Disease Management Information System (DMIS)

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Disease Management Information System(DMIS)

• ????????????????????????????
• ????????????????????????????????

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Concept for Disease management

• Disease management
• ???????????????????????? ?????????????????????????
  ??????????????????????? ??????????????????????????
  ??????????????
• ??????????????????????????????????????????????????
  ???????????????????????????????? (evidence-based
  practice guidelines) ?????????????????????????????
  ???????????????
• ????????????????????? ??????, ?????????????? ???
  ??????????? ??????????????????????????????????????
  ???????????

Source Disease Management Assn. of America.
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Concept for Disease management

• ???????????????????????? ?????????????????????
• ???????????????????????????????
• ????????????????????????????? ????????????????
• ????????????????????????????????????????????
• ???????????????????????????????????
  ?????????????????
• ?????????????????????????????????? ????????????
• ?????????????????????????

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??????????????????????????? vs. Disease mgt.
??????????????????????????????????????????????????
????????? ???????????????????? ???????????????????
?????????????????????? ???????????????????????????
??? ???????????????????
Disease Management ???????????????????????????????
?????????????????????????????????????????? ???????
??????????????????????????????????????????????????
????????????????????????????????????????????? (Hol
istic) ???????????????????????????????????????????
? ???????????????????????????????? ?????????? ???
Admission ??????? ???????????????????????????????
?????????????????????????????????????
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Individual records in NHSO
Claim data
disease mgt.
P P
Emergency care

1. Leukemia
2. Lymphoma
3. Hemophilia
4. Open heart surgery
5. Epilepsy
6. Cataract
7. Cleft palate
8. HIV
9. DM HTdyslipidimia
10. TB
11. Stroke

1. Screening for metabolic syndrome (sss, csmbs)
2. Screening for stroke
3. Thalassemia
4. Vaccine
5. Thyroid
6. Screening for CA cervix
7. ????????
8. Sealant
9. ?????????????????

1. Poisoning (?????????)
2. Pre-hospital care (EMS)
3. Trauma
4. Stroke

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Best practice of DMIS

• ???????????????????????????????? ????????????
  ??????????????????????????????????????????
  ??????????????????????????????????????????
• ???????????????????????? ?????????????????????????
  ?? ??? - Collection ?????????/??????
• - Integration ?????????????????????
• - Analysis ????????????
• - Management ?????????
• - Communication ????????????????

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Clinical information system

• National health security office

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Clinical information system

• ??????????????????????????????????????????????????
  ??????????????????????????????????????????????????
  ???????????????????????????????????
• ??????????????????????????????????????????????????
  ????????????????(service agency)??????????????????
  ?????????????? ??? ???????????????????????????????
  ?????????? (standard in design or sophistication)

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Design of NHSO DMIS

• ???????????????????? 2 ???? ??????
• ????????????????????????????? (Hospital
  registration)
• ??????????????????????? ??????????? 2 ???? ???
• ???????????????????????????????? (Registration
  for service) www.nhso.go.th
• ??????????????????????????????????
• ?????????????????????????????????????????????
  ??? CPG ???????????????????
• ???????????????????????
• ?????????
• ??????????????????????????????????????????????????
  ??????????????? (Clinical Information System)

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??????????????????????? DMIS
Hospital Registry
???.????????????????????????????????
Patient registration
????.
??.????????????????????????
minimum data for payment
??.???????????????????????????
??.??????????????????????????????
CIS
??????????????????????????????????????????
Service agency
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???????????????????????????
Online
Offline/ Online
register
1
Service agency
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Download Minimum data set
Summary report
2
Register for service
CIS
Summary report
Detailed design
CIS Clinical information system
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1. ?????????????????????????
???? ?????? 1) ?????????????? 2) ???????? ??????????? 3) ???????? ???????? 3) ???. 4)??.UC
1 ???????????????????? Y Y Y
1 ???????????????? Y
1 ???2 Y
1 ???3 Y
2 ?????????????????? Y
2 ?????????????? Y Y
2 ????????? ???????? Y
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Enrollment for disease management
Excellent center needed
HIV / Aids
Metabolic syndrome
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2
refer
???????
1
???????
???????
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?????????????????????????????????????????????

• ???????????????? (nation099)
• ???????????????????? 13 ????
• ????? UC ???? ?????????--------------------------
  --------------
• HIV ?????????????????????????????????????????.??
  ???????????????????? 1 ??. 48
• TB ???????????????? ???????????????????????????
  ?? ?.1 ?????? 2550

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???????????????????
?????? ????. ??????????????

1. ??????
2. ???????????
3. ????????

???????????????????? ??????????????
?? username / password ???????????????
www.nhso.go.th

• ????????? disease
• Follow up

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????????????????????

• www.nhso.go.th
• ????????????
• ?????? online
• ???????????????? DMIS

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??? 1
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??? 1
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???????????????????????????? DMIS ????????

• Patients register -gt????????????????
• Diagnosis , Treatment , follow up -gt
  ?????????????????? / ????????
• Report -gt ?????????? ? ?????????????

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??? 2
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??????????????????? menu
???? ??? ??. UC ?????????? ?????????? ??????????
???? ??? ??. UC ?????? ??????????? ???????????????
1.?????????????????? / / / / /
2.?????????????? 2.?????????????? 2.?????????????? 2.?????????????? 2.?????????????? 2.??????????????
????????????? / / /
???2 /
???3 /
???4 (???????????) /
???5 (???????????????) /
3.?????????????? / / /
4.?????? 4.?????? 4.?????? 4.?????? 4.?????? 4.??????
???????????? / / / / /
?????? / / / /
????????? /
??????????? / / /
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????????????????????????????????

• ?????? IT Helpdesk
• 028314000 ??? 2500

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