What Does a Director of Clinical Services Do?

"Clinical path management" refers to a disease type, and formulates a diagnosis and treatment mode that medical staff in the hospital must follow to enable patients to receive medical services such as inspection, surgery, treatment, and nursing from admission to discharge. From 2009, 50 hospitals in China will implement "clinical path management" modeled on the design of industrial pipelines, and 112 disease types have "standard flow charts", which is expected to achieve "same disease and same treatment".

Clinical Path Management

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"Clinical path management" refers to a disease type, and formulates a diagnosis and treatment mode that medical staff in the hospital must follow to enable patients to receive medical services such as inspection, surgery, treatment, and nursing from admission to discharge. From 2009, 50 hospitals in China will implement "clinical path management" modeled on the design of industrial pipelines, and 112 disease types have "standard flow charts", which is expected to achieve "same disease and same treatment".

Fifty hospitals nationwide will implement "clinical path management" modeled on the industrial pipeline design, and 112 disease types have a "standard flowchart", which is expected to achieve "same disease and same treatment".

On December 8, 2009,

In about 2 years, through the clinical path management pilot work in 50 hospitals, explore the establishment of a clinical path management system, working mode, operating mechanism, and quality assessment and continuous improvement system suitable for China's national conditions, in order to promote clinical practice nationwide. Path management accumulates experience and provides practical basis; demonstrates and further improves the scientificity, standardization, advancedness, and operability of clinical pathways that have been promulgated and implemented, so that it can be better promoted and serve clinical work.

At present (December 2009), the Ministry of Health has organized experts to formulate clinical pathways for 22 specialties and 112 diseases, including respiratory, digestive and skin diseases, such as dermatological shingles, dermatomyositis, pediatric rotavirus, Mycoplasma pneumonia, gynecological uterine fibroids, cervical cancer, etc. However, the clinical pathway is not a fixed treatment plan. When patients entering the clinical pathway have serious complications or need to be discharged or transferred, they should withdraw from the current clinical pathway. Each comprehensive pilot hospital selects at least two treatment specialty diseases as the pilot standard clinical treatment path.

22 majors include: Respiratory Medicine, Gastroenterology, Neurology, Cardiovascular Medicine, Hematology, Nephrology, Endocrinology, General Surgery, Neurosurgery, Orthopedics, Urology, Thoracic Surgery, Cardiovascular Surgery, Gynecology, Obstetrics, Pediatrics, Pediatric Surgery, Ophthalmology, Otorhinolaryngology, Stomatology, Dermatology, Oncology.

In accordance with the principle of overall consideration of the distribution of eastern, central and western regions, 12 provinces (cities) of Beijing, Liaoning, Jilin, Shanghai, Jiangsu, Shandong, Henan, Guangdong, Sichuan, Guizhou, Yunnan, and Gansu are designated as pilot provinces. Among them, there are 7 pilot hospitals in Beijing. At present (December 2009), the Ministry of Health has designated 5 hospitals including Peking University People's Hospital, Peking University Third Hospital, Beijing Xuanwu Hospital, Beijing Chaoyang Hospital, and Peking University Stomatological Hospital. The pilot work began in December 2009 and ended in December 2011.

Clinical Path Management-Implementation Significance

The implementation of clinical path management will ensure that the treatment items received by patients are refined, standardized and programmed, reducing the randomization of the treatment process; improving the management and utilization of hospital resources, strengthening the risk control of clinical treatment; shortening the length of hospitalization and reducing costs.