Meilun, the new medical reform, how to crack the medical equipment management problems

2017 is the medical field of extraordinary year - January, the national health care work conference held, "thirteen" medical reform plan released; April, the State Council executive meeting to deploy medical union construction, at the same time, the National Development and Reform Commission explicitly asked the public The hospital in 2017 by the end of September all canceled drug addition; May, Premier Li Keqiang signed the State Council Decree No. 680, "Medical Device Supervision and Management Regulations" to make changes, large medical equipment configuration approval by the non-administrative licensing approval to Administrative licensing matters, to further standardize and strengthen the management of large-scale medical equipment, the use of management ... ... intensive introduction of many central ministry level policy marks the health care reform into the key period.

With the development of medical reform in depth, the hospital operation and management from the extensive income as the index of the management approach to the refinement of the cost control as a measure of management transformation. Elimination of drug addition, reduce inspection and inspection costs, DRG fees and charges and other measures to make the hospital to improve efficiency must be "cutting expenditure" efforts, for every link are careful planning.

Medical equipment is one of the fastest growing assets in hospitals in recent years. According to statistics, China's existing levels, all types of hospital medical equipment total assets accounted for about 50% of the total assets of the hospital, some large-scale top three hospitals even accounted for 70% of the total assets of the hospital, There is still a rising trend. Improve the efficiency of the use of medical equipment, to avoid idle equipment waste, rational allocation of equipment size has become an important way to reduce hospital operating costs and enhance the economic benefits of the hospital. On the other hand, a large number of equipment into the hospital brought about by the management problems become increasingly prominent.

Medical income, medical supplies income and equipment income is the three main sources of hospital income, including medical income and drug supplies management through HIS, CIS, HRP and other systems to meet the hospital management requirements, and in medical equipment management, Due to the existence of equipment, wide distribution, wide range, fewer personnel, requiring high characteristics, management is very difficult.

Guangdong Province, the audit department in 2013 to 2015 on the province's 511 public hospitals large-scale medical equipment management performance audit conducted a survey, the results show that the sampling of 923 B class equipment, 350 units before the purchase of the lack of economic, Social and scientific research and environmental impact and other aspects of the full argument, accounting for 37.92%; 511 public hospitals in 474 have not established a stand-alone accounting system, can not achieve performance accounting assessment objectives.

In the management of medical equipment, even if the implementation of the procurement behavior over the years, there are still one or that short board. For example, in the face of the world's leading medical equipment manufacturers continue to innovate and upgrade, as well as domestic medical equipment manufacturers to introduce new and provide competitive prices, due to the lack of effective procurement argument system, as the procurement of key decision-makers equipment manager often no agreement. In addition, although the "information" management concept in the field of medical equipment is no stranger, but now our hospital generally stay in the use of desk management software stage, the equipment is limited to static asset management, can not use the equipment, , Cost procurement evaluation and other aspects of the whole information management.

These problems fully exposed the current medical device management has been unable to meet the modern hospital medical equipment, fine management requirements, the hospital in urgent need of a new medical equipment to the entire life cycle of the overall management of information technology tools to manage medical equipment , And on this basis to establish a scientific procurement argument, the use of evaluation, scrapping evaluation system.

It is gratifying that in recent years the industry has a refreshing life cycle management system for medical equipment come out, such as Huizhi Zhixin medical equipment life cycle management system using the use of medical equipment and equipment status of real-time statistics, analysis, etc. Core technology, integration of HIS, LIS, PACS, HRP and other hospital information system based on the data to achieve all of the hospital medical equipment, from the procurement, use efficiency, cost and efficiency, maintenance and maintenance, retirement assessment and other aspects of the whole life cycle And provide a basis for the hospital to evaluate the use of medical equipment in a comprehensive manner, and provide accurate evaluation data for the procurement of medical equipment. The monitoring indicators include the number of equipment inspection, the number of days of appointment and other social benefit indicators and business income, investment rate of return, investment Payback period and other economic indicators, but also to achieve real-time monitoring of stand-alone state and any time data comparison.

According to Huize Zhixin introduced to ventilators, monitors and other small equipment, for example, because the equipment by the use of self-management departments, easy to repeat the purchase, resulting in waste of resources, on the other hand, these devices are distributed in various departments, hospitals can not grasp The current state of use of the equipment, in the emergency rescue, can not be idle in a short time to carry out centralized deployment of equipment. The system can achieve real-time monitoring of PC, mobile phone dual-channel real-time monitoring, real-time equipment, rental status, location, use efficiency and other information can be real-time query to.

Under the background of the new medical reform medical union construction, the real-time supervision and dynamic scientific deployment of medical equipment will become more and more important, and the management mode of medical equipment can not meet the requirements of modern hospital development. Early, full, dynamic intervention in the management model, to achieve cross-hospital medical equipment data sharing, so comprehensive and comprehensive assessment of the efficiency of medical equipment, the establishment of medical equipment regulatory industry standards should be the joint direction of medical equipment management efforts.