No. : MM PKM Lawanga 2007 Disiapkan Diperiksa Disahkan
No. Revisi :0 Ketua Tim MR Ka.Puskesmas MANUAL Tanggal Mulai Berlaku : 2007 Mutu Lawanga Halaman : 1-42 MUTU Dr.Hasridah Lisrahmi L Fadlun,SKM PUSKESMAS NIP.570023484 NIP140225244 NIP.140295254 LAWANGA
DAFTAR ISI Halaman
DAFTAR ISI ...............................................................................................................1 - 44
1. PENDAHULUAN............................................................................................................ 3 - 44 2. PROFIL PUSKESMAS ................................................................................................. 3 - 44 2.1 Visi - Misi Puskesmas......................................................................................... 5 - 44 2.2. Budaya Puskesmas ........................................................................................... 6 - 44 2.3 Business Process Map Puskesmas....................................................................7 - 44 3. LINGKUP APLIKASI ......................................................................................................8 - 44 4. TUJUAN ...............................................................................................................8 - 44 5. PENANGGUNG JAWAB................................................................................................8 - 44 6. DOKUMEN TERKENDALI..............................................................................................8 - 44 7. PERSYARATAN SISTEM MANAJEMEN MUTU............................................................9 - 44 7.1. Persyaratan Standar Internasional.....................................................................9 - 44 7.2. Dokumentasi Sistem Manajemen Mutu...............................................................9 - 44 7.3. Sistem Pengendalian Dokumen..........................................................................9 - 44 7.4. Sistem Kearsipan...............................................................................................10 - 44 8. TANGGUNG JAWAB MANAJEMEN.............................................................................11 - 44 8.1. Komitmen Top Manajemen ...............................................................................11 - 44 8.2. Fokus Pelanggan...............................................................................................11 - 44 8.3. Kebijakan Mutu..................................................................................................12 - 44 8.4. Sasaran Mutu....................................................................................................13 - 44 8.5. Perencanaan.....................................................................................................13 - 44 8.6 Tugas, Tanggung Jawab & Wewenang.............................................................13 - 44 8.7 Ringkasan Fungsi dan Tanggung Jawab Unit-unit Terkait ..................................15 - 44 8.8 Struktur Organisasi............................................................................................18 - 44 8.9 Wakil Manajemen..............................................................................................20 - 44 8.10 Komunikasi Internal...........................................................................................21 - 44 8.11 Tinjauan Manajemen.........................................................................................21 - 44 9 PENGELOLAAN SUMBERDAYA.................................................................................22 - 44 9.1. Penyediaan Sumberdaya..................................................................................22 - 44 Judul : Manual Mutu Penanggung Jawab No. : MM PKM Lawanga 2007 Disiapkan Diperiksa Disahkan No. Revisi :0 Ketua Tim MR Ka.Puskesmas MANUAL Tanggal Mulai Berlaku : 2007 Mutu Lawanga Halaman : 2-42 MUTU Dr.Hasridah Lisrahmi L Fadlun,SKM PUSKESMAS NIP.570023484 NIP140225244 NIP.140295254 LAWANGA
9.2. Pengembangan Sumberdaya Manusia.............................................................22 - 44
9.3 Sarana Kerja.....................................................................................................23 - 44 9.4. Lingkungan Kerja..............................................................................................24 44 10 REALISASI PROSES PELAYANAN DI PUSKESMAS.................................................25 - 44 10.1 Perencanaan Proses Pelayanan Di Puskesmas..............................................25 - 44 10.2 Persyaratan Pelanggan & Produk....................................................................27 - 44 10.3 Mekanisme dengan Komunikasi Pelanggan....................................................27 - 44 11. DISAIN DAN PENGEMBANGAN.................................................................................28 - 44 12. PEMBELIAN .............................................................................................................28 - 44 12.1 Proses Pembelian.............................................................................................28 - 44 12.2 Informasi Pembelian..........................................................................................28 - 44 12.3 Verifikasi Produk yang dibeli.............................................................................29 - 44 13 PROSES PELAYANAN DI PUSKESMAS DAN PENYEDIAAN JASA..........................29 - 44 13.1 Pengendalian Proses Pelayanan Di Puskesmas dan Penyediaan Jasa.........29 - 41 13.2 Validasi Proses Pelayanan Di Puskesmas dan Penyediaan Jasa..................30 - 44 13.3 Identifikasi & Ketelusuran..................................................................................31 - 44 13.4 Barang Milik Pelanggan....................................................................................31 - 44 13.5 Penyimpanan Barang/Produk...........................................................................32 - 44 13.6 Pengendalian Peralatan Pengukuran/Pemantauan .........................................32 - 44 14 PENGUKURAN, ANALISA DAN PERBAIKAN.............................................................33 - 44 14.1 Data & Informasi................................................................................................33 - 44 14.2 Pengukuran / Pemantauan................................................................................34 - 44 14.2.1. Kepuasan Pelanggan..........................................................................34 - 44 14.2.2. Audit Internal........................................................................................34 - 44 14.2.3 Pemantauan dan Pengukuran Proses Pelayanan rawat jalan ..........35 - 44 14.2.4. Pemantauan dan Pengukuran Produk................................................36 - 44 14.3. Pengendalian Produk Tidak Sesuai..................................................................36 - 44 14.4. Analisa Data......................................................................................................37 - 44 14.5. Tindakan Koreksi/Prevensi dan Perbaikan Terus Menerus .............................38 - 44 14.5.1. Program Perbaikan Terus Menerus.....................................................38 - 44 Judul : Manual Mutu Penanggung Jawab No. : MM PKM Lawanga 2007 Disiapkan Diperiksa Disahkan No. Revisi :0 Ketua Tim MR Ka.Puskesmas MANUAL Tanggal Mulai Berlaku : 2007 Mutu Lawanga Halaman : 3-42 MUTU Dr.Hasridah Lisrahmi L Fadlun,SKM PUSKESMAS NIP.570023484 NIP140225244 NIP.140295254 LAWANGA
14.5.2. Tindakan Koreksi dan Prevensi ..........................................................38 - 44