1. 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

2. 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

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

4. 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 ( )
group
cases
The average hospitalization cost
The average hospitalization days
degree of satisfaction
Health-related knowledge
clinical pathway group 72 ±
10.25±1.26
46.45±2.14
83.50± 8.02
control group ±
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

5. 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

6. Establishment of the Clinical Pathway for hepatic cystic echinococcosis

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

8. 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

9. 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

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

11. 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

12. PART 3
Input of Telemedicine

13. 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

14. 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

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

16. 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

17. 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

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

19. 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

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

21. 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

22. 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

23. TeleMed Operation
Teaching

24. TeleMed Operation Guidance

25. Tele-Medical Education

26. Xinjiang Telemedicine Cloud
Development Plan
Xinjiang Telemedicine Cloud

27. Thank You !