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1st BDMS-OHSU ACS SYMPOSIUM. Feb 7, 2019

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Presentation on theme: "1st BDMS-OHSU ACS SYMPOSIUM. Feb 7, 2019"— Presentation transcript:

1 1st BDMS-OHSU ACS SYMPOSIUM. Feb 7, 2019
BDMS CoE Heart Pradub Sukhum MD, FACC

2 Presentation outline Thailand healthcare system Thailand healthcare coverage BDMS history of expansion BDMS hub and spoke model – network Birth of BDMS CoE, BDMS Heart CoE Affiliation program, Domestic and International

3 THAILAND HEALTHCARE

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5 Thailand Healthcare Coverage
Healthcare Segments in Thailand Total Expenditure for 2014: THB 360 bn THB 41 bn THB 114 bn THB 60 bn THB 145 bn Source: SSO, NHSO, WHO, BOT, Phatra Securities estimates Universal Healthcare Coverage (UHC) A welfare program for Thai people to receive medical coverage for IPD and OPD care at registered facilities for payment of Baht 30 (US$ 1.00) per visit Civil Servant (CS) A welfare program provided to employees of governments and state-owned enterprises Social Security Scheme (SS) Minimum requirement of healthcare provided to employees of private companies Private Healthcare (Cash) Proportion of Thai population not covered or choose not to use public healthcare schemes (UHC, CS and SS), though may have private insurance coverage

6 BDMS MEDICAL HUB ROAD MAP

7 BDMS Market Share in Thailand
6 1 2 3 4 7 8 5 12 9 10 11 PNwm PChok PMed PYT2 PYT1 PYT3 BNH SVH SNH BHQ BPD 5 km Region Total Private Hospital Beds BDMS Registered Beds Market Share Bangkok 14,339 2,571 18% Central 10,654 1,890 17% South 2,467 601 24% Northeast 2,904 337 12% North 4,128 194 5% Total 34,492 5,593 16% BCT STH 5 km PSamut Source: Department of Health Service Support as of Sep 2014

8 BDMS Networking Development
1972 – 2004 – 2011 – 2016 – 2018 ………….. 1. Complete Quantitative Networking 2015 Muang Petch Sri-Rayong Dibuk Samitivej Chonburi Muangraj 18 2013 Samitivej Thonburi Bangkok Phitsanulok 31 29 2011 Bangkok Hua Hin Bangkok Pakchong Health Network (8 Phyathai & Paolo hospitals) 2012 Bangkok Udon 28 2007 Royal Angkor International (Cambodia) Royal Rattanak (Cambodia) * 16 2006 Increase in stake of Bangkok Pattaya, Bangkok Chanthaburi and Samitivej Sriracha (became subsidiaries) Bangkok Ratchasima 2005 BNH Wattanosoth 10 2004 Bangkok Heart Bangkok Samui Bangkok Phuket Samitivej Sukhumvit and Samitivej Srinakarin 12 37 2014 Bangkok Chiangmai Royal Phnom Penh (Cambodia) Bangkok Chinatown Bangkok Khon Kaen Sanamchan and Thepakorn Phuket International 42 Share Price (THB) 2016 Paolo Rangsit 43 # Number of hospitals in the network post-acquisition Green font indicates Greenfield projects Brown font indicates acquisitions 2. Initiating Qualitative Networking

9 BDMS Hub-and-Spoke Groups BDMS Hup and Spokes Groups
1. Bangkok Hospital % 343 2. Bangkok Heart Hospital (BHQ) % Wattanosoth Hospital % Bangkok Huahin (BHN) % Bangkok Chinatown (BCT) % Sanamchan (BSN) % 200 Thepakorn (TPK) % 100 Muang Petch (MPH) % Muangraj 100% 125 Ownership No. of Beds (1) Group 4 Bangkok Khon Kaen (BKN) % Bangkok Phrapradaeng (BPD) % 60 Royal Phnom Penh (RPH) % Royal Angkor International (RAH) % 30 Ownership No. of Beds (1) Group 5 Phyathai 1 (PYT1) 100% 350 Phyathai 2 (PYT2) 99.2% 260 Phyathai 3 (PYT3) % 240 Phyathai Sriracha (PYTS) 74.4% 350 Phyathai Nawamin (Pnwm) 99.8% 140 Paolo Paholyothin (Pmed) 100% 300 Paolo Samutprakarn(Psamut) % 200 Paolo Chokchai 4 (Pchok) 85.7% 148 Paolo Rangsit 100% 150 Group 2 Samitivej Sukhumvit (SVH) % 275 Samitivej Srinakarin (SNH) % 400 Samitivej Sriracha (SSH) % 150 Samitivej Thonburi (STH) % Samitivej Chonburi (SCH) % 220 BNH Hospital (BNH) % 144 Group 6 Bangkok Phuket (BPK) % 266 Phuket International (PIH) % (2) Dibuk (DBK) % 100 Bangkok Hat Yai (BHH) % 200 Bangkok Samui (BSH) % Group 3 Bangkok Pattaya (BPH) % 400 Bangkok Rayong (BRH) % 220 Bangkok Chanthaburi (BCH) % 170 Bangkok Trat (BTH) % 114 Sri Rayong (SRH) % Check Group 7: Non-Hospital National Healthcare System % Bio Molecular Laboratories % The Medicpharma % A.N.B Laboratories % Save Drug Center % General Hospital Products % Group 4 Bangkok Chiangmai (BCM) % Bangkok Ratchasima (BKH) % 180 Bangkok Pakchong % 31 Bangkok Udon (BUD) % 120 Bangkok Phitsanulok (BPL) % 195 Structured beds Having the capability to accommodate an expansion to become 281 beds Remarks 10

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11 ‘Hub-and-Spoke‘ Model
Effective hub and spoke model within each hospital group or region 1 Strong patient referral system within and across each hub and spoke Clinics / Medical Diagnostics Spoke Referral patients Doctors 2 Enhances synergies and benefits of scale among hospitals within the group Hub (Super Tertiary / Tertiary) Referral patients Patients 3 Shared supporting services among multiple hubs which enhance efficiency and competitiveness of BDMS Nurses Referral patients Spoke Medical equipment Spoke Referral patients 4 Established system provides a platform for future expansion

12 ‘Hub-and-Spoke‘ Model
BDMS Centers of Excellence Network Bangkok Hospital Chiangmai Bangkok Hospital Udon Bangkok Hospital Ratchasima BMCE-Phoenix Hospital Bangkok Hospital Pattaya Royal Phnom Penh Hospital Bangkok Hospital Headquarters Samitivej Sukhumvit Hospital Samitivej Srinakarin Hospital Bangkok Hospital Phuket Phyathai 2 Hospital

13 BDMS ASSIGNED CoE NETWORK HOSPITALS
BDMS Centers of Excellence Network BHQ SVH SNH PYT2 BCM BUD RPH BPH BPK ASSIGNED CoE

14 BDMS ASSIGNED CoE NETWORK
BDMS Centers of Excellence Network ASSIGNED SPECIALTY BRAIN HEART CANCER TRAUMA BONES

15 BDMS ASSIGNED CoE NETWORK HOSPITALS
BDMS Centers of Excellence Network Heart CoE BHQ SVH PYT2 BCM BPH BPK

16 BDMS Heart CoE BHQ - Bangkok Hospital Headquarter BPH - Bangkok Pattaya Hospital BPK Bangkok Hospital Phuket PT Phyathai 2 Hospital BCM - Bangkok Chiang Mai Hospital SVH Samitivej Hospital BKH Bangkok Ratchasima Hospital

17 International Affiliation
Oregon Health and Science University (OHSU) MD Anderson Cancer Center (MDACC) Cedar Sinai Neuroscience Center Stanford Orthopedics University of Missouri Hannover University, Germany

18 Presentation outline Thailand healthcare system Thailand healthcare coverage BDMS history of expansion BDMS hub and spoke model – network Birth of BDMS CoE, BDMS Heart CoE Affiliation program, Domestic and International

19 Thank You CoE Heart Institute


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