Tianjin Yan'an Hospital

　　Tianjin Yan'an Hospital is affiliated to Hetong Welfare Association for the Elderly, formerly known as Jiangjing Hospital affiliated to the General Hospital of Tianjin Medical University, and moved to the intersection of Nanniwan Road and Yan'an Road in Nankai District in 1998 and renamed Yan'an Hospital. In April 2008, due to the planning and construction of hardware city, it moved to the current site of Huayuan Yashi Road.

　　Yan'an Hospital is a private non-profit first-class medical institution, which now has departments such as internal medicine, surgery, traditional Chinese medicine, geriatrics, hospice, rehabilitation medicine, etc., and has 99 beds in the inpatient department. In 2001, Tianjin began to implement the medical insurance designated service mechanism, Yan'an Hospital was approved as one of the first batch of medical insurance designated medical institutions in the city, and in September 2016, it was identified as a national pilot unit for the integration of medical and nursing care.

　　Over the past 24 years, Yan'an Hospital has always adhered to the philosophy and purpose of "public welfare charity non-profit" and "private non-private" of the founder team of Hetong, and has been in line with the "urban pension crane child model" created by Yuetan Street in Xicheng, Beijing, and the "rural pension crane child model" created by the government of Mianzhu Northeast Town in Sichuan, and created the "medical and nursing care combined with crane child model" (three crane child models) in Nankai District, Tianjin.

　　First，for whom?

　　According to the statistics of "2017 Crane Childhood Annual Report", the disease spectrum of patients admitted to Yan'an Hospital throughout the year mainly includes: lung cancer, heart failure, upper gastrointestinal bleeding, cerebral atrophy, cerebral hemorrhage, coronary heart disease, myocardial infarction, lung infection, hypertension, cerebral infarction, diabetes, hyperlipidemia, anemia, gallstones, cerebral hemorrhage sequelae, cerebral infarction sequelae, Alzheimer's disease, pressure ulcers, etc., a total of 2880 cases. Most patients who have been paralyzed by half or the whole body are accompanied by dementia, aphasia, deafness or blindness, and various malignant tumors. Most of them come from the city's public tertiary hospitals, among which the number of high-risk patients transferred from ICU wards is increasing. Yan'an Hospital provides 24-hour palliative care and hospice care for these patients without family members, and 104 patients completed their lives from January to June 2018 alone.

　　Second, who will service ?

　　First, professional medical (student) nursing (shi) health (rehabilitation) social (work) battalion (nursing teacher) personnel, they are the main force engaged in "medical and nursing care", in which nurses play a leading role; the second is volunteer groups and professional volunteers from all walks of life; The third is graduates, interns and trainees from the School of Nursing of Tianjin University of Chinese Medicine and the Department of Nursing of Tianjin Medical College.

　　Third, how service?

　　Zero-based budget management for non-profit organizations. Yan'an Hospital has strictly implemented the financial openness and transparency system at the beginning of its opening, and has always hired professional financial companies to carry out daily management, and is audited by professional departments designated by government departments every year. Every year, it is announced to the public with the "Crane Childhood Annual Report" and subject to supervision.

　　Third-party drug procurement. All medicines, sanitary materials and other materials and consumables in the hospital are uniformly purchased by the Hetong Group by a third party, which prevents the so-called "transaction" intrusion of pharmaceutical companies or medical representatives into the purchase and sale of drugs by hospital pharmacies and prescription doctors.

　　Outsourcing service 1: In order to alleviate the worries of the relatives of the children of seriously ill patients, at the beginning of its establishment, the hospital entrusted the Hetong professional life care brand team to implement the 24-hour unaccompanied service in the patient's inpatient ward in accordance with the unified design of Hetong Group, which was deeply recognized by patients and families.

　　Outsourcing service 2: In line with the principle of "professional people do professional things", the hospital has introduced "Hetong Elderly Nutrition Meal Distribution Center" and "Hetong Property Management Co., Ltd.", the former provides various disease diets, liquid, semi-liquid (homogenized meals) and other "three meals and three points" catering services every day; The latter provides logistics support services such as cleaning, security, and security of the hospital. The washing and disinfection of hospital cotton fabrics is also outsourced to professional washing companies.

　　Hospice and aftercare services: hospice rooms run by hospitals provide services for dying patients; Activate professional facilities and equipment to provide aftercare services for deceased patients, and cooperate with third-party social funeral institutions to provide services to the families of the deceased, so that the deceased can end the curtain in peace.

　　Extended service 1: The hospital introduced advanced German concepts, opened nursing clinics, and invited nursing professors and experts from universities and tertiary hospitals to visit regularly; Hold health lecture halls for surrounding communities, with chief physicians and specially appointed experts and professors popularizing the prevention and health care knowledge of common, chronic and frequent diseases of the elderly; We regularly hold free physical examinations for members of the Hetong Elderly Welfare Association, and provide home nursing guidance for elderly families in the community.

　　Extended service 2: The hospital provides extended services for the integration of medical and elderly care in many nursing homes under the jurisdiction of Hetong. First, doctors visit hospitals every day to establish "health records" for the elderly; The second is drug distribution, using avatars and QR code scanning methods to distribute exclusive oral medicine boxes for each elderly person to ensure the safety of medication; The third is to open up green channels, hospital ambulances are on call around the clock, and free door-to-door and referral medical services are provided.