DAFTAR BAGAN

Bagan 4.1 Diagram Analisis Swot.......................................................................................... 103

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 DAFTAR TABEL

Tabel 2.1 Jumlah Dokter............................................................................................ 28

Tabel 2.2 Jumlah Tenaga Keperawatan..................................................................... 28
Tabel 2.3 Jumlah Tenaga Kesehatan Lainnya........................................................... 29
Tabel 2.4 Jumlah Tenaga Non Medis........................................................................ 29
Tabel 2.5 Rekapitulasi Jumlah Tenaga Keseluruhan................................................. 30
Tabel 2.6 Kapasitas Tempat Tidur RS Graha Hermine............................................. 31
Tabel 3.1 Jumlah Kunjungan Pasien Rawat Jalan berdasarkan Poliklinik
Juni 2020 – Mei 2021................................................................................ 55
Tabel 3.2 Kunjungan Rawat Jalan Berdasarkan Poli dan UGD Juni 2020 – Mei 2021 59
Tabel 3.3 10 Besar Penyakit Rawat Jalan 2019......................................................... 68
Tabel 3.4 Kunjungan Rawat Inap Berdasarkan Poliklinik....................................... 70
Tabel 3.5 10 Besar Penyakit Rawat Inap................................................................... 76
Tabel 3.6 Pencapaian Kinerja Rawat Inap 2021........................................................ 79
Tabel 4.1 Data real kebutuhan air bersih di RSGH berdasarkan debit dari meteran air
periode Bulan Juni – Desember 2020........................................................ 81
Tabel 4.2 Data real kebutuhan air bersih di RSGH berdasarkan debit dari meteran air .
periode Bulan Januari – Juni 2021............................................................. 83
Tabel 4.3 Selisih Penggunaan Air Bersih dan Debit IPAL Tahun 2020................... 85
Tabel 4.4 Selisih Penggunaan Air Bersih dan Debit IPAL Tahun 2021................... 86
Tabel 4.5. Selisih Debit Tercatat IPAL dan Kebutuhan Air Bersih Tahun 2020....... 87
Tabel 4.6. Selisih Debit Tercatat IPAL dan Kebutuhan Air Bersih........................... 88
Tabel 4.7 Jenis Limbah Medis Padat Berdasarkan Sumbernya................................. 91
Tabel 4.8 Daftar rekapan Timbangan Sampah Medis RSGH periode Juni –
Desember 2020 ......................................................................................... 92
Tabel 4.9 Daftar rekapan Timbangan Sampah Medis RSGH periode Januari –
Juni 2021.................................................................................................... 93
Table 5.1 Penyusunan TOWS RS Graha Hermine...................................................... 106

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 DAFTAR GAMBAR

Gambar. 1.1 Peta Kota Batam................................................................................. 9

Gambar. 1.2 Letak Lokasi Rumah Sakit Graha Hermine........................................ 9
Gambar. 2.3.1 Dokter Umum IGD............................................................................. 13
Gambar. 2.3.2 IGD Triase.......................................................................................... 13
Gambar. 2.3.3 Poliklinik Gigi dan Mulut................................................................... 15
Gambar. 2.3.4 Poliklinik THT.................................................................................... 15
Gambar. 2.3.5 Poliklinik Kebidanan dan Kandungan ............................................... 15
Gambar. 2.1 Ruangan Perawatan Kelas Super VIP................................................ 23
Gambar. 2.2 Ruangan Perawatan Kelas VIP........................................................... 33
Gambar . 2.3 NICU.................................................................................................. 34
Gambar. 2.4 ICU..................................................................................................... 34
Gambar. 2.5 Ruang Operasi (OK)........................................................................... 35
Gambar. 2.6 Kamar Operasi Mata........................................................................... 35
Gambar. 2.7. Ruang ESWL...................................................................................... 35
Gambar. 2.8 EKG.................................................................................................... 36
Gambar. 2.9 EEG.................................................................................................... 36
Gambar. 2.10 ECHO Cardiography.......................................................................... 37
Gambar. 2.11 USG 4 Dimensi................................................................................... 37
Gambar. 2.12 ESWL................................................................................................. 38
Gambar. 2.13 Endoscopi Telinga.............................................................................. 38
Gambar. 2.14 Phaecoemulcification.......................................................................... 39
Gambar. 2.15 X-Ray.................................................................................................. 39
Gambar. 2.16 Infant Incubator.................................................................................. 40
Gambar. 2.17 Infant Radiant Warmer....................................................................... 40
Gambar. 2.18 Ventilator............................................................................................ 41
Gambar. 2.19 Hematologi Autometic....................................................................... 41
Gambar. 2.20 Patient Monitor................................................................................... 42
Gambar. 2.21 Therapi Sinar...................................................................................... 42
Gambar. 2.22 Vacum Extractor................................................................................ 43
Gambar. 2.23 Laparascopi......................................................................................... 43
Gambar. 2.24 Emergency Resusitasi Kit................................................................... 44
Gambar. 2.25 Dental X-Ray...................................................................................... 44
Gambar. 2.26 Endoscopy Colonoscopy.................................................................... 45
Gambar. 2.27 CT Scan 4 Slice.................................................................................. 45
Gambar. 2.28 Ventilator Mobile............................................................................... 46
Gambar. 2.29 CT SCAN........................................................................................... 48
Gambar. 2.30 General X-RAY.................................................................................. 48
Gambar. 2.31 Ruang USG ........................................................................................ 48
Gambar. 2.32 Autouclave.......................................................................................... 49
Gambar. 2.33 Ruang Penyajian Makanan................................................................. 50
Gambar. 2.34 Ruang Pengolahan Makanan.............................................................. 50
Gambar. 2.35 Ruang Penyimpanan Berkas Rekam Medis........................................ 51
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Gambar. 2.36 Instalasi pengolahan Air Limbah........................................................ 52
Gambar. 2.37 TPS B3 dan Domestik........................................................................ 53
Gambar. 2.38 Pengolahan Linen Infeksius dan Non Infeksius................................. 53
Gambar. 2.39 Instalasi Pemeliharaan Sarana dan Prasarana Rumah Sakit............... 54

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 DAFTAR GRAFIK

Grafik 3.1. Jumlah Kunjungan Pasien Rawat Jalan Berdasarkan Poliklinik

Juni 2020 – Mei 2021................................................................................ 56
Grafik 3.2 Pengunjung Lama dan Baru Juni 2020 – Mei 2021.................................. 57
Grafik 3.3 Total Kunjungan Rawat Inap dan Rawat Jalan Juni 2020 – Mei 2021..... 58
Grafik 3.4 Kunjungan Poli Bedah Anak..................................................................... 60
Grafik 3.5 Kunjungan Poli Mata................................................................................. 60
Grafik 3.6 Kunjungan Poli Anak................................................................................ 61
Grafik 3.7 Kunjungan Poli Kebidanan & Kandungan................................................ 61
Grafik 3.8 Kunjungan Poli Bedah Umum................................................................... 62
Grafik 3.9 Kunjungan Poli Gigi.................................................................................. 62
Grafik 3.10 Kunjungan Poli Saraf................................................................................ 63
Grafik 3.11 Kunjungan Poli Umum............................................................................. 63
Grafik 3.12 Kunjungan Poli THT................................................................................. 64
Grafik 3.13 Kunjungan Poli Urologi............................................................................ 64
Grafik 3.14 Kunjungan Poli Penyakit Dalam............................................................... 65
Grafik 3.15 Kunjungan Poli Orthopedi........................................................................ 65
Grafik 3.16 Kunjungan Poli kulit dan kelamin............................................................. 66
Grafik 3.17 Kunjungan Poli IGD VK........................................................................... 66
Grafik 3.18 Kunjungan Poli Gigi................................................................................. 67
Grafik 3.19 Kunjungan Poli MCU............................................................................... 67
Grafik 3.20 Daftar 10 Diagnosa Tertinggi Rawat Jalan............................................... 68
Grafik 3.21 Total Kunjungan Perbulan Rawat Jalan Berdasarkan Jenis Bayar........... 69
Grafik 3.22 Pelayanan THT Berdasarkan Rawat Inap................................................ 70
Grafik 3.23 Pelayanan Bedah Anak Berdasarkan Rawat Inap................................... 71
Grafik 3.24 Pelayanan Anak Berdasarkan Rawat Inap................................................ 71
Grafik 3.25 Pelayanan Mata Berdasarkan Rawat Inap................................................. 72
Grafik 3.26 Pelayanan Bedah Umum Berdasarkan Rawat Inap.................................. 72
Grafik 3.27 Pelayanan Kandungan Berdasarkan Rawat Inap...................................... 73
Grafik 3.28 Pelayanan Saraf Berdasarkan Rawat Inap................................................ 73
Grafik 3.29 Pelayanan Penyakit Dalam Berdasarkan Rawat Inap............................... 74
Grafik 3.30 Pelayanan Urologi Berdasarkan Rawat Inap............................................. 74
Grafik 3.31 Pelayanan Orthopedi Berdasarkan Rawat Inap....................................... 75
Grafik 3.32 Pelayanan Kulit dan Kelamin Berdasarkan Rawat Inap.......................... 75
Grafik 3.33 10 Diagnosa Tertinggi Rawat Inap........................................................... 77
Grafik 3.34 Data Pasien Rawat Inap Berdasarkan Jenis Bayar................................... 78
Grafik 4.1 Debit Air Bersih Tahun 2020.................................................................... 82
Grafik 4.2 Data Real Kebutuhan Air Bersih Tahun 2020........................................... 82
Grafik 4.3 Debit Air Bersih Tahun 2021.................................................................... 83
Grafik 4.4 Data Real Kebutuhan Air Bersih Tahun 2021........................................... 84
Grafik 4.5 Selisih Penggunaan Air Bersih dan Debit IPAL Tahun 2020................... 85
Grafik 4.6 Selisih Penggunaan Air Bersih dan Debit IPAL Tahun 2021................... 87

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Grafik 4.7 Selisih Debit Tercatat IPAL dan Kebutuhan Air Bersih Tahun 2020....... 88
Grafik 4.8 Selisih Debit Tercatat IPAL dan Kebutuhan Air Bersih Tahun 2021....... 89
Grafik 4.9 Daftar rekapan Timbangan Sampah Medis RSGH periode
Juni – Desember 2020............................................................................... 92
Grafik 4.10 Daftar rekapan Timbangan Sampah Medis RSGH periode
Juni – Desember 2021............................................................................... 93

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Kata Pengantar ....................................................................................................................... ii
Sambutan Direktur ................................................................................................................. iii
Dasar Hukum.......................................................................................................................... iv Daftar
Isi............................................................................................................................................ v
Daftar Bagan........................................................................................................................... vii
Daftar Tabel............................................................................................................................ viii
Daftar Gambar........................................................................................................................ ix
Daftar Grafik........................................................................................................................... x

BAB I LATAR BELAKANG ............................................................................................. 1

BAB II GAMBARAN UMUM RUMAH SAKIT................................................................ 2
2.1. Riwayat Singkat Rumah Sakit................................................................................. 2
2.2. Visi, Misi, Dan Motto.............................................................................................. 3
2.3. Logo Rumah Sakit Graha Hermine.......................................................................... 4
2.4. Struktur Organisasi Rumah Sakit............................................................................. 5
2.5. Bagan Organisasi Rs Graha Herme ........................................................................ 8
2.6. Data Demografi....................................................................................................... 9
2.7. Dokter Umum Dan Dokter Spesialis....................................................................... 16
2.8. Jumlah Tenaga Kesehatan Rumah Sakit Graha Hermine Per Juni 2021.................. 28
2.9. Pelayanan Rawat Inap............................................................................................. 31
2.10. Alat Kesehatan........................................................................................................ 36
2.11. Pelayanan Penunjang Medis Dan Klinis.................................................................. 47
2.12. Pelayanan Non Medis/Umum.................................................................................. 52

BAB III LAPORAN KEGIATAN....................................................................................... 55

3.1 Pelayanan Rawat Jalan................................................................................................ 55
3.2 Pelayanan Rawat Inap................................................................................................. 70

BAB IV STUDI KELAYAKAN PEMAKAIAN AIR BERSIH......................................... 80

4.1. Latar Belakang ....................................................................................................... 80
4.2. Tujuan..................................................................................................................... 80
4.3. Dasar Studi.............................................................................................................. 81
4.4. Hasil Analisis.......................................................................................................... 81

BAB V MUTU PELAYANAN PERIODE JUNI 2020 – MEI 2021................................ 94

5.1. Indikator Area Klinis............................................................................................... 94
a. Kepatuhan Jam Visite Dokter Spesialis........................................................... 94
b. Penundaan Operasi Elektif............................................................................... 95
c. Waktu Tunggu Rawat Jalan............................................................................. 96
d. Emergency Respon Time (Waktu Tanggap Pelayanan Gawat Darurat
≤ 5 Menit)........................................................................................................ 97
e. Kematian Pasien Igd........................................................................................ 98
f. Infeksi Daerah Operasi (IDO).......................................................................... 98
g. Kecepatan Respon Terhadap Komplain........................................................... 99
h. Kepuasan Pasien Dan Keluarga Terhadap Pelayanan Keperawatan................. 100
i. Kepatuhan Upaya Pencegahan Risiko Cedera Akibat Pasien Jatuh Pada
Pasien Rawat Inap............................................................................................ 100
j. Kepatuhan Cuci Tangan................................................................................... 101
5.2. Analisis Faktor Internal...................................................................................... 102
5.3. Analisis Faktor External..................................................................................... 102
5.4. Diagram Analisis Swot...................................................................................... 103
5.5. Faktor Internal Evaluation ( Matriks Ife )........................................................... 104
5.6. Faktor Eksternal Evaluation (Matriks Efe)......................................................... 104
5.7. Matriks Ie........................................................................................................... 105
5.8. Penyusunan Tows Rsgh..................................................................................... 106

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 5.9. Sistem Rujukan................................................................................................... 107

BAB VI RENCANA STRATEGIS 2020-2024.................................................................... 108

6.1. Perencanaan Strategik......................................................................................... 108
6.2. Tugas.................................................................................................................. 109
6.3. Fungsi................................................................................................................. 109
6.4. Sasaran .............................................................................................................. 110
6.5. Indikator Kinerja ............................................................................................... 110
6.6. Diskripsi Kerja................................................................................................... 111

BAB VII PENUTUP............................................................................................................. 172

Daftar Pustaka
Piagam Penghargaan
Kerjasama Jaminan Kesehatan Nasional, Asuransi, Kesehatan, Perusahaan

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