Health Information Management Education in Indonesia

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The Health Information Management Education growth in Indonesia remarkable when compared to some other Asian countries). In November 2014, there were as many as 42 HIM education schools or institutes. Currently HIM education is still known as the education of medical records and health information, consisting of as many as 38 associate degree, and 4 at level baccalaureates. However, since the letter of the Director of Education and Student Affairs Directorate of Higher Education Ministry of Higher Education and Research RI to all the schools and the State of nomenclature changes medical records and health information, dated May 24th, 2014, it was agreed that nomenclature changes turns into HIM education.
No. 2
May 2015
IFHIMA Newsletter
International Federation of Health Information Management Associatio ns
Editorial 1
Book Donation Project 2
Health Information
Management education
in Indonesia 4
HIM Professionals -
Your Data Quality Experts 7
IFHIMA to Manage
International Examination
for Morbidity Coders 9
Global workforce council 10
Disclaimer 11
Dear members and friends of IFHIMA,
I am happy to present the first IFHIMA Global News of the year 2015.
In this issue, we look back on the IFHIMA AHIMA Joint Book Donation
Project that recently concluded very successfully. I want to express
my special gratitude to Lorraine Nicholson, who managed this project
tirelessly and with great dedication. My sincere thanks are also
extended to Lynne Thomas Gordon, CEO of AHIMA for the generous
donation of the textbooks and the terrific support that made this
project possible.
It is with great pleasure and pride that we welcome our latest
member nations, Tanzania and Ghana! Furthermore, we are happy to
announce that Saudi Arabia has established a national HIM
association, SHIMA (Saudi Health Information Management
Association). We extend congratulations on these great
Also outlined in this newsletter is an update on the Global Health
Workforce Council, reports on HIM Education in Indonesia and
Canada as well as the announcement that IFHIMA will manage the
WHO-FIC International Examination for Morbidity Coders.
We hope you will find all articles interesting and useful. We welcome
your suggestions on both the form and content of the Global News.
Please send your comments and feedback to Lorraine Fernandes,
With kind regards
Angelika Haendel
on behalf of the editorial team
Our Regions
(please click and follow )
Author: Lorraine Nicholson / Membership Chair
In mid-2013 IFHIMA and AHIMA joined forces to deliver a one-time
project to provide textbooks to select countries and programmes
around the world with the aim of advancing the HIM profession
through education and collaboration. The project was enabled
through a generous donation of textbooks by AHIMA and
transportation costs were jointly funded by AHIMA and IFHIMA. The
project was under the initial guidance of AHIMA’s late-President
Kathleen Frawley, who had championed education for health
information management professionals throughout her distinguished
career. Outreach was undertaken in late-2013 to help the IFHIMA
Board identify potential recipients so that the project could be
No. 2
May 2015
Congress Tokyo
Call for reviewers started:
April 1st, 2015
Call for abstracts starts:
October 1, 2015
Registration opens on:
October 1, 2015
Applications for developing
countries program starts:
October 1, 2015
Video is available to promote the
2016 Congress.
Please contact Yukiko Yokuburi for
a copy, or view on
IFHIMA Newsletter International Federation of Health Information Management Associatio ns
Joint Book Donation Project
Delivery of this global project was very complex and planning and
execution of the numerous tasks involved has required extensive
support from both organizations in addition to the joint funding for
international transportation costs. During the shipping phase of the
project we tracked the various consignments on-line as they were
transported around the world and we were delighted when we
received confirmation of safe delivery of the books and witnessed the
obvious delight of various people and organizations around the world
through the photographs and letters of appreciation that we
received! Some photographs accompany this article and I hope that
they tell their own stories - a picture is worth a thousand words!!
Front row, third person from the right, Dr. Gemala Hatta, National IFHIMA Director for
Indonesia and Founder of PORMIKI the Indonesian HIM association, fourth from the right, Miss
Hosizah Usman, Chairwoman of aptiRMIK, fifth from the right Elise Garmelia, President of,
PORMIKI (until Feb 2015). Photo taken during a meeting between PORMIKI and Indonesian
Higher Education for Health Information Management Association (aptiRMIK) December 13-
14th 2014 in Jakarta, Indonesia.
Both IFHIMA and AHIMA express the hope that the donated books
will continue to support teachers, students and operational health
information managers and practitioners around the world going
forward. There are undoubtedly interesting and challenging times
ahead for our profession in order to meet the challenges of Electronic
Health Record (EHR) implementation, increasingly demanding service
delivery targets and the work needed to improve the quality and
quantity of health data and information to enable the delivery of safe
and effective healthcare and to support epidemiology and research -
education will be a key factor in ensuring that the HIM workforce is
well-prepared for what lies ahead!
Funds for this valuable initiative are now exhausted and there are no
plans to repeat it due to its cost and complexity. However, AHIMA
and other HIM Associations have textbooks and another related
publications available for purchase, which are written in English and
some other languages depending on where in the world the
association is located. This includes the national HIM associations in
Australia (HIMAA), Canada (CHIMA), Germany (DVMD), Japan (JHA)
and Korea (KMRA). Interested parties are advised to visit the relevant
association’s website for details of the publications available and how
they may be purchased.
No. 2
May 2015
welcomes our
latest member
nations, Tanzania
and Ghana!
Congratulations to the members
who have worked diligently over
the past few years to organize and
advance the HIM profession.
An upcoming Global News will
provide further details.
IFHIMA Newsletter Internat ional Federation of Health Information Manag ement Associations
Lourdes Palapal, President,
Philippine Medical Records
Association Inc. (PMRA)
Mr Laxman Sharma Paudel, Medical
Records Officer, Western Regional
Hospital Pokhara, Nepal
Deneice Marshall, President
of Barbados Health
Information Management
Association (BHIMA) and
Health Information
Coordinator/Instructor at
Barbados Community College
with Cheryl Weekes, Senior
No. 2
May 2015
Hosizah Markam
Chairwoman of Indonesian Higher Education of
Health Information Management Association
The Health Information Management Education
growth in Indonesia is remarkable when
compared to some other Asian countries. In
November 2014, there were 42 HIM education
schools or institutes. Previously HIM education
was known as the education of medical records
and health information, consisting of as many as
38 associate degree, and 4 at level
baccalaureates. However, since the letter of the
Director of Education and Student Affairs
Directorate of Higher Education Ministry of
Higher Education and Research RI to all the
schools and the State of nomenclature changes
medical records and health information, dated
May 24th, 2014, it was agreed that
nomenclature changes turns into HIM education.
IFHIMA Newsletter Internat ional Federation of Health Information Manag ement Associations
Health Information Management Education
in Indonesia
HIM education in Indonesia began in 1989 and
continues to grow rapidly. l. HIM education
development trend of the year 1989-2013 can be
seen in fig.1.
Figure 1: Trend Establishment HIM education in Indonesia started
A more complete description of HIM education in
Indonesia will be discussed in three stages: before
1994; 1994-2011; and after 2011.
Before 1994
The HIM education in Indonesia, starting in 1989,
known as the Medical Record Administration
Program (MRA) with a associate degree plus 1
year, as called Diploma 3 (3 years). The first
Academy School in
Medical Record
Administration in Indonesia, a school which I
established in 1989,was then under the
collaboration between the Indonesian Chamber
of Commerce and the European University in
Belgium and became Esa Unggul University. The
Director of the MRA programwas Dr. Dra. Gemala
Hatta, MRA, M.Kes. Total 144 credits in MRA
Education curriculum, was completed in 7
Most MRA alumni worked in the medical records department in
private hospitals and were not acknowledged as a health workforce.
MRA Education has been raising to 1994 until the issuance of the
national HIM education curriculum, initially by Indonesian
government through the Ministry of Health provided the
nomenclature of the Academy of Health Record.
In 1994-2011
In 1994 the Academy of Health Record was organized with a national
curriculum with a total of 114 credits. Such changes from 144 to 114
credits are adjusted to the condition that the weight of the Diploma 3
in between 110-120 credits. Until 1994, there was only one program
in Esa Unggul University having Academy of Health Record thus it is
used as a reference to the HIM education by the Center for Health
Workforce Education Empowerment Board of Health and Human
Resources Development. Ministry of Health (Pusdiknakes). The
graduates obtain the academic degree Health Record is called as Ahli
Madya Perekam Kesehatan (A.Md.Perkes).
In 1996 HIM was recognized as a health workforce because of the
issuance of Government Regulation (PP) No. 32 Year 1996 on Health
Iin 1998 testing was held for equalization program for graduates of
the class I-VI (1989-1996) is held in order to be recognized as a
graduate of the national curriculum. In 1998, the nomenclature of
the Academy of Health Record turned into the Academy of Medical
Record and Health Information (APIKES). The curriculum used was
still issued by the National Curriculum (Pusdiknakes).. Afterwards, it
began to grow establishment APIKES in various provinces in
Indonesia. This lead to the elaboration of existing curriculum which
was interpreted differently in that of learning materials.
A national program final exam was implemented in 2000-2002. With
the increasing number of schools of medical record and health
information in Indonesia, there was varied implementation of the
curriculum. Then in congress PORMIKI V in Bandung in February
2009, the formation of a forum for communication among schools of
medical record and health information was initiated.
Finally, at the 2011 workshop of PORMIKI with schools of medical
record and health information an association of educational
institutions of medical record and health information was formed
"Hosizah Markam, SKM, MKM" was elected as the chairwoman, given
No. 2
May 2015
Launching of the
Saudi Health
IFHIMA Newsletter Internat ional Federation of Health Information Manag ement Associations
The photo was taken after the
Inauguration of SHIMA in
presence of The Saudi Central
Board for Accreditation of
Healthcare Institutions (CBAHI)
seniors, SHIMA seniors and
AHIMA senior delegates:
The photo included senior staff
For more details please visit
No. 2
May 2015
the duties and responsibilities in the
development of HIM education in Indonesia.
Now, it is known as Indonesian of Higher
Education for Health Information Management
Association (IHE-
HIMA), abbreviation in
Indonesian as aptiRMIK.
This association has passed in front of the Notary
through the signing of the Deed of Establishment
IHE-HIMA on August 17, 2011. IHE-HIMA
inauguration was attended by 30 participants,
coming from 19 HIM education and 3
participants were representatives of DPD
After 2011 or Since IHE-HIMA exist
The vision IHE-HIMA is "Being a unifier school of
HIM education capable in working both in
national and international areas".
1. To encourage all school of HIM education in
Indonesia to join this association.
2. To create a dynamic system of educational
administration and management of school of
HIM education with national and
international standards for all its members.
3. To collaborate with educational institutions
of HIM education internationally.
IFHIMA Newsletter Internat ional Federation of Health Information Manag ement Associations
4. To ensure the implementation of scientific
development, quality of resources, and
research activities as well as community
Provincial distribution of HIM education existence
in Indonesia, as in Table 1. Mostly HIM education
in Java, East Java, West Java and Central Java.
Degree (3 yrs)
Degree (4 yrs)
DI Aceh 1 0 1
DKI Jakarta 2 1 3
DI Yogyakarta 4 0 4
Banten 2 0 1
West Java 5 1 6
Central Java 6 0 6
East Java 6 1 7
South Sulawesi 2 0 2
South Sumatera 2 0 2
West Sumatera 2 0 2
North Sumatera
South Kalimantan 1 0 1
West Nusa Tenggara 2 0 2
Denpasar Bali
Kepulauan Riau 1 0 1
Gorontalo 1 0 1
Total 38 4 42
Table 1: Distribution of HIM education in Provinces Indonesia,
November 2014.
1. HIM education in Indonesia began 1989, currently there are 42 schools consist of 38 associate degrees,
and 4 at level of baccalaureates.
2. IHE-HIMA with all members together will hold HIM education in Indonesia up to graduate level degree
(master's and doctoral).
3. IHE-HIMA as a new organization established 3 years ago needs the support of all stakeholders.
4. National Science Week and Annual Member Meeting III IHE-HIMA will be held in April 13-19th 2015 in
Malang, East Java.
5. International Scientific Week Health Information Management and Annual Member Meeting IV in 2016
in Lombok, West Nusa Tenggara.
6. IHE-HIMA will collaborate with IFHIMA, AHIMA, etc or organizations in other countries to improve the
quality of teaching and learning, research and scientific writings.
No. 2
May 2015
There is a growing trend in health care around
the paramount importance and relevance of
Quality Data.
Our health care system depends on the
availability of quality data to support quality
patient care. Poor documentation, inaccurate
data, and insufficient communication can result
in errors and adverse incidents. Inaccurate data
threatens patient safety, can lead to increased
costs, inefficiencies, inappropriate reporting,
poor planning decisions, and ultimately, poor
financial performance.
In Canada, Health Information Management
(HIM®1) professionals are trained in six core
competency areas that include: biomedical
sciences; health care systems in Canada; health
information; information systems and
technology; management aspects; and ethics and
professional practice. The HIM skill set covers
records management; diagnosis and intervention
coding classification; data analysis,
interpretation, and presentation; personal health
information confidentiality, privacy, and aspects
of security; data quality analysis; and electronic
health information management.
The Canadian Health Information Management
Association (CHIMA) represents approximately
5,000 HIM professionals across Canada and is the
certifying body and national association that
represents leadership and excellence in health
information management.
The Canadian College of Health Information
Management (CCHIM), the professional college
of CHIMA is a respected authority for oversight
on the rigorous professional education and
training offered by the educational institutions
through an accreditation process. Certified
members, with the professional designation of
IFHIMA Newsletter Internat ional Federation of Health Information Manag ement Associations
CHIM, provide a host of valuable information
management functions to the health care
Importance of Data Quality
Data submitted by health care organizations
ultimately populates numerous databases
including those held by Provincial and Territorial
Ministries of Health, the Canadian Institute for
Health Information (CIHI), the World Health
Organization (WHO), Statistics Canada, and
Health Canada. The quality of the data is
absolutely essential. While Data Quality is
everyone’s responsibility, CHIMA certified HIM
professionals are recognized as the leading
source of HIM knowledge, encompassing the
entire Lifecycle of Health Information. HIMs
apply their knowledge of biomedical sciences
and Canadian coding standards to capture the
appropriate intervention code(s) based on the
International Classification of Diseases (ICD) and
the appropriate intervention code from the
Canadian Classification of Health Interventions
The coded data is used in many ways and needs
to be accuracy is of premium importance to
support the best clinical, administrative and
financial decisions.
Poor data quality equates to poor decision-
making at all levels, which in turn creates risks.
Certified HIMs are a key resource to the health
care system.
HIM Professionals - Your Data Quality Experts
Data Quality Issues
There are many reasons why data may not be accurate, including:
Missing or incomplete clinical documentation (level of specificity not documented)
Misinterpretation of coding standards
Insufficient coding staff, and
Short turnaround times for coding submission deadlines requiring coding from incomplete charts.
Improving Data Quality
Leverage the skills and expertise of the CHIMA certified HIMs in all aspects of Health Information Management,
Overall Records Management (Paper/Hybrid/EHR)
Data Quality and related initiatives
Decision Support /Data Analysis
Coding and Data Capture (CIHI/MoH)
Case Mix
Activity Based Funding
Privacy, Confidentiality, Security
Documentation Improvement Strategies
HIM standards
Health Law
There is a positive correlation between quality documentation and quality decision making in health care. Good
documentation is linked to better health care planning, fewer medication errors, system error detection,
appropriate funding, improved regional planning and equitable resource allocation.
CHIMA Mandate
CHIMA is actively seeking a policy statement from the various Provincial/Territorial Ministries across Canada.
They are seeking a mandate that requires all heath care facilities that provide data and information to populate
various CIHI database holdings (such as the: Hospital Morbidity Database (HMDB), Discharge Abstract Database
(DAD), and the National Ambulatory Care Reporting System (NACRS) and Ministry of Health databases) be
coded and abstracted by CHIMA Certified Health Information Management Professionals, only.
HIM professionals work in other data quality areas along side coding classification. Good documentation is
linked to better health care planning, fewer medication errors, system error detection, appropriate funding,
improved regional planning and equitable resource allocation. As various electronic health record (EHR)
systems get rolled out across the country, the integrity, consistency, and accuracy of the data is increasingly
important. As a result, the need for more rigorous data quality governance, stewardship, management, and
measurement is greater than ever.
For further information regarding CHIMA, CCHIM, or the HIM professional, please go to
1 HIM® is a registered trademark of CHIMA
No. 2
May 2015
IFHIMA Newsletter International Federation of Health Information Management Associations
IFHIMA is proud to announce that it has accepted the request from the
Family of International Classifications Education and
Implementation Committee ( WHO-
FIC EIC) to manage the
International Examination for Morbidity Coders during 2015. This
decision will be revisited by the board at the end of 2015.
The exam has been in existence since 2008 and has been pilot tested in
six countries. This international examination is not for the certification
of coders, but is intended to assess coders’ ICD-10 knowledge and skills
in using this classification. In countries where the pilot exams have
been administered, the results have led to improvements in training
programs for coders and in the organization of continuing education
Coders with at least two years of coding experience and knowledge of
all volumes of ICD-10 can sit for the exam. The exam has 20 multiple
choice questions and 30 coding diagnosis questions as well as 10 short
scenarios and 5 long scenarios.
If a country is interested in conducting the exam in that country,
IFHIMA should be contacted for a copy of the Guidelines for
Candidates. The country is responsible for translation of the exam into
the appropriate language and for the administration and scoring of the
exam, as well as maintaining its integrity. Interested individuals should
contact Margaret Skurka, Past President of IFHIMA at
for additional information.
This exam will be promoted to the member countries of IFHIMA and
we ask that each Regional Director and
Country Director take
responsibility for further promotion of the exam as well.
Margaret Skurka
Past President, IFHIMA
No. 2
May 2015
Put your fingers to
the keyboard,
IFHIMA Global News welcomes
contributions from individual
members, as well as member
countries. We appreciate short
articles, 400-700 words that share
HIM activities, meeting summaries,
or key events. We publish
approximately three times per year
based upon content available, and
volunteers who will help edit.
Please send your articles (pictures
or graphs add a lot of appeal) in a
word format (no PDF) to
Have you paid
your 2015 IFHIMA
membership dues?
Membership dues can be paid on-
line using a credit or debit card at
Alternatively there is the option to
file a paper application/renewal by
downloading the form from the
website and mailing it to the
address provided on the form.
Please visit our website to easily update
your information.
IFHIMA to Manage International Examination
for Morbidity Coders
IFHIMA Newsletter Internat ional Federation of Health Information Management Associations
Author: Marci MacDonald
President Elect, IFHIMA / 06 Feb 2015
As reported in the December 2014t publication
of the Global News, IFHIMA was approached
towards the end of 2013 by AHIMA (the
American Health Information Management
Association), to participate in an international
collaboration to build a framework of expected
educational curriculum, for HIM professionals
globally. As the IFHIMA membership had
expressed interest in a global template in a
recent survey and at past Congresses, the
IFHIMA Board were pleased to have this
To this end, the Global Health Workforce Council
was created, co-chaired by AHIMA and IFHIMA
with representation of global HIM educators and
leaders tasked with creating international HIM
educational guidelines, and expected
competencies. The WHO-FIC curriculum work
that was developed in 2005-2006 was
referenced, as well as national programs such as
No. 2
May 2015
IFHIMA Newsletter Internat ional Federation of Health Information Manageme nt Associations
those well established in the United States,
Australia and Canada.
The entire project is expected to last three years,
with regular teleconferences, and one in-person
meeting held annually. A recent in-person
meeting was held in January 2015 in Dublin,
Once the curriculum guidelines are created, they
will be available for use by any national HIM
association, who may wish to measure their own
HIM education system against same, to ensure
they are covering all areas of education and
training that are considered necessary to ensure
capable HIM professionals in the work place. As
well, these guidelines may be utilized to develop
new HIM programs, with a focus on those in
developing countries.
The council has been established to include
membership from each WHO region, and at large
members as outlined in the December 2014
Save the Date for the
IFHIMA Congress in Tokyo
in 2016!
Date: October 12-14, 2016
Venue: Tokyo International Forum, Tokyo, Japan
Theme: A New Chapter in Global HIM begins: Application,
Implementation and Dissemination
Visit our website:
UPDATE - Global Health Work Force Council an International
Funding for the project is provided by AHIMA
and the USA Department of Commerce, with the
expectation that AHIMA will develop course
outlines meeting those determined within the
final product, and market them to countries that
do not have well established HIM programs or
associations. IFHIMA will make this same
document available to all members, both
individual and national, who can also apply this
knowledge to enhance and market their own
educational programs, if they so desire.
The first draft was completed in mid-November
2014, and IFHIMA engaged National Directors for
input who distributed the document to those
within their regions for review. The structure of
the document is modular and competency
based, aligning competency levels utilizing
Bloom’s Taxonomy. This modular format permits
flexibility and is organized in the academic levels
of “Entry”, “Intermediate” and “Advanced”, and
has been organized by the categories of Health
Information Management, Health Informatics,
and Health Information and Communication
Technologies which recognizes the close
relationship between HIM and HIT.
Feedback from all those that reviewed the
document was tremendous and we thank
those of you that took the time to review the
document and provide valuable comments.
No. 2
May 2015
IFHIMA Newsletter Internat ional Federation of Health Information Manag ement Associations
Contributions to Global News are welcomed from members and non-members of IFHIMA and articles
should be typed and sent by e-mail to the Editor, Angelika Haendel Angelika.Haendel@uk- for consideration for publication. Responsibility for referencing in any article rests with
the author. Readers should note that opinions expressed in articles in Global News are those of the
authors and do not necessarily represent the position of IFHIMA.
PS: If you do not wish to receive further IFHIMA/IFHIMA messages or editions of Global News please let
us know and we will remove you from the mailing list (
Upon reviewing comments, there were some
common themes and the Council is now
looking at ways to revise and alter the draft, to
ensure it is user friendly and captures the
information you all feel is vital. Those that
provided comments, should be pleased to know
that each one was reviewed and discussed, and
feedback will be coming back to you.
Future opportunities for additional comment will
again be offered, as the next draft will also be
put forth for additional input and comment.
Again, IFHIMA would like to thank you all for
your involvement to date, and look forward to
continuing this level of engagement in the
future, as we move along with this exciting
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