sharing : sumbangsih telkom untuk ekosistem kesehatan pada reuni akbar fakultas kedokteran...

SICP Corporate Strategic Planning

The world in your hand

Temu Alumni FK Unair Lintas Angkatan Tahun Masuk 1950 – 2006 Surabaya, 26 November 2011

SAIFUL HIDAYAT Ehealth Project Director

PT. Telekomunikasi Indonesia . Tbk

Corporate Strategic Planning

Curriculum Vitae :

SAIFUL HIDAYAT Educa1on : -‐  MT in InformaFon System and Technology, ITB -‐  S1 in TelecomunicaFon, Unibraw Working Experiences : -‐  2004-‐2006 : PT. Telekomunikasi Indonesia, Tbk : Manager e-‐SoluFon Divisi MulFmedia

-‐  2006 – 2007 : PT. Finnet (Telkom Group) : General Manager of OperaFon

-‐  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



TELKOM View On E-‐Health

TELKOM Readiness For E-‐Health Solution

TELKOM Approach & Benchmark

Q & A


TELKOM VIEW ON E-‐HEALTH


Expertise – Empowering – Progressive - Assured - Heart

Healthcare ecosystem is complex and often fragmented, eHealth benefits both public and private stakeholders by improving communications and information-sharing

Healthcare Ecosystem (Illustrative)

Employer Pharmacy Benefit

Managers

Private Insurers

State Owned Insurer (e.g.

ASKES)

Regulatory Agencies

MOH

Province/ District Health

Offices

Other Healthcare (e.g.

Dental)

Nursing Care

Mobile Clinic/ Home Care

Pharmacies

Hospitals (InpaYent, OutpaYent, EClaims)

DiagnosYc Services (Lab,

Rad) Clinic/ Specialist GP

CRO

PharmaceuYcals

Suppliers

PaYent/ Consumers

•  Members database maintenance

•  Automated eligibility/ claims processing

•  Claims rating •  Effective case/

disease management

•  Medical records storage

•  Portable PHR •  Personalized Portals •  Patient Education •  Remote health

monitoring

•  Wide EMR penetration •  Automated referrals •  Automated coding and

claim submission

•  Population health database •  Disease detection & analysis •  Pharmaceutical supply chain optimization

•  CPOE and EMR •  Referral •  Remote health

monitoring •  Automated coding &

claims submission

: Private : Public

: Public & private

Legend:


MOH Ensure Quality of Care and Patient Safety

Challenges : Improving Stakeholders InteracYons and Benefits


SUPPLIERS CONSUMERS HEALTHCARE ORGANIZATION

Doctors/ Specialist

Hospitals

Pharmacy

Vendors/ Supplier

Insurance Providers Healthcare

Providers

Patients & their families

B 2 B Support Value

Processes

B 2 C Primary Value

Processes

 Operating Efficiency : –  Online Claims

Submission and Reimbursements with Insurance Carriers

–  Connects Multiple Suppliers and Buyers

–  One Stop Shopping – MedPool, Reverse Auctions, Auctions

 Electronic Prescriptions

–  Reduces Errors, Saves Lives, Increases Efficiency

–  Online Pharmacy –  Targeted Marketing

 Connecting Patients and Physicians – Online Medical

Appointment – Online posting of surgical

procedures including costs, and sorting results

 Remote Patient

Monitoring – Cardiac and Diabetic

Monitoring of Patients  Online Second Opinion

Source : Georgia State University

E-‐Health Stakeholders RelaYonship


Patients & their families

Doctors/ Specialist Hospitals

Healthcare Providers

Pharmacy

Insurance Providers

Vendors/ Supplier

•  Hospital/Clinic Information System •  On Line Medical Report (dapat diakses oleh pasien,

docter / specialist dan lab)‏ •  Telemedicine: Penggunaan audio, video dan

perangkat lain telekomunikasi untuk memproses informasi terkait jasa pelayanan kesehatan atau membantu paramedis yang jauh dari lokasi pasien.

•  Personal Health Care System: Sistem pencegahan pendukung untuk mengawasi dan perawatan pasien secara individu (contoh: HotHealth)‏

•  Third Party Administrator: Penyedia jasa yang memberikan layanan kepada perusahaan asuransi dan TPA seperti Yakes dalam melakukan pengecekan dan validasi klaim dari pasien.

•  Supply Chain Management/On line distribution support system untuk obat dan/atau farmasi (contoh: Kimia Farma, Century, Guardian)‏

•  National Healthcare Management Sytem untuk menyediakan infrastruktur dan aplikasi pelaporan data kesehatan nasional berupa Datawarehouse dan Decision Support System (SIKDA/SIKNAS)‏

Integration Services

Laboratories

Key e-health Modules

Source: Georgia State University & Internal Analysis

InterrelaYon Ehealth ParYes


E-‐Health Trend


APPROACH AND BENCHMARK


Singapore: Healthcare is part of Government e-Service for Citizens

Government Services

Citizens

Birth Registration Death Registration Change of Address

Passport Application Report loss of passport Application for Residency

Search for School Enrol into school Check Examination Results Search for Student Care Services Application for Student Pass

Search for Medical Professional Make Medical Appointment Application of Medical benefit Prescription Drug Assistance

Search for Social Activities Registration for Marriage

Search for Counselling centre

Registration for Government Nursing Homes

Application for Domestic Helper

Search for Public Housing Application for Public Housing Application for Financing Scheme

Search for Legal Aid Report Loss of belongings Search on Legal Records

Register yourself overseas Overseas Mission

Request to hold Mail Request for mail re-delivery

People Hub

Employment Hub Establishment

Hub

Education Hub

HealthCare Hub

e.Identification e.Healthcare e.Education

e.Transportation e.Housing

e.Taxation e.Family

e.Employment

e.Contact

e.Utility

e.GovtShop e.Post Office

e.Disaster Mgt e.Security e.International Affairs

Foreign Affairs Agency

Internal Affairs Agency

Transportation Agency

Taxation Agency

Educatiuon Agency

Healthcare Agency

Energy Agency

Social Services Agency

Other Agencies

Benchmark Singapore: Healthcare is part of Government e-‐Service for CiYzens


Situation: §  Between 2 Big Groups of

health service companies in Singapore, in a Single Framework of e-Health, the Competition & collaboration naturally in place & compliance as well

§  Hospital become the centered of Singapore ICT System

§  Grouping divided based on areas, East & West, which compete with each other

§  EMRX as a hub connecting the East-West and other groups or agencies

§  EMRX owned by Ministry of Health

Benchmark Singapore: e-Health Framework

Source: http://www.moh.gov.sg/mohcorp/pressreleases.aspx?id=1366

Benchmark Singapore: e-‐Health Framework


Stakeholder e-Health Indonesia

13

Stakeholder E-Health di Indonesia dapat digroupkan sebagai berikut:

E-‐Health Stakeholder di Indonesia

Service Support

•  Rumah Sakit dan Klinik •  Praktek Dokter •  ApoFk dan Toko Obat

Decision support dan Research

•  Pemerintahan (Kementrian Kesehatan)‏ •  Perguruan Tinggi

Business Support

•  Asuransi dan Perbankan •  Industri Farmasi dan Alat Kesehatan

InformaYon of Healthcare services

•  Pasien dan Keluarga-‐nya •  Publik


The WHO Global Survey Year 2009 for eHealth stated that Indonesia’s

eHealth readiness is at a developing stage...

69%

55%

31%

63% 46%

53%

50%

SecYon 1 -‐ e-‐health FoundaYon AcYons

SecYon 2 -‐ mHealth

SecYon 3 -‐ Telemedicine

SecYon 4 -‐ eLearning in health sciences

SecYon 5 -‐ Management of

paYent informaYon

SecYon 6 -‐ Legal and ethical frameworks

for e-‐health

SecYon 7 -‐ OrganizaYon and

support for e-‐health

• Average score is around 52% • The lowest eHealth readiness dimension is SecFon 3 -‐ Telemedicine. Which requires infrastructure, connecFvity and advanced applicaFon of eHealth

• The highest eHealth readiness dimension is SecFon 1 – eHealth FoundaYons. This is indicaFve of the guidelines being put in to facilitate beber communicaFon and collaboraFon and also form the eHealth foundaFon

Note: (1) The WHO Global Survey for eHealth provides a secondary analysis of Indonesia e-readiness based on WHO e-health framework Source: WHO, SME Input, Deloitte Consulting Analysis

Key Observations

Tahap Implementasi eHealth di Indonesia


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 Plaeorm

Hospital (1.679)

Puskesmas (8.234) Apotek (3.551)

Industri Farmasi (260)

Asuransi (50)

Solusi e-‐Health Indonesia : Saat ini masih parsial


TELKOM READINESS


Telecom

InformaYon

Media

n Fixed Wireline

n Fixed Wireless

n Mobile/Cellular

n Broadband Access

n Satellite

n Tower

n Premises IntegraYon

n  IT Services & BPO/ KPO

n  E-‐Money

n  MulY Channel TV

Edutainment

n  Portal

n  E-‐Commerce

n  Content

Customers Poreolio

n  Consumer n  Enterprise n  Wholesale

Product Poreolio

n  SME

*) Geography coverage for internaYonal investment is basically all over the world, however for the iniYal investment, Asia and Middle-‐East will be the priority. Geography* DomesYc InternaYonal

BPO: Business Process Outsourcing KPO: Knowledge Process Outsourching

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


Telkom’s Healthcare Vision


BANDA ACEH

PALEMBANG

DENPASAR

KUPANG

DLI

BDR LAMPUNG

MANADO

FAKFAK JAYAPURA

PALU PADANG

PBR

PONTIANAK

BANDUNG

AMBON

SORONG BALIKPAPAN

JAKARTA

BATAM

MATARAM

PAREPARE

SAMARNDA

SINGAPORE

PENANG

SATUN

SEMARANG

BANJARMASIN

MAKASAR

SURABAYA ENDE

MEDAN

Songkhla

TIS (Thailand)

SANGATA

BATURAJA

DMCS,

BENGKULU

WAINGAPU

KETAPANG PKL.BUN

AAG (Hongkong, USA)

JAMBI

TERNATE

Telkom Super Highway Topology NaFonal Backbone Capacity

Main IP Core Link : Total 5,3 TBps

IP Core Eastern Link : 170 GBps

Metro Ethernet Jawa Timur

METRO -‐ E

Metro Ethernet Denpasar

METRO -‐ E

Metro Ethernet Makassar

METRO -‐ E

Metro Ethernet Palembang

METRO -‐ E

Metro Ethernet Pakanbaru

METRO -‐ E

Metro Ethernet Medan

METRO -‐ E

Metro Ethernet Jawa Barat

METRO -‐ E

Metro Ethernet Jawa Tengah

METRO -‐ E

M320M320

M320M320

M320M320

M320M320

M320M320

M320M320

M320M320

M320M320

M320

InternaFonal Link : 40 GBps

Metro Ethernet Banjarmasin

METRO -‐ E Metro Ethernet

Jakarta

METRO -‐ E

Soeswitch

MSAN/DSLAM

TIMIKA

MERAUKE

AAG ConsorFum : Development of Asia-‐Amerika Internet Gateway 1.92 Tbp/s Capacity

Corporate Strategic Planning TELKOM e-‐Hospital (HIS), e-clinic, e-puskesmas, e-GP, e-Apotek , e-SCM, e-Claim

Telkom Group e-‐Health Complete SoluYon Thru HIE as a Shared Service Plaeorm

ASGARA

HIE – Health Information Exchange

HIMBARA Hospitals admihng they need Telkom’s soluFon for interoperable w/ Payers

MOH who will benefit by an interoperability and

integrated EHR and online reporFng of Jamkesmas to

reduce fraud

eReferrals from primary to secondary to terFary

healthcare (e.g. ePuskemsas to District and VerFcal Hospitals)

Expansion to eBilling and eSeblement perpetuates end-‐to-‐end paperless & efficient claims

processing


Claim Processing

System

InSure Net : InisiaYf Rancangan Sinergi Asuransi, Rumah Sakit Dan Farmasi

InSure NetInsurance Shared Service Platform

Peserta Asuransi

Jasa Raharja ASABRI

Kementrian Kesehatan

Badan kepegawaian & Instansi Lainnya

Rumah Sakit & Pusat Kesehatan

Planorm kolaborasi & transaksi secara online, meningkatkan

efek*fitas, produk*vitas & mutu pelayanan insFtusi asuransi

Fondasi bagi e-‐claim dan e-‐health

nasional

Bank: Himbara Link

ASGARA

Peningkatan Mutu Pelayanan

I n s u r a n c e

TPA Finance


Main roles 1. Member Eligibility 2. Automated Outpatient Claims Processing 3. Inpatient Admission & Cashless Discharge 4. 24 X 7 Call Center Assistance

Dial-up/GPRS/VPN-Instant/VPN-IP/Speedy

Insurance, TPA &Corporate (34)‏

Hospitals &polyclinics

)+720(‏ Insurance Members

(1.5m by Nov’10)‏

EDC /PC

= TPA (Third Party Administrator)‏

Claims & treatment Services : Ø  Online Provider Network

Ø  Personal Customer Service

Ø  Medical Evacuation / Personal Assistant Services

Ø  Membership / Policy Administration

Ø  Inpatient Case Monitoring

Ø  Online Claim Administration

Ø  Periodic or Adhoc online Reporting

Ø  Real time data access through web

Ø  Online Utilization Review (alert system)‏ Ø  24 hours Call Centre manned by medical professional

32 Partnering Hospital (Malaysia & Singapore)‏

3,000 insurance policies (with 500 unique benefits)‏

TELKOM Group e-‐Health Services : Third Party Administrator – Claim Processing System (TPA-‐CPS)


No Region Hospital Clinic Sub Total

Nasional 1 Bali 11 10 21 2 Banten 9 24 33 3 Jabodetabek 222 144 366 4 Jawa Barat 45 27 72 5 Jawa Tengah 48 3 51 6 Jawa Timur 63 14 77 7 Kalimantan 18 2 20 8 Maluku 3 - 3 9 Aceh (NAD)3 - 3 ‏

10 NTB 2 - 2 11 NTT - 1 1 12 Riau 16 4 20 13 Sulawesi 12 1 13 14 Sumatra 30 3 33 15 Papua 3 1 4

Total 487 234 721

International Partner 1 Malaysia 28 - 28 2 Singapura 4 - 4

Total 32 32

AdMedika Insurance Partners

NaYonal Network for TPA – CPS : Hospital / Clinic -‐ Insurance


Telkom e-‐Hospitals (Cloud CompuFng – SaaS Model-‐ Pay per Use)

Module and Cloud Computing Configuration

Benefit Hisys SaaS Business Model : •  No Investment •  Capex to Opex •  Pay per Used •  No OperaFonal and Maintenance Cost •  Flexible as Business Need •  Focus on Hospital Business & Service not on IT •  AutomaFc Update •  Mobility any where, any Fme, any device •  Integrated with other Telkom Group Services (eq, e-‐Payment, e-‐Procurement, SAP)


E-Health Hub E-Claim

Electronic Health Records Hospital Information System

Dashboard and DSS Supply Chain Mgt

Back office Automation

INFRASTRUCTURE, NETWORK

Shared Facilities

Banks

apotek

BUMN

Ministry Of BUMN

Financial NW Switch

Data Center + DRC

INFUSION: Operation & Customer Support System

Claim Processing System ,TPA & SaaS HIS,CIS,PIS,LIS

Mobile Solution

Call Centre

Farmasi

Ministry Of Health

Insurances

Personals

TELKOM Group Shared SoluYon : Sebagai komitmen mendukung Kesehatan Indonesia

Rumah Sakit/

Puskesmas National eHealth Network

Universitas


Referral system enabled > NaYonal eHealth System

EMR Data Repository Exchange Gateway ReporFng and AnalyFcs Processor

Connector

Connector

Connector

Connector Connector

Connector

Web Service

Epidemic Control

Diseases Control

Treatment Control

Cost Control

Research Facility

MIS / EIS

Program Monitoring Facility Improvement

Web Service

AdCPS

Puskesmas

Klinik ApoFk Rumah Sakit Rujukan

Rumah Sakit InternaFonal

Asuransi

Rumah Sakit


TELKOM Group

ICT Solution

Price Competitiveness Manageable cost Convenience, flexible business model

One Stop Managed Solution

Managed voice, application, data &

converged network services including high performance

Data Center & DRC

Improving Business Performance: Improved network utilization, availability, reliability & performance enable the customers to focus on their business

Secured & Trusted Corporation: Stated Owned

Company public listed

Auditable Compliance

Coverage & Full Services: Integrated infocom services

Nationwide

Consulting & Integrating services: Experienced team in plan & manage the design, build & deployment of Innovative solutions

Our Value


Q & A


SAIFUL HIDAYAT Project Director

E-Health Business Project Directorate of IT, Solution and Supply

PT. Telekomunikasi Indonesia [email protected]

0811 133 236