The First Affiliated Hospital of Xinjiang Medical University Organization of Echinococcosis Care Management in China and Input of Telemedicine WEN HAO The First Affiliated Hospital of Xinjiang Medical University Urumqi, China

医院概况 Hospital Overview 全称：新疆医科大学第一临床医学院暨第一附属医院 坐落：祖国西北边陲 新疆乌鲁木齐鲤鱼山下 始建：1956年，国家第一个五年计划156个重点建设项目之一 全称：新疆医科大学第一临床医学院暨第一附属医院 坐落：祖国西北边陲 新疆乌鲁木齐鲤鱼山下 始建：1956年，国家第一个五年计划156个重点建设项目之一 全称：新疆医科大学第一临床医学院暨第一附属医院 坐落：祖国西北边陲 1/6国土面积的新疆乌鲁木齐鲤鱼山下 始建：1956年，国家第一个五年计划156个重点建设项目之一

PART 1 Clinical pathway and standard system of diagnosis and treatment of hepatic chinococcosis

Standardized clinical pathway model 1、Establishment and promotion of the « clinical pathway » for hepatic echinococcosis Standardized clinical pathway model Professional training + promotion of the clinical path model, comparison with standard medical behavior Reduce the financial burden of patients Medical quality control Doctor a Doctor b Doctor c Patient Clinical pathway Data Compararison of two groups (2011.4-2012.12) group cases The average hospitalization cost The average hospitalization days degree of satisfaction Health-related knowledge clinical pathway group 72 19600.25±1520.73 10.25±1.26 46.45±2.14 83.50± 8.02 control group 23931.25±1629.17 14.25±1.50 42.65±1.93 74.50±12.60 t -4.074 -4.086 8.351 3.811 P 0.008 0.006 0.000

2、Clinical diagnosis and treatment process system out-patient Serological diagnosis ultrasonic diagnosis hepatic lesions normal hepatic echinococcosis Other diseases HCE HAE ultrasonic classification ultrasonic classification with complications with complications CTscan or higher level hospital CTscan or higher level hospital CE1 massive type CE2 Diffuse nodule type remote consultation WHO/ IWGE type CE3 Necrosis type CE4 CE5

Establishment of the Clinical Pathway for hepatic cystic echinococcosis

Combined doctor - nurse - social workers PART 2 Combined doctor - nurse - social workers a new three-dimensional model in managing patients with echinococcosis

Core connotation of the pattern The core idea is that hospital regards patients as the most important resources and establish the patient-centred conception Social Worker patient nurse doctor

Establishment and promotion of the pattern 354 patients with hydatid disease have been enrolled Compared with before, patient satisfaction has improved significantly Quality of life questionnaire of patients with echinococcosis Case management group activities (every Friday) Doctors, nurses, and social workers interact with patients

Data Collection content of the work Preoperative physical mental and social economics status Preoperative imaging data Intraoperative imaging data Follow-up data Data Collection

Characteristics of the work Nurse Doctor Social worker patient Doctors, nurses and society workers take care of patients from different angles and levels and patients offer different levels of information of themselves, eventually improve the level of medical treatment and patients' satisfaction

PART 3 Input of Telemedicine

Hospital Information In Our Hospital Personal Digital Assistant Statistical analysis platform Trolley logistics system SMS critical values reports Check-list for surgical processes Electronic medical records

Unified and open Interconnectivity Advances in information technology— Hospital Information Integration Platform (ESB) Ultrasound Pathology PACS LIS NIS EMR CIS Medical examination HIS … EMPI BI System Unified data view 2 1 3 4 5 Hospital Information Integration Platform (ESB) Data Cente Unified and open Interconnectivity

Ordinary TeleMedicine Telepresence Hall (RPX) Telemedicine Center Ordinary TeleMedicine HQ Display TeleMed Training Hall Telepresence Hall (RPX)

TeleMed Service Projects TeleMed Aid TeleMed Advisory TeleMed Diag Hydatid TeleMed Guidance TeleMed Service Projects TeleMed Operation TeleMed Aid for Prison Tele-Conference TeleMed Monitoring TeleMed Training International-TeleMed

More than 158 Hospitals and 44,000 cases Hospital Network Construction Xinjiang Network Hospitals More than 158 Hospitals and 44,000 cases Tele-medicine network in XINJIANG Covers more than 90% Counties in XINJIANG The distribution of Hospital Cooperation Network of the 1st Affiliated Hospital of Xinjiang Medical University

International Network Hospitals Xinjiang TeleMed Center in Urumqi Kazakhstan Med Center in Astana Harvard Med School, MGH International Network Hospitals Peru in Processing

TeleMed for National Control Program on Hydatid Diseases Built remote consultation network system for echinococcosis in Xinjiang Networked Sichuan, Inner Mongolia, Gansu, Tibet, Qinghai, Ningxia and Xinjiang seven provinces Carried out 2,650 cases of echinococcosis teleconsultations

Telemedicine cooperation mode Three network integrated service system Province Counties Villages and towns Villages and towns Counties Counties Counties Counties Province Counties Counties Counties

Inter-Province TeleMedicine for Medical and Cooperation Conference Joint consultation with Inner Mongolia, Gansu, Xinjiang Teleconsultation with Ganzi, Sichuan People's Hospital Teleconsultation with Union Hospital XILINH

Tele-Medicine Network Xilinguole, Inner Mongolia ABA XILINGUOLE URUMQI GANZI Experts works with patients from Inner Mongolia, Gansu and Xinjiang Ganzi Prefecture, Sichuan Aba Prefecture Hospital, Sichuan

TeleMed Operation Teaching

TeleMed Operation Guidance

Tele-Medical Education

Xinjiang Telemedicine Cloud Development Plan Xinjiang Telemedicine Cloud

Thank You !