KEBIJAKAN & STRATEGI

MANAJEMEN PELAYANAN KESEHATAN

DI ERA DISRUPSI

EDY WURYANTO
Anggota Komisi IX DPR RI 2019-2024
 Pendidikan
Diploma III Keperawatan – Akper Muhammadiyah Semarang (1990)
Sarjana Keperawatan – Universitas Indonesia (1997)
Magister Keperawatan – Universitas Indonesia (2010)
Program Doktoral – Universitas Gadjah Mada (2017)

Karier
PNS – Kemristek Dikti RI/Kopertis Wilayah VI JATENG di Universitas Muhammadiyah Semarang (1997-2019)
Dekan Fakultas Ilmu Keperawatan dan Kesehatan Universitas Muhammadiyah Semarang (2003-2004)
Wakil Rektor Universitas Muhammadiyah Semarang 2 periode (2004-2012)

Organisasi
Ketua Asosiasi Perguruan Tinggi Kesehatan Swasta Jawa Tengah 2 periode (2009-2019)
Sekretris Persatuan Perawat Nasional Indonesia (PPNI) Provinsi Jawa Tengah (2005-2010)
Ketua Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah 2 periode (2010-2020)
Pengurus Persatuan Rumah Sakit Indonesia (PERSI) Jawa Tengah (2017-2022)
Ketua Bidang Organisasi dan kelembagaan AIPNI Pusat (2017-2021)

Sosial & Agama

Pengurus MPKU Pimpinan Wilayah Muhammadiyah Jawa Tengah (2004-2008 & 2014-2019)
Ketua Kelompok Tani Jambu Air Kabupaten Grobogan (2015-2020)

Politik
Anggota Komisi IX DPR RI (2019-2024)
 KOMISI IX DPR RI - MITRA

KEMENTERIAN KESEHATAN RI 1 5 KEMENTERIAN KETENAGAKERJAAN

BPJS KESEHATAN 2 6 BPJS KETENAGAKERJAAN

BADAN PENGAWASAN OBAT BADAN PERLINDUNGAN PEKERJA

3 7
DAN MAKANAN MIGRAN INDONESIA

BKKBN 4

POLITIK POLITIK POLITIK

REGULASI ANGGARAN PENGAWASAN
 PARADIGMA KESEHATAN

“Fokus pada pelayanan kesehatan HILIR, bukan

hanya HULU yang menekankan pada upaya
PROMOTIVE & PREVENTIVE”

Kemandirian klien

Penguatan public health oriented, bukan

hanya hospital oriented - PHN

Penguatan & reposisi pelayanan di RUU SISTEM KESEHATAN

Puskesmas - fokus pada UKM selain UKP NASIONAL
(Omnibus law)
Kewajiban Negara dalam UHC - Pelayanan
kesehatan dasar
 ISSUE TERKINI KESEHATAN

TIGA DIMENSI Kesehatan - hak rakyat yang

UNIVERSAL HEALTH COVERAGE harus dipenuhi oleh Negara

2
1
 1 POPULATION : WHO IS COVERED?

TOTAL PESERTA
222.278.708 Jiwa Kinerja BPJS

TOTAL PBI
133.943.060 Jiwa Komitmen Negara
(60.25%)

PBPU
Komitmen Komisi IX
30.923.267
DPR RI PERSOALAN
(14%)

• Perbaikan sistem pendataan - sensus penduduk &

DATA PBI BERMASALAH keluarga - BKKBN

Persoalan - segera
(BPKP, 2019)
diselesaikan • Lambatnya distribusi kartu KIS - tata kelola BPJS
27.4 juta
2 SERVICES : WHICH SERVICES ARE COVERED?

PERSOALAN
• JUMLAH & ISTRIBUSI RS - terbatas & tidak merata - Tipe A, B, C & D
• JARAK PESERTA & FASKES - jauh
• SISTEM RUJUKAN
• PELAYANAN RS TIDAK SESUAI TIPE - seharusnya tipe C, tetapi
pelayananya tipe D

• KUANTITAS, KUALITAS & KESEJAHTERAAN SDM - kurang

• MUTU PELAYANAN : antrian Rawat jalan tindak lanjut, daftar tunggu
operasi, masyarakat “rentan” disamakan umum.
• PROMOTIF & PREVENTIF - kurang
• PENYAKIT KATASTROPIK - tinggi
 3 DIRECT COST : PROPORTION OF THE COST COVERED?

TOTAL PESERTA BESARAN BIAYA YANG

222.278.708 Jiwa DITANGGUNG

TOTAL PBI RP 67.44T

133.943.060 Jiwa (selisih kenaikan)
(60.25%) Rp 26.46T

PENERIMAAN
RP 48.36T
PBI APBN • KINERJA BPJS - RKAT Rp 73.42 T sementara realisasi Rp 67,46 T (per
(selisih kenaikan) 31/10/19.
96.005.779 Jiwa Rp 18.96T • DEFISIT BPJS - Rp 31T (Desember 2019)

• PIUTANG RS - Rp 31T - Rp 14T = 17T

RP 19.08T • HUTANG IURAN PESERTA - tinggi

PBI APBD
(selisih kenaikan) • PAJAK ROKOK - belum terbayar

37.887.281 jiwa Rp 7.5T

PEMBIAYAAN
PBPU (selisih kenaikan) • KINERJA DIREKSI - RKAT Rp 83,27 T sementara realisasi Rp 89,57 T (31
30.923.267 jiwa Rp 6.12T
Oktober 2019).

(14%) • RUJUKAN PUSKESMAS - tinggi (17,18%).

• INDIKASI FRAUD - tinggi (ex OP Sect)

• PENGAWASAN RS - kurang.
 ISSUE HARI INI DISRUPTION & REVOLUTION INDUSTRY 4.0

First
Second
Third
Forth

Industrial
Industrial
Industrial
Industrial

Revolution Revolution Revolution Revolution

Based on the introduction Based on mass Based on the use of Based on the use of
of the mechanical production achieved electronic and IT to
production equipment by division of labor further automate cyber-physical system
driven by water and steam concept and the use production
power of electrical energy

COMPLEXITY
 Productivity Flexibility
intelligent technologies that
use of cyber-physical systems
are more productive

Efficiency Individualization on demand Decentralization

Savings of raw materials and energy
Integration of customer through faster and data-driven
network (cyber-physical systems) decision-making
 REVOLUTION INDUSTRY 4.0

Integration

Data Innovation

Interconnection Transition
FUTURE MEDICAL USE COLLECTION FOR HEALTHCARE STAKEHOLDER AND
PATIENTS
Name of Robot and Robotic Capabilities
Technology

Da Vinci Surgical Robot Improves precision and accuracy of surgeons Decreases responsibilities of nurses in the operating room

Companion Robots such as Jibo, Helps people with special needs such as the elderly, autistic children, or the disabled. Provides comfort
Pepper, Paro, and Buddy and emotional support

“Robear” and “RIBA Lifts and transports patients as well as those who need assistance in standing up

Georgia Tech’s “Cody” Gives bed baths to patients

Veebot Has an 83% accuracy in selecting the best vein

Robotic Prescription Dispensing Made the dispensing of pharmaceuticals more accurate and safer decreases the responsibilities of
Systems nurses in medication administration.

(Pepito & Locsin, 2018)

Policy & strategies
Policy & strategies

(Deloitte, 2019)
LINGKUNGAN PRAKTEK
POSITIF - positive practice environment
KEPEMIMPINAN TRANSFORMASIONAL
PEMBERDAYAAN STRUKTUR
PRAKTEK PROFESIONAL BAIK
PENGETAHUAN BARU, INOVASI & PERBAIKAN
OUTCOME
INDIKATOR
Strategic Planning; Advocacy and Influence: Visibility, Accessibility, and
Communication
Professional Engagement; Commitment to Professional Development; Teaching
and Role Development; Commitment to Community Involvement; Recognition of
Nursing
Professional Practice Model; Care Delivery Systems; Staffing, Scheduling, and
Budgeting Processes; Interdisciplinary Care; Accountability, Competence,
and Autonomy; Ethics, Privacy, Security, and Confidentiality; Diversity and
Workplace Advocacy; Culture of Safety; Quality Care Monitoring and
Improvement
Research; Evidence Based Practice; Innovation
Patients; Nurses; Organization ; Consumers
 Apa yang Harus Dilakukan Perawat dan
Developing innovative Asosiasinya ? Innovating nursing
health-care technology education

Diversifying business and

Improving strategic revenue-generating
leadership opportunities
STRATEGY
Organisasi Profesinya

Advocating healthy public policy

provincially/territorially, nationally Increasing recognition of the
and internationally value of the nursing profession

Collaborating with
multidisciplinary workforces Achieving social justice