Strategi Pengembangan SIMRS Berbasis OpenSource
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Transcript of Strategi Pengembangan SIMRS Berbasis OpenSource
Pengembangan SIM RS Berbasis Open Systems
Guardian Y. [email protected]
Strategi adopsi sistem informasi di rumah sakit nirlaba, RS Pendidikan dan mekanisme dukungan komunitas
Outline
1. Cakupan sistem informasi rumah sakit1. Cakupan sistem informasi rumah sakit
2. Adopsi sistem informasi di RS2. Adopsi sistem informasi di RS
3. Peluang Open Source SIM RS3. Peluang Open Source SIM RS
4. Tatakelola sistem informasi internal RS4. Tatakelola sistem informasi internal RS
5. Sustainabilitas SIM RS & dukungan komunitas 5. Sustainabilitas SIM RS & dukungan komunitas
PELAYANANPASIEN 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
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PEMERIK-SAANMEDISAWAL
•Riwayat penyakit•Vital sign•Pemeriksaan fisik
DIAGNOSIS
•Diagnosa klinik•Diagnosa keperawatan
PERSIAPAN TINDAKAN MEDIS
•Pemeriksaan penunjang dan skreening
TINDAKAN MEDIS
•Tindakan operasi•Pemberian obat-obatan
REHABILITASI
•Rehabilitasi fisik•Pola hidup
PELAYANAN PASIEN PULANG
•Discharge Summary•Rujukan•Surat keterangan
NILAI TAMBAH
Cepat
Efisien
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Cakupan sistem informasi RS
Adoption from Porter’s value chain
SIM RS & Pelayanan Kesehatan
SIM RS = EHRAmatayakul, 2009 (AHIMA)
Pertanyaan penting
• Apakah SIM RS mahal?
• Bagaimana strategi adopsinya?
Adopsi SIM RS di Amerika
Davis, 2009. HIMSS Analytics
Adopsi SIM RS di Korea
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’
Road Map SIM RS
Collector
Phase 1Documenter
Phase 2Create 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
Peluang Open Source
• Care2x
• OpenMRS
Lingkungan SIM RS
Peluang Open Source
ApplicationGovernance
SIM
Asp
ekS
osio
-tekn
is,
Kea
hlia
n,
pene
rimaa
n
Aspek
Keamanan,
privasi,Integritas,
aksesibilitas
AspekTatakelola, Struktur
OrganisasiPembiayaan
Infrastructure
Siapa melakukan apa?
DecisionSupport
Management System
Clinical and Administration
Strategic Planning
Strategic Planning
Periodic QueriesPeriodic Queries
Operational Systems
Data Transaction
Data Transaction
Management Control
Management Control
Operational Control
Operational Control
Schedule,On demand
reports
Schedule,On demand
reports
5%
28%
5%4%
9%
35%
14%
Senior manager Health RecordsKnowledge Management ICT
Clinical Coders Information ManagementClinical Informatics
Komposisi tim SIM RS(Tribal survey, 2009)
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. Praktisi Profesi Akademisi
Customisasi/pendampingan sistem
Support community development
Industri
NETWORKING
Why HIS training?
Source: BNPB and Ministry of Health, 2011
Maps of health facilities in Indonesia, per April 2011
Proposed scaling up model
Open Development and Support
Other Hospitals
Piloting Hospitals (center of excellences)
Sister hospitals
IS StaffTechnical support
Capacity building
Initiator Group(Core team)
Open SourceSIM RS
Advanced Technical support
Capacity building
Community Development
NGOsNGOs
Local VendorsLocal VendorsLocal Vendors
UniversitiesUniversitiesUniversities
Puskesmas/DHO Technical StaffPuskesmas/DHO Technical StaffPuskesmas/DHO Technical StaffNon profit
Teaching Hsp.
Coordinate Development
Technical support
Partnership
Sampai mana RS mau mengadopsi SIM RS?
Clinical and administration systems
Tools NetworksKnowledge Rules
Using Information Technology
Terimakasih