Since the new healthcare reform guidelines was issued and new healthcare reform is implemented in 2009, China has established national basic medical insurance system and national basic pharmaceutical system and improved basic medical service system. As one of the most import parts of new healthcare reform, the reform of public hospitals also has entered into the critical period, which is confronted with many problems and stiff challenges[1]. According to the principle of providing “safe, effective, convenient and affordable” healthcare service, the reform of public hospitals is designed to cancel the policy of drug price addition[2] to reduce patients’ medical costs, which causes the hospital income declines dramatically. As labor cost has increasingly rises these years, the shortfall in hospital income cannot be offset due to the incompleteness of compensation mechanism and the lack of compensation amount. The problems mentioned above lead to a serious imbalance in hospital payments resulting in hospital operation facing tremendous pressures and challenges, therefore changing hospital management and improving efficiency and quality of hospital management is pressing and imperative. Meanwhile, the fast development of IT and the advent of Big Data era make it possible that the aim mentioned above come true [3, 4]. We seize this opportunity to positively change the manage philosophy and study advanced theory and experiences in the fields of hospital management and modern enterprise management home and aboard [5] as the guidelines of the reform of public hospitals and the realization of fine management. To realize the above object, we employee IT measures comprehensively.
II.THE ESTABLISHMENT OF OPERATIONS AND RESOURCE MANAGEMENT PLATFORM
From experiences of using IT systems these years, we find out that the whole management system, regulations and business processes on which the establishment of IT system is based are more important than IT system itself. In view of the above realization, we make detailed and complete plan to establish Operations and Resource Management Platform. During the period of requirement investigation, we organized several departments to cooperate in the requirement investigation together for several months and gained the detailed investigation report. Based on this report and combining with kinds of systems and regulations as well as a variety of advanced management methods in many fields, we established management system and standard business processes with our own features in accordance with which the development of all IT systems the platform contained was implemented. This platform meets the requirements of hospital operation management as well as those of all levels of governments. Therefore, the platform we refer to not only consists of several IT systems but also contains all management systems and business processes. Furthermore, the platform consists of four important parts as follows: A.Fine Standardized Operation and Management System As a basis of the whole platform, operation management system plays a vital role in the establishment of the platform. Therefore, as the first step, we established a sound organizational structure of operation management and a comprehensive management system, which collaborate together to support the whole platform firmly. Taking into account that the importance and necessity of the standardized cost accounting and the unified coding system in the cost accounting and Performance Assessment, we established them in accordance with the new "hospital financial system" and the new "hospital accounting system"[6],. Meanwhile, we introduced PDCA management model[7] to improve the management quality continuously. We established the economic operation analysis meeting system to assess the operation management quality and propose improvement measures accordingly implemented in the next period. In order to guarantee the implementation of measures, we set up a department to fulfill responsibility of supervision. B.Reengineered and Optimized Business Processes According to operation management system and combining with the situation of our hospital, we reengineered and optimized logistics processes in order to improve efficiency, reduce operating costs, employees’ stresses and burdens. Up to now, there are four kinds of business processes having been realized reengineered and optimized: •Pharmacy logistics. •Chemical reagents logistics. •high-value consumables logistics •Fixed Assets Management. C.Comprehensively Upgraded Business Resources Systems Based on the implementation of the above tasks, we deployed new IT systems and upgraded existing systems step by step. The platform contains these systems as follows: HIS (hospital information system), HRP (hospital resource planning), SCM (Supply Chain Management), WMS (Warehouse Management System). D.Powerful Operation Analysis System The system is used to analyze data deeply and comprehensively by extracting data from front-end information systems, and generate kinds of analysis reports for hospital management decision-making and operational cost control. This system has many important functions such as cost-benefit analysis of hospital operations, Cost Allocation, financial statements.
In view of that, using PDCA management method to achieve the continuous adjustment and revising of the platform to meet the increasingly growing requirements of hospital operation and resource management.is important and imperative. In order to achieve the above objects, On the one hand we still keep improving the quantity of hospital operation management and reengineering and optimizing business processes further which will be realized by IT measures; on the other we hope the Government will accelerate the supporting policies and reforms, such as increasing the intensity of public hospital compensation, making the policy that prices of medical service match value of labor, to promote hospital operations and resources management system to develop faster and better.
