Only doctors join hands with the US RIE to explore the COE management model

In recent years, major changes have taken place in the medical system and policies. The two-vote system, high-value consumables control, and the elimination of medical equipment have greatly affected the development of orthopedics in China. In the orthopaedic hospitals where surgery is the most extensive development method. Unsustainable, we must innovate management models, optimize operational management, and win by quality.

On May 12, 2018, the China Orthopaedic Hospital Management Forum was held in Hangzhou. Wang Yan, President of the Orthopaedic Branch of the Chinese Medical Doctor Association, Richard H. Rothman, founder of the American Orthopedic Hospital Group Rothman Institute Enterprise (hereinafter referred to as "RIE"), founder and CEO Liu Wei, Shanghai Changzheng Hospital, Shanghai Jiaotong University Medicine Wu Haishan, a professor at the Ninth People's Hospital affiliated to the hospital, Tian Xiaobin, dean of Guizhou Provincial People's Hospital, Cui Yan, dean of Shandong Lingbo Lianchi Orthopaedic Hospital, and Huang Wei, deputy general manager of Zhejiang Banger Medical Investment Management Co., Ltd., participated in the forum.

More than 20 experts, deans, and entrepreneurs from the orthopedics industry discussed the topic of how to improve management efficiency, maximize medical productivity, improve doctors' value, and optimize patient medical experience.

Specialized hospitals emerge, operations and talent are key

Orthopaedics is a specialist between consumer medical and professional medical care. It has many service items, high value consumables, and high gross profit.

According to the results of the National Health Service Survey recorded every five years in the China Health and Family Planning Statistical Yearbook, the prevalence of muscle and bone connective tissue diseases in residents aged 15 and over in China has reached 3. 73%, conservatively estimated that China has at least 2 million new orthopaedic patients each year.

The huge demand puts a test on the resource allocation of orthopedic clinics. Under the environment of graded diagnosis and treatment, the distribution of medical strength at all levels of hospitals is not balanced, and it is essential to improve the overall level of grassroots doctors and improve the level of education.

In May 2017, the Office of the State Council issued the Opinions on Supporting Social Forces to Provide Multi-Level Diversified Medical Services, supporting the government-led and appropriate introduction of competition mechanisms in the field of basic medical and health services, and in the non-basic medical and health services market. vitality.

Under the support of national policies, the development of orthopaedic specialist hospitals has ushered in the spring, specialist hospitals have sprung up, and high-end orthopaedic specialists are lacking. Talents and operations are the key to the development of specialized institutions.

Liu Jia, a key account manager of Jiemai Medical International Trading Co., Ltd., believes that although the No. 44 document gives unprecedented support to private hospitals, private hospitals still face the challenges of talents and the challenges of the model. “Talent is two talents: First, experts Scholars; second, hospital administrators."

Wang Yan believes that "the establishment of orthopaedic hospitals must first strengthen training and improve the overall level of doctors. Secondly, combined with 'Internet +', improve the management efficiency of hospitals through technical means. Finally, we must work with the world's top hospitals like RIE. Cooperation and the introduction of advanced management experience, so that we can promote the development of Chinese orthopedic hospitals faster and create a management model for orthopaedic hospitals that lead the world."

Wang Yan, President of Orthopaedic Branch of Chinese Medical Doctor Association

For orthopedic specialist hospitals, a patient can be quickly transferred from the acute phase to rehabilitation after surgery, not just a technical problem. Cui Yan, dean of Shandong Lingbo Lianchi Orthopaedic Hospital, believes that technology is the foundation, but more is the combination of multidisciplinary collaboration through strong management, allowing anesthesia, nursing, rehabilitation, and even logistics administrative support to be truly Let the hospital provide high-quality services. "Management is more about how technology-led, multi-disciplinary collaboration to work together to maximize hospital management."

The competitive environment determines the survival of the fittest, how does China's COE build?

After the promulgation of the State Council Document No. 44, the market ushered in a competitive mechanism. Professor Rothman proposed the concept of “survival of the fittest”. He founded RIE in the United States with two orthopaedic specialist hospitals, nine surgical centers, and 31 clinics. By establishing a management model of the Center of Excellence (CoE), RIE has achieved considerable results in improving hospital management efficiency, improving research capabilities, standardizing medical services, and cost control.

Richard H. Rothman, founder of Rothman Institute Enterprise, American Orthopaedic Hospital Group

According to Professor Rothman, CoE's management model was proposed by Professor Charnley in the 1970s. The CoE contains four core objectives—reducing complications, reducing costs, improving efficacy, and improving efficiency.

In the past few decades of exploration, he has continuously improved and optimized through several aspects such as “process management”, “recruitment”, “team building”, “evaluation system” and “attempts of innovative management methods”. The hospital management mode achieves the improvement of management efficiency, ultimately reducing costs, ensuring the quality of medical services, and providing patients with "convenient, accessible, and low-cost" medical services.

Professor Rothman said: "Our core challenge is how to control costs while maintaining quality. As a medical service organization and a private company, how to balance the relationship between profitability and medical mission, how to balance the goals between medical experts and managers Conflict, in the face of such problems, the CoE model is the perfect choice."

Zhao Hui, chief medical officer of Weiji Medical, believes that orthopedic diseases are mainly three aspects: congenital malformations, acquired trauma and degenerative diseases, which are characterized by easy standardization. Therefore, through standardized management and a large number of cases, the orthopedic diagnosis and treatment process can be realized. Standardization, and this standardization is the basis for our ability to achieve the Center of Excellence in Orthopaedics.

To build a COE model in China, we must achieve three major goals in medical management—improving patient experience, returning physician value, and standard clinical management. At the same time, not only in the medical process, but also in the standardization of academic education and training, scientific research investment, we must work hard.

Zhao Hui believes that based on the fact that doctors have accumulated sufficient data in the past five years, 150,000 orthopedic surgeons in China have registered in the medical system, and 50% are from the top three hospitals. At the same time, the platform has accumulated nearly 80,000 types. Academic data, the establishment of a database of doctor behavior, and product databases for data mining. "The academic data also makes it easier for us to better understand the clinical diagnosis and treatment behaviors and doctors' behaviors, so as to develop a medical treatment process that is more suitable for China's national conditions."

Richard H. Rothman, founder of RIE, USA, signed a strategic cooperation agreement with Liu Wei, founder and CEO of Weiji

In order to jointly build China's orthopedic COE, in the forum of the day, Weiji and RIE announced a strategic cooperation. Liu Wei, founder and CEO of Weiji, said that the two sides will cooperate to explore new models of orthopaedic specialist hospital management, clinical skills of orthopedic surgeons and hospital management training, joint investment and construction for orthopedic hospitals and related industries based on their own resource advantages. Orthopedic international referral network, and research and innovation based on orthopedic big data.

According to reports, the network system of the physical orthopaedic hospital under the medical line will include the flagship hospitals located in the high-end medical education and research comprehensive center, the standard hospitals carrying the core medical treatment tasks, and the cooperative orthopedic centers.

Through this cooperation, Weizhi will draw on the management experience of RIE Orthopaedic Hospital Group, including management structure, information system and standardization process. At the same time, the two sides will jointly explore a new type of hospital management that combines “online + offline” to create a new orthopaedic business model.

Referring to the vision for future development, Liu Wei said: "Professor Richard H. Rothman reduced the $35,000 medical insurance expenditure for knee replacement surgery to $20,000, which has contributed greatly to the entire US control fee. The next 30 In the year, Weiyi also hopes to contribute to the expansion of Chinese orthopedic hospitals."

What changes will the Internet + orthopedics bring to the orthopedic ecology?

The application and practice of Internet+, the important value is to help solve the pain points of multiple industries. The current pain points are: for doctors, the dislocation of patients due to information asymmetry and the dislocation of doctors, the writing of a large number of repetitive cases, the low efficiency of postoperative follow-up, and the large amount of unstructured data are difficult to apply to accurate screening and scientific research; For patients, the inequalities of information make it impossible for patients to judge the hospital they are suitable for. At the same time, for orthopedic patients, the experience of going far, "queuing two hours, visiting for 5 minutes" is relatively poor.

The idealized orthopedic hospital should be separated from the traditional model of 'one house, one doctor'. It must have a wired platform as well as an entity clinic to achieve an online and offline combination. Hao Wei, president of Weiji, said: "Doctor resources have broken through the limitations of single hospitals, and we can get a maximum sharing of resources in social value. This is our expectation for the future. We hope to establish a new orthopaedic combination of air and offline. The concept of the hospital."

From intelligent Internet hospitals to physical clinics, hospitals, and surgical centers, patients can go offline for treatment through online consultation and intelligent triage, and even follow-up and rehabilitation. Under this process, patient health data from multiple parties and overall integration will be integrated to support artificial intelligence analysis, and at the same time, “backward” all links in the front end of the orthopedic chain.

Hao Wei believes: "We don't want to fight alone in difficult situations. The underlying data construction of different models is not something that we can build with a company. We must cooperate with large leading companies and do some application attempts. In the whole ecology, all cooperation. Partners are indispensable to us. To be a CoE, everyone has to use resources together to accomplish this goal."

Through the full-process service of “online consultation + offline specialist hospitals”, the doctors, medical device manufacturers and orthopedic patients are linked. The only doctors have cooperated with the US Health and Alibaba Cloud to establish an orthopedic ecological chain. Under the favorable Internet + medical policy, the Internet hospital of Weizhi has been on the line in Yinchuan as early as March 2017, and the physical orthopaedic specialist hospital will gradually land in the country.

Through cooperation with all parties, in addition to the need to build China's largest orthopedic surgeon education, orthopedic drug marketing, orthopedic internet hospital, orthopedic entity hospital, orthopedic intelligent diagnosis and treatment system, the orthopaedic platform of the one-stop orthopaedic platform is the orthopedic industry. Chain (medical, patient, business) provides integrated services, but also to establish a peripheral supporting industry including medical research and development platform, professional cooperation platform, clinical surgery center, rehabilitation center, etc., to build an international standard orthopedic industrial chain.

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