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In the medical reform, hospital informatization, digital construction and transformation are the key points. The application of the hospital all-in-one card satisfies the various needs of employees, patients, relatives of patients and other visitors, while simplifying the daily management of the hospital, effectively improving the service level of the hospital and avoiding possible risks.
Hunan Provincial People’s Hospital is located on the banks of the Xiangjiang River. After nearly a hundred years of ups and downs, the hospital has now developed into a comprehensive Class 3 A hospital integrating medical treatment, teaching, scientific research, preventive health care and community services. The hospital’s original construction area is 80,000 square meters, and the newly completed medical emergency surgery building has a construction area of about 124,000 square meters. It currently has 1,580 beds. After the new building is put into use in early 2011, the number of beds in the future will reach 2,100, and it will have a first-class Medical, teaching and scientific research environment.
Digitization and informatization are inevitable requirements for the modern development of the hospital. In traditional hospital management, patient information is managed through ID numbers. However, in practical applications, a patient often has multiple ID numbers, which makes the hospital The inability to archive and aggregate patient medical records, medical treatment information, and cost information is also not conducive to patients’ inquiries about information. Especially after the new “Regulations on the Handling of Medical Malpractices” are issued, hospitals are required to implement “inversion of evidence”, which is even more detrimental to hospitals. Legal protection of itself. Therefore, hospitals can provide patients with convenient, fast, and high-quality services, and provide a variety of different information inquiries are effective means for hospitals to enhance their competitiveness.
The hospital smart card management system not only meets the needs of modern information management in the hospital, but also meets the various needs of employees, patients, patient relatives and other visitors. Its electronic management function module enables the hospital to realize electronic management, improve work efficiency, and strengthen hospital management ; Its electronic authentication function will enable everyone to enjoy the convenience of “one card in hand, access to the whole hospital”, which is also the trend of modern information digital hospitals.
“Hospital One Card” Card Selection
All-in-one card technology involves various aspects, such as network technology, communication technology, database technology, automation control technology, etc., but its core is still IC card technology and reading and writing equipment. It can be said that IC cards and reading and writing equipment are the supporting points of all-in-one card technology. Smart cards are cards issued by hospitals with functions of hospital affairs management. The card is issued to all employees, patients, relatives of patients and other visitors.
Smart card is a kind of non-contact IC chip PVC card, the chip can be read and written. Since it is the same size as a traditional bank card, and the non-contact IC chip is encapsulated inside the PVC, the existence of the IC chip cannot be distinguished from the appearance. In addition to the pre-printed information of the issuing unit, the card is also printed with the employee’s photo, serial number, card number, name and department name and other personal information of the cardholder when the card is issued. Therefore, the smart card can be used as an identity certificate in the hospital.
The structure diagram of the hospital card system
Card function
Identity authentication function. Cardholders perform identity authentication and information management in the hospital, enter and exit various places, use various facilities, mainly include: personal basic information management, such as employee ID, patient ID, hospitalization card; access control, attendance management, such as access Certificates and conference certificates are mainly used for employee passages, isolation wards, and important medical rooms, offices, laboratories, pharmacies, material rooms and warehouses; medical information query management, such as query cards, are mainly used for self-service touch screen query; building automation, Capacity control and other functions,
Electronic wallet function. Cardholders conduct non-cash transactions in the hospital, form various payment relationships with the hospital, and settle through e-wallets, mainly including: canteen consumption, such as dining cards, mainly for employees and relatives who take care of patients; meal consumption, For example, meal order cards are mainly for patients with inconvenient mobility and medical staff who cannot leave their jobs; various payment (such as registration) in the hospital, such as payment cards; other collection and payment in the hospital, etc.
Issuance and management of smart cards
The issuance of the smart card is completed by the relevant departments of the hospital (such as the personnel department or a special card issuance center). The main content includes batch account opening, prefabricated cards, printed cards, card personalization, and card issuance related to smart cards. The hospital collects the personal data and photos of the cardholders, enters them into the computer database, and then produces cards in batches.
The management of the smart card is completed by the relevant departments of the hospital (such as the personnel department or a special card issuing center). Smart card accidents include card loss reporting, reissuance, reissuance, account cancellation, card swallowing and other items.
System function design
“Hospital One Card” is the application mode of smart cards in hospitals. It covers all aspects of the work and life of various cardholders such as employees and patients in the hospital, including personnel information management, dining in the dining hall, patient ordering meals, in-hospital payment, access control, and attendance. Management and query management are not only the carrier of cardholder information management, but also an important facility for hospital logistics services. Because it is closely related to the daily management and life of the hospital, compared with other management information systems, the successful construction of the “Hospital One Card” system can directly reflect the superior management quality of the hospital, and it can also enable employees, patients, patient relatives and foreign visitors. Feel the intimate care.
Central Management Module
The central management module is the management center of the system, including four sub-modules: resource management, card management, system management, and key management. The resource management sub-module is the overall resource control of user information, authority management, and equipment management in the system. It is divided into three parts: personnel information management, equipment management, and authority management.
Personnel data management: including all users involved in the system, including users (hospital staff, patients, patient relatives, other hospital staff), operators, system administrators and other relevant personnel text information and photos;
Equipment data management: including all equipment involved in the system, attendance equipment, consumer equipment, loading equipment, pre-communication equipment, card reader equipment and other related management information;
Authority management: Different types of authority are assigned to managers and technicians of different levels and departments, and the corresponding login passwords are assigned, so that each person’s management rights and responsibilities are clearly distinguished, and the operation is well-documented.
The card management sub-module performs unified management of the entire life process of user cards, temporary cards, and operator cards in the system from issuance to recycling. It includes pre-issuance (pre-issuance of printing, card number assignment, etc.), card issuance (application type of issuance card) , Including electronic wallet), report loss, unlink, recycle card, reissue card, operator card management; the system management sub-module provides functions such as system initialization, system parameter setting, machine password setting, card password setting, operation log, database setting, etc. , To complete the maintenance of the entire system; the key management sub-module management system for the generation, issuance, update, storage, application and destruction of the root key, machine equipment key, and user card key in the system.
Access control management module
The system is designed based on the all-in-one card platform and can be managed uniformly with other all-in-one card subsystems. It has the functions of access control host and anti-theft alarm host, and supports universal card reading technology, including proximity cards, magnetic cards, password keyboards, fingerprints, etc. Open smart settings for important door locks (card plus password, fingerprint plus password, duress code, super password, multi-card opening).
In addition, the system can set the function of blocking the designated access control point through the software. Cards with certain permissions can only open the door when walking according to the designated access control point route. Otherwise, the door will be refused to open and an alarm will be given. After swiping the card to enter the designated access control area, you must swipe the card to exit at the specified time, otherwise the card will become invalid. You can also set the number of uses of the specified card (the number of uses can be specified according to the specified time period, every day, and the specified period). All the input and output points of the access control controller can be freely set the corresponding relationship of the combination, and the complex logic function can be programmed. The output points and groups can also be automatically closed or opened under the control of time periods and holidays.
For key departments, such as ICU intensive care ward, financial room, etc., turn on smart settings (card plus password, fingerprint plus password, duress code, super password, multi-card opening) multi-card opening function, you can set the number of “multi-cards” by yourself . Main and auxiliary card functions, the number of “main” and “secondary” can be filled in 15 cards.
Part of the access control is designed to automatically switch functions according to the time period. When the door is unlocked, the door is opened by swiping the card. In the controlled state, the normal authorization card and the button can not be entered or exited. The card reader automatically recognizes the legal card and displays the green light, and the illegal card displays the red light and automatically Call the police.
The hospital control center computer installs advanced dynamic electronic map software to monitor each access control point and alarm point of the entire hospital in real time, and realizes the linkage with the closed-circuit monitoring system and the anti-theft alarm system. When there is an illegal door opening alarm, the corresponding area will be automatically activated. Camera monitoring system and video equipment; when the anti-theft alarm system alarms, the corresponding access door is forcibly closed to ensure property safety. It can be linked with the fire alarm system. When a fire alarm occurs, the access control system receives the accident alarm signal and automatically releases all the electromagnetic door locks in the relevant area, so that people can quickly escape.
Attendance Management Module
It is mainly used for unified management of attendance work in hospitals, including personnel attendance and logistics staff attendance. The system makes overall planning for fixed holidays, attendance departments, attendance personnel, attendance rules and other elements. Employees only need to swipe their cards when they arrive and leave the hospital office building, and the system can automatically distinguish the normal, late, and early leave of the employees based on the check-in records. , Absence, etc. In the daily routine, the system registers the employees’ leave, field work, overtime, etc., and at the end it summarizes all the data into a report for the personnel department to evaluate. The system can also set complex attendance rules such as “multiple periods” and “three shifts” for special departments (such as security offices).
Medical management module
This system is used for office procedures related to charges in the hospital. Smart cards are used as electronic wallets and identity authentication carriers for cardholders to see a doctor in the hospital. Cardholders swipe their cards at the front desk to confirm their identity, pay registration fees, injection fees, payment for medicines, and pay for medications every day, and conduct unified process management, making the hospital a clean, cashless place. It can be connected with the existing medical insurance system through the data interface.
Consumption management module
For dining in the dining room and other payment items, the electronic wallet function of the smart card can replace cash transactions, increasing the cleanliness of the hospital environment, the safety of fund management, and the convenience of work processes. The consumption data of each consumption point in the hospital is uniformly uploaded to the central data server through the front communication server for unified processing. Each consumer terminal can independently perform consumption deduction operations, and can also be converted into a consumption system for real-time communication.
Order Management Module
For patients with inconvenient mobility and medical staff who cannot leave their posts, catering staff hold hand-held terminals to the ward and work room. Patients and medical staff order meals according to recipes and deduct fees by swiping cards. The catering staff will go to the studio to download the relevant data to the order management system (computer) with the handheld device, and print a copy to the dining hall. Canteen staff deliver meals according to orders. The meal ordering model reduces unnecessary actions in the hospital and reduces the root cause of the spread of germs. At the same time, the use of IC cards to settle daily meals also reduces the financial pressure on the hospital, makes the flow of funds more transparent, and improves work efficiency. It greatly facilitates the management of the hospital.
Patrol Management Module
The security personnel patrol according to the pre-set patrol route, and must arrive at the next patrol point and swipe their card within the specified time. The monitoring center performs attendance management on the patrol personnel based on the information recorded by the patrol.
Parking lot management module
Hospital staff and migrants use smart IC cards for vehicle entry and exit parking vouchers, and a comprehensive vehicle toll management system with vehicle image comparison management as the core. It is used to automatically control the entrance and exit management equipment of the parking lot lanes, and to control the parking lot. Parking vehicles are automatically charged in accordance with the pre-set charging standards. The system combines advanced IC card recognition technology with high-speed video image storage and comparison. Through computer image processing and automatic recognition, it charges for vehicles entering and leaving the parking lot. All-round humanized management of security and management.
Elevator management module
In order to avoid casual use of elevators, strengthen the security of each functional area of the hospital, improve the intelligent management of the hospital, and support environmental protection initiatives, elevator control management is particularly important. The hospital has a total of 32 elevators equipped with an elevator management system, of which 18 elevators have 16 floors each, and 14 elevators have 28 floors each using intelligent control. Swipe the card to reach the designated floor. After the card is swiped, the button authority is activated, and the manual button is used to reach the floor you want to go. Unauthorized floor buttons are invalid.
Fund Center Management Module
The deposit and withdrawal sub-module is mainly used for the cash recharge function of the smart card electronic wallet in the financial department of the hospital, including personal recharge and group recharge, for consumption and payment in the hospital. In addition, this module can also perform special operations such as “withdrawal” or “withdrawal without a card”; the clearing management sub-module provides data correction, data balance, data backup, data sorting, financial settlement, automatic transfer, data summary, statistical analysis, Consumption inquiry and other functions, and unified settlement and transfer of all expenses involved in the “hospital one card” system; the subsidy management sub-module is mainly used by the hospital finance department to add subsidies to the electronic wallet of the employee’s smart card for in-hospital consumption. Including personal recharge and group recharge; from the perspective of the entire hospital’s fund management process, the use of the smart card’s e-wallet function has changed the hospital’s previous “consumption before repayment (accounting type)” capital operation model, which has become a “ Pay first and then consume”, which has a very positive impact on the hospital’s fund balance, liquidity and safety management.
Query management module
Various public information of the hospital can be inquired through the self-service touch screen, such as hospital introduction, management system, charging standards, new services, etc. In addition, cardholders can inquire about their personal information, payment records, card use records, etc. through the self-service touch screen. In this way, it not only facilitates the visits to the hospital to obtain all kinds of public information by themselves, reduces the workload of medical staff, but also enables patients to conveniently check their own payment records, increase transparency, and improve the image of the hospital.
Program features
The system integrates the characteristics of large hospitals to implement a smart card system. It not only implements a card subsystem for conventional items such as access control, attendance, parking, and consumption, but also designs and integrates a hospital-specific medical management card subsystem, and provides comprehensive management for the hospital. The platform provides a data interface, which can be connected to the medical insurance system. It truly fits the management characteristics of large hospitals, which not only provides a guarantee for the safe production of the hospital, but also provides convenience and peace of mind for patients to see a doctor and be hospitalized.
Secondly, the entire system adopts TCP/IP network equipment, each subsystem exchanges data through TCP/IP, and data transmission is high-speed and safe transmission, which truly realizes digital network management, taking both advanced nature and economy into consideration.
Concluding remarks
As a key hospital in Hunan Province, the hospital officially put forward the goal of establishing a digital hospital in 2005. It has invested huge sums of money to construct nearly 100 subsystems in more than 10 systems including PACS, office automation, and hospital card. It has now been digitalized. The prototype of the hospital, especially the hospital all-in-one card system, is the top priority, providing useful reference and reference for the construction of digital and informationized hospitals in the same industry.
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