MANPOWER and ECONOMY. INDONESIA perspective
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1 MANPOWER and ECONOMY ICU AND HOSPITAL IN INDONESIA in ICU INDONESIA perspective INDONESIAN SOCIETY OF INTENSIVE CARE MEDICINE (ISICM) OLOAN E. TAMPUBOLON WFSICCM Congress 2015, Seoul - Korea
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3 Total Hospital in Indonesia Area Sumatera Java Borneo Celebes Bali, Western Lesser Sundas, East Lesser Sundas Moluccas, Papua Total : : : : : : : : 125
4 Hospital Recapitulation By Category 2013 Category Government Public Hospital Privat Hospital Total Public Hopsital Government Privat Non Profit Privat Hospital Swasta BUMN Total Per 1 January 2014 Category Government Public Hospital Privat Hospital Total Public Hopsital Government Privat Non Profit Privat Hospital Swasta BUMN Total Keterangan : RS. Swasta Terdiri Dari : Perusahaan, Perorangan dan Swasta / Lainnya
5 Total ICU in Indonesia Area Sumatera Java Borneo Celebes Bali, Western Lesser Sundas, East Lesser Sundas Moluccas, Papua Total = has provided ICU = none
6 In Indonesia we have 3 types of ICU -based on facilities, dr in charge and powered by a DoH Regulation no.1778/2010 : - Primary ICU =hosp. type C, coordinator- director : - general phys./anesthesiologist. - Secondary ICU = hosp.type B, coordinator - director : - anesthesiologist / intensivist. - Tertiary ICU = hosp.type A, (Univ.teaching centre) supervision / coordinator - director : - intensivist.
7 Coordinated Educ.Task DoH Regulation central and - regional with DoEd:... Legacy of Intensivist production House ISICM training, maintaining and improving physician competencies, implementation of quality assurance practices, Together : optimisation of patient safety As a GOAL!!!
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9 EDUCATION Postgraduate program ANESTHESIOLOGIST - 18 mnth. SURGEON, - 24 mnth. Neorologist, - Internal Medicine, - Pulmonologist - Pediatrician -
10 Intensive Care Medicine combines physician, nurses and allied health professional in the coordinated and collaborative management of patients with life-threatening single or multiple organ system failure. Including stabilisation after severe surgical interventions. It is a continuous (i.e. 24 h) management including monitoring, diagnostic, support of failing vital functions as well as the treatment of the underlying diseases. Anaesthesiology, internal medicine, paediatrics, pneumology, surgery, etc. Two additional years of full-time education and training in Intensive Care Medicine
11 Multidisciplinary team, ONE Management in ICU Solid Multidisciplinary team : Intensivist/ coord. (SpAnKIC, SpPDKIC, SpBKIC,.) Clinical Microbiology Pharmasy/clinical pharmacologist ICU Nurse Fysioterapist Dietician
12 PROFESIONAL org. Gov./DoH Hand in hand: support the training, updating to improve physician competencies, implementation of quality assurance practices, regional and centrally through scheduled sessions over the year. There are always third parties coming to support :WHO e.o.
13 ( IDEAL) PEDIATRI 1. Guide line ANESTESIOLO- 2. Konsensus GY 3. Evidence base NEUROLO- GY BASIC SCIENCE MULTIDISCIPLINE & ONE MANAGEMENT CARDIOLOGY PULMONOLOGY INTERNE SURGERY
14 ICU Triage Patients should be admitted if they can benefit with decreased risk of death patients with reversible medical conditions who have a reasonable prospect of substantial recovery NIH Concensus conference
15 MUST... Prepare referral to a larger/higher.. better institution If the patient is stabilized and transportable.
16 Working hours hours Team 24/7 available, Dedication for a better time nationwide depends on type of ICU/ Hospital/ area, Gov. take care of monthly income(remuneration) of GP s and Specialist., central or regional.
17 National Insurance, Private Insurances co. Take care of standard & private hospital ICU finance, Monthly/annual based contributions, Fixed contribution, Clinical ICU pathway set up by prof.organisation.
18 Basic Salary General Practioner Basic USD 120 USD 250 Incentive USD 100 USD 150 Professional Fee (option) INA CBG = USD $USD 650 Total /monthly THP $ USD 220 $ USD 850- $ USD 950 Specialist Basic USD 360 USD 1000 Incentive Professional Fee (option) USD 200 $USD :based on Region InaCBG Total /monthly THP USD USD 500 Ina CBG : USD USD
19 Attention & stay focused We call for attention to remain focused on the major hurdles facing all physicians in modern-day intensive care medicine: defining, training, maintaining and improving physician competencies, implementation of quality assurance practices and, ultimately, our collective goal of the optimisation of patient safety. TEAM WORK!!!
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21 In darkness Light up a candle When you can not bring in the sun
22 ISICM Thank you Contact : Oloan E. Tampubolon perdici1@gmail.com infoperdici@yahoo.co.id
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