Social Innovations Asia NGO Innovation Summit 2013

นพ. ก้องเกียรติ เกษเพ็ชร์ Kongkiat Kespechara, M.D.

Sooksatharana Co,ltd.

kongkiat@ipensook.com

Health for All: An Elusive Goal • Governments and international organizations have long recognized the need to improve the health of

the poor.

• In the 1970s, the World Health Organization (WHO) led a global effort to achieve “Health for All” by

the year 2000.

• More than 25 years later, however, the goal remains elusive.

• For more than 1 billion people worldwide living on less than US$1 per day, health services and modern

medicines are still out of reach. Large disparities in health persist both within and among countries.

• Disparities among countries can be partly attributed to differences in spending on health care and health

research, local capacity, and access to technology and information.

• In the least developed countries, health spending is about US$11 per person a year—well short of the

WHO’s recommended $30-$40 per person needed to cover essential health care—compared to more

than US$1,900 per person annually in high income countries.

• As a consequence, people living in poor countries have less access to medical technologies and good

quality care than those in better-off countries.

In 1999,

Thai National Health Security

30 baht scheme

Everyone, every diseases pay only 30 baht/visit

Government pay for capitation 1,200

baht/head/year to registered hospital.

How can the small rural

hospitals survive?

Hospital OS strategies

Build up a community that would create a sense of joint

ownership and sharing to develop and using Hospital

OS software

Provide maximum access to the software and database

system by using the Open Source software

Reduce cost of investment and operating costs by using

Open Source license(GPL)

Hospital OS project

started

Target 700+ Small rural hospitals in Thailand.

Out put for Granting agency: at least 10 hospitals around

Thailand in 17 months with 1.4 million B. (45,000 USD)

KPI Dash Board for Hospital Management

• 14 Hospitals in 17 months. 1,000 + members of website.

• Our Innovation of implementation process ; 150 Clinics in 3 months in Bangkok

68 Health centers in 1 month in Bangkok

30 Primary Care Units in 2 weeks in a province

2 Consultants for Go-Live in a hospital in 5 days

• We trained non-IT persons in the hospital to maintain the

system

• We created learning Communities for the users to share thier

knowledge.

Out come:

95

Hospitals

150

Clinics

200

Primary

Care Units

68

Health

Centers

Market share:

Top rank among open source software in Thailand

5th rank among all hospital informatics products

1

8

• Hospital OS can expand globally, the software can be of great benefits to

healthcare organizations in many countries especially those who have limited

resources. So the foreign countries approached us for Hospital OS.

International Potential

iMpacts • Improve services: reduce waiting time by

managed appointment and transfer patients

back to primary care unit nearby their home.

• Reducing non-clinical workload to nurses and

doctors.

• Using health data to plan for budget and target

activities to use budget more effective and

predicted out-come.

• Reduce or prevent the out-break of infectious

disease.

• Proved the sustainable ways to adopt IT for

resources limited areas

Ashoka fellow 2009

In 1999,

Thai National Health Security

30 baht scheme

Everyone, every diseases pay only 30 bath

Plus capitation 1,200 baht/head/year to registered

hospital.

Our Health Care system in the Future !

2 times !!!!!

Our Health Care system in the Future !

BMI data from BKK population

Year 2011 Year 2012

2011 2012

N Mean SD N Mean SD

Age 819,839 38.79 13.28 544,124 38.82 13.62

BMI 819,340 23.39 4.32 543,734 23.65 4.41

height 819,639 161.46 8.64 544,079 161.34 8.63

weight 819,647 61.14 12.72 544,010 61.72 12.94

CHOL 133,490 194.73 59.19 75,923 209.32 43.52

HDL 21,824 67.29 51.59 75,915 56.15 25.51

LDL 21,901 91.04 55.75 75,915 122.47 44.12

Statistic for Blood Cholesterol for BKK Population

Population Numbers %

Bangkok Population 8,655,626

Screening for diabetes, cardio vascular disease coverage 820,075 9.47

-Risk for Diabetes and Hypertionsion 178,041 21.71

- negative screen for Diabetes 168,041 20.49

- negative screen for HT 156,308 19.06

Case convert to Diabetes in 1 year 15,729 1.92

Case convert to Hypertention in 1 year 17,550 2.14

Statistic for Blood Screening Chronic disease

for BKK Population

Health for All !!!

www.thelancet.com Vol 377 February 19, 2011

Health for All !!!

บริษัท สุขสาธารณะ จ ากัด

PenSook

High

efficiency

Health Care

services

Organic

/Health Food

consumptio

n

Personali

ze

By

Innovation

Technology &

Health

Manager

Be Healthy, Be Happy

http://www.dietandfitnesstoday.com/glycemicIndexList.php?section=Rice

ข้าวเป็นสุข page 1

ข้าวหอมนิล ข้าวสินเหล็ก

High water soluble fiber rice

Low glycemic index rice

Slow Glycemic Response

Pensook rice

Health benefit rice

Low GI Rice in

research lab

Pensook Rice

Using technology and organic way plus Fair Trade

Social Enterprise – Lumplaimaspattana school in Burirum

Area of farming 110 Rai

Initial investment 200,000 THB

Characteristics In seasoned/ Out seasoned rice

Plantation Beginning of May

Harvesting period October - November

Buying quotation of

paddy rice Above market price

Quantity bought 40 tons

Productivity per Rai 450 - 500 kg/Rai

LPMP Responsibility Gather and facilitate local supplier, Perform

quality control, Provide organic farming

consultation

Nutrition Facts for Each Crop

• Geographic Indicator

• Work with Faculty of Science, Mae Fah Luang Univ.

• Rice grain samples will be divided into 2 groups; uncooked grains and

cooked grains

• Uncooked grains

• Proximate analysis: Moisture content, Protein, Fat, Ash, Carbohydrate

• Amylose content

• Total starch (TS), non-resistant starch (NRS), resistant starch (RS)

• Cooked grains

• Total starch (TS), non-resistant starch (NRS), resistant starch (RS)

• Note: The gross content of Protein, Fat, Ash, Carbohydrate and Amylose in rice grains remain unchanged after cooking

ช่องทางจัดจ าหน่าย

Pensook [Retail] Experience Shop

K-A-P

Knowledge

Attitude

Practice

Behavior

Change

PenSook High

efficiency

Health Care

services

Innovation

Technology

Products

Personal Health

Record

Clinic Information

System

Empowerment

What we do

HEALTH DATA

Exchange

iPensook total care system:

- Personal health management: PHR

- Clinical Information System: CIS

- Telecare: community and home monitoring

Integrated Healthcare Service

65

65

66

66

67

67

Are you at Risk? Take the test to find out the patient’s risk

of developing diabetes and Coronary

Heart Disease Risk Assessment.

COLLABORATIVE Integrated Healthcare Service

หน้ารวม

- แสดงประวัติทั้งหมด

- กรองดูเฉพาะความเสี่ยงที่ต้องการได้ - หากในปีใด มีการเปลี่ยนแปลงความเสี่ยงมากกว่า 1 ครั้ง จะแสดงเฉพาะครั้งหลังสุด

(หมายเหต ุ ข้อมูลความเสี่ยง

จะเกิดขึ้นเมื่อมีการเปลี่ยนแปลงข้อมูลผู้ป่วยและส่งผลให้เกิดการเปลี่ยนแปลงความเสี่ยง)

Health Promotion

"The aim of medicine is to prevent disease and prolong life;

the ideal of medicine is to eliminate the need of physician"

- William J. Mayo.

นพ. ก้องเกียรติ เกษเพ็ชร์ Founder: Sooksatharana Co.,ltd.

Ashoka Fellow 2009

kongkiat@ipensook.com