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Aplikasi EMR berbasis Open Source untuk
                Praktek Dokter Pribadi
                                         Oleh:
                                Penggalih M Herlambang


Disampaikan dalam Annual Scientific Meeting (ASM) FK UGM 2012
Tema utama “Adaptasi Bidang Kesehatan terhadap Perubahan Iklim”
Climate Change
Climate Change
5 Most Powerful Green IT Practices

                                 EMR




          Virtual
                                                TeleMedicine
       Collaboration




                   Desktop                 Server
                Virtualization         Virtualization




                                           (HealthCareITNews.com, Sept 2011)
Vision without Execution is a Daydream…
Execution without Vision is a Nightmare…
                      ~ Japanese proverb
Closed Source Vs Open Source
Why we need an EMR?




            (Roadmap SIK Nasonal, Juli 2011)
The Complexity of HIS
   Marketing                Keperawatanan           Ruang Operasi            Administrasi
                 Paper                       MySQ                 MySQ                        MySQ
                                              L                                                L
In House Development                                               L



  Pendaftaran                    Apotik              Rawat Inap             Laboratorium
                                           MSAcc                  MySQ                        MySQ
                 DBF
                                            ess
                       Heavy Infrastructure                        L                           L


                                                       Difficult to integrate
   Arsip Medis                    IGD               Fas. Penunjang          Billing & Claim
                                           MSSQ                   MySQ                      MySQ
               Paper
                                            L                      L                         L


                                                      Fasilitas
     Poli A                      Poli B                                       Pelaporan
                                                     Penunjang    MySQ                      Oracle
              Paper                       Paper
                                                                   L


   Keuangan                  SpreadSheet            Kepegawaian                   GL
                  MSSQ
                   L                      *.xls                                             MSAcc
                                                                  Oracle
                                                                                             ess
                                                                            (Telkom, FIKI 2011)
Why Doctors Don’t Like Electronics
       Health Records?

                     “· are sold by so many companies no one
                     knows how to separate the good from
                     the bad .
                     · slow productivity.
                     · show negative investment returns.
                     · don’t speak to one another.
                     · distract from patient time.
                     · require total reorganization of
                     practices.
                     · …………. “
Indonesian Healthcare “Ecosystem”




                                                     Praktek Pribadi




Praktek Pribadi




                                                           RS Tipe A

                                               RS Tipe B

                                   RS Tipe C
 Klinik/Poliklinik
                     Puskesmas
http://sibermedos.rekansejawat.com
2010-2011

                     Troubleshooting!




                                               Troubleshooting!


Nov        Dec          Jan             Feb                Apr



  Troubleshooting!
                                        Troubleshooting!
Menemukan solusi di angkringan…




                   • Project code: Tengkleng.
                   • “ngumpulke balung pisah” :
                     Menyatukan keinginan dokter
  SiberMedOS 1.0
                     dengan FOSS yg ada.

2010      2011                 2012
2010   2011   2012
Kebutuhan dokter praktek
pribadi:
1. Office:
   mengetik, Presentasi,dsb
2. Internet:
   Browsing, email, chat, dsb
   .
3. Entertainment:
   Memutar file audio-video.




  2010       2011               2012
2011




May   Jun   Jul   Aug   Sept
2011-2012




Oct   Nov   Dec   Jan   Feb
2012 - …..



      http://sibermedos.rekansejawat.com


Mar       Apr          May           Jun       Jul
The Challenges…
1. Perubahan iklim akan dirasasakan bidang kesehatan.

2. Budaya kerja paperless harus mulai diadopsi di dokter.

3. Penerapan RME di praktek dokter pribadi salah satu cara
membudayakan kerja paperless.

4. RME berbasis Open Source mempercepat penerapan
budaya kerja paperless di praktek dokter pribadi.

5. Perlu suatu standar format data RME agar dapat
dipergunakan secara interchange dan interoperable.
The Future Expectations

                Cloud




2010   2011             2012
Matur Nuwun..

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Aplikasi RME berbasis OpenSource untuk Praktek Dokter Pribadi

  • 1. Aplikasi EMR berbasis Open Source untuk Praktek Dokter Pribadi Oleh: Penggalih M Herlambang Disampaikan dalam Annual Scientific Meeting (ASM) FK UGM 2012 Tema utama “Adaptasi Bidang Kesehatan terhadap Perubahan Iklim”
  • 4. 5 Most Powerful Green IT Practices EMR Virtual TeleMedicine Collaboration Desktop Server Virtualization Virtualization (HealthCareITNews.com, Sept 2011)
  • 5. Vision without Execution is a Daydream… Execution without Vision is a Nightmare… ~ Japanese proverb
  • 6. Closed Source Vs Open Source
  • 7. Why we need an EMR? (Roadmap SIK Nasonal, Juli 2011)
  • 8. The Complexity of HIS Marketing Keperawatanan Ruang Operasi Administrasi Paper MySQ MySQ MySQ L L In House Development L Pendaftaran Apotik Rawat Inap Laboratorium MSAcc MySQ MySQ DBF ess Heavy Infrastructure L L Difficult to integrate Arsip Medis IGD Fas. Penunjang Billing & Claim MSSQ MySQ MySQ Paper L L L Fasilitas Poli A Poli B Pelaporan Penunjang MySQ Oracle Paper Paper L Keuangan SpreadSheet Kepegawaian GL MSSQ L *.xls MSAcc Oracle ess (Telkom, FIKI 2011)
  • 9.
  • 10. Why Doctors Don’t Like Electronics Health Records? “· are sold by so many companies no one knows how to separate the good from the bad . · slow productivity. · show negative investment returns. · don’t speak to one another. · distract from patient time. · require total reorganization of practices. · …………. “
  • 11.
  • 12. Indonesian Healthcare “Ecosystem” Praktek Pribadi Praktek Pribadi RS Tipe A RS Tipe B RS Tipe C Klinik/Poliklinik Puskesmas
  • 14. 2010-2011 Troubleshooting! Troubleshooting! Nov Dec Jan Feb Apr Troubleshooting! Troubleshooting!
  • 15. Menemukan solusi di angkringan… • Project code: Tengkleng. • “ngumpulke balung pisah” : Menyatukan keinginan dokter SiberMedOS 1.0 dengan FOSS yg ada. 2010 2011 2012
  • 16. 2010 2011 2012
  • 17. Kebutuhan dokter praktek pribadi: 1. Office: mengetik, Presentasi,dsb 2. Internet: Browsing, email, chat, dsb . 3. Entertainment: Memutar file audio-video. 2010 2011 2012
  • 18. 2011 May Jun Jul Aug Sept
  • 19. 2011-2012 Oct Nov Dec Jan Feb
  • 20. 2012 - ….. http://sibermedos.rekansejawat.com Mar Apr May Jun Jul
  • 21. The Challenges… 1. Perubahan iklim akan dirasasakan bidang kesehatan. 2. Budaya kerja paperless harus mulai diadopsi di dokter. 3. Penerapan RME di praktek dokter pribadi salah satu cara membudayakan kerja paperless. 4. RME berbasis Open Source mempercepat penerapan budaya kerja paperless di praktek dokter pribadi. 5. Perlu suatu standar format data RME agar dapat dipergunakan secara interchange dan interoperable.
  • 22. The Future Expectations Cloud 2010 2011 2012

Editor's Notes

  1. Sistem TI Kesehatan saat ini sangat kompleks. Hal ini terkait bisnis proses kesehatan yang juga kompleks.Namun disisi lain, kompleksitas tersebut menjadi lebih parah karena solusi TI yang diharapkan dapat memberikan solusi malah disediakan dengan skema yang tidak simple. Berangkat dari inhouse development untuk menjawab kebutuhan internal, menyebabkan terjadinya island-island sistem informasi kesehatan yang membutuhkan infrastruktur yang besar. Kondisi ini juga menyebabkan integrasi antar aplikasi dalam 1 organisasi menjadi sulit, apalagi antar organisasi.