PROPOSAL PERMOHONAN

PENGADAAN ALAT SLIT LAMP

I. Latar Belakang
Rumah sakit merupakan tempat atau rumah bagi para mereka yang sedang mengalami
ketidakseimbangan atau kondisi tubuh yang sedang tidak stabil atau kondisi fisik yang
tidak baik. Penyebab ini dikarenakan banyak faktor di antaranya kecelakaan yang tidak
disengaja, virus bahkan faktor genetik. Rumah sakit sebagai tempat untuk mengatasi dan
mencari solusi permasalahan tersebut, dalam hal ini dituntut untuk mengedepankan
fasilitas kesehatan di rumah sakit yang baik dan sesuai standar pelayanan yang memadai.
Memberikan pelayanan fasilitas rumah sakit merupakan salah satu bentuk kepedulian
rumah sakit di bidang medis. Salah satu aspek yang penting adalah ketersediannya
peralatan kesehatan yang lengkap, berfungsi dengan baik dan sesuai standar badan
kalibrasi.
Pemerintah atau badan khusus penanganan peralatan kesehatan nasional telah
membuat peraturan terkait dengan kelayakan dan standarisasi yang harus dipenuhi oleh
public service dalam hal ini adalah rumah sakit. Peran pemerintah tersebut bertujuan
untuk mendorong demi kemajuan dan perbaikan peralatan kesehatan. Ini merupakan
kewajiban bagi pemerintah untuk memenuhi tugasnya sebagai fungsi regulator, pelaksana
dan pembiayaan.
Secara umum jika melihat peraturan pemerintah, alat kesehatan adalah alat yang
merupakan barang, aparat, atau instrumen dengan tiap komponen array bagiannya
diproduksi dan dijual untuk pemeliharaan, perawatan, diagnosa, pencegahan, peringanan,
dan penyembuhan untuk setiap gejala kelainan kesehatan yang terjadi pada tubuh
manusia.
Namun dalam pelaksanaan di lapangan masih banyak terjadi kendala-kendala priciple
di antaranya keterbatasan alat-alat yang memadai, maintenance dan service yang tidak
rutin, kerusakan alat yang tidak bisa di repair ulang, bahkan pemeliharaan dan
penggunaan peralatan yang tidak sesuai prosedur sehingga hal-hal tersebut sangat
mempengaruhi dan memperlambat pelayanan mutu kinerja rumah sakit.
Dampak kurangnya penanganan peralatan kesehatan tersebut tentu akan memunculkan
banyak permasalahan. Di antaranya terganggunya penanganan pasien yang membutuhkan
peralatan cepat atau vital. Bahkan resiko yang paling merugikan adalah kematian.
Rumah sakit sebagai pelayan kesehatan harus bersedia bertanggung jawab atas hal-hal
tersebut jika demikian terjadi dan siap menerima segala sanksi serta tuntutan pihak
berwenang terutama pengaduan dari pasien yang tidak bisa menerima secara prosedural.
Karena alat-alat kesehatan semestinya harus dijadikan prioritas utama oleh rumah sakit
 sebagai alat pembantu petugas medis untuk melayani pasien bahkan masyarakat umum
yang memang penanganannya tidak hanya tergantung pada pemberian obat.
Dengan menilai dan menimbang segala hal baik administrasi, teknik dan prosedur
peraturan pemerintah tentang peralatan kesehatan yang standar. Maka selaku petugas
lapangan dalam hal ini teknisi elektromedis rumah sakit, memiliki kewenangan untuk
melaporkan dan memberi masukan serta gambaran kepada bagian kepala gudang bagian
pengadaan barang alat kesehatan, untuk menerima proposal pengadaan alat kesehatan
berupa alat ventilator. Untuk segala perincian dan teknis alat serta perhitungan harga akan
dijelaskan pada bagian berikutnya.
Oleh karena itu, kami memutuskan untuk mengajukan proposal “PERMINTAAN
PENGADAAN ALAT SLIT LAMP ”.

II. Rencana Teknis

Dalam pengajuan proposal ini, kami memiliki dua alternatif alat yang akan diajukan
pengadaannya. Berikut beberapa pembanding yang kami jabarkan sebagai pertimbangan
pemilihan keputusan.
A. Spesifikasi (brochure) dan Gambar Alat
i. Terlampir
B. Rencana Anggaran Biaya
ii. Terlampir
C. Analisis Perhitungan
iii. Terlampir
D. Rencana Jaringan Proyek
iv. Terlampir
E. Rencana Cash Flow
v. Terlampir

III.Keputusan
vi. Terlampir
IV. Daftar Referensi
1. (E-katalog lkpp 2016), Katalog alat-alat kesehatan, 2016 [online] tersedia :
<e-katalog.lkpp.go.id >. [8 januari 2016 14.47 WIB].
2. (Scribd 2011) Proposal pengadaan alat kesehatan, 2011 [online] tersedia :
<https://www.scribd.com/doc/76121869/Proposal-Pengadaan-Alat-Kesehatan>. [6
januari 2016].
3. (Hamilton medical 2016), The universal ventilator solution, hamilton-C2, 2016
[online] tersedia :
<https://www.hamilton-medical.com/dam/jcr:5a76833f-4e77-4cc5-8a31-efc7862e1f72/
HAMILTON-C2-tech-specs-en-689277.08.pdf>. [6 Januari 2016].
4. (Imtmedical 2016), Bellavista®  1000, imtmedical, 2016 [online] tersedia :
http://www.imtmedical.com/en-us/products/bellavista/Documents/bellavista_Basis_Broc
hure_EN.pdf [8 januari 2016].
5. (Detik News 2013), Berita terbaru, detik news, 2013 [online] tersedia :
<http://news.detik.com/berita/2180382/nicu-kurang-hikmah-bayi-gizi-buruk-meninggal-
di-rscm> [14 desember 2015].
6. (Lembaga Bank Indonesia 2016), Kurs transaksi bank ndonesia, bank indonesia,
2016 [online] tersedia :
<http://www.bi.go.id/id/moneter/informasi-kurs/transaksi-bi/Default.aspx>. [8 januari
2016 Pukul 15.20 WIB].
7. (PT PLN (Persero), Distribusi Jakarta Raya dan Tangerang 2016) Penyesuaian
tarif tenaga listrik, PLN, 2015 [online] tersedia :
<http://www.pln.co.id/disjaya/?p=3645> [7 januari 2016].
8. (Hamilton medical 2016), The universal ventilator solution, hamilton-C2,
2016[online] tersedia :
<https://www.hamilton-medical.com/Products/Mechanical-ventilators/HAMILTON-
C2.html> [4 januari 2016].
9. (APBD DKI Jakarta 2015), Informasi Belanja Langsung, Informasi APBD, 2015
[online] tersedia :
<http://www.jakarta.go.id/v2/apbd/browse/2015#browse>.[13 Januari 2016].

HAMILTON-C2
Technical specifications
The HAMILTON-C2 mechanical ventilator is a uni-
versal ventilation solution for all patient groups.
The HAMILTON-C2’s compact design and indepen-
dence from external power and air supplies allow
for maximum mobility throughout the hospital. The
integrated high-performance turbine guarantees top
performance even with noninvasive ventilation.
For more information, visit our website: www.hamilton-medical.com/C2
LAMPIRAN I
Spesifikasi Alternatif
• Ventilation of adults, children, and neonates
• Tidal volumes as low as 2 ml
• > 7 h of battery operating time
• Independent airsupply
• AdvancedventilationmodesincludingASV®
• High-performance NIV ventilation
Technical specifications

Ventilation Cockpit

Dynamic Lung Real-time visualization of the lungs with representations of tidal volume, lung compliance, resistance, and patient activity

Vent Status Visual representation of ventilator dependency, grouped into oxygenation, CO elimination,
2
patient activity

ASV target graphics Graphic display of target and actual parameters for tidal volume, frequency, pressure, patient activity, and minute ventilation

Monitoring Display of 41 monitoring parameters

Real-time waveforms Paw, Flow, Volume, Ptrachea, CO 2

1)

Others 1)
Loops: P-V, V-Flow, P-Flow, V-FCO2,1)V-PCO ,21)Trends: 1, 6, 12, 24, and 72 hours

Alarms

Operator adjustable Low/high minute volume, low/high pressure, low/high tidal volume, low/high rate, apnea time,

low/high oxygen, low/high PetCO 2

1)

Special alarms O2cell, disconnection, exhalation obstructed, loss of PEEP, pressure not released, flow sensor, pressure limitation, perfor-

mance limited, battery, power supply, gas supply, oxygen concentration, ASV

Loudness Adjustable (1 – 10)

Ventilation Modes

Type Mode Description Adult/Ped. Neonatal 1)

Closed-loop control ASV Adaptive Support Ventilation. Guaranteed minute volume based on user ü
settings and application of lung-protective rules.
Pressure PCV+ Pressure-controlled ventilation. Biphasic breathing ü ü
PSIMV+ Pressure-controlled synchronized intermittent mandatory ventilation ü ü
SPONT Pressure support ventilation ü ü
APRV Airway pressure release ventilation ü ü
DuoPAP Duo positive airway pressure ü ü
Volume (S)CMV+/APVcmv (Synchronized) controlled mandatory ventilation ü ü
SIMV+/APVsimv Synchronized intermittent mandatory ventilation ü ü
Noninvasive NIV Noninvasive ventilation ü ü
NIV-ST Spontaneous / timed noninvasive ventilation ü ü
nCPAP-PS1) Nasal continuous positive airway pressure - pressure control ü

Maintenance

Blower lifetime Dynamic lifetime surveillance; typically 8 years. 5 year warranty.

1)
Optional - not available in all markets
Technical specifications
Standards IEC 60601-1, IEC 60601-1-2, ISO 80601-2-12, CAN/CSA-C22.2 No. 601.1, UL 60601-1

Configurations

Options 1)
Neonatal ventilation, nasal CPAP, volumetric mainstream capnography, sidestream capnography

Electrical and gas supplies

Input voltage 10 0 to 240 VAC, 50 / 60 Hz or 12 to 24 V DC

Power consumption 50 W typical, 150 W maximum

Backup battery time 7 h typical with 2 Li-Ion batteries / hot swappable

Oxygen supply 28 0 to 600 kPa (41 to 87 psi), V´max 120 l/min

Low pressure oxygen ≤15 l/min, max. 600 kPa for low pressure

Air supply Integrated ultra-quiet turbine

Degree of protection IP21

Environment

Temperature Operating: 5ºC to 40ºC (41ºF to 104ºF)

Storage: -20ºC to 60ºC (-4ºF to 140ºF)

Humidity 10% to 95%, noncondensing (operating and storage)

Altitude Up to approx. 4,000 m (13‘120 ft), 1,100 to 600 hPa

Interface connectors USB, RS-232, nurse call, CO 2

Event log Storage and display of up to 1,000 events with date and time

IntelliTrig

Leak compensation Automatic response to varying leaks and configurable trigger sensitivity in all modes

Inspiratory leakage up to 85 l/min, expiratory leakage up to 30 l/min

IntelliSync Guaranteed rate ventilation

1)
Optional - not available in all markets
Technical specifications

Controls

Type Adult / Pediatric Neonatal 1)

Special functions Manual breath, O enrichment,

2
standby, sigh, screen
lock, apnea backup ventilation, inspiratory hold, print
screen, suctioning tool, dimmable screen, configurable
quick-start settings, start up settings based on patient
height and gender, integrated pneumatic nebulizer,
tube resistance compensation TRC, reference loops
Manual breath, O enrichment,
2
standby, screen lock,
apnea backup ventilation, inspiratory hold, print
screen, dimmable screen, configurable quick-start set-
tings, start up settings based on patient weight and
gender, tube resistance compensation TRC, reference
loops

Ventilation modes See page 2, Ventilation modes See page 2, Ventilation modes
Patient groups adult / pediatric neonatal
Patient height 30 to 250 cm -
Patient gender male / female -
Patient weight - 0. 2 to 30 kg
Respiratory rate
(S)CMV+/APVcmv 4 to 80 b/min 15 to 150 b/min
SIMV+/APVsimv+ 1 to 80 b/min 1 to 150 b/min
PCV+ 4 to 80 b/min 15 to 150 b/min
NIV-ST 5 to 80 b/min 15 to 150 b/min
PSIMV+ 5 to 80 b/min 15 to 150 b/min (without IntelliSync 5 to 150 b/min)
DuoPAP 1 to 80 b/min 1 to 150 b/min
APRV 1 to 80 b/min 1 to 150 b/min
nCPAP-PS1) - 15 to 150 b/min
Tidal volume 20 to 2,000 ml 2 to 300 ml
PEEP/CPAP 0 to 35 cmH O
2
0 to 25 cmH O
2

Oxygen 21% to 100% 21% to 100%

I:E ratio 1:9 to 4:1 (DuoPAP 1:599 to 149:1) 1:9 to 4:1 (DuoPAP 1:599 to 149:1)
%MinVol (ASV) 25% to 350% -
Inspiratory time (TI) 0.1 to 12 s 0.1 to 12 s
Flow trigger off, 1 to 20 l/min off, 0.1 to 5 l/min
Pressure control 5 to 60 cmH O,
2
added to PEEP/CPAP 3 to 60 cmH O,
2
added to PEEP/CPAP
Pressure support 0 to 60 cmH O,
2
added to PEEP/CPAP 0 to 60 cmH O,
2
added to PEEP/CPAP
Pressure ramp 0 to 2,000 ms 0 to 600 ms
P high (APRV/DuoPAP) 0 to 60 cmH O
2
0 to 60 cmH O
2

P low (APRV) 0 to 35 cmH O

2
0 to 25 cmH O
2

T high (APRV/DuoPAP) 0.1 to 40 s 0.1 to 40 s

T low (APRV) 0.2 to 40 s 0. 2 to 40 s
Expiratory trigger sensitivity (ETS) 5% to 80% of peak inspiratory flow 5% to 80% of peak inspiratory flow
Peak flow up to 240 l/min up to 240 l/min

1)
Optional - not available in all markets
Technical specifications

Monitoring parameters

Type Parameter Unit Description Numeric Wave- Vent Dynamic

monitoring forms Status Lung

Pressure Paw cmH 2O;mbar;hPa Real-time airway pressure ü

Ppeak cmH 2O;mbar;hPa Peak airway pressure ü
Pmean cmH 2O;mbar;hPa Mean airway pressure ü
Pinsp cmH 2O;mbar;hPa Inspiratory pressure ü
PEEP/CPAP cmH 2O;mbar;hPa Positive end expiratory pressure/ ü ü
continuous positive airway pressure
Ptrachea cmH 2O;mbar;hPa Real-time tracheal pressure ü
Pplateau cmH 2O;mbar;hPa Plateau or end inspiratory pressure ü ü
Flow Flow l/min Real-time inspiratory flow ü
Insp Flow l/min Peak inspiratory flow ü
Exp Flow l/min Peak expiratory flow ü
Volume Volume ml Real-time tidal volume ü ü
VTE/VTE NIV ml Expiratory tidal volume ü
VTI/VTI NIV ml Inspiratory tidal volume ü
ExpMinVol/MinVol NIV l/min Expiratory minute volume ü ü
MVSpont/MVSpont NIV l/min Spontaneous expiratory minute volume ü
Leakage minute volume
Leak/MV Leak %;l/min Leakage percentage at the airway ü
Time I:E Inspiratory-expiratory ratio ü ü
fTotal b/min Total breathing frequency ü ü
fSpont b/min Spontaneous breathing frequency ü
TI s Inspiratory time ü ü
TE s Expiratory time ü ü
%fSpont % Percentage of spontaneous breathing rate ü
Lung mechanics Cstat ml/cmH 2O Static compliance ü ü
AutoPEEP cmH 2O;mbar;hPa AutoPEEP or intrinsic PEEP ü
RCexp s Expiratory time constant ü
Rinsp cmH 2O*s/l Inspiratory flow resistance ü ü
RSB 1/l*min Rapid shallow breathing index ü
PTP cmH 2O*s;mbar*s Pressure-time product ü
P0.1 cmH 2O;mbar;hPa Airway occlusion pressure ü
Oxygen O2 % Airway oxygen concentration (FiO )2 ü ü
Carbon dioxide 1)
CO2 mmHg% Real-time CO 2measurement ü
FetO2 % Fractional end-tidal CO concentration
2 ü ü
PetCO 2 mmHg;Torr;kPa End-tidal CO 2partial pressure ü ü ü
SlopeCO 2 %CO2/l V/Q status of the lung ü
VTalv ml Alveolar tidal ventilation ü
VTaiv/min ml Alveolar minute ventilation ü
V‘CO2 /min ml/min CO2elimination ü
VDaw ml Airway dead space ü
VDaw/VTE % Dead space fraction measured at the airway opening ü
VeCO2 ml Exhaled volume of CO 2 ü
ViCO2 ml Inspired volume of CO 2 ü

1)
Optional - not available in all markets
 Technical specifications

Accessories

Trolley accessories Cylinder holder, humidifier support, tubing support arm, infusion poole

Compact transport solution Bed mount and wall mount available

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Physical dimensions

Size See illustrations below

Weight 9.5 kg (21 lb) without trolley

Display 10.4 in, TFT color, backlit, touch screen

Main patient outlet ISO 5356-1; 22M/15F

Oxygen inlet (high pressure) DISS or NIST male

Oxygen inlet (low pressure) CPC quick coupling, 3.2 min ID

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43 cm 14 0 cm
(55.1 in)
(16.9 in)

Specifications ar
25 cm
(9.8 in)
31 cm
(12.2 in)

46 cm
689277.08
(18.1 in)

66 cm
(26 in)

Your contact:
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( +41 58 610 10 20
info@hamilton-medical.com
www.hamilton-medical.com
Spesifikasi (brochure) Alternatif Alat 2
 2 3

Design and performance

Good things can be improved. With this in mind, we have

developed a revolutionary new generation of ventilators.
bellavista ensures a step into the future for all of our clients.
Not only the attractive, elegant outward appearance and
outstanding technology, but also the new, groundbreaking
operating system, developed closely with leading physicians,
set bellavista apart from the competition. bellavista
refreshingly redefines ventilation technology with an attrac-
tive yet conspicuously discreet design, which stands
out from the typical clinical instrumentation and integrates
functionality, Swiss quality and high performance with
user-friendliness and innovative design.
 4 5

Intelligent aesthetics
bellavista offers a new type of operating experience by
allowing individual adaptation of the applications to suit the
needs and habits of the user. Whether a patient, nurse,
or doctor, the relevant information is immediately visible and
available.

Smart touch operation
bellavista’s new touch screen simplifies
the set-up process and adjustment
of ventilator and monitoring values and
curves.
By using the direct menu, the user can
see the actions available in the selected
field, thereby guaranteeing intuitive
operation of the device. Various respi-
ratory parameter setting methods
are additionally available to the user.
UserView ™
The screen displays only relevant infor-
mation for the selected user. A status
indicator simplifies the screen by hiding
complicated graphs and figures that
could otherwise confuse the patient.
The physician, however, sees all values,
curves and loops, which enables
him/her to rapidly familiarise himself/
herself with the patient’s condition.
The user interface can be individually
customised directly on the screen accor-
ding to the user’s wishes and requi-
rements by positioning each operating
component where expected.
6 7
Revolutionary operation
Building user confidence
bellavista supports daily use of the
ventilator with multimedia capabilities.
Wizards and instructional videos dis-
played directly on the device support the
bellavista set-up and operating process.
These instruments assist in reducing user
anxiety while operating the device.
Videos and pictures detailing health
conditions and treatments can be loaded
and displayed directly on the ventilator.
These informational spots support
the patient as well as physician with video
and audio functions and ensure comfor-
table assistance for example during mask
fitting. These capabilities enable venti-
lator acceptance by the patient and incre-
ase the chances of successful therapy.
 VentilationAssist™
VentilationAssist supports the medical
specialist in parameter adjustment
when a patient is initially connected to the
bellavista ventilator. After entering
the relevant patient information (including
patient history, age, lung volume, etc)
VentilationAssist suggests a suitable venti-
lation configuration. This suggestion
can then be evaluated and adjusted by the
medical specialist.

MaskFit™
Experts agree that initial ventilator con-
tact is critical in determining future
therapy success. If the patient accepts the
ventilator and mask during this first
phase, it is very likely that non-invasive ven-
tilation can be used throughout the
therapy. If non-invasive therapy is not
an option, the consequence is often intu-
bation causing long-term therapy with
increased complications.
MaskFit assists the patient and medical
specialist during initial contact with the
device and mask. With assisted guidance
and multimedia support, the patient
easily adjusts to ventilation step by step.
WeanVent™
During ventilator weaning, bellavista
supports the patient with WeanVent.
During this phase, the patient is prepared
with targeted measures and training
programs that are individually customised
by the medical specialist. The entire
weaning process is supported by multi-
media functions. Real-time patient
information and measuring results are
continuously available for review and
diagnosis during therapy.
8 9
Innovative features
ChameleonLook™
The multitude of ventilators with varying
user-interfaces presents significant
challenges for medical specialists.
The consequences encountered by this
variety are increased costs for device
familiarisation and training.
bellavista’s ChameleonLook offers
revolutionary support for anyone working
with a broad range of ventilators. At the
click of a button, the ChameleonLook
adapts bellavista’s operating surface to
an interface that the operator is more
familiar with.
ModeAssist™
While the ventilation is running, a new
mode or form of therapy can be selected
and pre-configured using ModeAssist.
Selections of varying ventilation patterns
based upon empirical values are avail-
able. Changes are only applied when the
configuration is complete and the user
initiates the new settings.

FlexiView™
The bellavista user interface can be
individually customised using FlexiView.
This feature allows users to conti-
nuously adjust the user interface to their
needs and wishes. While the device is
in operation, monitoring values and curves
can be adjusted and loops can easily
be configured.
ActiveHelp™
ActiveHelp is easily accessible directly
on bellavista’s user interface. In every
phase of operation, assistance pertaining
to the current topic is available by the
push of a button. The bellavista ventilator
details responses with informative text
including pictures, instructional videos or
relevant sections from the electronic
user manual.
11
10
Innovative features
ConnectionAssist™
Correctly connecting and operating
bellavista is detailed step-by-step with
ConnectionAssist. All interfaces have
a ConnectionAssist button next to them.
When this button is pushed, informa-
tion appears on the screen describing the
function of the selected connection.
An adequate pneumological examination requires a substan-
tial diagnosis. During this process, parameters from
various machines must be correlatively analysed. bellavista
is the world’s first ventilator where all the sensors
necessary for a reliable pneumological diagnosis are either
integrated in the device or attachable.

All relevant parameters are displayed and recorded poly-

graphically and simultaneously. This allows the specialist to
make a reliable diagnosis quickly and simply and evaluate
critical changes in the patient’s condition.

With a complete record of all patient parameters, a detailed

post-analysis can be determined. The ArtefactFinder
supports the physician in evaluating the data displayed and
reliably highlights irregularities.

Cardio Pleth

SpO2

CO2

FiO2

Lung mechanics

Flow & volume

Pressure

Standard parameters
The flow, volume and pressure parame-
ters give insight into respiratory tract
obstructions, compliance dysfunctions
and leakages. Alarm parameters can
be comfortably adjusted directly on the
touch screen.
Capnography
The integrated capnograph enables simple
monitoring of the tubus and indicates
potential pulmonary embolism.
World premier in diagnostics and monitoring
Lung mechanics
The quantitative analysis of the respiratory
system must be accompanied by an
understanding of the complex reciprocal
effect between patient and ventilator.
This analysis delivers important clinical
information about lung function and
the course of a disease and allows the
medical specialist to customise ventilator
settings for the individual patient.
13
12
Blood gas monitoring
Pulse oximetry, the transcutaneous mea-
surement of SpO2, is crucial in recognizing
the quality of ventilation. Blood gas
monitoring simplifies long-term monitoring
and avoids invasive arterial blood gas
analysis.
Ventilators providing high-performance for every type of
therapy are rare. For years the devices used at home
were dramatically different from those used in hospitals.
bellavista combines the advantages of the proven,
classic proportional valve technology of ICU ventilators,
with the high-performance blower technology prima-
rily used in non-invasive ventilation. Thus, bellavista offers
a ventilation platform for all applications; for non-
invasive and invasive ventilation, for children and adults,
at home and in the hospital.

Ventilation and synchronisation
The proportional valve technology
patented for bellavista enables optimal
synchronisation between the venti-
lator and patient and regulates an exact
air dosage for each breathing phase.
bellavista’s superior exhalation
performance also increases patient
comfort.
Top ventilation performance
Various types of therapy
Pressure and volume controlled ventilation
modes give the user the greatest flexi-
bility in selecting the appropriate therapy.
For anxiety-free and assisted mask
adjustment, bellavista offers the MaskFit
mode which provides multimedia assi-
stance to doctors and patients.
The DayNight mode enables patients to
switch independently between two
different types of prescribed therapies.
This accommodates the physiologi-
cal differences of the lung functions and
optimises the patient’s comfort.
The DayNight mode also takes into account
differing therapies at the relevant time
of day and adjusts the ventilation
appropriately.
1415
Oxygen
Depending on the clinical diagnosis
and therapy, the air provided can be mixed
with a precise dose of oxygen. bellavista
supports all O2 supply systems available
in the market.
Medication therapy support
An integrated medication nebuliser
permits exact dosages of medication in
accordance with the chosen therapy.
The intelligent control system can adapt
the dosage patterns. Customised modes
such as pressure and volume con-
trolled sighs or targeted administration
of manual breath can further promote
patient weaning off the ventilator.
The appropriate device for every application. The bellavista
model 1000 is available in two separate basic versions
in order to accommodate varying ventilator applications –
bellavista 1000 and bellavista 1000e. Each version
distinguishes itself through unique attributes and advan-
tages. Several features are available separately or
after an initial purchase.

1000 1000 e 1000 1000e

Area of application ExpertVentilation TM package
Intensive care unit (ICU)   Single & multiple sighs  

Subacute / Intermediate care unit (IMC)   Manual breath  

Emergency Room (ER)   Inspiratory hold  

Intrahospital transfers   Expiratory hold  

AutoPEEP  

Ventilation NIF (Negative Inspiratory Force)  

Non-invasive (High Performance NIV)   Vtrapped (trapped volume)  

Invasive   P0.1 (occlusion pressure)  

Neonatal   ATC (fully configurable)  

Pediatric  

Adult   bellavistaModes (beModes)

Single limb breathing circuit   SingleVent™  

Dual limb breathing circuit   Backup Ventilation  

TargetVent™  

Ventilation modes DualVent™  

Pressure controlled DayNight™  

CPAP, PCV, P-A/C, PC-SIMV, PSV, beLevel, APRV   MaskFit™  

CPAP, S, S/T, T, P-A/C  

WeanVent™  

Volume controlled Special features

VCV, V-A/C, VC-SIMV   UserView™  

PLV (Pressure Limited Ventilation)   FlexiView™  

on all volume controlled modes UserAssist™  

VentilationAssist™  

Oxygen Various monitoring and trending views  

Basic Oxygen Therapy  ConnectionAssist™  

Advanced Oxygen Therapy   ActiveHelp™  

Oxygen flush   ChameleonClassic™  

ChameleonGreen™  

 included in delivery
 optionally available
 optionally available, included in the ClinicSuite TM package
 7161

Overview

1000 1000 e 1000 1000e

Monitoring Patient info
Standard parameters Patient info sheet  

Pressure Ppeak, Pplateau, Pmean, PEEP  

Volume Vti, MVi (MinVol), Vti/kg, MVi/kg,  

Diagnostics
Vte, MVe (MinVol), Vte/kg, MVe/kg Correlated diagnostic data  

Timing Rate, Ti, Te, I:E, Ti/Tot   Oxygen fraction FiO2  

Oxygen FiO2   Diagnostic Package Pulse Oximetry  

Curves Pressure, Flow, Volume   Diagnostic Packages Capnography  

incl. Ptrach curve if ATC is enabled

Up to three curves  Diagnostic lung mechanics
Up to eight curves & loops  Curves Proximal flow & volume  

Curve freeze   Loops P/V (pressure/volume)  

Curve cursor   P/F (pressure/flow)  

Leak Leak flow, Auto-Leak TM   F/V (flow/volume)  

Pulse oximetry Pulse rate, SpO2 saturation,   Loop freeze  

Cardio pleth curve Loop cursor (inflection points, ...)  

Capnography inCO2, etCO2, CO2-curve   Reference loop  

SBE % Spont   Loop overlay  

Parameters Rinsp, Rexp, Cstat, Cdyn,  

ExpertMonitoring TM C20/Cdyn, CDyn/kg, CStat/kg

Volume MVi spont  

MVe spont   Trending

Timing Rate spont, Ti support,   Standard trending (all monitoring parameters)  

SBE %Spont 1h, %Spont 8h   Real time trending (all curves)  

WOBimp Work of Breathing imposed  

PTP Pressure Time Product   Alarms

P0.1 breath-by-breath occlusion pressure   Alarm log  

Tobin Index RSBI (Rapid Shallow Breathing Index)   Ventilation alarms  

Leak % Leak   System alarms  

Curves Up to eight real time curves  Auto self-test

 

 1000 1000 e 1000 1000 e
Data transfer / Central Monitoring (PDMS) Extension modules
USB-stick   beBay™  

Screenshot (on USB-stick)   Humidifier  

bellavista ConfigurationSuite™  

Philips VueLink™ and IntelliBridge   Software upgrades

Software upgrade via USB interface  

Operation and signals iVista software download  

Giant screen (13,3")  

Touch screen operation   Maintenance

360° multicolor signals   Minimal maintenance  

Stereo loudspeakers   Easy air filter exchange  

ServiceAssist™  

Ergonomics Easy to clean surface  

Compact design  

Innovative bellavista operating concept   Support

Ergonomic colour design   Test and diagnostic tools  

Integrated carrying handle  

Integrated mounting possibilities   Training

Low noise design   Integrated multimedia applications  

Tutorial videos  

Technology Integrated electronic user manual  

Multiprocessor architecture  

Redundant safety components  

Low power design  

Proportional valve technology  

High performance turbine  

Oxygen  

External medication nebulizer  

 1819

Overview

1000 1000 e 1000 1000e

Technical data Technical data
Ventilation settings Technical specifications
Pinsp (IPAP) 0 .. 60 mbar   Weight 9.1 kg  

0 .. 80 mbar   Dimensions (w x h x d) 35 x 22 x 33 cm  

Psupport 0 .. 60 mbar   Ambient temperature 5 .. 40 °C  

0 .. 80 mbar   Ambient humidity 10 ..90 % r.H.  

PEEP (EPAP) 0 .. 40 mbar   Ambient pressure 600 .. 1100 hPa  

CPAP 4 .. 30 mbar  

Rise time 0 .. 2000 ms   Energy supply

Ramp Off, 5 .. 45 min   Wide range power input 100- 240 VAC / 50-60 Hz / 80 W  

Tidal volume 40 .. 2500 mL   Low voltage input 24 VDC / 3.5 A (Typ.)  

10 .. 2500 mL   Battery operation 4-6 h (internal)  

2 .. 2500 mL   Intelligent battery  

Body Weight 6 .. 250 kg   management

1.5 .. 250 kg   Green power mode  

0.4 .. 250 kg  

Peak flow 260 L/min   Oxygen connector

Flow pattern Square, Dec., Dec. 50 %   Wide range oxygen inlet 0 .. 7 bar/0 .. 100 psi  

Breathing frequency 1 .. 100 bpm  

1 .. 150bpm   Interfaces
Inspiration time 0.1 .. 10 s   Coded plug connections  

I:E ratio 1:599 .. 49:1   100 MBit ethernet  

Inspiration trigger (flow) 0.1 .. 20 L/min   beBus™  

Inspiration trigger (pressure) 0.1 .. 15 mbar   USB 2.0 interfaces  

Expiration trigger 5 .. 90 % of insp. peak flow   Serial ports  

Auto-Synch TM   Nurse call  

Apnea backup off, 2 .. 100 s  

Oxygen 5 levels 

Advanced Oxygen Therapy 21 .. 100 % FiO2  

 included in delivery
 optionally available
 optionally available, included in the ClinicSuite TM package
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LAMPIRAN II
RENCANA ANGGARAN BIAYA

Tabel 1. Perkiraan biaya Ventilator Neonatus Hamilton C2

Harga alat Per unit CHF 39.085,83
Kurs beli CHF - IDR 17 Desember 2015 Rp 13.842,37
Harga alat dalam IDR Per unit Rp 541.040.520,62

Perkiraan tarif dokter NICU (dari ventilator) Per tindakan Rp 40.000,00

Perkiraan ganti Oxygen Cell Per tahun Rp 3.000.000,00

Perkiraan maintenance kit Per tahun Rp 14.000.000,00
Tarif Listrik Rp/Kwh Rp 1.509,38
Daya alat Watt 100
Perkiraan kebutuhan jam/hari 13
Perkiraan penggunaan listrik kWH/hari 1,3
Perkiraan bayar listrik Per hari Rp 1.962,19
Asumsi 1 bulan=30 hari Per bulan Rp 58.865,82
Per tahun Rp 706.389,84
Total biaya perawatan Per tahun Rp 17.000.000,00

Perkiraan tarif ventilator Per tindakan Rp 230.000,00

Tabel 2. Perkiraan biaya Ventilator Neonatus Bellavista 1000
Harga alat Per unit Rp 666.270.000,00
Ongkos kirim Rp 2.730.650,00
Total biaya awal Rp 669.000.650,00

Perkiraan tarif dokter NICU (dari ventilator) Per tindakan Rp 40.000,00

Perkiraan ganti Oxygen Cell Per tahun Rp 3.500.000,00

Perkiraan maintenance kit Per tahun Rp 15.000.000,00
Tarif listrik Rp/kWH Rp 1.509,38
Daya alat Watt 80
Perkiraan kebutuhan jam/hari 15
Perkiraan penggunaan listrik kWH/hari 1,2
Perkiraan bayar listrik Per hari Rp 1.811,26
Asumsi 1 bulan=30 hari Per bulan Rp 54.337,68
Per tahun Rp 652.052,16
Total biaya perawatan Per tahun Rp 18.500.000,00

Perkiraan tarif ventilator Per tindakan Rp 240.000,00

LAMPIRAN III
ANALISIS PERHITUNGAN

Asumsi (untuk kedua alternatif):

1. Analisis periode 10 tahun.
2. Suku bunga 7,5% (17 Desember 2015)
3. Rata-rata inflasi tahun 2015 = 6,38%.
4. Kenaikan pasien mulai tahun ke 3 sebesar 0,1% per tahun.
5. Kenaikan tarif dokter dan tarif ventilator mulai tahun ke-3 sesuai besar rata-rata inflasi
tahun 2015.
6. Kenaikan biaya perawatan mulai tahun ke-2 sesuai rata-rata inflasi tahun 2015.

Tabel 3. Perkiraan Jumlah Pasien

(1+0,1%)n Jumlah Pasien Tahun 1 & 2 Jumlah Pasien
Tahun
F/P P F=Px(F/P)
1 - - 1800
2 - - 1800
3 1,001 1800 1802
4 1,002001 1800 1804
5 1,003003001 1800 1805
6 1,004006004 1800 1807
7 1,00501001 1800 1809
8 1,00601502 1800 1811
9 1,007021035 1800 1813
10 1,008028056 1800 1814
PERKIRAAN ALTERNATIF 1
Tabel 4. Perkiraan Biaya Dokter
Jumlah Biaya
(1+6,38%)n Jumlah Biaya Dokter (P)
Tahun Dokter
F/P Tarif Dokter x jumlah pasien tahun ke n
F=Px(F/P)
1 - - Rp 72.072.000,00
2 - - Rp 72.072.000,00
3 1,0638 Rp 72.072.000,00 Rp 76.670.193,60
4 1,13167044 Rp 72.144.072,00 Rp 81.643.313,70
5 1,203871014 Rp 72.216.216,07 Rp 86.939.009,28
6 1,280677985 Rp 72.288.432,29 Rp 92.578.203,78
7 1,36238524 Rp 72.360.720,72 Rp 98.583.177,88
8 1,449305419 Rp 72.433.081,44 Rp 104.977.657,41
9 1,541771104 Rp 72.505.514,52 Rp 111.786.907,19
10 1,640136101 Rp 72.578.020,04 Rp 119.037.830,78

Tabel 5. Perkiraan Pendapatan dari Ventilator

Jumlah Pendapatan (P) Jumlah
(1+6,38%)n
Tahun Tarif ventilator x jumlah pasien tahun ke Pendapatan
F/P
n F=Px(F/P)
1 - - Rp 414.414.000,00
2 - - Rp 414.414.000,00
3 1,0638 Rp 414.414.000,00 Rp 440.853.613,20
4 1,13167044 Rp 414.828.414,00 Rp 469.449.053,80
5 1,203871014 Rp 415.243.242,41 Rp 499.899.303,33
6 1,280677985 Rp 415.658.485,66 Rp 532.324.671,76
7 1,36238524 Rp 416.074.144,14 Rp 566.853.272,81
8 1,449305419 Rp 416.490.218,29 Rp 603.621.530,12
9 1,541771104 Rp 416.906.708,50 Rp 642.774.716,33
10 1,640136101 Rp 417.323.615,21 Rp 684.467.526,97
Tabel 6. Perkiraan Biaya Perawatan
Jumlah
(1+6,38%)n
Tahun Jumlah Biaya Perawatan (P) Pendapatan
F/P
F=Px(F/P)
1 - - Rp 17.000.000,00
2 1,0638 Rp 17.000.000,00 Rp 18.084.600,00
3 1,13167044 Rp 17.000.000,00 Rp 19.238.397,48
4 1,203871014 Rp 17.000.000,00 Rp 20.465.807,24
5 1,280677985 Rp 17.000.000,00 Rp 21.771.525,74
6 1,36238524 Rp 17.000.000,00 Rp 23.160.549,08
7 1,449305419 Rp 17.000.000,00 Rp 24.638.192,11
8 1,541771104 Rp 17.000.000,00 Rp 26.210.108,77
9 1,640136101 Rp 17.000.000,00 Rp 27.882.313,71
10 1,744776784 Rp 17.000.000,00 Rp 29.661.205,33

PERKIRAAN ALTERNATIF 2
Tabel 7. Perkiraan Biaya Dokter
Jumlah Biaya
(1+6,38%)n Jumlah Biaya Dokter (P)
Tahun Dokter
F/P Tarif Dokter x jumlah pasien tahun ke n
F=Px(F/P)
1 - - Rp 72.072.000,00
2 - - Rp 72.072.000,00
3 1,0638 Rp 72.072.000,00 Rp 76.670.193,60
4 1,13167044 Rp 72.144.072,00 Rp 81.643.313,70
5 1,203871014 Rp 72.216.216,07 Rp 86.939.009,28
6 1,280677985 Rp 72.288.432,29 Rp 92.578.203,78
7 1,36238524 Rp 72.360.720,72 Rp 98.583.177,88
8 1,449305419 Rp 72.433.081,44 Rp 104.977.657,41
9 1,541771104 Rp 72.505.514,52 Rp 111.786.907,19
10 1,640136101 Rp 72.578.020,04 Rp 119.037.830,78
Tabel 8. Pendapatan Dari Ventilator
Jumlah Pendapatan (P)
(1+6,38%)n Jumlah Pendapatan
Tahun Tarif ventilator x jumlah pasien tahun ke
F/P F=Px(F/P)
n
1 - - Rp 414.414.000,00
2 - - Rp 414.414.000,00
3 1,0638 Rp 432.432.000,00 Rp 460.021.161,60
4 1,13167044 Rp 432.864.432,00 Rp 489.859.882,22
5 1,203871014 Rp 433.297.296,43 Rp 521.634.055,65
6 1,280677985 Rp 433.730.593,73 Rp 555.469.222,71
7 1,36238524 Rp 434.164.324,32 Rp 591.499.067,28
8 1,449305419 Rp 434.598.488,65 Rp 629.865.944,48
9 1,541771104 Rp 435.033.087,14 Rp 670.721.443,13
10 1,640136101 Rp 435.468.120,22 Rp 714.226.984,67

Tabel 9. Perkiraan Biaya Perawatan

(1+6,38%)n Jumlah Pendapatan
Tahun Jumlah Biaya Perawatan (P)
F/P F=Px(F/P)
1 - - Rp 17.706.389,84
2 1,0638 Rp 17.706.389,84 Rp 18.836.057,51
2 1,0638 Rp 18.500.000,00 Rp 19.680.300,00
3 1,13167044 Rp 18.500.000,00 Rp 20.935.903,14
4 1,203871014 Rp 18.500.000,00 Rp 22.271.613,76
5 1,280677985 Rp 18.500.000,00 Rp 23.692.542,72
6 1,36238524 Rp 18.500.000,00 Rp 25.204.126,94
7 1,449305419 Rp 18.500.000,00 Rp 26.812.150,24
8 1,541771104 Rp 18.500.000,00 Rp 28.522.765,43
9 1,640136101 Rp 18.500.000,00 Rp 30.342.517,86
10 1,744776784 Rp 18.500.000,00 Rp 32.278.370,50
Tabel 10. Pembiayaan Setiap Alternatif
Ventilator Neonates Ventilator Neonatal
Hamilton C2 Bellavista 1000
Biaya Awal Rp 541.040.520,62 Rp 669.000.650,00
1 Rp 89.706.389,84 Rp 91.152.052,16
2 Rp 90.790.989,84 Rp 92.332.352,16
3 Rp 96.614.980,92 Rp 98.258.148,90
4 Rp 102.815.510,78 Rp 104.566.979,62
Biaya Operasional 5 Rp 109.416.924,86 Rp 111.283.604,15
(C) 6 Rp 116.445.142,71 Rp 118.434.382,89
7 Rp 123.927.759,83 Rp 126.047.380,28
8 Rp 131.894.156,02 Rp 134.152.475,00
9 Rp 140.375.610,74 Rp 142.781.477,21
10 Rp 149.405.425,94 Rp 151.968.253,44
1 Rp 414.000.000,00 Rp 432.000.000,00
2 Rp 414.000.000,00 Rp 432.000.000,00
3 Rp 440.853.613,20 Rp 460.021.161,60
4 Rp 469.449.053,80 Rp 489.859.882,22
Pendapatan 5 Rp 499.899.303,33 Rp 521.634.055,65
(B) 6 Rp 532.324.671,76 Rp 555.469.222,71
7 Rp 566.853.272,81 Rp 591.499.067,28
8 Rp 603.621.530,12 Rp 629.865.944,48
9 Rp 642.774.716,33 Rp 670.721.443,13
10 Rp 684.467.526,97 Rp 714.226.984,67
Useful life 10 tahun 10 tahun
Salvage value (Asumsi:
digudangkan) Rp - Rp -
Tabel 11. Analisis Perhitungan
(1+i)n Biaya Pendapatan
n
F/P PC x (F/P) PB x (F/P) P
1 1,075 Rp 83.447.804,50 Rp 385.116.279,07 Rp 541.040.520,62
2 1,155625 Rp 78.564.404,40 Rp 358.247.701,46
3 1,242296875 Rp 77.771.250,06 Rp 354.869.775,55 PW
4 1,335469141 Rp 76.988.308,94 Rp 351.523.700,19 (PWB – PWC)
Hamilton 5 1,435629326 Rp 76.215.303,53 Rp 348.209.175,04 Rp 2.186.539.039,25
C2 6 1,543301526 Rp 75.451.971,49 Rp 344.925.902,63
7 1,65904914 Rp 74.698.064,60 Rp 341.673.588,27 FW
8 1,783477826 Rp 73.953.347,85 Rp 338.451.940,06 (PW x (F/P)10)
9 1,917238662 Rp 73.217.598,56 Rp 335.260.668,85 Rp 4.506.525.971,79
10 2,061031562 Rp 72.490.605,52 Rp 332.099.488,21
PWC PWB
Total
Rp 762.798.659,47 Rp 3.490.378.219,34

(1+i)n Biaya Pendapatan

n
F/P PC x (F/P) PB x (F/P)
P
1 1,075 Rp 84.792.606,66 Rp 401.860.465,12
Rp 669.000.650,00
2 1,155625 Rp 79.898.195,49 Rp 373.823.688,48
3 1,242296875 Rp 79.093.935,50 Rp 370.298.896,23
PW
4 1,335469141 Rp 78.299.809,74 Rp 366.807.339,32
(PWB – PWC – P)
Bellavist 5 1,435629326 Rp 77.515.555,11 Rp 363.348.704,39
Rp 2.197.390.317,85
a 1000 6 1,543301526 Rp 76.740.922,57 Rp 359.922.681,01
7 1,65904914 Rp 75.975.676,21 Rp 356.528.961,68
FW
8 1,783477826 Rp 75.219.592,35 Rp 353.167.241,81
(PW x (F/P)10)
9 1,917238662 Rp 74.472.458,75 Rp 349.837.219,67
Rp 4.528.890.799,47
10 2,061031562 Rp 73.734.073,86 Rp 346.538.596,39
Total Rp 775.742.826,25 Rp 3.642.133.794,09
PW dan FW alternatif 2 LEBIH MENGUNTUNGKAN.
Tabel 12. Payback Period
Nama Alat Formula Saldo balik modal
Tahun 1 – P + (Benefit – Cost) th 1 Rp (216.746.910,46)
Hamilton C2
Tahun 2 Saldo balik modal 1 + (Benefit – Cost) th 2 Rp 106.462.099,70
Payback Period 1 - (saldo balik modal 1/ (benefit-cost) tahun 2) = 1,67 tahun
Tahun 1 – P + (Benefit – Cost) th 1 Rp (328.152.702,16)
Bellavista 1000
Tahun 2 Saldo balik modal 1 + (Benefit – Cost) th 2 Rp 11.514.945,68
Payback Period 1 - (saldo balik modal 1/ (benefit-cost) tahun 2) = 1,97 tahun
Payback period alternatif 1 LEBIH CEPAT dari alternatif 2.

Tabel 13. Benefits Costs Ratio

PWB Hamilton C2 = Rp 3.490.378.219,34 PWB Bellavista 1000 B
PWB Bellavista 1000 = Rp 3.642.133.794,09 – PWB Hamilton C2 Rp 151.755.574,75
PWC Hamilton C2 = Rp 762.798.659,47 PWC Bellavista 1000 C
PWC Bellavista 1000 = Rp 775.742.826,25 – PWC Hamilton C2 Rp 12.944.166,77
BCR (B/C) 11,724
Karena BCR>1 maka pilih alternative dengan biaya awal paling besar yaitu Alternatif 2
(Ventilator Neonates Bellavista 1000)
DEPRESIASI
Formula
1. Straight Line (SL)
B−S
Depreciation per unit=
Total number of unit
2. Sum of Years Digits

3. Unit of Production
B−S
Depreciation per unit=
Total number of unit

Tabel 14. Depresiasi Alternatif 1

Straight Line SOYD UP
n
BV BV Pasien BV
0 Rp 541.040.520,62 Rp 541.040.520,62 Rp 541.040.520,62
1 Rp 486.936.468,56 Rp 442.669.516,87 1800 Rp 487.130.996,36
2 Rp 432.832.416,49 Rp 354.135.613,49 1800 Rp 433.221.472,11
3 Rp 378.728.364,43 Rp 275.438.810,50 1802 Rp 379.258.038,33
Hamilton C2 4 Rp 324.624.312,37 Rp 206.579.107,87 1804 Rp 325.240.641,12
5 Rp 270.520.260,31 Rp 147.556.505,62 1805 Rp 271.169.226,51
6 Rp 216.416.208,25 Rp 98.371.003,75 1807 Rp 217.043.740,48
7 Rp 162.312.156,19 Rp 59.022.602,25 1809 Rp 162.864.128,97
8 Rp 108.208.104,12 Rp 29.511.301,12 1811 Rp 108.630.337,85
9 Rp 54.104.052,06 Rp 9.837.100,37 1813 Rp 54.342.312,94
10 Rp - Rp (0,00) 1814 Rp (0,00)
Tabel 15. Depresiasi Alternatif 2
Straight Line SOYD UP
n
BV BV Pasien BV
0 Rp 666.270.000,00 Rp 666.270.000,00 Rp 666.270.000,00
1 Rp 599.643.000,00 Rp 545.130.000,00 1800 Rp 599.882.553,30
2 Rp 533.016.000,00 Rp 436.104.000,00 1800 Rp 533.495.106,60
3 Rp 466.389.000,00 Rp 339.192.000,00 1802 Rp 467.041.272,45
Bellavista 1000 4 Rp 399.762.000,00 Rp 254.394.000,00 1804 Rp 400.520.984,47
5 Rp 333.135.000,00 Rp 181.710.000,00 1805 Rp 333.934.176,20
6 Rp 266.508.000,00 Rp 121.140.000,00 1807 Rp 267.280.781,13
7 Rp 199.881.000,00 Rp 72.684.000,00 1809 Rp 200.560.732,65
8 Rp 133.254.000,00 Rp 36.342.000,00 1811 Rp 133.773.964,13
9 Rp 66.627.000,00 Rp 12.114.000,00 1813 Rp 66.920.408,84
10 Rp - Rp - 1814 Rp (0,00)
LAMPIRAN IV

RENCANA JARINGAN PROYEK

Tabel 16. Rencana Jaringan Proyek Alternatif 1

No. Kegiatan Jalur Waktu
Mengumpulkan data spesifikasi, fungsi, dan
1. - 1 minggu
kegunaan alat
2. Mencari penyedia barang 1 2 minggu
3. Membuat matrik pembanding (proposal) 2 3 hari
4. Mengajukan proposal 3 2 hari
5. Proposal disetujui 4 1 minggu
6. Kirim surat permintaan barang via email 5 1 hari
7. Tunggu balasan 6 1 minggu
8. Membuat surat kemitraan dan kerja sama 7 3 jam
9. Minta surat penawaran harga (negosiasi) 7 7 jam
10. Menjalin kerja sama di atas materai 9, 8 1 jam
11. Mencapai kesepakatan 9, 10 1 hari
12. Order pembelian (menunggu) 11 1 bulan
13. Barang diterima 12 1 hari
14. Disimpan di gudang 13 4 jam
15. Uji kelayakan 13, 14 1 bulan
16. Laporan barang telah diterima 13 1 hari
17. Membuat SOP dan jadwal pemeliharaan 15 4 hari
18. Terima faktur dari penyedia alat 16 3 hari
19. Alat dioperasikan 15, 17, 18 10 tahun
Gambar 1. Rencana Jaringan Proyek Alternatif 1

Gambar 2. Jalur Kritis Alternatif 1

Tabel 17. Rencana Jaringan Proyek Alternatif 2
No. Kegiatan Jalur Waktu
Mengumpulkan data spesifikasi, fungsi, dan
1. - 1 minggu
kegunaan alat
2. Mencari penyedia barang 1 2 minggu
3. Membuat matrik pembanding (proposal) 2 3 hari
4. Mengajukan proposal 3 2 hari
5. Proposal disetujui 4 1 minggu
6. Menghubungi penyedia barang dan membuat janji 5 2 hari
7. Menemui penyedia barang 6 1 hari
8. Minta surat penawaran harga (negosiasi) 7 2 jam
9. Mencapai kesepakatan 8 10 menit
10. Menjalin kerja sama di atas materai 9 20 menit
11. Order pembelian (menunggu) 10 1 bulan
12. Barang diterima 11 1 hari
13. Disimpan di gudang 12 4 jam
14. Uji kelayakan 12, 13 1 bulan
15. Laporan barang telah diterima 14 1 hari
16. Membuat SOP dan jadwal pemeliharaan 15 4 hari
17. Terima faktur dari penyedia alat 16 3 hari
18. Alat dioperasikan 14, 16, 17 10 tahun
Gambar 3. Rencana Jaringan Proyek Alternatif 2

Gambar 4. Jalur Alternatif 2

 5

0
4

1
1
8 . 4
9 0 1

2
. 4 4
LAMPIRAN V

9 4
0 7 . 1
. 0 0 4

3
9 8 6 4 0 .
6 3 4 0 0

4
. 6 0
1 04
7 .
0 06

5
0 8
1 2 .9
7 5 4
0 . .
9

6
9 9 4
9
1. 5 4 5
.
16 9 3

7
8
61 2
9
1 . 5.
9
RENCANA CASH FLOW

2 7 63
8

Gambar 5. Cash flow Alternatif 1

4 0 62
1. . 46
32 8 .0
9

24 53
1. .6
42 64
10

1 07 22 6
. 6 .
4 8
8. 7
9. 4
2 7
9 .
3 7 4
1. 6
5
 6

0
6

1
9
9 . 4
1 0 3

2
9 . 0 2 4
2 1 . 3
. 5 0 2

3
9 3 2 4 0 .
8 3 6 0 0

4
. 2 0
1 04
2 .
0 08

5
5 0
1 4 .9
8 2 5
1 . .
2

6
1 5 8
1
1. 5 5 5
.
12 9 5
7 6
88 5
3
1 . 5.
4
2 4 94
8

Gambar 6. Cash flow Alternatif 2

6 3 16
1 . . 96
4 0 4 .2
9

2 4 99
.1 .6
74 87
10

1 2 60 7
.
5 . 1
7
1. 7 4
2
9 8 .
6 1 2
8. 2
2
LAMPIRAN VI

PENGAMBILAN KEPUTUSAN

Berdasarkan analisis perhitungan dengan keempat metode ekonomi, menghasilkan:

1. Keuntungan di masa sekarang yang LEBIH UNTUNG adalah ALTERNATIF 2.
2. Keuntungan di masa depan yang LEBIH UNTUNG adalah ALTERNATIF 2.
3. Payback period yang LEBIH CEPAT adalah ALTERNATIF 1.
4. Benefits Costs Ratio LEBIH BESAR dari 1 maka pilih ALTERNATIF 2.

KEPUTUSAN
Sesuai dengan tujuan pengadaan barang ini yaitu meningkatkan pelayanan rumah sakit
dan mendapat keuntungan yang dapat dimanfaatkan. Alternatif yang dipilih yaitu:
VENTILATOR NEONATES BELLAVISTA 1000.