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Good Practices and Innovations in Public Governance 2003-2011

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<strong>Good</strong> <strong>Practices</strong> <strong>and</strong> InnovATIONS <strong>in</strong> <strong>Public</strong> <strong>Governance</strong><br />

system <strong>and</strong> even respond <strong>in</strong> some parts of service delivery. It seems that they<br />

enjoy help<strong>in</strong>g the patients <strong>and</strong> the personnel.<br />

The collection data OPD service tim<strong>in</strong>g is fixed by form. Each unit writes down the<br />

time. The forms are <strong>in</strong>cluded with the patient’s history file. After one month each<br />

patient from the analyzed results found that the wait<strong>in</strong>g time was only 56 m<strong>in</strong>utes.<br />

(St<strong>and</strong>ard wait<strong>in</strong>g time is less than 90 m<strong>in</strong>utes.) Patient comments <strong>in</strong>cluded: “The<br />

hospital area environment is clean”; “The service is impressive”; “quick”; “excellent”;<br />

“the providers are giv<strong>in</strong>g service by smil<strong>in</strong>g heartily”; “Nice talk”; <strong>and</strong> “<strong>Good</strong><br />

service <strong>in</strong>deed”. In 2004, the hospital received the first regional prize for good quality<br />

public service.<br />

The hospital lets the w<strong>in</strong>n<strong>in</strong>g team attend sem<strong>in</strong>ars focus<strong>in</strong>g on good organisation,<br />

gives special bonuses <strong>and</strong> rewards the team by declar<strong>in</strong>g a job well done. There is a<br />

budget for clean<strong>in</strong>g, tid<strong>in</strong>ess, <strong>and</strong> improv<strong>in</strong>g the environment. The hospital won the<br />

first prize for the cleanest toilets <strong>in</strong> the <strong>Public</strong> Health region. The Patient Satisfaction<br />

results after develop<strong>in</strong>g <strong>and</strong> implement<strong>in</strong>g turnaround strategies were as follows:<br />

January 2005 87.45%<br />

January 2006 88.3%<br />

January 2007 89.4%<br />

July 2007 92.3%<br />

Lessons Learned<br />

One of the ma<strong>in</strong> lessons learned is that <strong>in</strong> order to achieve good results, it is necessary<br />

to work <strong>in</strong> a team. That has meant hold<strong>in</strong>g frequent meet<strong>in</strong>gs to evaluate all<br />

the problems from patients who entered the medical cycle. Build<strong>in</strong>g a positive environment<br />

with Thai music, karaoke, <strong>and</strong> a meditation room, along with hav<strong>in</strong>g a<br />

health club, has also contributed to the success of the <strong>in</strong>itiative. An equally important<br />

part of its success is related to the fact that clear policies were set by the management<br />

of the hospital; <strong>and</strong> that <strong>in</strong>dividuals were committed <strong>and</strong> dedicated to<br />

improv<strong>in</strong>g services <strong>and</strong> to rely<strong>in</strong>g on the extensive network<strong>in</strong>g with communities<br />

<strong>and</strong> the private sector.<br />

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