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Improving Hospital Quality of Service Thru Implementing “Effective”
Information System
Seminar Nasional
Hospital Services to win all
Ayodya Resort, Nusa Dua, Bali.
26-27 Juli 2011
INDRA UTOYODirektur IT (CIO)
PT. Telekomunikasi Indonesia . TBK
Presented by :SAIFUL HIDAYAT
Direktur Pengembangan BisnisPT. Admedika (TelkomGroup)
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Healthcare ecosystem : Context and Issues
HIS : Trend & Expectation
Agenda HIS : Application Module
Hospital E-Health Roadmap and Key Success Factors
Telkom e-Health Experience and Capabilities
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Healthcare ecosystem is complex and often fragmented, eHealth benefits both public and private stakeholders by improving communications and information-sharing
Healthcare Ecosystem (Illustrative)
Employer
Pharmacy Benefit
Managers
Private Insurers
State Owned Insurer (e.g.
ASKES)
Regulatory Agencies
MOH
Province/District
Health Offices
Other Healthcare
(e.g. Dental)
Nursing Care
Mobile Clinic/ Home Care
Pharmacies
Hospitals (Inpatient,
Outpatient, EClaims)
Diagnostic Services (Lab,
Rad)Clinic/Specialist
GP
CRO
Pharmaceuticals
Suppliers
Patient/Consumers
• Members database maintenance
• Automated eligibility/ claims processing
• Claims rating• Effective case/
disease management
• Medical records storage
• Portable PHR• Personalized Portals• Patient Education• Remote health
monitoring
• Wide EMR penetration• Automated referrals• Automated coding and
claim submission
• Population health database• Disease detection & analysis• Pharmaceutical supply chain optimization
• CPOE and EMR• Referral• Remote health
monitoring• Automated coding &
claims submission
: Private
: Public
: Public & private
Legend:
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Challenges :Improving Stakeholders Interactions and Benefits
MOHEnsure Quality of Care and Patient Safety
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Profil solusi e-Health di Indonesia masihparsial: • 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.
Membutuhkan Integrated Shared Service Platform
Hospital (1.679)
Puskesmas (8.234) Apotek (3.551)
Industri Farmasi (260)
Asuransi (50)
Solusi e-Health Indonesia: Saat ini masih parsial
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Kondisi Komputerisasi di RS saat ini
1.371 rumahsakit (50% swasta, 32% pemda, 18% Pusat)
• Sebagian besar masih berbasis manual, baik untuk rekam medis, pengelolaantransaksi, dan pengurusan klaim.
• Tidak terintegrasi dengan SIKDA / SIKNAS
• Manual rekapitulasi pelaporan RL1-RL6, yang memakan waktu dan biaya
• Belum mampu mencegah terjadinyafraud
• Belum mampu memonitor kegiatanprogram promotif secara cepat danefektif.
92%
5% 3%
manual komputerisasi komputerisasi canggih
Sumber : Riset Dr. Anis Fuadi, 2009
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Healthcare ecosystem : Context and Issues
HIS : Trend & Expectation
Agenda HIS : Application Module Framework
Hospital E-Health Roadmap and Key Success Factors
Telkom e-Health Experience and Capabilities
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HIS (Hospital Information System) Trend
8
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Basic Management Expectation of HIS
- 9 -Source : SKT
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10
Insurance/Payors
Loket/UGD/Admin
RS Rujukan Apotek
Diagnosa Poli Rawat Inap
Laboratoium
Warehouse
Suppliers
Pasien
Rawat Jalan
Information System Support forHospital Services Business Process
Hospital services business process required Information System Support :
• E-PMS (Patient Management System)
• EMR (Electronic Medical Record)/EHR (Electronic Health Record)
• E-Claim (Insurance Application)
• E-Referral System
• E-Prescription
• E-Pharmacy/e-Apotek
• E-Laboratory
• CRM (Customer Relationship Management)
• Telemedicine
• E-SCM (Supply Chain Management)
• HRIS (Human Resource Information System)
• Accounting/Financial System
• EIS and CDSS
• etc
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Healthcare ecosystem : Context and Issues
HIS : Trend & Expectation
Agenda HIS : Application Module Framework
Hospital E-Health Roadmap and Key Success Factors
Telkom e-Health Experience and Capabilities
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HIS : Kompleksitas Sistem Aplikasi “Saat ini”
12
Arsip Medis
Pendaftaran
KepegawaianKeuangan
Poli BPoli A Pelaporan
IGD Billing & Claim
Marketing
Rawat Inap
Kesusteran
Fas. Penunjang
Fasilitas Penunjang
Ruang Operasi
Apotik
GLSpreadSheet
Administrasi
Laboratorium
MSSQL MSAccess
DBF
MySQL
OraclePaper
Paper
Paper
Oracle
MSSQL
MSAccess
PaperMySQL MySQL
MySQL
MySQL
MySQL
MySQL
MySQL
*.xls
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HIS – Teknologi Baru
• System yang terintegrasi
13
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HIS – Modular Framework
PR
DO
A/P
Payment
GL
F/S
Invoice
A/RCash Receipt
Fixed Asset
Budgeting
HR
Sales
ERP Modules
Core Modules
Supporting Modules
Theater Management
Nursing Care Plan System
Ward
Polyclinics
User Management
PACS
LIS
Dieting
EMR
CDSS
CDIS
Clinical Path
Pharmacy
CRM
Dashboard
EIS
Inventory
Doctors
Patient Administration
Billing
Physiotherapy
Preventing Maintenance
Housekeeping
Trauma Center
Kiosk /Portal
SMS
Vendor Management
Claim / Insurance
DW/ BI
Advance – Integrated System
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Healthcare ecosystem : Context and Issues
HIS : Trend & Expectation
Agenda HIS : Application Module Framework
Roadmap and Key Success Factors
Telkom e-Health Experience and Capabilities
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Year 1
Year 2-3
Year 4-55 YEARS PLANHospital e-Health Roadmap
Source : SKT
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HIS Modules Stages
3
21
HIS Modules
TELKOM
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Quick Win HIS Implementation
TELKOM
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Telkom Solution Highlight
IntegratedPatientRecords
Measurement& Management
Of Quality
AdherenceTo Reporting
Mandates
LeveragingOf IT
Infrastructure
ImprovingOut-In Patient
Continuity of care
Enterprise Clinical Decision
Support
SupportingIntegration w/
Other’s(eg: Insurance)
Web 2.0 &Cloud Computing
Technology
ComplianceWith
National &Int’l Standard
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10/06/10
Telkome-Hospitals (Cloud Computing – SaaS Model- Pay per Use)
Module and Cloud Computing Configuration
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)
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Implementation Credential :Lesson Learn
3 Main Consideration :1. Matched between e-health solution with Vision, Mission
and Business Strategy of Hospital2. Acceptance & Technology Adoption (Doctors,
management, medical staff and all Stake Holder)3. Stages and Success Criteria
5 Critical Components on HIS Implementation1. Strong Commitment (C’s Level)2. Internal Team Readiness 3. Readiness and Sustainability of Solution Partner4. Organizational Readiness and Proper Change Management5. Good Project Management
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Successful
HIS
Implementation
Process
TechnologyPeople
• Standardization of HospitalBusiness Process
• Compliance withInternational Standard/Accreditation (KARS, ISO9001, JCI)
• Integrated and Interoprable Solution (eg : support MOH e-Reporting, e-Referral, e-Claim and e-Bill to Insurance, etc)
• Easy to implement, simple, modularity, multiplatform• Security (CIA) • Reliable, Auditable, Manageable• DRC,DRP,BCP
• Strong Commitment from C’s Level / High Level Management
• Acceptance & Technology Adoption
• Continuous HR Training and Development
How do we guarantee of successful implementation :Key Success Factors
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Healthcare ecosystem : Context and Issues
HIS : Trend & Expectation
Agenda HIS : Application Module Framework
Roadmap and Key Success Factors
Telkom e-Health Experience and Capabilities
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Introducing Telkom Group
Telecom
Information
Media
Fixed Wireline
Fixed Wireless
Mobile/Cellular
Broadband Access
Satellite
Tower
Premises Integration
IT Services & BPO/ KPO
E-Money
Multi Channel TV
Edutainment
Portal
E-Commerce
Content
Customers Portfolio
Consumer Enterprise Wholesale
Product Portfolio
SME
*) Geography coverage for international investment is basically all over the world, however for the initial investment, Asia and Middle-East will be the priority. Geography*DomesticDomestic InternationalInternational
BPO: Business Process Outsourcing
KPO: Knowledge ProcessOutsourching
Our business portfolio (T.I.M.E)
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TELKOM e-Hospital (HIS), e-clinic, e-GP, e-Apotek
TELKOM Group Integrated e-Health Solution Using Telkom e-Health Hub as a Shared Service Platform
ASGARA
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Referral system enabled > National eHealth System
EMR Data Repository Exchange Gateway Reporting and Analytics Processor
Connector
Connector
Connector
Connector Connector
Connector
Web Service
Epidemic Control
Diseases Control
Treatment Control
Cost Control
Research Facility
MIS / EIS
Program Monitoring Facility Improvement
Web Service
AdCPS
Puskesmas
Klinik ApotikRumah SakitRujukan
Rumah SakitInternational
Asuransi
Rumah Sakit
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Telkome-Health
Better Healthcare Management and Planning (patient historical data, accurate
diagnosis & treatment, Planning
preventive care & health scheme/program)
Codifying Healthcare Information and Data Analysis (diagnosis, treatment and
drug),incl drug cost escalation ,Generic &
patented drug, drug distribution, drug
dispensing pattern by diagnosis, disease pattern by region, efficient distribution
of drugs)
Shared Service Platform(Interoperability , Interconnection, Opex to Capex, Pay per use , Mobility any where, any time, any device)
Easy, Scalable and Simple to implement
(Simple IT infrastructure, optimizing existing
resources, Simple process,Flexible as Business Need
)
Capturing Online Claims Transaction(medical expenses, diagnosis, treatment and drug, study of cost efficiency & effectiveness)
The Benefits
Coverage
National and International
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SAIFUL HIDAYATDirektur Pengembangan Bisnis
PT. Admedika (TelkomGroup)[email protected]
[email protected] 133 236
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