In June 2023, the Beijing Municipal Health Commission and the Beijing Municipal Administration of Traditional Chinese Medicine issued a notice on the "Implementation Plan for the Theme Activities of Improving Medical Experience and Patient Experience in Beijing (2023-2025)", which clearly proposes measures to improve admission and discharge services, and encourages hospitals to carry out centralized management and unified allocation of inpatient beds.
Peking University First Hospital Daxing Campus has an admission preparation center. Since the project was established, after ten winters and summers, the Daxing Hospital was officially opened on December 18, 2023, thus becoming the only tertiary general hospital in Daxing District, Beijing.
On December 8, 2023, the first red-headed document of Peking University Hospital Daxing was officially issued in the hospital, piloting the management measures for beds in the Daxing Campus of Peking University First Hospital to reduce the waiting time of patients and improve the medical experience.
It is understood that the Daxing Campus of Peking University First Hospital has 1,200 beds, including 400 pediatric beds, 200 obstetrics and gynecology beds, and 600 other comprehensive beds.
As an important field in the new development pattern of Peking University Hospital, the opening of Daxing Hospital will be implemented in the basic steps of outpatient first, ward second, platform first, clinical first, specialty first and then comprehensive, and the basic concept of discipline construction of large specialty and small comprehensive has been established. It will build a women's and children's medical center, a tumor center, an endoscopic diagnosis and treatment center, an acute and critical care center, and an interventional center, with five characteristic medical centers as the strategic development support points, guide strong disciplines through scientific planning, build strong platform departments, and lay out new technologies and trends in advance.
At the same time, Daxing Hospital will also form a dislocation development with the central hospital disciplines, establish an inter-hospital patient referral and consultation mechanism, provide patients with diagnosis and treatment, nursing, and continuous services, realize the seamless connection of patients in the two hospitals, and ensure timeliness and effectiveness.
There are 42 outpatient departments in Daxing Hospital, including rheumatology and immunology, stomatology, ophthalmology, otolaryngology, head and neck surgery, hemodialysis, peritoneal dialysis, and emergency department, with an estimated daily outpatient volume of 7,500 people.
The admission preparation center was opened at the same time as the outpatient clinic on December 18, and the Daxing Campus of Peking University Hospital has set up an admission preparation center in the outpatient area by optimizing the treatment process and improving the medical service model, fully integrating the business of admission appointment registration, hospitalization procedures, and bed allocation, and implementing intensive and intelligent dynamic management of the bed resources of the whole hospital, so as to realize the one-stop service of patient admission, so that the data can run more and the patients can run less errands, forming a closed-loop connection between the outpatient treatment and the ward hospitalization.
What is a bed in the whole hospital?
*There is a bed**, and the doctor runs after the patient.
Daxing Hospital has made a bold attempt in the management model, reformed the traditional medical model, and implemented the attending physician responsibility system to ensure the smooth implementation and implementation of one bed in the hospital. (For more information about the attending physician responsibility system, see the health industry column "Will the attending physician system cause vicious competition within the department?".)》）
One bed in the whole hospital means that the patient is hospitalized, **there is a bed**, the doctor follows the patient, and the nursing staff are in accordance with the standardized operation of general nursing no matter which department they are in. Daxing Hospital strives to achieve centralized integration, unified management, and overall arrangement of all bed resources to improve the efficiency of bed use.
How to solve the difficulty of hospitalization?
Establishment of a full-time department: Admission Preparation Center!
The Admission Preparation Center is affiliated to the Medical Administration Department of Daxing Campus, located on the west side of the outpatient hall, with a total of 7 windows, serving all pre-hospitalized patients.
In the initial stage, it is mainly responsible for patient inpatient registration, inpatient bed consultation, bed reservation arrangement, patient hospitalization notification, etc., and in the later stage, it will gradually realize the unified appointment of pre-hospitalized patients according to their conditions.
What are the benefits of this?Process optimization and shorter waiting times.
The biggest difference from the management of the central hospital is that the beds in the Daxing hospital belong to public resources and no longer belong to the departmentPatients can be admitted across wards;The inpatient handling process is updated and optimized, waiting for inpatients to make appointments in advance, reducing the number of patients going back and forth, so as to improve the operation efficiency of the hospital, improve the quality of medical care, minimize the waiting time for hospitalization, ensure that emergency patients have beds, and improve patient satisfaction.
What is the doorway for bed allocation?
Comprehensive analysis showed that the specialties were similar and the wards were similar.
According to the patient's condition and the use of beds in the ward, combined with the development plan of the hospital and departments, the admission preparation center will reasonably allocate and adjust the beds in accordance with the bed management measures of Daxing HospitalIn conjunction with the Medical Department, the Medical Records and Clinical Data Center, the Medical Insurance Department, the Information Center and other departments, we regularly analyze the bed utilization rate, average length of stay, DRG, CMI, number of people waiting for beds, waiting time, surgery proportion and other data, analyze the use of beds in various disciplines, and coordinate beds based on the principle of similar specialties and wards to improve the efficiency of bed use.