DAFTAR ISI

KATA PENGANTAR .............................................................................................. i

DAFTAR ISI .............................................................................................................. ii
I. PENDAHULUAN ....................................................................................... 1
A. Latar Belakang ....................................................................................... 1
B. Visi, Misi, Motto .................................................................................... 1
C. Tujuan ..................................................................................................... 2
II. KINERJA PELAYANAN ............................................................................. 3
A. Pelayanan Rawat Jalan............................................................................. 3
1. Pelayanan Poliklinik...................................................................... 3
2. 10 Penyakit Terbanyak Rawat Jalan ............................................ 4
3. Jumlah Kunjungan Skincare ......................................................... 5
B. Pelayanan UGD (Unit Gawat Darurat).................................................... 5
1. Tren Jumlah Kunjungan UGD .................................................... 5
2. Pencapaian Standar Pelayanan Minimal UGD ........................... 6
3. Analisa Evaluasi Pelayanan UGD............................................... 7
C. Pelayanan Instalasi Rawat Inap .............................................................. 7
1. Indikator Pelayanan Rawat Inap ................................................ 7
2. 10 Penyakit terbanyak Rawat Inap ............................................ 9
3. Pencapaian Standar Pelayanan Minimal Instalasi Ranap ........... 9
4. Pertumbuhan Pasien .................................................................. 11
5. Pencapaian Sasaran Keselamatan Pasien (SKP)......................... 12
6. Kunjungan pasien perkelas ......................................................... 13
7. Indikator Pelayanan .................................................................... 14
D. Pelayanan Unit Bedah Sentral ................................................................ 15
1. Jumlah Tindakan Operasi .......................................................... 15
2. Standar Minimal Operasi Bedah Sentral ................................... 16
3. Evaluasi Pelayanan Bedah Sentral ............................................ 17
E. Pelayanan Persalinan .............................................................................. 18
1. Pencapaian Standar Pelayanan Minimal (SPM) ......................... 18
2. 10 Tindakan Terbanyak ............................................................. 20
3. Evaluasi Pelayanan Persalinan ................................................... 20

ii Laporan Tahun 2020 | Rumah Sakit Dr. Hafiz (RSDH) Cianjur

 4. Hambatan Pelayanan .................................................................. 20
5. Daftar Kematian ......................................................................... 26
6. Daftar Rujukan ........................................................................... 27
7. Laporan Code Blue ..................................................................... 27

III. KINERJA PELAYANAN PENUNJANG MEDIK .................................... 32

A. Pelayanan Unit Radiologi .................................................................... 32
1. Jumlah Kunjungan Pelayanan Radiologi ................................... 32
2. Data Rujukan CT Scan .............................................................. 33
3. Pencapaian Standar Pelayanan Minimal .................................... 34
B. Pelayanan Unit Laboratorium ................................................................ 35
1. Jumlah Kunjungan Laboratorium ............................................... 35
2. Data Pemeriksaan KSO Laksana ............................................... 36
3. Data Rujukan PCR ..................................................................... 37
4. Pencapaian Standar Pelayanan Minimal..................................... 38
C. Pelayanan Rehabilitasi Medik ............................................................. 38
1. Jumlah Kunjungan Unit Rehabilitasi Medik ............................. 38
2. Pencapaian Standar Pelayanan Minimal .................................... 39
D. Pelayanan Unit Pemulasaran Jenazah................................................... 40
1. Jumlah Pasien Meninggal ......................................................... 40
2. Pencapaian Standar Pelayanan Minimal .................................... 40
E. Pelayanan Unit Laundry....................................................................... 41
1. Jumlah Pencucian Linen ............................................................ 41
2. Data Kerusakan Linen................................................................. 42
3. Pencapaian Standar Pelayanan Minimal .................................... 43
F. Pelayanan Unit Farmasi........................................................................ 44
1. Laporan Stock Opname Farmasi ............................................... 44
2. Laporan Dead, Slow dan Fast Moving sediaan Farmasi............. 48
3. Pencapaian Standar Pelayanan Minimal .................................... 50
G. Pelayanan Unit Gizi.............................................................................. 52
1. Pencapaian Standar Pelayanan Minimal Instalasi Farmasi ....... 52
H. Pelayanan Unit Rekam Medis............................................................... 53

iii Laporan Tahun 2020 | Rumah Sakit Dr. Hafiz (RSDH) Cianjur
 1. Pencapaian Standar Minimal Pelayanan .................................. 53

I. Pelayanan Unit CSSD........................................................................... 55

1. Jumlah Pensterilan Instrumen .................................................... 55
2. Standar Pelayanan Minimal Unit CSSD...................................... 55
3. Pencapaian Standar Pelayanan Minimal .................................... 55

IV. GAMBARAN SARANA, PRASARANA DAN KETENAGAAN RUMAH SAKIT

DR. HAFIZ (RSDH) CIANJUR ................................................................. 57
A. Instalasi Pemeliharaan Sarana Rumah Sakit (IPSRS) ......................... 57
1. Gambaran Kerja Unit Sarana Rumah Sakit ................................ 57
2. Laporan Pelaksanaan Kegiatan ................................................... 59
3. Pengelolaan Penggunaan Energi ................................................ 64
4. Pengelolaan Penggunaan Tempat Tidur ..................................... 64
5. Perkembangan Perizinan Rumah Sakit ...................................... 66
B. Pengelolaan Pemeliharaan Saran dan Prasarana ........................................ 68
1. Pengelolaan Peralatan Umum................................................................. 68
2. Pengelolaan Peralatan Kesehatan ........................................................... 75
3. Penambahan Investasi Alat Baru ............................................................ 109
4. Pelaksanaan Kalibrasi Peralatan Kesehatan ........................................... 111
C. Pelaksanaan Pemeliharaan Gedung .............................................................. 116
1. Pelaksanaan Pemeliharaan Peralatan Umum ....................................... 117
2. Gambaran Kondisi Peralatan Umum .................................................. 119
3. Pengelolaan Penyehatan Lingkungan Rumah Sakit ............................ 120
D. Pengelolaan Penyehatan Lingkungan Rumah Sakit ..................................... 120
1. Pemantauan Sampah............................................................................... 120
2. Pemantauan Kualitas Air Limbah .......................................................... 123
3. Pemantauan Hygiene Sanitasi ................................................................ 141
E. Pengelolaan Penyehatan Lingkungan Rumah Sakit ..................................... 120
1. Pemantauan Pengendalian Hama dan Binatang Pengganggu ............. 148
F. Informasi Teknologi RS .............................................................................. 150
1. Gambaran Kinerja Unit IT...................................................................... 150

iv Laporan Tahun 2020 | Rumah Sakit Dr. Hafiz (RSDH) Cianjur

 2. Spesifikasi SDM dan Jumlahnya ........................................................... 151
3. Laporan Kegiatan ................................................................................... 152

G. Unit Logistik Umum .................................................................................... 155

1. Gambaran Unit Logistik Umum.............................................................. 155
2. Laporan Kegiatan ................................................................................... 156
3. Laporan Data Suplier ..................................................................... 158
4. Laporan Daftar Jenis Barang ......................................................... 159
5. Laporan Jumlah Permintaan Barang .............................................. 163
6. Laporan Stock Opname .................................................................. 164
H. Unit Rumah Tangga ..................................................................................... 165
1. Gambaran Unit Rumah Tangga............................................................... 165
2. Laporan Kegiatan ................................................................................... 167
I. Pengelolaan Housekeeping............................................................................ 167
1. Jumlah Petugas ....................................................................................... 167
2. Laporan Kegiatan ................................................................................... 168
J. Pengelolaan Keamanan................................................................................. 168
1. Jumlah Petugas ....................................................................................... 169

V. KETENAGAKERJAAN RS DR. HAFIZ (RSDH) CIANJUR................... 170

A. Rekrutmen dan Seleksi SDM RSDH Cianjur ...................................... 171
1. Gambaran Ketenagakerjaan Medis, Klinis dan Non Klinis........ 172
2. Gambaran Ketenagakerjaan Berdasarkan Posisi Jabatan ........... 174
3. Gambaran Ketenagaan Berdasarkan Tingkat Pendidikan ........ 175
4. Gambaran Ketenagaan Berdasarkan Unit Kerja ......................... 176
B. Gaji, Tunjangan Kinerja, Jasa Pelayanan dan THR ............................... 186
1. Rekapitulasi Belanja Karyawan ................................................. 187
2. Grafik Gaji Bulan Januari – Desember 2020 ............................. 188
3. Grafik Tunjangan Kinerja dan Jasa Pelayanan .......................... 188
C. Penilaian Kinerja SDM ......................................................................... 186
1. Pembuatan dan Pengarsipan Surat Keputusan ........................... 190

v Laporan Tahun 2020 | Rumah Sakit Dr. Hafiz (RSDH) Cianjur

 2. Pembuatan dan Pengarsipan MOU ............................................. 190
3. Pengurusan SIP ........................................................................... 191
4. Pendaftaran BPJS Kesehatan Karyawan .................................... 192
5. Pendaftaran BPJS Ketenagakerjaan Karyawan .......................... 192
6. Pengelolaan Orientasi Karyawan Baru ....................................... 193
7. Pengadaan dan Pengelolaan Diklat Internal dan Eksternal ........ 194
8. Pengelolaan Surat Masuk dan Surat Keluar ............................... 195
9. Mediasi Permasalahan Hukum ................................................... 195
D. Tim Satuan Petugas Covid-19 .............................................................. 196
1. Karyawan yang terdampak Covid-19 ......................................... 196
2. Pemberian Suplemen Karyawan ................................................. 197
3. Pengajuan Insentif dan Jaspel Covid-19 ..................................... 197

VI. TIM PENGADAN BARANG DAN JASA RUMAH SAKIT DR. HAFIZ
(RSDH) CIANJUR....................................................................................... 199
A. Tim Pengadaan Barang dan Jasa ......................................................... 199

VII. LAPORAN KINERJA MARKETING RUMAH SAKIT DR. HAFIZ

(RSDH) CIANJUR....................................................................................... 199
A. Tingkat Kunjungan Rawat Jalan (Umum dan Asuransi)..................... 199
1. Jumlah Kunjungan Rajal pasien Umum dan Asuransi................ 199
2. Jumlah Kunjungan Rajal Pasien BPJS ...................................... 199
B. Tingkat Kunjungan Rawat Jalan (Umum dan Asuransi)..................... 199
1. Jumlah Kunjungan Rawat Inap pasien Umum dan Asuransi...... 199
2. Jumlah Kunjungan Ranap BPJS ................................................. 200
C. Program Promosi Rumah Sakit ............................................................ 201
1. Layanan Telemedicine................................................................. 201
2. Layanan Drive Thru.................................................................... 202
3. Diskon Skincare........................................................................... 203
4. Peningkatan Jejaring Kerjasama Asuransi/Perusahaan/Klinik/RS 204
5. Mengelola Keluhan pasien melalui Handling Komplain............ 207
6. Evaluasi Mutu Manajemen Komunikasi Efektif dan Edukasi.... 208

vi Laporan Tahun 2020 | Rumah Sakit Dr. Hafiz (RSDH) Cianjur

 7. Evaluasi Monitoring Pembiyaaan Keuangan Marketing ............ 210
D. Laporan Petty Cash Periode Januari – Desember 2018 ....................... 212

VIII. KINERJA KEUANGAN RUMAH SAKIT DR. HAFIZ (RSDH) CIANJUR 213
A. Ikhtisar Keuangan..................................................................................... 213
B. Grafik Kinerja Keuangan......................................................................... 214
C. Kinerja Keuangan .................................................................................... 216
1. Ikhtisar Laporan Posisi Keuangan .............................................. 217
2. Ikhtisar Laporan Laba / Rugi ...................................................... 219
3. Kemampuan Membayar Utang dan Tingkat Kolektibilitas Utang 224
4. Prospek Bisnis ............................................................................ 225

IX. LAPORAN PELAYANAN ISOLASI COVID-19 RUMAH SAKIT DR. HAFIZ

(RSDH) CIANJUR ...................................................................................... 226
A. Pelayanan Kunjungan Pasien Covid-119 ................................................ 226
1. Pelayanan Rawat Jalan................................................................ 226
2. Jumlah Kunjungan Unit Gawat Darurat ..................................... 227
3. Tren kunjungan UGD ................................................................. 228
B. Pelayanan Rawat Inap ............................................................................. 229
1. Pertumbuhan Pasien ................................................................... 230
C. Pelayanan Pemeriksaan Penunjang ......................................................... 231
1. Pelayanan Laboratorium ............................................................. 231
2. Jumlah Kunjungan Pemeriksaan Pada Karyawan ...................... 232
D. Penggunaan Alat Pelindung Diri (APD) ................................................. 234
E. Pengajuan Klaim Pasien Covid-19 .......................................................... 235
X. REKAP DATA BPJS JANUARI SD NOVEMBER 2020........................... 237
XI. PENUTUP ..................................................................................................... viii

vii Laporan Tahun 2020 | Rumah Sakit Dr. Hafiz (RSDH) Cianjur