Medical Association: Smart Medical = (Technology + Operations + Discipline) x (Ecology + Data) = Medical Empowerment. In the construction of the nation's largest telemedicine network, and the creation of a network-based medical service platform based on physical hospitals, Xinyi International has targeted the development of brand disciplines through remote operations and specialized medical services. The grassroots doctors provide various practical medical skills training as needed to drive the construction of the medical association, so that the medical association not only "joins" but also "moves" and truly empowers medical treatment. In terms of technology: Xinyi International has set up five R&D centers nationwide, more than 340 independent R&D teams, and more than 200 remote operations and quality control teams to serve medical institutions at all levels and various medical joint projects. In operation, Xinyi International has a complete operational service system, or medical association butler service. The operation services cover the services of medical network planning, demand matching, process management, and self-operating system establishment, providing complete solutions for the government and medical institutions. In terms of disciplines, Xinyi International creates an open platform, provides IT+discipline+operational overall solutions, shares resources with medical institutions, and assists grassroots organizations in brand discipline construction. Closely focus on the discipline "medical education and research", and actively empower medical institutions at all levels. At present, 12 major brand disciplines such as respiratory, tumor, neurosurgery, rehabilitation, vascular surgery, cardiovascular and cerebrovascular, hepatobiliary surgery have been established, and 27 specialist medical associations have been practiced nationwide. In 2017, Xinyi International further proposed the concept of an open platform, through the introduction of external professional discipline experts, as well as ecological partners such as medicine, equipment, supply chain, continuous resource integration, value enhancement, and the formation of a medical network as the backbone network. The “triple play†business model covering regional health networks and ecological cooperation networks. In the data link, Xinmao International is based on the nation's largest medical network remote network, covering the country's 31 provinces, 5700+ hospitals, 160+ medical associations, 160+ regional leaders, 50+ national top three and 20+ specialists to achieve annual remote consultation diagnosis. A total of 180,000 cases support hospital management of massive real-life medical data based on clinical business. Stone of other mountains: numerous digital hospitals abroad In fact, there are more digital medical treatments abroad. For example, Malaysia's Selayang Hospital has 960 beds and 22 departments. The government will invest 500 million marks to build a paperless environment, focusing on wireless health care, telemedicine and Ieternet solutions. Integrating bedside monitoring into high-level electronic medical records, doctors can remotely learn critical patient information outside the hospital and provide continuous monitoring of mobile patients. The Indian Indian Cardiology Hospital has 88 beds, 32 outpatient departments, 4 operating rooms, 6 cardiac catheterization laboratories, and a cardiac emergency room. Invested 15 million US dollars at the end of 2002 to build the first digital cardiology hospital in the United States, completely eliminating the traditional medical records based on paper and film. Information input and retrieval can be performed at the patient's bedside, and clinicians can use electronic medical records to observe patient information in and out of the hospital. Take the first all-digital hospital in North America as an example. It is the New Hanbe River Hospital in Toronto, Canada. It covers an area of ​​161,000 square meters and has 656 beds. Throughout the design process, the evidence-based design strategy, refined management, sustainable green design and high-tech digital technology have been adopted to achieve the hospital's “community-oriented†positioning. The facility uses state-of-the-art all-digital technology, including smart bed technology, integrated bed terminals, robotics, automated laboratory and pharmacy processes, automated navigation vehicles, and speech recognition software. For example, the digital terminal on the side of the bed allows the patient to directly access personal medical records, upcoming medical diagnoses, and timetables for family visits. The device can also support patients to connect with family and friends via video chat, access the Internet and Watch TV. The pharmacy and laboratory robotics technology can synchronize electronic patient files, pharmacy supply information, and bed terminal data, reducing processing time by 60%. It can be seen that only by making full use of digital information technology can hospitals liberate the labor force and make it successful in the fierce market competition. Through digitalization, hospitals will accelerate innovation in medical, management, service, and institutional aspects. With the hospital as the ideal state of digital hospitals, the development of computer and network technology in the future will provide a reliable technical foundation for the construction of digital hospitals. The realization of digital hospitals will break the walls of hospitals and expand the hospitals from medical to health care. Radiation from the point to the surface, extending to the community, to provide more comprehensive basic health care services for the Chinese people, is also a symbol of the degree of development of a country.
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