1

/
2557

KPI

Template
2557

( KPI
)

HA

.
KPI Template CUP 2557
(..)
......

......

......
()
10 2557

...

File Microsoft Word (

)

TH SarabunPSK

16

..

3 ./-- 2 .

KPI Template
1

12

/
60

1 ( /

)

12
100

12 x 100

/ /

(
)
:
1
40

2
45

3
50

4
55

5
60

25 25 25 25 25 25
51 52 53 54 55 56
43. 44 43 52 54 58.
7
.5 .6 .8 .2 3

12

056 232001 130, 131

056 232001 130, 131

2
5

/
60

5
100

5 x 100

/ /

(
)
:
1
40

2
45

3
50

4
55

5
60

25 25 25 25 25 25
51 42 53 54 55 56

NA NA NA NA 52 53.
.8 6

056 232001 130, 131

056 232001 130, 131

3 :
/ : 31

(
2557)

Major Depressive Disorder

10 (ICD-10 : International Classification of

Diseases and Health Related Problems-10) F32,
F33, F34.1 F38, F39
4
(DSM-IV : Diagnostic and Statistical Manual of Mental
disorder)
= 15
X ( ) 2.3 %

x 100

/ /

:
-

-

:
1
10

2
15

3
20

4
25

5
30

2553 2554 2555 2556
20.4

23.1

28.4

37.2

: 056 232001 130, 131

:

: 056 232001 130, 131

4 (F20-25,
F28-29)
/
80

1.
(Major Psychosis F20-25, F28F29) (CUP)
HN
2. (Major Psychosis F20-25,

F28-F29)

(CUP)
HN

(Major
Psychosis F20-25, F28-F29)

(F20-25, F28-F29) +
CUP x 100

CUP
/ /


-
-
:

10

1
40

2
50

3
60

4
70

5
80

(Major

2553 2554 2555 2556
NA

NA

60.4

77.5

Psychosis F2025 , F28-29)

0 5623 2001-6 130, 131

0 5623 2001-6 130, 131

5 :

3
/ :
50
: 1
:

3 2556
57.89

3.2 9
1-3

11

3 2

11 29

100

4 5

30

35

40

45

50

50%

//


( 01)

12

3 ( 4 )

2

1 3

52
62.3
2

53
60.2
7

54
60.8
2

55
58.1
8

56
57.8
9

20.6
5

31.8
5

32.1
1

34.6
8

: 0 5623 2001-6 130,131

:

: 0

5623 2001-6 130,131

6 : 12 (.6)
/ : .6 20%
.6 CUP

: 2

: .6

(,

13

: 12 (.6)

12 (.6) () x 100

()
:
1
/

45

50

55

60

12

40

(.6)
/ :
.6 20%
.6 CUP ..-..
CUP
:
: 089 - 7084728

: 086 9276668

14

7 :
/ : 30 1
:

: 1. 60
(UC , ,
) 13
16 16
2. 50 - 59 (UC
, ,
) 13

16
:

()
()
:
1
/

15

22

24

26

28

30

/ :

: 089 - 7084728
:
: 087 1958717

16

/
/

: 1.5

X 100

//

17

1
2
3
4
5

3

25

30

35

40

45

.
(Baseline Data)

2554 2555 2556
6.05 7.28 7.74

36.67 36.48 37.04

2554 2555 2556

6.05

7.28

7.74

18

51.19

48.03

48.39

35.22

39.12

36.94

39.86

39.30

41.79

41.54

38.95

40.11

35.00

32.32

37.83

39.94

37.12

37.51

28.58

40.04

42.26

27.21

26.61

26.17

10

37.00

37.80

36.71

11

43.79

45.09

44.99

12

52.11

39.44

41.19

13

37.01

40.22

34.49

(.)

36.67 36.48 37.04

0-5623-20001-6 140, 141

19

/ : 1.
100
2.
90

1.

1
2.

0.5

1.

2.
2.1

GMP
.1(50) /

2.2

.3(50)

20

2.3

.5(50)
/
2.4

General GMP 57 . 9(55)
/
2.5

2.6

2.7

GMP

3.
3.1

GMP GMP

60

21

3.2

GMP 70
3.3

60
3.4

(major defect)

1.
CUP

x 100

2.



x 100

//

22

1
2
3
4
5

60

70

80

90

100

50

60

70

80

90

1.
CUP (

CUP ) (
CUP )


2.

2556

()
/

255 255 255 255 255
2
3
4
5
6
90
90
95
90.5 92.2

23

General GMP

85.5

056-232001 140, 141

056-232001 140, 141

10
.

/ : 75
:

1.5

:
1.
1.1
1.2
2. .

. .

24

7 56 15
105

2.1
50
2.2

50
75

2.3
75

90

2.4

90
3. .
75

cup

10

12

4. .

25

1. .


.

2.
.
1

30 2557

3.
.
.



20
3

(SI-2) 3
3


4.

26

1.
.
2.

3. .

- ,

2
1 30 2557
2 31 2557
5.

6.

:

x 100

27

//
:
1, .

2.
2.1
2.2
2.3 .

10

30

50

70

75

:
.
2556

58

30

13

363

464

28

31

22

19

60

132

14

33

94

57

41

43
7

629

: 081-8873562

1. .

: 083-2178557
2. .
0 5623 2001 6 140,141

29

11

5
1.5

:
1.
5

1

.. 2556

.. 2557
2 /

.

30

3

4

5
2557
2.
CUP

/ /
/

CUP
3.

(step-bystep)
4.



5.

31

o
(),,,

4
25 )


:
(Milestone)
5

(Milestone)

32

1
2
3
4
5

1
1.
.. 2557
2.
CUP
3.
2

1. CUP
. 25

3
0.1
25 0.1
2.

2.1

33

2.2

2
1. ..
20

- 2
-
(SI-2) 10
- 3
-

2.

50
- 10
-
(SI-2) 15
- 5
-

34

3. 6 ,
9 12 20 .. 2557
, 20 .. 2557 15 .. 2557

0.1

80

15
2557 25
0.1

35

: 081-8873562

1. .

: 083-2178557
2. .

: 0

5623 2001 6 140,141

12

10

/
/
2557 2556
10

A 2556
B 2557

= (B-A) X 100/ A

36

//

:
1
2
3
4
5

10

(Baseline Data)

2555
+6

2556
- 7.52

-3.95

+ 0.30

0-5623-20001-6 140, 141

37

13

10
/

/
2557 2556 10

A 2556
B
2557

= (B-A) X
100/ A
//

38

:
1
2
3
4
5

10

(Baseline Data)

255 255 255
4
5
6
n/a n/a n/a

n/a

n/a

n/a

0-5623-20001-6 140, 141

14
20

39

/
/
2557
2556 20

A
2556
B
2557

= (BA) X 100/ A
//

1
2
3
4
5

8

11

14

17

20

40

(Baseline Data)

255 255 255
4
5
6
n/a n/a n/a

n/a

n/a

n/a

0-5623-20001-6 140, 141

15 : 30,35,40,45,50,55
60
/ :
80
: 2
:

41

Pap Smear

VIA

(Visual Inspection with Acetic acid)

1




30,35,40 45

30,35,40,45,50,55,60

(A)
30,35,40,45,50,55

60

. .2497,2502,2507,2512,2517,2522 . .2527)
Pap Smear VIA
(B)

30,35,40,45,50,55,60 ( ..2497,2502
,2507,2512,2517,2522 ..2527)
21
:
:

A X 100
B

42

1
40.0

2
50.0

3
60.0

4
70.0

5
80.0

//
:
1

1.
30,35,40,45,50,55 60
21
2.

Cxs2010
: 2556
30,35,40,45,50,55 60 35,545
Pap Smear 16,113
48.4 26.3

2555

74.7 23,612
Pap Smear
17,653 13.7 2554

/
:

1
:
1

43

(CUP)
:
1.


2. slide
slide
3.
Cxs2010

4.


:
1.

2.
slide

3.

Cxs2010

44

4.

:
8188 78806

:
8970 69870

16

: 0
: 0

(Conversion rate)
/ :
92
: 1
:


1

45

1. direct smear
1
2. direct smear 1

3. 1
:

x100

:
1
80.0

2
83.0

3
86.0

4
89.0

5
92.0

//
:
3

1. 3
0- 3 (TB 07)
2. 3

6 9
(TB 07/1) Cohort 3/2556 2/2557
:

46

255 255 25 25 25 25
1
2
53 54 55 56

83.9 86.2

88.
9

91.
1

91
.9

92.
2

/
:
1. /
/

2.

DOT / /

3.

47

:



:
1.
DOT

2.


:
: 0 8188 78806
:
.
: 0 8362 31991

48

17 : 10
( 10 )
(Response time)

/ :
85
: 1
:

(./.) 10 (Response
time) (A)

(..)



(.)



10 ( 10
)

10 (B)

49

(.)
10
(./.)
:
A X 100
B
:
1
65.0

2
70.0

3
75.0

4
80.0

5
85.0

//
:

:

2539

(FR)

10

255 2555 2556
4
70. 85.5 67.7
54

50

/
:

(..)
(.
)




10 ( 10

10 (
10 )

Response time
Dispatch time (Dispatch time

2 )
:
EMS

EMS EMS

:
1.

2.

51

EMS
EMS EMS

:
: 0 8188 78806
:

: 0 8188 78806

18 : 2nd Generation
/
/ : 15
: 1
:

52

Generation 2
/

(index case) 20
2 nd Generation 20 45
45 (Generation)
:
:
2nd Generation
/
= / 2nd

Generation x 100

:
1

35.0

30.0

25.0

20.0

15.0

//
:
506 / 507
:

53

255 255 255

4
5
6
2nd Generation
/

31.
89

22.
12

30.
5

/
:



.
:

KPI


:



2 nd

54

50

:
: 0 8188 78806
:

: 0 8967 06117

55

19 :

(Pre diabetes)
/ : 7.0
: 2
:
(A)
35

(
FPG FCG
126 ./.)

(B)

35

2556

(Pre diabetes ,
FPG
FCG 100125 ./.)
:
A X 100
B
:
1
15.0

2
13.0

3
11.0

4
9.0

5
7.0

//
:

21

NCD2557

56

:

/

(Pre diabetes) 2556

255 255 255

4
5
6
NA

10.
9

5.2

: 0 8188 78806
:

: 0 8916 26448

20 :

(Pre hypertension)
/ : 6.0
: 2
:

57

(A)
35
(
140 . /
90 .)

(B)

35 2556
(Pre hypertension ,
120 - 139 . /
80 - 89 .)
:
A X 100
B
//
:

NCD2557

21

:
1
10.0

2
9.0

3
8.0

4
7.0

5
6.0

:
/

255 255 255

4
5
6

58

(Pre

NA

7.5

4.2

hypertension) 2556
:

: 0 8188 78806
:

: 0 8916 26448

21 : 15

/ :
90.0
: 1
:
15


(A) 15



(Fasting plasma glucose Fasting capillary
glucose )

15-34

3 4

59

1. ( 90 .
80 . >25 /
.)
2.
3. ( BP 140/90 .)

4.

35-59
1 6

1. ( 90 .

80 . >25 /
.)
2.
3. ( BP 140/90 .)

4. (
250 ./. / <35 ./.)

5. (

(FPG/FCG) = 100-125 ./.

2 (OGTT) = 140-199 ./
.
6.

60

15 (B)
15
( 6 )
:
A X 100
B
:
2557
1
50.0

2
60.0

3
70.0

4
80.0

5
90.0

0.3

//
:

NCD2557

21
:
/
15

255 255 255

4
5
6
NA 85. 81.6
9

61

: 0 8188 78806
:

: 0 8916 26448

22 : 15

/ :
90.0
: 1

62

:
15
(A) 15

30

5
2
BP
<120/80 mmHg 1 120/80 mmHg
15

15 (B)

15
( 6 )
:
A X 100
B
:

2557
1
50.0

2
60.0

3
70.0

4
80.0

5
90.0

0.3

//
:

63

NCD2557

21

:
/
15

255 255 255

4
5
6
NA 87. 83.9
8

: 0 8188 78806
:

: 0 8916 26448

23

()
2

1.

64

/
.. 2551

.. 2537 -
.. 2547
2.


13

/ /

1. /
2.

3.

1
4

2
3

3
2

4
1

65

255 255 255

4
5
6
4

CUP

:
: 056-232001 136

24

: 056-232001 136

(..)/
(.)

(.)
/ 60
1

66

(..) (.)

(..) (.)

(..)/

(.)
(..)/
(.)
60 : 40

../. .

67

(A x 100)
A+B

(B x 100)
A+B

../

.
B

20
%

30
%

40
%

50
%

60
%

60

/ /

:
21

60

52-56
255 255 255 2555 255
2
3
4
6
NA NA NA
NA
60.3
1

68

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

69

25

/
12
1


/

70

( + +
)
ANC EPI

/()X 100

( + + )

4 % = 1 , 6 % = 2 , 8
% = 3 , 10 % = 4 , 12 % = 5
(Baseline Data) 2556
12.87
/

4%

6%

8%

10 %

12 %

71

//

25
52

25 25 25
53 54 55

25
56

3.7
2

5.6
3

12.
87

Cup

6.2
1

8.9
6

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

72

26

(HA Accreditation)
/

(HA Accreditation)

73

(Overall Scoring)
3

(HA
Accreditation)
(Overall Scoring)
(Overall Scoring) 3

(Hospital Accreditation)

(HA)
60
(HA )
(HPH)
(TQA)

74

1 [ 1.1
(LED) 1.2 (STM) 1.3
/(PCF) 1.4
( MRK) 1.5 (HRF) 1.6
(PCM) ]

2 [ 2.1

(RSQ) 2.2
(PFG) 2.3
(ENV) 2.4 (IC)
(MRS)

2.5

2.6 (MMS)

2.7
(DIN) 2.8 (DHS) 2.9
(COM)]

3 [3.1

(ACN) 3.2 (ASM) 3.3

(PLN) 3.4 (PCD) 3.5
/(IMP) 3.6 (COC)]

4 [4.1

(PCR) 4.2

(CFR) 4.3 (FNR) 4.4
(HRR) 4.5 (SPR)
4.6 (LDR) 4.7
(HPR)]

(Overall Scoring)

(Overall Requirement)

75

(HA)

(
HA Scoring 2011

89

445 ) (1 5 )
1

2 :

3 :

4 :
Evaluation&Improvement,Innovation,Integretion(E13),

5 :

76

(89
)

(89 )

1
/

2.4

2.7

3.0

3.3

2.1

HA
./

: 1. HA accreditation
Re-accreditation
Re-accreditation

2. .
( .
./ . QRT )

77

1.

Hospital Miniprofile
Overall Chapter Scoring ( HA Scoring 2011
89
445 )

5
Gap analysis PSG : SIMPLE 5
MRA
2. 1
(1.1-1.6) 5 ./
2

3.

1
(1.1-1.6) 1
//

78

()(.) 1
30 2556
()
(.)

(QRT)

2 2 2 2 2 2 2 2
5 5 5 5 5 5 5 5
4 4 4 5 5 5 5 5
7 8 9 0 1 2 3 4

2
5
5
5

2
5
5
6

79

1.

1
4
6
2
0

(HA)
-

- 1
- 2
- 3
-
(Accredit)
2.
(Overall
Scoring)
-
01.99
- 2.002.99
-
3.00-.3.99

-
4.00-.5.00

0
0
1
1
0
2

0
0
1
1
0
2

0
0
1
1
0
2

0
0
0
1
1
2

0
0
0
1
1
2

0
0
0
1
1
2

0
0
0
1
1
2

0
0
0
1
1
2

0
0
0
1
0
3

2
5
3
3

1
1
0
2
0

0
1
1
0
2

0
7
4
2

0
3
1
0
0

80

HA Scoring

81

82

83

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

84

27
/
90

/ (../.)
:

(
) (../
.)
1.
2.
1

3.
2 4.
3 5.
4 6. (Service behavior)
5 7.

/ (../.)

85

()

(Continuous Improvement)

100

70

75

80

85

90

/
1.
( .1)

.2)

86

2.
(../.)

( .1)

3./
(../.) 2
1 - 2557
5 2557
2 - 2557
5 2557

25
47

25 25 25 25 25 25 25 25
48 49 50 51 52 53 54 55

25
56

83.
43

90.
39

61.
04

84.
98

78.
93

81. 81. 82. 87. 88.

87 73 33 57 94

87

1. ../.
( .1)
2.
( .1)
( .2)

( .1)
5

100 )

88

( )

(Necessary bio-data)

) 1. (

) 2.

..................................

) 1.

) 2.
(

) 3.

) 4.

. .
(

) 5.

) 7.

) 6.

) 8.

........................

) 1. -- (

) 2.

) 3.

) 4.

) 5.

) 6.

) 7.

()......................................................

) 1.

) 2.

89

) 3.

) 4.

()......................................................

1.

2.

3.

4.

5.

6.

7.

8.

(
4)

(3)

(2)

(1)

90

9.

10.

11.

12.

13.

14.

15.

16.

17 18
17.

91

18.

19.

20.

21.

22.

23.


24.

25.

.........................................................................................
....................................................................................
.........................................................................................
....................................................................................

92

( .2)
Admit 2
Admit 5
(

100 )
( )

(Necessary bio-data)

) 1. (

) 2.

..................................

) 1.

) 2.
(

) 3.

) 4.

. .
(

) 5.

) 7.

) 6.

) 8.

..........................................

) 1. -- (

) 2.

93

) 3.

) 4.

) 5.

) 6.

) 7.

()......................................................

) 1.

) 2.
(

) 3.

) 4.

()......................................................

1.

2.

3.

4.
5.

(4
)

(3)

(2
)

(1)

94

6.

7.

8.


9.

10.

11.

12.

13.
1
14.

15
16
15.

16.

95

17.

18.

19.

20.

21.
(
)
22.

23.

24.
25.

26.

27
27.

28.

96

29.

30.

31.

.........................................................................................
....................................................................................
.........................................................................................
....................................................................................

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

0 5623 2001-6 114 , 115

28 :
/
82

97

:1

=
X 100

98

:
( = 56 /)

:
1
2

76 %

79 %

82 %

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