Saiful hidayat pengembangan e health sebagai pendukung pelayanan dokter keluarga pdki 1.1.pptx

The world in your hand

Peningkatan Mutu & Profesionalisme dalam Era SJSN Dokter Keluarga Siap Menjadi Mitra BPJS

Sahid Jaya Hotel, Jakarta , 2 November 2012

SAIFUL HIDAYAT EHealth Project Director

PT. Telekomunikasi Indonesia . Tbk

Corporate Strategic Planning

Curriculum Vitae :

SAIFUL HIDAYAT Educa1on : -‐  MT in InformaGon System and Technology, ITB -‐  S1 in TelecomunicaGon, Unibraw Working Experiences : -‐  2004-‐2006 : PT. Telekomunikasi Indonesia, Tbk : Manager e-‐SoluGon Divisi MulGmedia

-‐  2006 – 2007 : PT. Finnet (Telkom Group) : General Manager of OperaGon

-‐  2007 – 2010 : PT. Telekomunikasi Indonesia, Tbk : Head of IT Service Strategy

-‐  2010 – 2011 : PT. Admedika (Telkom Group) : Director Of Business Development

-‐  2011 – Now : PT. Telekomunikasi Indonesia, Tbk : Project Director Of Ehealth Business Project

The world in your hand

Digital Trend & EHealth Issues

Information System for eHealth

EHealth Trend & Expectation

Telkom Cloud For GP Ekosistem

DIGITAL TREND & EHEALTH ISSUES

TODAY THE WORLD IS GETTING NARROW AND THINGS ARE CONNECTED, CLOSER,

MOBILE AND PERSONAL

WWW: WHOEVER AND WHEREVER WE ARE


Now : Almost Everything is in the cloud

All Goes Digital

Teknologi digital akan banyak mengubah gaya hidup kita melalui berbagai macam layanan digital, termasuk untuk music, video, games, books, magazine,

HEALTH RECORD ….?

Source: The Future of Media, Gerd Leonhard, 2009

HOW’S HEALTH GOES DIGITAL?

EHEALTH IS A CARING BUSINESS

NO MATTER HOW HIGH-TECH YOU ARE

HEALTH IS ONCE ABOUT CARING. NOW IT WILL BE MORE CARING USING TECHNOLOGY

FOR BETTER & EASIER APPLICATION


Challenges : Health Problems & Barrier

Health & Healthcare Problems •  Cost •  Quality of care •  Consistency of care •  ConGnuity of care •  Disaster/Emergency response •  Isolated, piecemeal, inaccessible records • Medical care separated from health, life & prevenGon

Barriers to eHEALTH AdopGon •  Co$t •  Poor usability •  Nerdy GUI (Graphical User Interface) • Workflow disrupGon

•  Poor leadership for innovaGon and change management


Profil solusi e-Health di Indonesia masih parsial: •  Implementasi silo-silo •  Tidak terstandarisasi:

•  Interoperabilitas, sulit dikembangkan •  Konsolidasi data sulit dilakukan (multi

format dan standrat) •  Kelengkapan data lemah karena

jangkauan kecamatan s.d pusat masih terbatas

•  Akses Informasi Publik terbatas: atas indikator dan informasi kesehatan.

è Membutuhkan Integrated Shared Service Pla^orm

Hospital (2.005) (BUK)

Puskesmas (9.005) Bankdata Pusdatin

Apotek (21.852) IAI

Industri Farmasi (260)

Asuransi Jiwa (54) (Bapepam)

Praktek Dokter(115.155)

Solusi e-‐Health Indonesia : Saat ini masih parsial

Corporate Strategic Planning Source :

E-‐HEALTH TREND & EXPECTATION


MOH Ensure Quality of Care and Patient Safety

Healthcare Trend : Improving Stakeholders InteracTons and Benefits


eHealthcare Trend


Basic Management ExpectaTon of eHealthcare System

Source : SKT

Need Of Healthcare OrganizaGon

Note : HIS (Hospital Information System) is fundamental of digitalization in medical sector, and enables hospitals to meet the needs of “Efficiency, Quality Service & Capability”


InformaTon System Support for Healthcare Services Business Process

Insurance/Payors

Loket/UGD/Admin

RS Rujukan Apotek

Diagnosa Poli Rawat Inap

Laboratoium

Warehouse

Suppliers

Pasien

Rawat Jalan

Healthcare services business process required InformaTon System Support : •  E-‐PMS (PaTent Management System) •  EMR (Electronic Medical Record)/EHR

(Electronic Health Record) •  E-‐Claim (Insurance ApplicaTon) •  E-‐Referral System •  E-‐PrescripTon •  E-‐Pharmacy/e-‐Apotek •  E-‐Laboratory •  CRM (Customer RelaTonship

Management) •  Telemedicine •  E-‐SCM (Supply Chain Management) •  HRIS (Human Resource InformaTon

System) •  AccounTng/Financial System •  EIS and CDSS •  etc

INFORMATION SYSTEM FOR E-‐HEALTH


Kompleksitas Sistem Aplikasi Saat ini Contoh : Proses Bisnis Rumah Sakit

Arsip Medis

Pendabaran

Kepegawaian Keuangan

Poli B Poli A Pelaporan

IGD Billing & Claim

MarkeGng

Rawat Inap

Kesusteran

Fas. Penunjang

Fasilitas Penunjang

Ruang Operasi

ApoGk

GL SpreadSheet

Administrasi

Laboratorium

MSSQL MSAccess

DBF

MySQL

Oracle Paper

Paper

Paper

Oracle

MSSQL

MSAccess

Paper MySQL MySQL

MySQL

MySQL

MySQL

MySQL

MySQL

*.xls

In House Development

Heavy Infrastructure

Difficult to integrate


IntegraTon : Simplify The System

E-Health Cloud Services

Corporate Strategic Planning 23

Manfaat Solusi eGP untuk Dokter Keluarga

§  Info Jasa Dokter, (bagi dokter praktek di RS)

§  Rujukan elektronik ke RS §  Info resume RM pasien

Tempat praktek di luar RS

Tempat praktek Rumah Sakit

Pasien

§  Manajemen Pelayanan Pasien

§  Manajemen Database Pasien

Penyebaran Dokter Spesialis dan Fasilitas Kesehatan Yang belum merata

Penggunaan perangkat audio, video dan telekomunikasi untuk memproses informasi terkait jasa pelayanan kesehatan atau membantu paramedis yang jauh dari lokasi pasien.

Telemedicine

Telemedicine umumnya diimplementasikan untuk : " Telekonsultasi " Tele-edukasi " Telemonitoring " Telesurgery

Telekonferensi

Telemedicine - Telekonsultasi q Telekonsultasi adalah pertukaran interaktif citra dan informasi medis yang

diagnosis utamanya dibuat dokter di lokasi pasien. q Telekonsultasi memungkinkan dokter dapat meminta pendapat/opini dan

berdiskusi dengan dokter spesialis di tempat yang jauh mengenai diagnosis yang dibuatnya.

q Telekonsultasi yang efektif harus memiliki kemampuan mengirimkan : §  Citra medis (medical images - x-rays, CT, MRI, dll) §  Informasi medis (medical data) §  Voice

Jenis Sumber Ukuran file Teks dan numerik

Laporan, rekam medik, korespondensi

< 10 KB

Audio Pembicaraan konsultasi, Stetoskop elektronik

100 KB

Gambar Hasil CT Scan, Foto rontgen, citra dermatologi

1MB

Video Ultrasound fetus (30 sec) 10 MB Sumber: Johan Harlan, Pusat Studi Informatika Kedokteran, Universitas Gunardama


Kontribusi Telemedicine untuk Pencapaian MDG 4 & 5

TELKOM CLOUD FOR GP Ekosistem


Telecom

InformaTon

Media

n Fixed Wireline

n Fixed Wireless

n Mobile/Cellular

n Broadband Access

n Satellite

n Tower

n Premises IntegraTon

n  IT Services & BPO/ KPO

n  E-‐Money

n  MulT Channel TV

Edutainment

n  Portal

n  E-‐Commerce

n  Content

Customers Por\olio

n  Consumer n  Enterprise n  Wholesale

Product Por\olio

n  SME

*) Geography coverage for internaTonal investment is basically all over the world, however for the iniTal investment, Asia and Middle-‐East will be the priority. Geography* DomesTc InternaTonal

BPO: Business Process Outsourcing KPO: Knowledge Process Outsourching

Our business por;olio (TIMES) Introducing Telkom Group

Telkom HIE (Health Information Exchange) (e-Health Hub)

IT Security Infrastructure

Provider Directory

PKI Server

Certificate Authority

Universal Patient Identifier

SEHR

Internet & Mobile

Email & SMS Gateway

GOV & Institutions

TPA & Private Insurance

Personal Health Web Portal

Web Service Adapter

Pharmacies

Hisys e-Apotik

Suppliers Finance

HIMBARA Link & 52 other Banks

Government Insurance & SOE’s

ASGARA & 141 SOE’s

Healthcare Providers

Doctors / Specialist

Clinics & Hospitals

Laboratories EMR

Hisys e-Hospital

RouGng & TransformaGon

Services Workflow Services

Solusi e-‐Health Telkom Group Menggunakan Telkom Health InformaTon Exchange

TELKOM eHospital (HIS), eclinic, epuskesmas, eGP, eApotek , eSCM, eClaim

Payor’s (GOV’t) will benefit by an interoperability and

integrated EHR and online reporGng of Health Claim to

reduce fraud

eReferrals from primary to secondary to terGary healthcare (e.g. GP to

Specialist on District and VerGcal Hospitals)

Expansion to eBilling and eSenlement

perpetuates end-‐to-‐end paperless & efficient claims processing

Hospitals will provided the interoperability with Payers

and Medical Supplier

Pharmacies Will Provide InteroperabiliGes with Healthcare Provider

9(Gp’s)thru ePrescribe and eSCM to PharceuGcal

Company


Module and Cloud Computing Configuration

TELKOM Group e-‐Health Services : e-‐Hospitals (Cloud CompuTng – SaaS Model – Pay per Use)

Benefit Hisys SaaS Business Model : • No Investment •  Capex to Opex •  Pay per Used •  No Operational and Maintenance Cost •  Flexible as Business Need •  Focus on Hospital Business & Service not on IT •  Automatic Update •  Mobility any where, any time, any device •  Integrated with other Telkom Group Services (eq, e-‐Payment, e-‐Procurement, SAP)


InisiaTf e-‐ApoTk

e-‐ApoTk

Komunitas ApoGk (Virtual Inventory)

Sistem Informasi Management ApoTk • ERP & CRM basic bagi apoGk • Desktop berbasis SaaS yang terintegrasi dengan layanan Speedy

• Laporan siap pakai (depkes, pajak, bonus, dll)

Virtual Stock • Sistem online memungkinkan apoGk dalam 1 kota membentuk komunitas dengan stock obat bersama, khususnya obat-‐obatan penGng.

Telkom Ehealth

Community

e-‐ApoTk e-‐ApoTk

e-‐Pharmacy Value Chain

Komunitas Telkom EHealth • Tergabung dalam jaringan layanan kesehatan yang terintegrasi dengan layanan asuransi.

• Menerima order /RESEP online • Sistem pembayaran online.

TELKOM Group e-Health Services :


TELKOM Group e-‐Health Services : InsiaTf eGP: Solusi Ekosistem Kesehatan Bagi Dokter Praktek Umum

Apotek

KKI

Ekosistem Interaksi Kolegium §  Uji kompetensi Dokter

[UKDI]

KKI §  Surat Tanda Regeristasi [STR]

IDI §  Keanggotaan IDI/profesi §  Kompulasi SKP

Dinkes §  Surat Ijin Praktek baru [SIP] §  Perpanjangan SIP

Farmasi [Pabrikan]

§  Peresepan obat §  Data penggunaan obat

Apotek § Peresepan obat [penebusan obat]

Asuransi dan “BPJS”

§ Pelayanan medis Pasien Asuransi

§ Proses administrasi penghitungan jasa dokter

Rumah Sakit §  Proses rujukan

Laboratorium §  Proses rujukan

Pasien §  Pelayanan medis Pasien (pendabaran, diagnosa, discharge, emr)

BPJS

DINKES

Pasien

RS Laboratorium

Pabrik Obat

Corporate Strategic Planning 34

TELKOM HIE PLATFORM

eGP GPs (and Specialists) can register patients and transact with other stakeholders

1

eClaims Payors (e.g. Insurance and BPJS) can process primary outpatient claims from GPs faster

2 HIE- EHR MoH can obtain primary healthcare data from GPs

3

HIS Hospitals can get referrals from GPs via eGP

4

ePharmacy Pharmacy retailers can get prescription from GPs via eGP

5

eGP | IntegraGon SoluGon

Saiful hidayat pengembangan e health sebagai pendukung pelayanan dokter keluarga pdki 1.1.pptx

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