Assessment of Implementation of the Modern Outpatient Information Systems in Indonesia: A Public Health Collaborative Approach

Each year, Indonesian hospitals delivers around 5.8 million outpatient appointments of which around one quarter are new and three quarters are return appointments. It is vitally important that people get fast access to advice and support, self-management information, and, where needed, get to see the right health professional as quickly as possible to ensure care is delivered in as responsive and person-centred a manner as possible, and, critically, as close to home as possible. We have also seen significant growth in Outpatient numbers - over 400,000 extra patients now being seen on an annual basis compared to 2017. Looking to the future, a new approach must fit with a wider plan for transformation, in particular transformation of general practice, primary care and community health services. The new approach is about promoting collaboration between clinical teams in primary, secondary and tertiary care to develop solutions that best meet the needs of the local population and at the same time appropriately managing workload across the system, valuing the contribution of all staff. To ensure genuine collaboration we undertake a need assessment to focus our attention on the local interface between primary and secondary care, bringing local decision makers together to promote innovation and the solutions that best meet local needs. The Modern Outpatient Information System will be progressed over a three-year time span starting with strategic planning in December 2019 and will build on the direction set within the Primary Care Transformation Program and National Clinical Strategy in 2020 and 2021 respectively.