What is the development of the Yinchuan Remote Imaging Diagnostic Center that has been practiced for one year?

Since the Internet + medical health in 2014, it has gone through a long and winding road. In the fog, the northwestern city of Yinchuan became the first experimental field of Internet + medical health. After three years of persistence, it has become the only Internet + medical health demonstration zone in the country issued by the National Health and Family Planning Commission.

In Yinchuan's complete ecosystem of medical treatment, testing, teleconsultation, artificial intelligence applications and other Internet + medical health, imaging as a scientific and intuitive basis for disease diagnosis, is also one of the fastest technological innovation disciplines. , has a pivotal position.

Ma Xiaofei, director of Yinchuan Municipal Health Planning Commission and director of Yinchuan First People's Hospital, stressed at the site of "2018 Ningxia Internet + Medical Imaging Summit Forum and Internet + Medical Imaging Related Standards First Draft Discussion Meeting": "Image examination is the most clinical diagnosis. Commonly used, and also the most important diagnostic method. With the advancement of software technology and the popularity of DR equipment at the grassroots level, in the Internet + medical health ecosystem, images can be said to occupy a very important position."

Then, the spark of the convergence of the Internet and video will be sparked. In the remote imaging diagnostic center of Yinchuan First People’s Hospital, which is supported by the Wing Exhibition Medical Group, the arterial network reporter saw the environment of radiologists in the Internet + image combination. The real working state under.

In the whole process of the treatment, whether in the assessment of the disease, the determination of the nature of the lesion, the formulation of the surgical plan, or the evaluation of the effect after treatment, medical imaging conclusions play an important role. According to Ma Xiaofei, Yinchuan's remote imaging diagnostic center project began with a survey of grassroots.

During the investigation, he found that there was a problem of idle equipment in the primary medical institutions. Although the government allocated funds for the township hospitals with DR equipment, “the machines are well matched and difficult to match”, and the level of radiologists has large regional differences. The number of radiologists at the grassroots level is insufficient, and the rate of misdiagnosis and missed diagnosis of the overall imaging diagnosis is high, and the correct rate is difficult to meet clinical needs.

According to data from the Arterial Network Eggshell Institute, the current annual growth rate of medical imaging data in China is about 30%, while the annual growth rate of radiologists is about 4.1%, the gap between them is 25.9%. The growth in the number of physicians is far less than the growth in image data.

Problems such as lack of people at the grassroots level, long training period for doctors, and idle equipment are plaguing grassroots medical institutions that are scarce resources.

If you can't film at the grassroots level, then the patient will definitely go to the big hospital. "Only if the auxiliary diagnosis is solved, it is possible to leave the patient to the grassroots." Ma Xiaofei emphasized.

Compared with the Internet hospital, it was not until 2018 that the policy spring breeze was ushered in. As early as September 2015, the General Office of the State Council issued the “Guiding Opinions on Promoting the Construction of the Grading Diagnostic System”. The opinion pointed out that the integration of regional medical resources and the establishment of third-party independent Inspecting laboratories, medical imaging centers, blood purification centers and other institutions to make up for the scarcity of resources in primary medical institutions, and to promote mutual recognition of results between medical institutions at the same level and between medical institutions and independent inspection agencies;

Encourage secondary and tertiary hospitals to provide remote consultation, remote pathology diagnosis, remote imaging diagnosis, remote electrocardiogram diagnosis, and remote training to grassroots medical and health institutions, and encourage qualified places to explore effective modes of “basic inspection and superior diagnosis”.

The rapid advancement of grading diagnosis and treatment and the continuous support of social medical treatment will directly promote the improvement of medical imaging diagnosis level in grassroots and private hospitals, and open up a larger room for growth in the primary medical imaging market.

In August 2017, the first remote imaging diagnostic center in Ningxia was established in Yinchuan First People's Hospital. For the remote imaging diagnostic center project, Ma Xiaofei believes that this innovation is based on three needs and two elements:

First, the masses are not ill with the needs of the grassroots, spending less money to see the disease;

Second, the National Health and Health Commission promotes the need for grading diagnosis and treatment;

Third, the long-term benefit needs of primary medical institutions, leaving patients to the grassroots;

One of the key factors is the superior hospital. The superior hospital should provide support in the cloud. At the same time, the remote diagnosis can prevent the status of the upper hospital bed from being occupied by common diseases, so that the superior hospital can see the difficult disease, critical illness and avoid excessive medical treatment. The status quo, the real realization of graded diagnosis and treatment.

Ma Xiaofei said: "Leave patients who need to go to Beijing to see a doctor in the past to Yinchuan, and leave patients who need to go to Yinchuan to go to towns and villages in order to promote graded diagnosis and treatment."

Another key factor is the third-party platform. Private capital intervention is a useful supplement to the overall medical system. At the same time, the hospital creates a profit model for the third-party platform.

Building external resources with external strength, using external experts to quickly improve the service level of local medical institutions and rapidly improving the ability to serve the local people is the key to the healthy development of Internet + medical care.

According to Chen Wei, director of the Department of Radiology of the First People's Hospital of Yinchuan City, there are 19 doctors in the radiology department of the hospital. Among the 19 doctors, 76% of the staff with the deputy title or higher, the structure of the inverted pyramid, the training of young doctors has not been followed. However, such a structure is more suitable for remote consultation and provides technical output for primary medical institutions.

Through the remote imaging diagnosis system of the First People's Hospital of Yinchuan City, the primary medical unit can connect the external network through a small wingspan box, and then upload the medical image to the wingspan cloud shadow diagnosis platform. After the remote diagnostic center receives the image, the radiologist quickly completes the diagnosis and text editing and returns it to the lower level hospital.

On average, about 30 minutes, the primary health center can receive a diagnosis report and then take further medical treatment measures for the corresponding patient. This business can fundamentally solve the problem of lack of radiology diagnosticians in primary health care institutions, or the shortage of physicians.

In addition, Wings Medical Group also equipped the remote imaging diagnostic center with real-time monitoring of large screens, displaying report return time, and re-analysing all information flows, thereby improving the assistance of higher-level hospitals to primary medical institutions and improving problem solving. Ability.

According to Chen Wei, the radiology department of the hospital has 400-500 diagnostic tasks per day and 200 remote diagnostic tasks. Therefore, in the workflow, the concept of innovation is indispensable. How to change the working mode and mode, make better use of the stock mode, and generate incremental service effects. The current radiology department of the First People's Hospital of Yinchuan City has adopted three types of work, namely, grabbing single type, sending single type, and pocket type, to increase the efficiency for doctors.

At present, the center has a total of 62 institutions including secondary hospitals, township hospitals, and community health service centers. The maximum number of diagnoses per day is 1400, and a total of 52,000 remote diagnoses have been completed in a year.

According to Wing Yun Medical Group partner and CMO Gao Yunlong, “With the wingspan box, the connection deployment of primary medical institutions can be quickly realized. Under the premise that the network conditions of a primary medical institution are met, it takes only 2 hours to build. The good film uploading tool, all the film is transferred to the cloud platform, and then the workflow is reorganized." This is the innovation of working methods and patterns.

The structure of the remote imaging diagnostic center supported by the Wings Medical Group is connected to the first-tier cities such as Beijing and Shanghai, and down to the county. Upward, there are a large number of first-class experts in the cloud to help us check. As long as patients enter this system, basically the difficult diseases can be solved. Downward, from DR, MR to CT equipment types, to all primary health care institutions covering the three districts, two counties and one city, and provide them with 24 hours, 365 days of uninterrupted service, thus achieving full coverage and full coverage of time. And full coverage of the service.

At the same time, this is also a three-way win-win model. Radiologists can increase their own benefits through remote diagnosis. Primary care institutions can leave patients at the grassroots level for long-term benefits. At the same time, patients can enjoy better from higher-level hospitals. The service, and the cost will not increase, truly achieve "less errands, more information"; and for enterprises, through the division model, you can also get a certain amount of information maintenance fees, creating a new business model.

Ma Xiaofei said that there were three reasons for choosing to cooperate with the wingspan medical group:

First, the service concept of Wingsong is highly compatible with Yinchuan's Internet + medical health system;

Second, through 9 years of exploration in the field of imaging, Wingspan has connected a wealth of expert resources in the cloud platform;

Third, the technical structure is reasonable. Wingspan boxes have lower barriers for primary care facilities and greater connectivity to medical devices .

Established in 2009, Yipan Medical Group initially cuts medical services from the field of medical imaging related software and information technology to provide services such as PACS and in-hospital information systems. It has also established a “Wing Zhan Yunying” cloud diagnostic platform. APP, the establishment of the doctor group; subsequently, with the help of technical advantages to lay out medical AI, and open offline operations, set up the offline third-party medical imaging center to serve the primary medical institutions.

It is worth mentioning that in 2011, Wingspan became the only private enterprise involved in drafting the standard for “connectivity of medical diagnostic X-ray imaging equipment”. At present, there are 157 copyrights in the wingspan, and the core products have passed the CE, FDA and CFDA certifications in China.

Through 9 years of exploration, Wings Medical Group has become a breakthrough in the field of imaging and even artificial intelligence. At present, the wingspan has laid the cloud platform nationwide, and nearly 2,000 hospitals have access to the diagnostic platform.

At the recent CCR conference, Wings Medical Group released W-insight, an artificial intelligence product, to realize automatic generation of chest-based images based on DR, and to report on the classification and imaging performance of 17 diseases of chest and lung. Film, diagnosis, and full-process diagnostics for reporting. It can be widely used in patients' medical examinations and other related projects, greatly reducing the operating costs of medical institutions, and helping to improve the level of primary medical services.

According to Gao Yunlong, the advantages of the new product are:

1. The new products have great grassroots use and popularity. DR is a medical imaging tool widely used by primary medical institutions. W-insight can automatically generate diagnostic reports for DR images through industry-leading machine learning technology, which is widely used in screening and physical examination.

2. New products can improve the efficiency of doctors and reduce the growth rate. The DR image automatically generates a report, which allows the doctor to reduce the input time. At the same time, it can refer to the report of the machine and modify it according to the doctor's judgment. After calculation, W-insight can greatly improve the doctor's diagnostic input time.

The Medical Imaging Diagnostic Center is the most important part of Wingspan's entire medical ecology. Remote imaging solves the current imbalance of medical resources distribution, and it is also constantly empowering the medical development of Wingspan.

Wingspan is based on a full ecological layout. While helping each medical imaging diagnostic center, the standardized data obtained from the center will also enhance the AI ​​capability of the wingspan, and continuously improve the diagnostic ability and accuracy, thus forming a complete service closed loop.

As early as 2017, when Ni Meng, the founder of Wings Medical Group, was interviewed by Arterial Network, he defined himself as a “health service provider” rather than a “medical software supplier”. In order to better serve patients and doctors, Wingspan will use its continuous exploration in the field of imaging to further provide innovative service models for Internet + medical imaging.

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