iabc making it happen “universal health system: potential...
TRANSCRIPT
![Page 1: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/1.jpg)
IABC – MAKING IT HAPPEN
“Universal Health System: Potential
Business Opportunities”
Sheraton Hotel, Surabaya (Monday, 6 November 2017)
Erin Maree Lloyd
Group Head Nursing, Quality and Risk RSDHC
![Page 2: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/2.jpg)
INDEX
1. Ramsay Sime Darby Healthcare Group
2. Economic Trend: Indonesia/ Demographics/ Ease of business
3. Universal Health System
4. Potential Growth of Healthcare Market
5. Potential Services
6. Business Opportunities
1
![Page 3: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/3.jpg)
1. RAMSAY SIME DARBY HEALTH CARE GROUP
3
![Page 4: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/4.jpg)
2. RECENT ECONOMIC TRENDS IN INDONESIA
• Indonesian economy struggling to maintain growth since 2012
• (lower commodity prices & slower global growth)
• Despite slowdown GDP grown $560 in 2000 to $3,630 in 2014.
(Source: http://amcham.or.id/images/amcham_updates/2016/Report%202016%20ES%20final%20sharable.pdf) 5
![Page 5: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/5.jpg)
Indonesia at a glance
✓ Land area: 1,811,570 sq km
✓ Population 258.7 million (2016)
✓ Life expectancy: 72.7 years
✓ Male: 70.1 years & Female: 75.5 years
6(Source: fact sheet – Australia, http://www.amcham.or.id/fe/5619-policy-package-16-postponed)
Indonesia ranks 91 out of 190 countries↑15 places
World Bank Ranking : Ease of doing business
![Page 6: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/6.jpg)
3. UNIVERSAL HEALTH SYSTEM
Major Focus On Improving The Health Of The
Nation
Universal Health System
9
![Page 7: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/7.jpg)
Universal Health Coverage (WHO)
Includes:
✓ Promotive
✓ preventive
✓ Curative
✓ Rehabilitative
✓ Palliative
Stimulate Economic Development
(Source: http://www.who.int/health_financing/universal_coverage_definition/en/)10
“All people and communities”
![Page 8: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/8.jpg)
(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing)
• Since 2014: Universal Healthcare Program JKN (Jaminan Kesehatan Nasional)
• Deployment: via Healthcare and Social Security Agency BPJS (Badan Penyelenggara Jaminan Social)
• Improve: public access to health services
• (2016) expanded to 67.6% population
• Government → achieve 100% coverage by 2019
11
Indonesia National Health System
![Page 9: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/9.jpg)
(Source: Presentation of Dr. Nafsiah Mboi, Sp.A, MPH, Minister of Health, Republic of Indonesia, title Moving Towards Universal Health Access In Indonesia) 12
Universal Health Coverage Road Map
![Page 10: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/10.jpg)
4. POTENTIAL GROWTH FOR HEALTHCARE MARKET
• Indonesia’s healthcare market is expected to triple from USD 7 billion in 2014 to USD 21 billion in 2019
• Large population & ↑ middle class
• Relatively low healthcare market penetration
• Under-served healthcare market
• LOW hospital bed & doctor ratios (Physicians density 0.2 physicians/1,000 population (2012)
• Indo: per capita healthcare expenditure ↑achieve universal healthcare coverage
• Government – ID poor infrastructure & insufficient medical staff
(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing) & CIA World Factbook July 9, 2017) 14
![Page 11: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/11.jpg)
Indonesia’s Government Budget Allocation For Healthcare Has Now Reached 5% Of Overall Spending
(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing)
15
![Page 12: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/12.jpg)
Supportive Government Policies
Boost growth /Indonesia’s pharmaceutical market (largest ASEAN)
1) Govt roadmap: develop pharmaceutical raw materials
2) 10th policy reform package, allows foreign investors to acquire 100% ownership of pharmaceutical companies
3) Presidential Instruction No.6/2016 instructed related-ministries measures to foster development of new pharmaceutical drugs and medical devices
(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing)
16
![Page 13: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/13.jpg)
Medication Challenges
AMCHAM 2016 room for further penetration by US companies
Cautions:Constrained by implementing regulations 2014 Halal Law -impact on pharmaceuticals
Counterfeiting Medications and patients’ inadequate trust of the industry. Govt adopting measures to contain the spread
(Source: http://healthcareasiamagazine.com/sites/default/files/healthcareasiamagazine/print/HCAJuly2017_12-13.pdf http://amcham.or.id/images/amcham_updates/2016/Report%202016%20ES%20final%20sharable.pdf)
,
17
![Page 14: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/14.jpg)
5. POTENTIAL SERVICES
Basic to Advanced & Preventative and Treatment❖ Maternal, Newborn & Child Health
❖ Infectious Disease Management • Tuberculosis • Food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever + Vector
diseases dengue fever and malaria
❖ Economist (Aug 17) “2020: non communicable disease cardiovascular & diabetes will account 70% of deaths in developing countries”
• Treatment of Cardiovascular Diseases (Hypertension, Stroke)• Management of Diabetes• Cancer (Lung)
❖ Ageing Population
❖ Mental Health
❖ World Bank – primary care (GP) front line form of medicine - 90% of problems2015 Survey 102 developing countries: showed primary health had significant impact: life expectancy & lower infant mortality
(Source: CIA World Factbook July 9, 2017 World Health Organization 2017 Sustainable Development Goals)
19
![Page 15: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/15.jpg)
6. BUSINESS OPPORTUNITIES
✓ BPJS
✓ Governance
✓ System Management
✓ Financing
✓ Service Provision & Access
✓ Service Delivery
✓ Workforce
✓ Consumables (Health Technologies, Medications)
✓ IT/Health Security
(Source: http://www.bpjsketenagakerjaan.go.id/) 22
*Jakarta Post Feb 2017:2015: 175,000 claims believed to be fraudulent. 2017: 1 million [potentially fraudulent]
![Page 16: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/16.jpg)
Future Labour Market Indonesia Education Partnerships*Indo Education Expenditures 3.3% Of GDP (2014)
Finding qualified human capacity :
• skilled positions • middle management jobs
(Source: http://amcham.or.id/images/amcham_updates/2016/Report%202016%20ES%20final%20sharable.pdf)
U of I Degree : Sarjana Kedokteran & Bachelor ofMedical Science (Joint degree)Partner University : The University of Melbourne, Monash University
23
President:grow economically focus:
• international skills & professional development
• RSD: E Learning
![Page 17: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/17.jpg)
Electronic Commerce
INDONESIAN PRESIDENTIAL REGULATION - NUMBER 74 OF 2017 ON
ROADMAP FOR THE NATIONAL ELECTRONIC COMMERCE SYSTEM FOR 2017
• Funding
• Taxation
• Consumers protection
• Education and human resources
• Communication infrastructure
• Logistics
• Cyber security; and
• Establishment of Implementing Management for Roadmap for National E-Commerce for 2017 – 2019
• E-Commerce system, start-ups, business development, and logistic acceleration
24
![Page 18: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/18.jpg)
Electronic Apps & Health Care
Google is also bringing its data-friendly YouTube Go app -Indonesia.
2016 report co-authored by Google projected that Southeast ASIA Internet economy - grow 6.5-fold to $197 billion by 2025
*Indonesia expected to represent around half, including key categories: e-commerce & ride-hailing
(Source: http://www.amcham.or.id/fe/5626-internet-for-all-Indonesians)
25
![Page 19: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/19.jpg)
Health Care Data Explosion
Explosion Infor Technology : AI & Robotics provide medicine down to personal level
Democratization of Access: AI tools embedded in Android & iOS – individuals access - own basic health information.
Public Willingness : care anywhere anytime
(Source: PwC Global 2017 & Journal of Public Health Research 2013 (Technology) 26
Digital Technology = Health Appts 165,000
![Page 20: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/20.jpg)
Assist Integration Of Service With Government
(Source: Source: Digitial Health Austrade Feb 2016) 27
• MyHealth Record
• Clinical Analaysis of Patient
data
• Medical Imaging
• Prescribing – e prescription
• Telehealth, Telemedicine &
remote delivery of health
solution
• Management systems
• Patient flow, demand &
operation management
• Medical training & simulation
• Clinical Programs:
o Cancer CareZone:
o CareZone GI Hepatitis
o CareZone Mental Health
![Page 21: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/21.jpg)
Royal Flying Doctor Service
28
▪ Waiting room 7.69 million sq. Km
▪ 24-hour aeromedical emergency services
▪ Combined with telehealth consultations, fly-in fly-out GP and Nurse clinics, mobile dental services, patient transfers…..
![Page 22: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/22.jpg)
Cyber Security Consideration
29
▪ NHS cyber attack
▪ Security standards
▪ Assessment of threats
(Source: PwC Global 2017)
![Page 23: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/23.jpg)
Australian RSD Services
✓ HICMR
✓ Riskman
✓ Mercury E Credentialing
30
![Page 24: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/24.jpg)
Joint Commission International Accreditation
Bintaro (Jan 2017)
RSDHC Indonesian Success Stories
AON Best Employers Award
(Oct 2017)
![Page 25: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/25.jpg)
IN CONCLUSION:
(Source: https://en.wikipedia.org/wiki/Demographics_of_Indonesia)
“Indonesia's total median age is 28.2 years (2011 estimate). This indicates that one half of the population is older than 28.2 years,
while the other half is younger than this number”
31
![Page 26: IABC MAKING IT HAPPEN “Universal Health System: Potential …iabc.or.id/download/CONFERENCE2017/presentation/PPT Erin Lloyd.pdf · 2. RECENT ECONOMIC TRENDS IN INDONESIA • Indonesian](https://reader030.vdocuments.us/reader030/viewer/2022020319/5d36d0d988c993a6178ba44c/html5/thumbnails/26.jpg)