LAMPIRAN

KEPUTUSAN KEPALA
KEPALA PUSKESMAS MANDING
 NOMOR : …/……../……………../
…/……../……………../ 2017
TANGGAL :

TUGAS,WEWENANG DAN TANGGUNG JAWAB

TIM MANAJEMEN MUTU

Tim Managemen Mutu

Penanggung Jawab : dr. Fatimatu In!"#nia$
%etua Tim Mutu : dr. Utari Dewi Su&ma
Se&retari! : 'ani Nuru An!$#ri Amd %e(
'u!e$
'u!e$ )amad$ani Amd %e(

Tim Audit Interna

%etua : Taufiqurrahah!
Taufiqurrahah! A" K#$
Angg#ta :
% E&'(
E&'( Ni)a
Ni)a Pria
Pria)i
)i*
* A" K#+
K#+,i
,i
% I)a Suia)i A" K#
K#$
% Ira -u&ia+)u)i
% A*a Arifah A" G
G

Tim Penanganan %eu$an Dan Sur*ei %e(ua!an Peanggan

%etua : Rifqa)i& Ai*i SKM
Angg#ta :
% I*"ria*a A
A" K#
K#
% D#++
D#++
 Aria*)
a*)i A
A" K#
K#
% I+)i
I+)i Di
Di M#rr
M#rr
a*
a*)i
)i a"
a" K#$
K#$
% Nur+i" A" K#
% Khai
haira)u&
a)u& Iaah
aah A" K#$
K#$
% i*i Pra)i
a)ii a
a" K#
K#$
% N'3i
'3i Tr
Tri+)i
+)ia*i
a*i A
A" K#$
K#$

Tim Mana+emen %#m(ain

%etua : Pu+a Ar)i(' Sha*)i A" K#
Angg#ta :
% Si)i Kh
Kha&i
a&ifah A
A" K#
K#$
% R. Nuru&
uru& 4a+
4a+a*ah
a*ah S.K#
S.K#.
.N+
N+
% Arifa
rifa))u& Khai
hairah A" K#$
K#$
% Si)i
Si)i Mar
Mari
ia)
a)u&
u& 5i$
5i$)i
)ia
a A" (#$
(#$
% 4a*"'(' 6i''
% 8ari
8ari+(
+(aa Ti
Tiara
ara 9a
9ahr
hrii A" K#$
K#$

1
 Tim Managemen )e!i&#
%etua : Na*a*, Su,iar)' A" (#
Angg#ta :
% D#i Ruaqi"ah
% Nur Aha" Ef#*"i
% Ri(a 9a"ria*)i A" K#+&i*,
% 8ari" Ria"i A" K#
% Ri*i Li$ra+ih A" K#
% Aha" afa*"i E(a Pu)ra A" K#

Tim Pening&atan Mutu Dan %e!eamatan Pa!ien  PM%P -

%etua : Nur aha" Ef#*"i A" K#$
Angg#ta :
% Ri*i Li$ra+ih A" K#
% Aha" afa*"i E(a Pu)ra A" K#
% 8ira* Afa*"iar'*' A" K#$
% 8ari" Ria"i A" K#

. Uraian Tuga! %etua Tim Mutu Pu!&e!ma! / wa&i mana+emen mutu

 Wewenang
M#i&i(i ##*a*, #*uh u*)u( #*a&a*(a* )u,a+ "a* )a*,,u*, aa$*a
+#$a,ai a(i& a*a##*
 Tanggung Jawab
9#r)a*,,u*, aa$ u*)u( #*ai* (#+#+uaia* "a* #f#()i3i)a+ i&##*)a+i
+i+)# a*a##* u)u
 Tuga!
• M#*ai* +i+)# "i&a(+a*a(a* +#ara #f#()if a"a +#ua fu*,+i.
• M#*ai* +i+)# a*a##* u)u "i#r$ai(i )#ru+ #*#ru+.
• M#&a'r(a* ha+i&/ (i*#ra +i+)# a*a##* u)u (#a"a K#a&a
Pu+(#+a+
• M#*,uaa(a* #*i*,(a)(a* (#+a"ara*/ #ahaa* (araa* "a&a
+i+)# a*a##* u)u
• M#*,(''r"i*a+i(a* (#,ia)a* i*)#r*a& au"i)
 Tuga! Tamba$an
M#&a(+a*a(a* +#ua )u,a+ )a$aha* a*, "i$#ri(a* '&#h ii*a*

0. Uraian Tuga! Tim Audit#r Interna

 Wewenang
M#i&i(i ##*a*, "a&a r'+#+ #*,u(ura* "a* #*i&aia* +#ara +i+)#a)i(!
'$#()if "a* )#r"'(u#*)a+i u*)u( #a+)i(a* $aha (#,ia)a* a*a##* u)u
)#&ah +#+uai "#*,a* #*,a)ura*
 Tanggung Jawab

2
 9#r)a*,,u*, aa$ (#a"a (#a&a u+(#+a+ a)a+ ha+i& au"i) i*)#r*a&*a u*)u( 
#*#&#+ai(a* #ra+a&aha* 'r,a*i+a+i! )#ru)aa "i)i*au "ari #r+#()if u)u
"a* (#ua+a* #&a*,,a* "a&a ra*,(a #*i*,(a)(a* (i*#ra 'r,a*i+a+i +#ara
uu.
 Tuga!
• M#r#*a*a(a* #&a(+a*aa* au"i) i*)#r*a& u+(#+a+! #&iu)i : #$a,ia*
au"i)# "a* au"i)'r! a"a& #&a(+a*aa*! #$ua)a* +ura) (#a"a a(i&
a*a##*! #*ia(a* +#ua +ara*a u*)u( #&a(u(a* au"i) i*)#r*a&.
• M#&a(u(a* )u,a+ au"i) i*)#r*a& )#rha"a +#&uruh '&i/ u*i) a*, a"a "i
Pu+(#+a+ #&iu)i: #*,aa)i r'+#+! #i*)a #*#&a+a*! #i*)a
 #ra,aa*! #*#&aah "'(u#*! ##ri(+a "#*,a* "af)ar #ri(+a! #*ari
 $u()i%$u()i! ##ri(+a +i&a*,! #aa*arai au"i)##! #&a(u(a* +ur3#i!
#*ari i*f'ra+i "ari +u$#r &uar! #*,a*a&i+i+ "a)a "a* i*f'ra+i ! "a*
#*iu&(a* ha+i& )#ua*.
• M#&a'r(a* +#ua ha+i& )#ua* au"i) (#a"a (#)ua )i a(r#"i)a+i/a(i&
a*a##*.
• M#r#*a*a(a* au"i) i*)#r*a& a*, a(a* "i&a(u(a* #ri'"# +#&a*u)*a.

 Tuga! Tamba$an
M#&a(+a*a(a* #ri*)ah &ai* a*, "i$#ri(a* '&#h (#a&a u+(#+a+

1. Uraian Tuga! Tim Pening&atan Mutu %ini! / %e!eamatan Pa!ien

 Wewenang
M#i&i(i ##*a*, u*)u( #*a,a #*i*,(a)a* u)u (&i*i+ "a* (#+#&aa)a*
 a+i#* a*, #*"aa) #&aa*a* (#+#ha)a* "i u+(#+a+
 Tanggung Jawab
9#r)a*,,u*, aa$ #*uh )#rha"a (#a&a u+(#+a+ a)a+ #*i*,(a)a* u)u
(&i*i+ "a* (#+#&aa)a* a+i#* "a&a #*"aa)(a* #&aa*a* (#+#ha)a* a*,
"i&a(u(a* "i u+(#+a+
 Tuga!
• M#*+'+ia&i+a+i(a* i*"i(a)'r u)u #&aa*a* (&i*i+ "a* +a+ara*
(#+#&aa)a* a+i#* (#a"a +#&uruh )#*a,a (&i*i+ "i Pu+(#+a+ Ma*"i*,.
• M#*,uu&(a* "a)a ha+i& #*,u(ura* i*"i(a)'r u)u #&aa*a* (&i&*i+
"a* +a+ara* (#+#&aa)a* a+i#* +#+uai #ri'"# a()u a*, )#&ah "i)#*)u(a*
a*, "i&a(+a*a(a* '&#h P#*a*,,u*, ;aa$ u*i) #&aa*a* "a* )i +ur3#i.
• M#*"'(u#*)a+i(a* ha+i& #*,u(ura*! #&a(u(a* #*a)a)a* "a*
 #&a'ra* )#r(ai) "#*,a* KTD! KN< "a* KP< .
• M#&a(u(a* a*a&i+i+ )#rha"a ha+i& #*,u(ura*.
• M#*u+u* r#*a*a )i*"a( &a*u) "a* #r$ai(a* ha+i& a*a&i+i+ #*,u(ura*.
• M#&a'r(a* ha+i& a*a&i+i+ "a* r#*a*a )i*"a( &a*u) "a* #r$ai(a* (#a"a
K#a&a Pu+(#+a+.
 Tuga! Tamba$an
M#&a(+a*a(a* #ri*)ah &ai* a*, "i$#ri(a* '&#h (#a&a u+(#+a+

2. Uraian Tuga! Tim Sur*e" %e(ua!an Peanggan

 Wewenang
M#i&i(i ##*a*, u*)u( #&a(+a*a(a* +#ua )u,a+ "a* )a*,,u*, aa$
+#$a,ai +ur3#'r "i Pu+(#+a+ Ma*"i*,

 Tanggung Jawab

=
 9#r)a*,,u*, aa$ #*uh )#rha"a (#a&a u+(#+a+ a)a+ #&a(+a*aa* "a* ha+i&
+ur3# a*, )#&ah "i&a(u(a**a
 Tuga!
• M#r#*a*a(a* #&a(+a*aa* +ur3# Pu+(#+a+
• M#&a(+a*a(a* +#&uruh (#,ia)a* +ur3# Pu+(#+a+
• M#*,'&ah! #*,a*a&i+a! "a* #&a'r(a* ha+i& +ur3# (#a"a (#)ua )i
a(r#"i)a+i.
• M#r#*a*a(a* #&a(+a*aa* +ur3# +#&a*u)*a
 Tuga! Tamba$an
M#&a(+a*a(a* #ri*)ah &ai* a*, "i$#ri(a* '&#h (#a&a u+(#+a+

Dite
tapkandiMandi ng
Padatanggal Januari2017

Kepal
a Puske
s masMandi
ng

Dr
.Fat
imat
ulI
nsyoni
ah

>