Good Practices in Social Security Good Practices in Social Security

The identification and sharing of good practices helps social security organizations and institutions to improve their operational and administrative efficiency.

In the context of the ISSA, a good practice is defined as any type of experience (e.g. an action, a measure, a process, a programme, a project, or a technology) implemented within a social security organization that fosters the improvement of its administrative and operational capacities, and/or the efficient and effective delivery of programmes. The good practices selected by the ISSA focus on topics related to the priorities as defined in the programme and budget of the Association. The good practices are from member institutions of the ISSA and are primarily collected through the work of the  ISSA Technical Commissions and the ISSA Good Practice Awards.

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Health Facilities Information System (HFIS) for better contracting accountability and more effective referral system

Health Facilities Information System (HFIS) for better contracting accountability and more effective referral system

Social Security Administering Body for the Health Sector | Indonesia
Health Facilities Information System (HFIS) for better contracting accountability and more effective referral system

The Health Facilities Information System (HFIS) is a platform developed by the Social Security Administering Body for the Health Sector of Indonesia (BPJS Kesehatan) to improve contracting accountability and referral system efficiency. Before the HFIS, the contracting mechanism was done and monitored manually which was not only time consuming but also sparked dissatisfaction from providers. Referral from one health facility to another was also not based on sufficient information about the availability of medical specialists or facilities at the referral hospitals. This often led to rejections or further referrals because the previous referral hospitals did not have the facilities nor the competency to treat the referred patients. The HFIS allows health facilities to submit their contract application digitally and monitor their progress, with doctors having access to information on the availability of medical services at other hospitals.

The HFIS has improved the health facilities satisfaction index attributed to the contracting process and member access to information on inpatient ward availability. The HFIS has also significantly contributed to the strengthening of the referral system. Moreover, the HFIS is a breakthrough in terms of providing a single database of physicians’ practice license and medical facilities in 99 per cent of partner hospitals.

Implementation year2019
Topics: Service quality, Information and communication technology
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