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Dokumen di Puskesmas

NO 1. Dilakukan identfikasi kebutuhan dan harapan masyarakat, kelompok masyarakat, dan individu yang merupakan sasaran program

1 SPO identifikasi kebutuhan dan harapan masyarakatsasaran program terhadap program

1 1. &erangka a#uan, metoda, instrumen !. "dentifikasi kebutuhan dan masyarakatsasaran harapan masyarakat, kelompok analisis kebutuhan masyarakatsasaran  program masyarakat, dan individu yang merupakan sasaran program dilengkapi dengan kerangka a#uan, metoda dan instrumen, #ara analisis analisis yang disusun oleh Penanggung$a%ab program

2 '. (asil identifikasi di#atat dan *atatan hasil analisis dan identifikasi dianalisis sebagai masukan untuk kebutuhan program dan ren#ana kegiatan program  penyusunan kegiatan)kegiatan  program.

3

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+en#ana kegiatan program yang 4. &egiatan)kegiatan tersebut ditetapkan oleh kepala Puskesmas ditetapkan oleh &epala Puskesmas bersama dengan Penanggung$a%ab program dengan menga#u pada pedoman  program dan hasil analisis kebutuhan dan harapan masyarakat, kelompok masyarakat, dan individu sebagai sasaran program.

4 . &egiatan)kegiatan tersebut dikomunikasikan kepada masayarakat, kelompok masyarakat, maupun individu yang men$adi sasaran program.

-ukti pelaksanaan sosialisasi kegiatan kepada masyarakat, kelompok masyarakat, masyarakat, dan sasaran

5 !. SPO koordinasi dan komunikasi . &egiatan)kegiatan tersebut lintas program dan lintas sektor  dikomunikasikan dan dikoordinasikan kepada lintas  program dan lintas se#tor terkait terkait sesuai dengan pedoman  pelaksanaan program.

6 /. &egiatan)kegiatan tersebut disusun dalam ren#ana kegiatan  program.

+en#ana kegiatan program yang ditetapkan oleh kepala Puskesmas

7 !. &erangka a#uan untuk memeroleh 1. &epala Puskesmas dan umpan balik asupan2 asupan2 pelaksanaan Penanggung$a%ab  program Program0paya Puskesmas menyusun kerangka a#uan untuk memperoleh umpan balik dari masyarakat dan sasaran program tentang pelaksanaan kegiatan  program.

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'. SPO pembahasan umpan balik, dokumentasi pelaksanaan  pembahasan, hasil pembahasan, pembahasan, tindak lan$ut pembahasan

'. Dilakukan pembahasan terhadap umpan balik dari masyarakat maupun sasaran  program oleh &epala Puskesmas, Penanggung$a%ab Program0paya Puskesmas,  pelaksana program, lintas  program, dan $ika diperlukan 10 dengan lintas se#tor terkait. -ukti perbaikan ren#ana pelaksanaan 4. (asil identifikasi digunakan  program untuk perbaikan ren#ana danatau  pelaksanaan kegiatan program.

11 -ukti tindak lan$ut dan evaluasi terhadap perbaikan yang dilakukan

. Dilakukan tindak lan$ut dan evaluasi terhadap perbaikan ren#ana maupun pelaksanaan 12 program. (asil identifikasi masalah, perubahan 1. &epala Puskesmas, regulasi, dsb Penanggung$a%ab Program0paya Puskesmas, dan  pelaksana program mengidentifikasi permasalahan dalam pelaksanaan kegiatan  program, perubahan regulasi,  pengembangan tehnologi,  perubahan pedomana#uan  program

13

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(asil identifikasi peluang)peluang !. &epala Puskesmas,  perbaikan inovatif  Penanggung$a%ab Program0paya Puskesmas, dan  pelaksana program melakukan identifikasi peluang)peluang inovatif untuk perbaikan  pelaksanaan kegiatan program untuk mengatasi permasalah tersebut maupun untuk menyesuaikan dengan  perkembangan tehnologi, regulasi, maupun pedomana#uan  program.

14 -ukti pembahasan melalui forum) '. Peluang inovatif untuk  perbaikan dibahas melalui forum) forum komukasi dengan masyarakat, sasaran program, lintas program, forum komunikasi atau lintas sektor   pertemuan pembahasan dengan masyarakat, sasaran program, lintas program dan lintas se#tor terkait

15 +en#ana perbaikan inovatif, evaluasi, 4. "novasi dalam pelaksanaan kegiatan program diren#anakan, dan tindak lan$ut thd hasil evaluasi dilaksanakan, dan dievaluasi.

16 -ukti pelaksanaan sosialisasi . (asil pelaksanaan dan evaluasi terhadap inovasi kegiatan dikomunikasikan kepada lintas program, lintas se#tor terkait, dan Dinas &esehatan &abupaten&ota

17 1.3adual pelaksanaan kegiatan  program ditetapkan sesuai

3adual kegiatan, ren#ana program kegiatan

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!. Pelaksanaan kegiatan progam Data kepega%aian pelaksana program dilakukan oleh pelaksana yang kompeten.

19 '. 3adual dan pelaksanaan kegiatan diinformasikan kepada sasaran program

-ukti pelaksanaan sosialisasi

20 4. Pelaksanaan kegiatan program -ukti pelaksanaan kegiatan program sesuai dengan $adual yang 21 ditetapkan . Dilakukan evaluasi, dan tindak -ukti evaluasi dan tindak lan$ut lan$ut terhadap pelaksanaan kegiatan program

22 1. "nformasi tentang kegiatan  program disampaikan kepada masyarakat, kelompok masyarakat, individu yang men$adi sasaran program

4. SPO penyampaian penyampaian informasi, -ukti  pelaksanaan penyampaian penyampaian informasi informasi

23 !. "nformasi tentang kegiatan  program disampaikan kepada lintas program terkait

. SPO penyampaian penyampaian informasi, -ukti  pelaksanaan penyampaian penyampaian informasi informasi

24 '. "nformasi tentang kegiatan  program disampiakan kepada lintas se#tor terkait

. SPO penyampaian penyampaian informasi, -ukti  pelaksanaan penyampaian penyampaian informasi informasi

25 4. Dilakukan evaluasi terhadap /. SPO evaluasi, instrumen evaluasi,  pelaksanaan ev aluasi, hasil evaluasi ke$elasan informasi yang disampaikan kepada sasaran  program, lintas program, dan lintas se#tor terkait

26 . Dilakukan tindak lan$ut terhadap evaluasi penyampaian

+en#ana tindak lan$ut, dan indak lan$ut hasil evaluasi

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1. Penanggung$a%ab dan  pelaksana program memastikan %aktu dan tempat pelaksanaan kegiatan program yang mudah diakses oleh masyarakat

3adual pelaksanaan kegiatan program

28 !. Pelaksanaan kegiatan program +en#ana kegiatan program, hasil evaluasi tentang metoda dan tehnologi dilakukan dengan metoda dan dalam pelaksanaan program, dan tehnologi yang dikenal oleh masyarakat atau sasaran program. tindak lan$utnya

29 '. 5lur atau tahapan kegiatan  program dikomunikasi dengan  $elas kepada masyarakat

3ad%al sosialisasi, daftar hadir, notulen dalam mengkomunikasikan mengkomunikasikan kegiatan program dg masyarakat masyarakat

30 4. Dilakukan evaluasi terhadap akses masyarakat danatau sasaran program terhadap kegiatan program

(asil evaluasi terhadap akses

. Dilakukan tindak lan$ut terhadap evaluai akses masyarakat danatau sasaran  program terhadap kegiatan  program.

-ukti tindak lan$ut.

31

32 . "nformasi yang $elas kepada 6. SPO pengaturan $adual perubahan %aktu dan tempat pelaksanaan masyarakat danatau sasaran kegiatan, dokumen perubahan $adual  program dilakukan $ika ter$adi $ika memang ter$adi perubahan  perubahan %aktu dan tempat  $adual2  pelaksanaan kegiatan pengelola dan pelaksana program memberikan kemudahan bagi masyarakat atau sasaran program untuk memperoleh pelayanan tersebut.

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1. &epala Puskesmas menetapkan #ara untuk menyepakati %aktu dan tempat  pelaksanaan kegiatan program dengan masyarakat danatau sasaran program

7. SPO untuk menyepakati bersama tentang #ara dan %aktu pelaksanaan kegiatan dengan sasaran program atau masyarakat

34 !. &epala Puskesmas menetapkan #ara untuk menyepakati %aktu dan tempat  pelaksanaan kegiatan dengan lintas program dan lintas sektor terkait.

18. SPO kesepakatan #ara dan %aktu  pelaksanaan kegiatan dengan lintas lintas  program dan lintas sektor 

35 11. SPO monitoring, hasil monitoring '. Penanggung$a%ab Program0paya Puskesmas memonitor pelaksanaan kegiatan  program tepat %aktu, tetpat sasaran dan sesuai dengan tempat yang diren#anakan

36 1!. SPO evaluasi, (asil evaluasi 4. Penanggung$a%ab program melakukan evaluasi terhadap ketepata %aktu, ketepatan sasaran dan tempat pelaksanaan.

37 . Pengelola dan pelaksana  program menindaklan$uti hasil

-ukti tindak lan$ut hasil evaluasi

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-ukti pelaksanaan analisis masalah !. &epala Puskesmas, dan hambatan, ren#ana tindak lan$ut Penanggung$a%ab Program0paya Puskesmas, dan  pelaksana program melakukan analisis terhadap permasalahan dan hambatan dalam pelaksanaan  program

40 +en#ana tindak lan$ut '. Penanggung$a%ab program dan pelaksana program meren#anakan tindak lan$ut untuk mengatasi masalah dan hambatan dalam pelaksanaan kegiatan  program

41 -ukti pelaksanaan tindak lan$ut 4. Penanggung$a%ab Program0paya Puskesmas dan  pelaksana program melaksanakan tindak lan$ut

42 Evaluasi thd tindak lan$ut masalah dan e. Penanggung$a%ab Program0paya Puskesmas dan hambatan  pelaksana program mengevaluasi keberhasilan tindak lan$ut yang dilakukan.

43

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'. &epala Puskesmas, Penanggung$a%ab Program0paya Puskesmas dan  pelaksana program melakukan analisis terhadap keluhan

-ukti analisis keluhan

46 4. &epala Puskesmas, -ukti pelaksanaan tindak lan$ut Penanggung$a%ab Program0paya Puskesmas, dan  pelaksana program melakukan tindak lan$ut terhadap keluhan

47 . &epala Puskesmas, 14. SPO penanganan keluhan dan Penanggung$a%ab umpan balik keluhan, -ukti Program0paya Puskesmas, dan  pelaksanaan umpan balik dan  pelaksana program memberikan tindak lan$ut keluhan informasi umpan balik kepada masyarakat atau sasaran sasaran program tentang tindak lan$ut yang telah dilakukan untuk menanggapi keluhan.

48 '. surat &etetapan &epala Puskesmas 1. &epala Puskesmas menetapkan indikator dan target tentang indikator dan target  pen#apaian program berdasarkan  pen#apaian program a#uan pedoman progrm,

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(asil analisis pen#apaian indikator '. &epala Puskesmas,  pen#apaian program Penanggung$a%ab Program0paya Puskesmas, dan  pelaksana program melakukan analisis terhadap #apaian indikator)indikator yang telah ditetapkan

51 -ukti pelaksanaan tindak lan$ut 4. &epala Puskesmas, Penanggung$a%ab Program0paya Puskesmas, dan  pelaksana program menindaklan$uti hasil analisis dalam bentuk upaya)upaya  perbaikan

52 . (asil analisis dan tindak lan$ut Dokumentasi hasil analisis dan tindak lan$ut didokumentasikan.

53

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IV

men

KET Dokumen Eksternal sebagai a#uan

√

√

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Pedoman)pedoman Pedoman)pedoman penyelenggaraan penyelenggaraan  program Puskesmas Puskesmas dari &emenkes

 _ 

 _ 

Pedoman penyelenggaraan program dari &emenkes

√

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√

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EP BAB V SOP SK KAK  LAIN2

NO

1

: !

: 10 : 5+ KAK KEG PROG : 60 100 Elemen Penilaian

Dokum Dokumen di Puskesmas

1. &epala Puskesmas menetapkan 1. S& persyaratan kompetensi Penanggung$a%ab program  persyaratan kompetensi Penanggung$a%ab Program0paya Puskesmas sesuai dengan pedoman  program.

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5

1. &epala Puskesmas me%a$ibkan '. S& &epala Puskesmas tentang Penanggung$a%ab Program0paya ke%a$iban mengikuti program orientasi Puskesmas maupun pelaksana  program yang baru ditugaskan untuk mengikuti kegiatan orientasi

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11

(asil evaluasi dan tindaka lan$ut thd '. Dilakukan evaluasi terhadap sosialisasi tu$uan, sasaran, dan tata  penyampaian informasi yang diberikan kepada sasaran program, nilai  pelaksana, lintas program dan lintas se#tor terkait untuk memastikan informasi tersebut

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16

. Penanggung$a%ab Program0paya Puskesmas melakukan koordinasi dalam  pelaksanaan kegiatan program kepada lintas program dan lintas sektor terkait.

'. SPO koordinasi lintas program dan lintas sektor 

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22

4. Penanggung$a%ab Program0paya Puskesmas dan  pelaksana program melakukan upaya pen#egahan dan minimalisasi minimalisasi risiko

+en#ana upaya pen#egahan risiko dan minimalisasis minimalisasis risiko dengan bukti  pelaksanaan

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26

+en#ana, kerangka a#uan, . SPO !. Penanggung$a%ab  pemberdayaan  pemberdayaan masyarakat Program0paya Puskesmas menyusun ren#ana, kerangka a#uan, dan prosedur pemberdayaan masyarakat.

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