1. relying on medical and health institutions to promote the construction of internet hospitals, medical and health institutions are allowed to use internet hospitals as the second name, and on the basis of physical hospitals, on the premise of ensuring medical quality and information security, internet technology is used to provide safe and appropriate medical services. Medical practitioners are allowed to make online follow-up visits for some common diseases and chronic diseases, and make online prescriptions for some common diseases and chronic diseases after mastering the patient's medical records. Support medical and health institutions and qualified third-party institutions to build internet information platforms, carry out telemedicine, health consultation and health management services, and build a new online and offline model covering the whole process of medical services. Public hospitals should try first, guide and encourage qualified private medical and health institutions to carry out construction. On 20 18, Internet plus medical services were piloted in some public hospitals to explore the establishment of an Internet hospital management standard system. 20 19 The construction of Internet hospital management standard system was fully started. In 2020, all tertiary hospitals in the city will fully carry out "internet plus" medical services.
2. The medical consortium should actively use Internet technology, speed up the implementation of medical resources, information exchange and sharing, and efficient business collaboration, facilitate the appointment of medical treatment, two-way referral, telemedicine and other services, and promote the real-time acquisition and mutual recognition and sharing of inspection results among medical and health institutions in the medical consortium. The superior medical and health institutions in each medical association provide remote consultation, remote electrocardiogram, remote imaging, remote ultrasound and other services to the grassroots, and hospitals in all districts and counties carry out telemedicine services and extend them to towns (streets) and villages (communities); Improve the mechanism of responsibility and rights, carry out the mode of "primary inspection and superior diagnosis", and build a reasonable and orderly pattern of graded diagnosis and treatment. 20 19 to build a regional telemedicine center based on the medical consortium, radiating the primary medical and health institutions in this region. In 2020, telemedicine services will basically cover primary medical and health institutions, and strive to establish a national multi-modal medical imaging sub-center.
(two) efforts to improve the "internet plus" public health services.
1. Relying on the national health information platform, we will speed up the construction of public health management information systems such as disease prevention and control, maternal and child health services, integrate life-cycle medical and health service information, and promote online inquiry and standardized use of residents' electronic health records. Focus on hypertension and diabetes, and strengthen the online service management of chronic diseases in the elderly. Focus on children included in the national immunization program, integrate the existing vaccination information platform, and optimize vaccination services. Encourage the use of wearable devices to obtain vital sign data and provide health monitoring and management for pregnant women. Strengthen information management, follow-up evaluation and classified intervention for patients with severe mental disorders. 20 18 initially formed basic personal health information standards and norms, and personal electronic health records were gradually opened to the society. On 20 19, the city's disease prevention and control business information system and maternal and child health care service information system were established. In 2020, improve the personal health information management service platform and realize the integrated application of personal health information.
2. In accordance with the unified deployment of the sharing and opening of government information resources in the city, establish and improve the sharing and opening mechanism of medical and health data resources, encourage medical and health institutions to cooperate with Internet companies in scientific research and convenience services, integrate regional medical and health information resources, strengthen disease epidemic trend prediction and intelligent monitoring in combination with big data analysis such as crowd flow, climate change and Internet behavior, carry out pilot projects for the construction of urban disease prediction system, and improve the ability to prevent and control major diseases and respond to public health emergencies. On 20 18, the measures for the management of medical and health data resources in the city's health system were issued, and the models for predicting infectious diseases and screening chronic diseases were issued.
(3) Optimize and promote the "internet plus" family doctor contract service.
1. Relying on the unified source pool of the whole city, we will promote the application of family doctors' contract referral appointment, so as to facilitate the contracted people to register for medical treatment and referral. In 20 19, relying on the national health information platform, we built an intelligent information platform for family doctor contract service, promoted the interconnection and business collaboration between the platform and the public health system and medical business system of primary medical and health institutions, highlighted key groups, and provided the public with personalized and diversified online and offline contract services such as health consultation, appointment referral, chronic disease follow-up, health management and extended prescription. In 2020, the intelligent information platform for family doctor contracting service will be fully promoted and applied.
2. Establish an online assessment and incentive mechanism for family doctors. Improve the online service ability of family doctors, expand the coverage of online services, improve the quality and efficiency of contract services, and enhance people's trust in family doctors. 20 19 realizes online statistical monitoring of family doctors. In 2020, the full coverage of online contract service for family doctors will be basically realized, and the monitoring results will serve as an important basis for the assessment and evaluation of family doctors.
(four) to build and share the "internet plus" drug supply security service system.
1. After the online prescriptions for common diseases and chronic diseases are reviewed by pharmacists, medical and health institutions and pharmaceutical trading enterprises may entrust qualified third-party institutions to distribute them. Encourage social forces to build and operate pharmaceutical service platforms, provide services such as electronic prescription review, rational drug use consultation and drug sales and distribution, promote the interconnection and real-time sharing of prescription information and drug retail consumption information in medical and health institutions, and promote the standardized development of drug online sales and pharmaceutical logistics and distribution. 20 19 explores the establishment of an electronic prescription information sharing and circulation mechanism, and retail pharmacies try out electronic prescriptions to sell prescription drugs. In 2020, a new model of online drug sales and distribution based on electronic prescription circulation will be implemented.
2. Relying on the national health information platform, strengthen the collaborative application of multi-source information collection and supply of shortage drugs based on the Internet, establish a real-time monitoring and early warning and grading response system for shortage drugs, and establish and improve the supply guarantee system for shortage drugs. In 2020, the comprehensive management of drug supply guarantee and the sharing of information resources for monitoring and early warning of shortage drugs will be realized.
(V) Promoting the construction of "internet plus" medical security service.
1. Accelerate the "internet plus" medical security service, promote the sharing of medical security-related information and data, strengthen the cooperation between medical insurance, commercial insurance and third-party payment institutions, and gradually expand the online payment and settlement function; Support the construction of an information-based settlement platform for poverty alleviation medical assistance for poor people and other people with special difficulties, improve the convenience of medical assistance, and promote "one-stop" settlement. In 20 19, we will promote the "one-stop" settlement of medical expenses for poor people and other people with special difficulties, and explore the application of medical insurance online services. In 2020, expand the application of medical insurance online services and continue to promote "one-stop" settlement.
2. Expand the scope of networked designated medical and health institutions, and gradually incorporate more grassroots medical and health institutions into direct settlement of medical treatment in different places, so as to realize direct settlement of medical insurance across provinces and different places. Share information such as patient visits and medical insurance fund settlement channels. To realize the convenience of patients' self-funded payment and medical insurance reimbursement. 20 19 further expand the scope of networked designated medical and health institutions.
3. Promote the intelligent audit and real-time monitoring of medical insurance, embed rules such as clinical pathway, rational drug use and payment policy into hospital information system, and further standardize medical behavior and cost supervision. In 2020, further optimize and improve the intelligent supervision system.
(six) actively promote the "internet plus" medical education and popular science services.
1. Build a networked, digital, personalized and lifelong medical education and training system, create online quality courses, focus on online interactive education and training for grassroots general practitioners and family doctors, strengthen discussion and exchange of cases of intractable diseases and major diseases, and improve professional quality. 20 19 started the construction of medical health education and training cloud platform. In 2020, the online medical education and training system will be further improved.
2. Implement the action of "continuing medical education+popularization of appropriate technologies", focus on the needs of health and poverty alleviation, rely on telemedicine centers, and focus on remote teaching rounds, remote teaching and other activities in remote and poor areas to promote practical and appropriate technologies. In 2020, appropriate medical technology will cover all poverty-stricken areas in the city through distance education.
3. Relying on Internet public service platforms such as "Health 12320" and "Popular Science Culture Cloud", we will provide personal health information services for the public, realize accurate health science popularization and personalized education consulting services through dynamically associating electronic health records, popularize healthy lifestyles, promote self-health management and enhance personal health literacy. In 20 19, we began to build an online health science popularization platform, improved the functions of Internet public service platforms such as "Health 12320" and "Popular Science Culture Cloud", and carried out personalized health information push and health education.
(7) Comprehensively promote the intelligent application of medical and health big data.
1. Relying on universities, research institutes, medical and health institutions, state-owned enterprises, etc. , set up a medical and health big data center and research institute, promote the basic theoretical research of big data science, break through key common technologies, and promote demonstration application projects. Guided by the application of medical and health industry, we will build a public technology innovation platform and a public service platform for medical and health big data, promote the deep integration of "Industry-University-Research" and promote the rapid development of intelligent industry in the medical and health field. Promote the application of virtual reality, intelligent voice and image recognition technology in various medical and health scenes, develop intelligent medical devices such as clinical robots, bio-3D printing systems and mobile wearable devices based on big data artificial intelligence technology, expand the application of intelligent devices such as mobile nursing, vital sign monitoring, pathological typing and multidisciplinary consultation, and improve the R&D level and manufacturing capacity of chinese medical equipment journal. In 2020, we will continue to promote the construction of medical and health big data centers and research institutes, and promote the construction of intelligent innovation ecosystem and industrial ecosystem of medical and health data.
2 improve the city's medical and health data collection mechanism, accelerate the implementation of standardized collection, standardized sharing, automated processing and intelligent application. Build a diversified "Internet+medical health" innovative service platform to promote the deep integration of big data, mobile Internet, Internet of Things, artificial intelligence technology and medical services. Relying on the city's medical and health big data platform, we will establish an intelligent decision support service system for disease diagnosis and treatment, strengthen the application of intelligent auxiliary system for syndrome differentiation and treatment of traditional Chinese medicine and precision medical services, improve the diagnosis and treatment level of intractable diseases, and improve the service quality of medical and health institutions at all levels. 20 19, and continue to build a clinical auxiliary diagnosis and treatment system based on electronic medical record resource database. In 2020, artificial intelligence technology, clinical assistant decision-making system, intelligent assistant system for syndrome differentiation and treatment of traditional Chinese medicine and intelligent medical equipment will be popularized and applied in medical and health institutions.