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15

HPH

(Context) : . /////

/

33

33

30.1

31.9

31.731.7

30.6

32.1

29.7

29.7

29

31.2

26

28

30

32

34

2550

2551

2552

2553

4.00

30.00

15.00

33.33

0.

5.

10.

15.

20.

25.

30.

35.

.50.51.52.53

1

78.4

73.15

68.1

65.17

66.3

40

60

80

100

2548

2549

2550

2551

2552

93

93

92

90

91

40

60

80

100

2548

2549

2550

2551

2552

26

23

28.15

0

10

20

30

40

50

2549

2550

2551

2552

2553

92

.

67

40

60

80

100

2548

2549

2550

2551

2552

98

.

2

40

60

80

100

2548

2549

2550

2551

2552

59

76

78

76

95

20

40

60

80

100

2548

2549

2550

2551

2552

5.54

5.75

0

2.5

5

7.5

10

2550255125522553

1.20

5.50

17.40

8.31

0

5

10

15

20

2550

2551

2552

2553

58.2

63.95

102.45

40

60

80

100

120

140

2550

2551

2552

2553

33

33

30.1

31.9

31.731.7

30.6

32.1

29.7

29.7

29

31.2

26

28

30

32

34

2550

2551

2552

2553

4.00

30.00

15.00

33.33

0.

5.

10.

15.

20.

25.

30.

35.

.50.51.52.53

1

58.2

63.95

102.45

40

60

80

100

120

140

2550

2551

2552

2553

1.20

5.50

17.40

8.31

0

5

10

15

20

2550

2551

2552

2553

92

.

67

40

60

80

100

2548

2549

2550

2551

2552

93

93

92

90

91

40

60

80

100

2548

2549

2550

2551

2552

26

23

28.15

0

10

20

30

40

50

2549

2550

2551

2552

2553

98

.

2

40

60

80

100

2548

2549

2550

2551

2552

HA-HPH

"" "" . 2546 ( HA ) ( .)

( HA ) 10 ..46

( HA ) Re Accreditation 1 1 ..49

11 ..51

60 ( HA )

HA HPH

1. (,QMR )

2. ( , HRD , UM)

3. ( ENV , 5 . , IC ,

, RM )

4. ( , , . )

5. ( CLT, OPD , IPD , OR CARE TEAM )

6. ( , , )

( HPH

( HPH ) Facility /

( Model ) /

Model 3

1. (QMR)

2. 2 HR RM HPH PTC IC ENV UM MSO NSO IPD OPD care team

3. 3 2

Model

59

76

78

76

95

20

40

60

80

100

2548

2549

2550

2551

2552

3 ( ) Model () ( 2) RM

3 (HQC) (IM) (IQS) (FA)

(Purpose) :

1.

2.

3.

4. .

5.

(Scope of Service) :

1.

2. CLT

3.

:

/

.

Technology

.

.

:

2

RM

IC

ENV

HR

IPD/OPD

Care team

( 3 )

3

/

CLT

(Key Quality Issues) :

1. 1.1 1.2 1.3 1.4 1.5 2. 2.1 2.2 2.3

2.5 3. 3.1 3.2

3.3 3.4

4. 4.1 / 4.2 4.3 5. 5.1 5.2

5.3 /5.4 5.5 6. 6.1 6.2 6.3 6.4

:

ENV

CLT

:

1.

2.

3.

4.

5.

:

*

* .

.

*

*

*

*

H-E-L-P

H =

Holistic

E =

Empowerment

L =

Life style

P =

Prevention

/

/

(

Water born disease

(

Water born disease

(

-

-

-

-

-

/

/

( , ,

, ,

/

/

(

-

/

-

-

-

-

-

-

(

7

/

/

(

/

-

-

/

/

-

-

- ()

/

/

-

-

-

/

/

-

-

-

Metabolic Syndrome

-

- . .

- Metabolic Syndrome

-

-

()

/

/

(

5

(

5.54

5.75

0

2.5

5

7.5

10

2550255125522553

78.4

73.15

68.1

65.17

66.3

40

60

80

100

2548

2549

2550

2551

2552

-

- CLT

-

-

- CLT

Ostomy

-

-

- CLT

Ostomy

Asthma

-

- CLT

-

- CLT

/

/

-

-

- CLT

-

/

/

/

/

-

-

-

- Re admit

/

/

-

-

- CLT

HIV

-

95 %

- CLT

HIV

-

- Bone Marker

- CLT

/

/

(

130 mg/dl

(

PDCA

(Key Process)

(Process Requirement)

(Performance Indicator)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

(Key Process)

(Process Requirement)

(Performance Indicator)

. ()

1.

2.

. ()

1.

2.

3.

4.

. ()

1.

2. Metabolic Syndrome

1. CLT ( )

2. CLT ( , Ostomy , Trauma)

3. CLT ( )

4. CLT (

)

5. CLT ( - , )

6. CLT (Ac.MI, Sepsis, , Metabolic Syndrome, HIV )

1. CLT ( )

2. CLT (HIV )

3. CLT ( )

1.

2.

3.

4.

( Performance Indicator )

( Performance Indicator ):

100

100100

100

83.3

75

0

20

40

60

80

100

120

.48 .49 .50 .51 .52 .53

- .48 (..48) 1

:-

- .49 (.., .., ..49) 1

:- 1 Water born disease

.

100

100100

85

75

0

20

40

60

80

100

120

.48 .49 .50 . 51 .52(

..52)

- .48 ( BOD 20 mg/l ) 3 BOD

:- .49 2 . 50

: (,, / )

, ,

1

2

1

9

222

10

0

2

4

0

0

3

4

3

0

3

0

1

1

2

10

7

0

2

4

6

8

10

12

.

48

.

49

.

50

.

51

.

52

.

53

.

( )

( 2552 )

( Performance Indicator )

()

2550 = 82.1%

2551 = 83.1%

2552 = 77.32 %

2553 = 85.83 %

(%)

(%)

(%)

(%)

Metabolic syndrome

1.2

5.5

15.85

8.31

BMI

32.1

36.4

38.12

25.21

( )

12.4

17.3

18.51

19.88

15.3

7.4

12.09

2.13

64.2

33.8

56.86

16.56

23.9

11.1

23.32

6.63

TB

7

5

-

-

.50 .51 .52 .53

82.183.177.3285.83

82.1

83.1

77.32

85.83

72

74

76

78

80

82

84

86

88

.

50

.

51

.

52

.

53

1.

2.

OPD Admit

ICD 10

OPD

IPD

2550