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This
is a translation from selected segments of the e-Hospital
article from SWA Sembada Magazine Mar 2007:
According
to statistics, from a total of 1,200 hospitals in Indonesia - 92%
are still operating manually when serving patients, while 5% had
already implemented computerised systems and only 3% had rolled-out
IT in a comprehensive manner.
Based on SWA observations, the use of IT is
indispensable in various departmental operations in premier hospitals
in Jakarta. Some of
it has already reached a different level i.e. full integration.
Thus, they can confidently claim that they’ve already implement
a Total e-Hospital System.
For example Mr. Tavri Deviyan, Chief Information
Officer (CIO) of RS Pondok Indah (RSPI) recollects that IT Management
Systems
were introduced in RSPI in 2003. To support the initiatives, RSPI
implemented VESALIUS – the software designed and developed
by a public-listed company from Malaysia, Nova MSC Bhd. and Oracle
Finance.
The VESALIUS application has two core modules,
Hospital Information System (HIS) and Clinical Information System
(CIS). The HIS module
has the ability to automate all back office and administrative
process, including the finance application module. The HIS module
include patient and doctor administration, roster & appointment,
registration, pharmacy, billing system, cashier, purchasing, inventory,
medical record tracking, lab and radiology information system and
meal order. CIS is the module that covers all the clinical processes,
for both inpatient and outpatient environments. The module also
covers e-prescription, which allows the doctor to prescribe medicine
for the patient via the computer. The CIS modules include Outpatient
Clinical Management (Order Management, Electronic Medical Records
[EMR], Prescription and Medical Alerts), and also Inpatient Clinical
Management.
All the above-mentioned modules, as described by Mr Deviyan, are
centralised and integrated with the EMR - all patient medical records
that have been computerised. Ideally, all modules must be integrated
so that efficiency and productivity is optimised. However, he says,
that some modules like EMR, Lab and Radiology Information System
has not been implemented yet.
“To achieve a complete e-hospital will need time. In our
first phase and milestone, we implemented the basic functions -
starting from the patient registration, purchasing, inventory,
and pharmacy. These core functions must be there first,” said
Mr Deviyan.
Apart from VESALIUS, RSPI had also implemented PB Views. This
application is employed to view and analyse the hospital performance
from the management and financial point of view. With the implementation
of PB View, RSPI is the first hospital in Indonesia to advance
the concept of Balance Scorecard within the healthcare industry.
Apart from those two applications, RSPI also utilised Short Messages
Services (SMS) as of December 2006, this function not only serve
as a patient reminder, it works as well for registration. For example,
to remind the patient, especially the executive one, regarding
their time for medical check up; as media information for any promotion
regarding new services or any activity conducted by RSPI such as
health seminar, etc.
According to Mr Deviyan, RSPI sends up to 500 SMS weekly, mainly
to their executive members. In future, the SMS service will be
extended to consultation appointments.
Mr Deviyan also explains that the late implementation of EMR and
e-Prescription is due to change management required within the
hospital - mainly from nurses and senior doctors. However, as planned,
the entire IT project will be commissioned by this year, including
the self-registration, through Self-Service Kiosks. Through these
kiosks that resemble ATM machines, patients need not register at
the admissions department, but can do so themselves, as all patients
are issued with patient cards. The process is likened to an ATM
transaction. Once the patient card is inserted, relevant data about
patient will appear on the screen. From the touch-screen panel,
patient can select options available.
“When all these have been implemented, we can then proudly
announce that RSPI is the hospital that is fully digital or fully
paperless” said Mr Deviyan enthusiastically.
For the full article, please click
here.
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