WORKSHOP

Pengolahan Data
Penggunaan
Obat
Di Rumah Sakit

DIREKTORAT PELAYANAN
KEFARMASIAN
TAHUN 2020
Rangga Pratama
Head of Analytics and Exploration – Consulting Service, SAS Indonesia
Profile Summary
Rangga has more
than 10 years of
experience
consulting,
specialized in Data &
Analytics.
I have several courses, training and
seminar. There are as a speaker at
Dashboard with SAS Visual Analytics
2016-2017, Data Mining with SAS
Enterprise Miner at PT. Telkomsel
2016, SAS Enterprise Guide Training
2014-2016, Basic Statistics with SAS
Enterprise Guide 2014-2016, Basic
Programming with SAS 9.4 2014-
2016, Data Mining with SPSS
Modeler at PT. Telkomsel 2015, Big
Data Analysis at UI 2015, MS Project
Training 2010 and as participant at
Dashboard with Tableau at PT.
Sucofindo 2015, PMO (Project
Management Office) Training 2010,
SAS Software Analysis 2007 and
Stadium General Of Structural
Equation Model and Path Analysis
2006.
My Educational background is
Statistics Science from Bogor
Agricultural University.
Selected Experiences:
• Data Scientist at PT. StarCore Analytics.
• Statistics Experts at PT. Kacindo in “Analisa Pola Penyediaan dan
Pemanfaatan Obat dan Alat Kesehatan” at Kementrian Kesehatan.
• Statistics Experts at PT. Kacindo in “Analisa Kepuasan Stakeholder JKN”
at Kementrian Kesehatan.
• Dashboard Experts at PT. Sucofindo in “Pengembangan Sistem Informasi
Kegiatan Pengelolaan Perikanan Tangkap” at KKP
• Data Management at PT Multidecon Internal in “Verifikasi dan Validasi
Data Penerima Program Perlindungan Sosial”
• Data Analyst at PT. Laras Respati Utama on “Pendataan LPG 3 Kg”
Project
• Data Analyst at FAB for CRM analysis on Unilever Project
• Data Analyst at PT Kanta Karya Utama in “Verifikasi Refill LPG Tabung 3
Kg”
• Supervisor at Directorat Strategic Planning and Innovation at Gerai
Terpadu Indonesia (GTI)
• Project Management Officer (PMO) at Bumi Karya Artha (BKA)
Phone : 081210931199
Email :
rangga.pratama@starcore.co
Rangga.statistika@gmail.com
 Deby Awalya Bonita, S.Stat
Data Analyst at Starcore Analytics
PT Exorty Indonesia
Bogor, March 9th 1997
Education
• Statistics, IPB University 2015-2019
• 1 SHS Leuwiliang, Bogor 2012-2015
Work History
• Data Analyst at Starcore Analytics (Apr ‘19 – now)
• Data Analyst – Wyeth Nutrition (Customer Loyalty Program) 2020
• Assistant Trainer – SAS EG Anova (Bank Mandiri) 2020
• Assistant Trainer – SAS VA (BIN dan BNPB) 2020
• Statistician – KSO Sucofindo SI (VPTI) 2020
• Data Analyst – Survey Kepuasan Pelanggan PT. PLN Persero 2019
• Data Analyst – Credit Scoring Bank Mandiri Taspen 2019
debyawalyabonita@starcore.co
+6285156590560
Babakan Dramaga, Bogor 16680
Achievements and Rewards
• Runner Up of Starcore Data Science Competition 2018
• Participant in a Regional Conference Student Activism
University Teknologi Petronas Malaysia 2018
• Quarter Finalist The13th Statistika Ria 2018
• Semifinalist National Statistics Challange Brawijaya University
2018
• Semifinalist Dokter Data Diponegoro University 2018
• Finalist ISC The2nd Indonesia Statistic Conference and Olympiad
2017
• Finalist Yout Summit Madura Trunojoyo University 2017
Organization Experience
• Secretary Cominfo Forum for Scientific Studies 2018
• Treasurer II Forum for Scientific Studies 2017
Objektif:
1.
2.
SISTEMATIKA

01 DATA

02 METODOLOGI

03 EPO
DATA
Struktur data pada Sistem Informasi RS
Keuangan
Rekam Medik
No RM
No RM
SEP BPJS (Klaim)
Kode pasien
Nilai Pembayaran No RM
ICD
Kode pasien
Tanggal Masuk
ICD
Tanggal Keluar
Tanggal Masuk
SEP Tanggal Keluar
Kelas SEP
INA CBG
Klaim
Kelas

Obat
No RM Master Pasien (register)
Kode Obat No RM
Nama Obat Kode Pasien
Nama Generik Nama
Sediaan Jenis Kelamin
Tanggal Tanggal Lahir
Jumlah penggunaan
 DATA PELAYANAN RUMAH SAKIT
Nama Rumah Sakit :
Alamat :
Kabupaten/Kota :
Provinsi :
Nama Informan :
Jabatan Informan :
Nomor Telepon :

2019
DATA
Jan Feb …. Des
Jumlah Tempat Tidur
Rata -rata Bed Occupancy Ratio (BOR) per bulan
Rata -rata Length of Stay (LOS)
Terakreditasi : 5/12/16 Pelayanan
Rata-rata pasien rawat inap per hari (orang)
Rata-rata resep rawat inap per hari (lembar)
Rata-rata resep rawat jalan per hari (lembar)

Informan/Enumerator Supervisor

( ) ( )

*catatan: informan/enumerato dan supervisor diisi nama lengkap

 EPO OBAT
Jumlah Penggunaan Obat
No Nama Obat Keterangan Rawat Kekuatan Obat Dalam
Jalan/ Rawat Inap Nama Generik Mg (Bila Ada) Sediaan Harga Satuan Jan Feb Dst Total

01
 CONTOH EPO OBAT
Jumlah Penggunaan Obat
No Nama Obat Keterangan Rawat Nama Generik Kekuatan Obat Dalam Sediaan Harga Satuan Total
Jalan/ Rawat Inap Mg (Bila Ada)
Jan Feb Dst

01
ABBOTIC
1
GRANULES 250 MG
Klaritromisin 250 mg   2   2

ABILIFY DISCMELT
2
10 MG
Aripiperazol 10 mg 300 661 2.033 2.994

ABILIFY DISCMELT
3
15 MG
Aripiperazol 15 mg 225 43   268

ACARBOSE
4
TABLET 100 MG
Akarbose 100 mg 23.999 13.377 17.693 55.069

ACARBOSE
5
TABLET 50 MG
Akarbose 50 mg 56.255 80.512 84.339 221.106

Natrium
6 ACDAT KRIM 5 GR 5 gr   335 47 382
fusidat
 DATA KLAIM

No Keterangan Rajal ICD-10 Deskripsi ALOS Jumlah tagihan rs (Cost) Obat (Cost) Alkes (Cost) jumlah klaim
Ranap (BPJS)
 CONTOH DATA KLAIM
ICD utama hingga ICD sekundernya

Keterangan Rajal jumlah klaim

No ICD-10 Deskripsi ALOS Jumlah tagihan rs (Cost) Obat (Cost) Alkes (Cost)
Ranap (BPJS)

Care involving use of rehabilitation

1 Rawat Jalan Z50.9 procedure, unspecified   20424 3.797.720.510 32.288.458 - 2.417.196.600

2 Rawat Jalan Z99.2 Dependence on renal dialysis   7310 8.253.186.836 490.115.133 3.309.791.035
6.430.836.100

3 Rawat Jalan Z09.8^E14.9 Unspecified diabetes mellitus without   5264 900.980.277 351.093.438 30.000
complications 975.079.800

4 Rawat Jalan Z09.8^I63.9 Cerebral infarction, unspecified   4700 915.522.617 646.867.699 -

863.406.500

5 Rawat Jalan Z09.8^J44.9 Chronic obstructive pulmonary disease,   3135 358.858.168 91.999.633 763.425
unspecified 789.863.500

6 Rawat Jalan Z09.8^I10 Essential (primary) hypertension   2541 274.513.081 77.651.111 -

467.999.700
METODOLOGI
Variabel/ perlakuan yang masih perlu ditambahkan dalam
perhitungan EPO

ATC Kekuatan

01 02 03 04

DDD Penyamaan
Satuan
BASED OPERATION
MID
(SUM, COUNT, DLL)
METODOLOGI
FILTER LEN (EXCEL)
VLOOKUP FIND
 DATA ASLI

Oral/ PENGGUNAAN PERBULAN

Kekuatan Total Satuan Ket
No Nama Obat Nama Generik Sediaan parentheral Harga ATC DDD DDD (g) Jan Feb …
(mg) Jumlah DDD DDD
(Rute) RJ RI Total RJ RI Total RJ RI Total
1 ABILIFY DISCMELT 10 MG Aripiperazol TABLET O 23.034 10 1.319 N05AX12 15 mg o 0,015 135 0 135 75 0 75 90 0 90
2 ACARBOSE TABLET 100 MG Akarbose TABLET O 779 100 13.667 A10BF01 0,3 g o 0,3 900 12 912 690 26 716 840 0 840
3 ACARBOSE TABLET 50 MG Akarbose TABLET O 562 50 80.519 A10BF01 0,3 g o 0,3 6.642 114 6.756 5.177 116 5.293 7.059 159 7.218
4 ACETYLCYSTEINE CAP N-asetil sistein TABLET O 350 200 14.337 R05CB01 0,5 g o 0,5 475 808 1.283 609 1.327 1.936 1.000 1.614 2.614
5 ACYCLOVIR 200 MG Asiklovir TABLET O 236 200 1.817 J05AB01 4 g o 4 333 473 806 50 0 50 90 32 122
6 ACYCLOVIR 400 MG Asiklovir TABLET O 380 400 2.313 J05AB01 4 g o 4 0 72 72 225 28 253 84 85 169
7 ACYCLOVIR CR Asiklovir TUBE TD 3.625 0 54 D06BB03 0 10 10 3 3 6 4 9 13
8 ADALAT OROS 30 Nifedipin TABLET O 3.700 30 22.625 C08CA05 30 mg o 0,03 1.380 23 1.403 1.500 12 1.512 1.628 11 1.639
9 AKILEN TT Ofloksasin BOTOL Instill 60.297 0 23 S02AA16 1 0 1 0 0 0 0 0 0
10 ALBENDAZOL 400 MG TAB Albendazol TABLET O 317 400 14 P02CA03 0,4 g o 0,4 0 0 0 0 0 0 0 0 0
 OLAH DATA
1. Menyamakan satuan antara “Kekuatan” dengan “DDD”
Dengan cara membuat kolom baru.
Karena Kekuatannya dalam (mg), maka buat kolom baru DDD dalam (mg) juga.

Oral/ PENGGUNAAN PERBULAN

Kekuatan Total Satuan Ket
No Nama Obat Nama Generik Sediaan parentheral Harga ATC DDD DDD (g) Jan Feb …
(mg) Jumlah DDD DDD
(Rute) RJ RI Total RJ RI Total RJ RI Total
1 ABILIFY DISCMELT 10 MG Aripiperazol TABLET O 23.034 10 1.319 N05AX12 15 mg o 0,015 135 0 135 75 0 75 90 0 90
2 ACARBOSE TABLET 100 MG Akarbose TABLET O 779 100 13.667 A10BF01 0,3 g o 0,3 900 12 912 690 26 716 840 0 840
3 ACARBOSE TABLET 50 MG Akarbose TABLET O 562 50 80.519 A10BF01 0,3 g o 0,3 6.642 114 6.756 5.177 116 5.293 7.059 159 7.218
4 ACETYLCYSTEINE CAP N-asetil sistein TABLET O 350 200 14.337 R05CB01 0,5 g o 0,5 475 808 1.283 609 1.327 1.936 1.000 1.614 2.614
5 ACYCLOVIR 200 MG Asiklovir TABLET O 236 200 1.817 J05AB01 4 g o 4 333 473 806 50 0 50 90 32 122
6 ACYCLOVIR 400 MG Asiklovir TABLET O 380 400 2.313 J05AB01 4 g o 4 0 72 72 225 28 253 84 85 169
7 ACYCLOVIR CR Asiklovir TUBE TD 3.625 0 54 D06BB03 0 10 10 3 3 6 4 9 13
8 ADALAT OROS 30 Nifedipin TABLET O 3.700 30 22.625 C08CA05 30 mg o 0,03 1.380 23 1.403 1.500 12 1.512 1.628 11 1.639
9 AKILEN TT Ofloksasin BOTOL Instill 60.297 0 23 S02AA16 1 0 1 0 0 0 0 0 0
10 ALBENDAZOL 400 MG TAB Albendazol TABLET O 317 400 14 P02CA03 0,4 g o 0,4 0 0 0 0 0 0 0 0 0
 OLAH DATA
2. Membuat data yang disusun kebawah.
Dengan cara membuat kolom baru “Keterangan RJ/RI”, “Bulan”, “Jumlah Obat”

Keterangan Jumlah
Bulan
RJ/RI Obat

RJ Jan 135
RJ Jan 900
RJ Jan 6.642
RJ Jan 475
Oral/ PENGGUNAAN PERBULAN
Kekuatan Total Satuan Ket RJ Jan 333
No Nama Obat Nama Generik Sediaan parentheral Harga ATC DDD DDD (g) Jan Feb …
(mg) Jumlah DDD DDD RJ Jan 0
(Rute) RJ RI Total RJ RI Total RJ RI Total
1 ABILIFY DISCMELT 10 MG RJ Jan 0
Aripiperazol TABLET O 23.034 10 1.319 N05AX12 15 mg o 0,015 135 0 135 75 0 75 90 0 90
RJ Jan 1.380
2 ACARBOSE TABLET 100 MG Akarbose TABLET O 779 100 13.667 A10BF01 0,3 g o 0,3 900 12 912 690 26 716 840 0 840
RJ Jan 1
3 ACARBOSE TABLET 50 MG Akarbose TABLET O 562 50 80.519 A10BF01 0,3 g o 0,3 6.642 114 6.756 5.177 116 5.293 7.059 159 7.218
RJ Jan 0
4 ACETYLCYSTEINE CAP N-asetil sistein TABLET O 350 200 14.337 R05CB01 0,5 g o 0,5 475 808 1.283 609 1.327 1.936 1.000 1.614 2.614
5 ACYCLOVIR 200 MG Asiklovir TABLET O 236 200 1.817 J05AB01 4g o 4 333 473 806 50 0 50 90 32 122 RI Jan 0
6 ACYCLOVIR 400 MG Asiklovir TABLET O 380 400 2.313 J05AB01 4g o 4 0 72 72 225 28 253 84 85 169 RI Jan 12
7 ACYCLOVIR CR Asiklovir TUBE TD 3.625 0 54 D06BB03 0 10 10 3 3 6 4 9 13 RI Jan 114
8 ADALAT OROS 30 Nifedipin TABLET O 3.700 30 22.625 C08CA05 30 mg o 0,03 1.380 23 1.403 1.500 12 1.512 1.628 11 1.639 RI Jan 808
9 AKILEN TT Ofloksasin BOTOL Instil 60.297 0 23 S02AA16 1 0 1 0 0 0 0 0 0 RI Jan 473
10 ALBENDAZOL 400 MG TAB Albendazol TABLET O 317 400 14 P02CA03 0,4 g o 0,4 0 0 0 0 0 0 0 0 0 RI Jan 72
RI Jan 10
RI Jan 23
RI Jan 0
RI Jan 0
OLAH DATA
3. Membuat variable “DDD Value”
Dengan formula
DDD Value = (Kekuatan(mg) x Jumlah Obat) / DDD(mg)

in excel R3 = (G3 x Q3) / N3

DDD Value
 OLAH DATA
4. Membuat variable “DDD Value Tertimbang”
Dengan formula DDD Value Tertimbang = IF(Keterangan = RJ; maka DDD value dibagi 11520
dikali 1000; jika RI maka DDD value dibagi 6092 dikali 100)

in excel S3 = IF(O3=“RJ”;(R3/11520)*1000;(R3/6092)*100))

Berikut ni adalah data setahun yang akan diasumsikan menjadi data

bulanan dengan cara dibagi 12
Data Tahun 2019 Data bulanan
Total Hari Rawat Inap 73.107 hari 73.107 / 12 = 6092
Jumlah Pasien Rawat Jalan 138.238 orang 138.238 / 12 = 11520 DDD Value
Tertimbang
OLAH DATA
5. Membuat variable “EXPENDITURE”
Dengan formula
EXPENDITURE = Harga x Jumlah Obat

in excel T3 = F3 * Q3

Expenditure
OLAH DATA
6. Membuat variable “Level 2”
Dengan formula
Level 2 = Mengambil 3 huruf pertama dari variable ATC

in excel U3 = LEFT(I3;3)

Level 2
OLAH DATA
7. Membuat variable “Desc Level 2”
Dengan formula
Desc Level 2 = VLOOKUP dari Data Kelas Terapi

in excel V3 = VLOOKUP(U3; =VLOOKUP(U3;'[Kelas terapi.xlsx]master

sub grup'!B$1:C$57;2)

Desc Level 2
Data kelas terapi
No. ATC NAMA SUBGRUP
1 B03 Antianemic Preparations
2 H02 Corticosteroids For Systemic Use
3 A02 Drugs For Acid Related Disorders
4 J01 Antibacterials For Systemic Use
5 C09 Agents Acting On The Renin-Angiotensin System
6 C08 Calcium Channel Blockers
7 M01 Antiinflammatory And Antirheumatic Products
8 B01 Antithrombotic Agents
9 C03 Diuretics
10 L02 Endocrine Therapy
OLAH DATA
8. Membuat variable “Level 3”
Dengan formula
Level 3 = Mengambil 4 huruf pertama dari variable ATC

in excel U3 = LEFT(I3;4)

Level 3
OLAH DATA
9. Membuat variable “Desc Level 3”
Dengan formula
Desc Level 3 = VLOOKUP dari Data Kelas Terapi

in excel X3 = VLOOKUP(W3; =VLOOKUP(U3;'[Kelas terapi.xlsx]master

sub grup'!B$1:C$57;2)

Desc Level 3
Data kelas terapi
Kode ATC Deskripsi Obat
A01A STOMATOLOGICAL PREPARATIONS
A02A ANTACIDS
A02B DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD)
A02X OTHER DRUGS FOR ACID RELATED DISORDERS
A03A DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS
A03B BELLADONNA AND DERIVATIVES, PLAIN
A03C ANTISPASMODICS IN COMBINATION WITH PSYCHOLEPTICS
A03D ANTISPASMODICS IN COMBINATION WITH ANALGESICS
A03E ANTISPASMODICS AND ANTICHOLINERGICS IN COMBINATION WITH OTHER DRUGS
A03F PROPULSIVES
A04A ANTIEMETICS AND ANTINAUSEANTS
PIVOT TABLE
PIVOT DATA
1. Membuat TOP 20 Obat berdasarkan DDD Value (Tertimbang)
Dengan cara klik: Select All – Insert – Pivot Table
ddd value (tertimbang) (Multiple Items)
RI/RJ RI

Row Labels Sum of ddd value (tertimbang) Field List

Mecobalamin 15,84%
Metilprednisolon 5,43%
Deksametason 4,81%
Domperidon 4,79%
Omeprazol 4,59%
Asam folat 4,04%
Ketorolak 3,37%
Ranitidin 3,26%
Asam mefenamat 3,01%
Klopidogrel 2,86%
Seftriakson 2,76%
Furosemid 2,29%
Atorvastatin 2,18%
Sukralfat 1,89%
Valsartan 1,85%
Amlodipin 1,61%
Parasetamol 1,32%
Levofloksasin 1,27%
Sefuroksim 1,21%
Budesonid 1,16%
PIVOT DATA
2. Membuat TOP 20 Kelas (Level 2) berdasarkan DDD Value Tertimbang
Dengan cara klik: Select All – Insert – Pivot Table

ddd value (tertimbang) (Multiple Items)

RI/RJ RI

LV2 Lv2 desc Sum of ddd value (tertimbang)

Field List
B03 Antianemic Preparations 19,88%
H02 Corticosteroids For Systemic Use 10,43%
A02 Drugs For Acid Related Disorders 9,83%
J01 Antibacterials For Systemic Use 9,41%
M01 Antiinflammatory And Antirheumatic Products 7,44%
A03 Drugs For Functional Gastrointestinal Disorders 4,93%
B01 Antithrombotic Agents 3,98%
C09 Agents Acting On The Renin-Angiotensin System 3,72%
C03 Diuretics 3,57%
C01 Cardiac Therapy 2,91%
R03 Drugs For Obstructive Airway Diseases 2,83%
N02 Analgesics 2,55%
C10 Lipid Modifying Agents 2,41%
C08 Calcium Channel Blockers 2,07%
A12 Mineral Supplements 1,95%
R05 Cough And Cold Preparations 1,82%
N05 Psycholeptics 1,68%
N03 Antiepileptics 1,27%
R06 Antihistamines For Systemic Use 0,93%
N06 Psychoanaleptics 0,82%
PIVOT DATA
3. Membuat TOP 20 Obat berdasarkan Expenditure
Dengan cara klik: Select All – Insert – Pivot Table
ddd value (tertimbang) (Multiple Items)
RI/RJ RI

Nama Generik Sum of Expenditure Field List

Seftriakson 24,64%
Sefuroksim 11,49%
Piracetam 5,97%
Diltiazem 4,87%
Fenitoin Na 4,78%
Ampisilin + Sulbaktam 4,73%
Sefiksim 3,44%
Ketorolak 3,09%
Metamizol 2,68%
Sefotaksim 2,62%
Omeprazol 2,58%
Budesonid 2,21%
Analog insulin : fast acting 1,76%
Meropenem 1,27%
Faktor VIII (konsentrat) 1,11%
Levofloksasin 1,02%
Ranitidin 0,99%
Pregabalin 0,95%
Salbutamol 0,86%
Analog Insulin long acting 0,80%
PIVOT DATA
4. Membuat TOP 20 Kelas (Level 2) berdasarkan Expenditure
Dengan cara klik: Select All – Insert – Pivot Table
ddd value (tertimbang) (Multiple Items)
RI/RJ RI

LV2 Lv2 desc Sum of Expenditure Field List

J01 Antibacterials For Systemic Use 51,31%
N06 Psychoanaleptics 5,98%
N03 Antiepileptics 5,86%
C08 Calcium Channel Blockers 5,68%
A02 Drugs For Acid Related Disorders 4,62%
N02 Analgesics 4,30%
M01 Antiinflammatory And Antirheumatic Products 3,74%
R03 Drugs For Obstructive Airway Diseases 3,67%
A10 Drugs Used In Diabetes 2,72%
B01 Antithrombotic Agents 1,74%
B02 Antihemorrhagics 1,67%
C01 Cardiac Therapy 1,38%
H02 Corticosteroids For Systemic Use 0,90%
C03 Diuretics 0,79%
N05 Psycholeptics 0,67%
B03 Antianemic Preparations 0,66%
C10 Lipid Modifying Agents 0,61%
A12 Mineral Supplements 0,57%
R05 Cough And Cold Preparations 0,56%
A07 Antidiarrheals, Intestinal Antiinflammatory/Antiinfective Agents 0,45%
PIVOT DATA
5. Melihat Kelas Level 3 dari Antibiotik (J01)
Dengan cara klik: Select All – Insert – Pivot Table
ddd value (tertimbang) (Multiple Items)
RI/RJ RI
LV2 J01

Lv3 Lv3 desc Sum of ddd value (tertimbang) Sum of Expenditure

J01A TETRACYCLINES 0,03% 0,00%
J01B AMPHENICOLS 0,90% 0,21%
J01C BETA-LACTAM ANTIBACTERIALS, PENICILLINS 7,74% 9,52%
J01D OTHER BETA-LACTAM ANTIBACTERIALS 63,04% 85,54%
J01F MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS 3,27% 0,17%
J01G AMINOGLYCOSIDE ANTIBACTERIALS 3,39% 0,83%
J01M QUINOLONE ANTIBACTERIALS 18,25% 2,25%
J01X OTHER ANTIBACTERIALS 3,39% 1,47%

Field List
TREND BULANAN
Trend Bulanan
Contoh: Level 2 (A02) - Ranitidin
Terima Kasih