Health Referral Enterprise Architecture Design in Indonesia

Putu Wuri Handayani,Ave Adriana Pinem,Qorib Munajat,Fatimah Azzahro,Achmad Nizar Hidayanto,Dumilah Ayuningtyas,Arief Sartono 대한의료정보학회 2019 Healthcare Informatics Research Vol.25 No.1

Objectives: In this study an enterprise architecture (EA) was developed for a health referral information system (HRIS) for individual healthcare in Indonesia with reference to the Open Group Architecture Framework (TOGAF) 9.1. The HRIS includes patient referrals for vertical and horizontal references (internal and external), specimen referrals, and health personnel referrals. Methods: This research was a qualitative study that used the interview and observation method of the Primary Health Care Information System (SIMPUS) application developed by the Agency for Assessment and Application of Technology (BPPT). The interviews were conducted at South Tangerang City Government Health Office with five resource persons who were responsible for conducting health referral processes. Results: The EA of the HRIS includes the principles of architecture, business, application, data, and technology architecture. Twelve principles, four referral processes, and three application reference modules and centralized applications comprise the architecture of the HRIS. The HRIS is a centralized integrated application that uses application program interface (API) to integrate with SIMPUS. Conclusions: The proposed architecture was developed in an integrated and comprehensive manner for the individual healthcare referral process, which can be implemented by regulators and healthcare facilities. This architecture can also help regulators and healthcare facilities to standardize and integrate health referral data and related processes.

Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers

Nabila Clydea Harahap,Putu Wuri Handayani,Achmad Nizar Hidayanto 대한의료정보학회 2021 Healthcare Informatics Research Vol.27 No.2

Objectives: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referralsystem, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) inSouth Tangerang, Indonesia. Methods: This qualitative study was conducted using semi-structured interviews, which wereconducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participantsresponsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative contentanalysis. Results: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patientsand record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System(SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers tosupport maternal and neonatal referrals were found: technology, human resources, organizational support, and the referralprocess and implementation. Conclusions: The barriers in technology, human resources, and organizational support causeproblems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influencepatients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and providesrecommendations to health regulators and application developers for the implementation of IS/IT in Indonesia.

Narrative Review for Exploring Barriers to Readiness of Electronic Health Record Implementation in Primary Health Care

Sandra Hakiem Afrizal,Achmad Nizar Hidayanto,Putu Wuri Handayani,Meiwita Budiharsana,Tris Eryando 대한의료정보학회 2019 Healthcare Informatics Research Vol.25 No.3

Objectives: The aim of this study is to explore the enabling factors associated with readiness in Electronic Health Record (EHR) implementation and to identify the barriers related to readiness regarding the situation of primary health cares in developed and developing countries. Methods: A narrative review of open-source literature was conducted using the ProQuest, ScienceDirect, MEDLINE, and PMC databases to identify the enabling factors and barriers to EHR readiness. The keywords applied were ‘electronic health record’, ‘readiness’, ‘primary health care’, and ‘primary care’. Results: Some barriers were found that may affect readiness, specifically individual barriers and organizational barriers. In developing countries, organizational barriers such as a lack of skilled manpower, insufficient senior management, and a lack of interaction among team members were the common barriers, while in developed countries individual barriers such as unfamiliarity with new systems and a lack of time to use computers were frequently found as barriers to readiness. Conclusions: This study summarized the enabling factors and barriers with regard to EHR readiness in developed and developing countries.

Distribution Channel Model for Hotel Revenue Management: Lessons from Hoteliers and E-Intermediaries

IBRAHIM, Niko,PUTRA, Panca O. Hadi,HANDAYANI, Putu Wuri Korea Distribution Science Association 2022 유통과학연구 Vol.20 No.2

Purpose: Understanding the distribution channel is a foundational element of successful hotel revenue management. This study aims to assess hotel distribution network partnerships and develops a model that can be utilized to ensure hoteliers are not becoming increasingly reliant on a single channel, optimize their market exposure, and maximize their portion of the overall worth of the network. Research design, data and methodology: This study utilizes a grounded theory approach to form a theoretical model by analyzing and examining the current practice of hotel distribution management through interviews with 15 stakeholders in Indonesia, such as hoteliers, online travel agents, wholesalers, and connectivity managers. Results: Based on data analysis, we describe hotel distribution elements, revenue team, managed channels, and channel prioritization for a different type of hotel. Finally, we propose a distribution channel model that comprises hotel teams, customer types, indirect channels, and direct channels. Conclusions: The model contributes to the literature by exploring the options of distribution channels for various hotel types to support hotel revenue management practice. By utilizing our model, practitioners can have a complete picture regarding the strategic choice of the channel by considering their hotel capacity and market target.

Distribution Channel Model for Hotel Revenue Management: Lessons from Hoteliers and E-Intermediaries

Niko IBRAHIM,Panca O. Hadi PUTRA,Putu Wuri HANDAYANI 한국유통과학회 2022 유통과학연구 Vol.20 No.2

Purpose: Understanding the distribution channel is a foundational element of successful hotel revenue management. This study aims to assess hotel distribution network partnerships and develops a model that can be utilized to ensure hoteliers are not becoming increasingly reliant on a single channel, optimize their market exposure, and maximize their portion of the overall worth of the network. Research design, data and methodology: This study utilizes a grounded theory approach to form a theoretical model by analyzing and examining the current practice of hotel distribution management through interviews with 15 stakeholders in Indonesia, such as hoteliers, online travel agents, wholesalers, and connectivity managers. Results: Based on data analysis, we describe hotel distribution elements, revenue team, managed channels, and channel prioritization for a different type of hotel. Finally, we propose a distribution channel model that comprises hotel teams, customer types, indirect channels, and direct channels. Conclusions: The model contributes to the literature by exploring the options of distribution channels for various hotel types to support hotel revenue management practice. By utilizing our model, practitioners can have a complete picture regarding the strategic choice of the channel by considering their hotel capacity and market target.

Design of a Reminder and Recall System in a Contact Tracing Application to Support Coronavirus Booster Vaccination

Muhamad Adhytia Wana Putra Rahmadhan,Muhammad Ihsan Azizi,Putu Wuri Handayani,Annisa Monicha 대한의료정보학회 2023 Healthcare Informatics Research Vol.29 No.2

Objectives: The rate of coronavirus disease 2019 (COVID-19) booster vaccination in Indonesia remains relatively low, representing15.33% of the overall vaccination target as of April 2022. The implementation of a reminder and recall system hasbeen shown to be effective in increasing vaccination rates. In prior research, reminders and recalls were sent through traditionalmedia, such as mail, and had not yet been integrated into modern media, such as smartphone applications and (inparticular) contact tracing applications. Therefore, the present study was conducted to design a reminder and recall systemfor the PeduliLindungi contact tracing application. Methods: We used the design science research (DSR) methodology withthree iterations. The first iteration produced a low-fidelity prototype (or wireframe), and the next yielded a high-fidelity(clickable) prototype. Results: The final prototype included three main features: a reminder and recall mechanism, onlineregistration for COVID-19 booster vaccination, and educational articles. The evaluation consisted of interviews in the firstiteration, interviews and the System Usability Scale (SUS) questionnaire in the second, and the Post-Study System UsabilityQuestionnaire (PSSUQ) in the third. The SUS value obtained in the second iteration was 71.6, indicating good (acceptable)results, while in the third iteration, the system usefulness, information quality, interface quality, and overall PSSUQ valueswere 2.456, 2.473, 2.230, and 2.397, respectively, indicating good quality of the resulting design. Conclusions: This researchcontributes to two areas: implementation of a reminder and recall system in the PeduliLindungi contact tracing applicationand enhancement of contact tracing applications using DSR methodology.