Data intelligence industry innovation service media
——Focus on digital intelligence and change business
With the continuous deepening of high-quality development in the health field, it is urgent to further enhance the supporting role of informatization, and it is bound to set off a wave of digital transformation in the health field. As we all know, China's health sector has been facing problems such as overall insufficient service supply, uneven distribution of health resources between regions and groups, and large differences in service capabilities and levels. In order to solve these problems, the Party Central Committee and the State Council issued a series of policies such as the "Outline of the "Healthy China 2030" Plan" and "Opinions on Promoting the High-quality Development of Public Hospitals", and the National Health and Health Commission also issued them from the perspective of informatization support. Specific guiding documents such as the "14th Five-Year Plan for National Health Informatization" put forward clear requirements for the digital transformation of the health service system, thereby promoting the realization of the goals of inclusive, efficient and high-quality medical services. At the same time, the rapid development of China's Internet has also provided technical iterative support for the digital transformation of the health care field.
The digital transformation in the field of health care mainly involves four aspects: Internet medical care, electronic medical records, medical big data and artificial intelligence. In the field of Internet medical care, it mainly involves online medical consultation, appointment registration, telemedicine, etc.; in terms of electronic medical records, through the rapid transfer of electronic medical records between regions and institutions, doctors can obtain patients' all-round health more quickly and accurately. and diagnosis and treatment information to improve the efficiency and quality of diagnosis and treatment. At the same time, electronic medical records can also facilitate the communication and collaboration of doctors in remote consultation and other aspects, and realize the sharing and optimization of medical resources; in the application of medical big data, it mainly includes medical research and disease prediction. , medical resource management, etc.; the application of artificial intelligence technology in the medical field mainly includes medical auxiliary diagnosis, auxiliary film reading (picture), auxiliary monitoring, auxiliary supervision, drug research and development, etc.
Many patients and their families who seek medical treatment in first-tier cities such as Beijing, Shanghai, Guangzhou, and Shenzhen can often feel the great convenience brought by digital transformation. In underdeveloped medium-sized cities, how far has digitalization in the health field progressed? Where are the difficulties and opportunities in the digital transformation of the health care sector? ... In order to understand these situations, Data Ape specially interviewed Ye Feng, the hometown of Emperor Yan and the person in charge of the informatization special class of the Suizhou Health and Health Commission of Hubei Province.
The Imminent and Imperative Digital Transformation
Ye Feng believes that the digital transformation of the entire health field can be described in four words - it is imperative, and if an adjective is added in front of it, it is "imminent". A short sentence expresses the expectation and urgency of "Weijian people" for the current digital transformation.
In recent years, in accordance with the planning and deployment of the Party Central Committee and the State Council, the field of health care has comprehensively focused on "the construction of a county-level medical community, the construction of a compact urban medical group, the integration of medical care and prevention, hierarchical diagnosis and treatment, medical and health service capacity building, and Internet + medical health." and other key tasks, and strive to achieve high-quality development goals. Ye Feng believes that if there is no informatization to provide relevant support and provide relevant services, the speed and quality of these tasks will be greatly reduced, and may even be impossible to complete. Therefore, the digital transformation of the health care service system is imminent.
Secondly, some people have a narrow understanding of health work, and they think that health work is clinical medical services. In fact, this is not the case. Ye Feng told Data Ape that health care includes not only clinical medical services, but also basic public health services, family doctor services, disease prevention and control services, maternal and child health care services, comprehensive law enforcement services for health supervision, blood collection and supply services, etc. The task of the entire health work is to provide health services for the whole life cycle and all elements of the people. One of the important contents of the improvement of health service capabilities in the new era is to change the situation of "fragmentation" of services in the past. According to the " The thinking of "integrated strategy" connects and integrates various health service resources and capabilities, so that services can form a joint force and be effective and coherent. These are inseparable from the construction and support of informatization and digital capabilities. The transformation of the health service system is imperative.
Third, the public's demand for the convenience of health care services is increasing. For example, diagnosis and treatment settlement, report inquiry and other links consume a lot of time in the process of people receiving diagnosis and treatment services, and repeatedly rush back and forth between doctors, payment offices, and auxiliary inspection windows, making people feel poor when receiving health services. At the same time, Patients who have visited the doctor for many times need to face multiple inspections and inquiries, which makes it difficult to greatly improve the efficiency of medical services. In contrast, in other industries, information technology has penetrated into all links of the whole service process and is widely used. The demand for convenience measures for health services is high, and the satisfaction of these convenience needs also makes the digital transformation of the health service system inevitable.
On the whole, Ye Feng is very looking forward to the digital transformation and upgrading of the health care field, but also very urgent. The expectation is because the direction is clear, and the services and capabilities after transformation are very efficient and convenient. The urgency is because many tasks in the plan need to be solved. There are many problems, and many "hard bones" need to be gnawed.
five directions of exploration
Since the time is tight and the task is heavy, how is the current digital transformation of medical and health in Suizhou City? What aspects of exploration did Ye Feng and his team do? Ye Feng told Data Ape that they explored in five directions.
The first is to carry out environmental construction and transformation with "cloud", "network" and "security" as the main content, and basically complete the construction of a deep integration system at the prefecture-level and city-level. All applications are unified on the cloud, and the underlying technology of "containerization as the main + virtualization as the auxiliary" and the resource system of "two places and three centers" are implemented to build a health cloud resource pool to consolidate the resource base; carry out "multi-operator support, IPv6 adaptation, 4-way (main-standby line + dual 5G) access, unified external connection" as the main content of the network upgrade and transformation, comprehensively improve network performance and reliability, and comprehensively improve the stability and security of the network access environment of medical and health institutions At the same time, internally guide all types of medical and health institutions at all levels to standardize the transformation and management of the intranet, and fully consider the future-oriented "Internet of Everything" needs. Carry out the construction of a security control system based on "unified login, CA certification, cloud + terminal security linkage", build a unified security situation awareness and policy management platform, strengthen information security management awareness and mechanism construction, and improve information security levels.
The second is to carry out the construction of integrated basic applications based on "unified architecture, unified standards, and unified applications", and complete the construction of the main application framework. In terms of unified architecture, B/S architecture application replacement is used in an all-round way to realize the use of multiple terminals (all kinds of computers, tablets, mobile terminals and cloud desktops, etc.) of the application system. Single sign-on" transformation, a large number of application systems can be used only by opening the webpage. in terms of uniform standards. All application software is benchmarked against data standards such as "Electronic Medical Record Rating", "Interconnection Standardization Maturity Evaluation" and "Hubei Province National Health Data Standard Set", and adopts a "data governance front-end" model to ensure that "data generation is highly available ", and clearly stipulates that unified standards will be strongly implemented in the later stage of informatization construction. In terms of unified application, in the construction of the project, all-cloud applications will be used to replace the original old diagnosis and treatment, nursing, inspection and inspection, pharmacy, fees, basic public health, health records, and key disease Business applications such as automatic reports, electronic health cards, etc., create the "main structure" of core applications, and clarify that post-construction and other applications must be developed and connected around basic applications.
The third is to carry out the construction of a data base with "one lake and four middle stations" as the main content, to promote data transfer and extract data value. Carry out platform-level "data center" (main center, clinical data center, operation data center) and "integration platform" construction around the "core application system" to ensure the rapid flow of "zero-resistance" data with high timeliness requirements at the application level, Meet the needs of inter-business, inter-agency, and inter-regional collaboration. Promote the management of the full amount of data assets with the construction of "data center" and build a highly available "data lake"; create a "second ruler" in the form of pre-data standards in the "data center" "Perform quality control. Promote the further standardization of application release, daily operation and maintenance, iterative update, and management configuration with the construction of "application middle platform", so as to ensure the reverse supervision of the application by the data base. Through the construction of "technical middle platform", necessary tools are provided for mining the value of "data entering the lake", so as to carry out modeling, offline analysis, real-time calculation and other work on the full amount of data assets, and support the statistical analysis and real-time monitoring needs of each business port; through The construction of "AI middle platform" conducts unified management of various modeling and algorithms, and provides platform support for the construction of various intelligent medical business models.
The fourth is to carry out application construction with "convenience to the people and medical assistance" as the main content, so as to improve the convenience of the masses in seeking medical treatment. Through the construction of a unified Internet service mini-program - "Healthy Suizhou" as the starting point, integrate the city's Internet diagnosis and treatment service resources, promote the one-stop provision of convenient services, and give priority to providing functional modules such as "reservation, medical treatment, payment and real-name identification" , comprehensively promote the use of "electronic health card", and gradually improve and enrich the functional components of the small program in combination with the construction of "Internet Hospital", so as to improve the convenience and speed of the public in receiving health services. At present, it has covered nearly 60 medical institutions .
The fifth is to carry out the construction of open applications with "integration and coordination" as the main content, and promote the implementation of key tasks. The platform is fully supporting key tasks such as county-level medical community, automatic monitoring of statutory infectious diseases, remote consultation, hierarchical diagnosis and treatment, Internet + medical health, medical prevention collaboration, and medical and health integration. "A number of applications have been launched in Suizhou. In the second half of 2023, the construction of instant messaging and collaboration tools will be launched, and the solid foundation and structure, the formed data assets, and the covered business work will be fully connected in series, and the needs of different "integration and collaboration" scenarios will be compared. In-depth support and promotion of informatization.
Suizhou regional medical integration platform system architecture diagram, source: Suizhou Health Commission
Through the exploration of these five directions, many things that were unimaginable in the past are becoming a reality. The convenience of medical treatment for the masses has been rapidly improved, the standardization and efficiency of diagnosis and treatment have been greatly improved, and the value of various health data has doubled. For example, in the application construction of medical aid for the convenience of the people, nearly 60 medical institutions include 47 township health centers and 3 community health service stations. The service can also be enjoyed by rural residents; data mining has played an irreplaceable role in the risk assessment of the two waves of the new crown virus infection period, the monitoring and analysis of statutory infectious diseases, etc., and also laid the foundation for the widespread use of big data and the realization of privacy computing Base.
Three challenges and five trends
The digital transformation of healthcare has brought convenient services to residents in different cities. However, like the digital transformation of other industries, the digital transformation of healthcare also faces many challenges. In addition to the challenges of data dispersion and service fragmentation mentioned by Ye Feng, Data Ape believes that there are still three challenges affecting the digital transformation of the industry.
The first is data security and privacy protection. With the advancement of digital transformation, a large amount of data in the medical field is also facing security issues such as leakage and tampering. At the same time, the privacy protection of medical data has also received extensive attention. How to ensure data security and privacy is an important challenge in digital transformation.
Followed by technical standards and system interconnection. Digital transformation requires system interconnection between various medical institutions and enterprises, but the existing technical standards and system architecture are not completely consistent, which poses certain difficulties for the advancement of digital transformation. How to formulate unified technical standards and system architecture is an important challenge for digital transformation.
The third is talent shortage and personnel training. Digital transformation requires the support of a large number of talents, including technical talents and management talents. However, there is currently a shortage of digital transformation talents in the medical field, and at the same time, medical practitioners have insufficient understanding and application of digital transformation. How to solve talent shortage and strengthen personnel training is an important challenge of digital transformation.
Although digital transformation faces a series of challenges, digital transformation also brings great opportunities and development prospects to the field of health care. Data Ape believes that the following five aspects will gradually become trends in the digital transformation of the health field.
The first is intelligent medical care. Digital transformation will promote the transformation of medical institutions and enterprises to intelligent medical care, realize the intelligent collection, analysis and application of medical information, and improve the quality and efficiency of medical services.
The second is cloud medical care. Digital transformation will vigorously promote the development of cloud medical care, realize cloud storage and sharing of medical information, and improve the reliability and coverage of medical services.
The third is medical big data. Digital transformation will promote the development of medical big data, realize in-depth mining and analysis of medical data, and provide strong support for medical decision-making and research.
The fourth is telemedicine. Digital transformation will promote the development of telemedicine, realize remote diagnosis, remote consultation and remote monitoring of medical services, and improve the coverage and efficiency of medical services.
The fifth is the medical service platform. Digital transformation will promote the development of medical service platforms, realize the sharing and collaboration of medical resources, and improve the integration and integration of medical services.
On the whole, although digital transformation is facing a series of challenges, by strengthening efforts in technology research and development, personnel training, and standard formulation, these challenges can be gradually overcome and the healthy development of digital transformation can be achieved. The opportunities of digital transformation in healthcare far outweigh the challenges, and it is imperative and imminent.
With the continuous advancement of digital transformation in the field of health care, medical fairness is gradually being implemented, and goals and slogans are being reflected in reality.
Text: Winner / Data Ape
