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In order to develop Asthma Policlinic of Persahabatan Hospital, it was necessary to make situational analysis of internal and external environment for the year 2006 through 3 stages conducted in the research which were : 1.Input Stage by identifying Internal Factors of Evaluation (IFE) and External Factors of Evaluation (EFE). 2.Matching Stage with both Internal-External Matrix and Matrix TOWS. 3.Decision Stage with QSPM. Stages above were obtained from collected data through secondary data observation, internal and external factor identification resulted from in depth interview with Chief of Pulmonology Department and Asthma, Top management, and Staff of Astma Policlinic of Persahabatan Hospital and then followed by conducting CDMG. First CDMG conclusion for second CDMG material has resulted many programs applicated in a short term (a year). From the research we may conclude that position of Asthma Policlinic of Persahabatan Hospital via TOWS Matrix was at Internal Fix It Quadrant and via IE Matrix was at Hold and Maintain Quadrant. Result of matching both matrix was Product Development. Bussiness strategy to achieve vision and mision of Persahabatan Hospital and Pulmonology Department was to increase existing product, service quality, profesionalism, and marketing with joint venture.
The thesis aimed to know the market of Islamic Hospital Bogor by segmenting, targeting and positioning the patients. The thesis is a descriptive analytical research which based on qualitative and quantitative data with cross-sectional approach. The research find that the patient profile, as a market segment of the Islamic Hospital Bogor are different between inpatients and outpatients . The target market of the hospital is middle upper class, who leave around the hospital. Currently, there are 21 real estate as a potential market for hospital. However, compare to other hospitals in Bogor the market of the hospital still low. Based on products, the equipments of the hospital are as complete as others. However, the tariff of the hospitals is still fair. The Islamic Hospital Bogor is located in very strategic area, even though the location is not in the near a main road, the access to the hospital is very a convenient. In conclusion, the Islamic Hospital Bogor segment is middle lower class society, therefore in the long term, the segment will move to middle upper class and the market of the hospital is still lower than others, as competitors. The composition of the Islamic Hospital Bogor is inefficient and incomplete compare to other competitors. Key Word : Mix Marketing
Dalam menghadapi berbagai perubahan dan tantangan strategis yang mendasar baik internal maupun eksternal, maka pembangunan Nasional khususnya pembangunan Kesehatan harus dapat menjawab tantangan tersebut yang di jabarkan melalui visi Indonesia Sehat 2010. Lebih spesifik lagi dalam bidang pelayanan kesehatan visinya adalah Pelayanan Medik Prima 2010, dengan misi yang khusus mengenai perumah sakitan adalah di antaranya ” Mempersiapkan Sistim Rumah Sakit dan Sarana Kesehatan dalam Menghadapi Perubahan akibat Globalisasi dan Desentralisasi”. Untuk turut mendukung tercapainya Misi tersebut Rumah Sakit di jajaran kesehatan Angkatan Darat melakukan pelayanan terhadap masyarakat umum dengan berpedoman kepada etika perumahsakitan yang ada. Rumah Sakit Salak Bogor yang merupakan bagian dari Rumah Sakit di jajaran Angkatan Darat perlu menyusun perencanaan strategi untuk menselaraskan dengan Misi pemerintah tentang pelayanan Kesehatan.
Tujuan
Untuk keperluan penyusunan perencanaan strategi Rumah Sakit Salak Bogor periode 2006 – 2010 dilakukan penelitian dengan tujuan untuk menganalisis faktor – faktor yang berpengaruh baik eksternal maupun internal.
Metode
Penelitian yang dilakukan menggunakan metode penelitian operasional dengan deskriptif analitik melalui pendekatan kualitatif.
Hasil
Lingkungan eksternal, peluang : Politik, Ekonomi, Sosial, Demografi, Geografi, Pemasok dan Pelanggan, untuk Ancaman : Teknologi dan Pesaing. Lingkungan internal, kekuatan : Visi & Misi, SDM, Produk layanan, Pemasaran dan Keuangan, untuk kelemahan : Fasilitas Fisik, Organisasi dan Sisitim Informasi. Pada formulasi strategi tahap input dengan matriks EFE dan IFE, tahap penentuan posisi dengan matriks IE Hold and Maintain dan matriks SPACE Competitive, selanjutnya dilakukan matching dengan pilihan strategi Product Development dan Market Penetration, pada tahap keputusan dengan QSPM nilai TAS tertinggi pada Product Development pilihan produk layanan Tim Ambulan Cepat.
Kesimpulan
Strategi terpilih yang direkomendasikan adalah Product Development dengan produk layanan Tim Ambulan Cepat.
Kata kunci : Rencana strategi, product development, Tim Ambulan Cepat
Background
In the face of various elementary strategic challenges and as well as internal external changes, National development especially health development should be able to answer the challenges which is formulated by Indonesia Sehat 2010 vision. More specifically the vision of health service is Pelayanan Medik Prima 2010, with one of the special missions regarding hospital services “ Drawing up Hospital systems and Health Media in the face of changes due to Globalization and Decentralization. In order to participate in achieving the mission, Salak Hospital Bogor as an integral part of the Indonesian Army Health services, carries out health services to the public based on conducts the existing ethics. As a consequence Salak Hospital Bogor has to set up a strategic planning.
Objective
A research on the internal and external influencing factors was done to formulate the Salak Hospital Bogor Strategic Planning for 2006 – 2010.
Methods
The research method taken is an operational research with descriptive analysis by qualitative approach.
Results
The external factors are, opportunity : politic, economics, social, demography, geography, customer and supplier. Threat : technological and competitor. The internal factors comprise of Strength : mission and vision, human resources, service product, finance and marketing. Weaknesses : physical facility, organizational and information systems. The input stage of the strategic formulation uses EFE and IFE matrix, the determining stage of position Hold and Maintain with IE matrix, Competitive with SPACE matrix, further stage conducted by matching with strategy choice product development and market penetration, the decision stage uses QSPM with highest TAS value at product development is Rapid Team Ambulance.
Conclusions
The strategic recommended is product development with Rapid Team Ambulance. By implementing the selected strategy into the annual work plan, Salak Hospital Bogor will be able to improve his performance gradually and continuously.
Keywods : Strategic plan, product development, Rapid Team Ambulance
Pelayanan keperawatan profesional merupakan bagian integral dari pelayanan kesehatan yang didasarkan pada ilmu dan kiat keperawatan. Dalam memberikan pelayanan profesional, perawat dituntut untuk memiliki akuntabilitas sesuai dengan kewenangannya. Untuk mencapai pelayanan keperawatan yang berkualitas, diperlukan kontribusi optimal terhadap pelayanan kesehatan sehingga perlu dilakukan upaya penilaian secara berkesinambungan dan konsisten terhadap pelaksanaan seluruh fungsi manajemen keperawatan. Penilaian dilakukan dengan cara membandingkan pelaksanaan fungsi manajemen secara faktual dengan yang diharapkan.Penelitian ini bertujuan untuk mengevaluasi kompetensi tenaga keperawatan di Rumah sakit Islam Bogor (RSIB) yang memiliki visi mengunggulkan pelayanan keperawatan yang profesional.Penelitian ini merupakan penelitian cross sectional dengan menggunakan instrumen tes untuk mengukur kompetensi intelektual, pedoman observasi standar asuhan keperawatan dari Departemen Kesehatan untuk mengukur kompetensi teknikal dan pedoman observasi untuk mengukur kompetensi komunikasi interpersonal.Hasil penelitian menunjukkan bahwa secara umum tingkat kompetensi tenaga keperawatan di RSIB masih di bawah standar terutama untuk kompetensi intelektual dan teknikal. Kompetensi komunikasi interpersonal tenaga perawat pada umumnya telah memadai. Namun demikian masih terdapat salah satu aspek yang tidak pernah/jarang dilakukan.Untuk meningkatkan kualitas pelayanan keperawatan maka perlu dilakukan upaya perbaikan kualitas (quality improvement) melalui peningkatan pengetahuan terhadap aspek-aspek yang dinilai masih kurang (rendah), pelatihan dan pengawasan yang berkesinambungan dan konsisten.
Evaluation of Nursing Personnel Competencies in Islam Hospital, BogorProfessional nursing competence is an integral part of health service that based on nursing science. In providing professional service, a nurse should have accountability relate with its authority. To achieve high quality nursing care, it requires continuous assessment, so that the nursing care management functions. The assessment taken by comparing with whole function of management run well in accordance with expected standards.The main aim of this research is to evaluate nursing competence in Rumah Sakit Islam Bogor (RSIB) which gives qualified professional nursing services that state in its vision. This is cross sectional research by using test instrument to measure intellectual competence, nursing observation guidelines standard from Health Department to measure technical competence, and observation guidelines to measure interpersonal communication competence.The result of this research shows that general grade of nursing competence in Rumah Sakit Islam Bogor is still stay less than the standard especially for intellectual and technical competence but they have strong capability in interpersonal communication competence. However there is still an aspect that has never been done.Improving nursing service quality requires taking some corrective action of quality improvement throughout increasing knowledge to the less aspects in assessment, training program, consistently and continual supervision.
Rumah sakit M. Ridwan Meuraksa merupakan RS Tingkat II Kesdam Jaya yang dalam perkembangannya sering mengalami pergantian pimpinan (rata-rata setiap 18 bulan dalam sembilan tahun terakhir). Masing-masing pimpinan mempunyai kebijakan sendiri-sendiri dalam mengelola rumah sakit, yang dibuat tanpa suatu rencana yang matang. Hal ini disebabkan karena belum adanya suatu rencana strategis sebagai dasar pengembangan rumah sakit ini di masa yang akan datang. Kondisi inilah yang melatar belakangi dilakukannya penelitian ini, dengan harapan dapat disusunnya suatu perencanaan strategis melalui analisis situasi yang ada di RS M. Ridwan Meuraksa saat ini.Tujuan dari penelitian ini adalah menyusun suatu perencanaan strategis RS M. Ridwan Meuraksa tahun 2002 - 2007 yang benar-benar representatif dengan melibatkan pimpinan rumah sakit, para dokter serta karyawan lainnya yang menjadi anggota tim perencanaan strategis. Penelitian ini dilakukan dengan metode Operational Research dengan telaah dan analisis data serta pengamatan langsung terhadap kondisi dan situasi RS M. Ridwan Meuraksa. Penyusunan strategi dilakukan melalui tiga tahapan. Tahap I (input stage) dilakukan analisis situasi dengan menggunakan matriks EFE dan IFE. Tahap II (matching stage) menggunakan matriks TOWS dan IE, dan tahap III (decision stage) dengan menggunakan QSPM. Dalam menentukan critical success factors maupun dalam pembobotan, dilakukan dengan metode CDMG.Hasil penelitian, dengan matriks TOWS didapatkan posisi RS M. Ridwan Meuraksa berada pada kuadran 2 yaitu Internal Fix-it Quadrant (penguatan internal). Dengan matriks IE, posisi RS M. Ridwan Meuraksa berada pada sel V yaitu posisi Hold and Maintain. Setelah dilakukan penyesuaian (matching), didapat strategi yang direkomendasikan oleh kedua matriks tersebut, yaitu strategi pengembangan produk (product development). Setelah disepakati produk-produk yang akan dikembangkan, dilakukan penilaian untuk menentukan skala prioritas dengan menggunakan QSPM. Hasilnya adalah paket pemeriksaan endoskopi mendapat prioritas sebagai produk utama yang akan dikembangkan. Agar strategi terpilih dapat diimplementasikan dan berjalan sesuai perencanaan, perlu dilakukan penjabaran ke dalam program kerja tahunan yang lebih spesifik, serta didukung dengan program sosialisasi baik kepada karyawan maupun kepada induk organisasi RS M. Ridwan Meuraksa, dalam hal ini Kesdam Jaya.
Mohammad Ridwan Meuraksa hospital is a level II Hospital of Kesdam Jaya which in the last nine years has undergone various changes at the management level at the average of every 18 months. Each of the new management has implemented his own policy, all of which lacking in comprehensive planning. This is due to the absence of a strategic plan as a base for future development of the hospital. It is against this backdrop that this study is conducted, with the view that a strategic plan can be developed through analysis of the current situation at M. Ridwan Meuraksa Hospital.The objective of the study is to formulate a representative strategic plan of M. Ridwan Meuraksa Hospital for the period of 2002-2007 with the involvement of hospital managers, doctors, and other staffs which constitute the strategic planning team. The study is conducted with Operational Research method with data analysis and direct observation of the condition at M. Ridwan Meuraksa Hospital. The formulation of the strategy is implemented through 3 (three) stages. Stage I (the input stage) is situational analysis using EFE and IFE matrixes. Stage H (the matching stage) using TOWS and IE matrixes, and stage III (the decision stage) is using QSPM. CDMG method is used in deciding of critical success factors and scoring for every matrixes.The result of the study is, with TOWS matrix we found M. Ridwan Meuraksa Hospital position in 2nd quadrant, namely the Internal Fix-it Quadrant. By using IE matrix, we found the M. Ridwan Meuraksa Hospital position in cell V, in Hold and Maintain position. After matching, it is found that the recommended strategy by both matrixes is Product Development strategy. Upon agreement of products to be further developed, an assessment is carried out to determine the scale of priority with QSPM. The result of which is endoscopic examination is selected as the main product to be developed. So as to enable the implementation of the selected strategy in accordance with the planning, it is important to put it into a more specific yearly program, supported through socialization of the program to all staff members and also to Kesdam Jaya, the core organization M. Ridwan Meuraksa Hospital.
