Lampiran ulfa 2.docx
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32
A. LAMPIRAN 1 Lembar Observasi
LEMBAR OBSERVASI
ANALISIS PENYEBAB LAMA WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT JEMBER TAHUN 2017
No
Daftar Observasi
1.
Terdapat SPO tentang tentang lama waktu tunggu pasien rawat jalan
2.
Petugas dan dokter sudah mematuhi SOP yang berkaitan dengan lama waktu tunggu pasien rawat jalan
3.
Petugas dan dokter mematuhi SPM yang berkaitan dengan lama waktu tunggu pasien rawat jalan
4.
Petugas dan dokter selalu datang tepat waktu
5.
SIMRS berjalan secara efektif dan efisien?
6.
sarana dan prasarana sudah dapat mendukung keberhasilan proses waktu tunggu yang efektif?
Ya
Tidak
Keterangan
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33
No
Daftar Observasi
7.
Apakah alat tulis kantor dibagian TPPRJ, bagian filing dan dan poli sudah lengkap
8.
Apakah peralatan seperti kursi, meja yang ada pada ruangan sudah lengkap dan baik digunakan?
9.
ada evaluasi dari pimpinan terkait lama waktu tunggu pasien rawat jalan
10.
Petugas menjalankan tugasnya sesuai job sesuai job
11
Dana yang diberikan pihak rumah sakit sudah mencukupi kebutuhan bagian pelayanan rawat jalan
12.
Ada kendala yang didapat petugas selama melakukan tugasnya yang dapat menyebabkan lama waktu tunggu pasien rawat jalan
Ya
Tidak
Keterangan
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34
Lampiran 2 Persetujuan Setelah Penjelasan
KEMENTERIAN KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN POLITEKNIK NEGERI JEMBER
Jl. Mastrip Kotak Pos 164 Jember 68101 68101
PERSETUJUAN SETELAH PENJELASAN
J udul udul Pe P enelitia nelitian n : “Analisis Penyebab Penyebab Lamanya Lamanya Waktu Tunggu Pasien Rawat Jalan di Rumah Sakit Daerah Kalisat Jember ”. ”. Deskripsi Penelitian a. Ringkasan Penelitian
Instalasi Rawat Jalan (IRJ) merupakan unit fungsional yang menangani penerimaan pasien di rumah sakit, baik yang akan berobat jalan maupun yang akan dirawat di rumah sakit. Pelayanan rekam medis rawat jalan dimulai dari tempat pendaftaran pasien sampai memperoleh dokumen rekam medis yang akan digunakan untuk mendapatkan pelayanan kesehatan. Tempat pendaftaran pasien rawat jalan mempunyai fungsi atau peran dalam pelayanan kepada pasien maupun keluarga pasien, sehingga baik buruknya mutu pelayanan rumah sakit dapat dinilai dari pelayanan yang diterima oleh pasien di tempat pendaftaran. Standar Pelayanan Minimal (SPM) adalah ketentuan tentang jenis dan mutu pelayanan dasar yang merupakan urusan wajib pemerintah yang berhak diperoleh setiap warga secara minimal. Waktu tunggu palayanan di rumah sakit di tetapkan melalui standar pelayanan minimal rumah sakit. Standar pelayanan minimal di rawat jalan berdasarkan Keputusan Menteri Kesehatan Republik Indonesia Nomor
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35
Peneliti melakukan survei pendahuluan pada tanggal 21 Maret 2016 didapatkan informasi terkait lama waktu tunggu pasien terdapat lima titik waktu tunggu rawat jalan yaitu titik A retan waktu pasien mengambil mengambil nomor antrian hingga di layani di pendaftaran, pendaftaran, titik B waktu pelayanan di pendaftaran, pendaftaran, titik C Pemeriksaan Pemeriksaan awal perawat, titik D Waktu tunggu pemeriksaan dokter dan titik E yaitu waktu
time menunjukkan bahwa Pemeriksaan dokter (Torry dkk,2016). Hasil observasi time total rata-rata waktu tunggu pelayanan rawat jalan pada RSD kalisat adalah 164 menit , lebih besar dari Standar Pelayanan Minimal (SPM) Kemenkes Nomor 129/Menkes/SK/II/2008 yaitu kurang dari atau sama dengan 60 menit Dampak yang diakibatkan dari waktu tunggu yang lama yaitu ketidakpuasan pasien. Berdasarkan wawancara yang dilakukan kepada 15 pasien rawat jalan, 12 pasien menyatakan tidak puas karena waktu tunggu yang lama. Apabila pasien tidak merasa puas terhadap pelayanan yang diterima maka dapat mengakibatkan penurunan kunjungan pasien di rumah sakit (Sumi,2016). Kepuasan pasien juga berdampak kepada loyalitas pasien. Semakin tinggi kepuasan pasien maka semakin tinggi pula loyalitas pasien. Dan sebaliknya semakin rendah kepuasan pasien maka akan rendah pula loyalitas yang diberikan oleh pasien (juniharta,2016). Oleh karna itu sangat penting menjaga kepuasan pasien agar dapat menjaga jumlah kunjungan pasien agar tidak menurun dan dapat membuat pasien loyal kemudian berkunjung kembali. b. Tujuan
Menganalisis Penyebab Penyebab Lamanya Waktu
Tunggu Pasien Rawat Jalan di
Rumah Sakit Daerah Kalisat Jember c. Lama Penelitian : Bulan Juli 2017 – 2017 – Desember Desember 2017 d. Resiko dan Ketidaknyamanan : Tidak mengancam nyawa petugas
kesehatan melainkan menyita waktu petugas klinik selama 10-15 menit.
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36
e. Jaminan Kerahasiaan :
Peneliti bersedia menjaga kerahasiaan data dan informasi yang didapat dari tempat penelitian baik secara observasi, wawancara, maupun dokumentasi. f.
Kompensasi : dalam penelitian ini, narasumber kehilangan waktu.
Kompensasi yang diterima adalah pergantian kesediaan waktu narasumber dengan diberikannya bingkisan. Kontak
Nama : Ulfa Dwi Lestari (082140878337 Nim
: G41141219
Status : Mahasiswa Politeknik Negeri Jember Jurusan Kesehatan Program Studi Studi Rekam Medik
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37
Lampiran 3 Informed 3 Informed Cosent
LEMBAR PERSETUJUAN ANALISIS PENYEBAB LAMA WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT JEMBER TAHUN 2017
INFORMED CONSENT Assalamu’alaikum Wr. Wb Kepala rekam medis dan Dokter yang saya hormati. Tujuan wawancara ini adalah untuk mengetahui dan memperjelas garisgaris besar permasalahan serta hal-hal yang berkaitan dengan keterlambatan pengembalian berkas rekam medis rawat inap. Kepala rekam medis dan dokter, sebagai bagian dari rencana penelitian yang telah dikembangkan dengan baik, maka peran serta kepala rekam medis dan dokter akan sangat membantu kami dalam mencapai tujuan penelitian ini. Semua informasi yang diberikan oleh kepala rekam medis dan dokter akan dirahasiakan dengan ketat dan hanya digunakan sebagai bahan dari penelitian. Kami mohon kepala rekam medis dan perawat menjawab pertanyaan pertanyaan yang kami ajukan dengan bebas dan tulus ikhlas sesuai dengan pendapat kepala rekam medis dan dokter.
Hormat Saya
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38
Lampiran 4 Informed 4 Informed Consent LEMBAR PERSETUJUAN ANALISIS PENYEBAB LAMA WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT JEMBER TAHUN 2017
INFORMED CONSENT CONSENT Saya telah diberikan penjelasan mengenai hal tersebut dan saya telah diberikan kesempatan untuk bertanya mengenai hal-hal yang belum dimengerti dan telah mendapat jawaban pertanyaan dalam lembar wawancara ini dengan sesuai fakta yang ada. Saya yang bertanda tangan dibawah ini Nama
:
Alamat
:
Jabatan
:
Bersedia untuk dijadikan subyek dalam penelitian dari Nama
: Ulfa Dwi Lestari
NIM
: G41141219
Jurusan/Prodi : Kesehatan/Rekam Medik Dengan judul “Analisis “ Analisis Penyebab Lama Waktu Tunggu Pasien Rawat Jalan Di
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39
Lampiran 5 Petunjuk Wawancara PEDOMAN WAWANCARA ANALISIS PENYEBAB LAMA WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT JEMBER TAHUN 2017
A. TATA CARA PELAKSANAAN WAWANCARA
Dalam melakukan wawancara dengan responden untuk memperoleh data yang dibutuhkan, maka peneliti menyusun tata cara petunjuk dalam melakukan wawancara dengan informan yang terdiri dari: I. PETUNJUK UMUM
1. Menyampaikan ucapan terima kasih kepada responden atas kesediaannya meluangkan waktu untuk di wawancarai. 2. Menjelaskan tentang maksud dan tujuan wawancara. II. PETUNJUK WAWANCARA
1. Wawancara dilakukan dan dicatat oleh peneliti sendiri. 2. Responden bebas untuk menyampaikan pendapat, pengalaman, saran dan komentar. 3. Pendapat, pengalaman, saran dan komentar responden sangat bernilai. 4. Tidak ada jawaban yang benar ataupun salah karena wawancara ini untuk kepentingan penelitian. 5. Semua
pendapat,
pengalaman,
saran
dan
komentar
akan
dijamin
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40
Lampiran 6 Pedoman Wawancara LEMBAR WAWANCARA ANALISIS PENYEBAB LAMA WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT JEMBER TAHUN 2017
No.
Man
A.
Pengetahuan
1.
Apa yang dimaksud dengan lama waktu tunggu pasien rawat jalan ?
Responden
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
2.
Berapa lama lama waktu tunggu pasien rawat jalan pada SPM Rumah Sakit ?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
3.
Apakah terdapat SPO tentang tentang tentang lama waktu tunggu pasien rawat jalan? Jika ya berapa lama?
Responden 1 Responden 2
Hasil
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41
No.
Man
A.
Pengetahuan
4.
Apakah dampak dari waktu tunggu yang lama?
Responden
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
5.
Apakah dampak dari waktu tunggu yang lama?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
6.
Bagaimana petugas pendaftaran menjalankan sistem pendaftaran pasien rawat jalan?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
7
Bagaimana petugas filing dalam menyediakan berkas rekam medis pasien rawat jalan?
Responden 1 Responden 2 Responden 3
Hasil
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42
No.
Man
B
Usia
1.
Berapa usia petugas saat ini?
Responden
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
2
Keluhan petugas dalam bekerja terkait dengan usia
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
C
Masa kerja Berapa lama petugas bekerja di rumah Sakit?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
2.
Apakah sebelumnya petugas bekerja ditempat lain?
Responden 1 Responden 2
Hasil
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43
Responden 4 Responden 5 2.3 Apakah pendidikan terakhir sesuai
dengan job yang job yang diberikan?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
E
Pelatihan
1.
Pelatihan apa saja yang sudah didapatkan oleh petugas tentang pelayanan rawat jalan terkait lama waktu tunggu pasien ra wat jalan ?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
2.
Kapan pelatihan terakhir dilakukan?
Responden 1 Responden 2
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44
No. Machine A.
SIMRS
1.
Apa yang petugas ketahui tentang SIMRS?
Responden
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
2.
Apa manfaat dari SIMRS terhadap pelayanan rawat jalan terkait lama waktu tunggu pasien rawat jalan ?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
3.
Apakah SIMRS berjalan secara efektif dan efisien?
Responden 1 Responden 2
Hasil
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45
2.
Apakah ada sosialisasi SPO tentang lama waktu tunggu pasien rawat jalan di rumah sakit?
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
No. Material
Responden
A
Sarana prasarana
1
Apakah sarana dan prasarana sudah
Responden 1
dapat mendukung keberhasilan proses waktu tunggu yang efektif?
Responden 2 Responden 3 Responden 4 Responden 5
2.
Apakah alat tulis kantor dibagian TPPRJ, bagian filing bagian filing dan dan poli sudah lengkap
Responden 1 Responden 2
Hasil
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46
No. Money A.
Pendanaan
1.
Bagaimana dengan anggaran/ dana yang diberikan pihak rumah sakit untuk memenuhi kebutuhan pelayanan rawat jalan agar berjalan agar berjalan efektif dan efisien ?
Responden
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
2.
Dana yang diberikan pihak rumah sakit sudah mencukupi kebutuhan bagian pelayanan rawat jalan
Responden 1 Responden 2 Responden 3 Responden 4 Responden 5
Hasil
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47
Lampiran 7 Undangan Focus Undangan Focus Group Discussion. KEMENTERIAN KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN POLITEKNIK NEGERI JEMBER
Jl. Mastrip Kotak Pos 164 Jember 68101 68101
Kepada Yth. Bapak/Ibu : ......................................... ............................................ ... Di RSD Kalisat Jember Dengan Hormat, Sehubungan dengan pelaksanaan penelitian skripsi saya yang berjudul “Analisis Penyebab Lama Waktu Tunggu Pasien Rawat Jalan Di Rumah Sakit
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48
Lampiran 8 Daftar Hadir Focus Hadir Focus Group Discussion.
KEMENTERIAN KEMENTERIAN RISET, TEKNOLOGI, DAN PENDIDIKAN POLITEKNIK NEGERI JEMBER
Jl. Mastrip Kotak Pos 164 Jember 68101 68101
GROUP DI SCUSSI SCUSSI ON DAFTAR HADIR F OCUS GROUP Identifikasi :
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49
KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI POLITEKNIK NEGERI JEMBER Mastrip PO.BOX 164 Telp. Tel p. 333532-333534 Fax 333531 LEMBAR F OCUS GROUP GROUP DI SCUSSI SCUSSI ON
Identifikasi : 1.
Waktu pelaksanaan a. Hari
:
b. Tanggal
:
c. Jam
:
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50
b.
Tahap Konklusi Pada tahap ini kelompok menyimpulkan upaya pemecahan tentang Penyebab Lama Waktu Tunggu Pasien Rawat Jalan Di Rumah Sakit Daerah Kalisat Jember Tahun 2017. Setelah semua sepakat, maka diambil kesepakatan terakhir yang dianggap paling cocok dan tepat.
No
Daftar Observasi
1.
Terdapat SPO tentang tentang lama waktu tunggu pasien rawat jalan
2.
Petugas dan dokter sudah mematuhi SOP yang berkaitan dengan lama waktu tunggu pasien rawat jalan
Hasil dan Diskusi
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51
No
Daftar Observasi
11
Dana yang diberikan pihak rumah sakit sudah mencukupi mencukupi kebutuhan bagian pelayanan rawat jalan
12.
Ada kendala yang didapat petugas selama melakukan tugasnya yang dapat menyebabkan menyebabkan lama waktu waktu tunggu pasien rawat jalan
Hasil dan Diskusi
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Trusted by over 1 million members
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LAMPIRAN 9 Lembar Brainstorming
LEMBAR LEMBAR FOCUS LEMBAR FOCUS GROUP DISCUSSION DISCUSSION ANALISIS PENYEBAB LAMA WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT JEMBER TAHUN 2017 Pedoman Focus Pedoman Focus Group Discussion
A. Identifikasi 1.1 Nama – Nama – Nama Nama Responden 1) Responden 1
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