Public Private Partnership Public Private Partnership Development in Hong Kong Development in Hong Kong Dr K M Choy Dr K M Choy Chief Manager (Service Transformation) Chief Manager (Service Transformation) Hospital Authority Hospital Authority 6 May 2008 6 May 2008
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Public Private Partnership Development in Hong Kong · 2008-06-02 · Healthcare Services in Hong Kong • Population -6.86 million / 1,104 km • 41 Public Hospitals/Institutions
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Public Private Partnership Public Private Partnership Development in Hong KongDevelopment in Hong Kong
Dr K M Choy Dr K M Choy Chief Manager (Service Transformation) Chief Manager (Service Transformation) Hospital AuthorityHospital Authority6 May 20086 May 2008
Healthcare Services in Hong KongHealthcare Services in Hong Kong
• Population -6.86 million / 1,104 km
• 41 Public Hospitals/Institutions and 12 Private Hospitals
• 4,500 Doctors in HA
• 5,000 Doctors in private
What models What models work for HK ??work for HK ??
Hong Kong GovernmentHong Kong Government’’s s Healthcare Reform Consultation Healthcare Reform Consultation Document Document (March 2008)(March 2008)
PPP PPP ……
Achieve Savings and Enhance Achieve Savings and Enhance CostCost--EffectivenessEffectiveness
Enable the Optimal Use of Enable the Optimal Use of Human ResourcesHuman Resources
Facilitating CrossFacilitating Cross--Fertilization Fertilization of Expertise and Experience of Expertise and Experience and Healthy Competition and and Healthy Competition and CollaborationCollaboration
Chapter 3
Multi-partite Medical Centers of Excellence
Service Purchase
Engaging Private Drs in Public Hospitals
Hospital Development
Public Private
Patient Record
Cataract Surgeries Programme
Tin Shui Wai PPP Pilot Programme (Family Medicine)
North Lantau Hospital (Phase 2)
Service Purchase Hospital Development
PPI ePR
The Economist, March 29th 2008
…. His notions of the future remained unswervingly radical. Sir Arthur knew that outlandish ideas often became reality. But they provoked, he wrote, three stages of reaction. First, “It's completely impossible.”Second, “It's possible but not worth doing.” Third, “I said it was a good idea all along.”
Sir Arthur C. Clarke
Electronic Patient Record Sharing ProjectElectronic Patient Record Sharing Project
Progress To DateProgress To Date
All HK private hospitalsOpen to all HK private doctorsLaunched in 3Q06– 10,000th patient recruited
on 11-6-07– 25,000th patient recruited
by April 08
All HK private hospitalsAll HK private hospitalsOpen to all HK private Open to all HK private doctorsdoctorsLaunched in 3Q06Launched in 3Q06–– 10,00010,000thth patient recruited patient recruited
on 11on 11--66--0707–– 25,00025,000thth patient recruited patient recruited
by April 08by April 08
PrivateSectorPrivatePrivateSectorSector
ePRePRePR
Copy Patient Record
Copy Patient Copy Patient RecordRecord
Operational Model of PPIOperational Model of PPI--ePRePR
PPI-ePRPPIPPI--ePRePR
SecuritySecuritySecurity
Secure Platform with FIREWALL Secure Platform with FIREWALL and ENCRYPTIONand ENCRYPTION
1. Token1. Token2. User 2. User passwordpassword3. Patient key3. Patient key
Patient receives Patient receives SMS informing of SMS informing of access to recordaccess to record
AwardsAwardsAwards
Recognised in Asian Hospital Management award ANDGold Award in Hong Kong ICT Award 2007
ACNielsen patient surveyThe project received very high level of satisfaction at 82%, with
one-quarter (25%) of respondents stating they were “very satisfied”with it while another 57%, “satisfied” with it.
Likert Scale 1 to 5 (1=very unsatisfied, 5=very good)
Clinician Satisfaction
Likert Scale 1 to 5 ( 5=very satisfied)
Policy Address 2007
“We take pride in our current health care system … We will develop a territory-wide, patient-oriented electronic health record.”
Chapter 4
“Our long-term vision is to develop a territory-wide information system for healthcare professionals in both public and private sectors to enter, store and retrieve patients’ medical records …”
to facilitate the best use of resourcesfor the transition of patients between different levels of care, between the public and private sectors
No. of Invited PatientsNo. of Invited Patients 4,0004,000-- undelivered packsundelivered packs -- 347347-- surgery donesurgery done -- 539539-- poor healthpoor health -- 5252-- not for OTnot for OT -- 1818
== 30303030Take Up Rate Take Up Rate 806 / 3030806 / 3030
Invitation to 1Invitation to 1stst Batch of PatientsBatch of PatientsTake up Rate Take up Rate (as at 27 Apr 08)(as at 27 Apr 08)
Programme UpdateProgramme UpdateResult Result –– Progress of Enrolled PatientsProgress of Enrolled Patients
0
100
200
300
400
500
600
700
800
1 2 3 4 5 6 7 8
Week after Issuing Letters
Acc
. No.
of E
nrol
led
Patie
nt
0
50
100
150
200
250
300
350
400
Acc
. No.
of P
atie
nts
Enrolled 1st Pre-op Subsidy Logged Surgery Completed
Experience GainedExperience Gained1.1. Electronic Cataract Profile in PPIElectronic Cataract Profile in PPI--ePRePR is is
in smooth operation. Private doctors in smooth operation. Private doctors pioneering inputting clinical data in PPIpioneering inputting clinical data in PPI--ePRePR..
2.2. Surgeries can be arranged in short Surgeries can be arranged in short period of time. Many patients could period of time. Many patients could receive their surgeries 2 weeks after receive their surgeries 2 weeks after replying to HA.replying to HA.
3.3. PatientPatient’’s Choice facilitated.s Choice facilitated.4.4. Communication and admin support are Communication and admin support are
essential. essential.
Tin Shui Wai PPP Pilot Programme (Family Medicine)
Present Mode of OperationPresent Mode of Operation
Patients to be invited in Phase 1Patients to be invited in Phase 1
Living within Northern Part of TSW Living within Northern Part of TSW Follow up at TSWGOPC for more than 1 yearFollow up at TSWGOPC for more than 1 yearChronic diseaseChronic diseaseStable conditionStable condition
North Lantau HospitalNorth Lantau Hospital
“…“… consideration should be given to pursuing consideration should be given to pursuing PPP in hospital development in the future, PPP in hospital development in the future, which could take the form of which could take the form of coco--locationlocation of of public and private hospital facilities at the public and private hospital facilities at the same site same site …”…”
Chapter 3
CoCo--locationlocation
Enable coEnable co--ordinated ordinated planning and avoid planning and avoid duplication of duplication of equipment and equipment and facilitiesfacilitiesEnables mutual Enables mutual purchase of services purchase of services and sharing of and sharing of supporting facilities e.g. supporting facilities e.g. diagnostic services and diagnostic services and facilitiesfacilities
Public
Privat
e
13(part)
25
4.87 H
ectare
22
Public
Phase 1: Public Hospital 160 in-patient bedsAmbulatory Care (AED, Out-patient Service, etc)Community CareBasic Diagnostic and Treatment facilitiesBasic Support Services
Complete in 2012
““prudent assessment prudent assessment of the feasibility of of the feasibility of introducing PPP in the introducing PPP in the North Lantau Hospital North Lantau Hospital ProjectProject””