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DAFTAR ISI

DAFTAR ISI ................................................................................................................. i


BAB I PENDAHULUAN ................................................................................ 1
A. Latar Belakang ..................................................................................................... 1
B. Tujuan Umum ...................................................................................................... 2
C. Tujuan Khusus ..................................................................................................... 2
BAB II DEFINISI .............................................................................................. 3
A. Input ................................................................................................................... 3
B. Processing ......................................................................................................... 3
C. Output ............................................................................................................... 3
D. Informasi ........................................................................................................... 3
E. Data .................................................................................................................... 3
F. Indikator ............................................................................................................ 3
G. Mutu ................................................................................................................... 3
H. Data Indikator Mutu .......................................................................................... 4
I. Indikator Mutu Utama/Terpilih ......................................................................... 4
J. Indikator Mutu Area Klinis................................................................................ 4
K. Indikator Mutu Area Manajerial ........................................................................ 4
L. Indikator Mutu Area Sasaran Keselamatan Pasien ............................................ 4
M. Indikator Mutu Area JCI Library of Measure ................................................... 5
N. Kamus Profil Indikator ...................................................................................... 5
O. Dimensi Mutu .................................................................................................... 5
P. Unit Pelayanan ................................................................................................... 5
Q. Definisi Operasional .......................................................................................... 5
R. Frekuensi Pengumpulan Data ............................................................................ 5
S. Periode Analisa .................................................................................................. 5
T. Numerator/Pembilang ....................................................................................... 5
U. Denumerator/Penyebut ...................................................................................... 5
V. Sumber Data ..................................................................................................... 5
W. Standar/Target .................................................................................................... 6
BAB III RUANG LINGKUP ............................................................................. 7
A. Indikator Mutu ................................................................................................... 7
B. Pengelolaan Data Untuk Peningkatan Kinerja ................................................... 7

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C. Jenis Indikator Mutu Pelayanan Rumah Sakit ................................................... 8
D. Jenis Data Yang Dicatat dan Dilaporkan ........................................................... 8
BAB IV KEBIJAKAN ........................................................................................ 9
A. Kebijakan Umum ............................................................................................... 9
B. Kebijakan Khusus .............................................................................................. 9
BAB V TATA LAKSANA .............................................................................. 10
A. Pengumpulan Data Indikator ........................................................................... 10
B. Pelaporan ........................................................................................................ 10
C. Validasi Data .................................................................................................... 10
D. Analisis Data Indikator .................................................................................... 11
E. Pencatatan dan Pelaporan Indikator Mutu Utama ........................................... 12
1. Pencatatan ................................................................................................. 12
2. Validasi Data .............................................................................................. 14
3. Formulir yang Disediakan ........................................................................ 15
4. Petunjuk Pengisian .................................................................................... 16
5. Benchmarking ........................................................................................... 16
F. Pelaporan Indikator Mutu Utama .................................................................... 17
G. Analisa dan Indikator Mutu ............................................................................. 17
BAB VI DOKUMENTASI ............................................................................... 19
BAB VII PENUTUP........................................................................................... 20

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