indonesia healthcare landscape & opportunities(an example) bambang sutrisna world class...
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Member of Sentra Medika Grup : Indonesia Health Care Landscape & Opportunities(An Example)TRANSCRIPT
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Indonesia
Healthcare Landscape & Opportunities(An Example)
Bambang Sutrisna
World Class Healthcare Experience1
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World Class Healthcare Experience
Indonesia healthcare landscape & opportunities(An Example)
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Member of Sentra Medika Grup:
IndonesiaHealth Care Landscape & Opportunities(An Example)
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Content1. Health Facts2. Indonesia Healthcare Expenditure3. Indonesia Healthcare Infrastructure4. Millennium Development Goal5. Examples :Siloam Hospitals Group & Sentra Medika Group
World Class Healthcare Experience
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Health facts• Indonesia is the fourth most populated country in the world: 240 mio• Percentage of GDP in health: 2.2%• Birth Rate: 18.84 per 1,000 population (4,526,715/ year 2010 est.)• Death Rate: 6.25 per 1,000 population (1,501,697/ year 2010 est.)• Infant Mortality Rate: 29.97 per 1,000 live births (135,801/ year 2010 est.)• Maternal Mortality Rate: 228 per 100,000 live births (10,320/ year 2010 est.)• 48.5% of Indonesian population is uninsured• There are 8,549 Puskesmas (2,439 have IPD - total bed capacity 15,000)• Puskesmas growth rate 3.7% per year • Doctor to Puskesmas Ratio: 1.4 GPs per Puskesmas • 7% of Puskesmas has no doctor (most in Eastern Provinces)
World Class Healthcare Experience
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Health facts• Ratio Specialists to GPs = 27 : 100 • Ratio Doctors to Patients = 1 : 4,000• New challenges as a result of social economic changes, eg: rising Non-
Communicable Diseases vs. communicable diseases• In 2010, Government has new reform agenda from medication to prevention
and increased allocation on health programs for primary healthcare• Child• Maternity
World Class Healthcare Experience
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Health facts
World Class Healthcare Experience
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Health facts
World Class Healthcare Experience
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Health facts
World Class Healthcare Experience
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Health facts
World Class Healthcare Experience
534432
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Public Hospitals Private Hospitals
Specialist care
General care
•240 million people with 1.178 hospitals with 128.284 beds•Private hospitals have 49% market share•Public hospitals provide only general care and 30% of specialist care
Specialist and General care at Public & Private Hospitals in Indonesia
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Health expenditure
World Class Healthcare Experience
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Health expenditure
World Class Healthcare Experience
2008 2009 2010 2011
Indonesia 12.3 13.2 14.2 15.8
Malaysia 6.5 6.9 7.5 8.2
Philippines 3.9 4.2 4.4 4.7
Singapore 5.7 6.0 6.4 6.9
Thailand 8.1 8.7 9.5 10.4
Vietnam 3.6 3.9 4.1 4.6
TOTAL 27.8 29.7 31.9 34.8
Asia’s healthcare market
constitutes approximately
34% of the global healthcare
market.
In US$ Billions
Source: Episcom Business Intelligence March 2007
Potentials of healthcare in Indonesia
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Health expenditureProgram % Number
Jamkesmas 33.30% 76,000,000
Askes 6.20% 14,257,280
Jamsostek 2.50% 5,661,572
JKPM 3.90% 8,912,409
Private Insurance 1.20% 2,647,480
Self-Insurance 1.80% 4,204,924
Other 2.60% 5,941,099
Any Insurance 51.50% 117,624,764
No Insurance 48.50% 110,898,536
Total 100% 228,523,300
World Class Healthcare Experience
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Indonesian Health infrastructure
World Class Healthcare Experience
Infrastructure 2007 2008 2009
Private Hospitals 667 673 685
Public Hospitals 652 699 721
Total Beds / Beds per 10,000* 142,707 6.3 149,538 6.5 153,519 6.6
GPs / GP per 100,000 44,378 19.6 44,759 19.5 47,930 20.7
Specialists / SPs per 100,000 14,599 6.5 15,722 6.8 16,764 7.2
Nurses & Midwives 256,290 291,992 327,413
* Jakarta 15.5 beds/10,000
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Millennium development goals
World Class Healthcare Experience
REDUCING CHILD MORTALITY YEAR INDONESIA CAMBODIA LAOS MALAYSIA MYANMAR PHILIPPINES SINGAPORE THAILAND VIETNAM
Infant mortality rate (per 1,000 live births) 2002 33 96 87 8 77 29 3 24 30
Under-five mortality rate (per 1,000 live births) 2002 45 138 100 8 109 38 4 28 39
One-year-olds fully immunized (%) 2002 76 52 55 92 75 73 91 94 96
Reducing child mortality rate
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Millennium development goals
World Class Healthcare Experience
IMPROVINGMATERNAL HEALTH YEAR INDONESIA CAMBODIA LAOS MALAYSIA MYANMAR PHILIPPINES SINGAPORE THAILAND VIETNAM
Maternal mortality ratio
(per 100,000 live births) – reported
1985- 2002 380 440 530 30 230 170 6 36 95
Births attended by skilled
health personnel (%)1995-2002 64 32 19 97 56 58 100 99 70
Contraceptive prevalence rate (%) 1995-2002 57 24 32 - 33 47 62 72 78
Improving maternal health
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Opportunity for growth
World Class Healthcare Experience
Population Demography
Population 240,271,522 1,156,897,766
Age structure0-14 years: 28.1%15-64 years: 66% 65 years and over: 6%
0-14 years: 30.5% 15-64 years: 64.3% 65 years and over: 5.2%
Median ageTotal: 27.6 yearsMale: 27.1 yearsFemale: 28.1 years
Total: 25.3 yearsMale: 24.9 yearsFemale: 25.8 years
LiteracyDefinition: age 15 and over can read and writeTotal population: 90.4%
Definition: age 15 and over can read and writeTotal population: 61%
Population below poverty line 17.80% 25%
Population growth rate 1.136% 1.407%
Birth Rate 18.84 births/1,000 population 21.72 births/1,000 population
Death Rate 6.25 deaths/1,000 population 7.6 deaths/1,000 population
Infant Mortality Rate Total: 34 deaths/1,000 live births Total: 50.78 deaths/1,000 live births
Life expectancy at birth Total population: 70.76 years Total population: 66.09 years
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Opportunity for growth
World Class Healthcare Experience
Health Statistics
Communicable to Life Style Disease Prevalence 55% to 45% 50% to 50%
Health Expenditures 2.6% of GDP 3.6% of GDP
Health Expenditure Distribution 45% Public - 45% Out of Pocket - 10% Insurance 45% Public - 45% Out of Pocket - 10% Insurance
Top 20 Percentile Spending in Private 90% 75%
Middle 20 Percentile Spending in Private 20% 70%
Bottom 20 Percentile Spending in Private 5% 30%
Beds/100,000 66 90
Doctors/100,000 28 70
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Siloam Hospitals GroupVision
Quality, Scale, Reach, Godly CompassionMission
The trusted destination of choice for holistic world class healthcare, health education and research
Values Love, Caring, Integrity, Honesty, Empathy, Compassion, Professionalism
World Class Healthcare Experience
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VISI :“ Menjadi Rumah Sakit pilihan dengan
memberikan layanan yang terbaik“
MISI :“ Memberikan Pelayanan Kesehatan yang bermutu, cepat dan informatif kepada
masyarakat dengan biaya yang terjangkau”
MOTTO :“ Kesehatan Anda adalah Prioritas Kami ”
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International Quality
World Class Healthcare Experience
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Scale
World Class Healthcare Experience
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Reach
World Class Healthcare Experience
Affordability &
Accessibility
Target Market @ 240 Million on Price
20 Hospitals4600 Beds
Catchment: 100%Target : 24 Million
• Stop Migration• Reverse Migration
-High Scale-Low Margin
-Low Pricing Structure-High Affordability
-High GOR-High Quality
-High Competency
3 Years
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Opportunity for Growth➲ Market segments with unfulfilled
demands➲ Awareness and focus on major killers➲ Population trends – ageing and youth➲ Lack of international quality
healthcare➲ Heightened public private sector
cooperationWorld Class Healthcare Experience
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Operation Line
World Class Healthcare Experience
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Digital Hospital Framework
World Class Healthcare Experience
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SH Kebon Jeruk
SH Lippo Village
MRCCC Siloam
SH Lippo
Cikarang
SH Jambi
SH Surabaya
Teaching Hospital LV
SHPluitSH
SimatupangSH
Pulomas
SH Makassar
SHMedan
SHKemang
SHBandung
SH Times Square
Surabaya
SH Srondol Semarang
SH Palembang
End 2010 End 2011 End 2012Total Beds 1,109 2,565 4,565SH
Salemba
SHMalang
SHBali
SH Papua
SHKendari
SH Ambon
Pipeline Schedule
World Class Healthcare Experience
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Closing Remarks➲ Better prepared with a flexible and optimized
operation to meet market growth as well as market changes
➲ Pursue a clear strategy for our business focus and stewardship accountabilities
➲ Focus on knowledge creation and clinical staff to help us on our journey
➲ Achieve seamless service by optimizing people, process and technology capacity and capability
➲ Pursue aggressive marketing to maximize use of our
service capacity and capability and achieve our vision
World Class Healthcare Experience
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World Class Healthcare Experience
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