Saiful Hidayat : Improving Hospital Quality of Service Thru Implementing “Effective” Information System

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.Improving Hospital Quality of Service Thru Implementing “Effective” Information System INDRA UTOYO Direktur IT (CIO) PT. Telekomunikasi Indonesia . TBK Presented by : SAIFUL HIDAYAT Direktur Pengembangan Bisnis PT. Admedika (TelkomGroup) Seminar Nasional Hospital Services to win all Ayodya Resort, Nusa Dua, Bali. 26-27 Juli 2011

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Healthcare ecosystem : Context and Issues HIS : Trend & ExpectationAgenda HIS : Application Module Hospital E-Health Roadmap and Key Success Factors Telkom e-Health Experience and Capabilities

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.Healthcare ecosystem is complex and often fragmented,eHealth benefits both public and private stakeholders byimproving communications and information-sharing Healthcare Ecosystem (Illustrative) Diagnostic Services (Lab, Clinic/ Hospitals Rad) GP (Inpatient, Specialist Outpatient, EClaims) Pharmacy • Wide EMR penetration • CPOE and EMR Employer Benefit • Automated referrals • Referral Pharmaceuticals Managers • Automated coding and • Remote health claim submission monitoring • Automated coding & Private claims submission CRO Insurers• Members Patient/ database maintenance Consumers Pharmacies Suppliers• Automated State Owned eligibility/ claims Insurer (e.g. processing ASKES)• Claims rating• Effective case/ Mobile Clinic/ disease Home Care management MOH• Medical records • Portable PHR storage • Personalized Portals Other • Patient Education Healthcare • Remote health Regulatory (e.g. Dental) monitoring Agencies Legend: : Private Province/ Nursing Care • Population health database : Public District • Disease detection & analysis Health Offices • Pharmaceutical supply chain optimization : Public & private

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.Challenges :Improving Stakeholders Interactions and Benefits Ensure Quality ofMOH and Patient Safety Care

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Solusi e-Health Indonesia: Saat ini masih parsial Profil solusi e-Health di Indonesia masih parsial: • Implementasi silo-silo • Tidak terstandarisasi: Hospital (1.679) • Interoperabilitas, sulit dikembangkan Asuransi (50) • Konsolidasi data sulit dilakukan (multi format dan standrat) • Kelengkapan data lemah karena jangkauan kecamatan s.d pusat masih terbatas • Akses Informasi Publik terbatas: atasPuskesmas (8.234) Apotek (3.551) indikator dan informasi kesehatan. Membutuhkan Integrated Shared Service Platform Industri Farmasi (260)

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Kondisi Komputerisasi di RS saat ini• Sebagian besar masih berbasis manual, baik untuk rekam medis, pengelolaan transaksi, dan pengurusan klaim.• Tidak terintegrasi dengan SIKDA / 5% 3% SIKNAS• Manual rekapitulasi pelaporan RL1-RL6, yang memakan waktu dan biaya• Belum mampu mencegah terjadinya 92% fraud manual komputerisasi komputerisasi canggih• Belum mampu memonitor kegiatan 1.371 rumahsakit (50% swasta, 32% pemda, 18% Pusat) program promotif secara cepat dan Sumber : Riset Dr. Anis Fuadi, 2009 efektif.

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Healthcare ecosystem : Context and Issues HIS : Trend & ExpectationAgenda HIS : Application Module Framework Hospital E-Health Roadmap and Key Success Factors Telkom e-Health Experience and Capabilities

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.HIS (Hospital Information System) Trend 8

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.Basic Management Expectation of HIS Source : SKT -9-

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Information System Support for Hospital Services Business Process Hospital services business process required Information System Insurance/Payors Support : Suppliers • E-PMS (Patient Management System) • EMR (Electronic Medical Record)/EHR (Electronic Health Record) Laboratoium • E-Claim (Insurance Application) Pasien Loket/UGD/Admin • E-Referral System • E-Prescription • E-Pharmacy/e-Apotek • E-Laboratory Diagnosa Poli Rawat Inap • CRM (Customer Relationship Warehouse Management)Rawat Jalan • Telemedicine • E-SCM (Supply Chain Management) • HRIS (Human Resource Information System) RS Rujukan Apotek • Accounting/Financial System • EIS and CDSS • etc 10

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Healthcare ecosystem : Context and Issues HIS : Trend & ExpectationAgenda HIS : Application Module Framework Hospital E-Health Roadmap and Key Success Factors Telkom e-Health Experience and Capabilities

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.HIS : Kompleksitas Sistem Aplikasi “Saat ini” Marketing Kesusteran Ruang Operasi Administrasi Paper MySQL MySQL MySQL Pendaftaran Apotik Rawat Inap Laboratorium MSAcc DBF MySQL MySQL ess Arsip Medis IGD Fas. Penunjang Billing & Claim Paper MSSQL MySQL MySQL Poli A Poli B Fasilitas Penunjang Pelaporan Paper Paper MySQL Oracle Keuangan SpreadSheet Kepegawaian GL MSSQL MSAcc *.xls Oracle ess 12

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.HIS – Teknologi Baru• System yang terintegrasi 13

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. HIS – Modular FrameworkCoreModules Sales Advance – Integrated System Invoice A/R Cash Receipt Fixed Asset Billing Budgeting F/S Inventory GL HR Payment A/P Patient Administration DO PR ERP Modules Doctors Polyclinics Supporting PACS CDSS Dashboard Kiosk /Portal Modules Theater Management CDIS EIS Trauma Center DW/ BI Nursing Care Plan System LIS Clinical Path Housekeeping Claim / Insurance Preventing Vendor Ward Dieting Pharmacy Maintenance Management User Management EMR CRM Physiotherapy SMS

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Healthcare ecosystem : Context and Issues HIS : Trend & ExpectationAgenda HIS : Application Module Framework Roadmap and Key Success Factors Telkom e-Health Experience and Capabilities

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.5 YEARS PLAN Year 4-5Hospital e-Health Roadmap Year 2-3 Year 1 Source : SKT

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.HIS Modules Stages HIS Modules 3 1 2 TELKOM

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.Quick Win HIS Implementation TELKOM

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.Telkom ImprovingSolution Highlight Out-In Patient Continuity Leveraging Enterprise Of IT of care Clinical Decision Infrastructure Support Adherence Compliance To Reporting With Mandates National & Int’l Standard Supporting Measurement Integration w/ & Management Other’s Of Quality (eg: Insurance) Integrated Patient Web 2.0 & Records Cloud Computing Technology

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.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) 10/06/10

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. 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 Implementation 1. Strong Commitment (C’s Level) 2. Internal Team Readiness 3. Readiness and Sustainability of Solution Partner 4. Organizational Readiness and Proper Change Management 5. Good Project Management

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.How do we guarantee of successful implementation :Key Success Factors• Strong Commitment from C’s Level / High Level Management • Standardization of Hospital• Acceptance & Technology Business Process Adoption • Compliance with• Continuous HR Training and Process International Standard/ Development Accreditation (KARS, ISO 9001, JCI) Successful HIS Technology People Implementation • 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

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Healthcare ecosystem : Context and Issues HIS : Trend & ExpectationAgenda HIS : Application Module Framework Roadmap and Key Success Factors Telkom e-Health Experience and Capabilities

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Introducing Telkom GroupOur business portfolio (T.I.M.E) Product Telecom Portfolio Media  Fixed Wireline  Multi Channel TV  Fixed Wireless  Mobile/Cellular Information  Broadband Access  Satellite  IT Services & BPO/ KPO  Tower  E-Money Edutainment  Premises Integration  Portal  E-Commerce  Content *) Geography coverage Customers Portfolio BPO: Business Process Outsourcing for international KPO: Knowledge Process investment is basically  Consumer  SME  Enterprise  Wholesale all over the world, Outsourching however for the initial investment, Asia and Middle-East will be the priority. Domestic Geography* International

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only.TELKOM Group Integrated e-Health SolutionUsing Telkom e-Health Hub as a Shared Service Platform ASGARA TELKOM e-Hospital (HIS), e-clinic, e-GP, e-Apotek

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. Referral system enabled > National eHealth System MIS / EIS Epidemic ControlAsuransi Cost Control Diseases Control Research Facility Treatment Control Program Monitoring Facility Improvement AdCPS Web Service EMR Data Repository Exchange Gateway Reporting and Analytics Processor Web Service Connector Connector Connector Connector ConnectorPuskesmas Connector Rumah Sakit Rumah Sakit Klinik Apotik Rumah Sakit Rujukan International

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. The Benefits Capturing Online Claims Codifying Healthcare Information and Transaction Data Analysis (diagnosis, treatment and (medical expenses, diagnosis, drug), treatment and drug, study of incl drug cost escalation ,Generic & cost efficiency & effectiveness) patented drug, drug distribution, drug dispensing pattern by diagnosis, disease pattern by region, efficient distribution of drugs) Better Healthcare Management and PlanningEasy, Scalable and Simple to (patient historical data, accurate implement Telkom diagnosis & treatment, Planning (Simple IT infrastructure, e-Health preventive care & health optimizing existing scheme/program) resources, Simple process, Flexible as Business Need ) Coverage Shared Service Platform National and International (Interoperability , Interconnection, Opex to Capex, Pay per use , Mobility any where, any time, any device)

Generated by Foxit PDF Creator © Foxit Software http://www.foxitsoftware.com For evaluation only. SAIFUL HIDAYATDirektur Pengembangan Bisnis PT. Admedika (TelkomGroup) saifulh@telkom.co.id Saiful.hidayat@admedika.co.id 0811 133 236

Saiful Hidayat : Improving Hospital Quality of Service Thru Implementing “Effective” Information System

by Saiful Hidayat on Aug 04, 2011

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Saiful Hidayat : Improving Hospital Quality of Service Thru Implementing âEffectiveâ Information System — Presentation Transcript

Saiful Hidayat : Improving Hospital Quality of Service Thru Implementing “Effective” Information System

by Saiful Hidayat on Aug 04, 2011

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Saiful Hidayat : Improving Hospital Quality of Service Thru Implementing âEffectiveâ Information System — Presentation Transcript

Saiful Hidayat : Improving Hospital Quality of Service Thru Implementing âEffectiveâ Information System — Presentation Transcript