2. DEVELOPMENT OF REGISTRATION INFORMATION SYSTEM OF HUSADA HOSPITAL SISWATI INDONESIA

3. Geography The World’s largest archipelago, with 17,508 islands. Located in Southern Asia, between Indian & Pacific oceans Climate Indonesia has tropical weather with a lot of sunshine and intermittent rain. Dry season lasts from May through October, and the rainy season from November through April. Daily temperature is between 27 to 34 centigrade. People & Population The world’s fourth most populated 238 millions, mostly in Java, Sumatera, Sulawesi, Kalimantan/Borneo, Bali, Papua and Maluku Economy Huge revenue generated mostly from export of natural resources followed by tourism sector. In 2007, Indonesia received 5.6 million foreign visitors. Indonesia:

4. Background Health in Indonesia 2010 Development of healthcare in Indonesia foreign investment Development of IT & Comunication On-line healthcare service Customer need New paradigm on HIM

5. HIM SITUATION 1. Paper based document (manual) 2. Manual & computerize in registration unit 3. Computerization (LAN) 4. Electronic Health Record  inprocess

6. NuArea YearAverage (%) 20042005200620072008 1Specialist 138.92441.82540.77344.34643.405 2Specialist 246.53244.01642.08943.10346.824 3Specialist 34.9735.9698.4169.8568.803 4Specialist 421.12524.08223.27621.66521.679 Total111.554 (3,7 %) 115.892 (3,8 %) 114.554 (-1,2 %) 118.970 (3,9 %) 120.711 (1,5 %) 2,34 % Out Patient Visitation Rate HUSADA HOSPITAL in 2004-2008

7. Identification 1. Out patient specialist clinic 2. Priority for improvement registration system 3. Acurate & complete information 4. Doctor’s office hours

8. Problems (observation) Waiting time: At registration office For recovering of medical record For doctor in charge

9. Question Emerges How to improve an information system which could develope customer’s registration process ?

10. GOAL To make registration process faster in policlinic specialist Steps : To identify the information need Aplication registration design  web, short massage system (SMS) Operational procedure in registration design

11. CustomerRegistration MRN ? Outguide MR Flow of Registration Policlinic Specialis Yes No New Medical Record Direct Clinic

12. Interview & Observation Board of Directors Outpatient Care Coordinator Head & Registered Nurses Specialized Doctors Registration Officers Medical Officers

13. Result of Interview Question such as: 1. Visitation number 2. Doctor visit 3. Profile of the right doctor to consult  good communication

14. Design System Proses Customer registration data & Doctor’s confirmation schedule Input Customer data, Human resources, System, Procedure, Standard Output - Visitation number - Doctor’s schedule - Medical record

15. System Development Metodology “System Development Life Cycle” (SDLC): 1. Problem identification 2. To judge information requirment 3. Analyse system need 4. To design system 5. To develop & documenting software 6. To test & ensure system 7. To implement & evaluate system

16. Customer Registration DirectWeb Confirm visitation New Design of Registration Flow 1 Yes No Schedule No Yes PhoneSMS 1

17. MR Out guide MRN Yes No Clinic 1 New MR New Design of Registration Flow

18. Flow of Registration System of Policlinic Specialist

19. New Design of Registration System Advantages Making it more convenient Customer has provided identifying information The menu will provide new id record for new customer Patient will recieve prompt service thanks to having their MR on hand Disadvantages Resources support Sosialization the system Need commitment Work hard

20. Conclusion 1.Trend the visitation rate is increasing 2. Design in simple & clearly 3. Professional management 4. Im prove the KAPP for Staff 5. Socialisation about new system