IMPLEMENTASI IMPLEMENTASI SURAT PENUGASAN KLINIK & RINCIAN KEWENANGAN KLINIS
DR dr H HANNY RONOSULISTYO,SpOG(K),M RONOSULISTYO,SpOG(K),MM RONOSU LISTYO,SpOG(K),MM M
KEPMENKES RI NO.631MENKESSKI!"##$ TENTANG PEDOMAN PERATURAN INTERNAL STA% MEDIS (MEDICAL STA%% Y LAWS) DI RS
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KEPMENKES RI NO.631MENKESSKI!"##$ TENTANG PEDOMAN PERATURAN INTERNAL STA% MEDIS (MEDICAL STA%% Y LAWS) DI RS
M'*+* r'-'/ *0p'2' 24 'd d'5'r* p0r d r'*0'd *'pd *02' 'd d r* p'5'r 77 r'*0'd 7 7 pr-'', r'p0'2 d p'+ 24 'd pd +2 *'r8
P'r2+r M'2'r K''92 R'p+5* Id0' N00r :$$MENKESPERI!"#11 T'2 P';''r K02' M'd* d R+9 S*2 11 Apr "#11
PERMENKES #1" "#1" TENTANG AKREDITASI RS ● PADA KPS 9 DAN KPS10(KARS) ● SEMUA FILE STAF MEDIS HARUS TERDAPAT SPK DAN RKK . ● PROSES TERJADINYA KREDENSIAL DAN REKREDENSIAL.
SU KOMITE KREDENSIAL ● TU
KEANGGOTAAN SU KOMITE KREDENSIAL
● Terd!r! d'r! 6 Ke#', Se%re'r!&, '"$$/'. ● S#* %/!e %rede"&!' *er'"$$#"$ ''* %ep'd' %e#' %/!e ed!%.
● Krede"&!' 'd''+ pr/&e& e7'#'&! er+'d'p &'- ed!% #"#% e"e"#%'" %e''%'" d!*er!%'" %ee"'"$'" %!"!& (3!"!3' pr!7!e$e) ● Re%rede"&!' 'd''+ pr/&e& re8e7'#'&! er+'d'p &'ed!& '"$ e'+ e!!%! %ee"'"$'" %!"!& (3!"!3' pr!7!e$e) #"#% e"e"#%'" %e''%'" pe*er!'" %ee"'"$'" %!"!& er&e*#.
KONSEP DASAR KREDENSIAL ● ''#p#" &e/r'"$ &'- ed!& e'+ e"d'p'%'" *re7e &pe&!'!& d'r! %/e$!# %ed/%er'" "'#" r#'+ &'%! '!* e'%#%'" 7er!-!%'&! d'" e"e'p%'" %ee"'"$'" %!"!& #"#% e'%#%'" pe''"'" ed!&. ● D#' ''&'" #'' 6 ● Per%e*'"$'" !# %ed/%er'" ● Ke&e+''" &e&e/r'"$ ● L#'& !"$%#p %ee"'"$'" %!"!& &e/r'"$ d/%er &pe&!'!& d'p' &'' *er*ed' de"$'" %/e$'"' er$'"#"$ p'd' %ee'p'" %/!e ed!% e"'"$ %/pee"&! #"#% e'%#%'" !'p pe''"'" ed!&. ● Se/r'"$ &'- ed!& d'p' &'' d!3'*# %ee"'"$'"
MEKANISME KREDENSIAL ● Ke*!'%'" r#'+ &'%! e"'"$ %rede"&!' . ● Ped/'" pe"!'!'" %/pe"e"&! ● S'"d'r pr/&ed#re /per'&!/"' %re"de"&!'!"$. ● Me"#&#" ! *e&'r! e'%#%'" pe"!'!'" %/pee"&! &e/r'"$ &'- ed!& '"$ e!"' %ee"'"$'" %!"!&. ● Meper&!'p%'" +!ep'per. ● F/r#!r '"$ d!per#%'" ● A%+!r pr/&e& %rede"&!'!"$ %/!e ed!% e"er*!%'" re%/e"d'&! %ep'd' d!re%#r r#'+ &'%! e"'"$ %ee"'"$'" %!"!& &'- ed!&. ● Se#' d/%er pe''"'" ed!% d! r#'+ &'%! +'r#& ep#"'! pe"#$'&'"
PENGKA
TAHAPAN PEMERIAN KEWENANGAN KLINIS ● S'- ed!& e"$'#%'" per/+/"'" %ee"'"$'" %!"!& %ep'd' d!re%#r de"$'" e"$!&! -/r#!r d'-'r r!"3!'" %!"!& '"$ e'+ d!&ed!'%'" %/!e ed!% d!e"$%'p! *'+'"8*'+'" pe"d#%#"$. ● ;er%'& per/+/"'" d'r! &'- ed!& /e+ d!re%#r d!&'p'!%'" %e %/!e ed!% ● D'' e'%#%'" %'!'" &#* %/!e %rede"&!' d'p' e*e"#% p'"e ''# p'"!!' ADHO<
DA%TAR RINCIAN KEWENANGAN KLINIS DIPEROLEH DENGAN CARA = DIPEROLEH ● U2+* DOKTER =
Me"#&#" d'-'r r!"3!'" %ee"'"$'" %!"!& de"$'" e!"' '&#%'" d'r! &e!'p %e/p/% &'- ed!&.
Me"$%'! %ee"'"$'" %!"!& *'$! pe/+/" de"$'" e"$$#"'%'" d'-'r r!"3!'" %ee"'"$'" %!"!&.
Me"$%'! #'"$ d'-'r r!"3!'" %!"!& *'$! &'- ed!& &e3'r' per!/d!%.
● U2+* DOKTER SPESIALIS>
D!*er!%'" -/r' %/&/"$ #"#% d!!&! &e"d!r! r!"3!'" %ee"'"$'" %!"!%.
Re%/e"d'&! pe*er!'" %ee"'"$'" %!"!& d!'%#%'" /e+ %/!e ed!% %e d!re%#r *erd'&'r%'" '&#%'" d'r! &#* %/!e %rede"&!'.
S#* %/!e %rede"&!' e'%#%'" re%rede"&!' *'$! &e!'p &'- ed!& '"$ e"$'#%'" per/+/"'" p'd' &'' *er'%+!r"' '&' *er'%# &#r' pe"#$'&'" %!"!&.
REKOMENDASI = K'/' * d 8+2* K'/' * d 259 K'/' * d *+r K'/' * d 5'*+* K'/' * d +59 K'/' * d *9r
AKHIR KEWENANGAN KLINIS =
Kee"'"$'" %!"!& *er'%+!r *!' &#r' pe"#$'&'" %!"!&
+'*!& '&' *er'%#"' ''# d!3'*# /e+ d!re%#r. M'&' *er'%#"' %ee"'"$'" %!"!& &e'' 4 (!$')
'+#" : &e&#'! %ee"#'" r#'+ &'%! De"$'" d!*e%#%'" ''# d!'%+!r!"' pe"#$'&'" %!"!&
(3!"!3' 'pp/!"e") &e/r'"$ &'- ed!& !d'% *ere"'"$ '$! e'%#%'" pe''"'" ed!& d! r#'+ &'%! er&e*#.
PEDOMAN TENTANG MITRA ESTARI M!r' *e&'r! 'd''+ /r'"$8/r'"$ '"$ *erpr'%!% d'' pr/-e&! '"$ &'', &'' '"$ ep#"'! %e'+!'" d'' *!d'"$ '"$ '%'" d!e7'#'&!.
MITRA ESTARI Terd!r! d'r! p'r' d/%er &pe&!'!& T!d'% +'r#& *er'&' d'r! R#'+ S'%! '"$
*er&'"$%#'"
Per'""' &e*'$'! !r' *e&'r! 'd''+ *'$!'"
d'r! %e'!*'" e!%' d/%er, %'re"'"' !*' '&' &e*'$'! !r' *e&'r! *er#p' pe*er!'" &'#'" %red! p'r!&!p'&! (SKP)
KREDENSIAL
DOKTER SPESIALIS
DOKTER
DOKTER SPESIALIS DIRUT
DOKTER DIRUT
DIRUT KOMITE MEDIK
DIRUT KOMITE MEDIK
KOMITE KREDENSIAL MEDIK
KOMITE KREDENSIAL MEDIK
KREDENSIAL KOMITE MEDIK
KREDENSIAL KOMITE MEDIK
KOMITE DIRUTMEDIK DIRUT
PENUGASAN PENUGASAN KLINIK KLINIK PENUGASAN KLINIK
KOMITE DIRUT MEDIK DIRUT
REKREDENSIAL
KREDENSIAL
KREDENSIAL
KOMITE MEDIK
KOMITE MEDIK
DIRUT
DIRUT
DOKTER SPESIALIS
DOKTER
DIRUT
DIRUT
KOMITE MEDIK
KOMITE MEDIK
REKREDENSIAL
REKREDENSIAL
KOMITE MEDIK
KOMITE MEDIK
DIRUT
PENUGASAN KLINIK
DIRUT
MITRA ESTARI Mep#"'! re%' e'% '"$ *!'% *e&'r! Se/r'"$ '"$ ep#"'! p'"d'"$'" ''&'"
#'& er+'d'p %e!#'" &e*'$'! !r' *e&'r!, per'" d'" %'p'&!'&"' !d'% +'"' er*''& p'd' '&''+ %rede"!'!"$ d'" pr!7!e$!"$, e'p! #$' d'' +' pe"'$''" ## ed!& '#d! ed!&, '#p#" d'' +' d!&!p!" pr/-e&! pe"e$'%'" d!&!p!" pr/-e&!. Mep#"'! %e'p#'" %e!#'" er%!"!, !d'%
per# er!"$$! $#r# *e&'r.
MITRA ESTARI U"#% d'p' d!p!!+ &e*'$'! !r' *e&'r! d! R#'+ S'%!
er&e*#, '"$ *er&'"$%#'" +'r#& e'#! pr/&e& pe"'p!&'" /e+ R#'+ S'%! er&e*#. U"#% e"'d! &e/r'"$ !r' *e&'r! !d'% d!per#%'" &#r'
!!" pr'%e% (SIP) d! (SIP) R#'+ S'%! er&e*#.
R#'+ &'%! d'p' e*#' d'-'r !r' *e&'r! &e&#'!
de"$'" #'+ '"$ d!*##+%'""', #"#% %e#d!'" p'd' &'' d!*##+%'" per'""', %/!e ed!% d'p' e*#' p'"!!' 'd+/3 '"$ erd!r! d'r! !r' *e&'r! '"$ d!'*! d'r! d'-'r er&e*#.
PEDOMAN TENTANG WHITE PAPER RUMAH SAKIT ● +!e P'per R#'+ S'%! 'd''+ &#'# $'*'r'" *''&'" e"'"$ %r!er!' %/pee"&! %e'p#'" !"!' '"$ d!!!%! d!%#'&'! &e/r'"$ d/%er, #"#% d'p' ee"#+! per&'r''" %ee"'"$'" %!"!& d'' &#'# !"$%#p pr'%e% ''# pr/&ed#r. ● D'' +' +!e P'per '"$ e"'"$%# *e*er'p' *!d'"$ !# %ed/%er'" #!d!&!p!", +!e P'per er&e*# +'r#& e"d'p' pe"$e&'+'" per&e##'" %e&ep'%''" d'r! &e#' !r' *e&'r! peer $r/#p er%'!, &e*e# d!&'+%'" /e+ *e&'r! D!re%#r R#'+ S'%!.
AKREDITASI KARS TH "#1"
● K#'!-!%'&! d'" pe"d!d!%'" &'- ( KPS 9) . R#'+ &'%! Me!!%! pr/&e& %rede"&!'!"$ e'#! pe"$#p#'", 7er!-!%'&! d'" e7'#'&! d'r! !!", pe"d!d!%'", pe'!+'" d'" pe"$'''" #"#% e"$!!"%'" '&#+'" &'- ed!& #"#% e'%#%'" '&#+'" p'&!e" '"p' &#per7!&!.
D0*+' SPK: S#r' Pe"#$'&'" K!"!&, er&ed!' d!-!e
%epe$''!'", -!e %rede"&!' d'" d! #"! pe''"'" Ke*!'%'" d'" pr/&e& &er' d'' %rede"&!'!"$. Ke*!'%'" ;#%! 7er!-!%'&! !'&'+ d'" STR d'r! &#*er '&!"'. STR,SIP,SPK d'" RKK +'r#& '&!+ 7'!d.
UNTUK PERHATIAN ?? 1. T!d'% */e+ 'd' STR, d'" SIP, SPK d'" RKK '"$ %'d'#'r&' . T!d'% */e+ 'd' &'#p#" &'- ed!& '"$ e*er!%'" pe''"'" %ep'd' p'&!e" '"$ !d'% e!!%! STR, SIP, SPK d'" RKK. d'" +'r#& '&!+ *er'%# (er'&#% &e!'p PPDS +'r#& p#"' STR d'" SIP &e'%# dr ##)
STANDAR KPS @.1 P!p!"'" RS e*#' %ep##&'" e"'"$ pe*'+'r#'" !>!" *'$! &e!'p &'- ed!& #"#% d'p' e'"#%'" e*er!%'" pe''"'" '&#+'" p'&!e" &e!d'%"' 4 '+#" &e%'!.
DOKUMEN ● Ke*!'%'" %rede"&!'!"$ ● SK SK S#* K/!e Krede"&!' ● ;#%! pr/&e& d'" d'' re%rede"&!' ● Pe"e'p'" SPK (S#r' Pe"#$'&'" K!"!%) de"$'" RKK ( R!"3!'" Kee"'"$'" K!"!%) /e+ D!re%#r
STANDAR KPS 1#
Ke*!'%'" d'" pr/&e& %rede"&!' d'" re%rede"&!' #"#% e*er!%'"SPK d'" RKK re%rede"&!'
Ped/'" #"#% pe"#$'&'" #'"$ Ped/'"
(re%rede"&!')
STD EP
DOKUMEN
STANDAR KPS @
? Pe"e'p'" d'" pe"$##'" &'- ed!& $ d'p' e'%#%'" '&#+'" p'&!e" &e3'r' '"d!r! (SPK de"$" RKK, er&ed!' d! -!e %epe$''!'", -!e %rede"&!' d'" #"! pe''"'") ? pr/&e& d'" d'' %rede"&!'!"$ ? 7er!-!%'&! !'&'+ d'" STR d'r! &#*er '&!"'
2dr @.1
2dr KPS 1#
? SK S#* K/!e Krede"&!' ? *#%! pr/&e& re%rede"&!' ?pe"e'p'" SPK d'" RKK /e+ D!re%#r
? *#%! perp'"'"$'" SPK d'" RKK ? %e*!'%'" d'" pr/&e& pe*er!'" SPK de"$'" RKK pd pe"#$'&'" per'' d'" pe"#$'&'" #'"$ ? ped/'" %ep##&'" #"#% pe"#$'&'" #'"$ .
YA
TIDAK
KETERANGAN
CEK STR PADA K.K.I E;SITE KKI (KONSIL KEDOKTERAN INDONESIA) 1. ///.**.0.d .P!!+ %/'% de"$'" #!&'"6 CARI DOKTERDOKTER GIGI DOKTER SPESIALIS 4. M#"3# 6 APLIKASI CEK DOKTER 5. M'&#%'" "'' d'" %/de @. Ke#'r "'' $ d!3'r!
