the journey of reforms by integrating ict : case of knh - connected kenya - richard lesiyampe

8/2/2019 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


RANKING(2009) 169/222


Mozambique 11 per 1000Greece 0.01 per 1000


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Crude Mortality Rate

KENYA 11.8 per 1000


RANKING(2009) 151/195


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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the journey of reforms by integrating ict : case of knh - connected kenya - richard lesiyampe

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