1

2

18 2555 13.30 - 17.00 . Sapphire 1



New Systems and
Services Management::

4 CUP
2

4 CUP
CUP

(.)
2555

PCU

CUP

2549 - 2553
2,168 / 3,067 /

2553 - 2554

OPD
- /

-
-
- PCU
-
-

+
IT
+
IT

Self / Family / Community / Care

-
-
-
- .

PCU
-

- PCU

-
-
-
- IT

-
- .
-
-
- GATE KEEPER

1
1

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1. 1.

PCU /
/

PCU
/

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PCU 2 3

2

CUP
89

PCU

PCU

CMU

() 11,644
PCU

PCU
PCU

PCU

PCU

PCU

()

PCU

()1,093

CMU

PCU

PCU

PCU

PCU

.
3

2.
Refer
Discharge plan PCU / .
()


1 1 2
2 24

CUP
Online internet 2

3. PCU

PCU

CPG

(Resuscitation )

. PCU

4. /
PCU PCU 1
/ PCU PCU 1

 Messenger
1

1. Key
2. Key
3. Set Sterile
4. . .
5. PCU
6. O2
7. Suction
8.
9.
10. ..

PCU

PCU

o Item PCU 85 Item 117 Item

o Circulate 60

o PCU EKG mobile

EKG electronic



PCU

Empowerment 1
3
8 PCU
14 PCU 3 PCU 3 PCU
2
PCU
PCU
PCU
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12 16

. PCU

PCU

()

.
. 2 3 .

: .
:

10


CUP
CUP

.. 2531
4
100 150

.. 2546
900 1,300 .. 2548
500 600

.. 2549

11

CUP

(Excellent PCU)


/
/ PCU
CUP
()

1 (2550)

2 (2551) 4

3 (2552)

1 2

12

13

6 IT
-
-

2550
2551

2 PCU

5
. 3 ()
3 OPD .

One Stop Service

5
-
-

2552

4 Refer
- Refer
-

1.
2.
3.
4.

5.

1.

2.

3.

4.

4

3

13

5. 6
1
2
3
4
5

6
IT

1.


PCU Manager


/
-




- CUP
-
-
- 5

(The 5 Weekend)

14

- Clinical Skills

(Context based learning)
(KM) Case
conference

2. Refer Center

Refer Center

3.
/

4.
- Internet ADSL 2 GB
- (LIS)
- (Referral System)
- (HN .)
-
5.

(
)
.

15

(Access to care)

10

80

2
1 2 3 54
34.28

1 2
3

/

16

Internet

30 40

1.
-

-
5
(5 weekend), (Context based
learning)
-

2.
-

-
-

17


1.

2. : (Service
Plan)

3.

2

(
) /

HHC

18

1.

2.

4

(.)

5

Formal Informal
Two way


()

6

PCU

/
(
)

19


1







2

Autonomous
Secondary care
Primary Secondary Tertiary

3





4

:
CUP .
:

20

 E-Refer

500
1,440,000
166,000
18






18

21








.



.
30


Admission




100 % Admit.-Refer
2546 .
24

22



24
Admit-Refer

23







2549 .

IT
IT .
Himpro

himpro


.

Himpro

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Username /Password





.

25

2552





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.
Powerpoint Website
Download

26


E-Refer (Elctronic Refer) Eletronic file

24


24
6
E-Refer

refer 13
E-Refer
ER

Refer

AMI SK


ER E-Refer
ER E-Refer
ER
E-Refer

27


ER
LCD Link
ER






E-Refer


(Final Diagnosis)

18

(
)

Himpro

28

 E-Refer



Himpro

. Final Diagnosis Himpro





Himpro


Admission
(Discharge)

Refer out

Admin
1
Server .

3

29



Admin
IT


E-Refer Real
time
5
E-Refer




Server

..

PCU CMU
.

30



.

E-refer
IT

3 (refer in) (refer out)




Final diagnosis

31


E-refer



EMS
13

13
13 .
e-refer -
refer Telemedicine
13 1 IT
IT
..

32

...

33


5 1
1.2 385

1 2544 UC
2.7
. 13 .
5 PCU
3 . 3
3
5 27
. 5
..
10,000
22
UC 2.2 ( 3.8
6 )




/
/

34


. 5

2
1.
2.
3.
4.
5.

.
( )
IP
OP 2554 110 (
500 UC )
Fix cost
- (--)
8,000.- 1.8

35

- PCU 3-4 (
2 ) 9
- ( )

20

.
-
1
3 % OP
1 ( 1 %)


3 (
)


35 %
OP ( 22 %) 25 %
27
3
(
) 3
52

. 100
225

36

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80 36
PP

.

2-3 .
PP Area base
.




. 3
CF Fund .
.







() (
) ()
(
)

37




IT

1
( 2 )
PP
( PP High
risk baby clinic, High risk ANC, etc.)

Mini CUP ..

( .2554)
1
. 1 2555

38

1. .
2.

DRG
OPD Case
35 % OP ( 25 % )
3.

4.
()

1.

2.


3. OP OP
- PCU

.
:

39