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Enhancing Healthcare Data Management: Addressing Real-life Challenges

Explore practical strategies to develop data structures & elements in healthcare, aiding rational decision-making for cost-efficient care delivery. Overcome issues like incomplete eligibility data, fragmented information, and lack of IT knowledge to optimize resource allocation.

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Enhancing Healthcare Data Management: Addressing Real-life Challenges

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  1. Real-life challenges to develop data elements and structures Puree Anantachoti, Ph.D. Inthira Kanchanaphiboon, Sanita Hiranrasamee PSyRIC

  2. Payers Law & Regulation Beneficiaries Providers Rational decision making comes from adequateand accurate information.

  3. Needs Utilization Rational Coverage Expenditure Cost Quality Efficiency Access Clinical tools

  4. Major health schemes CSMBS UC SSS Private

  5. Incomplete eligibility data CSMBS UC SSS Private

  6. CSMBS Health care expenditure Economic crisis ED 42 25,000 25 , 000 20,000 20 , 000 15,000 OPD 15 , 000 IPD Total 10,000 10 , 000 5,000 5 , 000 - Year 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Ref: Department of Comptroller, Ministry of Finance, 2546

  7. Eligibility category: Dependent of civil servant Medicine in essential drug list Doctor fee Medicine not in essential drug list 912.00 120.00 6,015.00

  8. Whether data is available?? Yes No

  9. But • Fragmented data/information • Non-standardized format • Lack of IT knowledge • Resource (person, hard – software, money) • Time • Data handling skill • Access to data and ownership • Communication between stakeholders

  10. Use of computer in OP drug dept, 2001 hospital survey Hospital with no computer 21% Computerized Without LAN 13% Computerized with LAN 64% 40% of hospital use 4 major programs

  11. Use of computer in inventory, 2001 hospital survey Hospital with no computer 25% Computerized with LAN 19% Computerized without LAN 56% 60% of hospital use 4 major programs

  12. What next? • Objective • Co-operation • Resource • Design data element & structure • Established standard codes • Planning for data transfer • Update mechanism

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