HOAPITAL INFORMATION

ISSUES

DR.Dadang Kusnadi.,MARS
 Bandung
02 Januari 1955

Anesthesi RSHS UNPAD, 1981

MARS, Univ. Indonesia

Jakarta, 1991

Doktor Kebijakan Kesehatan Publik

Padjadjaran Univ. 2007

Jln. Merkuri Selatan XV/8

Margahayu Raya Bandung

Telp. 022-7500570/ 0818223928

Email: dadangkusnadi@ymail.com
Healthcare Issues
Death Rate in The World
RUMAH SAKIT
GLOBAL HOSPITAL NETWORKING
 HOSPITAL ITY BACKGROUND

-Unique and Complex

-- Labor Intensive
• . -- Solid Profesion
- Capital Intensive
• . -- Solid Tecknology
-- Solid On problem
-- Solid Industry
Emergency
COT
IN PATIENS DAY
 GOVERNMENT ENTREPRENEUR

BIROCRATIE VISIONARY

RS yang :
•Mandiri
2000 2005 2009 2010 2014 2018 •Profesional
•Prodktif
•Bermutu
•Terjangkau
•Efisien
Perjan •Bersaing
(Public Enterprise) UU UU
36/44 38/ 5
Blu UU
2005 40
 UU NO. 36 TTG KESEHATAN TAHUN 2009  UPAYA PENINGKATAN
DERAJAT KESEHATAN MASYARAKAT SETINGGI-TINGGINYA

UU NO. 32 TAHUN 1996 TTG TENAGA KESEHATAN

UU NO. 29 TAHUN 2004 TTG PRAKTIK KEDOKTERAN

HEALTH
UU RS NO. 44 TAHUN 2009 & PERMENKES NO. 147/MENKES/PER/2010
REGULATION TTG PERIZINAN DAN PENYELENGGARAAN RUMAH SAKIT
POLICY
PERMENKES NO. 340/MENKES/PER/III/2010Jo. 56/Menkes/2014 TTG
KLASIFIKASI RUMAH SAKIT

PERMENKES 1045/MENKES/SK/XI/2006 TTG PEDOMAN ORGANISASI

RUMAH SAKIT DAN PP. 23 TAHUN 2005 TENTANG BLUD RUMAH SAKIT

UU No. 40 TAHUN 2010 TENTANG SJSN

UU No. 24 TAHUN 2013 TENTANG BPJS
 • Oriented Needs
FUTURE OF • Focus Needs
HOSPITAL • Competetif
• Petient Safety Oriented
• Green Hospital
• Clinical Risk
• Accreditation
MEDICAL CARE • Quality
EXCELLENT • Efektiveness
• Pricing Policy
• Costumer Satisfaction
• Assurance
• Center of Excellent
 Hospital Management Issues

Software
Strategic Management Human Resource Management
Hospital Culture Quality Management

Financial Management Leadership

Reorganization Hospital Marketing

Hospital Information System Manager Profile
 Foreward Issues
• Economic of Crisis
• CAFTA – Liberalisazation
• Era Globalization - GATTS - WTO
• MDGs 2015 - SDGs
• Era Otonomy
• Corporate
• Regulation of Health
• Insurance
5 Competition Services Sector
(WTO)
• Telecomunication Services
• Industry Services
• Transfortation Services
• Financial Services
• Professional Services
 Bisnis Rumah Sakit

Product Trusty Business Service

Mindset
 Robert McNamara
Presiden World Bank
• Economi ( production, Material, Finance,
consumen)
• Tecnology (computer, internet, fax- mile,
handphone)
• Political (multy party, HAM, PBB, Super
Power State)
 Robert T Kiyosaki
Equalibrium
• Technologi networking
• Competition – Inovation dan Creativity
• Strength and Weekness
• Opprotunity and treth
Leader Of Hospital
 Hospital Parameter ?
• Vision and Mission
• Comitmen, Perception, Attitude and
Behaviour
• SWOT Analysis (internal – eksternal)
• Internal Controling Factor ( Strength-
Weakness)
• Eksternal Monitoring Factor ( Opportunity-
Treath)
 JENIS PELAYANAN
• Instalasi Rawat Jalan
• Instalasi Gawat Darurat
• Instalasi Rawat Inap
• Instalasi Kamar Bedah
• Instalasi Intensif Care Unit
• Instalasi Farmasi
• Instalasi Radiologi
• Instalasi Laboratorium
• Instalasi Fisio Therafis
• Instalasi Gizi
• Instalasi Laundry
• Instalasi Pemeliharaan Sarana Rumah Sakit
• Instalasi Pemulasaraan Jenazah
 Hospital Indikator ?
• Bed Occupacy Rate (BOR)
• Length of Stay (LOS)
• Turn Over Interval (TOI)
• Bed Turn Over (BTO)
• Net Death Rate (NDR)
Grafik Barber Johnson
 4 Modus Health Care
• Cross border supply
• Consumption abroad
• Comercial presence
• Presence of Natural Persons
 Liberalisation Policy
• Limitiations on Market Acces
• Limitiations on National Treatment
• Physical medicine presence natural
persons
• Additional commitments
THE DOLPHIN THEORY

Small wave Medium wave

carper
Dolphin
Big wave

Mainland shark
 Tehnic Of Management
Peter D Drucker
• Downsizing (CEO)
• Outsourching (HRD)
• Benchmarking (Collaboration Quality)
• Re-Enggineering (Maintenance)
CT SCAN
Strategi Management Change
• Grand strategy
• National strategy
• Total strategy
• Autority strategy
• Level strategy
• Militery strategy
Fenomena Change
• Management
• Organization
• Comunication
• Human Resources
• Materials
• Finance
• Environment
Strategy Of Change

• Start On Small
• Start On Time
• Start On Yourself
 Time In The World
Venostyle

MARS VENUS
Lambang Laki-laki
Lambang Wanita
Kekuatan
Keindahan
Kekerasan
Perasaan
Ambisi
Instant
fisikal
Emosional

In The World
 Hospital Power
Robert Dawson
• The power of crazy
• Combination Power
• The power of confusion
• The power of competitive
• The power of situation
Actor Internal Conflic
• The brain actor
• The mass actor
• Paramilitary wing
REKAM MEDIK
Theorical Reasonings

• Eficiensy
• Social oriented
• Quality
• Learning organizing
• Bussiness ethic
 Environment Reasionings
• Marketing segmen
• Competitions globalizes and itensifies
• Customer is chossy and taking charge
• Bossmanship
• customers
 Strategic Plan
• Bussines oriented
• Supply and Demand
• Market segmentation
• Org & Management
• Production & Service
• Customer Satisfaction
SUPPLY & DEMAND

SURPLUS

D
DEFISIT
Health Finance Model

Social Comerci
Health al Health
Model Model

National Health
Model
 UNIT COST
• Double Distributions Method Analysis
• Activity Based Costing Analysis
• Clinical Path Way
• INA CBGs
• Riil Cost Analysis
 REMUNERASI
• Pendidikan Formal
• Pangkat/Golongan
• Jabatan
• Masa Kerja
• Absensi/ Kehadiran
• Pendidikan Pelatihan
ARCHITECTURE OF HOSPITAL

RSUP.Dr.Hasan Sadikin Bandung

Jalan Pasteur No. 38 Bandung West Java Indonesia Phone.62-022-2034953/57 Fax.62-022-2032216
Hospital Concentration
• Market control
• Output control
• Bureucratic control
• Financial control
• Procedure control
• Quality control
• Clean control and culture
The New Emerging Paradigms
in Management

• Customer focus
• Continous improvement
• Organization system
• Employee empowerment
 Profil of Role Management
CARE
• Communication (Complete, Accurate,
Rapid, English)
• Activity (Cooperative, Applicable,
Responsive, Empathy)
• Riview (Considered,
Appropiate,Reasoned, Evaluated)
• Education (Commited, Academic,
Research, Extended)
FROFILE MILENIUM
• CAREER
• ACTIVITY
• ROLE
• ENCHANCEMENT
MRI
DHD Penetrasi Pasar
Dokter

Perawat

P SMART
A
S Luka
SNOB
A
R DUMB

Staff
Struktural

Direksi
BALANCED SCORE CARD

• SWOT ANALYSIS
• ANALISIS PEST
• COMPETITOR MARKET
• INTEREST MARKET
• MAPING MARKET
• NINE CELLS
 ANALISIS SWOT
Strength

Kuadran III Kuadran I

Turn Around Offensive/Agresive

Threats Opportunity

Kuadran IV Kuadran II
Defensive Diversifikasi

Weaknesess
 Kuadran Of Market
Interest Market
c
o
m
p
e
t Leader Try Leader Double or Quit
I
o Phased With
n Drawal
Growth Custodial
M
Phased With
a
r Cash Generation Drawal Dis-Invest
k
e
t
 ENTREPREUNERSHIP
HOSPITAL

• STRATEGIC BUSSINES UNIT (SBU)

• HOSPITAL BUSSINES PLAN
• HEALTH –PREUNER
• HOSITAL-PREUNER
• NERS-PREUNER
 HOSPITAL PLANNING PROCES
VISION

Government EXISTING Supply and Demand

Policy Conditioning Public

FS

MASTER PLAN

Environment

DED

Hospital
Development
Pembenahan Sistem Rujukan
RESTRUKTURISASI PELAYANAN KESEHATAN
Sistem Kesehatan di Provinsi

Tertiary

Secondary

Rujukan -
Kewenangan

Primary Care

Tertiary Care Dokter

Pelayanan
Kesehatan
Self CarePrimer

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