PEMERINTAH KABUPATEN PEKALONGAN
RUMAH SAKIT UMUM DAERAH KAJEN Jalan Raya Karangsari Karanganyar Pekalongan 51182 Telp. IGD : (0285) 385230 In!o : 385231 "a# (0285) 38522$ %&ail : ka'enrs*+ya,oo.-o.i*
NOTA STAF
Kepa*a
: Direkr R/D Ka'en
Dari
: Ke Kea PKR/ R/D Ka'en
Tanggal
: Ra 0 "erari 201$
Peri,al
: Permohonan Inhouse Training Training PMKP
Dala& Dala& rangka rangka &e&en &e&en,i ,i penilai penilaian an akre*i akre*iasi asi r&a, r&a, saki saki ,ars &a&p &eningkakan & pealyanan yang aik pa*a pasien *an in!or&asi yang e!eki! aik anara pegas kese,aan aa pegas kese,aan *engan pasien. le, karena i akan *ilaksanakan *ilaksanakan kegiaan Inhouse kegiaan Inhouse Training %*kas %*kasii enan enang g & & pelaya pelayanan nan nk nk &e&er &e&erika ikan n in!or&a in!or&asi si *an pen*i*ikan pasien aa kelarga pa*a ,ari Ra anggal 0 "erari 201$ *i Rang 4la anai 2. 6aeri Inhouse 6aeri Inhouse Training %*kasi %*kasi *an Ko&nikasi Ko&nikasi %!eki! %!eki! ini akan akan *iik *iik ii ole, ole, sel selr r, , %*k %*ka aor or pe& pe&er erii e*k e*kas asi i *eng *engan an 7aras&er ilik Resika Rini /K6 6.Kes. 4*apn Kerangka 4-an kegiaan ini seagai&ana erla&pir. De&ikian nk &en'a*i periksa *an kepsan lei, lan'.
K%T4 PKR/ R/D K4J%7
LILIK RESTIKA RINI, SKM, M.Kes
KETUA PMKP RSUD KAJEN 7IP. 7IP. 1$88005 201001 2 00$
LILIK RESTIKA RINI, SKM, M.Kes NIP. 19880605 201001 2 009
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KERANGKA ACUAN KERJA IN HOUSE TRAINING PMKP
RUMAH SAKIT UMUM DAERAH KAJEN KABUPATEN PEKALONGAN 2018
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KERANGKA ACUAN INHOUSE TRAINING PMKP
A. Lata Latarr Bela Belaa a!" !" Standar akreditasi ersi 2012 !e!"a#i d$a ke%&!'&k standar (ait$ standar (an# "er)&k$s 'ada 'asien dan standar ad!inistrasi !ana*e!en r$!a+ sakit. Standar (an# "er)&k$s 'ada 'asien !e%i'$ti , Akses ke Pe%a(anan dan K&ntin$itas Pe%a(anan -APK/ ak Pasien dan Ke%$ar#a PK/ PK/ Asses! Asses!ent ent Pasien Pasien -AP/ -AP/ Pe%a(a Pe%a(ana nan n Pasien Pasien -PP/ -PP/ Pe%a(a Pe%a(anan nan Anestesi dan eda+ -PA/ -PA/ Mana*e!en Pen##$naan "at -MP dan Pendidikan Pasien dan Ke%$ar#a -PPK. Sedan#kan standar ad!inistrasi !ana*e!en RS !e%i'$ti , Penin#katan M$t$ dan Kese%a!atan Pasien -PMKP -PMKP// Pen3e# Pen3e#a+a a+an n dan Pen#en Pen#enda% da%ian ian In)eks In)eksii -PPI/ -PPI/ Tata Ke%&%a Ke%&%a// Ke'e Ke'e!i !i!' !'in inan an dan dan Pen# Pen#ar ara+ a+an an -TKP -TKP/ / Mana Mana*e *e!e !en n 4asi 4asi%it %itas as dan dan Kese Kese%a %a!a !ata tan n
-M4K -M4K/ / K$a% K$a%i) i)ik ikas asii
dan dan
Pend Pendid idik ikan an Sta) Sta) -KPS -KPS
dan dan
Mana*e!en K&!$nikasi dan in)&r!asi -MKI. Peni Penin# n#ka kata tan n !$t$ !$t$ dan dan kese kese%a %a!a !ata tan n 'asi 'asien en -PMK -PMKP P !en* !en*ad adii "a#i "a#ian an
'ent 'entin in# #
da%a da%a! !
'ene 'enent nt$ $
ke%$ ke%$%$ %$sa san n
akre akredi dita tasi si
ers ersii
2018 2018..
Pen#e%&%aan PMKP. Pen#&r#anisasian dan 'e%a(anan PMKP !er$'akan sa%a+ sat$ e%e!en 'eni%aian 'entin# akreditasi. Pr&!&si kese+atan +ar$s !er$'akan "a#aian inte#ra% dari se%$r$+ 'r&d$k %a(anan r$!a+ sakit. Sa%a+ sat$ ke#iatan %a#i (an# terkait den#an $nit PMKP ada%a+ "a+a r$!a+ sakit +ar$s !en)asi%itasi sarana in)&r!asi dan k&!$nikasi (an# e)ekti) da%a! ran#ka 'e!en$+an +ak 'asien akan in)&r!asi dan !en3e#a+ ter*adin(a sentinel event (an# akan !e!'er"$r$k 3itra r$!a+ sakit. R$!a+ sakit +ar$s !a!'$ !e%ak$kan !ana*e!en k&!$nikasi dan in)&r! in)&r!asi asi (an# (an# e)ekti e)ekti)) "aik "aik antar antara a 'et$# 'et$#as as kese+a kese+atan tan ata$ ata$ 'et$#a 'et$#as s kese+atan den#an 'asien.
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B. T#$#a! 1. T$*$an U!$! Menin#ka Menin#katkan tkan 'e!a+a!a 'e!a+a!an n tentan# tentan# !ana*e!en !ana*e!en PMKP/ PMKP/ 'endidika 'endidikan n 'asien dan ke%$ar#a serta k&!$nikasi e)ekti) di r$!a+ sakit 2. T$*$a *$an K+ K+$s$s Sete%a+ !en#ik$ti inhouse training / 'eserta di+ara'kan !a!'$ , a. Me%ak$ Me%ak$kan kan !ana !ana*e! *e!en en PMKP PMKP di di setia' setia' $nit $nit ker*an ker*an(a. (a. ". Me!a+a!i Me!a+a!i !et&d !et&de e dan dan teknik teknik 'endidikan 'endidikan 'asien 'asien dan dan ke%$ar# ke%$ar#a. a. 3.
Mene Menera ra'k 'kan an k&! k&!$n $nik ikas asii e)ek e)ekti ti). ).
%. Met&'e Met&de Inhouse Training den#an den#an , 1. era!a+ 2. Disk Disk$s $sii tera terara ra+ + 7. Si!$ Si!$%a %asi si "er "er!a !ain in 'era 'eran n
D. Mater( Mater( 'a! )as(l( )as(l(tat tat&r &r Materi (an# disa!'aikan ada%a+ se"a#ai "erik$t , 1 2
7 ;
Mana*e! *e!en PM PMKP di se setia' Un Unit Ke Ker*a S&si S&sia% a%is isas asii 4&r! 4&r!$% $%ir ir M$t$ M$t$ Pe%a Pe%a(a (ana nan n denti)ikasi ni%ai:ni%ai ke'er3a(aan da%a! 'r&ses as$+an. a. Pe!" Pe!"er eria ian n in)& in)&r! r!as asii tent tentan an# # tindakan (an# akan di%ak$kan. Pendidikan Pasien dan Ke%$ar#a K&!$nikasi E)ekti) : K&!$ K&!$n nika ikasi e)ek e)ekti ti)) te tentan ntan# # second opinion.
%e+ i i%ik %ik Re Restika Ri Rini/ SK SKM/ M. M.Kes %e+ i%ik Restika Rini/ SKM/ M.Kes
%e+ i%ik Restika Rini/ SKM/ M.Kes %e+ i%ik Restika Rini/ SKM/ M.Kes
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7aras&er : ilik Resika Rini /K6 6.Kes
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Na*a Sri Par(ati/ S.Ke'.Ners Dia+ =id(anti/ S.Ke'.Ners Siska =i*a(anti/ S.Ke'.Ners Nanan# As!&n&/ S.Ke'.Ners N$r$ N$r$%% ida ida(a (ati ti// S.Ke S.Ke'. '.Ne Ners rs Di P$*i estari/ S.Ke'.Ners Atik Masr$r&+/ A!d.Ke" Ais 4ai?a+/ AMK T$ti artini/ AMK A*en# =$%andari/ =$%andari/ S.Ke'. Ners 4a*ar =id&d&/ S.Ke'.Ners @eni P$r& =/ S.Ke'.Ners @$%iati/ AMK S$nitin/ AMK @$d+i S$sant& K./ S.Ke'.Ners Misri(a+/ S.Ke'.Ners Ba!r&na+/ S.ST Rini @$%iani/ A!d.Ke"
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N&
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JUMLAH
-8 eserta
). /at# at# Pela Pelas sa! a!aa aa! ! Ke#iatan di%aksanakan se%a!a 1 -sat$ +ari (ait$ +ari Ra"$ tan##a% 06 4e"r$ari 2018 "erte!'at di r$an# A$%a %antai 2 RSUD Ka*en.
G. Pe* Pe*(a (aa aa! a! Ada'$n rin-ian iaya operasional kegiaan a*ala, seagai erik : N& 1 2 ; 5
R(!(a! Serti)ikat K&ns$!si Backdrop Naras$!"er TOTAL BIA4A
3&l 20 20 1 6
Sat#a! '3s '&rsi '3s *a!
Har"a 10/000 75 75/000 100/000 100/000
Ter"i%an# er"i%a n# , Lima , Lima juta seratus ribu rupiah.
T&tal 2/000/000 >/000/0000 100/000 600/000 15,100,000
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H. Ja'6 Ja'6al al Ke"( Ke"(at ata! a! Ra#, 0+ )er#ar( 2017 /at# /IB9
I.
Ke"(ata!
Pe!a!""#!"$a6a
08.00 08.70 08.70 09.00
Re#istrasi Pe!"$kaan
a#ian Dik%at M
09.0 09.00 0 10.0 10.00 0
i%ik Restika Rini/ SKM/ M.Kes
10.00 10.;5
Mana Mana*e *e!e !en n PMK PMKP P di di set setia ia' ' Unit Ker*a Coffee Break
10.;5 11.;5
Si!$%asi dan Praktek
i%ik Restika Rini/ SKM/ M.Kes
11.;5 12.70
Is+&!a
12.70 17.70
Disk$si dan Tan(a Ja Jaa"
i%ik Restika Rini/ SKM/ M. M.Kes
Sert(:(at Serti) Serti)ika ikatt ke#iat ke#iatan an dike%$ dike%$ark arkan an &%e+ &%e+ a#ian a#ian Dik%at Dik%at RSUD RSUD Ka*en. Ka*en. Pen#e%$aran serti)ikat !e%a!'irkan keran#ka a3$an ke#iatan/ *ada% dan da)tar +adir.
J. Pe!#t# De!ikian%a+ keran#ka a3$an ini ka!i sa!'aikan se"a#ai dasar 'e%aksanaan ke#iatan.
KETUA PKRS RSUD KAJEN
