1. for data collection and consolidationเ
Effective strategy
for data collection and consolidation
Dr. Porntep Siriwanarangsun
Inspector General & Chief Information Officer
Ministry of Public Health, Thailand.

2. The Required Information at Each Level of MOPH Agency
Central Administration
Department/Division
Determine Targets and
Main Strategies
Policy
Level
Planning, Controling,
Monitoring and Resource
Allocating
Provincial Health
Office
Decision - Making
Level Introduces
Policy Implementation
District Health
Office
Planning, and
Performance
Controling
Planning and Performance
Controling Level
Health
Centre
Performance
Activities
Day to Day Operating Level

3. Sustainable e-Government Project for Health Information and Communication Technology Development
Health Administration
Department Office
Executive Support System
71 Regional Technical Center
75 Provincial Health Offices
Management Information System
Decision Support System
94 Regional/General Hospitals
Knowledge Work System
and
Office Automation System
726 Community Hospitals
876 Community Health Centers
Transaction
Processing
9791 Health Centers
Total
Front Office
Back Office
LAN Line
Satellite System
MIS & Data Warehouse
e- services on Department Activities
: Logistic : Health Business : Consultation : Epidemiology

4. Conceptual Framework for health information
Database
System
12 Files &
18 Files
Survey
data
Health
Data
Bank
Auditing
&
cleansing
Medical
record
exchange
Health Information
Healthcare Center/
Primary Care Unit
Health service
Provider
(Hospitals)
Ministry’s
departments
Data warehouse/Web GIS / Remote custom / High speed server&
communication / HL7&CDA/ Web service / Satellite TV
Hardware/Software / People ware/ KM
Standard + Data Confidentiality + e Health
Strategy / Vision / Budget / e Government
Company Logo

5. E Health Physical Basic structure
- Network PC sets in all level health units
- High speed Network
2. Data recording System
3. Data Services System systems
4. Report System - Front& Back Office
5. HRD & Technology Transfer
Outsourcing for services and maintenance

6. Strategy for data collection & consolidation
Strategy 1
Develop the supporting mechanism for Health Information System
Strategy 2
Develop the standardization for data structure & coding
Strategy 3
Develop and integrate the appropriate Health Information System
Strategy 4
Develop the appropriate and adequate data communication and consolidation
Company Logo

7. Background of the reporting system
Aggregated activity reports were prepared and sent monthly from each health service units (eg, Provincial hospitals, District hospitals, Primary Care Units) to each Provincial Health Offices (PHO), then to Health Information Unit in the Ministry of Public Health (MOPH)
Company Logo

8. Background of the reporting system (Con.)
Aggregated data were gathered and processed into country report by electronic means
Activities cover birth/death, epidemiological, curative, preventive and promotive data
Company Logo

9. Changes of reporting system
In 1995 domestic data structure & coding standardization are developed to support the individual record data system eg, 12 files dataset (for hospital use), 18 files dataset (for PCU use), and miscellaneous code
Company Logo

10. Changes of reporting system (Con.)
In 2003 international data structure & coding standardization are much improved and developed reporting system for insurance scheme.
Company Logo

11. Impact of Health Insurance to reporting system (12 files dataset)
Only Inpatient UC (Universal Coverage) records are sent and processed for reimbursement, about 5 million individual records are received annually at MOPH
Report were then generated from every individual patient records, most of them were inpatient group
Company Logo

12. Data collection & data consolidation of 18 files dataset
In 2007 MOPH and NHSO started the new project expanding the data processing to cover more service data from nearly 10,000 PCUs.
18 files dataset is used for monitoring the PCUs activities and possibility for future enhancement of OPD DRG convention
Company Logo

13. Data flow and their interconnection workflow of 18 files dataset
About 200 million individual records are received annually from nearly 10,000 PCUs via PHO
Raw data are sent weekly from each PCU to PHO via Internet or portable media, then data are imported and verified into standard provincial buffer data file
Company Logo

14. Data cleansing and reporting of 18 files dataset
The first round data inspection is screened to check for coverage, timeliness and completeness
Then the second round data inspection is screened to checked for data accuracy, the important check points of data accuracy are ICD10, date of services, weight/height of kids, service codes, etc.
Company Logo

15. Data cleansing and reporting of 18 files dataset (Con.)
Data reporting is for administrative and academic purpose, the report will be posted back to the website monthly so that every users can retrieve and make use of them
Company Logo

16. Data incentive for the data collection & consolidation of 18 files dataset
Budget for the data incentive is from NHSO, budget will be paid to PHO following the scores that comply with the data quality definitions criteria
Anyhow some prepaid payment (50% of the estimated record number sent/year/PHO) will be paid immediately to every PHO at the beginning of year so that every PHO have budget in hand to push the work
Company Logo

17. Data incentive for the data collection & consolidation of 18 files dataset (Con.)
Additional payment to PHO (50% remained) will follow when data sent to MOPH and comply with the data quality definitions. Net payment will follow after the prepayment substration
Company Logo

18. Data quality definitions and criteria for payment of 18 files dataset
There are 3 main data quality definitions criteria
Basic data accuracy incentive (5baht/record) 1
On top additional incentive for data timeliness (5baht/record), checked for data ontime and data regularity
On top additional incentive for data specialty (5baht/record), checked for some specific diseases and PP services 2 3
Company Logo

19. Other data collection and consolidation
Besides the 12 & 18 files dataset system, birth & death data is another data collection and consolidation system that MOPH has been supported by the Ministry of Interrior (MOI) for more than 10 years
Company Logo

20. Other data collection and consolidation (Con.)
Leased line connecting country databases of birth & death citizens from MOI can be accessed from MOPH for regular data download
Again birth & death data from both systems (PHO&MOI) can be reconciled and crosschecked with each other for their completeness
Company Logo

21. Future of the consolidated both 12 & 18 files dataset
The findings go well with the increasing number of dead mother, that means the individual records received from both 12 files dataset (for hospital use) & MOI can be used for data reconciliation and data processing. Then Thai maternal death rate must be recalculated and it come out to be about 40/100,000 live birth.
Company Logo