Download - The journey of reforms by integrating ICT : Case of KNH - Connected Kenya - Richard Lesiyampe
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Presentation by
Richard Leresian Lesiyampe HSC
Chief Executive Officer,Kenyatta National Hospital
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Kenyatta National Hospital
The journey of reforms by integrating ICT : Case of KNH
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Vision
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To be a world class referral hospital in the provision of innovative
and specialized health care.
Mission
To provide accessible healthcare, facilitate medical training,
research and participate in national health planning and policy.
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Mandate
Referral hospital
Medical Education
Research
National health planning.
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Hospital Capacity
Bed capacity of 2000
Private wing has 225 beds
There are 50 wards, 24 clinics and 26 theatres
Average inpatients - 200 admitted daily
Average outpatients - 2500 daily
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Knowledgeable Employees
Empowered people, flexible organization and strategic and focused
leadership
Technology is an accelerator for transformation of organization for
service delivery
Its no more pure/applied economics its the knowledge economics
Talent, Creativity and Innovation
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Manual processes
The hospital is not automated.
Patients registration 3000 manual transactions daily
HR
Procurement
Finance
Diagnostics
Pharmacy & Dispensing
Clinical assessments
Stationery expenses about 12% of the total administrative costs Kshs 150 Million annually
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Need for Automation
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Patients queuing
to pay for services
A lot of
paperwork for
each transaction
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Digitizing of Records
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Filling of patient
documents in therespective files
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Need for Automation
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Patients queuing
for services. Note
the cards in their
hands
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Global Challenges: Infant mortality Rate
KENYA 43.61 per 1000
KENYA POSITION IN THE UN GLOBAL
RANKING(2009) 124/135
WORST AND BEST COUNTRY
Afganistan 121 per 1000Japan 2.2 per 1000
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Maternal Mortality Rate
KENYA 6 per 1000
KENYA POSITION IN THE UN GLOBAL
RANKING(2009) 169/222
WORST AND BEST COUNTRY
Mozambique 11 per 1000Greece 0.01 per 1000
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Crude Mortality Rate
KENYA 11.8 per 1000
KENYA POSITION IN THE UN GLOBAL
RANKING(2009) 151/195
WORST AND BEST COUNTRY
Sierra Leone 28.1 per 1000United Arab Emirate 1.4 per 1000
12total knh
=
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World current death rate
1.78 deaths per second
107 deaths per minute
6,390 deaths per hour
153,000 deaths per day
56.0 million deaths per year
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Major KNH Challenges
Integrity and governance
Skills
Billing - Loss of revenue
Inefficient supply chain management
long patient turn-around time
patient satisfaction levels
staff motivation
In adequate information for decision making
Culture
Generation gap
Google culture
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Addressing Challenges
KNH requires to automate all its procedures and processes - HRMS,IHMIS,
LIMS
Partnerships and collaborations - Kenya ICT Board to develop ICT master
plan with Accenture
Rockefeller Foundation and KICTB - digitizing about 4 Million records.
Ministry of Information and ICT Board Support
Acquisition of ICT infrastructure
PanAfrica eNetwork / Government of India telemedicine project
Connected to 12 leading University hospitals and 53 African countries
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REFORM DRIVERS
People
Embrace strategies that are critical to transform and change public
institutions
Technology - appropriate NOT state of the art
Be in tandem with the private sector in terms service delivery
Achieved through creativity and innovation
Provide an appropriate context environment and platform for people
in organization to unleash and unlock their full potential
Response to customer needs
Financial management
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Reform Drivers
Internal Business ProcessesManagement Select, Recruit, Place, Retain
Supply chain management
Outsourcing and shared services
Clinical health statistics
ISO Certification, participation in Organizational Performance Index
Jointed Commission International ( JCI) Performance Contracting,
World Medical Tourism Association
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Investing today for Vision 2030
Medical Tourism establishment of Centres of Health Excellence
Knowledge transfer
Medical sports tourism physiotherapy
Integrating with tourism
Kenya health facilities as a hub of medical tourism e.g. KNH, Karen and
Nairobi hospitals etc
Healthy and productive people
Virtual and home care hospitals
Unique national patient reference number Attaining health related MDGs
PPPs - to accelerate growth of the health sector
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Information and Knowledge Management
Digitizing patient records
Patient health information
Research findings and dissemination
Data capture , processing and analysis for information andknowledge for decision making which contributes to national
health policy
Value Chain process
Patient centered quality healthcare Model for Africa in partnership with USAID & Regional Center for
Quality Health Care -Uganda
Use of social media network
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CONCLUSION
Through embracing ICT, The Hospital will:
Attain its vision
Integrate information in decision making
Deliver seamless customer service
Create efficient and effective organization Organizational productivity and measurable outcomes
and results
Contribute to the attainment of Vision 2030
Network, collaborate and benchmark
Knowledge and technical transfer making Kenya a hub of
telemedicine and medical Tourism
Research and evidence based clinical management to
contribute to national health planning and policy
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LOCATION OF THE TOP 200 HOSPITALS IN THE WORLD
Source: Cybermetric lab
Criteria of ranking- web presence, electronic dissemination of
research findings. Ranking covered 168 countries 33 of which
were from Africa
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ASANTE SANA
EASTER NJEMA
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