Saiful hidayat perkembangan e health dalam dunia kefarmasian i stn
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This document discusses e-health trends and solutions in Indonesia. It begins by outlining the digital transformation occurring globally and how health is also going digital. Current e-health solutions in Indonesia are described as fragmented and lacking integration and standardization. The expectations of e-health include improving interactions between stakeholders like hospitals, pharmacies, insurers and the government. Successful e-health implementation requires strong leadership, acceptance of technology by medical staff, standardized processes, and integrated solutions that meet business and technical requirements.
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Saiful hidayat perkembangan e health dalam dunia kefarmasian i stn
- 1. The world in your hand Saiful Hidayat Ehealth Project Director PT. Telekomunikasi Indonesia, Tbk. Seminar Apoteker : Perkembangan e-Health dalam Dunia Kefarmasian untuk Mendukung Keselamatan Pasien ISTN – JAKARTA Jakarta , 30 Juni 2012 SICP Corporate Strategic Planning
- 2. Curriculum Vitae : SAIFUL HIDAYAT Educa1on : -‐ MT in Informa.on System and Technology, ITB -‐ S1 in Telecomunica.on, Unibraw Working Experiences : -‐ 2004-‐2006 : PT. Telekomunikasi Indonesia, Tbk : Manager e-‐Solu.on Divisi Mul.media -‐ 2006 – 2007 : PT. Finnet (Telkom Group) : General Manager of Opera.on -‐ 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
- 3. The world in your hand Digital Trend & EHealth Issues EHealth Trend & Expectation Need of Information System For Pharmacies Telkom Solution For Pharmacies SICP Corporate Strategic Planning
- 4. DIGITAL TREND & EHEALTH ISSUES SICP Corporate Strategic Planning
- 5. TODAY THE WORLD IS GETTING NARROW AND THINGS ARE CONNECTED, CLOSER, MOBILE AND PERSONAL SICP Corporate Strategic Planning
- 6. WWW: WHOEVER AND WHEREVER WE ARE SICP Corporate Strategic Planning
- 7. Now : Almost Everything is in the cloud Corporate Strategic Planning
- 8. 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 , DRUGS DATA ….? SICP Source: The Future of Media, Gerd Leonhard, 2009 Corporate Strategic Planning
- 9. HOW’S HEALTH GOES DIGITAL? SICP Corporate Strategic Planning
- 10. EHEALTH IS A CARING BUSINESS NO MATTER HOW HIGH-TECH YOU ARE SICP Corporate Strategic Planning
- 11. HEALTH IS ONCE ABOUT CARING. NOW IT WILL BE MORE CARING USING TECHNOLOGY FOR BETTER & EASIER APPLICATION SICP Corporate Strategic Planning
- 12. Challenges : Health Problems & Barrier Health & Healthcare Problems • Cost • Quality of care • Consistency of care • Con.nuity of care • Disaster/Emergency response • Isolated, piecemeal, inaccessible records • Medical care separated from health, life & preven.on Barriers to eHealth Adop.on • Co$t • Poor usability • Nerdy GUI (Graphical User Interface) • Workflow disrup.on • Poor leadership for innova.on and change management Corporate Strategic Planning
- 13. Solusi e-‐Health Indonesia : Saat ini masih parsial Profil solusi e-Health di Indonesia masih parsial: • Implementasi silo-silo • Tidak terstandarisasi: Hospital (1.722) 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 terbatas Puskesmas (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) Pla_orm Praktek Dokter(115.155) Corporate Strategic Planning
- 14. Dokter (Pharmacies ?) : Masih Enggan Menggunakan TI Corporate Strategic Planning Source :
- 15. E-‐HEALTH TREND & EXPECTATION SICP Corporate Strategic Planning
- 16. Healthcare Trend : Improving Stakeholders InteracRons and Benefits MOH Ensure Quality of Care and Patient Safety Corporate Strategic Planning
- 17. eHealthcare Trend Corporate Strategic Planning
- 18. Basic Management ExpectaRon of eHealthcare System Need Of Healthcare Organiza.on 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. InformaRon System Support for Healthcare Services Business Process Healthcare services business process required InformaRon Insurance/Payors Suppliers System Support : • E-‐PMS (PaRent Management System) • EMR (Electronic Medical Record)/EHR (Electronic Health Record) Laboratoium • E-‐Claim (Insurance ApplicaRon) Pasien Loket/UGD/Admin • E-‐Referral System • E-‐PrescripRon • E-‐Pharmacy/e-‐Apotek • E-‐Laboratory • CRM (Customer RelaRonship Diagnosa Poli Rawat Inap Warehouse Management) Rawat Jalan • Telemedicine • E-‐SCM (Supply Chain Management) • HRIS (Human Resource InformaRon System) RS Rujukan Apotek • AccounRng/Financial System • EIS and CDSS Corporate Strategic Planning • etc
- 20. Key Success Factors For Successful eHealthcare System ImplementaRon • Strong Commitment from C’s Level / High Level Management • Standardiza.on of Healthcare • Acceptance & Technology Adop.on Business Process • Con.nuous 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 . o n a l S t a n d a r d / Process Accredita.on (KARS, ISO 9001, JCI) Successful E-‐Health Technology People Implementa.on • Integrated and Interoprable Solu.on (eg : support MOH e-‐ Repor.ng, e-‐Referral, e-‐Claim and e-‐Bill to Insurance, etc) • Easy to implement, simple, modularity, mul.pla_orm • Security (CIA) • Reliable, Auditable, Manageable • DRC,DRP,BCP Corporate Strategic Planning
- 21. ImplementaRon CredenRal : Lesson Learn 3 Main ConsideraRon : 1. Matched between e-‐health solu.on with Vision, Mission and Business Strategy of Healthcare 2. Acceptance & Technology Adop.on (Doctors, Pharmacies, management, medical staff and all Stake Holder) 3. Stages and Success Criteria 5 CriRcal Components on E-‐Health ImplementaRon 1. Strong Commitment (C’s Level) 2. Internal Team Readiness 3. Readiness and Sustainability of Solu.on Partner 4. Organiza.onal Readiness and Proper Change Management 5. Good Project Management Corporate Strategic Planning
- 22. NEED OF INFORMATION SYSTEM FOR PHARMACIES SICP Corporate Strategic Planning
- 23. StaRsRk Kefarmasian Tahun 2010 INDUSTRI JUMLAH Apoteker 38.156 Apotek 21.852 Perguruan Tinggi Farmasi 68, out put ± 4000 apoteker per tahun Pabrik Farmasi 204 Distributor (PBF) 2.463 Toko obat 5.625 Corporate Strategic Planning
- 24. The Urgencies of Medicines Data Apotek Masyarakat PBF/ Distributor Manufacture Kementrian Kesehatan Rumah Sakit Apoteker Mahasiswa BPOM Asuransi Kesehatan Corporate Strategic Planning
- 25. Kendala Masing-‐masing Komponen dalam Distribusi dan Penggunaan Obat PARTY KENDALA DRUG IMPORTIR & LOCAL • Publikasi masih dilakukan secara legacy, salah satunya melalui buku ISO Obat yang MANUFACTURE diterbitkan oleh ISFI • Belum banyak PBF yang memiliki apoteker sbg penanggung jawab DISTRIBUTOR • Merupakan salah satu ..k kri.s peredaran obat “ilegal/.dak sesuai jalur resmi”. • Tidak semua apotek memiliki apoteker penanggung jawab yang stand by di apotek APOTEK & sehingga .dak menjalankan fungsi sebagai tempat prak.k farmasi INSTALASI FARMASI • Hanya sebagai transaksi jual-‐beli obat-‐obatan saja SARANA PELAYANAN • Melakukan pengadaan melalui PBF, dimana pada sarana pelayanan kesehatan ini .dak KESEHATAN NON APOTEK memiliki apoteker sebagai penanggung jawab Tidak semua sarana prak.k kefarmasian memiliki apoteker yang dapat memberikan MASYARAKAT konsultasi mengenai obat yang dikonsumsi masyarakat tujuan terapi .dak tercapai. Banyak Apotek dan Instalasi farmasi yang .dak mensyaratkan ser.fikat kompetensi dari IAI, IKATAN APOTEKER INDONESIA sehingga kompetensi dari apotekernya .dak terjamin. Corporate Strategic Planning
- 26. IdenRfikasi Masalah dalam Pengelolaan Obat Kondisi saat ini Pengelolaan obat yang Masalah yang .mbul masih jauh dari ideal mulai Kontrol trhdp peredaran Solusi dari perencanaan pengadaan, distribusi obat sulit dilakukan, maraknya obat ilegal, Pen.ngnya data obat yang sampai tahap penggunaan terstandar. obat oleh konsumen/ rendahnya pelayanan pasien. Dimana sistem kefarmaasian shg tujuan pendataan obat belum terapi kurang/.dak terstandar. tercapai, terjadinya kesalahan interpretasi akan obat, Corporate Strategic Planning
- 27. TELKOM SOLUTION FOR Pharmacy SICP Corporate Strategic Planning
- 28. Introducing Telkom Group Our business por;olio (T.I.M.E) Product Media Telecom Porbolio n Fixed Wireline n MulR Channel TV n Fixed Wireless n Mobile/Cellular InformaRon n Broadband Access n Satellite n IT Services & BPO/ KPO n Tower n E-‐Money Edutainment n Premises IntegraRon n Portal n E-‐Commerce n Content *) Geography coverage Customers Porbolio BPO: Business Process Outsourcing for internaRonal KPO: Knowledge Process investment is basically all n SME n Enterprise n Wholesale over the world, however n Consumer Outsourching for the iniRal investment, Asia and Middle-‐East will be the priority. DomesRc Geography* InternaRonal Corporate Strategic Planning
- 29. Telkom’s Healthcare Vision Corporate Strategic Planning
- 30. Solusi e-‐Health Telkom Group Menggunakan Telkom Health InformaRon Exchange IT Security Infrastructure Internet & Mobile GOV & TPA & Personal Health Institutions Private Insurance Web Portal Provider Certificate SEHR Email & SMS Directory Authority Gateway Universal PKI Server Patient Identifier Hospitals will provided the Payor’s (GOV’t) will benefit by Rou.ng & interoperability with Payers Telkom HIE (Health Information an interoperability and Exchange) and MTransforma.on edical Supplier (e-Health Hub) Workflow Services integrated EHR and online Services repor.ng of Health Claim to reduce fraud Web Service Adapter Pharmacies Will Provide Government Insurance Healthcare Providers Pharmacies Suppliers Finance Expansion to eBilling eReferrals from primary to Interoperabili.es with & SOE’s Doctors / Clinics & secondary to ter.ary Laboratories EMR Healthcare Provider thru and eSeqlement Specialist Hospitals healthcare (e.g. ePrescribe and eSCM to perpetuates end-‐to-‐end ePuskemsas to District Pharceu.cal Company paperless & efficient and Ver.cal Hospitals) claims processing HIMBARA Link & ASGARA & 141 SOE’s Hisys e-Hospital Hisys e-Apotik 52 other Banks TELKOM eHospital SICP Corporate Strategic Planning (HIS), eclinic, epuskesmas, eGP, eApotek , eSCM, eClaim
- 31. TELKOM Group e-‐Health Services : InsiaRf eGP: Solusi Ekosistem Kesehatan Bagi Dokter Umum Ekosistem Interaksi Kolegium § Uji kompetensi Dokter KKI [UKDI] KKI § Surat Tanda Regeristasi [STR] IDI § Keanggotaan IDI/profesi § Kompulasi SKP Dinkes § Surat Ijin Praktek baru [SIP] § Perpanjangan SIP Farmasi § Peresepan obat [Pabrikan] § Data penggunaan obat Apotek § Peresepan obat [penebusan obat] Asuransi § Pelayanan medis Pasien Apotek Asuransi § Proses administrasi penghitungan jasa dokter Rumah Sakit § Proses rujukan Laboratorium § Proses rujukan Corporate Strategic Planning Pasien § Pelayanan medis Pasien
- 32. TELKOM Group e-Health Services : InisiaRf e-‐ApoRk 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 apo.k dalam 1 kota Komunitas Apo.k membentuk komunitas dengan stock obat bersama, (Virtual Inventory) khususnya obat-‐obatan pen.ng. Sistem Informasi Management ApoRk e-‐ApoRk e-‐ApoRk e-‐ApoRk • ERP & CRM basic bagi apo.k • Desktop berbasis SaaS yang terintegrasi dengan layanan Speedy • Laporan siap pakai (depkes, pajak, bonus, dll) e-‐Pharmacy Value Chain Corporate Strategic Planning
- 33. T E L K O M SoluRon for PharmaceuRcal Ecosystem CPD Pela.han & Seminar Online Sistem Farmasi Electronic Pengelolaan Dauar Komunitas Anggota SKP Online MedicaRon Record Terintegrasi ISO Online Knowledge Management NATIONAL PHARMACIST PORTAL Data ISO Nasional DataApoteker DataMFG DataPBF Electronic Medica.on Owned by Ikatan Apoteker Indonesia DataPasien DataImpor.r DataApotek Record Rumah Ass. Manufacture PBF/Distributor BPOM Apotek DINKE Masyarakat Mahasiswa Sakit Kesehatan S Corporate Strategic Planning
- 34. T E L K O M S O L U T I O N F O R ISO Online | Desain Solusi ISO ONLINE Nama Dagang Pengolongan Obat Komposisi PBF/ DISTRIBUTOR Indikasi Kontraindikasi APOTEK Perha.an Efek samping MANUFACTURE RUMAH SAKIT Dosis Interaksi Obat ASURANSI KESEHATAN Pabrik Harga KEMENKE Status Verifikasi S Klasifikasi MASYARAKAT Nomor BPOM BPOM ID_OBAT MAHASISWA Advance Data Corporate Strategic Planning MANUFACTURE
- 35. SICP Corporate Strategic Planning