Development and Application of Regional Level Complete Inspection

Management Platform

Jin Zhao

, Guocheng Wang

, Daguo Huang

, Yue Teng

Yichu Bai

, Xudong Gao

and Yi Zhou

Nanjing Yuhuatai District Health and Wellness Committee, Yuhuatai District, NanJing, China

Nanjing Youda Medical Information Technology Co., Gulou District, NanJing, China

Nanjing Xuanwu District Health Care Committee Information Section, NanJing, China

Nanjing Gulou District Health Commission, NanJing, China

Keywords: Nucleic Acid Test, Applicants Checking, Platform.

Abstract: Objective: To solve the problems associated with the multi-sectoral management of key populations in the

regular fight against the epidemic, a platform for the management of due diligence was developed.

Methods: an inspection due diligence management platform based on overall management, fine

management, and process optimization was established to ensure the effective and scientific development of

regional inspection due diligence. Results: The platform provided a good system to support the regional

inspection work and solved the four major problems in management, including reporting process, data

standard, data display, and data sharing. Conclusion: In normal epidemic prevention and control, the

inspection management platform should be irreplaceable in department supervision, process optimization,

data sharing, data accuracy, and other aspects.

1 INTRODUCTION

Nucleic acid testing is an important means for the

prevention and control of novel coronavirus infection

pneumonia. According to the requirements of the

National Health Commission on COVID-19

prevention and control, to ensure that tens of

millions of large-scale nucleic acid testing tasks can

be completed within the prescribed time with quality

and quantity, and ‘early detection, early isolation,

early diagnosis, and early treatment’ can be realized.

Based on the requirement of national policy

requirements and epidemic prevention and control in

the region, Gulou District has established a district-

level all-testing management platform to ensure all

nucleic acid testing for vulnerable key populations,

improve the overall control ability of corresponding

all-testing data, promote the integration and sharing

of data resources, and improve the quality and

efficiency of nucleic acid testing and service level

(Xia, 2021).

2 PLATFORM POSITIONING

The establishment of the nucleic acid test

management platform, the platform architecture is

shown in Figure 1 below, to optimize the integrated

management of key population management

departments at higher levels of supervision, to

achieve the refinement of key population

management departments on key populations, and

improve the sampling agencies to optimize the

process of sampling key populations. The platform

can enhance the regional government's overall

ability to control the data of the inspection and

exhaustion work, ensure that the regional inspection

and exhaustion work is carried out effectively and

scientifically, and improve the regulation of key

populations with information technology.

The platform architecture is shown in Figure 1

below. The platform provides data support by

sampling agency interface, sampling agency

equipment, nucleic acid testing interface, vaccine

information interface, SMS interface, etc., and

carries out several services such as data statistics,

visual display, personnel registration management,

personnel transfer, etc., and finally provides services

to the society by way of PC-Web platform, inspection

due to inspection applet and sampling applet.

Zhao, J., Wang, G., Huang, D., Teng, Y., Bai, Y., Gao, X. and Zhou, Y.

Development and Application of Regional Level Complete Inspection Management Platform.

DOI: 10.5220/0011623900003414

In Proceedings of the 16th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2023) - Volume 5: HEALTHINF, pages 257-263

ISBN: 978-989-758-631-6; ISSN: 2184-4305

 2023 by SCITEPRESS – Science and Technology Publications, Lda. Under CC license (CC BY-NC-ND 4.0)

257

Figure 1: Architecture diagram of the complete inspection management platform.

2.1 Clear Department Responsibilities

and Simplify Business Processes

It is required to implement the rights and

responsibilities of each department through the

construction of the platform. Through the

hierarchical design of the platform account and

authority, the management responsibilities will be

delegated from top to bottom and implemented layer

by layer, and the monitoring data will be reported

from bottom to top and evaluated layer by layer.

Through the role definition, the oversight of the

department of health, the lead agency director duties,

grassroots organization management responsibilities

for the distribution platform, managing their

hierarchy of data platform, the data flow between the

layers by the platform automatically, each

department only focus on the completion of the

assessment criteria for the department and completes

the corresponding supervision work, The business

working relationship of each department is shown in

Figure 2 below.

Figure 2: Business working relationships.

2.2 Define the Objects to Be Inspected

and Implement all Inspection

Requirements

Request through multiple channels (PC and mobile

terminal), multiple users (administrator and key

crowd people), multimode (entry, the declaration in

advance, after the collection), such as dimension

precision maintenance to the key crowd background

library provides rich, favorable platform tools, every

link of guarantee business focus groups can be

dynamically maintenance, to ensure not to miss any

key personnel.

The system daily real-time statistics of the

nucleic acid test completion rate of each department

and each port, through periodic completion rate

notification, implementation of management

responsibilities of each subject, through the platform

message and short message platform function, to

achieve timely nucleic acid test message reminder,

improve the department completion rate, to achieve

the goal of complete testing.

2.3 Accurate Data Acquisition to Help

Command and Decision Making

The platform is required to ensure the accuracy of

the personnel base, the accuracy of nucleic acid

detection records and the accuracy of nucleic acid

detection results, the timely maintenance of the

personnel base, the synchronization of sampling

records, and the flexibility and real-time statistical

screening, to ensure the accuracy, timeliness, and

omnidirectional of the decision-making basis of

leadership management under normal management

and emergencies.

2.4 Closed-Loop Process Management

to Improve Supervision Quality

The Request platform to carry out the applicants

should do screening closed-loop management goal,

input, nucleic acid from focus groups records on the

results of sampling, nucleic acid and qualified rate

statistical department to inspection personnel not

remind and dynamic maintenance personnel, the

implementation of the whole business process node

regulation, to provide transparent regulatory tools to

health authorities, led by data appraisal organization

management ability, the ability to execute the

grassroots agencies, The platform provides the

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design of key quality control indicators and data

collection, providing strong system capabilities for

high-quality epidemic prevention and control.

3 PLATFORM FUNCTIONS

The main functions of the platform include

information maintenance and management of key

groups, nucleic acid sampling identity verification of

key groups, verification and notification of people

who should be checked and not checked, nucleic

acid testing of key groups and real-time statistics of

vaccines, business reports, and data tablet of

‘leadership cockpit’.

3.1 Maintenance and Management of

Key Group Information

The multi-level account authority is set up, and the

second-level sub-account of the account of the

leading department is set up to solve the problem

that it is difficult for the community to obtain the list

of key groups in the community. The community

uses the second-level sub-account to input data by

itself and is managed by the community. Carry out

self-registration of registration code, and solve the

input problems of floating population in

transportation, streets, and Marketing Department

through the mode of self-registration of small

program users and review by the leading

department; Implement user migration management,

solve the problem of multiple departments managing

the same user through user migration mechanism;

Do batch entry and single record, support batch

import user list, and single record entry; Realize

automatic data verification, solve the problem of

poor quality of data imported by the leading

department through perfect data entry verification

mechanism, and ensure that the imported data are

accurate and standard; Support dynamic

maintenance of personnel status. Supports In and

Outstate Settings.

3.2 Identification Verification for the

Nucleic Acid Sampling of Key

Groups

Support ID card verification should be fully checked

information, has been maintained sampling

personnel can swipe their ID cards through the

device, and voice broadcast is the key personnel has

been maintained into the platform, to quickly

determine the type of users; Support QR code

verification to complete the inspection information.

A small program can be used to retrieve the platform

registered in the management personnel should

check the check code, conducive to the sampling site

to determine the type of users.

3.3 Real-Time Statistics of Nucleic Acid

Detection and Vaccination of Key

Populations

Establish a list of nucleic acids and vaccines,

manage all anti-epidemic data entered by the

department, export the list of unqualified persons by

custom filtering, and comprehensively controls the

completion of nucleic acids and vaccines.

3.4 Check and Notify the Uninspected

Personnel

Support one-click screening, screening should check

the untested personnel, and focus on follow-up; To

achieve batch message push, support the setting of

directional message push (public account message or

mobile phone short message), and support

hierarchical supervision; The implementation of grid

precision management, centralized follow-up units,

to avoid multiple follow-ups.

3.5 Business Report

Automatic generation of accurate data report,

quickly realize daily data reporting; Set up rich

condition screening function, through diverse

screening, remarks, so that the leading organization

can query the list of people under any conditions,

and further automatically send SMS reminders, or

export the previous sampling records of these

people; For data backtracking analysis, the sampling

agency can log in the platform to query the sampling

record of the local point every day, automatically

compare the type and quantity of sampling objects,

and carry out data analysis.

3.6 ‘Lead Cockpit’ Data Tablet

To create a customized data tablet, the display

content of the information tablet can be customized

according to the actual business situation of each

district, as shown in Figure 3 (a). The multi-terminal

view can be realized on PC and mobile terminals.

With a mobile phone, you can view the real-time

Development and Application of Regional Level Complete Inspection Management Platform

259

Figure 3: Customized tablet.

and department-based statistical data of all required

checks in the whole area, as shown in Figure 3 (b)

below. The performance assessment of the work

required to be inspected is carried out, and the

completion rate of the work required to be inspected

is implemented in all departments. It can be seen

that the overall completion rate of the work required

to be inspected is completed in the whole district, as

well as the work completion rate of each leading

department. Accurate statistics of work.

4 APPLICATION STATUS AND

EFFECTIVENESS

The work of responding to the epidemic prevention

and testing of key populations is a huge systemic

project that requires a powerful information system

to support the entire command. In terms of platform

architecture, advanced cloud computing, big data,

and internet technologies are used to build, with

front and back-end separation. The overall design

integrates information collection, operation,

personnel nucleic acid testing, and big data testing,

covering the whole process of business and

management of key people who should be tested.

The front-end uses lightweight applications, and the

back-end big data support features can meet the

needs of epidemic prevention, and control should be

detected and tested.

4.1 Applications

The platform is applied to a variety of epidemic

prevention scenarios such as government, hospital,

and community; so far, the platform has been

connected to nearly 800 management departments in

Nanjing Xuanwu District, Yuhuatai, and Gulou

District, landing the application of more than 30

sampling points, cumulatively managing 250,000

key people and covering more than 1,300 lead

institutions and sampling departments; Jiangbei,

Gaochun and other areas of Nanjing, including

Jiangsu Provincial People's Hospital 260 medical

institutions, providing an average daily service

volume of 20,000, and the platform has accumulated

more than 1.6 million accounting test data

generating more than 10,000 effective reminders; 25

smart districts that have been landed and applied in

areas such as Gulou District, with an average daily

service of more than 2,000 times.

4.2 Effectiveness of the Use

4.2.1 Reminders of Uninspected Work

For the inclusion of the inspection of key

populations and various management agencies, the

formation of a supervisory delivery mechanism,

which realizes the docking with the SMS platform to

accurately notify personnel who are due for testing

and not yet tested. It also realized the docking with

the SMS platform, to accurately notify the person

who should be tested and tested; notify the

corresponding management departments and

supervisors to supervise in time, to realize the

supervision of the person who should be tested and

not tested to complete the testing, enhance the rate

of testing and testing and improve the management

efficiency, and reduce the workload of the grassroots

epidemic prevention and control personnel.

4.2.2 Reminders of Uninspected Work

The platform achieves data standardization of the

background database data collected from key people

through multiple channels (PC and mobile), multiple

users (administrators and individuals of key people),

and multiple ways (advance entry, on-site

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declaration, and post-facto supplemental entry),

which guarantees that key people can be maintained

dynamically in all aspects of the business and

ensures that no key person is missed(Zhao, 2022).

Standardized data processing solves the previous

problem of "information silos" between departments

and realizes the goal of implementing the

management responsibilities of each subject through

periodic notification of completion rates; persons

due for inspection but not yet inspected are promptly

reminded through system messages and SMS

platform functions.

4.2.3 Visualization of Inspection Platforms

The platform supports PC and mobile data

overviews, and management can view the nucleic

acid scores of key populations for each institution. It

can grasp the management data of key populations

in the region at any time and anywhere to improve

the quality of management(Wang, 2021). The

platform operation has achieved the three major data

accuracy design goals of ensuring accurate

personnel base, accurate nucleic acid testing records,

and accurate nucleic acid testing results; three major

data timeliness goals of timely personnel base

maintenance, timely sampling record

synchronization and flexible real-time statistical

screening.

4.2.4 Closed-Loop Management Process

The platform achieves the goal of closed-loop

management work of due testing, from key

population entry, nucleic acid sampling, nucleic acid

result recording, and departmental pass rate statistics

to untested personnel reminders and personnel

dynamic maintenance, realizing nodal supervision of

the whole business process, providing transparent

supervisory tools for health supervisory

departments, assessing the management capacity of

the leading institutions and the implementation

capacity of grassroots institutions by the data, and

the platform achieves the effect of bottom-up

aggregation of value epidemic prevention and

control-related surveillance data and top-down

accurate management of nucleic acid testing of key

populations through accurate data capture, effective

data maintenance, timely message reminders and

regular business supervision(Han, 2020).

5 DISCUSSION

To solve the various problems in the regular fight

against the epidemic regarding the multi-sectoral

management of key populations for due diligence,

this platform functions as a big data platform for

regional epidemic prevention and control, which is

used to solve four major problems in the

management of the reporting process, data

standards, data presentation, and data sharing; using

information technology as a grip to unify the

management of the data of due diligence members in

the region. The most crucial aspect of regional

epidemic prevention and control is to screen all

susceptible key populations for nucleic acid testing,

and to do so is to do the outermost layer of defense

against the epidemic.

5.1 The Need to Build a Platform for

due Diligence

At present, siloed management leads to duplicate

cooperation of the population, multiple management,

and inconsistent data redundancy (Zheng, 2021). To

make the inspection work in an organized and

orderly manner, the full realization of information

management has become the primary goal. The

platform can achieve the coordinated management

of the key population management departments at

higher levels, the refined management of the key

population management departments, and the

process optimization of the sampling agencies for

the key population sampling, to ensure that the

regional inspection work is carried out effectively

and scientifically, and the data can provide strong

support for the regional inspection work.

5.2 the Need to Manage the

Maintenance of Information on Key

Populations

Maintenance and management of information on key

populations. By opening a secondary sub-account of

the lead department's account, it solves the problem

that the streets have difficulty in accessing the list of

key people in the district, and the district uses the

secondary sub-account to enter data on its own and

is managed by the streets; through the mode of self-

registration of users in the small program + audit by

the lead department, it solves the problem of entry of

mobile people by the Ministry of Transport, the

streets and the marketing department; through the

Development and Application of Regional Level Complete Inspection Management Platform

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user migration mechanism, it solves the problem of

multiple departments managing the same user. A

perfect data entry verification mechanism solves the

problem of poor quality of data imported by the lead

department and ensures that the imported data are all

accurate and standardized.

5.3 The Need for Identity Verification

of Nucleic Acid Sampling in Key

Populations

Nucleic acid sampling identity verification of key

populations. The current multi-sectoral identification

of key population identity information at nucleic

acid sampling sites is laborious and ineffective

(Ning, 2021). Support for ID card verification of

inspection information has been maintained into the

sampling personnel can brush ID card through the

device, voice broadcast whether it is maintained into

the system of key personnel, to quickly determine

the type of user. Support two-dimensional code to

verify the inspection due diligence information, you

can use the applet to retrieve the platform to register

in the management of personnel inspection due

diligence code, to facilitate the sampling site to

determine the type of user. Support the sampling

point site voice broadcast personnel sampling mode,

for staff to quickly guide the target channel for the

relevant personnel. Support for the two stations

personnel set up a separate ID card machine, swipe

the card directly into the personnel information, and

recorded it into a sampling record.

5.4 The Need for Verification and

Notification of Uninspected

Persons

Through a key screening, screening should be

inspected uninspected personnel, focus on follow-

up; through the bulk message push, and support the

setting of targeted message push (public message or

cell phone SMS), to solve the problems associated

with the existence of traditional sampling

information lag. Support for hierarchical

supervision, and grid-based precision management.

Categorize follow-up units to avoid multiple follow-

ups(Xue, 2021).

5.5 The Need for Data Sharing

Data sharing and improving the function of the

personnel mapping system. The platform provides a

page for residents to fill in the code for medium and

high-risk persons coming to Ning to fill in the

relevant information, and supports the uploading of

trip card information into the pending claim database

for the person in charge of each lead agency to claim

the relevant persons; provides a small application for

residents to punch in their daily health cards and

provides a page for residents to punch in the

management on the PC terminal; supports the

connection with the public security system to obtain

medium and high-risk persons coming to Ning and

provides the following functions on the PC terminal

and mobile terminal The information confirmation

and completion function is available on PC and

mobile.

Solve the problem of high workload and

duplication of work in the manual data processing.

6 CONCLUSION

The prevention and control of the epidemic is a

major test of national and city governance systems

and capabilities. The continued global spread of

COVID-19 and the continuous mutation of the virus

have further highlighted the importance and urgency

of strengthening the public health system. Taking a

dialectical view of the challenges and opportunities

faced and summarizing the lessons learned from the

current epidemic, there is no substitute for the

supporting role of information technology in

building up a stronger public health system. We will

further develop the key role of the testing system in

the prevention and control of the epidemic, firmly

establish the idea of "one piece of chess" for the

whole province and provide working experience for

national epidemic prevention.

REFERENCES

Xia Han. (2021). Design and construction of whole-

process nucleic acid detection management system for

a large population [J]. Chinese Journal of Health

Information Management, 18(5):6.

Zhao Y D. (2021). Design and implementation of nucleic

acid detection information management system based

on B/S structure [J]. Digital Technology and

Applications, 39(4):4.

Hao Yan, Zhou Weiwei. (2018). Construction practice of

regional health emergency platform in Jiangsu

province. Chinese Journal of Health Information

Management, 15(004):421-423,456.

HEALTHINF 2023 - 16th International Conference on Health Informatics

262

Joint prevention and control mechanism medical

treatment. Notice on Further Strengthening the

Organization and Management of Whole-staff nucleic

acid Testing [EB/OL].[2021-9-2].

Zhao Dongxu, Zhao Jianya. (2022). Weihai integration of

epidemic prevention and control system design [J/OL].

Big data: 1-9.

Wang Zhihong, Mo Hongmei, Yang Kai, Gong, Fang

Fang, Sun Xizhuo. (2021). Construction and

optimization of nucleic acid detection information

management system based on ‘Internet +’ [J]. China

Digital Medicine, 16(7):104-107.

Han Yuanfeng, Zhang Yue, Sun Yanchao, Chen Hui.

(2020). Based on the Internet of things the epidemic

prevention and control of auxiliary tracing and

management platform [C]. Proceedings of 2020

China's information communication conference

(CICC), 2020:228-234.

Zheng Kuo, Wang Xiulei. (2021). Research on the digital

transformation of community governance under

normal epidemic prevention and control [J].

Administration and Law,2021(11):42-50.

Ning L W, Hao Y H, Liu Z, et al. (2021). Study on the

importance of influencing factors of high compliance

behavior among Chinese public in the context of

normalized COVID-19 prevention and control: based

on random forest model [J]. Chin J Public Health,

37(7):1096-1100.

Xue Fengping. (2021). Construction of information

sharing platform in epidemic prevention and control

system [J]. Party School of Qingdao Municipal

Committee of the Communist Party of China. Journal

of Qingdao school of administration, 2021 (05): 53-

60.

Chen S. (2020). Interpretation of political science on

COVID-19 epidemic prevention and control [J].

Reference of Middle School Political Teaching,

No.779(29):88-89. (in Chinese with English abstract).

Development and Application of Regional Level Complete Inspection Management Platform

263