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

SICP Corporate Strategic Planning

The world in your hand

Konferensi E-‐Health Nasional Jakarta, 28 Maret 2012

SAIFUL HIDAYAT EHealth Project Director

PT. Telekomunikasi Indonesia . Tbk



Digital Trend & EHealth Issues

Information System For EHealth

EHealth Trend & Expectation

Telkom For EHealth


DIGITAL TREND & EHEALTH ISSUES


TODAY THE WORLD IS GETTING NARROW AND THINGS ARE CONNECTED, CLOSER,

MOBILE AND PERSONAL


WWW: WHOEVER AND WHEREVER WE ARE

Corporate Strategic Planning

Now : Almost Everything is in the cloud


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 ….?

Source: The Future of Media, Gerd Leonhard, 2009


HOW’S HEALTH GOES DIGITAL?


EHEALTH IS A CARING BUSINESS

NO MATTER HOW HIGH-TECH YOU ARE


HEALTH IS ONCE ABOUT CARING. NOW IT WILL BE MORE CARING USING TECHNOLOGY

FOR BETTER & EASIER APPLICATION


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


Profil solusi e-Health di Indonesia masih parsial: •  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.

è Membutuhkan Integrated Shared Service PlaYorm

Hospital (1.922) (BUK)

Puskesmas (9.005) Bankdata Pusdatin

Apotek (21.852) IAI

Industri Farmasi (260)

Asuransi Jiwa (46) (Bapepam)

Praktek Dokter(115.155)

Solusi e-‐Health Indonesia : Saat ini masih parsial

Corporate Strategic Planning Source :


E-‐HEALTH TREND & EXPECTATION


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

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 (InpaUent,

OutpaUent, ED)

DiagnosUc Services (Lab,

Rad) Clinic/ Specialist GP

CRO

PharmaceuUcals

Suppliers

Health InformaUon Exchange

PaUent/ 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

•  CPOE and EMR •  Referral •  Remote health

monitoring •  Automated coding &

claims submission

: Private

: Public

: Public & private

Legend:

EHealth Ecosystem Healthcare ecosystem is complex and oXen fragmented, EHealth benefits both public and private stakeholders by improving communicaUons and informaUon-‐sharing


MOH Ensure Quality of Care and Patient Safety

Healthcare Trend : Improving Stakeholders InteracUons and Benefits


Healthcare Trend


Basic Management ExpectaUon of Healthcare System

Source : SKT

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”


InformaUon System Support for Healthcare Services Business Process

Insurance/Payors

Loket/UGD/Admin

RS Rujukan Apotek

Diagnosa Poli Rawat Inap

Laboratoium

Warehouse

Suppliers

Pasien

Rawat Jalan

Healthcare services business process required InformaUon System Support : •  E-‐PMS (PaUent Management System) •  EMR (Electronic Medical Record)/EHR

(Electronic Health Record) •  E-‐Claim (Insurance ApplicaUon) •  E-‐Referral System •  E-‐PrescripUon •  E-‐Pharmacy/e-‐Apotek •  E-‐Laboratory •  CRM (Customer RelaUonship

Management) •  Telemedicine •  E-‐SCM (Supply Chain Management) •  HRIS (Human Resource InformaUon

System) •  AccounUng/Financial System •  EIS and CDSS •  etc


Successful E-‐Health

ImplementaNon

Process

Technology People

•  StandardizaNon of Healthcare Business Process

•  C o m p l i a n c e w i t h InternaNonal Standard/ AccreditaNon (KARS, ISO 9001, JCI)

•  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

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

•  Acceptance & Technology AdopNon •  ConNnuous HR Training and

Development

Key Success Factors For Successful Healthcare System ImplementaUon


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

ImplementaUon CredenUal : Lesson Learn


INFORMATION SYSTEM FOR E-‐HEALTH


Kompleksitas Sistem Aplikasi Saat ini Contoh : Proses Bisnis Rumah Sakit

Arsip Medis

Pendaiaran

Kepegawaian Keuangan

Poli B Poli A Pelaporan

IGD Billing & Claim

MarkeNng

Rawat Inap

Kesusteran

Fas. Penunjang

Fasilitas Penunjang

Ruang Operasi

ApoNk

GL SpreadSheet

Administrasi

Laboratorium

MSSQL MSAccess

DBF

MySQL

Oracle Paper

Paper

Paper

Oracle

MSSQL

MSAccess

Paper MySQL MySQL

MySQL

MySQL

MySQL

MySQL

MySQL

*.xls

In House Development

Heavy Infrastructure

Difficult to integrate


IntegraUon : Simplify The System

E-Health Cloud Services

Corporate Strategic Planning References : Gartner Research

Cloud CompuUng : DefiniUon & Key CharacterisUcs


•  Cost Pressure, CAPEX to OPEX: Metered by Used, Accelerate Speed to Value New Economics

•  no patching /maintenance, faster development, robust mulU layer security, reliability & fault tolerance

Reduce Management

•  latest soXware, internet collaboraUon, anywhere access, instant self provisioning

Redifining ProducUvity

… 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)

References : Microsoft, Gartner Research, Forrester

Why Cloud Now ? -‐-‐Demand Side Efficient àEffecUve à InnovaUon


Cloud Security ImplementaUon

1. Secure Access into the Cloud 2. Secure Access to Web Apps 3. Server VirtualizaNon

•  MiNgate risk towards the hypervisor •  Secure the OS •  Inter-‐VM traffic visibility and security •  Secure (shared) file systems

4. Secure Standard OperaNon & Procedures 5. Secure System Development Life Cycle Procedures

VM VM VM

Security In The Cloud

Security implemented everywhere … not just on a firewall somewhere.


“Healthcare's Future Is Partly Cloudy: External

Service Provider OpNons for Healthcare Delivery OrganizaNons”

“By 2012, 20% of businesses will own

no IT assets.”

“Cloud spending will grow 3X to $42B by 2010.

Cloudsourcing takes the cloud to the next step”

“Cloudsourced delivery…will

comprise ~25% of the total BPO market by

2012”

“Every enterprise should be road mapping their

adopNon of the cloud”

Cloud Based Healthcare System Trend …


TELKOM FOR EHEALTH


Telecom

InformaUon

Media

n Fixed Wireline

n Fixed Wireless

n Mobile/Cellular

n Broadband Access

n Satellite

n Tower

n Premises IntegraUon

n  IT Services & BPO/ KPO

n  E-‐Money

n  MulU Channel TV

Edutainment

n  Portal

n  E-‐Commerce

n  Content

Customers Porcolio

n  Consumer n  Enterprise n  Wholesale

Product Porcolio

n  SME

*) Geography coverage for internaUonal investment is basically all over the world, however for the iniUal investment, Asia and Middle-‐East will be the priority. Geography* DomesUc InternaUonal

BPO: Business Process Outsourcing KPO: Knowledge Process Outsourching

Our business por3olio (T.I.M.E) Introducing Telkom Group


Telkom’s Healthcare Vision

Corporate Strategic Planning TELKOM e-‐Hospital (HIS), e-clinic, e-puskesmas, e-GP, e-Apotek , e-SCM, e-Claim

Telkom Group e-‐Health Complete SoluUon Telkom HIE as a NaUonal e-‐Health Shared Service Placorm

ASGARA

HIE – Health Information Exchange

HIMBARA

Hospitals will provided the interoperability with Payers

MOH who will benefit by an interoperability and

integrated EHR and online reporNng of Jamkesmas

eReferrals from primary to secondary to terNary

healthcare (e.g. ePuskemsas to District and VerNcal Hospitals)

Expansion to eBilling and eSeulement

perpetuates end-‐to-‐end paperless & efficient claims processing


TPA – e-‐Claim

Online Claim Processing – AdMedika’s Solution

Main roles 1. Member Eligibility 2. Automated Outpa:ent Claims Processing 3. Inpa:ent Admission & Cashless Discharge 4. 24 X 7 Call Center Assistance

Dial-‐up/GPRS/VPN-‐Instant/VPN-‐IP/Speedy

Insurance, TPA &Corporate (44)

Hospitals &polyclinics

(+825) Insurance Members (1.8 m by Jan’12)

EDC /PC

= TPA (Third Party Administrator)

Claims & treatment Services : Ø  Online Provider Network Ø  Personal Customer Service

Ø  Membership / Policy AdministraNon Ø  24 hours Call Centre manned by medical professional

Ø  InpaNent Case Monitoring Ø  Claim AdministraNon Ø  Periodic or Adhoc ReporNng

Ø  Real Nme data access through web

Ø  Online UNlizaNon Review

30 Partnering Hospital (Malaysia & Singapore)

3,000 insurance policies (with 600 unique benefits)

33


eSIMRS eCLINIC ePUSKESMAS eAPOTIK eDINKES

HiSys (Health InformaUon System)

Produk – Produk HiSys


Module and Cloud Computing Configuration

TELKOM Group e-‐Health Services : e-‐Hospitals , e-‐Clinics, e-‐GP (Cloud CompuUng – SaaS Model – Pay per Use)

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)


InisiaUf e-‐ApoUk

e-‐ApoUk

Komunitas ApoNk (Virtual Inventory)

Sistem Informasi Management ApoUk • ERP & CRM basic bagi apoNk • Desktop berbasis SaaS yang terintegrasi dengan layanan Speedy

• Laporan siap pakai (depkes, pajak, bonus, dll)

Virtual Stock • Sistem online memungkinkan apoNk dalam 1 kota membentuk komunitas dengan stock obat bersama, khususnya obat-‐obatan penNng.

Telkom Ehealth

Community

e-‐ApoUk e-‐ApoUk

e-‐Pharmacy Value Chain

Komunitas Telkom EHealth • Tergabung dalam jaringan layanan kesehatan yang terintegrasi dengan layanan asuransi.

• Menerima order online • Sistem pembayaran online.


Telkom E-‐Health Development AcUviUes

HIE

eHR

Asuransi

Praktek Do

kter

Klinik

Puskesmas

eClaim

eReferral

Anality

c

Rumah Sakit

DKB

BPJS

DKB: Data Kepesertaan Bersama EHR: Electronic Health Record HIE: Health Information Exchange BPJS: Badan Pelaksana Jaminan Sosial

Dashbo

ard

1

23

4

1. Pengembangan platform HIE (Health Information Exchange)

2. Pengembangan Sistem Mini EHR

3. Modernisasi Sistem elektronik klaim Nasional, termasuk administrasi rujukan

4. Pengembangan aplikasi vertikal untuk kesehatan

1

2

3

4


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