Professional Documents
Culture Documents
Pemahaman Tentang PCC
Pemahaman Tentang PCC
Pemahaman Tentang PCC
Jabatan sekarang :
Anggota Badan Pengurus KARS Pernah menjabat :
Kepala Bidang IT,PR dan Marketing Direktur RSUD Karawang
Anggota Komite Etik & Disiplin KARS Wakil direktur pelayanan RSUD Karawang
Ketua Umum PABI (Spesialis Bedah Umum) Ketua Komite Medis RSUD Karawang
Anggota MPPK & MKKI IDI Direktur RS Swasta di Karawang
Anggota Tim Pertimbangan Klinis DKI Kepala UTD PMI cabang Karawang
Dosen MARS Esa Unggul
f i nisi Patient-Centered Care
De
KARS
Nothing about me , without me
SEJARAH
PATIENT CENTERED CARE
PENGALAMAN MR PICKER
• Harvey Picker ( 1915 – 2008)
• He was the founder of the Boston-based Picker Institute,
whose goal is to promote patient-centered healthcare. Standar Akreditasi
• The term patient-centered care was coined by Harvey Picker,
1988
• He believed that the American health care system was Fokus Pasien
technologically and scientifically outstanding, but overall was
not sensitive to patients' concerns and their comfort Quality & Safety
• In The Year 1986, they founded the Picker Institute, dedicated of Patient Care
to developing a patient-centered approach to healthcare
Patient
Centered Care
ISQua
KARS
Picker Institute : 1.Respect for patients‘ values, preferences and expressed needs
2.Coordination and integration of care
3.Information communication and education
4.Physical comfort
5.Emotional support and alleviation of fear and anxiety
6.Involvement of family and friends
7.Continuity of care and smooth transition
8.Access to Care
Asuhan
Asuhan Pasien
Pasien
Model
Model
Patient
Patient Centered
Centered
Care
Care
KARS
Model Tradisional Asuhan Pasien
Pada
model
adany ini terkond
po t e n a i si
si kon 2 Kubu,
flik le
bih tin
g gi !!
“Dokter = Captain of the ship”
Fisio Perawat
terapis Apoteker
Radio Dokter
grafer
“Disease Pasien
centered
care”
Ahli
Analis Gizi
Barrier
Lainnya
(“Medical paternalism”)
DPJP
Perawat Apoteker
Clinical/Team Leader
• Koordinasi Fisio Ahli
• Kolaborasi terapis Pasien, Gizi
• Interpretasi Keluarga
• Sintesis
Radio Analis
• Integrasi asuhan
grafer
komprehensif
Lainnya
Yan Kes
/ RS Lain
MPP
Case
Yan Manager
Keuangan/
Billing Asuransi Dokter
Perusahaan/ Keluarga
KARS
Employer BPJS
KONSEP PELAYANAN PASIEN SESUAI STANDAR AKREDITASI RS.
Pelayanan
Manajemen
Fokus Pasien
Risiko RS
(Patient Centered
Po
la
Risiko Klinis
Care)
24
ofis 4
s
ilo ien
F
n s ep pas )
Ko uhan t care
As tien “Safety is a fundamental
(Pa
Etik principle of patient care
and a critical component
of Quality Management.”
• Mutu
4 Fondasi Kebutuhan •
Patient (World Alliance for Patient
PPA Asuhan pasien Pasien
Safety Safety, Forward Programme,
• Asuhan Medis WHO, 2004)
• Asuhan Keperawatan
EBM
• Asuhan Gizi/Nutrisi
• Asuhan Farmasi VBM • Evidence Based Medicine
• Value Based Medicine
KARS
(Nico A Lumenta & Adib A Yahya, 2012)
APA YANG BERBEDA
PADA ASUHAN PASIEN DI RS
p ektif
s
Per sien What are the Core Concepts of Patient Centered Care?
Pa
Partnering with Patients and Families to Design a Patient and Family-Centered Health Care System.
Johnson, B et al. Institute for Family-Centered Care 2008
r s p e ktif
Pe
o f e s io n a l n Core Concepts of Patient Centered Care
Pr A suha
e r i
Pemb
1. Interdisciplinary Team
• Profesional Pemberi Asuhan diposisikan mengelilingi pasien
• Kompetensi yang memadai
• Berkontribusi setara dalam fungsi profesinya
• Tugas mandiri, kolaboratif, delegatif, bekerja sebagai satu kesatuan memberikan asuhan yang
terintegrasi
2. Interprofessionality
• Kolaborasi Interprofesional
• Edukasi Interprofesional
• Kompetensi praktik kolaborasi interprofesional
• Termasuk bermitra dengan pasien-keluarga
3. DPJP adalah Clinical Leader.
• DPJP melakukan koordinasi, kolaborasi, sintesis, interpretasi, review dan mengintegrasikan
asuhan pasien
4. Personalized Care & BPIS (Bila Pasien Itu Saya)
• Keputusan klinis selalu diproses berdasarkan juga nilai-nilai pasien
• Setiap PPA memperlakukan pasiennya sebagaimana ia sendiri ingin diperlakukan
(Sintesis berbagai refernsi, 2014)
BAGAIMANA
IMPLEMENTASI KONSEP PCC
IMPLEMENTASI Patient Centered Care
Lainnya
1. Pasien adalah pusat pelayanan, Pasien adalah bagian dari Tim
Interprofessional Education Collaborative Expert Panel.. Core competencies for interprofessional collaborative practice:
Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative, (2011)
KARS Dr.Nico
(Framework Lumenta
for Action on Interprofessional Education & Collaborative Practice, WHO, 2010)
Kesimpulan : Kesimpulan
Patient- and family-centered care is a change
in thinking
• from serving patients and families
• to partnering with patients and
families.
• And that’s a very big difference !!
Senior Vice President, Patient and Family Centered Care,
MCG Health System
(Strategies for Leadership, Advancing The Practice of Patient- and Family-Centered Care, A
Resource Guide for Hospital Senior Leaders, Medical Staff and Governing Boards. American
Hospital Association and Institute for Family Centered Care, 2004)
KARS
KLINISI
PASIEN