+ All Categories
Home > Documents > 01-24_ok

01-24_ok

Date post: 03-Apr-2018
Category:
Upload: hsrimedia
View: 217 times
Download: 0 times
Share this document with a friend

of 24

Transcript
  • 7/29/2019 01-24_ok

    1/24

    2 .. 2556

    .

    www.hsri.or.th

  • 7/29/2019 01-24_ok

    2/24

    HSRI Forum .. . [email protected]

    .

    HSRI Forum

    2 / 3

    4- 5 3

    03. 04 06 07 08 - 10 -

    12

    -

    :

    141620 20 23.

    2 HSRI Forum HSRI Forum 7 (.) .

    . ..

    CONTENT

    03

    14

    06

    16

    10

    23

  • 7/29/2019 01-24_ok

    3/24

    03.

    . 20 .

    .

    5 (..2554-2558) . . . (.) (.) (

    )

    . 7 (.) (.)

    (

    .)

    (.) (.) (.) (.)

    7 .

    .

  • 7/29/2019 01-24_ok

    4/24

    04.

    .. 2554 - 2558 (.) (governance mechanism) (Stewardship)

    2550 Stewardship (Leadership/Governance)

  • 7/29/2019 01-24_ok

    5/24

    05.

    ...

    . 3 1. 2. 3.

    2554 . 21 Inside Out Outside In

    National Health Authority

    3

    3

    12 . 21

    National Health

    Authority Service Provider .

  • 7/29/2019 01-24_ok

    6/24

    06.

    6 1 . 5 . (.) (.)

    (.) (.) (.) (.)

    6 2556 200 . .

    0.2% GDP 1-2% 70:30

    Venture Capital

    11 .

    2556

    -

    2556 11 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

    .

  • 7/29/2019 01-24_ok

    7/24

    07.

    (Thailand Research Center for HealthServices System : TRCHS) 3 (.)

    () (.) ... ....

    3 (..2555-2558)

    .. 21

    3 ... 2

    (Organ Transplant)

    5

    Medical Hub

    ... 2556

    .

    .

    2 3

    . 1 6 BUILDING BLOCKS

    .

  • 7/29/2019 01-24_ok

    8/24

    ( . )

    08.

    -

    . (.)

    2520 (fee-for-service)

    2535-2537 2540

    .

    . (.) 2547 . .

    .

  • 7/29/2019 01-24_ok

    9/24

    09.

    .

    . .

    .

    (Diagnosis Related Group: DRG)

    . 1,000

    .

    2555 ( 31 2555)

    1.

    (DRG)

    695,000 / 960

    DRG 32

    5,893

    2.

    . 393

    7,909 2555 2555

    3.

    2554 1,037

    4. /

    (DRG) 13

    2555 2555

    49,864 2555

    5. /

    2555 2555 2,561

    247,003

    .

    .

    . .

    (.)

    (.)

    (.)

    , ,

    (.)

    CaseMix

  • 7/29/2019 01-24_ok

    10/24

    ( . )

    10.

    -

    ..2518 5

    .

    . .

    2549 . .

    (Hospital Accreditation: HA)

    ..

  • 7/29/2019 01-24_ok

    11/24

    11.

    .

    (.) 30 . . ..

    .

    . 2 3 5 5

    . . 6 (GIST) 3

    .

    .

    4,000 1,200

    . 2556

    . 3

    (Health Outcome) Self Assessment

    audit

    .(.) .

    2 A C C

    2556 . 10 3

  • 7/29/2019 01-24_ok

    12/24

    ( . )

    12.

    -:

    (Diagnosis Related Group :DRG) (In-patient: IP) () ..2536 ..2535 (.) (Thai DRG : TDRG)

    .. 2541

    TDRG (IP) TDRG (IP) (IP)

    (IP) 1.5 ..2541 3.0 .. 2542 3.6 ..2543 5.7 .. 2555

    TDRG TDRG

    TDRG

  • 7/29/2019 01-24_ok

    13/24

    13.

    TDRG ..2536 TDRG 5 5 1 .. 2555 TDRG (IP) (Acute-In Patient) 20 TDRG

    DRG version

    DRG (prospective

    payment)

    version

    ( )

    .. 2545 TDRG (IP) (.)

    ( .) ( TDRG ) .

    .. (Out-patient : OP) (IP) TDRG (IP) (Acute in-patient) TDRG TDRG

    . 20 TDRG version on-job training . (OP) Thai Ambulatory CaseMix TAC

    TDRG 3 TDRG TDRG TDRG version 5.2 2556 2557 TDRG version5.3 DRG

    (.) (.) (.) (.)

  • 7/29/2019 01-24_ok

    14/24

    ( . )

    14.

    .

    . 2 1) 3 2) ..

    3 . . . 63

    . .

    .

    (Dispatch Center)

    2541 . 77 32 (. 17 /.25 ) 10,540

  • 7/29/2019 01-24_ok

    15/24

    15.

    1

    (1 .. 2554 30 ..2555) 4,706 26 3 4 . (2 ) 80 5 2

    .

    .

    .

    2556 . 4 2

    3 ()

    6

    3 3 18 3 National Clearing House . 3

    ( 4 8 4 5 )

  • 7/29/2019 01-24_ok

    16/24

    ( . )

    16.

    8,694 1,243 14.3 (. ) 61 . 2 2

    2 . 3

    (O&M: Orientation and Mobility training) (.)

    ..

    (O&M)

    O&M

    6

    . O&M (.) . 6 (..2553 - 2556) ..

    2554-55 23 12 .

  • 7/29/2019 01-24_ok

    17/24

    17.

    (.) ..2550 20,000 (.)

    5-10

    . Open space . 60 6

    . 3 (.. 2556-2558) 2 /

    3 ..

    ( 2556) .

    Intervention

    1.

    (Empower)

    2. 3. (Facility)

    2

    . .

    (.)

    .

  • 7/29/2019 01-24_ok

    18/24

    ( . )

    18.

    (Human Research) (Research involving Human Subject)

    (.) 2 3

    (Nuremberg Code, 1947)

    (Dignity) (Rights)(Safety)(Well-being).

    .

    .

    1. (Respect forperson) (dignity) (rights) (safety) (well-being)

    2. (Do good and dono harm Beneficence and Non-maleficence)

    - 3. (Justice)

  • 7/29/2019 01-24_ok

    19/24

    19.

    .

    1. Fill the gap -

    2. Togetherness -

    3. Holistic -

    . Guidelines for good clinical practice (GCP)for trials on pharmaceutical products (International Conference on Harmonization :ICH) . 2 1) 2) . (competent) (timely)

    150 . 70-80 20 . . 5,000 30,000 . 1-3 (initial review)

    3

    Protocol . . 50-100 3 .

    . . (Nuremberg Code, 1947) (.. 2002)(Declaration of Helsinki) (CIOMS Guideline) (The Belmont Report)

    . . .. 2556 .

    . 3 3 .

  • 7/29/2019 01-24_ok

    20/24

    ( . )

    20.

    (interoperability)

    6 (Health system models) /

    ..

  • 7/29/2019 01-24_ok

    21/24

    21.

    .

    .

    (Health Information Systems)

    LOINC (Logical

    Observation Identifiers Names and Codes)

    LOINC (Standard name and coding system) (LaboratoryInformation Systems) (Electronic Health Records)

    . . LOINC (mapping) LOINC 80 LOINC LOINC

    . (Thai Medicines Terminology: TMT)

    (function) (Pre-release TMTPR201302) 9 168 4 2556

    9 (Lipid lowering) (Proton Pump Inhibitor -PPI) ACEI ARB Calcium Channel Blockers (Calcium metabolism)

    (NSAID) (Glucosamine) (Antiplatelet)

  • 7/29/2019 01-24_ok

    22/24

    22.

    .

    (maintenance). function organization

    .

    . 2 Asia eHealth Information Network (AeHIN)

    .

    (Thai Medicines Terminology: TMT)

    SNOMED-CT 3

    (description)

    (unique identifier)

    (relationships) terms/names

    (administration)

    (, ) (inventory)

    (Health Care Services) (drug prescription) (drug dispensing) (drugadministration)

    (Executiveand Management Decision support) (Clinicaldecision support)

    /

    4 1. (Semantic standards) medical concepts

    (concept) International Classification ofDiseases (ICD), International Classification of Primary Care (ICPC) , (Drug terminology) (clinical vocabularies/terminology standards) Systematized Nomenclatureof Medicine - Clinical Terms (SNOMED-CT) , Logical ObservationIdentifiers, Names and Codes(LOINC)

    2. (Syntactic standards) (messaging) (exchangeable) Health Level 7 (HL7) messaging standards HL7, HL7 Clinical Document Architecture

    (CDA) HL7 3. (Core data sets standards)

    (care data set ) core data set core data set ( 12 ) ( 18 ) core data set

    4. (Security and privacy standards) (rule) (policy) (guideline) (personal identifier)

  • 7/29/2019 01-24_ok

    23/24

    .

    23.

    .http://www.hsri.or.th

    Knowledge Bank / Digital Library . 2,000 HSRI FORUM

    100 http://www.sem100library.in.th

    (.) (.) () (.) (.) - 08.00 - 16.30 .

    () . 0 2832 9252-53 : [email protected]

    /.

    . http://kb.hsri.or.th

    3

    http://www.hsri.or.th/media/journal

    HSRI FORUM.

    . http://www.hsri.or.th

  • 7/29/2019 01-24_ok

    24/24

    (.) HSRI Forum www.hsri.or.th 0-2832-9245

    4 . 6 . 14. . . 11000 0-2832-9200 0-2832-9201 www.hsri.or.th

    unqo

    owzonwwnnuou

    5aE*`EC_.;9ETJ[;DET-$TE`GR'O;_I;-S;_.;_7OE`+*IS4;R

    uL8T


Recommended