The cloud will be quickly rolled out in the hospital

The society vigorously promotes the medical informationization, the 35 period health reform is also the government vigorously promotes the benefit of the state and the public event. Cloud computing can promote the rapid development of health reform, but the hospital information reform is also a hindrance. We invite the Director of the first Hospital Information center of Peking University, Ma Jingxiang, to talk about the road of information construction on medical reform.

The desktop cloud will be rolled out in a year or two.

IT Business News Network: Cloud computing is hailed as the hottest word. But the cloud is also a benevolent one. So how do you understand the cloud in your eyes?

Ma Jingxiang: Broadly speaking, cloud computing is no stranger. The Internet, and the IoT of things, belong to cloud computing. Now cloud computing is divided into three levels. Are IaaS, PAAs, and SaaS respectively. In fact, the architecture is the service, the platform, the service and the software. Like the internet in Google and Baidu is the use of cloud computing. In fact, it is equivalent to the technical framework that services, as long as the computer connected to the Internet can be used, the content is actually in the "cloud." For example, you want to search for a content, as long as you give a keyword, it can give you the answer. And the platform is the service, like the ipad, it is to provide you with a platform, and the platform is open. For example, you write a code or a program that gives you the authority to put it on this platform and everyone can use it. Cloud computing from macro to microscopic view, such as access to the hospital business network, the first requirement is stability, and then security. So while we all know some of the benefits of cloud computing, we are cautious, given the continuity of the business network. For example, such as virtual storage, this is a "cloud" a way, it can maximize the capacity of the server, but the business platform has been first, if the platform for virtual transformation, it is possible with the existing underlying software conflict, it is very dangerous. Once the conflict is over, the entire court is paralysed. If the hospital is not functioning properly, this is a social problem. So, when introducing a new technology, everyone is very cautious, never touch the underlying software. If a problem is touched, the responsibility is not to be negative. So, cloud computing has been talking for two or three years, but the hospital is mainly on the sidelines of the technology. But it is possible to use other non-core technologies in hospitals, such as OA systems or other isolated software. But now there is a "desktop cloud", which I expect to be in hospital soon, within a year or two.

IT Business News Network: In the scope of medical information, the application of cloud computing to hospitals and patients to bring real convenience? Does Peking University have a cloud computing consideration?

Ma Jingxiang: The majority of the hospital is divided into two or three nets, its backbone of the network is physically separated from the network, it itself is a closed network. In the case of cloud computing, it belongs to the category of "Private Cloud", which ensures that it is less susceptible to virus attacks. Most hospitals now use physical isolation methods. But with the continuous updating and application of technology, the Ministry of Health has now put forward the reference of "electronic medical record" and "Health file". Now Medicare and Health Bureau to the hospital to the data, and proposed data sharing, interconnection, this matter is more troublesome. If interconnection, then intranet and extranet must be connected. Especially like health records, it must be connected to the Internet, security issues immediately imminent. So it will take some time to achieve this. Moreover, to achieve this, the hospital should have a unified platform, I reckon in the near future will be formed.

Human factors are the bottleneck of management technology

IT Business News Network: You in the media interview has said that the current IT technology can be said to be a three-year update, Digital hospital construction of the biggest difficulty is not hardware, nor software, is a human factor. In the face of human factors, how to solve this problem?

Ma Jingxiang: Now a lot of things technology only accounted for three points, management accounted for seven points. Management is a matter of man. It is very difficult for hospital informatization to be pushed by the computing center. First of all, the information center is not enough to speak, and then there is not enough attention to the information center of the hospital, in fact, the status of the information center is much better than before. Because of the "doctor's Station", whether it is an "outpatient station", a "nurse doctor's Station" or "a resident's station", all the lists need to be typed, such as Doctor's orders and prescriptions, which were previously written and are now all typed. Now the information Center is equivalent to a hospital's nervous system, when the nervous system, all the paralysis. But in the final analysis, the information Center is an auxiliary section. If the Dean pays more attention to the information center, its investment is bigger, it develops faster. If a hospital is a high degree of information, the hospital is very good, also very consistent with the current trend. Now the information development is too fast, for example, when the ipad comes out, the nurses ' station will be ready to be used immediately. Before using a trolley to push a computer to a hospital bed, because of the limitations of physical conditions, there are many inconvenient. If you use the ipad, only two thousand or three thousand dollars, both convenient and fast.

IT Business News Network: Why does the Ministry of Health advocate "electronic medical records", "Health files" not to carry out? Is good news for good reason?

Ma Jingxiang: Not necessarily good news, the hospital said it is not profitable, in fact, the funds are self-financing. The hospital was funded by the state and some in full. Subsequently, the full appropriation could not be changed to the difference appropriation. Then the hospital into the market, are their own money. Then the patient is the hospital resources, if these resources are released, these resources are likely to be lost, what about the hospital? It can be said that now is a barrier, the future is to break, because the executive order down, you have to go to health records. So this is a trend, but the specific supporting policies can be down, otherwise it will be more chaotic.

The island of information is difficult to break down the old hospital

IT Business News Network: Beijing University, a hospital digital hospital information Construction have launched what information system? In the selection process is based on how a consideration?

Ma Jingxiang: OA Office System, now also operating electronic medical records and so on. As the old three hospitals in Beijing, unlike the new hospital can be set up all of a sudden, we build more slowly. Because of the old system, the update needs a process, the process is more painful, it is a metamorphosis, need to drop the skin.

OA system we are very early in the 04 began research. 05 began to use the Boya Morning Star. We have added something to the infrastructure, such as report management, communication management, financial management. It is connected with the extranet and is convenient to use. The electronic medical records are enabled by the company's system. The main reason for the selection is that its knowledge base is rich, the information reserves will be very many, the information that the doctor provides is more.

It Commercial News Network: "Information Island" phenomenon in the current hospital information construction is widespread. It is difficult for each system to get through effectively. How to solve this problem? What are the solutions and long-term planning?

Ma Jingxiang: Set up a unified platform, then everything is good to do. All the "island" can be set up with the platform interface, each island of information can be connected to the platform, to a unified database, the problem can be solved.

With the continuous development of information technology and hospitals, especially in our hospital, there are several parts, if it is really to interconnect, the first is to establish a unified hospital platform, this is a hospital development direction, not only our hospital. Many of the old three hospitals have such a problem. Without a unified platform, you cannot interconnect with the outside world. This platform more new hospital information is easier to establish, the more the old hospital involved in the flow of more, the more complex.

IT Business News Network: 2011, as the year Twelve-Five, information construction has become a key project. So as the medical reform of the information construction road is clearly also a long way, the Peking University, what are the strategic planning?

Ma Jingxiang: Strategic planning as an information center, speak too pale, can only say that have their own ideas. The next few years of information construction still have a way to go, but this is a development trend. For example, "cloud" must be a big development in the hospital, especially the desktop cloud, it in the electronic medical records or "Doctor Station" on the affirmation has a big promotion. Some of these core values, such as hospitals and green energy conservation, must be embodied.

(Responsible editor: admin)