Pengembangan SIM RS Berbasis

Open Systems

Strategi adopsi sistem informasi di rumah sakit nirlaba, RS

Pendidikan dan mekanisme dukungan komunitas

Guardian Y. Sanjaya
gysanjaya@gmail.com
 Outline

1. Cakupan sistem informasi rumah sakit

2. Adopsi sistem informasi di RS

3. Peluang Open Source SIM RS

4. Tatakelola sistem informasi internal RS

5. Sustainabilitas SIM RS & dukungan komunitas

 Cakupan sistem informasi RS
Sarana Umum Pelayanan: Ex: Rekam medis, keuangan, manajemen
Kegiatan Pendukung

Sarana Khusus Tindakan Medis dan Rehabilitasi: Ex Ruang OK, Bersalin, ICU, Fisioterapi

Sarana Pelayanan Rawat Inap: Ex: Ruang perawatan

Sarana Pelayanan Farmasi: Ex: dispensing, Inventori barang liquid, stok obat

NILAI
Sarana Pelayanan Radiodiagnostik: Ex: X-ray, TAMBAH
Cepat
Sarana Pelayanan Laboratorium: Ex: Kimia Klinik
Efisien

PEMERIK- DIAGNOSIS PERSIAPAN TINDAKAN REHABILITA PELAYANA

Kegiatan Utama

SAAN TINDAKAN MEDIS SI N PASIEN

PELAYANAN
PASIEN
MEDIS Diagnosa MEDIS PULANG
MASUK
AWAL klinik Tindakan Rehabilitasi
Diagnosa Pemeriksaa operasi fisik Discharge
Riwayat keperawatan n penunjang Pemberian Pola hidup Summary
-Registrasi
penyakit dan obat-obatan Rujukan
-Admisi masuk
Vital sign skreening Surat
Pemeriksaa keterangan
n fisik

Adoption from Porters value chain

SIM RS & Pelayanan Kesehatan

SIM RS = EHR
Amatayakul, 2009 (AHIMA)
 Pertanyaan penting
Apakah SIM RS mahal?
Bagaimana strategi adopsinya?
 Adopsi SIM RS di Amerika

Davis, 2009. HIMSS Analytics

Adopsi SIM RS di Korea
 Pola adopsi SIM RS
Cara adopsi Sisi baik Sisi kurang baik

Outsource - Instant - Relatif mahal

- Brand name - Susah dimodifikasi (closed
code)

In-house - Sesuai bisnis proses - Relatif lama

- Sistem analist dan tim IT yang
handal

Open Source - Relatif cepat, customable, - Dukungan komunitas yang

dapat menyesuaiakan labil
bisnis proses - Tim IT yang kuat
Mix - Customable - SDM yang mumpuni
 Road Map SIM RS

Evidence-based
Collector practice
Combine with
Documenter PHR Health Information
Phase 1 exchange
Goal: Consumer
Create Helper empowerment Goal: Integrated
data/information, Phase 2 health service
Unidirectional
Phase 3 Partner
Goal: intention Point-of-care data
capture,
Longitudinal Phase 4 Mentor
Simple Alert record
system,
DSS in acute
Result care and
Phase 5
management ambulatory
Goal: Efficiency Goal: efficiency,
patient safety

Waktu

GartnerGroup generation of EHR (Amatayakul, 2009)

 Peluang Open Source
Care2x
OpenMRS
Lingkungan SIM RS

Infrastructure

SIM

Governance Application

Peluang Open Source

Aspek
Tatakelola, Struktur
Organisasi
Pembiayaan
 Siapa melakukan apa?
Komposisi tim SIM RS
(Tribal survey, 2009)

Periodic Strategic
Queries Decision Planning
Support 4% 5%

14%

28%

Schedule, Management 9%
Management
On demand System Control
reports

Operational 5%
Systems
Operational
Data Control 35%
Transaction Clinical and Administration
Senior manager Health Records
Knowledge Management ICT
Clinical Coders Information Management
Clinical Informatics
 Memperkuat sistem open
source

Gov. Praktisi Profesi Akademisi Industri

Penelitian
Upaya
pengembangan
percepatan Pengembangan
Penguatan sistem Customisasi/pen
adopsi (SIM RS mandiri
komunitas dampingan
Generik, UHC) (motivasi,
melalui working- Pendampingan sistem
efisiensi)
working group implementasi
Penyusunan
(SNI, standards, Support
Regulasi (UU Penggunaan
Clinical Sosialisasi community
PP, Permenkes, aplikasi open
Informatics) pengalaman development
Petunjuk Teknis, source
(knowledge
Standardisasi)
sharing)

NETWORKING
 Maps of health facilities in Indonesia, per April 2011

Why HIS training?

Source: BNPB and Ministry of Health, 2011

 Proposed scaling up model
Capacity building

Piloting Hospitals (center of

excellences) Other
Hospitals
Technical support
IS Staff
Sister
hospitals
Capacity
building Advanced
Technical
Technical
support
support

Community Development

NGOs Puskesmas/DHO
Coordinate Development NGOs Puskesmas/DHO
Open Source Puskesmas/DHO
Technical Staff
Technical Staff
Non profit
Technical Staff
SIM RS
Teaching Hsp.
Local
Local
Initiator Group Vendors
Local
Vendors Universities
Universities
(Core team) Vendor Universitie
s s
Partnership

Open Development and Support

 Sampai mana RS mau mengadopsi
SIM RS?

Clinical and administration systems

Using Information
Technology

Tools Knowledge Networks Rules

Terimakasih