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RS …………………….

IDENTIFIKASI POTENSIAL PELUANG PENINGKATAN PERFOR

Dept./Unit/: ___________________ (Dibuat 2 rangkap, satu untuk unit. Co

Date: __________________________________ Dibuat oleh: _______________

Bagaimana anda
Apa masalahnya atau mengetahuinya?
No peluang untuk peningkatan
performa?
Peluang peningkatan performa?
AL PELUANG PENINGKATAN PERFORMANCE / KINERJA

2 rangkap, satu untuk unit. Copiannya dikirim ke KMKP.)

_ Dibuat oleh: ________________________________________

Aksi yang akan


Bagaimana hal ini
Apa kemungkinan dilaksanakan, dan siapa
berdampak pada
penyebab? yang bertanggungjawab
perawatan pasien?
menyelesaikan masalah?
QUALITY IMPROVEMENT PROJECT WORKSHEET

PROJECT TITLE : Waktu tunggu rawat jalan


TEAM LEADER Nova Yuliana

Novi Indriani,
Nur amalia,
Yunita, Dyah
reno pinesti,
Melani, Siska,
Nani,
Nurdjamiati,
TEAM MEMBER : Indana, Bagus

WHO WILL BENEFIT : v PATIENTS ☐FAMILY ☐STAFF

PROBLEM / OPPORTUNITY STATEMENT Waktu Tunggu Pasien Poliklinik


(WHAT'S WRONG WITH QUALITY ?)

AIM / GOAL : Meningkatkan ketepatan waktu tunggu pasien poliklinik


(WHAT ARE WE TRYING TO ACCOMPLISH?)
(TARGET & TIME)

MEASURE : ☐ STRUCTURE ☐ PROCESS ☐ OUTCOME


WORKSHEET

gu pasien poliklinik
FLOW CHART

pasien mengambil nomor antrian untuk


daftar di FO
Pasien daftar ke FO

Pasien dipanggil di nurse station


untuk dilakukan pemeriksaan TTV dan
Pasien dipanggil dokter untuk menunggu antrian lagi untuk dipanggil
dilakukan pemeriksaan dokter spesialis
ien daftar ke FO Pasien dapat nomor antrian ke poli
yang dituju

ggil di nurse station pasien datang menuju ke poli untuk


pemeriksaan TTV dan menyerahkan berkas dan nomor
an lagi untuk dipanggil antrian poli yang dituju ke Nurse
er spesialis Station dan menunggu panggilan oleh
suster untuk dilakukan TTV
FISHBONE DIAGRAM
Number of Main Causes: 6

Methods Manpower

Terbatasnya kuota kurangnya tenaga perawat

SPO pendaftaran yang belum sesuai kurangnya petugas FO (antrian dii FO)

Kurangnya sosialisasi tnt Daftar Online Dokter spesialis yang prakteknya part time

Sikap petugas FO Alat ukur waktu tunggu pasien

Kepatuhan dokter spesialis Penggunaan komputer yang terbatas di FO

budaya pasien yang mendaftar diawal hari Belum memaksimalkan aplikasi MOBA ALIANDOS

Environment Machines
BONE DIAGRAM

Waktu Tunggu Pasien


Poliklinik
Penyediaan berkas RM

Be

………….

Material

1
1
1
1
1
1
Pareto Analysis

[Brief Project Description]


[Date]

[Chart Title]
18 100%

Cumulative %
16
Defects

14 80%

12
60%
10

8
40%
6

4 20%
2
[42]
0 0%
Causes
Vital Few Useful Many Labels Cumulative% [42]
Cut Off %
The first 5 Causes cover 100. % of the Total Defects

Cumulative Percentage Cutoff: 85%


# Causes Defects Cumulative%
1 Kepatuhan dokter spesialis 17 21.3%
2 budaya pasien yang mendaftar diawal hari 17 42.5%
3 SPO pendaftaran yang belum sesuai 16 62.5%
4 kurangnya tenaga perawat 15 81.3%
5 kurangnya petugas FO (antrian dii FO) 15 100.0%
6 100.0%
7 100.0%
8 100.0%
9 100.0%
10 100.0%
11 100.0%
12 100.0%
13 100.0%
100.0%
100.0%

© 2009 Vertex42 LLC Templates by Vertex42.com


Dokter
Causes kurangnya SPO
kurangnya petugas FO spesialis Terbatasnya pendaftaran
tenaga yang
(antrian dii kuota yang belum
perawat FO) prakteknya sesuai
part time
Criteria
Impact on patient 5 5 4 4 5
Reputation 4 4 3 3 4
Acceptance 3 3 2 2 4
Time Needed 3 3 1 1 3
Total Score 15 15 10 10 16

Impact Dampak semakin berat semakin tinggi nilai (5 -1)


Reputasi Reputasi buruk semakin tingi nilai (5-1)
Accept / Dpt
diterima /
dilaksanakan
mudah dilaksanakan semakin tinggi nilai (5 -1)
Waktu yg dibutuhkan
waktu singkat semakin tinggi nilai (5-1)
Penggunaan
budaya Alat ukur Kurangnya
Sikap Kepatuhan pasien yang waktu komputer Penyediaan Sosialisasi
dokter yang
petugas FO mendaftar tunggu berkas RM tnt Daftar
spesialis diawal hari pasien terbatas di Online
FO

3 5 5 4 4 4 5
2 4 5 3 3 3 4
1 4 4 3 2 3 2
2 4 3 4 1 3 5
8 17 17 14 10 13 16
0
ACTION PLAN TOOL

CAUSE WHAT WHO

Kepatuhan Dokter Kasie Yanmed, Koordinator


ACTION 1 spesialis Edukasi Rajal, Karu Rajal

Budaya pasien yang Koordinator FO, Security,


ACTION 2 mendaftar diawal hari Edukasi Karu Rajal

SPO pendaftaran yang


ACTION 3 belum sesuai Sosialisasi Koordinator FO, Petugas FO

Petugas FO, Admin yg stand


Kurangnya sosialisasi tnt by khsus untuk sosialisasi,
ACTION 4 Daftar Online Sosialisasi Petugas Rajal Poli

ACTON 5

ACTION 6

ACTION 7

ACTION 8

ACTION 9
WHEN WHERE

Juli Rajal Poli

Juli FO, Nurse station Rajal Poli

Juli FO

FO, Nurse station Rajal Poli


Gantt Chart Version 1.7.3

[Project Name]
[Company Name] Today's Date:

roject Lead: ……………………… [Name]


Start Date: 1/2/2012 Monday

[42]

Duration (Days)

% Complete
Task (WHO)
WBS Tasks (WHAT) Lead Start (WHEN) End (WHEN)
1 Edukasi Kasie Yanmed, Koordina 5/1/19 5/15/19 15 23%

1.1 materi 5/1/19 5/4/19 4 50%


1.2 psn t4 5/5/19 5/7/19 3 50%

1.2.1 und 5/8/19 5/10/19 3 0%


1.2.2 konsumsi 5/11/19 5/15/19 5 0%

1.3 5/16/19 5/15/19 0%


1.4 5/16/19 5/15/19 0%

2 Edukasi Koordinator FO, Securit 1/2/12 1/27/12 26 25%

2.1 Sub Task level 2 1/2/12 1/6/12 5 25%

2.2 Sub Task level 2 1/9/12 1/13/12 5 25%


2.3 Sub Task level 2 1/16/12 1/20/12 5 25%

2.4 Sub Task level 2 1/23/12 1/27/12 5 25%


3 Sosialisasi Koordinator FO, Petug 5/1/19 5/15/19 15 23%

3.1 Sub Task level 2 5/1/19 5/4/19 4 50%


3.2 Sub Task level 2 5/5/19 5/7/19 3 50%

3.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%

3.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%

3.3 Sub Task level 2 5/16/19 5/15/19 0%


3.4 Sub Task level 2 5/16/19 5/15/19 0%

4 Sosialisasi Petugas FO, Admin yg s 5/1/19 5/15/19 15 23%


4.1 Sub Task level 2 5/1/19 5/4/19 4 50%

4.2 Sub Task level 2 5/5/19 5/7/19 3 50%


4.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%

4.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%


4.3 Sub Task level 2 5/16/19 5/15/19 0%

4.4 Sub Task level 2 5/16/19 5/15/19 0%


5 0 0 5/1/19 5/15/19 15 23%

5.1 Sub Task level 2 5/1/19 5/4/19 4 50%

5.2 Sub Task level 2 5/5/19 5/7/19 3 50%

5.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%


5.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%

5.3 Sub Task level 2 5/16/19 5/15/19 0%

5.4 Sub Task level 2 5/16/19 5/15/19 0%

6 0 0 5/1/19 5/15/19 15 23%

6.1 Sub Task level 2 5/1/19 5/4/19 4 50%

6.2 Sub Task level 2 5/5/19 5/7/19 3 50%

6.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%

6.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%


6.3 Sub Task level 2 5/16/19 5/15/19 0%

6.4 Sub Task level 2 5/16/19 5/15/19 0%

7 0 0 5/1/19 5/15/19 15 23%

7.1 Sub Task level 2 5/1/19 5/4/19 4 50%


7.2 Sub Task level 2 5/5/19 5/7/19 3 50%

7.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%


7.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%

7.3 Sub Task level 2 5/16/19 5/15/19 0%


7.4 Sub Task level 2 5/16/19 5/15/19 0%

8 0 0 5/1/19 5/15/19 15 23%


8.1 Sub Task level 2 5/1/19 5/4/19 4 50%

8.2 Sub Task level 2 5/5/19 5/7/19 3 50%


8.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%

8.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%


8.3 Sub Task level 2 5/16/19 5/15/19 0%

8.4 Sub Task level 2 5/16/19 5/15/19 0%


9 0 0 5/1/19 5/15/19 15 23%

9.1 Sub Task level 2 5/1/19 5/4/19 4 50%


9.2 Sub Task level 2 5/5/19 5/7/19 3 50%

9.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%


9.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%

9.3 Sub Task level 2 5/16/19 5/15/19 0%


9.4 Sub Task level 2 5/16/19 5/15/19 0%

TEMPLATE ROWS: Copy and insert the entire section, or just the specific sub tasks, depending on which level you want to use (formulas are different for diffe
1 Task Category 5/1/19 5/15/19 15 23%

1.1 Sub Task level 2 5/1/19 5/4/19 4 50%


1.2 Sub Task level 2 5/5/19 5/7/19 3 50%

1.2.1 Sub Task level 2 5/8/19 5/10/19 3 0%

1.2.2 Sub Task level 2 5/11/19 5/15/19 5 0%

1.3 5/16/19 5/15/19 0%


1.4 5/16/19 5/15/19 0%
© 2006-2012 Vertex42 LLC 0

HELP

6/2/2012 Saturday
(vertical red line)

First Day of Week (Mon=2): 2 1/2/2012 1/9/2012


### 1/16/2012

Days Remaining
Days Complete
Working Days

02 - Jan - 12

09 - Jan - 12
11 3 12

3 2 2
2 1 2

3 0 3
3 0 5

-2 0 0
-2 0 0

20 6 20

5 1 4

5 1 4
5 1 4

5 1 4
11 3 12

3 2 2
2 1 2

3 0 3

3 0 5

-2 0 0
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11 3 12
3 2 2

2 1 2
3 0 3

3 0 5
-2 0 0

-2 0 0
11 3 12

3 2 2

2 1 2

3 0 3
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-2 0 0

-2 0 0

11 3 12

3 2 2

2 1 2

3 0 3

3 0 5
-2 0 0

-2 0 0

11 3 12

3 2 2
2 1 2

3 0 3
3 0 5

-2 0 0
-2 0 0

11 3 12
3 2 2

2 1 2
3 0 3

3 0 5
-2 0 0

-2 0 0
11 3 12

3 2 2
2 1 2

3 0 3
3 0 5

-2 0 0
-2 0 0

nt to use (formulas are different for different WBS levels)


11 3 12

3 2 2
2 1 2

3 0 3

3 0 5

-2 0 0
-2 0 0
1/17/2012 1/18/2012 1/19/2012 1/20/2012 1/21/2012 1/22/2012 1/23/2012

16 - Jan - 12
1/24/2012 1/25/2012 1/26/2012 1/27/2012 1/28/2012 1/29/2012 1/30/2012

23 - Jan - 12
1/31/2012 2/1/2012 2/2/2012 2/3/2012 2/4/2012 2/5/2012 2/6/2012

30 - Jan - 12
2/7/2012 2/8/2012 2/9/2012 2/10/2012 2/11/2012 2/12/2012 2/13/2012

06 - Feb - 12
2/14/2012 2/15/2012 2/16/2012 2/17/2012 2/18/2012 2/19/2012 2/20/2012

13 - Feb - 12
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20 - Feb - 12
2/28/2012 2/29/2012 3/1/2012 3/2/2012 3/3/2012 3/4/2012 3/5/2012

27 - Feb - 12
3/6/2012 3/7/2012 3/8/2012 3/9/2012 3/10/2012 3/11/2012 3/12/2012

05 - Mar - 12
3/13/2012 3/14/2012 3/15/2012 3/16/2012 3/17/2012 3/18/2012 3/19/2012

12 - Mar - 12
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19 - Mar - 12
3/27/2012 3/28/2012 3/29/2012 3/30/2012 3/31/2012 4/1/2012 4/2/2012

26 - Mar - 12
4/3/2012 4/4/2012 4/5/2012 4/6/2012 4/7/2012 4/8/2012 4/9/2012

02 - Apr - 12
4/10/2012 4/11/2012 4/12/2012 4/13/2012 4/14/2012 4/15/2012 4/16/2012

09 - Apr - 12
4/17/2012 4/18/2012 4/19/2012 4/20/2012 4/21/2012 4/22/2012 4/23/2012

16 - Apr - 12
4/24/2012 4/25/2012 4/26/2012 4/27/2012 4/28/2012 4/29/2012 4/30/2012

23 - Apr - 12
5/1/2012 5/2/2012 5/3/2012 5/4/2012 5/5/2012 5/6/2012 5/7/2012

30 - Apr - 12
5/8/2012 5/9/2012 5/10/2012 5/11/2012 5/12/2012 5/13/2012 5/14/2012

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5/15/2012 5/16/2012 5/17/2012 5/18/2012 5/19/2012 5/20/2012 5/21/2012

14 - May - 12
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28 - May - 12
6/5/2012 6/6/2012 6/7/2012 6/8/2012 6/9/2012 6/10/2012 6/11/2012

04 - Jun - 12
6/12/2012 6/13/2012 6/14/2012 6/15/2012 6/16/2012 6/17/2012 6/18/2012

11 - Jun - 12
6/19/2012 6/20/2012 6/21/2012 6/22/2012 6/23/2012 6/24/2012 6/25/2012

18 - Jun - 12
6/26/2012 6/27/2012 6/28/2012 6/29/2012 6/30/2012 7/1/2012 7/2/2012

25 - Jun - 12
7/3/2012 7/4/2012 7/5/2012 7/6/2012 7/7/2012 7/8/2012 7/9/2012

02 - Jul - 12
7/10/2012 7/11/2012 7/12/2012 7/13/2012 7/14/2012 7/15/2012 7/16/2012

09 - Jul - 12
7/17/2012 7/18/2012 7/19/2012 7/20/2012 7/21/2012 7/22/2012 7/23/2012

16 - Jul - 12
7/24/2012 7/25/2012 7/26/2012 7/27/2012 7/28/2012 7/29/2012 7/30/2012

23 - Jul - 12
7/31/2012 8/1/2012 8/2/2012 8/3/2012 8/4/2012 8/5/2012 8/6/2012

30 - Jul - 12
8/7/2012 8/8/2012 8/9/2012 8/10/2012 8/11/2012 8/12/2012 8/13/2012

06 - Aug - 12
8/14/2012 8/15/2012 8/16/2012 8/17/2012 8/18/2012 8/19/2012 8/20/2012

13 - Aug - 12
8/21/2012 8/22/2012 8/23/2012 8/24/2012 8/25/2012 8/26/2012

20 - Aug - 12
Graphs of Key Measures Put Your Center Name Here
LATIHAN SOAL ENTRI DATA INDIKATOR

Pengkajian Jumlah Pasien Goal for


Waktu Pelaporan
Pasien Baru Awal selesai yg Melakukan % with
Month % Hasil Kritis < 1
(Denum) dlm wkt 24 j Pemeriksaan
jam Notification
(Num) Kritis w/in 1 hr

Pemeriksaan Kritis Waktu pelaporan 100


jan #N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A 100
#N/A #DIV/0! 100
Graphs of Key Measures Put Your Center Name Here

Goal for
Acknow-
ledgement
Time

60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60