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Transition Management in Public Healthcare: An Empirical Study of e-Medicare Implementation in Thailand

This case study explores the transition management strategies employed in Thailand's public healthcare system with a focus on e-Medicare implementation. It identifies existing healthcare challenges such as the lack of standardization in medical processes, ineffective patient information management, and inefficiencies in treatment delivery. The study aims to provide insights on the transition process, objectives, constraints, and the integration of e-Medicare with Hospital Information Systems (HIS). It emphasizes the need for cooperation among stakeholders to achieve a standardized and secure healthcare system.

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Transition Management in Public Healthcare: An Empirical Study of e-Medicare Implementation in Thailand

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Presentation Transcript

  1. An Empirical Investigation of Transition Management in Public Healthcare to e-Medicare: A Case Study of Thailand Montri Wiboonrat, Ph.D.

  2. Agendas • Introduction to healthcare management • Existing healthcare problems • Objectives and constraints • Transition management • Transition model • Transition Impact measurement • Integration of e-Medicare and HIS • Discussions • Conclusions

  3. Healthcare in Present Difference of healthcare services between public and private hospital and lack of standardize of medical processes; • Treatment procedures • Treatment quality • Patient’s information record • Traceability • Speed • Accuracy • Security • Availability • Reliability

  4. Existing in Healthcare Problems • Patient’s information is in different platform • 80% are in paper works • No standard on healthcare record • No linkage of patient’s information • Waste time for waiting healthcare treatment • No standard for patient’s treatment record • Availability and reliability of patient’s info. • No security of patient’s information • Patient’s information loss • Patient’s information error • Rights of Patient info. access

  5. Objectives and Constraints • Vision and Policy Level • Feasibility and Decision for Project Approval (Consultant) • Conceptual and Details Design for Transition Project (Consultant) • Implementation or Project Management (Contractor) • Testing, Deploy, and UAT • Operations Risks: Human, Machine, Environment Conditions.

  6. Transition Management Transition 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.

  7. Transition Management

  8. Stages and Indicators in Transition Procedure

  9. Transition Design Process

  10. Healthcare Transition Management Model (HTMM)

  11. Transition Impact Denotes: • 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

  12. Integration of e-Medicare and HIS

  13. 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 27799

  14. 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

  15. THANK YOUQ&A montwi@kku.ac.th mwiboonrat@gmail.com

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