Universal Health System: Potential Business Opportunities Sheraton - - PowerPoint PPT Presentation

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Universal Health System: Potential Business Opportunities Sheraton - - PowerPoint PPT Presentation

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IABC MAKING IT HAPPEN Universal Health System: Potential Business Opportunities Sheraton Hotel, Surabaya (Monday, 6 November 2017) Erin Maree Lloyd Group Head Nursing, Quality and Risk RSDHC INDEX 1. Ramsay Sime Darby Healthcare

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IABC – MAKING IT HAPPEN “Universal Health System: Potential Business Opportunities”

Sheraton Hotel, Surabaya (Monday, 6 November 2017) Erin Maree Lloyd Group Head Nursing, Quality and Risk RSDHC

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INDEX

  • 1. Ramsay Sime Darby Healthcare Group
  • 2. Economic Trend: Indonesia/ Demographics/ Ease of

business

  • 3. Universal Health System
  • 4. Potential Growth of Healthcare Market
  • 5. Potential Services
  • 6. Business Opportunities

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  • 1. RAMSAY SIME DARBY HEALTH CARE GROUP

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  • 2. RECENT ECONOMIC TRENDS IN INDONESIA
  • Indonesian economy struggling to

maintain growth since 2012

  • (lower commodity prices & slower

global growth)

  • Despite slowdown GDP grown

$560 in 2000 to $3,630 in 2014.

(Source: http://amcham.or.id/images/amcham_updates/2016/Report%202016%20ES%20final%20sharable.pdf)

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Indonesia at a glance

✓ Land area: 1,811,570 sq km ✓ Population 258.7 million (2016) ✓ Life expectancy: 72.7 years ✓ Male: 70.1 years & Female: 75.5 years 6

(Source: fact sheet – Australia, http://www.amcham.or.id/fe/5619-policy-package-16-postponed)

Indonesia ranks 91 out of 190 countries↑15 places World Bank Ranking : Ease of doing business

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  • 3. UNIVERSAL HEALTH SYSTEM

Major Focus On Improving The Health Of The Nation

Universal Health System

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Universal Health Coverage (WHO)

Includes: ✓ Promotive ✓ preventive ✓ Curative ✓ Rehabilitative ✓ Palliative Stimulate Economic Development

(Source: http://www.who.int/health_financing/universal_coverage_definition/en/)

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“All people and communities”

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(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing)

  • Since 2014: Universal Healthcare Program JKN (Jaminan Kesehatan

Nasional)

  • Deployment: via Healthcare and Social Security Agency BPJS (Badan

Penyelenggara Jaminan Social)

  • Improve: public access to health services
  • (2016) expanded to 67.6% population
  • Government → achieve 100% coverage by 2019

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Indonesia National Health System

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(Source: Presentation of Dr. Nafsiah Mboi, Sp.A, MPH, Minister of Health, Republic of Indonesia, title Moving Towards Universal Health Access In Indonesia)

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Universal Health Coverage Road Map

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  • 4. POTENTIAL GROWTH FOR HEALTHCARE MARKET
  • Indonesia’s healthcare market is expected to triple from USD 7 billion in 2014 to

USD 21 billion in 2019

  • Large population & ↑ middle class
  • Relatively low healthcare market penetration
  • Under-served healthcare market
  • LOW hospital bed & doctor ratios (Physicians density 0.2 physicians/1,000

population (2012)

  • Indo: per capita healthcare expenditure ↑achieve universal healthcare coverage
  • Government – ID poor infrastructure & insufficient medical staff

(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing) & CIA World Factbook July 9, 2017)

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Indonesia’s Government Budget Allocation For Healthcare Has Now Reached 5% Of Overall Spending

(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing)

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Supportive Government Policies

Boost growth /Indonesia’s pharmaceutical market (largest ASEAN) 1) Govt roadmap: develop pharmaceutical raw materials 2) 10th policy reform package, allows foreign investors to acquire 100% ownership of pharmaceutical companies 3) Presidential Instruction No.6/2016 instructed related-ministries measures to foster development of new pharmaceutical drugs and medical devices

(Source: Indonesiahttps://investors-corner.bnpparibas-am.com/investment-themes/indonesia-healthcare-fast-growing)

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Medication Challenges

AMCHAM 2016 room for further penetration by US companies Cautions: Constrained by implementing regulations 2014 Halal Law - impact on pharmaceuticals Counterfeiting Medications and patients’ inadequate trust of the industry. Govt adopting measures to contain the spread

(Source: http://healthcareasiamagazine.com/sites/default/files/healthcareasiamagazine/print/HCAJuly2017_12-13.pdf http://amcham.or.id/images/amcham_updates/2016/Report%202016%20ES%20final%20sharable.pdf)

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  • 5. POTENTIAL SERVICES

Basic to Advanced & Preventative and Treatment

❖ Maternal, Newborn & Child Health ❖ Infectious Disease Management

  • Tuberculosis
  • Food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever + Vector

diseases dengue fever and malaria ❖ Economist (Aug 17) “2020: non communicable disease cardiovascular & diabetes will account 70% of deaths in developing countries”

  • Treatment of Cardiovascular Diseases (Hypertension, Stroke)
  • Management of Diabetes
  • Cancer (Lung)

❖ Ageing Population ❖ Mental Health ❖ World Bank – primary care (GP) front line form of medicine - 90% of problems 2015 Survey 102 developing countries: showed primary health had significant impact: life expectancy & lower infant mortality

(Source: CIA World Factbook July 9, 2017 World Health Organization 2017 Sustainable Development Goals)

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  • 6. BUSINESS OPPORTUNITIES

✓ BPJS ✓ Governance ✓ System Management ✓ Financing ✓ Service Provision & Access ✓ Service Delivery ✓ Workforce ✓ Consumables (Health Technologies, Medications) ✓ IT/Health Security

(Source: http://www.bpjsketenagakerjaan.go.id/)

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*Jakarta Post Feb 2017: 2015: 175,000 claims believed to be fraudulent. 2017: 1 million [potentially fraudulent]

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Future Labour Market Indonesia Education Partnerships

*Indo Education Expenditures 3.3% Of GDP (2014)

Finding qualified human capacity :

  • skilled positions
  • middle management jobs

(Source: http://amcham.or.id/images/amcham_updates/2016/Report%202016%20ES%20final%20sharable.pdf)

U of I Degree : Sarjana Kedokteran & Bachelor of Medical Science (Joint degree) Partner University : The University of Melbourne, Monash University 23

President: grow economically focus:

  • international skills &

professional development

  • RSD: E Learning
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Electronic Commerce

INDONESIAN PRESIDENTIAL REGULATION - NUMBER 74 OF 2017 ON ROADMAP FOR THE NATIONAL ELECTRONIC COMMERCE SYSTEM FOR 2017

  • Funding
  • Taxation
  • Consumers protection
  • Education and human resources
  • Communication infrastructure
  • Logistics
  • Cyber security; and
  • Establishment of Implementing Management for Roadmap for National E-

Commerce for 2017 – 2019

  • E-Commerce system, start-ups, business development, and logistic

acceleration

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Electronic Apps & Health Care

Google is also bringing its data-friendly YouTube Go app - Indonesia. 2016 report co-authored by Google projected that Southeast ASIA Internet economy - grow 6.5-fold to $197 billion by 2025 *Indonesia expected to represent around half, including key categories: e-commerce & ride-hailing

(Source: http://www.amcham.or.id/fe/5626-internet-for-all-Indonesians)

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Health Care Data Explosion

Explosion Infor Technology : AI & Robotics provide medicine down to personal level Democratization of Access: AI tools embedded in Android & iOS – individuals access - own basic health information. Public Willingness : care anywhere anytime

(Source: PwC Global 2017 & Journal of Public Health Research 2013 (Technology)

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Digital Technology = Health Appts 165,000

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Assist Integration Of Service With Government

(Source: Source: Digitial Health Austrade Feb 2016)

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  • MyHealth Record
  • Clinical Analaysis of Patient

data

  • Medical Imaging
  • Prescribing – e prescription
  • Telehealth, Telemedicine &

remote delivery of health solution

  • Management systems
  • Patient flow, demand &
  • peration management
  • Medical training & simulation
  • Clinical Programs:
  • Cancer CareZone:
  • CareZone GI Hepatitis
  • CareZone Mental Health
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Royal Flying Doctor Service

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▪ Waiting room 7.69 million sq. Km ▪ 24-hour aeromedical emergency services ▪ Combined with telehealth consultations, fly-in fly-out GP and Nurse clinics, mobile dental services, patient transfers…..

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Cyber Security Consideration

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▪ NHS cyber attack ▪ Security standards ▪ Assessment of threats

(Source: PwC Global 2017)

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Australian RSD Services

✓ HICMR ✓ Riskman ✓ Mercury E Credentialing

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Joint Commission International Accreditation Bintaro (Jan 2017)

RSDHC Indonesian Success Stories

AON Best Employers Award (Oct 2017)

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IN CONCLUSION:

(Source: https://en.wikipedia.org/wiki/Demographics_of_Indonesia)

“Indonesia's total median age is 28.2 years (2011 estimate). This indicates that one half of the population is older than 28.2 years, while the other half is younger than this number”

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