dody firmanda 2009 - kpis rs krakatau medika 6 agustus 2009

8/14/2019 Dody Firmanda 2009 - KPIs RS Krakatau Medika 6 Agustus 2009

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HOSPITALBUSINESS EXCELLENCE

FRAMEWORK

Dr. Dody Firmanda, Sp.A, MAKetua Komite Medik

RSUP Fatmwati, Jakarta

Disampaikan pada Acara Round Table Discussion Key Performance Indicators (KPIs) for Hospitaldiselenggarakan oleh PT Krakatau Medika di Hotel Permata Krakatau, Cilegon 6 Agustus 2009


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Vision or guiding philosophyWhat we want to be

Vision or guiding philosophyWhat we want to be

MissionOur purpose and the

scope of our work

MissionOur purpose and the

scope of our work

Critical Success Factors(CSFs)

What success will look like abalanced scorecard of results

Critical Success Factors(CSFs)

What success will look like abalanced scorecard of results

Core processesHow success will be achieved

Core processesHow success will be achieved

Process management

StrategyThe way we are

going to achieve it

Core values andbeliefs

Who we want to be

Core values andbeliefs

Who we want to be

People Resources

Target

KeyPerformance

Indicators (KPIs)

KeyPerformance

Indicators (KPIs)

1

2

3

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CoreProcesses

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KPIs

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CSFs

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Mission

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Values

........................................................................................................................Vision1

2

3

4

5

6

RUMAH SAKIT :


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EVOLUSI 1: Pendahuluan


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Doing thingscheaper

(Efficiency)

Doing thingscheaper

(Efficiency)

Doing things

better (QualityImprovement)

Doing thingsbetter (Quality

Improvement)

Doing thingsright

Doing thingsright

Doing the rightthings

(Effectiveness)

Doing the rightthings

(Effectiveness)

Doing theright things

right

Doing theright things

right

Tahun 1970an Tahun 1980an Tahun 1990an Abad 21

EVOLUSI 2:


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InspectionInspection Quality ControlQuality Control Total QualityTotal QualityQuality AssuranceQuality Assurance

Setting StandardsSetting Standards

Conform the StandardsConform the Standards

Maintain & Improve the StandardsMaintain & Improve the Standards

CriteriaCriteria

IndicatorsIndicatorsStructures

(Inputs)

Structures(Inputs)

ProcessProcess

OutcomesOutcomes

OutputsOutputs

ImpactImpact

Audits

Surveillance

Continuous Quality Improvement (CQI)Evidence-based Medicine (EBM)

Health Technology Assessments (HTA)

Continuous Quality Improvement (CQI)Evidence-based Medicine (EBM)

Health Technology Assessments (HTA)

IdeasIdeas ConceptsConcepts ConstructionsConstructions Model/ParadigmaModel/Paradigma TheoryTheory

System & Sub SystemsSystem & Sub Systems

Leadership, Values & Principles

Quality Leadership


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Vision

Mission 1 Mission 2 Mission 3

Objective 1 Objective 4Objective 3Objective2

Target 5

Target 4

Target 3

Target 2

Target 1Target 1

Target 2

Target 3

Target 4

Target 1 Target 1

Target 2 Target 2

Target 3 Target 3

Target 4 Target4

Wants Demands Needs

Measurable

Time-frame


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WHO Europe :Performance Assessment Tool for Quality Improvement in

Hospitals (PATH)


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dodyfirmanda, 21 November 2008


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WHOEurope PATH dengan model SistemKomite Medik RSUP Fatmawati



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PATIENT SAFETY = 1RISIKO X ERRORS

RISIKO = B A R R I E R SKOMPETENSI X MOTIVASI

KINERJA = MOTIVASI X KOMPETENSIBARRIERS

Knowledge-based


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Mutu Profesi

Performance= Kompetensi X MotivasiSarana

Kompetensi = Pelayanan, Pendidikan & Penelitian

Rawat JalanRawat InapOperasi

EmergensiKonsultasiJaga

DokterSp.1Sp.2

Uji KlinisDeskriptif

Standar/indikatorAudit/BenchmarkingCQI


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Sertifikat Kompetensi

Kewenangan Klinis

1. Kolegium2. STR dari Konsil Kedokteran3. SIP

Komite Medik


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Sub Komite Kredensial1. Tes Kepribadian2. Tes MMPI-23. Wawancara


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Keselamatan Pasien

Safetyness = Risks X Harms

Likelihood Severity

Frekuensi CederaInfeksi NosokomialMeninggalLitigasi


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Audit Medis

Audit Medis

Surveilans NosokomialAudit Medis

Komite Hukum RS

Audit Medis

PRA (Probability Risks Assessment)

Portfolio Individu


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Implementasi


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Implementasi


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Implementasi


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Gambar 6. Kerangka Konsep Patient Safety Komite Medik RSUP Fatmawati

Implementasi


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Model Patient Safety


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(untuk RS pendidikan)


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KOMITE MEDIK: SISTEM CLINICAL GOVERNANCE, PATIENT SAFETY & CP


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/ Adverse Events

dody firmanda 2009 - kpis rs krakatau medika 6 agustus 2009

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