PERAN ASN KESEHATAN DALAM

PENINGKATAN MUTU DAN KINERJA

DI ERA DISRUPSI
dr Yaya Mulyana M.Kes
dr Yaya Mulyana, M.Kes
KABID PENUNJANG RSUD SLG
“This is more than a resume ;
Its your story”
-Anonymous
A visual timeline 2011 - 2019

mapping my
KEPALA PUSKESMAS NGADI

professional journey. 2019 - 2020

KASIE YANKESPRIMER DINAS
KESEHATAN

2020 - 2021
KABID YANKES DINAS
KESEHATAN

2021 -SEKARANG
KABID PENUNJANG RSUD SLG
 Penghargaan

JUARA 6 TK NASIONAL PENGHARGAAN 1 TK

PUSKESMAS
PKM DENGAN PMKP NASIONAL DINAS
AKREDITASI JUARA 2 NAKES
TERBAIK KESEHATAN DGN PIS
PARIPURNA TELADAN TK PROV.
. PK TERBAIK

1 2 3 4 5 6 7

JUARA 2 TK PROV JUARA 1 NAKES

JUARA 5 KBK PROV
PKM BERPRESTASI TELADAN TK KAB 2017
JATIM
PEDESAAN
.
 Tantangan SDM saat ini : Perubahan Generasi

Sumber : tirto.id
TEKNOLOGI & SOSIAL MEDIA

Sumber : elearninginfographics.com
 Tantangan SDM Saat lni: Industry 4.0

1800 Penemuan listrik dan assembly 2000 Kegiatan terintegrasi melalu

teknologi wireless dan big
fine yang meningkatkan
produksi barang. data secara masif .

Revolusi I ndustri ke- 2 Revolusi I ndustri ke- 4

Revolusi I ndustri ke- 1

Revolusi I ndustri ke- 3
NOW
Penemuan mesin uap,
mendorong munculnya kapal Inovasi teknologi informasi,
uap, kereta api uap, mesin komersialisasi personal
pabrik bertenaga uap, dll. computer, dll.

Sumber: Oxford Analyt ics 1900

HEALTHCARE 1.0
Pelayanan kesehatan di era sebelum kemerdekaan
 Modern (Western) Medicine

HEALTHCARE
2.0
HEALTHCARE 3.0 Healthcare 4.0
Quality-Driven Healtycare
 “
S
m
ar
t”
Manufacturing
Image Source: https://en.wikipedia.org/wiki/lndustrial_robot(KUKA Roboter GmbH)
 Manufacturing

t”
ar
m
S
“
Image Source: https://en.wikipedia.org/wiki/lndustrial_robot(KUKA Roboter GmbH)
 “Smart”
Banking

Sumber : http://isarapost.neVhome!?p=17760 http ://www.telecom journalthailand.com/ Hl1Jh Y1ti h .1l<il flm '. fi''l'O-;J/
HEALTHCARE
(ON TV)

Sumber : nj.com
 HEALTHCARE
(ON TV)

Sumber : nj.com
HEALTHCARE
(REALITY)
HEALTHCARE
(REALITY)
 Difficult to automate human decisions

Evolving standards of care

Many & varied stakeholders

Why Healthcare Fragmented, poorly-coordinated systems

Isn’t (Yet) “Smart” ?

Ever-growing & changing body of knowledge

High volume, low resources

 BUT…. ARE WE THAT
DIFFERENT ?
Manufacturing

INPUT PROCESS OUTPUT

Raw Materials Assembling Finished Goods

Value-Add
        Innovation
        Design
        QC
 BUT…. ARE WE THAT
DIFFERENT ?
Banking

INPUT PROCESS OUTPUT

Transfer

Value-Add
Location A Location B
        Security
        Convenience
        Customer Service
 BUT…. ARE WE THAT
DIFFERENT ?
Health care

INPUT PROCESS OUTPUT

Sick Patient Patient Care Well Patient

Value-Add
 Medical Technology
 Clinical knowledge and skill providers
 Quality of care, process improvement
 Customer Service
 Information
 Standardzing Healthcare

Large Variations

INPUT PROCESS OUTPUT

Patient Decision Biological

Presentation Making Responses
 To Go Paperless To Computerize the
hospital
Why Adopting
Health IT ?
To Have EHRS To Become Digitals
Hospital
 To Go Paperless To Computerize the
hospital
Why Adopting
Health IT ?
To Have EHRS To Become Digitals
Hospital
Some
“Smart” Quotes
''Don't implement technology just for
technology's sake."

''Don't make use of smart technology. Make smart

use of technology.“
(Mulyana, Yaya. RS SLG, 2022.)

''Health care IT is not a panacea for all that ails

medicine." (Hersh, 2004)
PERMASALAHAN DIGITAL TRANFORMASI DI
LAYANAN PRIMER DAN SEKUNDER
 So What Is
Smart Healthcare ?
Smart Healtcare For Policy
Maker
Smart Healtcare For
Health Promoter,
Survaillance
 Smart Healthcare
For Clinicians

Image Source:https://www.cmmartins.com.br/2019/07/29/a-evolucao-da-tecnologia-na-area-da-saude/
What Clinicians Want ?
To treat & to
care for their
patients to their
best abilities,
given limited
time & resources
Smart Healthcare For
Patients & Consumers?

. ' . '
So What Exactly Is
Smart Healthcare ?
Connecting People to a Healthy
Future
with Personalized Care - Kaiser
Permanente
High Quality
Care
High Quality Care
Effective Patient-centered

Timely Efficient

Safe Equitable
 Patient Safety
44,000 to 98,000 people die in U.S. hospitals each year
as a result of preventable medical mistakes

To Err is
Human (IOM, Mistakes cost U.S. hospitals $17 billion to $29 billion
yearly

2000) Is not bad people in health care--it is that good people are

reported working in bad systems that need to be made safer

that : Faulty systems, processes, and other conditions lead to

preventable errors
 Manusia tidak sempurna dan mampu
membuat kesalahan

Highlight nya adalah system

Kesehatan AS yang secara sistematis
berkontribusi pada kesalahan medis
Summary of
These Reports
Merekomendasikan reformasi sistem
kesehatan

IT kesehatan berperan dalam meningkatkan

keselamatan pasien
To Err is Human 1 : Attention
Some Risks Of Clinical Decision
Support Systems

Alert Fatigue
 To Err is Human 2 :
Memory

Image Source: Suthan Srisangkaew, Department of Pathology, Facutly of Medicine Ramathibodi Hospital
To Err is Human 3:
COGNITIVE
Why We Need ICT in Healthcare?

Because information is Because access to high-

everywhere in healthcare. quality patient
information should
improve care

Because healthcare is Because healthcare at all

error-prone and levels is fragmented & in need
technology can help of process improvement
INOVASI HEALTHCARE 3.0
INOVASI Menggunakan IT
Setelah pintu dikunci slot,
ada himbauan safety breafing
dari pengeras suara

Terdapat Sensor Gerak

Alarm Untuk Mendeteksi

Kondisi di Dalam Toilet
KAPAN DI KEDIRI ?
 Surgical Robot

Rehabilitation Robot
Types Of
Biorobots
Medical Robot
Telepresence Robot

Pharmacy Robot

Companion Robot

Disinfection Robot
Berorientasi pada visi, misi, Tujuan
Organisasi

Menyesuaikan diri terhadap

perkembangan organisasi yang Tugas SDM / ASN
semakin kompetitif
Dalam Organisasi
Fokus pada empowering human capital -> SDM
memiliki nilai kompetensi ( Skill, Knowledge,
Experience )
 Volatility Tantangan ASN Kesehatan di
Dinamika perubahan lingkungan
yang sangat cepat masa transformasi : VUCA
Uncertain Ambiguitas
Kurangnya prediktabilitas Ketidakjelasan
terhadap isu dan peristiwa yang
terjadi
Berubah-ubah
Complex
Kerumitan dan gangguan yang
ada dalam suatu organisasi Kompleksitas
(Internal & eksternal)

Leader
Ambiguous
Ketidakjelasan dan mata rantai
akibatnya

Diadaptasi dari Teori VUCA World gambaran dunia bisnis sa

APAYANG HARUS DILAKUKAN ?
 Standar Kompetensi ASN
Kompetensi Dasar

Orientasi, Berpikir Analitis

Integritas Pada Layanan
Kepemimpinan

Perencanaan Berpikir
Konseptual
Penganggaran Orientasi,
Pada Kualitas Inovasi
Pengorganisasian
Keahlian,
Kerjasama Teknikal,
Manejerial,
Fleksibel Professional

Permenkes Nomor 971/Menkes/Per/XI/2009 tentang Standar Kompetensi Pejabat Struktural Kesehatan

 SDM Yang Dibutuhkan Menghadapi
Perubahan Industri dan Generasi

THINKING Out OF THE BOX Beradaptasi dengan lingkungan baru

Mencari ide-ide baru

Mendorong keberagaman

Fokus pada perubahan

Charles Darwin
“It is not the strongest of the
species that survives, nor the
most intelligent; it is the one
most adaptable to change.”
Masaki Imai
menciptakan KAIZEN
berdasarkan teori
PDSA Deming W.
Edwards
 “Innovation is the
outcame of a habit, not
a random act.”

- Sukant Ratnakar
cfs
DIFFUSION OF
INOVATION
Inovator / berinovasi

Early adaptor / segera

mengadaptasi

Early majority / melakukan

lebih awal

Late majority / mayoritas

terlambat

Laggards / tertinggal
 TEORI U

Diperkenalkan oleh otto scharmer

Sering digunkan dalam

management of change, learning,
leadership dan inovasi

Sebuah tool untuk menghadapi masa

depan yang tidak pasti, dan tidak bisa
menggunakan pengalaman kita dari
masa lampau
3 MOVE DALAM PROSES U

Observe,
observe,
observe Act in an
instant

Retreat and reflect

 Theory U and The Deep Dive
Downloading
Performing
seeing
Co-Evolving
Co-Initiating Open Mind

Crystallizing Protyping
Sensing Co- Creating
Open Heart
Co-Sensing

Open Will Precensing

Co-Presencing
Letting Go Letting Come
 The Voice of Judgment – blocks the mind and
protects the heart
“ inovasi itu tdk penting

The Voice Of Cynicsm – blocks the heart

Voices of Doom “ pasti gagal“

The Voice Of Fear – blocks the will

“ saya gak bisa“

 “ Kita terlalu rutinitas, terlalu menonton,
terlalu linier, sementara dunia berubah begitu
cepat. Kita harus berani meloncat ”

—Joko Widodo
 #3 - OxfordVR
1 2 3

Founded : 2016 Location : Oxford, United Kingdom Funding to Date : £13.2 million

4 5
Key Clients / Milestone : It has partnership with the OxfordVR focuses on virtual reality to relieve the
United Kingdom’s National Health Service, as well as the syptoms of mental disorders and fears. For
McPin Foundation which works to improve mental health example, its fear of heights simulation reduced
research. OxfordVR also won the 2020 award in the Apps the issue in patients by an average of 68% after
and Software category for Best Mental Health Immersive only two hours of treatment.
Technology at the MedTech Visioanaries Awards.
 GOOD QUALITY

ASN GOOD SERVICE

KESEHATAN GOOD ADAPTATION

KAB KEDIRI GOOD INTEGRITY
5G GOOD INOVATION
Terima Kasih