Development implementation plan

In order to implement the Implementation Opinions of the General Office of the People's Government of Hebei Province on Promoting the Development of "Internet+Medical Health" (Ji Ban Zi [20 18] 182), standardize and guide the orderly development of "Internet+Medical Health" and promote the construction of "Healthy Shijiazhuang", the following implementation plan is formulated in combination with the actual situation of our city.

I. General requirements

Fully implement the strategy of healthy China, accelerate the deep integration of medical health and Internet, continuously expand the content and space of medical and health services, improve the service model, optimize the service supply, better meet the growing medical and health needs of the people, and maintain and protect people's health in an all-round and full-cycle manner, laying a solid foundation for promoting the construction of "Healthy Shijiazhuang". By 2020, the city's "Internet+medical health" service system will be further improved, the infrastructure support system will be gradually improved, the supervision and guarantee system will be constantly innovated, and medical and health information will be interconnected across levels, regions, departments and businesses, which will be used by the government, medical and health institutions and residents, and the supply of medical and health services will be more optimized, intelligent and accurate, so that people can truly enjoy the "Internet".

Second, the key tasks

(A) the development of "internet plus" medical services.

1. Encourage the development of Internet hospitals. Encourage medical institutions above the second level to actively build an online and offline integrated medical service model covering pre-diagnosis, during-diagnosis and post-diagnosis, and provide safe and appropriate Internet medical services. Medical institutions can use internet hospitals as second names. Registered or filed medical practitioners are allowed to carry out online follow-up, follow-up management and remote guidance services for some common diseases and chronic diseases, and are allowed to issue electronic signature prescriptions online after mastering the patient's medical records. Support and encourage hospitals to use healthy Internet of Things devices, wearable or implantable smart devices to obtain patient vital signs data, and carry out mobile nursing, online monitoring of vital signs, home monitoring and other services. The administrative department of health should strictly access and supervise the core medical services involved in online diagnosis and treatment by establishing an internet hospital supervision system, and actively promote the prosperity and development of non-core medical services such as appointment registration, mobile payment and online inquiry of examination results. By 2020, at least two Internet hospitals will be built in municipal hospitals and 1-2 Internet hospitals in county hospitals, and private hospitals and social capital will be encouraged to actively participate in the construction. (Responsible units: Municipal Health and Wellness Commission, Municipal Data Resources Administration. Ranked first as the lead unit, the same below)

2. Vigorously develop telemedicine services. Based on the provincial telemedicine center, build a municipal platform, integrate medical and health resources at the city and county levels, and realize the comprehensive management and operation supervision of telemedicine services at the city and county levels. Promote telemedicine services to cover all medical associations and county-level medical institutions in the city, and gradually extend to community health service institutions, township hospitals and village clinics. Promote the telemedicine service of traditional Chinese medicine. The medical association shall realize information sharing and audio-video communication of images and medical records of various medical institutions, and provide services such as remote consultation, remote image diagnosis, remote ECG diagnosis, remote rounds, remote monitoring and remote training. Encourage and support qualified medical institutions to explore artificial intelligence-assisted diagnosis based on medical image big data, and improve the accuracy of telemedicine diagnosis and treatment. In 20 19, poor counties should achieve full coverage of telemedicine services. By 2020, telemedicine services will achieve full coverage in all counties (cities, districts). (Responsible unit: Municipal Health and Wellness Commission, Municipal Development and Reform Commission)

3. Promote intelligent, healthy and convenient services. Relying on Shijiazhuang National Health Information Platform, we will integrate information systems such as hospitals, public health and reproductive health services, and build a "Shijiazhuang Smart Health Network" to realize online inquiry of information such as examination results, medication prescriptions, health files and vaccination, as well as information services such as appointment registration, filing management of birth medical certificates, navigation in maternal and child rooms, and health education. By 2020, hospitals above the second level will generally provide residents with online services such as time-sharing appointment, intelligent medical guidance and triage, waiting reminder, inter-clinic settlement and mobile payment. Encourage and support medical institutions and qualified third-party institutions to build information platforms and carry out telemedicine, health consultation and health management services. (Responsible unit: Municipal Health and Wellness Commission)

(two) to promote the "internet plus" public health service.

1, using internet technology to carry out public health management services. Build a public health collaborative information platform and comprehensively integrate basic public health service information resources. Focus on strengthening the management of chronic diseases such as diabetes and hypertension in the elderly, and the online service management of pregnant women and children aged 0-6 and vaccination. Strengthen the audit, data analysis and quality control of the incidence reports of patients with severe mental disorders, and do a good job in follow-up evaluation and classified intervention. Use smart bracelets, electronic tags and other Internet of Things devices to monitor patients with severe mental disorders in real time. Build a reproductive health platform to provide medical and health care services covering the whole process of premarital delivery, pregnancy, pregnancy, postpartum and children. On the premise of ensuring the safety of health information, we will gradually open the online inquiry service of electronic health records to the society and medical and health institutions to guide the masses to effectively prevent and treat diseases. Use the new Internet media to provide the public with knowledge about common diseases, frequently-occurring diseases, prevention and treatment of infectious diseases, nutrition and health. (Responsible unit: Municipal Health and Wellness Commission)

2. Optimize the "internet plus" family doctor contract service. We will build and apply a comprehensive management system for contracted services of family doctors, build a service interactive platform between family doctors and contracted residents, and support family doctors to provide online health consultation, appointment referral, chronic disease follow-up, health management, prescription extension and other services for contracted residents. Use the Internet and the Internet of Things to provide online management of chronic diseases, health status assessment, monitoring and early warning, medication guidance, follow-up and other services. It is necessary to sign a family doctor contract for the poverty-stricken people who set up a file, and focus on strengthening the standardized management and health services for chronic diseases such as hypertension, diabetes, tuberculosis and severe mental disorders. (Responsible units: Municipal Health and Wellness Commission, Municipal Data Resources Management Bureau and Municipal Finance Bureau)

(3) Improve the "internet plus" drug supply guarantee service.

Based on the Internet, the collaborative application of multi-source information collection and supply of shortage drugs will be carried out to improve the drug supply guarantee and the ability of monitoring and early warning of shortage drugs. Explore the implementation of online diagnosis, prescription and other Internet services. In internet hospitals or medical associations, doctors are allowed to use internet technology to prescribe some common and chronic diseases online for patients who come back after mastering their medical records. After the online prescription is audited by pharmacists, it can be delivered by a qualified third-party agency entrusted by a medical institution or a pharmaceutical trading enterprise. Explore and promote the construction of "cloud pharmacy" and "smart pharmacy" in qualified hospitals, realize the seamless connection between prescription system and pharmacy dispensing system, and facilitate the people to take medicine in time. Explore the Internet-based medical information platform to provide Chinese medicine services. (Responsible units: Municipal Health and Wellness Commission, Municipal Market Supervision Bureau, Municipal Medical Insurance Bureau and Municipal Bureau of Industry and Information Technology)

(four) to promote the "internet plus" medical security settlement service.

Accelerate the interconnection and data sharing between the medical insurance information platform and the municipal national health information platform. Further optimize the payment process, improve the settlement method, and gradually expand the online payment function covering social security card payment, resident health card payment, bank card payment and third-party payment. Promote "one-stop" settlement, explore the realization of multi-card use and medical card removal, and provide patients with various online payment methods and more convenient services. Vigorously promote the intelligent audit and real-time monitoring of medical insurance, embed rules such as clinical pathway, rational drug use and payment policy into hospital information system, and strictly supervise medical behavior and expenses. Do a good job in direct settlement of medical treatment in different places. (Responsible units: Municipal Medical Insurance Bureau and Municipal Health and Health Commission)

(5) Strengthen medical education and popular science services in internet plus.

Establish a medical health education and training system, make full use of existing online education resources, and provide diversified medical online courses and medical education. Gradually build a networked, digital, personalized and lifelong medical education and training system, encourage medical workers to discuss and exchange cases of intractable diseases and major diseases online, and improve their professional quality. Implement the action of "continuing medical education+popularization of appropriate technologies", focus on the needs of health and poverty alleviation, focus on grassroots and poverty-stricken areas, and popularize appropriate technologies through distance education. Promote the integration of traditional media and new media to carry out public health science popularization, provide accurate education on health science knowledge by using the Internet, popularize healthy lifestyles, and improve residents' self-health management ability and health literacy. (Responsible units: Municipal Health and Wellness Commission, Municipal Education Bureau, Municipal Medical Insurance Bureau and Municipal Association for Science and Technology)

(6) Promote the application service of "internet plus" artificial intelligence

1, relying on universities, research institutes, internet companies, etc. To promote the basic research, transformation and application of health big data and artificial intelligence. Encourage medical institutions to explore the application of intelligent medical image recognition, pathological classification and multidisciplinary consultation, as well as intelligent voice technology in various medical and health scenarios, and support the application of intelligent auxiliary system for TCM syndrome differentiation and treatment. Carry out mobile medical demonstration based on artificial intelligence technology and medical health intelligent equipment to realize real-time monitoring and evaluation of personal health, disease early warning, chronic disease screening and active intervention. (Responsible units: Municipal Health and Wellness Commission, Municipal Data Resources Administration, Municipal Science and Technology Bureau, Municipal Bureau of Industry and Information Technology)

2. Comply with the development trend of industrial Internet innovation, improve the digital and intelligent manufacturing level of medical and health equipment, and promote industrial upgrading. Actively promote the application of health care big data in clinical and scientific research. Support the research and development of artificial intelligence technology, medical robots, large-scale medical equipment, emergency rescue medical equipment, biological three-dimensional printing technology and wearable devices related to medical health. (Responsible units: Municipal Data Resources Management Bureau, Municipal Science and Technology Bureau, Municipal Bureau of Industry and Information Technology, Municipal Health and Health Commission)

(seven) to promote the interconnection and collaborative sharing of medical and health information.

1. Establish and improve the national health information platform at the city and county levels, and rely on the e-government extranet to promote the interconnection and cooperation with provincial dual-creation data centers and government information resource exchange platforms at all levels. Focus on collecting data on population, public health, medical services, medical security, drug supply and comprehensive management. , smooth data sharing channels among departments, regions and industries, and promote the application of national health information. (Responsible units: Municipal Health and Wellness Commission, Municipal Finance Bureau, Municipal Data Resources Administration, Municipal Public Security Bureau, Municipal Medical Insurance Bureau)

2. Improve the informatization level of medical and health institutions. By the end of 20 19, the third-level hospitals in the city should reach the fourth level of electronic medical record application and realize the exchange and sharing of medical service information in the hospital. Vigorously promote the interconnection between medical and health institutions at all levels and the national health information platform at the same level. Actively promote the construction of a healthy old-age service system and explore a service model based on Internet technology. (Responsible unit: Municipal Health and Wellness Commission, Civil Affairs Bureau)

3. Improve the graded diagnosis and treatment information system based on Internet and big data technology. According to the principle of "pilot first, gradually spread out", the graded diagnosis and treatment information system is gradually installed and deployed in municipal hospitals, and all of them are connected to the member units of the medical association. Medical institutions through the provinces and cities related professional medical quality control, inspection results in the administrative area of mutual recognition, to avoid repeated examination of patients. The command and dispatch system in the propulsion area 120 and the pre-hospital emergency vehicle monitoring system are connected with the hospital information system through the regional national health information platform, and the patient information standardization, remote emergency guidance and in-hospital emergency preparation are well done. (Responsible units: Municipal Health and Wellness Commission, Municipal Data Resources Management Bureau and Municipal Finance Bureau)

4. Promote the exchange and enjoyment of medical information. By the end of 20 19, all municipal hospitals, 17 county hospitals and all county-level Chinese medicine hospitals will realize the sharing of diagnosis and treatment information, including outpatient and inpatient basic diagnosis and treatment information, cost details, medication records, inspection reports, long-term doctor's orders and temporary doctor's orders. At the same time, explore interoperability with 2-3 provincial hospitals. By the end of 2020, all public medical institutions at the provincial, municipal and county levels will share information. (Responsible unit: Municipal Health and Wellness Commission)

(8) Strengthening the construction of network and information security.

Strengthen the construction of key information infrastructure and core system of health care big data. Strengthen the information protection of data application services such as medical and health institutions, health information platforms and intelligent medical equipment, clarify the protection responsibilities and formulate protection measures in accordance with the requirements of the information security level protection system, implement key tasks such as grading filing, level evaluation and safety construction rectification, and regularly carry out information security risk investigation, monitoring and early warning. Strictly implement the national laws, regulations and confidentiality provisions on health care data, strictly implement the patient's personal privacy information protection system, and strictly manage patient information, user data and genetic data. And punish illegal transactions and information disclosure according to laws and regulations. (Responsible units: Municipal Health and Wellness Commission, Municipal Public Security Bureau, Municipal Party Committee Network Information Office)

Third, safeguard measures.

(a) establish and improve the policy system and industry supervision mechanism. Timely formulate and improve the relevant supporting systems to promote and standardize the development of "Internet+medical health", improve the access standards of relevant institutions, and reduce access restrictions. The data generated by the "Internet+medical health" service should be traceable, searchable and traceable throughout the process, and post-event supervision should be strengthened. Establish a "blacklist" system for the health industry and strengthen the record, publicity and early warning of Internet dishonesty. Establish a medical responsibility sharing mechanism and implement online informed consent notification to prevent and resolve medical risks. Establish and improve the joint disciplinary system according to law to achieve "one place is illegal and everywhere is limited". Establish an evaluation, supervision and reward and punishment mechanism for Internet medical services. (Responsible unit: Municipal Health and Wellness Commission, Municipal Party Committee Information Office)

(2) Establish a communication mechanism and a joint meeting mechanism. Set up the "Internet+Medical and Health" leading group headed by the leaders of the municipal government, hold meetings, listen to reports, exchange information, give full play to the functions of various departments, and ensure the steady progress and implementation of all work. Counties (cities, districts) and municipal departments should, in light of the actual situation, timely introduce supporting policies and measures to promote the implementation of work measures and tasks. Timely report important information to the municipal government. (Responsible unit: Municipal Health and Wellness Commission and relevant municipal departments)

(3) Improve diversified investment and personnel training mechanism. Innovate the investment and operation mechanism of "Internet+medical health" information project, and build a diversified information investment and financing mechanism with government guidance and other social capital participation. Strengthen the overall management of social funds, take various forms such as government purchasing services, improve the efficiency of fund use, and give priority to supporting projects that have great influence and are closely related to people's livelihood and effectively solve the difficulties and blockages in seeing a doctor. At the same time, unify project planning, unified standards and norms, filing management, audit supervision and evaluation systems, strengthen the integration of information systems, and advocate the intensive construction of "Internet+medical health". Establish a perfect talent training mechanism to ensure the talent reserve and sustainable development of the "Internet+medical health" industrial system. (Responsible units: Municipal Health and Wellness Commission, Municipal Data Resources Administration, Municipal Information Office, Municipal Development and Reform Commission, Municipal Finance Bureau)