Hospital Leadership

in Disruptive Era
“a call for actions”

Dr. Ede Surya Darmawan, SKM, MDM

Program Director of Master Degree
of Hospital Administration FPHUI
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Industrial Revolution
 What is the Essence of
Industrial Revolution?

Market
Producers Customer
Healthcare Patients
Industries

• Limited, MORE:
• Variation - - • Service,
RI-1 • Slow, RI-4 • Variation + + +
• Far, • Faster,
• Expensive • Closer,
• Cheaper
 6 Characteristic of Disruptive
1. They target people who are non consumers or who are
overserved by existing products. “orang baru”
2. The innovation is not as good as existing products, as
judged by historical measures of performance. “cara baru”
3. They're simpler to use, more convenient or affordable.
“teknologi yang lebih memudahkan”
4. There is a technology enabler that can carry the new
value proposition upmarket. “nilai baru”
5. The technology is paired with a business model innovation
that allows it to be sustainable. “technologi dan bisnis
yang selaras”
6. Existing providers are motivated to ignore the new
innovation and are not threatened at the outset. “pemain
lama tidak tertarik”
https://campustechnology.com - 2019
Sudden Impact of Disruptive:
VUCA
 10 Characteristics Of Disruptive
Innovations https://thestoryoftelling.com
1. Start with a purpose and a small problem rather than a big idea.
2. Based on what people do, not what they say they do.
3. Leverage data to get closer to users, customers or fans.
4. Can be more responsive to customer’s behaviours and needs.
5. Tap into consumer’s latent desire.
6. Connect the disconnected.
7. Create value where none existed.
8. Disrupt people not industries—changing the user’s worldview and
behaviour.
9. Begin by changing a small group of people at the edges.
10. Seem obvious only after the fact.
Tragedi Nokia…..
WHY ? ? ?
Bad Quality & Not Efficient

IRRELEVANT
 TANTANGAN RUMAH SAKIT

Monopsony Mutu dan Pelayanan Teknologi IT & SDM &

power BPJSK Keselamatan Hemat, Digitalisasi Pelkes Persaingan Usaha
pasien Bermutu & Cloud, AI, IoT, 5G
Kekuatan tawar Merger, Akuisisi
Akreditasi, Aman & Big Data
yang tinggi di atau Bangkrut
pihak BPJS Standar PMK “more with
Kesehatan 30/2019 less : from
Review Kelas volume to
value”
 A Call For New Leader 
New Directions and Strategies

Old Current New Next

Practices Practices Practices Practices
Iterasi dan Inovasi

memperbaiki lilin terus

menerus tidak akan pernah
menjadi bola lampu

bola lampu ditemukan

bukan oleh penemu lilin!!
 Dual Mode Organization

STRUCTURAL BURACRATIC (BAU) START UP ORGANIZATION

• Hierarkis • Team Approach
• Fokus kepada masa lalu • Fokus kini dan masa depan
• Best practices • Mencari Next Practices
• Mengikuti SOP yang ada • Membangun SOP baru
• Old Version • Beta Version
• Akreditasi • Inovasi

CUSTOMER
FOCUS
Perubahan Pola Hubungan
dalam Organisasi
Perubahan Pola Hubungan dalam
Organisasi Kesehatan Masyarakat

Intervensi Kesehatan Berbasis

Tim pd tingkat Desa/Kelurahan:
• Promkes terdepan
• Kesling sbg dasar
• Gizi sbg pembangun
• P2P sbg proteksi
• JKN sbg jaminan akses thd
yankes
• Pengobatan sbg upaya
penyempurna
Selama ini kita Belajar dan Memahami
System Thinking  Pemahaman ++

Inovasi Tiada Henti:

1. Perbaikan terus-menerus
pelayanan dan program yg
sudah ada
2. Pengembangan pelayanan
dan program-program
baru
3. Melibatkan semakin
banyak pihak
4. Program yang lebih dekat
5. Biaya yang labih murah

19
 Prodi KARS’s Science Block

Policy and Governance L

E
Strategy and Marketing A
D
Financial and Costing E Services and Performance
R Operations & Impact
Quality & Safety S
H
Human Resources I
P
Logistic and Drug
“

”
you are never too cool
to learn something new 21
 Terimakasih
hadir lagi ya…catat tanggalnya