DAFTAR ISI

PERATURAN INTERNAL STAF MEDIS (MEDICAL STAFF BYLAWS)

PENDAHULUAN ..................................................................................................... 1
1. Umum ................................................................................................................. 1
2. Maksud dan Tujuan ........................................................................................... 2
3. Manfaat Medical Staff By Laws........................................................................... 3
4. Ruang lingkup dan Tata Urut.............................................................................. 3
5. Dasar .................................................................................................................. 4

BAB I. Ketentuan Umum

Pasal 1 .................................................................................................................... 4

BAB II. Pengorganisasian Staf Medis Fungsional Bagian Kesatu

Kelompok Staf Medis
Pasal 2 .................................................................................................................... 5
Pasal 3 .................................................................................................................... 6
Pasal 4 .................................................................................................................... 6
Pasal 5 .................................................................................................................... 7
Pasal 6 .................................................................................................................... 7
Pasal 7 .................................................................................................................... 9
Pasal 8 .................................................................................................................... 10

Bagian Kedua
Staf Medis
Pasal 9 ................................................................................................................... 11
Pasal 10 ................................................................................................................... 11
Pasal 11 ................................................................................................................... 11
Pasal 12 ................................................................................................................... 13

BAB III. Mitra Bestari (Peer Group)

Pasal 13 ................................................................................................................... 13

BAB IV. Kewenangan KLinis (Clinical Privilage)

Pasal 14 ................................................................................................................... 14
Pasal 15 ................................................................................................................... 14
Pasal 16 ................................................................................................................... 15
Pasal 17 ................................................................................................................... 15

BAB V. Dokter Penanggung Jawab Pelayanan Pasien (DPJP)

Pasal 18 ................................................................................................................... 15

BAB VI. Penugasan Klinis

Pasal 19 ................................................................................................................... 16
Pasal 20 ................................................................................................................... 17

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BAB VII. Komite Medik
Pasal 21 Umum........................................................................................................ 18
Pasal 22 .................................................................................................................. 19
Pasal 23 Susunan Organisasi.................................................................................. 19
Pasal 24 Keanggotaan.............................................................................................. 19
Pasal 25 Tugas dan Fungsi...................................................................................... 19
Pasal 26 ................................................................................................................... 21
Pasal 27 Kewenangan khusus................................................................................. 21
Pasal 28 Masa jabatan............................................................................................. 22
Pasal 29 ................................................................................................................... 22
Pasal 30.................................................................................................................... 22
Pasal 31 Tugas Sekretaris Komite Medik................................................................. 22
Pasal 32 Tugas Tenaga Administrasi Komite Medik................................................ 23

BAB VIII. Rapat

Pasal 33 .................................................................................................................. 24
Pasal 34 Rapat Rutin .............................................................................................. 24
Pasal 35 Rapat khusus............................................................................................ 25
Pasal 36 Rapat Tahunan......................................................................................... 25
Pasal 37 Kuorum...................................................................................................... 26
Pasal 38 Risalah Rapat .......................................................................................... 26

BAB IX. Sub Komite Kredensial

Pasal 39 ................................................................................................................... 26
Pasal 40 Mekanisme ................................................................................................ 27
Pasal 41 Rekomendasi penugasan.......................................................................... 27
Pasal 42 Pemulihan Kewenangan klinis .................................................................. 27
Pasal 43 Pertimbangan rekomendasi....................................................................... 27
Pasal 44 Akhir kewenangan klinis............................................................................ 28
Pasal 45 Keanggotaan ............................................................................................. 28
Pasal 46 Pengorganisasian ..................................................................................... 29

BAB X. Sub Komite Mutu Profesi

Pasal 47 .................................................................................................................. 29
Pasal 48 Audit Medis .............................................................................................. 29
Pasal 49 .................................................................................................................. 30
Pasal 50 Proses Pendampingan.............................................................................. 31
Pasal 51 Keanggotaan.............................................................................................. 31
Pasal 52 Pengorganisasian ..................................................................................... 31

BAB XI. Sub Komite Etika Dan Disiplin Profesi

Pasal 53 .................................................................................................................. 31
Pasal 54 Keanggotaan ............................................................................................ 32
Pasal 55 Pengorganisasian .................................................................................... 32

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BAB XII. Peraturan Pelaksanaan Tata Kelola Klinis
Pasal 56 Aturan Profesi........................................................................................... 33
Pasal 57 Pendanaan................................................................................................ 33
Pasal 58 .................................................................................................................. 33

BAB XIII. Tata Cara Reviuw dan Perbaikan Peraturan Internal Staf Medis
Pasal 59 .................................................................................................................. 34

BAB XIV. Ketentuan Penutup

Pasal 60 .................................................................................................................. 35

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