ACADEMIC MEDICAL CENTER FKUI – RSCM ACADEMIC MEDICAL CENTER Update THANK YOU

Outstanding care sebagai misi utama AHC (Wietecha M et al., 2009)

Peningkatan kualitas pelayanan kesehatan Penelitian translasional Pendidikan kedokteran (education & training) Peluang hubungan industri INTEGRASI STRUKTUR PUSAT AKADEMIK KESEHATAN (Pusat pendidikan, penelitian dan pelayanan kesehatan)

Definition of an Academic Health Center Consists of: A degree-granting medical school One or more other health professional schools or programs One or more owned or affiliated teaching hospitals, health systems, or other organized healthcare services. - Association of Academic Health Centers (AAHC) Partnership / integration of an academic entity with a clinical delivery system Wartman SA (2007) The AHC: Evolving Organizational Models, AAHC

Kerangka dasar hubungan dalam AHC Visi, misi dan rencana strategis Filosofi , value akademik dan organisasi Tata kelola dan administrasi, struktur korporat dan organisasi, strategic partnership Economic model, struktur dan kebijakan kapital dan finansial Sumber daya manusia, staff development and performance appraisal, recruitment & reclassification sumber pembelajaran, teknologi informasi, fasilitas dan business support BERSAMA Pendidikan, termasuk pendidikan interprofesional Administrasi riset, intellectual property dan technology transfer Community outreach

VISI 2020 “ To create infinite experience for all through Academic Health system” Terwujudnya Strategic Public Private Partnership Terwujudnya Cost-Containment dalam pendidikan, layanan dan Riset Perspektif Finansial Perspektif Stakeholder Terwujudnya Kepuasan Stakeholder Terwujudnya pelayanan pendidikan, dan Riset yang Excellent Perspektif BPI Terwujudnya kelembagaan AHC Terakreditasi Nasional Terwujudnya sistem jaringan pelayanan dan pendidikan menuju RSCM-FKUI sebagai acute tertiary care Terwujudnya pusat unggulan nasional riset, pelayanan dan pendidikan yang terintergrasi Terwujudnya Proses bisnis yang seamless dan terintegrasi Terwujudnya sistem tata kelola dan penjaminan mutu di tingkat unit kerja Terwujudnya Sistem Kesehatan Layanan Primer Terwujudnya sistem advokasi yang efektif kepada stakeholder Perspektif L & G Terwujudnya budaya menolong dan berkinerja Terwujudnya percepatan integrasi IT Terwujudnya RSCM-FKUI menjadi the best place to work Terwujudnya Staf yang memiliki kompetensi komprehensif yang unggul

2. ACADEMIC HEALTH SYSTEM Kementerian Kesehatan Kementerian Pendidikan dan Kebudayaan AHC JAKARTA – Board of trustees Universitas Indonesia Academic Health System Governing board/Board of directors RSUPN Cipto Mangunkusumo Fakultas Kedokteran Universitas Indonesia RS Persahabatan, RSJHK Harapan Kita, RS Fatmawati, RS Sulianti Saroso RS UI (hasil diskusi dengan Ketua Departemen, 21 April 2014) Pusat pelayanan kesehatan primer – sekunder di wilayah DKI Jakarta

Academic Health Center SYSTEM Integration strategy – in relation to the health professions faculties in UI Integration in one system The INTEGRATION LEVEL of each constituent in the system can be DIFFERENT depending on the ‘preparedness’ of integration. The highest of integration is reflected by shared vision-mission-strategic planning followed by shared governance in human resources, remuneration, administration, finance, research and education and supported organizational structure. The structural integration should be started by FMUI-CMGH given current functional integration level. Other health professions faculties in UI may identify the area of integration (can be started by functional integration) especially in relation to UI hospital. The same approach can be conducted gradually with the UI affiliated hospitals. Academic Health Center SYSTEM FMUI CM-GH UI hospital F. Of Nursing F. Pharmacy F. Of Dentistry F. Of Public Health

Integration strategy – in relation to the other FMUI teaching hospitals Integration in one system The INTEGRATION LEVEL of each constituent in the system can be DIFFERENT depending on the ‘preparedness’ of integration. The highest of integration is reflected by shared vision-mission-strategic planning followed by shared governance in human resources, remuneration, administration, finance, research and education and supported organizational structure. Academic Health Center SYSTEM Persaha batan hospital UI hospital FMUI CM-GH Harapan Kita National Heart Hospital

Peran Departemen Biomedik dalam Academic Health Center/System Peningkatan kualitas pelayanan kesehatan Peran Departemen Biomedik dalam AHC = Peran Departemen Biomedik dalam peningkatan kualitas pelayanan kesehatan - Pendidikan mahasiswa, profesi dokter, PPDS yang penting untuk kompetensi sebagai dokter masa depan Penelitian translasional, penelitian untuk peningkatan peran institusi dalam peningkatan kesehatan masyarakat Kerjasama industri dan pengembangan daerah binaan Penelitian translasional Pendidikan kedokteran (education & training) Peluang hubungan industri INTEGRASI STRUKTUR PUSAT AKADEMIK KESEHATAN (Pusat pendidikan, penelitian dan pelayanan kesehatan)

Skema riset translasional FKUI TRANSLATION From Basic Science to Human Study From Clinical Research to Patients and Community To Community BASIC RESEARCH CLINICAL RESEARCH CLINICAL PRACTICE AND COMMUNITY IMPROVED HEALTH PROTOTYPE DISCOVERY AND DESIGN PRECLINICAL DEVELOPMENT CLINICAL TRIALS HEALTH TECHNOLOGY ASSESSMENT HEALTH SERVICE RESEARCH

Academic Health Center di Indonesia Next steps Sosialisasi berkelanjutan ke seluruh pihak tentang filosofi AHC Kebutuhan makin besar di Indonesia Dukungan RS pendidikan dan fakultas kedokteran lain di Indonesia Finalisasi renstra FKUI-RSCM Dukungan Kementerian Kesehatan & Kementerian Pendidikan dan Kebudayaan Catatan: momentum pergantian pemerintahan Program kerja departemen dan identifikasi keunggulan untuk excellent education-training, research, patient care & community service Dukungan regulasi Rencana penyusunan Peraturan Pemerintah untuk implementasi UU Pendidikan Kedokteran 2013 dan UU Rumah Sakit 2014 Konsultasi dengan Kementerian Keuangan dan PAN-Detil integrasi sistem keuangan & SDM

Peran Unit di bawah RSCM dan FKUI adalah memberikan yang terbaik

Kita adalah agent of change Bekerja di RS Rujukan nasional dan RS Pendidikan terbaik di Indonesia Melayani pasien yang paling kompleks dan membutuhkan pelayanan terbaik Bekerja di Fakultas Kedokteran terbaik di Indonesia Mendidik pemuda terbaik di Indonesia FKUI dan RSCM hanya memberikan secukupnya

Take Home Message Academic Health system is a must Sulit dan akan merubah banyak hal “If you can’t..you must” Steve Jobs Mari bersama-sama menciptakan perubahan

TERIMA KASIH

National University Health System Contingencies & Reserves Funds Flow Hospital – NUH NUHS Managed Funds Schools – YLLSoM, FoD, SSHSPH AHS Mission Fund Revenue Sources Tuition Fees Govt Grant in Aid Other income Revenue Sources Patient Fees Government Grant Other income Management Fee Donations Research Self Financing Misc. Receipts Donations Contingencies & Reserves Wong, JE. Establishing an Academic Health System: Experience from the National University Health System (NUHS), presented in Seminar on Academic Health Center, Faculty of Medicine, Universitas Indonesia, May 2014

Before We Start What is the value proposition of academic medicine in your community? Is it sustainable? Realistic? Objective? Do you operate as “three-in-one” or as “three ones”? Should you change? How should you focus your capital and human resources for priorities in infrastructure, technology, and services that accelerate the transformation? Do you have the right leadership and structure to implement the plan? Deloitte Center for Health Solutions (2009) AMCs: The Tipping Point Wong, JE. Establishing an Academic Health System: Experience from the National University Health System (NUHS), presented in Seminar on Academic Health Center, Faculty of Medicine, Universitas Indonesia, May 2014