montri wiboonrat, ph.d
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An Empirical Investigation of Transition Management in Public Healthcare to e-Medicare: A Case Study of Thailand . Montri Wiboonrat, Ph.D. Agendas. Introduction to healthcare management Existing healthcare problems Objectives and constraints Transition management Transition model - PowerPoint PPT PresentationTRANSCRIPT
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An Empirical Investigation of Transition Management
in Public Healthcare to e-Medicare: A Case Study of Thailand
Montri Wiboonrat, Ph.D.
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Agendas1. Introduction to healthcare management2. Existing healthcare problems 3. Objectives and constraints4. Transition management5. Transition model6. Transition Impact measurement7. Integration of e-Medicare and HIS8. Discussions9. Conclusions
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Healthcare in PresentDifference of healthcare services between
public and private hospital and lack of standardize of medical processes;Treatment proceduresTreatment qualityPatient’s information recordTraceability SpeedAccuracySecurityAvailabilityReliability
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Existing in Healthcare Problems
Patient’s information is in different platform80% are in paper worksNo standard on healthcare recordNo linkage of patient’s informationWaste time for waiting healthcare treatmentNo standard for patient’s treatment recordAvailability and reliability of patient’s info.No security of patient’s information
Patient’s information lossPatient’s information errorRights of Patient info. access
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Objectives and ConstraintsVision and Policy LevelFeasibility and Decision for Project
Approval (Consultant)Conceptual and Details Design for
Transition Project (Consultant) Implementation or Project
Management (Contractor)Testing, Deploy, and UATOperations Risks: Human, Machine,
Environment Conditions.
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Transition ManagementTransition management can be classified
into the following characteristics:long-term thinking for framing short-term
policy;multi-domain, multi-actor, multi-tier; focusing on learning;aligning system innovation and system
improvement;keeping a large number of options open.
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Transition Management
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Stages and Indicators in Transition Procedure
Indi
cato
r (s)
Time
Time period
Size
Stage [1] [2] [3] [4]
Equilibrium I
Equilibrium II
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Transition Design Process
DevelopGoals
DevelopGoals
DetermineObjectivesDetermineObjectives
DetermineConstraintsDetermineConstraints
Develop Design Space
DevelopTest
ExecuteTest
Select
Solutions
AnalysisKM
Y
Y
Y
Set of Possible
Designs in n-dimensions
Develop ModelDevelop ModelY
N
N
N
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Healthcare Transition Management Model (HTMM)
Change in actor behaviorand existing ecosystem
Change in performance
Change in technologicalcomponents and
procedures
New policies, standards and regulation for design
and implementation
Need for inprovement
System Transition
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Transition ImpactDenotes:• TI: Transition Impact of hospital operations;• R: Resistance of organization [0.1,….1];• C: Capital requires for transition [1,…,∞]• T: Technological maturity and complexity
[0.1,…,1];• S: Standards and regulations that need to
comply [0.1,…,1]• Whereby; 0.1 is minimum and 1 is maximum
value of each actor. TI = R.C.T.S
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Integration of e-Medicare and HIS
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Discussions• Need more time for e-Medicare maturity• Require more expertise on the same person
(IT and healthcare service)• New laws against misuse of healthcare
information• Need “National Information Record
Exchange” organization (middle man)• Healthcare information security need to
fulfill: ISO 27001• Patient’s privatization need to fulfill: ISO
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Conclusions• Standardize for healthcare system• IT as a tool for healthcare system
development and improvement• Transition need cooperation from every
parties that involve in healthcare services
• System integration needs and waits to be happen after policy is settle and clear in direction
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