【 Weak current College 】 hospital management information system

[Summary] with the advent of the information age, computers in all walks of life are becoming more widely used, the hospital is also facing the challenges of the information age. Hospital information management computerization and networking is essential to building a modern hospital. This article on the construction of the hospital information system problems, propose solutions.

[Keywords] hospital management information system, problems, solutions

1 Overview of HIS development in China

With the advent of the information age, computers in all walks of life are becoming more widely used, the hospital is also faced with the challenges of the information age. As early as the late 1980s, most of our large and medium-sized hospitals or assembling a medium-sized and micro minicomputer. These hospitals or medium-sized machine, minicomputer for centralized information management, or using computer for distributed information management, and in accordance with the provisions of upper management, or a custom format to print various statistical reports. In the hospital Informationization management implementation process that emerged in a large number of early pioneers. Them to the hospital Informationization management had useful attempt, accumulated many successful experiences, has developed a large number of application software. In practice, they recognized the limitations of a single application. On one source is distributed and shared demanding hospital systems, stand-alone application very difficult to play the computer's potential advantages, it is very difficult to achieve a "minimum entry, maximum sharing" system design principles. Those using minicom or medium machine units are often due to system maintenance tasks heavy and bring many burdens. In the late 1980s to PC as a server network technology and network system into China, network technologies fundamentally overcomes the disadvantages of a stand-alone system, limitations and not convenience. Network system enables the hospital sectors although geographically dispersed, but even from the perspective of information processing into one whole, and thus true resource sharing. Hospital information management computerization and networking is essential to building a modern hospital. The large and medium-sized hospitals using computer networks for the computerization of the hospital management has become a general trend.

2 hospital information management system for the benefit of

Hospital information management system (HospitalInformationSystemHIS) system, and cannot be brought to the hospital direct economic benefits, that is not directly elected, but HIS impact on hospital benefits are obvious, mainly in the following two aspects:

2.1 efficiency, saving manpower optimization

Our clinic attenders, for example, HIS main role is to shorten the time of non-medical doctor. First, you can improve the flow of information between transmission efficiency, and second, to avoid errors and no repeat value. In the three-level hospital out-patient medical treatment in the "three long a short" phenomenon is very common, it is difficult to eliminate. Root cause lies in the medical resources (human and material resources) of the relative lack of communication is not smooth and links. Therefore, improving the efficiency of internal links and links between information circulation efficiency can effectively improve the situation.

Outpatient billing charges computerization is improving outpatient management level is an important element of which will merge the outpatient billing and fees, the operator inputs the prescription, the system automatically classified ad, print receipts, reducing the number of queued classified ad patients, shortens patient time and reduced due to price adjustments and mistakes. At the same time, you can block people by charging vulnerability, enabling the patient to feel at ease.

2.2 strengthening control and improve the implementation of the system

The hospital is a medical work is subject to a variety of work, more links of mutual coordination and interaction and mutual checks of complex organizations. Medical management and medical activities, the main focus of other management, such as file management, information management, systems management, financial management, property management, and other materials constitute the supporting hospitals running basic skeleton. HIS system solved is built around the medical activity of financial management (such as billing, fees, billing, etc.), document management (such as a doctor's prescription management, records management, etc.), System Management (staff permissions management, refund management, dispensing management, etc.), information management (statistics management, case management, etc.) and other related management issues, thus ensuring the smooth operation and efficiency.

HMIS system management mainly plays a blocking "run, run, drip, leak". It was estimated that the cost for using the manual processing of hospital patients, leakage rates of approximately 10%, and many vulnerability is difficult to investigate in depth, only in accordance with the relevant personnel of subjective estimation for "what-if" analysis.

3HIS problems

HIS management for hospitals and other great benefits, but not any one hospital to take any kind of HIS management software, implemented by any company, let anyone to manage to achieve the same desired effect. In reality, many hospitals in implementing HIS process encountered difficulties, implementation of the effect is not very satisfactory. The main reason for the following areas:

3.1 positioning not allowed

This includes hospital on its management and adaptive capacity of positioning, on its own needs, positioning, on HIS range of positioning functions, on the implementation of the desired location, on the implementation phase target and on HIS long-running management mode of positioning, etc., mainly in "one go" more serious that check out contract successful half the Hospital just software use on HIS to hospital management, operation mode changes (or change) lack of preparation, the rhythm is improper, without a good grasp of the adjustment and implementation of management systems.

3.2 product maturity, service normative enough

Despite of HIS software variety, but because of the wide variety of hospital management model, HIS impossible like ERP software or install as financial softwareThat is available. Some immature software product problems often can't be resolved. Coupled with the services are not standardized, quality assurance, the lack of routine maintenance service is timely and quality assurance, and so on, to the hospital Informationization management more difficult.

3.3 talents neglected

Hospital both in HIS choice, implementation or everyday use in the process, can not be separated from its own technical strength. This involves both the application computer network technology, as well as hospital management technology. Familiar with the hospital business and management, and be familiar with the computer technology is critical to the successful implementation of HIS hospital. This talent is hard to come out directly by the school culture, but also very difficult to idle talent market look, choose a suitable person for training, bearing in mind the Echelon construction, is to ensure that HIS application is the key to long-term development. But in the hospital, as a result of such persons is not a clinical line that too often the degree of importance is not high, economic benefits, learning, culture, and so easily ignored, its results or not able to produce high-quality personnel, or keep high-quality personnel.


The construction of the improvement measures 4HIS

4.1 comprehensive planning, step-by-step implementation

System scale size is an issue worth exploring. Great you can cover the hospital information processing in various sectors, various links, various types of information (financial information for patients and medical information; hospital's financial information, personnel and business information; hospital management of various types of integrated information; sectoral departments manage information, etc.), while information media can have text, image or voice. Small may be limited to a few departments, solve one or two actual management issues. Large and all is great, also the future, but if you leave the hospital's own actual situation, large and full of planning often lead to wasteful and failed. For this reason, it is handled in the relationship between the two, comprehensive planning, step-by-step implementation.

4.2 joint hospital and technical strength

HIS is a computer technology and the integration of hospital management science. It belongs to one of the medical informatics applications branch, is related to the computer science, medicine, Informatics and engineering, multidisciplinary edge disciplines. Therefore rely solely on a computer technical personnel are not able to complete this project.


In most hospitals, computer room, a small number of technicians, computer Bachelor, to an independent and efficient development of a high level of HIS system is difficult, so it should work with computer software development unit for cooperation. Select cooperation unit, should pay attention to their strength, technical strength, the development experience and maintain the capacity of 4. Should send people to visit and inspect its technical force, study its development experience in the maintenance of competence, should investigate whether and in the same area of the hospital, or in the same area there are offices, and credibility. By hospitals and cooperation unit out common research system, network, platform, database, platform and hardware configuration, and other programs, and then negotiate a hardware device, system, software, software development, network engineering, training and maintenance of a reasonable price.

4.3 make full use of international and domestic recognized standards code

In HIS system research and analysis, should require departments to provide the standard encoding. For example: record management with ICD coding (ICD-9), drug management have a unified national pharmaceutical, medical device name encoding is Unicode, Department of personnel requirements for unified information exchange formats and forms, the Ministry of health asked the unified medical record criteria and surgery operation classification codes, financial statements and the consolidated format, etc. On these harmonized standards and format to the extent possible, use this as a database standard code.

In the State of some standard has not yet officially announced before it can be cleaned using standard or custom in some areas, but should be designed to increase and modify the code features. Otherwise, behind closed doors, information can only be used in a hospital in circulation, circulation obstacles inherent in the future, revise, reinvested, wasting resources.