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DefinitionNot SIMRSSIMRS
Sistem informasi yang mengintegrasikanseluruh alur pelayanan dan manajemen
(Permenkes No. 82 tahun 2013 tentang SIMRS)
• Billing System
• Electronic Medical Record
SIMRS DigitalAspect Conventional SIMRS Digital SIMRS
Administrative service Manual Computer-based
Medical Record Paper-based Electronic medical record
Data integration Manually synchronized Hospital data is integrated by the system
Data Security Potential data lost due to human error or disaster
The encryption system protects the data from security breaches
Data storage Potential data duplication and limited storage
No duplication of data and unlimited data storage
Accountancy High potential human error and time-consuming
Minimal human error and real-time report
• Registration
• E-Claim
The Potential Transformationinto the Digital Era
23,5%The number of millennials in IndonesiaIndonesian Millenial Report, 2020
79%Millenials opens the smartphone after waking up Indonesian Millenial Report, 2019
Millennials using smartphone as a device to access the internet
98,2%
Indonesian Millenial Report, 2019
Increase of human population in Indonesia, Malaysia and the Philippines by 2050. And Covid today is brings disruption of patient behavior.
40%
Customer Health Survey, 2021
The largest increases in the use of virtual healthcare were among Gen X and babyboomersDelloite Center for Health Solutions, 2020
The Future of Telemedicine
Telemedicine should use the HIS
Pasal 1 Ayat 1 Permenkes 20/2019
and doesn’t stand alone as an entity
Telemedicine must be practiced by health workers who has a license
Pasal 2 Permenkes 20/2019
to practice in a healthcare facility
70%of consumers have said they prefer digital solutions to phone/in-person solutions for many healthcare interactionsMcKinsey Consumer Health InsightSurvey, 2017
7% 5%Gen-X
BabyBoomers
Indonesia Health Care ConditionThe Concerning Problem
Patient feels hospital queue time is too long
Survey Citizen Report Card (CRC), 2009
Only 5.14 %
Scattered medical record and hospital data Data across departments are not integrated
Hospital data that comprehensively integrated across platform
Garda Medica Internal Survey, 2021
Personal data presumed leaked from health sector databaseKOMPAS, 2021
User Hospital Management Health Care
Inefficient resource and budgeting allocation
Most Doctors feels their time is wasted on doing manual paperwork
Data Implementation Bridging System BPJS Kesehatan
279 Mio
Hospital don’t have proper Health Information System even though they are legally obliged to implement HIS PERSI, 2021
57 %
46.9 %
1 H 45 MAverage time needed to finish patient’s registration paperwork
Garda Medica Internal Survey, 2021
76.5 %Hospital not satisfied with
their existing HIS Garda Medica Internal Survey, 2021
3.029Number of Hospitals in Indonesia
1,98%Type A
14,46%Type B
52,1%Type C
27,63%Type D
3,83%D Pratama / not specified
Hospital wasn’t satisfied with SIMRS because the module was incomplete
57 %
46,15 %
60%Hospitals have not used SIMRS
due to the high costGarda Medica Internal Survey, 2021
Hospital don’t have proper Health Information System even though they are legally obliged to implement HIS
PERSI, 2021
Hospital stated that they were still not satisfied with their SIMRS
34,61%
Garda Medica Internal Survey, 2021
25%Hospital wasn’t satisfied with SIMRS because
there are lots of bugs and complex UI / UX.
SIMRSNowadays
sirs.kemkes.go.id
Stage 1: Basic HIS Stage 2: Advanced HIS Stage 3: Advanced HIS (Core Clinical)
Stage 4: Digital Hospital
Healthcare Maturity Model
Stage 5: Digital Virtual Enterprise
• Patient Registration/
inpatient admission
• Discharge & Transfer
• Patient Billing and
Accounts Receivable
• HRIS / Payroll
• General Ledger /
• Financial Reporting
• Purchasing / Accounts
Payable
• Electronic Claims
• Submission (Discharge
Summaries, Coding and
Abstracting)
• Electronic Payment
• Processing
• Inventory Supply
• Requisitioning and
Distribution
• Basic Order
• Communications
• Internet Access
• Intranet
• Laboratory Information
System
• RIS/Radiology Results
Reporting
• PACS
• Pharmacy
• Operating Room
Scheduling and
Management
• Patient Appointment
Scheduling
• Computerized Physician
Order Entry
• Nursing Documentation
• Emergency Depart.
Management
• Physician Portal
• Patient Portal
• Wireless Infrastructure
• Inpatient (EMR)
• Ambulatory EMR
• Enterprise Master Patient
Index
• Location-based services
• Secure messaging
(Provider-Provider/
Provider-Patient)
• Clinical Data Repository/
Data Warehouse
• Participation in
Regionalized Patient
Clinical Data Repository
• Home Health Case
Management
• Remote Patient
• Monitoring /
Telemedicine
Source: IDC Health Insights
Paradigm Shiftin Healthcare
Treatment of patients
Provider-centric
Episodic approach
Hospital based
Invasive, uncomfortable
Health of citizen
Patient-centric
Lifetime care, preventive
Decentralized, community based
Less invasive visualization & treatment
Today Drivers Tomorrow
Cost of healthcare delivery and need to improve access to care
Complexity of care
Increased patient involvement
Digitalization
Source: Arthur D. Little
Patient engagementUtilization of digital tools to increase participation and promote positive patient behavior
Health analytics/AICollection & analysis of data for patients & healthcare providers (incl. data driven performance management and patient/ clinical pathway management, clinical decision support
WellnessSelf-care through digital platform and communication devices
Biosensing wearablesContinuous vital signs monitoring and feedback to patients and doctors
TelemedicineRemote diagnosis and treatment of patients by means of telecommunicating technology
Health informationexchangeData sharing between providers to support access to patient records across health systems
Home careUtilization of ICT technologies to deliver care in the home environment
Cloud computingUse of cloud technology to decrease hardware, software and personnel costs of managing healthcare software
Hospital Information System Trends
Source: Arthur D. Little
Supporting public health management: through data analytics for use in epidemiology
Extensive data collected and analyzed from HIS can produce a lot of benefits including:
Improvement of hospital performance: by understanding their clinical, operational, and financial performance.
Data security: with blockchain enables healthcare providers to distribute transaction records to patients securely and will greatly improve data security
Digital Data and the Era of Health Analytics and Artificial Intelligence
Precision medicine: Utilization of research and centralized data to promote enhanced diagnosing and personalized patient care.
Data privacy: it is an extremely important issue in health technology especially with regards to HIPAA compliance in 2020
Clinical decision support:through longitudinal data from patient’s clinical and physiological records.
Insurance claims: Improving the efficiency of medical insurance claims by revealing claim trends and streamlining claims processing. Source: Arthur D. Little
And many more….
Example of AI in Healthcare
XTALPIAI, Cloud-based Digital Drug Discovery
ZEBRA MEDICAL VISIONAI-Powered RadiologyAssistant
FREENOMEEarlier Cancer Detection with AI
ATOMWISENeural Network for Clinical Trials
SIMRS GARDAFrom Clinician to ClinicianIntegrated ModulesMaximum Efficiency
Integrated modulesFront-office to back-office integrated module. Ensure easy data migration
Cloud-basedHospital management and medical can access it whenever and wherever they want
Comprehensive Complete Medical Record designed with JCI and KARS Standard
Progressive Web-App Can be accessed with mobile or desktop
User Friendly Simple and Intuitive UI/UX
One-stop solutions for Hospital needs
Clinician to clinicianDesigned by experienced clinician to ensure efficiency of the system
From Clinician to Clinician
Integrated and Efficient Hospital Management
Data SecurityCarefully thought outBank level data security
Easy Integrated Insurance ClaimIntegration with health insurance provider (BPJS Kesehatan and private health insurance)
Rp
Affordable and Secured Database
AffordableConsiderably affordable with many payment options
Back Office:• Accounting• Executive
Information• Inventory• Master Data• Human Re-
source Infor-mation System
• Research andEducation
LaboratoryInformation
System
Cashier
Emergency
Inpatient ICU Queuing
Registration
PONEK
Outpatient
Medical Check Up
OK
Radiology Information System
Pharmacy
W E B - B A S E D
M O B I L E A P P S
Online registration via mobile apps or
website.
Real-time monitoring of patient queues
Confirm patient attendance by
scanning a QR code
Another Feature:
Examination history
Live chat with HospitalCustomer Service
Hospital Support andInformation
News and Announcement
Infrastructure Technology Excellences
• Simple• Flexible• Comprehensive and modern
documentation• There is a community• Strong ecosystem
• Data security• Scalability on demand • High Performance• Flexibility from open source• Supported by many operating
systems and programming languages
• Supported by many tools
• Easy and complete documentation• Open Source• MVC architecture• Blade Template• Has a migration feature• Security• Big community
• Fast and stable• Can be implemented on Android
and ioS
Technology Platform
Framework
DatabaseService
Framework
SMS Masking
At the end of the
implementation
process, Garda IT
team will undergo
technology and
knowledge transfer
about the whole
system to the
hospital IT team.
Garda IT team will
ensure that the
system fullfill the
quality standard.
The team will also
upgrade the
system if necessary.
In this checkpoint,
the system is ready
to be applied in
daily operational
services.
The training and UAT process include but not limited to:- Silabus
explanation- Garda Self
Learning Platform
- Focus Group Discussion
- Evaluation and UAT
Garda will conduct
installation process
which include :
- System
installation and
customization
- Data migration
- System testing
and running
Garda will conduct
a comprehensive
survey to the
hospital which
include :
- Asessment
- Analysis
- Planning
Implementation Process
Tech and knowledge
transfer
Quality Assurance
and Maintenance
Go Live and Roll out
Training dan User
Acceptance Test (UAT)
InstallmentSurvey
SIMRS Garda Implementation Guideline
Garda Self-Learning Platform
Senior Consultant onAlcimed
OURCONTACT
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