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This study aimed to obtain the evaluation of the Health Information System (HIS )at the Dept. of Health East Jakarta Administration in 2015. The study was crosssectional qualitative type by analyzing the effectiveness of the implementation ofthe Health Information System (HIS ) at the Dept. of Health East JakartaAdministration City with conducted in-depth interview to the informant that aretailored to the conceptual framework . Research shows that to date the Dept. ofHealth East Jakarta Administration still use Healthcare Information Systemcomputerized Offline is by far its use effectively due to adequacy of humanresources, funding , tools, and existing policies / clear rules on the reporting ofdata related to the implementation of the Information System Health.Keywords : Dept. of East Jakarta Administration City Health, Effectiveness,Evaluation of the implementation, Health Information Systems,Qualitative.
Akreditasi pendidikan tenaga kesehatan adalah upaya pemerintah yang dilakukan secara sistematis. berkesinambungan. terencana dan terarah guna menetapkan strata yang menggarnbarkan mutu penyelenggaraan pendidikan tenaaga kesehatan. Secara umum, tujuan dilaksanakannya akreditasi pendidikan tenaga kesehatan adalah untuk meningkatkan mutu penyelenggaraan pendidikan tenaga kesehatan yang berdampak menghasilkan lulusan yang bermutu sesuai dengan kebutuhan pelayanan kesehatan (Pusdiknakes, 200 I) Pembinaan dan pengawasanan penyelenggaraan Dari hasil analisis situasi dan analisis sistem ditemukan beberapa masalah yang ada seperti pembinaan institusi pendidikan tenaga kesehatan belum dilakukan secara kontinyu dan berdasarkan kebutuhan institusi pendidikan tenaga kesehatan, pengolahan data masih secara konvensional, keberadaan tim akreditasi provinsi yang belum jelas karena adanya KepMenkes Nomor : HK.00.06.1.03.03853 yang menyatakan Tim Akreditasi ditunjuk oleh Pusdiknakes, umpan balik yang disampaikan kepada institusi pendidikan tenaga kesehatan yang memuat aspek-aspek dari setiap komponen yang masih perlu ditingkatkan belum dijadikan bahan perencanaan pembinaan institusi pendidikan tenaga kesehatan. Hasil dari pengembangan sistem ini, telah dibuat prototipe Sistem Informasi Akreditasi Pendiilikan 'Fenaga Kesehatan (SIAYf-K) yang diharapkan dapat dipergunakan sebagai wat evaluasi diri bagi institusi diknakes maupun untuk pembinaan kepad institusi pendidikan tenaga kesehatan oleh Dinas Kesehatan Provinsi Sumatera Selatan. seca effektif dan effisien. Rekomendasi kepada Pusdiknakes terkait dengan pengembangan Sistem Informasi Akreditasi Pendidikan enaga K:esehatan : I ) Tim pelaksana akreditasi terdiri dari unsur Pusdiknakes, Organisasi Profesi tingkat pusat, Dinas Kesehatan Provinsi ditambah dengan unsur Poltekkes masing-masing provinsi ; 2) untuk rekruitmen asesor, Pusdiknakes melakukan tahapan kegiatan ulai dari penetapan kriteria calon asesor, sosialisasi pendaftara calon asesor kepada Dinas kesehatan Provinsi Organisasi Profesi dan Poltekkes, seleksi (fit and proper test), penetapan Tim Akreditasi.
Accreditation of the health manpower education is a overnment program which is carried eut systematical y, sustainable, planned and directed in order to fasten a strata representing implementation quality of the health manpower education. In general, the goals of the accreditation of the health manpower education are to improve the implementation quality of the health manpower education producing qualified graduates in accordance with the need of the health services (Pusdiknakes, 2001). Guidance and supervision to tlie implementation of the health manpower. From the situation and system analysis, several problems were found such as the education institution construction of the health manpower is not continually carried out and not based on the need of education institution of the health manpower. Other problems found are data processing method is still conventional, the existence of the accreditation team in the province level is not clear due to KepMenkes No. HK.00.06.1.03853 stating that the Accreditation Team is appointed by Pusdiknakes. The other problem encountered is feed back to the education institution of the health manpower containing many aspects to be improve is not considered as an input for planning the assistance to the education institution of the health manpower. The development of this the Health Manpower Education ( Sislem informasi Pendidikan Tenaga Kesehatan, SJAPTK) which is expected to be used as a self evaluation institution, as well as for a guidance to the education institution of the health manpower by Office of Health1n Southumatera Province efficiently and effectively. Recommendation to Pusdiknakes related to the development of SIAPTK: 1) Implementation Team consists f element from Pusdiknakes, Professional Organization in the Central level, Health Office in Province level completed by the element from Poltekkes in province level; 2J related to the assessor recruitment process, Pusdiknakes carries out the activity gradually from determining assessor candidate criteria, socialization of the assessor candidate to the HealthOffice in Province level, the Professional Organizations and Peltekkes, selection (fit and proper test).
Jumlah sarana kesehatan di Kota Tangerang Tahun 2006, yaitu Rumah Sakit sebanyak 18 buah, Puskesmas 25 buah, Pustu 7 buah, Posyandu 866 buah, Praktik dokter untuk 652 buab, Praktik dokter gigi 174 buah, Praktik dokter spesialis 275 buah, Balai Pengobatan (BP)/Klinik 120 buah, Rumah Bersalin (RB) 19 buah dan bidan swasta sebanyak 233 buab, namun sebaran sarana pelayanan kesehatan yang ada tersebut belum terlihat khususnya berdasarkan kebutuhan penduduk. Jumlah sarana pelayanan kesehatan swasta meningkat seiring dengan meningkatnya jamlah penduduk dan pencarian pengobatanoleh masyarakat. Sistem informasi registrasi sarana pelayanan kesehatan swasta di Kota Tangerang yang sudah berjalan belum mempunyai sistem basis data yang terintegrasi dan proses registrasi masih dilakukan secara manual. Analisis lebih lanjut perlu dilakukan sehingga dapat dilakukan pengembangan melalui tools yang tepat untuk menganalis kepadatan/rasio sarana pelayanan kesehatan dibandingkan dengan jumlah penduduk. Informasi tersebut dapat digunakan sebagai advise dalam perencanaan pembangunan dan ususlan penentuan lokasi sarana pelayanan kesehatan swasta dan tenaga kesehatan yang dibutuhkan oleh masyarakat. Pengembangan sistem yang dilakukan berdasarkan metode Decision Support System (DSS) yaitu planning, analysis system, design, prototyping,implementation dengan memadukan konsep Data Base Management System dan data spasial sehingga menjadi kekuatan dalam Sistem fnformasi Evaluasi Registrasl Sarana Pelayanan Kesehatan Swasta dan Tenaga Kesehatan (REKESTA). Hasil analisis sistem dapat mengidentifikasi permasalahan yang ada dalam sistem yang sedang berjalan serta altematif solusi pada level input, proses dan output. REKESTA didesain untuk kemudahan input data dan otomasi proses pcngolahannya menjadi informasi. Output yang dihasilkan berupa laporan, tabulasi indikator tenaga kesehatan dan informasi pemetaan sebaran sarana pelayanan kesehatan swasta dan tenaga kesehatan berdasarkan wilayah administrasi dan lnterpretasi 1ebih lanjut akan didapatkan peta sebaran sarana pelayanan kesehatan dasar berdasarkan sarana dan tenaga yang ada, sehingga akan didapatkan daerah yang kekurangan tenaga dan sarana. Aplikasi REKESTA ini dapat menjadi alat manajemen dalam advise dalam perencanaan pembangunan bukan hanya untuk registrasi izin saja tetapi usulan penentuan lokasi yang sesuai dengan kebutuhan masyarakat. REKESTA ini diharapkan dapat dijadikao alat bagi pengeloia program dan dimungkinkan dapat dikembangkan di Kabupaten lain.
The number of health facility in Tangerang on 2006, are 18 hospital, 25 local governer,7 pustu, 866 integrate post service (posyandu), 652 public doctor practise, 174 dentist practise, 275 specialized practice, 120 clinics, i9 maternity hospitals and 233 private midwife, however the spreading of those health services was unseen particularly based on the people needs. The number of private health services increase along with the increasing of people and public searching medical treatment. The information system of private health service registration in Tangerang that already exist now still have not with intergrated data base system and the registration process is still in manuaL Further analysis should be conducted inorder to develope with the right tools to analyze the density or ratio of health service facility compared with the number of citizen. Those informations can be used as advise to plan building and give an idea health service building location that needed by people. Developing system that be done based on decision support system (DSS) method, are planning, analysis system, design, prototyping, implementation by integrating the concept of data base management system and spacial data which result with the power in information system of private health facility service registration evaluation and health personnel (REKESTA). The result of this analysis system can identify the exist problem in the running system, it also can be an alternative solution in level input, process and output. REKESTA is designed to easy in data input and automatic processing into information, The output results are reports, indicator tabulation of health personnel, indicator grafic of health personnel and spreading map information of private health serv(ce and health personnel based on administration area. In further more interpretation can be obtained the spreading map of basic health service facility based on the present facility and personnel, so we will know the area that lack of personnel and facility. The REKESTA aplication can be a management tools in making advise to plan building not only for license registration but also to give idea the appropriate location with the people needs. It hoped can he a tool for programme manager and it is possibly to be developed in other regency.
Kata Kunci : Sistem Informasi, Evaluasi Pasca Pelatihan, Prototype, Pelaksanaan Diklat