Digital medical system takes patients as the center and electronic medical records as the main line, which has changed the business process of hospitals. With the change of patients' medical treatment mode, hospital management also needs to change. Electronic medical record, electronic payment and efficient diagnosis and treatment process have replaced the traditional medical treatment mode, medical record and payment method, which has made hospital management step up to a new level. However, in this transformation process, there will be resistance and many new problems. It is necessary to formulate new management rules and constantly improve the hospital.
1. Changes in patient consultation process: Software developers and hospitals should listen to patients' opinions modestly, design corresponding patient consultation process, and arrange department positions according to the actual situation of the hospital and the principles of short process, high speed, convenience and rationality. At the same time, increase the hospital's medical guidance staff and signs, cooperate with the implementation of digital hospital management system, and let patients adapt to the new hospital quickly through the introduction and explanation of medical guidance staff. For example, the original registration window and charging window will be combined into one, and the registration fee will be changed from separate processing to synchronous processing, or the registration will be completed automatically by the doctor workstation or the patient. Our digital medical system can automatically complete the automatic payment and deduction of prepaid patients when doctors submit medical prescriptions to the server, reducing the payment process of patients.
2. Diversity of payment methods for patients: Also based on the principle of short process, high speed and convenience, hospitals can provide patients with a variety of payment methods, including prepaid, IC stored-value cards and bookkeeping, combined with free medical cards, so as to achieve the highest operating efficiency of the system. Among them, it is very necessary to promote the application of prepaid and IC stored value cards in hospitals, but the traditional payment methods of patients have formed a mindset. It is difficult to promote the application of prepaid and IC stored value cards, which needs to be explained. At the same time, it is necessary to prevent financial fraud inside and outside the hospital and avoid unnecessary economic losses.
3. Application of electronic medical records and patients' right to know: The comprehensive application of electronic medical records in digital hospital management system has truly realized paperless medical treatment in hospitals. Without traditional medical records and prescriptions, the problem of patients' right to know is prominent. Therefore, software developers and hospitals should provide some platforms for patients to learn medical records, prescriptions and test results reports on their own according to the actual situation of hospitals, and do a good job in keeping medical information confidential in both hospitals and take necessary management and technical measures.
4. Medical-centered: The digital hospital management system focuses on clinical nursing and patient-centered, which will increase the scope of responsibilities and relative workload of clinicians. We can understand this problem through the software function of the doctor workstation. Therefore, it will attract the opposition and dissatisfaction of some clinicians and affect the implementation of digital hospital management system. Therefore, hospital managers should do a good job in the ideological work of medical staff, and at the same time simplify the doctor's workflow as much as possible in management. Of course, the efficiency of a good system is very obvious after the medical staff master the operation method skillfully.
5. Identity confirmation: The comprehensive application of electronic medical records in digital hospital management system has truly realized paperless medical treatment in hospitals. There is no traditional medical record. When registering, paying fees, taking medicine, printing and viewing medical records, we must solve the problems of patient identity confirmation and its methods. In line with the principle of convenience and reliability, before the whole society implements a unified standard, you can choose: 1)IC card. 2) ID number+password; 3) social security card+password; 4) Medical record number+password; 5) Fingerprint identification+password; 6) Which way is better to use digital photo+medical record number+password for physiological identification depends on the financial resources of the hospital. Either way, the basic information of patients in the system should be based on the ID number. However, in the actual implementation process, we found that many patients could not provide accurate ID numbers and other basic information, and even provided false personal information of patients. Once a medical dispute occurs, there will be endless troubles. Therefore, it is necessary to realize the importance of identity confirmation and do a good job in patient identity confirmation from two aspects: technology and management.
5. Standardized and scientific management of hospitals: Modern hospital management is not based on digital hospital system, so it is difficult to reflect its efficiency. In the process of hospital informatization development, many hospitals feel unsatisfactory when using HIS system. Most of the reasons are due to the lack of understanding of hospital informatization by hospital management, hoping to optimize hospital management, rather than changing hospital management like buying a medical instrument. This is not objective. The implementation of digital hospital system needs major changes and adjustments in hospital management to make it more reasonable and standardized. Today, information technology has penetrated into all aspects of society, affecting everyone's food, clothing, housing and transportation. Without the support of digital hospital system and modern information technology, even the best hospital management can't play its due efficiency. Therefore, the implementation of digital hospital system can not be separated from the standardized and scientific management of hospitals. Hospital administrators should understand that the digital hospital system should not cater to your management, but should reform your management to meet the development needs of digital hospitals. Otherwise, the digital hospital system is a burden for you.
6. High-level application of digital hospital management system: It puts forward higher requirements for the quality of hospital managers and medical staff: the digital hospital system fully supports hospital window business and medical business, greatly enhances the function of deep processing, sorting, analyzing and ultimately supporting hospital decision-making of hospital business data, and its greatest use is to support the decision-making of senior managers, who should constantly improve their own quality and learn to use the existing information of the hospital for management and decision-making to avoid blind decision-making and management. At the same time, because the medical behaviors and medical processes implemented by doctors are all incorporated into the digital hospital system, it plays an important role in standardizing medical behaviors and improving the level and quality of doctors' medical technology, and also puts forward higher requirements for the quality of medical personnel, including computer operation technology training.
7. Standardized management: The digital hospital system must adopt standardized management. In many aspects of hospital management, such as medical treatment, charging, prescription medication, disease diagnosis and so on. In addition to the provisions of national policies and regulations, there are also industry standards that must be implemented in some areas. If there is no standard to follow, hospital managers must also formulate unified standards within the hospital, and all departments of the hospital must manage the hospital according to the unified standards. Otherwise, the credibility of the data generated by the digital hospital system will be greatly reduced, and these data support hospital decision-making.
8. System security and information security: The implementation of digital hospital system puts forward new requirements and challenges for hospital safety management. Hospital leaders must realize the importance of system security and information security, instead of adding a few security guards and taking some anti-theft measures. The security of hospital economic and medical information and the normal operation of the system need special security measures, from the reliability and stability of computer equipment, as well as software technology and strict management system, to ensure that the interests of the hospital are not infringed and lost. Among them, the disaster backup of hospital management information and medical information data can not be ignored, and there must be a special person in charge and strict management.
9. Electronic medical records and others: The lag of national legal norms is not conducive to the application and development of electronic medical records, but the digital hospital system cannot be separated from the application of electronic medical records. How to effectively use electronic medical records to promote hospital management, and at the same time avoid the negative impact caused by the lag of national legal norms, and effectively solve the evidential role of electronic medical records in medical accident handling, hospitals need to formulate strict management norms, including taking necessary technical measures. After more than 8 years of exploration, the author thinks that we should attach importance to electronic medical records.
9. 1 Electronic medical records should be generated in the course of daily medical treatment, and it is strictly forbidden to fabricate and add content.
9.2 Restrict abnormal modification of electronic medical records and implement trace modification.
9.3 While implementing electronic medical records, pay attention to preserving paper medical records, strengthen the role of proof, and take audio and video recordings of doctor-patient conversations as part of electronic medical records when necessary.
9.4 Electronic medical records are regularly backed up to non-erasable media such as CD-R and disaster backup.
9.5 Restrict the spread of electronic medical records and protect patients' privacy.
9.6 Apply digital signature in electronic medical records and strengthen technical protection means, including data encryption.
10. Investment and benefit: If hospital management and digital hospital system are tied together, hospital management and business processes will run together, and the efficiency of hospital management will be greatly improved, which can reduce the number of hospital managers, streamline unnecessary management departments, posts and personnel, and increase the workload by more than 50% without increasing medical staff, so as to truly realize the benefits from management. At the same time, due to the establishment of digital hospital system platform, the comprehensive competitiveness of hospitals can be improved by developing telemedicine, remote outpatient service, community medical service and online outpatient service. At present, many hospitals have no large-scale radiation management system (RIS), medical image archiving communication system (PACS) and inspection management system (LIS). How to apply and implement digital hospital system? We successfully adopted the electronic report mode, which solved the problem of reducing investment, and enabled the digital hospital system to operate in various medical institutions with low investment and low cost, making it easy to popularize.
1 1. Hospital management organization reform and personnel streamlining: The implementation of digital hospital management system will inevitably bring about hospital management organization reform and personnel streamlining. Without the corresponding reform of hospital management institutions, hospital management departments will be merged, personnel and posts will be streamlined, and the responsibilities of various management departments and window departments will be redefined to meet the needs of digital hospital management. It is impossible to really improve the management efficiency and level of the hospital. Practice has proved that the application of digital hospital management system will promote the reform of hospital business process, organizational structure, division of labor among departments, hospital talent structure, operation mode and even post evaluation mode. Therefore, hospital leaders should make up their minds, change their ideas and carry out effective management reform in order to give full play to the real efficiency of digital hospital management system.
12. the key to the success of digital hospital management system lies in leadership: who needs digital hospital management system? The first is the top decision-maker of the hospital. The purpose of digital hospital management system is to serve hospital management decision-making and support hospital operation services. First of all, it is a tool for high-level decision makers, and it is built for deans and medical staff, not computer experts. Without the determination and support of hospital leaders, the participation of business executives, and the strong organization and coordination of the dean, any digital plan cannot be successful. The implementation of digital hospital management system involves all departments of the hospital, such as registration, charge, laboratory, pharmacy, physical examination (including medical imaging), outpatient department, inpatient department, nursing, pharmacy, equipment logistics, finance and other departments. Failure to keep up with any link will affect the implementation of the whole system. Only when leaders personally participate in organization and coordination and all departments cooperate closely can the implementation of this system be successful. The top leaders of all departments should also participate in the design and management of related subsystems. Digital hospital management system is a sharp weapon for hospital survival and development, and it is an indispensable technical support environment for clinical medical treatment, hospital management, scientific research and teaching. Hospital directors and medical experts must attach great importance to it.
abstract:
At present, with the emergence and gradual application of patient-centered digital hospital management system, while promoting the development of hospital information construction to digital hospital system, it also puts forward higher requirements for the scientific management of hospitals, which objectively promotes the hospital management from the traditional "rule of man" to the scientific "rule of law". However, there will be many problems in the implementation of digital hospital management system. Therefore, according to Huiyuan Hospital Management Information System, the author will
Digital medical system takes patients as the center and electronic medical records as the main line, which has changed the business process of hospitals. With the change of patients' medical treatment mode, hospital management also needs to change. Electronic medical record, electronic payment and efficient diagnosis and treatment process have replaced the traditional medical treatment mode, medical record and payment method, which has made hospital management step up to a new level. However, in this transformation process, there will be resistance and many new problems. It is necessary to formulate new management rules and constantly improve the hospital. According to the problems encountered in the actual implementation of digital hospital management system, the author expresses his views from the following aspects: 1. Changes in patients' treatment process; 2. The diversity of patients' payment methods; 3. The application of electronic medical records and patients' right to know: 4. Taking medical care as the center; 5. Identification; 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 benefit; 1 1. Hospital management organization reform and personnel post streamlining; 12. The key to the success of digital hospital management system lies in leadership;