company logo เ dr. porntep siriwanarangsun inspector general & chief information officer...
TRANSCRIPT
Company
LOGO
เ
Dr. Porntep Siriwanarangsun
Inspector General & Chief Information Officer
Ministry of Public Health, Thailand.
The Required Information at Each Level of MOPH Agency
PolicyLevel
Decision - MakingLevel Introduces
Policy Implementation
Planning and PerformanceControling Level
Day to Day Operating Level
Determine Targets andMain Strategies
Central AdministrationDepartment/Division
Provincial HealthOffice
District HealthOffice
HealthCentre
Planning, Controling,Monitoring and ResourceAllocating
Planning, andPerformanceControling
PerformanceActivities
Sustainable e-Government Project for Health Information and Communication Technology Development
e- services on Department Activities: Logistic : Health Business : Consultation : Epidemiology
Health Administration
Department Office
75 Provincial Health Offices
71 Regional Technical Center
94 Regional/General Hospitals
726 Community Hospitals
876 Community Health Centers
9791 Health Centers
Total Back Office Front Office Satellite SystemLAN Line
MIS & DataWarehouse
Executive Support System
Management Information System Decision Support System
Knowledge Work System and
Office Automation System
TransactionProcessing
Company Logo
www.themegallery.com
Conceptual Framework for health informationConceptual Framework for health information
Database
System12 Files
&18 FilesSurvey
data
Health DataBank
DataAuditing
&Data
cleansing
Medicalrecord
exchange
Health Information
Data warehouse/Web GIS / Remote custom / High speed server& communication / HL7&CDA/ Web service / Satellite TV
Hardware/Software / People ware/ KM
Standard + Data Confidentiality + e Health
Strategy / Vision / Budget / e Government
Healthcare Center/Primary Care Unit
Health service Provider
(Hospitals)
Ministry’s departments
E Health1. Physical Basic structure - Network PC sets in all level health units - High speed Network2. Data recording System3. Data Services System - 20 systems4. Report System - Front& Back Office5. HRD & Technology Transfer Outsourcing for services and maintenance
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www.themegallery.com
Strategy for data collection & consolidationStrategy for data collection & consolidation
Strategy1
Develop the supporting mechanism for Health Information System
Strategy2
Develop the standardization for data structure & coding
Strategy3
Develop and integrate the appropriate Health Information System
Strategy4
Develop the appropriate and adequate data communication and consolidation
Company Logo
www.themegallery.com
Background of the reporting system
Aggregated activity reports were prepared and sent monthly from each
health service units (eg, Provincial hospitals, District hospitals, Primary Care Units) to each Provincial Health
Offices (PHO), then to Health Information Unit in the Ministry of
Public Health (MOPH)
Background of the reporting system
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Background of the reporting system (Con.)
Background of the reporting system (Con.)
Activities cover birth/death, epidemiological, curative, preventive and promotive data
Aggregated data were gathered and processed into country report by electronic means
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www.themegallery.com
Changes of reporting systemChanges of reporting system
In 1995 domestic data structure &
coding standardization are developed
to support the individual record data
system eg, 12 files dataset (for hospital
use), 18 files dataset (for PCU use),
and miscellaneous code
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www.themegallery.com
Changes of reporting system (Con.)Changes of reporting system (Con.)
In 2003 international data
structure & coding standardization
are much improved and developed
reporting system for insurance
scheme.
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www.themegallery.com
Impact of Health Insurance to Impact of Health Insurance to reporting system (reporting system (1212 files dataset) files dataset)Impact of Health Insurance to Impact of Health Insurance to reporting system (reporting system (1212 files dataset) files dataset)
Only Inpatient UC (Universal Coverage) records are sent and processed for reimbursement, about 5 million
individual records are received annually at MOPH
Report were then generated from every individual patient records, most of them were inpatient group
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Data collection Data collection && data consolidation data consolidation of of 1818 files dataset files dataset Data collection Data collection && data consolidation data consolidation of of 1818 files dataset files dataset
In 2007 MOPH and NHSO started the new project expanding the data processing to
cover more service data from nearly 10,000 PCUs.
18 files dataset is used for monitoring the
PCUs activities and possibility for future
enhancement of OPD DRG convention
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www.themegallery.com
Data flow and their interconnection Data flow and their interconnection workflow workflow of of 1818 files dataset files dataset
Data flow and their interconnection Data flow and their interconnection workflow workflow of of 1818 files dataset files dataset
About 200 million individual records are received annually from nearly 10,000 PCUs
via PHO
Raw data are sent weekly from each PCU to PHO via Internet or portable media, then
data are imported and verified into standard provincial buffer data file
Company Logo
www.themegallery.com
Data cleansing and reporting of Data cleansing and reporting of 1818 files datasetfiles dataset Data cleansing and reporting of Data cleansing and reporting of 1818 files datasetfiles dataset
The first round data inspection is screened to check for coverage, timeliness and
completeness
Then the second round data inspection is screened to checked for data accuracy, the
important check points of data accuracy are ICD10, date of services, weight/height of kids,
service codes, etc.
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www.themegallery.com
Data cleansing and reporting of Data cleansing and reporting of 1818 files datasetfiles dataset (Con.)(Con.)Data cleansing and reporting of Data cleansing and reporting of 1818 files datasetfiles dataset (Con.)(Con.)
Data reporting is for administrative and academic purpose, the report will be posted back to the website monthly
so that every users can retrieve and make use of them
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www.themegallery.com
Data incentive for the data collection Data incentive for the data collection && consolidation of consolidation of 1818 files dataset files datasetData incentive for the data collection Data incentive for the data collection && consolidation of consolidation of 1818 files dataset files dataset
Budget for the data incentive is from NHSO, budget will be paid to PHO following the scores that comply with the data quality
definitions criteria
Anyhow some prepaid payment (50% of the estimated record number sent/year/PHO)
will be paid immediately to every PHO at the beginning of year so that every PHO have
budget in hand to push the work
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www.themegallery.com
Data incentive for the data collection Data incentive for the data collection && consolidation of consolidation of 1818 files dataset files dataset (Con.)(Con.)
Data incentive for the data collection Data incentive for the data collection && consolidation of consolidation of 1818 files dataset files dataset (Con.)(Con.)
Additional payment to PHO (50% remained) will follow when data sent to MOPH and comply with the data quality definitions. Net
payment will follow after the prepayment substration
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www.themegallery.com
Data quality definitions and criteria Data quality definitions and criteria for payment of for payment of 1818 files files
datasetdataset
Data quality definitions and criteria Data quality definitions and criteria for payment of for payment of 1818 files files
datasetdataset
Basic data accuracy incentive (5baht/record)1
There are There are 33 main data quality definitions main data quality definitions criteriacriteria
On top additional incentive for data timeliness (5baht/record), checked for data ontime and data regularity
On top additional incentive for data specialty (5baht/record), checked for some specific diseases and PP services
2
3
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Other data collection and Other data collection and consolidationconsolidationOther data collection and Other data collection and consolidationconsolidation
Besides the 12 & 18 files dataset system, birth & death data is another
data collection and consolidation system that MOPH has been supported by the Ministry of Interrior (MOI) for
more than 10 years
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Other data collection and Other data collection and consolidationconsolidation (Con.)(Con.)
Other data collection and Other data collection and consolidationconsolidation (Con.)(Con.)
Leased line connecting country databases of birth & death citizens
from MOI can be accessed from MOPH for regular data download
Again birth & death data from both systems (PHO&MOI) can be reconciled
and crosschecked with each other for their completeness
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www.themegallery.com
Future of the consolidated both Future of the consolidated both 1212 && 1818 files dataset files dataset
Future of the consolidated both Future of the consolidated both 1212 && 1818 files dataset files dataset
The findings go well with the increasing number of dead mother, that means the individual records received from both 12 files dataset (for hospital use) & MOI can be used for data reconciliation and data
processing. Then Thai maternal death rate must be recalculated and it come out to be
about 40/100,000 live birth.