journalfront

Medical Care

Bali's Kasih Ibu Hospital Achieves Stage 6 HIMSS EMRAM

2024-12-04

In Denpasar, the capital of Bali, Indonesia, Kasih Ibu Hospital Group's flagship hospital has achieved a significant milestone. It has been validated for Stage 6 of the HIMSS Electronic Medical Record Adoption Model. This eight-stage model meticulously measures an organization's maturity in their EMR capabilities.

Why This Matters

Kasih Ibu Hospital Group initially began as a maternity hospital in Denpasar in 1987. Four years later, it transformed into a general hospital. With four branches spread across Bali regencies, the group recognized the growing need for digital transformation. Situated in one of the world's most visited island destinations, last year witnessed around 5 million foreign tourists flocking to Bali.The digital transformation at its 100-bed flagship hospital commenced with the installation of a business intelligence platform. This enabled data-driven organization decision making and helped identify specific needs and areas for improvement. Subsequently, the implementation of PACS, LIS, and then the EMR system, powered by Vesalius, followed suit.According to HIMSS, the group's visionary leadership led to the EMR implementation in 2018. Kasih Ibu Hospital Denpasar recently underwent the EMRAM validation to ensure its foundational technology, the EMR, met international standards.During the validation process, HIMSS validators noticed the hospital's automated early warning scoring (EWS) system with real-time alerts. This supporting technology for the EMR system in the general wards is a first in Indonesia and is powered by Philips. It was observed that the EWS can record vital signs data automatically within five minutes and detect patient deterioration promptly.Meanwhile, Kasih Ibu Hospital Denpasar has also integrated CDSS with globally recognized clinical resources. It has rolled out closed-loop management systems and fully integrated the EMR across all departments. Additionally, a patient portal called KIH Connect was introduced to enhance patient engagement."Continuous monitoring and improvement were integral to our process. We regularly monitored the performance of implemented systems using Tableau for data analysis, ensuring effectiveness and efficiency. This approach helped identify areas for continuous improvement and maintain compliance with Stage 6 standards," Kasih Ibu Hospital Group president Krishna Duarsa explained to Healthcare IT News."Our team collaboratively ensured that all aspects of our digital systems, processes, and integrations were thoroughly documented. This included detailed records of system implementations, staff training programs, data integration mechanisms, patient safety protocols, and continuous improvement initiatives."After achieving EMRAM validation, Kasih Ibu Hospital Group plans to continue investing in the digital transformation of its hospitals. It also aims to get its Denpasar hospital validated for the highest EMRAM stage. HIMSS expects its integration with SatuSehat for data exchange and other potential requirements.

The Larger Trend

In 2022, Jakarta-based Pondok Indah Hospital Group became the first healthcare provider in Indonesia to be validated for the HIMSS EMRAM. All three of its hospitals in Pondok Indah, Puri Indah, and Bintaro Jaya were validated for Stage 6.This year, all 43 public hospitals under the Hong Kong Hospital Authority and private Princ Hospital Suvarnabhumi in Thailand were validated for Stage 7 of the EMRAM. Taiwan-based Chang Gung Memorial Hospital and Seoul National University Bundang Hospital from South Korea were revalidated for the highest EMRAM stage.

On the Record

"With the gradual advancement of digital transformation in healthcare across the country, our achievement of EMRAM Stage 6, previously attained by only one other hospital, stands as a testament to our advanced healthcare technology capabilities. This success demonstrates that digital transformation is not confined to the capital city of Jakarta but is also thriving in regions beyond," Duarsa said. The hospital has set up an international division to cater to international tourists and expatriates."As a hospital group based in Bali, the tourism hub of Indonesia, our strategic location requires us to meet high standards set by international insurance providers. Ensuring that our facilities are top-notch and compliant with global benchmarks is crucial. Achieving Stage 6 HIMSS EMRAM validation not only builds trust among the international communities and the local ones but also underscores our dedication to providing high-quality care. This recognition solidifies our position as a leading healthcare provider in the region," he added.Besides helping enhance patient safety, operational efficiency, and reputation, a HIMSS EMRAM validation, according to Duarsa, also positions an organization to adopt new health technologies."This readiness for future technologies ensures that the hospital remains at the forefront of medical advancements and continues to offer cutting-edge care to its patients."

In Livingston County, Michigan, a significant legal event took place on Tuesday evening. Kimberly Casey Coden, a 38-year-old from Huntington Woods, found herself facing the consequences of her actions. She had served as the director of services at the Oxford Recovery Center, which caters to autistic children with locations in Brighton and Troy. However, it was revealed that Coden was not actually a board-certified behavioral analyst (BCBA) as she claimed. She had obtained her position by fraudulently presenting herself as such at Centria Health Care and the Positive Behavior Supports Corporation.

Unethical and Reprehensible Actions

AG Dana Nessel emphasized the severity of Coden's actions, stating that "falsifying credentials to gain access to a highly vulnerable population is unethical and reprehensible." Coden not only misrepresented her qualifications but also went as far as intimidating a witness in the case through text messages, trying to prevent them from testifying. This blatant disregard for the truth and the well-being of others is truly alarming.

Consequences in Court

Coden was sentenced in front of Judge L Suzanne Geddis in the 44th Circuit Court in Livingston County. She now faces a series of prison terms. For six counts of Unauthorized Practice of a Health Profession, she could serve 4-6 years in prison. For two counts of Identity Theft, she is looking at 4-7.5 years. And for one count of Bribing and Intimidating a Witness, she could be imprisoned for 4-6 years as well. These penalties serve as a strong message that there are real consequences for those who deliberately shirk the proper training, qualifications, and licensing requirements.

Impact on Vulnerable Population

The Oxford Recovery Center serves an especially vulnerable population - autistic children. Coden's actions put these children at risk by allowing her to have access to them under false pretenses. This highlights the importance of strict regulations and oversight in healthcare settings to protect the well-being of those in need. It also serves as a reminder that such fraud can have far-reaching consequences beyond the individual involved.

Importance of Proper Licensing

Proper licensing and training are crucial in healthcare and other fields. They ensure that professionals have the necessary skills and knowledge to provide safe and effective services. Coden's case shows the dire consequences that can occur when these requirements are ignored. It is essential for both individuals and organizations to adhere to these standards to maintain the integrity of the professions and protect the public.Subscribe to our News 10 newsletter and YouTube page to receive the latest local news and weather. Looking to hire people, or grow your business through advertising? Gray Digital Media is your one-stop marketing solution. Learn more.Copyright 2024 WILX. All rights reserved.

An audit conducted in Baton Rouge, Louisiana has revealed significant shortcomings in the Louisiana Department of Health's (LDH) oversight of providers offering at-home care to disabled individuals. This audit has shed light on areas where LDH is falling short in ensuring that these providers adhere to regulations.

Uncovering the Oversight Challenges in Louisiana's At-Home Care System

Current Survey Practices and Their Shortcomings

Currently, there is no federal mandate for the LDH to survey providers. LDH's internal goal is to conduct surveys every three years. However, the audit shows that out of nearly 550 providers in need of a survey, only 410 have been completed. Additionally, 69 providers have not received a survey at all. This highlights the inefficiency in meeting the department's own internal goals.There are various factors contributing to this situation. The pandemic posed a significant challenge as the LDH had to reallocate its survey providers from home and community-based services to other areas with more federal funding. This led to a backlog in surveys and a delay in ensuring compliance.

The Role of Support Coordination Providers and Their Oversight

Another area of concern is the oversight of middlemen called "support coordination providers" who act as a link between patients and providers. When these coordinators are not monitored, there is a doubt about whether they are actually interacting with the participants as per the scheduled timings. They are supposed to act as an additional set of eyes to oversee the interactions between participants and providers. Without proper monitoring, there is a risk that some issues may go unnoticed.

LDH's Response to Complaints and the Need for More Oversight

LDH has been relatively successful in responding to complaints. In the past two years, 99% of complaints were investigated and addressed. However, State Senator Regina Barrow emphasizes that the lack of overall oversight means that some issues may remain unresolved for those in need of care. Many individuals may not be able to communicate their problems or the lack of services they are receiving on their own. Without proper oversight, it becomes difficult to ensure that the services are actually being delivered.The auditor's office has recommended several measures to address these gaps. These include meeting the three-year survey goals and making complaints accessible to anyone who wishes to view them. This would enable better decision-making and ensure that providers are held accountable.LDH has provided an emailed statement in response to the audit, stating that they are constantly looking for ways to improve their processes and better serve Louisiana residents. They use surveys and audits to identify gaps and address the needs of all citizens, including the most vulnerable. They have already begun to take action based on the audit recommendations.In conclusion, the audit has exposed the need for improved oversight in the LDH's at-home care system. By addressing these issues and implementing the recommended measures, LDH can better serve the disabled population and ensure that they receive the care they deserve.