FUTURE HOSPITAL COMPETITION HOSPITAL YOU SHOULD NOT ALONE ??

“Without you we are nothing With t thi ” “With you we are something” g y g” “Together we are everything SUHERMAN dr mkm National Cordinator Institution

LOCAL GENIUS PARTHNERSHIP FOR GOING GLOBAL

future hospital goal   Patient safety Green hospital Healthy work palce No harm Service excellent

Role model

Efficiency

Future

CQI

Current

profesionalism resource

eticomedicolegal

Being human  B i h

No defects,, dilly, y, accident,, emissions

Thrusted Credible

• Bandung spirits among Global spirits on Health  Promotion HPH movement from Indonesia  HPH movement from Indonesia – “ Health facilities should  endorce our community better to  Health facilities should endorce our community better to got trully access to health information “

www.themegallery.com

The 1 st National Conference of HPH

WHO – HPH AUTUMN SCHOOL 2012

The 2 nd National Conference of HPH Medan 6-8 Medan, 6 8 Juni 2014

First Membership in Indonesia First Membership in Indonesia  •

WHO Colaborating HPH Network g

HPH  HPH

Member characteristics,  Taiwan HPH & HS Total  Ownership 

Hospitals Public  Private/Non profit Private/For profit  Others Public health centers Private clinics Private clinics LTC institutes Hospital accreditation levels

40+ National/Regional Networks, over 700 member institutions 153 members in Taiwan, the largest in the world

Hospitals Medical center Regional H District H Size (Beds)

N

HPH members (％)

participation rate

N

483 95 129 259 22627

19.7 26.7 53.6

139 69 54 16 14

372

1.6

13

3.5

21218

93.8

0

00 0.0

4.6

1

1037 Total N 483

5.4 18.6 76.0

Total N (％)

Total 100≦

483 236

101~300 301~600 600＞

112 69 66

72.6 41 9 41.9 6.2 0.06

0.1 HPH

(％) 26 90 367

28.8

N

(％)

139 17 72 50

12.2 51.8 36 0 36.0 HPH

N

(％)

48 8 48.8

139 12

8.6

23.2 14.3 13.7

25 44 58

18.0 31.7 41.7

B Buzz from Hospital f H it l ( HS & HP ) ( HS & HP )its not true its not tr e 1. 1 2. 3. 4.

We don We don’tt have any time have any time Workforce Shortage No extra Budget THAT’S NOT OUR BUSINESS 

The Evolution of HPH Movement for Better Hospital Performance outcome for Better Hospital Performance outcome from RSUD R Syamsudin, S.H.  Sukabumi City  to Indonesia for going Global

Best Practice HPH Better Health Gain for Patient Staff & Community Better Health Gain for Patient, Staff & Community  RSUD R. Syamsudin, SH Kota Sukabumi Joint partnerships Mikro elektro ITB ,RS Syamsudin,FK UNPAD

CHPC Research & Best Practice for Patients, Staffs & Community

INDONESIAN HEALTH PROMOTING HOSPITAL NETWORK

Blame Free Blame Free Leadership T t Trust Communication Team Work Team Work Commitment

Sharring & transforming Hospital Health Promotion  toward inova‐creative value added 

IHPHNet Website IHPHNet Website

ihphnet 2011

RSUD R. Syamsudin,SH Kota Sukabumi y , Enlighted services with newest driven

Quality Assurance 780 TT + 1429 Karyawan

Holistic persfektif in service Green design building

BENCHMARK TRANSFORMATION IN INDONESIA

ROADMAP RSUD R. SYAMSUDIN, SH - GO BEYOND BORDERS RSUD Pendidikan Kelas RSUD Pendidikan A 2014 RSUD Pendidikan  Utama

1. 2. 3. 4.

Pra Visitasi Assesment Dinkes Prop Jabar Self Assesment Visitasi Kemenkes

FK ATMAJAYA Akreditasi A (Program dokter Layanan Primer) Layanan Primer)

Hospital Performance OUTCOME

FK Atmajaya FKK UMJ FK Unisba 2015 Akreditasi Layanan Versi 2012

BLUD

FK Atmajaya FK Ukrida

ISO Integrated 1. SNI ISO 9001 :2008 2. OHSAS 18001 : 2007 3. ISO 14001 : 2004/ SNI 19‐14001‐2005 1999 FK Atmajaya

1998 Akreditasi 5 Pelayanan

2003 Akreditasi 12 Pelayanan

Evidence  Base Base  Manage men

Staff  Expected Patient  Performa nce

RSUD Pendidikan Kelas A Regional  Dan Berbasis  Wisata ( 780 

1400 ) 2018 “ EXCELLENCE”

2016 Kick Off JCI

Patient Center Development

Kawasan Purwasuka Kawasan Kota Bogor, Bogor Bekasi Depok

4,3 juta jiwa

6,5 juta jiwa Kawasan Ciayumajakuning

6 6 juta jiwa 6,6 juta Kawasan Bandung Cimahi

7,5 juta jiwa

Kawasan Bogor Sukabumi Cianjur

9,1 juta jiwa

Kawasan Priangan Timur

SATU RS  SWASTA

SATU RSUD PONEK

WE ARE HERE

7,8 juta jiwa

Go nature Go nature .....

www.themegallery.com

Green and Healthy Hospital Energy Efficiency

Perlu dibuat NSPK

Green Building Design

Transportation

Alternative Energy Generation

Sustainably grown local food Reduce, re‐use, recycle compost;  inceneration for alternate Conserve water Sumber : World Health Organisation, 2008

Penerapan P Patient S f t serta Safety t Pencegahan d dan Pengendalian I f k i Infeksi

Lesson learn & resource HRD/HRE Lesson learn & resource HRD/HRE

WHO HPH BANDUNG WHO HPH BANDUNG AUTUMN SCHOOL 2012 AUTUMN SCHOOL 2012

Cluster of Essential Public Health Operations   ((EPHOs) to deliver public health service ) p VISION : Sustainable Health & Well‐Being ENABLER EPHOs ENABLER EPHOs CORE EPHOs CORE EPHOs INTELIGENCE

EPHO 1+2 Survelliance

SERVICE DELIVERY Health Promotion Health Promotion

Informing  health health  assessment

PH Workforce EPHO 7

EPHO 4 EPHO 4

Monitoring  Preparedness  f for response

EPHO 3 Health  Protection

Governance EPHO 6

EPHO 5 Disease Prevention

Funding EPHO 8 Research EPHO 10

May 22‐24, 2013 Gothenburg, Sweden

Dir. SDM dan Pendidikan Dr. Purnamawati, MARS

Ka. Instalasi PKRS Rita Kartika, SKM, M.Kes Wa. Ka. Instalasi Drg. Elly Sri Purwanti

Struktur Organisasi g Instalasi PKRS

Koordinator Edukator Instalasi/SMF

Koordinator KIE Pelayanan Medis A i Kartika, Anita K ik SKM SKM, MPH Staf 1. Glory Silitonga, SKM

Ka. Tata Usaha Hotni H. Simanjuntak, SKM

Koordinator KIE Penunjang Medis D Drg. I br. Ita b Bangun, B MK M.Kes Staf : 1. Norma Karo-karo, SKM

Events 1 st Indonesian Health Promoting Hospital Network Conference

“Health Promoting Hospital in Changing World ;  Inovation in service Provision, Hospital Management  &H i lD i ” & Hospital Design  February,2012

ihphnet 2011

DASAR HUKUM

•

Radio komunitas diatur dalam UU no 32 th 2000 tentang penyiaran dan PP no 51 tahun 2005 tentang radio komunitas

SBH SCOUT EMPOWERMENT

Tour Kids Hospital VS Out door Class Enabling Future better awearness for customer intimacy Enabling Future better awearness for customer intimacy

Status Merokok

CRISIS CENTER FOR QUIT SMOKING •

SEFT STOP SMOKING CLINIC 

RECOGNATION HS & HP VOLUNTERS

Syamsudin clinical health promotion centre

We look forward to continuing our Fruitful collaboration WORKING GROUPS & HOSPITAL MODELLING MCH”SAFE MOTHERHOOD INNITIATIVE GLOBAL GREEN HEALTHY HOSPITAL MDG.S & GLOBAL COMMITMENT “ATM” MDG.S & GLOBAL COMMITMENT  ATM CLINICAL GOVERNANCE & UNIVERSAL COVERAGE INSURANCE LIFESTYLE,PHYSICAL ACTIVITY  & MENTAL HEALTH National Coordination Intstitution Indonesian

AWARDS FOR HPH from MOHRI Based on fullfillment of HPH Standars

WHO Standards for HP 5 Q Standards acc. to ISQUA criteria 1. Management g p policy y of HP 2. Patient Assessment 3. Patient Intervention and Info 4 Promoting 4. P ti a h healthy lth workplace k l 5. Continuityy and cooperation p

HPH

Pencapaian Standar HPH RSUD  R.Syamsudin,SH 2012‐2015

Hospital Impact Media p p

Set of 9 voluntary global NCD targets for 2025   (WHA 2013) (WHA, 2013)  25%↓ premature mortality from 4 major NCDs ≥10% ↓ , harmful use of alcohol

80% availability, basic technologies &  essential medicines

10% ↓ , insufficient physical activity ≥ 50% coverage of drug therapy and counselling 30% ↓, mean intake of salt/sodium Halt the rise in diabetes and obesity y 30% ↓, tobacco use in persons aged 15+ years

25% ↓, prevalence of raised blood pressure

National health promoting initiatives in hospitals Issues with cost benefits 1. Smoke-free & smoking cessation

Health promotion modules Tobacco-free hospital

Number 199

2. Nutrition/Exercise/Body weight management Obesity prevention

180

3. Breastfeeding

Mother and Baby-Friendly hospital

177

4 Diabetes healthcare 4.

Diabetes Patient Health Promotion

153

5. Kidney disease control (dialysis prevention)

Kidney Disease Patient Health Promotion

131

6. Cancer screening

Cancer Prevention Hospital

210

7. Active Ageing (elderly health promotion, fall prevention, ti palliative lli ti care, barrier-free, b i f screening i and prevention of NCDs, etc)

Age-Friendly Hospital

125

8 General (with workplace health promotion) 8.

WHO Health Promoting Hospital

153

9. Climate Change

Environment-friendly Hospital

171

Sharing ideas around indonesi

We are the history makers We are the history makers Advocating valeus and ideas  dvocating valeus and ideas  g  national strong commit g Maximized prospherities among stakedholders aximized prospherities among stakedholders  WA g Learning & growth

Means Health promotors in health centre, Rifaskes 2011

15 HPH 15 HPH  members  from 2697 from 2697  hospitas 

0 02 % 0,02 %  Certified  Hospitas Hospitas  Health  p promotors

Injecting Humor in Health Care Setting CLOWN HOSPITAL

Molly Penny, a.k.a. Ruth Cull, a Nurse, and Therapeutic Clown at Children's  Hospital of Eastern Ontario in Ottawa

• Embrassing Case vs NEW MAN & NEW  WOMEN in Industrials society

Quality Initiative

Cost Advantage s

Qualified Professional f s & Nursing Care

Technology Patient’’s Patient Safety & Legal Rights

Core Competency  Clinical Health Promotor Clinical Health Promotor Evidance Base for Practice

Clinical Preventive Services and Health Promotion Health Systems y and Health Policy Community Aspects of Practice

Epidemiology and Biostatistics Evaluating Health Research Literature g Healthcare Quality Improvement Surveillance Strategies Determinants of Disease Screening Counseling  Immunization Preventive Medication Healthcare and Public Health Systems Health Services Financing Health Services Financing Health Workforce Health Policy Development Environmental Health Occupational Health Health Communications & Needs Assessment Global Health & Cultural Diversity l b l l h& l l i i Community Health & Public Health  Preparedness

LIVE REPORT  LIVE REPORT ““SEF SEF””

Social staff determinants less one Month (%) Social staff determinants  less one Month Setiap  saat

Sering

Kadang‐ kadang

Jarang

Tidak  sama sama  sekali

Apakah Anda merasa bergairah dalam menjalani hidup? Pernahkah Anda merasa sangat gugup?

54 0

32 4

14 60

0 28

0 8

Pernahkah Anda merasa larut dalam kesedihan dan tidak ada yang bisa menghibur Anda? Pernahkah Anda merasa tenang dan damai?

0

2

32

50

16

20

66

14

0

0

Apakah Anda memiliki banyak energi?

36

40

20

4

0

Pernahkah Anda merasa terpuruk dan tertekan? Apakah Anda pernah merasa lelah (jiwa/mental)? Pernahkah Anda merasa bahagia?

0 0 30

4 6 60

38 32 10

36 36 0

32 26 0

Apakah Anda pernah merasa lelah (fisik)?

0

20

56

18

6

Worked condition vs healthy worked place Worked condition vs healthy worked place Terluka ditempat kerja dalam 1 tahun  terakhir

%

Tingkat kelelahan yang dirasakan dalam  pekerjaan 62%

60% 40% 20%

12%

sekali

6%

Re‐addmition Re addmition patient  patient MR AUDIT …

Pasien diberikan surat pengantar pulang

Pasien kembali dalam 5 hari setelah  kepulangan %

%

42%

17% 30% 20%

22% 5% 6%

10%

12%

14%

Cross Border Medical Tourism: A Typology and  Cross‐Border Medical Tourism: A Typology and Implications for the Public and Private Medical Care  Sectors in the South‐East Asian Region should be :

Closing the Gaps: doctor‐patient‐ hospital relationship S ajee Good Ph D WHO SEARO goods@ ho int Suvajee Good, Ph.D.WHO‐[email protected] 

Determinants of relationship  p

Doctor Patient Relationship Doctor‐Patient Relationship • is central to the practice of medicine and essential  f h for the delivery of highly‐quality health care. l f h hl l h lh • forms one of the foundation of contemporary  medical ethics di l hi • is socially constructed: where patients assume  sick role and doctor are assigned to professional  i k l dd t i dt f i l role expectations. • is power relationship : where doctor assume  is power relationship : where doctor assume authorities and patient are subordinate, thus need  compliance to doctor’ss demand compliance to doctor demand FROM PROVIDER TO PATIENT CENTRE DEVELOPMENT  Dr. Suvajee Good, Programme Coordinator (Health Promotion) Health Promotion Lecture Series, WHO‐SEARO

Strategic Framework to Strengthen the  doctor‐‐patient relationship doctor patient relationship • • •

• • • •

Sociocultural millieu Medical education Training in  communication/soci o/cultural influences Legal framework Medical council Professional bodies Selection criteria of  medical student

• • • • • • •

Legal climate Insurance/health  plans Cost containment Rewards and  recognition Boundary rules Health industry  Public‐private health  facillities

• • • • • • •

Doctor‐related Factors Doctor‐ Qualification Skills/competencies Attitudes Bedside manners Ethics and standards Cultural factors Rights and responsibilities

Patient‐‐related factors Patient •Expectations •Information/knowledge •Past Past experiences/trust  experiences/trust •Nature & state of illness •Financial status •rights/ and responsibilities •Level of functional literacy 

• • • • • • •

Doctor‐‐Patient interaction Doctor Availability & accessibility   Receptiveness Communication  Information exchange Information exchange Empathy/compassion Supportive environment Time spent 

• • • • • • • •

Output Satisfaction  Trust  Adherence  Improved knowledge Increase health literacy of patients People‐centered care Patient‐centered care Diseased litigation

•

• • • • •

Sociocultural and  economic  background Education Gender belief/s/religion Peer influence Media

Health System issues •Governance •Service organization •Referral issues  •patient’s rights •Grievance redressed •Grievance redressed •Reconciliation bodies •Audits for quality assurance •Appropriate technology •Social support system •Patient feedback 

Outcomes Improved doctor‐ doctor‐patient relationship patient relationship •Improved doctor •Improved quality of health care services 

Dr. Suvajee Good, Programme Coordinator (Health Promotion) Health Promotion Lecture Series, WHO‐SEARO

Dr. Suvajee Good, Programme Coordinator (Health Promotion) Health Promotion Lecture Series, WHO‐SEARO

Effects on health & health care  services Case  management g (un)Satisfaction  of services

Patient’s expectation

Compliance  Health Literacy

Medical Encounters

Organizational setting

Understanding of Understanding of  consent Continuity of care Time/language/  manners

Utilization of services

Addressing determinants of health through Addressing determinants of health through  medical education and hospital services

Dr. Suvajee Good, Programme Coordinator (Health Promotion) Health Promotion Lecture Series, WHO‐SEARO

…hospitals are still dangerous  places l to be if you are sick. …We  b if i k W can't afford this kind of health  care anymore And we shouldn'tt  care anymore. And we shouldn pay for it.  Karen Davis, PhD (Professor Health Policy & Mgmt – Johns Hopkins Univ) President, The Commonwealth Fund

Regional refferal hospitals ,transnational  dynamic local with global taste through dynamic,local with global taste,through  comparative advantage Pertim mbangan Redu uksi Biayya

Tinggi

Strategi Global  Standarisasi E i off scale l  Economies  Cross-cultural learning Contoh j •PSO manajerial •PSO klinikal •Patient networks

Strategi Internasional

Strategi TransNasional  Pertukaran sumberdaya  Economies of scale  Cross-cultural learning Contoh: Jar Global Yankes

Strategi Multi Domestik

Ex-Im dan Lisensi

 Kearifan lokal  Franchise, joint ventures, subsidiaries

Contoh • Med devices effectivity

Contoh: TCAMdalam yankes Pengendalian risks

Rendah

Tinggi

Pertimbangan Tingkat Responsif Lokal (Desentralisasi dekatkan klien)

Secrets to Progresses Secrets to Progresses 1. 1 2.

3. 4. 5. 6. 7.

Leadership Evidance : Show the evidance & relevance (how HPH  will benefit for patients, staff, hospital management  & Community Love : Re‐inspired value and adoption of new role in  promoting patient health ti ti t h lth Collaboration : Set a goal share it with HPH network  Tools & Training : Join with HPH Network Tools & Training : Join with HPH Network Visibility  Support System

Good to Great Good to Great 

National Symposium & Excecutive Meeting

UPDATE  10 AGENDA OF GLOBAL GREEN AND HEALTHY HOSPITAL

27‐28 Agustus 2015 Haris Hotel and Convention Festival Citilink Bandung – Jawa Barat

The 3 rd National Conference of HPH The 1st Regional Asia Pasific C f Conference off HPH Jogjakarta, 15-17 April 2016

Strengthening Green Clinical Health Promotion Centre         for Improving Hospital Outcome Performance in The for Improving Hospital Outcome Performance in The  Asia Pacific Region

Pelatihan Sertifikasi Pelatih Pelatihan Sertifikasi Pelatih

EDUKATOR KLINIS TINGKAT DASAR 4‐7 Oktober 2015 Balai Besar Pelatihan Kesehatan (BBPK) Cilandak – Jakarta www.ihphnet.org

www.ihphnet.org

Thank You Thank You See you soon in 3 nd National HPH Convention in Yogyakarta RSUP DR SARJITO AS A HOST JUNE 2016

Beds and Equipments Can Make Hospital Bigger………. ..Only Love Can Make Hospital Greater....FOR BEING HUMAN