1. Relying on medical and health institutions to promote the construction of Internet hospitals, medical and health institutions are allowed to use Internet hospitals as a second name, on the basis of the entity hospitals, under the premise of ensuring the quality of medical care and information security, the use of Internet technology to provide safe and appropriate medical services. Licensed physicians are allowed to carry out online follow-up consultations for some common and chronic diseases, and to issue online prescriptions for some common and chronic diseases after grasping patients' medical records. Supporting medical and health institutions and qualified third-party organizations to build Internet information platforms, carry out telemedicine, health consultation and health management services, and build a new online and offline model covering the entire process of medical services. Public hospitals will be the first to try, and private medical and health institutions with conditions will be guided and encouraged to carry out the construction. 2018, "Internet +" medical services will be piloted in some public hospitals, and the establishment of a standardized system for the management of Internet hospitals will be explored. 2019, the construction of a standardized system for the management of Internet hospitals will be launched comprehensively. 2020, the city will have In 2020, the city's all tertiary hospitals to carry out a comprehensive "Internet +" medical services.
2. Medical consortiums should actively use Internet technology to accelerate the realization of medical resources up and down through, information interoperability **** enjoyment, business efficiency and coordination, convenient to carry out diagnosis and treatment appointments, two-way referral, remote medical services, and promote medical consortiums between medical and health institutions real-time access to test results, mutual recognition **** enjoyment. All higher-level medical and health institutions within the medical association provide remote consultation, remote electrocardiography, remote imaging, remote ultrasound and other services for the grassroots, and all district and county hospitals carry out telemedicine services and extend them to townships, villages and communities; improve the mechanism of responsibility and rights, and promote the "grassroots examination and diagnosis at the higher level" model, so as to build a rational and orderly pattern of hierarchical diagnosis and treatment. In 2019, a regional telemedicine center will be built based on the medical consortium, radiating the primary healthcare institutions in the region. 2020, the telemedicine service will basically cover the primary healthcare institutions, and we will strive for a national multimodal medical imaging sub-center.
(2) Efforts to enhance the "Internet +" public **** health services.
1. Relying on the universal health information platform, accelerate the construction of disease prevention and control, maternal and child health services and other public **** health management information system, integration of the whole life cycle of medical and health service information, and promote the residents of the electronic health records online query and standardized use. Focusing on hypertension and diabetes, it has strengthened online service management of chronic diseases in the elderly. With children included in the national immunization plan as the key service targets, integrating the existing vaccination information platform and optimizing vaccination services. Encourage the use of wearable devices to obtain vital signs data and provide maternal health monitoring and management. Strengthen information management, follow-up assessment and categorized intervention for patients with severe mental disorders.In 2018, initially form a standard specification for basic personal health information, and gradually open up personal electronic health record inquiries to the public.In 2019, carry out the construction of the city's operational information system for disease prevention and control and the information system for maternal and child health services.In 2020, improve the management service platform for personal health information, and realize the personal health information integration and application.
2. In accordance with the unified deployment of the city's government information resources***sharing and opening up work, establish and improve the mechanism of medical and health data resources***sharing and opening up, encourage cooperation between medical and health institutions and Internet enterprises in scientific research and convenient services, integrate regional medical and health information resources, and strengthen the prediction and intelligent monitoring of disease trends by combining the analysis of big data such as crowd flow, climate change, and Internet behaviors, and carry out the city's disease prediction system. Intelligent monitoring, carry out the pilot construction of the city's disease prediction system, and improve the prevention and control of major diseases and the ability to respond to public **** health emergencies.In 2018, the city's health system healthcare data resource management methods were introduced, and infectious disease prediction and chronic disease screening models were released.
(3) Optimize the promotion of "Internet +" family doctor contracting services.
1. Relying on the city's unified number pool, promote the application of family doctor contracted referral appointments to facilitate the signing of the public to register for medical referrals. 2019, relying on the universal health information platform, the completion of the intelligent information platform for family doctor contracted services, and to promote the platform with the primary health care institutions, public ****health system and health care business system interoperability and business synergies, highlighting the key populations to provide health counseling, appointment referral, and health care service for the public, and to provide the public with health counseling, appointment referrals, and health care services for the public. public to provide personalized and diversified online and offline contracting services such as health consultation, appointment referral, chronic disease follow-up, health management, extended prescription, etc. In 2020, the intelligent information platform for family doctor contracting services will be fully promoted and applied.
2. Establishing online assessment and evaluation and incentive mechanism for family doctors. To improve the online service capacity of family doctor teams, expand the coverage of online services, improve the quality and efficiency of contracted services, and enhance the public's trust in family doctors, the online statistical monitoring of family doctors will be realized in 2019, and in 2020, the full coverage of online contracted services of family doctors will be basically realized, with the results of the monitoring serving as an important basis for the assessment and evaluation of family doctors.
(4) ***Build*** enjoy the "Internet +" drug supply guarantee service system.
1. For common and chronic diseases prescribed online, after the pharmacist's review, medical and health institutions, drug companies can entrust qualified third-party organizations to distribute. The company also encourages social forces to build and operate pharmacy service platforms to provide services such as electronic prescription auditing, rational drug counseling, and drug sales and distribution, and to promote the interconnection and real-time*** enjoyment of medical and healthcare institutions' prescription information and drug retail consumption information, and to promote the standardized development of drug network sales and medical logistics and distribution, etc. In 2019, it will explore the establishment of a mechanism for the flow of electronic prescription information*** enjoyment, and the retail drugstores will try to sell prescription drugs by virtue of the electronic prescription. In 2020, a new model of online drug sales and distribution based on the flow of electronic prescriptions will be implemented.
2. Relying on the universal health information platform, strengthen the Internet-based shortages of drugs, multi-source information collection and supply of business synergistic application, the establishment of real-time monitoring of shortages of drugs and early warning and grading response system, and the establishment of a sound system of shortages of drugs supply security. 2020, to realize the comprehensive management of the security of supply of medicines and the shortages of medicines monitoring and early warning of the use of information resources***share***.
(E) Promote the construction of "Internet +" medical security services.
1. Accelerating the promotion of "Internet+" medical insurance services, promoting the ***sharing of medical insurance-related information and data, strengthening cooperation among medical insurance, commercial insurance and third-party payment institutions, and gradually expanding online payment and settlement functions; supporting the construction of an information settlement platform for poverty alleviation medical assistance for the poor and other people with special difficulties; improving the convenience of medical assistance; and advancing the construction of an information settlement platform for poverty alleviation medical assistance. In 2019, promote "one-stop" settlement of medical expenses for the poor population and other people with special difficulties, and explore the application of online services for medical insurance; in 2020, expand the application of online services for medical insurance, and continue to promote "one-stop" settlement. In 2020, expand the application of online medical insurance services and continue to promote "one-stop" settlement.
2. Expand the scope of networked fixed-point medical and health institutions, and gradually include more primary medical and health institutions in the direct settlement of medical treatment in other places, and realize the direct settlement of medical insurance for medical treatment in other places across provinces. *** Enjoy the information of patients' consultation and settlement channel of medical insurance fund to realize the convenient payment of patients' out-of-pocket expenses and medical insurance reimbursement. 2019, further expand the scope of networked fixed-point medical and health care institutions.
3. Promote intelligent auditing and real-time monitoring of health insurance, embed clinical paths, rational use of medication, payment policies and other rules into the hospital information system, and further standardize medical behavior and cost supervision. 2020, further optimize and improve the intelligent supervision system.
(F) actively promote "Internet +" medical education and popularization services.
1. Build a networked, digital, personalized, lifelong medical education and training system, create online high-quality courses, focusing on online interactive education and training for grassroots general practitioners and family doctor teams, and strengthen the discussion and exchange of cases of difficult and complicated illnesses and major diseases to enhance business literacy. 2019, launch the construction of the cloud platform for medical and health education and training. 2020, further improve the online medical education and training system. In 2020, further improve the online medical education and training system.
2. Implement the "continuing medical education + appropriate technology promotion" action, focusing on the needs of health poverty alleviation, relying on telemedicine centers, focusing on remote impoverished areas to carry out remote teaching rooms, remote teaching activities, and popularize the popularization of practical appropriate technology. 2020, the medical appropriate technology through distance education. In 2020, medical appropriate technology through distance education to cover all poor areas of the city.
3. Relying on Internet public service platforms such as "Health 12320" and "Popular Science and Culture Cloud", the city will provide personal health information services to the public, and realize precise health science knowledge delivery and personalized education and consultation services through dynamically linked electronic health records, as well as popularize healthy lifestyles. In 2019, it will launch the construction of a network health science platform, improve the functions of Internet public service platforms such as "Health 12320" and "Science and Culture Cloud", and carry out personalized health information services. In 2019, the construction of a network health science platform will be launched, and the functions of Internet public service platforms such as "Health 12320" and "Science and Culture Cloud" will be perfected, so as to carry out personalized health information and health education.
(7) comprehensively promote the intelligent application of medical and health big data.
1. Relying on colleges and universities, research institutes, medical and health institutions, state-owned enterprises, etc., to set up medical and health big data centers and research institutes, to promote the basic theory of big data research, breakthroughs in key *** technology, and the promotion of demonstration and application projects. With the application of medical and health care industry as the guide, build medical and health care big data public **** technology innovation platform and public **** service platform, promote the deep integration of "industry, academia, research and application", and boost the rapid development of intelligent industry in the field of medical and health care. Promote the application of virtual reality, intelligent voice and image recognition technologies in a variety of medical and healthcare scenarios, develop intelligent medical equipment such as clinical robots, biological three-dimensional printing systems and mobile wearable devices based on big data and artificial intelligence technologies, expand the application of intelligent equipment such as mobile nursing, vital signs monitoring, pathology typing and multidisciplinary consultation, and enhance the city's medical and healthcare equipment research and development level and manufacturing capacity. In 2020, continue to promote the construction of healthcare big data center and research institute, and promote the construction of healthcare data intelligent innovation ecosystem and industrial ecosystem.
2. Improve the city's healthcare data collection mechanism, accelerate the implementation of standardized collection, standardized **** enjoyment, automated processing and intelligent application. The construction of diversified "Internet + health care" innovation service platform, promote big data, mobile Internet, Internet of Things, artificial intelligence technology and medical services in-depth integration and application. Relying on the city's medical and healthcare big data platform, establish an intelligent diagnosis and treatment auxiliary decision-making support service system for diseases, strengthen the application of intelligent auxiliary system for TCM diagnosis and treatment and precise medical services, improve the level of diagnosis and treatment of difficult and miscellaneous diseases, and enhance the service quality of medical and healthcare institutions at all levels. 2019, continue to build the clinically assisted diagnosis and treatment system based on the resource base of electronic medical records, and in 2020, popularize the application of artificial intelligence technology, clinical assisted decision-making system, Chinese medicine identification and treatment intelligent assisting system and intelligent medical equipment.