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Pengembangan SIM RS Berbasis Open Systems Guardian Y. Sanjaya Strategi adopsi sistem informasi di rumah sakit nirlaba, RS Pendidikan.

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Presentasi berjudul: "Pengembangan SIM RS Berbasis Open Systems Guardian Y. Sanjaya Strategi adopsi sistem informasi di rumah sakit nirlaba, RS Pendidikan."— Transcript presentasi:

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

2 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

3 PELAYANAN PASIEN MASUK -Registrasi -Admisi masuk Sarana Pelayanan Laboratorium: Ex: Kimia Klinik Sarana Pelayanan Radiodiagnostik: Ex: X-ray, Sarana Pelayanan Farmasi: Ex: dispensing, Inventori barang “liquid”, stok obat Sarana Pelayanan Rawat Inap: Ex: Ruang perawatan Sarana Khusus Tindakan Medis dan Rehabilitasi: Ex Ruang OK, Bersalin, ICU, Fisioterapi Sarana Umum Pelayanan: Ex: Rekam medis, keuangan, manajemen Kegiatan Utama PEMERIK- SAAN MEDIS AWAL •Riwayat penyakit •Vital sign •Pemeriksaa n fisik DIAGNOSIS •Diagnosa klinik •Diagnosa keperawatan PERSIAPAN TINDAKAN MEDIS •Pemeriksaa n penunjang dan skreening TINDAKAN MEDIS •Tindakan operasi •Pemberian obat-obatan REHABILITA SI •Rehabilitasi fisik •Pola hidup PELAYANA N PASIEN PULANG •Discharge Summary •Rujukan •Surat keterangan NILAI TAMBAH  Cepat  Efisien Kegiatan Pendukung Cakupan sistem informasi RS Adoption from Porter’s value chain

4 SIM RS & Pelayanan Kesehatan SIM RS = EHR Amatayakul, 2009 (AHIMA)

5 Pertanyaan penting •Apakah SIM RS mahal? •Bagaimana strategi adopsinya?

6 Adopsi SIM RS di Amerika Davis, HIMSS Analytics

7 Adopsi SIM RS di Korea

8 Pola adopsi SIM RS Cara adopsiSisi baikSisi 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’

9 Road Map SIM RS Collector Phase 1 Documenter Phase 2 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 Helper Phase 3 Evidence-based practice Combine with PHR Goal: Consumer empowerment Health Information exchange Goal: Integrated health service Partner Phase 4 Mentor Phase 5 GartnerGroup generation of EHR (Amatayakul, 2009) Waktu

10 Peluang Open Source •Care2x •OpenMRS

11 Lingkungan SIM RS Peluang Open Source Application Governance SIM Aspek Sosio-teknis, Keahlian, penerimaan Aspek Keamanan, privasi,Integritas, aksesibilitas Aspek Tatakelola, Struktur Organisasi Pembiayaan Infrastructure

12 Siapa melakukan apa? Decision Support Management System Clinical and Administration Strategic Planning Periodic Queries Operational Systems Data Transaction Management Control Operational Control Schedule, On demand reports Schedule, On demand reports Komposisi tim SIM RS (Tribal survey, 2009)

13 Memperkuat sistem open source 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) Gov.PraktisiProfesiAkademisi Customisasi/pen dampingan sistem Support community development Industri NETWORKING

14 Why HIS training? Source: BNPB and Ministry of Health, 2011 Maps of health facilities in Indonesia, per April 2011

15 Proposed scaling up model Open Development and Support Other Hospitals Piloting Hospitals (center of excellences) Sister hospitals IS Staff Technical support Capacity building Initiator Group (Core team) Open Source SIM RS Advanced Technical support Capacity building Community Development NGOs Local Vendors Universities Puskesmas/DHO Technical Staff Non profit Teaching Hsp. Coordinate Development Technical support Partnership

16 Sampai mana RS mau mengadopsi SIM RS? Clinical and administration systems ToolsNetworksKnowledge Rules Using Information Technology

17 Terimakasih


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