[
ABSTRAKDengan adanya Kebijakan Pemerintah mengenai Program Pencegahan dan
Pengendalian Infeksi (PPI) yaitu Keputusan Menteri Kesehatan Nomor 270 Tahun
2007 mengenai Pedoman Manajerial PPI dan Keputusan Menteri Kesehatan
Nomor 382 tahun 2007 mengenai Pedoman PPI diharapkan semua rumah sakit
dapat mengimplementasikannya dengan penanggungjawab adalah Organisasi PPI
yaitu Komite PPI. Rumah Sakit Umum Pusat (RSUP) Fatmawati telah
melaksanakan Program PPI sejak tahun 1989 dan pada tahun 2013 mendapatkan
akreditasi baik versi Nasional maupun internasional namun angka Healthcare
Associated Infections (HAIs) masih tinggi. Hal ini tentunya menjadi perhatian bagi
RSUP Fatmawati untuk terus meningkatkan kinerja agar mutu pelayanan
meningkat. Untuk memperoleh kinerja yang baik dalam program PPI diperlukan
sistem keuangan, sumber daya dan pelaksanaan program kerja yang baik sehingga
pasien dan petugas merasa aman karena terhindar dari kejadian infeksi.
Pendekatan yang dapat digunakan untuk evaluasi kinerja keempat aspek tersebut
adalah dengan Balanced Scorecard. Penelitian ini merupakan penelitian deskriptif
analitik dengan pendekatan kuantitatif dan kualitatif (mixed method).
Hasil penelitian menunjukkan bahwa kebijakan PPI yang ada belum
mengatur semua aspek PPI sehingga menimbulkan ketidakpahaman rumah sakit
sebagai pelaksanaan program seperti Infection Control Risk Assesment dan
Program Pengendalian Resistensi Antimikroba. Dalam struktur organisasi PPI
RSUP Fatmawati juga belum sesuai dengan Pedoman Manajerial PPI. Untuk
kinerja perspektif pelanggan sudah cukup baik dengan tingkat kesetujuan sebesar
74,6% namun masih memerlukan perbaikan pada kondisi fisik bangunan yang
tidak sesuai standar. Kinerja perspektif proses internal sudah cukup baik dengan
tingkat kesetujuan 80,74% namun beberapa upaya pencegahan HAIs belum
dilaksanakan optimal. Kinerja perspektif pertumbuhan dan pembelajaran sudah
cukup baik dengan tingkat kesetujuan 75,34% namun perlu meningkatkan
kompetensi 4 perawat PPI serta perlu pelatihan PPI untuk semua petugas
kesehatan.. Kinerja perspektif finansial juga cukup baik dengan tingkat kesetujuan
72,56% namun perlu mendapatkan perhatian mengenai penambahan anggaran
untuk pelatihan PPI dan penyesuaian insentif perawat PPI dengan kinerja.
Saran yang dapat dilaksanakan yaitu revisi kebijakan PPI, restrukturisasi
Komite PPI, melakukan kajian resiko pengendalian infeksi, pertemuan rutin untuk
membahas pencegahan dan pengendalian infeksi khususnya penurunan angka
HAIs, pelatihan untuk perawat PPI yang baru serta pelatihan untuk semua petugas
kesehatan dan perlu disusun kebijakan mengenai jenjang karir dan jabatan
perawat PPI.
ABSTRACTGovernment Policy on Infection Prevention and Control (IPC) Program
which are the Minister of Health Decree No. 270/2008 about Guidelines for IPC
Managerial and the Minister of Health Decree No. 382/2007 about Guidelines of
Infection Prevention and Control states that all hospitals should implement the
IPC Program with the charge is the IPC Organization named IPC Committee.
Fatmawati General Hospital has conducted IPC Program since 1989 and
accredited in 2013 for both versions National and International but the numbers of
Healthcare Associated Infections (HAIs) is still high. And this is certainly a
concern for Fatmawati General Hospital in order to continuously improve the
services quality. To obtain good performance in IPC program required the
financial system, resources and programs implementation that work well so
patient and attendant satisfied not being infected. The approach can be used to
improve the performance of the four aspects is the Balanced Scorecard. This
research is a descriptive analytical quantitative and qualitative approach (mixed
method).
The results showed that the IPC policy is not set all the aspects of IPC,
such as the implementation of Infection Control Risk Assessment and
Antimicrobial Resistance Control. The organization of the IPC in Fatmawati
General Hospital has not fulfilled the criteria on IPC Managerial Guideline. For
the performance of the customer perspective is quite good with the level of
agreement of 74.6% but still need improvement in the physical condition of the
building. The performance of internal process perspective is good with 80.74%
level of agreement but some HAIs preventive measures have not been
implemented optimally. The performance of Learning and Growth perspective is
good enough with 75.34% level of agreement but need to improve the competence
of 4 IPC nurses with training and also for all hospital workers. And performance
of financial perspective is also quite good with 72.56% level of agreement but
need in concern about budget for IPC trainings and the incentives of IPC nurses
calculated with their performance.
Suggestions that can be implemented are revision of IPC policy,
restructuring IPC committee, implement infection control risk assessment,
conduct regular meetings to discuss the infection prevention and control in
particular for reduction of HAIs rates, IPC training for new IPC nurses and other
hospital workers and develop the policy for the career and their position.;Government Policy on Infection Prevention and Control (IPC) Program
which are the Minister of Health Decree No. 270/2008 about Guidelines for IPC
Managerial and the Minister of Health Decree No. 382/2007 about Guidelines of
Infection Prevention and Control states that all hospitals should implement the
IPC Program with the charge is the IPC Organization named IPC Committee.
Fatmawati General Hospital has conducted IPC Program since 1989 and
accredited in 2013 for both versions National and International but the numbers of
Healthcare Associated Infections (HAIs) is still high. And this is certainly a
concern for Fatmawati General Hospital in order to continuously improve the
services quality. To obtain good performance in IPC program required the
financial system, resources and programs implementation that work well so
patient and attendant satisfied not being infected. The approach can be used to
improve the performance of the four aspects is the Balanced Scorecard. This
research is a descriptive analytical quantitative and qualitative approach (mixed
method).
The results showed that the IPC policy is not set all the aspects of IPC,
such as the implementation of Infection Control Risk Assessment and
Antimicrobial Resistance Control. The organization of the IPC in Fatmawati
General Hospital has not fulfilled the criteria on IPC Managerial Guideline. For
the performance of the customer perspective is quite good with the level of
agreement of 74.6% but still need improvement in the physical condition of the
building. The performance of internal process perspective is good with 80.74%
level of agreement but some HAIs preventive measures have not been
implemented optimally. The performance of Learning and Growth perspective is
good enough with 75.34% level of agreement but need to improve the competence
of 4 IPC nurses with training and also for all hospital workers. And performance
of financial perspective is also quite good with 72.56% level of agreement but
need in concern about budget for IPC trainings and the incentives of IPC nurses
calculated with their performance.
Suggestions that can be implemented are revision of IPC policy,
restructuring IPC committee, implement infection control risk assessment,
conduct regular meetings to discuss the infection prevention and control in
particular for reduction of HAIs rates, IPC training for new IPC nurses and other
hospital workers and develop the policy for the career and their position.;Government Policy on Infection Prevention and Control (IPC) Program
which are the Minister of Health Decree No. 270/2008 about Guidelines for IPC
Managerial and the Minister of Health Decree No. 382/2007 about Guidelines of
Infection Prevention and Control states that all hospitals should implement the
IPC Program with the charge is the IPC Organization named IPC Committee.
Fatmawati General Hospital has conducted IPC Program since 1989 and
accredited in 2013 for both versions National and International but the numbers of
Healthcare Associated Infections (HAIs) is still high. And this is certainly a
concern for Fatmawati General Hospital in order to continuously improve the
services quality. To obtain good performance in IPC program required the
financial system, resources and programs implementation that work well so
patient and attendant satisfied not being infected. The approach can be used to
improve the performance of the four aspects is the Balanced Scorecard. This
research is a descriptive analytical quantitative and qualitative approach (mixed
method).
The results showed that the IPC policy is not set all the aspects of IPC,
such as the implementation of Infection Control Risk Assessment and
Antimicrobial Resistance Control. The organization of the IPC in Fatmawati
General Hospital has not fulfilled the criteria on IPC Managerial Guideline. For
the performance of the customer perspective is quite good with the level of
agreement of 74.6% but still need improvement in the physical condition of the
building. The performance of internal process perspective is good with 80.74%
level of agreement but some HAIs preventive measures have not been
implemented optimally. The performance of Learning and Growth perspective is
good enough with 75.34% level of agreement but need to improve the competence
of 4 IPC nurses with training and also for all hospital workers. And performance
of financial perspective is also quite good with 72.56% level of agreement but
need in concern about budget for IPC trainings and the incentives of IPC nurses
calculated with their performance.
Suggestions that can be implemented are revision of IPC policy,
restructuring IPC committee, implement infection control risk assessment,
conduct regular meetings to discuss the infection prevention and control in
particular for reduction of HAIs rates, IPC training for new IPC nurses and other
hospital workers and develop the policy for the career and their position., Government Policy on Infection Prevention and Control (IPC) Program
which are the Minister of Health Decree No. 270/2008 about Guidelines for IPC
Managerial and the Minister of Health Decree No. 382/2007 about Guidelines of
Infection Prevention and Control states that all hospitals should implement the
IPC Program with the charge is the IPC Organization named IPC Committee.
Fatmawati General Hospital has conducted IPC Program since 1989 and
accredited in 2013 for both versions National and International but the numbers of
Healthcare Associated Infections (HAIs) is still high. And this is certainly a
concern for Fatmawati General Hospital in order to continuously improve the
services quality. To obtain good performance in IPC program required the
financial system, resources and programs implementation that work well so
patient and attendant satisfied not being infected. The approach can be used to
improve the performance of the four aspects is the Balanced Scorecard. This
research is a descriptive analytical quantitative and qualitative approach (mixed
method).
The results showed that the IPC policy is not set all the aspects of IPC,
such as the implementation of Infection Control Risk Assessment and
Antimicrobial Resistance Control. The organization of the IPC in Fatmawati
General Hospital has not fulfilled the criteria on IPC Managerial Guideline. For
the performance of the customer perspective is quite good with the level of
agreement of 74.6% but still need improvement in the physical condition of the
building. The performance of internal process perspective is good with 80.74%
level of agreement but some HAIs preventive measures have not been
implemented optimally. The performance of Learning and Growth perspective is
good enough with 75.34% level of agreement but need to improve the competence
of 4 IPC nurses with training and also for all hospital workers. And performance
of financial perspective is also quite good with 72.56% level of agreement but
need in concern about budget for IPC trainings and the incentives of IPC nurses
calculated with their performance.
Suggestions that can be implemented are revision of IPC policy,
restructuring IPC committee, implement infection control risk assessment,
conduct regular meetings to discuss the infection prevention and control in
particular for reduction of HAIs rates, IPC training for new IPC nurses and other
hospital workers and develop the policy for the career and their position.]
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