WORKSHOP Pengolahan Data Penggunaan Obat Di Rumah Sakit
DIREKTORAT PELAYANAN KEFARMASIAN TAHUN 2020
Rangga Pratama Head of Analytics and Exploration – Consulting Service, SAS Indonesia Profile Summary Rangga has more than 10 years of experience consulting, specialized in Data & Analytics. I have several courses, training and seminar. There are as a speaker at Dashboard with SAS Visual Analytics 2016-2017, Data Mining with SAS Enterprise Miner at PT. Telkomsel 2016, SAS Enterprise Guide Training 2014-2016, Basic Statistics with SAS Enterprise Guide 2014-2016, Basic Programming with SAS 9.4 20142016, Data Mining with SPSS Modeler at PT. Telkomsel 2015, Big Data Analysis at UI 2015, MS Project Training 2010 and as participant at Dashboard with Tableau at PT. Sucofindo 2015, PMO (Project Management Office) Training 2010, SAS Software Analysis 2007 and Stadium General Of Structural Equation Model and Path Analysis 2006. My Educational background is Statistics Science from Bogor Agricultural University.
Selected Experiences:
• Data Scientist at PT. StarCore Analytics. • Statistics Experts at PT. Kacindo in “Analisa Pola Penyediaan dan Pemanfaatan Obat dan Alat Kesehatan” at Kementrian Kesehatan. • Statistics Experts at PT. Kacindo in “Analisa Kepuasan Stakeholder JKN” at Kementrian Kesehatan. • Dashboard Experts at PT. Sucofindo in “Pengembangan Sistem Informasi Kegiatan Pengelolaan Perikanan Tangkap” at KKP • Data Management at PT Multidecon Internal in “Verifikasi dan Validasi Data Penerima Program Perlindungan Sosial” • Data Analyst at PT. Laras Respati Utama on “Pendataan LPG 3 Kg” Project • Data Analyst at FAB for CRM analysis on Unilever Project • Data Analyst at PT Kanta Karya Utama in “Verifikasi Refill LPG Tabung 3 Kg” • Supervisor at Directorat Strategic Planning and Innovation at Gerai Terpadu Indonesia (GTI) • Project Management Officer (PMO) at Bumi Karya Artha (BKA)
Phone : 081210931199 Email :
[email protected] [email protected]
Deby Awalya Bonita, S.Stat Data Analyst at Starcore Analytics
[email protected] +6285156590560
PT Exorty Indonesia
Babakan Dramaga, Bogor 16680
Bogor, March 9th 1997
Achievements and Rewards • Runner Up of Starcore Data Science Competition 2018
Education • Statistics, IPB University 2015-2019 • 1 SHS Leuwiliang, Bogor 2012-2015 Work History • Data Analyst at Starcore Analytics (Apr ‘19 – now) • Data Analyst – Wyeth Nutrition (Customer Loyalty Program) 2020
• Participant in a Regional Conference Student Activism University Teknologi Petronas Malaysia 2018 • Quarter Finalist The13th Statistika Ria 2018 • Semifinalist National Statistics Challange Brawijaya University 2018 • Semifinalist Dokter Data Diponegoro University 2018 • Finalist ISC The2nd Indonesia Statistic Conference and Olympiad 2017 • Finalist Yout Summit Madura Trunojoyo University 2017
• Assistant Trainer – SAS EG Anova (Bank Mandiri) 2020 • Assistant Trainer – SAS VA (BIN dan BNPB) 2020 • Statistician – KSO Sucofindo SI (VPTI) 2020 • Data Analyst – Survey Kepuasan Pelanggan PT. PLN Persero 2019 • Data Analyst – Credit Scoring Bank Mandiri Taspen 2019
Organization Experience • Secretary Cominfo Forum for Scientific Studies 2018 • Treasurer II Forum for Scientific Studies 2017
Objektif: 1. 2.
SISTEMATIKA
01 DATA 02 METODOLOGI 03 EPO
DATA
Struktur data pada Sistem Informasi RS Keuangan No RM SEP Nilai Pembayaran
Rekam Medik No RM Kode pasien ICD Tanggal Masuk Tanggal Keluar SEP Kelas
Obat No RM Kode Obat Nama Obat Nama Generik Sediaan Tanggal Jumlah penggunaan
BPJS (Klaim) No RM Kode pasien ICD Tanggal Masuk Tanggal Keluar SEP INA CBG Klaim Kelas
Master Pasien (register) No RM Kode Pasien Nama Jenis Kelamin Tanggal Lahir
Nama Rumah Sakit Alamat : Kabupaten/Kota Provinsi Nama Informan Jabatan Informan Nomor Telepon
DATA PELAYANAN RUMAH SAKIT
: : : : : :
2019 DATA
Jan
Feb
….
Jumlah Tempat Tidur Rata -rata Bed Occupancy Ratio (BOR) per bulan Rata -rata Length of Stay (LOS) Terakreditasi : 5/12/16 Pelayanan Rata-rata pasien rawat inap per hari (orang) Rata-rata resep rawat inap per hari (lembar) Rata-rata resep rawat jalan per hari (lembar)
Supervisor
Informan/Enumerator
(
)
*catatan: informan/enumerato dan supervisor diisi nama lengkap
(
)
Des
EPO OBAT No
Nama Obat
Keterangan Rawat Jalan/ Rawat Inap
Nama Generik
Kekuatan Obat Dalam Mg (Bila Ada)
Sediaan
01
Harga Satuan
Jumlah Penggunaan Obat Jan Feb Dst
Total
CONTOH EPO OBAT No
Nama Obat
Keterangan Rawat Jalan/ Rawat Inap
Nama Generik
Kekuatan Obat Dalam Mg (Bila Ada)
Jumlah Penggunaan Obat Sediaan
01
Harga Satuan
Total Jan
Feb
Dst
2
2
300
661
2.033
2.994
1
ABBOTIC GRANULES 250 MG
Klaritromisin
250 mg
2
ABILIFY DISCMELT 10 MG
Aripiperazol
10 mg
3
ABILIFY DISCMELT 15 MG
Aripiperazol
15 mg
225
43
268
4
ACARBOSE TABLET 100 MG
Akarbose
100 mg
23.999
13.377
17.693
55.069
5
ACARBOSE TABLET 50 MG
Akarbose
50 mg
56.255
80.512
84.339
221.106
6
ACDAT KRIM 5 GR
Natrium fusidat
5 gr
335
47
382
DATA KLAIM No
Keterangan Rajal Ranap
ICD-10
Deskripsi
ALOS
Jumlah
tagihan rs (Cost)
Obat (Cost)
Alkes (Cost)
jumlah klaim (BPJS)
CONTOH DATA KLAIM ICD utama hingga ICD sekundernya
No
Keterangan Rajal Ranap
ICD-10
Deskripsi
ALOS
Jumlah
tagihan rs (Cost)
1
Rawat Jalan
Z50.9
Care involving use of rehabilitation procedure, unspecified
20424
3.797.720.510
32.288.458
2
Rawat Jalan
Z99.2
Dependence on renal dialysis
7310
8.253.186.836
490.115.133
3.309.791.035
3
Rawat Jalan
Z09.8^E14.9 Unspecified diabetes mellitus without complications
5264
900.980.277
351.093.438
30.000
4
Rawat Jalan
Z09.8^I63.9
4700
915.522.617
646.867.699
-
5
Rawat Jalan
Z09.8^J44.9 Chronic obstructive pulmonary disease, unspecified
3135
358.858.168
91.999.633
763.425
6
Rawat Jalan
2541
274.513.081
77.651.111
-
Z09.8^I10
Cerebral infarction, unspecified
Essential (primary) hypertension
Obat (Cost)
jumlah klaim (BPJS)
Alkes (Cost)
- 2.417.196.600 6.430.836.100 975.079.800 863.406.500 789.863.500 467.999.700
METODOLOGI
Variabel/ perlakuan yang masih perlu ditambahkan dalam perhitungan EPO
ATC
01
Kekuatan
02
DDD
03
04
Penyamaan Satuan
BASED OPERATION (SUM, COUNT, DLL)
MID
FILTER
LEN
VLOOKUP
FIND
METODOLOGI (EXCEL)
DATA ASLI No
1 2 3 4 5 6 7 8 9 10
Nama Obat
Nama Generik
Sediaan
Oral/ parentheral (Rute)
ABILIFY DISCMELT 10 MG
Aripiperazol
TABLET
O
ACARBOSE TABLET 100 MG
Akarbose
TABLET
O
ACARBOSE TABLET 50 MG
Akarbose
TABLET
O
ACETYLCYSTEINE CAP
N-asetil sistein
TABLET
O
ACYCLOVIR 200 MG
Asiklovir
TABLET
O
ACYCLOVIR 400 MG
Asiklovir
TABLET
O
ACYCLOVIR CR
Asiklovir
TUBE
TD
ADALAT OROS 30
Nifedipin
TABLET
O
AKILEN TT
Ofloksasin
BOTOL
Instill
ALBENDAZOL 400 MG TAB
Albendazol
TABLET
O
Harga
23.034 779 562 350 236 380 3.625 3.700 60.297 317
Kekuatan (mg)
10 100 50 200 200 400 0 30 0 400
Total Jumlah
1.319 13.667 80.519 14.337 1.817 2.313 54 22.625 23 14
ATC
N05AX12 A10BF01 A10BF01 R05CB01 J05AB01 J05AB01 D06BB03 C08CA05 S02AA16 P02CA03
Satuan Ket DDD DDD DDD
15 0,3 0,3 0,5 4 4
DDD (g)
mg g g g g g
o o o o o o
0,015 0,3 0,3 0,5 4 4
30 mg
o
0,03
0,4 g
o
0,4
RJ 135 900 6.642 475 333 0 0 1.380 1 0
Jan RI 0 12 114 808 473 72 10 23 0 0
PENGGUNAAN PERBULAN Feb … Total RJ RI Total RJ RI Total 135 75 0 75 90 0 90 912 690 26 716 840 0 840 6.756 5.177 116 5.293 7.059 159 7.218 1.283 609 1.327 1.936 1.000 1.614 2.614 806 50 0 50 90 32 122 72 225 28 253 84 85 169 10 3 3 6 4 9 13 1.403 1.500 12 1.512 1.628 11 1.639 1 0 0 0 0 0 0 0 0 0 0 0 0 0
OLAH DATA 1. Menyamakan satuan antara “Kekuatan” dengan “DDD” Dengan cara membuat kolom baru. Karena Kekuatannya dalam (mg), maka buat kolom baru DDD dalam (mg) juga.
No
1 2 3 4 5 6 7 8 9 10
Nama Obat
Nama Generik
Sediaan
Oral/ parentheral (Rute)
ABILIFY DISCMELT 10 MG
Aripiperazol
TABLET
O
ACARBOSE TABLET 100 MG
Akarbose
TABLET
O
ACARBOSE TABLET 50 MG
Akarbose
TABLET
O
ACETYLCYSTEINE CAP
N-asetil sistein
TABLET
O
ACYCLOVIR 200 MG
Asiklovir
TABLET
O
ACYCLOVIR 400 MG
Asiklovir
TABLET
O
ACYCLOVIR CR
Asiklovir
TUBE
TD
ADALAT OROS 30
Nifedipin
TABLET
O
AKILEN TT
Ofloksasin
BOTOL
Instill
ALBENDAZOL 400 MG TAB
Albendazol
TABLET
O
Harga
23.034 779 562 350 236 380 3.625 3.700 60.297 317
Kekuatan (mg)
10 100 50 200 200 400 0 30 0 400
Total Jumlah
1.319 13.667 80.519 14.337 1.817 2.313 54 22.625 23 14
ATC
N05AX12 A10BF01 A10BF01 R05CB01 J05AB01 J05AB01 D06BB03 C08CA05 S02AA16 P02CA03
Satuan Ket DDD DDD DDD
15 0,3 0,3 0,5 4 4
DDD (g)
mg g g g g g
o o o o o o
0,015 0,3 0,3 0,5 4 4
30 mg
o
0,03
0,4 g
o
0,4
RJ 135 900 6.642 475 333 0 0 1.380 1 0
Jan RI 0 12 114 808 473 72 10 23 0 0
PENGGUNAAN PERBULAN Feb … Total RJ RI Total RJ RI Total 135 75 0 75 90 0 90 912 690 26 716 840 0 840 6.756 5.177 116 5.293 7.059 159 7.218 1.283 609 1.327 1.936 1.000 1.614 2.614 806 50 0 50 90 32 122 72 225 28 253 84 85 169 10 3 3 6 4 9 13 1.403 1.500 12 1.512 1.628 11 1.639 1 0 0 0 0 0 0 0 0 0 0 0 0 0
OLAH DATA 2. Membuat data yang disusun kebawah. Dengan cara membuat kolom baru “Keterangan RJ/RI”, “Bulan”, “Jumlah Obat”
No
Nama Obat
1 ABILIFY DISCMELT 10 MG 2 ACARBOSE TABLET 100 MG 3 ACARBOSE TABLET 50 MG 4 ACETYLCYSTEINE CAP 5 ACYCLOVIR 200 MG 6 ACYCLOVIR 400 MG 7 ACYCLOVIR CR 8 ADALAT OROS 30 9 AKILEN TT 10 ALBENDAZOL 400 MG TAB
Oral/ Kekuatan Total Satuan Ket Nama Generik Sediaan parentheral Harga ATC DDD DDD (g) (mg) Jumlah DDD DDD (Rute)
Aripiperazol TABLET
O
Akarbose
TABLET
O
Akarbose
TABLET
O
N-asetil sistein TABLET
O
Asiklovir
TABLET
O
Asiklovir
TABLET
O
Asiklovir
TUBE
TD
Nifedipin
TABLET
O
Ofloksasin
BOTOL Instil
Albendazol
TABLET
O
23.034 779 562 350 236 380 3.625 3.700 60.297 317
10 100 50 200 200 400 0 30 0 400
1.319 N05AX12 13.667 A10BF01 80.519 A10BF01 14.337 R05CB01 1.817 J05AB01 2.313 J05AB01 54 D06BB03 22.625 C08CA05 23 S02AA16 14 P02CA03
15 mg 0,3 g 0,3 g 0,5 g 4g 4g
o o o o o o
0,015 0,3 0,3 0,5 4 4
30 mg o
0,03
0,4 g o
0,4
PENGGUNAAN PERBULAN Jan Feb RJ RI Total RJ RI Total RJ 135 0 135 75 0 75 90 900 12 912 690 26 716 840 6.642 114 6.756 5.177 116 5.293 7.059 475 808 1.283 609 1.327 1.936 1.000 333 473 806 50 0 50 90 0 72 72 225 28 253 84 0 10 10 3 3 6 4 1.380 23 1.403 1.500 12 1.512 1.628 1 0 1 0 0 0 0 0 0 0 0 0 0 0
… RI Total 0 90 0 840 159 7.218 1.614 2.614 32 122 85 169 9 13 11 1.639 0 0 0 0
Keterangan RJ/RI
Bulan
Jumlah Obat
RJ RJ RJ RJ RJ RJ RJ RJ RJ RJ
Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan
135 900 6.642 475 333 0 0 1.380 1 0
RI RI RI RI RI RI RI RI RI RI
Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan
0 12 114 808 473 72 10 23 0 0
OLAH DATA 3. Membuat variable “DDD Value” Dengan formula
DDD Value = (Kekuatan(mg) x Jumlah Obat) / DDD(mg) in excel R3 = (G3 x Q3) / N3
DDD Value
OLAH DATA 4. Membuat variable “DDD Value Tertimbang” Dengan formula
DDD Value Tertimbang = IF(Keterangan = RJ; maka DDD value dibagi 11520 dikali 1000; jika RI maka DDD value dibagi 6092 dikali 100)
in excel S3 = IF(O3=“RJ”;(R3/11520)*1000;(R3/6092)*100)) Berikut ni adalah data setahun yang akan diasumsikan menjadi data bulanan dengan cara dibagi 12 Data
Tahun 2019
Data bulanan
Total Hari Rawat Inap
73.107 hari
73.107 / 12 = 6092
Jumlah Pasien Rawat Jalan
138.238 orang
138.238 / 12 = 11520
DDD Value Tertimbang
OLAH DATA 5. Membuat variable “EXPENDITURE” Dengan formula
EXPENDITURE = Harga x Jumlah Obat
in excel T3 = F3 * Q3
Expenditure
OLAH DATA 6. Membuat variable “Level 2” Dengan formula
Level 2 = Mengambil 3 huruf pertama dari variable ATC
in excel U3 = LEFT(I3;3)
Level 2
OLAH DATA 7. Membuat variable “Desc Level 2” Dengan formula
Desc Level 2 = VLOOKUP dari Data Kelas Terapi
in excel V3 = VLOOKUP(U3; =VLOOKUP(U3;'[Kelas terapi.xlsx]master sub grup'!B$1:C$57;2)
Desc Level 2
Data kelas terapi No. 1 2 3 4 5 6 7 8 9 10
ATC B03 H02 A02 J01 C09 C08 M01 B01 C03 L02
NAMA SUBGRUP Antianemic Preparations Corticosteroids For Systemic Use Drugs For Acid Related Disorders Antibacterials For Systemic Use Agents Acting On The Renin-Angiotensin System Calcium Channel Blockers Antiinflammatory And Antirheumatic Products Antithrombotic Agents Diuretics Endocrine Therapy
OLAH DATA 8. Membuat variable “Level 3” Dengan formula
Level 3 = Mengambil 4 huruf pertama dari variable ATC
in excel U3 = LEFT(I3;4)
Level 3
OLAH DATA 9. Membuat variable “Desc Level 3” Dengan formula
Desc Level 3 = VLOOKUP dari Data Kelas Terapi
in excel X3 = VLOOKUP(W3; =VLOOKUP(U3;'[Kelas terapi.xlsx]master sub grup'!B$1:C$57;2)
Desc Level 3
Data kelas terapi Kode ATC A01A A02A A02B A02X A03A A03B A03C A03D A03E A03F A04A
Deskripsi Obat STOMATOLOGICAL PREPARATIONS ANTACIDS DRUGS FOR PEPTIC ULCER AND GASTRO-OESOPHAGEAL REFLUX DISEASE (GORD) OTHER DRUGS FOR ACID RELATED DISORDERS DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS BELLADONNA AND DERIVATIVES, PLAIN ANTISPASMODICS IN COMBINATION WITH PSYCHOLEPTICS ANTISPASMODICS IN COMBINATION WITH ANALGESICS ANTISPASMODICS AND ANTICHOLINERGICS IN COMBINATION WITH OTHER DRUGS PROPULSIVES ANTIEMETICS AND ANTINAUSEANTS
PIVOT TABLE
PIVOT DATA 1. Membuat TOP 20 Obat berdasarkan DDD Value (Tertimbang) Dengan cara klik: Select All – Insert – Pivot Table ddd value (tertimbang) RI/RJ
(Multiple Items) RI
Row Labels Mecobalamin Metilprednisolon Deksametason Domperidon Omeprazol Asam folat Ketorolak Ranitidin Asam mefenamat Klopidogrel Seftriakson Furosemid Atorvastatin Sukralfat Valsartan Amlodipin Parasetamol Levofloksasin Sefuroksim Budesonid
Sum of ddd value (tertimbang) 15,84% 5,43% 4,81% 4,79% 4,59% 4,04% 3,37% 3,26% 3,01% 2,86% 2,76% 2,29% 2,18% 1,89% 1,85% 1,61% 1,32% 1,27% 1,21% 1,16%
Field List
PIVOT DATA 2. Membuat TOP 20 Kelas (Level 2) berdasarkan DDD Value Tertimbang Dengan cara klik: Select All – Insert – Pivot Table ddd value (tertimbang) (Multiple Items) RI/RJ RI LV2 B03 H02 A02 J01 M01 A03 B01 C09 C03 C01 R03 N02 C10 C08 A12 R05 N05 N03 R06 N06
Lv2 desc Antianemic Preparations Corticosteroids For Systemic Use Drugs For Acid Related Disorders Antibacterials For Systemic Use Antiinflammatory And Antirheumatic Products Drugs For Functional Gastrointestinal Disorders Antithrombotic Agents Agents Acting On The Renin-Angiotensin System Diuretics Cardiac Therapy Drugs For Obstructive Airway Diseases Analgesics Lipid Modifying Agents Calcium Channel Blockers Mineral Supplements Cough And Cold Preparations Psycholeptics Antiepileptics Antihistamines For Systemic Use Psychoanaleptics
Sum of ddd value (tertimbang) 19,88% 10,43% 9,83% 9,41% 7,44% 4,93% 3,98% 3,72% 3,57% 2,91% 2,83% 2,55% 2,41% 2,07% 1,95% 1,82% 1,68% 1,27% 0,93% 0,82%
Field List
PIVOT DATA 3. Membuat TOP 20 Obat berdasarkan Expenditure Dengan cara klik: Select All – Insert – Pivot Table ddd value (tertimbang) RI/RJ
(Multiple Items) RI
Nama Generik Seftriakson Sefuroksim Piracetam Diltiazem Fenitoin Na Ampisilin + Sulbaktam Sefiksim Ketorolak Metamizol Sefotaksim Omeprazol Budesonid Analog insulin : fast acting Meropenem Faktor VIII (konsentrat) Levofloksasin Ranitidin Pregabalin Salbutamol Analog Insulin long acting
Sum of Expenditure 24,64% 11,49% 5,97% 4,87% 4,78% 4,73% 3,44% 3,09% 2,68% 2,62% 2,58% 2,21% 1,76% 1,27% 1,11% 1,02% 0,99% 0,95% 0,86% 0,80%
Field List
PIVOT DATA 4. Membuat TOP 20 Kelas (Level 2) berdasarkan Expenditure Dengan cara klik: Select All – Insert – Pivot Table ddd value (tertimbang) (Multiple Items) RI/RJ RI LV2 J01 N06 N03 C08 A02 N02 M01 R03 A10 B01 B02 C01 H02 C03 N05 B03 C10 A12 R05 A07
Lv2 desc Antibacterials For Systemic Use Psychoanaleptics Antiepileptics Calcium Channel Blockers Drugs For Acid Related Disorders Analgesics Antiinflammatory And Antirheumatic Products Drugs For Obstructive Airway Diseases Drugs Used In Diabetes Antithrombotic Agents Antihemorrhagics Cardiac Therapy Corticosteroids For Systemic Use Diuretics Psycholeptics Antianemic Preparations Lipid Modifying Agents Mineral Supplements Cough And Cold Preparations Antidiarrheals, Intestinal Antiinflammatory/Antiinfective Agents
Sum of Expenditure 51,31% 5,98% 5,86% 5,68% 4,62% 4,30% 3,74% 3,67% 2,72% 1,74% 1,67% 1,38% 0,90% 0,79% 0,67% 0,66% 0,61% 0,57% 0,56% 0,45%
Field List
PIVOT DATA 5. Melihat Kelas Level 3 dari Antibiotik (J01) Dengan cara klik: Select All – Insert – Pivot Table ddd value (tertimbang) (Multiple Items) RI/RJ RI LV2 J01 Lv3 J01A J01B J01C J01D J01F J01G J01M J01X
Lv3 desc TETRACYCLINES AMPHENICOLS BETA-LACTAM ANTIBACTERIALS, PENICILLINS OTHER BETA-LACTAM ANTIBACTERIALS MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS AMINOGLYCOSIDE ANTIBACTERIALS QUINOLONE ANTIBACTERIALS OTHER ANTIBACTERIALS
Sum of ddd value (tertimbang) Sum of Expenditure 0,03% 0,00% 0,90% 0,21% 7,74% 9,52% 63,04% 85,54% 3,27% 0,17% 3,39% 0,83% 18,25% 2,25% 3,39% 1,47%
Field List
TREND BULANAN
Trend Bulanan Contoh: Level 2 (A02) - Ranitidin
Terima Kasih
