Reallife challenges to develop data elements and structures

1
Real-life challenges to develop data elements
and structures
PSyRIC

• Puree Anantachoti, Ph.D.
• Inthira Kanchanaphiboon,
• Sanita Hiranrasamee

2
Payers
Law Regulation
Beneficiaries
Providers
Rational decision making comes from adequate and
accurate information.
3
Needs
Utilization
Rational
Coverage
Expenditure
Cost
Quality
Efficiency
Access
Clinical tools
4
Major health schemes
CSMBS
UC
SSS
Private
5
Incomplete eligibility data
CSMBS
UC
SSS
Private
6
CSMBS Health care expenditure
25,000
25
,
000
20,000
20
,
000
OPD
15,000
15
,
000
IPD
Total
10,000
10
,
000
5,000
5
,
000
-
Year
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
Ref Department of Comptroller, Ministry of
Finance, 2546
7
Eligibility category Dependent of civil servant
Medicine in essential drug list Doctor
fee Medicine not in essential drug list
912.00 120.00 6,015.00
8
Whether data is available??
Yes
No
9
But

• Fragmented data/information
• Non-standardized format
• Lack of IT knowledge
• Resource (person, hard software, money)
• Time
• Data handling skill
• Access to data and ownership
• Communication between stakeholders

10
Use of computer in OP drug dept, 2001 hospital
survey
Hospital with no computer 21
Computerized Without LAN 13
Computerized with LAN 64
40 of hospital use 4 major programs
11
Use of computer in inventory, 2001 hospital
survey
Hospital with no computer 25
Computerized with LAN 19
Computerized without LAN 56
60 of hospital use 4 major programs
12
What next?

• Objective
• Co-operation
• Resource
• Design data element structure
• Established standard codes
• Planning for data transfer
• Update mechanism