QUALITY HEALTH: Standardization Vs Solution Making DR. HERMAWAN SAPUTRA, MARS. QUALITY HEALTH: Standardization Vs Solution Making

SHIFT PARADIGM IN THE JKN ERA Fee for Service  INA CBG’s cost + profit = price tarif – cost = profit Price Price (fix price) Loss Rupiah Rupiah Profit Profit Cost Volume Cost Volume

PATH, WHO (2007)

TO DO WHAT IS RIGHT.. YOU NEED TO KNOW WHAT IS TRUE

Approach Quality Improvement Productivity Decrease Cost Decrease Price Increase Market Share Stay in Bussiness Provide More Job Return on Investment

Regular Assessments of Hospital Accreditation in Indonesia   Regular Assessments of Hospital Accreditation in Indonesia Basic (27) Medium (43) Ultimate (60) Comprehensive (404) n % Orientation Type Profit 8 29,63% 17 39,53% 14 23,33% 94 23,27% Non-profit 19 70,37% 26 60,47% 46 76,67% 310 76,73% Ownership Public 12 44,44% 21 48,84% 25 41,67% 214 52,97% Private 15 55,56% 22 51,16% 35 58,33% 190 47,03% Grade A 1 2,33% 2 3,33% 45 11,14% B 7 25,93% 18,60% 28,33% 204 50,5% C 13 48,14% 58,14% 30 50% 141 34,90% D 5 11,63% 13,33% 3,46% Non-class 4 9,30% 3 5,01%

Regular Assessments of Comprehensive Achievement Chapter Regular Assessments of Comprehensive Achievement Total Fair (80-84,9) Good (85-89,9) Potential (90-94,9) International (>95) n % I : SKP 149 36,8 198 49 36 8,9 16 3,9 399 98,7 II : HPK 63 15,6 175 43,3 122 30,1 42 10,3 402 99,5 III: PPK 212 52,4 140 34,6 38 9,4 4 0,99 394 97,5 IV: PMKP 169 41,8 172 42,5 12,1 5 1,2 395 97,7 V: MDGs 160 39,6 148 36,6 59 14,6 33 8,1 400 99 VI : APK 166 41 53 13,1 24 5,9 403 99,7 VII : AP 141 34,9 167 41,3 69 17 22 5,4 VIII: PP 168 41,5 46 11,3 14 3,4 397 98,2 IX : PAB 81 20 186 90 22,2 44 10,8 401 99,2 X : MPO 150 37,1 154 38,1 71 17,5 4,9 XI: MKI 174 43 54 13,3 11 2,7 XII: KPS 187 46,2 130 32,1 62 5,3 XIII : PPI 192 47,5 138 34,1 56 13,8 9 2,2 XIV : TKP 131 32,9 84 20,7 21 5,1 396 98 XV : MFK 185 45,7 128 31,6 15,5

JCI AKREDITASI ISO System Approach

RISIKO?

Mengoptimalkan Pendekatan Pemecahan Masalah Menuju Rumah Sakit yang Berkualitas Mengatasi masalah dengan skala terbatas yang berupa plan of action yang secara langsung akan menguntungkan banyak orang

Twelve Paradigm Shifts to World-Class Quality Former Paradigm Control management Task-focused Command decisions Individual work Expert and labor Control through punishment and fear One right way Record-keeping Tall and rigid structure Unstated values and vision Tough on people Wealth-exploiting New Paradigm Commitment management Process-and customer-focused Consensus decisions Teamwork Experts all Control through positive reinforcement Continuous improvement Scorekeeping Flat and flexible structure Shared values and vision Tough on competition Wealth-creating Twelve Paradigm Shifts to World-Class Quality Miller and Howard, Miller Consulting Group, (1991)

Think to do… aktivitas yang menarik (interesting), menggembirakan (Exciting), memperoleh penghargaan (Rewarding) dan menyenangkan (fun). Think to do…

meningkatkan mutu layanan keselamatan pasien efiensi HUMAN A P R O C H GOAL: meningkatkan mutu layanan keselamatan pasien efiensi memberdayakan SDM yang tersedia PRINSIP: melalui ide baru sumber daya yang tersedia

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Customer Value Performances Durability Service ability Price Appearance Brand name Customer Value

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Pre-Appointment Reminder Your experience starts here Blood Test Pre-Appointment Reminder via SMS/Letter Appointment Day Chaperon Registration Height & Weight Waiting for Consultation Home Sweet Home Grab a bite! Meal Voucher Pharmacy Paging Service Consultation Preparing you for Hospital Admission Appointment & Payment Post Consult Services