Half of the hospitals in    have not formed an electronic medical record system. From a national point of view, only about 6% of the hospitals have reached the application level of level 4 or above of the electronic medical record system, and only 2 hospitals have reached level 7 or above. At the 2018 China Hospital Information Network Conference held a few days ago, an official in charge of the National Health Commission "posted" the report card of the application of electronic medical records, which made a lot of spray in the industry. It is understood that in 2016, a total of 3630 hospitals participated in the application level of the electronic medical record system, and 1821 hospitals did not form an electronic medical record system, accounting for 50.17%. The average rating of 1127 tertiary hospitals was only 2.11, and that of 2459 secondary hospitals was only 0.83.According to our understanding, in 2016, a total of 3630 hospitals participated in the application of electronic medical records system. In Shanghai, Jiangsu and Zhejiang, which have the highest level of information, the rating is not ideal, which is 2.01,1.88 and 1.64 respectively. In    2011, the "Evaluation method and Standard of functional Application level of Electronic Medical record system (trial)" formulated by the national health administration department set up a total of 8 levels of level 0-7 for the application level of electronic medical record. At present, the National Health Commission is entrusting the Institute of Hospital Management to revise the standard, which will be added by eight levels. According to experts, level 4 is the start-up level of hospital information system integration and data management, which means the preliminary realization of the basic functions of hospital information system integration and data unified management, and is the basis of data sharing of regional platforms in subsequent levels. This means that only 6% of the hospitals have reached the start-up level, and half of the hospitals have not formed an electronic medical record system and have no information-based basis.    should say that medical institutions are willing to spend money on information construction in recent years, and some hospitals "spend" even hundreds of millions of yuan. However, in the process of construction, some problems are also gradually exposed.    doctors reflect that the current electronic medical record system needs to be improved in terms of disease specialization, especially in the field of major diseases, the personalized needs of clinical data can not be met. The tedious operation of the system is often "complained" by doctors. In the process of inputting huge amounts of data day after day, it "kills away the fun of working as a doctor."    according to a hospital information expert, the integration and integration of many hospitals' electronic medical records and other information systems such as HIS is not high, and some hospitals even build electronic medical records and electronic medical orders into two sets of systems, so that the information tools that could have liberated medical staff have finally become "the same thing has to be done twice." The expert said quite helplessly that many things can be achieved by technical means, but the game of interests behind the construction of the system is impossible for technology to pry.    in addition, there are many problems in the writing and coding of electronic medical records. The poor quality of data will lead to difficult sharing, analysis and comparison of horizontal and vertical information between hospitals, and it is difficult to provide effective data support for scientific research. For this reason, the newly revised "Evaluation method and Standard for the Application level of Electronic Medical record system (trial)" by the Institute of Hospital Management has added an evaluation dimension, that is, the level of data quality in the electronic medical record system. The purpose is to check from the source of data collection, ensure the validity of data, and provide reference for scientific research and management decision-making. In fact, there are practical considerations for the competent department to promote the pilot work of electronic medical records (  ). According to the 2016 statistical bulletin on the development of health and family planning in China, the total number of patients in medical and health institutions across the country has reached 7.93 billion. In the face of such a large volume of business, the traditional management means have been "unable to play". It is not only difficult to improve efficiency, but also difficult to ensure medical quality and medical safety, so we must play the supporting role of informationization. Electronic medical record is precisely the core of hospital information construction. The "transcript" of the pilot project of    electronic medical records is not satisfactory, which has something to do with the lack of rigid administrative constraints. Practice has proved that the strength is slightly soft only by relying on the graded evaluation work of the Institute of Hospital Management. If the relevant work can occupy a greater weight in a variety of assessments and ratings, hospital managers may pay more attention to it. Starting from this year, the rating of electronic medical records will be officially announced across the country, leading provinces to make horizontal comparisons, so that local governments and hospitals will pay more attention to this work, according to the official in charge. Breaking down the interest barrier is the key to the construction of the electronic medical record system. Only in this way can we break the isolated information island within the hospital, build a regional information platform, make doctors more convenient, make patients safer, and make regional data sharing possible. give full play to the multiplier effect of technology on efficiency. The last part of    is the most difficult to complete, and the application of electronic medical records is in the critical period of breaking cocoons into butterflies. It is expected that the application of electronic medical records will produce a beautiful transcript in the near future.    

  In order to promote the implementation of the main responsibility of building party style and clean government, in recent years, the Party Committee of the People's Hospital of Macheng City, Hubei Province has made it clear that party building will lead the construction of the hospital, effectively enhance the awareness of integrity and ability of party members and cadres in the hospital to fulfill their responsibilities, and promote key tasks such as the establishment of tertiary hospitals and the construction of new hospitals around the "five responsibilities" to protect the health of the people.   Take responsibility to replenish the "essence". Formulate a list of party committees 'tasks, a list of responsibilities for party secretaries, and a list of responsibilities for team members, evaluate them quarterly and publicize them regularly; strengthen party members' awareness of clean government, and use activities such as theme party days and party committee central study groups to carry out concentrated learning of experiences and experiences; Carry out various forms of work style rectification year activities to truly achieve that the awareness of the party committee's role is "in the heart", the main responsibilities are "in the brain", and specific work is "started".   Be clear about the responsibility to investigate the "lesions". Rectify key and difficult issues and problems that patients report more, establish a rectification team, formulate rectification measures, and urge the implementation of rectification. Increase education on discipline and rules, improve various rules and regulations, grasp political discipline from the personal Qzone of cadres and employees and WeChat circle of friends, and implement work from the perspective of patient diagnosis and treatment and public satisfaction.   Supervise and prescribe "good prescriptions". The Commission for Discipline Inspection and Supervision organized administrative functional departments to hold multi-department coordination meetings to prescribe "prescriptions" for problems. It has successively improved outpatient medical treatment order, innovated service models, served family planning special families and elderly patients, strengthened medical insurance review, medical behavior supervision, and control Costs, improved parking management and other aspects have been taken to continuously improve public satisfaction.   Accountability is used to cure "stubborn diseases". Strengthen the supervision responsibilities of the main body, carry out collective anti-corruption talks between team members and leaders in charge and heads of departments in charge, implement activities for middle-level cadres to report on their work and report their responsibilities, and conduct on-site assessments; convene outpatient physicians to sign a letter of commitment to integrity and an anti-corruption meeting; Carry out annual key work inspections and strengthen the "look back" of fulfilling their duties. In 2017, more than 20 people were notified of violations of discipline and regulations, more than 10 department directors, and 5 drug and equipment suppliers were interviewed. The early warning penalty for drug supply breach was 110,000 yuan, and the total hospital's drug proportion was assessed and deducted by 35,000 yuan, and violations were investigated and punished. The fee was 15,000 yuan.   Fulfill responsibilities and strengthen the grassroots. We will combine the construction of clean government with work such as two studies and one action, and targeted poverty alleviation, and send 100,000 yuan in assistance funds to help poor families in the village. The hospital has also innovated the assistance and cooperation mechanism, established medical consortiums with township central health centers such as Baiguo and Shunhe, and explored the establishment of a hierarchical diagnosis and treatment mechanism with first diagnosis at the grassroots level, two-way referral, and linkage between upper and lower levels, which will drive the overall improvement of the city's grassroots medical level.