Bangyai is one of the six districts of Nonthaburi Province

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Bangyai is one of the six
districts of Nonthaburi Province
Bangkok vicinity
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• Local Health services
• 9 MOPH Health promotion hospital (HPH
• 2 Municipal Health centers
• 69 Primary Care Centers

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Fast growing district
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Population Structure in catchment area Bangyai
Hospital
Population Pyramid
Female
Male
Percentage
2011 midyear pop.
55,527 Household 59,847 male 64,594 Female
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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
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Thailands 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 Generals Department - CGD)
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Bangyai Coverage
UC
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Visits by Health Insurance Schemes
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Revenue Source by Scheme (BHT)
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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
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Hospital software program
Provincial Policy
IPD and Legal Cases - Paperbase
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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

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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)

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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

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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
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Load Balance
Proxy Cache
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
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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
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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
Minimum Core Dataset

• Health coverage
• Register

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
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Application in Primary care/public private
byJava Health Center Information System (JHCIS)
Registration/ Screening Area
Examination Room
CHCIS Database Server
Request

JHCIS Data base
Connect Port
Dental and other Clinics
Response
Response
Pharmacy Room
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JHCIS with Smart Card
MOPH ICT
NHSO
Last 50 Entries
Configure Connection
Health Scheme Validation
ID Card Reader to acquire and record needed
clients personal data for JHCIS
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Health promotion Hospital/PCU (HPH)
25/12/56
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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 Office
Administrator
Hospital /PCUExport Data(F18, FOP, FPP)
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Cup Management

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

Inter hospital activities Budget allocation and
transaction report
REPORTS
CSMBS
OPD / IPD /PP transaction report
SSS transaction report(SSN_DATA)
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( 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.
Transferring households information to Android
tablet by FFC Autosync program when 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_at_ www.ffc.in.th
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Challenges
Benefit

• Security
• Speed VS Quality
• Data Integration
• -gt Real time VS Pt right
• -gt IT policy among hospitals
• IT manpower career ladder - at community
  hospital
• Duplicate data Reporting

• Quality improvement
• Knowledge management
• Increase reimbursement
• Unit cost cost containment

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JHCIS
Using ID smartcard for registration
Read data from the chip on ID smart card to fill
the registration form
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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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Checking SSO benefit
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Checking health benefit
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Single entry for all requirementsSmart card
Future Goal
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National Health Information System NHIS
Framework
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Implement of 3P Integration Pilot Project