Perencanaan dan Keuangan

Presentasi berjudul: "Perencanaan dan Keuangan"— Transcript presentasi:

1 Perencanaan dan Keuangan
PENYUSUNAN PROGRAM PENANGGULANGAN BENCANA di RUMAH SAKIT (PPBRS) (HOSPITAL DISASTER PLAN / HDP) Perencanaan dan Keuangan

2 MODUL PERENCANAAN DAN KEUANGAN
Introduksi Kebijakan (Policy ) Template struktur organisasi Protap Job Action Sheet (Kartu Kendali Kerja ) Borang Kendali Kerja (Forms) Fasilitas Peralatan Istilah ( yang akan dibakukan )

3 introduksi Rumah Sakit perlu perencanaan khusus
Chaos tidak dapat dicegah selama menit pertama dari sebuah bencana . Tapi harus menjadi tujuan utama dari setiap rencana operasional dalam bencana untuk membuat keadaan ini sesingkat mungkin. Namun, karena begitu banyaknya jumlah pasien sehingga mungkin ada tekanan dalam penanganan pasien pada keadaan bencana , dan dengan demikian menurunkan kualitas perawatan medis pada pasien yang bertahan hidup. rumah sakit, terlepas dari ukurannya, membutuhkan praktis dan latihan dengan baik dalam rencana penanggulangan bencana. Dalam keadaan bencana , maka ceklist sangat dibutuhkan Tetapi dalam semua keadaan – terutama dalam kasus bencana – perencanaan di rumah sakit harus diperhatikan.

4 ICS Planning Section Mengembangkan kebutuhan sumber daya, menilai situasi q41 Mengumpulkan dan menganalisa data Surveillance, data collection Menyiapkan informasi situasi Geographic Information System (GIS), mapping, Memperkirakan kemungkinan yang akan datang Modeling Mempersiapkan strategi alternatif What’s next? The Planning Section is responsible for the collection, evaluation, and display of incident information, maintaining status of resources, and preparing the Incident Action Plan and incident-related documentation. But for those of us who don’t mind the theoretical and the mind gymnastics, planning is a good section to be in. They’re always trying to say, “This is all going well, but can that change and can it change quickly? What is going to be something that is going to prevent us from our objectives? What might we need to be doing in the next 24 hour period?” So they determine our resource need and gather and analyze data. They also provide situational information such as GIS mapping, because everyone has to see things on a map. Planning estimates probabilities and does some modeling. For instance, if we know of a disease outbreak and know it’s infecting ten people today, they can estimate how many people it might be infecting tomorrow or the day after. They must also prepare alternative strategies. Many people think that Command will make a decision that’s going to be carved in granite and will not be able to be changed. That’s not what Incident Command’s all about. Let’s go back to the fire example. If I’m Incident Commander of Fire and I say, “We’re going to put out that fire and we’re going to do it this way!” What happens if the wind changes or there’s some kind of combustible material in the building that I don’t know about which causes an explosion? I, as Incident Commander of Fire, am going change my mind and say, “Everybody pull back. Let’s make sure that everything is safe again, and then maybe we can come at it a different way or call in more resources.” So Incident Command isn’t supposed to be very static. It actually has to be very flexible. The idea is that when you change things, you change them uniformly. If you make an Incident Action Plan and an hour later you want to change it, that’s okay as long as you inform everyone. That way, everyone has the new strategy and objectives. It’s important to keep that uniformity of keeping everyone involved with the chain of information. © Denver Center for Public Health Preparedness

5 ICS Finance/Administration Section
Menyiapkan manajemen keuangan dan akuntabilitas(pertanggunganjawaban) q7 Pengesahan pengeluaran uthorizes expenditures Pencatatan reimburs Dokumentasi/pencatatan pasien luka ringan, berat, meninggal Negosiasi kontrak dengan vendor Pelacakan biaya dan persetujuan dengan agensi lain The Finance/Administration Section is responsible for keeping track of incident-related costs, personnel and equipment records, and administering procurement contracts associated with the incident or event. The Finance and Administration Section provides financial management and accountability. They have to authorize expenditures, maintain reimbursement records, and maintain injury, death, and damage documentation. This section also has to negotiate contracts with vendors. You might need to acquire something on the fly and there’s going to be somebody waking up someone else in the middle of the night and going to the warehouse saying, “I need that stuff in there!” It’s possible that we may have the ability to just commandeer it, but that’s not always true, so oftentimes we have to negotiate and do some business. The Finance and Administration Section also must track the cots associated with mutual aid agreements with other agencies. Mutual aid is sometimes a little foreign to public health, but a lot of other agencies use it in these situations. If there was a huge fire in Denver and the Fire Department is now committed multiple engines to go out there and put out the fire, do little fires continue to happen? Of course! Society doesn’t stop. So, for example, if this was taking up resources from the east side of the city, generally Denver would call up Aurora and say, “Can you do us a favor? Can you backfill all of our calls? We’ve got a major fire on the west side and all our east side resources are being pulled over. Can you come cover the east side of Denver?” And Aurora would do it, as would Lakewood on the other side. Those agencies have established those relationships. I know Colorado had that going when all of the organized health departments signed a mutual aid agreement for the same reasons. If your health department is being overwhelmed by some incident--perhaps a meningitis outbreak--it takes all your resources. Does that mean that your STD clients are not going to be managed? Does that mean you’re not going to do your WIC program or answer your telephone? No, you’re going to have to do that too, so you might need help in getting that done. So TriCounty, Jefferson County, El Paso, or other agencies around could help you. We’re looking at this from the perspective of a large incident in a large department; however, in incident or department, you’re going to do all of these functions. Even though we say this is stuff you al l know, it’s very helpful to do some planning ahead of time. You’ve got to be the logistics person and say, “How are we going to do this? Where are we going to get the stuff? When are we going to do it? Who’s going to keep track of the cost?” This isn’t new, but when we come to a large incident and multiple jurisdictions, it becomes more deliberate and more conscious of a process. If I were in a department with nine people, we would have to get together and say, “Here are the things that need to be done in our department in an emergency. Now there’s only nine of us; how are we going to parcel ourselves up? Who’s the best person in an emergency situation to be the logistics person? ” In many places where I have worked, I would honestly make this the secretary. Ordinarily, she knew how to get in touch with everybody. So I think you have to be creative at some point, but it will still work in a department with just nine people. © Denver Center for Public Health Preparedness

6 Perencanaan dan Keuangan
Kebijakan/Policy Pra Bencana Saat Bencana Paska Bencana Perencanaan dan Keuangan Pembentukan struktur organisasi khusus Bencana, Pencatatan data dan Pengoperasian dana Keuangan : - Merencanakan anggaran penyiagaan penanganan bencana Melakukan administrasi keuangan pada saat terjadi bencana Melakukan pengadaan barang Menyelesaikan kompensaasi bagi petugas dan klaim Perencanaan : Bertanggung jawab terhadap ketersediaan SDM Pelacakan pasien dan Informasi pasien Tiap-tiap seksi baik perencanaan dan keuangan penting membuat struktur organisasi khusus digunakan hanya pada waktu bencana. Tiap kotak pada struktur ini dapat bergantian orangnya, dan sesewaktu dapat dibubarkan. Semua data yang ada pada RS yang berhubungan dengan keperluan bencana, maka bagian perencanaan yang mencatat. Bekerja sama dengan bidang logistik dan operasional. Keuangan mempersiapkan data-data kebutuhan pemasukan dan pengeluaran SEMUA ITEM yang SUDAH DIRENCANAKAN PADA PROGRAM PENANGGULANGAN BENCANA RS (PPBRS), TERSEDIA DALAM WAKTU DAN JUMLAH YANG MENCUKUPI.

7 BIDANG PERENCANAAN dan KEUANGAN MEMPUNYAI TANGGUNG JAWAB
ATAS KETERSEDIAAN KEPERLUAN-KEBUTUHAN PENUNJANG OPERASIONAL SEPERTI : - FASILITAS - JUMLAH SDM - JUMLAH TEMPAT TIDUR - JUMLAH KEBUTUHAN - JUMLAH DANA - PENCATATAN DAN DOKUMENTASI BIDANG PERENCANAAN DAN KEUANGAN MEMPUNYAI TUGAS :  MENGUMPULKAN SEMUA KEBUTUHAN DARI BIDANG LAIN  MELAKUKAN BRIEFING DENGAN STAF BAGIAN PERENCANAAN DAN KEUANGAN, SEKSI DAN UNIT YANG DIKOORDINASI  MENGAJUKAN PERMINTAAN TAMBAHAN LOGISTIK SESUAI KEBUTUHAN OPERASIONAL PPBRS  MEMASTIKAN DAN MENGAWASI LANGSUNG PELAKSANAAN OPERASIONAL  MELAKUKAN DAN MENGAWASI LANGSUNG SEMUA SUMBERDAYA PADA PERIODE DEMOBILISASI

8 Komite Gawat Darurat & Bencana (GDB) dalam Organisasi RS:
3. ORGANISASI & TATA LAKSANA KERJA Komite Medik Direksi Bidang Seksi GD-Bencana Komite Penanggung Jawab Program Gadar-Bencana Gawat-Darurat Program AGD-118 Program Bencana Program Penanggulangan Bencana-RS Tim PB - RS Komandan Tim Bantuan Medis Komite Gawat Darurat & Bencana (GDB) dalam Organisasi RS:

9 TIM KOORDINASI (Coordinating Team)
ORGANISASI & TATA LAKSANA KERJA (2) TIM KOORDINASI (Coordinating Team) Komandan Penanggulangan Bencana RS Sekertariat Keselamatan & Keamanan Perwakilan Lembaga - Instansi Hubungan Masyarakat Bidang Operasi Perencanaan Log. & Fas-Al Admin/Keu Staf Komando Staf Umum

10 Functional Responsibilities
ICS Functional Responsibilities COMMAND : Tanggung jawab keseluruhan (overall responsibility) OPERATION : Melaksanakan rencana (carry out the plan) LOGISTICS : Pendukung Kebutuhan (Provide Support ) PLANNING : Memikirkan, apa yang sedang terjadi, kebutuhan perjam/perhari yang akan datang FINANCE / ADMINISTRATION : Pelacakan dana dan pembiayaan Just a quick review: Command: that’s where the buck stops, and that’s the one who gets blamed. That’s good, unless of course you’re the one who’s in command and it all falls into your lap! Operations are in charge of direct tactical actions. They’re the doers. Planning: prepare action plan and maintain resource and situation status. Logistics provide support. Finance and Administration are responsible for cost accounting and procurement, among other things. © Denver Center for Public Health Preparedness

11 Unit Pelacakan Personil Unit Pelacakan Pasien
Bidang Perencanaan Seksi Sumber Daya Seksi Situasi Seksi Dokumentasi Seksi Demobilisasi Unit Pelacakan Personil Unit Pelacakan Pasien • Resources Unit: Conducts all check-in activities and maintains the status of all incident resources. The Resources Unit plays a significant role in preparing the written Incident Action Plan. • Situation Unit: Collects and analyzes information on the current situation, prepares situation displays and situation summaries, and develops maps and projections. • Documentation Unit: Provides duplication services, including the written Incident Action Plan. Maintains and archives all incident-related documentation. • Demobilization Unit: Assists in ensuring that resources are released from the incident in an orderly, safe, and cost-effective manner. Unit Pelacakan Material Unit Pelacakan Tempat Tidur

12 Seksi Pencatatan Waktu
Bidang Keuangan Seksi Pembiayaan Seksi Pencatatan Waktu Seksi Pengadaan Seksi Klaim • Procurement Unit: Responsible for administering all financial matters pertaining to vendor contracts, leases, and fiscal agreements. • Time Unit: Responsible for incident personnel time recording. • Cost Unit: Collects all cost data, performs cost effectiveness analyses, provides cost estimates, and makes cost savings recommendations. • Compensation/Claims Unit Responsible for the overall management and direction of all administrative matters pertaining to compensation for injury and claims related activities kept for the incident.

13 Perencanaan dan Keuangan
DIREKTUR - RS, KOMITE - PBRS PENGGUNAAN (USE) KOMANDAN PPBRS -APA YANG DIGUNAKAN -BERAPA BANYAK DIGUNAKAN -KAPAN DIGUNAKAN/DILAKSANAKAN -KEPADA SIAPA DIGUNAKAN/PENERIMA OLM/LNM -SIAPA YANG MENGGUNAKAN PENCATATAN dan LAPORAN Perencanaan dan Keuangan

14 PERSONAL PETUGAS PELAKSANA / INDIVIDU TATA CARA PENGOPERSIAN PERALATAN
4. PRO-TAP PROSEDUR, LANGKAH, TINDAKAN dan KEWAJIBAN YANG HARUS DIKERJAKAN OLEH PETUGAS PELAKSANA (SINGLE RESOURCES) PROSEDUR, LANGKAH dan KEWAJIBAN YANG HARUS DIIKUTI OLEH OPERATOR PADA SAAT PENGOPERASIAN PERALATAN PERSONAL PETUGAS PELAKSANA / INDIVIDU TATA CARA PENGOPERSIAN PERALATAN

15 5. KARTU KENDALI KEGIATAN /K3 ( JOB ACTION SHEETS/JAS )
SATU KARTU UTK TIAP POSISI PADA KOTAK PETA ORGANISASI OBJECTIVE / TUJUAN TERFOKUS BERISI PERNYATAAN MISI YG JELAS PRIORITAS KEGIATAN (pada PERIODE BENACANA : SEGERA /RESPONSE -INTERMEDIATE & PERPANJANGAN - DEMOBILISASI) DAPAT DIKEMBANGKAN SESUAI KEBUTUHAN OPERASIONAL misal : Unit Pengendalian Infeksi PBRS PELAKSANAAN MEMERLUKAN TOOLS  BORANG/FORMS.

16 Contoh : KARTU KENDALI KEGIATAN (K3) /JOB ACTION SHEET (JAS)
Untuk : KEPALA BIDANG PERENCANAAN NAMA : …………………………………………………………………… Misi : Melihat secara keseluruhan kejadian, mengumpulkan seluruh data dan menganalisis kejadian yang berhubungan dengan operasional dan menentukan sumber daya, mengembangkan alternatif lain ( taktik operasional), menetapkan pertemuan perencanaan, dan mempersiapkan Incident Action Plan(IAP) utk tiap-tiap periode operasional Tanggal : ………… Mulai : ………… Berakhir : ………… Posisi untuk : …………………………. Laporan ke : KOMANDAN BENCANA RS Tanda tangan : …………………………… Lokasi : Pusat Komando RS di ………………………… Tilpon / HP: ……………………………… Fax. : ……………………. Cara menghubungi lain : …………………….. Call sign radio:……. (bersambung)

17 Contoh : KARTU KENDALI KEGIATAN (K3) /JOB ACTION SHEET (JAS)
Untuk : KEPALA BIDANG KEUANGAN NAMA : …………………………………………………………………… Misi : Memonitor pemanfaatan dari pemasukan keuangan dan Laporan pembelanjaan Supervisi dokumen pembelanjaan dan biaya aktifitas reimburs Tanggal : ………… Mulai : ………… Berakhir : ………… Posisi untuk : …………………………. Laporan ke : KOMANDAN BENCANA RS Tanda tangan : …………………………… Lokasi : Pusat Komando RS di ………………………… Tilpon / HP: ……………………………… Fax. : ……………………. Cara menghubungi lain : …………………….. Call sign radio:……. (bersambung)

18 (+ ) (-) Diskripsi Pelaksana Tugas Unit Suplai OLM JAM KEGIATAN
DILAKSANAKAN PETUGAS KETERANGAN (+ ) (-) Pencatatan data-data pasien : a. Nama b. Alamat c. Tempat/ Tgl Lahir d...... Data-data penyakit : Tempat perawatan :