Study On Clinical Information System Construction And Apllication Of A Tertiary Hospital

BackgroundThe role of hospital information construction is becoming increasingly significant in guaranteeing and supporting smooth reform of the health care system as well as sustainable development of hospitals. From the implementation regulations of accreditation standards for tertiary general hospitals issued by the Ministry of Health, we can see that informatization takes the biggest proportion. In the378items of evaluation content and monitoring indexes, information technology is directly relevant or indirectly related to the most articles, with the content covering various levels such as outpatient service, inpatient diagnosis and treatment, security control, hospital affair supporting system and information disclosure, touching different links of business process, medical quality, work efficiency, service supervision and comprehensive control, etc. Information has become closely related to overall hospital construction and development, providing powerful support for hospital accreditation and decision-making. Hospital accreditation puts forward clear requirements for the clinical information system of tertiary hospitals, namely, the establishment of an electronic medical record system and at least12kinds of clinical pathways. Therefore, it is of important practical significance to carry out research on hospital clinical information construction.ObjectivesBy the hospital clinical information system construction methods and applied research to improve health care quality and efficiency, efforts to explore the ways and means of hospital information to achieve medical business process optimization and innovation, discover models and mechanisms to enhance the risk of clinical diagnosis and treatment monitoring timing control.For the late start of Linyi People’s Hospital information systems, construction of hospital information have been behind the development of the hospital, By the time of three hospital accreditation, the hospital launched a new round of information systems building, focus on the clinical application as the core, to promote the long-term building of the hospital clinical information system.MethodsLiterature researchAccess to literature, information and books related to the hospital clinical information system construction, to understand the process of development and research status of hospital clinical information system at home and abroad, based on previous research-based design research basis of clinical path, to provide a reference basis to this article research. Qualitative interviewWe organized a depth interviews with clinicians, collected the data of application and effect of clinical information system construction. In the ground surveys, as well as topics, pay attention to collect the comments and suggestions from hospital front-line staff and experts and professors in related fields, to make research more scientific.Main ResultsThe construction of hospital information is closely related to the development of hospital building, and provide strong support for the assessment and hospital decision-making. Hospitals should alter the past idea cope with the assessment, and the hospital information should be according to the standard construction of hospitals, to reduce the randomness and blindness, we must first clear the scope and content of the construction of hospital clinical information.Construction of clinical information systems is a complex process, not a simple accumulation process for each subsystem, we must first analyze the existing information system to sort out the relationship between the various systems; Second, analysis the existing clinical-oriented information subsystem, to clear these subsystems defects in clinical applications; finally, build long-term sustainable development in line with the hospital information system infrastructure. By the results of the survey, we can draw the path of the construction of the hospital clinical information systems, and then clear the need to transform the workload of each subsystem.The path of the clinical information system should first put CPOE as a core to promote the construction of the medical process, followed by the use of CPOE-driven electronic medical records clerical system, created clinical pathway system based on CPOE and electronic medical records instruments, to achieve the clinical data repository (CDR). Eventually,lay the foundation for the construction of hospital information platform.The clinical application systems include the followings:POEMedical Records SecretariesClinical PathwayClinical Data Repository (CDR)Conclusions and suggestionsThis article discusses the design and construction of the subsystem of clinical information systems, and given the scope and methods of the construction of the current situation of clinical information systems for hospital development.To promote the construction of clinical information systems is a long-term goal of the hospital, the status of existing hospital information system should been fully recognized and orderly controlled and developed. The short-term goals and long-term goals must be taken into account in the construction process of the clinical information system, we should neither emphasis on short-term goals while ignoring the long-term planning; nor emphasis on long-term planning and neglect short-term emergency assessment targets of the tertiary hospitals, resulting in three hospital accreditation face enormous risks. By reasonable software technology, both to meet the tertiary hospital grade assessment work requirements, while maintaining the long-term development plan of the hospital information system.The construction of clinical information system needs the co-ordination of the business sections of the clinical, which has obvious difference with the common construction of information systems. Due to the wide range of departments and personnel, project management becomes extremely complex and difficult. Therefore, the information sector should has mental preparation for the promotion of the clinical information system.Now, Linyi People’s Hospital starts the construction of clinical information system by means of the tertiary hospital accreditation, the project is a test for both the information sector and clinical operations department. The plan of construction program of clinical information system has clear after two years’project construction and promotion, by means of the research projects, the following aspects in the implementation process still need to be improve and refine.O Clinical information system emphasized on hierarchical design,which based on integration platform, needs to further improved in the next stage of construction. Oclosed-loop CPOE contained mobile health care function needs further research; O Knowledge of the clinical pathway construction needs to docking with the standard;OCDR building needs to be clear.As the construction of clinical information system is a long-term process, from the part of the on-line system view, it has been made short-term benefits to change the opinion of clinical departments for information systems, hospital management and clinical departments have already had the methods and means of improving management.