ajavithi Hospital R ...... a leading international medical center ......

ExcellentExcellent Healthcare Healthcare

Mother, as an idea and as a reality in every person’s life, is close to everyone’s heart. Mothers are meant to provide loving care for their children as does our hospital’s symbol. As she does not leave her R child behind for others to provide Hospital caregiving, society will eventually be pleasant. Good mothers in one generation leads to good ajavith i children, the future mothers and fathers, in succeeding generations. An exemplary child from a good mother becomes a good mother of children in generations to come. Prof. Sem Pringpuangkeo, M.D. Former Director of Rajavithi Hospital. (1951-1959) ajavith i Hospital R

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Department of Medical Services AdministratorS

Wilawan Juengprasert, M.D. Director General

Wanchai Sattayawuthipong, M.D. Deputy Director General

Prapon Tangsrikertikul, M.D. Deputy Director General

Anant Setpakdee, M.D. Deputy Director General

Jirot Sindhvananda, M.D. Deputy Director General

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Rajavithi Hospital Administrators

Clinical Assoc. Prof. Varunee Jinaratana, M.D. Director

Udom Chaovarindr, M.D. Deputy Director

Miss Benjawon Kumparatana Deputy Director, Cluster of Directing

Assoc.Prof.Sukit Panpimanmas, M.D. Deputy Director, Cluster of Academic

Miss Sujittra Wavtong Deputy Director, Cluster of Nursing

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INTRODUCTION

n Rajavithi Hospital (in the original name : Women’s Hospital) was established on 16 April 1951.Prime Minister Marshal P. Pibulsongkram and Thanphuying La-iad Pibulsongkram discussed with Luang Nitya Vejjavisit who was the Director General of Department of Medical Services at that time to instituted the hospital at Tungphayathai Field which is situated between Rajavithi road and Phayathai road. The government had the permission to construct in 1947. It was determined to be the first special hospital for women and children in . Reliable and well-known to the public due to its capable team combining management, medical doctors and other professionals, it is where the first successful operation to separate Siamese twins was conducted in Thailand-that of Wandee and Sriwan- to our great pride. On 2 May 1976 (22 years after founded), His Majesty The King granted the auspicious name “Rajavithi Hospital” to replace the name “Women’s Hospital”. The function of the hospital has then been altered, providing general services and care not restricting to women and children. Expanding our mission to provide general treatment for all patients nationwide. In the tradition, our infrastructure and medical services system and human resource development have continually improved, resulting in today’s modern, fully-equipped hospital with dedicated staff of service-minded medical professional.

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Rajavithi Hospital is the largest hospital in Thailand’s Ministry of Public Health system and has 61 years of service to the country. Initially named Women’s Hospital, Rajavithi Hospital currently has 1,200 beds…and a strong reputation as an excellent center providing medical and paramedical personnel in all specialties in conjunction with modern medicine, appropriately equipped: intelligent operating room or center of endoscopic surgery, Image Guided Radiation Therapy (IGRT), 3D Conformal Radiation Therapy, and Elekta LINAC with MLC and Surgical Skill Training Center. Such components are used in providing services in varied specialties and healthcare dimensions, examination and diagnosis, treatment and rehabilitation which lead to an optimal quality of life of the Thai people. n R ajavithi H o s p i t a l 8

VISION :

Rajavithi Hospital is a leading international medical center.

MISSION :

l To be the leader of academic international medical center. l Provide professional tertiary medical services, health promotion and effective transferring system. l Working together with happiness and effectiveness under the new public management system.

CORE VALUES :

Academic Excellence, Best Service, Happily Healthy organization. R = Research-Mind A = Academic J = Joyfulness A = Alliance Networking V = Victory I = Integrity T = Teamwork H = Humanized Health Care I = Innovation 9 R ajavithi H ospital

STRATEGY

1. Promoting Centers of Excellence: COE 2. Promoting Research, Development, Evaluation Technology and Standards of Service. 3. Promoting Leadership in Knowledge and Technology Transfer 4. Promoting Development of Tertiary Service System and a Medical Center for Provincial Specialties. 5. Accelerate Tertiary Service, and Higher, Through Know-How and Advanced Technology. 6. Promoting Total Systematic Solutions to Important Health Problems. 7. Developing Management Skills in Response to Hospital Strategy. R ajavithi H o s p i t a l 10

Our service

n Rajavithi Hospital has been continuously supporting the public in term of complete health care services including the aspect of disease prevention, cure, tertiary care and rehab. All health care workers of Rajavithi Hospital in various specialties are devoted to serve the public so they can achieve the better health and the better life quality throughout their life span. Be it the ailment or the extramural accident. All are definitely welcomed at Rajavithi Hospital. n 11 R ajavithi H ospital

CENTERS OF EXCELLENCE

n Rajavithi hospital has strategically developed its advanced medical specialty capacity using expertise in each treatment to further study, apply analytical research, evaluate, develop and transfer know-how to provincial hospitals throughout the country by establishing an information infrastructure blended with an effective referrals system of hospitals under the Ministry of Public Health nationwide. The hospital is authorized for international referrals covering a spectrum of medical specialties serving patients sent from other countries. Our Centers of Excellence have been in professional service over three decades. 1. COE for Ear Nose and Throat (ENT) : For 30 years, Rajavithi has been a leading ENT hospital, especially for adults and children with hearing deficiencies. Our medical surgical team is well-known for complicated surgeries employing the Free Tissue Transfer technique. The ENT center of excellence accepts regional and national hospital referrals as well as international referrals, including by email, for examination and treatment. It organizes an annual Asian Temporal Bone Dissection/Ear Surgery Course, and Head and Neck Oncology Course. Highlights include Surgery for Deaf Patient: Cochlear Implantation for hearing and speaking. It is a training center for Otolaryngology H&N surgery, and a mobile medical team has made remote visits in Thailand for over 30 years. Internationally, the mobile team provides medical services in Cambodia , the Lao PDR, Vietnam, People’s Republic of China, Myanmar, and Bhutan. R ajavithi H o s p i t a l 12

2. COE for Trauma : established as a Medical Services Department prior to carrying patients from accidents to hospital, and through recovery. Medical teams are set for action even before patient arrival at hospital. Rajavithi’s Trauma Registry exam was developed/merged with Lertsin Hospital and Noparatanarachathani Hospital for Trauma Audit. The ATLS (Advanced Trauma Life Support) Training Center is recognized by The Royal College of Surgeons of Thailand under license of the American College of Surgeons 3. COE for Head and Neck Cancer : emphasizes curing complicated head and neck cancer for patients also suffering mouth and neck cancer including nose, nostrils, air passages, voice box, thyroid and ears. With international standard treatment by ENT and X-ray, nuclear medical and dental specialists, it also serves as a referral center for over 500 Head and Neck Cancer patients, and is regarded as the topmost national venue. It has held top rank status for technically complicated surgery in Thailand for the past 30 years. With the development of microvascular free flap surgery, it enables major cancer surgery close to important organs and prevents malformation of organs to maintain accuracy aided by Image Guided Radiation Therapy (IGRT). 4. COE for Organ Transplantation : gives new life to patients needing organs such as kidney, liver, heart and lung in continuing evolution. A development of a surgery for mini-incision donor nephrectomy enables kidney donors to be living ones resulting in quick recovery and minimized hospitalization. The center staff have regularly participated in organ transplantation planning in national level.

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5. COE for Laparoscopic and Endoscopic Surgery : Rajavithi Hospital is specialized for Endoscopic surgery in general surgery, Obstetric and gynecology Surgery, orthopedic, ENT, cosmetic, heart and chest and neurological surgery. Additionally, professional workshops are held annually for hands-on practice at our modern 8-station intelligent theatre. Our state-of-the-art Endoscopic Surgery device is equipped with a voice-directed multi-directional monitor. 6. COE for Cardiovascular Disease : As the first Cardiovascular surgery at Women’s Hospital, Ministry of Public Health, we have significant proven achievements in heart surgery, especially the endovascular stent for treatment of thoracic aortic aneurysm and dissection of aorta. Also, heart surgery on infants and organ transplants in the chest have succeeded. On the job training has been conducted for heart and lungs since 1983. 7. COE for the Retina : A campaign for diabetic blindness was implemented in national remote areas for diabetic retinopathy screening. Research findings established a heritable error in elderly patients with deteriorating retinas as a cause of blindness in Thailand. Also, a newly developed laser X-ray and eye injection was the world’s first successful case, published in Eyes Journal and widely accepted in the United Kingdom. COE for the Retina is a leader in retinal surgery without stitching enabling patients to recover quickly without pains. n R ajavithi H o s p i t a l 14

Research Hospital

n Rajavithi Hospital has embraced research and development, technological assessment, service standard, clinical practice guideline, innovative medical care and services including bimolecular research in close collaboration with varied institutions nationally and internationally. Multi-institutional clinical research by natures focuses on medical care and diagnosis development. As a result, patients will benefit from proper care leading to a better quality of life. Our research studies have been published in international journals and the hospital staff have received many awards in Thailand and abroad. In view of supporting research studies, Rajavithi Hospital has offerd many research-oriented training programs such as: l Good Clinical Practice: GCP l Bio-Statistics for Research l Advanced Statistics for Research

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Clinical Research and Bio-Statistics workshops and seminars are conducted by experts in cooperation with the Faculty of Public Health, Mahidol University. IT is accessible for E-Library for information dissemination through the online systems MD consult, JAMA, Journals@OVID and Science Direct. The Ethics Committee, Rajavithi Hospital is tasked with providing a monthly research funding focus consideration. The hospital has funded its personnel for long term study programs such as the Master program on Epidemiology in Bio-statistics. Additionally, the hospital has conducted research networking with external units being commissioned as research consultants for related agencies of the Ministry of Public Health. n R ajavithi H o s p i t a l 16

RESIDENCY TRAINING HOSPITAL

n Residency training programs in several specialties have been successfully conducted in most divisions of Rajavithi Hospital. Our first residency training program was in the Obstetrics and Gynecology Division in 1970 which has since conducted over 20 specialties, 10 sub-specialties and over 280 Residents have attended training programs. Residents graduating from Rajavithi Hospital have been positioned in organizations country wide and are well-regarded by colleagues and superiors. 17 R ajavithi H ospital

Scientific and technological progress well while Rajavithi Hospital rapidly grows with medical doctors in many specialties enabling it as a most suitable residency training hospital comparable to other university hospitals. Our capable qualified professionals are widely well recognizes nationally and internationally. Over the past 30 years of our residency training hospital, we have produced good doctors who today serve hospitals across and throughout Thailand’s provinces. They have brought great pride and honour to our training center. n R ajavithi H o s p i t a l 18

University Hospital

n Rajavithi Hospital has provided medical education for Faculty of Medicine of Rangsit University since 1 June 1992 when the clinical medical students started their first academic year. Rajavithi Hospital and Children Hospital (Queen Sirikit National Institute of Child Health) were instrumental in providing facilities for Rangsit University’s clinical medical students by order of the Ministry of Public Health’s dated 6 December 1989. By then, the Institute of Undergraduate Medical Education Department of Medical Services in affiliation with Rangsit University was founded as the first joint public and private cooperation offering students of 1st , 2nd , and 3rd year to study at Rangsit University. Thereafter, the 4th, 5th and 6th students attend pre-clinic and clinical classes at Rajavithi Hospital and Queen Sirikit National Institute of Child Health. Highly qualified and experienced medical professors from all medical schools are recruited to conduct the good classes. Besides, students have been experiencing a various special community programs in provincial areas. In 2012, some 18 classes have graduated with 1241 qualified medical professionals prepared to serve national hospitals in all areas which is our pride to produce quality medical doctors for the Thai society. n 19 R ajavithi H ospital R ajavithi H o s p i t a l 20

International Hospital

n Originally we were serving only women patient but we have grown into a full spectrum medical service institute for patients of all ages. Today’s Rajavithi Hospital is well-equipped with state- of-the-art medical technology of high international standard and competent medical specialty teams. Six renowned Centers of Excellence offer special treatments and skilled nursing care is ready to serve the wider world through recognized world class standard. This will eventually lead to our transformation a full status international hospital underpinning our population growth as well as exchanging and working together with foreign countries under the umbrella of ASEAN membership. During the past six decades, Rajavithi Hospital has become a center of international training for countries such as Myanmar, Cambodia, Vietnam, Laos, Bhutan and several West African countries in compliance with an agreement signed 10 years ago, and we now conduct exchange programs for medical staff in Singapore, especially nursing programs. In addition to medical professional journal’s, the Rajavithi Hospital ENT program was reported in the Readers’ Digest and on television’s Discovery Channel to the wider public.

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Rajavithi Hospital has conducted several regular intensive training programs for various medical professionals of the Department of Medical Service, Office of the Permanent Secretary of Ministry of Public Health including some foreigners who are interested in attending our annual international training programs. They include Temporal Bone Dissection/Ear Surgery Course in 2012 as the 16th program and Head and Neck Oncology Course in 2012 as the 11th program which has received a good feedback from medical doctors of ENT in Southeast Asia who have continually attended the training program. Additionally, the Basic Diagnostic Therapeutic Endoscopy program was designed for international medical doctors. And the enhancement of nursing for critical patients program has been a joint project between the Institute of Cardiology and Parkway University of Singapore. n R ajavithi H o s p i t a l 22

Memorandum of Understanding : (MOU)

n Rajavithi hospital signed a MOU on academic cooperation with Japanese National Hospital Organization Institutions Kure Medical Center and Chugoku Cancer Center as a Sister hospital Relationship on 24 February 2009 at Rajavithi Hospital by the then Director-General of Medical Services Department, Dr.Rewat Wisutwet represented Thailand and Dr.Wataru Kamiike, Chairman of Kure Medical Center represented the Japan and honorary witnessed by Dr.Prat Boonyawongviroj, Permanent Secretary of Ministry of Public Health. n Meanwhile, in 2011 the Center of Excellence in Otolaryngology Head & Neck Surgery, Rajavithi Hospital signed a MOU on academic cooperation between Rajavithi Hospital, Medical Services Department and National Ear Nose Throat Hospital (NEH) of Vietnam. 23 R ajavithi H ospital

n Also, a MOU was signed between Rajavithi Hospital and University of Texas Southwestern Medical Center at Dallas, USA in Emergency Medicine on 22 February 2012 at Rajavithi Hospital by Dr.Wilawan Juengprasert, Director-General of Medical Services Department represented Thailand and Associate Professor Raymond Swienton, MD and Mr.Thomas Lehman.

n Additionally, Rajavithi Hospital signed a MOU on ENT with Yonsei University Severance Eye & ENT Hospital ENT Seoul, Korea on 31 May 2012 by Dr.Wilawan Juengprasert, Director- General of Medical Services Department represented Thailand and Yong Won Park, M.D., Ph.D. General Director, Severance Hospital, Yonsei University College of Medicine. R ajavithi H o s p i t a l 24

INNOVATIVE HOSPITAL

Endowater Irrigating Device

n Innovation is regarded one of the hospital’s core values. Our original and innovative heart operation has brought fame to Rajavithi Hospital and resulted in the Cardiovascular Institute. Our medical personnel have emerged to have created many innovative products and a medical innovation center was established at Rajavithi Hospital in 2009 to stimulate and support innovative works. Endowater Irrigating Device : used in combined medical diagnosis and treatment, it activates a water spray of stained blood and excrement examine its course. Ring External Fixation : is a ring shaped bone fixer made of lightweight aluminium. Intra-arterial Line Protector : a device to protect pressure on red vessels tube on the wrist while heart surgery. Medication Error Program for Reporting/Analysis Microsoft Access : reporting a medicinal error of the hospital for finding causes and its solution. Ring External Software for Drug Distribution System and Scanner Fixation : a development for computerized pharmaceutical distribution of in-patients. 25 R ajavithi H ospital

SCG Paper Sprint

Praphawal’s Clamps Non-bypass technique

Dust trap system

SCG Paper Sprint : a corrugated sprint, lightweight and reasonably priced, reducing infections. Non-reusable, X- ray compatible and adjustable to the physiology of wounds. Also, it has received a social honorable mention of national innovation for the year 2007 by the National Innovation Agency. Praphawal’s Clamps Non-bypass technique : Sandwich Operation) for heart operation to close leakage from the upper part of heart without using a lung and artificial heart devices. Dust trap system is used for a cleaning process of bed sheets and clothes of patients. n R ajavithi H o s p i t a l 26

Awards Bring Great Pride:

n Rajavithi Hospital was endorsed by the Institute of Hospital Accreditation Development (Public Organization) on 9 March 2005. Consequently, a second accreditation was recognized during 26 September 2011 – 25 September 2014. It has also adopted a health promotion concept into effective practice according to the standard of Health Promotion Hospital creating a pleasant environmental behavior for healthy people and community by the Institute of Hospital Accreditation Development (Public Organization) and Ministry of Public Health. In the year 2010, Development of Medical Science, Ministry of Public Health recognized our laboratory for skilled identification and analysis of thalassemia as A1 (very good level). As a good Governance recognition by the Department of Medical Services, Ministry of Public Health in 2007. In 2010, a development of referral and bio data system of diabetic patients by internet was successfully launched nationwide and received a service innovation outstanding award by the Office of Public Sector Development Commission. Also, a 2nd class award for advancing Knowledge Management in Government at the 2012 United Nations Public Service Awards on Preventing Diabetic blindness... n 27 R ajavithi H ospital R ajavithi H o s p i t a l 28

CORPORATE SOCIAL RESPONSIBILITY (CSR)

n Corporate Social Responsibility-CSR-is not giving away profit but represents our commitment to contribute to sustainable development. A significant module that falls on Rajavithi Hospital is based on corporate governance, fair operating practices and government relations, especially socially responsible investment. Responsible business strategies and strategic approaches to corporate social responsibility are essential elements of sustained business success with sound CSR skills enabling responsible decisions and optimizing environmental, social and economic performance of organizations. Rajavithi Hospital is committed to a social service orientation : we all share in society making it a better place to live, and to help make life pleasant and peaceful for everyone. 29 R ajavithi H ospital

Our major voluntary public and corporate affairs with active participation by members of our medical center include: l Mobile Medical Specialties Provincial Caravan l Tsunami Disaster Relief Mission, Japan 2010. l Disaster Relief Mission, Mega Thai Floods 2011. n R ajavithi H o s p i t a l 30

Hospital Profile:

n Rajavithi Hospital is a 1,200-bed medical center accommodating 40,000 in-patients and 1,000,000 out-patients yearly or a daily average of 4,000 patients, with 200,000 referral patients (both in and out patients). The hospital provides medical service at standard health promotion in tertiary levels and above, including quality referral system. We have more than 200 medical doctors, over 800 professional nurses and specialized staff and over 4,000 other supporting staff who are ready to provide medical services in varied specialties and healthcare dimensions. Top Five OPD 2011 1. Essential(Primary) Hypertension 2. Non-insulin-dependent diabetes mellitus 3. Disorder of lipoprotein metabolism 4. Chronic renal failure 5. Acute upper respiratory infections Top Five IPD 2011 1. Cataract 2. Malignant neoplasm of ovary 3 Chronic ischemic heart disease 4. Malignant neoplasm of liver and intrahepatic bile ducts 5. Malignant neoplasm of cervix uteri 31 R ajavithi H ospital

Director Rajavithi Hospital

Deputy Director of Administration Total Quality Management Center

Directing Cluster Academic Cluster Nursing Cluster 1. Department of General 1. Center of Medical Specialty in 1. Department of Out-Patient Administration Otolaryngology Head and Neck Nursing Surgery 2. Department of Finance and 2. Department of In-Patient Accountancy 2. Department of Emergency Medical Nursing Service 3. Department of Procurement 3. Department of Nursing 3. Department of Obstetrics and 4. Department of Planning and Academic Gynecology Evaluation 4. Department of Surgery 5. Department of Customer Relationship 5. Department of Medicine 6. Department of Human 6. Department of Physical Medicine and Resource Rehabilitation 7. Department of Orthopedic 8. Department of Psychiatry 9. Department of Anesthesiology 10. Department of Ophthalmology 11. Department of Pathology and Laboratory Medicine 12. Department of Radiology 13. Department of Dentistry 14. Department of Pharmacy 15. Department of Nutrition and Dietetics 16. Department of Academic Support 17. Department of Information Technology 18. Department of Family Medicine 19. Department of Radiation Oncology

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OUR NEXT MOVE ......

n Way way back, right from the very start, Rajavithi Hospital was meant and exclusive for “females” only. Thru the continued developments under the great leadership of several highly-competent and far-visioned directors, the Rajavithi Hospital workforce has united and devoted for the prosperity of their beloved hospital which now serves also the “men.” Open with our service minds for just anybody. All the walks of life, religions, and political beliefs. It has emerged itself into one of the largest hospitals under the Ministry of Public Health management and ownership. Daily count of around 4,000 patients/clients a day dropping by for the medical and para-medical services. A rise of the new 27-storey building is to mark the never-ending devotion and dedication for service excellence to the general public. Better in-patient capacity hand in hand with better, more modernized medical equipments and their related technologies are made ready to answer the needs of complicated ailments in the present days.

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Activities of academic for the medical students, residents, nurses, and the related health-care practitioners are always on the go to keep the hospital competency at the top notch. Broadening the international affiliations is being in the practice. Several exchanges from abroad of students, lecturer, observers, as well as the technology transfers speak well for the hospital strategy aimed for the excellence in the field. All of before- mentioned measures including the firm development/ improvement are taken in the concert to be ready for the upcoming “ASEAN Economic Community” on the essence of Thai way of life. We have taken ourselves on the road and travelled a long long way in the past six decades just to go on with our mission to serve the best medical services to our dear Thai community with our hearts and souls integrated. n

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RAJAVITHI HOSPITAL FOUNDATION

n Rajavithi Hospital Foundation was founded in 1980 and registered as a Licensed entity in 1981. Our main objectives cover aiding needy patients, promoting hospital activities for treatment including research to benefit patients. Rajavithi Hospital was graciously supported by the Princess Mother Charity Fund. From 1992 to 2010 in the amount of 10,300,000 Baht under her royal wish “…to carefully provide for the maximum benefit to distressed patients…” Since its inception, the foundation has spent over US$11 million. To make tangible your support for needy patitients and a better quality of life please contact the Rajavithi Hospital Foundation Please deposit in Siam Commercial Bank, Rajavithi Hospital Branch, Savings Account Number 051 2 16322 1 “Rajavithi Hospital Foundation Account” Or Send your Money Order in the name of Rajavithi Hospital Foundation, Rajathewi P.O. Box 10401, Bangkok 10400, Thailand Cheque payable to Rajavithi Hospital Foundation. Telephone +66-2-354-7997-9 Fax +66-2-354-7996 Ext. 103 n

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Rajavithi Hospital

Rd. Vibhavadi

Asoke-Dindaeng Rd.

Phaholyothin Place Ratchaprarop Rd.

Royal Thai Army Radio and Television Station

Rd. Phaholyothin

Victory Monument

2 Hospital

Rd. Phayathai

Phayathai

10400

Soi. Aree

2 Phayathai Rd.

Rajavithi Rd. Phayathai, Rajthevee Rajavithi Hospital

Tel: 662-354-8108-9 Fax: 662-248-4808 Tel: E-mail address: [email protected] Facebook: facebook.com/Rajavithi.Hospital Rajavithi Hospital 2, Phayathai Road, Ratchatewi District, Bangkok 10400 R i ajavith Hospital