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Kata kunci: kajian, kelayakan, pengembangan, rumah sakit
Society needs for optimal service from hospitals continue to increase which further raises demands for developing service quality or improving service quality. Developing investments in hospitals certainly can not be done carelessly, a manager must be able to minimize the risks that occur in order to produce a good and accurate investment analysis. The Planning of Pengayoman Cipinang hospital to upgrade its health services for prisonersneed more human resources. The purpose of this study is to analyze the feasibility of Pengayoman Cipinang hospital so that it can be evidence-based information that can be used as a reference and consideration in preparing for hospital quality improvement. This research is an operational research by conducting research on external and internal aspects of Pengayoman Cipinang hospital. The results showed that increasing the class of Pengayoman Cipinang Hospital is necessary, so that their prisonner can get good health services, because getting health services is the right of every community
Key words: study, feasibility, development, hospital
ABSTRAK
Dalam rangka meningktakan mutu pelayanan kesehatan, kualitas dari masingmasingsumber daya manusia menjadi fokus perhatian departemen SDM RumahSakit Gigi dan Mulut (RSGM) Universitas Trisakti. Salah satu strategi untukmeningkatkan kualitas SDM adalah melalui mekanisme penilaian kinerjakaryawan yang efektif.Penelitian ini ditujukan untuk mendapatkan gambaran sistem penilaian kinerja diRSGM Universitas Trisakti saat ini dan membuat usulan sistem penilaian kinerjayang baru berdasarkan hasil yang diperoleh. Penelitian ini menggunakan metodekualitatif yang terbagi menjadi dua tahap penelitian. Tahap pertama bertujuanuntuk melihat efektifitas sistem penilaian kinerja lama yang menggunakan DP3.Data diperoleh dari wawancara mendalam dan diskusi kelompok terarah denganinforman berjunlah 10 orang yang terdiri dari 3 orang pimpinan dan 7 orang staf.Selanjutnya tahap kedua bertujuan untuk mengembangkan suatu rancangan sistempenilaian kinerja yang baru. Hasilnya kemudian didiskusikan bersama denganpimpinan RSGM dalam diskusi kelompok terarah.Hasil penelitian yang didapat pada tahap pertama melalui wawancara mendalamdan diskusi kelompok terarah, terlihat bahwa informan dari lini karyawan secaraumum tidak mengetahui dengan jelas mengenai pelaksanaan sistem penilaiankinerja yang dilaksanakan di RSGM. Oleh karena itu, mereka berpendapat bahwasistem penilaian kinerja saat ini belum memiliki relevansi, sensitifitas, tingkatpenerimaan, keandalan dan kepraktisan yang cukup dalam menggambarkankinerja karyawan. Selanjutnya pada tahap kedua, dikembangkan suatu usulansistem penilaian kinerja yang baru berdasarkan konsep efektifitas Cascio denganmamadukan hasil yang didapat dari penelitian tahap pertama, aspek penilaianpada instrumen DP3, kondisi lingkungan pekerjaan di RSGM serta konseppenelitian terdahulu yang sejenis. Setelah hasil diskusi kelompok terarah bersamapimpinan dirangkum, maka didapatkan suatu rancangan pengembangan sistempenilaian kinerja yang baru bagi RSGM Universitas Trisakti. Rancanganpengembangan ini meliputi penilai, instrumen penilaian, prosedur penilaian,kriteria penilaian, waktu pelaksanaan dan manfaat penilaian yang sudahdisesuaikan dengan kondisi lingkunagn RSGM. Dengan diterapkannya rancangansistem penilaian kinerja yang baru ini, diharapkan dapat memotivasi karyawanuntuk bekerja lebih baik dan membantu dalam pengambilan keputusan manajerial.
ABSTRACT
In increasing the quality of health care, quality from individual human resourcesbecome the focus of attention of human resources department of TrisaktiUniversity Oral and Dental Hospital (RSGM). One strategy to increase the humanresources quality is through the effective mechanism of performance appraisalsystem of the employment.The goal of this study is to get the current image of performance appraisal systemin Trisakti University's RSGM and make proposal for new performance appraisalsystem based on the result. First stage is to see the efficacy of previousperformance appraisal system that using DP3. Data is collected from in depthinterview and focus group discussion with a total of 10 informants that consist of3 leaders and 7 staff. The next stage is to develop new framework for performanceappraisal system. The result then discussed with the RSGM's leaders in focusgroup discussion.The result from first stage is collected from in depth interview and focus groupdiscussion, it seems that the informant from employer group in general was notclearly know about the performance appraisal system that been carried out by theRSGM. Therefore, their opinions are the performance appraisal system until nowdoesn't have relevance, sensitivity, the level of acceptance, reliability, andpracticality that deep enough to describe the employer's work. Next on the secondstage, a proposal of new performance appraisal system is developed base onCascio's efficacy concept in concert with the first stage's result, assessment aspectin DP3 instrument, work condition in RSGM as well as previous study, thus anew framework for development of new performance appraisal system TrisaktiUniversity RSGM is made. Development of this framework consist of person whoassess the system, assessment criteria, time of assessment, and the benefit ofassessment that has been adjusted with the condition in RSGM. By applying thisnewly proposed performance appraisal system, hopefully it can motivated theemployer to work better and helps in managerial decision making.
Perkembangan pesat persaingan rumah sakit sebagai pelayanan kesehatan memacu setiap institusi kesehatan mencari strategi yang terbaik. Peraturan perundang undangan juga memungkinan Rumah Sakit untuk dikelola secara bisnis tanpa melupakan fungsi sosial tentunya. Kebutuhan akan kesehatan yang merupakan kebutuhan primer menjadi area bidikan para pebisnis. Rumah Sakit Bhakti Yudha yang sudah beroperasi selama 25 tahun juga mengalami hal sama, Pada 5 tahun terakhir dampak persaingan semakin terasa di Iihat dari kunjungan pasien dan sepak terjang Rumah sakit pesaing yang baru bermunculan. Sebagai solusi untuk mengantisipasi persaingan sekaligus untuk mencapai visi dan misi RSBY, adalah menciptakan poliklinik jejaring sebagai satelit diwilayah Kota Depok. Namun pembuatan poliklinik jejaring ini sangat, membutuhkan investasi yang besar baik dari segi keuangan maupun dari segi SDM, sehingga muncul ide untuk membuat poliklinik jejaring tersebut secara waralaba yang artinya menjual merek dan sistim operasional poliklinik kepada masyarakat peminat bisnis kesehatan. RSBY mengadakan pelatihan dan pembuatan SOP kerja, sementara pembeli poliklinik (terwaralaba) tersebut membeli merek dan sistim dimaksud. Penelitian ini mencoba mencari bentuk konsep waralaba terpilih yang lebih memungkinkan untuk diaplikasikan oleh RS Bhakti Yudha. Dengan analisis deskriptif secara kualitatif penelitian ini mencari konsep melaiui wawancara mendalam dari pihak : Pemilik RS Bhakti Yudha, Pengelola RS Bhakti Yudha, serta Calon Pembeli balk Mari Dokter, maupun dari kelompok non dokter. Dari hasil penelitian diperoleh kesimpulan bahwa RS Bhakti Yudha sangat tepat untuk meluncurkan produk poliklinik jejaringnya secara waraiaba. Produk yang bisa dipasarkan adalah Layanan Dokter Umum, Layanan Dokter Gigi serta Iayanan Bidan. Untuk mewujudkan ide tersebut RS Bhakti Yudha harus melakukan : 1. Mematenkan merek RSBY sebagai usaha waralaba. 2. Membuat Training Center SDM 3. Membuat Buku Manual Oprarting, Standarisasi Pelayanan, Promosi, Pembiayaan serta Bentuk perjanjian yang baku. Dengan mewujudkan waralaba poliklinik jejaring ini diharapkan RS Bhakti Yudha dapat berhasil memenangkan persaingan hingga mencapai visi dan misinya.
Big competition development on hospital as health services push every health institution to find out the best strategic. The Government regulation give a possibility to hospital organized as business oriented without forgetting social function. The need to health services as a primer need is becoming businessmen target. Bhati Yudha Hospital has been operational for 25 year and has have the same experience, for the last 5 year, the competition impact can be seen from patient visit and new hospital building appeared as well. As solution to anticipate the competitor and to achieve mission and vision of Bhakti Yudha Hospital, is to build the polyclinic networking as satellite in Depok city. However, to build the polyclinic network as satellite needs big recourses and investments, nor finance aspect either human resources. New idea created to develop polyclinic net work as franchise, means to sell the polyclinic brand and operational system to community who are willing to business in health. Bhakti Yudha hospital conduct training and make job operational standard, meanwhile the franchisor buy those brand and system. This research tries to find the possibility of franchise concept promptly to Bhakti Yudha Hospital to be implemented. Based on descriptive analyses qualitatively, this research finds out the concept through deep interview from: Bhakti Yudha hospital owner, operational people in hospital, and buyer candidates like : general medical doctor, specialist doctor or non doctor. The research result is that, Bhakti Yudha hospital could be appropriately implements the franchise polyclinic network product. Products that can be sold are general health services, dental health services and midwives health services. To gain the above ideas, Bhakti Yudha hospital should do: 1. Register Bhakti Yudha hospital brand legally as franchise company 2. Build the Human Resource Training Center 3. Compile the Operational Standard Manual, Health Services Standard, Promotion, and Budgeting and fix Memorandum of Understanding shape. By achieving franchise polyclinic network, Bhakti Yudha hospital could win the competition and gain its mission and vision.
The Ministry of Health's Public Service Agency Hospital (BLU RS) has a unique function, namely as a health care center, education center, as well as research center. RS BLU also has special revenue sources beyond APBN budget, which is obtained from the service and nonservice unit. BLU source of income is included in the Non-Tax Revenues and can be managed by the RS BLU itself. Between the years of 2011-2015 there was an increase to the income of RS BLU, but subsidy of APBN was also increasing. In order to optimize the effectiveness and efficiency of APBN's utilization, RS BLU's budget planning and utilization should be pursued as good as possible. This study discusses the analysis of budget's utilization of MoH's Public Service Agency Hospitals in Jakarta, Bogor, and Tangerang during the year of 2014 by using quantitative data that is processed by cross-tabulation technique and qualitative data from indepth interviews and document analysis. The study states that the characteristics of the RS BLU and funding sources have contributed to the budget utilization of RS BLU
This study was conducted at Hospital X Tangerang aims to analyze the internaland external situation, knowing the strategy obtained based on the BSC approachand know the work program that can be developed in accordance with the chosenstrategy. This type of research is Action Research with qualitative data analysis,through document analysis, in-depth interviews and Consensus Decision MakingGroup (CDMG) to the management of the Hospital X Tangerang. Resultspositioning X Tangerang Hospital is in Quadrant II, namely the Internal Fix-ItQuadran and Cells V Hold and Maintain. The alternative strategy is a priority isthe development of Product Development with examples of programsDevelopment Special Care Installation (ER, VK, ICU, HCU, PERISTI-High RiskPerinatal and Operating Rooms) through cooperation with other hospitals asreferral partners.Keywords: Strategic Plan, Balanced Scorecard, Hospital Health Organisation.
Untuk memenuhi kebutuhan dan tuntutan masyarakat terbadap kesehatan, banyak hal yang harus dilakukan, salah satunya adalah penyelenggaraan pelayanan kesehatan. Secara umum dapat dibedakan sembilan syarat penyelenggaraan pelayanan kesehatan yang balk, yakni tersedia, menyeluruh, berkesinmnbungan, terpadu, wajar, dapat diterima, bermutu, tercapai serta terjangkau. Penelitian ini merupakan survey dengan menggunakan pendekatan kuantitatif dan kualitatif yang bertujuan untuk melihat gambaran segmen, pembidikan pasar, dan posisi pasar RSU Meuraxa. Pendekatan ini untuk pengembangan bisnis kedepan. Pendekatan kuantitatif dilakukan untuk karakteristik responden berdasarkan variabel geografi, demografi, psikografis dan variabel perilaku dengan alat ukur kuesioner. Sedang pendekatan kualitatif dilakukan untuk memperoleh informasi yang lebih mendalam dari pam stake holder di RSU Meuraxa tentang gambaran segmentasi, pembidikan pasar dan posisi pasar RSU Meuraxa, pendekatan ini dilakukan dengan cara wawancara langsung dengan informan melalui wawancara mendalam dan telaah dokumen. Sebagai penetapan posisi Rumah Sakit Umum Meuraxa adalah : "Dengan Pelayanan yang Prima, Berdasarkan Standar Profesional, Cepat, Tepat dan Terjangkau akan selalu melayani dengan sepenuh hati serta bemuansa Islami.
In order to meet the need and to satisfy the community demand on health, there are a lot of things to do, and one of those is the implementation of health services, In general) there are nine condition for a goad implementation on health services, namely : available, entirely, continous, integrated, appropriate, acceptable, qualified, accessible and affordable. The research is a survey with a quantitative and qualitative approaches, and has a purpose on exploring the segment, market targeting and positioning of MROH for the next future business development. The quantitative approach has and aim to see the respondent characteristics based one variable of geography, demography, psycography, and behavior which collected by a questionnaire, meanwhile, the qualitative approach is uses for gathering deeper information from stakeholders of MRGH, using a direct in-depth interview toward informants, as well as exploration towards some documents. File Digital: 1
