Clinical Pathway Dian Harapan [Compatibility Mode]

7/21/2019 Clinical Pathway Dian Harapan [Compatibility Mode]

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Dr. Agus Suarsana, Sp.B

RS Dian Harapan – Papua

19 November 2013

PENYUSUNANCLNCAL PA!"#AY



BPJS

$U%A" SA&!

%ASYA$A&A!

NA CB'S

CLINICAL PATHWAY



DEFINISI CLINICAL PATHWAY

Sua(u )onsep peren*anaan pe+aanan

(erpa-u ang merang)um se(ap +ang)a/ang -ber)an )epa-a pasen ber-asar)an

s(an-ar pe+aanan me-s -an asu/an)eperaa(an ang berbass bu)( -engan/as+ ang (eru)ur -an -a+am ang)a a)(u

(er(en(u se+ama - ruma/ sa)(D. rman-a, 20045



Konsep perencanaan pelayanan terpadu

yang merangkum setiap langkah ygdiberikan kepada pasien berdasarkan

standar yanmed, standar asuhan

keperawatan& standar pelayanan tenagakesehatan lainnya , yg berbasis bukti dng

hasil yg dpt diukur dan dalam jangka

waktu tertentu selama di rumah sakit




European Pathways Association (EPA)

Pa-a )ongresna ang (era)/r - S+ovena (e+a/merevs -e6ns Clinical Pathways sebaga ber)u(7

•

Clinical Pathways a-a+a/ me(o-o+og -a+am *arame)ansme pengamb+an )epu(usan (er/a-ap+aanan pasen ber-asar)an penge+ompo)an -an

-a+am pero-e a)(u (er(en(u.




TUJUAN CLINICAL PATHWAY

•%engurang varas -a+am pe+aanan, Cos( +eb/mu-a/ -pre-)s.

•Pe+aanan +eb/ (ers(an-arsas, menng)a()an)ua+(as pe+aanan 8ua+( o6 Care5

•%enng)a()an prose-ur *os(ng.

•%enng)a()an )ua+(as -ar n6ormas ang (e+a/

-)umpu+)an.•Sebaga *oun(er*/e*)5 pa-a D$' *os(.



MANFAAT CLINICAL PATHWAY

•%en-u)ung pengena+an ev-en*ebase- me-*ne-an penggunaan pe-oman )+ns.

•%enng)a()an )omun)as an(ar -sp+n, (eamor): peren*anaan peraa(an.

•%ene-a)an s(an-ar ang e+as -an ba) un(u)pe+aanan

•

%emban(u mengurang varas -a+am peraa(anpasenme+a+u s(an-ar5



MANFAAT CLINICAL PATHWAY

•%enng)a()an proses manaemen sumber -aa

•%eno)ong proses 8ua+( mprovemen( se*araber)e+anu(an

•

%emban(u -a+am proses au-( )+ns•%enng)a()an )o+aboras an(ar -o)(er : peraa(

•%enng)a()an peran -o)(er -a+am peraa(an.



PRINSIP DALAM PENYUSUNANCLINICAL PATHWAY

•

Se+uru/ )ega(an pe+aanan ang -ber)an/arus se*ara (erpa-u;n(egras -anberoren(as 6o)us (er/a-ap pasen (patient

focused care) ser(a ber)esnambungan*on(nung of care)

•%e+ba()an se+uru/ pro6es -o)(er,peraa(;b-an, pena(a, +abora(ors -an6armass5




•

Da+am ba(asan a)(u ang (e+a/ -(en(u)ansesua -engan )ea-aan pera+anan pena)(pasen -an -*a(a( -a+am ben(u) pero-e /aranun(u) )asus raa( nap5 a(au am un(u) )asusgaa( -arura( - un( emergens5.

• Pen*a(a(an CP se+uru/ )ega(an pe+aanan ang-ber)an )epa-a pasen se*ara (erpa-u -an

ber)esnambungan (ersebu( -a+am ben(u)-o)umen ang merupa)an bagan -ar $e)am%e-s.




•

Se(ap penmpangan +ang)a/ -a+ampenerapan CP -*a(a( sebaga varans -an-+a)u)an )aan ana+ss -a+am ben(u) au-(.

•<arans (ersebu( -apa( (era- )arena )on-spera+anan pena)(, pena)( pener(a a(au)omp+)as maupun )esa+a/an me-s (medical

errors) -an -perguna)an sebaga sa+a/ sa(uparame(er -a+am rang)a memper(a/an)an-an menng)a()an mu(u pe+aanan.



Pada akhirnya CP dapa !"rupakan #uau SandarPr$#"dur %p"ra#i$na& yan' !"ran'ku! 7

• Pro6es me-s7 S(an-ar Pe+aanan %e-s -ar se(ap)e+ompo) s(a6 me-s;s(a6 me-s 6ungsona+ S%5)+ns -an penunang.

•

Pro6es )eperaa(an7 asu/an )eperaa(an• Pro6es 6armas7 unit dose daily -an stop ordering

• A+ur Pe+aanan Pasen $aa( nap -an =peras -ar

Ss(em &e+ompo) S(a6 %e-s;S(a6 %e-s ungsona+ S%5, ns(a+as -an Ss(em %anaemen$uma/ Sa)(.



LAN()AH MENYUSUN CLINICAL PATHWAY

•&omponen ang /arus -*a)up sebagamana -e6ns

-ar C+n*a+ Pa(/as =rang•%an6aa()an -a(a ang (e+a/ a-a - +apangan ruma/

sa)( -an )on-s se(empa( seper( -a(a Laporan $L2

-a(a )ea-aan morb-(as pasen5 ang -bua( se(apruma/ sa)( ber-asar)an Bu)u Pe(unu) Pengsan,Pengo+a/an -an Penaan Da(a $uma/ Sa)( -an

sensus /aran un(u) pene(apan u-u+; (op) C+n*a+Pa(/as ang a)an -bua( -an pene(apan +ama /arraa(.




•Un(u) varabe+ (n-a)an -an oba( oba(an menga*u

)epa-a S(an-ar Pe+aanan %e-s, S(an-ar Prose-ur =perasona+ -an Da6(ar S(an-ar ormu+arum ang(e+a/ a-a - ruma/ sa)( se(empa(. B+a per+u s(an-ar

s(an-ar (ersebu( -apa( -+a)u)an revs.•Perguna)an Bu)u CD 10 un(u) /a+ )o-e6)as

-agnoss -an CD 9 C% un(u) /a+ (n-a)an prose-ur

sesua -engan pro6es;S% masng masng.




•M"n'u!pu&kan Daa

•S"pu&uh *"#arp"nyaki

•Pr$ap+S%P

•Ana&i#a Daa

•AL%S

•E,id"n-" Ba#"

•Ada Ti!

•M"di#+d$k"r+SMF

•P"ra.a

•

Far!a#i•(i/i

•R"ka! M"dik



F$r!a Da#ar C&ini-a& Pah.ay

Aktivitas pelayanan Pra R.I(Poliklinik/

UGD)

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P&na'taran

P&n&tapan Diagnos&

Pra-P&rawatan

P&rawatan

Tinak an*t



F$r!a Da#ar C&ini-a& Pah.ay Aktivitas pelayanan Pra R.I

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Assessent klinis

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Peeriksaan pen%n&ang

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Perawatan

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Dst"nya ses%ai 'P'AK * 'P+



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Clinical Pathway Dian Harapan [Compatibility Mode]