TELEFARMASI

and Beyond
PATIENT CENTERED CARE

Apt. Ari Kurnianingsih,S.Si.,M.Farm.Klin

 BE STRUGGLE
Webinar hisfarsi jatim #9 26 Nov 2020
Ruang Lingkup
 TELEHEALTH
“electronic information and telecommunications
technologies to support long-distance clinical
health care, patient and professional health
related education, public health and health
administration.” Include a broad range of
technologies and services to provide patient
care and improve health and the healthcare
delivery system as a whole.
(Presentasi Daryo Soemitro Div. eHealth Ikkesindo Transformasi Pelayanan Kesehatan di Era Disrupsi Fairmont Hotel,
26 April 2018)
 Ekosistem TIK Kesehatan

Tantangan : Kecepatan tiap komponen eHealth dalam

beradaptasi secara teintegrasi
(Presentasi Daryo Soemitro Div. eHealth Ikkesindo Transformasi Pelayanan Kesehatan di Era Disrupsi Fairmont Hotel,
26 April 2018)
Telehealth dan Pelayanan Kesehatan
s-Homecare Inovatif Integrasi Berkelanjutan

s-Health

KUALITAS HIDUP MEMBAIK

Keluarga
Sehat mHealth
Sejahtera
Perawatan
Mandiri
Pencegahan Penyakit TeleHealth
Penyakit Khronis

Pola Hidup e-Health

Sehat Mandiri
Smart Family
Klinik
Spesialis

Rumah
Smart City Sakit

ICU / CCU

BIAYA PERAWATAN BERTAMBAH

(Presentasi Daryo Soemitro Div. eHealth Ikkesindo Transformasi Pelayanan Kesehatan di Era Disrupsi Fairmont Hotel, 26 April 2018
TELEMEDICINE
Telemedicine involves the use of electronic communications and software
to provide clinical services to patients without an in-person visit.
Telemedicine technology is frequently used for follow-up visits,
management of chronic conditions, medication management, specialist
consultations, and a host of other clinical services that can be provided
remotely via secure video and audio connections.
Konsep Telemedicine di Indonesia
TELEPHARMACY
Introduction
telecommunications technology to
Mercury is the closest planet to the Sun
facilitate or enable the delivery of high-
and the smallest one in the Solar
quality pharmacy
System—it’s only services inthan
a bit larger situations
the
where the patient or healthcare
Moon. The planet’s name has nothing team
does not
to do have
with the direct (in-person)
liquid metal
contact with pharmacy staff.
VERY IMPORTANT NOTE

Recognizes that Recognizes that Utilizes people

the practice of and technology,
technology is
pharmacy is still each one
limited complementing
an art
the other in the
service of the
patient
COMPONENT

01 02
Asynchronous Content
Synchronous Video (Provision Of Recorded
(2-way Interaction) Health Record, Stored
Audio Or Video, Etc.)

03 04

Remote Patient Mobile Health (Using

Monitoring Mobile Devices).
SCOUPE(CSHP Telepharmacy Guidelines 2018)
medication order
Patient Care
entry and Medication
expectations for
verification Selection And
convenient and timely
access to care, patient e-Prescribing to ensure Preparation
safety and improved patient safety and Verification
health optimal patient care

Drug Information Staff Education

Service
for the purposes of
educating, instructing,
offering relevant drug
information, and performing
other pharmacy processes.
Sessions
Knowledge, behavior and
Skill Improvement. Team
building and intens
communication
 Monitoring
Aplikasi Apoteker
SIMRS
APOTEKER atas Kondisi
ISUN
HYSIS Pasien Lebih
Optimal

Era 4.0 : Pasien - Aplikasi - SIMRS

Terhubung untuk mempermudah dan optimalisasi ketepatan penggunaan obat serta
mencegah medication error
 Insight of IFRS RSUD Blambangan
Pharm. Quality Improvement
SAOS
Semi Automatic Order System-
Improvement Ketersediaan Obat
DASHBOARD PHARMACY MANAGER
Monitoring Mutu Setiap Kegiatan –
mencegah masalah sebelum muncul dan
mengatasi masalah berbasis data
MASTER DATA OBAT
Project bersama dengan Diskominfo
dan BPKAD
GANCANG ARON
Kolaborasi Pihak Ke-3 –
Improvement SPM Waktu Tunggu
Obat – sistem aman penghantaran
obat
CRITICAL POINT : Warranty of
Patient Safety
APOTEKER-ISUN
Improvement Safety, Edukasi dan
Monitoring saat penggunaan Obat
Apoteker : Asuhan Kefarmasian
Klinis berbasis Kondisi Pasien
INTEGRATED PHARMACY SERVICES
Pharmily Movement - Improvement SDM - Self esteem
Tombowaras – Alarm minum obat ruang rawat inap
Pawang Bumi – Pelayanan tanpa kresek dll
 GANCANG
A R O
Gugus Antisipasi Cegah Antrian
N
Panjang dengan Antar Obat Kerumah
Pasien

Management Tidak Puas

Waktu Tunggu
Menghilangkan Masalah
PROSEDUR AMAN <400% Tanpa intervensi proses regular.

PENGHANTARAN Complain Pasien

Menuai Ungkapan Terimakasih pasien
OBAT Terutama pasien tidak mampu. 0%
GANCANG ARON

Gugus Antisipasi Cegah Antrian Panjang dengan Antar Obat Kerumah

Pasien.
Bahasa Using untuk “SEMOGA LEKAS SEMBUH”. Sistem penghantaran
Obat melibatkan pihak ke-3 dengan validasi safety bagi Pasien
INOVASI dg 100%
Jaminan By FARMASI

Safety
PMK 72/2016

Asuhan Kefarmasian oleh Apoteker

Data Pasien Terjaga Kerahasiaannya
Pengendalian Petugas Penghantaran Obat
Proses Pelayanan-Pengemasan Obat
Monitoring Evaluasi Video
2
 APOTEKER ISUN
Aplikasi Penggunaan Obat Terapi
Efektif Keamanan terjamin Efisien
Responsif
Terdiri dari Aplikasi untuk Pasien dan Aplikasi untuk Apoteker, Terproteksi dalam
system data kredensial DISKOMINFO Pemkab Banyuwangi. Berbasis web
server yang diaplikasikan pada android, terhubung dengan SIM-RS untuk
menyajikan data akurat dan update perkembangan pasien.

Aplikasi untuk apoteker hanya dapat diakses oleh apoteker dan terhubung ke
rekam medis elektronik serta entry obat di SIM-RS

Rekonsiliasi Pelaporan MESO PTO - CPO Laporan-Laporan

Obat
Pasien Masuk, Naranjo Terhubung Catatan Penggunaan EPO dan Laporan
Pindah dan dengan Pusat Obat dan Farmasi Klinik
Pulang MESO Nasional Pemantauannya

LOREM IPSUM DOLOR SIT

AMET
APOTEKER ISUN
Aplikasi Penggunaan Obat Terapi
Efektif Keamanan terjamin Efisien
Responsif
Aplikasi untuk Pasien berupa Alarm sebagai pengingat waktu minum obat,
aturan pakai, anjuran dan pantangan terkait obat. Informasi Kesehatan, hasil
pemeriksaan laboratorium, jadwal control dan pusat konsultasi obat

Alarm Minum Obat Perkembangan Informasi Chat dengan

Berisi alarm Pasien Kesehatan Apoteker
pengingat waktu Kurva pemeriksaan Berisi Informasi terbaru PIO, KONSELING
minum obat disertai hasil laboratorium mengenai kesehatan dan untuk
fungsi obat, perhatian dan kondisi klinis lain dari laman Kemenkes meluruskan hoaks
dan pantangan terkait dari waktu kewaktu kesehatan
obat
Fitur Alarm & Perkembangan Px
Notifikasi Waktu Minum
Obat
Waktu Minum Obat Sering
Disalah Persepsikan, Dilupakan,
Diremehkan aturannya
Script Suara Mengeja
Nama Obat
Menghindari Salah Membaca
Nama Obat, Atau Salah Persepsi
Tentang Aturan Pakai
Informasi Tentang
Obat Per-individu
Informasi Kegunaan Setiap
Obat, Hal Yang Harus
Diperhatikan Dan Pantangan
Atau Hal Yang Harus Dihindari
Alarm Kewaspadaan
Progresif Tx
Parameter Monitoring Bagi
Apoteker dan Self Reminder Yang
Ampuh Untuk Pasien
Reminder Telaah
Terapi Pasien Bagi
Apoteker
Data yang terpampang otomatis
mengingatkan Apoteker untuk
melakukan kajian atas kondisi
pasien
Kolaborasi Dg Klinisi
Peran Apoteker Dalam Menjaga
Keamanan Pasien dari Obat
dan Optimalisasi Terapi dapat
dilakukan
SIGNIFIKANSI
SISTEM KESEHATAN
Optimalisasi Terapi BIAYA KESEHATAN TERKENDALI

PASIEN HAMIL DAN

MENYUSUI PASIEN LANSIA
Fitur Indeks Keamanan Obat Pada Ibu Hamil • Alarm Minum Obat – Tepat Waktu
Dan Menyusui • Informasi Obat – Jelas Manfaat Obat
• Kepatuhan – Meningkat, Risiko - Minimal
• Kurva Perkembangan – Monitoring Optimal –
Terpantau

APOTEKER MASYARAKAT
• Rekonsiliasi, Meso, Pto By Android • Informasi Valid Tentang Obat
• Pemantauan Intensif Perkembangan • Mencegah Aliran Hoaks Kesehatan
Pasien – Internal- Kemenkes
• Pengukuran Kualitas Asuhan
Kefarmasian

APOTEKER-ISUN 2019
 KEY WORD
• PHARMACEUTICAL CARE 4.0
• Improvement Layanan Kefarmasian 4.0
Optimalisasi Pemberian Asuhan
Kefarmasian Secara Digital
• KOLABORATIF-TERINTEGRASI
• Aplikasi SMART KAMPUNG Terhubung
SIM-RS, Improvement Proses
Pemantauan Terapi, Edukasi Dan
Informasi Serta Konseling Dalam
Genggaman
• MUDAH TEPAT AMAN
• Membantu Pasien Lansia, sibuk,
pendidikan rendah
• Apoteker juga sangat Kemudahkan dalam
dokumentasi pemberian asuhan
25
 IoT
Disruptio
n
 Interoperabilitas Stakeholder Kesehatan
Dalam eHealth

Referral
System

Wearable
 Target Sistem Informasi Puskesmas Berbasis Web
•SIP menjadi ujung tombak Sistem Informasi Kesehatan Nasional
✴sumber data surveilan kesehatan dan pola hidup individu dan
keluarga
✴sumber data surveilan keadaan lingkungan
✴sumber data kegiatan pelayanan kesehatan jarak jauh
•menjadi titik awal Rekam Medik Elektronik Pasien
Data Data Individu
Keluarga

Promotif / Preventif Kuratif / Rehabilitatif

Telehealth Telemedicine

Pendekatan Jemput Bola Pada Daerah Binaan

WILAYAH BINAAN
Pemanfaatan Teknologi Informasi
di Bidang Manajemen
Sistem informasi rumah sakit (SIR) ➤ Pertukaran informasi
Manajemen oleh perawat ➤ Pencatatan data pasien
• Sistem Klasifikasi Pasien ➤ Pengelompokan pasien berdasarkan
kebutuhan perawatan
• Alat bantu rekam medik ➤ Menghimpun data klinis pasien
• ➤ Pelayanan
Pengembangan E_Health di RS Pelayanan kesehatan
kesehatan kolaborasi
kolaborasi dan dan
terpadu
terpadu, meningkatkan efisiensi dan efektifitas dalam sistem rujukan
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Objectives Methodology
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Results Analysis Conclusion
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Introduction
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. The planet’s name has nothing
to do with the liquid metal
Background

Mercury Venus Mars

Mercury is the closest Venus has a really Despite being red, Mars
planet to the Sun and beautiful name and, in is actually a cold very
the smallest one in the fact, it’s the second place. It’s full of iron
Solar System planet from the Sun oxide dust

Saturn Jupiter Neptune

Saturn is the ringed Jupiter is actually the Neptune is 17 times
planet. It’s a gas giant fifth planet from the the mass of Earth, and
composed mostly of Sun and the largest in is slightly more massive
hydrogen and helium the Solar System than Uranus
Goals

Mercury Venus Mars

Mercury is the closest Venus has a very Despite being red, Mars
planet to the Sun and beautiful name and, in is actually a cold very
the smallest one in the fact, it’s the second place. It’s full of iron
Solar System planet from the Sun oxide dust
01

Company
You could enter a subtitle
here if you need it
Methods

Observation Study and Sampling

Mercury is the closest planet Venus has a beautiful name
to the Sun and the smallest and, in fact, it’s the second
one in the Solar System planet from the Sun

Data Collection Hypothesis

A Saturn is the ringed planet.
It’s composed mostly of
B hydrogen and helium
Research and Publications

Jupiter is actually the fifth Saturn is the ringed planet. It’s

planet from the Sun and the composed mostly of hydrogen
largest in the Solar System and also helium
by Jupiter by Neptune
 ● Here you can list your reference
websites or publications

● Here you can list your reference

Research websites or publications

Resources ● Here you can list your reference

websites or publications

● Here you can list your reference

websites or publications
Factors to Consider

Mercury Venus
Mercury is the Venus is the
smallest planet in second planet
the Solar System from the Sun

Jupiter Saturn
Jupiter is actually It’s composed of
the fifth planet hydrogen and
from the Sun also helium
Clinical Trial

Preclinical Phase 1 Phase 2

Lab Studies Human Safety Efficacy & Safety

Mercury is the Did you know Despite being red,

closest planet to Saturn is the ringed Mars is actually a
the Sun and the planet and It’s cold very place. It’s
smallest one in the composed mostly also full of iron
Solar System of hydrogen? oxide dust
 “This is a quote, words full of
wisdom that someone important said
and can make the reader get
inspired.”
—Someone Famous
A Picture Is Worth
a Thousand
Words
Trial Timeline

Research Experiment Conclusion

Mercury is the Venus is the Jupiter is actually
smallest planet in second planet the fifth planet
the Solar System from the Sun from the Sun

01 02 03 04 05

Preclinical Results
It’s composed of Neptune is the
hydrogen and also farthest planet
helium from the Sun
Phase 1

100 Participants Effects

80%
80% Venus is actually the
55 Women
second planet from
45 Men Success Rate the Sun

Results Goal 6 months

Mercury is the closest planet to
Study the safety Experimentation
the Sun and the smallest one in
of medication time period
the Solar System
Tendency

Mercury
Mercury is the closest planet
to the Sun and the smallest
one in the Solar System

Venus
Venus has a beautiful name
and, in fact, it’s the second
To modify this graph, click on it, follow the link, change the planet from the Sun
data and paste the new graph here, replacing this one
Results

Outcome Outcome

TREATMENT Test 1 Test 2 Test 3 Test 1 Test 2 Test 3

Group 1 315 285 600 345 123 568

Group 2 210 390 600 235 234 689

Group 3 240 165 580 324 365 867

8,4000,000
Big numbers catch your audience’s attention
Results Analysis
Results

24% Mercury 36% Venus

To modify this graph, click on it, follow the link,
12% Jupiter 38% Saturn change the data and paste the new graph here
Success Rate
75%
Patients Cured
Mercury is the closest planet
to the Sun and the smallest
one in the Solar System
90%
Secondary Effects
Venus has a beautiful name
and, in fact, it’s the second
planet from the Sun
This Is a Map

Mercury
Mercury is the closest planet
to the Sun and the smallest
one in the Solar System

Venus
Venus has a beautiful name
and, in fact, it’s the second
planet from the Sun
Conclusions
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than the
Moon. The planet’s name has nothing
to do with the liquid metal
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