Dokumentasi MPP PDF
Dokumentasi MPP PDF
Pengantar Latihan
Menyusun Rekam Medis MPP
DPJP
Perawat Apoteker
Clinical Leader :
• Kerangka pokok Fisio Ahli
asuhan terapis Pasien, Gizi
• Koordinasi Keluarga
• Kolaborasi
• Sintesis Radio Analis
• Interpretasi grafer
• Review
• Integrasi asuhan Lainnya
Yan Kes
/ RS Lain
MPP
Yan
Case Manager
Keuangan/
Billing Asuransi Dokter
Perusahaan/ Keluarga
Employer BPJS
• Penerapan PCC >
Konsep • Kolaborasi PPA >
Manajemen Pelayanan Pasien • Kendali mutu asuhan
• Kendali biaya asuhan
• Kendali safety asuhan
Pembayar 1. Asuhan sesuai
kebutuhan pasien
PPA 2. Kesinambungan
pelayanan
3. Pasien memahami
Sistem asuhan
Pendukung 4. Kepuasan pasien
Keluarga,Teman, Pasien 5. Kemampuan pasien
Tetangga dsb
mengambil keputusan
6. Keterlibatan &
pemberdayaan
7. Kepatuhan
MPP / Case Mgr 8. Kemandirian pasien
9. Optimalisasi sistem
pendukung pasien
10.Pemulangan aman
MPP bukan PPA – aktif (KARS) 11.Quality Of Life
• Pembayar
• Perusahaan
• Asuransi
Output CM :
Kontinuitas Pelayanan
Pelayanan dgn Kendali
Mutu dan Biaya
Pelayanan yg memenuhi
kebutuhan Pasien-Kel pd Case
ranap s/d dirumah
Good Patient Care Manager
MPP
(Laison,
Penghubung,“Jemb • RS
Pasien atan”) • PPA
Keluarga • Rohaniwan
• Unit2
• Keuangan
Dokumentasi
Manajer Pelayanan Pasien
Psikologi Nurisionis
Klinis Dietisien
Profesional ASUHAN
Pemberi PASIEN
Asuhan
2 PEMBERIAN-
PEMBERIAN-
PELAYANAN /
IMPLEMENTASI-
RENCANA
MONITORING
2. Implementasi Std PP 2, EP 2, PP 5
Pemberian Pelayanan EP 2 & 3, PAB 3 EP 5,
5.3, 6, 7.3,
Monitoring
Pemberian pelayanan/asuhan, pelaksanaan rencana, beserta
monitoringnya 12
Tata Laksana
Manajemen Pelayanan Pasien di Rumah Sakit
(Care
Coordination)
• Cost of claims:
Same illness over $25,000 year to date
• Patterns of care:
Failed or repeated surgeries, hospital-acquired infections, malpractice concerns (quality-of care issues)
Multiple providers, medications, outpatient surgeries. admissions to a skilled nursing facility
• While patient still hospitalized:
Consider response to treatment: multiple providers, prior compliance issues, family support, responsibilities
issues, complications
• After patient has been discharged:
Consider patient knowledge of illness, medications and medical directions, involvement of patient/family
(have they scheduled follow-up appointments, testing, second opinions, etc.?), satisfaction with medical
care
- Does patientlfamily know what to report, to whom , and when?
- Do they know the treatment plan for the future . . . do they have the ability and inclination to follow it?
• Location:
Complex care delivered in rural setting, small hospital, or facility with poor outcome history
• Pharmaceutical profile:
Multiple providers/drugs, drug interaction potential, abuse patterns, disease management potential
(Source: Courtesy of Options Unlimited, Case Management Services Division, © 2003. Huntington, New
York.)
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
(Daniels,S and Ramey,M : The Leader’s Guide to Hospital Case Management, Jones and Bartlett, 2005)
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
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Signature
Medical Management Consultant
(Mullahy, C.M. : The Case Manager’s Handbook, 5 th edJones & Bartlett Learning, 2014)
Discharge Planning
What is it and how can it help me?
Planning for discharge with clear dates and times reduces:
• Patient's length of stay
• Emergency readmissions
• Pressure on hospital beds
This is true for all patients, both day surgery and patients who have more complex needs.
When does it work best?
With elective care, discharge planning should start before admission. This allows everyone to
focus on a clear endpoint in the patient's care. It also reduces errors and unnecessary delays
along the patient pathway.
If inpatient beds are a bottleneck, reducing pressure on beds will increase throughput and
therefore reduce referral to treatment times.
How to use it
There are some common key elements when planning for discharge, regardless of whether a
patient is receiving emergency or elective (inpatient or day case) care. These are:
Specifying a date and / or time of discharge as early as possible
Identifying whether a patient has simple (80 per cent of all patients) or complex discharge
planning needs
Identifying what these needs are and how they will be met
Deciding the identifiable clinical criteria that the patient must meet for discharge
(NHS Institute for Innovation and Improvement : Discharge Planning, 2008)
(NHS Institute for Innovation and Improvement : Discharge Planning, 2008)
Discharge Planning
Transisi & Kontinuitas Yan
Keluarga :
Asuhan
Dirumah
Yan
Discharge Planning Follow-up
Edukasi, Pelatihan spesifik : Pasien-Kel Penunjang,
• Awal & durante • Ke RS Yan Kes
Rehab
ranap • Telpon Primer
• Kriteria dilingkungan
• Tim Multidisiplin Proses Pulang :
• Keterlibatan o 24-48 jam pra-pulang
Pasien-Kel o Penyiapan Yan dilingkungan
• Antisipasi masalah o Kriteria pulang +
• Program Edukasi o Resume pasien pulang
/Pelatihan o Transport
o dsb
Discharge Planning
• Cegah Komplikasi
Pasca Discharge
• Cegah Readmisi
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