Saiful hidayat konferensi e health nasional eii (e indonesia intiative)
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Saiful hidayat konferensi e health nasional eii (e indonesia intiative)

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Saiful hidayat konferensi e health nasional eii (e indonesia intiative) Presentation Transcript

  • 1. The  world  in  your  hand   SAIFUL  HIDAYAT   EHealth  Project  Director     PT.  Telekomunikasi  Indonesia  .  Tbk   Konferensi  E-­‐Health  Nasional   Jakarta,  28  Maret  2012  SICP   Corporate  Strategic  Planning  
  • 2. The  world  in  your  hand   Digital  Trend  &  EHealth  Issues   EHealth  Trend  &  Expectation   Information  System  For  EHealth     Telkom    For    EHealth    SICP   Corporate  Strategic  Planning  
  • 3. DIGITAL  TREND  &  EHEALTH  ISSUES  SICP   Corporate  Strategic  Planning  
  • 4. TODAY THE WORLD IS GETTING NARROW AND THINGS ARE CONNECTED, CLOSER,   MOBILE AND PERSONAL  SICP   Corporate  Strategic  Planning  
  • 5. WWW: WHOEVER AND WHEREVER WE ARE  SICP   Corporate  Strategic  Planning  
  • 6. Now  :  Almost  Everything  is  in  the  cloud     Corporate  Strategic  Planning  
  • 7. 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 ….?SICP   Source: The Future of Media, Gerd Leonhard, 2009 Corporate  Strategic  Planning  
  • 8. HOW’S HEALTH GOES DIGITAL?SICP   Corporate  Strategic  Planning  
  • 9. EHEALTH IS A CARING BUSINESS     NO MATTER HOW HIGH-TECH YOU ARE    SICP   Corporate  Strategic  Planning  
  • 10. HEALTH IS ONCE ABOUT CARING.   NOW IT WILL BE MORE CARING USING TECHNOLOGY FOR BETTER & EASIER APPLICATION  SICP   Corporate  Strategic  Planning  
  • 11. Challenges  :  Health  Problems  &  Barrier   Health  &  Healthcare  Problems   •  Cost   •  Quality  of  care   •  Consistency  of  care   •  ConNnuity  of  care   •  Disaster/Emergency  response   •  Isolated,  piecemeal,  inaccessible  records   •  Medical  care  separated  from  health,  life  &  prevenNon   Barriers  to  Ehealth  AdopNon   •  Co$t     •  Poor  usability   •   Nerdy  GUI  (Graphical  User  Interface)   •   Workflow  disrupNon   •  Poor  leadership  for  innovaNon  and  change  management   Corporate  Strategic  Planning  
  • 12. Solusi  e-­‐Health  Indonesia  :       Saat  ini  masih  parsial     Profil solusi e-Health di Indonesia masih parsial: •  Implementasi silo-silo •  Tidak terstandarisasi:Hospital (1.922) Asuransi Jiwa (46) •  Interoperabilitas, sulit dikembangkan(BUK) (Bapepam) •  Konsolidasi data sulit dilakukan (multi format dan standrat) •  Kelengkapan data lemah karena jangkauan kecamatan s.d pusat masih terbatasPuskesmas (9.005) Apotek (21.852)Bankdata Pusdatin IAI •  Akses Informasi Publik terbatas: atas indikator dan informasi kesehatan.   è Membutuhkan  Integrated    Shared  Service   Industri Farmasi (260) PlaYorm  Praktek Dokter(115.155) Corporate  Strategic  Planning  
  • 13. Corporate  Strategic  Planning   Source :
  • 14. E-­‐HEALTH  TREND  &  EXPECTATION  SICP   Corporate  Strategic  Planning  
  • 15. EHealth  Ecosystem  Healthcare  ecosystem  is  complex  and  oXen  fragmented,  EHealth  benefits  both  public  and  private  stakeholders  by  improving  communicaUons  and  informaUon-­‐sharing     Legend: Healthcare Ecosystem (Illustrative) : Private DiagnosUc   Services  (Lab,   : Public Clinic/   Hospitals   Rad)   GP   Specialist   (InpaUent,   : Public & private OutpaUent,  ED)   Pharmacy   •  Wide EMR penetration •  CPOE and EMR Employer   Benefit   •  Automated referrals •  Referral PharmaceuUcals   Managers   •  Automated coding and •  Remote health claim submission monitoring •  Automated coding & Health   claims submission CRO   Private  Insurers   InformaUon  •  Members Exchange   database maintenance Suppliers   State  Owned   Pharmacies  •  Automated eligibility/ claims Insurer  (e.g.   processing ASKES)   PaUent/  •  Claims rating Consumers  •  Effective case/ Mobile  Clinic/   disease Home  Care   management MOH  •  Medical records •  Portable PHR storage •  Personalized Portals Other   •  Patient Education Healthcare  (e.g.   •  Remote health Regulatory   Dental)   monitoring Agencies   Province/   Nursing  Care   •  Population health database District  Health   •  Disease detection & analysis Offices     Corporate  Strategic  Planning   •  Pharmaceutical supply chain optimization
  • 16. Healthcare  Trend  :  Improving  Stakeholders  InteracUons  and  Benefits   MOH   Ensure Quality of Care and Patient Safety Corporate  Strategic  Planning  
  • 17. Healthcare  Trend   Corporate  Strategic  Planning  
  • 18. Basic  Management  ExpectaUon     of  Healthcare  System   Need  Of  Healthcare  OrganizaNon   Note : HIS (Hospital Information System) is fundamental of digitalization in medical sector, and enables hospitals to meet the needs of “Efficiency, Quality Service & Capability” Corporate  Strategic  Planning  Source : SKT
  • 19. InformaUon  System  Support     for  Healthcare  Services  Business  Process   Healthcare  services  business   process  required  InformaUon   Insurance/Payors Suppliers System  Support  :   •  E-­‐PMS  (PaUent  Management  System)   •  EMR  (Electronic  Medical  Record)/EHR   (Electronic  Health  Record)   Laboratoium •  E-­‐Claim  (Insurance  ApplicaUon)   Pasien Loket/UGD/Admin •  E-­‐Referral  System   •  E-­‐PrescripUon   •  E-­‐Pharmacy/e-­‐Apotek   •  E-­‐Laboratory   •  CRM  (Customer  RelaUonship   Diagnosa Poli Rawat Inap Warehouse Management)  Rawat Jalan •  Telemedicine   •  E-­‐SCM  (Supply  Chain  Management)   •  HRIS  (Human  Resource  InformaUon   System)   RS Rujukan Apotek •  AccounUng/Financial  System   •  EIS  and  CDSS   Corporate  Strategic  Planning   •  etc  
  • 20. Key  Success  Factors    For  Successful  Healthcare  System  ImplementaUon  •  Strong    Commitment  from  C’s   Level  /  High  Level  Management   •  StandardizaNon   of   Healthcare  •  Acceptance  &  Technology  AdopNon   Business  Process  •  ConNnuous    HR  Training  and   •  C o m p l i a n c e   w i t h   Development   I n t e r n a N o n a l   S t a n d a r d /   Process   AccreditaNon     (KARS,   ISO   9001,  JCI)   Successful     E-­‐Health   Technology   People   ImplementaNon   •  Integrated    and    Interoprable  SoluNon  (eg  :  support    MOH  e-­‐ ReporNng,  e-­‐Referral,  e-­‐Claim  and  e-­‐Bill  to  Insurance,  etc)     •  Easy  to  implement,  simple,  modularity,  mulNplaYorm   •  Security  (CIA)     •  Reliable,  Auditable,  Manageable   •  DRC,DRP,BCP   Corporate  Strategic  Planning  
  • 21. ImplementaUon  CredenUal  :     Lesson  Learn   3  Main  ConsideraUon  :  1.  Matched  between  e-­‐health  soluNon  with  Vision,  Mission  and   Business  Strategy  of  Healthcare  2.  Acceptance  &  Technology  AdopNon  (Doctors,  management,   medical  staff  and  all  Stake  Holder)  3.  Stages  and  Success  Criteria   5  CriUcal  Components  on  E-­‐Health  ImplementaUon   1.   Strong    Commitment  (C’s  Level)   2.   Internal  Team  Readiness     3.   Readiness  and  Sustainability  of  SoluNon  Partner   4.   OrganizaNonal  Readiness  and  Proper  Change  Management   5.   Good  Project  Management   Corporate  Strategic  Planning  
  • 22. INFORMATION  SYSTEM  FOR  E-­‐HEALTH  SICP   Corporate  Strategic  Planning  
  • 23. Kompleksitas  Sistem  Aplikasi  Saat  ini  Contoh  :  Proses  Bisnis  Rumah  Sakit   MarkeNng   Kesusteran   Ruang  Operasi   Administrasi   Paper   MySQL   MySQL   MySQL   In  House  Development   Pendaiaran   ApoNk   Rawat  Inap   Laboratorium   MSAcc DBF   MySQL   MySQL   ess   Heavy  Infrastructure   Difficult  to  integrate   Arsip  Medis   IGD   Fas.  Penunjang   Billing  &  Claim   Paper   MSSQL   MySQL   MySQL   Fasilitas   Poli  A   Poli  B   Pelaporan   Penunjang   Oracle   Paper   Paper   MySQL   Keuangan   SpreadSheet   Kepegawaian   GL   MSSQL   MSAcc *.xls   Oracle   ess   Corporate  Strategic  Planning  
  • 24. IntegraUon  :  Simplify  The  System   E-Health Cloud Services Corporate  Strategic  Planning  
  • 25. Cloud  CompuUng  :  DefiniUon  &  Key  CharacterisUcs   Corporate  Strategic  Planning   References : Gartner Research
  • 26. Why  Cloud  Now  ?    -­‐-­‐Demand  Side  Efficient  àEffecUve  à  InnovaUon   •  Cost  Pressure,  CAPEX  to  OPEX:  Metered  by   New  Economics   Used,  Accelerate  Speed  to  Value   Reduce   •  no  patching  /maintenance,  faster   development,  robust  mulU  layer  security,   Management   reliability  &  fault  tolerance   Redifining   •  latest  soXware,    internet  collaboraUon,   ProducUvity   anywhere  access,      instant  self  provisioning  …  by  2012  80%  of  Fortune  1000  will  use  some  of  cloud  compu:ng  services,  20%  of  business  will  own  no  IT  asset  (Gartner)  The  boEomline  :  Early  Adopters  are  finding  serious  benefits,  meaning  that  cloud  compu:ng  is  real  and  warrant  your  scru:ny  as  a  new  set  of  plaJorm  for  business  applica:on  (Forrester)   Corporate  Strategic  Planning   References : Microsoft, Gartner Research, Forrester
  • 27. Cloud  Security  ImplementaUon  Security In The Cloud1. Secure  Access  into  the  Cloud    2. Secure  Access  to  Web  Apps  3. Server  VirtualizaNon   •  MiNgate  risk  towards  the  hypervisor   •  Secure  the  OS   VM VM VM •  Inter-­‐VM  traffic  visibility  and  security   •  Secure  (shared)  file  systems  4. Secure  Standard  OperaNon  &  Procedures  5. Secure  System  Development  Life  Cycle  Procedures   Security implemented everywhere … not just on a firewall somewhere. Corporate  Strategic  Planning  
  • 28. Cloud  Based  Healthcare  System  Trend  …   “Healthcares  Future  Is   “By  2012,  20%  of   Partly  Cloudy:  External   businesses  will  own  Service  Provider  OpNons  for   no  IT  assets.”   Healthcare  Delivery   OrganizaNons”  “Cloud  spending  will  grow   “Every  enterprise   “Cloudsourced   3X  to  $42B  by  2010.   should  be  road   delivery…will   Cloudsourcing    takes  the   mapping  their   comprise  ~25%  of  the   cloud  to  the  next  step”   adopNon  of  the  cloud”   total  BPO  market  by   2012”   Corporate  Strategic  Planning  
  • 29. TELKOM    FOR  EHEALTH  SICP   Corporate  Strategic  Planning  
  • 30. Introducing  Telkom  Group  Our  business  por3olio  (T.I.M.E)       Product     Media   Telecom   Porcolio   n Fixed  Wireline     n  MulU  Channel  TV   n Fixed  Wireless   n Mobile/Cellular   InformaUon   n Broadband  Access   n Satellite   n  IT  Services  &  BPO/  KPO   n Tower   n  E-­‐Money   Edutainment   n Premises  IntegraUon   n  Portal   n  E-­‐Commerce   n  Content   *)  Geography  coverage   Customers  Porcolio   BPO:  Business  Process                        Outsourcing     for  internaUonal   KPO:  Knowledge  Process   investment  is  basically  all   n  SME   n  Enterprise   n  Wholesale   over  the  world,  however   n  Consumer                      Outsourching     for  the  iniUal  investment,   Asia  and  Middle-­‐East  will   be  the  priority.   DomesUc   Geography*   InternaUonal   Corporate  Strategic  Planning  
  • 31. Telkom’s  Healthcare  Vision   Corporate  Strategic  Planning  
  • 32. Telkom  Group  e-­‐Health  Complete  SoluUon   Telkom  HIE  as  a  NaUonal  e-­‐Health  Shared  Service  Placorm   HIMBARA   MOH  who  will  benefit  by  an   Hospitals  will  provided    the   interoperability  and    interoperability  with  Payers   ASGARA   integrated  EHR  and  online   reporNng  of  Jamkesmas   HIE – Health Information Exchange eReferrals  from  primary  to   Expansion  to  eBilling   secondary  to  terNary   and  eSeulement   healthcare  (e.g.   perpetuates  end-­‐to-­‐end   ePuskemsas  to  District   paperless  &  efficient   and  VerNcal  Hospitals)   claims  processing   TELKOM  e-­‐Hospital   (HIS),  e-clinic, e-puskesmas, e-GP, e-Apotek , e-SCM, e-Claim   Corporate  Strategic  Planning  
  • 33. TPA  –  e-­‐Claim   Online Claim Processing – AdMedika’s Solution Claims  &  treatment   Services  :   Ø  Online  Provider  Network   Hospitals   Insurance,   Insurance  Members   &polyclinics   Ø  Personal  Customer  Service  TPA  &Corporate  (44)   (1.8  m  by  Jan’12)   (+825)   Ø  Membership  /  Policy  AdministraNon   EDC   /PC   Ø  24  hours  Call  Centre  manned                      by  medical  professional   30  Partnering  Hospital     (Malaysia  &  Singapore)   Ø  InpaNent  Case  Monitoring   Ø  Claim  AdministraNon   Dial-­‐up/GPRS/VPN-­‐Instant/VPN-­‐IP/Speedy   Ø  Periodic  or  Adhoc  ReporNng   Ø  Real  Nme  data  access  through     =  TPA  (Third  Party  Administrator)                  web     3,000  insurance  policies       (with  600  unique  benefits)   Ø  Online  UNlizaNon  Review   Main  roles   1. Member  Eligibility   2. Automated  Outpa:ent  Claims  Processing   3. Inpa:ent  Admission  &  Cashless  Discharge   4. 24  X  7  Call  Center  Assistance   Corporate  Strategic  Planning   33  
  • 34. The  world  in  your  hand  HiSys  (Health  InformaUon  System)   Produk  –  Produk  HiSys   eSIMRS eCLINIC ePUSKESMAS eAPOTIK eDINKES
  • 35. TELKOM  Group  e-­‐Health  Services  :  e-­‐Hospitals  ,  e-­‐Clinics,  e-­‐GP  (Cloud  CompuUng  –  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)   Corporate  Strategic  Planning  
  • 36. InisiaUf  e-­‐ApoUk   Komunitas  Telkom  EHealth   • Tergabung  dalam  jaringan  layanan  kesehatan  yang  terintegrasi   Telkom   dengan  layanan  asuransi.   Ehealth   Community   • Menerima  order  online     • Sistem  pembayaran  online.   Virtual  Stock   • Sistem  online  memungkinkan  apoNk  dalam  1  kota   Komunitas  ApoNk   membentuk  komunitas  dengan  stock  obat  bersama,   (Virtual  Inventory)   khususnya  obat-­‐obatan  penNng.   Sistem  Informasi  Management  ApoUk   e-­‐ApoUk   e-­‐ApoUk   e-­‐ApoUk   • ERP  &  CRM  basic  bagi  apoNk   • Desktop  berbasis  SaaS  yang  terintegrasi  dengan   layanan  Speedy   • Laporan  siap  pakai  (depkes,  pajak,  bonus,  dll)   e-­‐Pharmacy  Value  Chain   Corporate  Strategic  Planning  
  • 37. Telkom  E-­‐Health  Development  AcUviUes   3 2 1 1. Pengembangan platform HIE (Health Information Exchange) 2 2. Pengembangan Sistem Mini Dashboard   eReferral   Analityc   EHR eClaim   3 3. Modernisasi Sistem elektronik eHR   DKB   klaim Nasional, termasuk administrasi rujukan 4 4. Pengembangan aplikasi vertikal untuk kesehatan 1 HIE   4 Praktek  Dokter   Rumah  Sakit   Puskesmas   Asuransi   Klinik   BPJS   DKB: Data Kepesertaan Bersama EHR: Electronic Health Record HIE: Health Information Exchange Corporate  Strategic  Planning   BPJS: Badan Pelaksana Jaminan Sosial
  • 38. SICP   Corporate  Strategic  Planning  
  • 39. Curriculum  Vitae  :   SAIFUL  HIDAYAT     Educa;on  :   -­‐  MT  in  InformaNon  System  and  Technology,  ITB   -­‐  S1  in  TelecomunicaNon,  Unibraw     Working  Experiences  :   -­‐  2004-­‐2006    :  PT.  Telekomunikasi  Indonesia,  Tbk      :  Manager  e-­‐SoluNon  Divisi  MulNmedia     -­‐  2006  –  2007    :  PT.  Finnet  (Telkom  Group)      :  General  Manager  of  OperaNon   -­‐  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   Corporate  Strategic  Planning