1. The
world
in
your
hand
SAIFUL
HIDAYAT
EHealth
Project
Director
PT.
Telekomunikasi
Indonesia
.
Tbk
Peningkatan
Mutu
&
Profesionalisme
dalam
Era
SJSN
Dokter
Keluarga
Siap
Menjadi
Mitra
BPJS
Sahid
Jaya
Hotel,
Jakarta
,
2
November
2012

2. Curriculum
Vitae
:
SAIFUL
HIDAYAT
Educa1on
:
-­‐ MT
in
InformaGon
System
and
Technology,
ITB
-­‐ S1
in
TelecomunicaGon,
Unibraw
Working
Experiences
:
-­‐ 2004-­‐2006
:
PT.
Telekomunikasi
Indonesia,
Tbk
:
Manager
e-­‐SoluGon
Divisi
MulGmedia
-­‐ 2006
–
2007
:
PT.
Finnet
(Telkom
Group)
:
General
Manager
of
OperaGon
-­‐ 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. The
world
in
your
hand
Digital
Trend
&
EHealth
Issues
EHealth
Trend
&
Expectation
Information
System
for
eHealth
Telkom
Cloud
For
GP
Ekosistem

4. DIGITAL
TREND
&
EHEALTH
ISSUES

5. TODAY THE WORLD IS GETTING NARROW
AND THINGS ARE CONNECTED, CLOSER,
MOBILE AND PERSONAL

6. WWW: WHOEVER AND WHEREVER WE ARE

7. Now
:
Almost
Everything
is
in
the
cloud
Corporate
Strategic
Planning

8. 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

9. HOW’S HEALTH
GOES
DIGITAL?

10. EHEALTH IS
A CARING BUSINESS
NO MATTER HOW
HIGH-TECH YOU ARE

11. HEALTH IS ONCE ABOUT CARING.
NOW IT WILL BE MORE CARING USING TECHNOLOGY
FOR BETTER & EASIER APPLICATION

12. Challenges
:
Health
Problems
&
Barrier
Health
&
Healthcare
Problems
• Cost
• Quality
of
care
• Consistency
of
care
• ConGnuity
of
care
• Disaster/Emergency
response
• Isolated,
piecemeal,
inaccessible
records
• Medical
care
separated
from
health,
life
&
prevenGon
Barriers
to
eHEALTH
AdopGon
• Co$t
• Poor
usability
• Nerdy
GUI
(Graphical
User
Interface)
• Workflow
disrupGon
• Poor
leadership
for
innovaGon
and
change
management
Corporate
Strategic
Planning

13. Solusi
e-­‐Health
Indonesia
:
Saat
ini
masih
parsial
Profil solusi e-Health di Indonesia masih
parsial:
• Implementasi silo-silo
• Tidak terstandarisasi:
Hospital (2.005) Asuransi Jiwa (54) • Interoperabilitas, sulit dikembangkan
(BUK) (Bapepam)
• Konsolidasi data sulit dilakukan (multi
format dan standrat)
• Kelengkapan data lemah karena
jangkauan kecamatan s.d pusat masih
terbatas
Puskesmas (9.005) Apotek (21.852)
Bankdata Pusdatin IAI • Akses Informasi Publik terbatas: atas
indikator dan informasi kesehatan.
è Membutuhkan
Integrated
Shared
Service
Industri Farmasi (260) Pla^orm
Praktek Dokter(115.155)
Corporate
Strategic
Planning

14. Corporate
Strategic
Planning
Source :

15. E-­‐HEALTH
TREND
&
EXPECTATION

16. Healthcare
Trend
:
Improving
Stakeholders
InteracTons
and
Benefits
MOH
Ensure Quality of Care and Patient Safety
Corporate
Strategic
Planning

17. eHealthcare
Trend
Corporate
Strategic
Planning

18. Basic
Management
ExpectaTon
of
eHealthcare
System
Need
Of
Healthcare
OrganizaGon
Note : HIS (Hospital Information System) is fundamental of digitalization in medical sector,
and enables hospitals to meet the needs of “Efficiency, Quality Service & Capability”
Corporate
Strategic
Planning
Source : SKT

19. InformaTon
System
Support
for
Healthcare
Services
Business
Process
Healthcare
services
business
process
required
InformaTon
Insurance/Payors Suppliers System
Support
:
• E-­‐PMS
(PaTent
Management
System)
• EMR
(Electronic
Medical
Record)/EHR
(Electronic
Health
Record)
Laboratoium • E-­‐Claim
(Insurance
ApplicaTon)
Pasien Loket/UGD/Admin • E-­‐Referral
System
• E-­‐PrescripTon
• E-­‐Pharmacy/e-­‐Apotek
• E-­‐Laboratory
• CRM
(Customer
RelaTonship
Diagnosa Poli Rawat Inap Management)
Warehouse
Rawat Jalan • Telemedicine
• E-­‐SCM
(Supply
Chain
Management)
• HRIS
(Human
Resource
InformaTon
System)
RS Rujukan Apotek • AccounTng/Financial
System
• EIS
and
CDSS
Corporate
Strategic
Planning
• etc

20. INFORMATION
SYSTEM
FOR
E-­‐HEALTH

21. Kompleksitas
Sistem
Aplikasi
Saat
ini
Contoh
:
Proses
Bisnis
Rumah
Sakit
MarkeGng
Kesusteran
Ruang
Operasi
Administrasi
Paper
MySQL
MySQL
MySQL
In
House
Development
Pendabaran
ApoGk
Rawat
Inap
Laboratorium
MSAcc
DBF
MySQL
MySQL
ess
Heavy
Infrastructure
Difficult
to
integrate
Arsip
Medis
IGD
Fas.
Penunjang
Billing
&
Claim
Paper
MSSQL
MySQL
MySQL
Fasilitas
Poli
A
Poli
B
Pelaporan
Penunjang
Oracle
Paper
Paper
MySQL
Keuangan
SpreadSheet
Kepegawaian
GL
MSSQL
*.xls
MSAcc
Oracle
ess
Corporate
Strategic
Planning

22. IntegraTon
:
Simplify
The
System
E-Health
Cloud Services
Corporate
Strategic
Planning

23. Manfaat
Solusi
eGP
untuk
Dokter
Keluarga
§ Info Jasa Dokter, (bagi
dokter praktek di RS)
§ Rujukan elektronik ke RS
§ Info resume RM pasien
Tempat praktek
Rumah Sakit
Tempat praktek di
luar RS
§ Manajemen Pelayanan
Pasien
§ Manajemen Database
Pasien
Pasien
Corporate
Strategic
Planning
2
3

24. Penyebaran Dokter Spesialis dan Fasilitas Kesehatan
Yang belum merata

25. Telemedicine
Penggunaan perangkat audio, video dan telekomunikasi
untuk memproses informasi terkait jasa pelayanan
kesehatan atau membantu paramedis yang jauh dari lokasi
pasien.
Telemedicine umumnya diimplementasikan untuk :
" Telekonsultasi Telekonferensi
" Tele-edukasi
" Telemonitoring
" Telesurgery

26. Telemedicine - Telekonsultasi
q Telekonsultasi adalah pertukaran interaktif citra dan informasi medis yang
diagnosis utamanya dibuat dokter di lokasi pasien.
q Telekonsultasi memungkinkan dokter dapat meminta pendapat/opini dan
berdiskusi dengan dokter spesialis di tempat yang jauh mengenai diagnosis
yang dibuatnya.
q Telekonsultasi yang efektif harus memiliki kemampuan mengirimkan :
§ Citra medis (medical images - x-rays, CT, MRI, dll)
§ Informasi medis (medical data)
§ Voice
Jenis
Sumber
Ukuran
file
Teks
dan
Laporan,
rekam
medik,
<
10
KB
numerik
korespondensi
Audio
Pembicaraan
konsultasi,
100
KB
Stetoskop
elektronik
Gambar
Hasil
CT
Scan,
Foto
1MB
rontgen,
citra
dermatologi
Sumber: Johan Harlan, Pusat Studi Informatika Kedokteran,
Video
Ultrasound
fetus
(30
sec)
10
MB
Universitas Gunardama

27. Kontribusi Telemedicine untuk Pencapaian MDG 4 & 5
Corporate
Strategic
Planning

28. TELKOM
CLOUD
FOR
GP
Ekosistem

29. Introducing
Telkom
Group
Our
business
por;olio
(TIMES)
Product
Media
Telecom
Porolio
n Fixed
Wireline
n MulT
Channel
TV
n Fixed
Wireless
n Mobile/Cellular
InformaTon
n Broadband
Access
n Satellite
n IT
Services
&
BPO/
KPO
n Tower
n E-­‐Money
Edutainment
n Premises
IntegraTon
n Portal
n E-­‐Commerce
n Content
*)
Geography
coverage
Customers
Porolio
BPO:
Business
Process
Outsourcing
for
internaTonal
KPO:
Knowledge
Process
investment
is
basically
all
n SME
n Enterprise
n Wholesale
over
the
world,
however
n Consumer
Outsourching
for
the
iniTal
investment,
Asia
and
Middle-­‐East
will
be
the
priority.
DomesTc
Geography*
InternaTonal
Corporate
Strategic
Planning

30. Solusi
e-­‐Health
Telkom
Group
Menggunakan
Telkom
Health
InformaTon
Exchange
IT Security Infrastructure Internet & Mobile GOV & TPA & Personal Health
Institutions Private Insurance Web Portal
Provider Certificate SEHR Email & SMS
Directory Authority Gateway
Universal
PKI Server Patient Identifier
Hospitals
will
provided
the
Payor’s
(GOV’t)
will
benefit
by
RouGng
&
interoperability
with
Payers
Telkom HIE (Health Information an
interoperability
and
Exchange)
and
MTransformaGon
edical
Supplier
(e-Health Hub)
Workflow
Services
integrated
EHR
and
online
Services
reporGng
of
Health
Claim
to
reduce
fraud
Web Service Adapter
Pharmacies
Will
Provide
Government Insurance
Healthcare Providers Pharmacies InteroperabiliGes
with
Suppliers Finance Expansion
to
eBilling
& SOE’s
eReferrals
from
primary
to
Healthcare
Provider
Doctors / Clinics &
secondary
to
terGary
Laboratories EMR and
eSenlement
Specialist Hospitals 9(Gp’s)thru
ePrescribe
and
perpetuates
end-­‐to-­‐end
healthcare
(e.g.
GP
to
eSCM
to
PharceuGcal
paperless
&
efficient
Specialist
on
District
and
Company
claims
processing
VerGcal
Hospitals)
HIMBARA Link & ASGARA & 141 SOE’s
Hisys e-Hospital Hisys e-Apotik 52 other Banks
TELKOM
eHospital
(HIS),
eclinic, epuskesmas, eGP, eApotek , eSCM, eClaim

31. TELKOM
Group
e-­‐Health
Services
:
e-­‐Hospitals
(Cloud
CompuTng
–
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)
Corporate
Strategic
Planning

32. TELKOM Group e-Health Services :
InisiaTf
e-­‐ApoTk
Komunitas
Telkom
EHealth
• Tergabung
dalam
jaringan
layanan
kesehatan
yang
terintegrasi
Telkom
dengan
layanan
asuransi.
Ehealth
Community
• Menerima
order
/RESEP
online
• Sistem
pembayaran
online.
Virtual
Stock
• Sistem
online
memungkinkan
apoGk
dalam
1
kota
Komunitas
ApoGk
membentuk
komunitas
dengan
stock
obat
bersama,
(Virtual
Inventory)
khususnya
obat-­‐obatan
penGng.
Sistem
Informasi
Management
ApoTk
e-­‐ApoTk
e-­‐ApoTk
e-­‐ApoTk
• ERP
&
CRM
basic
bagi
apoGk
• Desktop
berbasis
SaaS
yang
terintegrasi
dengan
layanan
Speedy
• Laporan
siap
pakai
(depkes,
pajak,
bonus,
dll)
e-­‐Pharmacy
Value
Chain
Corporate
Strategic
Planning

33. TELKOM
Group
e-­‐Health
Services
:
InsiaTf
eGP:
Solusi
Ekosistem
Kesehatan
Bagi
Dokter
Praktek
Umum
Ekosistem
Interaksi
Kolegium
§
Uji
kompetensi
Dokter
[UKDI]
KKI
§
Surat
Tanda
Regeristasi
KKI [STR]
DINKES IDI
§
Keanggotaan
IDI/profesi
§
Kompulasi
SKP
Dinkes
§
Surat
Ijin
Praktek
baru
[SIP]
Pabrik Obat §
Perpanjangan
SIP
Farmasi
§
Peresepan
obat
BPJS [Pabrikan]
§
Data
penggunaan
obat
Apotek
§ Peresepan
obat
[penebusan
obat]
Asuransi
dan
§ Pelayanan
medis
Pasien
“BPJS”
Asuransi
§ Proses
administrasi
Pasien Apotek penghitungan
jasa
dokter
Laboratorium Rumah
Sakit
§
Proses
rujukan
RS
Laboratorium
§
Proses
rujukan
Pasien
§
Pelayanan
medis
Pasien
(pendabaran,
diagnosa,
Corporate
Strategic
Planning
discharge,
emr)

34. eGP
|
IntegraGon
SoluGon
eClaims 3
HIE- EHR
2
Payors (e.g. MoH can obtain
Insurance and primary
BPJS) can process healthcare data
primary outpatient from GPs
claims from GPs
faster
TELKOM
HIE
PLATFORM
1
eGP
GPs (and Specialists) 5
ePharmacy
can register patients and Pharmacy retailers 4
HIS
transact with other can get prescription Hospitals can get
stakeholders from GPs via eGP referrals from GPs
via eGP
Corporate
Strategic
Planning
3
4