PPKMI International Webinar

“Becoming the Best

Humane Health Worker in
the Modern Era”
Omar K. Lodhi
Founder & CEO
Saturday, 22 June 2024
PT Zafyre Pendidikan Klinikal
Challenges in Delivering Healthcare
Education in Indonesia
● Geographical Barriers
○ Dispersed Population: Over 17,000 islands;
limited access to education in remote areas.
○ Infrastructure Issues: Poor transportation
and communication hinder program
delivery.
● Resource Constraints
○ Limited Funding: Inadequate facilities and
outdated equipment.
○ Shortage of Educators: Insufficient
qualified educators, especially in specialized
fields.
● Curriculum and Standardization Issues
○ Outdated Curriculum: Does not reflect
current practices and technologies.
○ Lack of Standardization: Variations in
quality across institutions.
● Technological Challenges
○ Digital Divide: Unequal access to technology and
the internet.
○ Limited Use of Technology: Insufficient
infrastructure for advanced training tools.
● Language and Cultural Barriers
○ Language Diversity: Hundreds of local languages
complicate standardization.
○ Cultural Differences: Variations in cultural practices
affect training acceptance.
● Regulatory and Policy Challenges
○ Regulatory Hurdles: Bureaucratic delays in program
implementation and updates.
○ Inconsistent Policies: Regional policy variations
cause training inconsistencies.
● Socio-Economic Factors
○ Economic Disparities: Inequities affect access to
education.
○ Job Market Dynamics: Market fluctuations influence
healthcare profession attractiveness.
Tenaga Kesehatan Indonesia
Tersebar di Seluruh Nusantara
● Perawat: 582
2.924 > 1,5 juta ● Bidan: 344
● Dokter: 183
Rumah Sakit Tenaga Kesehatan
● Nakes lainnya: 387

Source: https://persi.or.id/wp-content/uploads/2020/11/data_statistikrs.htm
Hospitals having growing training needs
owing to …

1 2 3 Mandatory training
Strengthening
Staff shortages & for Healthcare
accreditation
turnover worker license
regime
renewal

But current in-house training practices are inadequate…

Poor & unmeasurable learning outcomes

Lack of supply provision – trainers & infrastructure

Low penetration rate

Non scalable over a large workforce

Missed clinical days resulting in high cost

Hospitals must start to see training as a
competitive edge & not just a cost center
Improved Staff Performance
● High quality care & improved patient safety
● Reduced medical errors and clinical risk
● More competent and confident staff
Higher Motivated Staff
● Ongoing and high quality training
demonstrates a commitment to
employee development
● Leads to higher job satisfaction,
increased morale and lower staff
turnover
Cost Efficiency
● Well trained staff perform duties more
efficiently with increased productivity
● Decreased errors and need for rework
● Streamlined processes lead to reduced wait
times & department throughput
● Fosters innovation and proactive approach
leading to long term success
High
Training
Improved Patient Outcomes
Quality
leading to Competitive Advantage
Well-trained staff provide superior care,
attract more patients, and improve the
hospital's reputation, giving it a competitive
edge in the market.

Compliance and Accreditation

● Better training ensures stronger compliance with regulations and
accreditation standards
● Improves the hospital's standing in the eyes of regulatory bodies, insurers, and
patients, enhancing its reputation, community trust and marketing standing.

Better trained workforce ➜ better patient outcomes ➜ increased productivity ➜ higher ROI
 Knowledge
“What we know and
understand”
Adaptive
Learning Interdisciplinarity
Traditional (i.e., Mathematics)
Modern (i.e., Entrepreneurship)
Themes (i.e., Global Literacy)

21 st
Skills Century Character Experience
Teamwork “How we use Learner “How we behave and
engage in the world”
Activities for Skills what we know”
Simulations/VR Creativity Mindfulness
Problem solving Critical Thinking Curiosity Courage
Communication Resilience
Collaboration Ethics
Psychomotor Leadership

Meta-Learning
"How we reflect and adapt"
Self-assessments
Metacognition
Growth Mindset
Technology provides a superior training
solution…

Web & 3D
Knowledge Simulation Practical
Training Future
Training
Virtual Reality
Augmented Reality
AI based Adaptive
Learning

….that will increasingly extend to skills training as

well
“Minimum” training regime for a average
Nurse

Quality Risk & Compliance Nursing Upskilling

● Patient Safety (IPSG) ● Nursing Onboarding

● Risk Identification & Mitigation ● Patient Assessment
● Infection Control & Prevention ● Intro to ER
● Wound Management
● Pain Management
● Diabetes Management
Emergency Life Support

● ACLS Perawat Non Clinical

● BLS, BTCLS
● Effective Communication
● ECG Interpretation
● Case Management for Healthcare
● EWS & Code Blue
Workers
● Conflict Resolution

30-40 hours of training / year

3-5 Clinical Days
5 SKP/year
How do Nakes and Named Train Today

Webinar,
In House External
Seminar, MOOC

Personalized
Learning
✔ ✔ ❌

Reasonable ✔ ✔ ❌

Interactive ✔ ✔ ❌

Scalable ❌ ❌ ✔

Cost Effective ❌ ❌ ✔
The MOH doesn’t want training to be a tick box exercise

Accreditation Regime SKP Practices

❖ Stipulate Mandatory Training

Zero Retention
❖ Enforce Standards
➢ Ensure completion
Webinar
➢ Measure outcomes
➢ Assess competency gaps Attend the webinar while
Cooking/Sleeping/Cycling

Training
Learners
Center

Poor Quality
SKP

Instructor
Rumah Sakit
(ToT)

Internal training
Quality over Quantity

SKP

● Offline
● Adaptive Learning

Workshop
Webinar
MOOC
 In house training is
expensive!
Cost comparison of 2 days training for 25 workers

Cost Component In-House Zafyre

Trainer 15 MM Nil

Logistic (Meals/Transport) 2.5 MM Nil

What about
Productivity and Missed clinical days 14 MM Nil
Potential Calculated at 2 days of IDR 6mm
Revenue Lost? avg salary per worker

Equipment and admin Fee 5 MM Nil

Course registration fee Nil 15 MM

Total 37 MM 15 MM

Cost per Learner 1.5 MM 600 RP

Zafyre in Indonesia
Zafyre adalah penyedia pendidikan kesehatan yang berpusat di Singapura.
Zafyre menggabungkan konten kelas dunia dengan format penyampaian
yang inovatif dan lebih relevan. Tujuan kami adalah:

Memperluas akses terhadap Pendidikan

Kesehatan yang berkualitas di Indonesia

Memperkuat kualitas profesional di bidang

kesehatan dan sistem kesehatan

Menyempurnakan hasil pelayanan kesehatan

…serta menjadi perusahaan yang scalable dan profitable di seluruh pasar

global yang sedang berkembang.
 Penyedia pendidikan kesehatan yang menggabungkan konten kelas dunia dengan
format penyampaian yang inovatif dan relevan.

Mitra Konten Global

German Nursing Council

Mitra Teknologi
The Most Powerful Learning
Platform in the World

Mitra Lokal Pelanggan

Terakreditasi B
Kemenkes RI

and more…
Zafyre deploys technology
that delivers theoretical and practical skills training

Customized to individual needs through AI

based adaptive learning

Delivering vastly superior learning

outcomes

Measurable through powerful

analytics for healthcare systems

Can be consumed anywhere, anytime

Scalable and cost-effective Up to 80%

lower cost
AI Based Adaptive Learning adjusts to each
healthcare worker

AI based online delivery method that

automatically adjusts to the needs of each
learner

Recreates at scale the optimal teaching

approach of a 1-on-1 personal tutor

Uses proven data analytics and

intelligent technologies to adjust in real
time to deliver an optimal experience

Can be integrated with skills, activities,

and practical training
The course adapts to every learner
based on their learning needs

Learner 1 Learner 2 Learner 3

100% proficient 100% proficient 100% proficient
Final
8m 25s 19m 39s 33m 40s

88% correct 52% correct 47% correct

Initial 9% consciously incompetent 7% consciously incompetent 29% consciously incompetent
3% unconsciously incompetent 41% unconsciously incompetent 24% unconsciously incompetent

100% Competence
learners 50% Reduce time to
proficiency
 Adaptive Learning - A Big Leap in Education
Technology
Offline & Traditional E-Learning AI Powered Adaptive Learning

Adapts to individual learner

Content is preset
Content Learner sees more or less content based on learning needs
Everyone has to sit through same content
using a formative assessment methodology

Course Course is preset & cannot be altered Varies from learner to learner
Duration Reduces learning time as learners see only content they need

Learner No effective way to gauge learner engagement AI engine continuously engages & motivates the learner
Engagement Unpredictable knowledge outcomes & difficult to Platform ensures ~100% completion & knowledge
measure proficiency

Refresher Standardized for everyone AI engine generates customized refresher to each learner
Training Has to be prepared as an additional module Focuses only on what learner is having difficult with

Knowledge Results in poor knowledge retention & recall Efficacy of learning outcomes leads to higher knowledge
Retention retention which can be measured through powerful analytics

Weaker learning Far superior

outcomes learning outcomes
 The Engine Works to Achieve METACOGNITION in Every
Healthcare Worker – a High % of CONSCIOUS COMPETENCE

Conscious Incompetence Conscious Competence

Learner is aware she doesn’t Learner knows topic and knows
know topic and has to learn it she knows it with high confidence

THINK I GOT IT I KNEW

Unconscious Incompetence Conscious Incompetence

Learner doesn’t know material & is Learner probably knows topic but
unaware that she doesn’t know it lacks confidence of her knowledge
I DON’T GET IT GOT IT NOW

Novice Expert
SKILLS & ACTIVITIES
Leveraging Virtual Reality for Healthcare
Training
Highly Immersive and Engaging Practical Skills Improvement

VR provides an immersive environment that Repeat procedures multiple times until

closely simulates real-life scenarios, increasing learners achieve mastery without any risk
learner engagement and knowledge retention. to patients.
Technology in the area of Emergency Life Support training

Blended Learning solutions beginning with Emergency Life

Support training (BLS, ACLS and BTCLS)

Fully integrated simulation stations Mixed Reality Simulations with VR

… building up to a complete full-suite offering for hospital’s practical training needs

Data Analytics – no more guessing in the dark .. Know exactly the
competency (gaps) in your work force
… with powerful analytics configured to the hospitals
competency standards and team structure…

Individual Level

Further breakdown by:

● Team
● Function
● Role (Doctor, Nurse)
● Ward
● Etc.

Hospital Level
Powerful Analytics – Heat Map Uji Coba Pelatihan Pegawai
Kemenkes
Learners

Learning objective

Heatmap Legend:
Zafyre brings a new and relevant course catalogue
● MOH Certified with SKP
● International Certification
● Innovative Adaptive Technology
Semua Tenaga Kesehatan
1 Produk: Quality Risk & Compliance
● Keselamatan Pasien (IPSG)*
● Identifikasi & Mitigasi Risiko*
● Pencegahan & Pengendalian Infeksi*
2 Produk: Emergency Life Support
● Interpretasi Elektrokardiogram*
● EWS & Code Blue*
3 Produk: Nonclinical
● Komunikasi Efektif*
● Manajemen Kasus*
● Penyelesaian Masalah
* Sudah terdaftar di Kementerian Kesehatan
Perawat & Bidan
4 Produk: Clinical Nursing Upskilling
● Pengkajian Pasien*
● Keperawatan Gawat Darurat*
● Manajemen Luka*
● Manajemen Nyeri*
● Manajemen Diabetes
● Onboarding Keperawatan
● Sertifikasi Internasional
Kurikulum terstandar lokal
Dikembangkan dengan
melibatkan kolegium
Penggunaan AI dalam
memberikan pelatihan
Meningkatkan kompetensi
dan pengetahuan
Kemudahan mengakses
pelatihan
Ber-SKP dan perpanjangan
SIP
● Akreditasi Lokal (dengan SKP)
Kurikulum PerawatEd dan Pelatihan Berbasis
Pembelajaran Adaptif Untuk Mahasiswa
Apa itu PerawatEd dan
Pembelajaran Adaptif?
Zafyre dan AIPNI telah berkolaborasi dalam
menyusun PerawatEd untuk perguruan
tinggi keperawatan di seluruh Indonesia.

Disusun sesuai dengan standar kurikulum

Indonesia dan didukung oleh AIPNI,
PerawatEd adalah alat penting bagi
mahasiswa dan fakultas.

Kurikulum inti setara dengan 35 SKS,

diluncurkan dengan mata kuliah pertama
kami, Ilmu Biomedik Dasar, untuk ajaran
baru Agustus 2024.
 Kurikulum PerawatEd
Sarjana Keperawatan, 35 SKS dari total 144 SKS

Tingkat 1 Tingkat 2 Tingkat 3

Keperawatan Dewasa
Sistem Endokrin,
Pencernaan,
Perkemihan, Imunologi
dan Reproduksi

Peluncuran Keperawatan Dewasa Keperawatan Dewasa

Perdana Sistem Kardiovaskuler, Keperawatan Anak Sistem Muskuloskeletal,
Agustus ‘24 Respiratori, dan Sehat dan Sakit Akut Integumen, Persepsi
Hematologi Sensori, dan Persarafan

Ilmu Keperawatan Anak

Ilmu Dasar Keperawatan Keperawatan Kesehatan Keperawatan
Biomedik Keperawatan Maternitas Reproduksi
Sakit Kronis dan
Gawat Darurat
Dasar Terminal

Semester 1 Semester 2 Semester 3 Semester 4 Semester 5 Semester 6

 Pembelajaran Konvensional
Di dalam kelas Di luar kelas

SKS

Flipped
Classroom

Dosen memberikan kuliah di dalam kelas dan Mahasiswa diberikan latihan atau aktivitas
menyediakan materi pelajaran. untuk meningkatkan pembelajaran mereka.

Pembelajaran PerawatEd Sebelum &

Setelah kelas
Sebelum kelas Di dalam kelas
Dosen

SKS

● Dosen melihat hasil

pembelajaran
mahasiswa melalui
● Mahasiswa mempelajari mata kuliah analisis yang mendalam
● Mahasiswa datang ke kelas setelah
di platform ● Membantu dosen
mempelajari materi
● Teknologi AI menyesuaikan materi menyusun diskusi kelas
● Kelas sekarang lebih fokus pada diskusi
untuk setiap mahasiswa seperti tutor dan memantau progres Pelatihan refresher yang dihasilkan
mendalam dan interaktif antara
1-on-1 belajar masing-masing AI membantu mahasiswa
mahasiswa dan dosen
● Menghasilkan hasil pembelajaran mahasiswa mengurangi kesenjangan
berkualitas & retensi pengetahuan kompetensi
Mengapa PerawatEd?
Untuk Fakultas
100% disesuaikan dengan Kurikulum Keperawatan Indonesia, dikembangkan dan diakui oleh
AIPNI

Memberikan analisis mendetail pada fakultas mengenai hasil pembelajaran dan kompetensi
mahasiswa, memungkinkan fakultas untuk lebih berfokus pada diskusi kelas.

Mahasiswa belajar melalui platform, menghemat waktu belajar di kelas untuk diskusi yang
lebih praktis dan berorientasi pada keterampilan

Mengatasi kekurangan fakultas dengan tetap menyesuaikan standar kualitas.

Membantu meningkatkan hasil pembelajaran mahasiswa hingga menghasilkan lulusan

yang berkualitas dan memiliki kesempatan untuk bekerja di rumah sakit besar.

Investasi dengan keuntungan tinggi bagi lembaga pendidikan dari perspektif kuantitatif
dan kualitatif
Mengapa PerawatEd?
Untuk Mahasiswa
Teknologi AI menyesuaikan materi berdasarkan kebutuhan mahasiswa,
menciptakan proses pembelajaran yang lebih personal.

Memberikan hasil belajar yang unggul, terukur dengan analisis yang

akurat.

Mendorong dan melibatkan mahasiswa melalui teknologi interaktif dan

umpan balik real-time

100% Asinkronus, memungkinkan mahasiswa untuk belajar kapan saja,

dimana saja.
 Case Study: IPSG Pilot with
Indonesian Ministry of Health (MOH)
Indonesian Ministry of Health IPSG Pilot Brief

● Zafyre Pilot Course: International Patient Survey Results

Safety Goals (IPSG)

● Time: June 2022

● Pilot Objective: to assess effectiveness and

viability of Zafyre’s adaptive learning
platform across different regions

● 103 diverse workers from 3 regions

(Makassar, Kariadi, Batam)
○ 31 doctors
○ 38 nurses
○ 31 allied healthcare workers

● 100% asynchronous course delivered on

Zafyre’s AI enabled adaptive learning
engine
Pilot Delivered Successful Learning
Outcomes for MOH Workers

Before After

68.3% 96.7%

Training

24.7% 1.3%

Conscious Unconscious
Competent Incompetent
What they said after
participating in the IPSG pilot…

“
The system is easy to operate and
useful. I am hopeful that more
course offerings to be provided
for medical workforce.
“ “
“
This kind of training can be done
routinely for hospital staff to gain
knowledge that can improve the
quality of healthcare services.
––
“
The program is very good. With
an active display and speaker, I
don’t get bored or sleepy during
the training.
“

MOH Indonesia workers, June 2022

With a customized journey for each MOH
Learner
Cohort Metacognition Progress Unconscious Other Observations:
Incompetence to Conscious Competence
● Learners took different times to
complete the course

● Learners saw more or less

content based on their needs

● But all learners ended with

100% proficiency with reduced
The cohort emerges time spent
highly proficient
and consciously
competent
Fastest learners Average learners Slowest learners Time spent
for offline
~3 hrs ~5.4 hrs ~13 hrs >2 days
courses

Time saving and resource efficient while delivering the best possible learner outcomes.
Studi
kasus
Kebutuhan: Pelatihan IPSG dengan 2.000 tenaga kesehatan
Pelatihan Tradisional

● Pelatihan 2 hari: dilakukan sendiri ● 40 sesi pelatihan = 80 hari pelatihan

oleh pelatih eksternal
● Kapasitas per pelatihan: 50
● 80 hari klinis terlewatkan
peserta ● 12–18 bulan jangka waktu implementasi
● Biaya: Rp2 juta per peserta

● IPSG 5 jam tentang Pembelajaran ● Pelacakan kemajuan penuh ● 2 minggu selesai

Adaptif ● 97% kemahiran pengetahuan ● 1 vs 11 jam
● 100% asinkron, belajar kapan saja ● 50% pengurangan waktu Peserta tercepat vs
paling lambat
& di mana saja ● Analisis peserta terperinci
● Bite-sized modules ● 5,4 jam rata-rata
● Sertifikasi:
● Analisis pelatihan lengkap waktu peserta
● Biaya: Rp600.000 per peserta
(70% lebih murah!) 3 SKP
Zafyre Partners
Global Content Partners

German Nursing Council

Technology Partner

The Most Powerful Learning

Platform in the World

Indonesia Partners Customers

Accredited B by
MOH Indonesia

and more…
Terima Kasih
Hospitals must start to see training as a
competitive edge & not just a cost center

1. Improved Staff Performance:

○ High quality training leads to improved staff performance & efficiency
○ Better Patient Care leading to improved patient outcomes and enhanced operational efficiency
2. Cost Efficiency:
○ Well trained staff perform duties more efficiently with increased productivity
○ Decreased errors and need for rework
○ Streamlined processes lead to reduced wait times & department throughput
3. Improved Patient Outcomes leading to Competitive Advantage:
○ A well-trained staff provide superior care, attract more patients, and improve the hospital's
reputation, giving it a competitive edge in the market.
4. Compliance and Accreditation:
○ Better training ensures stronger compliance with regulations and accreditation standards
○ Improves the hospital's standing in the eyes of regulatory bodies, insurers, and patients, enhancing
its reputation and marketing standing.
5. Higher Motivated Staff:
○ Ongoing and high quality training demonstrates a commitment to employee development
○ A culture of continuous training fosters innovation, allowing hospitals to adapt quickly to new
challenges and advancements in healthcare
○ Leads to higher job satisfaction, increased morale and lower staff turnover
 The True Cost of Training…

Workers will miss clinical days…

Million Rupiah

Potential revenue But what about productivity and

lost of 85 MM* potential revenue lost?

14 MM

5 MM
2.5 MM

15 MM
15 MM

*Calculated based on average

revenue per hospital worker
 In house training is
expensive!
Cost comparison of 6 days training for 25 workers
Cost Component In-House External Zafyre

Trainer 18 MM N/A

Logistic (Meals/Transport) 10 MM N/A

Missed clinical days 41 MM 34 MM N/A

Calculated at 6 days of IDR 6mm
avg salary per worker

Training materials 6 MM N/A

Course registration fee N/A 30 MM

Total 75 MM 125 MM 30 MM

Cost per Learner 3 MM 2.5MM 600 K

And what about lost revenue?
The True Cost of Training…

What about
Productivity and
Potential
Million Rupiah

Revenue Lost?
 Zafyre delivers hospitals a superior & more cost
effective solution vs. current in-house training
In-house Training vs.

Missed clinical days Zero missed clinical days - bite size learning during
working day

Poor learning outcomes Superior & measurable learning outcomes via AI

based adaptive platform

Non-scalable solutions Highly scalable allowing larger workforce to be

trained in 50% reduced time

High cost Up to 70% more cost effective

Zafyre enhances hospital training by providing efficient asynchronous classroom instruction,

complementing in-house centers that offer practical "hands-on" training for workforce.

Better trained workforce ➜ better patient outcomes ➜ increased productivity ➜ higher ROI