Abstract: medical reform and medical informationization, it has always been one of the goals of medical reform to use more convenient technology and management methods to reduce the workload of medical staff and allow medical staff to have enough time to care for patients.

This article is shared from the Huawei Cloud Community " HUAWEI CLOUD DevCloud full-process integrated research and development, revealing the practice of digital transformation in hospitals ", author: Agile Xiaozhi.

As a country with a large population, the problem of medical access has always plagued the general public. The overcrowded hospitals and the long lines outside the clinics are still a "beautiful landscape" in Chinese hospitals. For each patient received, in addition to completing the clinical tasks of the hospital, all the patients' medical and nursing records need to be completed, which undoubtedly increases the workload of the medical staff and the waiting time of the patients. In the process of medical reform and medical informationization, it has always been one of the goals of medical reform to use more convenient technology and management methods to reduce the workload of medical staff and allow medical staff to have enough time to care for patients.

At the beginning of its establishment, Hunan Lantern Medical Technology Co., Ltd. focused its attention on the pain points and difficulties of doctors, nurses and patients in the process of seeking medical treatment, and aimed to provide hospitals with a set of solutions with a smart nursing system as the core.

In May 2016, the Lantern Smart Nursing System 1.0 version was officially launched and was welcomed by medical staff. At the same time, new demands continued to emerge, requiring continuous product updates; the number of users was gradually increased from nurses to doctors, nursing department, hospital leaders, Patients and their families; clients extend from computer WEB and handheld PDAs to smart terminals such as tablet computers, Internet TVs, and electronic interactive large screens; the covered business extends from in-hospital clinical care to out-of-hospital continuation of nursing business, and expands the business of doctors such as electronic medical records. With the ever-enriching of service capabilities, the number of users and new needs, the number of Lantern R&D and operation and maintenance teams is increasing, and there are many difficulties in development iteration, delivery, and operation and maintenance. How to improve the efficiency of development, delivery, and operation and maintenance , Has become the biggest challenge facing the Lantern R&D team.
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1. The status of the research and development of Lantern Medical and the problems it faces

• Many R&D tools make it difficult to build a CI/CD platform

The Lantern R&D team uses Zen Tao for requirements-project-test-Bug management, Coding for code hosting, DaoCloud compilation and construction, and container release and deployment. These platforms can basically complete the coverage of the R&D process, but need to switch between platforms frequently during the R&D process. , The platforms cannot be integrated for continuous operation and unified management, which leads to the disconnection of all aspects of research and development, and it is difficult for various teams to collaborate efficiently.

• Multi-project collaborative development, puts forward higher requirements on R&D management

With the expansion of the business scope, the Lantern Care System is broken down into multiple sub-projects, including: Lantern Smart Medical, Lantern Nurses, Lantern Doctors, etc. The increase in the number of projects makes it difficult for project managers to count the overall project progress, which makes it difficult for the project progress. control.

• The number of project members increases, and the statistics of member contributions are complicated and difficult

Effective performance management can play a role in motivating team members. Because there are many projects and many members, one member is responsible for the affairs of multiple projects, and the depth and stage of participation of different members in various R&D projects are not the same. Contribution statistics are complex and difficult, and it is difficult to achieve objective and fair performance evaluation.

• Team members are busy with various intricate tasks, and the R&D efficiency is low

In daily work, developers spend nearly 50% of their time on non-R&D tasks such as communicating with personnel in various departments, building, and deploying environment configuration, which seriously affects the progress of R&D affairs and leads to low R&D efficiency.

2. HUAWEI CLOUD DevCloud solution

In response to the problems faced by the Lantern R&D team, Huawei Cloud DevCloud provides a one-stop agile development and continuous delivery overall solution.
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Lantern Medical uses Huawei Cloud DevCloud, which can fully manage product development, operation and maintenance and implementation systems, fully cover medical business scenarios, meet the personalized needs of hospital customers with high quality, and promote Lantern to continue to provide innovative applications that meet clinical needs, and the results of use are shown. as follows:

• Full R&D process coverage, easy to achieve CI/CD

HUAWEI CLOUD DevCloud has opened up all the R&D links before, during and after development. From demand management, project management, development, testing, bug management, release, and later system operation and maintenance, the entire process is fool-like operation, which greatly improves The collaboration efficiency of the product team, R&D team, and implementation and operation team can quickly respond to the urgent and diverse needs of hospital customers. After using HUAWEI CLOUD DevCloud, the entire R&D process coverage and the integration of R&D, delivery, and operation and maintenance have been realized. Previously, it was iterated once every three weeks. Now it is possible to iterate once a week for large versions and once a week for small versions.

• Multi-project Kanban, multi-project collaborative development, visualization of personal contributions, simple and efficient project management

Through the project-level and multi-project-level management boards provided by HUAWEI CLOUD DevCloud, the project manager can visually view the progress of each project, horizontally compare the progress of each project, make timely decisions, and control the overall progress of the project. Avoid affecting the overall project delivery due to the delay of one or several projects.
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The project dashboard can count and present the comprehensive contribution of each member in multiple projects. The project manager of the lantern project can use the "staff input statistics" of the management panel as a reference value for performance appraisal. The appraisal results are objective and fair, and are recognized by employees. Effectively stimulate the enthusiasm of employees.
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• Visualize the flow of value to keep development in an orderly manner

In order to strengthen the reasonable management and control of the process from demand to product, according to the actual R&D scenarios of Lantern, a series of R&D phases such as "new", "in progress", "resolved", and "testing" are set up, and the entire R&D process is compared with each other. The products of each stage were standardized, and the daily stand-up meeting updated the status of affairs in a timely manner based on the progress of the previous day. This measure effectively solved the unclear progress information obtained through oral or excel forms in the past, which led to the fuzzy status of the project progress. problem. Driven by the value of agile development, the R&D process of Lantern Medical is carried out in an orderly manner, with real-time follow-up and effective promotion.

The demand development progress is clearly visible in the project Kanban:
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• Automate construction, deployment, and assembly lines, release R&D manpower, and let the team focus on product features

The automated construction, deployment, and pipeline provided by the HUAWEI CLOUD DevCloud platform separates open personnel from non-R&D tasks and focuses their main efforts on product features, ensuring that the project is delivered on time, while also improving the quality of project delivery.
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• Cloud code inspection to escort the product

The person in charge of the Lantern Smart Care System project said: "After using HUAWEI CLOUD DevCloud, the efficiency of the medical research and development of Lantern Medical has been improved, but the problem of unevenness in the ability of engineers and delivery quality is still faced, and the various platforms used in the past are also difficult to solve. And HUAWEI CLOUD DevCloud's code inspection function has made us shine. It supports mainstream coding language inspection, can accurately locate code lines, view and repair code problems online, provide impact instructions, modify examples, and modify suggestions for code defects, and perform inspections regularly. Provides weekly and daily code checking functions; our R&D personnel are all using it, which can monitor code logic and specification problems, and clearly point out improvement methods, effectively avoiding obviously unreasonable and irregular code, especially Setting up timing triggers, code submission trigger inspections, and providing fatal/serious graded notifications and reminders for code inspection results help us effectively control code quality and greatly improve the overall capability and delivery level of the R&D team."
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3. The whole-process integrated research and development platform, which truly realizes the visualization and digitization of the research and development process

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Tan Zongwei, founder of Lantern Medical, said:

"We are a company that provides services for the digital transformation of hospitals, and we also need digital transformation. We have always attached great importance to the digitalization of the R&D process. We have been using various tools to build our own CI/CD platform, but our main business is To provide digital services for the medical industry, I can’t spend my limited R&D effort on tool building until the emergence of Huawei Cloud DevCloud, which made me shine. One platform can handle everything. I have tried most R&D platforms in China. So far, HUAWEI CLOUD is the company with the most complete functions. Basically all R&D management can be done, making our R&D process truly visualized and digitized."

4. HUAWEI CLOUD DevCloud promotes the continuous delivery of innovative medical applications to hospitals

According to the different demands of different hospitals for medical data on the cloud, HUAWEI CLOUD DevCloud helps to implement three methods of cloud deployment, local deployment and hybrid cloud deployment for hospitals, taking the lead in realizing the cloud of nursing care in China, and promoting more flexibility, speed and safety Cloud-based delivery and operation and maintenance. The Lantern Smart Nursing System is used in Xiangya Hospital of Central South University, Hunan Children's Hospital, Changsha First Hospital, Nanhua University Affiliated Hospital, Hengyang Central Hospital, Xiangtan Central Hospital, etc., and continues to serve nearly 100 hospitals and 1,000+ departments. , More than tens of thousands of medical staff and millions of patients provide services to promote the digital upgrade of hospital nursing information, covering clinical services such as mobile nursing, mobile rounds, nursing management and smart wards, and realizing integrated management of medical care and patients.
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