Program Internship PT Fujitsu Indonesia Politeknik Pos Indonesia

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Preface

1. Adi Nurrahman2. Arif Yulianto3. Basuki Cahyo Setyo W.4. Boby Saputra5. Densy Mey Wulandari6. Fahmi Fauzi Nugraha7. Hardiansyah Ridwan8. Kandi Permana9. Rizky Nurfadilah10. Yesi Putrilia Martasri

Student Politeknik Pos Indonesia

Internship Program

March Mei 20152

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Program Internship PT. Fujitsu Indonesia Politeknik Pos Indonesia

March Mei 2015

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4

PT Fujitsu Indonesia

Application Service

Made Sudarma

Enterprise Solution

Andi Hadinoto (Acting)

Managed Service

Dandung Danardono

Infrastructure Solution & Service

Achmad Sofwan (Acting)

Local Service

Defi Nofitra

JOC Sales

Tadashi Shigaki

Bussiness Administration

Ang Lina Melinda

Marketing

Achmad Sofwan (Acting)

Legal

Achmad Sofwan (Acting)

Application Service

Masa Kunimaru

Enterprise Solution

TH Javier

Managed Service

Li Tetsuya

Infrastructure Solution & Service

Lim Hun Leong

JOC Business

Kazinori Fukunaga

Bussiness Administration

Chandima De Alwis

R-Marketing

Kiti Pong (Acting)

R-Legal Compliance

LumWai Meng

Toyoma Kohei

Human Resource and General

Service

Sonny Usmany

RHR

Villalon Amor

Achmad S. Sofwan

PRESIDENT

DIRECTOR

Ni Made Sumeini

Corporate IT & BPR

Katsuki Nakai

JOC Account SE

PT. FUJITSU INDONESIAStructure Organization

Mr Made Sudharma

CLOB

Mr Abd Shomad

DT 3

Mr Ngurah Juliartha

DT 2

Mr Imron Rosadi

DT 1

Mr Pierre

Buz Dev

Structure Organization

Application Service

Source: FID Organization (2015)

Scope Program InternshipSDEM V-Model

URUser

Requirement

DRDetail

Requirement

PSProgram

Specification

UT / PTUnit /

Program Test

ITIntegration

Test

ST / UTSystem / User Test

March April Mei June July August September November December

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Review/Testing

Review/Testing

Review/Testing

Software Development

Quality Assurance

PROGRAM INTERNSHIP

Adi Arif Basuki Boby Densy Fahmi Hardiansyah Kandi Rizky Yesi

IISPRO-NESMANUFACTURE HEALTHCARE

Students InternshipPoliteknik Pos Indonesia

1. Boby2. Kandi 1. Adi

1. Arif2. Basuki3. Densy4. Fahmi5. Rizky6. Yesi 1. Hardiansyah

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TRAINING

DATABASE SQL SERVER ASP.NET FOR DUMMIES C# Programming Language

Technical Document DR (Detail Requirement)

March

Mr. Didik Ismoyo

Mr. Hardian Budhy

1st Week 2nd Week 3rd Week 4th Week

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JOBDESK

INA CBG v4.0

BPJS SIRS

April

Mr. Hardian Budhy

Mr. Teguh Alfian

2nd Week 3rd Week 4th Week1st Week

Mr. Mirsal Safar

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Mei

3nd Week 4nd Week 1nd Week 2nd Week 3nd Week 4nd Week

JOBDESK Team Internship Healthcare

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Status TASK Scope Actor

INACBG 4.0 Analysis INACBG phase DR (Detail Requirement)

TIM A & TIM B

BPJS Translated Document BPJS Guidance Business Process BPJS

TIM A

SIRS Analysis SIRS Rev. 6 Logical Data User Interface

TIM B

PROGRAM INTERNSHIP HEALTHCARE PROJECT

Arif

Informatics Engineering

Informatics Management

Densy

Basuki Fahmi

Rizky Yesi

HEALTHCARE SIRS

BPJS

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PROGRAM INTERNSHIP HEALTHCARE PROJECT

Arif

Informatics Engineering

Basuki Fahmi

HEALTHCARE

SIRS

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PROGRAM INTERNSHIP HEALTHCARE PROJECT

" SIRS is the Reporting Hospital based Data Online, it making faster and easier , as well as information more up to date applications called SIM - RS .This information system covers all general and special hospital, whether public or private managed as stipulated in the Law of the Republic of Indonesia No. 44 Year 2009 regarding Hospital.

SIRS only can be access at the official website of the Directorate General of Health Efforts http://buk.depkes.go.idAnd The Hospital shall registration first before using SIRS.

SIRS

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*SIRS : Sistem Informasi Rumah Sakit

Hospital MoH

Business Flow Document SIRS

SIRS

www.buk.depkes.go.id

MoH

Hospital

Download

Upload

Registration

Get Access

Yearly Monthly Ad-hoc

Fulfillment SIRS

SIRS

SIRS

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*SIRS : Sistem Informasi Rumah Sakit*MoH : Ministry of Hospital

Business Flow Document SIRS

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Source: Implementasi Sistem Informasi Rumah Sakit SIRS OnlineDepartement Program & Information of MoH

Document SIRS Rev. 6

Data Dasar Rumah Sakit RL 1.1, RL 1.2, RL 1.3Ketenagaan RL 2Pelayanan RL 3.1, RL 3.2, RL 3.3, RL 3.4, RL 3.5, RL 3.6, RL 3.7, RL 3.8, RL 3.9, RL 3.10, RL

3.11, RL 3.12, RL 3.13, RL 3.14, RL 3.15

Morbiditas & Mortalitas RL 4A, RL 4BPengunjung Rumah Sakit RL 5.1, RL 5.2, RL 5.3, RL 5.4

SIRS

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Example Document SIRS Rev. 6

SIRS

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Source: SIRS Rev.6 http://buk.depkes.go.id

SIRS on Hospital

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76%

24%

Member SIRS

RS not yet

Update

RS Update

Our analytical

Hospitals in Indonesia are still not widely apply the SIRS. There are many hospitals in Indonesia have different HIS and it isnt integrated with SIRS. Guides of SIRS doesnt inform the attribute SIRS meant.

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Example Case

RSUD BREBESSIM-RS RSUD Brebes still not integrating with the report of SIRS Online MoH. SIMRS RSUD Brebesonly can show the recapulation of activity each month or ad-hoc.Computer SIM-RS now still operated by a nurse.(INDRA, Gunawan 2013)

Source: INDRA, GUNAWAN (2013)EVALUASI SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) RSUD BREBES DALAM

KESIAPAN PENERAPAN SISTEM INFORMASI RUMAH SAKIT (SIRS) ONLINE KEMENKES RI

TAHUN 2013.

Opportunity

Hospitals in Indonesia need integrating SIM-RS and SIRS. Fujitsu Healthcare Solution offers Hospital Information

System , Telemedicine , Mobile Device Application for Optimization Services , Virtualization Client & Server , Bio - simulation and Electronic Medical Records ( EMR ).

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Hospital MoH

Business Flow Document SIRS

www.buk.depkes.go.id

SIRS

SIM-RS(HIS)

SIRS

Batch Process

Require Data

Generate to .xls

Upload .xls

SIM-RS

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*SIRS : Sistem Informasi Rumah Sakit*MoH : Ministry of Hospital

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Informatics Management

Densy Rizky Yesi

BPJS

HEALTHCARE

Scope

BPJS Healthcare is a legal entity formed to organize public programs health insurance.

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Boundary

BPJS Kesehatan Insurance

BPJS Healthcare coverage :

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PBI NON-PBI

Definition PBI is people who get insurance without paid cost sharing.

Non-PBI is people who get insurance with paid cost sharing.

Coverage Poor Salaried workers (Civil servants, police, military, official) Not Receiver salary workers (employee) not workers (businessman)

Class Class III Class I, Class II, Class III

Cost Sharing Free Class I IDR 59.500 Class II IDR 42.0000 Class III IDR 25.000

*PBI : Penerima Bantuan IuranSource: BPJS Guidence

Healthcare Facility

Participants insurance by BPJS just can get treatment by healthcare facility who cooperate with BPJS. BPJS Healthcare have healthcare facility 3 level.

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Level Criteria Service Referral

Tertiary Sub-specialist Hospital Advance Out-Patient and Advance In-Patient

Horizontal Referral

Secondary Specialist Hospital Advance Out-Patient and Advance In-Patient

Horizontal ReferralAnd Vertical Referral

Primary Basic Treatment Primary Out-Patient and Primary In-Patient

Horizontal ReferralAnd Vertical Referral

Flow of Healthcare Treatment BPJS Kesehatan

BPJS Kesehatan have referral system rules :

1. Primary facility can refer patient to secondary facility if primary facility cant handle diagnose disease or patient need treatment by specialist.

2. Secondary facility can refer patient to tertiary facility if patient need treatment subspecialist.

3. All of healthcare treatment must use referral system except emergency.

4. After patient refer and get treatment, facility healthcare can refer back to facility where given referral with rules if conditions patient need treatment .

Patient

ReferRefer

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Secondary TertiaryPrimary

Refer Back Refer Back

Payment by BPJS Healthcare

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Healthcare Facility

Out-patient In-patient

Primary Capitation Capitation

Secondary INA CBGs (288 Group) INA CBGs (789 Group)Tertiary INA CBGs (288 Group) INA CBGs (789 Group)Note : Capitation is a method of payment for primary healthcare base amount patient

registered. INA CBGs is grouper diagnose and procedure based on ICD-10 (diagnose) and IC-

9CM (procedure).

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Capitation INA CBGs

Additional Payment INA CBGsAdditional payments / top up in the system INA CBG for the case in the special casemix main group (CMG), includes:

1. Special Procedure

2. Special Drugs

3. Special Investigation

4. Special Prosthesis

5. Special Groups Sub acute and Chronic

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Example Top Up INA CBGs25/0

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Special Drugs

Special Procedure

Special Prosthesis

Special Investigation

Example Top Up INA CBGsVariable ADL (Activity Daily Living) is used as a factor in the calculation of the tariffs on CMG's Special Sub-Acute and Chronic cases, with day care or Length of Stay more than 42 days in the hospital.

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Special Sub-Acute and

Chronic cases

Our analytical

1. Service by BPJS just 3 level but actually for get treatment according necessary patient referral more than 3 level

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Example Case

Patient RSUD PasarRebo

RSUP Fatmawati

PKM Matraman

Refer

Refer Back

RSUPN Cipto

Refer

Refer Back

Refer

Refer Back

RSDharmais

Refer

Refer Back

Problem

Summary

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Business development Fujitsus use SEDM V-Model. New knowledge about UR and DR

Process Knowledge about INACBG 4.0, HIS, BPJS

and SIRS

Thanks

Program Internship PT Fujitsu Indonesia

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