Perencanaan Perbaikan Strategis Akreditasi Docx

PERENCANAAN PERBAIKAN STRATEGIS RUMAH SAKIT Tk. II Dr. R. HARDJANTO BALIKPAPAN

NO

1. PP.1 EP.1

. PP.1 EP.

STANDAR/

LANGKAH

METODE

INDIKATOR

ELEMEN

PEMENUHAN EP

PERBAIKAN

PENCAPAIAN

PENILAIAN Para pimpinan rma! "aki# $%r"%paka# n#k m%m$%rikan pr&"%" p%'a(anan (an) "%ra)am *'i!a# +)a APK.1.1, AP.-, EP.1 EP.1 an a n PAB.0

M%n)aakan Rapa# k&&rina"i (an) m%'i$a#kan Pimpinan Rma! Saki# an Pimpinan Uni# n#k $%r"%paka# m%m$%rikan pr&"%" p%'a(anan (an) "%ra)am.

K&&rina"i, %a'a"i an "&"ia'i"a"i #%n#an) k%"%paka#an n#k m%m$%rikan pr&"%" p%'a(anan (an) "%ra)am.

M%ma"#ikan "%ma k%$i+akan an pr&"%r m%man p%m$%rian p%'a(anan (an) "%ra)am "%"ai %n)an nan) nan)

Ea'a"i #%r!aap "%ma k%$i+akan an pr&"%r (an) m%man p%'a(anan (an) "%ra)am

K%'%n)kapan rapa# k&&rina"i *nan)an, n&#'a rapa#, r%k&m%na"i an #inak 'an+# !a"i' rapa#0. Ea'a"i CP an 'ain "%$a)ain(a. S%ma *13340 k%$i+akan an pr&"%r (an) m%man p%m$%rian p%'a(anan (an) "%ra)am

K%$i+akan an pr&"%r m%man p%m$%rian p%'a(anan (an) "%ra)am "%"ai %n)an nan) nan) an p%ra#ran #%rkai#.

WAKTU

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PENANGGUN

KETERANGA

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 JAWAB  JAWAB K%#a P&k+a $%r"ama Wair P%'a(anan

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K%#a P&k+a $%r"ama Wa"ir P%'a(anan

"%"ai %n)an nan) nan)

S#anar AP.1 *S%ma pa"i%n (an)

E'%m%n P%ni'aian K%$i+akan an pr&"%r

5ak#a an Ana'i"i" Sa! aa SK an SPO

rma! "aki# m%n%)a"kan

a"%"m%n in7&rma"i (an)

ii%n#i6ka"i k%$#!an

a"%"m%n in7&rma"i (an)

!ar" ip%r&'%! ari

p%'a(anann(a m%'a'i

!ar" ip%r&'%! ari pa"i%n

pa"i%n ra8a# inap.

"a# pr&"%" a"%"m%n

ra8a# inap.

(an) $ak0 *S%ma pa"i%n (an)

K%$i+akan an pr&"%r

Sa! aa SK an SPO

rma! "aki# m%n%)a"kan

a"%"m%n in7&rma"i (an)

ii%n#i6ka"i k%$#!an

a"%"m%n in7&rma"i (an)

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p%'a(anann(a m%'a'i

!ar" ip%r&'%! ari pa"i%n

pa"i%n ra8a# +a'an.

"a# pr&"%" a"%"m%n

ra8a# +a'an.

(an) $ak0 *S%ma pa"i%n (an)

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i'a(ani rma! "aki# !ar"

m%n)i%n#i6ka"i #%n#an)

m%n)i%n#i6ka"ikan

in7&rma"i (an) !ar"

#%n#an) in7&rma"i (an)

p%'a(anann(a m%'a'i

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a"%"m%n.

n#k a"%"m%n

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ii%n#i6ka"i k%$#!an

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AP. 1.1 *Rma! "aki# #%'a!

I"i minima' a"%"m%n

I"i minima' a"%"m%n

m%n%#apkan i"i minima'

i#%#apkan &'%! "%#iap i"ip'in

"a! i#%#apkan &'%!

k'ini" (an) m%'akkan

"%#iap i"ip'in k'ini"

a"%"m%n $%ra"arkan

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a"%"m%n an m%rin;i %'%m%n

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ri8a(a# p%n(aki# an p%m%rik"aan 6"ik *'i!a# +)a *Rma! Saki# #%'a! m%n%#apkan i"i minima' a"%"m%n $%ra"arkan nan) nan), p%ra#ran an "#anar pr&7%"i0 *Rna! Saki# #%'a! m%n%#apkan i"i minima'

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a"%"m%n $%ra"arkan

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pa"i%n ra8a# inap i#%#apkan

i"i minima' pa"i%n ra8a#

a'am k%$i+akan *'i!a# +)a

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i"i minima' pa"i%n ra8a#

a'am k%$i+akan.

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!ar""%'%"ai a'am k%ran)ka 8ak# (an) i#%#apkan rma! "aki#0

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"aa# pa"i%n ma"k ra8a# inap

"aki# an "a!

*'i!a# +)a AP.1.-.10 n#k

i%ri6ka"i paa "aa#

m%mp%r$a!ari a#a

pa"i%n ma"k k% ra8a#

m%n)'an) $a)ian9$a)ian

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"a! '%$i! ari :3 !ari *'i!a#  +)a MKI.1.2, EP.10

AP.1.-.1 *A"%"m%n a8a'

A"%"m%n a8a' m%i" (an)

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!ar" '%n)kap a'am

ra8a# inap, a#a "%$%'m

kran) ari :3 !ari

pa"i%n ira8a# :3 !ari

8ak# - +am "%#%'a!

#inakan paa ra8a# +a'an i

pa"i%n ma"k ra8a#

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rma! "aki#, #iak $&'%! '%$i!

inap a#a '%$i! ;%pa#

ari :3 !ari, a#a ri8a(a#

#%r)an#n) k&ni"i

m%i" #%'a! ip%r$a!ari an

pa"i%n a#a "%"ai

p%m%rik"aan 6"ik #%'a!

k%$i+akan rma! "aki#0. AP.1.2 *Pa"i%n i

i'an)i. S#a7 (an) k&mp%#%n

S#a7 $%rka'i6ka"i

"krinin) n#k "#a#"

m%n)%m$an)kan ;ri#%ria

m%n)%m$an)kan

n#k m%n)i%n#i6ka"i pa"i%n

;ri#%ria n#k

7n)"i&na' "%r#a

(an) m%m%r'kan a"%"m%n

m%n)i%n#i6ka"i pa"i%n

ik&n"' n#k a"%"m%n

7n)"i&na' '%$i! 'an+# *'i!a#

(an) m%m%r'kan

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 +)a SKP =I, EP.1, #%rkai#

a"%"m%n 7n)"i&na'

p%n)&$a#an apa$i'a

a"%"m%n r%"ik& +a#!0.

i$#!kan0 *Pa"i%n i "krinin) n#k

Pa"i%n i"arin) n#k m%ni'ai

P%n(arin)an pa"i%n

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k%$#!an a"%"m%n

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a"%"%"m%n 7n)"i&na'

"%r#a ik&n"' n#k

"%$a)ai $a)ian ari a"%"m%n

'%$i! 'an+#

a"%"m%n '%$i! 'an+#

a8a' *'i!a# +)a SKP =I, EP.0

k%$#!an 7n)"i&na'

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Pa"i%n (an) m%m%r'kan a"%"m%n 7n)"i&na' "%"ai ;ri#%ria ik&n"' n#k a"%"m%n #%r"%$#.

Pa"i%n (an)

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m%m%r'kan a"%"m%n 7n)"i&na' "a! ik&n"' "%"ai ;ri#%ria n#k a"%"m%n #%r"%$#

Pa"i%n i "krinin) n#k ra"a "aki# *'i!a# +)a PP.2, EP.10 1

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ra"a "aki# an i'akkan a"%"m%n apa$i'a aa ra"a n(%rin(a0 *S%ma pa"i%n ra8a# inap an ra8a# +a'an i "krinin) n#k ra"a "aki# an i'akkan a"%"m%n apa$i'a aa ra"a n(%rin(a0

*S%ma pa"i%n ra8a# inap an ra8a# +a'an i "krinin) n#k ra"a "aki# an i'akkan a"%"m%n apa$i'a aa ra"a n(%rin(a0

AP.1.@ *Rma! Saki# m%'ak"anakan a"%"m%n a8a' iniia' n#k p&p'a"i #%r#%n# (an) i'a(ani rma! "aki#0 *Rma! Saki#

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Apa$i'a ii%n#i6ka"i aa ra"a "aki# paa a"%"m%n a8a', pa"i%n ir+k a#a rma! "aki# m%'akkan a"%"m%n '%$i! m%na'am, "%"ai %n)an mr pa"i%n an p%n)kran in#%n"i#a" an ka'i#a" n(%ri "%p%r#i karak#%r, k%k%rapan/ 7r%k%n"i, '&ka"i an 'aman(a. A"%"m%n i;a#a# "%%mikian "%!in))a m%m7a"i'i#a"i a"%"m%n 'an)an (an) #%ra#r an #inak 'an+# "%"ai kri#%ria (an) ik%m$an)kan &'%! rma! "aki# an k%$#!an pa"i%n.

Sa! i'ak"anakan

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A"%"m%n 'an) paa

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Rma! Saki# m%n%#apkan

Sa! aa ;ri#%ria

;ri#%ria #%r#'i" #%n#an)

#%r#'i" #%n#an)

a"%"m%n #am$a!an, k!""

a"%"m%n #am$a!an

mana+%m%n n(%ri "a! i'ak"anakan

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a#a '%$i! m%na'am p%r' i'ak"anakan Pr&"%" a"%"m%n n#k

Sa! aa SPO a"%"m%n

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m%'ak"anakan a"%"m%n a8a' iniia' n#k p&p'a"i #%r#%n# (an) i'a(ani rma! "aki#0

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p&p'a"i pa"i%n %n)an

n#k p&p'a"i pa"i%n

k%$#!an k!""n(a

%n)an k%$#!an

im&i6ka"i "%;ara #%pa#

k!""

"%!in))a m%n;%rminkan AP.1. *K%paa pa"i%n (an) akan m%nin))a' an k%'ar)an(a, i'akkan a"%"m%n an a"%"m%n 'an) "%"ai k%$#!an iniia' m%r%ka0 *K%paa pa"i%n (an) "a! m%nin))a' an k%'ar)an(a, i'akkan a"%"m%n an a"%"m%n 'an) "%"ai k%$#!an iniia' m%r%ka0 *K%paa pa"i%n (an) "a! m%nin))a' an k%'ar)an(a, i'akkan a"%"m%n an a"%"m%n 'an) "%"ai k%$#!an iniia' m%r%ka0

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k%$#!an pa"i%n Pa"i%n (an) akan m%nin))a'

Sa! aa a"%"m%n an

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pa"i%n (an) akan

a "/ I a'am mak" an

m%nin))a'

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(an) i$%rikan *'i!a# +)a

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#am$a!an a"%"m%n

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m%n)ara!kan p%'a(anan

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pa"i%n

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pa"i%n (an) r%n;ana

p'an n#k pa"i%n kri#i"

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k%$#!an r%n;ana

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pa"i%n "%p%r#i ini im'ai

p'an pa"i%n kri#i" (an)

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pa"i%n ma"k ra8a#

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ra8a# inap *'i!a# +)a APK.:,

inap

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Sa! aa k%$i+akan

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