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08 JASPEL September 2020 FIX
08 JASPEL September 2020 FIX
08 JASPEL September 2020 FIX
Umum
Rawat Jalan 5,352,000 2,515,440
Rawat Inap -
UGD 227,000 106,690
Laboratorium dan penunjang lainnya 2,335,000 1,097,450
Persalinan -
Lainnya 519,892 244,349
57,476,967 27,014,174
Yang Diisi
Mengetahui, Garut,
Kepala UPT Puskesmas Kersamenak Kepala Sub Bagian Tata Usaha
5
TOTAL RATING DAN SKOR
BULAN SEPTEMBER 2020
UPT PUSKESMAS KERSAMENAK
Disiplin Dedikasi
Basic Index Kompetensi Risk Jabatan RAWAT JALAN
dan Loyalitas
Kerja &
No. Nama Kepngkt Lama Ijazah Srtfkt Pnmptn Emerge Rngkp Kepatuh Klinik Klinik Klinik Front
n Kerja Terakhir STR Keahlian Kerja Posisi Jbtn Apel an Umum Gigi KIA Office
ncy
10 100 10 100 100 100 100 100 100 100 100 0.3 0.6 0.4 0.023
1 Hj. Ai Suryati, SKM., MM. 4.20 7.63 30.00 3.85 25.00 2.78 7.87 7.58 0.00 4.72 4.08 0.00 0.00 0.00 0.00
2 Enyang Taufik Hidayat, ST. 3.40 7.63 25.00 0.00 25.00 2.78 4.49 6.06 0.00 4.72 4.08 0.00 0.00 0.00 0.00
3 dr. Dedi Rahmat 3.60 1.58 30.00 3.85 25.00 2.78 3.37 1.52 0.00 0.94 2.04 0.09 0.00 0.00 0.00
4 dr. Giand Elmadahlia Tusara 3.40 0.26 30.00 3.85 25.00 2.78 3.37 4.55 0.00 0.94 2.04 0.05 0.00 0.00 0.00
5 Ani Maryani, SST. 4.20 7.63 25.00 3.85 0.00 2.78 2.25 4.55 0.00 4.25 2.04 0.00 0.00 0.18 0.00
6 H. Hana Kartiwa, AMK., SKM. 3.80 8.42 20.00 0.00 0.00 2.78 2.25 1.52 0.00 0.00 0.00 1.81 0.00 0.00 0.00
7 Lia Rosalia, A.Md.Kep. 3.80 7.89 20.00 3.85 0.00 2.78 2.25 3.03 0.00 3.77 4.08 0.79 0.00 0.00 0.00
8 Poppy Gusdiantini, A.Md.Kep. 3.80 6.84 20.00 3.85 0.00 2.78 2.25 4.55 0.00 2.36 2.04 0.00 0.00 0.00 0.00
9 Risma Fatimah, A.Md.Keb. 3.80 7.11 20.00 3.85 0.00 2.78 2.25 1.52 0.00 0.00 2.04 0.00 0.00 0.30 0.00
10 Raswin, S.Si. 3.60 7.37 25.00 3.85 0.00 2.78 3.37 1.52 0.00 4.25 4.08 0.00 0.00 0.00 0.00
11 Hj. Purwani, A.Md.Kes. 3.60 6.32 20.00 3.85 0.00 2.78 5.62 4.55 0.00 2.36 2.04 0.00 0.52 0.00 0.00
12 Suryati 3.40 8.95 10.00 3.85 0.00 2.78 1.12 1.52 0.00 3.77 4.08 0.00 0.00 0.00 0.00
13 Hj. Aan Warlimah, SKM. 3.20 3.68 25.00 3.85 0.00 2.78 2.25 3.03 0.00 5.19 4.08 0.00 0.00 0.00 0.00
14 Puji Sri Fauzi, A.Md.Keb. 2.60 0.79 20.00 3.85 0.00 2.78 3.37 1.52 0.00 0.94 2.04 0.00 0.00 0.05 0.00
15 Yeni Rachman Khasim, SST. 2.60 0.79 25.00 3.85 0.00 2.78 2.25 3.03 0.00 2.36 2.04 0.00 0.00 0.05 0.00
16 Wawan Gunawan 2.60 6.58 10.00 0.00 0.00 2.78 1.12 1.52 0.00 3.30 2.04 0.00 0.00 0.00 0.00
17 Ani Fitriani, A.Md.Kep. 2.60 0.26 20.00 3.85 0.00 2.78 5.62 1.52 0.00 0.00 2.04 0.26 0.00 0.00 0.00
18 Isti Hasanah, A.Md.AK. 2.00 1.58 20.00 3.85 0.00 2.78 2.25 1.52 0.00 3.30 2.04 0.00 0.00 0.00 0.00
19 Elis Muslimah, AMK. 2.00 0.79 20.00 3.85 0.00 2.78 2.25 3.03 0.00 0.47 2.04 0.13 0.00 0.00 0.00
20 Rohayati 2.00 0.79 10.00 0.00 0.00 2.78 2.25 1.52 0.00 4.72 4.08 0.00 0.00 0.00 0.14
21 Nani Handayani 2.00 0.79 10.00 0.00 0.00 2.78 3.37 1.52 0.00 5.19 4.08 0.00 0.00 0.00 0.42
22 Solihah Wulandari Ningsih, SKM. 2.00 0.79 25.00 0.00 0.00 2.78 3.37 3.03 0.00 0.94 2.04 0.00 0.00 0.00 0.25
23 Amanda Amarwaty, A.Md.Keb. 2.00 0.79 20.00 3.85 0.00 2.78 2.25 3.03 0.00 0.94 2.04 0.00 0.00 0.00 0.00
24 Teli Yulianti, S.Si. 2.00 0.79 25.00 3.85 0.00 2.78 2.25 3.03 0.00 0.94 2.04 0.00 0.00 0.24 0.00
25 Herni Siti Muniroh, A.Md.Keb. 2.00 0.79 20.00 3.85 0.00 2.78 2.25 3.03 0.00 1.42 2.04 0.00 0.00 0.04 0.00
26 Devi Hesti Supriadi, A.Md.Keb. 2.00 0.79 20.00 3.85 0.00 2.78 2.25 3.03 0.00 1.42 2.04 0.30 0.00 0.00 0.00
27 Rizal Cahyadi, A.Md.Kep. 2.00 0.79 20.00 3.85 0.00 2.78 2.25 3.03 0.00 3.77 4.08 0.36 0.00 0.00 0.00
28 Imam Prasetya Hermansah, S.Kep., Ners. 2.00 0.79 30.00 3.85 0.00 2.78 2.25 3.03 0.00 4.72 4.08 0.00 0.00 0.00 0.21
29 Irawati 2.00 0.79 2.00 0.00 0.00 2.78 2.25 1.52 0.00 3.30 2.04 0.00 0.00 0.00 0.00
30 Siti Nur Azijah, A.Md.Gz. 2.00 0.00 20.00 3.85 0.00 2.78 2.25 3.03 0.00 1.89 2.04 0.00 0.00 0.00 0.00
31 Seli Cahyani 2.00 0.00 10.00 0.00 0.00 2.78 1.12 1.52 0.00 2.83 2.04 0.62 0.00 0.00 0.00
32 Dewi Syahadah, A.Md.Kep. 2.00 0.00 20.00 3.85 0.00 2.78 2.25 3.03 0.00 4.72 4.08 0.00 0.00 0.14 0.00
33 Ami Jamiatul, A.Md.Keb. 2.00 0.00 20.00 3.85 0.00 2.78 2.25 3.03 0.00 4.72 4.08 0.00 0.00 0.00 0.21
34 Sindi Audila Arum 2.00 0.00 10.00 0.00 0.00 2.78 2.25 1.52 0.00 3.77 4.08 0.00 0.00 0.00 0.00
35 Azizah Putri Wibowo, A.Md.Kes. 2.00 0.00 20.00 3.85 0.00 2.78 2.25 3.03 0.00 4.72 4.08 0.00 0.00 0.00 0.00
36 Anwar Muhlis 2.00 0.00 2.00 0.00 0.00 2.78 3.37 1.52 0.00 2.36 2.04 0.00 0.00 0.00 0.00
JUMLAH
RATING DAN SKOR TOTAL RATING DAN SKOR
N SEPTEMBER 2020 BULAN SEPTEMBER 2020
KESMAS KERSAMENAK UPT PUSKESMAS KERSAMENAK
RAWAT JALAN RAWAT INAP DAN UGD RUJUKAN
Askep OBS Persalin
No. Nama Farmasi Front
Lab Visite Askeb GD/ned an office RI Sopir
Tind u/ dr
0.023 0.4 2.2 0.40 1.1 2.3 0.023 0.3
1 Hj. Ai Suryati, SKM., MM. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Enyang Taufik Hidayat, ST. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 dr. Dedi Rahmat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 dr. Giand Elmadahlia Tusara 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 Ani Maryani, SST. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 H. Hana Kartiwa, AMK., SKM. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7 Lia Rosalia, A.Md.Kep. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 Poppy Gusdiantini, A.Md.Kep. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 Risma Fatimah, A.Md.Keb. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 Raswin, S.Si. 0.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11 Hj. Purwani, A.Md.Kes. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 Suryati 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
13 Hj. Aan Warlimah, SKM. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
14 Puji Sri Fauzi, A.Md.Keb. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 Yeni Rachman Khasim, SST. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
16 Wawan Gunawan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 Ani Fitriani, A.Md.Kep. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 Isti Hasanah, A.Md.AK. 0.00 1.22 0.00 0.00 0.00 0.00 0.00 0.00
19 Elis Muslimah, AMK. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20 Rohayati 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Nani Handayani 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Solihah Wulandari Ningsih, SKM. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
23 Amanda Amarwaty, A.Md.Keb. 0.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00
24 Teli Yulianti, S.Si. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
25 Herni Siti Muniroh, A.Md.Keb. 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.00
26 Devi Hesti Supriadi, A.Md.Keb. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
27 Rizal Cahyadi, A.Md.Kep. 0.00 0.02 0.00 0.00 0.00 0.00 0.00 0.00
28 Imam Prasetya Hermansah, S.Kep., Ners. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
29 Irawati 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
30 Siti Nur Azijah, A.Md.Gz. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 Seli Cahyani 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 Dewi Syahadah, A.Md.Kep. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
33 Ami Jamiatul, A.Md.Keb. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
34 Sindi Audila Arum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35 Azizah Putri Wibowo, A.Md.Kes. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
36 Anwar Muhlis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JUMLAH JUMLAH
TOTAL RATING DAN SKOR
BULAN SEPTEMBER 2020
UPT PUSKESMAS KERSAMENAK
RUJUKAN UKM JASA PELAYANAN LANGSUNG
Pendam UKM Jmlh Kehadir Total JASPEL TDK LS Manajemen
No. Nama UKM
ping Esensial Pngmbn Index an Index Rawat Jalan Rawat Inap Persalinan
gn
0.3 0.1 0.1 22,449,711 2,701,417 1,863,046 - -
1 Hj. Ai Suryati, SKM., MM. 0.00 0.83 1.25 99.78 92 92.10 1,543,610 810,425 - - -
2 Enyang Taufik Hidayat, ST. 0.00 0.83 1.25 85.25 88 75.41 1,263,843 351,184 - - -
3 dr. Dedi Rahmat 0.00 0.00 0.00 74.76 65 48.88 819,286 189,099 18,805 - -
4 dr. Giand Elmadahlia Tusara 0.00 0.00 0.00 76.24 77 58.65 982,874 189,099 10,578 - -
5 Ani Maryani, SST. 0.00 1.22 0.00 57.94 88 51.25 858,940 54,028 37,609 - -
6 H. Hana Kartiwa, AMK., SKM. 0.00 0.00 0.00 40.57 58 23.40 392,239 - 370,217 - -
7 Lia Rosalia, A.Md.Kep. 0.00 0.00 1.76 54.01 85 45.70 765,869 54,028 162,190 - -
8 Poppy Gusdiantini, A.Md.Kep. 0.00 0.00 0.43 48.89 73 35.72 598,734 54,028 - - -
9 Risma Fatimah, A.Md.Keb. 0.00 0.00 0.00 43.63 85 36.92 618,731 - 61,115 - -
10 Raswin, S.Si. 0.00 0.00 0.00 56.09 88 49.62 831,571 - 58,298 - -
11 Hj. Purwani, A.Md.Kes. 0.00 0.00 0.79 52.41 88 46.36 776,992 270,142 105,776 - -
12 Suryati 0.00 0.00 0.00 39.47 92 36.43 610,543 - - - -
13 Hj. Aan Warlimah, SKM. 0.00 0.78 0.00 53.83 100 53.83 902,210 - - - -
14 Puji Sri Fauzi, A.Md.Keb. 0.00 0.00 0.00 37.94 62 23.35 391,267 54,028 10,969 - -
15 Yeni Rachman Khasim, SST. 0.00 1.22 0.00 45.95 85 38.88 651,681 54,028 9,402 - -
16 Wawan Gunawan 0.00 0.00 0.00 29.94 81 24.18 405,261 54,028 - - -
17 Ani Fitriani, A.Md.Kep. 0.00 0.00 0.00 38.92 73 28.44 476,726 324,170 54,063 - -
18 Isti Hasanah, A.Md.AK. 0.00 0.00 0.00 40.53 88 35.85 600,899 - 250,729 - -
19 Elis Muslimah, AMK. 0.00 0.06 0.00 37.39 23 8.63 144,621 - 27,032 - -
20 Rohayati 0.00 0.00 0.00 28.27 81 22.83 382,634 - 28,383 - -
21 Nani Handayani 0.00 0.00 0.00 30.14 100 30.14 505,209 - 86,321 - -
22 Solihah Wulandari Ningsih, SKM. 0.00 0.00 0.75 40.96 88 36.23 607,197 - 51,811 - -
23 Amanda Amarwaty, A.Md.Keb. 0.00 1.22 0.00 39.18 81 31.65 530,392 - 59,290 - -
24 Teli Yulianti, S.Si. 0.00 0.00 0.33 43.25 77 33.27 557,618 - 50,146 - -
25 Herni Siti Muniroh, A.Md.Keb. 0.00 0.35 0.97 39.61 58 22.85 382,947 54,028 28,207 - -
26 Devi Hesti Supriadi, A.Md.Keb. 0.00 1.22 0.00 39.67 92 36.62 613,686 - 62,290 - -
27 Rizal Cahyadi, A.Md.Kep. 0.00 0.48 2.46 45.86 96 44.10 739,069 - 77,178 - -
28 Imam Prasetya Hermansah, S.Kep., Ners. 0.00 0.48 0.00 54.18 96 52.10 873,168 94,550 43,161 - -
29 Irawati 0.00 0.00 0.00 16.67 88 14.75 247,180 - - - -
30 Siti Nur Azijah, A.Md.Gz. 0.00 0.52 0.00 38.34 73 28.02 469,626 - - - -
31 Seli Cahyani 0.00 0.00 0.00 22.91 77 17.62 295,385 54,028 128,107 - -
32 Dewi Syahadah, A.Md.Kep. 0.00 0.01 0.00 42.85 88 37.90 635,242 40,521 28,207 - -
33 Ami Jamiatul, A.Md.Keb. 0.00 0.06 0.00 42.97 88 38.01 637,113 - 43,161 - -
34 Sindi Audila Arum 0.00 0.00 0.00 26.40 77 20.30 340,288 - - - -
35 Azizah Putri Wibowo, A.Md.Kes. 0.00 0.73 0.00 43.43 100 43.43 727,855 - - - -
36 Anwar Muhlis 0.00 0.00 0.00 16.06 100 16.06 269,210 - - - -
22,449,711 2,701,417 1,863,046
JUMLAH - -
Mengetahui,
Kepala UPT Puskesmas Kersamenak
Jumlah Jasa
No. Nama Jumlah Jasa Pajak PPh Pasal Pelayanan Setelah NO. REKENING
Pelayanan 21
Pajak
1 Hj. Ai Suryati, SKM., MM. 2,354,035 353,105 2,000,930 0173210075976
2 Enyang Taufik Hidayat, ST. 1,615,027 80,751 1,534,276 0009741054100
3 dr. Dedi Rahmat 1,027,190 51,359 975,830 0063195820100
4 dr. Giand Elmadahlia Tusara 1,182,551 59,128 1,123,423 0094836778100
5 Ani Maryani, SST. 950,577 142,587 807,991 0173200121761
6 H. Hana Kartiwa, AMK., SKM. 762,456 38,123 724,333 0173110119614
7 Lia Rosalia, A.Md.Kep. 982,087 49,104 932,983 0173110288507
8 Poppy Gusdiantini, A.Md.Kep. 652,762 32,638 620,124 0173200121481
9 Risma Fatimah, A.Md.Keb. 679,846 33,992 645,854 0173200108187
10 Raswin, S.Si. 889,870 44,493 845,376 0084427675101
11 Hj. Purwani, A.Md.Kes. 1,152,910 57,645 1,095,264 0014605037101
12 Suryati 610,543 30,527 580,016 0173110270702
13 Hj. Aan Warlimah, SKM. 902,210 45,110 857,099 0004691709100
14 Puji Sri Fauzi, A.Md.Keb. 456,265 - 456,265 0078297824100
15 Yeni Rachman Khasim, SST. 715,112 - 715,112 0078305932100
16 Wawan Gunawan 459,289 - 459,289 0068158941100
17 Ani Fitriani, A.Md.Kep. 854,959 - 854,959 0077832580100
18 Isti Hasanah, A.Md.AK. 851,628 42,581 809,047 0068768055100
19 Elis Muslimah, AMK. 171,652 8,583 163,070 0086185911100
20 Rohayati 411,017 20,551 390,466 0086108038100
21 Nani Handayani 591,530 29,577 561,954 0086132028100
22 Solihah Wulandari Ningsih, SKM. 659,007 32,950 626,057 0086199483100
23 Amanda Amarwaty, A.Md.Keb. 589,682 29,484 560,197 0086109336100
24 Teli Yulianti, S.Si. 607,764 30,388 577,376 0086099470100
25 Herni Siti Muniroh, A.Md.Keb. 465,183 23,259 441,923 0077361499100
26 Devi Hesti Supriadi, A.Md.Keb. 675,977 33,799 642,178 0086089785100
27 Rizal Cahyadi, A.Md.Kep. 816,246 40,812 775,434 0086186802100
28 Imam Prasetya Hermansah, S.Kep., Ners. 1,010,879 50,544 960,335 0086187868100
29 I r a w a t i 247,180 12,359 234,821 0086182361100
30 Siti Nur Azijah, A.Md.Gz. 469,626 28,178 441,448 0093614429100
31 Seli Cahyani 477,520 28,651 448,869 0094212049100
32 Dewi Syahadah, A.Md.Kep. 703,970 35,198 668,771 0094226120100
33 Ami Jamiatul, A.Md.Keb. 680,273 34,014 646,260 0094793637100
34 Sindi Audila Arum 340,288 20,417 319,871 0097865264100
35 Azizah Putri Wibowo, A.Md.Kes. 727,855 36,393 691,462 0100517604100
36 Anwar Muhlis 269,210 13,460 255,749 0100315114100
JUMLAH 27,014,174 1,569,763 25,444,411