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Bangyai is one of the six districts of Nonthaburi Province

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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Bangyai is one of the six districts of Nonthaburi Province

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  1. Bangyai is one of the six districts of Nonthaburi Province Bangkok vicinity

  2. 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

  3. Fast growing district

  4. Population Structure in catchment area Bangyai Hospital Population Pyramid Male Female Percentage 2011 midyear pop. • 55,527 Household 59,847 male 64,594 Female

  5. 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

  6. 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)

  7. Bangyai Coverage UC

  8. Visits by Health Insurance Schemes

  9. Revenue Source by Scheme (BHT)

  10. 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

  11. Hospital software program Provincial Policy IPD and Legal Cases - Paperbase

  12. 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

  13. 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)

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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.

  20. 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) 01/12/57

  21. 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)

  22. 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)

  23. 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 website@ www.ffc.in.th

  24. 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

  25. JHCIS • Using ID smartcard for registration Read data from the chip on ID smart card to fill the registration form

  26. Hos XP • Using ID smartcard to record service history Read data from the chip on ID smart card to fill the form

  27. Checking SSO benefit

  28. Checking health benefit

  29. FutureGoal Single entry for all requirements“Smart card”

  30. National Health Information System :NHIS Framework

  31. Implement of 3P Integration Pilot Project

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