CSRREPORT 2013

Report of the Business Sustainability

1

Content 1Contextpage 3

3Health care and to educate the public

page 38

2Organizational by

senior leaderspage 5

5The major

development page 54

4Quality process

page 42

1Context

3

Organizational

Context Bangkok Hospital Medical Center is a tertiary care hospital of 475 beds. Provide med-ical services and comprehensive specialized solutions. Consists of three hospitals, Bang-kok Hospital and 2 specialty hospitals, including Bangkok Heart Hospital, Wattanosoth Hospital, which provides specialized care for the cancer. And other centers in the care of patients with speci c diseases and more than 22 centers. Advanced for medical tools in the diagnosis and treatment of a professional specialized team. Consists of more than 700 doctors from all disciplines. Employs 2,000 people, comprising staff of care such as 600 nurses, pharmacists, radiation technicians, Physiotherapists, nutritionists, physicists and so on. Including care support staffs and patient services. Each day provides its users with outpatient services approximately 3,000 people. Occupancy rate of patients are approximately equal to 80%. The proportion of foreign patients in both inpatient and outpatient services by about 30%. Rate of surgical and operative procedures are about 9,000 per year. Emergency department services approximately 44, 000 per year. It is also a center for patients who were referred from various hospitals access to modern treat-ment by Referral Center and Emergency ervice. To move patients ef ciently and quick-ly with a service team of doctors and staff experts. Bangkok Hospital remains committed to the further development of innovative therapeutic and medical center which has signed cooperation with educational institutions and medical services which renowned national and global worldwide. Such as, Srinakharinwirot University, Barbara Karmanos Cancer Institute, Wayne State University of Detroit(USA), and Institute of arrhythmias (Paci c Rim, USA). To develop knowledge and medical services to the highest standards of quality, safety and service recipients as well as the development of the medical treat-ment continues. We pay attention to every detail which provides patient care 24 hours a day as well as facilities furnished to the satisfaction and safety of our patients.

Report of the Business Sustainability

2Organizational by

senior leaders

5

Leaders directed corporate communications and enhance the performance as well. To ensure the quality and safety of care services.

A. vision and values

(1) Senior leaders create a vision, mission, values, leadership, mission, vision and

values transmitted through conduction. To all staff and key partners Acts Practice

of leaders re ects a commitment to the values of the organi ation. Implementation of the Bangkok Hospital Medical Center (BMC) under the utmost care of the parents. Members of the governing board consists of a board of Bangkok Dusit Medical Services (Bangkok Dusit Medical Services: BDMS), which is the ultimate responsi-bility of the hospital. These leaders will choose the president of the hospital (Chief Ex-ecutive Committee: CEO) is the head of the department chairman. This is responsible for ensuring that patients will be well cared for and safe. The parents will have a joint meeting formally at least quarterly to consider nance. uality and Performance and will approve various things All these years, and the annual meeting is to review the mission, vision and values., By analyzing internal and external factors potential corporate core values and philosophy of doing business. By focusing on customers this means all stake-holders, including patients, physicians and other customers, as well as all employees in the organization. Senior leaders deploy mission, vision and values into practice. Navigation system to all staff and key agencies to work together. By communication channels, both directly and indirectly led to the formulation of corporate Core Competency is de ned as the main topic in the operational activities of the organization, training and develop-ment linked to the measurement task. The Overview The annual evaluation of depart-mental and individual performance management system.

Organizational by senior leaders

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Corporate values The main idea of the values of the Medical Center Hospital of corporate philosophy, vision, mission and put into practice. The organization has collected and reviewed in order to utilize them. And look forward to the authorities can be used as a Core Com-petency in the performance of the organization is “TRICC”.

T : Team Work team is mainly meant. Working together as a team to achieve organi-zational goals together.

R : Result Oriented performance geared to mean a commitment to achieve the goals by maintaining a higher standard.

I : Continuous Improvement : Continuous improvement means using knowledge. Creativity Integration and research to lead to better things in the future.

C : Effective Communication Understanding communication means communication of information and ideas on all channels to achieve a clear understanding.

C : Customer Focus customer focus means to concentrate on customer service and value, both proactive and reactive.

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PHILOSOPHY Bangkok Hospital Medical Center is where advances in medicine meet with compassion

Vision : Bangkok Hospital Medical Center is a premier tertiary healthcareprovider, dedicated to international quality and customer focused care

Premier tertiaryhealthcare provider

GOAL : Build a profitable business that is rewarding for shareholders and employees

MISSION :We are committee to being the leader in providing internationally accepted,

efficient and ethical high quality care through dedated academic healthcare team,effective leadership and up to date technology,

and contributing positively to communities throgh social responsibility.

International quality Customer focus care

operational sevice

Concrete examples of the values that are used in the organization.

Working together as a team for the agency to prepare a quality improvement activ-ities consistent with the reported incidence data quality problems. And their risk

uality Dental Works Department is divided into two main categories: developing patient safety projects which affect the safety of life of patients. Reduce the incidence or violence of incidence or impact on the treatment and development process to improve performance. And reduce waste in the process increase ef ciency Produc-tivity the process or period of work. All departments within the organization to reduce

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costs, which must be conducted quality improvement activities. In collaboration with uality Center and teams involved. uality improvement activities Is one of the

performance indicators used to evaluate employees. Both agencies and individual if everyone in the department share causation great job. Assessments, it is better to go with.

a focus on providing customers with “Service with a HEART” is the annual customer satisfaction survey by the allup Model for Service uality Model and the results were analyzed. Providing an opportunity to develop customer service standards with a focus on ful lling customer satisfaction, quality and safety in the service of the customer satisfaction survey. Can be prepared in a standard hospital services “BMC Service Standard”, BMC Service Recovery, and process improvement services to the patients the Patient Rounding using the “AIDET” 5 basic principles that will lead to effective communication .

A : Acknowledge expressive communication to patients and relatives were aware attentive services of the hospital.

I : Introduce introduced.

D : Duration of time to wait for the patient.

E : Explanation explained in detail with the patient.

T : Thank you shows gratitude.

There are also track customer satisfaction through Customer Satisfaction Survey and complaints from customers directly or through channels such as Web site: Talk with CEO to lead various data to improve service quality. To encourage and motivate employees to make it better. Thank you notes the support of the Service Improve-ment Awards to agencies with improving the services better. As well as customer satisfaction data as performance indicators, both organizations and individuals as well.

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Courtesy and respect of the pharmacistStaff explains about step of service

Pharmacist explained about medication used and side effectCourtesy and respect of the staff

Courtesy and respect of the cashierWaiting time for payment

Cashier explains about billing detailNurse paid attention to your special needs

Nurse response to concerns during your visitHow well the nurse kept you inform

Waiting time for medicineWaiting time for serviceNurse explained things

Ease of finding your way around the facilityTechnician explains about step of tests

Wating time for testComfort of the waiting area

Courtesy and respect of the techicianNurse concern for your privacy

Cleanliness of the facilityStaff explained things

Nurse courtesy and respectWaiting time in registrationEase of registration process

Courtesy and respect of the registerAmount of time doctor spent with you

Doctor effort to inculde you in decision about treatmentYou confident in the skill of the doctor

Doctor readiness to respond to patient's worriesDoctor explained things

Doctor listened carefully to youDoctor courtesy and respect

BMC - Priority Index (Q3)

0 10 20 30 40 50 60

Registration Share ServiceFacilityOPD CashierImagingPharmacyNurseDoctor

H

L

Speed of discharge processWaiting time for service (Share service)

Waiting time for testHow well the hospital prepares you before your discharge

Explains about what would happen during testsExplaExplains about what would happen during service

Waiting time for paymentStaff’s courtesy and repect (X-Ray)

Explains about billing detailResponse to concerns/ complaints made during your stay

Accuracy of the billCourtesy and respect of staff (Share service)

Quality of foodTemperature of food

Speed of admission processInstructions given about how to care for yourself at home

Amount of attention paid to special or personal needsHow well the nurses kept you inform

Staff concern for your privacyAmount of time doctor spent with you

Staff effort to make you feel welcome when you adminttedDoctor effort to include you in decision about your treatment

Courtesy of the person who served your foodReadiness to respond to the patient’ s questions and worries

How well doctor kept you informYou confident in the skill of the doctor

BMC - Priority Index

0 5 10 15 20 25 30 35 40 45

Doctor DC ProcessCashierFood ServiceShare ServiceX-RayNurseAdmission

H

L

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BMC - Overall assessment Rating (Q3)

What number would you use to rate this hospital during your stay? (0 = Worst hospital possible, 10 = Best hospital possible)

Significantly at 95% level of confidence

AssessmentOverall

Rating

Bottom Box (< =6)

Middle Box (7-8)

Top Box (9-10)

BMC

Q28.15

Q38.57

Q18.82

15%

34%

5%

42%

5%

28%

18%

35%

7%

40%

5%

32%

6%

35% 49%18%

7%

25%

4%

43%

4%24%

AverageQ28.15

Q38.15

Q18.15

Q28.15

Q38.15

Q18.15

Q28.15

Q38.15

Q18.15

BGH BHT WSH

Patient SatisfactionSurvey

OPD QuestionnaireIPD Questionnaire

CCD QuestionnaireInternal Questionnaire

PatientCommunication

AIDETVALUE

BMC Service Standard

HEARTThai Hospitality Manner

BMC ServiceRecovery

CareRed Jacket

Patient Experience

BMC Service Tools

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PerformanceManagement System

ResponsibleTeam Recognition

Patient ExperienceCommittee

BMC Service Driven

Preparation of Clinical Pathway in the treatment of patients. Disease-speci c multi-disciplinary teams. Comprised of physicians, nurses, pharmacists, dieticians, physio-therapists, psychologists, as well as agencies. Those involved with the process of patient care in hospitals. To improve standards of patient care effectiveness and safety with patients in 2009, with the development of four disease is Heart Failure, Stroke, Acute Coronary Syndrome and Breast Cancer Conserving Therapy and in 2010 Low Back Pain and DM have. Monitoring indicators, which showed poorly developed. The implementation of the de ned benchmarks Pathway to Excellence Center that has a good performance. And continuous quality improvement.

Establishment of Nomination Committee by straddling the line of the main stake-holders. Experts, the scope of responsibility that is divided into two main groups: the rst group is to improve the quality of the clinic. The Defense Committee and infec-

tion control in hospitals. The patient care crisis Committee surgery and inhaled

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medications , etc., and group 2 is the board administrator to improve the quality Non-clinical , such as the environment for patient care (Environment of Care Com-mittee) Committee on Employee Wellness , etc. to determine the best practices as standard. Consistent with legal requirements and security policies are de ned and patient monitoring indicators that re ect the overall improvement of each board. Improve the quality and scope of responsibility. Through monthly meetings and report on the implementation of the service quality ( uality Management Commit-tee) all quarterly and annual performance reports to the Board of Directors of the medical center. Hospital or when there are issues to be brought to a decision. In-cluding reporting on hospital quality indicators. Bangkok Dusit Company joins man-agement committee (Joint Executive Committee: JEXCO) on a quarterly basis. And annual report summary.

QUALITY MANAGEMENT COMMITTEE

CCC

ASC

IRB

PT&T

MRC

ICC

JEXCO

CEC HECMEC

QMC NRIC

EWC

ECC

MSC

CRIC

The results of operations as a result of

the vision both at the management and operational level.

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Vision “Bangkok Hospital Medical Center is a tertiary care medical service to a high standard with quality excellence at a global level to the trust and satisfaction of the client”.

ision put into practice. As a result, won both of Certi cation Institute. Hospital uality Both partner companies and customer service recipients.

Award the Top Leadership Team Award of HEALTH LEADERS MEDIA USA 2008 Hospi-tal type was rst with the award to organizations outside the United States. This award to a team led successful corporate team building and goal setting implemen-tation goals. The achievement shows a clear picture of the implementation of Core Value: Team Work - Work Well Together a snap to use concrete.

Client satisfaction awards that “Trusted Brand Award 2010” Best Brand Award (Gold) consumer con dence. The country in “Hospital” in 2010.

Award “Platinum Award” in the contest Hospital uality Award from the AIA as a reward considering the quality of the hospital in the year 2010.

The “winner “of the contest, Best Medical Award 2009 of AYUDHYA Allianz CP is an award that represents the good management of the hospital.

Global Hospital Award 2010 awarded by readers of The Global Hospital Guide and Journal the Travel Medicus ethical transparency and safety in serving foreign patients, regardless of the gender differences language and other social status.

Hospital uality Awards Institute of Hospital uality Improvement and Accreditation, Joint Commission International (USA).

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Evaluated the perception and commitment of staff in the vision and values into

practice. Since the introduction of Vision Into the practice of management to employees

through performance management system. And results are measured through an annual evaluation by Core Competency which expression to the values put into practice. And behavioral expression Can be evaluated and recognized by supervisors using the Core competency 4 is Work well together, Customer rst, Make everything better at all time and, Deliver excellence work was later modi ed to be consistent with the organization ‘s strategic plan . Cause even more coverage. And is a standard that is in the same direction with all participating hospitals. Bangkok Dusit Medical Services (Bangkok Dusit Medical Services) Core competency is thus increase is 5 Teamwork, Result oriented, Continuous Improvement, Effective Communication Gap analysis comparing the average score goals. Compared with the actual assessment among employees to nd issues to improve. Contribute to the strategic communi-cation policy. And direction In order to develop an understanding of the goals set in terms of staff through the Staff meet CEO Conference, which is set to Mandatory training for all operators. Have to listen to the vision, mission, goals, and organization communication. Annually and provide employees with opportunities for uestions directly to the CEO

A survey of employee engagement to the organization. To evaluate corporate em-ployees in 23 oils. That would result in the employee commitment to the organiza-tion, which has been performed continuously since 2005 until now. On topics relat-ed to the Company Reputation: The reputation of the hospital contributed to the smart and talented people to join the organization grew steadily.

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( ) eaders create an organi ational environment that fosters, re uires, and results

in the practice of law and good ethics.

(3) Leaders create an environment and atmosphere conducive to improving per-

formance, to achieve its mission and o ectives. Enterprise, innovation, organi a-

tional agility, learning organi ation and personnel, the fellowship in the great work,

collaboration and integration of services by way of new or innovative to be used in

the built environment and atmospheric. 1. To be able to link strategic planning, operations, budgeting and organizational

development. 2. To provide a tool to assess the nancial, customer, internal system development.

And the capacity of the organization that is concrete. 3. Easier to compare results with goals clearly. 4. So that all agencies have the same direction. Each agency’s overall organization-

al goals, both short and long term. 5. To the development of capabilities to compete in the long run. 6. So that the organization is even more clear. 7 .To achieve the enterprise systems is even more clear. 8. To achieve fairness in the link to the motivation returns. Consistent with the results. 9. To comply culture pushed to the High Performance Culture among employees.

By fostering Feedback results between bosses and subordinates and used to guide the development of blockages.

To encourage good performance, quality program evaluation to improve the quality

of the nal “Best Practice” which is the number one criteria considered by the board quality and presentation in a conference called the uality of Excellence. Annual Forum to consider such a project is the development of quality projects nationally and internationally. The project was considered a prize and / or won from the out-side will get extra points in the Performance Management System in the Government and individuals.

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Contacting the performance period, and quarterly Management Team Performance Audit by the department heads and managers present the results of operations for both the fourth view is Financial, Customer, Internal Process and Learning and Growth the reward. Agencies have the satisfaction of customers with the highest score or agencies that have improved themselves signi cantly.

Quality ForumWork Well Together

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Implementing New Tool used to improve the quality of deployment in the enterprise to achieve such performance - In 2009 Lean: Process Improvement has established a Working Group Process Improvement 5 teams include Admission Process, OPD Process, Surgical Process, Ancillary Process and Discharge Process Each team consists Champion team, the manager responsible for the core processes that responsibility. Team members from all parties concerned with the process itself and the Sponsor is executive director. Or director of the hospital each team will receive training in the principles and concepts of it. Put the concept into practice starting from the assessment problem. The storage area to Interviews with practitioners and observe the real work Lead to a diagnosis of Brainstorming. To nd ways to improve Plan designed to improve working methods and to try to justify in practice. And then put into practice. Tracking problems and results of operations.

Routine to Research the work of the research. Which have pushed this concept to occur since 2009, focusing on the clinical are trained to do routines to Research to the department head and C I Facilitator and Good Clinical Practice for the medical group. The Hospital Research Unit at the Excellence Center Heart Hospital. Wattha-nosoth Hospital Cancer Center has established team’s brain and researches Hospi-tal Under the supervision of quality. And to coordinate with a team of research nurses. And support agencies or teams interested in doing research in terms of cognitive to control the project writing to nding information or resources care to do statistical work into preparing for approval. Research’s Council of Hospital will send it to Publication and executive is considered to score higher than the norm in the assessment year to agencies that are working Routine to Research 2010, with the establishment of a Clinical Research under the supervision of the Chief Medical Of cer to support the clinical Research

Cost Ef ciency Goal Working Team of the economic downturn in late 2009 and in 2013, the transition from state politics. Impacts on hospital operations have set up a team are costs to maximize ef ciency. And reduce the impact on the business. Prevent such layoffs affect employees. Or reducing the cost required for various work

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teams, divided into six teams to take care of the following.

CEG 1 : Full Time Equivalent Management manpower effectively. Responsible for paying overtime properly. Management Holiday

CEG 2 : Utility Management utilities to manage effectively. By admin utilities.

CEG 3 : Inventory Management to maintain inventory effectively. The product does not have suf cient time available and no Stock Product unnecessarily. But there must be enough available in the product group is critical to patient safety.

CEG 4 : Medical Equipment Utilization Management Asset Management medical bene ts.

CEG 5 : Bad Debt Management debt management.

CEG 6 : Doctor Fee Management Medical Billing according to hospital policy and appropriate to any conditions.

Team meeting to nd a measure of protection. And troubleshooting of the commu-nication to the employees in the organization everyone knows through the Manda-tory training for employees to understand and participate in the partnership by such measures. The working group has been meeting on a weekly basis to the Board of Directors of Non-clinical Rapid Improvement Committee for measures in the care of editor. And Chairman of the summary report on the implementation CEO Advisory Meeting on a weekly basis. To consider a policy to resolve the issue.

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Team uality Facilitator is considered Infection Control Ward Nurse (ICWN) and C I Facilitator who served to coordinate the care of the prevention and control of in-fectious diseases in hospitals. Development activities personally selected by the Chief Facilitator Team will be meeting every month. To track the progress of infection control activities. uality improvement and the training involved. Instruments used in quality improvement. Information and new knowledge about the development and quality of such knowledge to communicate to employees in the agency know. Employees in the Group Facilitator have been determined to develop and Career path Career level.

Talent Staff to the Chief of Staff. Effective performance evaluation system evaluation

with high score. Training workshops are organized by a Personal Coach for knowledge and management skills. Project Management to prepare for the development of future managers. And assigned to major project development process within the study period, the Project Sponsor is a senior executive in the organization. And pre-sented to the executive team. Talent Staff is a group that has been evaluated in a higher level. Employees in the same class, and a group of employees that will be considered for the next administration.

What happen in BMC? Nurses are learning together as a team in the reported inci-

dence. The Government or who are at the event to talk about their experiences and share their learning with other teams.

uality Massage the preparation of a storage system in Lotus Note that all agencies can access the information themselves on the quality indicators of customer satis-faction. Patient safety the hospital’s emergency plans. And agencies and can use this information in determining the quality improvement activities.

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Quality Message

SAS Indicator Using SAS in making data-based indicators of organizations to help them with the Balanced Score Card Performance audit and database quality. Patient Safe-ty and uality Dashboard in each agency can use Password Assistant to the informa-tion of their department manager and / or director of each department can access information on the parties themselves and the CEO can view the entire hospital. The display, which is both a number and a color indicator metrics that through the target or not. If green is yellow goals met is not a target but also a few steps away and the red is off target.

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View Comment : Quality Monitoring Report by quarter

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BMC Intranet management systems to gather useful information within the organi-zation so that employees can access sensitive information on the various organizations and Knowledge. About the organization and its employees, such as information about drugs and drug use correctly Drug Information, Information about the doctors and the medical Privilege Doctor Pro le, information about employees from Human Resources. Monthly training courses the staff compliment good deeds and agencies that can do the work of the highest customer satisfaction in HR Corner, information about hospital quality standards. Machines used in the development and training materials for quality. Knowledge about the development and so on.

BMC Intranet

Preparation of Training by using E-learning system used in training courses Mandato-ry training which must cover employees across the organization and other courses

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which enable the users to work facilitate a shift. Reduce the period of training. Du-ration of the instructor and the cost required for the training is 30% lower number of hours spent in training, down 33.3%, and affect management staf ng of ef cient number of FTE caused. 33.3% decrease in training.

Assessment results in various environments and development occurs. Bangkok Hospital Medical Center are conducting an assessment of patient safety

culture in an organization is one of the important tools in the development of hos-pital quality. And a standard survey Developed by the Agency for Healthcare Research and uality (AHR ) United States since 2008 evaluation found that the topic of or-ganizational learning . (Organizational learning) has steadily increased from 76% to 81.7% and the average of a survey conducted by AHR communication and response (Feedback and Communication Respectively) increased from 74% to 82.9% above the average of a survey conducted by AHR to communicate openly. (Communica-

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tion openness) percentage increased from 56% to 65.9% above the average of a survey conducted by AHR and work together as a team in an agency (Teamwork within units) percentage increased from 68% to 77.9%.

Engagement surveys employee organization from year 2009 - 2013 found that in-

creased steadily in the following topics related to organizational climate. Hospital motivating me to want to work. And bene t the hospital rather than the hospital; I do expect that from 38% to 51%. If there is a chance I will say good things about working at the hospital to others of 61% to 72%. I have been encouraged to try new things, even if those things are likely to work crashes sometimes from 40% to 47%. The hospital, I was given the opportunity to develop their skills. I want to be from 49% to 54%.

(4) Senior leaders create and promote a culture of safety in the care of patients.

Improved as a result of the Leadership Walk round. Morning Brief by the management team. Hospital Rapporteur Managers and depart-

ment heads of patient care and support, every morning from 7:00 to 8:00 am to report a patient in the past 24 hours about the issues in the care of patients. Patient safety Self- service and complaints to work together to nd solutions.

Leadership plan quality and patient safety. The focus on patient safety standards Supporting the activities and operations of any organization that aims to secure the patient. And to put a plan into action and monitoring the implementation and eval-uation indicators appropriate to re ect the image of quality. And safety to patients by appointment and authorize the Board of Directors. Overall supervision and com-mittees related to specialized health care, such as surgery safely. Control protection Infectious diseases in hospitals, etc. All committees’ reports metrics. Problems en-countered and improvements regularly. Regular monthly and quarterly Internation-

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al Patient Safety Goals have been used in the organization. A working group respon-sible for the preparation of guidelines for implementation of communication plans into action. And monitor compliance with the plan made by the Working Group on Patient Safety Walk round each Goal, such as hand washing, patient care indicates high risk medications.

Patient Safety Tracer has begun since 2008 to the present. Every Thursday at 1 and 3 weeks of the month at 6:30 to 8:00 am, is planning to visit the whole year. But do not let the agencies know in advance or could have modify the base unit with a reported incidence that happened that week.

Reporting of incidences that are reported by the patient safety policy. The classi -cation of severity and meeting stakeholders together to nd the root cause (Root cause analysis) to plan for a solution to prevent a repeat incident. Or to develop a more effective destination Incidence taken a PEER REVIEW is Occurrence Report a severity level 4 , 5 and Sentinel Event, Occurrence Report has happened many times occurs consistently show a trend that may be . The problem and other events that affect patient safety and image of the organization, which is in the discretion of management decisions by Peer Review.

Patient safety Coordinator / Safety Coordinator is responsible for coordinating with the agencies involved in the security operation involving patients and clients as well as providing a place. Inviting the attendees and preparation of the annual report.

Executives (director level or above, or who have been assigned) is responsible for management consulting in both decisions. Solutions to the Board for the purposes of the organization and the incidence are continuing to be effective. The team involved in the event as well as executives in the eld is invited to attend

simultaneously. Factual issues to report problems to the meeting, the meeting con-cluded the issue root cause analysis (Root cause analysis) and advised problems.

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The issue of development is an improvement. Awareness, reporting no penalty and the chief support patient safety. Communication between agencies and work togeth-er as a team. Have been made to promote patient safety. In terms of communication ef ciency and a better understanding of the system even more.

B. Communication and focus of the organization.(1) Senior leaders communicate with, make decisions, and motivate all staff across

the organi ation leaders to encourage two-way communication directly across the

enterprise leaders take an active role in giving awards and recognition to reinforce

a focus on patients customers, the focus on uality and safety of patient care,

and focus on good results.

Overall communication methods Communication within the organization as well as to communicate formally and

informally. The chains of command or sequential steps necessary to report the working group responsible. Head of the parties the hospital has a duty to support communication between departments and individual employees. Including coordi-nation with service clinic focuses on the various methods. Communication is a 2-way, which shall include the report under the agenda of the Standing Committee report-ed in Monthly Performance Audit and communication through various channels such as e-mails, call center, Intranet and newsletters ow of. The resistance of employee communications to the department head manager various committees Related matter, the board of directors until the hospital and consider about such an approach and communicate back to department heads and employees in advance.

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N-2&3

BMC INFORMATION FLOW BACK

Complaints from customers, both internal and external communications through the complaint directly to the employee. Complaint Form Customer satisfaction survey form and via the Website: Talk to CEO to manage problems. That occurred about customer care nurses and department heads can issue guidelines and Service Re-covery Nurse Supervisor represent management’s decision to x. With the department head.

Corporate governance and social responsibility. The organization demonstrates good corporate governance responsibilities to the public. Ensuring that it is operating in an ethical manner and contributes to the health of the community.

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Bangkok Hospital Medical Center is located in Soi Petchaburi Road for over 42 years, which houses a community of more than 500 hospitals around the Naval Medical Center’s roof is aware of the consequences that arise from the opening of the hospital. The Neighborhood Club has established a center to care for. To coor-dinate relations between various communities around the hospital with the hospital. You also have the privilege of giving the service to the hospital with these commu-nities continued every year.

A Governance (1) The organization review and shows a good governance system. The responsi-

bility for the actions of management, nancial accountability, transparency in oper-ations, independent audit, both internal and external, and to protect the interests of all stakeholders. Add value and improve the system as a result of the recommen-dation of the Governance Committee. (Including both internal and external moni-toring systems).

Bangkok Hospital Medical Center is a company in the stock exchange. Under the terms of the Stock Exchange must have good corporate governance. Transparent and has both external and internal quality audits. Implementation of the Bangkok Hospital Medical Center (BMC) under the utmost care of the parents. Members of the governing board consists of directors from the company’s management. (BMDS), which is the ultimate responsibility of the hospital. These leaders will choose the president of the hospital. Chairman of the head of the department. Which is respon-sible for ensuring that patients receive the best and safest care the parents have joint meeting formally at least quarterly to consider the nancial aspects. uality and erformance and will approve various things these all as below:

Strategic Plan Plan, improving the quality and safety of the patient ( uality Improvement and

Patent Safety). Membership management in healthcare organizations (Medical Staff organization

Membership Management Plan).

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Budget Funding Plan (Capital).

Governing board will meet unof cially via conference call at least one monthly meeting, which will be recorded. In addition, meetings with conference calls, unof-cially also allows members to respond to a problem or situation urgently requiring

a decision of the governing board to support and promote the quality and safety of patients. Efforts in the allocation of resources necessary for the planning and imple-mentation of the quality improvement and patient safety, and through the govern-ing board of the quality of the parent is assigned to a joint management committee (JEXCO) do. In some of the speci c duties.

Strategic Plan Plan, improving the quality and safety of patients. Membership management in healthcare organizations.

Leaders of the organization : President will be responsible for integrating and oper-ating hospitals in the hospital each day. As well as supplying essential. Care facilities, nancial management, quality management and other responsibilities. The functions

of these will be noted in the description of the President’s job. The people who will become eligible to be met. So, the president will have the following duties. Recommendation to the Board of Administration Policy

Implementation of the policy to achieve its mission and strategic plan. Compliance with laws and regulations Responding to a report from the organization of the monitoring and control of

the organization.

(2) Evaluate the performance of the organization at all levels. Leaders use the results of these reviews to improve the effectiveness of each leader.

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Implementation and effectiveness of improving the effectiveness of the lead-

ership as a result of the review. Bangkok Hospital Medical Center has set. Attributes (knowledge Skills and behav-

iors) to employees as a way of managing an organization’s need. Formal performance management, which will show up to the expectations of the organization on the executive level.

improvement of Assessment results leading to the improvement of management training courses in 2010 through collaboration between the Medical Center and Hospital, Bangkok Dusit Medical Services continue to develop training courses for managers at each level. Expectations of the workload.

B. They laws and ethical behavior.

(1) The organi ation identi es and predicts the risk negative impacts on

society and concerns of the public Services due to / Operation of the organi-

ation are preparing an aggressive issue. The process includes the use of resource

-ef cient and environment. Processes are de ned metrics and key targets. To

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ensure compliance with regulations and laws. As well as reduce risks or negative

impacts on them. Evaluation achieves the compliance with laws and regulations,

the risk of negative side effects and concerns of the public, the environment

and use resources ef ciently.

To ensure that the hospital’s mission re ects the needs of the healthcare com-munity. Hospital advisory committee, whose members range in order to re ect the diversity of the community as well.

Community representatives University representative from Representatives of Embassies

Services of Bangkok Hospital Medical Center have been licensed business. If you have any suggestions for new services, you can inform the hospital in several ways, such as via email and other of cials which suggestions will be sent to the President to determine that it is consistent with the mission and strategic plan of the hospital or not.

Care and Control Agreement Parties: Hospital has contracts with various external agencies. And to ensure that they can provide a comprehensive service. President will designate the senior management of the hospital to make sure each contract with outside agencies to ensure that the care and services to meet the needs of patients. Medical management is the monitoring of the contracts associated with the management, treatment and management will monitor contract management is delegated to the Executive Chairman; these are the draft form contract. Which will be checked thoroughly to ensure that hospital services can meet the needs of pa-tients and notify to the Commission to develop a fully supervised by program man-agement and quality improvement.

Assess the risk and impact of the hospital. The organization has provided a risk assessment in terms of medical treatment. And assessment of environmental and patient safety. Assessment of the environmental risk analysis done by considering

32

the two concepts is the risk arising from internal management. And physical charac-teristics of the hospital (the department managed care ), risks arising from the loca-tion of establishments using Hazard Vulnerability Assessment to evaluate regardless of the occasion may be the birth of the individual event of violence. Of each event if it happens to be divided into 4 groups of events. Risks that may arise from the nature. Risks arising from human action. Risks arising from technology and risks arising from the object. Which will impact the harm. Hospital and Community Each type of risk assessment factors to take into consideration. Likely to occur Response when this happens it impacts on people , property and business preparedness organizations. The availability of resources within the organization to provide support such as per-sonnel, equipment, supplies, and prepare to coordinate assistance to outside orga-nizations

For example, to assess the risk of human action.

33

Brief overview of the risks and threats of the organization.

Fire Alarm FailureCommunications Failure

EpidemicElectrical Failure

VAC FailureLeakage Internal

Information System FailureService Thunderstorm

Mass Casualty Incident (trauma)Small-Medium Sized Internal

Generator FailureLarge Internal Spill

Medical Vacuum FailureMedical Gas Failure

Terrorism, ChemicalForensic Admission

UPS FailureTerrorism, Biological

Bomb ThreatFlood, External

Fire, InternalChemical Exposure, External

VIP SituationEarthquake

Water FailureTransportation Failure

Supply ShortageRadiologic Exposure, Internal

Labor ActionInfant AbductionCivil Disturbance

Mass Casualty IncidentHostage Situation

0% 10% 20% 30% 40% 50% 60%

Priority Risks and ThreatsPercentage of Risk

White Project Hospital Due to scrap the present economic substance abuse prob-lems widely spread, whether buying, selling or possessing government has recognized the importance of such issues. Assigned the Department Labor Protection and Wel-fare Project establishment white workplace project for the owners to help the gov-ernment to prevent the establishment of the buying, selling and possessing drugs, including screening and treatment to help those addicted to drugs. To cease such behavior Bangkok Hospital Medical Center is an establishment that employs a lot. The staff of the hospital Employees and many subcontractors. Therefore, to ensure that Bangkok Hospital Medical Center is a workplace that is free from the purchase, sale and abuse drugs. Has participated in the “White Workplace Area” of Labor Area 3 with the aim to ensure that the Medical Center Hospital is a smoke free buying, selling and possessing drugs for the purpose. The personnel and patients cause the trust to come in and take a good image for the organization and the community.

34

Bangkok Hospital Medical Center has adopted the Lean system combined with the engineering theory. To be used to improve the development process. By reduc-ing the equipment needed to take away and adjust the system accordingly in order to make the performance in terms of energy saving is possible in an ef cient and cost- effective according to preset. The response to the initiative of His Majesty. In-cluding reducing global warming. And employee awareness campaign on energy conservation and environmental protection continues. By working as a team and employees to participate in sharing ideas and innovations in energy savings.

We can measure the results as follow: * Energy consumption decreased by 3.93% and average energy savings each

month for up to 95,095.24 kWh. Compared to last year, which can save energy in electricity consumption by up to 1,141,142.86baht

* The cost of the electrical energy is reduced due to higher volume in the Ft which is the automatic, which is used to calculate the charge voltage and services. This is because in 2009, the Metropolitan Electricity Authority has revised the Ft rose to 9.60 cents per unit. So the cost is not reduced. When compared to the money in the same unit is reduced. Because electricity consumption decreased by such infor-mation.

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35

In 2010 the Hospital joined the Energy Conservation Building BEAT 2010 by a survey of 180 people, the honor society has 20 buildings, including six types of buildings and Bangkok Hospital is one of three hospitals were recruited . By the Of ce of Energy Policy and Planning at the University of Technology Thonburi aims to build strength, energy conservation personnel and improve energy ef ciency in buildings to create awareness to the general public the new knowledge. And further to the development of energy conservation. Creating a community of young researchers who are interested in the conservation of energy, the result is energy savings.

(2) The organi ation promotes and ensures that it is ethical behavior in all

cases the interaction. The monitoring and continue to violate ethical behavior.

Ethical issues that corporate priority measures to prevent abusive practices.

Consider the performance of doctors. , A member of the medical organization issues, complaints and quality of care services for the review of issues. The Risk Management Committee to review the complaint. Policies and practices of the re-spondent hospitals. If you have any issues With regard to ethical issues. Be present-ed to the Chief of Medical Of cer to the Board of Directors Credential and Bylaw conclusions presented to the Executive Committee to consider the medical and JEXCO. The right to review the treatment of patients with a doctor if he or renewed.

The medical complaints. Has reviewed the standards for medical expenses to have the same standards and determination to maintain the Fixed Pricing is essen-tially procedural. Medical fee schedule Deduct consideration for doctors is exceed-ed. Trackbacks are indicators of the topics discussed by the Utilization Management section for the suitability of the patients admitted in the hospital. Appropriate ther-apeutic Appropriate in the distribution and doctor’s charge the eligibility criteria.

The hospital has established a Research and Ethics Committee. This is a group of individuals working independently. Consisting of medical personnel scientist and others is not a doctor or scientist. It’s responsible for ensuring that the rights, safety and well-being of his subjects in research are protected. And to ensure that research

36

subjects are protected. By serving the review and / or approval protocol, the suit-ability of the research, the research, as well as how. Including documents to consent and the consent of the subjects. This committee may be the difference in legal status, functional and operational elements. Laws, regulations and requirements of each country. But the role of this committee should be consistent for Good Clinical Practice in Research Medical Center Hospital, according to the rules and Patient’s Rights Ethics The welfare of the patient is taken care of properly. And risk manage-ment with the objective medical research.

To review the control and monitoring of research in humans. The Bangkok Hospital Medical Center to perform properly the policies and rules of international custom. To determine the principle of respect for individual rights and Goodnight (Respect for person) of the subjects participating in the research for useful to consider. To consider the risks of the research (Bene cence). To be fair to all parties involved with research (Justice).

Patients Care: to provide nursing care to patients with the validity of the principles of medical ethics and Related Laws With regard to patients’ rights, bene ts and risks of the patient is important for medical treatment or procedures in addition to guide-lines that are approved to be practicable in the present.

Must be submitted to the ethics committee considered the bene ts and risks that will occur. Before it is presented to the relevant committees. In terms of providing the appropriate treatment.

Considering the media : To provide information to the media care and research to the public with the right information at the main presentation.

37

Lessons from a dif cult case to decide. The application for termination of pregnancy. Due to detect abnormalities of the

baby. Which do not result in harm to the mother. Have adopted practices to termi-nate the pregnancy, according to the guidelines of the Medical Council to deploy the enterprise. By asking the opinion of the obstetrician, the non-medical caregivers to comments. Mental conditions are evaluated by a psychiatrist before all data. Present research and ethics committee. Considered in the implementation and fol-low the guidelines strictly.

standard Score Development issues in the next 1-2 years.

01. Leaders directed the organization (mission, vision and values).

4.5 Because the organization has continued to make changes to a clear focus on both short and long term in order to develop the capacity and capability of organizations be clearer.

02. Promoting good performance. (Environ-ment conducive to the development of safety culture).

4.5 - promoting a safety culture by providing positive recognition in the reporting system. - Promoting innovation and patient safety.

03. Communication, motivation, empower-ment focuses on the practice.

4.5 Add channel and communication methods to achieve better understanding and per-formance mosques.

04. Corporate Governance Assessment Of cers / Systems

4.0 360-degree evaluation

05. Accountability to the public and operating in an ethical manner.

4.5 continued development So that the orga-nization is perceived as an organization with ethics and social responsibility.

3Health care and

to educate the public

39

Health care and to educate the publicon the people in a sustainable community.

Bangkok Hospital Medical Center has been providing health promotion and empow-erment to the community is considered to be one of the Strategic Plan of the organiza-tion to keep the community healthy by community groups , hospitals, service is divided into groups. Following is a group of patients who were neighbors to provide services such as health, knowledge of diseases endemic in the area where he was responsible to pre-vent such occurrences; Group 2 is the group of employees to create. Augmented by a strong health, disease-free and can work safely and are happy to be among the group 3 patients who receive services at BMC. It is divided into three sub group is not a disease to health , for his health, strength , Group 2 will be the risk of a disease in the future this group will make recommendations to the act to reduce osteoporosis. risks and prevent disease to occur, such as a group at risk for diabetes, and Group 3 is the group with the disease by a campaign encouraging him to return to daily life, as well as Latin and prac-tice self-care at home, and can prevent the normal level of threat to life, also the extent to which partners and external agencies to communicate knowledge about health pro-motion. The community, including participation in the public and private sectors to support major events, including social support, such as the ood of distressed commu-nities or disadvantaged children and so on.

Target / critical uality issues at Bangkok ospital edical Center in the past year

and plans to do so.

40

Indicators Target 2008 2009 2010

1. Rates of annual health check of employees. 100% 96.28% 99.16% 99.09%

2. The percentage of employees with a BMI in excess of NAV decreased

<20% 23.5 21.15 22.88

3. Rate of cancer patients has been instrumen-

tal in putting into practice in everyday life is

very good for health promotion activities.

>80% 54.17% 87.56% 85.29%

4. Rate of dementia patients has been

instrumental in putting into practice in

everyday life is very good for health promo-

tion activities.

>60% N/A 50% 65%

5. Rate of diabetic patients has been instru-

mental in putting into practice in daily life is

very good for health promotion activities.

>60% 51% 59% N/A

6. The number of health promotion activities for the group of patients the disease is important

>3 1 3 3

7. The number of health promotion activities

to the community.. >15 16 14 20

8. Number of events to educate (CME) and social activities.

>10 5 8 20

9. Engagement score on health status. >50% 52.75 54.5 N/A

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4Quality process

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Quality process

The health promotion program for the community. Policy of Bangkok Hospital Medical Center has a strategic plan has set the topic in the health of the community. This strategy is one of the hospitals. It is in view for the Balance score card on the Preferred Private Hospital, which de nes the management, marketing and public relations is responsible for planning health promotion activities to the com-munity. Including a board of health promotion to employees (EWC), working in the health service to customers for check-ups (PHM) working community care community hospital responsibility. It will divide the community into community neighbors nearby. Partner hospitals Community who are at risk for the disease. Communities where the disease is common and important. Community health Community and social assistance in case of emergency or ood through. Including the socially disadvantaged. In addition, employees are assigned to community health of employees. By promoting a healthy for a healthy future. People at risk can help him not a disease. Most people with the disease can live their daily life happily and control the potential threat of disease. The data source for the determination of the community. Brought information from the Health Center includes a geographic area near the Huay Kwang , and other diseases of ICD-10 system to de ne a group of major diseases. By common diseases including diabetes, heart disease, dementia and cancer including the laboratory at the risk of the disease attributed to group. When informed by community groups, the team will conduct an annual program organized for health in every year.

The promotion program will be coordinated with government agencies and

local government in the various services that comply with such communities.

Assisting in organizing mobile medical teams. Team ambulance and emergency vehicles. Also, if you have an event or festival, at the risk of accidents or incidents Category will coordinate with the government to provide a mobile medical unit. Including an emergency medical helicopter, which was chosen by a helicopter emer-gency medical works in the HA National Forum 2009.

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Health care Teams include physicians, nurses and Lectures about various diseas-es Arrange for the examination to the local community. Such as the healthy and also to check the water. Pressure to risk it if anyone has recommendations to reduce disease and healthy forever.

A collaboration with communities and partners in health promotion as a unit to educate health care to the community. Encouraging people to wash their hands including of ce Huay Kwang Public school and Bang Sue canal community to educate and explore areas with dengue, the Community House in communities adjacent to the hospital.

To promote learning presents a lecture and practice in rst aid and resuscitation.

To educate the police about the delivery of emergency. It was found that there are some communities cannot get to hospital in time. Make an Emergency Childbirth Thus accelerating the importance of educating the police about the delivery of emergency to allow the delivery has been to include parents and children safe from such delivery. It has prepared a training to police in 2551 103 cases and 2553 of 137 cases, which will include topics in the training. The initial operating Basic life support to prevent the spread of germs assisting childbirth in many situations. Care of new-borns before hospital admission. It also has a track record of practical training after the birth to help the emergency services number 149 of 2,322 women born near the hospital.

A public policy points such a campaign on energy conservation. To reduce glob-al warming campaign included about planting trees to green areas. And do not use the device that destroyed the environment. Such as mangrove planting projects.

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The services to patients / clients. : There will be a survey of patient satisfaction for the service to be updated to suit your needs. The hospital is operated as follows.

Provide handrails on walkways, ramps for wheelchairs, handrails and buzzer pro-vide emergency call in the toilet for patients. The Staff will provide assistance and information. Patients in the patient transfer. Have a concierge traf c A brochure on the disease to be studied. Held at the waiting area catering to all points of service, diagnosis and treatment of patients. With the newspapers, television and drinking water to millions of toys for young patients. To promote the development of children, including a place of worship for the whole room and come off with proper ventila-tion. To patients/clients in a better environment.

The health promotion program for their employees. Leader of the organization the importance of human resources highly. Develop-

ment of personnel policies at all levels as a specialist service. Medical coupled with a good quality of life, both physical and mental health’s are set policy and allocate budget to support health promotion activities for employees as well.

Provide an environment to facilitate staff (Creating supportive environments), focusing on health promotion. Exercise in the workplace. Activities to promote men-tal health and reduce stress. By patterns of activities that were conducted in 2007, for example.

The service provided annual health check to staff at all levels in hospitals, strati ed by risk factors as age, gender, and environment of individuals were found in 2008 to create awareness for the staff to get a health check. Much higher by 2007 = 60.69% and in 2008 a new strategy had to be replaced. Found that the rate for a medical examination of the employee = 96.28% and increased, respectively. Almost 100% on target in the current year.

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Has a policy of providing vaccines to employees including risk group. Flu vaccine Hepatitis B, chicken pox, rubella. The H1N1 u vaccine to staff at risk. To reduces the epidemic of u and make a person not the disease. providing facilities like library, tness room, recreation staff. Providing quality food employees. A Buddhist, Islamic religious rites, etc. to staff.

A dormitory with a shuttle from the hospital. Reaching the hostel. Offers a child care staff. Between practitioners. Sample project to prevent of cials. Acclaimed exploration of the great quality of international (JCI) is a vaccine against varicella. (Without charge) for all non-immune staff at the hospital. Find the big star Competition weight for employees with physical examination and found that BMI anomalies that can make employees vulnerable groups participating in the project can reduce weight 43.65 % and BMI of up to 51.59 % as a result. Continuously for a period of three consecutive years as well as a role model to present to the health promotion to post on “Thai Health Promotion Foundation (SSS)”. , In 2007 to 2009.

Support activities organized by the staff to the staff friendly. By club of cials Employees, reinforces the power of the community to event according to their preferences. Strengthening community action

Sporting events in hospitals. The competition between hospitals network. Celebrates the New Year. Karaoke contest The establishment of new clubs such as Club Photo, ATM club, BMC band.

Support the development of life skills (Developing personal skills), coupled with the development of such skills.

Describe activities to relieve stress. Supports the new BMC New Staff Retention and executive CEO for staff.

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Activities, music therapy with a psychologist. Gross has cut bowl. To cancer patients undergoing treatment in the hospital. Activities merit and monthly birthday party of cials.

Environmental Management The Safety Board Health and Environment or Envi-ronment of care (ECC) regulatory acts. Following the correct legal standard.

There is limited clinical staff (Staff Clinic) are available on the illness. Has tracked the incidence of disease / injury from work. Or tracking risk areas in the hospital. etc. With the environment and provide a safe working area as required by law. There are detecting drugs among employees. To protect and to ensure that employees in the hospital hooked made a white hospital in 2009.

Community empowerment Building power in communities , neighbors and the general public : The hospital

has a plan annually . And communicated to those concerned. Communicate via Lotus note to let everyone know in the hospital. The neighbors will be closed sign and send a letter to the neighbors know in such activities. The following activities

Activities to create a better relationship between the research center and hospi-tal. The name of the community . The truck in question together with the needs of the community in joint activities contributes to good health .

Organize events to bene t the public. Research in the alley by the Big cleaning day , which would have invited representatives from Huay help clean the joint, which each year. In addition to keeping the neighborhood clean environment is good. Also promote disease should know about the situation of the country by the year 2009, there are problems in the pandemic H1N1 u is there to know about the disease. And distributed face masks and hand washing liquid to encourage frequent hand washing. To reduce the spread of infection and prevent spreading the disease. In 2010, more activity in the reduction of disease concepts consistent heat. There is a

4848

campaign to neighboring communities in Lane Research Center. Provides arboriculture by the distribution of trees for neighbors to plant trees in their own homes. Or around residential areas

Activities to educate the public. Through television, radio as Hs. 100 or go to educate the local people like to educate the public about the disease, such as drill-surgical methods. Spine, hypertension, however, is on medication to dissolve blood clots, the Suphanburi. At the gym in heart disease.

Empower patients : Has been de ned patient groups is important and common diseases. The activities to empower the patient. By focusing including patients with cancer, diabetes, dementia and communication in such activities. Communication to communicate through Lotus note to let everyone know. And sent letters inviting patients the disease as well. Including the preparation of billboards installed in the elevator to let everyone know. To invite patients with the disease. They can be a friend or relative to attend such events. The following activities

Seminar stroke care or Stoke camp or enjoyable to the Neuroscience Center, which organized the group of patients with diseases of the brain. To build a good relationship with patients in the same disease. Including the exchange of knowledge and experience to live happily. Activities will include Taken to various places, to educate about the prevention of recurrence, and psychological adjustment. Which a team of doctors, nurses, physical, dieticians, pharmacists and psychologists to attend and to learn. Which has been in operation since 2005 and has subsequently mea-suring the activity found. In the year when it was found that the patient can be adapted to practical everyday level Very Good = 60 % 2009 = 50 % and in 2010 at 65% addition, the team also presents Tele Stroke. This is a project that Bangkok Hospital and Bangkok Hospital Samui. Has included consultation and treatment planning of patients through the system. Teleconference The patient and family bene t from the collaboration of a team of medical experts have won AHMA: Asian Hospital Management Awards 2006.

4949

Seminar cancer patients under that Think positive club to build support for the patient. By the preparation of joint activities. There are great activities for cancer patients. Be able to do what is good for society, such as jewelry or beads are used in meditation to put together music therapy and aromatherapy treatments. Figure drawing A platform to share experiences recounted

Seminar diabetes DM camp activities to create better relationships among groups of patients, including outings to educate patients, including learning to live happily diseases. The event will feature. The knowledge of the food, drug, exercise. The blood sugar and foot massage as well as natural treatments . Which was conducted in 2008 found that the activity results in the bene ts of this activity, the patient is taken to change on a daily basis in 2008, is in very good = 51%. and a good level is 44%, and by 2009 is very good = 59% and good = 38% .

Empowerment on the part of employees will be communicated through lotus note to the relevant committees in the health of employees, including Intranet hospitalization in which the operation is as follows

1. Has explored the physical environment, such as light, sound, heat to the health of the employees have good health. Not a disease of the There will be an annual survey. If the area does not meet the criteria to take corrective action. And recom-mended that employees use Personal Protection Equipment (PPE) to prevent such harm. It will be given to the health risk to disease caused by the work.

2. Handling chemicals Committee of Safety, Health and Environment. Will be pro-vided induction training to employees from the entrance. To make employees aware of the management of chemicals. Including requiring the preparation of MSDS for all that are in the agency. To determine the chemical data and management practices to prevent hazards of chemicals used in hospitals. The MSDS program is designed to communicate via the intranet to all employees can be used as a channel for man-aging such material.

5050

3. Organized program to send messages to people who have good health healthy forever. And a group at risk for the disease is not a disease of the surveillance list. And the disease can exist in everyday life. No complications or the threat of an act is wrong.

4. Risk group or groups that meet the criteria of the disease, such as excess weight standards. This will lead to obesity. Or other diseases such as heart disease, high blood pressure, diabetes has been prepared for the project each year. To reduce the health problems of employees, for example.

Plump fat reduction program to reduce disease in the workplace. The Project was prepared in 2010 as a project of self-adjustment programs to reduce diabetes / high blood pressure people plump for the staff of the hospital. Which will integrate the activities geared towards content three main issues, namely, food, mood and exercise. Through science and art 2D parallel with suitable habitat. This project has been funded by NHSO.’s Activities and contributes to the staff’s awareness and encouragement to modify health behaviors, self to self, good health and control disease and risk factors of the disease on their own anyway, which will feature ve stories together.

Activity 1 : Solubility behavior expectations, behavior analysis concept of life. And disease risk

Activity 2 : 5 tricks nutritional knowledge: the knowledge that he knows the plan and knows knows redemption review.

Activity 3 : Reading the nutrition label and self-directed consumption.

Activity 4 : Review the Knowledge Station 5 Station nutrition and energy movement in daily life.

Activity 5 : the exchange of learning and self-assessment self-care behaviors.

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The patient often reduces the disease by disease of the staff’s top 5 campaign with three diseases together. Respiratory infections organized a campaign on hand washing in hospitals annually and increased surveillance by professional group in 2009 in order to deliver feedback more clearly. In addition to tracking the hands of staff at various locations, such as increasingly Hand scan and are recommended to use the proper PPE to employees. Diseases aching muscles. Ergonomics tour has been prepared by the project will be to educate employees through lotus note and intranet. Activities, including the risk of developing this disease. By going to advise on the manner of work and muscle including surveying equipment suitable for such work. Which was later taken out of the results remains very good. In 2009, with the campaign found. The rate of illness. Musculoskeletal Disorder Risk group of employees decreased from 10.6% of the total cost per month = 186,035 baht in total for a year can cost up to 2,231,416 baht is a major contribution and has also been chosen as the presentation Oral presentation come to know about today’s ergonomic Economics at the SHA Conference. Diarrhea has prepared a communication channel to educate eating healthy and a campaign stop buying food wayside. And promoting hand washing continues. 5. Their surveys and employee satisfaction in the year by an outside organization to

re ect comments. Suggestions of employees in various elds to re ect the quality of work life. From the survey data for 2008 found that In terms of health status in-creases, respectively, in 2008 = 52.75% 2009 = 54.5%, and the promotion of social assistance and built environment, and results. The hospital has been awarded as one of the top 100 enterprises of happiness (Happy workplace) in 2009.

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To generate power in a disadvantaged group: This hospital has established The Bangkok Hospital Foundation in 1984 to help patients destitute. For helping the needy poor patients, but it is necessary to be admitted to hospital alive survive later in 1996 was renamed Dusit Medical Foundation. And regulatory changes, some of the foundation. To extend help to the needy provides extensive coverage is not limited to needy patients at the hospital only by the many projects. The examples of major projects of the operations of Vejdusit Foundation’s as follows.

provide support I love your project Volunteers for Life The project is a collabo-ration between the Board and Youth (NYB) Ministry of University, Institute of Tech-nology, Of ce of Rajabhat Institutes Council. And Bangkok Hospital Supported by grants to college students and students to use in projects and activities. To educate the public about health care and prevention. In order to improve the quality of life and mental health, youth and the general public to a total of 20 projects.

assisting the patient with tumor at the base of the brain cortex. Not admitted Rajvithi hospital Initial But also with the rest of the tumor. Thus requiring further treatment with Gamma Knife.

The orphans at the workhouse Phayathai Home for Babies Reserved. By to assist public health activities.

The projects help the poor roaming Slum Child Care Assistance Program at the Foundation for Slum Child. Under the patronage of HRH Princess Galyani Wattana, at Som Wai house (Klong Toey), by going to events and other public assistance.

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The projects help the poor passer assistance program for disabled children at the orphanage for disabled children and disabled redundant Pak home raised landscape by the activities of public health and other assistance.

Donation of health information to Braille at the Educational Technology Center for the Blind.

Cooperating with Big Knit Café has established knitting hats for children (Big hat Big give) to help mitigate the winter to children in the north by the hats of this ac-tivity. To aid in the treatment of children at the wilderness of the Northern Province. Humbly presented to the HRH Princess Maha Chakri Sirindhorn. HRH Princess Maha Chakri Sirindhorn of 1,200 pieces.

5The major development

55

The major development

Sample project to prevent of cials. Acclaimed exploration of the great quality of international (JCI) is a vaccine against varicella. (Without charge) for all non-immune staff at the hospital.

Find the big star Competition weight for employees with physical examination and found that BMI anomalies that can make employees vulnerable groups participating in the project can reduce weight 43.65% and BMI of up to 51.59% as a result .. Con-tinuously for a period of three consecutive years as well as a role model to present to the health promotion to post on “Thai Health Promotion Foundation (SSS)” , In 2007 to 2009.

Performed the Ergonomics tour the project will be to educate employees through intranet lotus note and include activities to groups at risk for this disease. By going to advice on the manner of work. And muscle including surveying equipment suitable for such work. Which was later taken out of the results remain very good in 2009 found that the rate of chronic disease. Musculoskeletal Disorder Risk group of em-ployees decreased from 10.6% of the total cost per month = 186,035 baht in total for a year can cost up to 2,231,416 baht is a major contribution. And has also been chosen as the presentation Oral presentation come to know about today’s ergo-nomic Economics at the SHA Conference.

The hospital has been awarded as one of the top 100 enterprises of happiness (Happy workplace) in 2009 in the environment so that employees have a better quality of life.

The Tele Stroke Project which Bangkok Hospital and Bangkok Hospital Samui. Has included consultation and treatment planning of patients through the system. Tele-conference The patient and family bene t from the collaboration of a team of medical experts have won AHMA : Asian Hospital Management Awards 2006.

56

Activities to a group of cancer patient’s use “Think positive club”. This club was used to build support for the patient. By the preparation of joint activities. There are great activities for cancer patients have to be operated on. 2009 and has been se-lected works as Poster presentation given to a group of Support / Think Positive Club in HA National Forum in 2009 , and has also been selected works as oral presentation about the group Support / Think Positive Club in SHA Conference consecutive.

Cooperating with the government in a mobile medical unit including an emergency medical helicopter. This can help those who suffer harm. The lm, which was screened in the emergency medical helicopter HA National Forum 2009.

To educate the police about the delivery of emergency to allow the delivery has been to include parents and children safe from such delivery. There has been con-ducting training courses and tracking performance that can support the delivery of emergency services number 149 and can help women in labor to the hospital of 2,322 cases.

In the coming year 2014, we remain committed to using its knowledge and expertise in the health care our medical community to other published widened. To contribute to society’s bene t to Thailand.

Editor TeamDr.Pongsakorn Chindawatana

Songtip Sermsawatsri

SPEACIAL THANKSPhanasan Sutjaritpanich

Ajjima Srethaputr Sumalee Phromburi

Patcharin Wongrukmit Dr.jinhatha Panyasorn Noppadon Boonsaner

Siriporn Srison Nantana Suppapitnarm

Udomsak Sirilertchaiyakul

BANGKOK DUSIT MEDICAL SERVICES Public Company Limited2 Soi Soonvijai 7 New Phetchburi Rd., Bangkok, Thailand 10310 Tel. 66-2310-3000 Fax. 66-2318-1546

www.bangkokhospital.com