PRELIMINARY

DISCUSSION

Ronnie Rivany
Health & Hospital Economist

PROSPEK
Alternatif

Lokasi

Tanah

Bangunan Harga

Status

Depok

2570 m2

3600 m2

Jual ?

Depok

20.000 m2

J.O

Jagakarsa

8000 m2
6000 m2

Jual
J.O

BSD

GORO
Pasar Minggu

RS Pondok
Cabe

4000 m2

Wisma Atlit

600 m2

1200 m2
90 - 180

Jual
Jual/
J.O

2300 m2

Jual/JO
BOT

MEDICA BSD
HOSPITAL
costing analysis 2006 - 2007

TIM KONSULTAN FKMUI

TAMPAK

existing

(1)

TAMPAK

existing

(1)

TAMPAK existing (2)

TAMPAK existing (3)

TAMPAK existing (4)

KARAKTERISTIK INDUSTRI KESEHATAN

KONSEP DASAR
Ronnie Rivany
Health & Hospital Economist
PEMILIK

TIM MANAJEMEN
PROYEK

STUDI
KELAYAKAN

AMDAL

MASTER
PLAN
PERENCANA /
Detail Eng.Design
Bussiness
Plan

KONSTRUKSI

UKL / UPL

INSTALASI
ALAT MEDIS

MANAJEMEN
KONSTRUKSI

OPERASIONAL
RS

ALAT
NON MEDIS

KONSULTAN
MANAJEMEN RS
TIM
MANAJEMEN RS

FEASIBILITY STUDY
ANALYSIS OF EXTERNAL ASPECT
DEMOGRAPHICS
GEOGRAPHICS
COMPETITORetc

ANALYSIS OF HEALTH ASPECT

EPIDEMIOLOGY
MAN POWER
FACILITIES. .etc

No of beds, no of specialists
Total amount in $, Budgeting
Break Even Point ????
Feasible or not ??????

Grafik Perkembangan Cash Flow Alternatif

2,000,000,000,000
1,800,000,000,000
1,600,000,000,000
1,400,000,000,000
1,200,000,000,000
1,000,000,000,000
800,000,000,000
600,000,000,000
400,000,000,000
200,000,000,000
0
0

10
Expenses Cummulatif

15

20
saldo

25

Saldo Cummulatif

Prediksi BEP dicapai pada tahun ke-10

30

JENIS LAYANAN

LAYANAN PENUNJANG

MASTER PLAN + BLOCK PLAN

HEALTH SERVICES LOCATION
IN PATIENT
OUT PATIENT
SUPPORTING

PATIENT FLOW
ZONING
BIRD EYE VIEW
MODEL ON SCALE 1:100

Master Plan RSUD BARI PALEMBANG

A POLIKLINIK (3LT)
B UGD
C CAF
D RADIOLOGI, FARMASI, LAB, INSTALASI
PENUNJANG DIAGNOSTIK, BANK DARAH
E REKAM MEDIS
F ADMINISTRASI
G BEDAH SENTRAL
H R KEBIDANAN DAN KANDUNGAN
I HEMODIALISA, CSSD, REHAB MEDIK, ANESTESI,
PATOLOGI
( 2LT)

J ICCU

C
B A

K ICU

L RWT INAP KELAS 1 (2 LT)

M RWT INAP KLS 2

(2 LT)

N RWT INAP KELAS 3

O RWT INAP VIP
P RWT INAP VVIP
Q DAPUR
R LAUNDRY
S WORK SHOP
T GENSET

3
3

U IPAL DAN INSENERATOR

V JENAZAH
W TPS
X MESJID
Y GSG
Z KANTIN
1 PERPUSTAKAAN
2 KELAS ( 2 LT )
3 RUMAH DOKTER
4 ASRAMA ( 3 LT )

2 1
2
2

H
K

L
M
T S
R Q
U
V

J
N

E
D
F

O P
O

DETAIL ENGINERING DESIGN

DRAWING
PLANNING PREPARATION
SYSTEMATICAL PLANNING ON
BUILDING CONSTRUCTION
DESIGN DEVELOPMENT
EXTERNAL
INTERNAL

MATERIAL SPECIFICATION
PREPARATION ON BIDDING
ADMINISTRATION

TAMPAK MUKA

INTERIOR LORONG

INTERIOR ADMISI & R.DOKTER

DENAH RAWAT INAP

AMDAL STUDY
WATER & WASTE TREATMENT
ANALYSIS
ENVIRONMENT ANALYSIS
HIDROGRAPHY & LITHOGRAPHY
STRUCTURE ANALYSIS
SOCIO-CULTURE ANALYSIS

BUILDING CONSTRUCTION

FIRST PHASE COSTRUCTION

OUT PATIENS
POLYCLINIC
EMERGENCY
ONEDAY CARE/SURGERY
FARMACYS
BACK OFFICE/ADMINISTRATION
LAN/PAPERLESS INFORMATION SYSTEM

SECOND PHASE COSTRUCTION

IN PATIENT
SUPPORTING SERVICES

MRI
CAT-SCANN
3D-COLOR USG

MAIN OPERATING THEATRE/SURGERY

THIRD PHASE CONSTRUCTION

SPORT/RECREATION FACILITIES
HOSPITAL MALL

FLOURISH SHOPS
BOOKSTORE
DRUGSTORE
RESTO / CAFE
SPA
DUTY FREE SHOPS

MANAGEMENT CONSTRUCTION
PROGRAM PROJECT DEVELOPMENT
QUANTITY & QUALITY ASSURANCE
BUILDING CONSTRUCTION
EVALUATION
EQUIPMENT INSTALATION
EVALUATION
PROGRAM / BUILDING
CONSTRUCTION MONITORING
PROGRESS REPORT

EQUIPMENT INSTALLATION
EQUIPMENT
MEDICAL
NON MEDICAL

TIME SCHEDULING / MONITORING

EQUIPMENT SPECIFICATION
ASSURANCE
INSTALLATION & OPERATING
EQUIPMENT

KAMAR OPERASI MINOR

KAMAR OPERASI MAYOR

INTERIOR RAWAT INAP

HOSPITAL MANAGEMENT

STRATEGIC MANAGEMENT
JOB DESC ANALYSIS
SISTEM OPERATING PROCEDURE
MANPOWER RECRUITMENT
MANPOWER TRAINING
LOGISTIC MANAGEMENT
HUMAN RESOURCES MANAGEMENT
MANAGEMENT INFORMATION SYSTEM
NURSING MANAGEMENT
FINANCING MANAGEMENT
PRICING
CAPITATION SYSTEM
PUBLIC-PRIVATE MIX

SOFT OPENING
TRIAL AND ERROR
MONITORING
CONTROLLING
EVALUATION
CORRECTING

Costing Analysis
Data Up-date 2006/7
Activities Pathway
Unit cost assessment of each activities
Total Cost
Suggest best policy options according to the result

Skenario Kerjasama

Tim Konsultan berfungsi sebagai

1)Mediator dan 2)Konsultan pada
pelaksanaannya, dengan tidak
menutup kemungkinan untuk
transisi menjadi Tim Management
RS
Asumsi yang dipergunakan
dengan pola maksimal adalah
sebagai berikut :
Nilai aset PT KPJ + PT ODM = Rp
40 m
Proporsi saham PT KPJ : PT
ODM = 76,5 : 23,5
Total kebiutuhan selama 5 tahun
Rp 160 m

Alternatif 1 :

Membeli seluruh dan atau

majoritas saham PT KPJ, misal
76,5 x Rp 40 m = Rp 30,6 m
Menyediakan kebutuhan dana
selanjutnya sebesar Rp 160 m
Total kebutuhan = Rp 190,6 m

Alternatif 2 :

Membeli seluruh dan atau

majoritas saham PT KPJ, misal
76,5 x Rp 40 m = Rp 30,6 m
Bersama-sama PT ODM
meminjam Rp 160 m kepada
investor lain dengan bunga
rendah dan grace periode yang
lama.

Alternatif 3
Mengambil alih sisa kebutuhan
dana sebesar Rp 160 m dengan
cara konversi terhadap proporsi
saham

DRAFT RINCIAN ANGGARAN KEBUTUHAN (pola max)

TAHAPAN
KEGIATAN

Unit cost

BIAYA

Up-date
FS, MP, AMDAL

Paket

Rp

1.250.000.000

Up-date Detail
Engineering Design +
Interior Design

Paket

Rp

1.750.000.000

Up-date Konstruksi /
finishing

60 % x 21.500 m2 @ 4 jt

Rp 51,600.000.000

Mekanikal+Elektrikal

20% x 21.500 m2 @ 4 jt

Rp

Current assets
Tanah + Bangunan

17.200.000.000

Rp 40..000.000.000 (?)

Manajemen Konstruksi

Paket

Rp

Inst.alat medis & non

Paket

Rp 51.600.000.000

750.000.000

Tim Konsultan
Hospital Management

28 bln @ Rp 250 jt

Rp

7.000.000.000

Soft opening.

12 bln @ Rp 250 jt

Rp

3.000.000.000

Operasional RS /
Modal kerja 5 thn

5 x 12 bln @ Rp 400 jt

Rp

24.000.000.000

TOTA L

TOTAL BIAYA

Rp 198.150.000.000

Rp200 m ( + dlll)

DRAFT RINCIAN ANGGARAN KEBUTUHAN (pola max)

TAHAPAN
KEGIATAN
Up-date
FS, MP, AMDAL

Unit cost

BIAYA

Paket
(1 % Total projek )

Rp

1.156.100.000

Up-date Detail
Engineering Design +
Interior Design

Paket
(1,5% up-date
konstruksi)

Rp

450.000.000

Up-date Konstruksi /
finishing

70 % x 5000 m2 @ 6 jt

Rp 21.000.000.000

Mekanikal+Elektrikal

30% x 5000 m2 @ 6 jt

Rp

Current assets
Tanah + Bangunan

9,000.000.000

Rp 14.000.000.000 (?)

Manajemen Konstruksi

Paket (1,2% konstruksi)

Inst.alat medis & non

Paket Perbandingan
1:3 konstruksi

Rp

Total biaya konst

30.000.000.000
Sub Total
115.610.000.000

360.000.000

Rp 88.000.000.000(***)

Tim Konsultan
Hospital Management

28 bln @ Rp 100 jt

Rp

2.800.000.000

Soft opening.

12 bln @ Rp 250 jt

Rp

3.000.000.000

Operasional RS /
Modal kerja 5 thn

5 x 12 bln @ Rp 300 jt

Rp 18.000.000.000

TOTA L

TOTAL BIAYA

Rp 137.766.000.000

Rp138 m ( + dlll)

TAHAPAN BIAYA & WAKTU (pola min)

TAHAPAN KEGIATAN
Up-date
FS, MP, AMDAL

3 BLN

4 BLN

12 BLN

450 JT

Up-date Konstruksi /
finishing

21 M

Mekanikal+Elektrikal

9 M
14 M

Manajemen Konstruksi

360 JT

Inst.alat medis & non

88 M

Tim Konsultan
Hospital Management

2,8 M

Soft opening.

3 M

Operasional RS /
Modal kerja 5 thn

TOTA L

60 BLN

1,15 M

Up-date Detail Engineering

Design +
Interior Design

Current assets
Tanah + Bangunan

12 BLN

18 M
15,15 M

450 JT

118,360 M

5,8 M

18 M

THINGS TO DO
1. TIM MANAJEMEN PROYEK
a) INVESTOR
b) EXPERTISE / TIM
KONSULTAN
c) SARANA - PRASARANA
2. LOI - NEGOSIASI - MOU
3. AKTE NOTARIS
4. POA
5. Action

Manajemen Proyek RS
INVESTOR
???????

TIM
KONSULTAN

MEDIATOR