Montri Wiboonrat, Ph.D.

1. An Empirical Investigation of Transition Management in Public Healthcare to e-Medicare: A Case Study of Thailand Montri Wiboonrat, Ph.D.

2. Agendas • Introduction to healthcare management • Existing healthcare problems • Objectives and constraints • Transition management • Transition model • Transition Impact measurement • Integration of e-Medicare and HIS • Discussions • Conclusions

3. Healthcare in Present Difference of healthcare services between public and private hospital and lack of standardize of medical processes; • Treatment procedures • Treatment quality • Patient’s information record • Traceability • Speed • Accuracy • Security • Availability • Reliability

4. Existing in Healthcare Problems • Patient’s information is in different platform • 80% are in paper works • No standard on healthcare record • No linkage of patient’s information • Waste time for waiting healthcare treatment • No standard for patient’s treatment record • Availability and reliability of patient’s info. • No security of patient’s information • Patient’s information loss • Patient’s information error • Rights of Patient info. access

5. Objectives and Constraints • Vision and Policy Level • Feasibility and Decision for Project Approval (Consultant) • Conceptual and Details Design for Transition Project (Consultant) • Implementation or Project Management (Contractor) • Testing, Deploy, and UAT • Operations Risks: Human, Machine, Environment Conditions.

6. Transition Management Transition management can be classified into the following characteristics: • long-term thinking for framing short-term policy; • multi-domain, multi-actor, multi-tier; • focusing on learning; • aligning system innovation and system improvement; • keeping a large number of options open.

7. Transition Management

8. Stages and Indicators in Transition Procedure

9. Transition Design Process

10. Healthcare Transition Management Model (HTMM)

11. Transition Impact Denotes: • TI: Transition Impact of hospital operations; • R: Resistance of organization [0.1,….1]; • C: Capital requires for transition [1,…,∞] • T: Technological maturity and complexity [0.1,…,1]; • S: Standards and regulations that need to comply [0.1,…,1] • Whereby; 0.1 is minimum and 1 is maximum value of each actor. TI = R.C.T.S

12. Integration of e-Medicare and HIS

13. Discussions • Need more time for e-Medicare maturity • Require more expertise on the same person (IT and healthcare service) • New laws against misuse of healthcare information • Need “National Information Record Exchange” organization (middle man) • Healthcare information security need to fulfill: ISO 27001 • Patient’s privatization need to fulfill: ISO 27799

14. Conclusions • Standardize for healthcare system • IT as a tool for healthcare system development and improvement • Transition need cooperation from every parties that involve in healthcare services • System integration needs and waits to be happen after policy is settle and clear in direction

15. THANK YOUQ&A montwi@kku.ac.th mwiboonrat@gmail.com