AUTOMATION 360°

PE Wardani
 Preface
Benchmark; Challenges

Automation in Hospital Pharmacy

The Pain; Stakeholders
Overview
Strategic Plan to Develop
Centre of Excellence ADM/S
Closing
Preface
Benchmark & Challenges
 Benchmark

TPN Machine
Since 2015
Among South-
East Asia’s
Countries
TPN Machine
Since 2019
 Challenges

Disruption
Disruption:
Organization
Talk About It
Fenomena
disruption
How about
Our
Organization?
?
Automation
in Hospital
Pharmacy
Hospital
Pharmacy

“Pain-pain
first
No Gain-gain”
THE PAIN

Waktu
tunggu

Obat sisa Tantangan

ME
Pelayanan
Farmasi

Obat diterima
pasien rawat Penataan ruang
inap pelayanan
 THE PAIN

Akar Penyebab
Masalah
Waste
Pelayanan
Farmasi Rawat
Jalan

Rofiatun,2017
 SOLUSI
LEAN

Pareto
Principal
HOW to be
LEAN:
Automation

WHY Biaya/
Automation?: Eliminasi
Waste
“Pengorbanan
” turun
Value Pasien

Lean Hospital
 Saat Saat Pelay
akses SDM anan
ke akan
A
pasie
berk A
tetap
Masa Pandemi ks
Covid 19 es
k n S uran
u
t stabil
e
P
covid D g krn m
o
denga
as terbat covid at n
ie
n as M io
n ADM
Stake Holder in Automation

Apt Lain BOD

Ka FA

Tim Manager

Automation 360°
Internal Divisi lain
  Masih lebih murah bayar SDM
 Bagaimana dan Kapan BEP? ROI..kalau beli
MRI, CT Scan, alat Lab..lebih jelas
Board of Director  TOR: Data Efisiensi? Dampak Safety?
 Ada peluang jadi sumber pendapatan baru?
 Farmasi siap nggak?
Manager Divisi Lain
 IRNA: Nurse – obat diterima pasien lebih cepat
 OT: Nurse – obat cepat, mudah
 Dokter: obat, informasi tersedia cepat, aman
  Pelayanan mana yang harus lebih di automate
Apoteker Lain kan
 Beban pekerjaan
 jealousy
Subordinat:
TTK
Tim internal
Proses Change
Leadership
  Meng”GOAL” kan usulan
Automation di RS
Ka Inst  Merencanakan eksekusi nya
Farmasi  Change management
“Influencing”
other
stakeholders
sampai implementasi
terlaksana
 Proses evaluasi sd ROI
?
tercapai
 Continuous improvement
Strategic Plan
to Develop
Center of
Excellence
ADM
PD IAI JATENG
Kab. Semarang
Center of EXCELLENCE
Drug
Management
Cycle at Hospital
pharmacy
 Pengelolaan Perbekalan Pelayanan Farmasi Klinik
Farmasi
 Pengkajian dan Pelayanan Resep,
 Pemilihan,
 Penelusuran Riwayat Penggunaan
 Perencanaan Obat,
Kebutuhan,  Rekonsiliasi Obat,
Ruang Lingkup  Pengadaan,  Pelayanan Informasi Obat,

Pelayanan  Penerimaan,
 Konseling,
 Visite,
Farmasi  Penyimpanan,  Pemantauan Terapi Obat (PTO),
 Pendistribusian,  Monitoring Efek Samping Obat
(MESO),
 Pemusnahan dan  Evaluasi Penggunaan Obat (EPO),
Penarikan,
 Dispensing Sediaan Steril dan
 Pengendalian dan  Pemantauan Kadar Obat dalam
Administrasi. Darah
 CoE Automation
Rawat Jalan

Pemetaan RS di
CoE Automation
Lingkup PD IAI
Rawat Inap
Jateng

CoE automation
Compunding
Sterile
Automation
Rawat Jalan LEAN services menekan WASTE:
- Deffect
- Motion
- Transportation
- Waiting
Problem:
- dll Solusi:
- Waktu Tunggu--Barcoding
Mesin dengan kecepatan picking tinggi
system
- Kekurangan SDM- Labeling otomatis
-Peak hours
- ME
 Pharmacist

CLOSED-
LOOP Verification
Dispensing:WFS

Medication
Management

Automation
Dispensing:UDD

Rawat Inap Nurse Nurse

Administer meds Scan the patient wrist band

to the patient & Med Barcode Load them to Cart
 Impact of Robotic Antineoplastic Preparation on
Safety, Workflow, and Costs
Andrew C. Seger, et.al,2012
Manual
N=1421

Automation
Dalam Serious ME: 9
Compounding
Hazardous
Medicine Staff safety events: 73

Conclusion: Staff
Safety, Accuracy
Inaccuracy: 23 of 184
Of Medication Preparation
Improved Significantly
 200 Patients Specific Dose/
6 hours or 35 Dose/Hours

Automation End Product Infussion Bag

100, 250, 500 ml
Dalam
Compounding Compatible Drugs:
Vial 5-70 ml max. 8 doses

Hazardous Ampoules 5-20 ml max. 15

doses
Syringe 20 dan 50 ml
Medicine..cont
Income Opportunity for
Hospital
Automation
Dalam Problem manual
Compounding compounding
sterile:

sediaan steril Benefit:

- Safety: reduce ME, employee exposure
- Efficiency: time  cost
- Rationality: freed up technical job

- Occupational Solusi:
safety
- ContaminationVial
duetoVial
microbial, leakages (cross
contamination) Capacity 300-400 vial/hour
Vial  Syringe 20 ml
- Medication errors
 Capacity 50-100 syringe/hour
 The Pain Opportunity

Fast
Automation
Dalam
Accurate
Compounding
sediaan steril:
Flexible
TPN
Income
Opportunity for
hospital
 Established since
October 5, 2015

Menemukan To be a world class

Mesin dan corporation and the best

partner in business

menjadi
partner yang
 Sbg Apoteker dg latar belakang dunia
tepat Rumah Sakit
 Analisa data  Problems Clients  Solusi
 Minimize pain  Optimize GAIN
 Assist change management faster
Closing
“TIPS”
 Margin profit
naik

Financial
Pertumbuhan Produktivitas TOR Optimal
revenue 30% meningkat

Pertumbuhan
Brand Image pasien Pertumbuhan
Customer pelayanan jumlah MOU

TIPS aman

Kepatuhan

1. Strategic formularium

Maps berbasis ME/ DRP

minimal
Pelayanan
cepat

Balanced
Kualitas obat
Pelayanan
Penataan obat Seleksi obat
Farmasi /
lean

Scorecard
Business Process FarKlin
Kekosongan obat
berbasis IT
di gudang 0%

Efisiensi jumlah
SDM Kepuasan SIM Handal
Leadership
Learning & Growth karyawan
Kompetensi / FAsilitas –
Teamwork
kecukupan sarpras
Apoteker memadai
 PERSPEKTIF BSC ASPEK TARGET PENCAPAIAN
KINERJA KINERJA
Financial Inventory Turn Over (TOR) 32 x setahun  
Pertumbuhan Pendapatan Rawat Inap 10%  
Pertumbuhan pendapatan Rawat Jalan 10%  

Profit Margin on Sales 30%  

Total Pendapatan (Rawat Jalan, Rawat …M  
TIPS Customer
Inap, Operasional, Gas Medis)
Kepuasan Customer (Survey) 95%  

2. KPI Target: Customer Askes Rawat Jalan

dashboard
Tingkat Cakupan Resep 93%  
Surat Saran 10  
Proses Bisnis Kecepatan Pelayanan Rawat Jalan 100%  
  Angka ME    
Learning & Growth Produktivitas Karyawan (Apt & AA untuk …M/orang  
pendapatan Rawat Jalan dan Rawat Inap)

Kepuasan SDM 95%  

 Era disrupsi, siap atau….

Sasaran Automation: Pharmacist meet

patients
Peran Ka Inst. Dalam influence
stakeholders
RESUME Centre of excellence lingkup RS se
Jawa tengah..khususnya di kab.
Semarang
Era digitalisasi-big data, manfaatkan:
KPI-dashboard-Analisa-informasi sbg
dasar pengambilan keputusan
Partnership: less pain optimize GAIN
 House
of
Adama
r

www.multisinaradamar.id
 Dunia berubah dengan cepat…
 “Giant” pun tumbang…
 Era pandemi dengan segala
dinamikanya jadi bukti
 Mari persiapkan diri di area kita
 Automate Your Services toward
better impact for the patients