EVALUASI PENGELOLAAN DAN

PENGGUNAAN OBAT
DI RUMAH SAKIT
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LOGO M.Kes, Apt

ENDANG YUNIARTI,
LOGO About me…
S1 Farmasi UGM, th 1993 Apoteker UGM, th 1994
S2 Magister Manajemen Kebijakan Obat, IKM UGM, th 2001
E-mail: yoen_aji@yahoo.co.id Hp: 081328708430
Academic practice:
- 1994-1999 : Guru SMF Yarsi Pontianak
- 2003-skrg : Dosen tamu di Universitas Islam Indonesia
- 2004-2011 : Dosen tamu di Stikes Aisiyah Yogyakarta
- 2008-skrg : Dosen tamu profesi Apoteker UGM
- 2009-skrg : Dosen prodi Farmasi FKIK UMY
- 2012-skrg : Dosen tamu profesi Apoteker Univ. Ahmad Dahlan
- 2013-skrg : Dosen tamu profesi Apoteker Univ Sanata Dharma
- 2013-skrg : Dosen tamu profesi Apoteker UMP Purwokerto
Community Pharmacy Practice:
- 1997 – 1999 : APA “ANTARA”, Kab Pontianak, Kal-Bar
Hospital Practice
- 1995-2002 : Apoteker RSUD dr. Rubini, Mempawah, Kalimantan Barat
- 2003-2007 : Kepala Urusan Logistik Instalasi Farmasi RS PKU Muhamamdiyah
- 2008-2014 : Kepala Instalasi Farmasi RS PKU Muhammadiyah Yogya
- 2011-2014 : Manajer Bidang Farmasi dan Penunjang Medik RS PKU
Muhammadiyah Yogya
- Educator Diabetes RS PKU Muhammadiyah Yogyakarta
International Cource:
TIMTC Pharmaceutical Training Program, DoH RoC, Taiwan 2009
Health Care Management Training Program, DoH RoC, Taiwan, 2009
LOGO Hospital
LOGO Thought food
LOGO Indikator
 Indikator adalah sebuah kriteria yang digunakan
untuk mengukur adanya perubahan baik
langsung maupun tidak langsung, dan untuk
menilai kesesuaian dengan tujuan dan target dari
program yang dilaksanakan

 Indikator adalah suatu alat ukur kuantitatif yang

digunakan untuk monitoring, evaluasi dan
mengubah atau meningkatkan mutu pengelolaan
obat di suatu sistem pelayanan kesehatan
LOGO Fungsi Indikator
1. To allow health planner, managers and researcher
to make basic comparisons between situations in
different areas or at different times.
2. When intervention is undertaken to improve
aspects of drug use, the indicators can be used to
measure impact.
3. As a simple supervisory tools to detect problems in
performance by individual providers or health
facilities
LOGO Pengelolaan Obat di RS
1. Pemilihan
2. Perencanaan kebutuhan
3. Pengadaan
4. Penerimaan
5. Penyimpanan
6. Pendistribusian
7. Pemusnahan dan Penarikan
8. Pengendalian
9. Administrasi
LOGO Selection

1. Availability of medicine budget

Availability budget at a time divided by total fund
needed for medicines in on year, x 100%.
Result Unit: %

2. Ratio of planning and consumption

Total medicine items planned in the beginning of
the year: total medicine item used at the end of the
year.
Result Unit: ratio
LOGO Selection

3. Average percentage of medicine consumed

Randomly select 10 medicine items, calculate the
percentage of the quantity consumed over quantity
planned for each item, calculate the average.
Result Unit: %
LOGO Procurement

1. Average procurement frequency

Randomly select 10 medicine items, calculate the
frequency of purchase during the last 1 year for
each item, calculate the average.
Result Unit: x (frequency)
2. Frequency of incomplete medicine order
Take all medicine order forms in the last 1 month,
identity the number of mistakes in writing the
orders.
Result Unit: x/month
LOGO Procurement

3. Frequency of delayed hospital medicine payment

Calculate the number of invoices durung the last 1
year, check with the due date of payment, calculate
how many are overdue in the respective year.
Result Unit: x/year
LOGO Storage

1. Conformity of records to physical checks on medicine

quantity
Randomly select 10 medicine items at the time of visit,
check the record with the physical quantity, calculate
how many items of the 10 are incorrect, x 100%.
Result Unit : %
2. Turn over ratio
The total value (Rp) of medicine income in the last 1
year devide by the total value (Rp) of medicines on
stock at the end of the year.
Result unit : x/year
LOGO Storage

3. Percentage of medicines placed in shelf properly

Randomly select 10 medicine items, check the
placement of the medicines. The first in (or the first
expired) must be in the front rows (FIFO/FEFO).
Calculate the number of items placed incorrectly,
divide 10, x 100%
Result unit: %
4. Percentage of damaged and expired medicine
Calculate the value of damaged and expired
medicines (Rp), divided by the total value (Rp) of
medicines in stock, x 100%
Result unit: %
LOGO Distribution

1. Percentage of generic medicine use

Calculate the number of R/ in generic in the last 1
month, divided by the total R/ in the respective
month, x 100%
Result unit: %
2. Percentage of outpatient complain
Interview 30 out-patient exits, calculate the
percentage of patients who are not satisfied with
the services
Result unit: %
LOGO Distribution

3. Percentage of doctors (and/or nurse) complaints

Interview 10 doctors (and/or nurse) on the day of
visit, calculate the percentage of doctors who are
not satisfied with the pharmaceutical services.
Result unit: %
4. Time to fill prescription
Randomly select 20 out patients in the pharmacy
service area, calculate the average time spent to
get the prescription ready.
Result unit: minutes
LOGO Distribution

5. Percentage of prescription which are not filled

Calculate the number of prescription filled during the
last 10 days, divided by the total number of
prescriptions written during the same period, x 100%
Result unit: %
6. Percentage of non formulary medicines
Observe all prescription during the last 10 days,
calculate the number of R/ which is not from the
hospital formulary, divided by the total R/ of the same
period, x 100%.
Result unit: %
LOGO WHO Indicators
LOGO Prescribing Indicators
LOGO Prescribing Indicators
LOGO Prescribing Indicators
LOGO Prescribing Indicators
LOGO Patient care Indicators
LOGO Patient care Indicators
LOGO Patient care Indicators
LOGO Patient care Indicators
LOGO Patient care Indicators
LOGO Health Facility Indicators
LOGO Health Facility Indicators
LOGO Study Design and Sample size
LOGO Study Design and Sample size

There should be at least 600 encounters included in a

cross-sectional survey, with a greater number if
possible. Retrospective data collection over the past
year should be used for prescribing indicators.
If to compare individual facilities or prescribers, the
sample size must be higher than 30 within each facility
or per prescriber. At least 100 cases would be
recommended.
If groups of facilities are to be compared, at least 10
facilities should be included in each group.
LOGO COMPLEMENTARY DRUG USE INDICATORS
LOGO COMPLEMENTARY DRUG USE INDICATORS
LOGO COMPLEMENTARY DRUG USE INDICATORS
LOGO COMPLEMENTARY DRUG USE INDICATORS
LOGO COMPLEMENTARY DRUG USE INDICATORS
LOGO COMPLEMENTARY DRUG USE INDICATORS
LOGO Balanced Score Card

Perspektif Pembelajaran dan

Pertumbuhan

Perspektif
Keuangan
Perspektif Proses
Bisnis Internal

Perspektif Kepuasan
Pelanggan

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LOGO Perspektif Pembelajaran dan Pertumbuhan

Pelatihan dan Pendidikan

Produktivitas karyawan
SDM &
Kepuasan karyawan
SIM/PIS
Proses manual yang direplace
teknologi

Gangguan/kendala dalam IT

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LOGO Perspektif Bisnis Internal
Pengelolaan obat
Dispensing time

SO
PIO & Konseling Medication error

Prescription review Tingkat ketersediaan

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LOGO Perspektif Kepuasan pelanggan

Kepuasan pelanggan

Memberikan
pelayanan melebihi
Cakupan pelayanan resep
ekspektasi
pelanggan

Kejadian complain pelanggan

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LOGO Perspektif keuangan
Xn 1/n - 1
Xo
Growth Ratio (7,4)

Profit
ROI (8%) Capital employed

Laba bersih x 100%

Profit margin onTotal
salespenjualan
(5%)
Cost of sales
TOR (8-12 Average Inventory

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LOGO Contoh

..\WORKSHOP INDOGAMA\KPI Farmasi Smt I th

2013 rev.docx

..\WORKSHOP INDOGAMA\REVIEW MPO.doc

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LOGO Thank You !