kebijakan pmk
TRANSCRIPT
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KEBIJAKAN PENGEMBANGANMANAJEMEN
KINERJA (PMK) PERAWAT DAN BIDAN
KEPMENKES RI No. 836/2005
DIREKTORAT BINA PELAYANAN KEPERAWATAN DAN KETEKNISIANMEDIK
DIREKTORAT JENDERAL BINA UPAYA KESEATANKEMENTERIAN KESEATAN
20!5
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T"#"$% U&"&'
S*$+ ,,- -%- ,$ *$-+ &$&" &&$+$&-%$% 1-#$1$% P%&$%$% M$%$#&%K-%#$ (PMK)
T"#"$% K+",",'
S*$+ ,,- -%- ,$ *$-+ &$&"
!. M%#*$,1$% "*$,- 1$- *$$%$%1$4$$% $% 1-$%$%
2. M%"1$% %-$% o,-o%$*-,&
3. M%"1$% P*$$%$% K,+$$% D- R"&$+S$1-7 P",1,&$,7 D$% S$$%$ 1,+$$% L$-%
. M%#*$,1$% &"" *$$%$% 1$4$$% $%1-$%$%
5. M%#*$,1$% &$,$*$+ 9 &$,$*$+ *$$%$%1$4$$%/ 1-$%$% - -%o%,-$
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L$%#"$%
T"#"$% K+",",'
6. M%"1$% %-$% PMK
:. M%"1$% $*,$$+ PMK
8. M%"1$% 1o&o%% PMK
;. &%#*$*$,1$% ,1&$ PMK $4$ $% -$%
!0. M%#*$,1$% -%,-9-%,- %$$% PMK !!. M%"1$% ,$- PMK
!2. M%#*$,1$% 1o%-",- PMK $4$ < -$%$*$& %-%1$$% 1"$*-$, *$$%$% 1,+$$%
!3. M%"1$% $% ",$7 -%1, o=-%,-7-%1, 1$./ 1o$ $% ",1,&$, $*$& PMK
!. M%#*$,1$% -%-1$o $*$& %$$% PMK
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Po1o1B$+$,$%'
K-#$1$% P%&$%$% M$%$#&% K-%#$ (PMK)
S" o1o1 $+$,$%'
!. R"*$,- 1$- *$$%$% 1$4$$% $%1-$%$%
2. P%-$% o,-o%$*-,&
3. P*$$%$% K,+$$% D- R"&$+ S$1-7 P",1,&$,7D$% S$$%$ 1,+$$% L$-%
. M"" *$$%$% 1$4$$% $% 1-$%$%
5. M$,$*$+ 9 &$,$*$+ *$$%$% 1$4$$%/1-$%$% - -%o%,-$
6. P%-$% PMK
:. >$*,$$+ PMK
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L$%#"$%
S" o1o1 $+$,$%'
8. Ko&o%% PMK
;. S1&$ PMK $4$ $% -$%
!0. P-%,-9-%,- %$$% PMK
!!. S$- PMK
!2. Ko%-",- PMK $4$ < -$% $*$&%-%1$$% 1"$*-$, *$$%$% 1,+$$%
!3. P$% ",$7 -%1, o=-%,-7 -%1, 1$./ 1o$7
$% ",1,&$, $*$& PMK
!. I%-1$o $*$& %$$% PMK
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A. REGULASI
!. UU No. 36 T$+"% 200; %$% K,+$$% 2. UU No. T$+"% 200; %$% R"&$+ S$1-
3. UU No. 36 T$+"% 20! %$% T%$$K,+$$%
. UU No. 38 T$+"% 20! %$% K$4$$%
PERKEMBANGAN
PELAYANAN KEPERAWATAN7 KEBIDANAN
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PASAL 63 UU NO. 36 TAUN 200; TENTANGKESEATAN
Pasal 63 ayat 2
P%&"+$% %. $% &"*-+$% 1,. D-*$1"1$% %$%%%$*-$%7 %o$$%7 $%/ $$" $4$$%
Pasal 63 ayat 3
P%%$*-$%7 %o$$%7 $%/ $$" $4$$% $$-*$1"1$% $,$1$% -*&" 1o1$% $% -*&"1$4$$% $$" ?$$ *$-% $% $$-$%"%#$4$1$% 1&$%$$$%%$ $%1$&$%$%%$
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LANJUTAN
Pasal 63 ayat 4
P*$1,$%$$% %o$$%7 $%/ $$" $4$$%$,$1$% -*&" 1o1$% $$" -*&" 1$4$$%+$%$ $$ -*$1"1$% o*+ %$$ 1,+$$% $%&&"%$- 1$+*-$% $% 14%$%$% "%"1 -"
Pasal 63 ayat 5
P&-%$+ $% &-%$+ $$+ &*$1"1$%&-%$$% $% %$4$,$% +$$ *$1,$%$$%%o$$% $% /$$" $4$$% $$" $,$1$%
?$$ *$-% $% $$ -$%"%#$4$1$%
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KEPMENKES/PERMENKES TENTANG PELAYANANKEPERAWATAN7 DAN KEBIDANAN
K&1%1, No. 836 + 2005 PMK
$4$ $% B-$%.K&%1, No. 2:; $+"% 2006 %$%o&$% %*$%$$$% 1,&$,.(o,, =-,-)
K&%1, No. 36; $+"% 200: %$%
S$%$ o,- -$%.K&%1, No. ;38 $+"% 200: %$%,$%$ $,"+$% 1-$%$%.
Peraturan Menteri Kesehatan NomorHK.02.02/Menkes/148/I/2010 tentang Izin dan
penyelenggaraan Praktik Perawat danperubahannya dalam Peraturan MenteriKesehatan Nomor 17 Tahun 2013 (BeritaNegara Tahun 2013 Nomor 473);
K&%1, No. !6 $+"% 20!0 %$%-@-% $% %*%$$$% $1-1 -$%
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LANJUTAN'
K&%1, No. ;08/MENKES/SK/II/20!07 %$%o&$% %*%$$$% *$$%$% 1$4$$%1*"$$.
K"",$% &%- 1,+$$% R"*-1 I%o%,-$R"*-1 I%o%,-$ ' No&o 22;/MENKES/SK/II/20!07
$%$* 3 >"$- 20!07 %$% Po&$% A,"+$%K-$%$% M$,$ P-&%o$",
K"",$% &%- 1,+$$% R"*-1 I%o%,-$'No&o 230/M%1,/SK/II/20!07 $%$* 03 >"$-20!07 %$% Po&$% R$4$ G$"% I" $% B$-
P$"$% M%- K,+$$% R"*-1 I%o%,-$'No&o !6/MENKES/PER//20!07 $%$* 0O1o 20!07 %$% I@-% $% P%*%$$$%P$1-1 B-$%
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P*$$%$% 1,+$$%
&%$?" SPM K$/Ko$ $% *$+-$1$%
D-*"1$% o,-o%$*-,& %$$
1,+$$%
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PRO>ESIONALISME
P*$$%$% 1,+$$% $% --1$% o*+ %$$1,+$$% $% &&"%$- 1o&%,- --$%%$
P*$$%$% $% -*$1"1$% $,$1$% $$,$%$ *$$%$% -$1$%
Bo-%$,- 1$$ 1%-%$%/ 1""+$% 1*-%
D$*$& &&-1$% *$$%$% $,$1$% $$-1$ o,-
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PELAYANAN KESEATAN
DI RUMA SAKIT7 PUSKESMAS7 DAN SARANAKES. LAIN
P*$$%$% &-1P*$$%$% 1$4$$% $%1-$%$%
P*$$%$% %"%#$% &-1
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DUA >AKTOR YANG MENENTUKAN MUTUPELAYANAN KEPERAWATAN DANKEBIDANAN7 YAITU'
!. PENINGKATAN DAN PENGEMBANGANSUMBER DAYA MANUSIA ATAU TENAGAKESEATAN (QUALITY OF CARE)
2. PENYEDIAAN SARANA DAN PRASARANA YANG MENUNJANG PELAKSANAAN TUGAS (QUALITY OF SERVICES)
MUTU PELAYANANKEPERAWATAN $% KEBIDANAN
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P$4$ $% -$% *"& &&-*-1- "$-$%
"$, "*-,(:7 C).
P$4$ $% -$%. -$1 &%"%$1$%,$%$
P$4$ $% -$% -$1 --%$ 1-%#$%$,?$$ $".
B*"& -1&$%1$% ,-,& &o%-o-% $%=$*"$,- 1-%#$ $4$ $% -$%.
Masalah - MasalahPelayanan Keperawatan/Ke!"anan #! In"$nes!a
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PERA%A& #A' (I#A' #I RS) PUSKESMAS)SARKES LAI'
MELAKUKA' PELA*A'A' KLI'ISKEPERA%A&A' #A' KE(I#A'A'
PERLU
P%--1$% $% *$-+$% 1*-%-1 $%1*$%#"$%
S$$%$ $% $*$$% $% &"" $% $&$%
P&-%$$% $% &o%-o-% 1-%#$ 1*-%-,,?$$ ", &%",
D"1"%$% &$%$#&%
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B$,$1$% +$,-* 1$#-$% $+"%200!
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KI'ER+A ,PMK PERA%A& #A'
(I#A'
A$*$+ ,"$" "$$ %-%1$$%1&$&"$% &$%$#-$* $% 1-%#$
$4$ $% -$% $*$&&&-1$% *$$%$% 1$4$$%$% 1-$%$% - ,$$%$ *$$%$%1,+$$% "%"1 &%?$$- *$$%$%
1,+$$% $% &"".
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>ALSA>A PMK
PMK &&$,-*-$,- ?-$%$ "ayaer0a perawat "an !"an $% &%$$+1$$ "$$ %-%1$$% &"" *$$%$%1$4$$% $% 1-$%$% $%-$,$1$% $$ pr$1es!$nal!se) IP&EK)aspe leal) erlan"asan et!a "%"1&%"1"% ,-,& *$$%$% 1,+$$%,?$$ $prehens!1
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KMP'E' PMK PERA%A& (I#A'
!. S$%$ (SOP/SPO)
2. U$-$% "$,
3. I%-1$o K-%#$ 1*-%-1. D-,1",- R1,- K$,",
5. Mo%-o-% $% E=$*"$,-
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Contoh Uraian tugas .xls
http://../Aceh%2024%20SEPT%202013/Contoh%20Uraian%20tugas%20.xlshttp://../Aceh%2024%20SEPT%202013/Contoh%20Uraian%20tugas%20.xls
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SKEMA PMK PERAWAT $% BIDAN
M$n!t$r!n "an Ealas!
INPUT ;-Uraian tugas-Tanggung jawab-SPO/standar -Pelatihan yg
diikuti
-Sistempenghargaan-Jabatan
fungsinal
P!OS"S #-$nitring
kinerja-Pengendalian
Penyimpangan-Peningkatan
%eterampilan-&!%-&kumentasi
OUTPUT;-%inerja
meningkat-$ti'asi
meningkat-(kuntabilitas
meningkat
-%epuasan
meningkat-$endrng
Sistem
penghargaan
Pening
katan
%ualitas
Pelayanankesehatan
KER+A &IM #A' PEM(ELA+ARA'(ERLA'+U&
SIS&EM *A'KES PUSKESMAS/ RS
K
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7
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KUALI&AS
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PRI'SIP-PRI'SIP PE'ERAPA'
PMK Ko&-&%
K"$*-$,
K#$ -&P&*$#$$% *$%#"
E1- $% ,-%
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S&RA&EGI PMK
M&$%"% 1o&-&%
M*-$1$% ,$1+o*
M%*o*$ ,"& $$
Po,-o%$*-,&
D,%$*-,$,-
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K'&RI(USI PMK PERA%A& (I#A'#ALAM PE'I'GKA&A' KUALI&AS PELA*A'A'
KESE8A&A'
MASYARAKAT SEATMASYARAKAT SEAT YANG MANDIRI YANG MANDIRI
DAN BERKEADILANDAN BERKEADILAN
PELAYANAN KESEATAN PRIMAPELAYANAN KESEATAN PRIMA
SPM KABUPATEN/KOTASPM KABUPATEN/KOTA
PMK PERAWAT < BIDANPMK PERAWAT < BIDAN
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PERA' PUSA&
So,-$*-,$,- $% $=o1$,- 1 o=-%,-
M&$,-*-$, o=-%,- $*$& -&*&%$,-
PMK.Mo%-o-% $% =$*"$,-
B-&-%$% $% ,"=-,-
M*$1"1$% o** o" 1 o=-%,- *$-%.
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PERAN DINKES PROPINSI
So,-$*-,$,- PMK 1 K$"$%/ Ko$
P*$-+$% *$-+ 1$"$% (DTOT)
M&$,-*-$,- K$"$%/Ko$ $*$& %$$%$% %&$%$% PMK
M*$1"1$% &o%-o-% $% =$*"$,- PMK
B1#$,$&$ %$% -+$1 1$- $*$&%&$%$% PMK
B-&-%$% $% ,"=-,-
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PERAN DINKES KABUPATEN/KOTA
So,-$*-,$,- 1 RS/P",1,&$,
P%$$% $% o** o" PMK
Mo%-o-% $% =$*"$,- ,,"$- #$4$*B-&-%$% $% =$*"$,- ,?$$ -o-1
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PERAN PUSKESMAS
M%","% SPO
M%","% U$-$% "$, $% -%-1$o 1-%#$
M%","% #$4$* DRK7 $% &*$1,$%$1$% ,-$
"*$%.
M*$1"1$% o1"&%$,- 1-$$%
M*$1"1$% *$-+$% (-%9,=-? $-%-%)
M*$1"1$% &o%-o-% ,,"$- #$4$*.
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I'#IKA&R PE'ERAPA' PMK #IPUSKESMAS
I%"K-#$1$% ",1,&$, $% &%"1"% PMK $4$ $%-$%.
D"1"%$% $- ,$1 +o*
A$ ,o$% 1oo-%$o $% $%"% #$4$ $*$&%$$% PMK (&%"&"*1$% $$7 =$*"$,- $%*$o$% 1 D-%1,)
T,-$ $%$ "%"1 %$$%7 *$-+$% $%&o%-o-%
P%?$%$$% o** o" 1 ",1,&$, *$-% J$4$* &o%=
S&"$ ",1,&$, &&"%$- ,$%$7&%&$%1$% "$-$% "$,7 -%-1$o 1-%#$ $%DRK.
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PROSES
A$ 1-$$% ,o,-$*-,$,- $% o** o" 1 "$%$%$4$$% *$-%.
M%","% SPO
M%","% "$-$% "$, $% -%-1$o 1-%#$
1*-%-, $4$
$% -$%.
M%","% #$4$* 1-$$%.
A$ 1-$$% DRK ,?$$ $" ,-$ "*$%
,1$*-
A$%$ %o1"&%$,-$%
A$%$ *$-+$% (-%9,=-? $-%-%)
Mo%-o-% -*$1"1$% ,,"$- #$4$*
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OUT PUT
B$&$+%$ "$%$% $% &%$1$% PMK.M%-%1$%$ #"&*$+ $4$ $% -$% $% -1"*$-+$%.
A$%$ "$-$% "$, "*-, ,-$ $4$ $%-$% $% -,$+1$% -&-%$%.
S-$ *$$%$% 1$4$$% $% 1-$%$% $$SPO $% -,$+1$% -&-%$%.
T*$1,$%$%$ DRK ,?$$ "-% (o1"&%)
A$%$ 1-$$% %-%1$$% 1$&-*$% 1*-%-,
$4$ $% -$%.
M%-%1$%$ 1-%#$ 1*-%-, $4$ $% -$%.
M%""%%$ $%1$ 1"-",.
M%""%%$ $%1$ *--,
8ASIL E9ALUASI SPMKK/PMK ,7K-UGM)
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8ASIL E9ALUASI SPMKK/PMK ,7K UGM)2::3
#I MAGELA'G) SLEMA') K&A *G*AKAR&A
ASIL TEMUAN '
M%-%1$%$ %o1"&%$,-$% *$$%$%7$% ,&"*$ 23 C &%#$- 87; C
M%-%1$%$ $%1$ 1+$-$% $4$-7 $%,&"*$ 8078 C &%#$- ;678 C.
M%-%1$%$ 1$"+$% $*$& %"%$$%,$%$ $*$& &*$1"1$% *$$%$% - "&$+,$1- $% ",1,&$,7 $% ,&"*$ 2075 C&%#- :0 C
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LANJUTAN'
M%-%1$%$ $4$ $% -$% $%&&"%$- "$-$% "$, ,?$$ #*$, $%"*-,7 $% ,&"*$ 572 C &%#$- ;:75 C
M%-%1$%$ &o%-o-% 1-%#$ 1*-%-, $4$$% -$% $% $,$1$% $$ -%-1$o
1-%#$ 1*-%-,7 $% ,&"*$ !67 C &%#$- 8673C
M%-%1$%$ &"$% $% -*$1"1$%$4$ $% -$% $*$& &&$+$, 1$,",91$,", 1*-%-,7 $% ,&"*$ 3!75 C &%#$- ;:73 C
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PE'U&UP
K+$,-*$% PMK $%"% $$ "1"%$% $-P&-%$+ Po-%,-7 K$"$%/Ko$
Ko&-&% D-%$, K,+$$% Po-%,-/K$/Ko$7
P-&-%$% ,$$%$ 1,+$$% < ,$1+o* *$-% PMK $4$ < -$% $$ 1o%-",- +$$
%-%1$$% *$$%$% 1,+$$% - RS7P",1,&$,7 P","7 Po,1,,/D,$ ,-$$ $%
,$$%$ 1,+$$% *$-% PMK $4$ $% -$% $$ &&$%"
&%""%1$% AKI7 AKB $% $%1$1,$1-$%/1&$-$%
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&ERIMA KASI8
P E N E R A P
A N P M K
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