Saiful Hidayat Pemanfaatan ICT untuk Pengembangan Rumah Sakit Pendidikan implementasi Telemedicine...
-
Upload
saiful-hidayat -
Category
Business
-
view
2.695 -
download
2
description
Transcript of Saiful Hidayat Pemanfaatan ICT untuk Pengembangan Rumah Sakit Pendidikan implementasi Telemedicine...
by Telkom Indonesia
Ir. Saiful Hidayat MTDirektur Pengembangan Bisnis
PT. Administrasi Medika (Telkom Group)
Seminar Pengembangan Rumahsakit Pendidikan di Daerah TerpencilYogyakarta, 5 Maret 2011
Model Manajemen RS Pendidikan di daerah sulit dengan model Sister Hospital : Kebutuhan sarana pendukung; Fasilitas Fisik, Telekomunikasi, Telemedicine
TELKOM’s e-health Initiative and Readiness
by Telkom Indonesia
E-Health Concept
Agenda
Telkom Group Readiness
Telemedicine Overview
by Telkom Indonesia
e-Health Value Chain Connecting The KeyStakeholders of Healthcare
3
SUPPLIERS CONSUMERSHEALTHCARE ORGANIZATION
Doctors/ Specialist
Hospitals
Pharmacy
Vendors/ Supplier
Insurance Providers Healthcare
Providers
Patients & their families
B 2 BSupport Value
Processes
B 2 CPrimary Value
Processes
Operating Efficiency :– Online Claims
Submission and Reimbursements with Insurance Carriers
– Connects Multiple Suppliers and Buyers
– One Stop Shopping –MedPool, Reverse Auctions, Auctions
Electronic Prescriptions– Reduces Errors, Saves
Lives, Increases Efficiency
– Online Pharmacy – Targeted Marketing
Connecting Patients and Physicians– Online posting of
surgical procedures including costs, and sorting results
Remote Patient Monitoring– Cardiac and Diabetic
Monitoring of Patients
Online Second Opinion
Source : Georgia State University
Telemedicine
by Telkom Indonesia
Model dan definisi e-Health
Patients & their families
Doctors/ Specialist Hospitals
Healthcare Providers
Pharmacy
Insurance Providers
Vendors/ Supplier
1. Hospital/Clinic Information System2. On Line Medical Report (dapat diakses oleh
pasien, docter / specialist dan lab) 3. Telemedicine: Penggunaan perangkat audio,
video dan telekomunikasi untuk memprosesinformasi terkait jasa pelayanan kesehatan ataumembantu paramedis yang jauh dari lokasipasien.
4. Personal Health Care System: Sistempencegahan pendukung untuk mengawasi danperawatan pasien secara individu (contoh: HotHealth)
5. Third Party Administrator: Penyedia jasa yang memberikan layanan kepada perusahaanasuransi dan TPA seperti Yakes dalammelakukan pengecekan dan validasi klaim daripasien (contoh: AdMedika)
6. Supply Chain Management/On line distribution support system untuk obatdan/atau farmasi (contoh: Kimia Farma, Century, Guardian)
7. National Healthcare Management Sytemuntuk menyediakan infrastruktur dan aplikasipelaporan data kesehatan nasional berupaDatawarehouse dan Decision Support System (SIKDA/SIKNAS)
Network/Connection
Laboratories
Key e-health Modules
Source: Georgia State University & Internal Analysis
Stakeholder e-Health Indonesia
5
Stakeholder dari e-Health di Indonesia dapat dikelompokkan sebagai berikut:
1. E-Health sebagai Service Support > Rumah Sakit dan Klinik> Praktek Dokter> Apotik dan Toko Obat
2. E-Health sebagai Decision support system and Research reference > Pemerintahan (Kementrian Kesehatan)> Perguruan Tinggi
3. E-Health sebagai Business Support> Asuransi dan Perbankan> Industri Farmasi dan Alat Kesehatan
4. E-Health sebagai Information of Healthcare services> Pasien dan Keluarga-nya> Publik
: Impementasi Telemedicine
by Telkom Indonesia 6
ICT
B
E
C
D
ASecurity• CIA (Confidentiality, Integrity, Availability)• Audited by certified
security auditor• Comply to
international Best Practices/standards
Infrastructure• National Coverage, Reliability, Manageability, Scalable
• Auditable• Disaster Management:(DRC, DRP, BCP)
Business/Operation• Convenience• Shared services• Outsourcing
Devices• Smart
• Integrated•Mobility
Application•Flexibility•Modularity•Multiplatform•Interoperability
ICT Requirement for E-Health
by Telkom Indonesia
E-Health Concept
Agenda
Telkom Group Readiness
Telemedicine Overview
by Telkom Indonesia
Penggunaan perangkat audio, video dantelekomunikasi untuk memproses informasi terkaitjasa pelayanan kesehatan atau membantuparamedis yang jauh dari lokasi pasien.
Telemedicine
Telemedicine umumnya diimplementasikanuntuk :
TelekonsultasiTele-edukasiTelemonitoringTelesurgery
Telekonferensi
“Top Three” penggunan Telemedicine padadisiplin ilmu kedokteran :
TeledermatologiTelepsikiatriTeleradiologi
by Telkom Indonesia
Tipe Telemedicine Telemedicine diimplementasikan berdasarkan duakonsep:
Real time (synchronous)Sesederhana panggilan telepon atau serumit operasi menggunakan remote robotic. Membutuhkan kehadiran kedua belah pihak pada saat bersamaan dan link komunikasi yang memungkinkan interaksi real-time.Video-conferencing adalah salah satu bentuk teknologi yangpaling umum digunakan dalam telemedicine sinkron.Contoh peralatan :Tele-otoscope memungkinkan dokter terpencil untuk 'melihat' telinga pasien Tele-stetoskop memungkinkan konsultasi dokter jarak jauh untuk mendengar detak jantung pasien
Store-and-Forward (asynchronous)Pengiriman data medis (seperti gambar medis, biosignals dll) kepada dokter /spesialisPenilaian pada waktu yang tepat sehingga tidak memerlukankehadiran kedua belah pihak pada saat bersamaan.Specialis Dermatologi, Radiologi, dan Patologi adalah pengunaumum dari telemedicine asinkron.
by Telkom Indonesia
Data Telemedicine Jenis Sumber Ukuran
fileTeks dannumerik
Laporan, rekam medik, korespondensi
< 10 KB
Audio Pembicaraan konsultasi, Stetoskop elektronik
100 KB
Gambar Hasil CT Scan, Foto rontgen, citra dermatologi
1MB
Video Ultrasound fetus (30 sec) 10 MB
Sumber: Johan Harlan, Pusat Studi Informatika Kedokteran, Universitas Gunardama
by Telkom Indonesia
Kebutuhan Bandwith aplikasi Telemedicine
Sumber: Johan Harlan, Pusat Studi Informatika Kedokteran, Universitas Gunardama
by Telkom Indonesia
Must Optimize Lower Priority
Telemedicine Video Accuracy:- Full, Constant 30 frames/sec- Minimize Jitter- Minimize transmission loss- Loss Indicators
Latency not critical: Audio primarily unidirectional
Video Conferencing
Low Latency Can Interpolate Video
The Public Internet was NOT DESIGNED for VIDEO• Best Effort, NO PRIORITIES for Telemedicine: Packet Loss• Requires special video transport technology
“Telemedicine” Vs Public Internet Video Conferencing
http://www.bf-technologies.com
PACS : Picture archiving and communication system http://www.bf-technologies.com
DICOM Capable : • Digital Imaging and Communications in Medicine (DICOM) is a standard for handling, storing, printing, and transmitting
information in medical imaging. It includes a file format definition and a network communications protocol..• DICOM files can be exchanged between two entities that are capable of receiving image and patient data in DICOM format. • The National Electrical Manufacturers Association (NEMA) holds the copyright to this standard.[1] It was developed by the
DICOM Standards Committee,• DICOM enables the integration of scanners, servers, workstations, printers, and network hardware from multiple
manufacturers into a picture archiving and communication system (PACS).http://en.wikipedia.org/wiki/Digital_Imaging_and_Communications_in_Medicine
by Telkom Indonesia
http://jtt.rsmjournals.com/cgi/content/abstract/14/7/377
Kisah sukses Tele-consultation (Telemedicine)
Kebutuhan terdefinisidengan jelasPenggunaan teknologiyang relevanKesiapan infrastrukturICTIncorporation into medical practice ; (Kesiapan tenagamedis, kesiapankomunitas, aspeklegal dan etika)Dukungan Pemerintahuntuk regulasi danpembiayaan
by Telkom Indonesia
E-Health Concept
Agenda
Telkom Group Readiness
Telemedicine Overview
by Telkom Indonesia
Telkom Company Profile
Telecom
Information
Media
Fixed Wireline
Fixed Wireless
Mobile/Cellular
Broadband Access
Satellite
Tower
Premises Integration
IT Services & BPO/ KPO
E-Money
Multi Channel TV
Edutainment
Portal
E-Commerce
Content
Customers Portfolio
Consumer Enterprise Wholesale
Product Portfolio
SME
*) Geography coverage for international investment is basically all over the world, however for the initial investment, Asia and Middle-East will be the priority. Geography*DomesticDomestic InternationalInternational
BPO: Business Process Outsourcing
KPO: Knowledge ProcessOutsourching
Our business portfolio (T.I.M.E)
16
by Telkom Indonesia
TELKOM Group Integrated e-Health SolutionUsing Telkom e-Health Hub as a Shared Service Platform
Telkom e-Health shared service platform (e-Health Hub)
Transformation service
Finance : Himbara Link
& Other 52 Banks
Web service adapter
Doctors/Specialist Hospitals
Healthcare Providers
Clinics
ClaimProcessing System
TELKOM e-Hospital (HIS)
Laboratories
Pharmacies
TELKOM e-ApotekASGARA
& Other 32Insurance/
SIC
Ailed health(Suppliers)
Personal HealthWeb portal
Gov institutions
Note : SIC (Self Insure company)
IT Security Infrastructure
Workflow Services
Routing & Transformation
Services
by Telkom Indonesia
Main roles1.Member Eligibility2.Automated Outpatient Claims Processing3.Inpatient Admission & Cashless Discharge4.24 X 7 Call Center Assistance
Dial-up/GPRS/VPN-Instant/VPN-IP/Speedy
Insurance,TPA &Corporate
(34)
Hospitals&polyclinics
(+725)Insurance Members
(1.5m by Nov’10)
EDC/PC
= TPA (Third Party Administrator)
Claims & treatment Services : Online Provider Network Personal Customer Service Medical Evacuation / Personal Assistant
Services Membership / Policy Administration
Inpatient Case Monitoring Online Claim Administration Periodic or Adhoc online Reporting Real time data access through
web Online Utilization Review (alert system) 24 hours Call Centre manned
by medical professional
32 Partnering Hospital(Malaysia & Singapore)
3,000 insurance policies (with 500 unique benefits)
Admedika Solution : Third Party Administrator – Claim Processing System (TPA-CPS)
by Telkom Indonesia
AdMedika National Network : Hospital/Clinic & Insurance
No Region Hospital Clinic Sub Total
Nasional1 Bali 11 10 21
2 Banten 9 24 33
3 Jabodetabek 222 144 366
4 Jawa Barat 45 27 72
5 Jawa Tengah 48 3 51
6 Jawa Timur 63 14 77
7 Kalimantan 18 2 20
8 Maluku 3 - 3
9 Aceh (NAD) 3 - 3
10 NTB 2 - 2
11 NTT - 1 1
12 Riau 16 4 20
13 Sulawesi 12 1 13
14 Sumatra 30 3 33
15 Papua 3 1 4
Total 487 234 721
International Partner1 Malaysia 28 - 28
2 Singapura 4 - 4
Total 32 32
AdMedika Insurance Partners
by Telkom Indonesia10/06/10
e-Hospitals (Cloud Computing – SaaS Model- Pay per Use)
Module and Cloud Computing Configuration
Benefit Hisys SaaS Business Model : • No Investment• Capex to Opex• Pay as Used• No Operational and Maintenance Cost• High level SLA
by Telkom Indonesia
BANDA ACEH
PALEMBANG
DENPASAR
KUPANG
DLI
BDR LAMPUNG
MANADO
FAKFAK JAYAPURA
PALUPADANG
PBR
PONTIANAK
BANDUNG
AMBON
SORONGBALIKPAPAN
JAKARTA
BATAM
MATARAM
PAREPARE
SAMARNDA
SINGAPORE
PENANG
SATUN
SEMARANG
BANJARMASIN
MAKASAR
SURABAYAENDE
MEDAN
Songkhla
TIS (Thailand)
SANGATA
BATURAJA
DMCS,
BENGKULU
WAINGAPU
KETAPANGPKL.BUN
AAG (Hongkong, USA)
JAMBI
TERNATE
Telkom Super Highway TopologyNational Backbone Capacity
Main IP Core Link :Total 5,3 TBps
IP Core Eastern Link :170 GBps
Metro Ethernet
Jawa Timur
METRO - E
Metro Ethernet
Denpasar
METRO - E
Metro Ethernet
Makassar
METRO - E
Metro Ethernet
Palembang
METRO - E
Metro Ethernet
Pakanbaru
METRO - E
Metro EthernetMedan
METRO - E
Metro Ethernet
Jawa Barat
METRO - E
Metro Ethernet
JawaTengah
METRO - E
International Link :40 GBps
Metro EthernetBanjarmasin
METRO - E
Metro EthernetJakarta
METRO - E
Softswitch
MSAN/DSLAM
TIMIKA
MERAUKE
AAG Consortium : Development of Asia-Amerika Internet Gateway 1.92 Tbp/s Capacity
by Telkom Indonesia
Peta Connectivity BALI – NUSA TENGGARAPembangunan jaringan Backbone Optic untuk menghubungkan Seluruh Kota Kabupaten di Bali dan Nusa Tenggara,termasuk Hub Denpasar dan Mataram .Pada tahun 2011 akan dibangun Fiber Optik Pulau Timor Region sampai dengan titik border dengan Timor Leste
FO Coverage & Connectivity Per Kabupaten KotaSelesai Maret‘11:• Labuhanbajo• Ruteng• Bajawa• Ende• Maumere• Waingapu• Kupang
Selesai Desember‘11:• Waikabubak• Soe• Kefamenanu• Atambua
Telkom Group Fixed and Wireless Broadband
Jabodetabek DSL Ports (~ 900K) Astinet Metro Ethernet Telkomsel 3G / HSDPA 3.3 GHz WiMax
Jabodetabek DSL Ports (~ 900K) Astinet Metro Ethernet Telkomsel 3G / HSDPA 3.3 GHz WiMax
Bali & Nusa Tenggara DSL Ports (~ 100K) Astinet Metro Ethernet Telkomsel 3G / HSDPA
Bali & Nusa Tenggara DSL Ports (~ 100K) Astinet Metro Ethernet Telkomsel 3G / HSDPA
Sumatra Utara DSL Ports (~ 100K) Astinet Metro Ethernet Telkomsel 3G / HSDPA 3.3 GHz WiMax
Sumatra Utara DSL Ports (~ 100K) Astinet Metro Ethernet Telkomsel 3G / HSDPA 3.3 GHz WiMax
Kalimantan Timur DSL Ports (~ 70K) Astinet Telkomsel 3G / HSDPA 3.3 GHz WiMax
Kalimantan Timur DSL Ports (~ 70K) Astinet Telkomsel 3G / HSDPA 3.3 GHz WiMax
Sulawesi Selatan DSL Ports (~ 30K) Astinet Metro Ethernet Telkomsel 3G / HSDPA
Sulawesi Selatan DSL Ports (~ 30K) Astinet Metro Ethernet Telkomsel 3G / HSDPA
Papua & Maluku• DSL Ports (~ 7K)• Astinet• 2.3 GHz WiMax
Papua & Maluku• DSL Ports (~ 7K)• Astinet• 2.3 GHz WiMax
Maluku & Papua DSL Ports (~ 7K) Astinet 2.3 GHz WiMax Wide Availability
through pan-Indonesian coverage
• 3 million DSL ports
• 5 million HSDPA capacity
Ability to differentiate offering using broadband portfolio : Speedy, Flash, Metro-E, WiMax
Source: PT. Telkom, A.T. Kearney analysis
by Telkom Indonesia
Speedy ViCon adalahlayanan sewaberbayar yang menyediakanfasilitas komunikasivideo conference melalui jaringaninternet Telkom Speedy Tentukan
TerminasiSusunPerencanaan
AktifkanLayanan
PanggilanVideo Conference
1 2 3 44 Langkah mudah penggunaan layanan
Berlangganan layanan Speedy ViCon sepertiberlangganan telepon seluler: Peralatan diusahakansecara terpisah oleh pelanggan dan Telkom menyediakanakses jaringan serta sistem komunikasinya.
Speedy ViConPowered by TELKOM
by Telkom Indonesia
Speedy ViConPowered by TELKOM
FiturUtamaSpeedy ViCon
Fitur Aplikatif: Point to Point Call (unlimitted) Multipoint Cal ( 3 sites - unlimitted) Dual Video (desktop sharing, video playback, ext camera, etc) Device Colaboration (ext display, sound system, electronic whiteboard) Recording & Streaming URL Domain Name
Fitur Perfomansif: HD (High Definition) Video Quality up to 1080p@30fps Stereo Audio Quality (20 KHz) Firewall/NAT Traversal Audio Conference Call Zone User Policy User Bandwidth Limitation
Operational & Support : Web Portal Services (information, registration, booking,
billing system) Device Management Monitoring Reporting Help desk (24x7x365) Operational Technical Support
by Telkom Indonesia
Jenis Layanan TELKOM Speedy ViCon
Standard Premium
ID Pengguna (User Account) Global Direktori Max call speed: 1.5 Mbps Panggilan Point to Point Panggilan Multipoint (On Demand) Fasilitas gratis endpoint Vicon software
MoVi
ID Pengguna Global Direktori Max call speed: 4.0 Mbps Mendukung panggilan Point to Point Panggilan Multipoint (Dedicated & On
Demand) Fasilitas gratis endpoint ViCon software
MoVi Fasilitas VAS (Value Added Services)
Akses LayananSpeedy ViCon1
E20
EX60/EX90
C20Quick set
Profile 42C20 plus
C40Codec
PenyediaanEndpoint
ViCon(penyewaan)
2
+
MoVi
Layanan termasuk: Instalasi & training Operasional (optional)
by Telkom Indonesia
Arsitektur Dasar Sistem Speedy ViCon
Cloud Service
SpeedyNetwork
Call Control,
SBC,MCU,
Mgmnt
TELKOMHot SpotTELKOMSEL
FLASH
Customer Customer
Provisioning
Directory
Billing
ViCon Infrastruktur
ServicesCentre
ISDN & PSTN
TELKOMVPN
TELKOM TelePresencePerangkat video-conferenceyang mampu“menghadirkan” lawanbicara kita dalam ruang danwaktu yang sama secara realtime dengan kualitas highdefinition
Dengan Telepresence kitadapat mengadakanpertemuan dengan lawanbicara kita yang berbedalokasi seolah-olah beradadalam satu ruang pertemuanmelalui video conference
Definisi “High Definition”
StandartTelevisi
HD
Full HD
• High definition - ukuran pixel yang makin tinggi:• Gambar makin tajam• Dapat dipasang pada display yang makin besar.
• Video conference tradisional menggunakan standart dengan ukuran maksimum 480 x 720 pixel dengan BW Video dengan kisaran 256 kbps sampai dengan 2Mbps
Manfaat penggunaan TELKOM TelePresence1. Pelaksanaan pertemuan “real” dapat dilakukan secara efektif dan efisien
2. Percepatan dalam pengambilan keputusan dalam kondisi kritis (crisis management)
3. Solusi dari keterbatasan ruang dan waktu dalam melaksanakan pertemuan
4. Interaksi dan diskusi dua arah dengan melibatkan data, suara dan gambar dalam waktu yang
bersamaan
5. Sebagai salah satu media efektif dalam pengendalian pelaksanaan program strategis antara
kantor pusat dan daerah
CTS 500 series
•Display 37 inci•Ideal untuk 1 – 2 orang
CTS 1000 series
•Display 67 inci•Ideal untuk 1 – 4 orang
CTS 3000 series
• Display 3 unit @ 67 inci• Ideal untuk 6 orang (ditambah 12
orang untuk tipe 2 lajur)
Model Penawaran Telkom TelepresenceCAPEX Model
Biaya Pembelian“TP End Point +
Setup Fee”
Biaya Bulanan/ Pemakaian“Managed TP
Connectivity Services”
Leasing ModelBiaya 1 kali“Setup Fee”
Biaya Bulanan/ Pemakaian“Managed TP
Connectivity Services”
Equipment Cost
Maintenance & Warranty
Central Component (alokasi)
Bandwidth Charges
Implementation Cost*
Biaya Bulanan Sewa Perangkat
“Managed End PointServices”
Opsi 1: Model Biaya Tetap
Model 2: Model Biaya per Pemakaian
by Telkom Indonesia 32
Our Value
TELKOM Group
ICTSolution
Price CompetitivenessManageable costConvenience, flexible business model
One Stop Managed Solution
Managed voice, application, data & converged network
services including high performance Data Center &
DRC
Improving Business Performance:Improved network utilization, availability, reliability & performance enable the customers to focus on their business
Secured & Trusted Corporation:
Stated Owned Company
public listed Auditable
Compliance
Coverage & Full Services:Integrated infocom services
Nationwide
Consulting & Integrating services:Experienced team in plan & manage the design, build & deployment of Innovative solutions
by Telkom Indonesia
thank you
Source : Orange Healthcare for Telco 2.0 Exec Brainstorm
by Telkom Indonesia
Curriculum Vitae
Pendidikan:• MT in Information System and Technology, ITB • S1 in Telecomunication, Unibraw
Saiful Hidajat• Lahir : Surabaya, 10 Februari 1970
Jabatan :• 2004-2006 : Manager e-Solution Divisi
Multimedia PT TELKOM• 2006-2007 : GM Operation PT. FINNET
(Telkom Group)• 2007 – Sep 2010 : Head of IT Service Strategy
PT. TELKOM• Sep 2010 – Now : Director of Business
Development PT. Admedika (Telkom Group)
[email protected]@admedika.co.id
http://namakuiful.com