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Kenyatta National Hospital

The journey of reforms by integrating ICT : Case of KNH

Presentation by Richard Leresian Lesiyampe HSC Chief Executive Officer, Kenyatta National Hospital

To be a world class referral hospital in the provision of innovative and specialized health care.

To provide accessible healthcare, facilitate medical training, research and participate in national health planning and policy.

Referral hospital
Medical Education

National health planning.

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

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

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

Need for Automation

Patients queuing to pay for services

A lot of paperwork for each transaction

Digitizing of Records

Filling of patient documents in the respective files

Need for Automation

Patients queuing for services. Note the cards in their hands

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 1000 Japan 2.2 per 1000

Maternal Mortality Rate

KENYA 6 per 1000 KENYA POSITION IN THE UN GLOBAL RANKING(2009) 169/222 WORST AND BEST COUNTRY Mozambique 11 per 1000 Greece 0.01 per 1000

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 1000 United Arab Emirate 1.4 per 1000
total knh

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
Hebrew for Christians Copyright John J. Parsons

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


Addressing Challenges
KNH requires to automate all its procedures and processes - HRMS,IHMIS,

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


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

Reform Drivers
Internal Business Processes Management

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

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

Information and Knowledge Management

Digitizing patient records Patient health information Research findings and dissemination Data capture , processing and analysis for information and knowledge 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

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


Source: Cybermetric lab Criteria of ranking- web presence, electronic dissemination of research findings. Ranking covered 168 countries 33 of which were from Africa