Aplikasi Keluarga Sehat Sejahtera

(KeSeRa):
Inovasi Berbasis Teknologi untuk
Memecahkan Permasalahan Defisitnya JKN
A f r a I n a y a h D hy a n i p u t r i
1406577493
S 1 Re g u l e r Ke s e h a t a n M a s y a r a k a t 2 0 1 4
Depok, 6 Maret 2016
 UU No. 40 SJSN
(2004)

U U N o . 2 4 B PJ S
(2011)

Indonesia
comitmen;
Keadilan sosial
bagi seluruh
rakyat
indonesia

Largest SHI with single Suppor ting the Global commitment on

payer system in the achievement of SDGs Universal Health
world goals Covera ge (UHC) 2019
2014 2015 2016
IMPACT DESIGN

Financial Comprehensive
protection benefit

Improve Strategic
access purchasing

Contracting
system
 Claim Ratio
Number;
111.5 % (2014)
and 115.1%
(2015)

23.8 Trillion JKN’s

Rupiah Financial
sustainability
cumulative deficit
estimated in 2019
Is questioned
 Member;
Increase public Provider;
health actions
Reasonable
Promote & preventive price
Healthy lifestyle Provide Good quality
Provider; healthcare
Avoiding morale Integrated & effective
utilization review hazard
Medical Cost system

Avoid Up-coding
𝐮𝐭𝐢𝐥𝐢𝐳𝐚𝐭𝐢𝐨𝐧 𝐗 𝐩𝐫𝐢𝐜𝐞
Avoid Readmission
𝐦 𝐞 𝐦 𝐛 𝐞 𝐫 𝐬 𝐡 𝐢 𝐩 𝐗 𝐩𝐫𝐞𝐦𝐢𝐮𝐦 Members;
No Bloody discharge Changing
paradigm
Regulator and To t a l r eve n u e
SHI is a mandatory
members;
SHI is important
Regulator;
Socialization and awareness Behavior change
regarding JKN program Reasonable premium

Build a good member’s Adequate for paying all

management system JKN benefit
 Half Of Indonesia 85% of them
population were accessing internet
connected to with mobile phone
internet
(APJII, 2016)

Instant Messaging, E-health application

data & information became popular and
searching, news and effective increasing
video streaming are self awareness in
top 5 activity with 114 country
internet (WHO, 2013)
(PUSAKOM UI, 2015)

49% Of internet
user in Indonesia
93% of them lived
with family
are18-25 years old
(APJII, 2016)
 Langsung
Short Long
Tidak langsung
S hort Long
Period Period Period Period
• Qualified •Lower the • E-health
education innovation in • Economic
health
• Give
reminder care Indonesia growth
• Exposed by cost • Connecting
Information members and
• Indonesia=
policy makers
international
laboratorium
 • 25 % health • E-health • Community
Economic aspect

Public health principals

Health aspect
cost reduced increasing involvement
self is one
awareness enabling
• revolutionize factors of
health improving
outcomes community
health
 Policy Strategic Design Piloting
Advocate Planning App Project
EstimasiBiayaPelkes(Rp. Triliun) TA 2014-2019

APBN to health sector

only 67,2 T on 2016

By pooling risk
scheme, JKN
premium PMPM
became cheap
 T h a n k Yo u f o r y o u r
attention 

L e t s m ove t o Q u e s t i o n a n d A n sw e r S e c t i o n 
• Abroms LC, Padmanabhan N, Thaweethai L, et al. iPhone apps for smoking cessation: a content analysis. Am J Prev Med. 2011;40(3):279-85.
• Amy Cueva, “Mobile Technology for Healthcare: Just What the Doctor Ordered?”, UX Magazine, September 14, 2010.
• Carlsen, F & Grytten, J. 2000. Consumer statisaction and supplier induced demand. Journal of Health Eonomics, 19, 731-753
• Catharine Paddock, “iPads in Health and Medicine”, Medical News Today, March 14, 2012.
• Chan, S., Torous, J., Hinton, L., & Yellowlees, P. (2015). Towards a Framework for Evaluating Mobile Mental Health Apps. Telemedicine And E-
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• Lena Sun, “Mobile Diagnosis: Coming, but Slowly”, Washington Post, January 17, 2912, p. E5. Meredith Cohn, “Hopkins
Researchers Aim to Uncover Which Mobile Health Applications Work”, Baltimore Sun, March 14, 2012
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Sodhi, “Using Internet and Mobile Phone Technology to Deliver an Automated Physical Activity Program”, Journal of Medical
Internet Research, April-June, 2007.
• Rosser BA, Eccleston C. Smartphone applications for pain management. J. Telemed Telecare. 2011;17(6):308-12.
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• Whitton,A. (2010). Community Attitudes to the Appropriation of Mobile Phones for Monitoring and Managing Depression, Anxiety, and
Stress. J Med Internet Res, 12(5), e64.http://dx.doi.org/10.2196/jmir.1475
• UU No. 40 Th 2004 tentang Sistem Jaminan Sosial Nasional
• UU No. 36 Th 2009 tentang Kesehatan
• UU No. 24 Th 2011 tentang Badan Penyelenggaran Jaminan Sosial Peraturan Pemerintah
• PP No. 101 Th 2012 ttg Penerima Bantuan Iuran Jaminan Kesehatan
• PMK No. 69 tentang Tarif Pelayanan Kesehatan Program Jaminan Kesehatan
• PMK No. 71 Th 2013 tentang Pelayanan Kesehatan Pada JKN Keputusan Menteri Kesehatan