Transcript Information and Communication Technology

Bangyai
is one of the
six districts of
Nonthaburi
Province
Bangkok vicinity
Total Population 124,468 /
1,296.54 per Km sq.
Local Health services
• 9 MOPH Health promotion
hospital (HPH
• 2 Municipal Health centers
• 69 Primary Care Centers
Bangyai Hospital
Fast growing district
Population Structure in catchment area Bangyai Hospital
Population Pyramid
Male
Female
Percentage
2011 midyear pop.
55,527 Household
59,847 male 64,594 Female
Service Providers in Bangyai
Hospital
(CUP)
One 400 bed private
hospital + one 30 bed
MOPH hospital
HPH
9 Health Promotion
Hospitals (HPH)
1st care
center
69
Primary care centers
Clients
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 Benefit Scheme (CSMBS)
(Comptroller General’s Department - CGD)
Bangyai Coverage
UC
Visits by Health Insurance Schemes
Revenue Source by Scheme (BHT)
Why do we use ICT ?
Tedious and repetitive
Difficult to monitor
•Unit cost
•Waiting time
•Workload
Human Error
•Handwriting
•Coding
•Lost of OPD card (160,000)
Single entry multi output
Increase quality
•Drug utilization review
•Unit cost/case
•Pre visit order (reduce waiting time) –
lab and xray
Continuous care data
•Easy to retrieve data
•No data loss.
NHSO required electronic data for reimbursement
Hospital software program
HIS
2000
PHIS
October 2004
Provincial Policy
IPD and Legal
Cases - Paperbase
HOSxP
15 May 2008
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
2012 MOPH IT Key Indicator
1. Updated system for patients’ health
which can be linked between HPH and
CUP
2. 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
–
–
–
–
–
–
Diagnosis standard - ICD10 version 2007
Procedure standard - ICD9CM
Drug standard - 24 digit
Traditional Thai medicine standard
Individual SES standard
Health services standard
Thailand min. data set 2012
1. Person
13. Nutrition
2. Service
14. Non communicable disease
3. Diag
15. Health coverage
4. Procedure
5. Medication 16. Appoint
6. ANC
17. Surveillance
7. EPI
18. Home
8. Family Planning
19. Screen for Non
9. Mother and Child health
communicable
10 Post partum
disease
11. Reproductive Health
20. Chronic F/U
12. Death
21. Lab F/U
TRUE
6M/512K
Internet Server
TOT
6M/512K
Load Balance
1. HOSxP (Master)
2. HOSxP (Slave)
3. Dental Archive Data
4. Network Monitor
Proxy Cache
Floor4 Switch
1. IT Section
2. Health Insurance Section
3. Mental Health and Narcotic
Section
4. Quality Development Section
5. Nursing Section
Core Switch
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
Floor2 and 3 Switch
Floor2
Floor3
1. Inpatient Section
1. Administration
Section
2. Finance Section
3. Procurement Section
4. Dental Section
5. Thai Traditional
Medicine Section
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

LAB,X-Ray
Clinical Screening



Discharge
• Go home
• Dead
• Refer
AE
OD
costing
CMI
RW

• Health coverage
• Register
UC
Treatment
by MD
Minimum
Core
Dataset
•Admission
•Observe
Adj
RW


OR
Data for
Reimbursement
Hospital work flow
SSS
CSMBS
LR
Data for
Reimbursement
ER
2011 CMI = 0.7
Adjust RW = 1527.66
 First screening
Patient walk in

5,140 BHT /165 USD / 128 EUR
per admission
BOT 23 Jan 2012
Application in Primary care/public private by
Java Health Center Information System (JHCIS)
Registration/ Screening Area
CHCIS
Database
Server
JHCIS
Data
base
Examination
Room
Dental and
other Clinics
Pharmacy
Room
JHCIS - ระบบงานสถานีอนามัย
และ PCU
ศูนยเทคโนโลยี
สารสนเทศและการสื่ อสาร
์
สป.สธ.
JHCIS with Smart Card
MOPH ICT
NHSO
PHO
Health Scheme
Validation
Configure
Connection
Health promotion
Hospital/PCU (HPH)
Last 50
Entries
ID Card Reader to acquire and
record needed clients’ personal
data for JHCIS
20
13/04/58
PROVIS – Data integration
(1) Upload /
Import
F18, FOP, FPP
Server in
Provincial
Health
Office
(2) Download
FOP.ZIP, FPP.ZIP
From PROVIS
Server
Hospital /PCU
Export Data
(F18, FOP, FPP)
NSHO
Server
(3) Upload /
Import
FOP.ZIP, FPP.ZIP
to REP-OP NSHO Web Site
PC/Notebook
Provincial Health
Office Administrator
Cup Management
REPORTS : - OPD summary
- Prevention & promotion
- Dental
- Diagnosis code
- 21 groups
- Fiscal & Activity
OPD / IPD /PP
transaction
report
Inter hospital
activities + Budget
allocation and
transaction report
CSMBS
SSS transaction
report(SSN_DATA)
( Free version now available
in Android Market )
Family Folder Collector System
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.
JHCIS DB
Transferring households
information to Android tablet
by FFC Autosync program
when doing home visit.
FFC Autosync
Android
Tablet
-Locating houses using GPS
- Create Genogram (family tree
with data on gender, age, health
condition and relationship in
the family
Village
Visit our website@ www.ffc.in.th
Benefit
• Quality
improvement
• Knowledge
management
• Increase
reimbursement
• Unit cost – cost
containment
Challenges
• 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
JHCIS
Using ID smartcard for registration
Read data from the chip on ID smart card to fill the registration form
Hos XP
Using ID smartcard to record service history
Read data from the chip on ID smart card to fill the form
Checking SSO benefit
27
Checking health benefit
28
Future Goal
Single entry for all requirements
“Smart card”
National Health Information System : NHIS
Framework
Implement of 3P Integration Pilot Project