Improvement of Healthcare Service System: The Upper Northern Hospital Network of Thailand
			
	
 
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				1
				Graduate program in Logistics Engineering and Supply Chain Management, Department of Industrial Engineering, Chiang Mai University, Thailand
				 
			 
						
				2
				Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Thailand
				 
			 
						
				3
				Center of Healthcare Engineering System, Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Thailand
				 
			 
						
				4
				Princess Sirindhorn IT Foundation Craniofacial Center, Chiang Mai University, Thailand
				 
			 
						
				5
				Faculty of Medicine, Chiang Mai University, Thailand
				 
			 
										
				
				
		
		 
			
			
			
			 
			Data nadesłania: 30-11-2021
			 
		 		
		
		
		
			
			 
			Data akceptacji: 05-01-2022
			 
		 		
		
		
			
			 
			Data publikacji: 05-01-2022
			 
		 			
		 
	
							
										    		
    			 
    			
    				    					Autor do korespondencji
    					    				    				
    					Chompoonoot  Kasemset   
    					Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Thailand
    				
 
    			
				 
    			 
    		 		
			
												 
		
	 
		
 
 
Organizacja i Zarządzanie 2021;84:125-143
		
 
 
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Cleft lip and/or cleft palate are the most common craniofacial congenital disability, with an estimated 2 affected babies born per thousand in Thailand. Chiang Mai University Craniofacial (CMU CF) center plays a role as the one-stop service providing this type of healthcare. This center serves as the coordinator between hospitals in the treatment network and patients. This research aims to reduce the delays throughout the patients’ treatment plan of the case study hospital as one of the hospitals in this network. Starting with problem identification, two treatment steps, including hearing testing (ABR/OAE) and Cheiloplasty, were 80% of the total delay from the data collection. Then, Root-cause analysis was conducted by interviewing specialists and studying patients’ documents. The main cause of delays was that the patients needed to be transferred from rural hospitals in the area to the hospital that is the subject of our case study. The supporting operations that help in serving patients need co-working operations between the case study hospital and the CMU CF center. Supporting operations including 4 parts were studied and improved based on the Lean concept. Standard procedures were set up when non-value-added activities were eliminated, and value-added activities were improved by IT solution implementation. Finally, when the supporting operations were performed via an IT solution, the processing time can be reduced. Moreover, the implementation of an IT solution helps in tracking and monitoring patients’ status – this advantage leads to a reduction in the number of delayed patients and a reduced delay time in the treatment plan.