...
This presentation is the property of its rightful owner.
Sponsored Links
1 / 212

“กรุพระเครื่อง เมืองคนแกร่ง ศิลาแลงใหญ่ กล้วยไข่หวาน น้ำมันลานกระบือ เลื่องลือมรดกโลก” PowerPoint PPT Presentation


  • 123 Views
  • Uploaded on
  • Presentation posted in: General

“กรุพระเครื่อง เมืองคนแกร่ง ศิลาแลงใหญ่ กล้วยไข่หวาน น้ำมันลานกระบือ เลื่องลือมรดกโลก”. ข้อมูลทั่วไปจังหวัดกำแพงเพชร. สุโขทัย. พิษณุโลก. ตาก. พื้นที่ 8,607 ตร. กม. ลักษณะภูมิประเทศ พื้นที่ราบลุ่มด้านตะวันตก และใต้ เนินเขาเตี้ยๆ สลับที่ราบ ทางตอนกลางและเหนือ

Download Presentation

“กรุพระเครื่อง เมืองคนแกร่ง ศิลาแลงใหญ่ กล้วยไข่หวาน น้ำมันลานกระบือ เลื่องลือมรดกโลก”

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript



8,607 ..


35

25

55

  • 11

  • 78

  • 956

  • 27

  • 21

  • 68

46

51

242,029 715,743 3 84 ..

42

50

85

78

70


2544

2555

365,103 | 360,906

362,445 | 353,298

18.05 % 64.49%

19.73% 68.46%

17.45 % 35.50%

11.81% 31.54%


2 , , ,

497

475 , 22 250

(455 ./6 ), 37 , 213

, , , ,


624 - 46 - . 448 - . 103 - . 27

18 , 117

1,056

4,195


2555

124,928


(24)21,135

2555


30 ..55 707,703

99.65% , 2,509 (0.35%)




ICD10


ICD10


10

56

56

56

56

56

56

.,,,

.,,

.,,,

.,,

.,, 8 .(4),(2),(1),(1)

3

- ,,


10


10


(410 ) 1

/

60 4

.. .4

4

2

64

17

128

130

52

30 5

10 1

(10) 1

(. )

.. 122

  • .. 20

  • .. 42

  • 2552 2

  • 2555 2


  • 1 : 4,921

  • 3 1 : 4,464

  • 1 : 7,230

  • 1 : 11,249

  • 3 1 : 9,819

  • 1 : 12,340

  • 1 : 15,842

  • 3 1 : 13,974

  • 1 : 18,835

  • 1 : 1,012

  • 3 1 : 811

  • 1 : 811

77 - .10 , . 21 - . 66

.




/

PP 33 33 .27


89 (100%)

2554

898 79.46 ( 1,130 )

2555 1032 81.26

2556 40 (.25,775,260 . / . 14,508,390 .)


1


Intervention

Information

Process

,

.

Analysis

- . - (LTC) - - 3,2 -DPAC / ANC / WCC

- , ,SRRT/ NCD - / / - -SRM/ DHS/ - - - - - - Service Plan/.

1. : NCD Board / MCH Board / . UC Board / CUP Management2. 3. PP+4. SRM 5./ DHS/ 6./ 7.-8. Data center 9. Referal System10. /11. Service Plan/.

  • 5 49.2% (>90%)- < 12 47% (60%)- 25.4%(10%)

  • LBW 9.3% ( 7%)

  • TSH 7.6%( 3%)

  • 66% - 62.4% ( 57%)- 1,691 .

  • < 20 62.9 : ( 50 : )- 41.3- 52.3%

  • IQ 95

  • - - DM

  • HT


Intervention

Information

Process

,

.

Analysis

- . - (LTC) - - 3,2 -DPAC / ANC / WCC

- , ,SRRT/ NCD - / / - -SRM/ DHS/ - - - - - - Service Plan/.

1. : NCD Board / MCH Board / . UC Board / CUP Management2. 3. PP+4. SRM 5./ DHS/ 6./ 7.-8. Data center 9. Referal System10. /11. Service Plan/.

()

  • CA Cervix- CA Breast

  • 9.22

  • 4 41.5%- /

  • DM-HT

  • LTC

  • - Median

  • TB Success Rate 88%

  • 20.5%

  • 34.4%

  • 33.2 %



12 2555-2556

60%


2555-2556

10%


.< 2500 2555-2556

7%


2555-2556

100%


  • MCH Board 4 / ANC LR

  • ...

  • ANC LR


2 TSH

3 %

:


2 TSH

:


2 TSH 11.2 3 ( WHO )

2556

  • Phenylketonuria

    TSH

  • 5


70%


3 2553-2555


  • 3 ( 1,103,567 )

    1) 18

    2)

    3)

  • CUP 11 62 ( 9,033,855 )


-

20 2555-2556 (..- ..56)


15-19 2555 ( 50 )



12 2553-2555( 45 %)


/


/

(6-12) ( 70%)

2554 (6-12 )

- 92.55

- 88.25

()

- 7 1.53

- 319 70.10

- 86 18.90

- 43 9.45


2553 2555


2553 2555


15 ( 2555)

: 90

/ 2554

2555

< 10

93.22%

94.85%

< 5

4.45

1.25

.97.60 %

. 97.37%


15 2556(..-..55)

: 90

/

2555

2556

< 10

< 5

15.64%

16.38%

0.77

0.00

.28.98 %

. 27.39%


60 ( 2556)

: 90

/

2555

2556

< 10

< 5

21.08%

19.50%

1.92

0.00

.40.48 %

.53.76%


3 2

88.11%

72.68 %

89.28 %

76.58 %


NCD 90.90 (. 5.2 5.3)


(2555)

eGFR(,,,)

DM 1(> 90) =22.43% HT=23.21%

2(60-89)=39.28%HT=35.51%

3(30-59)=32.57% HT=34.75 %

4(15-29)=5.04%HT=5.76 %

5(<15)= 0.65%HT=0.68 %

DM 15,034 (76.71%) 427 (2.89%)

Lipid ProfileDM 16,169 (82-50%) 6,342 (39.22%)HT 18,424 (62.58%) 8,739 (47.43%)

17,890 (91.28%) 705 (3.94%)

30

524

15,034 (76.71 %) 2,790 (18.56 %)


/

2555

2556(.-.55)

63.83

47.59

234 234 (100 %)

681 290 (42.58%)

318 263 (82.70%)

393 314 (79.90 %)

1298 486 (37.44 %)

156 79 (50.64 %)

2555

2556 (.-.55)

27.69

35.68

96 60 (62.50 %)

1412 478 (33.85%)

54 10 (18.52 %)

968 273 (28.20%)


( 2555)


2556(..-..55)


2553 2555


2553 2555


2553 2556


2553 2556


  • / 3.2. 2556


15 ( N= 343,993) .. 2555


15 .. 2551 2555



2556 2555 median



2553 - 2555


124,928

93,683 ( 74.99 %)

  • 2556

  • -

  • 78

  • 24

  • Long Term Care


LONG TERM CARE

2555 1

4 1.

2.

3. .

4. .

7 2556 2557


LONG TERM CARE


25561. 2. LTC 3. (.) 4. 5.




2541-2555


() 2556 2555 Median

() . 2556 Median


2556

23 .56


2551-2556


serotype 2537-2555


1 8 (1 ..-23 ..56)


HI < 10 .

2556


    • - (Big cleaning)

    • - /

  • /

  • , ,,

  • SRRT

  • ( SFR online)

  • SRRT 24 . ( , , )

  • War room / 1

  • SRRT /

  • 2 .


2549 - 2554


(Success Rate) 90

1/2555


/ 1/2555

. 3 . 2 . 2 . 1 . 1 . 1

10

40 1 40-49 0 50-59 3 60-69 4 70 2

TB 4 (DM,CA,CVA,) 4 1 1

2

.2


1/2555


/

56

  • . .

  • ..

  • (DOT Report)

  • web site

  • 6.

  • 7.


/

56 ()

(AFB)

1.

2. (Node)

3.

4. (RE,ON,PRE)

5.

6.



2553-2555

40

34.43


2553-2555

80

81.00 %


2553- 2556

6.5

10.88


2553- 2555


25

2551-2555


2556

/

  • :

  • :

  • :

    - 1 1

    - .


..2553-2556 ( 13 )

/.




5


GMP


GMP


GMP


1. 10 2. Primary GMP 5 5 ()3. Primary GMP 3 60

Primary GMP


1




2555

., ,, , .,


2555

-


2555

/ , ,


2


  • HA 4

    ( 36.36)

  • 2 7 . (28 - 29 .. 56)

    .


  • 5 .

    4 .

  • . 2

  • .. 50 (.. 14 .. 6 30)

18 2556


/


Service Plan

  • Service Plan 2556 18 2555

  • 8 12

    .


  • . (S)

  • (Node)

  • .

  • .(F2,F3)


2556

4

1. (Primary Prevention)

2. (EarlyDiagnosis)

3.

4.


.54 - .55

6,646 : 505 IT

:

1. STEMI Fast track Stroke Fast track

2. M2 ,F1,F2 SK .(,,) S A

3. EMS/(, ) ..


:

1.

2.

3. CKD

4.


1 1 : 505 IT

:

1.

2.

3. .

4.


DM / HT ./..

38.54%

DM

49.70%

HT

> 50


  • . DM HT

  • CPG DM HT

  • /


  • 1. . 1 (. )

  • 2. .. DHS 6 ( ..///// )


()

CBL: Context based Learning : CBL

.. . 2555


(.)


. 2552 2555 2556

  • . 2555 2556 6,098 52.76


.

2555 1,930

2 / 18 .

2556 .

15,320 6,194,050


DistrictHealth System (DHS) SRM ( 25)

  • 25

    1.

    2.

    3.

    ()

    1.

    2.

    3.

  • ()


DHS (ODOP)


2556

  • (District Health System : DHS) /

  • 6

  • 15 ..56

  • HA/PCA CBL / SRM&NORM

  • 3

  • Good practice


DHS 6 - 5( 1 )

- 70 ( 7 )

2554 4 3

255522 (../ 14 / 8 )

2556 2 22


/ SRM SLM 11

/

./

. .. / ./.

..

.


.

1

E-cliam

2

Case mixed index RW

3

4


CMI


Case Mix Index


Case Mix Index


50

(.. .. 55)


10


10


1. 1-2

2. NTDB DATA CENTER

3. service plan


/

1.

2.

3.

4.



-

-





-

-


() 1669 ( :.)

  • 10


() 10

  • 70


DMAT 80

DMAT

( 2556 DMAT 6 .,

  • ., ., ,, .

    .)

MERT

MERT

2556 1 .

10


3


UC CUP

2551-2556


[/] 2545 - 2555


2551 2556 (1)

CUP

( PP, OP) 2551-2556 (1)


Health Care Financing


11 . - 2556 2555 ()

:

4.67%

83.47%

6.61%


11 . -

2556 2555 ()

:

front office

back office

16.28%

17.06%

22.37%

7.02%

1.10%


7 31 2555




(Cost) (Charge)



AdjRW.6141

x7,700

=4,728

AdjRW .3959

x7,700

=3,048

AdjRW .4001

x7,700

=3,080


(Diarrhea)


(Dengue , child , no CC)



(... . 23 )


2556

  • Flow Chart

  • (.1,.2)

  • (.3)


/ CFO / Account Auditor / web

1 94.58 % 98.67 %

4



(27 2556)


2553-2556

2553-2555 . . 2554 (8.3%) 2555 (10.8%)

2556 24% 2555


2556

  • 12

  • ED:NED (Good Health At Low Cost)






/

// > ./.

/


1. ..

2.

3.

4.

()


2555 2556 (.-.56)


() 1

.

5 ..55 ...

35

184



24-25/2555

x-Ray 90

24/2555 90

1 ..- 31 2555

25/2555 90

1 ..2555-31 2556




2556

1. 2

2. 2

3.

4.

5. /

(..56)


(HA ) 2556

(.)


2556

1. (.)

2.

3. .(./.)


TO BE NUMBER ONE 2555

.. 41


TO BE NUMBER ONE 2555

TO BE NUMBER ONE

1.

2.

3.


TO BE NUMBER ONE 2555


TO BE NUMBER ONE 2555


TO BE NUMBER ONE 2555


TO BE NUMBER ONE 2555

To be Number One

95.25%

-


TO BE NUMBER ONE 2555

- -

- -

2556


TO BE NUMBER ONE 2555


TO BE NUMBER ONE 2555

: . . .


TO BE NUMBER ONE 2555

TO BE NUMBER ONE

2557


TO BE NUMBER ONE 2555

2556

,

,

,,


TO BE MUNBER ONE

2561

2560

2559 2

2558 1

2557

* 2556

2555

2554


TO BE MUNBER ONE

TO BE NUMBER ONE IDOL 26 2556

TO BE NUMBER ONE

TO BE NUMBER ONE IDOL


TO BE MUNBER ONE

TO BE NUMBER ONE TEEN DANCERCISE 8-9 2555


TO BE MUNBER ONE

TO BE NUMBER ONE 25 2555

TO BE NUMBER ONE


TO BE MUNBER ONE

TO BE NUMBER ONE 25 2555

TO BE NUMBER ONE


TO BE MUNBER ONE

TO BE NUMBER ONE


  • 60

  • 70

  • 61 11


  • - (55 56 )

  • Alprazolam19

  • Diazepam73

  • Lorazepam22

  • Codeine 7

  • Pseudoephedrine 1


2556

1. 2556

2. Alprazolam - 16 2556

-


  • Login