ANIS2013_Social Innovation Led by Technology_Kongkiat Kespechara
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ANIS2013_Social Innovation Led by Technology_Kongkiat Kespechara Presentation Transcript

  • 1. Social Innovations Asia NGO Innovation Summit 2013 นพ. ก้องเกียรติ เกษเพ็ชร์ Kongkiat Kespechara, M.D. Sooksatharana Co,ltd. kongkiat@ipensook.com
  • 2. 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.
  • 3. 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.
  • 4. How can the small rural hospitals survive?
  • 5. Hospital OS project started 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)
  • 6. 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)
  • 7. KPI Dash Board for Hospital Management
  • 8. Out come: • 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.
  • 9. Market share: Top rank among open source software in Thailand 5th rank among all hospital informatics products 95 Hospitals 200 Primary Care Units 150 Clinics 68 Health Centers
  • 10. International Potential • 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. 1 8
  • 11. 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
  • 12. Ashoka fellow 2009
  • 13. 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.
  • 14. Our Health Care system in the Future ! 2 times !!!!!
  • 15. Our Health Care system in the Future !
  • 16. BMI data from BKK population Year 2011 Year 2012
  • 17. Statistic for Blood Cholesterol for BKK Population 2011 N Mean 2012 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
  • 18. Statistic for Blood Screening Chronic disease 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
  • 19. Health for All !!!
  • 20. Health for All !!! www.thelancet.com Vol 377 February 19, 2011
  • 21. บริษัท สุขสาธารณะ จากัด
  • 22. High efficiency Health Care services PenSook Personali ze Organic /Health Food Be Healthy, Be Happy consumptio n By Innovation Technology & Health Manager
  • 23. http://www.dietandfitnesstoday.com/glycemicIndexList.php?section=Rice
  • 24. ข้าวหอมนิล ข้าวสินเหล็ก Health benefit rice High water soluble fiber rice Low glycemic index rice Slow Glycemic Response Pensook ข ข้าวเป็นสุ rice page 1
  • 25. Low GI Rice in research lab
  • 26. Using technology and organic way plus Fair Trade 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 Social Enterprise – Lumplaimaspattana school in Burirum Pensook Rice
  • 27. 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 • • • • • Proximate analysis: Moisture content, Protein, Fat, Ash, Carbohydrate Amylose content Total starch (TS), non-resistant starch (NRS), resistant starch (RS) Cooked grains • • Uncooked 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
  • 28. ช่องทางจัดจาหน่าย Pensook [Retail] Experience Shop
  • 29. K-A-P Knowledge Attitude Practice Behavior Change
  • 30. Products High PenSook efficiency Health Care services Innovation Technology Clinic Information System Empowerment Personal Health Record
  • 31. What we do HEALTH DATA Exchange
  • 32. iPensook total care system: - Personal health management: PHR - Clinical Information System: CIS - Telecare: community and home monitoring
  • 33. Integrated Healthcare Service
  • 34. 65
  • 35. 66
  • 36. 67
  • 37. COLLABORATIVE Integrated Healthcare Service Are you at Risk? Take the test to find out the patient’s risk of developing diabetes and Coronary Heart Disease Risk Assessment.
  • 38. หน้ารวม - แสดงประวัติทั้งหมด - กรองดูเฉพาะความเสี่ยงที่ ต้องการได้ - หากในปีใด มีการ เปลี่ยนแปลงความเสี่ยง มากกว่า 1 ครั้ง จะแสดง เฉพาะครั้งหลังสุด (หมายเหตุ ข้อมูลความเสี่ยง จะเกิดขึ้นเมื่อมีการ เปลี่ยนแปลงข้อมูลผู้ป่วย และส่งผลให้เกิดการ เปลี่ยนแปลงความเสี่ยง)
  • 39. Health Promotion
  • 40. "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.
  • 41. นพ. ก้องเกียรติ เกษเพ็ชร์ Founder: Sooksatharana Co.,ltd. Ashoka Fellow 2009 kongkiat@ipensook.com