The medical disinfection supply center refers to an independently set medical institution that provides medical institutions with services related to cleaning, disinfection, sterilization, and distribution of reusable medical equipment, independent of the hospital disinfection supply center/room. Its establishment has attracted the support of the government and medical institutions by attracting capital investment in medical care, reducing or even eliminating government or hospital investment, and introducing professional operation management institutions to improve the quality of regional medical services while reducing risks.

SWOT Analysis is a situational analysis method. It was proposed by American USF management professor Verrick in the early 1980s. They are Advantages, Weaknesses, Opportunities and Threats. The core of the analysis is to examine them one by one. Focus on the company, organization, organization, project or business area to identify strengths and weaknesses; then identify the opportunities that may be brought about by the advantages, and the threats that may be caused by the disadvantages. It is also possible to analyze the extent to which the advantage can overcome the threat, and whether the disadvantage will hinder the generation of opportunities.

SWOT analysis established by medical disinfection supply center

The mainstream business education of many MBAs and EMBAs around the world uses SWOT analysis as a common strategic planning tool and is used in strategy formulation and competition analysis. This paper will use SWOT analysis to analyze the strengths, weaknesses, opportunities and challenges of the establishment of medical disinfection supply centers, and summarize and propose development strategies and recommendations.

In September 2015, Premier Li Keqiang chaired a meeting to clearly point out the integration of disinfection supplies and other medical resources, emphasizing the importance of promoting regionalized medical services. Until May 2018, the National Health and Health Commission's Notice on Printing and Distributing the Basic Standards and Management Regulations for Three Types of Medical Institutions, such as Medical Disinfection Supply Centers (Trial), encourages social forces to provide multi-level and diversified medical services, and clarify medical disinfection. The supply center is an independently set medical institution, which is approved by the provincial health and health administrative department. The adjustment is completed before June 1, 2019 and the “Medical Institution License” is obtained.

With the increasing policy orientation, the national social disinfection supply center has also risen from one in 2009 to nearly 50. As of today, only three of the national licenses for medical institutions have been obtained according to the latest standards. 2 are awarded at the municipal level, and 1 is issued at the provincial level; the majority of other unlicensed individuals are closely appraising, self-reviewing, rectifying, and filing, etc. This hurricane has affected many domestic capitals and is eager to try. Many hospitals are seriously thinking and researching.

Advantages

1. Integrate medical resources and share

China's population accounts for about 20% of the world's population, and medical resources only account for about 2% of the world's population. That is, 0.25 of the population only occupies 0.02 of medical resources, while the United States, which accounts for only 4.5% of the global population, consumes about 13.6% of medical resources. In contrast, domestic medical resources are relatively scarce. Due to the imbalance of economic development in the domestic region, the allocation of medical resources is duplicative and uneven. Most of the high-end advanced medical equipment and resources are concentrated in mainstream cities and regional hospitals, causing patients to be hospitalized and concentrated. The number of doctors is too large, and the demand for resources such as medical equipment and facilities has also increased. In the long run, the cycle has become more serious.

By the end of 2017, there were 31,056 hospitals nationwide with 6,100,500 beds. Better and better, medical resources are more and more concentrated, the use rate of hospital beds is getting higher and higher; the poor persistence is not improved, and the use rate of hospital beds is decreasing. The establishment of a medical disinfection supply center will make rational use of existing medical input, promote the flow and intercommunication of disinfection supply resources, and realize the sharing of disinfection supply equipment, facilities, energy consumption and equipment in the region, and contribute to the sustainable development of the health industry.

2. Improve the level of medical services

Due to the polarization of medical resource allocation, large hospitals often queue up for several hours. It is difficult to see the disease, such as grabbing, slamming, etc., and doing most of the time, the consultation time is mostly 5 minutes. Small and medium-sized hospitals have been unable to keep up with the facilities and facilities due to the vicious circle, and the inability to effectively carry out medical services has emerged one after another. In the case of severe or urgent patients, the quality and timeliness of medical treatment cannot be guaranteed. The lack of medical services directly leads to a low cure rate.

The establishment of the medical disinfection supply center can release the internal venue of the hospital to carry out medical treatment activities, expand the scope and ability of treatment, reduce the waiting time for medical treatment, comprehensively improve the quality of regional medical disinfection supply, and assist in the classification and treatment; clinical operation and nursing are nurses. The main work, the establishment of the medical disinfection supply center has also released some of the hospital's nursing staff to some extent, the nurses are separated from the service, the professional people do professional things, focus on research and improve the quality of care, and then improve the medical care. Service level to improve the satisfaction of patients with medical services.

SWOT analysis established by medical disinfection supply center

3. Reduce financial pressure

The disinfection supply center is a heavy asset investment, including sites, main equipment, energy equipment and facilities, and decoration. It is well known that the purchase price of hospitals is higher than that of enterprises. The majority of CSSDs established by huge capital investment are only used by the hospital itself, resulting in idle supply and low utilization rate. The cumulative number of CSSDs in many hospitals has further reflected the series of problems such as repeated investment in medical resources and low asset efficiency. In addition, CSSD personnel in traditional hospitals are mostly allocated in proportion of beds. The proportion of nurses is extremely high, and personnel effectiveness has not been fully utilized.

The medical disinfection supply center is based on the distribution of medical resources in the region, assesses the supply needs of various institutions, rationally lays out and establishes, reduces the repetition rate of regional resource allocation, and effectively controls medical investment. After the establishment, reasonable personnel recruitment and timely adjustment according to the planned production capacity, balance human resource allocation, use enterprise operation to maximize employee work efficiency and asset utilization rate, so that the hospital can reduce the cost of the hospital while saving capital investment, and convert the previous opportunity cost. For the actual cost, help local governments reduce financial pressure and balance the capital investment relationship.

In addition to the above, because the hospital CSSD is numerous and scattered, the health administrative department has greater regulatory pressure and lower regulatory efficiency. The establishment of the medical disinfection supply center will greatly ease the pressure of administrative supervision, and use the measures such as the open authority of the electronic traceability system to assist the local government to improve the supervision efficiency and achieve centralized management of regional disinfection supply.

Disadvantages Weaknesses

1. Challenge the traditional intra-system model

Before being established as a medical institution, the development of regional disinfection supply centers is difficult. The main problems faced are functional subordination and nurses' agitation. Although it is an inevitable difficulty in the policy period, it involves legal operation and normal operation. The solution is imperative.

Prior to the functional subordination, the previous provinces had different practices: some were under the jurisdiction of medical administration, and supervised by the health guards and industry associations; there were also direct supervision by the health guards, medical administration and industry associations; some did not specify the direct jurisdiction, medical administration, and health. The supervision and industry associations are involved, and the problems of supervision, handling and reporting approval are not clear, and some enterprises can take advantage of it. Most of the personnel problems are negotiated with medical customers, and the hospitals rely on them. Some of them do not have to pay for the cooperation conditions for service cooperation, and some institutions pay part of the transaction management fees.

2. Hospital supervision is difficult

The hospital CSSD belongs to the internal department of the hospital, and the nursing department and the hospital sense department will have dual jurisdiction. The medical disinfection supply center is an independent medical institution that is divested outside the hospital, which directly weakens the direct control of the hospital's disinfection supply. Its service quality, team ability and personnel quality directly affect the development of the hospital's normal medical activities, which is related to the whole process. Whether the hospital is stable or not, the hospital supervision difficulty is higher than the hospital CSSD.

Thanks to the systematic management of the current medical disinfection supply, many domestic traceability systems are used to implement the online customer service platform. The hospital can check the progress of the product package sterilization turnover, submit the sterilization requirements and service complaints online, etc. The internal service data profile; offline on-site inspections, product package sampling, etc., relatively reduce the difficulty of supervision.

Hospital supervision is difficult

Opportunity Opportunities

1. Policy support

Since September 2015, Premier Li Keqiang hosted a meeting to clearly point out the importance of integrating medical resources and emphasizing the promotion of regionalized disinfection supply mode. The wave of investment in medical disinfection supply centers has arisen in China.

Until May 2018, in order to accelerate the reform of the “distribution service” in the medical field, the National Health and Health Committee issued the “Notice on Printing and Distributing the Basic Standards and Management Regulations for Three Types of Medical Institutions (Practical)” to encourage social forces. Provide a multi-level and diverse medical service. It is clear that the medical disinfection supply center is an independently set medical institution, and bears civil liability independently according to law. At the same time, it has formulated and issued the "Basic Standards and Management Regulations for Medical Disinfection Supply Center (Trial)", which puts forward construction specifications and other mandatory requirements, and strengthens disinfection. The regional development trend of the supply center.

2, many can learn from experience

Compared with hospital logistics, linen washing and other outsourcing, the development of domestic disinfection supply outsourcing is still in its infancy. After the policy became clear, a large amount of capital was eager to enter. Since 2009, the first domestically-owned regionalized disinfection supply center has been successfully put into operation, and some enterprises have passed the research and exploration of disinfection supply outsourcing for nearly ten years. The medical disinfection supply reform has accumulated rich experience. Take the medical disinfection supply centers in Jiangsu and Guangxi as examples, and their establishment is divided into two modes:

1 Out-of-hospital mode, geographically independent of the hospital, separate disinfection supply center, use logistics transport vehicles for recycling and distribution of surrounding hospitals, such as Guangxi Jiuzhoutong Medical Sterilization Co., Ltd.

2 In-hospital mode, investing in the hospital, serving the hospital at the same time, providing disinfection and sterilization services for surrounding medical institutions, such as Nanjing Jiesheng Sterilization Technology Co., Ltd.

Under the market economy system, experience is precious in a cost-centered competitive environment. With the gradual attention of the country and the rapid development of the medical market, the communication of the medical disinfection supply industry has become more frequent, and the scope of inquiry has become more targeted and interoperable, which has led to the development of the industry with less detours and common improvement.

3. Development needs

With the rapid development of China's economy and society and the significant enhancement of comprehensive national strength, people's living standards are increasing, and the concept of medical care is gradually changing. More people are rising from basic needs to demand for health care. Most medical institutions should develop their own needs or The district's planned construction has been rapidly expanded through the expansion of the original campus and the addition of hospitals, and the supply of disinfection and supply has also increased significantly.

Due to the advancement of the comprehensive reform of public hospitals nationwide, the 15% increase in the drug for the purpose of breaking the drug-based medical treatment was abolished, and the hospital faced great survival and development pressure. Although the government supports the loss of medical service prices and financial investment, it also requires hospitals to improve their management level, improve quality and efficiency, reduce costs, and incorporate them into hospital management assessment, resulting in hospital disinfection centers. The voice and willingness to peel off is getting higher and higher.

In addition, the implementation of grading medical treatment, consolidating the supply base and supply structure of medical resources bear the brunt, making “resource sharing” an important step in the implementation of grading medical treatment, and exerting the greatest potential of medical services has become the main expectation of the state and the government. As a long-term “cost center” of the hospital, in the face of survival, development and financial pressure, the CSSD business outsourcing trend and necessity that are not directly linked to the benefits of medical treatment activities are particularly significant. services.