How to change the "patient flow" into "information flow"

The Department of Ophthalmology and Otolaryngology of Beijing Tongren Hospital is a national key discipline and is at the international first-class level. However, before talking about Tongren Hospital, especially these two key departments, it is estimated that the first feeling of many patients is: confusion and congestion.

Waiting for congestion is a headache for major hospitals, patients are annoying, and doctors are annoyed. How to optimize the treatment process, shorten the waiting time of patients and the round-trip time in the hospital has become a problem that many hospital administrators consider. For the chaotic medical environment, Wang Ningli, the president of Tongren Hospital, repeatedly stressed that “patient flow” should be turned into “information flow”. This is easier said than done.

"After many investigations and trials and trials, the biggest achievement at present is that the clinic has been changed from disorder to order." Tian Wei, deputy director of the outpatient department, said in an interview with the Science and Technology Daily reporter that management began before the hospital. Taking ophthalmology as an example, in 2016, Tongren Hospital realized a non-emergency full appointment. After going to the hospital, it conducted node control in multiple aspects such as visual inspection, triage, and waiting, which truly realized the time-limited treatment and improved the doctors and patients. Visiting experience. “In the satisfaction survey in July, the satisfaction rate of patients with time-sharing treatment was 8.4% higher than that before implementation, and doctors’ satisfaction increased by 8.9%.”

At 13:00 on September 1, Ms. Yu, who is waiting for her otolaryngology, told reporters that everyone used to see the disease in the past and everyone was squeezing at the door, not afraid to hear and be afraid of others. "Now, look at the big screen and be more practical."

Indeed, after the installation of the electronic call number system in the clinic, the visiting department, the professional, the consultation room, and the patient visit serial number are all displayed on the display screen, and the broadcaster also makes a synchronous call. When listening to the second look, the patient's mentality is peacefully awaiting treatment. The clinic has truly achieved Diagnosis and treatment of a doctor. Tian Hao said: "Improved the diagnosis and treatment, the appointment process, self-registration, payment and other functions on the line, now regardless of the initial diagnosis or referral, the average patient stay in the hospital for about half an hour."

Leaving the otolaryngology department, the reporter went to the day surgery area of ​​the ophthalmology department. The 87-year-old Mr. Lao had just finished cataract surgery. The daughter of the elderly was particularly satisfied with the operation. She told the reporter that before the operation, the elderly had completed a full preoperative cataract examination and the operation was very smooth. "It will be 20 minutes. After more than two hours of observation and recovery after the operation, I am now ready to go home."

"Because there are countless patients coming to the hospital to see a doctor and waiting for surgery, and the beds are limited, some operations have to wait for the first half of the year, patients are anxious, doctors are also anxious." Professor Wei Wenbin, director of ophthalmology, told reporters that as an important measure to improve the efficiency of hospital work. In 2012, after research and introduction of day surgery, and took the lead in the pilot of ophthalmology, otolaryngology, head and neck surgery, standardize the process and strengthen management.

The so-called "day surgery" is to shorten the waiting time for the operation, and let the patient complete the whole process of admission, examination, surgery and discharge in 24 hours. This means that the surgical treatment that took a week to complete will be shortened to one day. Wei Wenbin said that the implementation of day surgery not only satisfies the safety of inpatient surgery, but also enjoys the speed of outpatient surgery; it also improves efficiency, reduces patient waiting time and cost, and alleviates the difficult problem of hospitalization. It can be said that it is a multi-purpose. Taking the amount of ophthalmic day surgery as an example, the data shows that in 2016, it has increased by more than 10,000 cases compared with the same period in 2015. Ophthalmology has increased the number of operations without increasing manpower. "Although there is not much pressure on doctors, they have higher requirements for their quality." Wei Wenbin said.

According to Wei Wenbin, at present, the ophthalmology day surgery center treats most ophthalmic surgeries such as senile cataract, congenital cataract, strabismus, vitreous injection, retinal detachment, RB general anesthesia, glaucoma, and eye plastic surgery. These initiatives increase the efficiency of surgery and reduce the burden on patients.

Source: Technology Daily

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