PRELIMINARY DISCUSSION PULOMAS JAYA Jakarta, 11 November 2009 Ronnie Rivany ® Health & Hospital Economist

KARAKTERISTIK INDUSTRI KESEHATAN

KONSEP DASAR Ronnie Rivany ® Health & Hospital Economist

FEASIBILITY STUDY ANALYSIS OF EXTERNAL ASPECT DEMOGRAPHICS GEOGRAPHICS COMPETITOR…etc ANALYSIS OF HEALTH ASPECT EPIDEMIOLOGY MAN POWER FACILITIES. .etc No of beds, no of specialists Total amount in $, Budgeting Break Even Point ???? Feasible or not ??????

Grafik Perkembangan Cash Flow Alternatif Prediksi BEP dicapai pada tahun ke-10

JENIS LAYANAN

LAYANAN PENUNJANG

MASTER PLAN + BLOCK PLAN HEALTH SERVICES LOCATION IN PATIENT OUT PATIENT SUPPORTING PATIENT FLOW ZONING BIRD EYE VIEW MODEL ON SCALE 1:100

Master Plan RSUD BARI PALEMBANG A POLIKLINIK (3LT) B UGD C CAFÉ D RADIOLOGI, FARMASI, LAB, INSTALASI PENUNJANG DIAGNOSTIK, BANK DARAH E REKAM MEDIS F ADMINISTRASI G BEDAH SENTRAL H R KEBIDANAN DAN KANDUNGAN I HEMODIALISA, CSSD, REHAB MEDIK, ANESTESI, PATOLOGI ( 2LT) J ICCU K ICU L RWT INAP KELAS 1 (2 LT) M RWT INAP KLS 2 (2 LT) N RWT INAP KELAS 3 O RWT INAP VIP P RWT INAP VVIP Q DAPUR R LAUNDRY S WORK SHOP T GENSET U IPAL DAN INSENERATOR V JENAZAH W TPS X MESJID Y GSG Z KANTIN 1 PERPUSTAKAAN 2 KELAS ( 2 LT ) 3 RUMAH DOKTER 4 ASRAMA ( 3 LT ) Master Plan RSUD BARI PALEMBANG X C Y B A I E H D Z G K 1 F 2 J 3 L 2 N O 3 P 2 M O 4 T S R Q U 4 V W

DETAIL ENGINERING DESIGN DRAWING PLANNING PREPARATION SYSTEMATICAL PLANNING ON BUILDING CONSTRUCTION DESIGN DEVELOPMENT EXTERNAL INTERNAL MATERIAL SPECIFICATION PREPARATION ON BIDDING ADMINISTRATION

TAMPAK MUKA

INTERIOR LORONG

INTERIOR ADMISI & R.DOKTER

DENAH RAWAT INAP

AMDAL STUDY WATER & WASTE TREATMENT ANALYSIS ENVIRONMENT ANALYSIS HIDROGRAPHY & LITHOGRAPHY STRUCTURE ANALYSIS SOCIO-CULTURE ANALYSIS

BUILDING CONSTRUCTION FIRST PHASE COSTRUCTION OUT PATIENS POLYCLINIC EMERGENCY ONEDAY CARE/SURGERY FARMACYS BACK OFFICE/ADMINISTRATION LAN/PAPERLESS INFORMATION SYSTEM SECOND PHASE COSTRUCTION IN PATIENT SUPPORTING SERVICES MRI CAT-SCANN 3D-COLOR USG MAIN OPERATING THEATRE/SURGERY THIRD PHASE CONSTRUCTION SPORT/RECREATION FACILITIES HOSPITAL MALL FLOURISH SHOPS BOOKSTORE DRUGSTORE RESTO / CAFE SPA DUTY FREE SHOPS

TAMPAK existing (1)

TAMPAK existing (2)

MANAGEMENT CONSTRUCTION PROGRAM PROJECT DEVELOPMENT QUANTITY & QUALITY ASSURANCE BUILDING CONSTRUCTION EVALUATION EQUIPMENT INSTALATION EVALUATION PROGRAM / BUILDING CONSTRUCTION MONITORING PROGRESS REPORT

EQUIPMENT INSTALLATION MEDICAL NON MEDICAL TIME SCHEDULING / MONITORING EQUIPMENT SPECIFICATION ASSURANCE INSTALLATION & OPERATING EQUIPMENT

KAMAR OPERASI & Ro “MINOR”

KAMAR OPERASI “ MAYOR”

INTERIOR RAWAT INAP

HOSPITAL MANAGEMENT STRATEGIC MANAGEMENT JOB DESC ANALYSIS SISTEM OPERATING PROCEDURE MANPOWER RECRUITMENT MANPOWER TRAINING LOGISTIC MANAGEMENT HUMAN RESOURCES MANAGEMENT MANAGEMENT INFORMATION SYSTEM NURSING MANAGEMENT FINANCING MANAGEMENT PRICING CAPITATION SYSTEM PUBLIC-PRIVATE MIX

SOFT OPENING TRIAL AND ERROR MONITORING CONTROLLING EVALUATION CORRECTING

Costing Analysis Data Up-date 2006/7 Activities Pathway Unit cost assessment of each activities Total Cost Suggest best policy options according to the result

DRAFT RINCIAN ANGGARAN KEBUTUHAN (pola min/max) TAHAPAN KEGIATAN Unit cost BIAYA TOTAL BIAYA Up-date FS, MP, AMDAL Paket Rp Up-date Detail Engineering Design + Interior Design Up-date Konstruksi / finishing 60 % x … m2 @ Mekanikal+Elektrikal 20% x 21… m2 @ Current assets Tanah + Bangunan Manajemen Konstruksi Inst.alat medis & non Tim Konsultan Hospital Management 28 bln @ Soft opening. 12 bln @ Operasional RS / Modal kerja 5 thn 5 x 12 bln @ T O T A L Rp ( + dlll)

TAHAPAN BIAYA & WAKTU (pola min/max) TAHAPAN KEGIATAN 3 BLN 4 BLN 12 BLN 60 BLN Up-date FS, MP, AMDAL X Up-date Detail Engineering Design + Interior Design Up-date Konstruksi / finishing Mekanikal+Elektrikal Current assets Tanah + Bangunan Manajemen Konstruksi Inst.alat medis & non Tim Konsultan Hospital Management Soft opening. Operasional RS / Modal kerja 5 thn T O T A L

Rumah Sakit INDERA Prov.Bali Business PL@n November,2006 The Output Rumah Sakit INDERA Prov.Bali

Feasibility Study finished in August , 2006 Attainable or ….. Not

Anatomy of A Business Plan ( Pinson. Et al, 2001) Business Plan Considerations The Cover Sheet Statement of Purposes The Organizational Plan The Marketing Plan Financial Documents Supporting Documents

THINGS TO DO TIM MANAJEMEN PROYEK INVESTOR EXPERTISE / TIM KONSULTAN SARANA - PRASARANA LOI - NEGOSIASI - MOU AKTE NOTARIS POA Action

Manajemen Proyek RS INVESTOR ??????? PEMILIK KONSULTAN