MEDICAL INFORMATICSOleh;dr. Agung S. Dwi Laksana, MSc.PH

What is Medical Informatics?

Medical informatics has to do with all aspects of understanding and promoting the effective organization, analysis, management, and use of information in health care. While the field of medical informatics shares the general scope of these interests with some other health care specialties and disciplines, medical informatics has developed its own areas of emphasis and approaches that have set it apart from other disciplines and specialties.

For one, a common thread through medical informatics has been the emphasis on technology as an integral tool to help organize, analyze, manage, and use information. In addition, as professionals involved at the intersection of information and technology and health care, those in medical informatics have historically tended to be engaged in the research, development, and evaluation side of things, and in studying and teaching the theoretical and methodological underpinnings of data applications in health care. However, today medical informatics also counts among its profession many whose activities are focused on dimensions that include the administration and everyday collection and use of information in health care.

Formal Definition:Informatics: the study of the application of information technology.Medical Informatics: the study of the application of information technology to medical science and health care delivery.

Practical DefinitionMedical Informatics: The science of managing information for health care, research, education, and administration by applying, integrating, and evaluating information technology along with its associated policies, procedures, and organizational cultures.

Other definitionMedical informatics is the application of computers, communications and information technology and systems to all fields of medicine - medical care, medical education and medical research (MF Collen, MEDINFO '80, Tokyo)Medical Informatics is the branch of science concerned with the use of computers and communication technology to acquire, store, analyze, communicate, and display medical information and knowledge to facilitate understanding and improve the accuracy, timeliness, and reliability of decision-making. (Warner, Sorenson and Bouhaddou, Knowledge Engineering in Health Informatics, 1997)

Sistem Informasi Kesehatan (SIK) adalah tatanan berbagai komponen data dan informasi kesehatan yang saling terkait satu dengan yang lainnya untuk menghasilkan data dan informasi tentang kondisi kesehatan dan kinerja kesehatan suatu wilayah

What information system in Medicine,Health CareHealth care billing, scheduling or researchElectronic medical record (EMR) is a computer-based patient medical record.Deal withaccess of patient data by clinical staff at any given locationaccurate and complete claims processing by insurance companiesbuilding automated checks for drug and allergy interactionsclinical notesprescriptionsschedulingsending to and viewing by labs

Electronic patient chart of a healthinformation system

Workstations

Local Area Network

Internet

ClinicalDepartments

Web Browser

Web Server

VocabularyServer

Additional InformationSources

Clinical DataServer

ClinicalInformationSystem

Resident Signout Editor(RSE)

Clinical InformaticsClinical Informatics Clinical Databases: electronic medical records.Patient Privacy and Confidentiality: cryptology and distributed systems.Just in time clinical information: real-time delivery of medical information.Telemedicine: remote distribution/collection of medical information.Pharmaco-economics: Optimization and prediction of drug discovery and development.

Public Health InformaticsPublic Health Informatics: Collection and distribution of population-wide medical information.Biosecurity: Real-time surveillance of manmade or natural disease outbreaks.Geospatial Analysis: Analysis of populationwide medical data.Population Confidentiality: Collecting population data without endangering the single individual.

A HEALTH INFORMATION SYSTEM CANNOT EXIST BY ITSELF, BUT IS A FUNCTIONAL ENTITY WITHIN THE FRAMEWORK OF A COMPREHENSIVE HEALTH SYSTEM(SUATU SISTEM INFORMASI KESEHATAN TIDAK DAPAT BERDIRI SENDIRI, MELAINKAN SEBAGAI BAGIAN DARI SUATU SISTEM KES)

EFFECTIVE HEALTH INFORMATION SYSTEMS PROVIDE INFORMATION SUPPORT TO THE DECISION-MAKING PROCESS AT ALL LEVELS. HEALTH INFORMATION SYSTEMS SHOULD BE TRANSFORMED INTO EFFECTIVE MANAGEMENT TOOLS(SISTEM INFORMASI KESEHATAN YANG EFEKTIF MEMBERIKAN DUKUNGAN INFORMASI BAGI PROSES PENGAMBILAN KEPUTUSAN DI SEMUA JENJANG. SISTEM INFORMASI HARUS DIJADIKAN SEBAGAI ALAT YANG EFEKTIF BAGI MANAJEMEN)

KEBIJAKAN SIKNASSIKNAS DIKEMBANGKAN DLM KERANGKA DESESNTRALISASI BID KES DLM MENCAPAI Indonesia Sehat 2010SIKNAS MERUPAKAN BAGIAN DARI SKNSIKNAS DIBANGUN DARI JARINGAN SISTEM KES PROV DAN SISTEM KES KAB/KOTA DG MELIBATKAN MITRASIKNAS EFEKTIF HRS DPT MENYEDIAKAN DATA & INFORMASI BG PENGAMBIL KEPUTUSAN & MASYARAKATSIKNAS DIKEMBANGKAN SECARA BERTAHAP

KEGIATAN POKOK SIKNASMenata Sistem Informasi KesehatanMemfasilitasi Pengembangan dan Penyelenggaraan SIK DaerahMenyelenggarakan pengumpulan, pengolahan, analisis dan penyajian data/informasi kes.Mengembangkan sdm pengelola data/info, dan pemanfaatan teknologi informasi serta pengembangan jejaring bank data

1. MENATA SISTEMPenyusunan aturan pengumpulan, pengolahan dan pemanfatan data/informasi kesehatan

Penyusunan database kesehatan nasional

Penyusunan prosedur komunikasi data

2. FASILITASI SIKDAPendampingan pengembangan SIKDAPendampingan pengolahan data/ informasi kesehatan di daerahPendampingan pengembangan SDM pengelola dataPembuatan perangkat lunak (+/-)untuk pengolahan data/informasi di daerahPengembangan model SIKDA

3. PENYELENGGARAANPengumpulan data kesehatanPengolahan data kesehatanAnalisis dan penyajian data/info kesehatanProfil Kesehatan IndonesiaJurnal InformasiInformasi Ringkas KesehatanBooklet/Leaflet DataData KependudukanPublikasi Data/Info terpilih lainnya

4. JEJARING BANK DATA, SDM, TIPengelolaan Bank-data Kesehatan PusatPengelolaan Homepage Dep KesPemeliharaan Jaringan Komputer Departemen termasuk penyewaan jalur untuk internetPendidikan, Pelatihan dan Pembinaan Teknis Tenaga pengelola data/informasi kesehatanSosialisasi pemanfatan Teknologi Informasi di bidang kesehatanPengembangan e-Goverment Departemen

YANMEDBINKESMASPPM-PLSEKJEN(BIRO+PUSAT)ITJENBPSDM

RS KabPuskesmasDinKes Kab/KotaPusdaKanwil/DinKes PropRS PrALUR LAPORANSEWAKTU ERA SENTRALISASISP2RSSP2TPProfil danLap-ExeSur-EpiProyek danSumDayaUPT

DEPARTEMENKESEHATANDINKES PROPINSIDINKESKAB/KOTADATARSDATAINFODATAPUSKESMASINDIKATOR SPM+ISINDIKATOR SPM+ISProyek ???

SIRS-baruSIP-baruDinkesKab/Kota(Bankdata) RSPuskPuskUPTPusk

YANMEDBINKESMASPPM-PLSEKJEN(BIRO+PUSAT)ITJENBPSDMYANFAR

BankDataALUR KOMUNIKASI DATAERA DESENTRALISASINew-SIRSNew-SIP- Info EksekutifSurveilans PenyakitDinkesKab/Kota(Bankdata) RSPuskPuskUPTDinkes Prop(bankdata)UPT Indikator SPM + IS Data Sumber Daya Data Profil Kes KabRS Pr

MASA DESENTRALISASILaporan operasional hanya sampai tingkat Kabupaten/KotaDinkes Kabupaten/Kota menyampaikan data/info berupa hasil pelaksanaan SPM dan Kabupaten Sehat Secara bertahap Dinkes Kabupaten/Kota mengembangkan Bank Data yang dapat diakses oleh Propinsi dan PusatPerlu dibuat model Bank Data Kesehatan Kabupaten/Kota

Bank DataData wilayahData demografiData sarana, tenaga & sumber dayaData lain-2Pencapaian SPM dan IS 2010Kebutuhan daerah

INDIKATOR SPM47 STANDAR PELAYANAN MINIMAL DI SEMUA KAB/KOTA

Kab/kota menyelenggarakan pelayanan kesehatan sesuai Standar Pelayanan Minimal (SPM)

SPM meliputi Jenis Pelayanan:Kes Ibu, Anak, Balita, KB, Imunisasi, Pengobatan, Jiwa, Gizi, Obstetrik & neonatal, GadarKLB, Polio, TbParu, ISPA, HIV/AIDS, DBD, DiareKesling, Pengendalian Vektor, Pengawasan TTU, Perilaku Sehat, Penyuluhan NapzaPenyediaan Obat, Penyelenggaraan PembiayaanKesKerja, KesUsila, Malaria, Kusta, Filaria

DERAJAT KESEHATANMORTALITAS: 4 INDIKATOR MORBIDITAS: 5 INDIKATOR STATUS GIZI: 2 INDIKATORTOTAL 11 INDIKATOR

HASIL ANTARAKEADAAN LINGKUNGAN: 2 INDIKATORPERILAKU HIDUP: 2 INDIKATORAKSES & MUTU YANKES: 5 INDIKATORTOTAL 9 INDIKATOR

PROSES & MASUKANPELAYANAN KESEHATAN: 8 INDIKATOR SUMBER DAYA KESEHATAN: 13 INDIKATORMANAJEMEN KESEHATAN: 5 INDIKATORKONTRIBUSI LINTAS SEKTOR: 4 INDIKATORTOTAL 30 INDIKATORTOTAL 50 INDIKATOR

Data Dinkes PropReportFormData di UPT propDatadi RS PropData di GubIntegrasi DataBank Data Dinkes KabData di WalikotaDataLainDataLainLap ProgramLap RSLapPuskes

Jejaring Info-Kesehatan