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Bangyai is one of the six districts of Nonthaburi Province. Bangkok vicinity. Total Population 124,468 / 1,296.54 per Km sq. Bangyai Hospital. Local Health services 9 MOPH Health promotion hospital (HPH 2 Municipal Health centers 69 Primary Care Centers.

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Presentation Transcript
slide1

Bangyai is one of the six districts of Nonthaburi Province

Bangkok vicinity

slide2

Total Population 124,468 / 1,296.54 per Km sq.

Bangyai Hospital

  • Local Health services
  • 9 MOPH Health promotion hospital (HPH
  • 2 Municipal Health centers
  • 69 Primary Care Centers
slide4

Population Structure in catchment area Bangyai Hospital

Population Pyramid

Male

Female

Percentage

2011 midyear pop.

  • 55,527 Household 59,847 male 64,594 Female
slide5

Service Providers in Bangyai

Hospital

(CUP)

One 400 bed private hospital + one 30 bed MOPH hospital

HPH

9 Health Promotion Hospitals (HPH)

1stcare center

69

Primary care centers

Clients

thailand s health insurance schemes

Thailand’s Health Insurance Schemes

Universal Coverage Scheme(UC)

Under National Health Security Office - NHSO)

Social Security Scheme(SSS)

Social Security Office - SSO)

Civil Servant Medical BenefitScheme (CSMBS)

(Comptroller General’s Department - CGD)

slide10

Why do we use ICT ?

Tedious and repetitive

Single entry multi output

  • Difficult to monitor
    • Unit cost
    • Waiting time
    • Workload
  • Increase quality
    • Drug utilization review
    • Unit cost/case
    • Pre visit order (reduce waiting time) – lab and xray
  • Human Error
    • Handwriting
    • Coding
    • Lost of OPD card (160,000)
  • Continuous care data
    • Easy to retrieve data
    • No data loss.

NHSO required electronic data for reimbursement

hospital software program
Hospital software program

Provincial Policy

IPD and Legal

Cases - Paperbase

slide12

Relevant Regulations

derives from …

  • Thai constitution “Individual right and freedom”
  • Act of Parliament Electronics 2000
  • Computer Related Crime Act 2007
  • Official Information Act 1997
  • Thailand National Health Act 2010
  • Thailand Health Insurance 2002
slide13

2012 MOPH IT Key Indicator

  • Updated system for patients’ health which can be linked between HPH and CUP
  • Minimum increase of registration and treatment at HPH of DM and HT patients by 10% (to transfer chronic cases from CUP to HPH)
ex thailand standard health code
Ex. - Thailand Standard Health Code
  • Diagnosis standard -ICD10 version 2007
  • Procedure standard - ICD9CM
  • Drug standard- 24 digit
  • Traditional Thai medicine standard
  • Individual SES standard
  • Health services standard
slide15

1. Person

2. Service

4. Procedure

5. Medication

6. ANC

7. EPI

8. Family Planning

9. Mother and Child health

10 Post partum

11. Reproductive Health

Thailand min. data set 2012

1. Person

1. Person

1. Person

1. Person

1. Person

1. Person

1. Person

1. Person

1. Person

1. Person

13. Nutrition

14. Non communicable disease

15. Health coverage

16. Appoint

17. Surveillance

2. Service

2. Service

2. Service

2. Service

2. Service

2. Service

2. Service

2. Service

2. Service

2. Service

3. Diag

3. Diag

3. Diag

3. Diag

3. Diag

3. Diag

3. Diag

3. Diag

3. Diag

3. Diag

4. Procedure

4. Procedure

4. Procedure

4. Procedure

4. Procedure

4. Procedure

4. Procedure

4. Procedure

5. Medication

5. Medication

5. Medication

5. Medication

5. Medication

5. Medication

5. Medication

6. ANC

6. ANC

6. ANC

6. ANC

6. ANC

6. ANC

7. EPI

7. EPI

7. EPI

7. EPI

7. EPI

18. Home

19. Screen for Non communicable disease

20. Chronic F/U

21. Lab F/U

8. Family Planning

8. Family Planning

8. Family Planning

8. Family Planning

9. Mother and Child health

9. Mother and Child health

9. Mother and Child health

10 Post partum

10 Post partum

11. Reproductive Health

12. Death

slide16

TRUE

6M/512K

TOT

6M/512K

Load Balance

Proxy Cache

Core Switch

Floor4 Switch

1. IT Section

2. Health Insurance Section

3. Mental Health and Narcotic Section

4. Quality Development Section

5. Nursing Section

Internet Server

Floor2 and 3 Switch

1. HOSxP (Master)

2. HOSxP (Slave)

3. Dental Archive Data

4. Network Monitor

Floor3

Floor2

1. Inpatient Section

1. Administration Section

2. Finance Section

3. Procurement Section

4. Dental Section

5. Thai Traditional Medicine Section

Floor1 Switch

1. Outpatient Room

2. Accident and Emergency Room

3. Medical Record

4. Pharmacy Room

5. Delivery Room

6. Public Relation

7. Health Insurance (FL 1st)

8. Radiology Room

9. Family Care Room

slide17

OPD Service workflow

  • Health scheme check
  • Validate Insurance Scheme and Pt status
  • Regist

Clinical screening

Treatment by MD

Medication

Minimum Core Dataset

Financial

First Screening

Database

Patient walk in

slide18

Hospital work flow

LAB,X-Ray

AE

OD costing

CMI

RW

Data for

Reimbursement

  • Discharge
  • Go home
  • Dead
  • Refer

Clinical Screening

UC

  • Admission
  • Observe

Adj RW

Treatment by MD

  • Health coverage
  • Register

Minimum Core

Dataset

SSS

CSMBS

Data for

Reimbursement

OR

LR

ER

2011 CMI = 0.7

Adjust RW = 1527.66

5,140 BHT /165 USD / 128 EUR

per admission

BOT 23 Jan 2012

First screening

Patient walk in

application in primary care public private by java health center information system jhcis
Application in Primary care/public private byJava Health Center Information System(JHCIS)

Registration/ Screening Area

Examination Room

CHCIS

Database Server

JHCIS Data base

Request

Connect Port

Dental and other Clinics

Response

Response

Pharmacy Room

ศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร สป.สธ.

slide20

JHCIS with Smart Card

PHO

MOPH ICT

NHSO

Configure

Connection

Last 50 Entries

Health Scheme Validation

ID Card Reader to acquire and record needed clients’ personal data for JHCIS

20

Health promotion Hospital/PCU (HPH)

20/08/57

slide21

PROVIS – Data integration

Server in Provincial Health Office

NSHO Server

(1) Upload / Import F18, FOP, FPP

(2) Download

FOP.ZIP, FPP.ZIP

From PROVIS Server

(3) Upload /

Import

FOP.ZIP, FPP.ZIP

to REP-OP NSHO Web Site

PC/Notebook Provincial Health OfficeAdministrator

Hospital /PCUExport Data(F18, FOP, FPP)

cup management
Cup Management

REPORTS :

  • - OPD summary
  • - Prevention & promotion
  • - Dental
  • Diagnosis code
  • 21 groups
  • Fiscal & Activity

Inter hospital activities + Budget allocation and transaction report

CSMBS

OPD / IPD /PP transaction report

SSS transaction report(SSN_DATA)

slide23

Family Folder Collector System

( Free version now available in Android Market )

FFC Autosync

HPH

Update health maintenance and personal data into JHCISDB automatically by FFC Autosync program.

PCU

Easy to use

means to

get real-time

info to update health data for maintenance and synthesis cards.

Transferring households information to Android tablet by FFC Autosync programwhen doing home visit.

  • Locating houses using GPS - Create Genogram (family tree with data on gender, age, health condition and relationship in
  • the family

FFC Autosync

Village

Android Tablet

Visit our [email protected] www.ffc.in.th

challenges
Challenges

Benefit

  • Security
  • Speed VS Quality
  • Data Integration
    • -> Real time VS Pt right
    • -> IT policy among hospitals
  • IT manpower career ladder - at community hospital
  • Duplicate data Reporting
  • Quality improvement
  • Knowledge management
  • Increase reimbursement
  • Unit cost – cost containment
slide25

JHCIS

  • Using ID smartcard for registration

Read data from the chip on ID smart card to fill the registration form

slide26

Hos XP

  • Using ID smartcard to record service history

Read data from the chip on ID smart card to fill the form

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