Under the era of big data, how to realize hospital information management?

Today, with the Internet +, big data, cloud computing, and artificial intelligence swelling, the construction of information technology has given new life to modern hospital management. Especially in the continuous advancement of the new medical reform, domestic hospitals have changed the traditional hospital management model, using information technology to strengthen and innovate hospital management, from the interior of the department to the extension of the development, and ultimately serve the big goal of medical reform.

A thousand miles begins with a single step. In the exploration of informatization construction, major hospitals have used advanced data management platforms to realize the modern hospital management model, improve the hospital's service capacity and operational efficiency, and better meet the needs of the people's medical and health services. The hospital is one of them.

Although the information construction of Nanjing Gulou Hospital has a long history, due to the historical limitations of the development of medical informatization, the information system used in the early stage of the line is aimed at the practicality of each department, lacking the top-level design and standard reference. For a long time, the problems faced by the Drum Tower Hospital in imaging medical technology: the coexistence of local systems of different suppliers has formed a horizontal breakpoint in the data of various medical technology departments, resulting in asymmetric data information of medical technology and clinical information systems. In this regard, through long-term research and analysis, the hospital cooperated with Neusoft Group, the largest IT solution and service provider in China, to establish a hospital-level medical image information platform (hereinafter referred to as “Neusoft VNA Image Information Platform”) to meet the hospital’s requirements. The need for image data resource integration, interconnection and security sharing.

Under the era of big data, how to realize hospital information management?

Since the official launch of the project in 2016, it has achieved remarkable results, and has standardized and unified the publication and browsing of all kinds of image examination data including radiation, ultrasound, endoscopy and pathology. It has also improved the clinical imaging data for patients. Accessibility and comprehensiveness. This website visited the Nanjing Gulou Hospital and explored its effects.

When asked about the original intention of choosing Neusoft to build the Neusoft VNA image information platform, the manager of the Nanjing Gulou Hospital Information Center stated that Neusoft had a high starting point and also followed all international/domestic industry technical standards. In 2016, we decided to reinvent information and reorganize the top-level design of various information systems that were originally built in silo, independently constructed, and have formed information silos. The first step is to use the Medical Imaging Division as a pilot to integrate the imaging platform. In short, it is integrated into this new platform as long as there is an image. The purpose mainly includes three points: First, it is convenient for patients and doctors to view all the diagnostic data made by the Drum Tower Hospital, so that the data can run more and the patient runs less. Through this medical image information platform, both the patient and the doctor can check all the image examination results done in the hospital online, no longer need to take a film to go everywhere; Second, facilitate the hospital for the uniformity, standard, standard and quality of medical images Control management, through quantifying the performance of radiology personnel, reducing non-standard image data and human error caused by clinical operations; Third, through the creation of image data platform, exploring the overall upgrade and transformation experience of the system, for the hospital informationization Reinventing the pilot experience to promote the reintegration of information in the hospital. So far, we think that choosing Neusoft is correct. First, Neusoft replaced all systems of radiation in a short period of time, including CT, magnetic resonance, plain film, angiography, etc., and then gradually established the entire B-ultrasound, endoscopy, and pathology information to Neusoft's impact data platform. All the information has been built on this platform, and the effect is very impressive.

Taking the patient as the center is the philosophy that the Drum Tower Hospital insists. The information center has always been serving the clinic and serving the patients. The Neusoft VNA image information platform has brought a series of conveniences and advantages to the hospital. Because of this good platform, All the data of the hospital are integrated, and the research on the subject of the hospital is also improved. For patients, the patient examination experience has been improved, from patient visits, examination appointments, to medical consultations, to diagnosis, to results, and through informatization means to guide patients to orderly inspections, reducing the phenomenon of three long and one short, and improving Patient satisfaction.

Undoubtedly, more than 90% of medical data comes from medical imaging data. The information management of massive image data is especially important. Based on this, Neusoft cooperated with the Imaging Department to design and develop three systems of quality control system, reading consultation system and performance appraisal system, to realize the whole process quality control of image inspection, and to check and diagnose through unified and standard refinement information system. Comprehensive quality control in all aspects.

“These three systems have fully realized the refined management of the department. The quality control system includes random quality control, active quality control, and centralized quality control. Random quality control randomly selects reports that each doctor needs to sign, for example, I go to work to sign the report. It is necessary to sign 50 copies a day, and the random quality control system sets up random sampling of 50% of the 1% to 3% images. This is fair. If it is randomly selected, it is average for the whole year. In addition, for the unqualified The poor quality report, the doctor can take the initiative to score, this is the active quality control. The centralized quality control means that all the doctors gather together, randomly collect the report in the system, and then score. It is worth mentioning that the extracted reports are It is anonymous, which reflects fairness.” Zhang Bing, deputy director of the Medical Imaging Department of Gulou Hospital, said frankly, “The entire quality control system has helped us achieve fair and equitable management of the department, which has also reduced the workload of doctors and improved work efficiency. Our department has a lot of help."

Technology is the primary productive force, and good cases for medicine are the best wealth. It is essential for doctors to improve their ability to diagnose diseases and prevent and control diseases. For a large number of case data, how does Neusoft achieve information management? Director Zhang said with a vivid voice: "As a doctor, you must diagnose some difficult cases. Before the doctors were going to talk about difficult cases, but after a long period of time, many cases were gone. No one wrote it down. Neusoft's radiology consultation system It records all the experiences of patients since they started admission, including all the tests they have done. The huge case data is very valuable for us to write papers, do research research and construct connotation."

As an important means of hospital management, hospital performance appraisal system is to help hospitals improve medical productivity. Hospital performance appraisal is a double-edged sword. If the appraisal mechanism is fair, it will greatly stimulate the enthusiasm and initiative of the medical staff. On the contrary, the loss of fairness will dampen the enthusiasm of medical staff, which is not conducive to the quality and quantity of medical staff. Do a good job in diagnosis and treatment. Director Zhang expressed his satisfaction with the performance appraisal system established by Neusoft: “The performance appraisal system is mainly to ensure fairness, improve efficiency, improve efficiency, and maintain balance. During the film consultation, design the sign-in system and randomly select speeches, which are for doctors. Personal growth is beneficial. With regard to the workload of doctors, artificial statistics are difficult to achieve, and through this system, we can always see the work of doctors and technicians."

Informatization construction is an indispensable factor to promote the modernization of hospitals, improve the quality and efficiency of hospital operations, and improve the overall competitiveness of hospitals. The road is long and arduous. In the future of rapid information development and people's demand for medical services, how to continue to innovate technology and develop more possibilities may be the next opportunity and challenge.

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