Perkembangan Teknologi Informasi dan Pemanfaatannya di Bidang Kesehatan
Prof. Richardus Eko Indrajit
Indonesian Healthcare Vision and ICT Core Vision
“Masyarakat sehat yang mandiri dan berkeadilan”
“Terwujudnya Sistem Informasi Kesehatan terintegrasi padatahun 2014 yang mampu mendukung proses pembangunan kesehatan dalam menuju
ICT Healthcare Missions in Indonesia
Memperkuat pengelolaan SIK yang meliputi landasan hukum, kebijakan dan program, advokasi dan koordinasi.
Menstandarisasi indikator kesehatan agar dapat menggambarkan derajat kesehatan masyarakat.
Memperkuat sumber data dan membangun jejaringnya dengan semua pemangku kepentingan termasuk swasta dan masyarakat madani.
Meningkatkan pengumpulan,pengolahan, penyimpanan, penyajian dan analisis data serta informasi kesehatan.
Memperkuat sumber daya Sistem Informasi Kesehatan yang meliputi pemanfaatkan teknologi informasi dan komunikasi, sumber daya manusia, pembiayaan, sarana dan prasarana.
Memperkuat kualitas data kesehatan dengan menerapkan jaminan kualitas dan sistem pengendaliannya.
The Core ICT Roles and Functions in Healthcare
Mengoptimalkan Proses Pelayanan Kesehatan pada Masyarakat
(melalui penerapan beragam aplikasi teknologi informasi)
Mengelola Data, Informasi, dan Pengetahuan yang Berkualitas
(melalui pengembangan sistem basis data terpadu)
Mengintegrasikan Pusat-Pusat Penyelenggaraan Proses Kesehatan
(melalui pembangunan jejaring infrastruktur telekomunikasi)
Jika MANUSIA = BADAN + ROH + JIWA maka
ICT Systemic and Holistic Architecture
Finansial Budaya
Strategi dan
Peta Pandu
POS
Indonesia WSIS Target on 2015
1. Connect all villages with ICTs and establish community access points
2. Connect all secondary schools and primary schools with ICTs
3. Connect all scientific and research centres with ICTs
4. Connect all public libraries, museums, post offices and national archives with ICTs
5. Connect all health centres and hospitals with ICTs
6. Connect all central government departments and establish websites
7. Adapt all primary and secondary school curricula to meet the challenges of the
information society, taking into account national circumstances
8. Ensure that all of the world’s population has access to television and radio services
9. Encourage the development of content and put in place technical conditions in order to
facilitate the presence and use of all world languages on the Internet
10. Ensure that more than half the world’s inhabitants have access to ICTs within their
Changing Paradigm in Healthcare Industry
ILLNESS paradigm
REACTIVE and PREVENTIVE
behavior
PUSH into healthcare facilities
AD-HOC/SITUATIONAL activities
LIABILITY oriented process
REFERENCE-based task
HEALTHY paradigm
QoLIFE IMPROVEMENT QUALITY
behavior
PULL into communities kiosk
ROUTINE/PERIODIC activities
ASSET maintenance process
NEED-based task
By nature, it is a revolutionary change in culture & people set of mind ! Unfortunately, that is the key to a sustainable business in the long run…
The choice: let the future change you or you invent the future …
Paradigm Change from Then to Now …
20
th Century21
st CenturyProvider-centered
Price-driven
Knowledge-fragmented
Slow diffusion of innovation
Paper-based
Episodic care
Fragmented care
Limited choice
Little quality measurement
Management by process
Adversarial government regulation
Persistent escalating cost
Patient-centered
Value-driven
Knowledge-organized
Rapid diffusion
Electronically-based
Continuous care
Coordinated care
More choice
Ubiquitous measurement
Management for outcomes
Collaborative regulation
“
“Shift Left”” in Healthcare through Technology
$1 $10 $100 $1,000 $10,000
0%
100% Independent Living Healthy,
Chronic
Disease Management DoctorOffice ’’s Community
Clinic
HOME CARE
Assisted Living
Skilled Nursing Facility
RESIDENTIAL CARE
Community Hospital
ICU Specialty
Clinic
ACUTE CARE
Technology can Help You in Re-Invent the Future
MATURITY ICT STRATEGIC ROLE VALUE
Level 1 : Support the Healthcare efficiency
Level 2 : Enable the Healthcare effectiveness
Level 3 : Drive the Healthcare rapid growth
Level 4 : Transform the Healthcare sustainability
Learning from the past experience of successful ICT implementation, it is better to start with SIMPLE applications, followed by FAST replication,
and continued with GROWING MODULES that create quick wins …
Healthcare Institution is Assigned a Spectrum of Roles
Responsiveness
Prompt Treatment
Community Support
Medical Practitioners
Cost Efficiency
Cost Effectiveness
Competitive Advantage
Strategic Alliances
Networking
Decision Support
Resource Management
Policy Formulation
Monitoring System
Financial Portfolio
Office Automation
Medical Records
Information Quality
Data Accessability
Statistics Development
Confidentiality
Document Management
Legal Protection
Audit Processing
Experts Pool
Personnel Management
Analysis Tools
Training & Development
Personal Assistance
The Multi Dimensional Roles of Healthcare Institution
Example of Healthcare Value Chain in Hospital
IN-PATIENT I/S EMERGENCY I/S OUT-PATIENT I/S SUPPORT I/S
P
Administration and Operation
Procurement and Materials Management
Supplier and Liaison Management
Financial and Accounting System
Human Resource Development
Corporate Services and Public Relations
Decision Support System and Executive Information System
Firm Infrastructure and Technology VISION and MISSION
1. Education 2. Prevention 3. Treatment 4. Early Diagnosis 5. Rehabilitation
Example of Management and Governance Framework
KNOWLEDGE COMPLEX
(pharmaceuticals, biotechnology, information technology, instruments, etc.
REGULATORY &
GOVERNMENT SERVICES
FDA; CDC&P; state & local agencies; NIH, NIMH, NCI, joint commission; CMS, etc.
INFRASTRUCTURE
financial services; third party payers; education; legal services; patents
The Technology are Attached to Key Players
The Customers The Practitioners
Case #2: Laboratory and Pharmacy on Hand
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pprraaccttiittiioonneerrss
– RRxx,, ((DDrruuggss && CCoommpplleemmeennttaarryy
mmeeddss))
– SSxx//DDxx ((SSyymmppttoomm && DDiisseeaassee
RReeffeerreennccee))
– LLaabbss && ootthheerr ttoooollss..
– iiPPhhoonnee vveerrssiioonn hhaass bbeeeenn
Projected IT Priorities
Top Business Issues Facing HealthCare
Most Significant Barriers to Implementing IT
Most Important Applications
Status of Electronic Medical Record Implementation
Top Security Concerns
Security Tools
Technology Adoption
2008 Health IT Staffing Needs
How and Where to Start ?
The Patient Record Info
System
Care Delivery Identifiers &
Coding
Security & Privacy Information
It is a Simply Individual Database Repository
Director of health
Social security
Let’’s Invent the National Healthcare Future …..
Hospital s
Primary care physician
Current system fragments patient information and creates redundant, inefficient efforts
Future system will consolidate information and provide a foundation for unifying efforts
Hospital
Outpatient RX
Physician office
Who is Inside the ““Cloud Computing”” Ecosystem?
Healthnet Cloud Computing
Ministry of Health and National Education
Pharmacies
The Research and Development Centers
IT companies General Directoarate
of Health
Specialists
General Practitioners Hospitals
Healthcare Centers
Public Other partners
The Universities and Medical Learning Center
You are Living in a National Healthcare Ecosystem…
Collaboration
Terima Kasih
Prof. Richardus Eko Indrajit
