Beijing Children's Hospital CIO: Medical Cloud improve medical management process

Now the children are treasure, a little bit of sickness have to go to the best hospital. Sun Hong, director of Beijing Children's Hospital Information Center affiliated to the Capital Medical University, said that 300 people were not on the phone every day. Can cloud computing help Beijing's children's hospital solve this problem? Sun Hong has been working with their hospital's information center colleagues to study the problem. At the fourth session of China's cloud computing Conference, he briefed the participants on their experience "the integration of medical management process reengineering and cloud computing technology relying on information methods", and he hoped that medical resources would be better allocated to patients.

The general tradition of either enterprise or application, build a large application system or just a PC terminal, I am afraid to go this way: from the acquisition of hardware, development to permit, the platform to build, build successfully upgraded to the last discarded, there is such a process. A traditional concept, to now not only we say cloud computing, all from the life of everything, can be rented, I think this is to understand one of the point, everything small to tap water, big to cranes, airplanes and so can be applied, this is the concept of our cloud reflected in the point.

Five characteristics of the cloud concept

Specific to the cloud concept, my personal understanding is this, the road is interlinked, no matter do the work of the truth, People's Truth or in the Society of the truth, so extended to the professional is very strong, in the computer application of the calculation is almost the same, to network computing, through the life of the truth a little stretch out. Everyone understands the cloud. It's a highly scalable way of computing, it is mainly through the Internet to bring it together, a platform two aspects, including service consumers, consumer providers, cloud to society, to enterprises, to bring individuals a great innovation, new computing model, new application model and new business model, Show that a few teachers have mentioned this three models, with the following five characteristics, based on services, to expand to flexible, can be shared, according to the use of the dosage to do the Internet technology.

Difficulty in hospital visits

I would like to report to you or to the medical profession, combined with the children's Hospital what kind of problems or what kind of inspiration? This is a histogram, there is a data, there are children's colleagues may think that the doctor is too difficult, ten years ago, 15 years ago, I am afraid that our whole society of medical treatment mode is not now this, first to a level hospital, Grade II hospital, finally to level three hospital, now this mode is actually broken, break the result is so, I remember just to work in the hospital, when the out-patient, if the end of the concentrated reimbursement, the end of the year I am afraid to three thousand or four thousand of the patients, has been squeezed the head, people's pressure has been dying, By now we have an average outpatient workload of 7500 to 8000, peaking at 10,000, and I think that's our situation.

To introduce this situation will lead to the following questions, whether 7,000 or 8,000, 10,000, 45% are common cold fever, eat more, cold, are very common problems, because now everyone knows, all a child, are treasure, children have a little problem must go to the hospital, but when we were small, All with diarrhea has a relationship, there is a drug, all with the cold has the problem is aspirin, now the parents are not the same, dare not take this medicine, and must go to the hospital, to the children's Hospital. Every day, before 2010, registration can not be a daily treatment of nearly 300 people, of course, this is not very detailed data, this 300 and 45% or significantly different, 45 can not consume the children's Hospital medical resources almost half, at the same time, including supporting services, supporting departments, personnel, etc., consumption of nearly half, Of course 300 people in fact these children are difficult and incurable diseases, the real professional departments, professional doctors are relatively few, in the hospital's medical resources energy into professional doctors training.

A few of the problems with the registration is difficult, we all know, children's Hospital registration difficult, have to know the back door can, the queue more difficult, the original truth-telling, to the children hanging professional orthopedic, neurology, to the first day to row, until the next morning, the most exasperating there is also the number of traffickers to squeeze people away, There may be parents in line two days are not ranked number, television also reported that one to summer our hospital around the tent is full, many come from a very distant place to see a doctor, it is impossible to stay in hotels, which became a social problem.

Medical resources are not equal

Then is the payment, a patient Lai doctor, line up, in the doctor there dare not angry, in the nurses do not dare to anger, to the pharmacy there will be angry. This is the 2010 before the scene, real, this is a very ordinary morning is such a situation, this side is a monitoring, we cut some pictures. The Olympic Games said you have to clear, let security all the parents blew away. From the hospital management point of view also brings some problems, backup, doctors so much, space so large. The hospital has done a few such things, so that professionals with the number of traffickers, two days a day, a long time not to come down, people's physical strength is limited. Space, all urban areas have space restrictions, management, ancillary management, personnel management.

Both our anxious parents, and the small children, but also our chengguan, selling pancakes, selling candied and thieves. There is publicity, parents look good, here and the hospital has a great communication. As a hospital, our hospital was established in 70, we went to the hospital when 1200 people, developed to 1500 people.

The original service in Beijing, basically now serve the country, in fact, the resources are not right, the wrong understanding and so on. This propaganda is not in place, if you find this point, to find the best hospital, for us to engage in hospital medical information, put forward a lot of problems. How effective to ease the doctor difficult, let us medical resources have a reasonable configuration, and finally reach the doctor difficult, alleviate the difficult effect of the doctor. We also have some thinking, too far-fetched, we discuss from the technical level to solve.

I think from the medical resources, we look, in fact, is also a cloud, because just now we have a review with us, we were more than 10 years ago, I am afraid the nearest doctor, will never run old far from the hospital to see. So far not so, pediatrics don't make money. Originally I in Xuanwu District, has the hospital specialized has the pediatrics the building, many old experts, I was born in the Friendship Hospital, then the big doctor went to Xuanwu hospital. Not from Changping, Shunyi ran to the hospital this is near, can from Shandong, Henan Run to the children's hospital is a lot of doctor. The users who really want to make use of medical resources actually have a lot to do with the society as a whole, rather than an area.

Using Cloud Management Provisioning

The extension of cloud computing, perhaps from the medical perspective, how to rationally allocate medical resources, safe use of medical resources. After more than 10 decades of reform and opening up, it is to a market, pediatrics do not make money. Because you are called the Children's Hospital, and eventually to the child hospitals, other hospitals to see the Department of Pediatrics gradually shrinking. Three hospitals to re-establish a pediatric outpatient clinic, after more than 10 years of transformation, the pediatric really atrophy, paediatric resources are indeed very scarce. Beijing has two, how to deploy these resources safely and effectively, is our concept of cloud. Everyone here is an expert, do not have to detail these content, in this is relying on a large amount of data processing. But realistically speaking, the specific in our hospital, the establishment of centralized computing, data processing is not called cloud, I will also put forward some specific ideas, including management mode of innovation and exploration, medical resources management, relying on digital management, explore the new model of medical resources management.

Second, as our medical information management model, controllable management mode, we as a medical information to do a lot of conditions.

Third, a variety of promotional and guidance methods, such as touch-screen guide, large led, radio and so on these devices. This is actually done in a variety of ways before coming to the hospital to know better, in fact, to the greatest extent possible to protect the patient of our treatment of his feelings, my big screen is the hospital, as the individual hospital, do these work should be, combined to the cloud, the hospital inside again how to do is an individual, I feel the private cloud can not talk about. The study of a program, the basic route is a child doctor, hospital allocation unreasonable, through this means to improve, reduce some links, we promote the medical card, patients come to the hospital when the doctor, first to run a medical cards. In fact, as a hospital, to do their best, how to improve the patient his personal experience, in fact, in some ways is effective, in some ways is also limited. Second, this kind of propaganda guidance, from the subjective influence, to achieve a certain proportion of relatively reasonable regulation. Third, improve the management, relying on a variety of resource information means to achieve a child doctor order, medical resources allocation is relatively reasonable.

As outside of the hospital, we have recently chosen something, set up a remote video service platform, door Emergency integrated service platform, this can be done, children's hospital pediatric relatively strong, a general hospital patients to do the inspection more arduous, and even said the diagnosis is more arduous, from its terminal direct appointment, to achieve do not let patients run to run the effect, But to solve the problem directly. At present, we have a hospital for N hospitals to work, children's Hospital is a pediatric integrated relatively, for example, our blood is very strong, people's blood may be stronger, Tongren ophthalmology may be stronger, children's Hospital as a pediatric general hospital can not reach a certain level of others. As a patient individual, I can also download a terminal, in the terminal to make an appointment, can be queried. Then there is relying on video platform, through video, through the broadcast technology to achieve the same effect as the real technology, between the hospital and the patient to achieve transmission, between the hospital has discussions, the focus of case discussion to achieve mutual improvement platform.

To address these critical issues, to achieve orderly medical treatment, the rationalization of resources allocation, as well as effective guidance, in fact, the use of virtualization, the concept of using cloud computing, very objective, as a hospital individual speaking, really do cloud computing, cloud computing is your computing power, on the other hand, for feelings and perceptions, For example, through my cloud computing, how much coverage I have, there is no mature basis, as the children's Hospital is also committed to these jobs, more is to serve the patients, to serve the community, relying on our very professional technology to achieve a good service for the problem, which is today I mainly exchange some topics.

(Responsible editor: The good of the Legacy)