Part One: Application Background of New Medical Reform
Since the reform and opening up, China's medical and health undertakings have made remarkable achievements. The level of health science and technology has rapidly increased, and the health of the people has improved significantly. On the other hand, the contradiction between the development level of China's medical and health undertakings and the people's health needs and the requirements of coordinated economic and social development are more prominent. There are "three longs and one short" phenomenon of long registration time, long payment time, long waiting time and short diagnosis time in the hospital, and the problem of "difficult to see a doctor" still exists.
The "Opinions on Deepening the Reform of the Medical and Health System" issued by the State Council in 2009 put forward the principle of "unity of fairness and efficiency", requiring medical and health service institutions to "focus on the role of market mechanisms, mobilize social forces to participate, and promote orderly competition. The formation of mechanisms to improve the efficiency of medical and health operations, service levels and quality to meet the people's multi-level and diverse medical and health needs. "
In 2010, the Ministry of Health issued the "Notice on Further Improving the Management of Medical Services in Medical Institutions" and "Notice on Carrying out" Three Goods and One Satisfaction "Activities in the National Medical and Health System." It is clearly required to make full use of modern information technology, gradually improve and perfect medical services, reduce the number of patients in line, facilitate patient visits, and further improve the order of outpatient and emergency treatment. It is required that the waiting time for service windows such as registration, price-setting, charging, and medicine taking shall not exceed 10 minutes.
The “Plan for Deepening the Reform of the Medical and Health System and Implementation Plan during the“ Twelfth Five-Year Plan â€period issued by the State Council in March 2012 requires comprehensive measures to facilitate and benefit the people, vigorously promote high-quality care, optimize service models and service processes, "Post-settlement" service, and encourage social capital to invest in various forms of public welfare in some public hospitals.
The promulgation of these documents put forward solutions and specific requirements for solving the problem of difficult medical treatment and improving the quality of diagnosis and treatment services.
Part 2: Innovative service model
With the help of the spring breeze of medical reform, Great Wall Information, a subsidiary of China Electronics Corporation (CEC), established Hunan's largest medical technology enterprise, Hunan Great Wall Medical Technology Co., Ltd. (hereinafter referred to as Great Wall Medical), to focus on providing integrated solutions for the medical industry.
Relying on Great Wall Information's more than 40 years of financial self-service R & D and production experience and more than 10 years of hospital information system construction experience, Great Wall Medical took the lead in launching the "Silver Doctor Card Self-Service Model" in 2009, innovatively applying the Internet of Things technology and financial self-service terminal technology to achieve The connection between the self-service terminal and the hospital information system (HIS) and banking system opens up a fast and full-service self-service application channel for patients-self-service issuance of medical cards, self-service recharge, self-service registration and appointment registration, self-service payment, self-service inquiry, self-service printing Invoices and receipts, self-printing inspection report forms, etc. The system optimizes the medical treatment process, improves the rate of diagnosis and treatment, improves the quality of services, and solves the problems of patients waiting in line for a long time and the safety of funds.
On the other hand, Great Wall Medical also pioneered the model of cooperation between banks and doctors. The bank-medicine cooperation includes two aspects: one is the introduction of bank participation in the project, the bank is funded to solve the hospital's capital problems in system transformation and equipment purchase, the hospital does not need to invest additional funds in the entire process optimization process, successfully pioneered the use of social funds to solve A multi-win model for people's livelihood issues where medical treatment is difficult; second, using their years of experience in cooperating with banks to load part of the hospital's business into banking channels, expand medical service windows, and provide patients with self-service terminals, online banking, and telephone banking at bank outlets for patients Providing high-quality registered services has greatly facilitated people's medical treatment.
Model innovation points:
1. Solve the problem of people's livelihood with social funds: create a bank-medical cooperation business model. The project is used by bank-funded hospitals, which creates conditions for the large-scale application and rapid promotion of the model.
2. Promote real-name system visits and all-in-one cards to realize the sharing of diagnosis and treatment information, and reduce the operation space of traffickers: the implementation of real-name system treatment cards, bank cards, resident health cards, and social security cards in hospitals are used as treatment cards in the entire process of medical treatment to ensure diagnosis and treatment information Continuation and sharing. Since the real name seeks medical treatment, the number trader cannot arbitrarily reverse the number, and the interests of the patient are better guaranteed.
3. Provide convenient self-service: patients can use self-service equipment throughout the hospital throughout the treatment process, greatly reducing the waiting time and the number of round trips.
4. Expand hospital registration channels to facilitate people's medical treatment: use bank channels to provide people with high-quality appointment registration services to alleviate the difficulty of hospital registration;
5. Reform the medical expense payment model to achieve rapid payment: follow the "first diagnosis and treatment, then settlement" model advocated by the Ministry of Health, and combine "prepaid payment deduction" and "bank card swipe payment" to achieve convenient inter-diagnosis payment and self-help Payment is convenient for patients.
Part III: Program development process
In 2008, through in-depth exchanges with the Second Xiangya Hospital of Central South University, Great Wall Medical took advantage of the mature financial self-help technology and medical information technology of Great Wall Information to jointly develop with the hospital to create a “silver doctorâ€. All-in-one card self-service solution ". The project started trial operation in September 2009; it was officially put into operation on February 1, 2010; a press conference was held on March 8, 2010 (during the two sessions), and CCTV conducted a special report that day; September 8, 2010 On the day, the project's silver medical system was launched, and CCTV conducted another special report. In the project of the Second Xiangya Hospital, Great Wall Medical adopts the "first diagnosis and treatment, then settlement" model advocated by the Ministry of Health. Patients only need to pre-store a certain amount of funds in the account corresponding to the diagnosis card. The window will be settled uniformly after the end of diagnosis and treatment. Patients can use their own second-generation ID cards to apply for medical cards at the self-service terminal, can use cash and bank cards to recharge at the self-service, and can register, make appointments, take numbers, pay fees, print test report forms, and print payment through self-service equipment. In the list, the patient who is bound to the bank card can also make a self-refund (refund to the bank card account), which realizes the whole process of self-service application.
In the market expansion from 2009 to 2012, Great Wall Medical's "Silver Medical Card Self-Service Solution" application area covered 28 provinces, involving 208 hospitals, and served an average of 200,000 patients per day. Great Wall Medical used the opportunity of cooperation with Ruijin Hospital to launch a one-stop service model that supports invoice printing and medical insurance settlement; used the opportunity of cooperation with 301 Hospital to launch a multi-bank cooperation card card model; used the opportunity of cooperation with Guangdong Bank of China , Launched the application model of the card of the Yinyin Co-branded Card Group Hospital, taking the step from a single-point hospital to the group hospital; taking the opportunity of cooperation with Shenzhen Bank of China and Shenzhen Municipal Health Commission, the first city in the country to launch a citizen health card city The application of the card for diagnosis and treatment, and pioneered the payment model for the diagnosis and treatment of financial IC cards; taking the opportunity of participating in the formulation of technical standards for residents ’health cards of the Ministry of Health, and actively participating in the application and promotion of residents’ health cards, the first Foshan model of the residents ’health card city card; Dongguan, Great Wall Medical used the application experience accumulated in the previous period and worked with Dongguan Social Security Bureau to innovate the card application mode again-the first comprehensive application of the new social insurance financial IC card of the Ministry of Human Resources and Social Security in the city's medical and health institutions (social insurance card diagnosis and treatment card) , Realized social security card, bank card, health card , Multi-card integration of diagnosis card.
Part IV: Project Benefit Response
1. It has been fully affirmed by national leaders. A typical case of Great Wall Medical-Premier Wen Jiabao of the 301 Bank-Medical Cooperation Project of the 301 Hospital affirmed and specially instructed: "The practice of the PLA General Hospital has improved medical services and facilitated the majority of patients, and it is worth learning from." Vice Premier Li Keqiang also gave instructions : "Please follow the spirit of Comrade Jiabao's instructions in the process of advancing the reform of public hospitals and the implementation of medical information system, you can seriously summarize and draw on the model of 301 hospitals combining banking and medical."
2. Form a win-win situation for multiple parties. Through the bank-medicine cooperation project, the bank can obtain the hospital ’s return of funds and expand the amount of card issuance; the hospital can optimize the outpatient process without investing costs, and can also extend the service window to the bank outlets, which better solves the problem of patients seeing doctors; patients Therefore, you can obtain high-quality diagnosis and treatment services (convenient registration services, shorter waiting time, etc.); the company has achieved rapid development because of the bank's participation in promoting the project, and the project has achieved a true multi-win-win situation.
3. Significant social benefits. Great Wall Medical's "silver doctor card self-service solution" has achieved good results in practical applications. The waiting time of patients in queue has been shortened by more than 50% on average, and the number of round trips can be reduced by 60%. This solution has become the best solution to the problem of "three longs and one short" in hospitals. CCTV and other major media have repeatedly reported that a wave of outpatient optimization and reform has been launched nationwide, with significant social benefits.
4. The project has achieved fruitful results. The project passed the technical appraisal of the Ministry of Industry and Information Technology, and the appraisal result was: "It has distinctive characteristics in terms of technology integration and service model innovation, suitable for the special needs of Chinese hospitals, in line with China's new medical reform development direction, and the overall technology is at the domestic leading level." The 3G network and FRID technology for medical electronic equipment and mobile medical system research and development and industrialization project "received special funding support from the National Development and Reform Commission. The project won the "First Prize of Scientific and Technological Innovation" jointly issued by Hunan Provincial Federation of Trade Unions, Provincial Department of Science and Technology, Provincial Department of Human Resources and Security, Provincial Economic and Information Commission, Provincial Intellectual Property Office, and Provincial Staff Science and Technology Innovation Committee.
5. The project is widely used. The Great Wall Medical Card Self-Service Solution pioneered by Great Wall Medical has been widely recognized by major hospitals across the country. Currently, there are 208 tertiary hospitals that have established cooperative relations with Great Wall Medical and have the largest market share in the country, including Peking Union Medical College Hospital. , 301 Hospital, Shengjing Hospital of China Medical University, Ruijin Hospital of Shanghai Jiaotong University, Affiliated Tumor Hospital of Sun Yat-sen University, Xiangya Hospital of Central South University and Second Xiangya Hospital, etc.
Part V: Follow-up development of the project
At present, the Ministry of Human Resources and Social Security and the Ministry of Health are piloting the issuance of new social security cards and resident health cards, and they are all implementing financial functions. The regional health card is the general trend. Great Wall Medical has already undertaken the construction of the acceptance environment of Foshan residents' health cards and Dongguan social security cards, and has realized applications such as card acceptance, card registration, card consultation, card settlement, card inquiry and reading and writing. Great Wall Medical has extended the achievements of the construction of single-point hospitals such as 301 Hospital to the field of regional health card construction, quickly accumulated practical experience, and hopes to contribute to more regional health card construction projects in the future and continue to improve the "Silver Medical Card Self-help "Service solutions", give full play to the role of social security cards and residents' health cards.
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