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Did you know what you want
     when doctoring ?
Background of the hospital
• Existence in 1897                                    .5               FกF                         F ก        F

•          1902 F                                  F                              F

•          1994-1996           F          ก            ก            F ก                                                ก
              F            F                   F            F                 ก                 ก   F                      ก

•          1997                                                     ก      กก
                       F           ก          F ก               F         ก กก              F              F       F


    1897                           1902                                               1994-1996           1997 -Present
Vision & Mission
• Vision

   – Be the most respected international hospital
   – Have official national and international hospital accreditation.
   – Have close affiliation with university hospitals in the area.
   – Be one of the leading hospitals in Asia Pacific region.


• Mission
     To provide all patients with a comprehensive, professional and
  high quality medical service in a warm, friendly and safe
  environment
Current situation
•   Total staffs=600 people
     – 70% Medical staffs
     – 30% Others

•   Revenue growth in 2005 at 30% avg. 20-30% per year, income 1,000 million baht
•   New medical services e.g. Uninary Care and Spin care
•   New equipment e.g. Ultrasound , EKG telemetry , PET Scan
•   Patient statistic
     –   OPD/ day 721 persons, 14.03%
     –   IPD/day 50 persons,28.21%
     –   Total revenue 919.32 million bath.
     –   Foreigner 75 % , Thai 25 % , Age 23 -50 year old (Man) and up 23 year old (Woman)
SWOT Analysis
              •   Well know both in Thai and foreigner
 Strength     •   Physicians in every field of medicine, and compassionate
                  staff
              •   combination of modern medical facilities, highly qualified
                  medical practitioners
              •   A relaxed friend environment
              •   Limited area
Weakness      •   High Service price


              •   Expand services and equipment every year to cover more
Opportunity   •   Investing in human development as much as possible to
                  work with dedication

              •   Technology,internet, healthcare search engines so that you
                  can search for the information
  Threat      •   New technology about healthcare product, self examination
                  and test.
Medical Service Department

            Surgery         Eye
                                       Others
              3%            3%
                                        6%
                                                             Medicine
     Rehabilitation                                           18%
          3%
    Haemo
     3%                                                                 Check Up
                                                                          15%

   Skin
    4%
Orthopaedics
    4%




 Emergency
                                                                 Paediatrics
    6%
                                                                    13%
             Obstetrics &
             Gynaecology
                 7%
                                                    Dental
                                  Ear Nose Throat    8%
                                        7%
Organization
Registration
                   Entrance
                   Entrance



New Patient        Register
                    Register
                                   Old Patient
                   counter
                    counter




Patient fill
 Patient fill
  form
                   Data                   Search from
                                           Search from
                                        Patient Database
    form                                 Patient Database
                   base

                  Issue patient
                   Issue patient
                       slip
                        slip


                  Visit Doctor
                   Visit Doctor
Check-Up Program Processes
                                                                                   ก, F F
                                                                                    ก,       ,,
                                                            (5min)
                                                             (5min)           ,,            (5min)
                                                                                             (5min)
                                (   1)

                               (5min)                   กก visit slip
                                                            visit slip        F F กก          FF
                                (5min)
                                                     &&       (1min)
                                                               (1min)
                                                                              (5 min.)
                                                                               (5 min.)


                                                               2         กก        ,,
                                                                               (8min)
                                                                                (8min)
F F F F กก (4min)
            (4min)                       1

                                                                         กก   FF       กก(10min)
                                                                                          (10min)
                                                               1
                           2
           กก        FF
     (10min)
      (10min)                            (1 hrs.)
                                          (1 hrs.)        (15min)
                                                           (15min)            (10min)
                                                                               (10min)
                          Total Operating time 138 min.
Layout and Routing of Check-Up Processes



                                                      Doctor
       Cashier


                                                      Doctor




                                                      Doctor




                             ก   ,
                                     ก,
                                          ,
                                              F   ,            F กF ก


                 ก   F   ก
New Scenario : Layout and Routing
                 Advisor
     กก (AdvisorF ก ก
           F F ,




                                                                                                                   Cashier
          2 min )
       (53min.)min ) )F
           min) 2ก, F
       ( (1(min.)min
              1(             ,
       (30 min.)                 ก                             F




                                                                                                                   Pharmacy
             (3 min.)(2 min.)
             F ก (7 min.) ( 5 min )


               WC
                        Service counter 2
                                                                            Advisor1   Advisor2   Advisor3   VIP
                                      Service
                                     counter 3
               WC
Waiting room                          EKG



                                                                               Service
                                                                               counter 1
               Doctor       Doctor           Doctor   Doctor       Doctor
New Check-Up Program Processes
                                               4
                           กก visit slip
                                  visit slip            Advisor
                                                         Advisor                Advisor
                                                                                  Advisor
                           &&
 ( (30 sec ) )
     30 sec                                        ( (22min ) )
                                                         min                 ( (33min)
                                                                                   min)
                           ( (30 Sec ) )
                               30 Sec
                                                                               ก, F F
                                                                                ก,          ,,
                                                                                  (2 min.)
                                                                                   (2 min.)
                            (Check-Up Centre)
                                                                      กก          ,,
                       Total Operating time 60 min.                          (1 min.)
                                                                              (1 min.)
 F F F F กก
   ( (22min ) )
         min                                                               กก F F      กก
                                                                             (5 min.)
                                                                              (5 min.)

           กก     FF                                      FF
   ( (55min ) )
         min                (30 min.)
                             (30 min.)             F F กก (7 min.)
                                                           (7 min.)          (3 min.)
                                                                              (3 min.)
Check-Up Centre
• Manpower
  – Check up staffs=25 people
• & facilities
• Layout & Process
Medicine Delivery




Doctor    Cashier
                         • Paperless
                         • Fast and
         Pharmacist        correct
                         • convenient
Medicine Delivery
Medicine Inventory

•   20 days Minimum stock
•   Use color tag show Expire date
•   FIFO
•   Centralize purchasing
•   Data sharing
Room Service
BNH SPIRIT 4T’s3C’s




                                          Target commitment
Think innovatively



                     Team work
                                 Change
                                                              Customer
 Communication                                                  focus




    Training
    & learning
Training activity


Title                 Target 2006

Hospital mandatory        53
                                         Training Hours
On the job training       30             YTD/Staff (2005 ) :
English program           20             88.38 hrs.
Quality                   15
                                        24
IT                        5     20       Target Training Hours
                               32
                                         YTD/Staff (2006 ) : 188
Nursing Care              20                         30
                                         hrs.
                                        20    20
Orientation               24
External                  16
IC                        5
Q4 Activities
                 Training hours:2006

                      24
     20                                53
  32                                             30
       5              20           20




Hos. Man   OJT    Nursing.   English    IT   Orien.    Quality   Ext.
Program Training
1. Management program: Mini master management
   program (MMM)
2. Orientation program
      Monthly mini orientation
      Quarterly grand orientation
      Once every two months in nursing orientation
3. IT program
      Power point for the presenter
      Self Service for new staff
      People soft for new heads of department
Program Training
4. Nursing care
     Psychology care
     IC Class
     Narcotic care
     Patient transportation
5. Hospital mandatory
    Service mind
    Hospital policy
   One for all & all for one
   Core competency
    performance appraisal 2006
Program Training
6. English program
       Class room
       Sound lab
       Tea party : The charade game
       Wall street
       OJT
NEED PROGRAM
  Hospital mandatory training
Orientation Program
•   3 Days for the hospital policy
•   3 Days for nursing staff
•   On the job training for each department
NEED PROGRAM
Hospital mandatory training
• Action Plan Seminar
• Professional Service Behavior
• Review Basic Life Support
• Annual Report tothe Department of Skill Development
•Training Tax Refund
 Training
NEED PROGRAM
    English program
•    English program for new staff
•    Improve the sound lab
•    Monthly report for each department
•    Tea party
•    English examination in Basic Level
•    Set up English program at SNH&SVH
Examination results
                 Compairision of English Levels 2005/2-2005/1
90
80
70
60
50
40
30
20
10
 0
     Sub-Basic   Basic1    Basic2       Inter 1    Inter 2   Advanced

                               2005/1    2005/2
Benefit from Check up section
• Why we select Check up section?

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BNH บีเอ็นเอช

  • 1. Did you know what you want when doctoring ?
  • 2. Background of the hospital • Existence in 1897 .5 FกF F ก F • 1902 F F F • 1994-1996 F ก ก F ก ก F F F F ก ก F ก • 1997 ก กก F ก F ก F ก กก F F F 1897 1902 1994-1996 1997 -Present
  • 3. Vision & Mission • Vision – Be the most respected international hospital – Have official national and international hospital accreditation. – Have close affiliation with university hospitals in the area. – Be one of the leading hospitals in Asia Pacific region. • Mission To provide all patients with a comprehensive, professional and high quality medical service in a warm, friendly and safe environment
  • 4. Current situation • Total staffs=600 people – 70% Medical staffs – 30% Others • Revenue growth in 2005 at 30% avg. 20-30% per year, income 1,000 million baht • New medical services e.g. Uninary Care and Spin care • New equipment e.g. Ultrasound , EKG telemetry , PET Scan • Patient statistic – OPD/ day 721 persons, 14.03% – IPD/day 50 persons,28.21% – Total revenue 919.32 million bath. – Foreigner 75 % , Thai 25 % , Age 23 -50 year old (Man) and up 23 year old (Woman)
  • 5. SWOT Analysis • Well know both in Thai and foreigner Strength • Physicians in every field of medicine, and compassionate staff • combination of modern medical facilities, highly qualified medical practitioners • A relaxed friend environment • Limited area Weakness • High Service price • Expand services and equipment every year to cover more Opportunity • Investing in human development as much as possible to work with dedication • Technology,internet, healthcare search engines so that you can search for the information Threat • New technology about healthcare product, self examination and test.
  • 6. Medical Service Department Surgery Eye Others 3% 3% 6% Medicine Rehabilitation 18% 3% Haemo 3% Check Up 15% Skin 4% Orthopaedics 4% Emergency Paediatrics 6% 13% Obstetrics & Gynaecology 7% Dental Ear Nose Throat 8% 7%
  • 8. Registration Entrance Entrance New Patient Register Register Old Patient counter counter Patient fill Patient fill form Data Search from Search from Patient Database form Patient Database base Issue patient Issue patient slip slip Visit Doctor Visit Doctor
  • 9. Check-Up Program Processes ก, F F ก, ,, (5min) (5min) ,, (5min) (5min) ( 1) (5min) กก visit slip visit slip F F กก FF (5min) && (1min) (1min) (5 min.) (5 min.) 2 กก ,, (8min) (8min) F F F F กก (4min) (4min) 1 กก FF กก(10min) (10min) 1 2 กก FF (10min) (10min) (1 hrs.) (1 hrs.) (15min) (15min) (10min) (10min) Total Operating time 138 min.
  • 10. Layout and Routing of Check-Up Processes Doctor Cashier Doctor Doctor ก , ก, , F , F กF ก ก F ก
  • 11. New Scenario : Layout and Routing Advisor กก (AdvisorF ก ก F F , Cashier 2 min ) (53min.)min ) )F min) 2ก, F ( (1(min.)min 1( , (30 min.) ก F Pharmacy (3 min.)(2 min.) F ก (7 min.) ( 5 min ) WC Service counter 2 Advisor1 Advisor2 Advisor3 VIP Service counter 3 WC Waiting room EKG Service counter 1 Doctor Doctor Doctor Doctor Doctor
  • 12. New Check-Up Program Processes 4 กก visit slip visit slip Advisor Advisor Advisor Advisor && ( (30 sec ) ) 30 sec ( (22min ) ) min ( (33min) min) ( (30 Sec ) ) 30 Sec ก, F F ก, ,, (2 min.) (2 min.) (Check-Up Centre) กก ,, Total Operating time 60 min. (1 min.) (1 min.) F F F F กก ( (22min ) ) min กก F F กก (5 min.) (5 min.) กก FF FF ( (55min ) ) min (30 min.) (30 min.) F F กก (7 min.) (7 min.) (3 min.) (3 min.)
  • 13. Check-Up Centre • Manpower – Check up staffs=25 people • & facilities • Layout & Process
  • 14. Medicine Delivery Doctor Cashier • Paperless • Fast and Pharmacist correct • convenient
  • 16. Medicine Inventory • 20 days Minimum stock • Use color tag show Expire date • FIFO • Centralize purchasing • Data sharing
  • 18. BNH SPIRIT 4T’s3C’s Target commitment Think innovatively Team work Change Customer Communication focus Training & learning
  • 19. Training activity Title Target 2006 Hospital mandatory 53 Training Hours On the job training 30 YTD/Staff (2005 ) : English program 20 88.38 hrs. Quality 15 24 IT 5 20 Target Training Hours 32 YTD/Staff (2006 ) : 188 Nursing Care 20 30 hrs. 20 20 Orientation 24 External 16 IC 5
  • 20. Q4 Activities Training hours:2006 24 20 53 32 30 5 20 20 Hos. Man OJT Nursing. English IT Orien. Quality Ext.
  • 21. Program Training 1. Management program: Mini master management program (MMM) 2. Orientation program Monthly mini orientation Quarterly grand orientation Once every two months in nursing orientation 3. IT program Power point for the presenter Self Service for new staff People soft for new heads of department
  • 22. Program Training 4. Nursing care Psychology care IC Class Narcotic care Patient transportation 5. Hospital mandatory Service mind Hospital policy One for all & all for one Core competency performance appraisal 2006
  • 23. Program Training 6. English program Class room Sound lab Tea party : The charade game Wall street OJT
  • 24. NEED PROGRAM Hospital mandatory training Orientation Program • 3 Days for the hospital policy • 3 Days for nursing staff • On the job training for each department
  • 25. NEED PROGRAM Hospital mandatory training • Action Plan Seminar • Professional Service Behavior • Review Basic Life Support • Annual Report tothe Department of Skill Development •Training Tax Refund Training
  • 26. NEED PROGRAM English program • English program for new staff • Improve the sound lab • Monthly report for each department • Tea party • English examination in Basic Level • Set up English program at SNH&SVH
  • 27. Examination results Compairision of English Levels 2005/2-2005/1 90 80 70 60 50 40 30 20 10 0 Sub-Basic Basic1 Basic2 Inter 1 Inter 2 Advanced 2005/1 2005/2
  • 28. Benefit from Check up section • Why we select Check up section?