Jinhua's Medical System Reforms
On December 19, a team of Provincial People’s Congress members responsible for Jinhua came to Jinhua Municipal Central Hospital to learn about its work on the One-Time Visit reform. They then inspected the 3D navigation application, the one-stop comprehensive service center, the centralized appointments system for physical examination, and the smart system of medical treatment, which left them admiring the reform work done by the Central Hospital.
The Municipal Party Committee decided to make the Central Hospital the first demonstration site out of all the public places in Jinhua. Based on the 3D navigation applications, the Central Hospital is striving to improve the nearby traffic conditions, smart medical treatment system, personal medical services, medical resources allocation, and person-focused care via its new construction according to extensive consultations and suggestions from citizens. In addition, many other services are also offered, such as one-stop comprehensive services, self-service appointments, a centralized appointment system for physical examination, shared wheelchairs, delivery of boiled traditional Chinese medicine, payments via facial recognition, etc.
By implementing the One-Time Visit reform, the Central Hospital aims to be a demonstration hospital with high quality, convenience, cutting-edge technology, and patient-focused care. It optimizes the entire process of outpatient appointments, tests and examinations, hospitalizations, and health management.
The digitalization of the Central Hospital has resulted in the formation of several service models, such as “Internet + medical care,” “Internet + pharmacy,” and “Internet + nursing.” In terms of “Internet + medical care,” patients in communities or remote areas can access follow-up visits and make inquiries about chronic diseases through mobile terminals and outpatient clinics at primary-level hospitals. Furthermore, family doctors or doctors of primary-level hospitals can learn through video consultations and case discussions. In terms of “Internet + pharmacy,” a prescription issued by an outpatient doctor or resident doctor is reviewed by a pharmacist online, and medicine is delivered to patients’ homes directly by a logistics company. In terms of “Internet + Nursing,” citizens can place orders for nursing services on their mobile phones.
In the future, the Central Hospital will continue to explore high-tech services with 5G technology, including remote consultation through color ultrasound imaging, remote surgical guidance, real-time follow-up discharge visits, remote guidance on emergency rescue, big data of health management, etc.
On May 20, the National Medical Insurance Bureau held a video conference to announce the list of pilot cities of China Healthcare Security Diagnosis-Related Groups (DRG), and Jinhua was the only city in Zhejiang Province to be selected. Nowadays, citizens who have been hospitalized in the Central Hospital have detailed medical records. This is because DRG diagnoses and groups the diseases according to disease name, degree of pathology, resource consumption, disease risk, and other factors. Having all of this information on the front page of the medical record helps doctors be more efficient and accurate in diagnoses, determine the appropriate treatment plan for the patient, and prevent the patient from unnecessary expenses. DRG, as a set of comprehensive evaluation tools, also generates a large amount of data in the hospital system, which requires excellent management on the part of the hospital.
There are many influential reforms and innovations in the Central Hospital, and all kinds of exploration will continue in the future for the long-term development of the hospital. (By Zhang Shuai, translated by Wei Han, edited by Kendra Fiddler)