inside page i-vi.ai
TRANSCRIPT
i
ii
( .)
. . 2552
iii
CD
2555
iv
1 8
37 43
47 53 63
(Communication Skills) 71 74
81 83
84 85
v
1
4
2 . . 2547
16
3 ICD9 .
17
4 27 5
42
6 48 7 (Risk analysis matrix) 65
vi
1 7 2
23
3 24 4
. 32
5 33 6 35 7
36
1
.
(Community physical therapy)
1.
2.
2
3. .
1. Early Detection
2. Health Promotion and Prevention
3. Family/community Consultation
-
3
4. Encourage Community Involvement
(Self-care)
(Community Based Rehabilitation; CBR)
2 -3
(Multi-purpose)
1
3,000 – 5,000 3,000 5,000
( 1)
4
1
Ward
1.
2.
3.
5
4.
1.
(biomedical approach) (ill-health) (disease) (bio-
psycho-social approach) (well-being)
2.
(good health)
3. (hospital-based)
/ (family/community-based)
6
(self-care)
(referral system) (integrate)
(holistic) (continuity)
4.
5. (provider)
(supporter) (acilitator)
7
1
- - 7 -
-
-
./PCU/
- - / /
/
/ - 2-4 - 3
-
//
- /
/
-
- /
-
/
-
1
/ / -
- - 2
-
- /
-
8
.
9
- /
-
- OPD, IPD
-
- /
10
-
11
4
1
12
1
- (Subjective examination)
13
- - (Objective examination) - - - - - -
ICD-9CM = International Classification of Disease, 9th Revision, Clinical Modification
9 Volume 3
2547
( 2) 2549 - 2547
14
- 2549
2547 ICD9
2547 . ( 3)
/ /
15
( )
( CD)
( .6)
.
16
2 . . 2547
( )
56001 Hot pack/Cold pack 60 56002 ES (IF, ES, TENS, Diadynamic stimulation) 100 56003 Ultrasound 110 56004 SWD 120 56005 Laser therapy 100 56007 Acupressure and Massage 80 56008 Tapping 100 56009 Exercise 100 56010 Whirl pool 100 56011 Bicycle and Treadmill exercise 100 56020 Home/ ward program 100 56101 CP training 100 56110 Tilt table 100 56111 Ambulation training 100 56120 Cervical traction 130 56121 Pelvic traction 120 56301 Chest physical therapy 150 56701 Passive movement 80 56702 Manipulation and Mobilization 80 57999 Other 100
17
3 ICD9 .
ICD-9
( )
897 PT assessment
0
56002 3720 Electrical stimulation
60
56002 3720 Interferential current
60
56002 3720 TENs
60
931 Physical therapy exercise
56009 9311 Assisting exercise
80
56009 9312 Endurance exercise
80
56009 9312 Strengthening exercise
80
56009 9313 Resistive exercise
80
18
ICD-9
( )
56009 9314 ROM exercise
80
56702 9315 Vertebral mobilization
80
56702 9316 Peripheral mobilization
80
56701 9317 Passive movement
80
56301 9318 Breathing exercise
100
56301 9319 Pleurisy exercise
100
56301 9319 Pulmonary exercise
100
56009 9319 Coordination exercise
80
932 Musculoskeletal manipulations
56120 9321 Cervical traction 70 56121 9321 Pelvic traction 70
19
ICD-9
( )
56111 9322 Ambulation training
80
57999 9322 Gait training 80 57999 9325 Upper limb
training 80
57999 9325 Lower limb training
80
56701 9327 Passive stretching
80
57999 9328 Stretching of fascia
80
57999 9329 Forcible correction of deformity
80
933 Therapeutic procedures
56003 9334 Ultrasound diathermy
60
56004 9334 Short wave diathermy
70
20
ICD-9
( )
56001 9335 Hot pack
60
56006 9335 Paraffin bath 80 57999 9336 Cardiac retraining
80
57999 9337 Prenatal training 80 935 Appliance 57999 9356 Bandage 100 56008 9359 Tapping 100 938 Rehabilitation
therapy
56101 9381 Cerebral palsy training
100
56020 9382 Home/Ward program /
100
57999 9383 ADL training 80 57999 9389 Balance training 80 56009 9389 Amputation
training 80
57999 9389 Positioning 80 56110 9389 Tilt table 80
21
ICD-9
( )
939 Respiratory therapy
56301 9399 Postural drainage 100 56301 9399 Percussion 100 56301 9399 Vibration 100 56301 9399 Shaking 100 56301 9399 Suction bagging 100 56301 9399 Chest
mobilization 100
56301 9399 Cough training 80 56301 9399 Huffing training 80 943 Individual
psychotherapy
57999 9433 Relaxation training
80
56007 9995 Massage 80 :
2547
( 2)
22
. . .2547 “
”
3
23
2
24
3
PT
PT
/
25
UC
. . (15,000 )
E-claim
3
( .74)
. E-claim
sub-set UC . Excel
( .) JSCIS,
26
Hos. XP, HI
4
/
Manual
27
4
1. 1. - - - - - - 2. - -
3. - - - re-admit 4. 5. Home program
2. 3. 4. 5. 6.
7. 8. 9. 10. 11.
28
(Primary data)
(Secondary data) . . .
. . . .
.
29
4 .
. (6 )
( .74)
30
.
1. - //
2. /
3. - 4.
//
2
. (www.nhso.go.th)
5
31
.
e-mail .
.
32
4 .
. 1
.
.
/
/
.
.
90 1-2
.
33
5
www.nhso.go.th
:
:
+
34
-
OPD
6, 7
35
6
36
7
. 6
Pre-Post
37
.
1.
(Convention on the Rights of Persons with Disabilities)
29 . . 2552
6
38
1. 2. 3. 4. 5. 6.
. . 2552
. . 2552
1.
2. 26
(sub-acute) , ,
/ , , , , , Early Intervention, Phenol block
39
/ .74 (
)
60
(sub-acute) Stoke, Head injury, Fracture , Spine injury
Deformity
(sub-acute) 1 1
( ) 1
2
40
- -
( , )
/ .
. 1.
2.
41
3.
4. Early intervention , , ,
5. Phenol block Phenol
6. 3
6.1
( 5)
6.2
42
6.3
5
1 1
6-8 1-2
/
1
43
.
“ ”
“ ”
44
( . .)
45
( .)
46
47
.
5
48
6 6
1.
2.
1. 80
2. / / 1.
2.
7 ..... .
( ) .
49
.
. .
/ ./
/
50
.
CD ( .)
.
2554 “
”
. 54
51
3 1.
( .74) 2. 3.
. . www.nhso.go.th .
13 ( CD)
( .)
. . 2544
. .
-
52
-
-
. - - - -
- - -
-
- - -
.
www.thaihealth.or.th
53
.
HA, HNQA, TQA, HPH
( )
HA (Hospital Accreditation)
()
54
HNQA (Hospital Network Quality Audit)
( )
TQA (Thailand Quality Award) ( )
(
. ) HPH (Health Promotion Hospital)
website
55
1
web site
. ( ) .
13 .
. .
. (
)
56
. .
/
GOV . / . HRD RM IC ENV MRS / IM PCT
(Vision)
(Mission)
/
57
(Key performance indicator: KPI)
CQI (Continuous Quality Improvement) CQI
( process improvement performance improvement) CQI PDSA (Plan- Do- Study-Act)
Plan
1. :
2. :
3. :
4. :
58
Do Study
Act
CQI
R2R R2R “Routine to Research” “
” R2R R2R
1. 2. R2R
(Learning Organization)
SPA (Standard Practice Assessment) HA
59
4 website ( www.ha.or.th ) .
SA ( Self Assessment ) ( )
(Thailand Quality Award) (Strength) (Opportunity for
Improvement: OFI)
SPA, SA, TQA, HNQA
HA
Service profile ( CD)
Service profile
Service profile
60
( )
Service Profile service profile 1.
2.
3. 12
12
1) / 2) / / 3) 4) 5) 6) 7) 8)
61
9) 10) 11)
11
(Facilitator)
62
1. Service profile ( CD) 2. (
CD) 3. 12
( CD) 4. / CQI / R2R
5
CD
63
.
1. (Competency) 2.
(Acceptability) 3.
(Appropriateness) 4.
(Effectiveness) 5. (Efficiency) 6. (Safety)
64
7. (Accessibility)
8. (Equity) 9.
(Continuity)
1. / 2. 3. 4. 5.
6. 7.
1.
2. 2 7
65
3.
7 (Risk analysis matrix)
/
/ /
Minor
Moderate
Major
Catastrophic
1 2 3 4
Likely 4 Low (4) Moderate (8) High (12) High (16) Moderate 3 Low (3) Low (6) Moderate (9) High (12) Unlikely 2 Low (2) Low (4) Moderate (6) High (8) Rare 1 Low (1) Low (2) Moderate (3) High (4)
66
Likely 1 /
10 1 Moderate 1 3 2-
10 1–2 Unlikely 1 2–5 Rare 1 5–30
/
(Minor) /
1 / 1-7 10,000 /
.
(Moderate) /
1 / . 8 – 15 10,000 – 49,999 / -
.
(Major) /
. 15 /
50,000 - 99,999
(Catastrophic)
/
(major hemolytic transfusion reaction) /
/ 100,000
67
(Low risk) L
(Moderate risk) M (High risk ) H
Risk analysis matrix 1.
2. Failure Mode and Effect Analysis ( FMEA )
Risk matrix analysis 8
1. / ( ) 2. (Incident Report) 3. 4. , 5. 6. 7. 8. 9. 10. 11.
68
12. /
2
1. 2.
1. 9 A – I
1.1 A B / C /
/ D /
/
69
1.2 E /
F /
1.3
G / /
H / ( Tube clear airway)
I /
2.
3 2.1
- ,
- 1
70
2.2 - 1 - 1 49,999
2.3 - /
5
71
(Communication skills)
.
( )
72
(Information)
(Response) (Verbal) (Verbal)
(Non verbal)
(Non verbal)
73
(Active listening)
fact & feeling
BATHE TECHNIQUE
B ackground / A ffect T rouble H andling / E mpathy
74
. Q A:
Q: A:
/ . .
( )
75
A 16
group exercises
.
Q:
A:
concept .
consult
?
75
A 16
group exercises
.
Q:
A:
concept .
consult
?
77
1. 74 2. 3.
150 case/visit
setting caregiver
1 30 case
1 4
stroke 100 % top up
Q: key 200,000 A: .
78
1,000 case 150,000 200,000 1,400 case
case
high cost cover make 200,000
Q: A:
( 2553)
,
( 3 )
.
79
. .
2,000,000
role model
.
CBR
4
80
stroke
. .
4 4
81
.
. . .
1. .
2.
3. .
4. family folder
5.
6. Good/Role model
82
7. / / CUP
8.
9.
10. /
CUP / / .
83
2
( )
1669 1600
1165 ( .) 1166
( .) 1556 1667
14133 Health line 0-2714-333
0-2319-5017 0-2306-8951
0-2513-1001 0-2954-2346-7
0-2278-1828-9 0-2948-3300
( .) 0-2298-0500
84
OPD IPD
. . . .
. . . .
. .
. .
. .
. HA Hospital accreditation HNQA Hospital Network Quality Audit TQA Thailand Quality Award HPH Health Promotion Hospital
.
85
.
. .
. . .
. .
. . . . .
. . .
. .
. .
.
