MANAJEMEN RUMAH SAKIT UNIVERSITAS GADJAH MADA … · 2012. 2. 28. · RUMAH SAKIT UNIVERSITAS...
Transcript of MANAJEMEN RUMAH SAKIT UNIVERSITAS GADJAH MADA … · 2012. 2. 28. · RUMAH SAKIT UNIVERSITAS...
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
SituasiSituasi PengembanganPengembanganPatient Safety Patient Safety dandan
PelayananPelayanan KesehatanKesehatandidi IndonesiaIndonesia
AdiAdi UtariniUtarini -- MagisterMagister ManajemenManajemen RumahRumah sakitsakit FKFK--UGMUGM
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
TO ERR IS HUMANTO ERR IS HUMAN
2.9%2.9%--3.7% 3.7% daridari admisiadmisirsrs mengalamimengalami adverse adverse eventsevents44,00044,000--98,000 98,000 kematian/thkematian/th$17$17--29 billion 29 billion
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Patient SafetyPatient SafetyFreedom from Freedom from anyany accidental accidental injuryinjury……..
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Kemasanbaruancamanbaru
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Redefining health care (Porter, 2006)
Competing on value
Competing on result
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Competing on Competing on value for value for patientspatients::
““KompetisiKompetisi terjaditerjadi padapadasetting/setting/tingkattingkat yang yang menciptakanmenciptakannilainilai (value) (value) bagibagi pasienpasien””
““yaituyaitu kapasitaskapasitas untukuntuk memberikanmemberikannilainilai dalamdalam setiapsetiap kondisikondisi medikmedikyang yang diperlukandiperlukan oleholeh pasienpasien…”…”
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Competing on Competing on results results (outcomes)(outcomes)::
““PengukuranPengukuran dandan pelaporanpelaporan hasilhasilpelayananpelayanan yang yang bersifatbersifatmandatorimandatori mungkinmungkin merupakanmerupakanlangkahlangkah terpentingterpenting dalamdalamreformasireformasi sistemsistem pelayananpelayanankesehatankesehatan””
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
RedefinisiRedefinisi bisnisbisnis rumahrumah sakitsakit seputarseputar kondisikondisimedikmedikMenetapkanMenetapkan jenisjenis dandan variasivariasi pelayananpelayananPelayananPelayanan dandan pendekatanpendekatan multidisiplinermultidisipliner(integrated practice unit)(integrated practice unit)MenciptakanMenciptakan strategistrategi bagibagi setiapsetiap jenisjenis pelayananpelayananMengukurMengukur hasilhasil, , pengalamanpengalaman, , metodemetode dandan ciriciripasienpasien didi setiapsetiap jenisjenis pelayananpelayananMenggunakanMenggunakan pendekatanpendekatan barubaru dalamdalam penetapanpenetapantariftarifMemasarkanMemasarkan berbasisberbasis excellence, uniqueness excellence, uniqueness dandanhasilhasilMengembangkanMengembangkan sesuaisesuai kekuatankekuatan yang yang dimilikidimiliki
Kompetisi berbasis nilai
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
NilaiNilai--nilainilai PasienPasien::KeselamatanKeselamatan pasienpasienKepuasanKepuasan pasienpasienKenyamananKenyamanan pasienpasienKetepatanKetepatan waktuwaktu, , dlldll. .
Kondisimedik
Umum
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Nilai Patient Safety (Pasien-masyarakat)
Keterlibatan pasien-masyarakat dalampatient safety (-)• Sharing informasi kepada pasien dan
keluarga tentang patient safety• Partisipasi pasien dalam pengambilan
keputusan klinis• Kolaborasi dan pemberdayaan pasien
dalam kegiatan patient safety di rs• Patient guide to safety
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Nilai Patient Safety (Sistem Mikro)
Keterbukaan dalam membicarakanpatient safety (+) di berbagai media• Antar dokter, manajer, pasien• Antara dokter-manajemen• Antara dokter-pasien
Inisiatif di tingkat sistem mikropelayanan:• Audit klinik• DRG• Integrated clinical pathway• Indikator patient safety
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institutionDeficiencies in smear sputum examinationDeficiencies in smear sputum examination
ISTC Standard 2ISTC Standard 2. . All patients (adults, adolescents, and children) suspected of All patients (adults, adolescents, and children) suspected of having pulmonary tuberculosis should have at least having pulmonary tuberculosis should have at least two two sputum specimenssputum specimens obtained for microscopic examination.obtained for microscopic examination.
SS examination
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1 2 3 4 5 6 7 8
SS examination
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Nilai Patient Safety (Organisasi)
Intervensi Organisasi (+)• Pengorganisasian Patient Safety:
Tim/Komite Keselamatan Pasien, Patient Safety Officer
• Sistem Informasi Patient Safety• Penilaian kinerja unit• Keterkaitan dengan sistem insentif• Renstra berbasis klinik• Sistem manajemen mutu
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Nilai Patient Safety (KonteksLingkungan): Komitmen stakeholder untuk mendorong patient safety sebagai nilai baru (+)
• Sosialisasi patient safety oleh organisasiprofesi rumah sakit, profesi manajerpelayanan
• Pembentukan komite dan standar patient safety, indikator kinerja rs oleh DepartemenKesehatan
• Kerangka kerja mutu Dinas Kesehatan• Pengembangan kurikulum di S1 FK, S2 dan
spesialisasi• Lembaga asuransi kesehatan
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution Waktu tunggu IGD (menit)
standar 5 menit
1044
32
33
56
93
124
1715
3
0 5 10 15 20
BimaDompu
SumbawaMataram
PrayaSelong
PPPWirabhakti
BhayangkaraYohanes
Soe Waikabubak
KefaWaingapu
ManggaraiEnde
AtambuaKalabahi
Pelayanan: Waktu tunggu emergensi (Std 5 min)
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
KerangkaKerangka kerjakerja mutumutudidi DIYDIYAksesibilitasAksesibilitasAkuntabilitasAkuntabilitasKeselamatanKeselamatanKompetensiKompetensiInterpersonalInterpersonalEfektivitasEfektivitasKenyamananKenyamanan
KerangkaKerangka kerjakerja mutumutudidi KaltimKaltimAksesibilitasAksesibilitasKompetensiKompetensiAkseptabilitasAkseptabilitasKeselamatanKeselamatanInterpersonalInterpersonalRespect, caringRespect, caringKetepatanKetepatan waktuwaktu
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
GraduateDiploma
Master
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
Performance assessment framework Performance assessment framework for hospitals in Europefor hospitals in Europe
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MAGISTERMANAJEMEN
RUMAH SAKITUNIVERSITAS GADJAH MADA
to be a competitive, customized, & internationally credible institution
PengembanganPengembangan keke depandepan::
Benchmark Benchmark indikatorindikator antarantarsaranasarana pelayananpelayananDari evidence Dari evidence tentangtentangpengukuranpengukuran patient safety patient safety menujumenuju peningkatanpeningkatan patient patient safety safety untukuntuk kondisikondisi medikmediktertentutertentu