Questions/Answers
题 1
请简要描述该创新项目所涉及的问题/挑战以及该项目所提出的解决方案（６００字）
“ThaiRefer” is a software program, using for emergency patient referral from a local hospital to a tertiary-care center. The developer got an idea to develop ThaiRefer from observing a flight information display system at Suvarnabhumi airport, in which a computer displays arrivals and departures flight information in real-time. Thus this system was applied to develop a referral software program. This program resolves problems occur among referral process and makes an early notification at the destination hospital to get ready to receive emergency patients.
The ThaiRefer program was developed by collaboration between IT officers and emergency medical team. The ThaiRefer program has developed until it is stable and can be used effectively in Lampang. ThaiRefer has been supported by the Ministry of Public Health and has widely implemented across the country. Seamless health service network results in increasing equality of access to healthcare services. Patients receive quality, safety, and timely referral.
ａ. 这个创新项目的总体目的是什么？请描述该创新项目的总体目的（最多400字）。
1.Increasing accessibility
2.Increasing safety, timely, and quality of the referral system
3.Providing effective referral system.
4.Decreasing mortality and morbidity during refer
5.Strengthening and sustaining healthcare system
ｂ. 这个创新项目与所选奖项类别有怎样联系? 请描述该创新项目与其奖项类别评估标准的相关联系（最多400字）。
ThaiRefer is the innovation of the information technology for referral system. This program was developed by the emergency medical team that faces problems occurring among referral process. By installing the program in a computer hardware in a hospital, a tablet, or a smartphone and connecting the program with the internet network, the program will link patients’ health records from the database of that hospital and gives the access right of the destination hospital to only view that patient’ s health records. When the referral is initiated, the information of a referred patient is sent to the hospital of destination. Then the destination hospital can prepare for the arrival of the patient. With the GPS that links with the program, the destination hospital can estimate the arrival time of the patient and can prepare for the arrival properly. For security process, password and security log system are used.
After the Thai Refer program has been implemented, the mortality rate of transferred patients in Lampang decreased from 0.32% in 2010 to 0.06% in 2017.
题 2
创新项目应该改善人们的生活，特别是通过加强公共服务对实现可持续发展目标有所贡献。
a. 请解释这个创新项目是如何改善公共服务的提供（最多400字）
ThaiRefer program was invented and developed by an emergency medical team, leaded by Thanin Lokeskrawee MD,PhD., and IT specialists, leaded by Teerin Ketvichit PhD. The program was started in the name of Lampang Refer Link V. The ThaiRefer project has been supported by Lampang hospitaland, Lampang provincial public health office. Patients’ health information that sends to Lampang hospital during referral process makes the referral process seamless and reduces the use of paper records. In addition, the feedback information of the patients from Lampang hospital to a community hospital which makes a referral gets a community hospital prepares for the continuity of care for that patient.
Ministry of public health foresees the benefits of the program. The use of Lampang Refer Link is broadening and its name has been changed to ThaiRefer in July, 2012
题 3
ａ. 该创新项目必须积极影响一群人或某个群体(即：儿童、妇女、老人、残疾人等)，并在特定国家或地区的范围内解决公众关心的重大问题。请说明该创新项目是如何处理公共服务相关的重大公众关注问题（最多400字）。
ThaiRefer was developed by collaboration between emergency medical team and IT specialists. The concept of flight information display was applied to the ThaiRefer program for referring patients from 12 community hospitals to Lampang Hospital in order to get the staffs at the destination hospital readily equipped. The implementation of ThaiRefer was supported by the Executive Board of Lampang hospital and Lampang Provincial Public Health office to reduce the losses during patient referrals. With ThaiRefer, the death rate has been successfully reduced from 0.32% in 2010 to 0.06% in 2017. During these years, ThaiRefer was continuously developed to meet the users’ requirements. Eventually, it was received a patent and was handed over to the Ministry of Public Health to broaden the usage through the whole country.
ｂ. 请解释该创新项目是如何积极影响您的国家或地区范围内的一群人（最多400字）。
As soon as a referral report from a community hospital is submitted, the emergency care staffs at Lampang hospital get notified. The information received at the destination includes the patient’s name and the arrival time. The referred patients will be sorted in ascending order of the estimated arrival time. Useful information of the referred patient such as medical treatment history, severity of Illness, and initial diagnostic assessments can be found on the Telemedicine display. This allows medical staffs at the destination and the origin to cooperate in planning the treatments prior to, during, and after the transfer. This process not only helps speeding up but also maintaining the continuity of the treatments. Accordingly, the resulted seamless referral system ensures customers with a higher rate of lifesaving, fulfils the needs of service providers, and reduces costs of patient referrals.
题 4
在某个特定的国家或地区，这个创新项目必须提出一个创新的理念，一个出众的新方法，或者一个独特的政策或方法，以实现可持续发展目标。
a.请解释为什么在您所在的国家或地区这个创新项目是有创新性的（最多400个字）
Since the high death rate during referrals had been a serious nationwide problem, Ministry of public health saw the importance of broadening the use of ThaiRefer outside of Lampang. Therefore, with the help of Lampang’s development team, the program was extensively installed in 8 neighbour provinces in the North of Thailand in 2012, 14 provinces in the South in 2013-2016, and 45 provinces in the Central, East and North East, which were 67 provinces in total. After the successful installations, Lampang Hospital delivered the program to the Ministry of Public Health for the sustainable development.
题 4b
ｂ. 请描述创新是原创的还是从其他情境改编的（如果知道的话）？（最多400字）
ThaiRefer was a novel program inspired by flight information screens in airports. Seeing that the concept of providing flight information to let passengers manage their time properly was useful, it could thus be adapted in a patient referral system. The Lampang Hospital program development team implemented the program to match Lampang’s public health system. Over 30 versions of the program were developed under the name “Lampang Refer Link” to achieve the maximum efficiency in information connection all over Lampang. Then, after receiving a lot of attention from medical providers throughout Thailand along with the fast developments to expand the coverage of ThaiRefer in the majority of the country, the program’s name was changed to “ThaiRefer” in July 2012. Afterwards, a patent of ThaiRefer was filed on 5th February 2014. Nowadays, the program has been used in 4,482 medical providers of 67 provinces, of all 77 provinces in Thailand. It has proved to reduce patient transfer time resulting in reducing the death and disability rates and made most providers reach the same standard of the patient referral system.
题 4c
ｃ. 调动了哪些资源（即：财力，人力，物资或其他资源等）？ （最多200个字）。
1. Human – Multidisciplinary team including physicians, nurses, IT specialists, and a person who is responsible for referral of each hospital contribute to the online program.
Their feedbacks and suggestions help developing team to go forward.
2. Budget
2.1 Private supports; True Corporation; an internet and mobile service provider in Thailand supports the high speed internet in remote areas.
2.2 Public supports; Ministry of public health, provincial public health offices, and hospitals supports IT infrastructures, IT technologies, IT equipment, and IT specialists. End users in each hospital are allowed to feedback and contact with IT specialists when problems occur. In addition, National Institute for emergency medicine develops the guideline for transfer critically ill patients.
2.3 Wisdom supports; emergency care providers collaborate with IT specialists pull their unique potential specialty to develop the program and effective referral system
题 5
该创新项目可适用于其他情况（如其他城市，国家或地区）。 可能已有证据表明，它在一个特定国家，地区或全球范围内的其他公共部门机构中启发了类似的创新。这个创新项目是否已转移到其他情况？
是
ThaiRefer for emergency referral.
The first version of ThaiRefer program had been implemented in all healthcare sectors in Lampang.After this successful implementation, ThaiRefer was referenced at healthcare conferences across the country.Public hospitals were required to participate in using the program. Lampang hospital set a team including IT specialists and ER-nurses to provide program implementation and maintenance support. For critically ill patients such as patients with STEMI, strokes, or sepsis, the add-on programs were developed. With these add-on programs, the door to needle time was reduced, complications that caused from delayed treatments were reduced, patients’ survival rate increased, and the disabilities reduced. Also the program helps the referred-back process to be smooth and seamless.
题 6
这个创新项目应该能够在相当长的一段时间内得到维持。
a. 请说明该创新项目是否可行和如何实现可持续发展（涵盖社会，经济和环境方面以及及时的耐久性）（最多600字）。
Sustainability of ThaiRefer
ThaiRefer initiates the high quality of referral system. It increases patients’ accessibility and promotes equality to healthcare services. The evidences were shown in the increasing of bed occupancy rate to 89.14% in 2017 and the accessibility to healthcare services of in- and out- patients with low-income to 78.9% (1,826,835 patients) in 2017. This program supports the government’s policy that emphasizes on integration and resources sharing of healthcare services that are in the same areas.
ｂ. 请描述该创新项目是否以及如何在耐久性方面持久（最多600字）
Recently, Ministry of public health sets up the health data center that collects the all health data of the patients that using public healthcare services. The health data center aims to serve future public health services at any levels.
题 7
该创新项目已经被正式评估，在这其中有显示出一些对改善人民生活的影响的证据。
a. 这个项目是否已经正式评估？
是
如果是的话，请说明这个项目是如何评估的？ （最多400个字）。
The Public Sector Excellence Award awarded to ThaiRefer in 2017. The recipient of this award is selected by the Office of the Public section Development Commission.
b. 请描述评估该项目的影响的结果（最多400字）。
There are the private hospitals and hospitals outside the Ministry of Public Health to joined with the Thairefer program more than 100 hospital.
请描述使用的指标。（最多400字）。
The ThaiRefer program was proved to increase accessibility rate and increase referral quality. End-users and patients were satisfied with the program. The coverage rate of using ThaiRefer increased from 13 public healthcare sectors in Lampang in 2011 to 478 public healthcare sectors in 2013. There were 4,482 public healthcare sectors in Thailand using ThaiRefer in 2016. The accumulate number of patients using ThaiRefer program until Jan, 2018 were 1,826,835. By using the ThaiRefer program the death that occurs during emergency referral reduced from 0.32% in 2010 to 0.06% in 2017. The death rate is reduced because the referring hospital is required by the program to fill up all important information before refer. Therefore the referring hospital needs to develop the emergency assessment skills.
题 8
该创新项目必须表明，在可能的情况下，它已经涉及到其他机构，民间社会或私营部门等各方的参与。
a. “2030年发展议程”强调合作，参与，协调，伙伴关系和包容性。 请描述哪些利益相关方参与了设计，实施和审查这一创新项目。 还请强调他们的角色和贡献（最多600字）。
The success of the program depends on the collaboration between multidisciplinary health professions and 4,482 healthcare sectors. Also supports from 4,482 hospital directors and Ministry of Public Health are keys to success.
题 9
a. 请描述您对该创新项目的总体经验，吸取的教训以及你对未来如何进一步提高这一创新项目的看法。
1. IT is important to support future healthcare system
2. The success of the ThaiRefer came from the effective supports and collaboration among administrators, developers, and end-users
3. The sustainability of ThaiRefer program developing is based on the collaboration among multidisciplinary health professions