信息网络安全是影响医院医疗工作正常运转的重要因素.为确保医院信息网络安全,文章从技术、人员、制度等方面分析医院信息安全现状,探讨医院信息安全支撑体系建设方案.在平台安全、数据安全、应用安全、网络防护、人力资源、规章制度等方面,提出了医院信息安全支撑体系建设方法和体会.应借助先进技术筑牢信息平台和数据的安全,落实顶层设计发挥信息化建设应有的作用,同时挖掘人才潜力推动行业建设安全持续发展,以确保医院信息系统能安全、稳定、高效地运行.

Based on the current hospital information system design is not reasonable,the daily maintenance is not strict,not orderly information management problems,put forward a new application in the network of the hospital network security based on firewall technology.The technology was first proposed for protection of the safe operation of the network,the paper introduces the key role of the firewall in the hospital network security,and then after the suggested technology developed a network security management measures strictly,the final test of the great role of the system in the hospital network,caused the attention of medical staff to a great extent,has a strong practical value in the future.

目的:从HIS建设模式、发展路径、技术架构和医改政策需求角度出发,研究探索云HIS,从而重新定义HIS的未来.方法:通过分析传统HIS的弊端,给出重新定义HIS的必要性,从理念、技术、方法及机制上重新定义HIS.结果:云HIS以新的内涵作用、建设方法和发展机制,重建信息架构体系,重构管理服务流程,重造病人服务环境,重塑运维服务方式,实现医疗卫生信息化由局域网医院信息系统向广域网医疗卫生信息系统的转型转变.结论:云HIS是发展方向,它重新定义了HIS的未来,将助推医疗卫生信息化进入云时代.

分析国内电子病历发展与应用现状.从国内电子病历发展历程、电子病历框架组成、主要功能及目前国内应用水平着手分析,并采用电子病历与传统纸质病历相比较的研究方法.国家推动促进了电子病历的快速发展.但国内电子病历应用水平不高,原因是缺少支持临床决策的临床数据仓库.电子病历具有许多纸张病历不具备的优越性,但还存在着法律、安全、标准等问题.电子病历是医院信息系统的核心,需要加强电子病历的集成和管理,提高电子病历质量.并且建立相应的法律法规和有效的认证检查机制,切实体现电子病历的合法性.

对医院信息质量现行考核指标和实际考核情况进行探讨,分析医院信息质量管理的达标考核情况.对信息质量管理达标考核的作用进行了探讨,通过达标考核调研分析增强了医护人员的信息意识,提高了医院医疗信息的质量,但应进一步优化完善考核指标及评价标准.

分析了医院网络安全的现状,指出了建立一套完善的、多级的、体系的医院网络安全系统的必要性.从技术、管理、服务3个方面阐述了如何加强防病毒体系建设,应用Symantec Endpiont Protection实现了“终端安全、终端管理和服务体系”三位一体的建设,确保了医院网络终端安全.

目的:创新重症患者管理、查房和教学的模式,构建重症监护远程教学查房系统.方法:针对重症监护病房的特殊性及其要求,通过信息化手段,借助现代音视频传输技术和数字处理技术来构建系统.结果:由重症监护病房(intensive care unit,ICU)重症示教系统、ICU视频示教移动手推车、数字化示教室、网络视频传输等组成的教学查房系统满足了ICU临床实践教学的要求.结论:该系统的使用,改善了教学效果,提高了教学效率,减少了ICU污染的机会,高水平发挥了重症医学临床实践教学的作用.

The aim of this study is to discuss the reason, practice pattern and risk management of outsourcing services for the operation maintenance of hospital information. Starting with the cognition of IT outsourcing managed service concept, the factors relating with outsourcing services such as human resource allocation, staffs skills and efficiency of information management will be analyzed in this article. Furthermore, the approaches and efficiency of the outsourcing services will be discussed as well. The plan brought customization in repair and maintenance services undertaken by other companies for the network equipments and systems expired for warranty period, which alleviated the current disparity on human resource management and ensured the stable operation of network systems. Meanwhile, the risks including talent team construction, cost-effectiveness, business processes and information security must have been avoided. To follow the tendency of the socialization in logistics supports for military, the outsourcing services for hospital information operation maintenance can be chosen as an effective way for improving the reliability of network security and management of human resource.

The construction of single wireless web platform is an important condition for the development of clinical informa -tion technology .The aim of this study was to explore the construction of wireless web platform in hospital and innovative applications of medical internet based on this platform .The medical internet was applied innovatively through the construction of multi -service wireless web platform .Based on the innovative application of medical networks such as cold chain system and transfusion monitoring system , special clinical requirements were fulfilled so as to improve medical safety and medical quality .The multi-service wireless web platform can realize the integration of multi-networks and multi-systems to avoid overlapping investment and redundant construction in hospital .

Objective: To research building method of professional military HRP technical team. Method: Discussing building mode of professional military HRP technical team from aspects such as building thoughts, major structure, building method, development mechanism and so on. Result: To greatly enhance technical team building effect by multiple pathways such as thoughts of advancing on the whole, emphasis on training key staff, better system for staff evaluation, method of unified organization and unified between military and civilian, research and practice, introduction and training. Conclusion: Technical team can be developed soundly, rapidly and sustainably by strengthening organization leadership and regime construction, completing training system, enabling staff switching jobs orderly.

Grassroots healthcare institutions (GHIs) are the smallest administrative levels of medical institutions, where most patients access health services. The latest report from the National Bureau of Statistics of China showed that 96.04 % of 950,297 medical institutions in China were at the grassroots level in 2012, including county-level hospitals, township central hospitals, community health service centers, and rural clinics. In developing countries, these institutions are facing challenges involving a shortage of funds and talent, inconsistent medical standards, inefficient information sharing, and difficulties in management during the adoption of health information technologies (HIT). Because of the necessity and gravity for GHIs, our aim is to provide hospital information services for GHIs using Cloud computing technologies and service modes. In this medical scenario, the computing resources are pooled by means of a Cloud-based Virtual Desktop Infrastructure (VDI) to serve multiple GHIs, with different hospital information systems dynamically assigned and reassigned according to demand. This paper is concerned with establishing a Cloud-based Hospital Information Service Center to provide hospital information software as a service (HI-SaaS) with the aim of providing GHIs with an attractive and high-performance medical information service. Compared with individually establishing all hospital information systems, this approach is more cost-effective and affordable for GHIs and does not compromise HIT performance.

通过分析医院信息化阻碍因素以及云计算技术的构成与优势,确定云计算在医院信息化应用中的可行性方案、面临问题及应用效益.云计算应用的重点在基础平台、信息应用、运维管理、软件系统等方面.在医院信息化云计算应用过程中,要更新观念,合理规划,规避风险.

With illustration of the basic concepts of cloud computing and active-active data centers, this paper provided a multiple-perspective research on construction of a cloud-computing-based disaster recovery system. In order to greatly weaken the influence of hazards, a variety of techniques and management approaches were deployed, involving the HA-based (High-Availability-based) local host solution, the active-active-based local and/or remote backup solution, the data-recovery-based solution for data protection and the database-replication-based solution for switchover from one system to another. In the event of a disaster, the cloud-computing-based data center disaster recovery system could guarantee the continuity of the business by migration of the system with almost no breakdown.

To achieve the paper medical records analyzed and retrieved, combine the medical records system, and make Medical datas are valuable to scientific research, management,and health supervision,we research and design of a system for Eletronic Paper Medical Records. We use manual entry and machine to change paper medical records to electronic data, and combine existing system to realize medical records analyzed and retrieved, which is very useful to the scientific research.

Objective:To explore the construction of digital hospital based on the technology of cloud computing.Methods: The construction of data center, deployment of desktop system, transformation of application model, management of information platform and training of staff under the condition of cloud computing will be discussed in this article as well.Results: Taking the technology of cloud computing as core, we built the foundation platform of cloud computing to explore the model of application and management as well as bring forth new ideas in services providing, which brings a competitive advantage for the development of hospital.Conclusion: The practice of construction based on the technology of cloud computing promotes the development for digital hospital, which improves the quality of information services.

A new generation of hospital information platform with high security and effeciency is established by using server virtualization technology, storage virtualization technology and desktop virtualization technology based on the original information platform in our hospital. The hospital resources are integrated so that the resource utilization rate is improved with the application of the new hospital information platform, with which the energy consumption of system devices is reduced. Thus the security and overall management level of various information systems have been improved in the hospital.

Objective: Discuss about necessity and importance of compound talents cultivation of Medical Cloud Project, and give relevant requirements and suggestions on talent team construction. Method: Analyze the basic characteristics of compound talents in Medical Cloud Project, and study specific requirements of their abilities and quality and talent team construction mode. Results: By speeding up the talent system and mechanism innovation, training systems are established and improved, and various on-the-job trainings are actively provided, so that compound talents of Medical Cloud Project have clear construction thoughts, good business skills, excellent management methods, strong learning ability and good innovation idea. Conclusion: Cultivation of compound talents for Medical Cloud Project is urgently required by improvement of construction level and management ability of Medical Cloud Project. It is the basic condition to promote the sustained and healthy development of Medical Cloud Project. Self transformation and upgrade of the existing knowledge structure and professional capacity of talents shall be accelerated, so as to cultivate a group of leading talents for hospital information construction with independent innovation ability leading the world.

Objective To optimize the process of discharging medication by informationization methods,further realize electronic prescription.Methods The new system is composed of discharging medication prescription entry and validation procedure.The entry procedure uses independent,xtras way,and is installed in the same computer with hospital doctor workstation program.The validation procedure is amended on the basis of the original one,and has changed the medication charging mode.Medication charging and ward dispensary reduced inventory can be finished simultaneously.Results The window for medication discharging can be cancelled.The system runs efficiently,alleviating the labor of medical staffs,shortening the waiting time of patients.Conclusion This system has characteristics of automation,intelligence,and efficiency.

Objective: through analyzing the construction demand of digital hospital based-on cloud computing, provide references to make implementation plan for medical cloud project. Methods: by comparing traditional hospital information construction and the mode of cloud computing technical architecture, and from the actual demand of digital hospital construction, submit the construction targets of digital hospital based-on cloud computing. Results: construct dynamic data center for the platform based-on cloud computing technical architecture, which adopts uniform deployment, allocation according to requirements and highly safe system;centrally arrange virtual desktop, realize zero distance 5A characteristics on management, and fulfill error-free 5R requirements clinically; change the application mode of medical treatment information, and satisfy the requirements of massive data storage access, instant high-speed network transmission, instant supercomputing ability; innovate new methods for centralized management, zero downtime maintenance, and quick responds for information platform, and guarantee the continuity of business system;cultivate high-quality information team composing composite professional, and practical talents, and push the project construction with outstanding talents. Conclusions: the construction of digital hospital based-on cloud computing is a lively practice for the transition of digital hospital construction, which can help the construction of digital hospital out of dilemma, control a commanding height and efficiently improve the hospital information construction inwards.

According to medical cloud project digital hospital technological framework, cloud computing characteristics and hospital practical needs, the article makes a discussion about the principles and methods on software and hardware selection concerning virtual software, computing unit, memory unit, network unit, management and security etc in the midst of constructing private cloud mobile data center in the hospital respectively.