saiful hidayat perkembangan e health dalam dunia kefarmasian i stn

SICP Corporate Strategic Planning

The world in your hand

Seminar Apoteker : Perkembangan e-Health dalam Dunia Kefarmasian untuk Mendukung Keselamatan Pasien

ISTN – JAKARTA Jakarta , 30 Juni 2012

Saiful Hidayat

Ehealth Project Director PT. Telekomunikasi Indonesia, Tbk.

Corporate Strategic Planning

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


The world in your hand

Digital Trend & EHealth Issues

Need of Information System For Pharmacies

EHealth Trend & Expectation

Telkom Solution For Pharmacies


DIGITAL TREND & EHEALTH ISSUES


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

MOBILE AND PERSONAL


WWW: WHOEVER AND WHEREVER WE ARE


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 , DRUGS DATA ….?

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 •  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


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 Pla_orm

Hospital (1.722) (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 :

Dokter (Pharmacies ?) : Masih Enggan Menggunakan TI


E-‐HEALTH TREND & EXPECTATION


MOH Ensure Quality of Care and Patient Safety

Healthcare Trend : Improving Stakeholders InteracRons and Benefits


eHealthcare Trend


Basic Management ExpectaRon of eHealthcare System

Source : SKT

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”


InformaRon 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 InformaRon System Support : •  E-‐PMS (PaRent Management System) •  EMR (Electronic Medical Record)/EHR

(Electronic Health Record) •  E-‐Claim (Insurance ApplicaRon) •  E-‐Referral System •  E-‐PrescripRon •  E-‐Pharmacy/e-‐Apotek •  E-‐Laboratory •  CRM (Customer RelaRonship

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

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


Successful E-‐Health

Implementa.on

Process

Technology People

•  Standardiza.on of Healthcare Business Process

•  C o m p l i a n c e w i t h Interna.onal Standard/ Accredita.on (KARS, ISO 9001, JCI)

•  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

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

•  Acceptance & Technology Adop.on •  Con.nuous HR Training and

Development

Key Success Factors For Successful eHealthcare System ImplementaRon


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

ImplementaRon CredenRal : Lesson Learn


NEED OF INFORMATION SYSTEM FOR PHARMACIES


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


The Urgencies of Medicines Data

BPOM

Manufacture

PBF/ Distributor

Masyarakat Apotek

Kementrian Kesehatan

Asuransi Kesehatan

Mahasiswa

Rumah Sakit

Apoteker


Kendala Masing-‐masing Komponen dalam Distribusi dan Penggunaan Obat

PARTY KENDALA

DRUG IMPORTIR & LOCAL MANUFACTURE

•  Publikasi masih dilakukan secara legacy, salah satunya melalui buku ISO Obat yang diterbitkan oleh ISFI

DISTRIBUTOR •  Belum banyak PBF yang memiliki apoteker sbg penanggung jawab •  Merupakan salah satu ..k kri.s peredaran obat “ilegal/.dak sesuai jalur resmi”.

APOTEK & INSTALASI FARMASI

•  Tidak semua apotek memiliki apoteker penanggung jawab yang stand by di apotek sehingga .dak menjalankan fungsi sebagai tempat prak.k farmasi

•  Hanya sebagai transaksi jual-‐beli obat-‐obatan saja

SARANA PELAYANAN KESEHATAN NON APOTEK

•  Melakukan pengadaan melalui PBF, dimana pada sarana pelayanan kesehatan ini .dak memiliki apoteker sebagai penanggung jawab

MASYARAKAT Tidak semua sarana prak.k kefarmasian memiliki apoteker yang dapat memberikan konsultasi mengenai obat yang dikonsumsi masyarakat tujuan terapi .dak tercapai.

IKATAN APOTEKER INDONESIA Banyak Apotek dan Instalasi farmasi yang .dak mensyaratkan ser.fikat kompetensi dari IAI, sehingga kompetensi dari apotekernya .dak terjamin.


Kondisi saat ini

Pengelolaan obat yang masih jauh dari ideal mulai dari perencanaan pengadaan, distribusi sampai tahap penggunaan obat oleh konsumen/pasien. Dimana sistem pendataan obat belum terstandar.

Masalah yang .mbul

Kontrol trhdp peredaran obat sulit dilakukan, maraknya obat ilegal, rendahnya pelayanan kefarmaasian shg tujuan terapi kurang/.dak tercapai, terjadinya kesalahan interpretasi akan obat,

Solusi

Pen.ngnya data obat yang terstandar.

IdenRfikasi Masalah dalam Pengelolaan Obat


TELKOM SOLUTION FOR Pharmacy


Telecom

InformaRon

Media

n Fixed Wireline

n Fixed Wireless

n Mobile/Cellular

n Broadband Access

n Satellite

n Tower

n Premises IntegraRon

n  IT Services & BPO/ KPO

n  E-‐Money

n  MulR Channel TV

Edutainment

n  Portal

n  E-‐Commerce

n  Content

Customers Porbolio

n  Consumer n  Enterprise n  Wholesale

Product Porbolio

n  SME

*) Geography coverage for internaRonal investment is basically all over the world, however for the iniRal investment, Asia and Middle-‐East will be the priority. Geography* DomesRc InternaRonal

BPO: Business Process Outsourcing KPO: Knowledge Process Outsourching

Our business por;olio (T.I.M.E) Introducing Telkom Group


Telkom’s Healthcare Vision


Telkom HIE (Health Information Exchange) (e-Health Hub)

IT Security Infrastructure

Provider Directory

PKI Server

Certificate Authority

Universal Patient Identifier

SEHR

Internet & Mobile

Email & SMS Gateway

GOV & Institutions

TPA & Private Insurance

Personal Health Web Portal

Web Service Adapter

Pharmacies

Hisys e-Apotik

Suppliers Finance

HIMBARA Link & 52 other Banks

Government Insurance & SOE’s

ASGARA & 141 SOE’s

Healthcare Providers

Doctors / Specialist

Clinics & Hospitals

Laboratories EMR

Hisys e-Hospital

Rou.ng & Transforma.on

Services Workflow Services

Solusi e-‐Health Telkom Group Menggunakan Telkom Health InformaRon Exchange

TELKOM eHospital (HIS), eclinic, epuskesmas, eGP, eApotek , eSCM, eClaim

Payor’s (GOV’t) will benefit by an interoperability and

integrated EHR and online repor.ng of Health Claim to

reduce fraud

eReferrals from primary to secondary to ter.ary

healthcare (e.g. ePuskemsas to District and Ver.cal Hospitals)

Expansion to eBilling and eSeqlement

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

Hospitals will provided the interoperability with Payers

and Medical Supplier

Pharmacies Will Provide Interoperabili.es with

Healthcare Provider thru ePrescribe and eSCM to Pharceu.cal Company


TELKOM Group e-‐Health Services : InsiaRf eGP: Solusi Ekosistem Kesehatan Bagi Dokter Umum

Apotek

KKI

Ekosistem Interaksi Kolegium §  Uji kompetensi Dokter

[UKDI]

KKI §  Surat Tanda Regeristasi [STR]

IDI §  Keanggotaan IDI/profesi §  Kompulasi SKP

Dinkes §  Surat Ijin Praktek baru [SIP] §  Perpanjangan SIP

Farmasi [Pabrikan]

§  Peresepan obat §  Data penggunaan obat

Apotek § Peresepan obat [penebusan obat]

Asuransi § Pelayanan medis Pasien Asuransi

§ Proses administrasi penghitungan jasa dokter

Rumah Sakit §  Proses rujukan

Laboratorium §  Proses rujukan

Pasien §  Pelayanan medis Pasien


InisiaRf e-‐ApoRk

e-‐ApoRk

Komunitas Apo.k (Virtual Inventory)

Sistem Informasi Management ApoRk • ERP & CRM basic bagi apo.k • Desktop berbasis SaaS yang terintegrasi dengan layanan Speedy

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

Virtual Stock • Sistem online memungkinkan apo.k dalam 1 kota membentuk komunitas dengan stock obat bersama, khususnya obat-‐obatan pen.ng.

Telkom Ehealth

Community

e-‐ApoRk e-‐ApoRk

e-‐Pharmacy Value Chain

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

• Menerima order online • Sistem pembayaran online.

TELKOM Group e-Health Services :


T E L KOM SoluRon for PharmaceuRcal Ecosystem

NATIONAL PHARMACIST PORTAL Owned by Ikatan Apoteker Indonesia

Manufacture BPOM Ass. Kesehatan

Masyarakat Mahasiswa PBF/Distributor Rumah Sakit

Apotek DINKES

ISO Online

Pengelolaan Anggota

Dauar SKP Online

Pela.han & Seminar Online

Knowledge Management

CPD

Sistem Farmasi Komunitas Terintegrasi

Data ISO Nasional

DataApoteker

DataPasien

DataMFG

DataImpor.r

DataPBF

DataApotek

Electronic MedicaRon Record

Electronic Medica.on Record


T E L KOM SO LU T I ON F OR ISO Online | Desain Solusi

ISO ONLINE

Nama Dagang

Pengolongan Obat

Komposisi

Indikasi

Kontraindikasi

Perha.an

Efek samping

Dosis

Interaksi Obat

Pabrik

Harga

Status Verifikasi

Klasifikasi

Nomor BPOM

ID_OBAT

Advance Data

BPOM

ASURANSI KESEHATAN

MASYARAKAT

MAHASISWA

MANUFACTURE

PBF/DISTRIBUTOR

RUMAH SAKIT

APOTEK

KEMENKES

MANUFACTURE

saiful hidayat perkembangan e health dalam dunia kefarmasian i stn

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