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 GoalsIRM 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
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:
- The availability of updated identity, wards, and personnel information in Puskesmas through health services data portal (the year 2018) on iHeff Application.
- The availability of hospital application that can be accessed online in the Regional Health Department.
- 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
-
Platform for Improved Legislative Data and Information
ID0106, 2018, Capacity Building
-
Make Legislative Information More Accessible
ID0107, 2018, E-Government
-
Improving Documentation and Access to Information on Parliamentary Sessions
ID0108, 2018, E-Government
-
Formulation of the Open Parliament Indonesia Roadmap
ID0109, 2018, Capacity Building
-
Establishing the Open Parliament Indonesia Institution
ID0110, 2018, Legislative
-
Extractives Data Management
ID0092, 2018, Anti-Corruption
-
Transparency and Participation in Health Data
ID0093, 2018, E-Government
-
Public Service Data
ID0094, 2018, E-Government
-
Participatory Education Budget
ID0095, 2018, Capacity Building
-
Participatory Village Government Planning
ID0096, 2018, Capacity Building
-
Civic Participation in E-Legislation Portal
ID0097, 2018, E-Government
-
Election Data Openness
ID0098, 2018, Access to Information
-
Health Service Data
ID0099, 2018, E-Government
-
Public Consultation Reform
ID0100, 2018, Capacity Building
-
LAPOR!-SP4N Quality Improvements
ID0101, 2018, Capacity Building
-
Complaint System for Environment
ID0102, 2018, Anti-Corruption
-
Government Procurement Transparency
ID0103, 2018, Anti-Corruption
-
Strenthening Open Data
ID0104, 2018, Access to Information
-
Improvements to Legal Aid
ID0105, 2018, Access to Justice
-
Open Government Strategic Plan
ID0047, 2016,
-
Public Agency Consultation Guidlines
ID0048, 2016, Capacity Building
-
Good Governance Manual and Public Consultations to Reach SDGs
ID0049, 2016, Capacity Building
-
Geospatial Information Management
ID0050, 2016, Capacity Building
-
Monitoring Public Services by Ombudsman
ID0051, 2016, E-Government
-
Ombudsman Overseeing Public Services
ID0052, 2016,
-
Public Services at Ministry of Education and Culture
ID0053, 2016, Capacity Building
-
Public Services at Ministry of Religious Affairs
ID0054, 2016,
-
Development of LAPOR into SP4N
ID0055, 2016, Capacity Building
-
Public Complaints Administration Integration into LAPOR!-SP4N
ID0056, 2016, Capacity Building
-
LAPOR!- SP4N as Citizen Aspiration and Complaints Platform
ID0057, 2016, Capacity Building
-
1 Million Complaints Via LAPOR! by 2016
ID0058, 2016, E-Government
-
LAPOR! Public Accountability
ID0059, 2016, Public Participation
-
Interconnectivity of SOEs to LAPOR!
ID0060, 2016, Capacity Building
-
Environment and Forrest Sector Public Complaints
ID0061, 2016, E-Government
-
Strengthened Village Governance
ID0062, 2016, Capacity Building
-
Public Information Disclosure Through Ministry of Health
ID0063, 2016, E-Government
-
Public Information Disclosure Through Ministry of Education and Culture
ID0064, 2016, E-Government
-
Public Information Disclosure Through Ministry of Research Technology and Higher Education
ID0065, 2016, E-Government
-
Public Information Disclosure at Higher Education Institutions
ID0066, 2016, E-Government
-
Budget Transparency Information System
ID0067, 2016, E-Government
-
Inter Agency Data Governance
ID0068, 2016, Capacity Building
-
Open Data Implementation
ID0069, 2016, Capacity Building
-
Public Complaints Channels
ID0070, 2016, Capacity Building
-
Information Disclosure at Village Levels
ID0071, 2016, E-Government
-
Increase in Number of Open Data
ID0072, 2016, Access to Information
-
Improved Public Services
ID0073, 2016, Capacity Building
-
Transparency in the Regional Government Budget System
ID0074, 2016, E-Government
-
Procurement Disclosure in Bandung
ID0075, 2016, Anti-Corruption
-
Enhancing the LAPOR! Application
ID0076, 2016, E-Government
-
Public Complaints Services in the City of Bandung
ID0077, 2016, Public Participation
-
Information Disclosure on Citizens’ Proposals to DPRD
ID0078, 2016, E-Government
-
Greater Public Participation in Disseminating Development Information
ID0079, 2016, Education
-
"One Data Indonesia” in Semarang.
ID0080, 2016, Access to Information
-
One Data Basis for Semarang
ID0081, 2016, Access to Information
-
Enhanced Public Information Disclosure
ID0082, 2016, E-Government
-
Public Monitoring of Services in Semarang
ID0083, 2016, Capacity Building
-
Access to Information on DPRD
ID0084, 2016, Capacity Building
-
Data Governance of DPRD
ID0085, 2016, Fiscal Openness
-
Infrastructure for Fublic Information Disclosure
ID0086, 2016, Capacity Building
-
Public Information Communications Strategy
ID0087, 2016, Subnational
-
Information Through Jakarta.Go.Id Portal
ID0088, 2016, Capacity Building
-
Public Services Complaint Channel
ID0089, 2016, Public Participation
-
Strengthening of Data Governance
ID0090, 2016, Access to Information
-
Public Participation in Development Planning
ID0091, 2016, E-Government
-
Strengthening Transparency Infrastructure of Public Bodies
ID0028, 2014,
-
Strengthening Infrastructure of Central and Local Information Commission
ID0029, 2014, Capacity Building
-
Strengthening Institutional and Human Resources Infrastructure for Public Services
ID0030, 2014, Public Participation
-
Improve Quality of Openness in Health Services
ID0031, 2014, Health
-
Improve Quality of Openness in Education Services
ID0032, 2014, E-Government
-
Accelerate Open and Good Governance Practices in Law Enforcement
ID0033, 2014, E-Government
-
Accelerate Open and Good Governance Practices in Goods and Services Procurement
ID0034, 2014, Anti-Corruption
-
Accelerate Open and Good Governance Practices in Business Development and Investment Sector
ID0035, 2014, Capacity Building
-
Accelerate Open and Good Governance Practices in Land Affairs
ID0036, 2014, Land Rights and Spatial Planning
-
Accelerate Open and Good Governance Practices in Management of Migrant Workers
ID0037, 2014, Citizenship & Immigration
-
Accelerate Open and Good Governance Practices in Hajj Management
ID0038, 2014,
-
Accelerate Open and Good Governance Practices in Natural Resources Management
ID0039, 2014, Anti-Corruption
-
Improve Public Participation in Development Planning
ID0040, 2014, E-Government
-
Improve Public Participation in House of Representative and Regional Representative Council
ID0041, 2014, Legislative
-
Improve Public Participation in Environmental Preservation
ID0042, 2014, Environment and Climate
-
Community Empowerment to Handle Poor Society and People with Disabilities and Special Needs
ID0043, 2014, Health
-
Community Empowerment to Support Environmental Sustainability
ID0044, 2014, Environment and Climate
-
Community Empowerment to Strengthen Agriculture Sector
ID0045, 2014, Capacity Building
-
Community Empowerment to Develop Creative Sector
ID0046, 2014, E-Government
-
Motor Vehicle Services
ID0013, 2013, Infrastructure & Transport
-
Public School Funding
ID0014, 2013, Anti-Corruption
-
Hajj Services: Ministry of Religious Affairs
ID0015, 2013, Anti-Corruption
-
Marriage Services: Office of Religious Affairs
ID0016, 2013,
-
Toll Roads
ID0017, 2013,
-
Land Affairs Transparency
ID0018, 2013, E-Government
-
Forest Management
ID0019, 2013, Anti-Corruption
-
Transparency and Accountability in Natural Resources Management Activity
ID0020, 2013, Access to Information
-
Oil, Gas, and Mining Revenue Transparency
ID0021, 2013, Anti-Corruption
-
Appointments of Information and Documentation Management Officials (PPID) in National Agencies and Enactments of their Standard Operating Procedure
ID0022, 2013, Access to Information
-
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
-
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
-
Encouraging Comprehensive Implementation of Open Government in Pilot Province/Regency/City
ID0025, 2013, Subnational
-
Integration of Performance-Based Budgeting
ID0026, 2013, Fiscal Openness
-
Ensuring the Publication of Budget Plan (RKA/DIPA)
ID0027, 2013, Fiscal Openness
-
Poverty Reduction
ID0001, 2011, E-Government
-
Education Subsidies
ID0002, 2011, Education
-
Health Subsidies
ID0003, 2011, Health
-
Police
ID0004, 2011, Dispute Resolution & Legal Assistance
-
High Corruption Risk
ID0005, 2011, E-Government
-
Civil Service Recruitment
ID0006, 2011, Capacity Building
-
Land Administration
ID0007, 2011, E-Government
-
National Budget Information
ID0008, 2011, Anti-Corruption
-
District Budget Information
ID0009, 2011, Fiscal Openness
-
e-Procurement
ID0010, 2011, Anti-Corruption
-
One-Map Portal
ID0011, 2011, E-Government
-
Environmental Openness
ID0012, 2011, Anti-Corruption