The	  world	  in	  your	  hand	                                                                                           ...
Curriculum	  Vitae	  :	        SAIFUL	  HIDAYAT	        	        Educa1on	  :	        -­‐  MT	  in	  InformaFon	  System	 ...
The	  world	  in	  your	  hand	                                                     TELKOM	  View	  On	  E-­‐Health	      ...
TELKOM	  VIEW	  ON	  E-­‐HEALTH	  SICP	   Corporate	  Strategic	  Planning	  
The	  world	  in	  your	  hand	  Healthcare ecosystem is complex and often fragmented,eHealth benefits both public and pri...
Challenges	  :	  Improving	  Stakeholders	  InteracYons	  and	  Benefits	                                                  ...
E-­‐Health	  Stakeholders	  RelaYonship	                 Insurance                 Operating Efficiency :               P...
InterrelaYon	  Ehealth	  ParYes	                                                                                          ...
E-­‐Health	  Trend	        Corporate	  Strategic	  Planning	  
APPROACH	  AND	  BENCHMARK	  SICP	   Corporate	  Strategic	  Planning	  
Benchmark	  Singapore:	  	  Singapore: Healthcare                                                              is part of ...
Benchmark Singapore:     Benchmark	  Singapore:	  	       e-­‐Health	  Framework	       e-Health Framework                ...
E-­‐Health	  Stakeholder	  di	  e-Health        Stakeholder Indonesia	                   Indonesia                        ...
Tahap	  Implementasi	  eHealth	  di	  Indonesia	            The	  WHO	  Global	  Survey	  Year	  2009	            for	  eH...
Solusi	  e-­‐Health	  Indonesia	  :	  	     	    Saat	  ini	  masih	  parsial	     	                                      ...
TELKOM	  READINESS	  SICP	   Corporate	  Strategic	  Planning	  
Introducing	  Telkom	  Group	  Our	  business	  por;olio	  (T.I.M.E)	  	  	                                               ...
Telkom’s	  Healthcare	  Vision	       Corporate	  Strategic	  Planning	  
Telkom	  Super	  Highway	  Topology	                                                                                      ...
Telkom	  Group	  e-­‐Health	  Complete	  SoluYon	   Thru	  HIE	  as	  a	  Shared	  Service	  Plaeorm	                     ...
InSure	  Net	  :	  InisiaYf	  Rancangan	  Sinergi	  Asuransi,	  	              Rumah	  Sakit	  Dan	  Farmasi	             ...
TELKOM	  Group	  e-­‐Health	  Services	  :	      Third	  Party	  Administrator	  –	  Claim	  Processing	  System	  (TPA-­‐...
NaYonal	  Network	  for	  	  TPA	  –	  CPS	  :	    Hospital	  /	  Clinic	  -­‐	  Insurance	     No           Region       ...
Telkom	  e-­‐Hospitals	  	  (Cloud	  CompuFng	  –	  SaaS	  Model-­‐	  Pay	  per	  Use)	                              Modul...
TELKOM	  Group	  Shared	  SoluYon	  :	  	       Sebagai	  komitmen	  mendukung	  Kesehatan	  Indonesia	   Ministry        ...
Referral	  system	  enabled	  >	  NaYonal	  eHealth	  System	                                                             ...
Our	  Value	                One Stop Managed                       Solution                   Managed voice,              ...
Q	  &	  A	  SICP	   Corporate	  Strategic	  Planning	  
SAIFUL HIDAYAT                                                                          Project Director                  ...
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Sharing : Sumbangsih Telkom untuk Ekosistem Kesehatan pada Reuni Akbar Fakultas Kedokteran Universitas Airlangga Nopember 2011

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Sharing : Sumbangsih Telkom untuk Ekosistem Kesehatan pada Reuni Akbar Fakultas Kedokteran Universitas Airlangga Nopember 2011

  1. 1. The  world  in  your  hand   SAIFUL  HIDAYAT   Ehealth  Project  Director     PT.  Telekomunikasi  Indonesia  .  Tbk   Temu  Alumni  FK  Unair  Lintas  Angkatan  Tahun  Masuk  1950  –  2006   Surabaya,  26  November  2011  SICP   Corporate  Strategic  Planning  
  2. 2. Curriculum  Vitae  :   SAIFUL  HIDAYAT     Educa1on  :   -­‐  MT  in  InformaFon  System  and  Technology,  ITB   -­‐  S1  in  TelecomunicaFon,  Unibraw     Working  Experiences  :   -­‐  2004-­‐2006    :  PT.  Telekomunikasi  Indonesia,  Tbk      :  Manager  e-­‐SoluFon  Divisi  MulFmedia     -­‐  2006  –  2007    :  PT.  Finnet  (Telkom  Group)      :  General  Manager  of  OperaFon   -­‐  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. 3. The  world  in  your  hand   TELKOM  View  On  E-­‐Health   TELKOM  Approach  &  Benchmark   TELKOM  Readiness  For  E-­‐Health  Solution   Q  &  A  SICP   Corporate  Strategic  Planning  
  4. 4. TELKOM  VIEW  ON  E-­‐HEALTH  SICP   Corporate  Strategic  Planning  
  5. 5. The  world  in  your  hand  Healthcare ecosystem is complex and often fragmented,eHealth benefits both public and private stakeholders by improvingcommunications and information-sharing Healthcare Ecosystem (Illustrative) DiagnosYc   Services  (Lab,   Clinic/   Hospitals   Rad)   GP   (InpaYent,   Specialist   OutpaYent,   EClaims)   Pharmacy   •  Wide EMR penetration •  CPOE and EMR Employer   Benefit   •  Automated referrals •  Referral PharmaceuYcals   Managers   •  Automated coding and •  Remote health claim submission monitoring •  Automated coding & claims submission CRO   Private  Insurers   •  Members PaYent/   database maintenance Consumers   Suppliers   State  Owned   Pharmacies   •  Automated 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  (e.g.   •  Remote health Regulatory   Dental)   monitoring Agencies   Legend: : Private Province/   Nursing  Care   •  Population health database : Public District  Health   •  Disease detection & analysis Expertise – Offices     Empowering – Progressive - Assured - Heart •  Pharmaceutical supply chain optimization : Public & private
  6. 6. Challenges  :  Improving  Stakeholders  InteracYons  and  Benefits   MOH   Ensure Quality of Care and Patient Safety Corporate  Strategic  Planning  
  7. 7. E-­‐Health  Stakeholders  RelaYonship   Insurance  Operating Efficiency : Providers –  Online Claims Healthcare Submission and Providers Reimbursements with  Connecting Patients and Insurance Carriers Physicians Doctors/ – Online Medical –  Connects Multiple Specialist Suppliers and Buyers Appointment –  One Stop Shopping – – Online posting of surgical MedPool, Reverse procedures including Auctions, Auctions costs, and sorting results  Electronic Prescriptions  Remote Patient –  Reduces Errors, Saves Monitoring Vendors/ Supplier – Cardiac and Diabetic Patients Lives, Increases & their Efficiency Monitoring of Patients families –  Online Pharmacy Hospitals –  Targeted Marketing  Online Second Opinion B2B B2C Support Value Primary Value Pharmacy Processes Processes SUPPLIERS HEALTHCARE CONSUMERS ORGANIZATION Corporate  Strategic  Planning  Source : Georgia State University
  8. 8. InterrelaYon  Ehealth  ParYes   Key e-health Modules Healthcare Providers •  Hospital/Clinic Information System Patients Doctors/ & their Insurance Hospitals •  On Line Medical Report (dapat diakses oleh pasien, families Specialist Providers docter / specialist dan lab)‫‏‬ •  Telemedicine: Penggunaan audio, video dan perangkat lain telekomunikasi untuk memproses informasi terkait jasa pelayanan kesehatan atau membantu paramedis yang jauh dari lokasi pasien. •  Personal Health Care System: Sistem pencegahan pendukung untuk mengawasi dan perawatan pasien secara individu (contoh: HotHealth)‫‏‬ •  Third Party Administrator: Penyedia jasa yang Integration Services memberikan layanan kepada perusahaan asuransi dan TPA seperti Yakes dalam melakukan pengecekan dan validasi klaim dari pasien. •  Supply Chain Management/On line distribution support system untuk obat dan/atau farmasi (contoh: Kimia Farma, Century, Guardian)‫‏‬ •  National Healthcare Management Sytem untuk menyediakan infrastruktur dan aplikasi pelaporan data kesehatan nasional berupa Datawarehouse Pharmacy dan Decision Support System (SIKDA/SIKNAS)‫‏‬ Vendors/ Supplier Laboratories Corporate  Strategic  Planning  Source: Georgia State University & Internal Analysis
  9. 9. E-­‐Health  Trend   Corporate  Strategic  Planning  
  10. 10. APPROACH  AND  BENCHMARK  SICP   Corporate  Strategic  Planning  
  11. 11. Benchmark  Singapore:    Singapore: Healthcare is part of GovernmentHealthcare  is  part  of  Government  e-­‐Service  for  e-Service for CitizensCiYzens   Search for Medical Professional Search for School Make Medical Appointment Enrol into school Application of Medical benefit Birth Registration Check Examination Results Prescription Drug Assistance Death Registration Search for Student Care Services Internal Affairs Change of Address Application for Student Pass Agency Passport Application Search for Public Housing Report loss of passport Government Application for Public Housing Foreign Affairs Agency Application for Residency Services Application for Financing Scheme e.Identification e.Education e.Healthcare Transportation Agency e.Employment e.Transportation e.Housing Educatiuon e.Family e.Utility e.Taxation Agency Citizens e.Security e.International Affairs e.Disaster Mgt Healthcare Agency e.Contact e.GovtShop e.Post Office EnergySearch for Social Activities AgencyRegistration for Marriage TaxationSearch for Counselling centre Agency Request to hold MailRegistration for Government Nursing Homes Request for mail re-deliveryApplication for Domestic Helper Social Services Register yourself overseas Agency Search for Legal Aid Overseas Mission People Hub Report Loss of belongings Employment Establishment Other Hub Search on Legal Records Hub Agencies HealthCare Corporate  Strategic  Planning   Hub Education Hub
  12. 12. Benchmark Singapore: Benchmark  Singapore:     e-­‐Health  Framework   e-Health Framework Situation: §  Between 2 Big Groups of health service companies in Singapore, in a Single Framework of e-Health, the Competition & collaboration naturally in place & compliance as well §  Hospital become the centered of Singapore ICT System §  Grouping divided based on areas, East & West, which compete with each other §  EMRX as a hub connecting the East-West and other groups or agencies §  EMRX owned by Ministry of Corporate  Strategic  Planning   HealthSource: http://www.moh.gov.sg/mohcorp/pressreleases.aspx?id=1366
  13. 13. E-­‐Health  Stakeholder  di  e-Health Stakeholder Indonesia   Indonesia Stakeholder E-Health di Indonesia dapat digroupkan sebagai berikut: Service  Support     •  Rumah  Sakit  dan  Klinik   •  Praktek  Dokter   •  ApoFk  dan  Toko  Obat   Decision  support  dan  Research   •  Pemerintahan  (Kementrian  Kesehatan)‫  ‏‬ •  Perguruan  Tinggi   Business  Support   •  Asuransi  dan  Perbankan   •  Industri  Farmasi  dan  Alat  Kesehatan   InformaYon  of  Healthcare  services   •  Pasien  dan  Keluarga-­‐nya   •  Publik   Corporate  Strategic  Planning   13
  14. 14. Tahap  Implementasi  eHealth  di  Indonesia   The  WHO  Global  Survey  Year  2009   for  eHealth  stated  that  Indonesia’s   eHealth  readiness  is  at  a   Key Observations developing  stage...   • Average  score  is  around  52%   • The  lowest  eHealth  readiness   SecYon  1  -­‐  e-­‐health   FoundaYon  AcYons   dimension  is  SecFon  3  -­‐   Telemedicine.  Which  requires   SecYon  7  -­‐   69%   infrastructure,  connecFvity  and     OrganizaYon  and   SecYon  2  -­‐  mHealth   support  for  e-­‐health   advanced  applicaFon  of   eHealth   50%   55%   • The  highest  eHealth  readiness  SecYon  6  -­‐  Legal  and   31%   SecYon  3  -­‐   dimension  is  SecFon  1  –  ethical  frameworks   53%   for  e-­‐health   Telemedicine   eHealth  FoundaYons.  This  is   63%   indicaFve  of  the  guidelines   46%   being  put  in  to  facilitate  beber   SecYon  5  -­‐   Management  of   SecYon  4  -­‐  eLearning   communicaFon  and   in  health  sciences   paYent  informaYon   collaboraFon  and  also  form  the   eHealth  foundaFon   Note: (1) The WHO Global Survey for eHealth provides a secondary analysis of Indonesia e-readiness based on WHO e-health framework Source: WHO, SME Input, Deloitte Consulting Analysis Corporate  Strategic  Planning  
  15. 15. 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 terbatasPuskesmas (8.234) Apotek (3.551) •  Akses Informasi Publik terbatas: atas indikator dan informasi kesehatan.   è Membutuhkan  Integrated    Shared  Service   Plaeorm   Industri Farmasi (260) Corporate  Strategic  Planning  
  16. 16. TELKOM  READINESS  SICP   Corporate  Strategic  Planning  
  17. 17. Introducing  Telkom  Group  Our  business  por;olio  (T.I.M.E)       Product     Media   Telecom   Poreolio   n Fixed  Wireline     n  MulY  Channel  TV   n Fixed  Wireless   n Mobile/Cellular   InformaYon   n Broadband  Access   n Satellite   n  IT  Services  &  BPO/  KPO   n Tower   n  E-­‐Money   Edutainment   n Premises  IntegraYon   n  Portal   n  E-­‐Commerce   n  Content   *)  Geography  coverage   Customers  Poreolio   BPO:  Business  Process                        Outsourcing     for  internaYonal   KPO:  Knowledge  Process   investment  is  basically  all   n  SME   n  Enterprise   n  Wholesale   over  the  world,  however   n  Consumer                      Outsourching     for  the  iniYal  investment,   Asia  and  Middle-­‐East  will   be  the  priority.   DomesYc   Geography*   InternaYonal   Corporate  Strategic  Planning  
  18. 18. Telkom’s  Healthcare  Vision   Corporate  Strategic  Planning  
  19. 19. Telkom  Super  Highway  Topology   NaFonal  Backbone  Capacity   Songkhla   Main  IP  Core  Link  :   Total  5,3  TBps   SATUN    TIS  (Thailand)   Metro  Ethernet   Medan   InternaFonal  Link  :   IP  Core  Eastern  Link  :   BANDA  ACEH   40  GBps   PENANG    170  GBps     MEDAN   M320 METRO       -­‐ E M320 AAG  (Hongkong,  USA)   MANADO   DMCS,     SINGAPORE   Metro  Ethernet   Metro  Ethernet   SANGATA   PBR   M320 M320 BATAM   Banjarmasin   TERNATE   Pakanbaru   PADANG   SAMARNDA   PALU   Metro  EPONTIANAK   thernet   SORONG   JAMBI   BALIKPAPAN   METRO       -­‐ E Jakarta   KETAPANG   METRO       -­‐ E BENGKULU   M320 PKL.BUN   M320 FAKFAK   JAYAPURA   Metro  Ethernet   PALEMBANG   METRO       -­‐ E M320 M320 PAREPARE   Metro  Ethernet   BATURAJA   Makassar   Palembang   BANJARMASIN   AMBON   TIMIKA   M320 BDR  LAMPUNG   M320 JAKARTA   MAKASAR   METRO       -­‐ E M320 SEMARANG   M320 M320 METRO       -­‐ E M320 SURABAYA       BANDUNG   M320 DENPASAR     M320 M320 ENDE   DLI     MERAUKE   MATARAM       Metro  Ethernet   Metro  Ethernet   Metro  Ethernet   Metro  Ethernet   WAINGAPU       KUPANG     Jawa  Barat   Jawa  Tengah   Jawa  Timur   Denpasar   METRO       -­‐ E METRO       -­‐ E METRO       -­‐ E METRO       -­‐ E Soeswitch  AAG  ConsorFum  :  Development  of     MSAN/DSLAM   SICP   Corporate  Strategic  Planning  Asia-­‐Amerika  Internet  Gateway  1.92  Tbp/s  Capacity  
  20. 20. Telkom  Group  e-­‐Health  Complete  SoluYon   Thru  HIE  as  a  Shared  Service  Plaeorm   Expansion  to  eBilling  and   MOH  who  will  benefit  by  an   Hospitals  admihng  they   eSeblement  perpetuates  end-­‐to-­‐ interoperability  HIMBARA   and    need    Telkom’s  soluFon  for   end  paperless  &  efficient  claims   integrated  EHR  and  online   ASGARA   interoperable  w/  Payers   processing   reporFng  of  Jamkesmas  to   reduce  fraud   HIE – Health Information Exchange eReferrals  from  primary  to   secondary  to  terFary   healthcare  (e.g.   ePuskemsas  to  District   and  VerFcal  Hospitals)   TELKOM  e-­‐Hospital   (HIS),  e-clinic, e-puskesmas, e-GP, e-Apotek , e-SCM, e-Claim   Corporate  Strategic  Planning  
  21. 21. InSure  Net  :  InisiaYf  Rancangan  Sinergi  Asuransi,     Rumah  Sakit  Dan  Farmasi   Jasa Raharja ASABRI ASGARA Insurance Planorm  kolaborasi  &  transaksi   secara  online,  meningkatkan   efek*fitas,  produk*vitas  &  mutu   InSure Net pelayanan  insFtusi  asuransi   Insurance Shared Service Platform TPA Fondasi  bagi     Finance e-­‐claim  dan  e-­‐health   nasional   Claim Kementrian Kesehatan Processing System Badan kepegawaian & Rumah Sakit & Instansi Lainnya Pusat Kesehatan Bank: Himbara Link Peserta Asuransi Peningkatan Mutu PelayananSICP   Corporate  Strategic  Planning  
  22. 22. TELKOM  Group  e-­‐Health  Services  :   Third  Party  Administrator  –  Claim  Processing  System  (TPA-­‐CPS)   Claims & treatment Services : Ø  Online Provider Network Hospitals Insurance, Insurance Members &polyclinics Ø  Personal Customer ServiceTPA &Corporate (34)‫5.1( ‏‬m by Nov’10)‫‏‬ ‫(+027)‏‬ Ø  Medical Evacuation / Personal Assistant EDC /PC Services Ø  Membership / Policy Administration 32 Partnering Hospital Ø  Inpatient Case Monitoring (Malaysia & Singapore)‫‏‬ Dial-up/GPRS/VPN-Instant/VPN-IP/Speedy Ø  Online Claim Administration Ø  Periodic or Adhoc online Reporting Ø  Real time data access through = TPA (Third Party Administrator)‫‏‬ web 3,000 insurance policies (with 500 unique benefits)‫‏‬ Ø  Online Utilization Review (alert system)‫‏‬ Ø  24 hours Call Centre manned Main roles by medical professional 1. Member Eligibility 2. Automated Outpatient Claims Processing 3. Inpatient Admission & Cashless Discharge 4. 24 X 7 Call Center Assistance Corporate  Strategic  Planning  
  23. 23. NaYonal  Network  for    TPA  –  CPS  :   Hospital  /  Clinic  -­‐  Insurance   No Region Hospital Clinic Sub Total Nasional 1 Bali 11 10 21 2 Banten 9 24 33 AdMedika Insurance Partners 3 Jabodetabek 222 144 366 4 Jawa Barat 45 27 72 5 Jawa Tengah 48 3 51 6 Jawa Timur 63 14 77 7 Kalimantan 18 2 20 8 Maluku 3 - 3 9 Aceh (NAD)‫‏‬ 3 - 3 10 NTB 2 - 2 11 NTT - 1 1 12 Riau 16 4 20 13 Sulawesi 12 1 13 14 Sumatra 30 3 33 15 Papua 3 1 4 Total 487 234 721 International Partner 1 Malaysia 28 - 28 2 Singapura 4 - 4SICP   Corporate  Strategic  P32 Total lanning   32
  24. 24. Telkom  e-­‐Hospitals    (Cloud  CompuFng  –  SaaS  Model-­‐  Pay  per  Use)   Module and Cloud Computing Configuration  Benefit    Hisys  SaaS  Business  Model  :     •   No  Investment   •   Capex  to  Opex   •   Pay  per  Used   •   No  OperaFonal  and  Maintenance  Cost   •   Flexible  as  Business  Need   •   Focus  on  Hospital  Business  &  Service  not    on  IT   •   AutomaFc  Update   •   Mobility  any  where,  any  Fme,  any  device   •   Integrated  with  other  Telkom  Group  Services  (eq,  e-­‐ Payment,  e-­‐Procurement,  SAP)  SICP   Corporate  Strategic  Planning  
  25. 25. TELKOM  Group  Shared  SoluYon  :     Sebagai  komitmen  mendukung  Kesehatan  Indonesia   Ministry Shared Facilities Of BUMN Claim Processing System Rumah ,TPA & SaaS HIS,CIS,PIS,LIS Sakit/Puskesmas National BUMN eHealth Call Centre Farmasi Network Financial NW Switch apotek Ministry Of E-Health Hub Health E-Claim Data Electronic Health Records Center + DRC Hospital Information System Banks Dashboard and DSS Supply Chain MgtInsurances Back office Automation Mobile Solution INFRASTRUCTURE, NETWORKUniversitas INFUSION: Operation & Customer Support SystemPersonals Corporate  Strategic  Planning  
  26. 26. Referral  system  enabled  >  NaYonal  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    ReporFng  and  AnalyFcs            Processor     Web  Service   Connector   Connector   Connector   Connector   Connector   Puskesmas   Connector   Rumah  Sakit   Rumah  Sakit   Klinik   Corporate  Strategic  Planning   ApoFk   Rumah  Sakit   InternaFonal   Rujukan  
  27. 27. Our  Value   One Stop Managed Solution Managed voice, Price Competitiveness application, data & Manageable cost converged network services Convenience, flexible business including high performance model Data Center & DRC Secured & Trusted TELKOM Consulting & Integrating Corporation: Group services: Stated Owned ICT Experienced team in plan & Company manage the design, build & public listed Solution deployment of Innovative Auditable solutions Compliance Coverage & Full Services: Improving Business Performance: Integrated infocom services Improved network utilization, availability, Nationwide reliability & performance enable the customers to focus on their business Corporate  Strategic  Planning  
  28. 28. Q  &  A  SICP   Corporate  Strategic  Planning  
  29. 29. SAIFUL HIDAYAT Project Director E-Health Business Project Directorate of IT, Solution and Supply PT. Telekomunikasi Indonesia saifulh@telkom.co.id 0811 133 236SICP   Corporate  Strategic  Planning  

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