Tenaga Medik :
- Menurut Permenkes No.262/1979 yang dimaksud
dengan tenaga medis adalah lulusan Fakultas
Kedokteran atau Kedokteran Gigi dan "Pascasarajna"
yang memberikan pelayanan medik dan penunjang
medik.
c. Penggerakan
- kegiatan inilah yang paling sulit dilakukan karena
beberapa dilema.
- kebutuhan akan tenaga dokter spesialis khususnya bagi
Rumah Sakit Swasta cukup tinggi karena tidak
mempunyai tenaga dokter tetap
d. Pelaksanaan pelayanan medis
- Falsafah dan tujuan
Pelayanan medis yang diberikan harus sesuai dengan
ilmu pengetahuan kedokteran mutakhir serta
memanfaatkan kemampuan dan fasilitas Rumah Sakit
secara optimal.
Tujuan pelayanan medis adalah mengupayakan
kesembuhan pasien secara optimal melalui prosedur dan
tindakan yang dapat dipertanggungjawabkan sesuai
dengan standar masing-masing profesi.
- Administrasi dan pengelolaan
b. Depkes
Peraturan dan kebijakan dengan sanksi yang tegas akan
meningkatkan sistem pelayanan medis di Rumah Sakit.
d. Sosio-ekonomi-budaya masyarakat
FAKTOR YANG MEMPENGARUHI
Pasien
Pasien
Pasien
Pasien GAWAT DARURAT
PASIEN
PASIEN
PRIMARY
PRIMARY
CARE
CARE
PERLU YA
PERLU
PEM/ PERLU RAWAT
PEM/TIND
TIND RS
RS
PERLU RAWAT
SPESIALIS RAWAT
RAWATINAP
INAP INAP
INAP
SPESIALIS RUJUKAN
TIDAK TIDAK
PASIEN RAWAT
RAWAT PELAYANAN
PELAYANAN
PASIEN JALAN OBAT
PULANG
PULANG JALAN OBAT
PASIEN
PASIEN
PULANG
PULANG
PATIENT ACCESS SERVICES
( ADMITTING )
HEALTH CARE ORGANIZATIONS MUST BE :
- FINANCIALLY VIABLE
- COST EFFECTIVE
- SENSITIVE TO THE NEEDS OF PATIENTS.
LAMA BARU
KARTU BEROBAT STATUS ISI DATA PASIEN
PASIEN
PENDAFTARAN
PENDAFTARAN
AMBIL KARTU &
KARCIS BEROBAT
POLI YG DITUJU
JENIS TINDAKAN
KASIR
PEMBAYARAN
AMBIL RESEP
PULANG
ALUR PASIEN RAWAT INAP
PASIEN
LAMA BARU
KARTU BEROBAT STATUS ISI DATA PASIEN
PASIEN
PENDAFTARAN
PENDAFTARAN
AMBIL KARTU &
KARCIS BEROBAT
RUANG PERAWATAN
KEADAAN
PASIEN
TIDAK SEMBUH
SEMBUH
KASIR
BUKTI PEMBAYARAN
PULANG
MANAJEMEN PELAYANAN GAWAT DARURAT
- PELAYANAN 24 JAM
- AMBULANS HARUS SIAP
- PENUNJANG HARUS SIAP
- TIDAK ADA UANG MUKA
- RAWAN KONFLIK
ALUR PROSES PELAYANAN
PENERIMAAN PASIEN
RESUSITASI
TAHAP II ATASI SHOCK PEMERIKSAAN, DIAGNOSE, PENGOBATAN
ATASI PERDARAHAN
TRANSFER PASIEN :
- RAWAT INAP
TAHAP IV - RAWAT JALAN
- RS LAIN
- KAMAR JENASAH
- PULANG
PRINSIP-PRINSIP DASAR
PENATAAN ALUR KEGIATAN
PELAYANAN PASIEN DI RUMAH SAKIT
Definition
ADMINISTRATION
INPATIENT
SERVICE
ADMIT
RECORD
PHARMACY
DISCHARGE DISCHARGE
Moving patients through the facility is an important aspect of patient tracking and
patient flow.
Whether patients are taken from the waiting area, to the patient's room, to the
operating room, to another floor or another unit, or to be discharged, efficient
transfers and monitoring is vital in ensuring optimal patient tracking and patient flow.
INTRA HOSPITAL PATIENT FLOW
These flow diagrams show the movement and communication of people,
materials, and waste.The physical configuration of a hospital and its
transportation and logistic systems are inextricably intertwined. The
transportation systems are influenced by the building configuration, and
the configuration is heavily dependent on the transportation systems. The
hospital configuration is also influenced by site restraints and
opportunities, climate, surrounding facilities, budget, and available
technology.
In a large hospital, the form of the typical nursing unit, since it may be
repeated many times, is a principal element of the overall configuration.
Nursing units today tend to be more compact shapes than the elongated
rectangles of the past. Compact rectangles, modified triangles, or even
circles have been used in an attempt to shorten the distance between the
nurse station and the patient's bed.
Flows for Key Departments
1. Emergency Department
Time between a doctor's order for a test and receipt of the results is
lengthy,
3. Pharmacy
Used to
Identify problems in flow
Identify personnel needs
Identify space needs
Track personnel costs
Benefits of PFA
To Staff/ Personnel
Ability to respond to staff/personnel concerns
Better understanding of roles and needs of
different departments
Increases information available to managers
To Customer
Refocuses on customers
Improved continuity of care
To Hospital
Team-building tool
Greater communication
How to Make a Patient Flow Analysis
1. Identify each procedure that patients have contact with during their
clinic visit. Start with the parking lot if patients complain about their
experience there. Examine each procedure in turn, starting with
registration.
2. Devise measuring devices to determine how long patients are involved
in each procedure. You can create a time log that enables employees
to record how long each patient is in each procedure of the process.
3. Explore what factors not directly related to the procedures affect the
patient flow. Find out if staff absences for illness, meetings, breaks or
lunch increase waiting time.
4. Examine the data from the patients' and employees' perspectives.
Search the data by days of the week and by the hour. Determine if
bottlenecks are related to inefficient implementation of procedures, to
the scheduling of patients in ways that put stress on the system or to
indirectly related factors. Plan improvements when your data are
completed and you have identified the trouble areas
Ideal Throughput Model - All Patients
Triage Time =
Ideal Time 5min.
Arrival to Discharge
90 percent <=2 Hours
Rad Result to Dispo
____________________
Decision =
Includes 10 minutes MD time
10 min.
with patient
Triage to Bed =
5min.