This year, China proposes to build a new system for the high-quality development of public hospitals, a new mission in the new era, how can public hospitals get out of the road of high-quality development? As the helmsman of the hospital, Fang Yongping, secretary of the party committee of the First People's Hospital of Huizhou City (hereinafter referred to as the "First People's Hospital"), and Yuan Xia, deputy secretary of the party committee and president, gave their own answers. In the future, the hospital will change from scale expansion to quality improvement and efficiency improvement, with the needs of patients as the goal, and strive to create a new highland for more disciplines, and bring high-level diagnosis and treatment services to the people.
(The booming First People's Hospital of Huizhou)
Make every effort to build a high-quality regional rescue and treatment service system
Speaking of the understanding of the construction of high-quality hospitals, Yuan Xia, deputy secretary of the party committee and president of the first hospital of the city, said that the first hospital of the city is in accordance with the requirements of the state for the high-quality development of public hospitals, to achieve three changes: from scale expansion to quality and efficiency improvement, from extensive management mode to refined management operation mode, from investment in hospital infrastructure to improve the treatment of medical personnel, and then keep up with the pace of high-quality development of hospitals. "Establish the dominant position of public hospitals, provide the best quality medical care to patients, so that patients can save time, trouble, and worry; they can see the disease, can see the disease, see the disease!" Let the people have a sense of gain, happiness and security more secure, more fulfilling and more sustainable! ”
Founded in 2008, this hospital has rapidly grown into a young and powerful tertiary general hospital in a short period of time. In recent years, the party committee of the hospital has led the development plan with party building, the leading group has dared to take responsibility, really grasped the work, and with a vigor of opening up roads in every mountain and building bridges in the face of water, and the tenacity of long-term achievements, it has embarked on a path of high-quality development in line with itself, and the performance appraisal of national tertiary public hospitals in 2019 jumped 191 places compared with the ranking in 2018.
How short can a stroke patient go to a municipal hospital for treatment? 8 minutes! This is the "speed of one hospital" under the speed of life and death, which benefits from the efficient cooperation of all links and departments of the hospital.
Health is the stake, life is the stake. For a prefecture-level general hospital, among several important indicators to consider the overall strength, the regional influence of the ability to treat acute and critical care is indispensable. It is the unshirkable responsibility of the municipal first hospital to give full play to the advantages of medical resources of the top three hospitals and to undertake the major task of regional difficult and serious disease treatment.
Yuan Xia introduced that from 2019 to 2020, the hospital has continuously obtained the national "chest pain center", "heart failure center" and "stroke center" certification, and the results are remarkable. The hospital's "Emergency Trauma Center" has signed a contract with the world's top four Australian hospitals in the field of trauma emergency to introduce international advanced trauma management concepts and technologies. Professor Li Wang'an, head of the Department of Emergency Medicine, led the first-class medical and surgical emergency team in the province to build the city's first fully functional trauma resuscitation unit and the province's first municipal trauma center alliance, forming an urban trauma treatment system with the trauma center of the first hospital as the core, and successfully won the title of "Huizhou Trauma Center Construction Unit of China Trauma Treatment Alliance". It has also built an integrated model of pre-hospital emergency care - hospital emergency resuscitation - injury control surgery - severe trauma resuscitation, etc., and established an integrated and rapid treatment life channel for difficult and critically ill patients.
On December 16, 2020, Building 2 of the First Hospital of the City was officially opened, and it is expected that the total number of open beds will increase to 1500, the area of the emergency trauma center will be expanded to two floors, and the all-weather take-off and landing air rescue apron will be set up on the roof to form a "air-ground integration" medical rescue system, providing more timely and efficient services for patients with severe trauma, comprehensively leading the trauma treatment work in Huizhou, and becoming the main center of traffic trauma treatment in Huizhou City and the designated base for air rescue in Huizhou City. In the first half of 2021, the in-hospital mortality rate of patients with severe trauma was only 3.62%, reaching the international advanced level.
The certification and approval of the "national brand" marks the progress of the municipal hospital in clinical key technologies, the improvement of the ability to see serious diseases and treat serious diseases and emergency treatment, and also reflects the transformation of the hospital's clinical medical treatment from a single-armed combat in various disciplines to a multidisciplinary collaborative medical model, and also reflects the active integration of the municipal hospital into the healthy China strategy, actively participates in the reform of the medical system, focuses on the health of the whole people, and is based on the responsibility of combining prevention and treatment, rapid response and regional coordination.
The "2019 Innovative Hospital for Improving Medical Services" issued by the National Medical Administration, the "2020 Excellent Unit for Continuous Improvement of Hospital Management" issued by the Hospital Management Research Institute of the National Health Commission, and the "2020 Typical Cases of Public Medical Quality Improvement" issued by the Medical Administration Bureau of the National Health Commission and the High-quality Development Research Center of Public Hospitals... The fruitful results have witnessed the firm pace of the city's first hospital to ride the wind and waves and forge ahead, and also demonstrated the spiritual courage of all the cadres and workers of the hospital to keep pace with the times and revolutionize the past.
(Yuan Xia, Deputy Secretary of the Party Committee and President of the First People's Hospital of Huizhou City)
Opening the 2.0 Era to Build the "Fast Lane" of Medical Technology
The level of discipline construction represents the core competitiveness of the hospital, and strengthening the discipline construction of the hospital is an effective way to improve the core competitiveness of the hospital, and it is also the key to promoting the development of the hospital.
"Adhering to the discipline construction as the guide, combining clinical research and technological innovation, treating difficult and critical diseases, and promoting the high-quality development of the hospital has always been the foundation of our hospital's adherence." Yuan Xia said that during the 14th Five-Year Plan period, the hospital will change its thinking, from considering what the hospital wants to develop, changing to what the patient needs, and is committed to creating a new highland for more disciplines. Combine expert teams, integrate related disciplines, and "thrive" in the construction of disciplines. Combining the incidence spectrum of the region and the shortcomings of regional medical technology, the hospital strengthens the construction of clinical specialties, carefully plans the blueprint for the development of the "14th Five-Year Plan" discipline, and puts forward the strategic direction of "focusing on building eight major centers, making three characteristic specialties, and steadily developing other specialties", and promoting the construction of disciplines to move towards a high-tech direction.
First of all, integrate similar disciplines, inherit the advantages of the "three major centers" disciplines, and make every effort to advance towards the "eight major centers". The eight centers include "acute trauma center (including chest pain center and stroke center), heart disease diagnosis and treatment center, encephalopathy diagnosis and treatment center, orthopedic disease diagnosis and treatment center, digestive tract disease diagnosis and treatment center, tumor diagnosis and treatment center, precision medicine center, and geriatric disease diagnosis and treatment center", creating a high-level discipline cluster.
Secondly, it is necessary to build a demand-oriented and dislocation development of three characteristic specialties. According to the strength and development characteristics of existing outpatient specialties, aiming at and locking specific medical need groups, putting forward the dislocation development strategy of "you have no me, you have my specialty", and creating three specialties of "plastic surgery, oral medicine, and sleep center", so that the specialties stand out in the fierce competition.
At the same time, we will steadily develop other specialties and continuously improve the construction of disciplines. In 2021, the hospital has successively opened obstetrics, neonatology and general medicine departments, marking the official establishment of the hospital's real life cycle medical service system. With the gradual formation of a complete and strong subject group, the continuous improvement of medical level and ability, the level of hospital discipline construction towards high-quality development, and the city's first hospital has fully opened the 2.0 era.
Finally, we will further strengthen clinical research and applied basic research and promote medical technology innovation. By promoting the multidisciplinary diagnosis and treatment model, formulating a reasonable diagnosis and treatment process, reducing patient cost, time and pain, and then promoting the innovation of medical service model.
With a high-end platform and a clear layout, how to grasp the implementation? Knowledge and talent, flocks of geese flying high to lead the geese, high-end talents in the field of medicine, is to provide patients with superb medical skills of the "main bone".
Professor Sun Chunhan, the leader of the Department of Orthopedics, a famous doctor in Huizhou and a famous doctor in Lingnan, took the lead in creating and promoting new technologies for minimally invasive spine surgery in Huizhou, and won the Huizhou Science and Technology Progress Award for many times. Professor Zhong Haobo, the head of the discipline, has made outstanding achievements in joint injury and sports medicine, and has created several new surgeries and new technologies that are the first in China. This year, he was selected into the China Orthopaedic Elite Association, and is the only orthopedic expert in Huizhou to be selected for the institution.
Heart disease diagnosis and treatment center, now a key clinical specialty in Huizhou City, once cooperated with Beijing Anzhen Hospital to establish a "Cardiovascular Disease Diagnosis and Treatment Center", during which the "surgery for patients with tricuspid valve infection and coronary artery bypass surgery" was the first case in Huizhou City. Director Huang Zhihui, the leader of the discipline, is particularly good at congenital heart surgery, and has successfully performed about 6,000 cases of various heart surgeries so far, with a success rate of more than 99%.
Precision Medicine Center, the First Hospital of the City intends to cooperate with the First Affiliated Hospital of Sun Yat-sen University to establish the Huizhou Branch Center of the Molecular Diagnosis and Genetic Testing Center of the First Affiliated Hospital of Sun Yat-sen University to fill the gap in precision medicine in Huizhou. In the next three years, it will radiate to medical institutions at all levels in eastern Guangdong and gradually establish the status of regional molecular diagnostic and testing centers. Zhao Wenli, the leader of the discipline, has the reputation of "disease judge", specializes in clinical pathological diagnosis, presides over and participates in 2 provincial science and technology plan projects, and won the first and third prizes of Huizhou Science and Technology Progress Award.
The cancer diagnosis and treatment center will be cutting-edge and individualized in diagnosis and treatment, including malignant tumor chemotherapy, molecular targeted therapy, immunotherapy, tumor screening and prevention, tumor rehabilitation treatment, and hospice care, and the professional level is at the forefront of the province. In the future, with the addition of Yuan Xia, the leader of the huizhou city tumor class, the special allowance expert of the State Council government, and the master tutor, we will strive to build a more powerful "tumor diagnosis and treatment center", actively promote the construction of radiation therapy platform, and continuously improve the ability of the first hospital in the city to treat tumor diseases to meet the comprehensive, standardized and systematic all-round treatment needs of cancer patients in our city.
"We hope that through the creation of these high-level medical platforms, high-level diagnosis and treatment services will be brought to the people."" Yuan Xia said. One by one, the "first case" and "first" technology have become milestone breakthroughs in the field of precision medicine, so that the city's first hospital, the new coordinates of the strong rise of the Huizhou medical map, truly have the strength to guard the "health dream" of tens of millions of citizens.
"Party building + smart medical care" allows patients to enjoy the convenience of informatization
Ideology determines the pattern, and strategy guides development. Smart medical care reconstructs the traditional diagnosis and treatment mode and fully embodies the concept of "patient-centered". However, changing stereotypes is not an easy task.
So, in the Internet era, where is the foothold of the "digital transformation" of public hospitals? "Digital transformation, one is information, the establishment of convenient medical care, convenient patients, convenient management of information wisdom hospital; the other is data, that is, how to use data to guide hospital management, information is the core of hospital development, the top manager of the hospital is not the secretary and president, should be information and data." In the view of Fang Yongping and Yuan Xia, "Internet + medical treatment" is an inevitable trend in the development of modern hospitals, for this reason, the first hospital of the city will provide patients with quality services, improve clinical service capabilities and strengthen the fine management of hospitals as the main direction, closely follow the national policy, focus on the construction of smart hospitals.
(Fang Yongping, Secretary of the Party Committee of the First People's Hospital of Huizhou City)
"We must keep up with the new era, respond to new requirements, continue to innovate and develop, and implement precise policies, so that every work and every improvement is firmly on the final foothold of patients' feelings." Fang Yongping, secretary of the party committee of the hospital, also said the same. In order to enable more patients to enjoy the convenience of medical treatment brought by online services, the Municipal First Hospital has played the role of a pioneer and exemplary party member, taking the people's health as the center, combined with the party history study education and the practical activities of "I do practical things for the masses", launched the special action of "how to enhance the service awareness of employees" and "queue up once less" to effectively solve the problems that the masses have the strongest reaction to. Fang Yongping introduced that through preliminary research, a total of 10 problems in the medical service category were summarized, and 16 businesses in 7 medical treatment scenarios were sorted out for process reengineering, focusing on "letting information run more and the masses run less errands", and focusing on improving medical services.
On the one hand, we will develop "smart service" applications to reduce traditional manual operations and improve the intelligence of services. For example, online and offline seamless medical services such as online medical record copying, online follow-up consultation, online routine examination billing, online appointment registration, intelligent viewing of examination results, and discharge service "home delivery" are provided to patients, so as to realize that patients "run to the hospital once less". Among them, the medical technology examination appointment system was optimized, and the cumulative number of medical technology examination project appointments reached 14,961 person-times.
On the other hand, it leverages the "leverage effect" of smart medical care and breaks down "process barriers". Including R & D and application of AI guidance, Internet consultation, online settlement between clinics, online appointment for medical examinations, mobile payment, bedside settlement and other functions, it took the lead in realizing the whole process of medical insurance online services such as online medical insurance appointment registration, medical treatment, medical insurance prescription online reimbursement and settlement in Huizhou City, making the process more humane and more continuous, reducing patients' frequent queuing troubles in the hospital, and realizing patients' "one less queue". In the first half of 2021, through the satisfaction survey, the satisfaction rate of medical waiting reached 85.20%, an increase of 11.66% compared with the same period last year.
Secretary Fang Yongping introduced that the 5G intelligent emergency platform of the first hospital of the city was selected as the pilot project of national 5G + medical and health applications, and next, the first hospital of the city will rely on 5G technology to expand more online services, promote the deep integration of new generation information technology such as cloud computing and big data and medical services; launch mobile nursing, mobile rounds, and extend the information system to the patient's bedside; concentrate on the development of Internet hospitals, extend medical services, carry out the construction of the remote diagnosis and treatment platform of the medical association, and launch the intelligent guidance system and the automatic sticking system. Meet the needs of clinical informatization, create a whole-process service, further promote the construction of "smart hospitals" and realize "smart medical treatment", laying a solid foundation for meeting the medical health of surrounding citizens.
Party building empowerment activates the "source power" of connotative development
Promoting high-quality development is inseparable from innovation, and it is even more necessary to unswervingly implement the new development concept. In the construction of the modern hospital management system and the deepening of the reform of the medical and health system, the party committee of the first hospital of the city will strengthen the leadership of the party and improve the governance of the hospital, fully implement and implement the president responsibility system under the leadership of the party committee, give full play to the leading role of the party committee of the public hospital in "taking the direction, managing the overall situation, making decisions, promoting reform, and ensuring implementation", integrate the party's leadership into all aspects and links of the whole process of hospital governance, and lead the reform and development of the hospital with party building. Combined with the actual situation of the hospital, based on their own posts to serve the people, with heart and soul to reduce the burden of medical treatment, to achieve fair medical treatment, to solve the problem of grass-roots medical treatment.
"Party building is the command, development is the goal, and improving service capabilities is the key." Fang Yongping, secretary of the party committee of the hospital, introduced that in order to better promote the in-depth integration of party building business, in accordance with the principle of "branches are built on departments", the hospital re-established party organizations according to the principles of similar majors, adjacent departments and consistent numbers, continuously improved the discipline configuration, integrated the party's leadership into all aspects of hospital governance, effectively activated the endogenous power, formed a good situation of integration and progress of grass-roots party building and hospital business work, and condensed new impetus for the improvement of medical service capabilities.
Under the requirements of party building in public hospitals in the new era, we must find ways to urge every party branch secretary to exert subjective energy. To this end, the hospital borrowed from the hospital's administrative rounds system, carried out "party affairs rounds", through "a list" to refine the "rigid indicators", "a consultation" to consolidate the responsibility for party building, "a good prescription" to create a "mutual promotion" atmosphere of the "three ones" to improve the level of branch management, highlighting the front-line investigation and research, benchmarking and table rectification, systematic planning work, and effectively promoting the overall improvement of the standardization of grass-roots party organization construction, the normalization of party member volunteer service, and the high-quality work of party building culture.
To enhance core competitiveness and focus on high-quality development, talent is the key. The Municipal First Hospital resolutely implements the principle of party management of talents, builds a scientific and standardized, open and inclusive, and efficient talent development governance system, introduces, trains and makes good use of talents in an all-round way, provides strong talent guarantee and intellectual support for the development of hospitals, and supports the high-quality development of hospitals with high-quality talents. To this end, the Municipal First People's Procuratorate actively explores the introduction of ways, responds to the deepening of the "Talent Double High Plan" and "Talent Double Ten Action", and introduces and trains a group of high-level innovation teams, scientific and technological leaders and high-skilled talents by improving the system and methods for introducing talents. At the same time, the municipal first hospital pays attention to personnel training, encourages the medical staff of the hospital to actively participate in adult on-the-job academic education, and continuously improves the level of academic qualifications; in order to enhance the comprehensive service ability of employees, organize business learning and various types of training through the way of "please come in and go out"; and strive to build a talent pyramid and develop intermediate forces.
At present, in accordance with the principle of "branches are built in departments", the municipal first court has reasonably set up 1 party general branch and 25 party branches, covering all departments, selecting the best and strongest party branch secretaries, 25 party branch secretaries are middle-level cadres, and 20 are serving as department directors, accounting for 80%. The role of the head goose has been brought into full play, leading the party members and the masses to overcome difficulties in epidemic prevention and control, major projects and other aspects. In terms of epidemic prevention and control work, in order to further weave the epidemic prevention and control network, the hospital's epidemic prevention and control work has continued to increase, and medical staff have fully invested in epidemic prevention and control, as of October, the hospital's nucleic acid sampling has reached 500,000 times, and the cumulative number of new crown vaccines has been 160,000 doses.
Pragmatic and efficient party building work, excellent ability of the leading goose, so that the hospital's party building ability significantly improved. This year, the first hospital of the city won the title of "Demonstration Point of Party Building Work in Public Hospitals in Guangdong Province", and the internal vitality of the hospital under the empowerment of high-quality party building is being further stimulated.
Striving for a new journey and pursuing a new era of dreams, today, the First People's Hospital of Huizhou City, a ship full of mission and honor, has accelerated with full sails. In the future, the hospital will consciously shoulder the mission of public hospitals, take reform and innovation as the driving force, take the high-quality development index as the yardstick, further match the new needs of the people's health, shoulder the health dreams of the people in Huizhou and surrounding areas, and strive to be a hospital with temperature and the most trusted by the people in Huizhou and surrounding areas. We will continue to lay a solid foundation for the construction of a healthy China and sail away on a new journey of high-quality development.
Written by: Nandu reporter Li Peng
Correspondents: Wang Yunguang, Zheng Haiyan, Cheng Qiuyi