HOSPITAL EXCELLENCE

FRAMEWORK

Dr. Dody Firmanda, Sp.A, MA

Ketua Komite Medik
RSUP Fatmwati, Jakarta

Disampaikan sebagai moderator pada Acara Rapat Kerja RSUP Fatmawati Jakarta 2009
di Cottage Pulau Putri Kepulauan Seribu, DKI Jakarta 14-15 Agustus 2009
 Vision
Vision or
or guiding philosophy 1
guiding philosophy
What
Whatwe
wewant
wantto
tobe
be

Core 2
Core values
values and
and Strategy
beliefs
beliefs The way we are
Who
Whowe
wewant
wantto
tobe
be going to achieve it
Mission 3
Mission
Our
Ourpurpose
purposeand
andthe
the
scope of our work
scope of our work

Critical Success
Critical Factors 4
Success Factors
5 (CSFs)
Key
Key (CSFs)
Performance
Performance Whatsuccess
successwill
willlook
looklike
like––aa Target
What
Indicators
Indicators(KPIs)
(KPIs) balancedscorecard
balanced scorecardof ofresults
results

Core processes
processes 6
Core
People Howsuccess
successwill
willbe
beachieved
achieved Resources
How

Process management
 RSUP FATMAWATI JAKARTA
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Values
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Mission
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3 ................................... ..............................................
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4
CSFs
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5
KPIs
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6
Core
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Processes ................................... ..............................................
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EVOLUSI 1:
 EVOLUSI 2:
Doing
Doingthings
things
cheaper
cheaper
(Efficiency)
(Efficiency)
Doing
Doingthings
things
right
right

Doing
Doingthe
the
right
rightthings
things
Doing
Doingthings
things right
better right
better(Quality
(Quality
Improvement)
Improvement)

Doing
Doingthe
theright
right
things
things
(Effectiveness)
(Effectiveness)

Tahun 1970an Tahun 1980an Tahun 1990an Abad 21

 Quality Leadership

Inspection
Inspection Quality
QualityControl
Control Quality
QualityAssurance
Assurance Total
TotalQuality
Quality

Criteria
Criteria Setting
SettingStandards
Standards
Structures
Structures
(Inputs) Indicators
Indicators
(Inputs) Conform
Conformthe
theStandards
Standards
Process
Process
Outcomes
Outcomes Maintain
Maintain&&Improve
Improvethe
theStandards
Standards

Outputs
Outputs Audits ContinuousQuality
QualityImprovement
Improvement(CQI)
(CQI)
Continuous
Impact
Impact Surveillance Evidence-basedMedicine
Evidence-based Medicine(EBM)
(EBM)
HealthTechnology
Health TechnologyAssessments
Assessments(HTA)
(HTA)

System&&Sub
System SubSystems
Systems

Ideas
Ideas Concepts
Concepts Constructions
Constructions Model/Paradigma
Model/Paradigma Theory
Theory

Leadership, Values & Principles

 Vision

Mission 1 Mission 2 Mission 3

Wants Demands Needs

Measurable Objective 1 Objective2 Objective 3 Objective 4

Target 1 Target 1 Target 1 Target 1

Target 2
Target 2 Target 2 Target 2
Time-frame Target 3
Target 3 Target 3 Target 3
Target 4
Target 4 Target4
Target 4 Target 5
Mutu Profesi
Performance = Kompetensi X Motivasi
Sarana

Kompetensi = Pelayanan, Pendidikan & Penelitian

Standar/indikator Rawat Jalan Dokter Uji Klinis

Audit/Benchmarking Rawat Inap Sp.1 Deskriptif
CQI Operasi Sp.2
Emergensi
Konsultasi
Jaga
WHO Europe PATH 2007
 PATIENT-CENTEREDNESS
(PATIENT-FOCUSED CARE)
 A

WHO PATH