1. Social Innovations
Asia NGO Innovation Summit 2013
นพ. ก้องเกียรติ เกษเพ็ชร์
Kongkiat Kespechara, M.D.
Sooksatharana Co,ltd.
kongkiat@ipensook.com

2. Health for All: An Elusive Goal
•
•
•
•
•
•
•
Governments and international organizations have long recognized the need to improve the health of
the poor.
In the 1970s, the World Health Organization (WHO) led a global effort to achieve “Health for All” by
the year 2000.
More than 25 years later, however, the goal remains elusive.
For more than 1 billion people worldwide living on less than US$1 per day, health services and modern
medicines are still out of reach. Large disparities in health persist both within and among countries.
Disparities among countries can be partly attributed to differences in spending on health care and health
research, local capacity, and access to technology and information.
In the least developed countries, health spending is about US$11 per person a year—well short of the
WHO’s recommended $30-$40 per person needed to cover essential health care—compared to more
than US$1,900 per person annually in high income countries.
As a consequence, people living in poor countries have less access to medical technologies and good
quality care than those in better-off countries.

3. In 1999,
Thai National Health Security
30 baht scheme
Everyone, every diseases pay only 30 baht/visit
Government pay for capitation 1,200
baht/head/year to registered hospital.

4. How can the small rural
hospitals survive?

5. Hospital OS project
started
Hospital OS strategies
Build up a community that would create a sense of joint
ownership and sharing to develop and using Hospital
OS software
Provide maximum access to the software and database
system by using the Open Source software
Reduce cost of investment and operating costs by using
Open Source license(GPL)

6. Target 700+
Small rural hospitals in Thailand.
Out put for Granting agency: at least 10 hospitals around
Thailand in 17 months with 1.4 million B. (45,000 USD)

18. KPI Dash Board for Hospital Management

20. Out come:
• 14 Hospitals in 17 months. 1,000 + members of website.
• Our Innovation of implementation process ;
150 Clinics in 3 months in Bangkok
68 Health centers in 1 month in Bangkok
30 Primary Care Units in 2 weeks in a province
2 Consultants for Go-Live in a hospital in 5 days
• We trained non-IT persons in the hospital to maintain the
system
• We created learning Communities for the users to share thier
knowledge.

21. Market share:
Top rank among open source software in Thailand
5th rank among all hospital informatics products
95
Hospitals
200
Primary
Care Units
150
Clinics
68
Health
Centers

22. International Potential
• Hospital OS can expand globally, the software can be of great benefits to
healthcare organizations in many countries especially those who have limited
resources. So the foreign countries approached us for Hospital OS. 1
8

23. iMpacts
• Improve services: reduce waiting time by
managed appointment and transfer patients
back to primary care unit nearby their home.
• Reducing non-clinical workload to nurses and
doctors.
• Using health data to plan for budget and target
activities to use budget more effective and
predicted out-come.
• Reduce or prevent the out-break of infectious
disease.
• Proved the sustainable ways to adopt IT for
resources limited areas

24. Ashoka fellow 2009

25. In 1999,
Thai National Health Security
30 baht scheme
Everyone, every diseases pay only 30 bath
Plus capitation 1,200 baht/head/year to registered
hospital.

26. Our Health Care system in the Future !
2 times !!!!!

27. Our Health Care system in the Future !

28. BMI data from BKK population
Year 2011
Year 2012

29. Statistic for Blood Cholesterol for BKK Population
2011
N
Mean
2012
SD
N
Mean
SD
Age
819,839
38.79
13.28
544,124
38.82
13.62
BMI
819,340
23.39
4.32
543,734
23.65
4.41
height
819,639
161.46
8.64
544,079
161.34
8.63
weight
819,647
61.14
12.72
544,010
61.72
12.94
CHOL
133,490
194.73
59.19
75,923
209.32
43.52
HDL
21,824
67.29
51.59
75,915
56.15
25.51
LDL
21,901
91.04
55.75
75,915
122.47
44.12

30. Statistic for Blood Screening Chronic disease
for BKK Population
Population
Numbers
Bangkok Population
8,655,626
Screening for diabetes, cardio vascular disease
coverage
%
820,075
9.47
-Risk for Diabetes and Hypertionsion
178,041
21.71
- negative screen for Diabetes
168,041
20.49
- negative screen for HT
156,308
19.06
Case convert to Diabetes in 1 year
15,729
1.92
Case convert to Hypertention in 1 year
17,550
2.14

34. Health for All !!!

35. Health for All !!!
www.thelancet.com Vol 377 February 19, 2011

36. บริษัท สุขสาธารณะ จากัด

37. High
efficiency
Health Care
services
PenSook
Personali
ze
Organic
/Health Food
Be Healthy, Be Happy
consumptio
n
By
Innovation
Technology &
Health
Manager

38. http://www.dietandfitnesstoday.com/glycemicIndexList.php?section=Rice

39. ข้าวหอมนิล
ข้าวสินเหล็ก
Health benefit rice
High water soluble fiber rice
Low glycemic index rice
Slow Glycemic Response
Pensook ข
ข้าวเป็นสุ rice
page 1

40. Low GI Rice in
research lab

41. Using technology and organic way plus Fair Trade
Area of farming
110 Rai
Initial investment
200,000 THB
Characteristics
In seasoned/ Out seasoned rice
Plantation
Beginning of May
Harvesting period
October - November
Buying quotation of
paddy rice
Above market price
Quantity bought
40 tons
Productivity per Rai
450 - 500 kg/Rai
LPMP Responsibility
Gather and facilitate local supplier, Perform
quality control, Provide organic farming
consultation
Social Enterprise – Lumplaimaspattana school in Burirum
Pensook Rice

44. Nutrition Facts for Each Crop
•
•
Geographic Indicator
Work with Faculty of Science, Mae Fah Luang Univ.
•
Rice grain samples will be divided into 2 groups; uncooked grains and
cooked grains
•
•
•
•
•
Proximate analysis: Moisture content, Protein, Fat, Ash, Carbohydrate
Amylose content
Total starch (TS), non-resistant starch (NRS), resistant starch (RS)
Cooked grains
•
•
Uncooked grains
Total starch (TS), non-resistant starch (NRS), resistant starch (RS)
Note: The gross content of Protein, Fat, Ash, Carbohydrate and Amylose in
rice grains remain unchanged after cooking

49. ช่องทางจัดจาหน่าย
Pensook [Retail] Experience Shop

50. K-A-P
Knowledge
Attitude
Practice
Behavior
Change

55. Products
High
PenSook
efficiency
Health Care
services
Innovation
Technology
Clinic Information
System
Empowerment
Personal Health
Record

56. What we do
HEALTH DATA
Exchange

57. iPensook total care system:
- Personal health management: PHR
- Clinical Information System: CIS
- Telecare: community and home monitoring

58. Integrated Healthcare Service

65. 65

66. 66

67. 67

68. COLLABORATIVE
Integrated
Healthcare Service
Are you at Risk?
Take the test to find out the patient’s risk
of developing diabetes and Coronary
Heart Disease Risk Assessment.

69. หน้ารวม
- แสดงประวัติทั้งหมด
- กรองดูเฉพาะความเสี่ยงที่
ต้องการได้
- หากในปีใด มีการ
เปลี่ยนแปลงความเสี่ยง
มากกว่า 1 ครั้ง จะแสดง
เฉพาะครั้งหลังสุด
(หมายเหตุ ข้อมูลความเสี่ยง
จะเกิดขึ้นเมื่อมีการ
เปลี่ยนแปลงข้อมูลผู้ป่วย
และส่งผลให้เกิดการ
เปลี่ยนแปลงความเสี่ยง)

70. Health Promotion

71. "The aim of medicine is to prevent disease and prolong life;
the ideal of medicine is to eliminate the need of physician"
- William J. Mayo.

72. นพ. ก้องเกียรติ เกษเพ็ชร์
Founder: Sooksatharana Co.,ltd.
Ashoka Fellow 2009
kongkiat@ipensook.com