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Indonesia

Health Service Data (ID0099)

Overview

At-a-Glance

Action Plan: Indonesia Action Plan 2018-2020

Action Plan Cycle: 2018

Status: Active

Institutions

Lead Institution: Ministry of Health

Support Institution(s): Ministry of Home Affairs, Indonesian Corruption Watch (ICW)

Policy Areas

E-Government, Health, Public Service Delivery, Sustainable Development Goals

IRM Review

IRM Report: Indonesia Design Report 2018-2020

Starred: Pending IRM Review

Early Results: Pending IRM Review

Design i

Verifiable: Yes

Relevant to OGP Values: Access to Information , Technology

Potential Impact:

Implementation i

Completion: Pending IRM Review

Description

January 2019 - December 2020
Commitment Description
Lead implementing
agency/actor
Ministry of Health
The availability data of health facilities (wards,
medical personnel, drugs, and other health facilities)
in government health facilities such as hospitals and
Community Health Centers is still needed to be
renewed and periodically published.
Most of the health facilities data are not updated
regularly by hospitals. This information is also difficult
to be accessed and not available in all health facilities.
Such data is very important to notify people about the
availability of health facilities due to many cases on
the rejection of patients asking for treatment
happened, especially for disadvantaged people.
On the other hand, the Ministry of Health has
published health services data portal called Inpatient
Information System (IIS) and Hospital Management
Information System (HMIS). It contains the
information about hospital management process,
including diagnostic services, medical treatment for
patients, medical records, pharmacies, billing, a
personnel database, and management controls.
These two portals have been integrated into 366
hospitals and Puskesmas. Moreover, people often
use it optimally. Therefore the Ministry of Health
should encourage hospitals to publish and update the
data regularly.
What is the public problem that
the commitment will address?
In response to the matter above, this commitment aims
to encourage hospitals to publish health facilities data
in IIS and HMIS regularly. This data will consist of
drugs availability, medical personnel, wards, and other
health services in 366 government health facilities.
What is the commitment?
This commitment will encourage the Ministry of Health
to strengthen the use of Siranap and SIMRS by
requiring hospitals and Puskesmas to update health
service data twice a day. Furthermore, this
commitment also encourages the Ministry of Health to
update the facility data up to 2020. By doing so, this
commitment is expected to increase the prevention of
patient rejection.
How will the commitment
contribute to solve the public
problem?
The commitment is relevant with transparency as one
of Open Government Partnership (OGP) values.
Transparency is related to the quality of public
information and people access the information. It is implemented by publishing information on the
availability of government health facilities which can be
accessed by people extensively.
The commitment is related to Sustainable
Development Goals (SDGs) specifically Number 3:
“Ensure healthy lives and promote well-being for all at
all ages”, especially on Number 3.8: “Achieve universal
health coverage, including financial risk protection,
access to quality essential health-care services and
access to safe, effective, quality and affordable
essential medicines and vaccines for all”, that
indirectly intersects with SDG Number 1: “End poverty
in all its forms everywhere”, especially on target 1.4:
“By 2030, ensure that all men and women, in particular,
the poor and the vulnerable, have equal rights to
economic resources, as well as access to basic
services, ownership, and control over land and other
forms of property, inheritance, natural resources,
appropriate new technology, and financial services,
including microfinance.”
Additional information
Milestone Activity with a verifiable
deliverable
Start Date: End Date:
1.The availability of updated
identity, wards, and personnel
information in Puskesmas through
health services data portal (the
year 2018) on iHeff Application
January 2019 December 2019
2. The availability of hospital
application that can be accessed
online in the Regional Health
Department.
January 2019 December 2019
3. The availability of updated
identity, wards, and personal
information in Public Hospital
through health services data portal.
January 2020 December 2020
Contact information
Other Actors
Involved
State actors
involved
Ministry of Home Affairs
CSOs, private
sector, multilaterals,
working groups
Indonesian Corruption Watch (ICW)

IRM Midterm Status Summary

8. Publication of Health Services Data in Government Health Facilities

Language of the commitment as it appears in the action plan:

In response to the matter above, this commitment aims to encourage hospitals to publish health facilities data in IIS and HMIS regularly. This data will consist of drugs availability, medical personnel, wards, and other health services in 366 government health facilities.

Milestones:

  1. The availability of updated identity, wards, and personnel information in Puskesmas through health services data portal (the year 2018) on iHeff Application.
  2. The availability of hospital application that can be accessed online in the Regional Health Department.
  3. The availability of updated identity, wards, and personal information in Public Hospital through health services data portal.

Start Date: January 2019                                                               End Date: December 2020

Context and Objectives

The quality of healthcare frequently depends on the quality of healthcare facilities. In Indonesia, the Ministry of Health is responsible for providing basic healthcare services through government-funded healthcare facilities. To ensure that every citizen has basic healthcare, the government provides assistance through the Social Security Agency for Health (BPJS Kesehatan).

During the action plan development, the Ministry of Health expressed concerns over difficulties faced by citizens accessing healthcare using the BPJS Kesehatan program. Since its inception, the program has been the subject of national debate, facing claims that it’s inefficient in providing healthcare.

An investigation conducted by Tirto in 2018 [95] chronicled the problems related to the health insurance program. The report emphasized criticism over the program’s two-step reference system where patients need a referral by a first-level healthcare facility such as a community health center (Puskesmas) in order to receive treatment from an advanced level healthcare facility. The system was intended to ensure efficiency by only allocating patients with certain conditions to advanced level healthcare facilities. [96]

To ensure availability of care in healthcare facilities, the Ministry of Health developed the Inpatient Information System (Siranap) and the Hospital Management Information System (SIMRS). Through these systems, the Ministry could monitor the availability of services provided by all public healthcare facilities, such as patient diagnostics, medical records, medical bills, and personnel management. Additionally, the Ministry developed the Indonesia Health Facility Finder (iHeff), a mobile-based application to help citizens easily find the closest healthcare facility within a three-kilometre radius. [97]

However, these applications have not eliminated challenges for healthcare access. According to the government, healthcare facilities reject patients over the unavailability of beds, medical professionals, drugs, and other services. [98] The Ministry, meanwhile, does not have accurate data to hold healthcare facilities accountable should they reject patients on unjustified grounds. Through this commitment, the government aims to open information on available facility services. Citizens can then verify claims made by healthcare facilities regarding service unavailability. This problem has also gotten the attention of the Ombudsman [99] who has gone on the record to acknowledge disputes between healthcare facilities and the government’s healthcare insurance program.

The commitment does not provide any mechanism to hold healthcare facilities accountable for improperly refusing services. As such, it remains unclear how this commitment will improve healthcare for recipients of the government’s health insurance program.

Next Steps

Access to healthcare is a basic need that must be available to all citizens. While this commitment takes concrete steps toward providing reliable information to public, it falls short of addressing the multi-dimensional complexities with the healthcare system in Indonesia. Nonetheless, the government could take the following steps to ensure meaningful impact in implementing this commitment:

  • Develop a transparent, clear coordination mechanism between the Ministry of Health, the BPJS Kesehatan, and healthcare facilities to ensure an accurate and reliable data portal of health service availability; and
  • Incorporate a feature on the iHeff application that would enable citizens to submit feedback, including complaints when healthcare facilities refuse to provide services despite having the resources.

[95] Aditya Widya Putri, “Masalah Akut Sistem Rujukan dan Pembayaran BPJS Kesehatan” (Tirto, 28 Sept. 2018), https://tirto.id/masalah-akut-sistem-rujukan-dan-pembayaran-bpjs-kesehatan-c26x.

[96] Social Security Agency for Health, “BPJS Kesehatan Pentingkan Kualitas Faskes Tingkat Pertama” (2015), http://bpjs-kesehatan.go.id/BPJS/index.php/post/read/2015/314/BPJS-Kesehatan-Pentingkan-Kualitas-Faskes-Tingkat-Pertama.

[97] Ministry of Health, “Kemenkes Luncurkan 4 Aplikasi Bidang Kesehatan” (2018), http://www.depkes.go.id/article/view/18110900004/kemenkes-luncurkan-4-aplikasi-bidang-kesehatan.html.

[98] Tities Eka Agustine (OGI National Secretariat), interview by IRM researcher, 18 Mar. 2019.

[99] Yunita Amalia & Henny Rachma Sari, “Dalih Rumah Sakit Sering Tolak Pasien Peserta BPJS” (Merdeka, 2017), https://www.merdeka.com/peristiwa/dalih-rumah-sakit-sering-tolak-pasien-peserta-bpjs.html.

Commitments

  1. Platform for Improved Legislative Data and Information

    ID0106, 2018, Capacity Building

  2. Make Legislative Information More Accessible

    ID0107, 2018, E-Government

  3. Improving Documentation and Access to Information on Parliamentary Sessions

    ID0108, 2018, E-Government

  4. Formulation of the Open Parliament Indonesia Roadmap

    ID0109, 2018, Capacity Building

  5. Establishing the Open Parliament Indonesia Institution

    ID0110, 2018, Legislative

  6. Extractives Data Management

    ID0092, 2018, Anti-Corruption

  7. Transparency and Participation in Health Data

    ID0093, 2018, E-Government

  8. Public Service Data

    ID0094, 2018, E-Government

  9. Participatory Education Budget

    ID0095, 2018, Capacity Building

  10. Participatory Village Government Planning

    ID0096, 2018, Capacity Building

  11. Civic Participation in E-Legislation Portal

    ID0097, 2018, E-Government

  12. Election Data Openness

    ID0098, 2018, Access to Information

  13. Health Service Data

    ID0099, 2018, E-Government

  14. Public Consultation Reform

    ID0100, 2018, Capacity Building

  15. LAPOR!-SP4N Quality Improvements

    ID0101, 2018, Capacity Building

  16. Complaint System for Environment

    ID0102, 2018, Anti-Corruption

  17. Government Procurement Transparency

    ID0103, 2018, Anti-Corruption

  18. Strenthening Open Data

    ID0104, 2018, Access to Information

  19. Improvements to Legal Aid

    ID0105, 2018, Access to Justice

  20. Open Government Strategic Plan

    ID0047, 2016,

  21. Public Agency Consultation Guidlines

    ID0048, 2016, Capacity Building

  22. Good Governance Manual and Public Consultations to Reach SDGs

    ID0049, 2016, Capacity Building

  23. Geospatial Information Management

    ID0050, 2016, Capacity Building

  24. Monitoring Public Services by Ombudsman

    ID0051, 2016, E-Government

  25. Ombudsman Overseeing Public Services

    ID0052, 2016,

  26. Public Services at Ministry of Education and Culture

    ID0053, 2016, Capacity Building

  27. Public Services at Ministry of Religious Affairs

    ID0054, 2016,

  28. Development of LAPOR into SP4N

    ID0055, 2016, Capacity Building

  29. Public Complaints Administration Integration into LAPOR!-SP4N

    ID0056, 2016, Capacity Building

  30. LAPOR!- SP4N as Citizen Aspiration and Complaints Platform

    ID0057, 2016, Capacity Building

  31. 1 Million Complaints Via LAPOR! by 2016

    ID0058, 2016, E-Government

  32. LAPOR! Public Accountability

    ID0059, 2016, Public Participation

  33. Interconnectivity of SOEs to LAPOR!

    ID0060, 2016, Capacity Building

  34. Environment and Forrest Sector Public Complaints

    ID0061, 2016, E-Government

  35. Strengthened Village Governance

    ID0062, 2016, Capacity Building

  36. Public Information Disclosure Through Ministry of Health

    ID0063, 2016, E-Government

  37. Public Information Disclosure Through Ministry of Education and Culture

    ID0064, 2016, E-Government

  38. Public Information Disclosure Through Ministry of Research Technology and Higher Education

    ID0065, 2016, E-Government

  39. Public Information Disclosure at Higher Education Institutions

    ID0066, 2016, E-Government

  40. Budget Transparency Information System

    ID0067, 2016, E-Government

  41. Inter Agency Data Governance

    ID0068, 2016, Capacity Building

  42. Open Data Implementation

    ID0069, 2016, Capacity Building

  43. Public Complaints Channels

    ID0070, 2016, Capacity Building

  44. Information Disclosure at Village Levels

    ID0071, 2016, E-Government

  45. Increase in Number of Open Data

    ID0072, 2016, Access to Information

  46. Improved Public Services

    ID0073, 2016, Capacity Building

  47. Transparency in the Regional Government Budget System

    ID0074, 2016, E-Government

  48. Procurement Disclosure in Bandung

    ID0075, 2016, Anti-Corruption

  49. Enhancing the LAPOR! Application

    ID0076, 2016, E-Government

  50. Public Complaints Services in the City of Bandung

    ID0077, 2016, Public Participation

  51. Information Disclosure on Citizens’ Proposals to DPRD

    ID0078, 2016, E-Government

  52. Greater Public Participation in Disseminating Development Information

    ID0079, 2016, Education

  53. "One Data Indonesia” in Semarang.

    ID0080, 2016, Access to Information

  54. One Data Basis for Semarang

    ID0081, 2016, Access to Information

  55. Enhanced Public Information Disclosure

    ID0082, 2016, E-Government

  56. Public Monitoring of Services in Semarang

    ID0083, 2016, Capacity Building

  57. Access to Information on DPRD

    ID0084, 2016, Capacity Building

  58. Data Governance of DPRD

    ID0085, 2016, Fiscal Openness

  59. Infrastructure for Fublic Information Disclosure

    ID0086, 2016, Capacity Building

  60. Public Information Communications Strategy

    ID0087, 2016, Subnational

  61. Information Through Jakarta.Go.Id Portal

    ID0088, 2016, Capacity Building

  62. Public Services Complaint Channel

    ID0089, 2016, Public Participation

  63. Strengthening of Data Governance

    ID0090, 2016, Access to Information

  64. Public Participation in Development Planning

    ID0091, 2016, E-Government

  65. Strengthening Transparency Infrastructure of Public Bodies

    ID0028, 2014,

  66. Strengthening Infrastructure of Central and Local Information Commission

    ID0029, 2014, Capacity Building

  67. Strengthening Institutional and Human Resources Infrastructure for Public Services

    ID0030, 2014, Public Participation

  68. Improve Quality of Openness in Health Services

    ID0031, 2014, Health

  69. Improve Quality of Openness in Education Services

    ID0032, 2014, E-Government

  70. Accelerate Open and Good Governance Practices in Law Enforcement

    ID0033, 2014, E-Government

  71. Accelerate Open and Good Governance Practices in Goods and Services Procurement

    ID0034, 2014, Anti-Corruption

  72. Accelerate Open and Good Governance Practices in Business Development and Investment Sector

    ID0035, 2014, Capacity Building

  73. Accelerate Open and Good Governance Practices in Land Affairs

    ID0036, 2014, Land Rights and Spatial Planning

  74. Accelerate Open and Good Governance Practices in Management of Migrant Workers

    ID0037, 2014, Citizenship & Immigration

  75. Accelerate Open and Good Governance Practices in Hajj Management

    ID0038, 2014,

  76. Accelerate Open and Good Governance Practices in Natural Resources Management

    ID0039, 2014, Anti-Corruption

  77. Improve Public Participation in Development Planning

    ID0040, 2014, E-Government

  78. Improve Public Participation in House of Representative and Regional Representative Council

    ID0041, 2014, Legislative

  79. Improve Public Participation in Environmental Preservation

    ID0042, 2014, Environment and Climate

  80. Community Empowerment to Handle Poor Society and People with Disabilities and Special Needs

    ID0043, 2014, Health

  81. Community Empowerment to Support Environmental Sustainability

    ID0044, 2014, Environment and Climate

  82. Community Empowerment to Strengthen Agriculture Sector

    ID0045, 2014, Capacity Building

  83. Community Empowerment to Develop Creative Sector

    ID0046, 2014, E-Government

  84. Motor Vehicle Services

    ID0013, 2013, Infrastructure & Transport

  85. Public School Funding

    ID0014, 2013, Anti-Corruption

  86. Hajj Services: Ministry of Religious Affairs

    ID0015, 2013, Anti-Corruption

  87. Marriage Services: Office of Religious Affairs

    ID0016, 2013,

  88. Toll Roads

    ID0017, 2013,

  89. Land Affairs Transparency

    ID0018, 2013, E-Government

  90. Forest Management

    ID0019, 2013, Anti-Corruption

  91. Transparency and Accountability in Natural Resources Management Activity

    ID0020, 2013, Access to Information

  92. Oil, Gas, and Mining Revenue Transparency

    ID0021, 2013, Anti-Corruption

  93. Appointments of Information and Documentation Management Officials (PPID) in National Agencies and Enactments of their Standard Operating Procedure

    ID0022, 2013, Access to Information

  94. Starred commitment Formulation of a Working Plan and a Well-Operated Tracking System for Business/Investment Licensing Servies in 10 Provinces and 10 Regencies/Cities

    ID0023, 2013, E-Government

  95. Encouraging the Acceleration of the Operational Formation for Information Services in Local Government through the Formation of Local Government's PPID and its Tools

    ID0024, 2013, Access to Information

  96. Encouraging Comprehensive Implementation of Open Government in Pilot Province/Regency/City

    ID0025, 2013, Subnational

  97. Integration of Performance-Based Budgeting

    ID0026, 2013, Fiscal Openness

  98. Ensuring the Publication of Budget Plan (RKA/DIPA)

    ID0027, 2013, Fiscal Openness

  99. Poverty Reduction

    ID0001, 2011, E-Government

  100. Education Subsidies

    ID0002, 2011, Education

  101. Health Subsidies

    ID0003, 2011, Health

  102. Police

    ID0004, 2011, Dispute Resolution & Legal Assistance

  103. High Corruption Risk

    ID0005, 2011, E-Government

  104. Civil Service Recruitment

    ID0006, 2011, Capacity Building

  105. Land Administration

    ID0007, 2011, E-Government

  106. National Budget Information

    ID0008, 2011, Anti-Corruption

  107. District Budget Information

    ID0009, 2011, Fiscal Openness

  108. e-Procurement

    ID0010, 2011, Anti-Corruption

  109. One-Map Portal

    ID0011, 2011, E-Government

  110. Environmental Openness

    ID0012, 2011, Anti-Corruption

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