CONTOH PENILAIAN KINERJA KPS.xlsx

PENILAIAN KINERJA PENUNJANG MEDIK NAMA

:

NI P

:

JABATAN

: FARMASI KLINIK

UNIT KERJA

:

No

Indikator Yang Dinilai

Defnisi Operasional

Target

Capaian

"o$ot %&'

Nilai (asil Kiner)a

1

2

3

4

5

6

(5/4)x6

A KUANTI ANTIT TAS 1) J!$%a& pe%a'anan ,ar$asi %ini

Veri-asi Veri-asi Resep se.ara %ini (per resep) Pe$anta!an Terapi /*at (per pasien) Visite (per pasien) Dis!si Kas!s (per pasien) Pe%a'anan Pe%a'anan Knse%in+ Pasien Ra0at inap (per pasien) Pe%a'anan Pe%a'anan Knse%in+ Pasien Ra0at a%an (per pasien) 2a0an.ara Ri0a'at Pen+*atan Pen+*atan Pasien (per pasien) Pe%a'anan Pe%a'anan In,r$asi /*at (per ,re!ensi) Men'iapan 3ata e+iatan ,ar$asi %ini (per e+iatan) e+iatan) Kn-r$asi4r3inasi pen'e%esaian pen'e%esaian $asa%a& (per as!s)

") Me$as5an i$p%e$entasi S/P 6 IK

Me$anta! i$p%e$entasi pe%a'anan ses!ai e*iaan e*iaan (per ,re!ensi per %asi)

Rn3e Manae$en (per ,re!ensi) #) J!$% J!$%a& a& $en' $en'!s !s!n !n nse nsep p

Men'!s!n nsep e*iaan4prse3!r e*iaan4prse3!r (per e*iaan4prse3!r)

) J!$% J!$%a& a& *i$* *i$*in in+ +an

Bi$*in+an $a&asis0a PKL (per ,re!ensi)

Jumlah Kuantas " KUA#IT A#ITAS AS

!

"o$ot %&'

Nilai (asil Kiner)a

6 #9

(5/4)x6 *+**&

! ,*

*+**& *+**&

1) Ke*era3aan

19

7778

") Inisia5,

#

7778

#) Ke&an3a%an

#

7778

) Kepat!&an

#

7778

9) Kerasa$a

#

7778

;) Siap Peri%a!

#

7778

Jumlah -erilaku

*

7778

No 1

Indikator Yang Dinilai 2 1) J!$%a& re$en3asi epa3a 3ter 'an+ 3i5n3a%an!5

Defnisi Operasional

Target

Capaian

3 Re$en3asi epa3a 3ter tentan+ 3r!+ re%ate3 pr*%e$ 'an+ 3iset!!i %e& 3ter

4 177 8

5

Jumlah Kualitas Jumlah Kuantas dan Kualitas C -./I#AKU

D K.0IA K.0IAT TAN TA1"A(AN A1"A(AN 1)

7778

")

7778

#) 3st

7778

Jumlah Kegiatan Tam$ahan Total Nilai Kiner)a Indi2idu

!

!+**&

3*!

!+**&

1 Unt! Unt! Pe+a Pe+a0ai 0ai %ainn'a %ainn'a 3ises!aia 3ises!aian n " In3iat In3iatrr K!a%ita K!a%itass 3an 3an !an5 !an5tas tas < =78 # In3i In3iat atr r Peri% Peri%a a! ! < #78

Ti$ Peni%ai Kinera Pe+a0ai

Atasan Lini Lan+s!n+ >>>>>>>>>

>>>>>>>>>>>>>>>>

>>>>>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>> NIP >>>>>>>>>>

PENILAIAN KINERJA PENUNJANG MEDIK NAMA

:

NIP

:

JABATAN

: ASISTEN P/TEKER

UNIT KERJA

:

No


Defnisi Operasional

Target

Capaian

"o$ot %&'

Nilai (asil Kiner)a

1

2

3

4

5

6

(5/4)x6

A KUANTITAS 1) Pen'!s!nan %apran e+iatan pen+e%%aan per*ea%an@ per*ea%an ,ar$asi Men'!s!n %apran e+iatan pen+e%%aan per*ea%an (774Tiap Lapran)

") Peren.anaan $en+!$p!%an 3ata@3ata eterse3iaan *at (777#45ap paet) (St. /pna$e)

#) Peneri$aan 3a%a$ $e$erisa per*ea%an Far$asi (777;4*erita a.ara)

) Pen'i$panan $en'i$pan per*ea%an Far$asi (777"45ap *erita a.ara) 9) Me$persiapan ren.ana e+iatan : $e$i%a& @$i%a& $en+e%$pan 3an $en+$pi%asi 3ata @n 3ata) (777;45ap paet) ;) Pe$i%i&an $ereapit!%asi 3ata@3ata (777=45ap paet) =) Dispensin+ Resep In3ii3!a% Men'iapan *at 3an $e$*!at e5et (7779417 Tiap 17 %e$*ar resep)

?) Dispensin+ Resep in3ii3!a% $eneri$a 3an $e'e%esi pers'aratan a3$inistrasi resep serta $en+&it!n+ &ar+a *atn'a (7771 5ap 17 %e$*ar resep)

No 1

Indikator Yang Dinilai 2 C) pen'era&an 3an pe%a'anan in,r$asi *at (pi) (77794KEGIATAN)

Defnisi Operasional

Target

Capaian

"o$ot %&'

Nilai (asil Kiner)a

3

4

5

6

(5/4)x6

17) Men+ntr% 4 $en+e.e *at epire3 3ate 4 r!sa

Jumlah Kuantas

!*

" KUA#ITAS 1) Persentase pen'i$panan *at J!$%a& *at 'an+ 3i*eri %a*e% ses!ai stan3ar 3i*a+i tta% *at 'an+ se&ar!sn'a 3i*eri %a*e% (%asa 3an &i+& a%ert)

"7

*+**&

4* ,*

*+**& *+**&

19

7778

") Inisia5,

#

7778

#) Ke&an3a%an

#

7778

) Kepat!&an

#

7778

9) Kerasa$a

#

7778

;) Siap Peri%a!

#

7778

Jumlah -erilaku

*

7778

Jumlah Kualitas Jumlah Kuantas dan Kualitas C -./I#AKU 1) Ke*era3aan

177

D K.0IATAN TA1"A(AN 1)

7778

")

7778

#) 3st

7778


!

!+**&

3*!

!+**&

1 Unt! Pe+a0ai %ainn'a 3ises!aian " In3iatr K!a%itas 3an !an5tas < =78 # In3iatr Peri%a! < #78



>>>>>>>>>>>>>>>> NIP >>>>>>>>>>>>>

>>>>>>>>>>>>>>>> NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>> NIP >>>>>>>>>>

No


Defnisi Operasional

Target

Capaian

"o$ot %&'

Nilai (asil Kiner)a

1

2

3

4

5

6

(5/4)x6

PENILAIAN KINERJA /PERATI/NAL STAFF # NAMA

:

NIP

:

JABATAN

: Tata Reenin+

UNIT KERJA

:

"o$ot Nilai (asil %&' Kiner)a

No


Defnisi Operasional

Target

Capaian

1

2

3

4

5

6

(5/4)x6

1"

1"

717

17778

A KUANTITAS 1) J!$%a& 3!$en sens!s &arian per 3ter per a$inan 'an+ 3i&asi%an ")

J!$%a& Data asa 3ter pasien Ja$inan

1"

1"

717

17778

#)

J!$%a& S!rat pe$*erita&!an per%e&an asa 3ter 'an+ 3iiri$an

1"

1"

717

17778

)

Lapran Jasa 3ter per *!%an

1"

1"

717

17778

*+5*

5*+**&

Jumlah Kuantas " KUA#ITAS 1) Penerapan S/P terait Pe$*a'aran Jasa

")

Kep!asan pe%an++an


Tin+at Penerapan S/P ses!ai 3en+an 0at! pen'e%esaian etaatan pa3a at!ran tar+et 'an+ 3itetapan Tar+et Peni%aian : Ses!ai S/P : 177 53a ses!ai 3en+an S/P : 7

177

177

719

19778

Tin+at ep!asan pe%an++an ter&a3ap pe%a'anan ses!ai SP/ 0at! '+ 3itetapan Tanpa esa%a&an4Tanpa K$p%ain 3ari : pasien 3an ata! tena+a ese&atan 'an+ terait (Sea0at 3ter 3an pera0at) se.ara %isan4tert!%is $as# $p%ain4*!%an Tar+et Peni%aian : Ti3a A3a Ke%!&an : 177 1@# Ke%!&an : ?7  # Ke%!&an : ;7

177

177

719

19778

*+* *+,*

*+**& ,*+**&

No


1

2

Defnisi Operasional 3 Bera3a 3i %in+!n+an4 3i te$pat era %e*i& 7 a$ 3a%a$ se$in++!

Target

Capaian

4

5


6 1 719

(5/4)x6 19778

1)

Ke*era3aan

")

Inisia5,

epat $en+ena%i $asa%a& 3an $e$praarsai $en+!pa'aan 5n3aan 3an saran re5,

1 77#

#778

#)

Ke&an3a%an

T!+as r!5n se%esai tepat 0at! tanpa esa%a&an

1 77#

#778

)

Kepat!&an

Taat pa3a at!ran 3an 3apat $e$5asi ar'a0an %ain

1 77#

#778

9)

Kerasa$a

Se%a%! siap 3an serin+ $e$praarsai erasa$a 3an $eneri$a $as!an 3an ri5 3en+an *ai

1 77#

#778

;)

Siap Peri%a!

Ant!sias 3en+an t!+asn'a senan5asa $a! $e$*ant! $a$p! 3an a5, *er$!niasi 3en+an pe%an++an

1 77#

#778

*+*

*+**&

Jumlah -erilaku D K.0IATAN TA1"A(AN 1) ") #)

3st

Jumlah Kegiatan Tam$ahan

*+**

Total Nilai Kiner)a Indi2idu

3+**

3**+**&

Untuk Tenaga Operaonal Sta6 lainn7a men7esuaikan sasaran kiner)a indi2idu masing8masing



>>>>>>>>>>>>>>>> NIP >>>>>>>>>>>>>

>>>>>>>>>>>>>>>> NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>> NIP >>>>>>>>>>

PENILAIAN KINERJA /PERATI/NAL STAFF # NAMA

:

NIP

:

JABATAN

: Ana%is Data (e!an+an epe+a0aian !$!$)

UNIT KERJA

:


No


Defnisi Operasional

Target

Capaian

1

2

3

4

5

6

(5/4)x6

1"

1"

7"7

"7778

1"

1"

7"7

"7778

*+5*

5*+**&

A KUANTITAS 1) J!$%a& Lapran 'an+ 3iana%isa ")

J!$%a& Ana%isa 'an+ 3i5n3a%an!5

Jumlah Kuantas " KUA#ITAS 1) Penerapan S/P terait Ana%isa Lapran

")

Kep!asan pe%an++an

Tin+at Penerapan S/P ses!ai 3en+an 0at! pen'e%esaian etaatan pa3a at!ran tar+et 'an+ 3itetapan Tar+et Peni%aian : Ses!ai S/P : 177 53a ses!ai 3en+an S/P : 7

177

177

719

19778

Tin+at ep!asan pe%an++an ter&a3ap pe%a'anan ses!ai SP/ 0at! '+ 3itetapan Tanpa esa%a&an4Tanpa K$p%ain 3ari : pasien 3an ata! tena+a ese&atan 'an+ terait (Sea0at 3ter 3an pera0at) se.ara %isan4tert!%is $as# $p%ain4*!%an Tar+et Peni%aian : Ti3a A3a Ke%!&an : 177 1@# Ke%!&an : ?7  # Ke%!&an : ;7

177

177

719

19778

*+* *+,*

*+**& ,*+**&

1 719

19778

Jumlah Kualitas Jumlah Kuantas dan Kualitas C -./I#AKU 1)

Ke*era3aan

Bera3a 3i %in+!n+an4 3i te$pat era %e*i& 7 a$ 3a%a$ se$in++!

No


Defnisi Operasional

Target

Capaian

1

2

3 epat $en+ena%i $asa%a& 3an $e$praarsai $en+!pa'aan 5n3aan 3an saran re5,

4

5


6 1 77#

(5/4)x6 #778

")

Inisia5,

#)

Ke&an3a%an


1 77#

#778

)

Kepat!&an

Taat pa3a at!ran 3an 3apat $e$5asi ar'a0an %ain

1 77#

#778

9)

Kerasa$a


1 77#

#778

;)

Siap Peri%a!


1 77#

#778

*+*

*+**&

Jumlah -erilaku D K.0IATAN TA1"A(AN 1) ") #)

3st

Jumlah Kegiatan Tam$ahan

*+**


3+**

3**+**&

Untuk Tenaga Operaonal Sta6 lainn7a men7esuaikan sasaran kiner)a indi2idu masing8masing



>>>>>>>>>>>>>>>> NIP >>>>>>>>>>>>>

>>>>>>>>>>>>>>>> NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>> NIP >>>>>>>>>>

PENILAIAN KINERJA PERA2AT (NURSE) 1 NAMA

:

NIP

:

JABATAN

: Pera0at Pe%asana (as..iate) (N1)

UNIT KERJA

:

No


Defnisi Operasional

Target

Capaian

1

2

3

4

5

A KUANTITAS 1) J!$%a& pasien 'an+ 3ira0at4!$%a& pasien 'an+ 3i%a'ani4!$%a& pasien 'an+ 3i%a!an 5n3aan4!$%a& a$ perasi

177

Jumlah Kuantas " KUA#ITAS

"o$ot Nilai (asil %&' Kiner)a 6

(5/4)x6

#7

7778

*

*+**&

1)

Pen+aian : Men+!$p!%an 3ata pasien

Me%a!an pen+aian se.ara %en+ap 3an ses!ai tar+et 0at!

177

9

7778

")

Menent!an $asa%a& epera0atan 3an ren.ana epera0atan *er3asaran priritas

@ Masa%a& Kepera0atan 3itent!an *er3asaran 3ata 'an+ 3i3apat @ Me$*!at r!$!san $asa%a& epera0atan 3an $enent!an priritas $asa%a& se.ara tepat

177

#

7778

#)

Menent!an t!!an epera0atan

Menent!an t!!an epera0atan 3en+an tar+et 0at! ter!!r

177

"

7778

)

I$p%e$entasi epera0atan

@ Me%a!an 5n3aan epera0atan *er3asaran stan3ar 'an+ 3itetapan 'an+ ter3iri 3ari $petensi in5 3an $petensi e&!s!san serta e$a$p!an %ain@%ain (" 5n3aan per*!%an) @ K%a*rasi 3en+an pasien 3an e%!ar+a 5$ ese&atan %ainn'a

177

17

7778

9)

Men+ea%!asi e*er&asi%an 5n3aan

@ Men+ea%!asi respn pasien se%a$a $e%a!an 5n3aan epera0atan @ Me%a!an ea%!asi se.ara $pre&ensi,

177

#

7778

No


Target

Capaian

2 3 Me%a!an pen3!$entasian @ Kee%asan t!%isan 3an epera0atan e%en+apan 3!$entasi @ Pen.atatan respn pasien @ D!$entasi terapi $e3iasi 5n3aan $e3i 3an 5n3aan epera0atan

4 177

5

=)

Penerapan Sasaran Kese%a$atan Pasien Internasina%

@ Me%a!an i3en5-asi pasien 3en+an *enar @ Menerapan $!niasi e,e5, (TBAK 3an SBAR) @ Me$as5an Ke*enaran Prse3!r4 Lasi /perasi 3an Pasien 'an+ aan 3i%a!an pe$*e3a&an ata! prse3!r %ain 'an+ terait@ persiapan sa,et' .&e.%ist pera0atan pas.a 5n3aan

?)

Menerapan in3iatr $!t! pe%a'anan epera0atan

C)

Lapran insi3en

1 ;)

17) Kep!asan pe%an++an


Defnisi Operasional

"o$ot Nilai (asil %&' Kiner)a 6 9

(5/4)x6 7778

177

#

7778

@ Menin+atan Kea$anan Pe$aaian /*at 'an+ Me$er%!an Ke0aspa3aan Tin++i @ Men+!ran+i risi terin,esi %e& tena+a ese&atan@ &an3 &'+iene pe$aaian APD pen+e%%aan %i$*a& @ Men+!ran+i risi pasien at!&@ assess$ent 3an reassess$ent i$p%e$entasi

177

#

7778

Inisia5, 3a%a$ $e$*!at %apran insi3en

177

#

7778

Prsentase 5n+at ep!asan pasien ter&a3ap pe%a'anan epera0atan

177

#

7778

5* ,*

*+**& *+**&

1)

Ke*era3aan

19

DIV47H

")

Inisia5,

#

DIV47H

#)

Ke&an3a%an

#

DIV47H

)

KETAATAN TERADAP PERATURAN

#

DIV47H

DISIPLIN KEADIRAN

#

DIV47H

PENGEMBANGAN K/MPETENSI DIRI

#

DIV47H

No


1

2 K/NTRIBUSI PEMBELAJARAN

Defnisi Operasional

Target

Capaian

3

4

5

"o$ot Nilai (asil %&' Kiner)a 6 #

(5/4)x6 DIV47H

INTEGRITAS

#

DIV47H

9)

Kerasa$a

#

DIV47H

;)

Siap Peri%a!

#

DIV47H

54

DIV47H

Jumlah -erilaku D K.0IATAN TA1"A(AN 1)

DIV47H

") #)

DIV47H 3st

DIV47H


!

!+**&

33,

9DI:;*<

Untuk -era=at lainn7a disesuaikan



>>>>>>>>>>>>>>>>

>>>>>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>> NIP >>>>>>>>>>

PENILAIAN KINERJA MEDIS NAMA

:

NIP

:

JABATAN

:

UNIT KERJA

: SMF BEDA

NO

INDIKATO/ YAN0 DINI#AI

D.>INISI O-./ASIONA#

TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

A KUANTITAS 1 J!$%a& pasien 'an+ 3ieraan 3i p%i%ini pa3a a$ era

" J!$%a& pasien 'an+ 3iperasi

an+ 3i$as!3 a3a%a& Tar+et 3itent!an J!$%a& rata@rata pasien 3en+an .ara $en+&it!n+ per &ari '+ 3ieraan !$%a& pasien per &ari %e& DPJP 3i p%i%ini %a'anan 3a%a$ a$ era 3a%a$ a$ era 3i*a+i $% 3ter 'an+ $e%a'ani Tar+et 3ises!aian 3en+an !$%a& pasien 3i RS $asin+@$asin+ Rasi i3ea% pe$erisaan 3ter tanpa 5n3aan 3a%a$ 0at! ; a$ a3a%a& 1 : "9@#7 pasien

?

an+ 3i$as!3 a3a%a& Tar+et 3itent!an J!$%a& rata@rata pasien 3en+an .ara $en+&it!n+ per &ari '+ 3i@perasi $% pasien '+ 3iperasi %e& DPJP 3i /K e%e5, per &ari 3i*a+i $% 3ter 'an+ $e%a'ani Tar+et 3ises!aian 3en+an !$%a& pasien 3i RS $asin+@$asin+

;

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

# J!$%a& pe$*i$*in+an an+ 3i$as!3 a3a%a& Tar+et 3i&it!n+ 3ari @ass4PPDS per &ari J!$%a& rata@rata e+iatan !$%a& e+iatan 3is!si 3is!si @ass4PPDS '+ 3i%asanaan @ 'an+ 3i%a!an ass4PPDS '+ $e%a!an pe$*i$*in+an %e& epaniteraan 3i *a+ian 3sen4DPJP pa3a &ari Be3a& 3i*a+i !$%a& era per a%i 3sen '+ $e%a!an pe$*i$*in+an pe$*i$*in+an (ter$as! *e3si3e tea.&in+ pe$*i$*in+an 3i p%i%ini pe$*i$*in+an 3i ra0at inap) Di*!5an 3en+an tan3a tan+an %+* 3sen

9

 J!$%a& rea$ $e3is 3an res!$e $e3is 'an+ 3it!%is %en+ap

;

an+ 3i$as!3 a3a%a& Tar+et 3i&it!n+ 3ari J!$%a& rea$ $e3is '+ !$%a& ese%!r!&an 3i%a!an pen+isian pasien '+ 3ieraan %e& tert!%is %en+ap DPJP 3i ra0at inap 3a%a$ (ter$as! res!$e 1 *!%an 3i*a+i !$%a& $e3is) sea pasien 3ter 3i SMF Be3a& 3ira0at sa$pai p!%an+ %e& DPJP Ke%en+apan rea$ $e3is ses!ai 3en+an .e%ist KARS $a!p!n JI

Jumlah Kuantas

4!

" KUA#ITAS I. PATIENT CARE

1 Ti3a a3a e$a5an pasien 3iatas $ea perasi pa3a perasi Be3a&

an+ 3i$as!3 a3a%a& Pasien 'an+ se3an+ $ena%anan perasi *e3a& 53a a3a 'an+ $enin++a%

1778



" Ti3a a3an'a ea3ian sa%a& psisi4*en3a ata! a%at ter5n++a% 3a%a$ 5n3aan4 perasi *e3a&

an+ 3i$as!3 a3a%a& Pasien 'an+ se3an+ $ena%anan perasi 53a tera3i esa%a&an i3en5-asi te$pat

1778

#

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

# Ti3a a3a in,esi %!a an+ 3i$as!3 a3a%a& perasi pa3a perasi Pasien sete%a& *ersi& $ena%anan perasi ate+ri perasi *ersi& *ersi,at e%e5, 53a $en+a%a$i in,esi pa3a *eas sa'atan4 *eas perasin'a 3a%a$ 1@# &ari pas.a perasi

1778

#

II. KOMPETENSI SDM

1 Pe%a5&an pa5ent sa,et'

an+ 3i$as!3 a3a%a& DPJP te%a& $en+i!5 pe%a5&an pa5ent sa,et' 3an $e$i%ii ser5-at '+ $asi& *er%a!

1778

#

" Pe%a5&an &an3 &'+iene

an+ 3i$as!3 a3a%a& DPJP te%a& $en+i!5 pe%a5&an &an3 &'+iene 3an $e$i%ii ser5-at '+ $asi& *er%a!

1778

#

an+ 3i$as!3 a3a%a& Pe%a'anan $e3is '+ 3i*erian %e& DPJP te%a& ses!ai 3en+an PPK4P4SP/ 'an+ *er%a! 3i RS $asin+@ $asin+

1778

#

Sr Ni%ai : Lapran  # : 177 Lapran 1 @ # : 97 Ti3a a3a %apran : 7

#

III. PRACTICE BASED LEARNING IMPROVEMENT

1 Pe%a'anan ses!ai 3en+an PPK (Pan3!an Pra5 K%ini) 4 P (%ini.a% Pat&0a') 4 SP/ (Stan3ar Prse3!r /perasina%)

" Lapran ea3ian 53a an+ 3i$as!3 a3a%a& 3i&arapan DPJP $e%apran epa3a atasan %an+s!n+ e+iatan pe%a'anan $e3is '+ tera3i ea3ian 53a 3i&arapan se.ara tert!%is *er!pa KN (Kea3ian N'aris i3era) a3erse eent sen5ne%

IV. KETRAMPILAN INTERPERSONAL DAN KOMUNIKASI

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

1 K$p%ain tert!%is 3ari an+ 3i$as!3 a3a%a& pasien ata! e%!ar+a Ke%!&an pasien4e%!ar+a pasien pasien terait pe%a'anan 3ter '+ 3isa$paian se.ara tert!%is epa3a $anae$en RS

" Kep!asan ns!$en

 " $p%ain 4 *!%an (persentase +ra3asi 3ises!aian $asin+@ $asin+ RS)

#

an+ 3i$as!3 a3a%a& S!re' '+ 3i%a!an %e& 5$ s!re' ep!asan pe%an++an (&!$as RS) se&!*!n+an 3en+an pe%a'anan '+ 3i*erian %e& 3ter S!re' 3i%a!an 1 *!%an sea%i

 =78



an+ 3i$as!3 a3a%a& Rea$ $e3i 3ian++ap %en+ap ses!ai 3en+an stan3ar .e%ist are3itasi KARS $a!p!n JI 3ie$*a%ian  " a$ e insta%asi rea$ $e3i sete%a& pasien p!%an+ ra0at

 C78



 C78



V. PRAKTIK BERBASIS SISTEM

1 Ke%en+apan rea$ $e3i ra0at inap 3an ra0at a%an 3a%a$ " a$ sete%a& pasien 3ip!%an+an

" Peresepan *at ses!ai an+ 3i$as!3 a3a%a& Fr$!%ari!$ Nasina% DPJP $en!%is resep *at epa3a pasien 3i RS '+ a3a 3i Fr$!%ari!$ Nasina% Di&it!n+ per R4

VI. PROFESIONALISME

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

1 Men+&a3iri $rnin+ reprt $e3i4pe%a'anan4%apra n e$a5an

an+ 3i$as!3 a3a%a& Tar+et 3i&it!n+ 3en+an Ke+iatan i%$ia& !$%a& e+iatan '+ a3a 3i $en'an+!t $!%53isip%in RS 3i*erian t%eransi '+ *er$an,aat !t e53a&a3iran penin+atan $petensi *er3asaran nsens!s DPJP Ter$as! pe$*a&asan per$asa%a&an pa3a pasien (KTD) serta as!s@ as!s '+ $eni$*!%an e$a5an pasien pa3a saat $en3apatan pe%a'anan $e3is 3i RS



" Visite DPJP 3i r!an+ ra0at inap se5ap &ari era  a$ 1"77 2IB

an+ 3i$as!3 a3a%a& Tar+et 3i&it!n+ 3en+an DPJP 0ai* $e%asanaan !$%a& e+iatan '+ a3a 3i isite 4 a0a* ns!% RS 3i*erian t%eransi pasien 3i r!an+ ra0at e53a&a3iran inap se5ap &ari era  *er3asaran nsens!s a$ 1"77 2IB




5! ,*

1 Ke&a3iran

'an+ 3i$as!3 a3a%a& Ke&a3iran sta, 3i %in+!n+an 4 3i te$pat era 7 a$ 3a%a$ se$in++! 3an a3a *!5 e*era3aan (3en+an $asi$a% eter%a$*atan 4 %e*i& .epat p!%an+ 9@; a$ se*!%an)

 97 @ ;7 : !ran+  ;7 @=7 : 3i *a0a& &arapan  =7 @ ?7 : ses!ai &arapan  ?7 @ C7 : 3i atas &arapan  C7 @ 177 : is5$e0a

19

" Inisia5,


#

# Ke&an3a%an


#

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

 Kepat!&an

'an+ 3i$as!3 a3a%a& Kepat!&an a3a%a& taat pa3a at!ran RS 3an tata ter5* epe+a0aian


9 Kerasa$a


#

; Siap Peri%a!


#

Jumlah -erilaku

#

*


3**



>>>>>>>>>>>>>>>>

>>>>>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>> NIP >>>>>>>>>>

PENILAIAN KINERJA MEDIS

NAMA

:

NIP

:

JABATAN

:

UNIT KERJA

: SMF PENAKIT DALAM

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

A KUANTITAS 1 J!$%a& pasien 'an+ 3ieraan 3i p%i%ini pa3a a$ era

" J!$%a& pasien 'an+ 3i@isite 3i ra0at inap

an+ 3i$as!3 a3a%a& J!$%a& rata@rata pasien per &ari '+ 3ieraan %e& DPJP 3i p%i%ini 3a%a$ a$ era

Tar+et 3itent!an 3en+an .ara $en+&it!n+ $% pasien per &ari %a'anan 3a%a$ a$ era 3i*a+i $% 3ter 'an+ $e%a'ani Tar+et 3ises!aian 3en+an !$%a& pasien 3i RS $asin+@$asin+ Rasi i3ea% pe$erisaan 3ter tanpa 5n3aan 3a%a$ 0at! ; a$ a3a%a& 1 : "9@#7 pasien

?

an+ 3i$as!3 a3a%a& J!$%a& rata@rata pasien per &ari '+ 3i@isite %e& DPJP 3i ra0at inap

Tar+et 3itent!an 3en+an .ara $en+&it!n+ $% pasien per &ari 3i*a+i $% 3ter 'an+ $e%a'ani Tar+et 3ises!aian 3en+an !$%a& pasien 3i RS $asin+@$asin+

;

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

# J!$%a& pe$*i$*in+an @ ass4PPDS per &ari

an+ 3i$as!3 a3a%a& Tar+et 3i&it!n+ 3ari J!$%a& rata@rata !$%a& e+iatan 3is!si e+iatan 3is!si @ '+ 3i%asanaan @ ass4PPDS 'an+ 3i%a!an ass4PPDS '+ $e%a!an pe$*i$*in+an %e& epaniteraan 3i *a+ian 3sen4DPJP pa3a &ari Pen'ait 3a%a$ 3i*a+i era per a%i !$%a& 3sen '+ pe$*i$*in+an $e%a!an (ter$as! *e3si3e pe$*i$*in+an tea.&in+ pe$*i$*in+an 3i p%i%ini pe$*i$*in+an 3i ra0at inap) Di*!5an 3en+an tan3a tan+an %+* 3sen

 J!$%a& rea$ $e3is an+ 3i$as!3 a3a%a& 3an res!$e $e3is 'an+ J!$%a& rea$ $e3is '+ 3it!%is %en+ap 3i%a!an pen+isian tert!%is %en+ap (ter$as! res!$e $e3is) sea pasien 3ira0at sa$pai p!%an+ %e& DPJP Ke%en+apan rea$ $e3is ses!ai 3en+an .e%ist KARS $a!p!n JI

Tar+et 3i&it!n+ 3ari !$%a& ese%!r!&an pasien '+ 3ieraan %e& DPJP 3i ra0at inap 3a%a$ 1 *!%an 3i*a+i !$%a& 3ter 3i SMF Pen'ait Da%a$

Jumlah Kuantas

9

;

4!

" KUA#ITAS I. PATIENT CARE

1 Tin+at e*er&asi%an an+ 3i$as!3 a3a%a& terapi NDDM *!%an 1 pasien $en3apatan sete%a& terapi terapi $e3ia$entsa 3an 3iet !nt! NIDDM $aa +!%a 3ara& terntr% 3a%a$ 1 *!%an pas.a terapi

?78



NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

" Ti3a a3a e$a5an pasien DF +ra3e I@III

an+ 3i$as!3 a3a%a& Pasien '+ s!3a& 3i3ia+nsis DF +ra3e I@ III pa3a saat *era3a 3i RS (*ai 3i IGD ra0at a%an $a!p!n ra0at inap) &ar!s se%a$at 53a *%e& $enin++a%

1778

#

# Ti3a a3a in,esi an+ 3i$as!3 a3a%a& pas.a 5n3aan pen'ait Pasien sete%a& 3a%a$ $en+a%a$i 5n3aan inasi, esterna% $a!p!n interna% 3i SMF Pen'ait Da%a$ 53a a3a in,esi 1@" &ari pas.a 5n3aan

1778

#

II. KOMPETENSI SDM

1 Pe%a5&an pa5ent sa,et'

an+ 3i$as!3 a3a%a& DPJP te%a& $en+i!5 pe%a5&an pa5ent sa,et' 3an $e$i%ii ser5-at '+ $asi& *er%a!

1778

#

" Pe%a5&an &an3 &'+iene

an+ 3i$as!3 a3a%a& DPJP te%a& $en+i!5 pe%a5&an &an3 &'+iene 3an $e$i%ii ser5-at '+ $asi& *er%a!

1778

#

an+ 3i$as!3 a3a%a& Pe%a'anan $e3is '+ 3i*erian %e& DPJP te%a& ses!ai 3en+an PPK4P4SP/ 'an+ *er%a! 3i RS $asin+@ $asin+

1778

#

III. PRACTICE BASED LEARNING IMPROVEMENT

1 Pe%a'anan ses!ai 3en+an PPK (Pan3!an Pra5 K%ini) 4 P (%ini.a% Pat&0a') 4 SP/ (Stan3ar Prse3!r /perasina%)

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

an+ 3i$as!3 a3a%a& DPJP $e%apran epa3a atasan %an+s!n+ e+iatan pe%a'anan $e3is '+ tera3i ea3ian 53a 3i&arapan se.ara tert!%is *er!pa KN (Kea3ian N'aris i3era) a3erse eent sen5ne%

Sr Ni%ai : Lapran  # : 177 Lapran 1 @ # : 97 Ti3a a3a %apran : 7

" Lapran ea3ian 53a 3i&arapan

#

IV. KETRAMPILAN INTERPERSONAL DAN KOMUNIKASI

1 K$p%ain tert!%is 3ari an+ 3i$as!3 a3a%a&  " $p%ain 4 *!%an pasien ata! e%!ar+a Ke%!&an pasien4e%!ar+a (persentase +ra3asi pasien pasien terait pe%a'anan 3ises!aian $asin+@ 3ter '+ 3isa$paian $asin+ RS) se.ara tert!%is epa3a $anae$en RS

#

" Kep!asan ns!$en S!re' '+ 3i%a!an %e& 5$ s!re' ep!asan pe%an++an (&!$as RS) se&!*!n+an 3en+an pe%a'anan '+ 3i*erian %e& 3ter S!re' 3i%a!an 1 *!%an sea%i

 =78



 C78



V. PRAKTIK BERBASIS SISTEM

1 Ke%en+apan rea$ $e3i ra0at inap 3an ra0at a%an 3a%a$ " a$ sete%a& pasien 3ip!%an+an

an+ 3i$as!3 a3a%a& Rea$ $e3i 3ian++ap %en+ap ses!ai 3en+an stan3ar .e%ist are3itasi KARS $a!p!n JI 3ie$*a%ian  " a$ e insta%asi rea$ $e3i sete%a& pasien p!%an+ ra0at

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

an+ 3i$as!3 a3a%a& DPJP $en!%is resep *at epa3a pasien 3i RS '+ a3a 3i Fr$!%ari!$ Nasina% Di&it!n+ per R4

 C78

" Peresepan *at ses!ai Fr$!%ari!$ Nasina%



VI. PROFESIONALISME

1 Men+&a3iri $rnin+ an+ 3i$as!3 a3a%a& Tar+et 3i&it!n+ 3en+an reprt Ke+iatan i%$ia& !$%a& e+iatan '+ a3a $e3i4pe%a'anan4%apra $en'an+!t 3i RS 3i*erian t%eransi n e$a5an $!%53isip%in '+ e53a&a3iran *er$an,aat !t *er3asaran nsens!s penin+atan $petensi DPJP Ter$as! pe$*a&asan per$asa%a&an pa3a pasien (KTD) serta as!s@as!s '+ $eni$*!%an e$a5an pasien pa3a saat $en3apatan pe%a'anan $e3is 3i RS



" Visite DPJP 3i r!an+ ra0at inap se5ap &ari era  a$ 1"77 2IB



an+ 3i$as!3 a3a%a& DPJP 0ai* $e%asanaan isite 4 a0a* ns!% pasien 3i r!an+ ra0at inap se5ap &ari era  a$ 1"77 2IB

Tar+et 3i&it!n+ 3en+an !$%a& e+iatan '+ a3a 3i RS 3i*erian t%eransi e53a&a3iran *er3asaran nsens!s

Jumlah Kualitas Jumlah Kuantas dan Kualitas C -./I#AKU 1 Ke&a3iran 'an+ 3i$as!3 a3a%a&  97 @ ;7 : !ran+ Ke&a3iran sta, 3i  ;7 @=7 : 3i *a0a& %in+!n+an 4 3i te$pat &arapan era 7 a$ 3a%a$  =7 @ ?7 : ses!ai se$in++! 3an a3a *!5 &arapan e*era3aan (3en+an  ?7 @ C7 : 3i atas $asi$a% eter%a$*atan &arapan 4 %e*i& .epat p!%an+ 9@;  C7 @ 177 : is5$e0a a$ se*!%an)

5! ,* 19

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

" Inisia5,


#

# Ke&an3a%an


#

 Kepat!&an

'an+ 3i$as!3 a3a%a& Kepat!&an a3a%a& taat pa3a at!ran RS 3an tata ter5* epe+a0aian

9 Kerasa$a


#

; Siap Peri%a!


#


Jumlah -erilaku

#

*


3**



>>>>>>>>>>>>>>>>

>>>>>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

NIP >>>>>>>>>>>>>

Diret!r SDM

>>>>>>>>>>>>>

NO



TA/0.T

CA-AIAN

"O"OT %&'

NI#AI (ASI# KIN./JA

1

2

3

4

5

6

(5/4)x6

NIP >>>>>>>>>>

CONTOH PENILAIAN KINERJA KPS.xlsx

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