Research: Digital Twin for Health System Resilience

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A health system resilience is needed to strengthen the Indonesia’s preparedness, response and approach to future crises, especially in events such as the COVID-19 pandemic. The Ministry of Health Indonesia has now included health system strengthening as one of their top priorities. The new curriculum with digital technologies at its core is therefore required to upskill and train the next generation healthcare workforce, one of the determinants of health system resilience framework.

Understanding of latest digital tools, e.g., artificial intelligence (AI), can be used to help extract the key features from the current pandemic responses of Indonesia. A digital twin (DT), which will employ AI tools at its core, is a virtual representation of a system facilitating a bi-directional communication between the system and its digital representation. Examples of DTs in the reduced form of computational models are now in the public gaze, for example, COVID-19 pandemic modelling. However, developing a curriculum that applies DT technology to teaching and learning environments remains critical to future-proofing not just for Indonesian healthcare system but also UK healthcare and infrastructure (UK Innovation Strategy). The project is also expected to prepare students for health system resilience through the DT potential in the policy-making process.
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Developing/disseminating the connected curriculum structure on digital twin technology for strengthening health system resilience
Performing student-centred approach to increase student’s learning experience using digital/blended delivery
Enhancing transnational education collaboration between UK and Indonesia, including capacity building through joint curriculum development

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Curriculum structure of digital twin in health system resilience in graduate course including joint teaching program between UK-Indonesia
Faculty member exchange programme
Digital twins and public health in the pandemics era workshop
Massive open online course (MOOC) for other universities and policy makers with targets approximately 50 individuals
Two to four dissemination activity in the form of conference on areas such as digital education, digital twin, digital learning

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Project team:
Universitas Gadjah Mada, Indonesia

Yodi Mahendradhata, MD, PhD, FRSPH
Lutfan Lazuardi, MD, PhD
Annisa Ristya Rahmanti, MS, Ph.D, RD
Hanifah Wulandari, S.Gz

Middlesex University, United Kingdom/London Digital Twin Research Centre (LDTRC), UK

Prof. Huan X. Nguyen
Prof. Mehmet Karamanoglu
Prof. Balbir Barn
Dr. Tuan Le
Dr. Souvik Barat
Dr. Ramona Trestian

Project partner:

Health Office at Kulon Progo District, Yogyakarta Province, Indonesia
Primary Health Care at Samigaluh II, Kulon Progo District, Indonesia
Primary Health Care at Mlati II, Sleman District, Indonesia
PT Sisfomedika, Indonesia
London Digital Twin Research Centre (LDTRC), UK
TCS Research, India

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Digital twin is the process of analysing data that leads to decision-making through simulations and models. Digital twin has an important role in preparedness and response to a pandemic or health crisis. Department of Health Policy and Management FK-KMK UGM collaborates with Middlesex University UK and London Digital Twin Research Centre under Prof. Huan Nguyen with the aim of developing a digital twin curriculum for health system strengthening. Through this collaboration, it is hoped that it can increase capacity in anticipating crises through simulation, real time decision making, collaboration and adaptive education.
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[av_heading heading=’January 2022 – Kick Off Meeting’ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-l6oj331q’ sc_version=’1.0′ admin_preview_bg=”][/av_heading]

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Kick off meeting for UK – Indonesia education partnerships projects including Middlesex – UGM Digital Twin for Health System Resilience held virtually on 26 January 2022.

Opening remarks
Prof. Dr. Balbir Barn
Executive Dean of Faculty of Science and Technology, Middlesex University London (UK)
Prof. Dr. Mehmet Karamanoglu
Head of Department of Design Engineering and Maths, Middlesex University London (UK)
Prof. dr. Ova Emilia, M.MED.ED., SP.OG(K).,Ph.D
Dean Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
British Council Indonesia
Mr. Hugh Moffatt, Country Director

Project Introduction

Prof. Huan X. Nguyen, UK Project Lead
Director of London Digital Twin Research Centre (LDTRC)

dr. Yodi Mahendradhata, M.Sc., PhD, FRSPH
Indonesia Project Lead

Associated Partner Speech

dr. Veronika Evita Setianingrum, MPH
Head of Mlati II Primary Health Care
Hendri Kurniawan, S.Kom., M.Cs
Research and Development Manager of PT Sisfomedika

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[av_heading heading=’March 2022 – British Council Site Visit to UGM and Mlati II Primary Health Care’ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-l6of2xbu’ sc_version=’1.0′ admin_preview_bg=”][/av_heading]
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The role of the Puskesmas as a project partner is very important so it is necessary to involve the Puskesmas in this project a lot. Puskesmas has a relationship with the community not only curative but promotive preventive. Based on site visit to Puskesmas Mlati II, Head of the Puskesmas and staff showed that the role of the Mlati II Health Center was very good in serving its citizens when facing the crisis situation of the COVID-19 pandemic. Some services have also started to be digital-based to make it easier for the public to access health services.
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[av_heading heading=’May 2022 – 1st Workshop Digital Twin for Health System Resilience’ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-l6oeaqbo’ sc_version=’1.0′ admin_preview_bg=”][/av_heading]
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Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada collaborates with Middlesex University and London Digital Twin Research Centre to Develop a Connected Curriculum on Digital Twin for Health System Resilience. The 1st Workshop held on Monday, 23 May 2022 at 02.00 – 03.30 pm involving stakeholders from policy makers in the health sector, development teams, and health informatics observers. It aim to obtain input from stakeholders in the health sector regarding the development of the connected curriculum structure on digital twin technology for strengthening health system resilience, both from the challenges that may be faced and the potential benefits in its implementation in the Indonesian workforce/health system.

The speakers are Prof. Huan X. Nguyen – Middlesex University discussed about ‘Digital Twin in Healthcare’; Souvik Barat – TCS Research India discussed about ‘A digital twin based approach to explore a safer return to new normal in the face of Covid19 pandemic related uncertainties’; and dr. Yodi Mahendradhata, M.Sc., Ph.D., FRSPH – FMPHN UGM discussed about ‘Health System Resilience in Indonesia’.

The stakeholders present about issues in the field related to the application of digital technology from their institution to strengthen the Indonesian health system which can be used as material for student’s learning materials.
The stakeholder consist of:
Public Health Office Kulon Progo
Puskesmas Mlati 2, Sleman District
Puskesmas Samigaluh 2, Kulon Progo District
Academic Hospital UGM
Health informatics company (Sisfomedika)
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[av_heading heading=’August 2022- Staff Exchange Program: Middlesex University team visit to UGM’ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-l7777u71′ sc_version=’1.0′ admin_preview_bg=”][/av_heading]
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Middlesex University London (UK) conducted site visit in the context of the Going Global Partnership “Developing Connected Curriculum on Digital Twin for Health System Resilience” at the Faculty of Medicine, Public Health, and Nursing UGM on 18-19 August 2022. This activity aim to develop a curriculum structure on digital twin technology for strengthening health system resilience and enhancing transnational education collaboration between UK and Indonesia.
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[av_heading heading=’May 2023 – Staff Exchange Program: UGM visit to Middlesex University’ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-lj5blm1n’ sc_version=’1.0′ admin_preview_bg=”][/av_heading]
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As a part of activities in our British Council project “Digital Twin for healthcare resilliance”, some project team member from Universitas Gadjah Mada visit Middlesex University London in 22 May – 2 June 2023. The Indonesian delegation facilitated by the British Council Indonesia and led by Prof. Tjitjik Sri Tjahjandarie from the Ministry of Education, Culture, Research and Technology (MOECRT), Indonesia.

The delegation attended 2023 Annual Workshop on Digital Twin at London Digital Twin Research Centre on 24th May 2023. Several activities were carried out as part of project activities such as London Digital Twin Research Centre to explore facilities and plan for developing further online learning resources also explore research on digital twin modeling for healthcare domain.

More information: https://dt.mdx.ac.uk/?p=2268
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[av_heading heading=’December 2023 – Site Visit in Jakarta ‘ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-lqn87rel’ sc_version=’1.0′ admin_preview_bg=”][/av_heading]
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Field visits by the Middlesex University, TCS Research India and UGM teams were conducted to several health institutions and facilities to find out the use of digital technology in health services and data management / information systems. On 18-19 December 2023 the visit was conducted at the Department of Biostatistics and Population Study, Faculty of Public Health, University of Indonesia, Persahabatan Hospital and Tzu Chi Hospital PIK Jakarta. This visit was also intended to increase cooperation partners. Persahabatan Hospital with its excellence in handling respiratory diseases opens up opportunities for collaboration in the respiratory area. Both Persahabatan Hospital and Tzu Chi Hospital PIK also have advanced data management including data centres that support data recovery in disaster conditions.
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[av_heading heading=’December 2023 – Dissemination Workshop: Digital Twin for Health System Resilience’ tag=’h3′ style=” subheading_active=” show_icon=” icon=’ue800′ font=’entypo-fontello’ size=” av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” subheading_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” icon_size=” av-desktop-font-size-1=” av-medium-font-size-1=” av-small-font-size-1=” av-mini-font-size-1=” color=” custom_font=” subheading_color=” seperator_color=” icon_color=” margin=” margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ headline_padding=” headline_padding_sync=’true’ av-desktop-headline_padding=” av-desktop-headline_padding_sync=’true’ av-medium-headline_padding=” av-medium-headline_padding_sync=’true’ av-small-headline_padding=” av-small-headline_padding_sync=’true’ av-mini-headline_padding=” av-mini-headline_padding_sync=’true’ padding=’10’ av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” icon_padding=’10’ av-desktop-icon_padding=” av-medium-icon_padding=” av-small-icon_padding=” av-mini-icon_padding=” link=” link_target=” title_attr=” id=” custom_class=” template_class=” av_uid=’av-lqn88lnl’ sc_version=’1.0′ admin_preview_bg=”][/av_heading]
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Department of Health Policy and Management FK-KMK UGM in collaboration with Middlesex University United Kingdom and TCS Research India organised the Hybrid Workshop Digital Twin for Health System Resilience on 20 December 2023. Various international partners and national stakeholders were invited to share experiences and good practices in supporting digital health transformation. The speakers of this workshop were Prof. dr. Ali Ghufron Mukti, M.Sc, Ph.D. (BPJS Kesehatan), Prof. Yodi Mahendradhata (FK-KMK UGM), Dr. Souvik Barat (TCS Research India), Dr. Tuan Le (Middlesex University), Namadev B (Techy Geeks), Dr. Dinh Van Dzung (Vietnam Health System Resilience), dr Ahmad Hidayat (SATUSEHAT Technical Working Group), dr Verry Adrian, M.epid (DKI Jakarta Provincial Health Office), and Purwadi Sujalmo, S.Kep., Ns., M.Kep., MN (UGM Academic Hospital).
From what Prof Yodi said, Digital Twin technology is a transformative approach to strengthen the health care system. By integrating these concepts into the educational framework, healthcare professionals can become proactive strategists, ready to face the uncertainties of the future.
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Potential Roles of Digital Twin for Pandemic Prevention, Preparedness, and Response

FK-KMK UGM: Prof. dr. Yodi Mahendradhata, M.Sc., Ph.D., FRSPH
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TCS Research India: Dr. Souvik Barat
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Middlesex University: Dr. Tuan Le
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Techy Geeks: Namadev B
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Vietnam National University: Dr. Dinh Van Dzung
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Technical Working Group SATUSEHAT/ FORKOMTIKNAS: dr. Ahmad Hidayat
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District Health Office: dr. Verry Adrian, M.epid (Head of Information Data and Public Relations Section, DKI Jakarta Provincial Health Office)
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UGM Academic Hospital: Purwadi Sujalmo, S.Kep., Ns., M.Kep., MN
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Director of BPJS Kesehatan (Indonesian Finance Agency): Prof. dr. Ali Ghufron Mukti, M.Sc, Ph.D.
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