National policy is good, cloud medical needs to be wary of "people cloud and cloud"

In June this year, the General Office of the State Council promulgated the “Guiding Opinions on Promoting and Regulating the Development of Big Data Applications for Health Care”, and officially incorporated medical big data into national development. According to the plan, by the end of 2017, the cross-sectoral health and medical data sharing and sharing pattern will be basically formed; by 2020, the national medical and health information grading and open application platform will be built to realize the basic data resources such as population, legal person and space geography. Sharing, relying on existing resources to build 100 regional clinical medical data demonstration centers, basically realize that urban and rural residents have standardized electronic health records and fully functional health cards.

The "Opinions" included the "Implementation of Healthy China Cloud Service Plan" as a key task, and proposed "a comprehensive mutual recognition and sharing mechanism for inspection and inspection results, and comprehensive establishment of a telemedicine application system." Zhang Feng, deputy director of the Planning and Information Department of the National Health and Family Planning Commission, also said that the health care cloud service has broad prospects. The government departments will actively promote the integration of new technologies and medical technologies to support safe, credible and sustainable smart devices and software. System development. The medical cloud can connect the various ends of the medical service (doctor, patient, management, etc.) and integrate the data on the same platform to realize resource sharing. On the one hand, the cloud platform stores the huge amount of data of doctors and patients, realizes the unification of information standards, and breaks the information island between hospitals; on the other hand, doctors can communicate with patients through the cloud anytime and anywhere, and the management ability of patients will be greatly improved. At present, China's policies and technologies in the medical cloud are mature, but medical institutions still need to choose a safe and efficient cloud platform based on their own situation, to ensure the smooth migration of IT systems to the cloud, and not blindly follow the trend, "people are clouds."

Information sharing, "Cloud Hospital" promotes graded diagnosis and treatment

The cloud platform can help the medical associations across the country to share resources such as health information, diagnostic information, and treatment information, and achieve the goal of medical reform for graded diagnosis and treatment. Through the network sharing of the district (county) electronic health archive data center, the “cloud hospital” service system can realize the appointments between the municipal hospitals and the community hospitals, inter-hospital referrals, and video network consultations to comprehensively improve the patient experience.

Since 2013, the Xiamen Municipal Health Bureau has joined hands with China Telecom Tianyi Cloud to build a health care cloud platform. The platform will move the Xiamen regional health information service platform to the cloud and become the data center of Xiamen community health service center, public health, large hospitals and related medical applications. At present, the platform has access to 22 secondary medical institutions, 38 community health service centers/health hospitals, 12 military health teams, 14 public health institutions, and 197 standardized village clinics, which have realized citizen clinics and hospitalizations. Data sharing such as inspection, health care, and immunization will carry more than 3.3 million copies of residents' personal health records, accounting for 90% of the resident population.

China Telecom Tianyi Cloud provides exclusive cloud services for the medical platform of the Xiamen Municipal Health Bureau, including computing and storage resources, network resources, security systems and service system migration, to achieve internal medical resources and management information sharing. Tianyi Cloud will integrate and move the IT systems of new hospitals and small and medium-sized medical institutions into the cloud platform, and provide space for the backup system of large general hospitals. Through the cooperation model of renting and building, Tianyi Cloud integrates the IT resources of medical institutions at all levels in Xiamen to avoid redundant and disorderly IT construction, control the number of physical equipment, improve resource utilization, reduce hardware costs, and save energy for Xiamen medical platform. The cost of hardware investment exceeds 20% - only the cloud platform of two hospitals migrated, saving nearly 20 million yuan in construction costs.

Resources sink, "cloud" sent family doctors into thousands of households

At the beginning of June this year, the State Council Medical Reform Office, the National Health and Family Planning Commission, the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Finance, the Ministry of Human Resources and Social Security and the State Administration of Traditional Chinese Medicine jointly issued the "Guiding Opinions on Promoting Family Doctors' Contracting Services" and proposed By 2017, the coverage rate of family doctors' contracting services should reach more than 30%, and the key population should reach more than 60%. By 2020, we will strive to expand the contracting services to the whole population, form a long-term stable contractual service relationship, and basically realize the family doctor contracting service. Full coverage of the system.

Medical cloud can make the most reasonable distribution and utilization of limited medical resources. It is expected to become an essential infrastructure for the family doctor system. It allows patients with chronic diseases to be treated nearby and to play the role of grassroots community medical services. At the same time, the medical system is divided into large hospitals. Really a big hospital to treat acute and serious diseases. Through the management platform connected to the cloud, family doctors can directly communicate with the best specialists in the country, share the patient's electronic medical records and test results, and request specialists to guide the family doctor's diagnosis and treatment. For patients with serious illness, they can also Realize online consultation of multi-disciplinary experts. In addition, family doctors and patients can also communicate directly through the cloud. Both the doctor and the patient can monitor their health data in real time, so that patients can receive professional information before and after admission. Doctor's guidance and advice.

For patients, the total cost of medical care will also decrease as the medical cloud is realized. Through the medical cloud platform, residents can visit the community health service center or the secondary hospital. If necessary, they can also contact the doctors of the tertiary hospital to help diagnose, and the family doctor can transfer the doctor's advice. On the other hand, the sharing of medical examination results on the cloud platform eliminates the cost of repeated examinations by patients in different hospitals, and the cost of medical treatment is significantly reduced. In addition, family doctors can manage the health of contracted families to prevent the emergence of diseases. Statistics show that spending $1 in disease prevention in the United States can save about $5.6 in medical expenses.

Data security, preventing "cloud" from becoming "霾"

In the “cloud era”, the ordinary IT environment obviously cannot meet the data security requirements of the medical industry. The Opinions also highlighted the safety of medical data. The "Opinions" pointed out that the construction of medical big data should adhere to the principle of "safety first, protect privacy", strengthen the security of health medical data, ensure that the country's key information infrastructure and core systems are independently controllable, stable and secure, and strengthen national interests. Protection of important information such as public safety, patient privacy, and trade secrets. Zhang Feng, deputy director of the Planning and Information Department of the National Health and Family Planning Commission, also said that medical cloud should not only ensure that health data is stored in a highly durable and high-available way, but can be accessed at any time for a long time; Unauthorized access to the patient makes the patient's privacy more secure.

As the cloud network provider and platform provider, China Telecom has a unique technology and resource advantage in cloud security, and is called the “information security national team”. The newly released Tianyi Cloud 3.0 adopts the “five-star security” design to protect users' information security from five aspects: First, the operation, Tianyi Cloud 3.0 full network and cloud network integration, its security protection range is vertical to the end, horizontal to edge; The second is the platform, the cloud platform adopts independent research and development, and is certified by the Ministry of Public Security EAL3. The third is service. Trusted cloud service has passed the most authoritative ISO27001 certification, disaster recovery and backup guarantee. The fourth is the network, cloud DDoS attack protection, and also China Telecom's end-to-end independent research and development of network products, won the National Internet Technology Conference Best Technology Innovation Award, providing the country's largest terabyte protection capabilities. Finally, the computer room, China Telecom's five-star computer room adopts multi-availability zone design, and the security level is up to three levels.

In July 2015, the First Hospital of Jiaxing City officially released the PACS (Image Archiving and Communication System) Tianyi Cloud Storage Project, which is also the first cloud image storage project in China. In response to the hospital's growing image data storage and archiving needs, Tianyi Cloud provides a combination solution for local storage + storage gateway + object storage for hospital customization - storing frequently accessed data in local storage, and historical image data in storage gateway. And the object storage, for doctors to timely online access. This solution not only greatly improves the access speed of doctors, but also effectively avoids the risk of single point of failure in local storage. If the local storage fails, the data storage of the PACS system can be urgently switched to the cloud storage gateway + Tianyi cloud mode to ensure the continuity of hospital medical services. In addition, Tianyi Cloud uses data slice encryption technology and automatic multi-copy security measures to ensure high-level cloud protection for patients' personal information.

China's medical big data industry has just started, but the value of medical big data services based on “health cloud” is huge, which will bring changes to the entire medical ecosystem. In addition to traditional hospitals and patients, medical products companies can use the “medical cloud” to analyze disease patterns and trends, develop strategic R&D investment decisions, and improve R&D efficiency; the public health department can pass the nationwide patient electronic medical record database. Conduct comprehensive epidemiological surveillance, national health census, and formulate corresponding laws and regulations. The big data report released by McKinsey shows that the application of US health care big data can bring market potential value of 3,000-450 billion US dollars per year.

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