saiful hidayat : improving hospital quality of service thru implementing “effective”...

Improving Hospital Quality of Service Thru Implementing “Effective”

Information System

Seminar Nasional

Hospital Services to win all

Ayodya Resort, Nusa Dua, Bali.

26-27 Juli 2011

INDRA UTOYODirektur IT (CIO)

PT. Telekomunikasi Indonesia . TBK

Presented by :SAIFUL HIDAYAT

Direktur Pengembangan BisnisPT. Admedika (TelkomGroup)

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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)

Employer

Pharmacy Benefit

Managers

Private Insurers

State Owned Insurer (e.g.

ASKES)

Regulatory Agencies

MOH

Province/District

Health Offices

Other Healthcare

(e.g. Dental)

Nursing Care

Mobile Clinic/ Home Care

Pharmacies

Hospitals (Inpatient,

Outpatient, EClaims)

Diagnostic Services (Lab,

Rad)Clinic/Specialist

GP

CRO

Pharmaceuticals

Suppliers

Patient/Consumers

• Members database maintenance

• Automated eligibility/ claims processing

• Claims rating• Effective case/

disease management

• Medical records storage

• Portable PHR• Personalized Portals• Patient Education• Remote health

monitoring

• Wide EMR penetration• Automated referrals• Automated coding and

claim submission

• Population health database• Disease detection & analysis• Pharmaceutical supply chain optimization

• CPOE and EMR• Referral• Remote health

monitoring• Automated coding &

claims submission

: Private

: Public

: Public & private

Legend:


Challenges :Improving Stakeholders Interactions and Benefits

MOHEnsure Quality of Care and Patient Safety


Profil solusi e-Health di Indonesia masihparsial: • Implementasi silo-silo• Tidak terstandarisasi:

• Interoperabilitas, sulit dikembangkan• Konsolidasi data sulit dilakukan (multi

format dan standrat)• Kelengkapan data lemah karena jangkauan

kecamatan s.d pusat masih terbatas• Akses Informasi Publik terbatas: atas

indikator dan informasi kesehatan.

Membutuhkan Integrated Shared Service Platform

Hospital (1.679)

Puskesmas (8.234) Apotek (3.551)

Industri Farmasi (260)

Asuransi (50)

Solusi e-Health Indonesia: Saat ini masih parsial


Kondisi Komputerisasi di RS saat ini

1.371 rumahsakit (50% swasta, 32% pemda, 18% Pusat)

• Sebagian besar masih berbasis manual, baik untuk rekam medis, pengelolaantransaksi, dan pengurusan klaim.

• Tidak terintegrasi dengan SIKDA / SIKNAS

• Manual rekapitulasi pelaporan RL1-RL6, yang memakan waktu dan biaya

• Belum mampu mencegah terjadinyafraud

• Belum mampu memonitor kegiatanprogram promotif secara cepat danefektif.

92%

5% 3%

manual komputerisasi komputerisasi canggih

Sumber : Riset Dr. Anis Fuadi, 2009




Agenda HIS : Application Module Framework




HIS (Hospital Information System) Trend

8


Basic Management Expectation of HIS

- 9 -Source : SKT


10

Insurance/Payors

Loket/UGD/Admin

RS Rujukan Apotek

Diagnosa Poli Rawat Inap

Laboratoium

Warehouse

Suppliers

Pasien

Rawat Jalan

Information System Support forHospital Services Business Process

Hospital services business process required Information System Support :

• E-PMS (Patient Management System)

• EMR (Electronic Medical Record)/EHR (Electronic Health Record)

• E-Claim (Insurance Application)

• E-Referral System

• E-Prescription

• E-Pharmacy/e-Apotek

• E-Laboratory

• CRM (Customer Relationship Management)

• Telemedicine

• E-SCM (Supply Chain Management)

• HRIS (Human Resource Information System)

• Accounting/Financial System

• EIS and CDSS

• etc


HIS : Kompleksitas Sistem Aplikasi “Saat ini”

12

Arsip Medis

Pendaftaran

KepegawaianKeuangan

Poli BPoli A Pelaporan

IGD Billing & Claim

Marketing

Rawat Inap

Kesusteran

Fas. Penunjang

Fasilitas Penunjang

Ruang Operasi

Apotik

GLSpreadSheet

Administrasi

Laboratorium

MSSQL MSAccess

DBF

MySQL

OraclePaper

Paper

Paper

Oracle

MSSQL

MSAccess

PaperMySQL MySQL

MySQL

MySQL

MySQL

MySQL

MySQL

*.xls


HIS – Teknologi Baru

• System yang terintegrasi

13


HIS – Modular Framework

PR

DO

A/P

Payment

GL

F/S

Invoice

A/RCash Receipt

Fixed Asset

Budgeting

HR

Sales

ERP Modules

Core Modules

Supporting Modules

Theater Management

Nursing Care Plan System

Ward

Polyclinics

User Management

PACS

LIS

Dieting

EMR

CDSS

CDIS

Clinical Path

Pharmacy

CRM

Dashboard

EIS

Inventory

Doctors

Patient Administration

Billing

Physiotherapy

Preventing Maintenance

Housekeeping

Trauma Center

Kiosk /Portal

SMS

Vendor Management

Claim / Insurance

DW/ BI

Advance – Integrated System





Roadmap and Key Success Factors



Year 1

Year 2-3

Year 4-55 YEARS PLANHospital e-Health Roadmap

Source : SKT


HIS Modules Stages

3

21

HIS Modules

TELKOM


Quick Win HIS Implementation

TELKOM


Telkom Solution Highlight

IntegratedPatientRecords

Measurement& Management

Of Quality

AdherenceTo Reporting

Mandates

LeveragingOf IT

Infrastructure

ImprovingOut-In Patient

Continuity of care

Enterprise Clinical Decision

Support

SupportingIntegration w/

Other’s(eg: Insurance)

Web 2.0 &Cloud Computing

Technology

ComplianceWith

National &Int’l Standard


10/06/10

Telkome-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)


Implementation Credential :Lesson Learn

3 Main Consideration :1. Matched between e-health solution with Vision, Mission

and Business Strategy of Hospital2. Acceptance & Technology Adoption (Doctors,

management, medical staff and all Stake Holder)3. Stages and Success Criteria

5 Critical Components on HIS Implementation1. Strong Commitment (C’s Level)2. Internal Team Readiness 3. Readiness and Sustainability of Solution Partner4. Organizational Readiness and Proper Change Management5. Good Project Management


Successful

HIS

Implementation

Process

TechnologyPeople

• Standardization of HospitalBusiness Process

• Compliance withInternational Standard/Accreditation (KARS, ISO9001, JCI)

• 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

• Strong Commitment from C’s Level / High Level Management

• Acceptance & Technology Adoption

• Continuous HR Training and Development

How do we guarantee of successful implementation :Key Success Factors





Roadmap and Key Success Factors



Introducing Telkom Group

Telecom

Information

Media

Fixed Wireline

Fixed Wireless

Mobile/Cellular

Broadband Access

Satellite

Tower

Premises Integration

IT Services & BPO/ KPO

E-Money

Multi Channel TV

Edutainment

Portal

E-Commerce

Content

Customers Portfolio

Consumer Enterprise Wholesale

Product Portfolio

SME

*) Geography coverage for international investment is basically all over the world, however for the initial investment, Asia and Middle-East will be the priority. Geography*DomesticDomestic InternationalInternational

BPO: Business Process Outsourcing

KPO: Knowledge ProcessOutsourching

Our business portfolio (T.I.M.E)


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

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

ASGARA


Referral system enabled > National eHealth System

EMR Data Repository Exchange Gateway Reporting and Analytics Processor

Connector

Connector

Connector

Connector Connector

Connector

Web Service

Epidemic Control

Diseases Control

Treatment Control

Cost Control

Research Facility

MIS / EIS

Program Monitoring Facility Improvement

Web Service

AdCPS

Puskesmas

Klinik ApotikRumah SakitRujukan

Rumah SakitInternational

Asuransi

Rumah Sakit


Telkome-Health

Better Healthcare Management and Planning (patient historical data, accurate

diagnosis & treatment, Planning

preventive care & health scheme/program)

Codifying Healthcare Information and Data Analysis (diagnosis, treatment and

drug),incl drug cost escalation ,Generic &

patented drug, drug distribution, drug

dispensing pattern by diagnosis, disease pattern by region, efficient distribution

of drugs)

Shared Service Platform(Interoperability , Interconnection, Opex to Capex, Pay per use , Mobility any where, any time, any device)

Easy, Scalable and Simple to implement

(Simple IT infrastructure, optimizing existing

resources, Simple process,Flexible as Business Need

)

Capturing Online Claims Transaction(medical expenses, diagnosis, treatment and drug, study of cost efficiency & effectiveness)

The Benefits

Coverage

National and International


SAIFUL HIDAYATDirektur Pengembangan Bisnis

PT. Admedika (TelkomGroup)[email protected]

[email protected] 133 236
