Target
Upaya Pelayanan Kesehatan/ 1. Puskesmas Jela
Tahun
No Program/Variabel/Sub
2018 (T) %Cakupan
Variabel Program
dalam % Riil
1 2 3 4
2.1.UKM ESSENSIAL
2.1.1.Upaya Promosi Kesehatan
2.1.1.1.Tatanan Sehat
1.Rumah Tangga
Sehat yang
59%
memenuhi 10
indikator PHBS
2. Institusi
Pendidikan yang
memenuhi 7-8 69%
indikator PHBS
(klasifikasi IV)
3.Institusi Kesehatan
yang memenuhi 6
100%
indikator PHBS
(klasifikasi IV)
4. TTU yang
memenuhi 6
64%
indikator PHBS
(klasifikasi IV)
2.1.1.2.Intervensi/ Penyuluhan
1.Kegiatan intervensi
pada Kelompok 100%
Rumah Tangga
2. Kegiatan
intervensi pada 100%
Institusi Pendidikan
3. Kegiatan
intervensi pada 100%
Institusi Kesehatan
4. Kegiatan
100%
intervensi pada TTU
5. Kegiatan
intervensi pada 100%
Tempat Kerja
6.Kegiatan intervensi
pada Pondok 100%
Pesantren
2.1.1.3.Pengembangan UKBM
1. Posyandu PURI
( Purnama Mandiri ) 72%
2.Poskesdes
beroperasi dengan
strata Madya,
97%
Purnama dan
Mandiri
2.1.1.4. Penyuluhan NAPZA ( Narkotika Psikotropika dan Zat Adiktif)
1. Penyuluhan Napza 24%
2.Pelayanan 100%
Kesehatan Neonatus
0 - 28 hari (KN
lengkap)
80%
3.Penanganan
komplikasi neonatus
4.Pelayanan 97%
kesehatan bayi 29
hari - 11 bulan
2. Pelayanan 100%
kesehatan balita (0 -
59 bulan)
3.Pelayanan 81%
kesehatan Anak pra
sekolah (60 - 72
bulan)
8.. Pelayanan
kesehatan remaja 68%
2.1.3.5. 1.KB
Pelayanan
aktif Keluarga Berencana (KB)
(Contraceptive
70%
Prevalence Rate/
CPR)
2. Peserta KB baru 10%
3. Akseptor KB Drop
<3.5 %
Out
4. Peserta KB
mengalami < 3.5 %
komplikasi
5. Peserta KB
mengalami efek < 12.50%
samping
6. PUS dengan 4 T
80%
ber KB
7. KB pasca persalinan 60%
Bayi
8. Ibu hamil yang umur
Jumlah 95%
diperiksa HIV 6-11
bayi
bulan
umur
2.1.4.Upaya Pelayanan Gizi menda
6-11
pat
2.1.4.1.Pelayanan Gizi Masyarakat bulan
kapsul
menda
vitami
pat
nA
kapsul
biru
Vitami
(100.0
nA
1. Pemberian kapsul 00 IU)
biru
vitamin A dosis di
42.5 (100.0 85% LB3-Gizi 75.73
tinggi pada bayi wilaya
00 IU)
umur 6-11 bulan h kerja
dibagi
Puskes
jumlah
mas
bayi
pada
umur
kurun
6-11
waktu
bulan
tertent
yang
u pada
ada
kurun
Jumlah
hamil
pat kapsul
ibu
yang
kapsul vitami
hamil
selama
vitami n A2(
dapat
kehami
nA dua)
90
2. Pemberian kapsul lannya
merah kali per
(sembil
vitamin A dosis menda
Balita
(200.0 tahunan
42.5 tinggi pada balita pat
kurus
00 IU) 90 dibagi 85% LB3-Gizi 94.30
puluh)
umur 12-59 bulan 2 (sembil
yang
2 kali jumlah
tablet
(dua) kali setahun an
ditemu
pertahu anakBesi
puluh)
kan
n di balita
kumula
3. Pemberian 90 tablet
dan
wilaya umur tif
47.5 tablet Besi pada ibu menda
Besi
h kerja 12-59 95% LB3-Gizi 92.12
dibagi
Jumlah
hamil kumula
pat
Puskes bulanjumlah
balita
tif
PMT di
4.Pemberian Tablet Remaj yang
mas Jumlah
sasaran
kurus
wilaya
pemuli
Tambah Darah pada a Putri ada
pada di
remaja
bumil
yang 30% LB3-Gizi 78.22
Remaja Putri h
han
kurun kerja
(SMP wilaya putri
di
ditemu
Puskes
(PMT-
waktu yang
dan h kerja
wilaya
kan
mas
P) di
tertent menda
SMA) Puskes
h kerja
dan
pada
suatu
u
yang mas
pat
2.1.4.2. Penanggulangan Gangguan
kurun Gizi1
Puskes
menda
wilaya
menda (satu)dikali
mas
pat
hwaktu
patkerja 100%
tablet
kerja
tertent PMT
pada
minim tambah
dikali
ukurun pemuli
al 80% darah
100%
han
waktu
dari per
dibagi
tertent
yang jumlah
mingg
Bumil
1.Pemberian PMT-P u.Balit
seharus u Jumlah
balita 85% LB3-Gizi 162.62
pada balita kurus KEK
anyakurus bumil
dibagi
kurus
dengan
yaitu
diberik KEK
jumlah
yang
LILA
balita
an 1 yangremaja
ditemu
<23,5
yang
(satu) menda
putri
kan didi
cm
secara
tablet pat
suatu
wilaya
yang
antrop
tambah PMT
wilaya
h kerja
ditemu
ometri
darah Puskes
h kerja
pemuli
kan
berdas
per dikali
han
mas
dan
arkan
mingg dibagi
100%
pada
menda
berat
u jumlah
kurun
2. Ibu Hamil KEK pat badan
sepanja bumil
waktu
yang mendapat PMT
menur 80% LB3-Gizi 100.00
ng KEK
tertent
PMT-Pemulihan pemuli
ut
tahun di
han
tinggidi u dikali
di wilaya
100%
suatu
badan
suatu h kerja
wilaya
di
wilaya Puskes
hbawah
kerja
h kerja ams
Puskes
-2 SD pada
Puskes
mas
(menur
mas kurun
pada
ut Z-
pada waktu
kurun
score)
kurun tertent
waktu
waktu u dikali
tertent
tertent 100%
u
u
3..Balita gizi buruk Balita Jumlah
mendapat perawatan gizi balita
sesuai standar buruk gizi
tatalaksana gizi yang buruk
buruk ditemu yang
kan menda 100% LB3-Gizi 100.00
dan pat
menda perawa
pat tan
perawa sesuai
tan standar
sesuai tatalak
standar sana
2.1.4.3. Pemantauan Status Gizi
tatalak gizi
1.Penimbangan Balita
sana Jumlah buruk 80% LB3-Gizi
balita D/S yang
gizi balita
dibagi
ditimb 62.47
buruk yang jumlah
ang
di ditimb
balita
berat ang
2.Balita naik berat wilaya
Balita
badann
gizi
Jumlah
berat 60% LB3-Gizi
badannya (N/D) h
yang kerja buruk
balita
ya
Puskes di badann
yang
naik
wilaya yang
ya (D)
ams
berat ditemu
kerja naik
hPuskes dibagi
kan 73.10
badann
Puskes berat
jumlah
mas
ya dikali
badann
mas
pada balita
100%
sesuai
pada ya
yang
kurun
dengan sesuai
kurun
waktu ada
standar dengan
3.Balita Bawah Garis waktu
Balita
tertent (Jumlah
S) < 1,8% LB3-Gizi
di
tertent standar
dikali
Merah (BGM) yang
u. balita
wilaya
ugrafik (N)
100%
Balita yang
h kerja dibagi
pertum
gizi grafik 0.56
Puskes jumlah
buhann
buruk pertum
mas balita
ya
yaitu buhann
pada yang
berada
balita ya
kurun naik
di
yang berada
4.Rumah Tangga waktu Jumlah
Rumah dan 90% Survei
bawah
secara di
mengkonsumsi tertent rumah
tangga tidak
garis
antrop bawah
garam beryodium u
yang naik
tangga
merah
ometri garis
mengk yang berat
pada
berdas merah
onsum mengkbadann
Kartu
arkan pada 99.43
si ya
onsum
Menuj
berat KMS
garam si (N+T)
ubadan
Sehat dibagi
di
beryod garam
(KMS)
menur jumlah
wilaya
ium di beryod
pada
ut balita
h kerja
wilaya ium.di
kurun
tinggi yang
Puskes
h kerja bagi
waktu
badan ditimb
mas
Puskes jumlah
tertent
kurang ang di
mas pada
rumah
udari -3 wilaya
kurun
pada tanngg
SD h kerja
kurun awaktu
yang
(menur Puskes
tertent
waktu disurve
mas
5.Ibu Hamil Kurang Ibu Jumlah < 19,7% LB3-Gizi
Energi Kronis (KEK) hamil ibu
yang hamil
hasil dengan
16.69
penguk LiLA
uran kurang
Lingka dari
r 23,5
6. Bayi usia 6 Lengan
Bayi cm Jumlah 47 LB3-Gizi
(enam ) bulan Atas
usia 6 bayidibagi
mendapat ASI (LiLA)
(enam) jumlah
usia 6
23.5 Eksklusif nya
bulan ibu bln 71.05
kurang
yang di hamil
menda
dari
beri diukur
pat
23,5 ASI
ASI LiLA
7. Bayi yang baru Proses
cm di Jumlah
saja dikali
Eksklu 47 LB3-Gizi
lahir mendapat IMD menyu
tanpa bayi
wilaya 100%
sif di
(Inisiasi Menyusu su
hmakandi baru
kerja suatu
Dini ) mulai
Puskes
an/ lahir
wilaya
secepat
cairan yang
ams h pada 81.87
nya
Puskes
lain menda
periode
segera
mas
kecuali pat
Catata
tertent
setelah
pada IMD
obat, n di
u di
untuk
lahir,I
kurun satu
vitami kinerja
bagi
MD
n dan wilaya
waktu di Puskes
jumlah
8 Balita pendek lakuka
minera h
tertent
Keadaa pada
mas:
Jumlah
bayi 6 < 25,2 LB3-Gizi
(Stunting ) n
u dg periode
l balita balita
(enam) dan bulan
cara
gizi tertent
bulan<
stuntin timbang
kontak g
kurang u
19,7
di di
yang
kulitke bagi
yang =
periksa 11.33
kulit dengan
diukur jumlah
100%
bayi jumlah
menur seluruh
dgn
ut bayi
19,7 -
balita
ibunya
indeks baru
22,5%
yang di
segera
panjan lahir
= 75%
periksadi
gsetelah dikali
### Upaya Pencegahan dan Pengendalian suatu>
Penyakit
lahir 100
badan wilaya
22,5%
2.1.5.1. Diare dan h pada
-25%=
atau
1.Pelayanan Diare tinggi
berlang periode
50%
Balita 100%
sung tertent
badan
2. Penggunaan oralit minim
menur u di 100%
pada balita diare al
ut 1 kali >
Catata
jam
umur 100 n %
25
-27,5%
kurang kinerja
3. Penggunaan Zinc dari -2 Puskes
= 25% 100%
pada balita diare standar mas:
deviasi >
(PB/U 27,5<
atau -30%
25,2 =
TB/U 0% =
4. Pelaksanaan 100%
kegiatan Layanan
Rehidrasi Oral Aktif
2.1.5.2. (LROA)
ISPA ( Infeksi Saluran Pernapasan Atas)
Pemuan penderita
Pneumonia balita 85%
2.1.5.3.Kusta
1. Pemeriksaan lebih dari
kontak dari kasus 80%
2. Kasus
Kusta Kusta yang
baru lebih dari
dilakukan PFS secara 95%
rutin
3. RFT penderita lebih dari
Kusta 90%
4. Penderita baru lebih dari
pasca pengobatan 97%
dengan score
kecacatannya tidak
bertambah atau tetap
2.1.5.7. Malaria
1.Penderita Malaria
yang dilakukan 100%
pemeriksaan SD
2.Penderita positif
Malaria yang diobati 100%
sesuai standar
3.Penderita (ACT)
positif
Malaria yang di 100%
follow up
2.1.5.8. Pencegahan dan Penanggulangan Rabies
1.Cuci luka terhadap
100%
kasus gigitan HPR
2.Vaksinasi terhadap
kasus gigitan HPR 100%
yang berindikasi
4. Imunisasi DT pada
anak kelas 1 SD 98%
5. Imunisasi Campak
pada anak kelas 1 SD 98%
6. Imunisasi TT pada
anak SD kelas 2 dan 98%
3
7. Imunisasi TT5
pada WUS (15-49 85%
th)
8.Imunisasi TT2 plus
bumil (15-49 th) 85%
9. Pemantauan suhu
lemari es vaksin 100%
10..Ketersediaan
catatan stok vaksin 100%
11. Laporan KIPI
Zero reporting / KIPI 90%
Non serius
3. Setiap warga
negara Indonesia
usia 15 - 59 tahun 30%
mendapatkan
skrining kesehatan
sesuai standar
96.33 98.17
234.19 55.09
28.80 31.74
100.00 65.28
100.00 100.00
58.86 60.49
61.24 54.63
0.65 0.43
98.54 100.00
10.36 13.66
84.27 100.00
69.23 77.16
24.47 5.36
nya UKM esensial terdiri dari 5 Program ( Promosi Kesehatan, Kesehatan Lingkungan, KIA-KB dll)
Kesehatan adalah tatanan sehat, intervensi/penyuluhan, pengembangan UKBM dll
tanan sehat adalah rumah tangga sehat yang memenuhi 10 indikator PHBS, Institusi Pendidikan yang mem
g, balita, rumah tangga dll
dihitung dengan cara kolom 7 ( pencapaian) dibagi kolom 5 ( total sasaran) dikali 100%
encapaian kinerja puskesmas ( kolom 7) dibandingkan target sasaran ( kolom 6) diksli 100%
ubvariabel dibagi sejumlah variabel
a bisa langsung mengisi % kinerja variabel dan % kinerja rata- rata program
variabel dibagi sejumlah variabel
18 ( kolom 3) dengan % capaian riil ( kolom 8)
smas Pulolor 4. Puskesmas Jabon 5. Puskesmas Tembelang 6. Puskesmas Jatiwate
Analisa akar Rencana Analisa akar Rencana
Rencana %Cakupan %Cakupan %Cakupan
penyebab Tindak penyebab Tindak
Tindak Lanjut Riil Riil Riil
masalah Lanjut masalah Lanjut
6 4 5 6 4 5 6 4
77.72 106.37 74.97
108.64 98.91 78.98
100.58 99.49
24.20 37.28
5.78 57.62
100.00 100.00
100.00 100.00
82.99 84.54
63.14 90.98
0.68 0.36
97.93 95.45
11.95 13.22
84.53 72.58
75.33 102.33
9.35 22.94
9-Sep-19
esmas Cukir 9. Puskesmas Brambang 10. Puskesmas Bl. Gudo 11. Puskesmas Pl. Gamba
Rencana Analisa akar Rencana Analisa akar Rencana
%Cakupan %Cakupan
Tindak penyebab Tindak %Cakupan Riil penyebab Tindak
Riil Riil
Lanjut masalah Lanjut masalah Lanjut
6 4 5 6 4 5 6 4
109.36 109.14 94.87
85.17 104.80 108.07
102.77 97.74
50.79 74.23
20.09 20.14
100.00 102.50
100.00 100.00
78.19 87.77
54.09 56.63
0.76 0.80
99.23 100.00
15.01 4.93
88.09 95.46
79.33 84.94
23.11 1.50
14. Puskesmas Bw. Ploso 15. Puskesmas Plandaan 16. Puskesmas Kabuh
Analisa akar Rencana Analisa akar Rencana Analisa akar
%Cakupan %Cakupa %Cakupan
penyebab Tindak penyebab Tindak penyebab
Riil n Riil Riil
masalah Lanjut masalah Lanjut masalah
4 5 6 4 5 6 4 5
81.55 78.90 84.96
79.32 77.35 81.01
100.93 94.50
42.05 109.87
41.28 25.45
112.90 100.00
100.00 100.00
79.37 76.71
55.14 66.30
1.06 1.62
96.59 93.10
16.97 11.86
73.45 86.12
78.68 114.23
19.92 21.25
22. Puskesmas Jogoloyo 23. Puskesmas Kesamben 24. Puskesmas Bl. Kesamben
Analisa akar Rencana Analisa akar Rencana Analisa akar
%Cakupan %Cakupan %Cakupan
penyebab Tindak penyebab Tindak penyebab
Riil Riil Riil
masalah Lanjut masalah Lanjut masalah
4 5 6 4 5 6 4 5
107.99 91.85 108.67
99.44 87.89 89.20
81.41 96.85
269.93 89.70
141.07 5.05
94.44 93.28
100.00 100.00
68.83 86.47
65.05 68.21
1.23 0.47
81.82 100.00
5.61 22.19
71.06 94.63
61.41 94.25
31.58 5.29
30. Puskesmas Kes. Ngoro 31. Puskesmas Bareng 32. Puskesmas Mojowarno
Analisa akar Rencana Analisa akar Rencana Analisa akar
%Cakupan %Cakupan %Cakupan
penyebab Tindak penyebab Tindak penyebab
Riil Riil Riil
masalah Lanjut masalah Lanjut masalah
4 5 6 4 5 6 4 5
106.52 95.11 89.25
98.74 91.09 89.48
103.25 107.88
29.54 0.87
19.41 277.45
90.91 144.07
100.00 100.00
91.35 70.27
86.63 62.54
1.20 1.27
92.53 80.39
16.75 9.90
91.27 86.35
90.87 75.46
20.58 22.18
PENGHITUNGAN PENILAIAN KINERJA PUSKES
1. Puskesmas Jelakombo
Target
Upaya Pelayanan Kesehatan/
Tahun Analisa akar
No Program/Variabel/Sub %Cakupan Rencana
2018 (T) Riil
penyebab
Tindak Lanjut
Variabel Program masalah
dalam %
1 2 3 4 5 6
4.Kunjungan rumah
30%
pasien jiwa
5.Setiap Orang
Dengan Gangguan
Jiwa ( ODGJ) ringan
atau Ganguan
Mental Emosional
(GME) mendapat
100%
pelayanan kesehatan
sesuai standar
2.2.4.Pelayanan Kesehatan
Tradisional
1.Penyehat 10%
Tradisional Ramuan
yang memiliki STPT
2.Penyehat 10%
Tradisional
Keterampilan yang
memiliki STPT
6.Pembinaan ke 35%
Penyehat Tradisional
2.2.4.Pelayanan Kesehatan
Olahraga
1.Kelompok /klub
30%
olahraga yang dibina
2.Pengukuran
Kebugaran Calon 70%
Jamaah Haji
3.Pengukuran
Kebugaran jasmani 25%
pada anak sekolah
1.Hasil pemeriksaan
kesehatan jamaah
75%
haji 3 bulan sebelum
operasional terdata.
2.Terbentuknya Tim
TRC [Tim Reaksi 100%
Cepat]
Target
Upaya Pelayanan Kesehatan/
Tahun
No Program/Variabel/Sub
2018 (T)
Variabel Program
1 2 dalam
3 %
Kolom Keterangan:
ke
2 Upaya Pelayanan Kesehatan adalah Upaya Pelayanan kesehatan yang dilakukan di
2 Program adalah bagian dari Upaya Pelayanan Kesehatan, misalnya UKM esensial t
2 Variabel adalah bagian dari Program , contoh: variabel Pelayanan Kesehatan Indera
2 Subvariabel adalah bagian dari variabel, contoh: subvariabel Mata adalah penemua
4 Satuan sasaran adalah satuan dari sasaran, misal orang, balita, rumah tangga dll
6 Target Sasaran = kolom 3 ( Target tahun 2018) dikali kolom 5 (total sasaran)
7 Pencapaian adalah hasil kegiatan Puskesmas dalam satuan sasaran
8 % cakupan riil adalah cakupan sesungguhnya dari tiap program, dihitung dengan ca
9 % Kinerja Sub Variabel/Variabel/Program Puskesmas adalah pencapaian kinerja p
10 Rata -rata variabel adalah penjumlahan % kinerja subvariabel ( kolom 9) dibagi sej
Catatan: Bagi program yang tidak mempunyai subvariabel, maka bisa langsung me
11 % kinerja rata2 program adalah hasil penjumlahan variabel ( kolom 10) dibagi seju
12 Analisa yang dimaksud untuk membandingkan target tahun 2018 ( kolom 3) denga
N KINERJA PUSKESMAS TAHUN 2018
4 5 6 4 5 6 4
Cukup
Tercapai
%Cakupan
Analisa
Riil
8 12
am, dihitung dengan cara kolom 7 ( pencapaian) dibagi kolom 5 ( total sasaran) dikali 100%
ah pencapaian kinerja puskesmas ( kolom 7) dibandingkan target sasaran ( kolom 6) diksli 100%
el ( kolom 9) dibagi sejumlah variabel
maka bisa langsung mengisi % kinerja variabel dan % kinerja rata- rata program
( kolom 10) dibagi sejumlah variabel
2018 ( kolom 3) dengan % capaian riil ( kolom 8)
4. Puskesmas Jabon 5. Puskesmas Tembelang 6 7
5 6 4 5 6 4 5 6 4 5
ngan, KIA-KB dll)
diksli 100%
7 8 9 10
6 4 5 6 4 5 6 4 5 6
11 12 13 14
4 5 6 4 5 6 4 5 6 4
14 15 16 17
5 6 4 5 6 4 5 6 4 5
17 18 19 20
6 4 5 6 4 5 6 4 5 6
21 22 23 24
4 5 6 4 5 6 4 5 6 4
24 25 26 27
5 6 4 5 6 4 5 6 4 5
27 28 29 30
6 4 5 6 4 5 6 4 5 6
31 32 33 34
4 5 6 4 5 6 4 5 6 4
34
Analisa
Rencana
akar
Tindak
penyebab
Lanjut
masalah
5 6
Upaya Pelayanan Kesehatan/
No Program/Variabel/Sub Variabel
Program
1 2
2.3.Upaya Kesehatan Perseorangan (UKP)
2.3.1. Pelayanan Non Rawat Inap
1. Angka Kontak
2.Rasio Rujukan Rawat Jalan
Non Spesialistik
3.Kelengkapan pengisian
informed consent dalam 24
jam setelah selesai pelayanan
2.3.4.Pelayanan laboratorium
1.Kesesuaian jenis pelayanan
laboratorium dengan standar
2.Kelengkapan pengisian
rekam medik rawat inap
dalam 24 jam
< 5%
50%
100%
100%
100%
100%
100%
100%
100%
80%
100%
90%
85%
68%
60%
100%
100%
100%
20%
10% - 40%
100%
> 91%
81 - 90 %
< 80%
Target Tahun
2018 (T)
dalam %
3
ang dilakukan di Puskesmas UKM esensial, UKM pengembangan, UKP
a UKM esensial terdiri dari 5 Program ( Promosi Kesehatan, Kesehatan Lingkungan, KIA-KB dll)
esehatan adalah tatanan sehat, intervensi/penyuluhan, pengembangan UKBM dll
nan sehat adalah rumah tangga sehat yang memenuhi 10 indikator PHBS, Institusi Pendidikan yang memenuhi 7-8 indikator
mah tangga dll
tal sasaran)
ihitung dengan cara kolom 7 ( pencapaian) dibagi kolom 5 ( total sasaran) dikali 100%
capaian ( kolom 7) dibandingkan target sasaran ( kolom 6) diksli 100%
lom 9) dibagi sejumlah variabel
bisa langsung mengisi % kinerja variabel dan % kinerja rata- rata program
m 10) dibagi sejumlah variabel
om 3) dengan % capaian riil ( kolom 8)
smas Tambakrejo 3. Puskesmas Pulolor 4. Puskesmas Jabon
Analisa akar Analisa akar
Rencana %Cakupan Rencana %Cakupan Rencana
penyebab penyebab
Tindak Lanjut Riil Tindak Lanjut Riil Tindak Lanjut
masalah masalah
6 4 5 6 4 5 6
2.34 4.24
ng memenuhi 7-8 indikator PHBS dst
4. PENGHITUNGAN PENILAIAN KINERJA PU
5. Puskesmas Tembelang 6. Puskesmas Jatiwates 7. Puskesmas Megaluh
Analisa akar Analisa akar
%Cakupan Rencana %Cakupan Rencana %Cakupan
penyebab penyebab
Riil Tindak Lanjut Riil Tindak Lanjut Riil
masalah masalah
4 5 6 4 5 6 4
11.06 2.37
esmas Brambang 10. Puskesmas Bl. Gudo 11. Puskesmas Pl. Gambang
Analisa akar Analisa akar
Rencana %Cakupan Rencana %Cakupan Rencana
penyebab penyebab
Tindak Lanjut Riil Tindak Lanjut Riil Tindak Lanjut
masalah masalah
6 4 5 6 4 5 6
1.37 1.12
12. Puskesmas Perak 13. Puskesmas Bandar KM 14. Puskesmas Bw. Plo
Analisa akar Analisa akar
%Cakupan Rencana %Cakupan Rencana %Cakupan
penyebab penyebab
Riil Tindak Lanjut Riil Tindak Lanjut Riil
masalah masalah
4 5 6 4 5 6 4
1.77 33.17
Rencana
%Cakup
Analisa Tindak
an Riil
Lanjut
8 12 14
17. Puskesmas Tapen 18. Puskesmas Keboan 19. Puskesmas Mojoagung
Analisa akar Rencana Analisa akar Rencana Analisa akar
%Cakupan %Cakupan %Cakupan
penyebab Tindak penyebab Tindak penyebab
Riil Riil Riil
masalah Lanjut masalah Lanjut masalah
4 5 6 4 5 6 4 5
1.56 0.75
25. Puskesmas Peterongan 26. Puskesmas Dkh Klopo 27. Puskesmas Mayangan
Analisa akar Rencana Analisa akar Rencana Analisa akar
%Cakupan %Cakupan %Cakupan
penyebab Tindak penyebab Tindak penyebab
Riil Riil Riil
masalah Lanjut masalah Lanjut masalah
4 5 6 4 5 6 4 5
3.20 2.90
33. Puskesmas
AnalisaJapanan 34. Puskesmas Wonosalam
Analisa
Rencana Rencana
%Cakupa akar %Cakupa akar
Tindak Tindak
n Riil penyebab n Riil penyebab
Lanjut Lanjut
4 masalah
5 6 4 masalah
5 6
2.48 1.94
PUSKESMAS :
KAB//KOTA :
1. Puskesmas Jelakombo
Target nilai Analisa
No Jenis Variabel Definisi Operasional Capaian akar
kinerja
Target penyebab
masalah
(1) (2) (3) (4) (5) (6)
2.4.1.Manajemen Umum
1.Rencana 5 Rencana sesuai visi, 10 ``````
(lima) tahunan misi, tugas pokok dan
fungsi Puskesmas
bedasarkan pada analisis
kebutuhan masyarakat
akan pelayanan
kesehatan sebagai upaya
untuk meningkatkan
derajat kesehatan
masyarakat secara
optimal
2. RUK Tahun RUK (Rencana Usulan 10 ``````
(n+1) Kegiatan) Puskesmas
untuk tahun yad ( N+1)
dibuat berdasarkan
analisa situasi,
kebutuhan dan harapan
masyarakat dan hasil
capaian kinerja, prioritas
serta data 2 ( dua) tahun
yang lalu dan data
survei, disahkan oleh
Kepala Puskesmas
2.4.3.Manajemen Peralatan
1.Data Inventarisasi peralatan 10 ``````
peralatan medis dan non medis
,analisa, rencana dan non kesehatan, data
tindak lanjut, kalibrasi alat, KIR dan
tindak lanjut dan laporan seluruh
evaluasi inventaris alat
kesehatan. Analisa
pemenuhan standar
peralatan, kondisi alat,
kecukupan jumlah alat
di Puskesmas dan
rencana tindak lanjut,
2.Rencana tindak lanjut
Rencana dan
Perbaikan. 10 ``````
Perbaikan, evaluasinya
kalibrasi dan
kalibrasi dan pemeliharaan alat,
pemeliharaan termasuk tindak lanjut
alat dan evaluasi
#DIV/0!
Jumlah Nilai Kinerja Manajemen Sumber Daya Manusia ( VI)
3.Kelembaban dan
temperatur ruangan
memenuhi syarat (25-
28ᵒC)
4.Ruangan bersih dan
bebas hama
5. ruangan
terkunci dan
berpengaman teralist
serta korden
3.Tempat penyimpanan
obat khusus sesuai
dengan perundang-
undangan [narkotika,
psikotropika, prekursor,
OOT dan obat yang
disimpan pada suhu
rendah (vaksin, dll)]
4.
Tersedia AC
5.Tersedia
thermohigrometer
6. Tersedia
kartu pengontrol suhu
dan kelembaban
6.Perencanaan Persyaratan perencanaan 10 ``````
obat:1. Ada SOP 2.Ada
perencanaan tahunan
3. Ada sistem dalam
perencanaan
4. Perencanaan dikirim
ke dinkes Kab/Kota 5.
ada evaluasi prosentase
kesesuaian perencanaan
obat yang dihitung
dengan rumus:
kesesuaian perencanaan
= jumlah obat yang
direncanakan/(pengguna
an obat + sisa
persediaan) dikalikan
100%, jika diperoleh
prosen kesesuaian rata-
rata =(100-80)% diberi
nilai 10, (60-79)% diberi
nilai 7, (40-69)% diberi
nilai 4, kurang dari 39%
diberi nilai 0
2.Ada jadwal
permintaan/pengadaan
obat
3.Ada sistem dalam
membuat
permintaan/pengadaan
4. Permintaan
/pengadaan
terdokumentasi
8.Penerimaan Persyaratan:1. Ada SOP 10
Penerimaan
2.Penerimaan dilakukan
oleh tenaga kefarmasian
3. Dilakukan
pengecekan kesesuaian
jenis dan jumlah barang
yang diterima dengan
permintaan 4.Dilakukan
pengecekan dan
pencatatan tanggal
kadaluarsa dan nomor
batch barang yang
diterima 5.Dilakukan
pengecekan kondisi
barang yang diterima
(misal : kemasan rusak)
1.Ada SOP
Pengendalian obat dan
BMHP
2.Dilakukan
pengendalian persedian
obat dan BMHP
3. Dilakukan
pengendalian
12.Pencatatan, penggunaan
Persyaratan: obat dan 10 ``````
Pelaporan dan BMHP 1. Ada
Pengarsipan catatan penerimaan obat
4. Ada catatan dan
yang rusak dan
pengeluaran obat
kadaluwarsa
2. Ada catatan mutasi
obat dan BMHP.
3.
Ada catatan penggunaan
obat dan BMHP.
4.Semua
penggunaan obat
dilaporkan secara rutin
dan tepat waktu
2.Dilakukan pemantauan
obat dan BMHP di sub
unit pelayanan
3.Ada evaluasi
hasil pemantauan
4.Hasil evaluasi
dilaporkan
2.Dilakukan pengkajian
persyaratan administratif
3.Dilakukan pengkajian
persyaratan Farmasetik
15. Peracikan Persyaratan:
resep. 1.Ada SOP 10 ``````
dan Pengemasan peracikan dan4.Dilakukan
pengemasan.
pengkajian 2.Semua
persyaratan
obat
Klinisyang dilayani
resep
sesuai dengan resep.
3.Semua obat masing-
masingdiberi etiket
sesuai dengan ketentuan.
4.
Dilakukan pengecekan
ulang sebelum obat
diserahkan.
16.Penyerahan Persyaratan: 10 ``````
dan Pemberian 1.Ada SOP
Informasi Obat Penyerahan obat.
2.Obat diserahkan
dengan disertai
pemberian informasi
obat yang
terdokumentasi
3.Informasi obat yang
diberikan sesuai dengan
ketentuan
.4.Obat dapat
dipastikan sudah
diberikan pada pasien
yang tepat
2.Dilakukan visite
mandiri.
3.Dilakukan visite
bersama dokter.
4.Ada catatan
20.Pemantauan Persyaratan: 10 ``````
hasil visite
dan Pelaporan 1.Ada SOP
.5.Ada evaluasi hasil
Efek Samping pemantauan dan
visite
Obat pelaporan efek samping
obat.
2.Terdapat dokumen
pencatatan efek samping
obat pasien..
3.Ada
pelaporan efek samping
21.Pemantauan obat pada dinas
Persyaratan: 10 ``````
terapi obat kesehatan.1.Ada SOP
(PTO) pemantauan terapi Obat.
2.Dilakukan PTO
baik rawat inap maupun
rawat jalan
.3.Ada dokumen
pencatatan PTO.
22.Evaluasi Persyaratan: 10 ``````
penggunaan obat 1.Ada SOP
(EPO) Evaluasi Penggunaan
Obat.
2`Ada SOP
Evaluasi Penggunaan
Obat.
3. Evaluasi
dilakukan secara
berkala.
Administrasi obat
23.Pengelolaan Persyaratan:4. Ada
1.Resep 10 ``````
resep dokumen pencatatan
disimpan minimal 5
EPO.
tahun. 2. Arsip resep
disimpan sesuai dengan
urutan tanggal. 3.Resep
narkotika dan
psikotropika
disendirikan.
4. Resep yang sudah
tersimpan > 5 tahun
dapat dimusnahkan
dengan disertai
dokumentasi dan berita
acara pemusnahan resep.
24.Kartu stok Persyaratan: 10 ``````
1.Tersedia
kartu stock untuk obat
yang disimpan di
gudang obat, ruang
farmasi,ruang
pelayanan, pustu dan
polindes .
2. Pencatatan kartu
stock dilakukan setiap
kali transaksi
(pemasukan maupun
pengeluaran).
3. Sisa
stok sesuai dengan fisik.
4.
Kartu stok diletakan
didekat masing-masing
barang
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
3 4
Analisa akar Analisa akar
penyebab RTL Capaian Target penyebab RTL
masalah masalah
(6) (7) (5) (6) (7)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
5 6
Analisa akar Analisa akar
Capaian Target penyebab RTL Capaian Target penyebab
masalah masalah
(5) (6) (7) (5) (6)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
6 7 8
Analisa akar
RTL Capaian Target penyebab RTL Capaian Target
masalah
(7) (5) (6) (7) (5)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
8 9
Analisa akar Analisa akar
penyebab RTL Capaian Target penyebab RTL
masalah masalah
(6) (7) (5) (6) (7)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
10 11
Analisa akar Analisa akar
Capaian Target penyebab RTL Capaian Target penyebab
masalah masalah
(5) (6) (7) (5) (6)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
11 12 13
Analisa akar
RTL Capaian Target penyebab RTL Capaian Target
masalah
(7) (5) (6) (7) (5)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
13 14
Analisa akar Analisa akar
penyebab RTL Capaian Target penyebab RTL
masalah masalah
(6) (7) (5) (6) (7)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
P
15 16
Analisa akar Analisa akar
Capaian Target penyebab RTL Capaian Target penyebab
masalah masalah
(5) (6) (7) (5) (6)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
PENILAIAN KINERJA MANAJEMEN PUSKESMAS TAHUN 2018
16 17 18
Analisa akar
RTL Capaian Target penyebab RTL Capaian Target
masalah
(7) (5) (6) (7) (5)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
2018
18 19
Analisa akar Analisa akar
penyebab RTL Capaian Target penyebab RTL
masalah masalah
(6) (7) (5) (6) (7)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
20 21
Analisa akar Analisa akar
Capaian Target penyebab RTL Capaian Target penyebab
masalah masalah
(5) (6) (7) (5) (6)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
21 22 23
Analisa akar
RTL Capaian Target penyebab RTL Capaian Target
masalah
(7) (5) (6) (7) (5)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
23 24
Analisa akar Analisa akar
penyebab RTL Capaian Target penyebab RTL
masalah masalah
(6) (7) (5) (6) (7)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
25 26
Analisa akar Analisa akar
Capaian Target penyebab RTL Capaian Target penyebab
masalah masalah
(5) (6) (7) (5) (6)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
26 27 28
Analisa akar
RTL Capaian Target penyebab RTL Capaian Target
masalah
(7) (5) (6) (7) (5)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
28 29
Analisa akar Analisa akar
penyebab RTL Capaian Target penyebab RTL
masalah masalah
(6) (7) (5) (6) (7)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
30 31
Analisa akar Analisa akar
Capaian Target penyebab RTL Capaian Target penyebab
masalah masalah
(5) (6) (7) (5) (6)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
31 32 33
Analisa akar
RTL Capaian Target penyebab RTL Capaian Target
masalah
(7) (5) (6) (7) (5)
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
..... .....
..... .....
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
..... .....
..... .....
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
`````` ``````
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
33 34
Analisa akar Capaia
Analisa akar
penyebab RTL n
penyebab masalah
masalah Target
(6) (7) (5) (6)
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
#DIV/0!
``````
``````
#DIV/0!
``````
``````
.....
.....
#DIV/0!
``````
``````
``````
``````
.....
.....
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
#DIV/0!
``````
``````
``````
``````
``````
``````
``````
#DIV/0!
#DIV/0!
34
RTL
(7)
PENGHITUNGAN PENILAIAN KINERJA MUTU PUSKESM
1. Puskesmas Jelakombo
Target Tahun
Upaya Pelayanan Kesehatan/ Analisa akar
No 2018 (T) %Cakupan Rencana
Program/Variabel/Sub Variabel Program penyebab
dalam % Riil Tindak Lanjut
masalah
1 2 3 4 5 6
2.5. MUTU
Indeks Kepuasan Masyarakat
2.5.1 (IKM) 100%
Target Tahun
Upaya Pelayanan Kesehatan/
No 2018 (T)
Program/Variabel/Sub Variabel Program
dalam %
1 2 3
Kolom Keterangan:
ke
2 Upaya Pelayanan Kesehatan adalah Upaya Pelayanan kesehatan yang dilakukan di Puskesmas UK
2 Program adalah bagian dari Upaya Pelayanan Kesehatan, misalnya UKM esensial terdiri dari 5 P
2 Variabel adalah bagian dari Program , contoh variabel Promosi Kesehatan adalah tatanan sehat, in
2 Subvariabel adalah bagian dari variabel, contoh: subvariabel Tatanan sehat adalah rumah tangga
yang memenuhi 7-8 indikator PHBS dst
4 Satuan sasaran adalah satuan dari sasaran, misal orang, balita, rumah tangga dll
6 Target Sasaran = kolom 3 ( Target tahun 2018) dikali kolom 5(total sasaran)
7 Pencapaian adalah hasil kegiatan Puskesmas dalam satuan sasaran
8 % cakupan riil adalah cakupan sesungguhnya dari tiap program, dihitung dengan cara kolom 7 (
9 % Kinerja Sub Variabel/Variabel/Program Puskesmas adalah pencapaian ( kolom 7) dibandingk
10 Rata -rata variabel adalah penjumlahan % kinerja subvariabel ( kolom 9) dibagi sejumlah variabe
Catatan: Bagi program yang tidak mempunyai subvariabel, maka bisa langsung mengisi % kinerj
11 % kinerja rata2 program adalah hasil penjumlahan variabel ( kolom 10) dibagi sejumlah variabel
12 Analisa yang dimaksud untuk membandingkan target tahun 2018 ( kolom 3) dengan % capaian riil ( ko
A MUTU PUSKESMAS TAHUN 2018
Analisa Analisa
Analisa akar
%Cakupan Rencana %Cakupan akar Rencana %Cakupa akar
penyebab
Riil Tindak Lanjut Riil penyebab Tindak Lanjut n Riil penyebab
masalah
masalah masalah
4 5 6 4 5 6 4 5
%Cakupan Hambatan/Per
Analisa
Riil masalahan
8 12 13
Keterangan:
ukan di Puskesmas UKM esensial, UKM pengembangan, UKP
sensial terdiri dari 5 Program ( Promosi Kesehatan, Kesehatan Lingkungan, KIA-KB dll)
adalah tatanan sehat, intervensi/penyuluhan, pengembangan UKBM dll
adalah rumah tangga sehat yang memenuhi 10 indikator PHBS, Institusi Pendidikan
a dll
n)
engan cara kolom 7 ( pencapaian) dibagi kolom 5 ( total sasaran) dikali 100%
( kolom 7) dibandingkan target sasaran ( kolom 6) diksli 100%
bagi sejumlah variabel
sung mengisi % kinerja variabel dan % kinerja rata- rata program
bagi sejumlah variabel
ngan % capaian riil ( kolom 8)
uskesmas Jabon 5. Puskesmas Tembelang 6 7
6 4 5 6 4 5 6 4 5 6
8 9 10 11
4 5 6 4 5 6 4 5 6 4
11 12 13 14
5 6 4 5 6 4 5 6 4 5
14 15 16 17
6 4 5 6 4 5 6 4 5 6
18 19 20 21
4 5 6 4 5 6 4 5 6 4
21 22 23 24
5 6 4 5 6 4 5 6 4 5
24 25 26 27
6 4 5 6 4 5 6 4 5 6
28 29 30 31
4 5 6 4 5 6 4 5 6 4
31 32 33 34
5 6 4 5 6 4 5 6 4 5
34
Rencana
Tindak
Lanjut