TANGGUNG JAWAB HUKUM DOKTER RUMAH SAKIT DAN UU PERLINDUNGAN KONSUMEN by morgossi7a5

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									Responsibility
    Health Care Services delivery for employee and familiy
    Aviation Health Services for aircrew
    Occupation Health & Safety Program
    Cost efficiency

                                PLAN

                     CON
                     TROL               MA
                                        NA
                                        GE

                            FINANCING
   Medical Check-Up
   Primary Care Services
    (GP, dentist, Lab., Radiology & Physiotherapy
   Secondary Care Services
   Hospitalization Services
   Maternal Services
   Rehabilitation
   Prevention / Vaccination
   Hearing aids, eyeglasses, prostetic appliances
   Dialysis, IVF/GIFT, organ transplant, Coronary by
    pass surgery, chemotheraphy etc.
   Occupational Health & Safety Program
EXCLUTION
   Cosmetic therapy, cosmetic surgery
   Secondary Infertility
   Supportif therapy (oxygen therapy, chelation th/)
   Drug / alcohol abuse
   Suicides
   Sexual transmitted disease
   Termination of pregnancy w/o medical indication
   Illness or injury because of high risk sport /
    hobby
   Med.check-up, eyeglasses, prostetic appliances,
    hearing aids (spouse & children)
Company Facilities
1.   Garuda Medical Centre - Kemayoran
2.   Clinic Garuda Sentra Operasi – Cengkareng
3.   Clinic Garuda Building - Jl. Merdeka Selatan
4.   Clinic Garuda Aviatio Training - Duri Kosambi

Provider Network
1.   Clinics
     ( Jabotabek : 25 clinics ; PSDN : 38 clinics )

•    Hospitals
     ( Jabotabek : 19 hospitals ; PSDN : 40 hospitals )
HOSPITALIZATION SERVICES

                  EMPLOYEE GROUP


                            1% 3%       7%




   54%                                              35%




Kelompok 1   Kelompok 2   Kelompok 3   Kelompok 4   Kelompok 5
             JPKM model

HEALTH CARE SERVICES   FINANCING ASPECT


 • COMPLETED           • IN ADVANCED
 • REFERRAL SYSTEM
                       • PREPAID
 • PRIMARY CARE as
   GATE KEEPER
        GARUDA SYSTEM

                GSM




PAYOR                           PROVIDER
         Health care services
              JPKM

                 GSM




PESERTA                          PROVIDER
          Health care services
                  HEALTH CARE COST
                         ( 1998 - 2001 )


                         TOTAL COST
          50.00



          40.00
Billion




          30.00



          20.00



          10.00
                  1998    1999   2000      2001   2002
                   HEALTH CARE COST
                              ( 1998 - 2001 )


                       HEALTH CARE COST

         450.000


         350.000
Rupiah




         250.000


         150.000


          50.000
                       1998      1999    2000      2001      2002
                   COST/EMPLOYEE/MONTH          COST/CAPITA/MONTH
STRENGTH :
 -    “The healthy employee help the sick one” (cross subsidized)
 -    Health Care Plan
 -    Integrated Health Care Services
 -    Yearly Medical Check-up
 -    Maintain cost efficiency

WEAKNESS :
  -   Medical Information System
  -   Contract : Fee for service basis
  -   Utilization of Primary Care in Network Provider
  -   Employee contribution in maintain their own / families health
  -   No limitation
1. PROMOTE and CAMPAIGN : HEALTH SETTING MINDSET
2. PARADIGM : Prevent the Problems rather than Treating the
               Problems
3. VALUE CREATION for PATIENTS
4. IMPROVING MEDICAL INFORMATION SYSTEM
5. FAMILY PHYSICIANS as agent of change for shifting to Health
   Paradigm
6. MAINTAIN & DEVELOPED LOCALLY PROMINENT PROVIDER
7. IMPLEMENTING 7 STEPS MANAGEMENT TOOLS of JPKM
8. ISO ACCREDITATION
terima
 kasih
           JUMLAH DAN KOMPOSISI PEGAWAI

                  GA TETAP   GA HON.   KONTR / WGP / DPP


S2                    3          -            -
DR. PENERBANGAN       5          3            -
DR. UMUM              6          -           13
DR. GIGI              5          -            7
DR. SPESIALIS         -           5          20
PARAMEDIS            32           -          53
NON MEDIS / ADM      36           -          32

TOTAL                87          8          125

								
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