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TATA KELOLA KLINIS (CLINICAL GOVERNANCE)

KULIAH 5:
PENYUSUNAN TATA KELOLA KLINIS I

Jakarta, 5 OKtober 2012 Jam 10.00 11.40 WIB

Dody Firmanda

RINGKASAN

Wants Demands
PNPK PPK CP

Needs
Health Needs Assessment

Healthcare Systems: 1. Policy 2. Provision (Provider) 3. Financing (Purchaser) 1. Efficient 2. Effective 3. Benefits (Value)

1. Donabedian 2. Maxwell 3. Don-Max

DALY QALY
Value = Quality / Cost

TOTAL QUALITY MANAGEMENT (TQM) 1. Understanding the hospital business 2. Understanding the customers 3. Continuous Quality Improvement 4. Quality (Management/Service) Systems 5. Quality Tools

3
QUALITY ASSURANCE (QA) 1. Setting the standards 2. Conform those standards 3. Continuous Quality Improvement

QUALITY CONTROL (QC) Seven Quality Tools

1 INSPECTION

Newsweek edisi 7 Desember 2009 hal. 42 - 45

Total Quality

Continuous Quality Improvement (CQI)

Quality Assurance

Kuncinya: LEADERSHIP

STRUKTUR

PROSES

OUTPUT

OUTPUT

PROSES

STRUKTUR

STRUKTUR

PROSES

OUTPUT

OUTPUT

PROSES

STRUKTUR

TATA KELOLA KLINIS (CLINICAL GOVERNANCE)


KULIAH 5:
PENYUSUNAN TATA KELOLA KLINIS I

Jakarta, 28 September 2012 Jam 10.00 11.40 WIB

Dody Firmanda

1. Vision : futuristic mind-setting of the organisation 2. Missions: ways of the organisation towards the vision 3. Goals : are broad statements. There is generally one goal for a service/task. 4. Aims : There are a number of aims relating to the goal. They are specific to particular problems. 5. Objectives : For each program aim, there may be a number of objectives which are specified in measurable terms. 6. Targets/Minimal Thresholds : For each objective, there may be various points on the way to the attainment of the objective. They are defined in relation to a point in a time.
1 and 2 : policy 3 to 5: are all ways of describing the desired direction of a service/task, they differ in terms of breadth and detail (time-framework)

CRITERIA

INDICATORS

NEEDS Demands Wants

OBJECTIVES

INPUT PROSES OUTPUT OUTCOME BENEFITS (VALUES)

RELEVANCE

OBJECTIVES
ADEQUACY

ACCESSABILITY

NEEDS

INPUT PROSES OUTPUT OUTCOME BENEFITS (VALUES)

EFFECTIVENESS

EFFIC IENCY EFFICACY

IMPACT

BENEFITS (VALUES) OUTPUT PROSES

NEEDS

OBJECTIVES

EFFICACY

OUTCOME

EFFECTIVENESS
EFFIC IENCY

IMPACT

INPUT

RELEVA NCE
ADEQU ACY

ACCESSABILITY

Wants Demands
Needs

Goals Aims
Input Process Ouput Outcome Value/ Benefit

Objectives

Relevance Adequacy Accessability Efficiency Effectiveness Efficacy

Impact

Maxwel
Targets
Input Process Outcome

Donabedian

1. Vision : futuristic mind-setting of the organisation 2. Missions: ways of the organisation towards the vision 3. Goals : are broad statements. There is generally one goal for a service/task. 4. Aims : There are a number of aims relating to the goal. They are specific to particular problems. 5. Objectives : For each programme aim, there may be a number of objectives which are specified in measurable terms. 6. Targets/Minimal Thresholds : For each objective, there may be various points on the way to the attainment of the objective. They are defined in relation to a point in a time.

Systems/Standards Criteria

Indicators