‘Robust’ IT groups behind Indonesia’s digital transformation
Indonesia, the world‘s fourth populous nation, has been leveraging digital applied sciences to advance its healthcare system. Through the “Constructing a Profitable Digital Transformation Roadmap in Indonesia” webinar on 10 June, three hospital leaders within the nation shared their methods and blueprints in implementing digital initiatives.
PT Siloam Hospitals CIO Ryanto Marino Tedjomulja, Mandaya Hospital Group President Director Dr Ben Widaja and Dr Fathema Djan Rachmat, president director of Pertamina Bina Medika (Pertamedika) talked in regards to the challenges and the insights they gathered within the digital well being journey of their hospitals.
Dr Joanna Pang, chief supervisor for Info Expertise and Well being Informatics at Hong Kong’s Hospital Authority (HA), additionally contributed to the dialogue together with her expertise in serving to develop Hong Kong’s digital well being ecosystem.
Devoted groups to steer digital transformation
Step one within the digital transformation of Siloam Hospitals was the consolidation of information. Tedjomulja stated they created a sole division to supervise this course of which has led to the connection of all its 40 hospitals by one single system.
Throughout this part, all accessible knowledge had been introduced collectively, corresponding to these from sufferers, drugs and repair bills, in a single database to encourage clinicians and workers to make use of knowledge in determination making. “We use this knowledge to drive tradition transformation in Siloam; to be extra data-driven,” he stated.
A devoted IT crew was behind Pertamedika’s newest built-in hospital service system known as One Answer System, in keeping with Dr Rachmat.
She recalled that each one 73 state-owned hospitals underneath the Indonesia Healthcare Company (IHC), the community operated by Pertamedika, used to run their very own separate apps. Now, they’re working with one answer that’s user-friendly for docs and contains an end-to-end module from the dashboard to EMRs.
Dr Rachmat stated she wouldn’t thoughts having an viewers with their IT crew to debate, for example, the most recent software program they’re creating. She stated the hospital management would offer the area they want.
Of their digital well being journey, she underscored the significance of getting everybody on board. “We be sure everybody understands the idea of digitalisation and IT in addition to the enterprise processes of our hospital companies”.
Additionally currently, the IHC tried out drone know-how in delivering distant care and evaluating its capability to do long-distance implementations. In making an attempt out such an modern apply, not lots of people had been wanted, Dr Rachmat stated. “We simply must have a powerful crew ensuring that everyone can implement this of their hospitals. We additionally guarantee that a digital mindset is grown within the hospital”.
The difficulty with techniques integration
The Mandaya Hospital Group is about to open its latest digital hospital in West Jakarta this yr. The development of Mandaya Royal Hospital Puri (MRHP) began in 2018. It is going to be a 16-floor normal hospital with centres of excellence in cardiovascular companies, neurology and oncology.
In keeping with Dr Widaja, one of many challenges in opening a greenfield hospital is the dearth of a base knowledge set. “We’ve a brand-new crew with zero knowledge migration. This implies [we] do not need an preliminary set of information. We have to construct numerous new issues, [like] establishing a brand new database”.
Apart from ranging from scratch, it’s going to want a number of software program which not a single vendor can all present, he claimed. MRHP will want 13 software program techniques – seven for medical use and 6 for non-medical operations. These, together with an EMR, needed to be sourced from totally different distributors overseas, corresponding to in Europe, Malaysia and Indonesia.
Nonetheless, what’s vital down the road is techniques integration. “How will we mix and collaborate all 13 software program techniques right down to a single system for affected person and household expertise, ensuring that their expertise is seamless, ensuring that they don’t seem to be conscious that we have now 13 software program techniques in our system,” Dr Widaja stated. The unified system should even be predictive, proactive, personalised, sturdy and helpful, he added.
Within the case of public hospitals in Hong Kong, Dr Pang additionally thought that integrating a closed-loop system with medical workflow was “actually a difficult job”. It’s a type of areas the HA is specializing in to help the community’s medical operations. HA manages about 43 hospitals and 100 extra clinics that serve 90% of all in-patients within the area.
“Us and our IT colleagues, we spent various time and sources in establishing and likewise increasing the cell functionality, the cloud service, [and resolving] knowledge points as a result of these are all interconnected, such that we are able to help our medical operation and the administration”.
In choosing the proper techniques, Dr Widaja stated they need to weigh their choices particularly with distributors whose options require the adoption of their customary working procedures. “Do these procedures match our wants? Can they customise in keeping with our wants, the sufferers and our clinicians’ wants?”
With having a number of techniques, points with communications come up. MRHP has arrange a devoted crew to regulate communication.
Echoing Dr Rachmat, he additionally stated: “We have to have a powerful, inner IT crew to steer these implementation and integration phases”.
‘Mindset of innovation’
Tedjomulja stated they needed to go “again to the drafting board” throughout the second part of Siloam’s digital transformation – the digitalisation part. In getting into this stage, they needed to contemplate sufferers’ expectations first.
Digital initiatives throughout this part embrace the launch of a cell software for sufferers; a brand new medical system to streamline administrative duties; and using robotics course of automation know-how to automate routine work, particularly of their finance division, in addition to analytics to attract insights.
Siloam’s digital transformation doesn’t completely finish on the remaining stage. “We all know that know-how is at all times altering; it is at all times updating,” Tedjomulja stated. There additionally lies the problem of encouraging individuals to adapt to modifications.
That’s the reason a “mindset of innovation” is required to drive digitalisation, he pressured. “We should be innovating always. We’ve to guarantee that we’re not left behind.” Among the many current improvements at Siloam Hospitals is the applying of distant affected person monitoring to help diabetic sufferers.
Dr Pang additionally agreed with Tedjomulja’s name. On its finish, the HA has established its personal AI lab the place tasks are made following an AI innovation course of. Regardless of this effort, the hospital community has to cope with clinicians’ issues, corresponding to medical-legal issues, questions of safety, and affected person outcomes, in adopting the most recent AI-powered options. “We [found] that it isn’t straightforward to undertake AI options in medical settings as a result of clinicians could have their very own issues”.
However Dr Pang is definite about one factor: “AI will likely be one of many areas that we must always look into due to the rising demand from sufferers, restricted sources and manpower points. We’ve to consider tips on how to correctly undertake AI to handle the upcoming healthcare challenges”.
For Dr Rachmat, digitalisation isn’t just “creating an app”.
“It means, in healthcare, we’re altering all the things. We’re remodeling our organisation by innovation, [changing] the tradition and the individuals by utilizing know-how,” she stated.
One of many missions of Pertamedika’s IHC community is digital transformation, which for Dr Rachmat, additionally meant human transformation. “We do not change simply the media from paper to digital, however we’re truly altering individuals’s mindset and tradition and the way they work,” she stated.
In 2019-2020, the IHC made efforts to consolidate its community and guarantee digital, enterprise and cultural transformations. For this yr, they’re searching for or adjusting current EMR fashions throughout the hospital community so, by 2022 they’ll have a single EMR.
Dr Rachmat famous that the speed of digital adoption in Indonesia’s healthcare system is 10%, which represents a “massive alternative” for increasing digital transformation in home hospitals. COVID-19, she stated, is a type of components driving digital adoption.
Final yr, the IHC applied knowledge integration and interoperability to seize logistics knowledge from all hospitals because the community labored to satisfy the wants of COVID-19 sufferers. This yr, IHC plans to construct an information infrastructure forward of instituting enterprise analytics and optimisation in 2022. In 2023, IHC will increase its digital ecosystem to incorporate state-owned pharmaceutical companies by way of API sharing, and the next yr, it’s going to deal with robotics growth.
On his finish, Dr Widaja stated what’s essential in constructing a digitally-enabled hospital is the idea and management, “ensuring we have now the suitable idea, tips on how to plan it, we set the deadline and goal, how will we execute it. And we have now to verify management is ready to drive implementation”.