Combining the concept of total quality management with the thought of hospital delicacy management to build a hospital total management system based on quality technology system，talent growth system，service process system，support system，the economic internal control system and performance appraisal system（six columns）around quality chain，talent chain，service chain，economic chain，supply chain and information chain（six beams）. Based on this，hospital internal management reformation with the goal of “refinement，scientization，normalization，standardization，institutionalization and internationalization” adjusts and optimizes the organizational structure of functional departments to improve management quality，connotation and effectiveness.