Volume Sub Jenis Komponen

No Kode Uraian Sub Output/Komponen/Sub Komponen/Detail Output (Utama/Pendukung) Rincian Perhitungan Harga Satuan Jumlah

WORKSHOP PELAKSANAAN AUDIT INTERNAL DAN TINJAUAN MANAJEMEN

2087.032.021.011 Pelaksanaan Workshop Utama 80,760,000

Belanaja pengiriman surat dinas pos surat

-Pengiriman surat 1 PT 1 PT
521114
Belanja bahan
-ATK [1 PT x 1 TR] 1 PT x 1 PK 1 PT 500,000 500,000
521211 -Pengadaan [1 PT x 1 TR] 1 PT x 1 TR 1 PT 500,000 500,000
-Seminar kit [48 OR x 1 TR] 48 OR x 1 TR 48 PT 100,000 4,800,000
-Spanduk [2 PT x 1 TR] 2 PT x 1 TR 2 PT 200,000 400,000
-Dokumentasi [1 PT x 1 TR] 1 PT x 1 TR 1 PT 80,000 80,000

Belanja jasa profesi

-Honor narasumber [ 2 OR x 3 HARI x 2 JAM ] 2 OR x 3 TR x 2 jam 12 OJ 900,000 10,800,000
522151 -Honor narasumber kab [ 2 OR x 1 TR x 1,5 JAM ] 2 OR x 1 HR x 1.5 jam 3 OJ 900,000 2,700,000
-Honor moderator [ 2 OR x 1 TR x 1 KALI ] 2 OR x 1 TR x 1 jam 2 OK 700,000 1,400,000

Belanja perjalanan dinas paket meeting dalam kota

524114 -Transportasi ( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 100,000 800,000
Bunga Raya
-Transportasi (8 orang x 1 kali ) 8 OR x 1 TR 8 OT 100,000 800,000
Sei. Apit
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 140,000 1,120,000
Dayun
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 120,000 960,000
Lubuk Dalam
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 150,000 1,200,000
Perawang
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 120,000 960,000
Kandis

Paket Meeting Fullday (48 OR X 1 TR X 3 HR) 48 OR x 1 TR x 3 HR 3 OH 95,000 13,680,000

Uang Harian Fullday (48 OR X 1 TR X 3 HR) 48 OR x 1 TR x 3 HR 144 OT 150,000 21,600,000
Biaya Penginapan Peserta (24 Kamar x 2 Hari) 24 TR x 2 HR 48 OH 300,000 14,400,000

Belanja Perjalanan Dinas Paket Meeting Luar Kota

Transportasi Narasumber (2 OR x 1 TR) 2 OR x 1 TR 2 OT 380,000 760,000
Biaya Penginapan ( 2OR x 1 TR x 2 HR) 2 OR x 1 TR x 2 HR 4 OH 450,000 1,800,000
Uang Harian (2 OR x 1 TR x 1 HR) 2 OR x 1 TR x 1 HR 2 OH 750,000 1,500,000
No Kode Uraian Sub Output/Komponen/Sub Komponen/Detail Volume Sub Jenis Komponen Rincian Perhitungan Harga Satuan
Output (Utama/Pendukung)

WORKSHOP KESELAMATAN PASIEN

2087.032.021.011 Pelaksanaan Workshop Utama

Belanaja pengiriman surat dinas pos surat

-Pengiriman surat 1 PT 1 PT
521114
Belanja bahan
-ATK [1 PT x 1 TR] 1 PT x 1 PK 1 PT 500,000
521211 -Pengadaan [1 PT x 1 TR] 1 PT x 1 TR 1 PT 500,000
-Seminar kit [48 OR x 1 TR] 48 OR x 1 TR 48 PT 100,000
-Spanduk [2 PT x 1 TR] 2 PT x 1 TR 2 PT 200,000
-Dokumentasi [1 PT x 1 TR] 1 PT x 1 TR 1 PT 80,000

Belanja jasa profesi

-Honor narasumber [ 2 OR x 3 HARI x 2 JAM ] 2 OR x 2 TR x 2 jam 8 OJ 900,000
522151 -Honor narasumber kab [ 2 OR x 1 TR x 1,5 JAM ] 2 OR x 1 HR x 1 jam 2 OJ 900,000
-Honor moderator [ 2 OR x 1 TR x 1 KALI ] 2 OR x 1 TR x 1 kali 2 OK 700,000

Belanja perjalanan dinas paket meeting dalam kota

524114 -Transportasi ( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 100,000
Bunga Raya
-Transportasi (8 orang x 1 kali ) 8 OR x 1 TR 8 OT 100,000
Sei. Apit
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 140,000
Dayun
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 120,000
Lubuk Dalam
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 150,000
Perawang
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 120,000
Kandis

Paket Meeting Fullday (48 OR X 1 TR X 3 HR) 48 OR x 1 TR x 2 HR 96 OH 95,000

Uang Harian Fullday (48 OR X 1 TR X 3 HR) 48 OR x 1 TR x 2 HR 96 OT 150,000
Biaya Penginapan Peserta (24 Kamar x 2 Hari) 24 TR x 1 HR 24 OH 300,000

Belanja Perjalanan Dinas Paket Meeting Luar Kota

Transportasi Narasumber (2 OR x 1 TR) 2 OR x 1 TR 2 OT 380,000
Biaya Penginapan ( 2OR x 1 TR x 1 HR) 2 OR x 1 TR x 1 HR 2 OH 450,000
Uang Harian (2 OR x 1 TR x 1 HR) 2 OR x 1 TR x 1 HR 2 OH 750,000
Jumlah

56,400,000

500,000
500,000
4,800,000
400,000
80,000

7,200,000
1,800,000
1,400,000

800,000

800,000

1,120,000

960,000

1,200,000

960,000

9,120,000
14,400,000
7,200,000

760,000
900,000
1,500,000
No Kode Uraian Sub Output/Komponen/Sub Komponen/Detail Volume Sub Jenis Komponen Rincian Perhitungan Harga Satuan Jumlah
Output (Utama/Pendukung)

WORKSHOP PEMAHAMAN STANDAR

2087.032.021.011 Pelaksanaan Workshop Utama 106,553,000

Belanaja pengiriman surat dinas pos surat

-Pengiriman surat 1 PT 1 PT
521114
Belanja bahan
-ATK [1 PT x 1 TR] 1 PT x 1 PK 1 PT 500,000 500,000
521211 -Pengadaan [1 PT x 1 TR] 1 PT x 1 TR 1 PT 500,000 500,000
-Seminar kit [48 OR x 1 TR] 48 OR x 1 TR 48 PT 100,000 4,800,000
-Spanduk [2 PT x 1 TR] 2 PT x 1 TR 2 PT 200,000 400,000
-Dokumentasi [1 PT x 1 TR] 1 PT x 1 TR 1 PT 80,000 80,000

Belanja jasa profesi

-Honor narasumber [ 2 OR x 3 HARI x 2 JAM ] 3 OR x 3 TR x 3 jam 27 OJ 900,000 24,300,000
522151 -Honor narasumber kab [ 2 OR x 1 TR x 1,5 JAM ] 2 OR x 1 HR x 1 jam 2 OJ 900,000 1,800,000
-Honor moderator [ 2 OR x 1 TR x 1 KALI ] 2 OR x 1 TR x 1 jam 2 OK 700,000 1,400,000

Belanja perjalanan dinas paket meeting dalam kota

524114 -Transportasi ( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 100,000 800,000
Bunga Raya
-Transportasi (8 orang x 1 kali ) 8 OR x 1 TR 8 OT 100,000 800,000
Sei. Apit
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 140,000 1,120,000
Dayun
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 120,000 960,000
Lubuk Dalam
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 150,000 1,200,000
Perawang
-Transportasi( 8 orang x 1 kali ) 8 OR x 1 TR 8 OT 120,000 960,000
Kandis

Paket Meeting Fullday (48 OR X 1 TR X 3 HR) 48 OR x 1 TR x 3 HR 144 OH 95,000 13,680,000

Uang Harian Fullday (48 OR X 1 TR X 3 HR) 48 OR x 1 TR x 3 HR 144 OT 150,000 21,600,000
Biaya Penginapan Peserta (24 Kamar x 2 Hari) 24 TR x 2 HR 48 OH 300,000 14,400,000

Belanja Perjalanan Dinas Paket Meeting Luar Kota

Transportasi Narasumber (3 OR x 1 TR) udara 3 OR x 1 TR 3 OT 3,721,000 11,163,000
Transport Narasumber (3 OR x 1 TR ) Darat 3 OR x 1 TR 3 OH 380,000 1,140,000
Biaya Penginapan ( 3 OR x 1 TR x 2 HR ) 3 OR x 1 TR x 2 HR 6 OH 450,000 2,700,000
Uang Harian (3 OR x 1 TR x 1 HR) 3 OR x 1 TR x 1 HR 3 OH 750,000 2,250,000
 TEMPLATE RAB TAHAPAN PENDAMPINGAN AKREDITASI PUSKESMAS (PASCA AKREDITASI)

Pasca Akreditasi Puskesmas (3 Hari) 715,020,000

- Biaya Konsumsi Rapat di Puskesmas 35 Orang x 27 Transport x 2 Kali x 3 Hari 5670 OH 35,000 198,450,000
Belanja Jasa Profesi
- Honor Pendamping 3 Orang x 27 Transport x 2 Kali x 3 Hari x 3 Jam 1458 OJ 300,000 437,400,000
Belanja Perjalanan Dinas Biasa
Transport Pendamping 3 Orang x 3 Transport x 2 Kali 18 OK 55,000 990,000
Transport Pendamping 3 Orang x 6 Transport x 2 Kali 36 OK 120,000 4,320,000
Transport Pendamping 3 Orang x 3 Transport x 2 Kali 18 OK 100,000 1,800,000
Transport Pendamping 3 Orang x 5 Transport x 2 Kali 30 OK 300,000 9,000,000
Transport Pendamping 3 Orang x 1 Transport x 2 Kali 6 OK 140,000 840,000
Transport Pendamping 3 Orang x 1 Transport x 2 Kali 6 OK 220,000 1,320,000
Transport Pendamping 3 Orang x 1 Transport x 2 Kali 6 OK 380,000 2,280,000
Transport Pendamping 3 Orang x 1 Transport x 2 Kali 6 OK 350,000 2,100,000
Transport Pendamping 3 Orang x 2 Transport x 2 Kali 12 OK 400,000 4,800,000
Transport Pendamping 3 Orang x 1 Transport x 2 Kali 6 OK 200,000 1,200,000
Transport Pendamping 3 Orang x 2 Transport x 2 Kali 12 OK 250,000 3,000,000
Transport Pendamping 3 Orang x 1 Transport x 2 Kali 6 OK 150,000 900,000

Penginapan Pendamping 3 Orang x 2 Transport x 2 Kali x 2 Hari 24 OH 150,000 3,600,000

Penginapan Pendamping 3 Orang x 4 Transport x 2 Kali x 2 Hari 48 OH 75,000 3,600,000
Penginapan Pendamping 3 Orang x 5 Transport x 2 Kali x 2 Hari 60 OH 75,000 4,500,000
Penginapan Pendamping 3 Orang x 3 Transport x 2 Kali x 3 Hari 54 OH 150,000 8,100,000
Penginapan Pendamping 3 Orang x 3 Transport x 2 Kali x 3 Hari 54 OH 105,000 5,670,000
Penginapan Pendamping 3 Orang x 3 Transport x 2 Kali x 3 Hari 54 OH 150,000 8,100,000
Penginapan Pendamping 3 Orang x 1 Transport x 2 Kali x 3 Hari 18 OH 450,000 8,100,000
Penginapan Pendamping 3 Orang x 1 Transport x 2 Kali x 3 Hari 18 OH 90,000 1,620,000
Penginapan Pendamping 3 Orang x 1 Transport x 2 Kali x 3 Hari 18 OH 75,000 1,350,000
Penginapan Pendamping 3 Orang x 1 Transport x 2 Kali x 3 Hari 18 OH 110,000 1,980,000

Belanja Bahan 27,000,000

- ATK 1 PT 27 PT 500,000 13,500,000
- Pengadaan 1 PT 27 PT 500,000 13,500,000
TOTAL 742,020,000
 TEMPLATE RAB BIAYA SURVEI REAKREDITASI

Survei Re Akreditasi 368,928,000

Belanja Bahan
- ATK 1 PT x 6 Transport 6 PT 500,000 3,000,000
- Pengadaan 1 PT x 6 Transport 6 PT 500,000 3,000,000
- Konsumsi 40 Orang x 6 Transport 3 Kali x 3 Hari 2160 PT 47,000 101,520,000
Belanja Jasa Profesi
- Honor Surveior 3 Orang x 3 Hari x 6 Pkm x 3 Jam 162 OK 900,000 145,800,000
Belanja Perjalanan Dinas Paket Meeting Dalam Kota
Transport Lokal 3 Orang x 2 Transport x 1 Kali 6 OK 100,000 600,000
Transport Lokal 3 Orang x 2 Transport x 1 Kali 6 OK 120,000 720,000
Transport Lokal 3 Orang x 1 Transport x 1 Kali 3 OK 140,000 420,000
Transport Lokal 3 Orang x 1 Transport x 1 Kali 3 OK 150,000 450,000

Belanja Perjalaan Dinas Biasa 3 Orang x 6 Transport x 2 HR 36 OK 750,000 27,000,000

- Uang Harian 3 Orang x 6 Transport 18 OK 3,721,000 66,978,000
Transport Surveior (Pesawat Jakarta) 3 Orang x 6 Transport 18 OK 380,000 6,840,000
Transport Lokal Bandara - Kab/Kota (Pulang Pergi) 3 Orang x 6 Transport x 1 HR 18 OK 250,000 4,500,000
Penginapan Surveior di Kabupaten 3 Orang x 6 Transport x 3 HR 54 OK 150,000 8,100,000
Penginapan Surveior di Puskesmas

TOTAL 368,928,000
 PEMERINTAH KABUPATEN SIAK
DINAS KESEHATAN
BIDANG PELAYANAN KESEHATAN
SEKSI MUTU DAN AKREDITASI PELAYANAN KESEHATAN
USULAN ANGGARAN AKREDITASI PUSKESMAS
TAHUN ANGGARAN 2020

KODE MENU KEGIATAN JUMLAH

WORKSHOP PELAKSANAAN AUDIT INTERNAL DAN TINJAUAN MANAJEMEN 80,760,000

WORKSHOP KESELAMATAN PASIEN 56,400,000
WORKSHOP PEMAHAMAN STANDAR 106,553,000
PASCA AKREDITASI PUSKESMAS 742,020,000
SURVEI RE AKREDITASI PUSKESMAS 368,928,000

TOTAL 1,354,661,000