Bumrungrad International Hospital

TEAM Pangaea van infirmary IT radix Problems, and Implementations ready For A. Therapy Piccalilli Dry. Scripps Plankings An Daddy Honor open English Instructors Prep bed By Terrace Tiramisu Eukaryote Lackawanna Chauncey Returnables Picaroon Running indigenous Superpose Contents Introduction There is no doubt that technology has become a coarse part in our lives, and the importance of it is admittedly incr placidity as term passes by. The longer the time passed, the much(prenominal)(prenominal) es displaceial technology bequeath be toward our f tout ensemble behind routines.When It comes to knowledge Technology or IT, It Is hard to deal that on that point Is some cardinal out here who did non truly know intimately IT. The definition of IT, match to Walked, Is simply the application of calculators and telecommunications equipment to store, retrieve, transmit and manipu belated in seduceation, practic everyy in the context of a blood or opposite computer or the ne dickensrk of computers, exclusively it includes all the technologies that help distributing the cultivation, for instance, televisions and teleph bingles.Therefore, thither be actually a bunch of industries related to in lay overcomeation technology, no military issue if they be computer hardw ar and softw ar, lucre, e-commerce and other(a) computer- bastardlyd help. As akin as technology, IT has been create incessantly during the past years and the range of the applications is drawting wider and wider solar twenty-four hour period by day. Nowadays, many an(prenominal) companies adapted the IT arrangement into their caller-up as the communication is the key in developing a successful organization. With the help of IT placement, tribe wrong the organization could communicate with all(prenominal)(prenominal) other straightaway, easier, and more(prenominal)(prenominal) than than reliable.The loss of communication, or level off a nonaged glitch in the communication procedure, cap aptitude averse down the decision making process which, in some shields, could pixilated the termination of the companionship its rascal. In comparison, if any gild has a devout IT schema in their possession, the company could accomplish so much beyond imagination the company might be capable of throwing more organizationatically and put on the upper quite a little in the competition. Thus, the IT governing body is considered one of many signifi butt endt factors in bringing more revenue to a company and guaranteeing the welf be of a company as well.From the vision of the decision profitr coach of cutting edge infirmary, the economy of Tailand could be substantially au consequentlytic which the results could be involven in the near future. As a consequence, they gathered all the proficient deal involved in the placement of the infirmary and came up with the plan for the transmission line in order to touch on sure that the in firmary has the capability to handle the continuous growth in the come in of patients in distributively year in effective manner. For the current situation, it regainms like it is the shell hazard for the IT to save the day kind club Description avant-garde infirmary Public Company Limited (the Company) runs a famous private hospital headache in capital of Thailand, Vanguard infirmary. The hospital was established in seventeenth September 1980 in the form of private hospital on Summit Road, which is considered as one of many stemma districts in Bangkok. In an average of 1. 1 jillion patients ( two inpatients and outpatients) were accommodated by this hospital annually close to half of the figure is foreigners from over 190 countries globally. In the past 2013, the company earned more or less 14,651 million baht from the given serve.The hospital started in 1980 with 200-bed mental quickness with 90 million Thai baht locatement. Currently, the hospital has approximate ly 580 authorized bed and support the derive capacity of over 5,500 outpatients unremarkable. On the 1st January 1997, the ewe chief(prenominal) facility build named Bandager International was first utilized. The 12-storey building is known to be the largest private hospital blend in Southeast Asia which is equipped with underground place lot and the supranational standard rooftop helipad for helicopter landing. subsequently on, in 2008, the outpatient clinic facility was opened.This outpatient clinic facility is a 21 -storey building with a parking lot that supports somewhat 700 cars, spacious sky lobby on the tenth floor for business negotiation, international checkup cooperation, and even visa extension profits, and extensive range of sophisticate medical checkup equipment. The fracture and the pharmacy customers. more(prenominal)over, other than Wi-If, liquid crystal display directories, and TVs, there is as well an automated lab so addd faster and more liable results allowing the specifys to access the customers files from interior their test rooms.With the utmost solicitude about the tone of voice of the health foreboding go given by the hospital, this company pays discontinue attention in the process of recruiting the physicians and staffs. Pre movely, there be more than 4,800 employees, 1,200 internationally apprised relates and dentists, and 900 nurtures working in spite of appearance(a) the hospital. Since the company has been kicked off, the company has been endlessly providing complete healthcargon services for both inpatients and outpatients with extra precautions.Taken all of dedication into account, there is no drumhead that this company is one of the leading health care providers in Thailand and in Southeast Asia. According to Oversimplifications. Com, Vanguard hospital is considered one of the worlds popular medical touristry destinations. In the past 2012, the hospital serviced about 520,000 international patients who seek for high shade, International standard services, and the let down cost healthcare. Vanguard infirmary is the first Thai displacedidate that receive the US standard affidavit from Joint Commission International OIC Accreditation).The hospital has likewise been given the Chics Clinical Care Program attestation (CAP) for specialties programs including the Primary Stroke Program, subacute Myocardial Infarction, Diabetes Mellitus eccentric I and II and Chronic Kidney Disease correspond I to V. Other than that, the hospital too acquire many accreditations from many other famous institutions in both international and internal levels, including the Thai hospital Accreditation (HA). The company later Joined the public marketplace and being enlisted on the Stock Exchange of Thailand in 1989.The majority shareholders in the hospital rat be classified into companies in Thailand and other countries such as Bangkok Dusts medical Services Public Company Limited, B angkok Insurance Public Company Limited, Bangkok Bank Public Company Limited and the toadyish family, which is one of Thailand leading business families, Limited, and HASH (Singapore) Nominees Pete Ltd. Mission, Principle, and policy The hospital was established with the important objective to assimilate sure the world class tankard healthcare service would be provided to the customers with care and compassion.It has been operating(a) with the following principles 1 . assay to exceed our customers expectations 2. Committed to our Medical and Hospital staffs welfare, discipline, training and nurture. 3. Continuously improve the safety and woodland of the services. 4. Strive for professional excellence and innovation in the services. 5. Embrace cultural diversity with Thai hospitality. 6. Strive to make the services World Class. 7. world trustworthy, honest, and act ethically in all the traffic 8. Work as a team ND share what is known. 9. Highly value the corporate social r esponsibilities (CARS) 10.Operate in an environmentally responsible manner. After exercise the points above, it might seem like all the company thinking is about themselves, but actually, the company has withal been operating with the global environment and conserve capability and instinctive resources. To make sure that the environment ordain be rightly preserved, the hospital maintains a unspoilt aim to follow the regulation enacted by the presidential term and the world standards. Moreover, the hospital is excessively very measured about the water management carcass to block the eater streams nearby the hospital from getting bemire and affect the neighboring community.embodied Social Responsibility (CARS) Corporate Social Responsibility (CARS), in a nutshell, is the responsibleness towards the society and the environment of an organization. In other words, CARS is a arrangementatic management under good morals, which leads to a sustainable development of an organi zation. For Vanguard Hospital, the Vanguard Hospital Foundation (ultrahigh frequency) was set up in may 1990 as the CARS of the company. The UHF is a registered non-profit arse founded by the founders of Vanguard International Hospital.The foundation is involved in many chari bow activities for those unprivileged Thai citizen all around the country who did non receive a proper healthcare services with the intention to promote their well-being and to give them proper knowledge of being healthy. all donation make to this foundation domiciliate be mapd to reduce the tax (tax-deductible). Recent fund-raising programs and activities of this foundation are as follows 1 . 50 pediatric inwardness Surgeries This is a follow up stir up after the 72 Pediatric Heart Surgeries. In this campaign, 50 unprivileged people allow be selected to get the aggregate surgery without being charged a single baht. 72 Pediatric Heart Surgeries 3. Mend-A-Broken Heart Charity Heart Surgeries This camp aign was established in 2001. In cooperation in the midst of UHF and other business entities, 20 unprivileged people were selected to get free heart surgery. 4. Thompson monetary fund Mobile Free Clinic The UHF and Thompson Fund cooperatively sent out mobile free clinic to give medical care to ampere-second,000 people in underprivileged area. 5. Charity Medical Relief The UHF and the Bangkok Insurance Company work unneurotic to send out the officers to help many people in Saxon angora and Musician province for all(prenominal) single year.They excessively introduce them to more Job opportunity and offer them chances to improve their quality of life. 6. Patients in Need The foundation offers the financial aids to those who are in need of medical economical aid but butt end non afford the medical treatments. Other than religious offering decent healthcare to those who are unprivileged, the foundation excessively aids those people in the field of education by giving them pro per education, training, and also scholarships for children with insufficient budget. This foundation gets the money from the donations received from the patients of the hospital, other business entities, and even each individual person.Anyhow, the foundation does not simply rely on the donations but also fund-raisin events and charitable art exhibitions. Additionally, the UHF also concern about those who are underprivileged in other countries as they call for started charity such as, eye operation for Laos kid who got a piece of the turkey embedded in the eyeball. Current Status, Direction, and Goals Judging from the meditateing above, it green goddess be in breakigibly seen that the status of this company is on the rising trend with increasing tot up of patients in each year.It seems like the longer humankind live in this cruel world, the more natural selection is Charles Darwin which simply implies that altogether the intemperateest give survive. More people are getti ng infected by some new diseases that no one has ever seen before. In fact, it is undeniable that no matter how strong a person is, everyone needs to be tough by doctors even once in a blue moon. Thus, the healthcare provider as Vanguard Hospital is becoming more and more profitable compared to other good or service providers.This is the main reason why Vanguard Hospital is charge on developing the hospital to provide break up healthcare services to those who needed to be treat. smudge in the Strategic Impact Grid The discipline of Vanguard Hospitals IT transcription In the year 1997 The hospital was facing trouble as Thailand faced the economic crisis as it affects the middle class people which are considered the main customer base of the hospital. Thus, all the people chose the hospital that is operated by the government with lower payment.Under the circumstances, the hospital saw the opportunity to expand the customer base to international level. At the end of this achie vement, the hospital received ISO 9000 Certification. In the year 1999 The hospital started to use the internet as the mean for data distribution. At the time, the hospitals website had been visited for about 800 views per day. In the succeeding(prenominal) revolution, the hospital brought in the US IT Consultant Service and started up the company called international Care ascendant (GAS) in Thailand for assembling the governance for the hospital. subsequent on, during December of the same year, the Hospital 2000 was implemented as a substitute for the older platform. The package program was regarded as the first hospital remains that connects everything together from the bowel movement office, administration for doctors, pharmacist, nurses, and radiologist, patients registration, time schedule of the operating room, exam room, and wards to the patients visiblenesss. The hospital invested on 450 clients to be set up around antithetical sections of the hospital. In the ye ar 2002-2004 The Hospital 2000 agreement was developed to support PASS (Picture inventory Communication System).The hospital got reward from the Intelligent green light Asia magazine for being 1 in 20 top organizations that uses IT to maximize the ability to provide the services to the customers. The hospital also got an appraised from CIO Asia for being top 100 organizations that implemented the hospital training formation. In the late 2003, the hospital invested on another 450 clients which causes less governance breakdown as increase the uptime for 99. 99% In the year 2007 Microsoft took over the Global Care Solution (GAS).As a result, Vanguard Hospital is now not only a user but also another invisible hand in the development of the organisation. In the year 2008 Microsoft started launching Microsoft Amalgam which is the conclave of Xiii and Hospital 2000. The hospital also started utilize more sophisticated technologies inside the outpatient facility, for instance, Wife internet, liquid crystal display directories, automated lab for more precise and faster exults, online patient registry, diagnostic interpret that the doctors hindquarters access. Later on, management for inpatients. The idea of using robot came up from the concern the safety of the patient.From implementing the robot, the hospital can go across less time on the music of each patient. Other than that, the hospital also started up the laptop computer rental service for the inpatients. The laptop was designed to use inside the hospital as it is attached to the table on the side of the patients bed and it is equipped with silicone polymer keyboard, sterilized optical mouse, WebMD for video conference, and voice-over transcription. Hospital 2000 Hospital 2000 is the arranging specialized for hospital transcriptions with the scope of approximately every activity inside the hospital.For the usage inside the hospital, the system has the capability to handle the teaching of the patients or other employees, transaction processes, accounting, pharmacy, registrations, human resources, and even the patient transfer processes inside the clinic. All these sub functions are collected inside one oversize database in one system that supports almost every vocabulary available on this world. Microsoft Amalgam Hospital Information System (Amalgam HIS) Amalgam HIS is the developed version of Hospital 2000.This sophisticated system was designed to systematically induce care of the IT system inside the hospital by collecting all the necessary data inside the database. Amalgam HIS was created based on the Electronic Medical Record (EMMER) which is placid to patient management, bed management, operating room management, pharmaceutical management, and even management system for radiologists. In addition, the system is also capable of storing and transferring the image data (IRIS/PASS), doing some complex accounting calculation, and managing both inventories and human re sources.PASS (Picture Archive Communication System) is the system produced to digitally store the medical images and x-rays results without using any film. By using this system, the doctors could access the images by using the earnings from remote distance. In addition, the system also allows the semipermanent storage. In the normal situation, where the physical films are utilise to store the images, the images could be changed or damaged as time passed by and not to mention that it took so long to sire the record in the form physical films whenever it is needed.Thus, using PASS allow for elf ease out all the processes for easy recuperation and increase reliability. Current IT Infrastructures At the moment, Vanguard Hospital is using the Amalgam Hospital Information System (Amalgam HIS). This system has been implemented in the hospital since 1997. Thus, the information system for Vanguard Hospital is considered an essential lot in the management processes that occur inside the hospital. It is clearly seen that if it is not because of the marvelous IT system, the hospital might not be able to come this far as one of the best hospitals in Southeast Asian region.The actors who are involved in the system are as follows 1 . Doctors The Amalgam System dashs a great part in helping the doctors to image at the overview of the profile of each patient. The doctor can glance at the profile of the patient and abruptly have the idea of who they are treating which get out balk any mis scoops from happening. Another good point is that the doctor can write the medicinal prescriptions and schedule the next appointment via the online system.The appointment and the prescription leave then be sent to the cashier and the pharmacy so that the patient bequeath safety of the patient, the system also provides options for the doctors available for operating the patient as each doctor has different specialty and different schedule. The system provide filter out the doctors who are the best for operating each particular(prenominal) patient. However, it does not mean that every doctor knows how to use the system. The elder doctors might not be accustomed to using the IT system and the part-time doctors might think that it is unnecessary to learn how to use the system as the come from time to time.To handle this problem, the hospital decided not to cast aside the old IS system which is manually writing the prescriptions and transcription the patients records. The information recorded manually get out be transferred to the QUA department in which the information volition be recorded into the system to make sure that the information of the patient result be available by the next time the customer uses the hospital service again Just as same as other patient that the information were recorded by the doctors.By implementing this IT system, it ensures that the hospital is using its resources of 1,200 doctors efficiently and the customers can be assured that the appropriate healthcare entrust be given to them as the total amount of the patients will be distributed equally among doctors to ensure the maximum ability n providing the services. 2. Hospital Officers Every hospital employee is compel to know how the system works no matter if they are the receptionists, accountants, nurses, radiologists, pharmacist, or even human resources.All the officers will have to work in harmony to be able to maintain the fast-paced work and provide the information needed in a in brief period of time. Although all the systems are connected together, it does not mean that everyone will be seeing the same information. As an example, this is what happens in steps when Mr.. A visited Dry. B. Mr.. A visited Dry. B in he year 2012 with the symptoms of Acute Tuberculosis. Later on, in 2014, Mr.. A came pricker to the hospital again with the intestinal infection which he was designate to Dry. C. Dry. C will be able to see the solely medical depict of Mr..A including the musics that he is sensitised to, who was his former doctors, what were his symptoms, and all the medical implications. When Dry. C wrote the medical prescription, the lists of medicine will be sent to the cashier and the pharmacy. The pharmacy will only see the lists of the medicine that Mr.. A will get so that they could band everything he deed while the cashier will only see the list of the medicines and the price so that Mr.. A will be charged correctly. These two departments would not be able to see the medical give notice (of) related to Mr.. A. When the pharmacy packed all the medicine for Mr..A, the total amount of each medicine inside the inventories will be updated which will be easier to keep track of all the drugs inside the stocks to delay those drugs from running out. In case that the report is needed, the system also provide the function to generate the report of the patients who were treated by Dry. C in each day. With the help of the system, all the information from the doctors to other departments and employees will be synchronized which will increase the speed, reliability, precision, and accuracy of the service that will be provided in daily routines. . Patients Other than hospitals employees, another actor that cannot be unheeded is the patients. Patients are considered an important part in the development of the hospital system as the system was designed for convenience of the customers and to reduce the checking time. Moreover, in case that the patient is ready to be transferred perhaps in the form of hard copies or CDC. While those data re being transferred, the copy of the data will still be inside the hospital system in case that the patients wanted to be transferred back for further medical treatments. . Executives When it comes to the executive officers of the hospital, it is important that they can get the boilersuit status report of the hospital whenever it is needed. The report that is provided by Amalg am HIS is in the form of interactive report in which the executive can sit back and relax as the report generated will make the analysis process a whole lot easier. For simplicity, the interpretation will be made from the data collected from each patient.As in short as the report reaches the executives, for example the CEO, the CEO will be able to notice the trend of the symptoms at the moment so that the hospital can be attired for the situation that might happen in the future. 5. The competitors The competitors of Vanguard Hospital are not only private hospitals but also those hospitals that operate by the government. It is easy to say that Vanguard hospital is one of the first hospitals that implemented the hospital information system. moreover as time passes by, the IT system becomes more low-priced for every organization.The competition becomes more and more yearning s more hospitals also implemented the IT system which will introduce newer dimensions of giving the services to the customers luring in more customers. Though the system that the other use might not be as good as what Vanguard implemented but it sure enough to become more frightful business competitor. Workflow inside the Hospital 1 . obligate an appointment The patients can choose whether they want to make an appointment using telephones or using the online services. For the foreigners, they can make schedule an appointment on www. Vanguard. momma where they can select the doctors that they wanted to get treated from. . The patient reached the hospital When the patients arrived at the hospital, they need to hand in the patient card or tell them the patient id in which the id will be describe into the system to report that this patient has already arrived at the hospital and is ready to be called into the examination room. 3. breeding of the patients profile As shortly as the patients have confirmed an appointment with the hospital, the hospital needs to launch the profile of that patient before they even reached the hospital.With the information, the nurse in each counter will be able to make a schedule for the doctor and get the attain ready whenever they arrived at the hospital. 4. perceive the doctor The doctors inside the examination room will be able to see how many patients are waiting for the examination. Moreover, the doctors also can access the profile of each patient to see the former medical diagnosis, drug allergic history, all the taken lab results which can be changed into the form of graphs for analysis. 5.Lab & X-Ray results Whenever the doctors see that the extra labs need to be tested on the patient, the direct order from the doctor will be sent directly to the lab and x-rays room. Nowadays, there are many technologies and one many interesting breakthroughs is the digital x-rays which allows the doctors to get the x-rays results digitally without using any film. 6. allowance When the patients got the medical care that they need, the payme nt information and the information about the patients insurance will be sent to the accounting and financial department.In this step, the patients queuing sit still and wait for the system to manage their queues and call out their names. 7. chance the medicines Practically, when the doctors ordered the medicine, the prescriptions will be automatically sent to the pharmacy. Thus, the patients can get their medicine as soon as the patients made the payment. 8. Executive operations The executive officers can access the system to get the overall analysis of the current situation for management and make plans for the future.In the data analysis, the system will use the system called OLAP (Online Analytical Processing) which is already pre-equipped in the Microsoft SQL legion. OLAP helps the executives in assembly the information from the data warehouse for analysis, for instance, the proportions between domestic and international patients, the nation where the international patient ar e from so that the hospital will be able to get the translators ready for assisting the international patients who are incompetent of communicating directly with the doctors.Hardware Development For optimum efficiency, the hospital chose the computer system from Dell which is believed to be more stable compare to other brands. Since the computer system from Dell has been implemented, the hospital admitted that the expenses of the hospital were enormously reduced that the left hospital with enough budget to invest on another secondary storage station, which will manage the data in real-time manner, to counteract any system failure. In the hospital system, there consisted of 4 servers from Dell, 1 main memory, and 6 backcloth computers connected in the form of cluster.Moreover, the hospital also set up extra 450 computers around the hospital to support the increasing amount of patients. For maximum functionality and for ease of accesses, the hospital also spent some amount of money on 100 laser printers and one hundred twenty scanners to keep the data of the patients. In the term of system functionality, if in case of an emergency that the power total of the system was cut off, the system will be automatically shut down and rely will cause devastating damages to the system. Thus, the hospital made the decision to use the Infrastructure system offered by the APPC.The Infrastructure is the architectural design for data means IT room, which is scalable and adaptable, that dramatically reduces time and complexity from imagination and design through installation. This Infrastructure system is composed of 2 40 KAVA N+l Redundancy UPS systems. The two systems are working in harmony in load sharing manner. separately UPS system will be powered from different sources from different sides of the building to ensure the maximum protective covering measures from the electrical problems that might occur.If something happened to the first UPS, the other UPS will be ab le step up and take all the workload. From doing so, there is less probability of system failure and all the systems that are essential for providing the services to the customer will work continuously. Another good point of this APPC system is that there is built-in self-test packet called Powerhouse which will automatically do the self-test to find if there is any hardware in the system needs replacement.If the software found out that there is actually a hardware that needed to be replaced, the software will notify the arson who is in charge of victorious care of the data shopping center to replace the hardware without turning off the whole system. For the linkage of the system, Vanguard Hospital entrusted the Motorola, Inc. To together, the hospital utilize more than 300 wireless switches and access points. For the switch, the Motorola REFORMS radio receiver Next Generation, which is capable of layer-3 roaming, was utilized.The layer-3 mobility allows the users to roam withou t losing its IP reference and sessions which is great for large areas with many stories as the users can use the network while they are paseo with the maximum bandwidth ND noise-free. This is considered as something that can advance the hospital in the long run. This wireless system can be used not only by the users but also the doctors and other staffs as well to ensure the availability of the data in real-time in the range of 90,000 square meters of the hospitals area.For security issue which is the main key in the intention process of the hospital system, the security system invented by Motorola, the Wireless Intrusion Protection System (WIPES), is taking care of everything Software Development As has been mentioned above, the hospital has implemented the Amalgam HIS to ease up the work processes of the doctors and other employees by making everything faster, more convenient, more effective, more precise, and easier for maintenance. Not to mention that using the system will a lso make the communication with the users more understandable and more cost-effective.The system works dependently with the Microsoft Windows Server 2003 and Microsoft SQL Server 2000, which is the software for managing the database. All information will be kept inside one big database inside the IT department which causes the hospital system to be in the form of computerized system in which every department ND every computer can communicate with each other via computer system. No matter in what direction that the patients were leaded to, the computer system can help the hospital to prepare what is needed in a short period of time.Nowadays, many people are getting treated by the hospital in each day which means high amount of the transaction between each department in each day. Thus, the system needs to be scalable the hospital can add in more machines or take out some machines to be appropriate with the subroutine of patients at the specific period of time. In the software perspec tive, the system needs to be adaptable, reliable and e ready for any further system expansion in the future. The Amalgam HIS can be shared into 3 tiers. . Presentation Tier This tier includes all the 1,000 work station across the hospital which are used to get the data by accessing the substitution database of the Amalgam HIS that is set up of the machine that runs on Microsoft Windows 2000. 2. Middle Tier The middle tier is in between the presentation tier and the database. Here, the Windows Server will be regarded as the Transaction server which is the main medium in managing the flow of the transactions that are being sent to the database.When the transactions were generated, they will be sent to different servers to prevent one specific server from overloading. An extra server can be added whenever it is needed to handle the customers need without having to shut down the whole system. All in all, the hospital got a lot of assistance from the software from Microsoft as the sof tware allows the hospital system to work faster, more consistent, more precise, and also help the hospital to control the do of employees needed inside the hospital. 3. Database Tier All the information that will be processed by the