TE M O F

N CES Y S
ASS UR A
QUA LI TY
H O SP ITAL
A ST ATE
TYPE

GIGI 5A
SAR JAN A TERAPI
FROM
MEMBERS
1. NABILA FIRLY A N (P1337425220010)
2. AWANDA AYU S Y (P1337425220033)
3. DIAN MAWARNI (P1337425220092)

CLASS 5A
TABLE OF CONTENTS

01 DEFINITION 02 PRINCIPLE

03 FORMS OF QUALITY
ASSURANCE 04 QUALITY ASSURANCE
IN HOSPITALS

05 QUALITY ASSURANCE
PROCESS
 01
DEFINITION
 DEFINITION
Quality assurance or quality is all planned
and systematic activities carried out in a
quality system that can be demonstrated to
provide confidence that a product or
service will meet quality requirements.
 Quality Assurance Purpose

a. Bringing benefits to internal agencies or members of an organization

in a health service agency (RS)
b. Bringing external benefits to the reputation of the Health agency (RS)
c. Serving accountability and accreditation requirements.
d. Improve the reputation of a health agency and meet external demands
for quality demonstration, quality assurance and quality
improvement.
 02
PRINCIPLE
Quality Assurance
Principle
1. Quality assurance is the
science of process
management.
2. Without measuring, can not
repair.
3. Run the front line workers
or leaders of health care.
 03
FORMS OF QUALITY ASSURANCE
a. Standardization (Standardization)
The standards required in a type A public hospital are :

1. The services and quality of services the hospital delivers to the patient.
2. The principles of organization and administration.
3. The physical plant and the environment in the hospital.
b. License / Licensure (Licensure)
Licensing is the process of legally granting permission by a competent institution, usually
the government to individuals or organizations to carry out health service practices or
activities to the community, in this case type A hospitals, permanent in nature, granted
based on an examination of the structural requirements of a health care organization, or
education and individual competence and not performance.
c. Certification (Certification)
Certification is a continuation of the license. Certification indicates that a type
A hospital must meet some general compliance guidelines in order to establish.
For example, a type A hospital must be able to provide broad specialist and
subspecialist medical services by the government.
d. Accreditation
Accreditation emphasizes that the hospital is a responsible institution that
prioritizes the obligations of proper patient care. A type A government hospital
that has been accredited must be able to guarantee its customers and staff to put
in the effort and time to meet the established standards. Accreditation will
require hospitals to always guarantee constant quality or even increase. This
accreditation is renewed within a certain period of time.
 04
Quality Assurance in Hospitals
 Focus on Clients
. Client focus examines how each
step in a process is relevant to
meeting the client's needs
Focus on Measurement
Data collection and analysis
allows us to develop and test
hypotheses.
Focus on Systems and
Processes
All processes are directed to
achieve one goal or output from
the system that includes the
process.
Focus on Teamwork
The group working in the
process will understand it
better than anyone else.
 05
QUALITY ASSURANCE PROCESS
There are ten steps in the quality assurance process
1. Planning for quality assurance
This step is the stage of preparing an organization to carry out quality assurance activities.
2. Setting standards and specifications (Developing guidelines and setting standards)
An organization must have a view of the goals and objectives of its programs that are adjusted to the
established operational procedures.
3. Communicating standards and specifications
It is important for staff members to communicate and promote their use.

4. Monitoring Quality
Monitoring is a routine activity and reviewing existing data to help assess whether the
implemented program has followed the norms and whether the existing results have improved.
5. Identifying problems and selecting opportunities for improvement
Program managers can identify quality improvement opportunities by monitoring and
evaluating activities.
6. Defining the problem operationally
After selecting a problem, the team must define it operationally - as the gap between actual
performance and performance as defined by guidelines and standards.  
7. Choosing a Team
Once the health facility staff uses a participatory approach to selecting and defining the problem, it
is necessary to establish a small team to address the specific problem..
8. Analyzing and studying the problem to identify its root causes
Achieving meaningful and continuous quality improvement efforts depends on understanding the
problem and its root causes.
9. Develop Solutions and Actions for Quality Improvement
The problem-solving team must now be ready to develop and evaluate potential solutions.
10. Implementing and evaluating quality improvement efforts
Implementing quality improvement requires careful planning. The team must determine the
resources and timeframe required and decide who will be responsible for implementation.
The Relationship between Hospital Functions
and Quality Assurance :
A. Functions of the Hospital.
1) Patient care (Service): Is the main function (curative function) refers to any type
of care provided to patients by members of the health team, e.g. Doctors,
Nurses, Physical Therapists, Dietitians, etc. including health education to
patients.
2) Health Personnel Education (Education): It is a secondary function
(educational function). Refers to the education of professionals and technical
personnel who provide health services, e.g. Doctors, Nurses, Dentists,
Therapists, Technicians, etc.
3) Health Related Research (Research): Secondary function (Research function)
Research that focuses on health promotion and/or disease prevention.
4) Generate essential information: Related to generating important information.
The relationship between Hospital functions and Quality Assurance .
Number Hospital Functions
1 Patient care
2 Health Personnel Education
3 Health Related Research
4 Generate essential
information
Linking Functions with Quality Assurance
Refers to any type of care provided to a patient by a
member of the healthcare team. Quality Assurance can
maintain the quality of services provided to patients by
constantly monitoring and evaluating service quality.
Thus providing a sense of satisfaction to the patient.
Refers to the education of professional and technical
personnel who provide health services. If the health
workers involved in health services are experts and
professionals in their fields, it will help the smooth
running of health services. So of course these health
workers can provide the best service and can help
improve the quality of hospital services.
Focuses on health promotion and/or disease prevention.
Quality Assurance can analyze problems in hospitals
that must be researched and find solutions to overcome
them. And able to create the latest medical technology.
Quality Assurance can help make it easier in terms of
providing the information needed for both patients and
health care workers.
Relationship between Quality Assurance and Patient Safety
A. Definition of Patient Safety
The simplest definition of patient safety is the prevention of errors and adverse effects to patients
associated with health care. While health care has become more effective it has also become
more complex, with greater use of new technologies, medicines and treatments. Unexpected and
unwanted events can take place in any setting where health care is delivered (primary, secondary
and tertiary care, community care, social and private care, acute and chronic care). Safety is
part of the quality agenda and therefore a dimension of the quality culture, requiring broad
commitment from both the organization and the community (WHO, 2017).
B. Relationship between Quality Assurance and Patient Safety
Patient safety is part of quality, and safety is the goal that is most felt by patients. Quality services
will certainly not injure patients. Quality service is definitely safe. On the other hand, a secure
service is not necessarily quality and error-free. Health services must be able to meet the needs of
the community and can also improve the quality of life of the community. All of this can be
fulfilled if health services have optimal service quality.
 Examples of Type A Public Hospitals:
Central General Hospital Dr. Kariadi, Semarang
(Kemkes)
Structure or Input Indicators:

Human resources available at the Hospital Dr.

Karyadi include: specialist doctors, DPJP
Kemendiknas, specialist dentists, general
practitioners, dentists, nurses, midwives, other health
professional staff, non-medical staff, outsourced
employees.
Infrastructure
Resources, Facilities and Infrastructure are regulated in the Regulation of the
Minister of Finance of the Republic of Indonesia Number 96/PMK.06/2007
concerning Procedures for the Implementation of the Use, Utilization,
Elimination and Transfer of State Property and the Regulation of the Minister of
Finance of the Republic of Indonesia Number 97/PMK.06/2007 concerning
Classification and Codefication of State Property. The facilities and
infrastructure at RSUP Dr. Kariadi Semarang according to the state property
position report as of December 31, 2019 in the form of:

a. BMN INTRACOMTABLE
b. EXTRACOMTABLE BMN
c. INTRA & EXTRA COMBINED BMN
d. BMN Intangible Assets
e. CONSTRUCTION IN WORKING
BUDGET REALIZATION
The budget realization report based on the financial aspects according to
the budget in the 2019 Budget Implementation List (DIPA) consists of the
APBN (Pure Rupiah) and Non APBN (BLU) DIPA which illustrates the
comparison between the budget and its realization including the elements
of income and expenditure.
THANKYOU