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""Which business structures are best suited to the unpredictable 21st century? How can a company, division, or department reconfigure itself with minimum disruption and maximum impact? Every executive grapples with problems of restructuring--and most need hands-on guidance to solve them. This eye-opening book shows business leaders at all levels how to examine their choices by leading them systematically through these fundamental questions: * Should we restructure to meet our strategic goals? * What are the best structural options to achieve our success? * What lateral processes are necessary to support the new structure? * How do we staff the restructured organization to optimize results? Based on Galbraith's world-renowned approach, this guide includes examples and worksheets that pilot readers through the essential steps of organizational design.""

"In the era reformation, transparency and globalization the organization of financial bureau is demanded to be responsible to its environmental, accountable, and it must reflect and transform the constitution mandate and justice principles. Those things are getting more important in order to give the public service so the government officers must provide a variative and qualify service.

That situation becomes a challenge for the government to change its paradigm, method for system and procedure of accomplishment so it can be fitting up with the social development. in order to create an government which can provide a high quality of goods and services it needs to be supported by government's policy which matching with government tasks and functions.

According to the analysis results the Financial Bureau is less effective on doing its tasks. It can be found on how much barriers faced by the Budget Drafting Department, such as the realization of spending budget is over the limit, a lack of budget in case of the employees mutation, some compensatory demands by employees, and a disorder on Budget Realization Reports founded by Badan Pemeriksa Keuangan (BPK).

In order to analyze the factors which influence the effectiveness of organization, this research is using a 7S framework that formulated by Mc Kinsey which including: structure, strategy, system, staff, skills, style and shared value. This research is using an explanative research method that explain the relationship between two variables or more; in this case are the dependent variable and the independent variable. The dependent variable is organization effectiveness and the independent variable are structure, strategy, system, staff, skills, style and shared value. This research is using a primary and secondary data. In order to increase the effectiveness of the organization there are some factors that needed to be repaired soon, especially the quality and the quantity of human resources. It needs an administrator to coordinate and activate all elements. There must be a professional person on documentation handling. The organization must create a working system and a job description as the employees working guide, and also doing an orderly administration and documentation. If those clauses could be provided there will be a high consciousness on every employee to appreciate the already exist constitution so the Financial Bureau organization's effectiveness will be done."

"Proses produksi berdasarkan konsep lean production system adalah proses yang berjalan tanpa adanya waste yang menganggu proses produksi. Dalam penelitian ini akan mengidentifikasi dan menganalisis terjadinya waste dengan melihat dampaknya terhadap production lead time. Secara keseluruhan permasalahan akan dipetakan dalam Value Stream Map atau disebut current mapping dan selanjutnya akan dibuat dalam proposed value mapping. Semua waste atau aktivitas yang merupakan non value added dihilangkan dengan melakukan improvement dan membuat perancangan perbaikan. Setelah adanya usulan perbaikan, diproses dan disimulasikan dengan software Tecnomatic Plant Simulation untuk mensimulasikan skenario-skenario perbaikan. Output yang ingin dicapai adalah untuk mengurangi waste dan untuk mempercepat production lead time.

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Production process based on the concept of lean production system is a process that runs without any waste that disrupt the production process. In this study will identify and analyze the occurrence of waste by looking at the impact on production lead time. Overall the problem will be mapped in Value Stream Map or called current mapping and will be created in the proposed value mapping. All wastes or activity that non value added removed by doing improvement and make design improvement. After the proposed repair, processed and simulated with Tecnomatic Plant Simulation software to simulate the improvement scenarios. Output to be achieved is to reduce waste and to accelerate production lead time."

"ABSTRAKLatar belakang : Kunjungan dan angka mortalitas pasien di Instalasi Gawat Darurat (IGD) semakin meningkat dengan kondisi penyakit yang bervariasi, sehingga deteksi yang cepat dan tepat pada pasien dengan risiko mortalitas tinggi sangat penting. Skor Hypotension, Oxygen Saturation, Low Temperature, ECG Changes, and Loss of Independence (HOTEL) sangat baik dan penting untuk diterapkan pada pasien gawat darurat karena menggunakan variabel-variabel yang mudah dan cepat diperoleh. Namun demikian skor tersebut belum divalidasi di Indonesia.Tujuan : untuk menilai performa skor HOTEL dalam memprediksi mortalitas 24 jam pasien non bedah di IGD Rumah Sakit Cipto Mangunkusumo (RSCM).Metode: Penelitian ini merupakan studi kohort retrospektif. Subjek penelitian adalah pasien non bedah yang masuk ke IGD RSCM pada bulan Oktober hingga November 2012. Variabel bebas yang dinilai adalah tekanan darah sistolik, saturasi oksigen perifer, suhu tubuh, perubahan elektrokardiogram (EKG), dan kemampuan berdiri tanpa bantuan. Luaran yang dinilai adalah mortalitas dalam 24 jam setelah masuk IGD. Performa kalibrasi dinilai dengan uji Hosmer-Lemeshow. Performa diskriminasi dinilai dengan area under the curve (AUC).Hasil: Terdapat 815 pasien non bedah yang datang ke IGD RSCM selama bulan Oktober hingga November 2012. Sebanyak 804 (98,7%) subjek memenuhi kriteria inklusi dengan mortalitas 24 jam sebesar 30 (3,7%) subjek. Performa kalibrasi HOTEL dengan uji Hosmer-Lemeshow menunjukkan p = 0,753. Performa diskriminasi ditunjukkan dengan nilai AUC 0,86 (IK 95% 0,781; 0,931).Simpulan: Skor HOTEL memiliki performa kalibrasi dan diskriminasi yang baik dalam memprediksi mortalitas 24 jam pada pasien non bedah yang masuk ke IGD RSCM.

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ABSTRACT

Background: The number of visit and mortality rate of emergency patients at Emergency Department (ED) have been increasing from time to time. Those patients have wide spectrum conditions. Appropriate identification of the patients with high mortality risk is crucial. The Hypotension, Oxygen Saturation, Low Temperature, ECG changes, and Loss of Independence (HOTEL) score is easy and important to be applied in the ED, however, the score has not been validated in Indonesia.

Objective: to evaluate performance of HOTEL score in predicting the 24-hour mortality non-surgical patients in ED of Sakit Cipto Mangunkusumo hospital.

Method: This was a retrospective cohort study. The research subjects were the non-surgical patients who admitted to ED of RSCM between October-November 2012. We collected systolic blood pressure, peripheral oxygen saturation, body temperature, ECG changes, and loss of independence. Those data were evaluated based on the HOTEL scoring system. The outcome were evaluated in 24- hour after admission (alive or dead). The calibration was evaluated with the Hosmer-Lemeshow test. The discrimination performance was evaluated with area under the curve (AUC).

Results: There were 815 non-surgical patients admitted to the ED between October until November 2012. There were 804 (98,7%) subjects included. The 24-hour mortality rate was 30 subjects (3,7%). The calibration performance with the Hosmer-Lemeshow test showed p = 0,753. The discrimination performance was shown with the AUC score 0,86 (95% CI 0.781; 0.931).

Conclusion: The HOTEL score has a good calibration and discrimination performance in predicting the 24-hour mortality of the non-surgical patients in ED of Cipto Mangunkusumo hospital."

"Recent research underscores a serious lack of preparedness among hospitals nationwide and a dearth of credible educational programs and resources for hospital emergency preparedness. As the only resource of its kind, Health Care Emergency Management: Principles and Practice specifically addresses hospital and health system preparedness in the face of a large-scale disaster or other emergency. "