dr. boenjamin s, jalan pintas menuju afta dalam industri kesehatan. 52 slides..pdf

8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf

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Jalan Pintas menuju AFTA

dalam Industry Kesehatan

Boenjamin Setiawan, dr.,PhD

Honorary Chairman

PT Kalbe Farma Tbk

11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa

Kedokteran Indonesia

Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia


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The Dawn of the Knowledge Era

21st century will be the century of knowledge

.the process of transition is on

Human Resource Development is the KEY forIRRADICATING POVERTY and Economic Development

Spectacular developments in science and technology

Unparalleled economic growth

globalization, competition, innovation at the vanguard

Uncontrolled exploitation of earths resources





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Innovation is the KEY of WEALTH Creation

Innovation is the lifeblood of our global economy and

a strategic priority for all CEOs everywhere. Were allfamiliar with classic cases where revolutionary ideasupended industries and generated enormous wealth:

1) the Apple iPods outplaying the Sony Walkman;

2) Starbucks beans and atmosphere flooding outtraditional coffee shops;

3) Skypes using a strategy of free to unspool AT&T.

4) But how about Reckitt Benckiser Group, the Britishconsumer products giant (Lysol, Woolite, Clearasil),which looks to customers, among others, to find newmethods to detect parasites?



http://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=aapl&tab=searchtabquotesdarkhttp://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=sbux&tab=searchtabquotesdarkhttp://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=sbux&tab=searchtabquotesdarkhttp://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=aapl&tab=searchtabquotesdark


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Idea People Tools




Innovation

Products andProductivity

R & D

Goal: Strengthening the Economy


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Government-University-Industry Partnership

(ABGC)

IndustryProducts

GovernmentDriver

UniversityResources




R & D

Set R&D Policy and

Provide Funding

Promote and

Stimulate


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Government

Conduct research critical to national interests

Federal labs (NIST, NREL, Oak Ridge, etc.) Provide research funding via government agencies

University

Basic and applied research (Open)

Training and prepare future workforce

From ideas to bench-scale prototypes

Industry

Market-driven product research and innovation From ideas to prototypes, to large scale manufacturing

and marketing





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U.S. Science and Technology Policy

National Science and Technology

Council (cabinet-level council)

Chaired by the President A primary objective of the NSTC is the

establishment of clear national goals for

Federal science and technology investments

in a broad array of areas

11 Octber 2014, Diskusi Panel

Ikatan Senat Mahasiswa




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If INDONESIA is serious about

competing in the global market, it is

time to understand the impact of

Science and Technology andEducation on the economy.

One I-phone 5 costs

more than a ton of rice





Innovation versus Business as Usual


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Industry-University Cooperative Research

Center (IUCRC)

Researchers from partner universitiessubmit ideas and proposals competing on aspecific problem

IAB reviews and select projects for funding basedon quality and competitive process (notinstitution)

Outcomes and innovation from projects are

jointly owned by the researchers and allindustrial partners






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IUCRCCenter

Federal,State, and

Lead

University

Consortium ofUniversities andResearchers -

R & D

Research Outcomeand Innovation

IndustrialPartners (IAB)

-set problems

IUCRC for a Specific Industrial Interest

Financial Support:

Seed Funding and

Membership Fee

Full-scale product

manufacturing


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What about Indonesia ?? We have to set priorities in a multicomplex

environment, which are as folllows:

1. Education and Health for the population

2. Innovation through R&D by increasing thebudget to achieve 1% of GDP in 2017

3. Infrastructure has to be developed

4. Energy, Biofuel, Solar/Wind/Nuclear/Hydro/

energy must be developed5. ICT, Nano, Robotics, Biotechnology, Geneticengineering etc.






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Proyeksi kedepan, Indonesia akan menjadi negara

berpendapatan tinggi di tahun 2025, MP3EI





$3,005 $5,300

$9,000

$14,900

$22,500

$30,400

$38,600

$46,900

2010 2015 2020 2025 2030 2035 2040 2045

GDP Nominal (US$ Miliar)

711 4,257 9,70616,57

8Populasi (Juta orang)

237

PERSIAPAN PERCEPATAN KEBERLANJUTAN

6,7932,4161,33512,98

9

286 319 353302269253 336

GDP Nominal per capita

Indonesia menjadi negara berpendapatan

tinggi dengan GDP per capita

USD 14,250-USD 15,500

Sumber: KEN, Proyeksi Ekonomi Indonesia 20112045


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Visi 2025

2010PDB ~ US$ 700 Milyar

Pendapatan/kap US$ 3,000 (2010)

Terbesar ke-17 besar dunia

2025PDB: 3,8 4,5 Trilyun US$

Pendapatan/kap:

13.000 16.100 US$

Terbesar ke-12 dunia

Proyeksi KEN Pendapatan/kapita~US$ 14,900 (high income country)

2045

PDB ~US$ 16.6 TrilyunPrediksi Pendapatan/kapita~US$ 46,900

Diprediksi menjadi terbesarke-7 atau ke-8 dunia*)





Mengangkat Indonesia menjadi negara

maju dan merupakan kekuatan 12 besar

dunia di tahun 2025 dan 8 besar dunia

pada tahun 2045 melalui pertumbuhan

ekonomi tinggi yang inklusif dan

berkelanjutan

berbasis IPTEK

100 tahun

kemerdekaan

(Sumber: Master Plan

Percepatan danPerluasan

Pembangunan Ekonomi

Indonesia 2011 2025 )

Pencapaian Visi 2025 dan 2045 memerlukan penyiapan generasi yang mampu berperan aktif

dalam kegiatan pembangunan. Dan harus dimulai sekarang dan generasi sekarang (PAUD)


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World Health Care Industry 2013

1. Total World GDP is around 70 trillion USD

2. Total world health care industry is about 9% ofworld GDP = 6.3 trillion USD

3. Market size of Medicines is 15% of total healthcare industry = 945 billion USD.

4. Market size of Medical Devices is about 4% ofWorld Health care Industry = 253 billion USD

5. Market size of Human Services of the Healthcare Industry in the US is about 8% of the TotalHealth Care Industry = 560 billion USD






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Which Country have the most Efficient

Health Care System

U.S. outpaces industrialized nations on health costs, not quality

For the rankings, Bloomberg researchers used data from the World

Bank,International Monetary Fund, World Health Organization (WHO),

and Hong Kong Department of Health. Researchers ranked only countries

with a population of at least five million, a life expectancy of at least 70 years,and a gross domestic product (GDP) of at least $5,000. Each of the 48

qualifying countries' health care system was evaluated based on:

1.Life expectancy, which accounted for 60% of the ranking;

2. Relative per capita cost of health care (percentage of GDP per capita),

which accounted for 30%; and

3. Absolute per capita cost of health care (expenditures covering preventive

services, family planning, nutrition, and emergency aid), which accounted

for 10%.




http://www.advisory.com/Daily-Briefing/2012/05/04/US-outpaces-industrialized-nations-on-health-costs-not-qualityhttp://www.advisory.com/Daily-Briefing/2012/05/04/US-outpaces-industrialized-nations-on-health-costs-not-qualityhttp://www.bloomberg.com/visual-data/best-and-worst/most-efficient-health-care-countrieshttp://www.bloomberg.com/visual-data/best-and-worst/most-efficient-health-care-countrieshttp://www.advisory.com/Daily-Briefing/2012/05/04/US-outpaces-industrialized-nations-on-health-costs-not-quality


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Bloomberg Score of Most Efficient Health Care

System , 2014

Bloomberg gave each country an efficiency "score," with a score of 100

representing a perfect system.

According to Bloomberg, the top 10 countries and their scores are:

1. Hong Kong (92.6)

2. Singapore (81.9)

3. Japan (74.1)

4. Israel (68.7)

5. Spain (68.3)

6. Italy (66.1)

7. Australia (66)

8. South Korea (65.1)

9. Switzerland (63.1)

10. Sweden (62.6)11 Octber 2014, Diskusi Panel





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1. The Global Health Care Industry1.1. The global Health Care industry is one of the world's fastest

growing industries, absorbing over 10% of gross domestic product of

most developed nations.It constitutes of broad services offered by various hospitals, physicians, nursing homes,

diagnostic laboratories, pharmacies and ably supported by drugs, pharmaceuticals, chemicals,

medical equipment, manufacturers and suppliers.

The medical and health care industry provides enormous employment opportunities to

choose from. Apart from using the services of medical professionals, this industry also utilizesthe expert services of public policy workers, medical writers, clinical research lab workers, IT

professionals, sales/marketing professionals and health insurance providers.

1.2. SIZE OF THE INDUSTRYThe United States of America has one of the largest medical and healthcare industries in the

world, followed by Switzerland and Germany. The USA's medical industry comprises of morethan 750,000 physicians and 5,200 hospitals. USA witnesses approximately 3.8 million

inpatient visits and 20 million outpatients visit on a daily basis. Furthermore, the United

States of America has the largest workforce i.e. one in every 11 US residents employed in the

health care business.


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The Global Health Care Industry

1.3. The global healthcare industry market is forecast to reach $7

trillion in 2012 (10% of world GDP), according to research fromGlobal Industry Analysts. Investment in sectors such as home

healthcare, healthcare IT and telehealth are expected to continue

fuelling market expansion. Due to the worlds aging population, the

demand for home healthcare is likely to continue climbing over the

years to come.

1.4. The healthcare services industry is labor intensive and

overburdened in many regions, making telehealth and

healthcare IT attractive options. With medical technologiescontinually developing, these options are proving beneficial to

patients and the overall healthcare system.


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GLOBAL SPENDING ON MEDICINES

Annual global spending on medicines will reach nearly $1.2 trillion by 2016, as the

pharmerging markets, biologics and generics contribute more to spending.

In the developed markets, including the United States, Europe and Japan, spending will decline

to 57% of the global total due to expiring patents for a number of significant brand-name drugs,

slower increases in spending on branded products, and increased cost containment measures

by payers.

Alternatively, pharmerging markets will reach 30% of global spending by 2016, as population

and economic growth contribute to dramatically higher use of medicines in these markets.

Overall, the top 20 therapy areas will account for 42% of global spending, led by cancer,

diabetes and asthma/COPD.

An accelerated shift to the use of generic medicines is expected, both from an unprecedented

level of patent expiries in the U.S., and from volume-driven growth in the largely generic-usingpharmerging markets. At the same time, lower-cost versions of expensive biologic medicines, or

biosimilars, will continue to be launched, though slowly, and will account for only $4-6Bn, or 2%,

of the $200-210Bn in spending on biologics by 2016.


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Opportunities in ASEANs Healthcare SectorHealthcare in ASEANThe Association of Southeast Asian Nations (ASEAN) is a geo-political and economic organisation

comprising of Singapore, Indonesia, Malaysia, Thailand, the Philippines, Brunei, Myanmar,

Cambodia, Laos and Vietnam. Established in 1967, the group has been instrumental inpromoting the regions economic growth and development. Collectively, the group has

established economic links and entered into free trade agreements with various countries

including China, Japan, South Korea, India, Australia and New Zealand.

With a combined nominal GDP of over 2.3T USD, ASEAN as a bloc is presently the

eighth largest economy in the world.In recent times, despite weak economic conditions in the US and EU as well as slowing growth in

China, the ASEAN economy has maintained its robust growth trajectory. When the ASEAN

Economic Community (AEC) will be implemented in 2015, the common economy is

expected to join the ranks of China and India as a major economic growth force in Asia.

Healthcare is a priority sector that the ASEAN governments have identified for region-wide

integration. The upcoming AEC formation is expected to further accelerate the growth of theregions healthcare industry, driven by additional foreign direct investments, freer flow of trade,

manpower and capital within ASEAN, and growing affluence among ASEAN countries. Table 1

below provides a rough indication of the overall potential size of the AEC market.


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ASEAN Opportunities in Health Care






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ASEAN Total Population Growth rate and GDP

2012






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The Outlook for Medical Tourism in Asia





December 2012 An interesting article recently came out declaring

that medical tourism in Asia could reach USD 8.5 billion by the end ofnext year. [1] This is a very impressive figure but according to recent

estimates by McKinsey & Co., worldwide medical tourism is a USD 10

billion industry [2], a figure which leaves Asia ample opportunity to

catch up and grow further.

Likewise, research firm, Global Information Inc., elaborated in its report

that Thailand and India have been dominating the industry for quite

some time, while the Philippines, Malaysia, Singapore and South

Korea have put in place government-supported medical tourism

programs to capitalize on this growing industry. Case in point, Singaporeand Malaysia have been posting double digit annual compound growth rates of 11.9

and 29.3 percent respectively, in terms of international patient arrivals for the past

couple of years. Unfortunately INDONESIA is left behind


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Medical Tourism





So what could be the factors fueling this rapid growth? Advancementsin service delivery models and medical technology, rise of low-cost travel,

extensive tourism infrastructure and the evolving methods of medical marketingthrough social media are emphasized by analysts as the main elements that affect

the decision for offshore medical care. These factors continually lure cost-

conscious patients with the consolation of exploring Asia, since the bargain of

combining cost-effective treatment and travel in one airline ticket is hard to beat.

With spiraling medical costs in the United States and to a certainextent, Europe's bleak economic outlook, patients are now looking

elsewhere for medical treatments. The US Medical Tourism

Association compared the actual costs for specific medical

procedures in various countries including some in Southeast Asia.

The data below highlights the disparity between Asian countries and

the United States when it comes to cost of certain treatments.


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Cost comparison for selected surgeries, 2007

Surgery U.S. India Thailand Singapore

Heart bypass $130,000 $10,000 $11,000 $18,500

Heart valve $160,000 $9,000 $10,000 $12,500

replacement

Angioplasty $57,000 $11,000 $13,000 $13,000

Hip replacement $43,000 $9,000 $12,000 $12,000

Hysterectomy $20,000 $3,000 $4,500 $6,000

Knee replacement $40,000 $8,500 $10,000 $13,000

Spinal fusion $62,000 $5,500 $7,000 $9,000

Source: American Medical Association, June 2007,

available at: http://www.medicaltourism-guide.com/2008/04/03/cost-comparison/


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Economic Update, (Oxford Business Group)

Investing in Indonesia's private sector health careOBG Indonesia | 15 Aug 2013

With Indonesias new universal health care programme expected toput pressure on the public hospital system, investors are looking to

develop private sector medical facilities as an alternative for the

growing middle class.

Under the government scheme, all Indonesians will have some

form of health coverage by 2019, up from around 50% at present.The system will provide insurance to millions who lack access to employer-

sponsored plans and cannot afford private coverage, but it is also likely to stretch

capacity at state hospitals and clinics. Initial trials of the comprehensive scheme

in Jakarta saw sharp increases in the numbers of patients attending government

facilities, many of whom were visiting the hospital for the first time.






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Share of Total Health Expenditure (%) 1996-2006

30

40

50

60

70

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

public private out-of-pocket private

Indonesias Health Spending Trends, 2010





Total expenditure on health averaged 2% ofGDP over the 11 year period 1996-2006.

The Government is planning to implementthe National Social Security System. Since2004, the Government has implementedhealthcare program for poor people through

Asuransi Kesehatan Masyarakat Miskin(Health Insurance for Poor Population) or

Askeskin program and currently is replaced byJaminan Kesehatan Masyarakat (PublicHealth Insurance Scheme for the Population)orJamkesmas program.

In Q4 2009, the new Healthcare Law has beenapproved and provides guideline for

Government to increase the healthcarespending from 2% up to 5% of GDP , but untiltoday not yet realized.

In 2013 the Health Insurance System will berealized

31

Total Expenditure on Health as % of GDP

Source: WHO National Health Accounts database, September 2008

1.0

1.5

2.0

2.5

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Source: The World Bank

6.0

5.0

4.7

4.2

3.2

2.5

- 1.0 2.0 3.0 4.0 5.0 6.0 7.0

Vietnam

India

China

Malaysia

Philippines

Indonesia

Source: Daily Newspaper Suara Pembaruan , 29 March 2010

Total Expenditure on Health as % of GDP


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Indonesias Key Healthcare Indicators shows that Demand is Growing

Fast, and providing many Business Opportunities, from increasing

healthcare spending & industries, rising middle class, greying population

and chronic diseases as well as implementation of SJSN in 2014

Healthcare Key Drivers

Source: Frost & Sullivan, 201211 Octber 2014, Diskusi Panel





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Rising of middle class and greying population increase the incidence of

chronic and autoimmune diseases. It will drive demand for newer, better and

targeted therapeutics. Some opportunities are: Biologics & Biosimilars, New

Technology / Invention and Ethical Originator, Vaccine, Molecular Diagnostics,Point of Care Testing products and use of STEM CELLS

INDONESIA


Ikatan Senat MahasiswaKedokteran Indonesia


Some examples of E

Health Services are:


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Home Monitors

i-Pods formedical historyTelemedicine

Kiosk

E-Prescribing

Some examples of E-Health Services are:



http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=sgMdmp2kvWmOVM&tbnid=JJS-Xmbj6HIVWM:&ved=0CAgQjRwwAA&url=http://gizmodo.com/172685/motiva-home-health-monitoring&ei=8uVwUfajL8LWrQfT7oCIAw&psig=AFQjCNEEnWnvS47wWQo5XDpwoaTiH-HKdg&ust=1366439794898046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=8mm7jfZCGVun_M&tbnid=-FjnmEpmWS0NiM:&ved=0CAgQjRwwADhk&url=https://itunes.apple.com/us/app/my-health-record-keeper/id418612831?mt=8&ei=d2R3UYq-HczLrQevh4DgCw&psig=AFQjCNG3VjwjPVFAbtPgxd_mXP888xViow&ust=1366865399557914http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=kENqTItJtv7GuM&tbnid=rzIlbHHj3iAknM:&ved=0CAgQjRwwADhJ&url=https://itunes.apple.com/us/app/labgear-medical-lab-reference/id350942163?mt=8&ei=jl93UZqJPNHirAfGnIGYDw&psig=AFQjCNF2zooLJwP8vejDZWID6WAjFbRz5Q&ust=1366864143056394http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=4EiZoUKszPH2tM&tbnid=jCCsfvkwxB4ccM:&ved=0CAgQjRwwADgo&url=http://www.eprescribing.org/&ei=3h1-UazaCcbJrAeDyIHgCQ&psig=AFQjCNErj5Ygfy0d1gNeV2SgGSjtxuoM_A&ust=1367306078246198http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=kENqTItJtv7GuM&tbnid=rzIlbHHj3iAknM:&ved=0CAgQjRwwADhJ&url=https://itunes.apple.com/us/app/labgear-medical-lab-reference/id350942163?mt=8&ei=jl93UZqJPNHirAfGnIGYDw&psig=AFQjCNF2zooLJwP8vejDZWID6WAjFbRz5Q&ust=1366864143056394http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=kENqTItJtv7GuM&tbnid=rzIlbHHj3iAknM:&ved=0CAgQjRwwADhJ&url=https://itunes.apple.com/us/app/labgear-medical-lab-reference/id350942163?mt=8&ei=jl93UZqJPNHirAfGnIGYDw&psig=AFQjCNF2zooLJwP8vejDZWID6WAjFbRz5Q&ust=1366864143056394http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=8mm7jfZCGVun_M&tbnid=-FjnmEpmWS0NiM:&ved=0CAgQjRwwADhk&url=https://itunes.apple.com/us/app/my-health-record-keeper/id418612831?mt=8&ei=d2R3UYq-HczLrQevh4DgCw&psig=AFQjCNG3VjwjPVFAbtPgxd_mXP888xViow&ust=1366865399557914http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=8mm7jfZCGVun_M&tbnid=-FjnmEpmWS0NiM:&ved=0CAgQjRwwADhk&url=https://itunes.apple.com/us/app/my-health-record-keeper/id418612831?mt=8&ei=d2R3UYq-HczLrQevh4DgCw&psig=AFQjCNG3VjwjPVFAbtPgxd_mXP888xViow&ust=1366865399557914http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=wHF6aVj-eQua7M&tbnid=s6uG0SdIesRp9M:&ved=0CAgQjRwwADgS&url=http://www.medgadget.com/2012/06/solohealth-station-kiosks-set-to-provide-free-health-screenings-following-fda-clearance.html&ei=T-dwUbOZHI79rAe70oCQBg&psig=AFQjCNGWk5oBl2TSXHhbUBHhTtxHTpSyiQ&ust=1366440143569761http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=wHF6aVj-eQua7M&tbnid=s6uG0SdIesRp9M:&ved=0CAgQjRwwADgS&url=http://www.medgadget.com/2012/06/solohealth-station-kiosks-set-to-provide-free-health-screenings-following-fda-clearance.html&ei=T-dwUbOZHI79rAe70oCQBg&psig=AFQjCNGWk5oBl2TSXHhbUBHhTtxHTpSyiQ&ust=1366440143569761http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=sgMdmp2kvWmOVM&tbnid=JJS-Xmbj6HIVWM:&ved=0CAgQjRwwAA&url=http://gizmodo.com/172685/motiva-home-health-monitoring&ei=8uVwUfajL8LWrQfT7oCIAw&psig=AFQjCNEEnWnvS47wWQo5XDpwoaTiH-HKdg&ust=1366439794898046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=sgMdmp2kvWmOVM&tbnid=JJS-Xmbj6HIVWM:&ved=0CAgQjRwwAA&url=http://gizmodo.com/172685/motiva-home-health-monitoring&ei=8uVwUfajL8LWrQfT7oCIAw&psig=AFQjCNEEnWnvS47wWQo5XDpwoaTiH-HKdg&ust=1366439794898046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=4EiZoUKszPH2tM&tbnid=jCCsfvkwxB4ccM:&ved=0CAgQjRwwADgo&url=http://www.eprescribing.org/&ei=3h1-UazaCcbJrAeDyIHgCQ&psig=AFQjCNErj5Ygfy0d1gNeV2SgGSjtxuoM_A&ust=1367306078246198http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=4EiZoUKszPH2tM&tbnid=jCCsfvkwxB4ccM:&ved=0CAgQjRwwADgo&url=http://www.eprescribing.org/&ei=3h1-UazaCcbJrAeDyIHgCQ&psig=AFQjCNErj5Ygfy0d1gNeV2SgGSjtxuoM_A&ust=1367306078246198


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Craig D. Jerald Break the Curve Consulting

NSBA 2009 Federal Relations Conference

Washington DC February 1 2009

Preparing

Studentsfor the

21 stCentury


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I. How is the worldchanging?





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Forces changing skilldemands

1. Automation

2. Globalization

3. Workplace change

4. Demographic change

5. Personal risk and responsibility





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Automation





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Changing mix of jobs in the economy

12%14%

38%

18%

8%

22%

25%

33%

12%14%

0%

40%

Blue collar

workers

Admin support

workers

Sales related

occupations

Technicians,

professionals,

managers,

administrators

Service

workers

1969 1999

Source: Levy, F. & Murnane, R. J. (2004). The new division of labor: How computers are creating the next job market. Princeton, NJ: Russell

Sage Foundation. (p. 42, Figure 3.2)

Pe

rcentofemployedadult

s





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Globalization





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Implications for yourstudents

Suddenly more people from more different places could

collaborate with more other people on more different kinds of

work and share more different kinds of knowledge than ever

before.

Thomas Friedman (2005)

Highly skilled people with roughly the same qualifications are

competing directly with each other, no matter where they are

located on the globe.

the New Commission on the Skills of the American workforce (2007)

Sources: 1) National Center on Education and the Economy. (2007). Tough choices or tough times: The report of the New Commission on the Skills of the

American workforce. San Francisco, CA: Jossey-Bass. (p. 19)

2) Friedman, T. L. (2005). The world is flat: A brief history of the twenty-first century. New York: Farrar, Straus and Giroux. (p. 81)11 Octber 2014, Diskusi Panel




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Workplace change





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More important in the 21st

Century

Postsecondary education and training

Academic knowledge and skills

Practical literacies: The ability to use knowledge

of math, English, science, civics etc. to meet

real-world challenges.

Broader competencies: Critical thinking and

problem solving, communications and

collaboration, creativity, self-sufficiency etc.





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Broad Competencies: Which aremost critical? The 3 C

s!

1. Critical thinking and problem solving

Labor economists Levy & Murnane call it

expert thinking

2. Communication/Collaboration

Levy and Murnane call it complex

communications

3. Creativity11 Octber 2014, Diskusi Panel



Hi t f K lb F Tbk


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History of Kalbe Farma Tbk

Founded on September 10th, 1966. Started its operation in a modest garage at Jalan

Simpang I No. 1, Tanjung Priok.




10 Companies that started in a garage


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10 Companies that started in a garage

1. Apple started by Steve Jobs (21) and Steve Wozniak (26)

2. Amazon, started by Jeff Bezold in 1994 3. Disney, started by Roy and Walt Disney in 1923

4. Google, As Stanford Graduate students, Larry Page and Sergey Brin inSeptember 1994, started whats now known as Google from Susan Wojcickisgarage.

5. Harley Davidson, In 1901, 21-year-old William S. Harley drew up plans to

create a small engine to power a bicycle. 6. Hewlett-Packard, Bill Hewlett and Dave Packard In 1939, founded HP in

Packards garage with an initial investment of $538. 7. Lotus cars, In 1948, at the age of 20, Anthony Colin Bruce Chapman started Lotus Cars

8. Maglite, In 1955, after saving $125, Tony put a down-payment on his first lathe. Then hestarted working out of a Los Angeles area garage to manufacture precision parts. He

incorporated Mag Instrument in 1974 and released their first flashlight in 1979. 9. Mattell, Harold Matt Matson and Elliot Handler founded Mattel out of a garage in

Southern California as picture frame company in 1945, Today Mattel, Inc. is the highest-grossing toy company in the world.

10. Yankee Candle Company, In 1969, at 16 years old, Michael Kittredge made his scentedcandle in his garage out of melted crayons as a gift for his mother.




Wh t th R f S ??


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What were the Reasons for Success??

1. The RIGHT time, because in 1966 the Suharto Gov.

opened the doors for foreign investment.

2. The RIGHT products and RIGHT pricing, becauseas a pharmacologist and practising physican Iknew the needs of doctors

3. The RIGHT marketing strategy, following thefootsteps of the foreign companies by promotionthrough Medical Reps.

4. The RIGHT company strategy by Professionalizingour team from the beginning

5. The RIGHT and BRIGHT people to run thecompany





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Act Local, Go Regional (ASEAN) THINK GLOBAL

and MOVE FAST, 2010-2020

1. PT Kalbe Farma is now the largestPharmaceutical Public Company in Indonesia

2. Go Regional, we must aim to become numberone in ASEAN

3. The next step is to think and become a GLOBALPLAYER

4. All this can only be achieved if we have the BESTand the BRIGHTEST PEOPLE in our company

5. R&D on Biosimilars and Stem Cell research mustbe prioritized for Degenerative Diseases andCancer Therapy





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Toward the New Sustainable Model: A Roadmap

1. The Healthcare Industry must Diversify and enter into the whole range of theHealthcare Industry

2. The Health Care Industry must Adapt, Adopt, Align, Agree and Act to theChanging Environment

3. The HCI must go into Biosimilars, Biotechnology, Stem Cells, Changing

Demography, and Personalized Medicine4. The Health Care Industry must be able to make use of the New Technologies

5. The Health Care Industry must Adapt Through ContinuousINNOVATION


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Will the Health Care Industry Change?


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y g

Yes, Survival of the Fittest and Most Intelligent Industry through INNOVATION





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dr. boenjamin s, jalan pintas menuju afta dalam industri kesehatan. 52 slides..pdf

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