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
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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
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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
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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
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MOH Ensure Quality of Care and Patient Safety
Healthcare Trend : Improving Stakeholders InteracTons and Benefits
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eHealthcare Trend
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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”
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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
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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
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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
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Kontribusi Telemedicine untuk Pencapaian MDG 4 & 5
TELKOM CLOUD FOR GP Ekosistem
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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
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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)
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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 :
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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