Ditemukan 5 dokumen yang sesuai dengan query :: Simpan CSV
Herlin Anastasya Latuperissa; Pembimbing: Vetty Yulianty Permanasari; Penguji: Dumilah Ayuningtyas, Dyan Puji Ayu P.
S-9888
Depok : FKM-UI, 2018
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Tiani Dianingtyas; Pembimbing: Jaslis Ilyas; Penguji: Prastuti Soewondo, Vetty Yulianty Permanasari, Thanthawi Jauhari, Nanik Ekasari
Abstrak:
Sejak tahun 2014, proses perencanaan dan pengadaan obat di seluruh fasyankes baik institusi pemerintah maupun swasta yang bekerjasama dengan BPJS Kesehatan harus berdasarkan katalog elektronik pemerintah. Ini merupakan upaya untuk membentuk sistem pengadaan sediaan farmasi yang lebih transparan, efektif dan efisien. Namun setelah memasuki tujuh tahun berjalan, masih sering menemui banyak permasalahan dalam pelaksanaannya. Untuk itu, peneliti ingin menilai sejauh mana efektivitas penerapan pengadaan obat dengan e-purchasing melalui e-catalogue, serta mengetahui letak masalah yang masih menghambat proses pengadaan obat di RS. Metode penelitian yang dipakai yaitu metode studi kualitatif melalui cara mengumpulkan data dengan observasi, wawancara mendalam, dan telaah dokumen. Penentuan informan dilakukan dengan purposive sampling. Masih banyak hambatan teknis yang dihadapi saat tahap persiapan dan pengadaan obat melalui e-catalogue. Akibat hambatan yang ditemui, sebanyak 21% jenis obat FORNAS tidak dapat diadakan melalui e-catalogue pada tahun 2021. Masih perlu ditingkatkan jumlah jenis obat yang tersedia di e-catalogue serta perbaikan fitur sistem dan peningkatan keandalan sistem untuk meningkatkan manfaat yang dapat diperoleh dari penggunaan sistem e-catalogue
Since 2014, the process of planning and procuring drugs in all health facilities, both government and private institutions in collaboration with BPJS Health, must be based on the government's electronic catalog. This is an effort to establish a pharmaceutical preparation procurement system that is more transparent, effective and efficient. The research method used is a qualitative study method by collecting data by observation, in-depth interviews, and document review. Determination of informants is done by purposive sampling. There are still many technical obstacles faced during the preparation and procurement stages of drugs through e-catalogue. Even though the suitability of drug prescriptions with FORNAS is already high, as many as 21% of FORNAS types of drugs cannot be procured through e-catalogue. It is still necessary to increase the number of types of drugs available in the e-catalogue, as well as to improve the quality of information and the quality of the system, especially in terms of ease of use and reliability, in order to increase the effectiveness of use of the existing infrastructure
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Since 2014, the process of planning and procuring drugs in all health facilities, both government and private institutions in collaboration with BPJS Health, must be based on the government's electronic catalog. This is an effort to establish a pharmaceutical preparation procurement system that is more transparent, effective and efficient. The research method used is a qualitative study method by collecting data by observation, in-depth interviews, and document review. Determination of informants is done by purposive sampling. There are still many technical obstacles faced during the preparation and procurement stages of drugs through e-catalogue. Even though the suitability of drug prescriptions with FORNAS is already high, as many as 21% of FORNAS types of drugs cannot be procured through e-catalogue. It is still necessary to increase the number of types of drugs available in the e-catalogue, as well as to improve the quality of information and the quality of the system, especially in terms of ease of use and reliability, in order to increase the effectiveness of use of the existing infrastructure
T-6322
Depok : FKM-UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ary Dwiaji; Pembimbing: Adang Bachtiar; Penguji: Besral, Agustun Kusumayati, Emin Adhy Muhaemin, Tri Kusumaeni
Abstrak:
Salah satu komponen pelayanan Jaminan Kesehatan Nasional (JKN) adalah obat- obatan, pada kenyataannya masih banyak ditemukan pasien yang belum mendapat obat dengan jumlah dan jenis yang tepat. Selama ini penentuan pemenang lelang didasarkan pada penawaran harga terendah oleh pemasok di setiap provinsi. Namun harga bukan faktor terpenting dalam pemilihan pemasok obat, sehingga diperlukan pengembangan sistem penilaian kualitas pengadaan obat. Penelitian dilaksanakan pada perwakilan Lembaga Kebijakan Pengadaan Barang/Jasa Pemerintah (LKPP), industri farmasi, dan rumah sakit menggunakan pendekatan mixed method untuk mengetahui gambaran pengadaan obat e-Catalogue dan bobot kriteria kualitas pemasok. Dari hasil analisis perhitungan bobot dihasilkan bobot kriteria kondisi produk 18%, akurasi 28%, pemenuhan kontrak 38%, dan pelayanan 16%. Dari analisis kebutuhan sistem ditemukan bahwa rancangan e- CataloQ yang dikembangkan seharusnya memenuhi kebutuhan waktu respon cepat, informasi akurat, kerahasiaan dan keamanan informasi terjaga, dapat diakses semua pengguna, dan mudah digunakan. Prototipe e-CataloQ memiliki kelebihan berupa masukan tentang kriteria dalam seleksi pemasok obat, dapat diakses dengan mudah melalui sambungan internet dan mudah diadaptasi untuk digunakan. Sedangkan kekurangannya antara lain tidak dapat diakses tanpa sambungan internet serta memerlukan komitmen dan kontribusi satuan kerja untuk memberikan penilaian pada transaksi yang sudah diselesaikan. Kata kunci: e-Catalogue, pengadaan obat, penilaian kualitas, prototipe
Drug is an essential part of National Health Coverage service, however patients often not getting the needed type and amount of drugs. The determination of auction winner has always been based on the lowest offering price in each province from suppliers. Therefore a system of drug procurement quality measurement needs to be developed. Research was carried out on representatives from National Public Procurement Agency, pharmaceutical industry, and hospital using mixed method approach to understand better about drug procurement in e- Catalogue and weighting criteria of supplier quality. From Analytical Hierarchy Process was found product condition weighted 18%, time accuracy 28%, contract fulfillment 38%, and service 16%. System needs analysis found that e-CataloQ prototype should fulfill criteria such as quick response and throughput time; information accuracy, confidentiality, and security; accessible and user-friendly. e-CataloQ prototyping has advantages such as suggestion on criteria in drug supplier selection, accessible through internet connection, and easily adapted to be used. Meanwhile the downsides are inaccessible without internet connection and needing contribution and commitment from work unit to give assessment for drug supplier after the transaction is completed. Key words: drug procurement, e-Catalogue, prototype, quality measurement.
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Drug is an essential part of National Health Coverage service, however patients often not getting the needed type and amount of drugs. The determination of auction winner has always been based on the lowest offering price in each province from suppliers. Therefore a system of drug procurement quality measurement needs to be developed. Research was carried out on representatives from National Public Procurement Agency, pharmaceutical industry, and hospital using mixed method approach to understand better about drug procurement in e- Catalogue and weighting criteria of supplier quality. From Analytical Hierarchy Process was found product condition weighted 18%, time accuracy 28%, contract fulfillment 38%, and service 16%. System needs analysis found that e-CataloQ prototype should fulfill criteria such as quick response and throughput time; information accuracy, confidentiality, and security; accessible and user-friendly. e-CataloQ prototyping has advantages such as suggestion on criteria in drug supplier selection, accessible through internet connection, and easily adapted to be used. Meanwhile the downsides are inaccessible without internet connection and needing contribution and commitment from work unit to give assessment for drug supplier after the transaction is completed. Key words: drug procurement, e-Catalogue, prototype, quality measurement.
T-4864
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Tulus Kurnia Indah; Pembimbing: Ede Surya Darmawan; Penguji: Helen Andriani, Rakhmat Hidayat, Nugraharti, Erwien Sri Ujianto
Abstrak:
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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
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Theresia Purba; Pembimbing: Adik Wibowo; Penguji: Amal Chalik Sjaaf, Anhari Achadi, Tahin Solin, Bulan Simanungkalit
Abstrak:
Biaya obat yang besar memerlukan pengelolaan yang tepat. Proses pengelolaan obat yang paling mengganggu dalam siklus pengelolaan obat di Instalasi Farmasi RSU Sari Mutiara Medan adalah proses pengadaan/pembelian obat. Obat Tingkat pemakaian dan pembelian obat kronis yang tinggi mewakili tingkat pemakaian dan pembelian obat secara keseluruhan. Peningkatan efisiensi pada proses pengadaan/pembelian obat kronis dapat memberikan gambaran peningkatan efisiensi pengelolaan obat secara keseluruhan. Penelitian dengan metode kualitatif ini mengobservasi waktu yang digunakan selama proses pembelian obat dari mulai pemesanan hingga obat diap didistribusikan, dan bertujuan untuk meningkatkan efisiensi pengelolaan obat di Instalasi Farmasi RSU Sari Mutiara Medan dengan menggunakan metode lean. Hasil penelitian dapat merumuskan kegiatan pembelian obat yang beragam menjadi satu alur proses pembelian obat, dalam desain usulan perbaikan tampak pengurangan waktu tunggu, peningkatan presentasi kegiatan value added dan reduksi presentasi kegiatan non value added. Dengan meningkatnya efisiensi proses pembelian/pengadaan obat diharapkan adanya domino effect pada proses pengelolaan obat lainnya. Dalam penelitian ini dicapai kendali biaya dan kendali mutu melalui usulan perbaikan jangka pendek perencanaan kebutuhan obat dengan menggunakan analisis pareto dan VEN, serta metode error proofing dalam evaluasi akhir setiap proses pembelian obat. Penerapan kaizen merupakan usulan jangka panjang yang akan selalu diterapkan dalam setiap analisis proses menggunakan metode lean.
Kata kunci : biaya obat, pengelolaan obat, pembelian/pengadaan obat, metode lean, kegiatan value added, kegiatan non-value added, kaizen, kendali mutu, kendali biaya.
Drugs is the most disturbing management process in the drug cycle management in the pharmacy unit of Sari Mutiara Medan Public Hospital. The high consumption and purchase level of chronic drugs represent the high consumption and purchase the whole drugs. Efficiency increasing of chronic drugs procurement/purchase is expected to represent the efficiency increasing of drug management in generally. This qualitative research, using the lean method, observed the time spent from when the drug was ordered until the drug was ready to distribute, with the aim to increase the efficiency of drug management in the pharmacy unit of Sari Mutiara Medan Public Hospital. The results formulate variation of purchasing flow to be one standard future state mapping, and it shows improvement in waiting time, increasing value added activity and reduction non-value added activity. Efficiency increasing of drugs procurement/purchase is expected to have a domino effect for the continuous drug management process. Cost and quality control in this research are obtained through the proposed short-term fixes : using pareto and VEN in drugs demand planning and using error proofing method in every end evaluation of drugs procurement/purchase. Kaizen is applied for the proposed long term fixes and for every flow analysis using lean method.
Keywords : drug cost, drug management, drugs procurement/purchase, lean method, value added activity, non-value added activity, kaizen, quality control, cost control
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Kata kunci : biaya obat, pengelolaan obat, pembelian/pengadaan obat, metode lean, kegiatan value added, kegiatan non-value added, kaizen, kendali mutu, kendali biaya.
Drugs is the most disturbing management process in the drug cycle management in the pharmacy unit of Sari Mutiara Medan Public Hospital. The high consumption and purchase level of chronic drugs represent the high consumption and purchase the whole drugs. Efficiency increasing of chronic drugs procurement/purchase is expected to represent the efficiency increasing of drug management in generally. This qualitative research, using the lean method, observed the time spent from when the drug was ordered until the drug was ready to distribute, with the aim to increase the efficiency of drug management in the pharmacy unit of Sari Mutiara Medan Public Hospital. The results formulate variation of purchasing flow to be one standard future state mapping, and it shows improvement in waiting time, increasing value added activity and reduction non-value added activity. Efficiency increasing of drugs procurement/purchase is expected to have a domino effect for the continuous drug management process. Cost and quality control in this research are obtained through the proposed short-term fixes : using pareto and VEN in drugs demand planning and using error proofing method in every end evaluation of drugs procurement/purchase. Kaizen is applied for the proposed long term fixes and for every flow analysis using lean method.
Keywords : drug cost, drug management, drugs procurement/purchase, lean method, value added activity, non-value added activity, kaizen, quality control, cost control
B-1838
Depok : FKM UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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