PERATURAN INTERNAL

( HOSPITAL BYLAWS /

STATUTA )

RUMAH SAKIT

PERMATA MEDIKAJl. Indrakila No. 17 Kebumen

TAHUN 2011

DAFTAR ISI

KETERANGAN Hal.

Pendahuluan........................................................................................ 1

Latar Belakang....................................................................................... 1

Maksud dan Tujuan................................................................................ 2

Manfaat Hospital Bylaws........................................................................ 2

BUKU I PERATURAN INTERNAL KORPORASI.............................................. 3

BAB I KETENTUAN UMUM......................................................................... 3

Pasal 1 Nama, Visi, Misi, Falsafah dan Tujuan....................................................... 4

Pasal 2 Sejarah Pendirian, Kelas dan Alamat........................................................... 5

Pasal 3 Nilai – Nilai, Logo, dan Motto................................................................... 5

BAB II MANAJEMEN RUMAH SAKIT........................................................... 6

Pasal 4 Direktur................................................................................................ 6

Pasal 5 Pengangkatan, Masa Kerja, dan Pemberhentian Direktur.............................. 6

Pasal 6 Persyaratan Menjadi Direktur...................................................................... 7

Pasal 7 Rapat Manajemen..................................................................................... 7

Pasal 8 Para Kabid & Kasie.................................................................................. 7

Pasal 9 Kabid Medis dan Keperawatan.................................................................. 7

Pasal 10 Kasie Medis.......................................................................................... 8

Pasal 11 Kasie Keperawatan..................................................................................... 8

Pasal 12 Kabid Umum dan Keuangan......................................................................... 9

Pasal 13 Kasie Keuangan........................................................................................... 9

Pasal 14 Kasie Umum dan Kesekretariatan.................................................................. 10

Pasal 15 Kasie Rekam Medis dan Sistem Informasi................................................... 11

Pasal 16 Koordinasi antara Direktur dan para Kabid................................................... 11

Pasal 17 Hubungan Direktur dengan Komite Medik................................................ 12

Pasal 18 Hubungan Direktur dengan Sub Komite Etik dan Hukum.......................... 12

Pasal 19 Hubungan Direktur dengan Satuan Pemeriksaan Internal 12

BAB III STAF MEDIS FUNGSIONAL.............................................................. 13

Pasal 20 Tugas Staf Medis Fungsional........................................................................ 13

Pasal 21 Kewajiban Staf Medis Fungsional............................................................. 13

Pasal 22 Kewenangan Staf Medis Fungsional.......................................................... 14

Pasal 23 Hubungan Direktur dengan Staf Medis Fungsional..................................... 14

Pasal 24 Prosedur Penerimaan Calon Anggota SMF.................................................. 15

Pasal 25 Penugasan Staf Medis Fungsional (SMF)...................................................... 15

BUKU II PERATURAN INTERNAL STAF MEDIK.............................................. 17

BAB IV NAMA DAN TUJUAN ORGANISASI.................................................... 17

Pasal 26 Nama.................................................................................................... 17

Pasal 27 Tujuan................................................................................................... 17

Pasal 28 Tanggung Jawab.................................................................................... 17

BAB V PENERIMAAN, PEMBERHENTIAN, DAN PENERIMAAN

KEMBALI ANGGOTA SMF.............................................................. 18

Pasal 29 Persyaratan Penerimaan Calon Anggota SMF............................................... 18

Pasal 30 Prosedur Penerimaan Calon Anggota SMF.................................................. 18

Pasal 31 Penerimaan Kembali Anggota SMF............................................................ 18

Pasal 32 Pemberhentian Anggota SMF.................................................................... 19

BAB VI KEANGGOTAAN................................................................................ 19

Pasal 33 Syarat menjadi Anggota SMF.................................................................. 19

Pasal 34 Kategori dan Masa Berlaku........................................................................ 19

Pasal 35 Tugas, Fungsi, Wewenang, dan Tanggung Jawab....................................... 20

Pasal 36 Hak-hak Anggota SMF.............................................................................. 21

Pasal 37 Hak Klinik Khusus (Clinical Privilege)..................................................... 22

Pasal 38 Pembatasan Hak Klinik Khusus............................................................... 22

Pasal 39 Pencabutan/Pembatasan Hak Klinik Khusus................................................. 22

BAB VII PENGORGANISASIAN STAF MEDIS FUNGSIONAL........................ 23

Pasal 40 Struktur Organisasi…………………………………………………………. 23

Pasal 41 Ketua Staf Medis Fungsional………………………………………………. 23

Pasal 42 Sekretaris Staf Medis Fungsional............................................................. 24

Pasal 43 Koordinator Pelayanan........................................................................... 24

BAB VIII KOMITE MEDIK................................................................................ 24

Pasal 44 Komite Medik....................................................................................... 24

Pasal 45 Organisasi Komite Medik......................................................................... 24

Pasal 46 Pemilihan Komite Medik........................................................................ 25

Pasal 47 Tugas Komite Medik.............................................................................. 25

Pasal 48 Fungsi Komite Medik.................................................................................. 26

Pasal 49 Wewenang Komite Medik...................................................................... 26

Pasal 50 Sub Komite........................................................................................... 26

BAB IX KERAHASIAAN INFORMASI MEDIS................................................ 27

Pasal 51 Kerahasiaan Pasien................................................................................. 27

Pasal 52 Informasi Medis ................................................................................... 27

Pasal 53 Hak dan Kewajiban Dokter..................................................................... 28

Pasal 54 Hak dan Kewajiban Pasien...................................................................... 28

Pasal 55 Hak dan Kewajiban Rumah Sakit............................................................ 29

BAB X PERATURAN RUMAH SAKIT............................................................ 30

Pasal 56 Peraturan Internal.................................................................................... 30

Pasal 57 Pemaparan Peraturan Internal................................................................. 30

Pasal 58 Perubahan Peraturan Internal................................................................... 30

BAB XI KETENTUAN PENUTUP.................................................................... 30

Pasal 59 Ketentuan Penutup................................................................................... 30

KATA PENGANTAR

Kami panjatkan puji syukur kehadirat Allah SWT. yang telah melimpahkan rahmat dan

karunia-Nya kepada kita semua. Dengan mengucap syukur Alhamdulilllah, buku Peraturan

Internal ( Hospital Bylaws / Statuta ) RSU. PERMATA MEDIKA KEBUMEN dapat diterbitkan.

Dengan diterbitkannya Buku Peraturan Internal ini maka dapat memberi ketegasan

kepada Pemilik, Pengelola dan Komite Medik di dalam memberi dan mengambil langkah

kebijakan untuk operasional RSU. PERMATA MEDIKA KEBUMEN dapat sesuai dengan

ketentuan yang tercantum didalam statuta ini.

Demikian, mudah – mudahan operasional RSU. PERMATA MEDIKA KEBUMEN dapat

berjalan sesuai harapan semua pihak yang terkait.

Kebumen, 11 April 2011

Yayasan Nurul Barokah Agung Persada