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CRVS and universal health coverage (UHC): Thailand case study

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Presentation by Boonchai Kijsanayotin (THIS) at the international conference on innovations in Civil Registration and Vital Statistics (CRVS) systems - Ottawa on 27-28 February 2018. See more at http://crvsinnovations.net

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CRVS and universal health coverage (UHC): Thailand case study

  1. 1. Panel 7: CRVS and Health in the context of inclusive development 27 Feb 2018 Boonchai Kijsanayotin MD., PhD.a,b aThai Health Information Standards Development Center (THIS) Ministry of Public Health Thailand bAsia eHealth Information Network (AeHIN) Chair Ottawa 2018 CRVS and Universal Health Coverage (UHC) :Thailand Case Study
  2. 2. Thailand CRVS & National ID systems Thailand (MOI) implemented central computerized population database and National ID systems in 1982 CR system (MOI) provides online birth/death registry data to VS (MOPH) in 1996 Improve Vital Statistics (VS) significantly
  3. 3. CR & National ID Facilitate UHC implementation • Thailand achieved UHC in 2002 , one year after enactment of National Health Security Act in 2001 • CR and NID systems enabled and facilitated rapid enrollment of Universal Coverage Scheme (UCS) beneficiaries and improved the two extant health insurance beneficiary registries.
  4. 4. CR & National ID support Healthcare services • Enable online patient insurance benefit checking • Enable Case-Based (DRG) insurance payment system • Healthcare providers and insurers use NIDs to link patient records and their beneficiaries from different providers and insurers to support continuity of care and claims reimbursement.
  5. 5. Notes: AIDS = acquired immunodeficiency syndrome, MOI = Ministry of Interior, NHSO = National Health Security Office, IP = inpatient, VL center = Viral Load center CR & National ID support Healthcare services
  6. 6. Implementing UHC Improve CR System •Having a NID is essential to obtain free healthcare and government childbirth support. •Thai citizen NID is issued when parents register their child. •Strong motivation for parents to register their children, especially when the child is born in the hospital
  7. 7. Asia eHealth Information Network http://aehin.org/ When we help friends. Friends will help us.
  8. 8. From 1st AeHIN GM 2012 Bangkok To 5th AeHIN GM 2017, Nay Pyi Taw AeHIN is created by WHO : We are a pool of health and health IT professionals from South and Southeast Asia committed to promote better use of ICTs to achieve better health.
  9. 9. 21+DEVELOPMENT AND IMPLEMENTING PARTNERS PARTNERS over 1000+ professionals in eHealth, HIS, and CRVS MEMBERS in 25 countries
  10. 10. AeHIN 4 Strategic Areas  Build capacity for eHealth, Health Information Systems, and Civil Registration and Vital Statistics (CRVS)  Increase peer assistance and knowledge exchange and sharing through effective networking  Promote standards and interoperability within and across countries  Enhance leadership and sustainable governance, and monitoring and evaluation
  11. 11. Key messages that emerged during AeHIN organized meetings & conferences To develop national healthcare IT systems, countries need to work on 4 important fundamental topics. The GAPS framework
  12. 12. OpenHIE Architecture Indicators Interoperability Layer Provider Registry Facility Registry Client Registry Shared Health Record EMRs Hospital Systems mHealth Applications Inventory Supply Chain Applications HMISs CRVS

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