The "Crisis Bureau" Of Medical And Professional Engineering Subdivision Industry In The New Infrastructure Era Of Public Health System

Editor's note

In April 26th, all new crown pneumonia patients in Wuhan were cleared. From the beginning of January this year, the outbreak of the new crown pneumonia in Wuhan has entered the normal stage of prevention and control from emergency and super conventional prevention and control. Hubei, including Wuhan, has entered the comprehensive upgrading stage of resuming work and resuming production.

In this situation, our reporter visited several hidden champion enterprises and typical representative industries in Hubei province to explore the "danger" and "machine" in the new kinetic energy of Hubei's economic development after the outbreak of the new crown pneumonia.

Since the outbreak of the new crown pneumonia has stabilized, the National Health Protection Commission has set up a national medical center for major public health events on the basis of the existing national medical center plan. In April 27th, the economic report reporters in twenty-first Century learned that the center will be located at Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology. The former Hubei provincial development and Reform Commission has also approved dozens of public health institutions such as Wuhan University, Huazhong University of Science and Technology and several affiliated hospitals or districts of the two schools, Wuhan golden Yin Tan Hospital and other public health agencies to reply to the construction projects of public health events.

The expansion of demand will change the low concentration and disorderly development of many sectors of the medical sector. Otherwise, the supply side will usher in a new round of opportunities.

"According to our understanding, only 600-700 hospitals or centers for Disease Control and prevention in Hubei will have a new or expanded emergency response system." Tan Pingtao, chairman of the Wuhan Hua Kang century medical Limited by Share Ltd (hereinafter referred to as "Hua Kang century"), introduced to reporters on twenty-first Century economic report. As one of the leading enterprises in the field of subdivision, the clean room industry of the public security system in which the company is located will also usher in an opportunity for development.

After the outbreak of the new crown, the state recognized the serious shortage of ICU wards and negative pressure wards. - Xinhua News Agency

Focus on special departments of hospitals

In the 10 days, the "ICU" (intensive care unit) of China's largest fresh air, fully discharged whole mount Fire God Mountain hospital has become one of the most important rescue points for reversing the new crown pneumonia epidemic situation.

And behind this ICU's efficiency and quality is the harvest of the medical professional engineering industry represented by the Hua Kang century.

Statistics show that the registered capital of Hua Kang century, founded in 2008, is 79 million 200 thousand yuan. Its main business is the overall solution of the special department with the core of the hospital clean room, and the third party distribution enterprise of medical device production and sales and medical consumables. Among them, the special departments include clean operating departments, ICU, CCU, NICU, supply room, delivery room, laboratory, laboratory, hemodialysis center and so on. These are regarded as the most technical infrastructure in all kinds of facilities in hospitals.

Tan Pingtao said that the company's qualification involves construction, medical equipment, special equipment and software. It belongs to one of the enterprises with the highest qualification and the most complete industrial chain. Up to now, the company has more than 600 technical personnel and thousands of external construction workers. This is an industry that originated from overseas and military technology import. "Before 2002, the infection rate in the operating room was relatively high, and the amount of antibiotics used in hospitals was quite high." Tan Pingtao said that from then on, the state strengthened the standardized management, and promoted the cleaning management and hospital feeling of operation room, which greatly reduced the postoperative infection rate and reduced the usage of antibiotics. After 2008 years, the industry entered the incubation period. In 2008, after the introduction of the national 4 trillion economic stimulus plan, the domestic hospitals also entered the peak period of expansion, ushered in a round of development of the industry, but since then, the development of the industry has once again stabilized and the market scale has stabilized.

Under this background, the scale of enterprises is not large. Tan Pingtao said that the distribution of similar industries in Jiangsu, Changzhou, Shenzhen, Xi'an, Beijing and other cities, among them, there are no more than 10 enterprises with a complete scale and a certain scale, and there are about dozens of enterprises engaged in some links of the industrial chain. And industry concentration is not high, no one enterprise accounted for more than 10% of the industry market, has not yet formed a head enterprise. Take a listed company with about half of its main business around the industry, for example, the gross margin of its industry is about 30%, and its net interest rate is about 8%-12%.

"In 2019, the size of the company ranked third in the country." Tan Pingtao introduced, however, all kinds of qualifications of the company were complete, after which the company also participated in the formulation of many industry standards. Up to now, the company's cooperative clients include more than 20 provinces and cities, including more than 600 hospitals in the country, including more than 300 top three hospitals, and "trusteeship" for operation room, including Wuhan Union Hospital, and other hospitals.

High threshold of industry

This is an industry with high threshold and high technology content.

Xie Xinqiang, general manager of Hua Kang century, also introduces that the medical professional project is designed, processed, produced, run, assembled, debugged, repaired and rebuilt around the professional medical facilities, including operation room, ICU, laboratory, laboratory, medical gas engineering. It can be divided into hospital clean room surgery department engineering, intensive care unit and special ward project, central supply room engineering, infusion engineering, laboratory engineering, laboratory engineering, medical gas engineering, medical logistics engineering, intelligent and many other industries. "These are the special technology projects with the highest technical content in hospitals. There are many technical specifications and high requirements for the products they need."

The cleanroom technology specification is strict, "there are very strict technical standards for engineering cleanliness, bacterial concentration, wind speed, temperature, humidity and other environmental parameters, as well as the materials, texture and specifications of the relevant parts and components of the project." Xie Xinqiang explained that this led to a higher entry threshold for the industry, and put forward higher technical requirements for the design, construction, installation, operation and maintenance of service providers.

This is also a highly integrated systematic project. "Engineering technology and hospital feeling requirements are integrated: special department engineering design, construction involves building technology, fire engineering, decoration and decoration, clean air conditioning system, strong electricity, weak electricity information system, building intelligence, medical gas system, water supply and drainage system and many other specialties. It also involves medical norms and clinical medicine. Medical equipment and other disciplines. " Xie Xinqiang said, that is to say, it is necessary to conform to the norms of construction and medical norms. It also has special requirements for materials, technology, and so on. The electrical safety and reliability requirements are high, and information and intelligence are highly concentrated.

The requirements of important clean air conditioning systems are even higher. "According to the requirements of different purification departments, there are special requirements in the aspects of purification level, air change times, positive and negative pressure gradient, airflow organization, temperature and humidity control, new exhaust treatment, etc., not only to be familiar with the specification, but also to accumulate a lot of practical experience, combined with the needs of the clinical departments of hospitals, so as to design a clean air conditioning system that meets the requirements." Xie Xinqiang said, and medical gas containers for pressure vessels, pipes for pressure pipes, its construction technology is high, the need for pressure piping design and installation qualification, need welding, electrical certificate to be welded, pipeline needs to keep pressure test. "For example, the high oxygen inhalation in the treatment of new crown pneumonia patients, many enterprises can not achieve the qualification, and once brought the pressure of treatment."

In terms of acceptance of the project, "all achievements can be fully reflected at the end, through the inspection and acceptance of the provincial centers for Disease Control and prevention, and the cultivation of bacteria in hospitals." Xie Xinqiang said that this exclusiveness is very concealed and can not be identified in the construction process.

"But in the course of this outbreak, it highlights the importance of ICU and the characteristics of the short board." Xie Xinqiang said that the intensive care unit (ICU) is an important means of intensive care for critically ill patients. It played an important role in this new crown outbreak. However, the ICU ward started relatively late in China. Despite the continuous strengthening of construction in recent years, there is still a big gap between China's per capita ICU bed index and the country. Among them, China has 3.8 / one hundred thousand people, the United States is 34.7, Germany is 29. .2, Italy is 12.5.

Tan Pingtao also said, "after the new crown epidemic, the state recognizes the serious shortage of ICU wards and negative pressure wards, and plans to increase construction. Next, the industry will enter the period of development opportunities." It is estimated that by 2023, the number of beds in theoretical ICU will be more than 4 times the current stock (reaching 16.25 / one hundred thousand persons). The clean operation Department has higher requirement for cleanliness and stronger professional construction. After the new crown pneumonia, the demand for new operation room and updated operation room in China is about 8000 and 4000. "In the future, with the increasing input in hospital construction, the demand is expected to further improve." In addition, the medical gas system plays an important role in the life support of patients and the supply of medical oxygen. In the new outbreak, oxygen supply is short, and medical gas engineering is expected to speed up upgrading.

A set of data provided by Hua Kang century shows that in 2017, the fixed assets investment in China's hospitals reached 411 billion 200 million yuan, an increase of 14% over the same period last year, and the fixed assets investment of community medical institutions and hospitals reached 55 billion yuan, an increase of 5% over the same period last year. Among them, medical professional projects account for 30% of investment, that is, more than 120 billion yuan.

Subdivision leaders also attract capital market attention. In 2015, Hua Kang century launched the IPO plan, and completed strategic investment in A and B rounds in 2015 and 2016 respectively, totaling 320 million yuan, including Shanghai Fuxing medicine, sunshine insurance, Tatsu venture capital, Jinpu investment and other institutions. "The listing plan of follow-up enterprises will be promoted according to the overall arrangement of securities firms." Tan Pingtao said so.