Pahit Manis Memilih Provider HIS - Manajemen Rumah Sakit PKMK ...

HIS di RS Pondok Indah Group• 2000 : Implementasi Pertama HIS• 2004 : Implementasi HIS baru• 2008 : Implementasi EMR dan ERx– LIS, PACS– Call center & appointments– Nursing Management Software– HR– Finance– Balanced Score cardYANWAR HADIYANTO / KONGRES XII PERSI

APA YANG TERJADI ?….Salah Pilih ?YANWAR HADIYANTO / KONGRES XII PERSI

MANFAAT HOSPITAL INFORMATION SYSTEM ?• GOAL STRATEGIS / VISI DARI RUMAH SAKIT• KETERSEDIAAN DATA – KEPUTUSAN LEBIH BAIK– Peningkatan kualitas pelayanan medis dan non medis– Penilaian KPI dept• KEBUTUHAN RUMAH SAKIT :– Perbaikkan 3C dari Patient care - Akses• Consistency, Continuity, Co-ordination– Cost effectiveness / Lingkungan Paperless– Keselamatan Pasien (rx, alergi, alerts, reminders dll)• REVENUE• KEBUTUHAN UNTUK BENCHMARKING– Standard treatment protocol & Process ( KARS / JCI ? )YANWAR HADIYANTO / KONGRES XII PERSI

TANTANGAN• CHANGE MANAGEMENT– Kesiapan ‘user ‘ menggunakan sistem baru– Pelatihan user dan adoption rate– Change management dan komitmen dari leadership• IT INFRASTRUCTURE MANAGEMENT – SUMBER DAYA DAN DESIGN ?– Data Center– Disaster Recovery site– Jaringan & Konektivitas– Support 24/7 & Internal Tim IT• EXISTING SYSTEM – RIP & REPLACE OR INTEGRATE ??– Patient Administrative System (PAS)– EMR, ERx, LIS, RIS, PACS– ERP & Management Information SystemYANWAR HADIYANTO / KONGRES XII PERSI

TOTALCOST OFSOLUTIONCOST OF- - -MISSEDOPPORTUNITIESVALUE OFBUSINESSBENEFITSCOST OFNECESSARYALTERNATIVES• SoftwareLicense fee• Implementation• Maintenance• Integration cost• IT Infrastructure• Resourcing• Enhancements• Decision atthe righttime• Turn-overtime• Patient’sSatisfaction• Unbilledconsumable• Unbilledprocedures• Unansweredcall• Unpaid Rx• Paper• HumanResources• DuplicationtimeYANWAR HADIYANTO / KONGRES XII PERSI

Dibutuhkan 20 detik mengisi Nama,No MR, dan tanggal lahir setiap formpasien.Namun untuk 200 pasien, 5 formperhari = 200 X 5 X 20”= 5.5 jam perhari = 2027 jam per tahun = 84.5 hariYANWAR HADIYANTO / KONGRES XII PERSI

1. Penilaian Kebutuhan Rumah Sakit2. Persiapan Request for Information (RFI)3. Shortlist HIS vendor berdasar respons RFI4. Persiapan Request for Proposal (RFP)5. Review kemudian Shortlist HIS vendor berdasar RFPrespons6. Product Demo / check Referensi7. Overall Vendor rating8. Seleksi 2 Finalis – site visit & Proof of concept9. Negosiasi kontrak dan komersial10. Finalisasi Kontrak dengan vendor terpilih11. Kontrak sign off dan Kick-offYANWAR HADIYANTO / KONGRES XII PERSI

• KEMAMPUAN ORGANISASI– Kemampuan Personel– Proses ‘governance’– Cost -High-level Technologyarchitecture• ANALISIS SISTEM YANG SAAT INI DIGUNAKAN• Business / Operational issues (short-medium-long- term)• Application functionalities• Application Scalability (Sizing), Performance, Availability andManageability• Integration capabilities : EMR, Nursing, LIS, RIS .....YANWAR HADIYANTO / KONGRES XII PERSI

HOSPITAL INFORMATION SISTEM ‘TODAY ’And the list goes on..YANWAR HADIYANTO / KONGRES XII PERSI

CUSTOM ATAU ‘OFF THE SHELF’• KESESUAIAN DENGAN PROSES BISNIS• KEMAMPUAN INTERNAL TIM• PENERIMAAN USER• WAKTU IMPLEMENTASI• KEBUTUHAN ‘BENCHMARK’, ‘BEST PRACTICE’• ANTISIPASI KEBUTUHAN MASA MENDATANG• BIAYAYANWAR HADIYANTO / KONGRES XII PERSI

REQUEST FOR INFORMATION (RFI)• Organization details• Organization regional presence & support• Customer base – Global & Local• HIS product overview– Development platform– Product Features– Product maturity– Product roadmap– Reference SitesYANWAR HADIYANTO / KONGRES XII PERSI

1. OrganizationSection 1.1. Overall Size, Growth and Healthcare - Provider operationsOpen Auto-CalculatedOrganization NameRegional Presence (List the Regional Presence)Organization InceptionOrganization Revenue - Overall (in MUSD)Organization Revenue - Healthcare (in MUSD)Organization Revenue - Healthcare - Provider (in MUSD)#DIV/0!#DIV/0!Organization Head Count - Overall 100%Organization Head Count - Healthcare#DIV/0!Organization Head Count - Healthcare - Provider#DIV/0!No. of Business Analysts - Medical Professional#DIV/0!No. of Business Analysts - Non-Medical Professional#DIV/0!Request you to provide additionalinformation as part of attachment,only key information shall be indicatedhereSection 1.2. SEA Regional PresencePre-definedRegional HQ officeSelectRegional Local office (list the countries)SelectRegional Sales Team Presence (List the location )SelectIndonesia / Local Sales Team PresenceSelectRegional Product Support CentreSelectIndonesia / Local Product Support CentreSelectRegional Established Support Partners Select List the partner NameIndonesia / Local Established Support Partners Select List the partner NameOpenSection 1.3. HIS / Product DeploymentsNo. of HIS deployments - OverallNo. of HIS deployments - SEA RegionNo. of HIS deployments - IndonesiaNo. of HIS deployments - Indonesia - OverallNo. of HIS deployments - Indonesia - Tier-1 (>500 Beds)No. of HIS deployments - Indonesia - Tier-2 (100 to 500 Beds)No. of HIS deployments - Indonesia - Tier-3 (< 100 Beds)No. of Active Clients - SEA Region - OverallNo. of Active Clients - SEA Region - Tier-1 (>500 Beds)No. of Active Clients - SEA Region - Tier-2 (100 to 500 Beds)YANWARNo. HADIYANTO of Active / KONGRES Clients - XII SEA PERSI Region - Tier-3 (< 100 Beds)OpenList the top 3 names

2 HIS Product / SolutionsSection 2.1 Product InformationProduct Name / BrandFirst Market ReleaseCurrent Version Number and Release DateNumber of Major versions ReleasedSection 2.2 Technology and Deployment PlatformIs your solution is Web based?Is your Operating System is MS Windows?Is your solution is Modular Approach?HIS Architecture - Multi TierHIS Development Platform - Microsoft TechnologiesHIS Development Platform - Open sourceHIS Development Platform - OthersSection 2.3 Modules / FeaturesFunctional ModulesAppointment SchedulingRegistration and AdmissionDischarge and Bed TransferEnquiry ServicesRevenue Mgmt. (Billing & Collection)Packages Management (Creation and Maintenance)Doctor Fee Mgmt. ( Configuration and Calculation)Pricing Management (MultiTarrif, Price Book, Upload / Download)Medical Centre / Doctor Calendar ManagementOut Patient and Day care ServicesNursing / Inpatient Services / RoasterSpecialty Clinical Module / TemplatesOperation TheatreLaboratory / LISRadiology / RISExecutive Health CheckupPharmacyElectronic Medical RecordOpenPre-definedSelectSelectSelectSelectSelectSelectSelectPre-definedSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectHL7 Interface EngineFeaturesSMS Configurations for specific EventsAlert MonitorsDevice Interfaces available & ImplementedBarcode Scanner / Printer InterfaceThumbprint Scanner InterfaceSmart Card InterfaceLIS Application InterfacePACS InterfaceRIS - Modality InterfacesMedical InstrumentsQueue Token Printers / SolutionsPlasma TV MonitorsApplication InterfacesFinancial Application Interface - Oracle FinancialMobility SolutionsWeb based Appointment SolutionStandards and ComplianceICD10 DatabaseHIPPADrug DatabaseHL7 MessagingSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectSelectYANWAR HADIYANTO / KONGRES XII PERSI

Vendor short listing• ScorecardBerdasarkan :– Teknikal– Fungsional– Komersial• SWOT analysisYANWAR HADIYANTO / KONGRES XII PERSI

YANWAR HADIYANTO / KONGRES XII PERSI

REQUEST FOR PROPOSAL• Functionalrequirements– Mandatory– Nice to haves• Technical requirements• Deploymentarchitecture• Commercials details– License purchase– Subscription basedYANWAR HADIYANTO / KONGRES XII PERSI

PRODUCT DEMO & REFERENCE CHECK(OF THE SHELF ONLY)• Product Demo (libatkan super users)– Demo berdasarkan skenario untuk mengecek :• Modul dan Fitur Produk• Kesesuaian dengan workflow rumah sakit• Management Information system dan Dashboard• Reference Site check– Kunjungan ke RS reference• Efektivitas implementasi• Adopsi dan Penerimaan dari User• Performance dari Sistem• Management Feedback (CLOSE THE DOOR !)• Proof of Concept : User sessions (libatkan super users)– Hands on User session /workshop untuk memperoleh• Pengalaman pertama dari user• Feedback dari user untuk perubahan field / flows dll• Internal buy inYANWAR HADIYANTO / KONGRES XII PERSI

Finalisasi Kontrak• ‘Shortlist’ minimum 2 vendor untuk negosisasi• Review Kontrak (data ownership, fleksibilitas)• Negosiasi komersial :– Lisensi Produk– Kontrak Maintenance tahunan– Biaya waktu dan Tim implementasi– Service level agreements– Term of Payment– Biaya ‘enhancement’– Biaya putus kontrak• Contract Signing & Project Kick OffYANWAR HADIYANTO / KONGRES XII PERSI

BELAJAR DARI MANIS/PAHITMEMILIH VENDOR HIS..• Pastikan bahwa IT adalah prioritas strategis.– Komitmen leadership dan organisasi• Memilih vendor HIS seperti memilih ‘istri’.• Identifikasi kebutuhan dan kemampuan organisasi.• Malu bertanya, Sesat Di Jalan !• Berakit-rakit ke Hulu, ber’senang-senang’ kemudian.• Pahit Manis ?YANWAR HADIYANTO / KONGRES XII PERSI

YANWAR HADIYANTO / KONGRES XII PERSITerimakasih.