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"Visi Indonesia sehat 2010 mengharapkan masyarakat Indonesia dimasa depan melalui pembangunan kesehatan adalah penduduknya hidup dalam lingkungan dan perilaku yang sehat, memiliki kemampuan untuk menjangkau pelayanan kesehatan yang bermutu secara adil dan merata serta memiliki derajat kesehatan yang setinggi-tingginya.Dengan adanya UU Nomor 22 tahun 1999 tentang Pemerintahan Daerah dan UU Nomor 25 tahun 1999 tentang Dana Perimbangan antara Pemerintah Pusat dan Pemerintahan Daerah, diharapkan Pemerintah Daerah Kabupaten lebih aktif melaksanakan pembangunan di bidang kesehatan mulai dari perencanaan, pelaksanaan maupun pengawasan.Puskesmas sebagai ujung tombak pelayanan kesehatan kepada masyarakat lebih meningkatkan perannya sebagai pusat pembangunan kesehatan, pusat pembinaan peran serta masyarakat serta pusat pelayanan kesehatan tingkat pertama dengan cara meningkatkan sistim manajemen sumberdaya, khususnya manajemen peralatan Puskesmas.Penelitian ini bertujuan untuk mendapatkan secara rinci proses manajemen peralatan di Puskesmas Inderalaya, Puskesmas Tanjung Raja dan Puskesmas Tanjung Lubuk Kabupaten Ogan Komering Ilir. Dalam mendeskripsikan proses manajemen peralatan Puskesmas yang digunakan dalam penelitian ini adalah pendekatan evaluasi dimensi kesesuaian (appropriateness) dan dimensi kecukupan (adequateness).Penelitian ini dirancang dengan pendekatan kualitatif dilakukan pada bulan April sampai Mei 2002 dengan subjek penelitian adalah Pimpinan Puskesmas, Bendaharawan barang dan koordinator program, masing-masing 1 (satu) orang untuk tiap Puskesmas.Dari hasil penelitian dapat disimpulkan bahwa kesesuaian dan kecukupan faktor dalam kajian manajemen peralatan di 3 (tiga) Puskesmas telah sesuai dan cukup. Sedangkan faktor pemanfaatan dan pemeliharaan hanya Puskesmas Inderalaya yang sesuai dan cukup.Demikian juga Pimpinan Puskesmas diharapkan membina stafnya terus menerus, meningkatkan keterampilan petugas pengelola peralatan Puskesmas dengan cara mengirim petugas tersebut untuk mengikuti pelatihan baik di kabupaten maupun propinsi, sehingga nantinya diharapkan manajemen peralatan Puskesmas sebagai bagian dari sistim manajemen sumberdaya Puskesmas tujuannya akan betul-betul tercapai.

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Evaluation of Equipment Management System in Community Health Center of Indralaya, Tanjung Raja and Tanjung Lubuk, at the District of Ogan Komering Ilir Year 2001The vision of "Healthy Indonesia Year 2010" expects that the health development of the future Indonesia will construct healthy community and nation which are indicated by people living in healthy environment, applying healthy behavior, and able to access to health services equitably.

The Law No. 22, 1999 about Local Government and the Law No. 25, 1999 about the Fiscal Balance of Central and Local Government outlined that Local Government at the district level to be more active on undertaking health development including planning, implementing, and controlling.

Community Health Center (PUSKESMAS) as the main community health services should play more important role as the center of health development, the community participation and center of primary health services by improving its management system of resources especially the management of PUSKESMAS equipment.

This research aims to get the detail information about management system of equipment in PUSKESMAS of Indralaya, Tanjung Raja, and Tanjung Lubuk at the District of Ogan Komering Ilir. To describe the process of PUSKESMAS equipment management, this research used the appropriateness and adequateness dimension evaluation approaches.

This research was designed with qualitative approach that conducted during April and May 2002. Subject of this research were the head of PUSKESMAS, commodities treasurer, and program coordinator, and respectively one person in each PUSKESMAS.

The result of the research concluded that the appropriateness and adequateness of input factors of equipment management in the three PUSKESMAS has been appropriate and adequate, while the process factor, especially the utilization and maintenance, only PUSKESMAS of Indralaya which is appropriate and adequate.

It is gratefully hoped that the head of PUSKESMAS could guide his staff continuously and increase the skills of the worker who uses and maintains the PUSKESMAS equipment by sending him to get such training either in district or provincial level. Thus, the purpose of PUSKESMAS equipment management as the part of resources management system of PUSKESMAS will be reached."

"This Briefs Series book illustrates in depth a concept of healthcare management engineering and its domain for hospital and clinic operations. Predictive and analytic decision-making power of management engineering methodology is systematically compared to traditional management reasoning by applying both side by side to analyze 26 concrete operational management problems adapted from hospital and clinic practice. The problem types include, clinic, bed and operating rooms capacity, patient flow, staffing and scheduling, resource allocation and optimization, forecasting of patient volumes and seasonal variability, business intelligence and data mining, and game theory application for allocating cost savings between cooperating providers."

"Penerapan Standar Manajemen Mutu ISO 9001:2008 sudah dilaksanakan di BRSU Tabanan sejak tahun 2009 sebagai upaya untuk meningkatkan mutu pelayanan namun masih ada saja keluhan terhadap pelayanan di Badan Rumah Sakit Umum Tabanan. Sampai saat ini belum pernah dilakukan analisis kinerja pelayanan di IGD pada penerapan Standar Manajemen Mutu ISO 9001:2008 BRSU Tabanan. Penelitian ini dilakukan bertujuan untuk mengetahui dan menganalisis kinerja pelayanan di IGD pada penerapan SMM ISO 9001:2008 di IGD BRSU Tabanan. Dilakukan bulan Agustus-Oktober 2013, dengan metode penelitian kualitatif yang dilengkapi dengan data kuantitatif yang merupakan data sekunder berupa sasaran mutu di IGD sebagai indikator kinerja. Responden untuk kepuasan pelayanan di IGD adalah pasien atau keluarganya yang datang bulan Agustus-Oktober 2013 yang bersedia mengisi kuesioner,sebanyak 150 orang. Staf IGD dan staf di bidang pelayanan yang bekerja minimal 3 tahun sebagai responden penerapan SMM ISO 9001:2008 di IGD berjumlah 71 orang. Wawancara mendalam kepada Direksi sebanyak 3 orang sebagai informan dalam informasi pencapaian kinerja di IGD dan penerapan SMM ISO 9001:2008. Analisis data dengan content analysis. Hasil penelitian menunjukkan kinerja pelayanan di IGD sudah baik pada 9 sasaran mutu dari 12 sasaran mutu yang ada di IGD. Sasaran mutu yang belum baik adalah keluhan pelanggan, ketidakpuasan pelanggan terhadap pelayanan dokter dan angka kematian pasien di IGD ≤24 jam. Diperlukan peningkatan anggaran yang bertujuan untuk peningkatan kualitas SDM di IGD seiring dengan peningkatan pendapatan rumah sakit, melengkapi sarana untuk ruang intensif serta sosialisasi kembali penerapan SMM ISO 9001:2008

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Implementation of ISO 9001:2008 Quality Management Standards have been implemented in BRSU Tabanan since 2009 in an effort to improve the quality of care, but there are still complaints against the ministry in BRSU Tabanan. Until now, this has never been done in the Emergency Room service performance analysis on the application of ISO 9001:2008 Quality Management Standard BRSU Tabanan.

This study was conducted aimed to determine and analyze the performance of services in the emergency department on the application of ISO 9001:2008 QMS in Emergency Room BRSU Tabanan. Do months from August to October, 2013, with a qualitative research method that comes with the quantitative data is secondary data quality objectives in the Emergency Room as indicator performance. Respondents service satisfaction in the emergency department for patients or their families were coming month of August to October 2013, which are willing to fill out a questionnaire, as many as 150 people. Emergency Room staff and staff working in the field of service of at least 3 years as respondents in the application of ISO 9001:2008 QMS Emergency Room are 71. In-depth interviews to the Board of Directors as an informant were 3 people in the achievement of performance information in the Emergency Room and the application of ISO 9001:2008 QMS. Data were analyzed using content analysis.

The results show the performance of services in the Emergency Room already well on target mutul 9 of 12 quality objectives in the Emergency Room. Quality objectives is not good customer complaints , customer dissatisfaction with the services of doctors and patient mortality in Emergency Room ≤ 24 hours. Required an increase in the budget aimed at improving the quality of human resources in the emergency department with increasing hospital revenue, completing facilities for intensive care and resocialization of the application of ISO 9001:2008 QMS."

"ABSTRAKPenelitian ini bertujuan untuk mengetahui gambaran proses manajemen klaim persalinan Rumah Sakit ?X? dan Rumah Sakit ?Y? oleh Badan Penyelenggara Jaminan Sosial Kesehatan Kantor Cabang Utama Bogor Tahun 2015 dengan melihat alur proses manajemen klaim dan jumlah klaim persalinan yang masuk pada bulan Januari-Maret 2015. Penelitian ini menggunakan metode penelitian deskriptif kualitatif. Didapatkan rate sebesar 65% untuk persalinan sectio caesaria yang jauh dari standar persalinan sectio caesaria di negara-negara yang ditetapkan WHO, yaitu 5-15%. Selain itu kasus persalinan normal dengan severity level I juga masih ditemukan sebagai kasus rujukan. Kondisi tersebut dapat mengindikasikan kemungkinan fasilitas kesehatan tingkat I yang belum menjalankan fungsinya sebagai gatekeeper secara optimal.

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ABSTRACTThis study aims to learn the process of child delivery claim management at ?X? Hospital and ?Y? Hospital by The Social Health Security Agency Main Branch Office Bogor 2015, by looking at the process line of claim management and the number of the child delivery claims from January until March 2015. This study is conducted with qualitative-quantitative method. This study finds that the rate number of sectio caesaria is 65%, which is higher than the standard rate given by WHO, namely 5-15%. The cases of vaginal delivery in severity level I also are still be found as referential cases. These conditions indicate that the primary health care institutions haven?t done their good services as gatekeeper."