1. The
world
in
your
hand
SAIFUL
HIDAYAT
EHealth
Project
Director
PT.
Telekomunikasi
Indonesia
.
Tbk
Konferensi
E-­‐Health
Nasional
Jakarta,
28
Maret
2012
SICP
Corporate
Strategic
Planning

2. The
world
in
your
hand
Digital
Trend
&
EHealth
Issues
EHealth
Trend
&
Expectation
Information
System
For
EHealth
Telkom
For
EHealth
SICP
Corporate
Strategic
Planning

3. DIGITAL
TREND
&
EHEALTH
ISSUES
SICP
Corporate
Strategic
Planning

4. TODAY THE WORLD IS GETTING NARROW
AND THINGS ARE CONNECTED, CLOSER,
MOBILE AND PERSONAL
SICP
Corporate
Strategic
Planning

5. WWW: WHOEVER AND WHEREVER WE ARE
SICP
Corporate
Strategic
Planning

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

7. 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 ….?
SICP
Source: The Future of Media, Gerd Leonhard, 2009
Corporate
Strategic
Planning

8. HOW’S HEALTH
GOES
DIGITAL?
SICP
Corporate
Strategic
Planning

9. EHEALTH IS
A CARING BUSINESS
NO MATTER HOW
HIGH-TECH YOU ARE
SICP
Corporate
Strategic
Planning

10. HEALTH IS ONCE ABOUT CARING.
NOW IT WILL BE MORE CARING USING TECHNOLOGY
FOR BETTER & EASIER APPLICATION
SICP
Corporate
Strategic
Planning

11. 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
Corporate
Strategic
Planning

12. Solusi
e-­‐Health
Indonesia
:
Saat
ini
masih
parsial
Profil solusi e-Health di Indonesia masih
parsial:
• Implementasi silo-silo
• Tidak terstandarisasi:
Hospital (1.922) Asuransi Jiwa (46) • 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) PlaYorm
Praktek Dokter(115.155)
Corporate
Strategic
Planning

13. Corporate
Strategic
Planning
Source :

14. E-­‐HEALTH
TREND
&
EXPECTATION
SICP
Corporate
Strategic
Planning

15. EHealth
Ecosystem
Healthcare
ecosystem
is
complex
and
oXen
fragmented,
EHealth
benefits
both
public
and
private
stakeholders
by
improving
communicaUons
and
informaUon-­‐sharing
Legend: Healthcare Ecosystem (Illustrative)
: Private DiagnosUc
Services
(Lab,
: Public Clinic/
Hospitals
Rad)
GP
Specialist
(InpaUent,
: Public & private
OutpaUent,
ED)
Pharmacy
• Wide EMR penetration • CPOE and EMR
Employer
Benefit
• Automated referrals • Referral PharmaceuUcals
Managers
• Automated coding and • Remote health
claim submission monitoring
• Automated coding &
Health
claims submission CRO
Private
Insurers
InformaUon
• Members Exchange
database
maintenance Suppliers
State
Owned
Pharmacies
• Automated
eligibility/ claims Insurer
(e.g.
processing ASKES)
PaUent/
• Claims rating Consumers
• Effective case/ Mobile
Clinic/
disease Home
Care
management MOH
• Medical records • Portable PHR
storage • Personalized Portals
Other
• Patient Education
Healthcare
(e.g.
• Remote health
Regulatory
Dental)
monitoring
Agencies
Province/
Nursing
Care
• Population health database District
Health
• Disease detection & analysis Offices
Corporate
Strategic
Planning
• Pharmaceutical supply chain optimization

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

17. Healthcare
Trend
Corporate
Strategic
Planning

18. Basic
Management
ExpectaUon
of
Healthcare
System
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”
Corporate
Strategic
Planning
Source : SKT

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

20. Key
Success
Factors
For
Successful
Healthcare
System
ImplementaUon
• Strong
Commitment
from
C’s
Level
/
High
Level
Management
• StandardizaNon
of
Healthcare
• Acceptance
&
Technology
AdopNon
Business
Process
• ConNnuous
HR
Training
and
• C o m p l i a n c e
w i t h
Development
I n t e r n a N o n a l
S t a n d a r d /
Process
AccreditaNon
(KARS,
ISO
9001,
JCI)
Successful
E-­‐Health
Technology
People
ImplementaNon
• 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
Corporate
Strategic
Planning

21. ImplementaUon
CredenUal
:
Lesson
Learn
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
Corporate
Strategic
Planning

22. INFORMATION
SYSTEM
FOR
E-­‐HEALTH
SICP
Corporate
Strategic
Planning

23. Kompleksitas
Sistem
Aplikasi
Saat
ini
Contoh
:
Proses
Bisnis
Rumah
Sakit
MarkeNng
Kesusteran
Ruang
Operasi
Administrasi
Paper
MySQL
MySQL
MySQL
In
House
Development
Pendaiaran
ApoNk
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
MSAcc
*.xls
Oracle
ess
Corporate
Strategic
Planning

24. IntegraUon
:
Simplify
The
System
E-Health
Cloud Services
Corporate
Strategic
Planning

25. Cloud
CompuUng
:
DefiniUon
&
Key
CharacterisUcs
Corporate
Strategic
Planning
References : Gartner Research

26. Why
Cloud
Now
?
-­‐-­‐Demand
Side
Efficient
àEffecUve
à
InnovaUon
• Cost
Pressure,
CAPEX
to
OPEX:
Metered
by
New
Economics
Used,
Accelerate
Speed
to
Value
Reduce
• no
patching
/maintenance,
faster
development,
robust
mulU
layer
security,
Management
reliability
&
fault
tolerance
Redifining
• latest
soXware,
internet
collaboraUon,
ProducUvity
anywhere
access,
instant
self
provisioning
…
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)
Corporate
Strategic
Planning
References : Microsoft, Gartner Research, Forrester

27. Cloud
Security
ImplementaUon
Security In The Cloud
1. Secure
Access
into
the
Cloud
2. Secure
Access
to
Web
Apps
3. Server
VirtualizaNon
• MiNgate
risk
towards
the
hypervisor
• Secure
the
OS
VM VM VM
• Inter-­‐VM
traffic
visibility
and
security
• Secure
(shared)
file
systems
4. Secure
Standard
OperaNon
&
Procedures
5. Secure
System
Development
Life
Cycle
Procedures
Security implemented everywhere …
not just on a firewall somewhere.
Corporate
Strategic
Planning

28. Cloud
Based
Healthcare
System
Trend
…
“Healthcare's
Future
Is
“By
2012,
20%
of
Partly
Cloudy:
External
businesses
will
own
Service
Provider
OpNons
for
no
IT
assets.”
Healthcare
Delivery
OrganizaNons”
“Cloud
spending
will
grow
“Every
enterprise
“Cloudsourced
3X
to
$42B
by
2010.
should
be
road
delivery…will
Cloudsourcing
takes
the
mapping
their
comprise
~25%
of
the
cloud
to
the
next
step”
adopNon
of
the
cloud”
total
BPO
market
by
2012”
Corporate
Strategic
Planning

29. TELKOM
FOR
EHEALTH
SICP
Corporate
Strategic
Planning

30. Introducing
Telkom
Group
Our
business
por3olio
(T.I.M.E)
Product
Media
Telecom
Porcolio
n Fixed
Wireline
n MulU
Channel
TV
n Fixed
Wireless
n Mobile/Cellular
InformaUon
n Broadband
Access
n Satellite
n IT
Services
&
BPO/
KPO
n Tower
n E-­‐Money
Edutainment
n Premises
IntegraUon
n Portal
n E-­‐Commerce
n Content
*)
Geography
coverage
Customers
Porcolio
BPO:
Business
Process
Outsourcing
for
internaUonal
KPO:
Knowledge
Process
investment
is
basically
all
n SME
n Enterprise
n Wholesale
over
the
world,
however
n Consumer
Outsourching
for
the
iniUal
investment,
Asia
and
Middle-­‐East
will
be
the
priority.
DomesUc
Geography*
InternaUonal
Corporate
Strategic
Planning

31. Telkom’s
Healthcare
Vision
Corporate
Strategic
Planning

32. Telkom
Group
e-­‐Health
Complete
SoluUon
Telkom
HIE
as
a
NaUonal
e-­‐Health
Shared
Service
Placorm
HIMBARA
MOH
who
will
benefit
by
an
Hospitals
will
provided
the
interoperability
and
interoperability
with
Payers
ASGARA
integrated
EHR
and
online
reporNng
of
Jamkesmas
HIE – Health Information Exchange
eReferrals
from
primary
to
Expansion
to
eBilling
secondary
to
terNary
and
eSeulement
healthcare
(e.g.
perpetuates
end-­‐to-­‐end
ePuskemsas
to
District
paperless
&
efficient
and
VerNcal
Hospitals)
claims
processing
TELKOM
e-­‐Hospital
(HIS),
e-clinic, e-puskesmas, e-GP, e-Apotek , e-SCM, e-Claim
Corporate
Strategic
Planning

33. TPA
–
e-­‐Claim
Online Claim Processing – AdMedika’s Solution
Claims
&
treatment
Services
:
Ø Online
Provider
Network
Hospitals
Insurance,
Insurance
Members
&polyclinics
Ø Personal
Customer
Service
TPA
&Corporate
(44)
(1.8
m
by
Jan’12)
(+825)
Ø Membership
/
Policy
AdministraNon
EDC
/PC
Ø 24
hours
Call
Centre
manned
by
medical
professional
30
Partnering
Hospital
(Malaysia
&
Singapore)
Ø InpaNent
Case
Monitoring
Ø Claim
AdministraNon
Dial-­‐up/GPRS/VPN-­‐Instant/VPN-­‐IP/Speedy
Ø Periodic
or
Adhoc
ReporNng
Ø Real
Nme
data
access
through
=
TPA
(Third
Party
Administrator)
web
3,000
insurance
policies
(with
600
unique
benefits)
Ø Online
UNlizaNon
Review
Main
roles
1. Member
Eligibility
2. Automated
Outpa:ent
Claims
Processing
3. Inpa:ent
Admission
&
Cashless
Discharge
4. 24
X
7
Call
Center
Assistance
Corporate
Strategic
Planning
33

34. The
world
in
your
hand
HiSys
(Health
InformaUon
System)
Produk
–
Produk
HiSys
eSIMRS eCLINIC ePUSKESMAS eAPOTIK eDINKES

35. TELKOM
Group
e-­‐Health
Services
:
e-­‐Hospitals
,
e-­‐Clinics,
e-­‐GP
(Cloud
CompuUng
–
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

36. InisiaUf
e-­‐ApoUk
Komunitas
Telkom
EHealth
• Tergabung
dalam
jaringan
layanan
kesehatan
yang
terintegrasi
Telkom
dengan
layanan
asuransi.
Ehealth
Community
• Menerima
order
online
• Sistem
pembayaran
online.
Virtual
Stock
• Sistem
online
memungkinkan
apoNk
dalam
1
kota
Komunitas
ApoNk
membentuk
komunitas
dengan
stock
obat
bersama,
(Virtual
Inventory)
khususnya
obat-­‐obatan
penNng.
Sistem
Informasi
Management
ApoUk
e-­‐ApoUk
e-­‐ApoUk
e-­‐ApoUk
• ERP
&
CRM
basic
bagi
apoNk
• Desktop
berbasis
SaaS
yang
terintegrasi
dengan
layanan
Speedy
• Laporan
siap
pakai
(depkes,
pajak,
bonus,
dll)
e-­‐Pharmacy
Value
Chain
Corporate
Strategic
Planning

37. Telkom
E-­‐Health
Development
AcUviUes
3 2 1
1. Pengembangan platform HIE
(Health Information Exchange)
2
2. Pengembangan Sistem Mini
Dashboard
eReferral
Analityc
EHR
eClaim
3
3. Modernisasi Sistem elektronik
eHR
DKB
klaim Nasional, termasuk
administrasi rujukan
4
4. Pengembangan aplikasi
vertikal untuk kesehatan
1
HIE
4
Praktek
Dokter
Rumah
Sakit
Puskesmas
Asuransi
Klinik
BPJS
DKB: Data Kepesertaan Bersama
EHR: Electronic Health Record
HIE: Health Information Exchange
Corporate
Strategic
Planning
BPJS: Badan Pelaksana Jaminan Sosial

38. SICP
Corporate
Strategic
Planning

39. 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
Corporate
Strategic
Planning