Improving Hospital Quality Through Effective Information Systems

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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


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


Healthcare ecosystem is complex and often fragmented,
eHealth benefits both public and private stakeholders by
improving 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


Challenges :
Improving Stakeholders Interactions and Benefits

Ensure Quality ofMOH and Patient Safety
Care


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: atas
Puskesmas (8.234) Apotek (3.551) indikator dan informasi kesehatan.

Membutuhkan Integrated Shared Service
Platform
Industri Farmasi (260)


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.




Agenda HIS : Application Module Framework

Hospital E-Health Roadmap and Key Success Factors



HIS (Hospital Information System) Trend

8


Basic Management Expectation of HIS

Source : SKT -9-


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


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


HIS – Teknologi Baru
• System yang terintegrasi

13


HIS – Modular Framework
Core
Modules 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




Agenda HIS : Application Module Framework

Roadmap and Key Success Factors



5 YEARS PLAN Year 4-5

Hospital e-Health Roadmap

Year 2-3

Year 1

Source : SKT


HIS Modules Stages

HIS
Modules
3
1 2

TELKOM


Quick Win HIS Implementation

TELKOM


Telkom Improving
Solution 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


Telkom
e-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


Implementation Credential :
Lesson Learn
3 Main Consideration :
1. Matched between e-health solution with Vision, Mission
and Business Strategy of Hospital
2. 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


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


Introducing Telkom Group
Our 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


TELKOM Group Integrated e-Health Solution
Using Telkom e-Health Hub as a Shared Service Platform
ASGARA

TELKOM e-Hospital (HIS), e-clinic, e-GP, e-Apotek


Referral system enabled > National eHealth System
MIS / EIS Epidemic Control
Asuransi
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
Connector

Puskesmas Connector

Rumah Sakit Rumah Sakit
Klinik Apotik Rumah Sakit Rujukan International


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 Planning
Easy, 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)


SAIFUL HIDAYAT
Direktur Pengembangan Bisnis
PT. Admedika (TelkomGroup)
saifulh@telkom.co.id
Saiful.hidayat@admedika.co.id
0811 133 236

Improving Hospital Quality Through Effective Information Systems

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