Pengembangan SIM RS Berbasis Open Systems

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Pengembangan SIM RS Berbasis Open Systems
Strategi adopsi sistem informasi di rumah sakit
nirlaba, RS Pendidikan dan mekanisme dukungan
komunitas

• Guardian Y. Sanjaya
• gysanjaya_at_gmail.com

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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
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Cakupan sistem informasi RS
Sarana Umum Pelayanan Ex Rekam medis,
keuangan, manajemen
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
Sarana Pelayanan Radiodiagnostik Ex X-ray,
Sarana Pelayanan Laboratorium Ex Kimia Klinik

• PELAYANANPASIEN MASUK
• Registrasi
• Admisi masuk

Adoption from Porters value chain
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SIM RS Pelayanan Kesehatan
SIM RS EHR Amatayakul, 2009 (AHIMA)
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Pertanyaan penting

• Apakah SIM RS mahal?
• Bagaimana strategi adopsinya?

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Adopsi SIM RS di Amerika
Davis, 2009. HIMSS Analytics
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Adopsi SIM RS di Korea
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Pola adopsi SIM RS
Cara adopsi Sisi baik Sisi kurang baik
Outsource Instant Brand name Relatif mahal Susah dimodifikasi (closed code)
In-house Sesuai bisnis proses Relatif lama Sistem analist dan tim IT yang handal
Open Source Relatif cepat, customable, dapat menyesuaiakan bisnis proses Dukungan komunitas yang labil Tim IT yang kuat
Mix Customable - SDM yang mumpuni
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Road Map SIM RS
Evidence-based practice Combine with PHR Goal
Consumer empowerment
Health Information exchange Goal Integrated
health service
Create data/information, Unidirectional Goal
intention
Point-of-care data capture, Simple Alert
system, Result management Goal Efficiency
Longitudinal record DSS in acute care and
ambulatory Goal efficiency, patient safety
Waktu
GartnerGroup generation of EHR (Amatayakul, 2009)
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Peluang Open Source

• Care2x
• OpenMRS

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Lingkungan SIM RS
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Siapa melakukan apa?
Komposisi tim SIM RS (Tribal survey, 2009)
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Memperkuat sistem open source
Industri
Gov.
Praktisi
Profesi
Akademisi
Penelitian pengembangan sistem Pendampingan
implementasi Sosialisasi pengalaman (knowledge
sharing)
Penguatan komunitas melalui working-working
group (SNI, standards, Clinical Informatics)
Pengembangan mandiri (motivasi,
efisiensi) Penggunaan aplikasi open source
Upaya percepatan adopsi (SIM RS Generik,
UHC) Penyusunan Regulasi (UU PP, Permenkes,
Petunjuk Teknis, Standardisasi)
Customisasi/pendampingan sistem Support
community development
NETWORKING
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Why HIS training?
Maps of health facilities in Indonesia, per April
2011
Source BNPB and Ministry of Health, 2011
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Proposed scaling up model
Capacity building
Piloting Hospitals (center of excellences)
Technical support
IS Staff
Capacity building
Advanced Technical support
Technical support
Initiator Group (Core team)
Coordinate Development
Open Source SIM RS
Partnership
Open Development and Support
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Sampai mana RS mau mengadopsi SIM RS?
Clinical and administration systems
Using Information Technology
Rules
Tools
Networks
Knowledge
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Terimakasih