Sasaran, indikator, dan pengukuran mutu klinik dan mutu pelayanan
abc_1430314663_Dokumen Mutu (1)
-
Upload
dwicky-limbersia-aries -
Category
Documents
-
view
222 -
download
0
Transcript of abc_1430314663_Dokumen Mutu (1)
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
1/23
DOKUMEN MUTU
QUALITY AWARENESS
KOPERTAIS WILAYAH X
28 April 2014
Disapai!a" Ol#$ %
Dr& S'lis(i)a*i+ M&A,
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
2/23
DOKUMEN MUTU
• Ma"'al M'-'
• Pr.s#*'r M'-'
• I"s-r'!si K#r/a IK
• R#.r* 3isa 3#r'pa .r
a-a' L.,56..!
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
3/23
MANUAL MUTU MM
• M#")a-a!a" !#3i/a!a"'' .r,a"isasi -#r$a*apa!-i7-as .p#rasi."al )a",*ila!'!a" *a" $ar's##"'$i p#rs)ara-a"
sis-# p#"/ai"a" '-'&• Da" #r'pa!a" p#*.a"
3a,i p#")'s'"a"
*.!'#"-asi -i",!a-*i3a(a$")a s#r-a a!-ii-as.p#rasi."al .r,a"isasi
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
4/23
RUAN9 LIN9KUP MANUALMUTU
• MM #r'pa!a" pa"*'a"ipl##"-asi a"a/##" '-' PT
• M#r'pa!a" p#rs)ara-a" sis-#a"a/##" '-' )a", $ar's*ip#"'$i .l#$ '"i-5'"i- !#r/a*ili",!'",a" STAI
• Dis's'" *a" #",a' pa*a
p#rs)ara-a" s-a"*ar *a" !la's'lSis-# Ma"a/##" M'-' ISO+p#ra-'ra" p##ri"-a$ RI *a"p#rs)ara-a" a!r#*i-asi 6AN5PT
•MM i"i 3#rla!' *i '"i- p#la!sa"aa!a*#i! *i (ila)a$ STAI: ;a!'l-as&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
5/23
T'/'a" Ma"'al M'-'
• M#",,aris!a" pr.s#s '-aa )a", -#r!ai-la",s'",:-i*a! la",s'", *#",a" la)a"a"p#"*i*i!a" *i ;a!'l-as+ 3ai! *alap#r#"a"aa"+ p#la!sa"aa"+ #al'asi
a-a'p'" -i"*a!a" p#r3ai!a" '"-'!#"/ai" a*a")a p#r3ai!a" 3#r!#la"/'-a"*ala ##"'$i p#rs)ara-a" p#la",,a"&
• M#"/#las!a" $'3'",a" a"-ara 3#r3a,aia!-ii-as )a", -#r!ai- *ala pr.s#s *i a-as&
• M#"/#las!a" $'3'",a" Sis-# P#"/ai"a"M'-' SPM *#",a" p#rs)ara-a" ISO
• M#"#ri"!a" !.i-#" STAI:;a!'l-as*ala p#"i",!a-a" '-' s#ara3#r!#la"/'-a" *ala 3#"-'! -#r-'lis+s#$i",,a *apa- *ipa$ai .l#$ s#'api$a! )a", -#rli3a- *ala pr.s#sp#")#l#",,araa" s'3#r *a)a a"'sia
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
6/23
LANDASAN KE6I
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
7/23
ISTILAH DAN DEINISI
• Sis-# P#"/ai"a" M'-' SPM a*ala$p#"#-apa" *a" p##"'$a" s-a"*ar'-'p#",#l.la PT s#ara !."sis-#" *a"p#r3ai!a" 3#r!#la"/'-a" + s#$i",,a isi *a"isi PT *apa- -#rapai s#r-a s-a!#$.l*#rs
#p#r.l#$ !#p'asa"&• Ma"'al M'-' MM% *.!'#" )a", #"/a*i
pa"*'a" ipl##"-asi a"a/##" '-')a", isi")a 3#r*asar!a" p#rs)ara-a" s-a"*ar*a" !la's'l Sis-# Ma"a/##" M'-' ISO
•
P#la",,a"+ s#ara '' a*ala$ p#r.ra",a"a-a' 3a*a" )a", i!'- #"#ria a-a'#3#li la)a"a" p#"*i*i!a"+ *apa- *i3a,i#"/a*i ? -i,a 3a,ia"+ )ai-' a$asis(aa-a' p#s#r-a p#la-i$a"+ *a" p#",,'"al'l'sa"&
•
U"i- !#r/a p#")#l#",,ara p#"*i*i!a" a*ala$;a!'l-as *a" /'r'sa" a-a' l#3a,a s#lai";a!'l-as *a" /'r'sa" )a",#")#l#",,ara!a" la)a"a" p#"*i*i!a" a-a'p#la-i$a"&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
8/23
• D.!'#" a*ala$ !'p'la" *ari$asil !#r/a+ *.!'#" i"i -#r*iri*ala *'a 3#"-'!+ $ar*.p) *a"s.;-.p)
• 6.ra", a*ala$ ;.r'lir isia"a!r#*i-asi
•
R#!aa" a*ala$ 3'!-i 7si! )a",*isipa" s#3a,ai 3'!-i isia"pa*a 3.ra",
• Pr.*'! )a", *i$asil!a"
.r,a"isasi p#"*i*i!a" a*ala$la)a"a" p#"*i*i!a" *ia"a*ala pr.s#s")a -#/a*ip#"i",!a-a" "ilai r#a-i", al'#
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
9/23
6#r*asar!a" p#rs)ara-a" s-a"*ar ISO-#"-a", p#")'s'"a" p#*.a" '-'+
s#ara #;#!-i; *apa- *is's'"3#r*asar!a" !#ra",!a isi -#r*iri *ari >3a,ia" )ai-'
• K#3i/a!a" ''
• Uraia" #",#"ai Or,a"isasi
• P#",#l.laa" P#*.a" M'-'
• 9aris 3#sar:'raia" #",#"ai
!#3i/a!a" .r,a"isasi *ala##"'$i s-a"*ar ISO )a",*ipili$&
• R#;#r#"si sila", *a;-ar pr.s#*'r)a", 3#r!ai-a" *#",a" a!-ii-as.r,a"isasi *a" p#rs)ara-a"s-a"*ar s#ri ISO )a", *ipili$
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
10/23
PROSEDUR MUTU PM
• M#r'pa!a" *.!'#" )a",#",'rai!a" isi MM #"/a*i
!#,ia-a"5!#,ia-a".p#rasi."al )a", *ila!'!a"*i D#par-##"
• K#ra",!a isi *ari Pr.s#*'rM'-' PM -#r3a,i *ala @
#"a 3a,ia" )ai-'%
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
11/23
1& T'/'a"+ 3a,ia" i"i #",'rai!a" s#arasi",!a- -'/'a" *a" a!s'* *ari !#,ia-a")a", *i*.!'#"-asi!a" *i *ala pr.s#*'r&
2 & R'a", Li",!'p+ 3a,ia" i"i #"/#las!a"
r'a", li",!'p p#",,'"aa" pr.s#*'r+ s#p#r-i!apa"+ *i a"a+ *ala !."*isi s#p#r-i apa+;'",si+ l.!asi+ 3a,ia"+ *a" '"i- !#r/a )a",a!a" #",,'"a!a" pr.s#*'r -#rs#3'-+S#lai" i-' 3a,ia" i"i /',a #"/#las!a"-#"-a", 3a-asa" a!-ii-as )a", *i!#"*ali!a"*ala pr.s#*'r -#rs#3'-&
?& R#;#r#"si:R'/'!a":A'a"+ 3a,ia" i"i #ri"i*.!'#"5*.!'#" )a", *i,'"a!a" s#3a,air#;#r#"si a-a' 3#r!#i-a" *#",a" !#,ia-a"5!#,ia-a" )a", *i'rai!a" *i *alapr.s#*'r&
4& D#7"isi+ 3#risi p#"/#lasa" -#"-a", is-ila5is-ila$ )a", *i,'"a!a" *i *ala pr.s#*'r)a", '",!i" -i*a! *ipa$ai *#",a" /#las
.l#$ p#a!ai pr.s#*'r& &
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
12/23
>& Urai":Ri"ia" Pr.s#*'r+ #r'pa!a"3a,ia" '-aa )a", #",'rai!a"!#,ia-a"5!#,ia-a" *a" .ra",5.ra",
)a", -#rli3a- *i *ala pr.s#sp#la!sa"aa" p#!#r/aa" -#rs#3'-&6a,ia" i"i $ar's s#ara /#las#",i*#"-i7!asi SIAPA P#"a",,'",
/a(a3+ #la!'!a" APA+ *a" DI MANA+s#r-a KAPAN *a" 6A9AIMANA
!#,ia-a" -#rs#3'- *ila!sa"a!a"WHO+ WHAT+ WHERE+ WHEN *a"HOW
@& Lapira"+ #"a-a- s#'a *.!'#"i"s-r'!si !#r/a+ ;.r'lir5;.r'lir)a", #r'pa!a" 3a,ia" *aripr.s#*'r& U"-'! pr.s#s pr.s#s )a",r'i-+ s#3a,ai lapira" *apa- /',a*is#r-a!a" 3a,a" alir *ari pr.s#s )a",*apa- *i/a*i!a" a'$a"&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
13/23
INSTRUKSI KER
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
14/23
REBORD:ORM
D.!'#" )a", #"'"/'!!a"3'!-i *ari s'a-' !#,ia-a" )a",-#la$ *ila!'!a"&
.r'lir #r'pa!a" ala-p#"*'!'", p#la!sa"aa" pr.s#*'r*a" i"s-r'!si !#r/a& 6iasa")a ;.ri"i #r'pa!a" 3a,ia" *aripr.s#*'r a-a' i"s-r'!si !#r/a IK&
.r i"i -#ras'! *ala *.!'#"'-')a", $ar's *i!#"*ali!a" .r5;.r i"i *iisi *#",a" *a-a
)a", s#s'ai *#",a" a!-i7-as )a",*i 'rai!a" *alapr.s#*'r )a",3#rsa",!'-a"&
.r )a", -#la$ 3#risi *a-a i"i*is#3'- s#3a,ai a-a-a"r#!aa":rr#.r* '-'&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
15/23
A*a @ pr.s#*'r (a/i3 )a",#")#r-ai P#*.a" M'-' )a",
$ar's *ip#"'$i 3#r*asar!a"
p#rs)ara-a" ISO%Pr.s#*'r Sis-#
1 Pr.s#*'r Sis- P#",#"*alia"
!#-i*a! s#s'aia"&2 Pr.s#*'r Sis- -i"*a!a"
p#r3ai!a"
? Pr.s#*'r Sis- -i"*a!a"p#"#,a$a"
4 Pr.s#*'r Sis- p#",#"*alia"*.!'#"
> Pr.s#*'r Sis- p#",#"*alia"r#!aa"
@ Pr.s#*'r Sis- a'*i- i"-#r"al&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
16/23
MANUAL
PELAKSANAAN
STANDAR
TUJUAN MANUAL
U"-'!#la!sa"a!a":##"'$iS-a"*ar* Sis-# P#"/ai"a"
M'-' I"-#r"al PT&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
17/23
LUAS LINGKUP
MANUAL DAN
PENGGUNAANNYAMa"'al i"i 3#rla!'%
1& !#-i!a s#3'a$ s-a"*ar*
$ar's *ila!sa"a!a" *ala!#,ia-a" p#")#l#",,araa"p#"*i*i!a" .l#$ s#'a
'"i- !#r/a pa*a s#'a-i",!a-C
2& '"-'! s#'a S-a"*ar*Sis-# P#"/ai"a" M'-'I"-#r"al PT&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
18/23
DEFINISI ISTILAH
1& M#la!sa"a!a" s-a"*ar a*ala$a!-ii-as a-a' !#,ia-a" )a",
$ar's *ipa-'$i '"-'!#"apai '!'ra"+ sp#si7!asi+pa-.!a" i"ials#3a,aia"a p#r")a-aa"
*ala s-a"*ar&2& Ma"'al Pr.s#*'r a-a'
*isi",!a- MP a*ala$ 'raia"-#"-a", 'r'-a" la",!a$ '"-'!
#"apai s#s'a-' )a", *i-'liss#ara sis-#a-is+ !r.".l.,is+l.,is+ *a" !.$#r#"&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
19/23
?& I"s-r'!si K#r/a a-a' *isi",!a- IKa*ala$ ri"ia" *a;-ar -',as )a",$ar's *ila!'!a" .l#$ p#"#ria-',as&
4& .r'lir a-a' 6.ra", a*ala$i"s-r'#" -#r-'lis *apa- 3#r'pa$#!lis-+ -#pla-# )a", $ar's*iisi .l#$ p#"#ria ;.r'lir a-a'
3.ra", 3#r;'",si s#3a,aip#l#",!ap *.!'#" '-'&
>& Sii-as a!a*#i!a 3#r*asar!a"P#ra-'ra" P##ri"-a$ ".& ?0:1==0
a*ala$ sa-'a" )a", -#r*iri a-as*.s#" *a" a$asis(a pa*ap#r,'r'a" -i",,i&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
20/23
PROSEDUR
1& M#la!'!a" p#rsiapa" -#!"is*a":a-a' a*i"is-ra-i; s#s'ai*#",a" isi s-a"*ar
2& M#la!'!a" s.sialisasi isi s-a"*ar!#pa*a s#l'r'$ sii-as a!a*#i!a*a":a-a' !ar)a(a" "."5*.s#"s#ara p#ri.*i! *a" !."sis-#"
?& M#p#rsiap!a" *.!'#" -#r-'lis3#r'pa a"'al pr.s#*'r+ i"s-r'!si!#r/a s#s'ai *#",a" isi s-a"*ar
4& M#la!sa"a!a" !#,ia-a"
p#")#l#",,araa" a!a*#i!p#r,'r'a" -i",,i *#",a"#",,'"a!a" s-a"*ar s#3a,ai-.l.! '!'r p#"apaia"&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
21/23
KUALIFIKASI
PEJABAT/PETUGAS
YANG MENJALANKANMANUAL1& Ti Sis-# P#"/ai"a" M'-'
I"-#r"al SPMI PT s#s'ai
*#",a" -',as p.!.! *a";'",si")a -'p.!si+ *a":a-a'
2& P#/a3a- s-r'!-'ral *#",a"3i*a", p#!#r/aa" )a", *ia-'r
.l#$ s-a"*ar )a",3#rsa",!'-a"+ *a":a-a'
?& M#r#!a )a", s#ara #!splisi-*is#3'- *i *ala p#r")a-aa"
s-a"*ar )a", 3#rsa",!'-a"&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
22/23
CATATAN
U"-'! #l#",!api a"'al i"i+
*ip#rl'!a" !#-#rs#*iaa"*.!'#" -#r-'lis 3#r'pa*.!'#" -#r-'lis 3#r'pa a"'alpr.s#*'r -#"-a", s'a-' !#,ia-a"
s#s'ai isi s#-iap s-a"*arREFERENSI
Ti P#",#3a",a" SPMI5PT+Sis-# P#"/ai"a" M'-'
I"-#r"al P#r,'r'a" Ti",,i+6a$a" P#la-i$a"+ Dir/#" Di!-i +2010&
-
8/19/2019 abc_1430314663_Dokumen Mutu (1)
23/23
REFERENSI
Ti P#",#3a",a" SPMI5PT+Sis-# P#"/ai"a" M'-'
I"-#r"al P#r,'r'a" Ti",,i+6a$a" P#la-i$a"+ Dir/#"Di!-i + 2010&