1. The
world
in
your
hand
SAIFUL
HIDAYAT
Ehealth
Project
Director
PT.
Telekomunikasi
Indonesia
.
Tbk
Temu
Alumni
FK
Unair
Lintas
Angkatan
Tahun
Masuk
1950
–
2006
Surabaya,
26
November
2011
SICP
Corporate
Strategic
Planning

2. Curriculum
Vitae
:
SAIFUL
HIDAYAT
Educa1on
:
-­‐ MT
in
InformaFon
System
and
Technology,
ITB
-­‐ S1
in
TelecomunicaFon,
Unibraw
Working
Experiences
:
-­‐ 2004-­‐2006
:
PT.
Telekomunikasi
Indonesia,
Tbk
:
Manager
e-­‐SoluFon
Divisi
MulFmedia
-­‐ 2006
–
2007
:
PT.
Finnet
(Telkom
Group)
:
General
Manager
of
OperaFon
-­‐ 2007
–
2010
:
PT.
Telekomunikasi
Indonesia,
Tbk
:
Head
of
IT
Service
Strategy
-­‐ 2010
–
2011
:
PT.
Admedika
(Telkom
Group)
:
Director
Of
Business
Development
-­‐ 2011
–
Now
:
PT.
Telekomunikasi
Indonesia,
Tbk
:
Project
Director
Of
Ehealth
Business
Project
Corporate
Strategic
Planning

3. The
world
in
your
hand
TELKOM
View
On
E-­‐Health
TELKOM
Approach
&
Benchmark
TELKOM
Readiness
For
E-­‐Health
Solution
Q
&
A
SICP
Corporate
Strategic
Planning

4. TELKOM
VIEW
ON
E-­‐HEALTH
SICP
Corporate
Strategic
Planning

5. The
world
in
your
hand
Healthcare ecosystem is complex and often fragmented,
eHealth benefits both public and private stakeholders by improving
communications and information-sharing
Healthcare Ecosystem (Illustrative)
DiagnosYc
Services
(Lab,
Clinic/
Hospitals
Rad)
GP
(InpaYent,
Specialist
OutpaYent,
EClaims)
Pharmacy
• Wide EMR penetration • CPOE and EMR
Employer
Benefit
• Automated referrals • Referral PharmaceuYcals
Managers
• Automated coding and • Remote health
claim submission monitoring
• Automated coding &
claims submission CRO
Private
Insurers
• Members PaYent/
database
maintenance Consumers
Suppliers
State
Owned
Pharmacies
• Automated
eligibility/ claims Insurer
(e.g.
processing ASKES)
• Claims rating
• Effective case/ Mobile
Clinic/
disease Home
Care
management MOH
• Medical records • Portable PHR
storage • Personalized Portals
Other
• Patient Education
Healthcare
(e.g.
• Remote health
Regulatory
Dental)
monitoring
Agencies
Legend:
: Private
Province/
Nursing
Care
• Population health database : Public
District
Health
• Disease detection & analysis Expertise – Offices
Empowering – Progressive - Assured - Heart
• Pharmaceutical supply chain optimization : Public & private

6. Challenges
:
Improving
Stakeholders
InteracYons
and
Benefits
MOH
Ensure Quality of Care and Patient Safety
Corporate
Strategic
Planning

7. E-­‐Health
Stakeholders
RelaYonship
Insurance  Operating Efficiency :
Providers – Online Claims Healthcare
Submission and Providers
Reimbursements with  Connecting Patients and
Insurance Carriers Physicians
Doctors/ – Online Medical
– Connects Multiple Specialist
Suppliers and Buyers Appointment
– One Stop Shopping – – Online posting of surgical
MedPool, Reverse procedures including
Auctions, Auctions costs, and sorting results
 Electronic Prescriptions  Remote Patient
– Reduces Errors, Saves Monitoring
Vendors/ Supplier – Cardiac and Diabetic Patients
Lives, Increases & their
Efficiency Monitoring of Patients families
– Online Pharmacy Hospitals
– Targeted Marketing  Online Second Opinion
B2B B2C
Support Value Primary Value
Pharmacy Processes Processes
SUPPLIERS HEALTHCARE CONSUMERS
ORGANIZATION
Corporate
Strategic
Planning
Source : Georgia State University

8. InterrelaYon
Ehealth
ParYes
Key e-health Modules
Healthcare Providers
• Hospital/Clinic Information System
Patients Doctors/
& their Insurance Hospitals • On Line Medical Report (dapat diakses oleh pasien,
families Specialist
Providers docter / specialist dan lab)‫‏‬
• Telemedicine: Penggunaan audio, video dan
perangkat lain telekomunikasi untuk memproses
informasi terkait jasa pelayanan kesehatan atau
membantu paramedis yang jauh dari lokasi pasien.
• Personal Health Care System: Sistem pencegahan
pendukung untuk mengawasi dan perawatan pasien
secara individu (contoh: HotHealth)‫‏‬
• Third Party Administrator: Penyedia jasa yang
Integration Services memberikan layanan kepada perusahaan asuransi
dan TPA seperti Yakes dalam melakukan
pengecekan dan validasi klaim dari pasien.
• Supply Chain Management/On line distribution
support system untuk obat dan/atau farmasi
(contoh: Kimia Farma, Century, Guardian)‫‏‬
• National Healthcare Management Sytem untuk
menyediakan infrastruktur dan aplikasi pelaporan
data kesehatan nasional berupa Datawarehouse
Pharmacy dan Decision Support System (SIKDA/SIKNAS)‫‏‬
Vendors/ Supplier Laboratories
Corporate
Strategic
Planning
Source: Georgia State University & Internal Analysis

9. E-­‐Health
Trend
Corporate
Strategic
Planning

10. APPROACH
AND
BENCHMARK
SICP
Corporate
Strategic
Planning

11. Benchmark
Singapore:
Singapore: Healthcare is part of Government
Healthcare
is
part
of
Government
e-­‐Service
for
e-Service for Citizens
CiYzens
Search for Medical Professional
Search for School
Make Medical Appointment
Enrol into school
Application of Medical benefit
Birth Registration Check Examination Results
Prescription Drug Assistance
Death Registration Search for Student Care Services Internal Affairs
Change of Address Application for Student Pass Agency
Passport Application Search for Public Housing
Report loss of passport Government Application for Public Housing Foreign Affairs
Agency
Application for Residency Services Application for Financing Scheme
e.Identification e.Education e.Healthcare
Transportation
Agency
e.Employment e.Transportation e.Housing
Educatiuon
e.Family e.Utility e.Taxation Agency
Citizens e.Security e.International Affairs e.Disaster Mgt Healthcare
Agency
e.Contact e.GovtShop e.Post Office
Energy
Search for Social Activities Agency
Registration for Marriage
Taxation
Search for Counselling centre Agency
Request to hold Mail
Registration for Government Nursing Homes
Request for mail re-delivery
Application for Domestic Helper Social Services
Register yourself overseas Agency
Search for Legal Aid Overseas Mission People Hub
Report Loss of belongings Employment
Establishment Other
Hub
Search on Legal Records Hub Agencies
HealthCare
Corporate
Strategic
Planning
Hub Education
Hub

12. Benchmark Singapore:
Benchmark
Singapore:
e-­‐Health
Framework
e-Health Framework
Situation:
§ Between 2 Big Groups of
health service companies in
Singapore, in a Single
Framework of e-Health, the
Competition & collaboration
naturally in place &
compliance as well
§ Hospital become the centered
of Singapore ICT System
§ Grouping divided based on
areas, East & West, which
compete with each other
§ EMRX as a hub connecting
the East-West and other
groups or agencies
§ EMRX owned by Ministry of
Corporate
Strategic
Planning
Health
Source: http://www.moh.gov.sg/mohcorp/pressreleases.aspx?id=1366

13. E-­‐Health
Stakeholder
di
e-Health
Stakeholder Indonesia
Indonesia
Stakeholder E-Health di Indonesia dapat
digroupkan sebagai berikut:
Service
Support
• Rumah
Sakit
dan
Klinik
• Praktek
Dokter
• ApoFk
dan
Toko
Obat
Decision
support
dan
Research
• Pemerintahan
(Kementrian
Kesehatan)‫
‏‬
• Perguruan
Tinggi
Business
Support
• Asuransi
dan
Perbankan
• Industri
Farmasi
dan
Alat
Kesehatan
InformaYon
of
Healthcare
services
• Pasien
dan
Keluarga-­‐nya
• Publik
Corporate
Strategic
Planning
13

14. Tahap
Implementasi
eHealth
di
Indonesia
The
WHO
Global
Survey
Year
2009
for
eHealth
stated
that
Indonesia’s
eHealth
readiness
is
at
a
Key Observations
developing
stage...
• Average
score
is
around
52%
• The
lowest
eHealth
readiness
SecYon
1
-­‐
e-­‐health
FoundaYon
AcYons
dimension
is
SecFon
3
-­‐
Telemedicine.
Which
requires
SecYon
7
-­‐
69%
infrastructure,
connecFvity
and
OrganizaYon
and
SecYon
2
-­‐
mHealth
support
for
e-­‐health
advanced
applicaFon
of
eHealth
50%
55%
• The
highest
eHealth
readiness
SecYon
6
-­‐
Legal
and
31%
SecYon
3
-­‐
dimension
is
SecFon
1
–
ethical
frameworks
53%
for
e-­‐health
Telemedicine
eHealth
FoundaYons.
This
is
63%
indicaFve
of
the
guidelines
46%
being
put
in
to
facilitate
beber
SecYon
5
-­‐
Management
of
SecYon
4
-­‐
eLearning
communicaFon
and
in
health
sciences
paYent
informaYon
collaboraFon
and
also
form
the
eHealth
foundaFon
Note: (1) The WHO Global Survey for eHealth provides a secondary analysis of Indonesia e-readiness based on WHO e-health framework
Source: WHO, SME Input, Deloitte Consulting Analysis
Corporate
Strategic
Planning

15. Solusi
e-­‐Health
Indonesia
:
Saat
ini
masih
parsial
Profil solusi e-Health di Indonesia masih
parsial:
• Implementasi silo-silo
• Tidak terstandarisasi:
Hospital (1.679)
• Interoperabilitas, sulit dikembangkan
Asuransi (50) • Konsolidasi data sulit dilakukan (multi
format dan standrat)
• Kelengkapan data lemah karena
jangkauan kecamatan s.d pusat masih
terbatas
Puskesmas (8.234) Apotek (3.551) • Akses Informasi Publik terbatas: atas
indikator dan informasi kesehatan.
è Membutuhkan
Integrated
Shared
Service
Plaeorm
Industri Farmasi (260)
Corporate
Strategic
Planning

16. TELKOM
READINESS
SICP
Corporate
Strategic
Planning

17. Introducing
Telkom
Group
Our
business
por;olio
(T.I.M.E)
Product
Media
Telecom
Poreolio
n Fixed
Wireline
n MulY
Channel
TV
n Fixed
Wireless
n Mobile/Cellular
InformaYon
n Broadband
Access
n Satellite
n IT
Services
&
BPO/
KPO
n Tower
n E-­‐Money
Edutainment
n Premises
IntegraYon
n Portal
n E-­‐Commerce
n Content
*)
Geography
coverage
Customers
Poreolio
BPO:
Business
Process
Outsourcing
for
internaYonal
KPO:
Knowledge
Process
investment
is
basically
all
n SME
n Enterprise
n Wholesale
over
the
world,
however
n Consumer
Outsourching
for
the
iniYal
investment,
Asia
and
Middle-­‐East
will
be
the
priority.
DomesYc
Geography*
InternaYonal
Corporate
Strategic
Planning

18. Telkom’s
Healthcare
Vision
Corporate
Strategic
Planning

19. Telkom
Super
Highway
Topology
NaFonal
Backbone
Capacity
Songkhla
Main
IP
Core
Link
:
Total
5,3
TBps
SATUN
TIS
(Thailand)
Metro
Ethernet
Medan
InternaFonal
Link
:
IP
Core
Eastern
Link
:
BANDA
ACEH
40
GBps
PENANG
170
GBps
MEDAN
M320
METRO
-­‐ E
M320
AAG
(Hongkong,
USA)
MANADO
DMCS,
SINGAPORE
Metro
Ethernet
Metro
Ethernet
SANGATA
PBR
M320
M320
BATAM
Banjarmasin
TERNATE
Pakanbaru
PADANG
SAMARNDA
PALU
Metro
EPONTIANAK
thernet
SORONG
JAMBI
BALIKPAPAN
METRO
-­‐ E
Jakarta
KETAPANG
METRO
-­‐ E
BENGKULU
M320
PKL.BUN
M320 FAKFAK
JAYAPURA
Metro
Ethernet
PALEMBANG
METRO
-­‐ E
M320
M320
PAREPARE
Metro
Ethernet
BATURAJA
Makassar
Palembang
BANJARMASIN
AMBON
TIMIKA
M320
BDR
LAMPUNG
M320
JAKARTA
MAKASAR
METRO
-­‐ E
M320
SEMARANG
M320
M320
METRO
-­‐ E
M320
SURABAYA
BANDUNG
M320
DENPASAR
M320
M320
ENDE
DLI
MERAUKE
MATARAM
Metro
Ethernet
Metro
Ethernet
Metro
Ethernet
Metro
Ethernet
WAINGAPU
KUPANG
Jawa
Barat
Jawa
Tengah
Jawa
Timur
Denpasar
METRO
-­‐ E
METRO
-­‐ E
METRO
-­‐ E METRO
-­‐ E
Soeswitch
AAG
ConsorFum
:
Development
of
MSAN/DSLAM
SICP
Corporate
Strategic
Planning
Asia-­‐Amerika
Internet
Gateway
1.92
Tbp/s
Capacity

20. Telkom
Group
e-­‐Health
Complete
SoluYon
Thru
HIE
as
a
Shared
Service
Plaeorm
Expansion
to
eBilling
and
MOH
who
will
benefit
by
an
Hospitals
admihng
they
eSeblement
perpetuates
end-­‐to-­‐ interoperability
HIMBARA
and
need
Telkom’s
soluFon
for
end
paperless
&
efficient
claims
integrated
EHR
and
online
ASGARA
interoperable
w/
Payers
processing
reporFng
of
Jamkesmas
to
reduce
fraud
HIE – Health Information Exchange
eReferrals
from
primary
to
secondary
to
terFary
healthcare
(e.g.
ePuskemsas
to
District
and
VerFcal
Hospitals)
TELKOM
e-­‐Hospital
(HIS),
e-clinic, e-puskesmas, e-GP, e-Apotek , e-SCM, e-Claim
Corporate
Strategic
Planning

21. InSure
Net
:
InisiaYf
Rancangan
Sinergi
Asuransi,
Rumah
Sakit
Dan
Farmasi
Jasa Raharja
ASABRI ASGARA
Insurance
Planorm
kolaborasi
&
transaksi
secara
online,
meningkatkan
efek*fitas,
produk*vitas
&
mutu
InSure Net pelayanan
insFtusi
asuransi
Insurance Shared Service Platform
TPA
Fondasi
bagi
Finance e-­‐claim
dan
e-­‐health
nasional
Claim
Kementrian Kesehatan Processing
System
Badan kepegawaian & Rumah Sakit &
Instansi Lainnya Pusat Kesehatan
Bank:
Himbara Link
Peserta Asuransi
Peningkatan Mutu
Pelayanan
SICP
Corporate
Strategic
Planning

22. TELKOM
Group
e-­‐Health
Services
:
Third
Party
Administrator
–
Claim
Processing
System
(TPA-­‐CPS)
Claims & treatment Services :
Ø Online Provider Network
Hospitals
Insurance, Insurance Members &polyclinics Ø Personal Customer Service
TPA &Corporate (34)‫5.1( ‏‬m by Nov’10)‫‏‬ ‫(+027)‏‬
Ø Medical Evacuation / Personal Assistant
EDC
/PC Services
Ø Membership / Policy Administration
32 Partnering Hospital
Ø Inpatient Case Monitoring
(Malaysia & Singapore)‫‏‬
Dial-up/GPRS/VPN-Instant/VPN-IP/Speedy Ø Online Claim Administration
Ø Periodic or Adhoc online Reporting
Ø Real time data access through
= TPA (Third Party Administrator)‫‏‬ web
3,000 insurance policies
(with 500 unique benefits)‫‏‬ Ø Online Utilization Review (alert system)‫‏‬
Ø 24 hours Call Centre manned
Main roles by medical professional
1. Member Eligibility
2. Automated Outpatient Claims Processing
3. Inpatient Admission & Cashless Discharge
4. 24 X 7 Call Center Assistance
Corporate
Strategic
Planning

23. NaYonal
Network
for
TPA
–
CPS
:
Hospital
/
Clinic
-­‐
Insurance
No Region Hospital Clinic Sub Total
Nasional
1 Bali 11 10 21
2 Banten 9 24 33 AdMedika Insurance Partners
3 Jabodetabek 222 144 366
4 Jawa Barat 45 27 72
5 Jawa Tengah 48 3 51
6 Jawa Timur 63 14 77
7 Kalimantan 18 2 20
8 Maluku 3 - 3
9 Aceh (NAD)‫‏‬ 3 - 3
10 NTB 2 - 2
11 NTT - 1 1
12 Riau 16 4 20
13 Sulawesi 12 1 13
14 Sumatra 30 3 33
15 Papua 3 1 4
Total 487 234 721
International Partner
1 Malaysia 28 - 28
2 Singapura 4 - 4
SICP
Corporate
Strategic
P32
Total lanning
32

24. Telkom
e-­‐Hospitals
(Cloud
CompuFng
–
SaaS
Model-­‐
Pay
per
Use)
Module and
Cloud Computing
Configuration
Benefit
Hisys
SaaS
Business
Model
:
•
No
Investment
•
Capex
to
Opex
•
Pay
per
Used
•
No
OperaFonal
and
Maintenance
Cost
•
Flexible
as
Business
Need
•
Focus
on
Hospital
Business
&
Service
not
on
IT
•
AutomaFc
Update
•
Mobility
any
where,
any
Fme,
any
device
•
Integrated
with
other
Telkom
Group
Services
(eq,
e-­‐
Payment,
e-­‐Procurement,
SAP)
SICP
Corporate
Strategic
Planning

25. TELKOM
Group
Shared
SoluYon
:
Sebagai
komitmen
mendukung
Kesehatan
Indonesia
Ministry Shared Facilities
Of BUMN
Claim Processing System
Rumah ,TPA & SaaS HIS,CIS,PIS,LIS
Sakit/
Puskesmas
National
BUMN eHealth Call Centre
Farmasi Network
Financial
NW Switch
apotek
Ministry Of E-Health Hub
Health E-Claim Data
Electronic Health Records Center + DRC
Hospital Information System
Banks
Dashboard and DSS
Supply Chain Mgt
Insurances Back office Automation Mobile Solution
INFRASTRUCTURE, NETWORK
Universitas
INFUSION: Operation & Customer Support System
Personals
Corporate
Strategic
Planning

26. Referral
system
enabled
>
NaYonal
eHealth
System
MIS
/
EIS
Epidemic
Control
Asuransi
Cost
Control
Diseases
Control
Research
Facility
Treatment
Control
Program
Monitoring
Facility
Improvement
AdCPS
Web
Service
EMR
Data
Repository
Exchange
Gateway
ReporFng
and
AnalyFcs
Processor
Web
Service
Connector
Connector
Connector
Connector
Connector
Puskesmas
Connector
Rumah
Sakit
Rumah
Sakit
Klinik
Corporate
Strategic
Planning
ApoFk
Rumah
Sakit
InternaFonal
Rujukan

27. Our
Value
One Stop Managed
Solution
Managed voice, Price Competitiveness
application, data & Manageable cost
converged network services Convenience, flexible business
including high performance model
Data Center & DRC
Secured & Trusted
TELKOM
Consulting & Integrating
Corporation: Group services:
Stated Owned ICT Experienced team in plan &
Company manage the design, build &
public listed Solution deployment of Innovative
Auditable solutions
Compliance
Coverage & Full Services: Improving Business Performance:
Integrated infocom services Improved network utilization, availability,
Nationwide reliability & performance enable the
customers to focus on their business
Corporate
Strategic
Planning

28. Q
&
A
SICP
Corporate
Strategic
Planning

29. SAIFUL HIDAYAT
Project Director
E-Health Business Project
Directorate of IT, Solution and Supply
PT. Telekomunikasi Indonesia
saifulh@telkom.co.id
0811 133 236
SICP
Corporate
Strategic
Planning