Currently, high-quality development has become the new beacon of China's economic and social development. In June this year, the General Office of the State Council issued "Opinions on Promoting the High-Quality Development of Public Hospitals" (hereinafter referred to as "Opinions"). Around the "Opinions" and this year's national medical management conference proposed "strive to use five years, and strive to achieve public hospitals from the expansion of the scale to improve quality and efficiency, the mode of operation from the rough management to refine management" and a series of requirements, the next, public hospitals how to solidly and effectively promote the reform, test the wisdom of hospital managers.

Located in the western part of Zhejiang Province, Jiande City, there are more than 160 medical and health institutions. In recent years, Jiande Health Bureau has been promoting the construction of county medical community, and in August 2020, on the basis of the medical community, Jiande Health Bureau and Sinopharm Instruments, a subsidiary of Sinopharm Holdings, jointly launched the "Jiande Whole Medical Supply Chain Management Service Platform Project" (hereinafter referred to as "SPD platform"). ("). Subsequently nearly a year, the two sides to medical supplies procurement management integrity risk prevention and control and refinement management for the city's three medical community and its members, a total of 20 health institutions, the implementation of the whole process, lean, intelligent one-stop medical equipment supply chain management ("FLI +"), for the county medical community lean It has explored a "Jiande model" for lean management and high-quality development of county medical communities.
 
Targeting the supply of consumables to build a "firewall" of integrity

"In August 2020, Jiande Health Bureau and Sinopharm started the "SPD platform", targeting the integrity risk management of medical supplies procurement. .

 "We are in the medical community lead hospital and member units unified thinking. The city through open bidding, the procurement authority entrusted to a successful third-party institutions, the implementation of medical supplies procurement 'five unified' management, namely, unified directory, unified procurement, unified storage, unified distribution, unified price control, thereby eliminating the risk of private procurement, off-net procurement." Jiande City Health and Health Bureau party secretary, director Wang Tian said, through the "SPD platform", the medical community of the relevant hospitals are no longer directly with the manufacturers, all medical supplies procurement, distribution are operated directly by the third party state drug equipment on the platform, the latter in charge of the municipal health and health Bureau system, Jiande City Commission for Discipline Inspection and Supervision Committee stationed in under the supervision of the discipline inspection and supervision group, the strict implementation of medical supplies procurement and distribution and other related work.

 "Through this model, the procurement power is entrusted to transfer, cutting off the possibility of export of interests between suppliers, distributors and medical staff in procurement." Wang Tian further explained, help hospital supplies management reform and clean hospital construction, promote the county medical community high-quality development, is to explore the "Jiande model" of the three original intention.

Since the launch of the "SPD platform" in August 2020, Jiande Health System and Sinopharm Devices have built the main framework of the county medical community "SPD platform", and 18 hospitals and other specialty hospitals in the three medical communities have been online. Among them, the First People's Hospital of Jiande City took the lead in August 2020 to put online the whole set of medical supply chain management service platform.

What changes has the "Jiande model" brought to the hospital operation and management? Jiande First People's Hospital President Xie Qiping said about the changes brought by the online medical community "SPD platform", "this initiative from the root to avoid the original hospital equipment department, procurement center, key positions in the procurement and management of medical supplies may touch the integrity of the risk. Medical consumables selection, approval, procurement and other links are easy to breed corruption of the key links. Now, supplies procurement and distribution power entrusted to transfer, the hospital no longer has the power of selection, procurement of medical supplies, the hospital uses the department weekly report procurement plan, by a third party responsible for supplier selection, and procurement and distribution, really from the source to avoid the integrity of the risk."

For patients, "big prescription, pan supplies" brought about by the direct impact is to see expensive. So, what does the "Jiande model" do to solve this problem? Xie Qiping further introduced, the medical community SPD platform construction implementation nearly a year, by entrusting a third party for medical supplies procurement and distribution of the whole supply chain management, product prices compared with the platform on line before the general down, the hospital hundred yuan medical income consumption ratio significantly reduced, and effectively reduce the people's burden of medical care. In addition, this management model also helps to increase the proportion of medical service revenue under the DRG and other medical insurance payment models.

Fine operation and management to promote the development of high-quality medical community

Unlike large medical equipment, medical consumables have a wide variety of specifications, and the problem of inconsistent coding rules is a major difficulty for hospitals to manage consumables.

The UDI has become a common language for solving the global regulation of medical devices. The UDI has become a common language to solve the global regulatory issues of medical devices.

In September 2020, on the basis of the pilot, the State Drug Administration, the National Health and Health Commission and the National Health Insurance Bureau jointly issued a document, requiring in-depth and solid promotion of the UDI pilot, implementing the General Office of the State Council's "Notice on the issuance of the reform program of governance of high-value medical supplies" and the State Council's deepening of the key tasks of the reform of the medical and health system, and further expanding the UDI in the medical, health insurance and other areas of articulated application.

As a leading enterprise in the domestic medical device distribution field and the first pilot unit of UDI, Sinopharm Instruments has organized a series of professional training and hospital seminars on UDI under the guidance of government departments in recent years, jointly with associations and code issuing organizations. At the same time, the UDI international language into the independent research and development of "FLI +" one-stop medical device supply chain management service solutions, to help government departments real-time grasp, tracking the use of medical supplies management of medical institutions, help hospitals to achieve lean management of medical supplies.

"'Jiande mode' landing, not only can resist the risk of integrity and solve the problem of medical consumables supply chain difficult to trace, but also can help the hospital medical consumables precision management, to a certain extent to improve the level of supervision." Wang Tian pointed out that "once a consumable variety of problems, we can quickly find the risk of the relevant products through a commissioning party to achieve quality one-by-one traceability. This is incomparable to the previous situation where we had to deal with thousands of suppliers and it was difficult to quickly and effectively achieve traceability."

Wang Tian also expressed the hope that through this useful exploration of supply chain management, a new path for the development of high-quality county medical community around the world.

As an important participant in the "Jiande model", Sinopharm also has such expectations. "To build this model well, we must first train our talents well." Wang Xiaoming, deputy general manager of Sinopharm Devices and chairman of Beijing Sinopharm Technology Development Co., Ltd, stressed that in the next step, Jiande Health Bureau and Sinopharm Devices will jointly build a professional training base for the SPD project, join hands with the members of the medical community to improve the platform and train professional forces, further improve the lean management level of hospitals, and create a Jiande model for the high-quality development of county medical community.