Ditemukan 37660 dokumen yang sesuai dengan query :: Simpan CSV
B-749
Depok : FKM-UI, 2003
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Tulus Kurnia Indah; Pembimbing: Ede Surya Darmawan; Penguji: Helen Andriani, Rakhmat Hidayat, Nugraharti, Erwien Sri Ujianto
Abstrak:
Read More
Latar Belakang: Proses perawatan di rumah sakit didukung oleh berbagai aktivitas operasional diantaranya pengelolaan logistik dan distribusi perbekalan farmasi. Biaya perbekalan kesehatan merupakan pengeluaran terbesar kedua di rumah sakit setelah belanja pegawai, oleh sebab itu pimpinan rumah sakit perlu mengidentifikasi peluang untuk meningkatkan proses logistik untuk menurunkan biaya dan meningkatkan kualitas pelayanan kesehatan. Untuk meningkatan proses logistik diperlukan pemahaman terkait kinerja rantai pasokan yang saat ini berjalan, sehingga melakukan analisa kinerja rantai pasokan merupakan hal mendasar untuk mengatasi kekurangan dalam aktivitas logistik. Tujuan: Studi ini bertujuan melakukan analisa terkait waste yang ada pada proses perencanaan dan pengadaan obat di RSUPN Dr. Cipto Mangunkusumo, kemudian mencari penyebab dan akar masalah timbulnya pemborosan. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Lokasi penelitian di RSUPN Dr. Cipto Mangunkumo bulan April-Mei 2024. Data primer diperoleh melalui wawancara dengan key specialist informan yang terkait dengan kegiatan perencanaan dan pengadaan dan observasi lapangan. Data sekunder diperoleh dari telaah data realisasi pemakaian obat tahun 2022, data usulan perencanaan dari unit kerja dan hasil rekapitulasi instalasi farmasi tahun 2023, data daftar barang dalam kontrak tahun 2023, datapenerimaan dan data pemakaian obat tahun 2023. Tahapan penelitian disusun berdasarkan lean six sigma dari mulai define, measure, analyze dan improve. Hasil: Jenis waste yang terjadi diantaranya penyedia tidak mengirimkan obat terhadap item perencanaan yang telah memiliki kontrak, obat yang dipesan dan dikirim tetapi tidak memiliki realisasi penggunaan, penyedia bersedia mengirimkan obat tetapi tidak mau berkontrak dengan rumah sakit, penyedia tidak bersedia mengirimkan obat dan tidak mau berkontrak dengan rumah sakit dan adanya pengadaan lain di luar jalur kontrak utama. Dari seluruh waste yang ada terjadinya pengadaan di luar jalur kontrak utama merupakan jumlah waste yang paling sering terjadi sehingga menjadi area improvement pada penelitian ini. Penyebab dari pemborosan yang masih dapat dikontrol oleh internal rumah sakit adalah keterlambatan penerbitan kontrak. Akar masalahnya karena tiap unit kerja yang terkait dengan kegiatan perencanaan dan pengadaan menyelesaikan proses kerja tanpa mempertimbangkan waktu penyelesaian proses sesudahnya, sehingga tujuan dari perencanaan dan pengadaan yang berupa penerbitan kontrak sebelum tahun anggaran menjadi tidak terlaksana. Kesimpulan: Dalam proses yang berjalan secara berkelanjutan diperlukan proses kerja yang terintegrasi berdasarkan komitmen setiap anggota rantai agar tujuan proses tersebut dapat tercapai.
Introduction: The hospital care process is supported by various operational activities including logistics management and distribution of pharmaceutical supplies. The cost of health supplies is the second largest expenditure in hospitals after personnel expenditure, therefore hospital leaders need to identify opportunities to improve logistics processes to reduce costs and improve the quality of health services. To improve logistics processes, an understanding of current supply chain performance is required, so analyzing supply chain performance is fundamental to overcoming deficiencies in logistics activities. Objective: This study aims to analyze waste in the drug planning and procurement at RSUPN Dr. Cipto Mangunkusumo, then looked for the causes and root causes of waste. Method: This research uses qualitative methods with a case study approach. The research location is at RSUPN Dr. Cipto Mangunkumo on April-May 2024. Primary data was obtained through interviews with key specialist informants related to planning and procurement activities and field observations. Secondary data was obtained from a review of drug use in 2022, drug planning proposals from units and results of drug planning recapitulation by pharmaceutical installations in 2023, list of drugs in contracts 2023, drug receive order and drug use in 2023. The research stages were arranged based on lean six sigma method from define, measure, analyze and improve. Results: Types of waste that occur include supplier not sending drugs from planning items that already have a contract, drugs ordered and sent but not having actual use, suppliers willing to send drugs but refusev to contract with the hospital, suppliers refuse to send drugss and refuse to contracts with hospitals and procurements that come from another its main contracts. The procurements that come from another its main contract occurs most frequently, so it is an area of improvement in this research. The cause of waste that can still be internally controlled by the hospital is delays in issuing contracts. The root of the problem is because each unit related to planning and procurement activities completes the process without considering the completion time of the process afterwards, so that the aim of planning and procurement to complete all the procurement contract before end of the year do not achieved. Conclusion: In a process that runs continuously, an integrated work process is needed based on the commitment of each member of the chain so that the process objectives can be achieved.
B-2469
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
B-789
Depok : FKM-UI, 2004
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
B-761
Depok : FKM-UI, 2003
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
B-822
Depok : FKM-UI, 2004
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Rendra Fariadi; Pembimbing: Helen Andriani; Penguji: Purnawan Junadi, Nine Mei, IIng Ichsan Hanafi
Abstrak:
Persediaan farmasi harus dikelola dengan baik untuk kelancaran pelayanan dan keuangan rumah sakit. Pengelolaan sedian farmasi rumah sakit dimulai dari alur perencanaan dan pengadaan obat-obatan di rumah sakit. Sistem perencaanaan yang tepat dibutuhkan untuk pengelolaan perencaan dan persediaan di rumah sakit agar efisiensi dalam proses pengadaan obat dapat tercapai. RS Hermina Medan melakukan perubahan dalam sistem perencaan obat-obatan dari awalnya menggunakan sistem min-max menjadi sistem pareto. Penelitian ini bertujuan untuk membandingkan tingkat efisiensi terhadap kedua sistem tersebut. Penelitian ini dilakukan dengan riset operasional terhadap sampel obat hasil analisis ABC dan menggabungkan metode kualitatif. Hasil analisis ABC berdasarkan nilai pemakaian selama Agustus dan September 2023 diperoleh obat kategori A mewakili 80% dari total nilai persedian obat JKN di Instalasi Farmasi. Hasil penelitian menunjukan dengan membandingkan perhitungan untuk perencanaan pengadaan obat kategori A dengan sistem pareto dan min-max didapatkan total inventory cost lebih rendah dengan menggunakan sistem min-max. Namun, rencana pengadaan dengan sistem min-max dapat lebih baik apabila perhitungan pemakaian obat di kontrol secara rutin dan proses perencanaan pengadaan dibantu oleh sistem informasi yang lebih baik. Penelitian diharapkan dapat dilanjutkan dengan waktu yang lebih panjang agar penilaian inventory cost dapat lebih akurat.
Pharmaceutical supplies must be managed well for the smooth running of hospital services and finances. Management of hospital pharmaceutical supplies starts from the flow of planning and procurement of medicines in the hospital. An appropriate planning system is needed for managing planning and supplies in hospitals so that efficiency in the drug procurement process can be achieved. Hermina Medan Hospital made changes to its medicine planning system from initially using a min-max system to a Pareto system. This research aims to compare the level of efficiency of the two systems. This research was conducted using operational research on drug samples resulting from ABC analysis and combining qualitative methods. The results of ABC analysis based on usage values during August and September 2023 showed that category A drugs represent 80% of the total value of UHC drug supplies in pharmacy installations. The research results show that by comparing calculations for planning the procurement of category A drugs using the Pareto and min-max systems, the total inventory cost is lower using the min-max system. Procurement planning using a min-max system can be better if the calculation of drug use is routinely controlled and the procurement planning process is assisted by a better information system. It is hoped that the research can be continued for a longer period so that inventory cost assessments can be more accurate.
Read More
Pharmaceutical supplies must be managed well for the smooth running of hospital services and finances. Management of hospital pharmaceutical supplies starts from the flow of planning and procurement of medicines in the hospital. An appropriate planning system is needed for managing planning and supplies in hospitals so that efficiency in the drug procurement process can be achieved. Hermina Medan Hospital made changes to its medicine planning system from initially using a min-max system to a Pareto system. This research aims to compare the level of efficiency of the two systems. This research was conducted using operational research on drug samples resulting from ABC analysis and combining qualitative methods. The results of ABC analysis based on usage values during August and September 2023 showed that category A drugs represent 80% of the total value of UHC drug supplies in pharmacy installations. The research results show that by comparing calculations for planning the procurement of category A drugs using the Pareto and min-max systems, the total inventory cost is lower using the min-max system. Procurement planning using a min-max system can be better if the calculation of drug use is routinely controlled and the procurement planning process is assisted by a better information system. It is hoped that the research can be continued for a longer period so that inventory cost assessments can be more accurate.
B-2489
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
B-747
Depok : FKM-UI, 2003
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
David Rainer Irianto Hutajulu; Pembimbing: Ede Surya Darmawan; Penguji: Adang Bachtiar, Dumilah Ayuningtyas, Desi Harviani, Citra Bakti Pangaribuan
Abstrak:
Read More
Penelitian ini bertujuan untuk (1) mengetahui posisi strategis RSIA Nabasa saat ini, (2) merekomendasikan alternatif strategi yang sesuai, (3) menerjemahkan strategi terpilih menjadi program kerja dengan pendekatan Balanced Scorecard, dan (4) mengusulkan rencana implementasi strategi. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Pengumpulan data dilakukan melalui wawancara mendalam, observasi, dan analisis dokumen. Keabsahan data diuji dengan metode triangulasi. Tahapan penelitian mencakup input stage menggunakan analisis EFAS dan IFAS, matching stage menggunakan matriks IE dan TOWS, serta decision stage menggunakan QSPM. Strategi terpilih kemudian diterjemahkan ke dalam sasaran strategis dan program kerja menggunakan kerangka Balanced Scorecard. Hasil penelitian menunjukkan posisi strategis RSIA Nabasa berada pada kuadran V (Hold and Maintain) matriks IE dan kuadran II (Internal Fix-It) matriks TOWS, yang mengarahkan pada strategi penetrasi pasar. Strategi ini dijabarkan ke dalam 12 sasaran strategis dan 31 program kerja dalam 4 perspektif Balanced Scorecard. Program kerja unggulan yang direkomendasikan antara lain peningkatan kualitas layanan, efisiensi biaya, pengembangan SDM, dan optimalisasi teknologi. Rencana implementasi strategi disusun untuk periode 5 tahun dengan roadmap, indikator kinerja, dan target yang jelas. Implikasi manajerial utama meliputi penguatan fungsi pemasaran, pengembangan sistem informasi, penyelarasan organisasi, serta monitoring dan evaluasi berkala. Penelitian ini juga merekomendasikan penerapan strategi omnichannel marketing untuk meningkatkan jangkauan pelanggan dan memberikan pengalaman layanan yang konsisten.
This study aims to (1) assess the current strategic position of RSIA Nabasa, (2) recommend suitable alternative strategies, (3) translate the chosen strategy into action plans using the Balanced Scorecard approach, and (4) propose a strategy implementation plan. This research employs a qualitative methodology with a case study approach. Data collection is conducted through in-depth interviews, observations, and document analysis. Data validity is examined using the triangulation method. The research stages include an input stage using EFAS and IFAS analysis, a matching stage using IE and TOWS matrices, and a decision stage using QSPM. The selected strategy is then translated into strategic objectives and action plans using the Balanced Scorecard framework. The findings reveal that RSIA Nabasa's strategic position lies in quadrant V (Hold and Maintain) of the IE matrix and quadrant II (Internal Fix-It) of the TOWS matrix, directing towards a market penetration strategy. This strategy is elaborated into 12 strategic objectives and 31 action plans across 4 perspectives of the Balanced Scorecard. The recommended flagship programs include service quality improvement, cost efficiency, human resource development, and technology optimization. The strategy implementation plan is developed for a 5-year period with a clear roadmap, performance indicators, and targets. Key managerial implications encompass strengthening the marketing function, developing an information system, organizational alignment, and regular monitoring and evaluation. This study also recommends the adoption of an omnichannel marketing strategy to enhance customer reach and deliver a consistent service experience. The results of this research contribute to the body of knowledge in strategic management, particularly in the context of healthcare organizations. The proposed strategic plan and implementation roadmap serve as a guiding framework for RSIA Nabasa to navigate the dynamic healthcare landscape, optimize its resources, and deliver superior value to its stakeholders. Furthermore, the recommendation to embrace omnichannel marketing highlights the importance of integrating digital and physical touchpoints to create a seamless patient experience in the digital era.
B-2470
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
B-811
Depok : FKM-UI, 2004
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Firda Jusela; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Anhari Achadi, Puput Oktamianti, Dedy Waskita; Budi Hartono
Abstrak:
Read More
Latar Belakang: Perkembangan Rumah Sakit di Indonesia terus mengalami pertumbuhan yang signifikan dari tahun ke tahun. Pandemi COVID-19 pada tahun 2020 melanda Indonesia menyebabkan perubahan tatanan kesehatan indonesia. Rumah Sakit Pertamina Jaya berubah semula Rumah Sakit Umum menjadi Rumah Sakit Khusus Rujukan COVID. Pada tahun 2020, sebelum pandemi melanda Indonesia, Rumah Sakit Pertamina Jaya akan menambah layanan Center of Excellence (CoE) ibu dan anak, dimulai dengan membuat center layanan anak. Setelah pandemi COVID-19 berakhir, Rumah Sakit Pertamina Jaya kembali menjadi Rumah Sakit Umum dan meneruskan pengembangan CoE layanan ibu dan anak. Masalah yang muncul dalam Rumah Sakit Pertamina Jaya adalah belum adanya Perencanaan Strategis untuk pengembangan layanan anak. Tujuan Penelitian: Penelitian ini bertujuan untuk membuat perencanaan strategis pengembangan layanan anak di Rumah Sakit Pertamina Jaya periode tahun 2025-2029. Metodologi Penelitian: Penelitian ini menggunakan metode operational research dengan menggunakan data primer berupa wawancara mendalam kepada informan dan Consensus Decision Making Group (CDMG) bersama informan. Data sekunder menggunakan data rekam medis Rumah sakit, laporan kinerja, literatur, hasil penelitian dan dokumen lainnya. Kerangka konsep menggunakan pendekatan strategic management model dengan tiga tahapan yaitu input stage, matching stage dan decision stage. Hasil Penelitian: Dalam proses input dimana pada analisa lingkungan intermal didapatkan hasil Sumbe Daya Manusia, Standar Operasional Prosedur, Sistem Informasi merupakan kekuatan. Kelemahan Rumah Sakit adalah fasilitas umum, keuangan dan pemasaran. Peluang Rumah Sakit adalah kebijakan pemerintah, demografi, epidemiologi, teknologi dan pesaing. Ancaman rumah sakit adalah sosial ekonomi dan pelanggan. Pada matching stage posisi Rumah Sakit berada di kuadran II yaitu grow and build dimana alternatif strategi market penetration, market development and product development. Strategi yang akan diterapkan berdasarkan prioritas adalah pengembangan produk layanan tumbuh kembang anak, peningkatan kompetensi tenaga kesehatan layanan anak, revitalisasi dan perluasan banguanan Rumah Sakit Pertamina Jaya, brand awareness layanan anak, pengembangan teknologi, penetrasi pasar rujukan layanan anak pihak ke-III. Kesimpulan: Berdasarkan hasil penelitian didapatkan posisi rumah sakit adalah grow and build dengan prioritas utama adalah pengembangan produk layanan tumbuh kembang anak
Background: Hospital development in Indonesia continues to experience significant growth from year to year. The COVID-19 pandemic in 2020 hit Indonesia causing changes to Indonesia's health system. Pertamina Jaya Hospital was transformed from a General Hospital into a Special COVID Referral Hospital. In 2020, before the pandemic hit Indonesia, Pertamina Jaya Hospital will add center of excellence services for mothers and children, starting by creating a children's service center. After the COVID-19 pandemic ended, Pertamina Jaya Hospital returned to being a General Hospital and continued developing a center of excellence for maternal and child services. The problem that arises at Pertamina Jaya Hospital is that there is no Strategic Planning for the development of children's services. Objectives: This research aims to create a strategic plan for the development of children's services at Pertamina Jaya Hospital for the period 2025-2029. Methodology: This research uses operational research methods using primary data in the form of in-depth interviews with informants and the Consensus Decision Making Group (CDMG) with informants. Secondary data uses hospital medical record data, performance reports, literature, research results and other documents. The conceptual framework uses a strategic management model approach with three stages, namely input stage, matching stage and decision stage. Results: In the input process, the analysis of the internal environment shows that Human Resources, Standard Operating Procedures, Information Systems are strengths. Hospital weaknesses are public facilities, finance and marketing. Hospital Opportunities are government policy, demographics, epidemiology, technology and competitors. The threat to hospitals is socio-economic and customer. In the matching stage, the hospital's position is in quadrant II, namely grow and build, where alternative strategies are market penetration, market development and product development. The strategies that will be implemented based on priority are product development for child growth and development services, increasing the competency of child service health workers, revitalization and expansion of the Pertamina Jaya Hospital building, brand awareness for children's services, technology development, penetration of third party children's service referral markets. Conclusion: Based on the research results, it was found that the hospital's position is grow and build with the main priority being the development of child growth and development service products
B-2474
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉