Make the system more "smart"
For example, in order to solve the problem of expensive medical treatment for the masses, health authorities at all levels are instructing hospitals to carry out limit calculations of medical expenses for single diseases.
However, for some hospitals that only achieve department-level information management, because the hospital charging subsystem and the medical record management subsystem in the hospital information system are independent of each other, a strict one-to-one correspondence relationship is not established through the patient ID number , It is impossible to directly link the data of the two with an association relationship.
It is necessary to find out the patient information of this disease type from the medical record management subsystem, and then find the corresponding patient cost data in the hospital charging subsystem through manual judgment, and then the required data can be obtained. Not only is it time-consuming and laborious, but errors and omissions are inevitable, which affects the authenticity of the information.
On the contrary, if the connection search command and the limit calculation formula are encapsulated in a process, then by calling this process, we can directly get the final result we need, which greatly improves the reliability and availability of information.
For another example, in order to standardize medications, hospitals at all levels have added a "reasonable rehydration and medication review system" to the management information system in the past year or two, using the pharmacopoeia as a standard to summarize the many years of experience of hospital employees into this expert system.
Dynamically reviewing the patient's medication data when the doctor issues a prescription, not only improves efficiency, but also improves the quality of the review. Moreover, the hospital can continuously add the newly discovered experience of employees to this system to make it more "smart" and more complete.
From data management to knowledge management
The popularity of computer networks in hospitals in China is very high, but the utilization rate is very low. Its main purpose is to perform general simple data processing such as fees and medical orders. However, in the dean ’s inquiry, scientific research management, decision-making and financial budgets Some data is rarely used in depth.
The realization of data association utilization not only needs to break the various "information islands" and "information chimneys" in the hospital, to realize the full transmission and application of information, but also to make the process of reprocessing and reapplication of information data "cycle" repeatedly. Make the information resources gain value in the continuous recycling.
At present, China is in the stage of transition from department-level information management to hospital-wide information management. The core problem facing us is to realize the comprehensive sharing of medical information resources. The software design corresponding to the department-level information management focuses on the task requirements of a department. The information management covering the whole hospital is not a simple superposition of various department-level information systems. The various information of the hospital is interrelated.
For example, it is also a charge. When the department is informatized, it is only required to distinguish the types of fees to obtain the overall cost. The toller enters the data at the toll office based on the charging documents provided by the department, which is similar to the function of the cash register.
While charging for information management covering the entire hospital, the specific workload of each department must also be implemented to equipment, personnel, departments, etc., and some will also complete some preliminary medical statistics functions simultaneously.
To this end, it is necessary to integrate resources based on the information level, combine the internal information flow of each department with the information needs of upstream and downstream related users, and form a unified and smooth information flow mode throughout the hospital to provide effective information for different information users. Information Release.
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