CONTOH SIMULASI PERHITUNGAN JASA PELAYANAN DANA KAPITASI

Puskesmas : xxxxxxx
Jumlah Peserta : 51,278
Jumlah Pegawai : 80
Besaran Kapitasi : 6,000
Total Kapitasi : 307,668,000
Alokasi Jasa Pelayanan 60 % : 184,600,800
Jml Hari Kerja : 25
POIN INDIVIDU
Kehadiran Total Poin Alokasi Jasa
Masa Kerja Jenis Tenaga Tanggung jawab Hasil Kinerja Jml Poin
No Nama Pegawai Profesi seluruh Pelayanan Penerimaan
Pegawai
Jml hari Jenis Baik/Cukup/ pegawai Puskesmas
Hadir % n (tahun) Poin Poin Jabatan/Posisi Poin Poin
kerja Tenaga Kurang
1 A Dokter Umum 25 23 0.92 10 th 25 ASN 150 Kepala Puskesmas 100 Baik 10 285 6238 184,600,800 7,759,271
2 B Adm Umum 25 25 1.00 6 th 25 ASN 50 Ka.TU 50 Baik 10 135 6238 184,600,800 3,995,048
PJ.UKM, 10 Cukup 6
3 C Dokter Gigi PP.Kesgi Masy, PP. Kesgilut 10 Baik 10
25 22 0.88 3 th 15 ASN 150 Total 20 Rata-Rata 8 193 6238 184,600,800 5,026,066
4 D Bidan 25 25 1.00 14 th 20 ASN 80 PP Jiwa 10 Baik 10 120 6238 184,600,800 3,551,154
5 E Bidan 25 25 1.00 20 th 25 ASN 80 Bidan 0 Baik 10 115 6238 184,600,800 3,403,189
6 F Bidan 25 25 1.00 16 th 25 ASN 80 Ko. Kesga, PP.KIA KB, 10 Baik 10 125 6238 184,600,800 3,699,118
7 G Bidan 25 25 1.00 7 th 20 ASN 80 Bidan 0 Baik 10 110 6238 184,600,800 3,255,224
PP.Perkesmas 10 Baik 10
8 H Perawat
PP.Kusta 10 Cukup 6
25 25 1.00 8 th 15 ASN 100 Total 20 Rata-Rata 8 143 6238 184,600,800 4,231,791
Ko.P2P 10 Baik 10
9 I Dokter Umum
Ko.BP 10 Cukup 6
25 24 0.96 2 th 25 ASN 150 Total 20 Rata-Rata 8 203 6238 184,600,800 5,767,073
10 J Perawat 25 25 1.00 20 ASN 80 Perawat Pustu 10 Cukup 6 116 6238 184,600,800 3,432,782
11 K SKM 25 25 1.00 10 ASN 80 Bendahara 0 Baik 10 100 6238 184,600,800 2,959,295
12 L Perawat 25 22 0.88 10 ASN 100 Perawat Pustu PPI 10 Baik 10 130 6238 184,600,800 3,385,433
Ko.Tim Manaj, Ko.Kepegawaian,
13 M Perawat 25 25 1.00 10 ASN 60 10 Baik 10 90 6238 184,600,800 2,663,365
PP.Matra&Indra
PP.Kesling, 10 Cukup 6
14 N SKM
PP.ARU 10 Baik 10
25 25 1.00 10 ASN 80 Total 20 Rata-Rata 8 118 6238 184,600,800 3,491,968
15 P Perawat 25 22 0.88 10 ASN 60 PP.Diare&HIVAIDS 10 Baikk 10 90 6238 184,600,800 2,343,761
PJ.UKM, 10 Baik 10
16 Q Perawat
PP.Kestrad 10 Baik 10
25 25 1.00 10 ASN 60 Total 20 Rata-Rata 10 100 6238 184,600,800 2,959,295
17 R Bidan 25 25 1.00 15 ASN 80 Bidan Pol. 10 Baik 10 115 6238 184,600,800 3,403,189
18 S Bidan 25 25 1.00 15 ASN 80 Bidan Pol. 10 Baik 10 115 6238 184,600,800 3,403,189
19 T Bidan 25 23 0.92 15 ASN 80 Bidan Pol. 10 Baik 10 115 6238 184,600,800 3,130,934
20 U Bidan 25 25 1.00 15 ASN 80 Bidan Pol. 10 Baik 10 115 6238 184,600,800 3,403,189
PP.PTM, 10 Baik 10
21 V Perawat
Audit 10 Baik 10
25 25 1.00 5 ASN 100 Total 20 Rata-Rata 10 135 6238 184,600,800 3,995,048
22 W Perawat 25 25 1.00 5 ASN 60 PP.TB ISPA, Ko.RT 10 Baik 10 85 6238 184,600,800 2,515,400
23 X Umum 25 20 0.80 25 ASN 25 Staff TU 50 6238 184,600,800 1,183,718
24 YULI SAFITRI Bidan 25 25 1.00 5 ASN 60 Bidan Pol. 10 Baik 10 85 6238 184,600,800 2,515,400
25 Z Promkes 25 25 1.00 5 ASN 60 PP.Promkes, Ko.Simpus 10 Baik 10 85 6238 184,600,800 2,515,400
PJ.Mutu, Ko.Yan, 10 Cukup 6
26 AA Dokter Umum
PP.Kesga 10 Baik 10
25 23 0.92 5 ASN 150 Total 20 Rata-Rata 8 183 6238 184,600,800 4,982,268

PJ.Jejaring, 10 Cukup 6
27 AB Gizi
PP.Kesjaor, KPKM 10 Cukup 6
25 24 0.96 10 ASN 80 Total 20 Rata-Rata 6 116 6238 184,600,800 3,295,471

28 AC Perawat 25 25 1.00 10 ASN 100 PJ.Sarpras, Ko.Yanap, 10 Cukup 6 126 6238 184,600,800 3,728,711

29 AD Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958

30 AE Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958
31 AF Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958
32 AG Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958
33 AH Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958
34 AI Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958
35 AJ Adm Umum 25 25 1.00 15 ASN 25 Loket&Kasir 40 6238 184,600,800 1,183,718
36 AK Adm Umum 25 25 1.00 15 ASN 25 Staff TU 40 6238 184,600,800 1,183,718
37 AL Bidan 25 25 1.00 15 ASN 60 Bidan Pol. 10 Cukup 6 91 6238 184,600,800 2,692,958
38 AM Perawat 25 25 1.00 0 ASN 60 PP.Imunisasi 10 Baik 10 80 6238 184,600,800 2,367,436
Analis
39 AN 25 24 0.96 0 ASN 60 Ko.Laborat 60 6238 184,600,800 1,704,554
Kesehatan
40 AP Bidan 25 24 0.96 0 ASN 60 Bidan Pol., ManRes 10 Baik 10 80 6238 184,600,800 2,272,738
41 AQ Gizi 25 23 0.92 0 ASN 60 PP.Gizi, Ko.Gizi UKP 10 Baik 10 80 6238 184,600,800 2,178,041
42 AR Farmasi 25 25 1.00 0 ASN 60 PP.Farm, Ko.Farm 10 Baik 10 80 6238 184,600,800 2,367,436

43 AS Adm Umum 25 25 1.00 15 ASN 25 PP.Bagunan, PP.Amb., PP.Pusling 10 Baik 10 60 6238 184,600,800 1,775,577

44 AT Perawat 25 23 0.92 0 Non ASN 30 Perawat 30 6238 184,600,800 816,765

45 AW Perawat 25 20 0.80 15 Non ASN 30 RM 45 6238 184,600,800 1,065,346
46 AX Dokter Umum 25 25 1.00 5 Non ASN 150 PJ.Farm, Ko.UGD, KPP 10 Baik 10 175 6238 184,600,800 5,178,766
47 AZ Perawat 25 20 0.80 10 Non ASN 30 Perawat Ponkesdes 10 Cukup 6 56 6238 184,600,800 1,325,764
48 AAA Perawat 25 23 0.92 10 Non ASN 30 Perawat Ponkesdes 10 Cukup 6 56 6238 184,600,800 1,524,629
49 AAB Perawat 25 25 1.00 5 Non ASN 30 Perawat Ponkesdes 10 Cukup 6 51 6238 184,600,800 1,509,240
50 AAC Perawat 25 23 0.92 0 Non ASN 30 Perawat Ponkesdes 10 Cukup 6 46 6238 184,600,800 1,252,373
Akuntan,
51 AAD Verifikator 25 25 1.00 0 Non ASN 25 Akuntan, Verifikator BLUD 0 Baik 10 35 6238 184,600,800 1,035,753
BLUD
52 AAF Pengad Umum 25 25 1.00 0 Non ASN 25 Pengad Umum 0 Baik 10 35 6238 184,600,800 1,035,753
53 AAG Perekam Medik 25 25 1.00 0 Non ASN 30 Perekam Medik 0 Baik 10 40 6238 184,600,800 1,183,718
54 AAH Perawat 25 23 0.92 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 980,118
55 AAI Perawat 25 23 0.92 0 Non ASN 30 Perawat 0 Baik 10 40 6238 184,600,800 1,089,020
56 AAJ Perawat 25 25 1.00 0 Non ASN 30 Perawat 0 Baik 10 40 6238 184,600,800 1,183,718
57 AAK Bidan 25 23 0.92 0 Non ASN 30 Bidan 0 Cukup 6 36 6238 184,600,800 980,118
58 AAL Bidan 25 25 1.00 0 Non ASN 30 Bidan 0 Cukup 6 36 6238 184,600,800 1,065,346
59 AAM Bidan 25 20 0.80 0 Non ASN 30 Bidan 0 Cukup 6 36 6238 184,600,800 852,277
60 AAN Perawat 25 25 1.00 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 1,065,346
61 AAP Perawat 25 25 1.00 0 Non ASN 30 Perawat 0 Kurang 3 33 6238 184,600,800 976,567
62 AAQ Perawat 25 21 0.84 0 Non ASN 30 Perawat 0 Kurang 3 33 6238 184,600,800 820,316
63 AAR Bidan 25 20 0.80 0 Non ASN 30 Bidan 0 Baik 10 40 6238 184,600,800 946,974
64 AAS Bidan 25 21 0.84 0 Non ASN 30 Bidan 0 Baik 10 40 6238 184,600,800 994,323
65 AAT Bidan 25 22 0.88 0 Non ASN 30 Bidan 0 Baik 10 40 6238 184,600,800 1,041,672
66 AAU Perawat 25 25 1.00 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 1,065,346
67 AAW Perawat 25 25 1.00 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 1,065,346
68 AAX Perawat 25 20 0.80 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 852,277
69 AAY Perawat 25 23 0.92 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 980,118
70 AAZ Perawat 25 22 0.88 0 Non ASN 30 Perawat 0 Baik 10 40 6238 184,600,800 1,041,672
71 AAAA Perawat 25 24 0.96 0 Non ASN 30 Perawat 0 Cukup 6 36 6238 184,600,800 1,022,732
72 AAAB Bidan 25 23 0.92 0 Non ASN 30 Bidan 0 Baik 10 40 6238 184,600,800 1,089,020
73 AAAC Bidan 25 22 0.88 0 Non ASN 30 Bidan 0 Cukup 6 36 6238 184,600,800 937,505
74 AAAD Bidan 25 25 1.00 0 Non ASN 30 Bidan 0 Cukup 6 36 6238 184,600,800 1,065,346
75 AAAE Bidan 25 22 0.88 0 Non ASN 30 Bidan 0 Cukup 6 36 6238 184,600,800 937,505
76 AAAF Bidan 25 25 1.00 0 Non ASN 30 Bidan 0 Baik 10 40 6238 184,600,800 1,183,718
77 AAAG Perawat 25 22 0.88 0 Non ASN 30 Perawat 0 Baik 10 40 6238 184,600,800 1,041,672
78 AAAH Perawat 25 21 0.84 0 Non ASN 30 Perawat 0 Baik 10 40 6238 184,600,800 994,323
79 AAAI Analis 25 20 0.80 0 Non ASN 30 Analis 0 Baik 10 40 6238 184,600,800 946,974
80 AAAJ Kesling 25 23 0.92 0 Non ASN 30 Kesling 0 Baik 10 40 6238 184,600,800 1,089,020

NB: Penilaian : Kinerja PKP dan SPM : Hasil Kinerja : 6238 177,116,152
1. Baik Diatas 75% 10
2. Cukup 50-75% 6
3. Kurang Dibawah 50% 3