In recent years, with the opening of national policies and the driving cost control of hospitals, the disinfection supply center, which was originally the core department of the hospital, has been gradually outsourced to third-party disinfection supply service providers.
Among the third-party disinfection supply providers, Julikang is a very mature institution. As the only national third-party disinfection supply center in China, since its establishment in 2010, Julikang has established operations in seven cities, with 8 operating centers, connecting more than 200 hospitals, reducing the cost of hospitals by 30%. The service contract has an annual re-signing rate of 100%.
What is the background of Julikang's choice to be a third-party disinfection supply project? How is their landing plan designed? What effect and achievements have you achieved? What is the prospect of the third-party disinfection supply market?
With these questions, the arterial network interviewed Xu Jing, general manager of Julikang. In addition to answering our questions, Ms. Xu Jing also introduced us to the progress and experience of Julikon in third-party disinfection supply services.
Tracing back to the source: How to develop third-party disinfection supply services?
The disinfection service is called the disinfection supply department in the hospital. It is a sub-professional affiliated to the hospital. It is called the support department or the core department, and it provides support for the mainstream profession. As an external supplier, it is called a regional disinfection supply center, which provides a sterile supply of medical equipment through standardized mode output management.
What is a sterile item? Xu Jing explained that sterile items are reusable medical devices that run through the entire medical service during hospital surgery and clinical diagnosis and treatment. After cleaning, disinfection, and sterilization, these medical devices can be reused after being disposed of in accordance with standards. The function of the sterile item determines its importance, so controlling the quality of the disinfection supply center ensures the supply of sterile items in the hospital.
Regional third-party disinfection supply services originated in Europe at the beginning of this century. In 2002, experts from the UK Ministry of Health inspected 28 medical institutions in the UK with disinfection supply rooms and found some common problems: the disinfection supply room is a heavy-duty department in the hospital, and the cost is high; Professionalism is not enough; medical equipment in many departments is not well treated, such as dentistry, obstetrics and gynaecology.
As a result, these experts proposed a regional concept and spent three years on quality certification and control of the 28 disinfection supply centers. After three years of elimination, only six of them met the standard. The local government proposed to truly integrate resources. In 2005, a 3,000-square-meter disinfection supply center was built in the region to complete the processing of nearly 10,000 sets of equipment per day.
With such a success story, regionalized disinfection supply services began throughout Europe.
At present, the world's largest regional disinfection center is located in Lille, France, with a daily processing capacity of 18,000 sterile supplies supply packages, which is three times the workload of China's most mature disinfection supply center.
In 2009, the Ministry of Health of the People's Republic of China proposed that China's disinfection supply services should be in line with European and American A-level standards.
On the basis of Europe and the United States, China has reformed domestic standards and proposed the “two regulations and one standard†industry standard for disinfection supply rooms. In 2016, China has incorporated some technical parameters based on this standard, which is a mandatory industry standard that third-party disinfection supply service companies and hospitals must follow.
However, the cost of public medical institutions in China is increasing continuously, and the debt ratio is high. The disinfection supply center does not produce benefits in the hospital, but exists as a cost department. Xu Jing analyzed the cost of the hospital disinfection supply department for us.
First of all, in terms of the site, based on the current standards, the hospital should set a 0.8-1% disinfection supply center area guarantee according to its bed. In other words, even a hospital with only 100 beds needs to set up a 100 square meter disinfection supply center.
Secondly, the nature of the disinfection supply room determines that it is a labor-intensive department, which requires professional medical personnel to enter the department and manage it, and the labor cost is high.
Finally, operating costs include site, production consumables, and administrative expenses to be shared by hospitals. The superposition of these costs results in higher processing costs per instrument. Some hospitals have limited quantities of equipment and limited workload, but the main cost is very high. For example, a primary hospital with less than 100 beds costs about 500,000.
Xu Jing summed up the four factors that have spawned the thriving development of the third-party disinfection supply industry in China:
1. The regulatory pressure brought about by the implementation of the 2016 version of the industry standard;
2, the hospital's sense of control, this is the must-check department;
3. The internal operation cost control requirements of the disinfection supply center that meet the standard specifications;
4. National policy assistance;
In this context, in 2010, Julikang established the first regional disinfection supply center in Shanghai with an area of ​​3,200 square meters. After one year of construction and control system construction, in March 2011, Julikang undertook the first two-level general hospital, and realized the profitability of single center in the following year. It undertook the North Hospital of Ruijin Hospital affiliated to Shanghai Jiaotong University. A number of hospitals including the North Campus of Huashan Hospital affiliated to Fudan University and the Changning District Maternal and Child Health Hospital in Shanghai can reuse the disinfection supply of medical devices.
Hospitals and enterprises cooperate, and the whole process has no dead angle and refined management.
The third-party service for disinfection supply is an output service. It mainly builds a management collaboration platform with the hospital. It not only outputs services and standardization management, but also works with the hospital to create a quality and safety aseptic product guarantee system.
Xu Jing, using the model of Ju Likang, introduced how third-party disinfection supply centers can work and manage with medical institutions.
The entire service process of the disinfection supply center involves the in-house and out-of-hospital, and the hospital is mainly connected to the hospital through the sterile supply chain. All internal supplies and hospitals implement the same standards, including the distribution of contaminated areas, inspection areas, and sterile items, and the sharing of hospital operations, quality control processes, market data, and workload reports through the MIS management platform of Julikon Group. to fulfill.
In the operating room client, Juli Kang installed a sterile inventory management system, the staff will check the hospital for a full day of tracking data, and the control personnel will enter the operating room to help the hospital complete the background data. The operating room is a highly profitable department in the hospital, and the risk control requirements are extremely strong. For the valuable surgical tools, in the outsourcing process of these devices, Julikang will strengthen its evaluation, qualitative and fixed value, tailor-made solutions, and serve as a resident.
Julikang also achieved the docking of the quality of the aseptic articles with the internal system of the hospital, and established a sterile item tracking system to monitor the entire process of the items, including operation logs, equipment and facilities and monitoring of logistics parameters. Once the patient and the medical staff have any objections, the physical parameters and operation logs of all the items can be traced directly through the scan code, and the “outsourcing of services, quality is not outsourced†of the sterile items is truly achieved.
For the three-level hospitals with large systems and many patients, Ju Likang will conduct research on departments and management when the project is promoted, and they all hope that Julikang can provide an emergency plan. Many top three hospitals operate 24 hours a day. Once emergency surgery is performed, an emergency mechanism must be activated.
Therefore, Julikang also set the corresponding emergency mode, paying more attention to the combination of in-house and out-of-hospital. An emergency item launching center was set up in the hospital, and the items were urgently needed for in-hospital treatment, and the regular items were returned to the third party for processing. What the medical staff needs to do is to use and register. The recycling, handling, distribution and supervision of the items are all docked and managed by the staff of Julikang.
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