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LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)

TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN JANUARI 2021. PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK MATAHAR JUMLAH PER KELAS JUMLAH RS
TERATAI I ISO COVID PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal 1 6 7 2 1 8 11 1 3 15 19 3 3 4 10 2 3 17 22 12 2 8 0 0 8 11 50 22 91 91
3 Pend. MRS 0 6 12 50 68 4 13 4 41 62 3 18 5 64 90 2 15 31 47 95 3 8 15 193 219 37 5 50 26 12 60 67 395 92 652 652
4 Pend. KRS Hidup 5 6 42 53 3 11 4 32 50 3 11 7 67 88 1 14 26 46 87 3 9 18 206 236 37 3 33 25 10 50 61 393 73 612 612
5 Pend. Mati < 48 jam 1 3 1 5 1 2 6 9 1 2 3 2 1 3 1 1 2 3 0 0 3 7 11 5 26 26
6 Pend. Mati > 48 jam 5 5 2 3 5 1 3 4 1 1 1 3 0 3 2 5 1 0 4 1 12 10 28 28
7 Jmlh hari perawatan 28 38 213 279 13 53 21 249 336 12 51 37 326 426 7 61 105 190 363 6 39 64 624 733 269 34 380 156 38 232 265 1602 683 2976 2976
8 Jmlh Lama dirawat 23 25 211 259 6 44 22 237 309 15 35 35 357 442 4 57 124 167 352 4 28 51 677 760 272 24 355 118 29 187 257 1649 651 2891 2891
9 BOR (%) 0.0 22.6 15.3 38.2 29.0 41.9 42.7 8.5 44.6 35.0 38.7 41.1 14.9 58.4 44.3 22.6 49.2 37.6 27.9 32.5 19.4 62.9 34.4 80.5 69.5 96.4 18.3 81.7 55.9 24.5 41.6 21.9 51.2 73.4 47.5
10 ALOS (hari) ### 3.8 2.8 4.4 4.1 2.0 3.1 3.7 5.8 4.8 5.0 2.7 5.0 5.0 4.7 4.0 3.8 4.3 3.5 3.8 1.3 3.1 2.8 3.3 3.2 6.5 4.8 8.7 4.5 2.9 3.3 3.7 4.0 7.4 4.3
11 TOI (hari) ### 16.0 23.3 7.2 10.8 6.0 5.1 37.8 7.5 9.8 6.3 5.6 30.1 3.2 5.6 24.0 4.2 6.0 10.3 8.1 8.3 2.6 6.8 0.7 1.4 0.2 30.4 2.1 4.7 11.7 5.7 13.7 3.7 2.8 4.7
12 BTO (Kali) 0.0 1.5 1.1 2.7 2.0 3.0 3.5 0.8 2.3 2.1 3.0 3.3 0.9 4.0 3.1 1.0 3.8 3.2 2.2 2.6 3.0 4.5 3.0 8.3 7.0 4.7 0.8 2.7 2.9 2.0 3.2 1.8 4.1 2.9 3.3
13 GDR (Permil) ### 166.7 333.3 125.0 158.7 0.0 214.3 333.3 219.5 218.8 0.0 153.8 0.0 69.4 73.7 0.0 66.7 103.4 41.7 64.5 0.0 0.0 0.0 4.8 4.2 119.0 400.0 195.1 38.5 0.0 122.8 115.9 55.3 170.5 81.1
14 NDR (Permil ) ### 0.0 0.0 104.2 79.4 0.0 142.9 0.0 73.2 78.1 0.0 76.9 0.0 41.7 42.1 0.0 66.7 34.5 20.8 32.3 0.0 0.0 0.0 0.0 0.0 71.4 400.0 122.0 38.5 0.0 70.2 14.5 28.8 113.6 42.0

Jml TT x Hr dlm bulan 31 124 248 558 961 31 124 248 558 961 31 124 248 558 961 31 124 279 682 1116 31 62 186 775 1054 279 186 465 279 155 558 1209 3131 930 6262
Jml px kluar hdp + mati 0 6 9 48 63 3 14 6 41 64 3 13 7 72 95 1 15 29 48 93 3 9 18 207 237 42 5 41 26 10 57 69 416 88 666
Jml TT x Hr dlm BLN - hr rwt 31 96 210 345 682 18 71 227 309 625 19 73 211 232 535 24 63 174 492 753 25 23 122 151 321 10 152 85 123 117 326 944 1529 247 3100
Jml Px mati 0 1 3 6 10 0 3 2 9 14 0 2 0 5 7 0 1 3 2 6 0 0 0 1 1 5 2 8 1 0 7 8 23 15 54

Maumere, 10 Februari 2016.


Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN PEBRUARI 2018. PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK ISO JUMLAH PER KELAS JUMLAH
TERATAI MATAHARI RS
PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 15 6 9 5 18 39 101 30 202
2 Pend. Awal 4 7 11 1 2 7 10 5 1 4 10 1 3 3 3 10 8 8 8 2 12 2 10 8 29 22 71 71
3 Pend. MRS 2 10 11 41 64 1 6 6 41 54 0 14 13 50 77 1 4 8 26 39 4 12 19 205 240 53 3 17 8 46 57 363 73 547 547
4 Pend. KRS Hidup 2 8 13 34 57 2 6 4 30 42 15 11 49 75 2 5 10 19 36 3 9 14 188 214 48 5 17 9 43 52 320 70 494 494
5 Pend. Mati < 48 jam 2 2 4 4 0 0 0 0 0 1 3 0 0 0 6 4 10 10
6 Pend. Mati > 48 jam 4 4 8 1 1 2 2 1 3 1 1 0 0 1 1 2 0 1 7 6 4 18 18
7 Jmlh hari perawatan 4 48 82 134 7 33 41 205 286 0 55 47 235 337 3 29 38 88 158 11 27 32 534 604 368 49 129 25 192 240 1062 546 2065 2065
8 Jmlh Lama dirawat 4 50 96 162 312 10 35 25 207 277 3 76 28 234 341 6 34 42 71 153 4 29 33 570 636 270 54 143 27 224 224 1244 467 2186 2186
9 BOR (%) 14.3 42.9 36.6 0.0 15.4 25.0 29.5 18.3 40.7 32.9 0.0 49.1 21.0 46.6 38.8 10.7 25.9 15.1 14.3 15.7 39.3 48.2 19.0 76.3 63.4 146.0 11.7 76.8 0.0 17.9 38.1 22.0 37.6 65.0 36.5
10 ALOS (hari) 2.0 6.3 5.6 4.1 4.7 5.0 5.0 6.3 5.9 5.8 #DIV/0! 5.1 2.2 4.7 4.4 3.0 6.8 3.8 3.7 4.1 1.3 3.2 2.4 3.0 3.0 5.5 7.7 6.5 #DIV/0! 3.0 5.1 3.8 3.7 6.0 4.2
11 TOI (hari) 12.0 8.0 8.4 12.6 11.0 10.5 11.3 45.8 8.5 12.1 #DIV/0! 3.8 13.6 5.4 6.8 12.5 16.6 19.5 27.8 23.0 5.7 3.2 9.7 0.9 1.6 -2.4 53.0 1.8 #DIV/0! 12.8 7.1 14.4 5.3 3.8 6.9
12 BTO (Kali) 2.0 2.0 2.1 2.2 2.2 2.0 1.8 0.5 1.9 1.5 0.0 3.8 1.6 2.8 2.5 2.0 1.3 1.2 0.9 1.0 3.0 4.5 2.3 7.5 6.3 5.4 0.5 3.7 0.0 1.8 2.4 1.5 3.3 2.6 2.6
13 GDR (Permil) 0.0 0.0 235.3 150.0 149.3 0.0 142.9 0.0 142.9 125.0 #DIV/0! 0.0 153.8 20.0 38.5 0.0 0.0 90.9 0.0 27.0 0.0 0.0 0.0 0.0 0.0 20.4 285.7 227.3 #DIV/0! 0.0 22.7 118.6 36.1 102.6 53.6
14 NDR (Permil ) 0.0 0.0 235.3 100.0 119.4 0.0 142.9 0.0 28.6 41.7 #DIV/0! 0.0 153.8 20.0 38.5 0.0 0.0 90.9 0.0 27.0 0.0 0.0 0.0 0.0 0.0 20.4 142.9 90.9 #DIV/0! 0.0 22.7 118.6 18.1 51.3 34.5
59

Jml TT x Hr dlm BLN 28 112 224 504 868 28 112 224 504 868 28 112 224 504 868 28 112 252 616 1008 28 56 168 700 952 252 420 168 252 140 504 1092 2828 840 5656
Jml px kluar hdp + mati 2 8 17 40 67 2 7 4 35 48 0 15 13 50 78 2 5 11 19 37 3 9 14 188 214 49 7 22 0 9 44 59 332 78 522
Jml TT x Hr dlm BLN- hr rwt 24 64 142 504 734 21 79 183 299 582 28 57 177 269 531 25 83 214 528 850 17 29 136 166 348 -116 371 39 252 115 312 852 1766 294 3591
Jml Px mati 0 0 4 6 10 0 1 0 5 6 0 0 2 1 3 0 0 1 0 1 0 0 0 0 0 1 2 5 0 0 1 7 12 8 28

Maumere,
Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN MARET 2020 . PER KELAS/PER RUANG PERAWATAN 373

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK TERATAI MATAHARI ISO JUMLAH PER KELAS JUMLAH RS
PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal 2 6 8 1 2 13 16 1 1 4 6 1 1 8 10 1 1 11 13 13 1 4 2 0 6 5 42 18 73 73 0 0
3 Pend. MRS 0 15 5 50 70 3 9 6 40 58 2 19 11 87 119 2 12 17 26 57 3 11 19 242 275 41 11 11 5 10 66 58 445 63 647 647 0
4 Pend. KRS Hidup 2 13 6 39 60 3 8 10 36 57 2 15 10 76 103 2 10 9 32 53 3 12 18 223 256 39 8 9 7 12 58 53 406 56 592 592 0
5 Pend. Mati < 48 jam 1 2 3 2 3 5 1 1 1 1 0 1 8 0 0 0 1 3 6 9 19 19 0
6 Pend. Mati > 48 jam 1 5 6 1 2 3 2 2 1 1 0 1 2 0 0 2 3 7 3 15 15 0
7 Jmlh hari perawatan 6 47 33 221 307 8 32 19 211 270 9 57 30 350 446 9 38 62 118 227 11 34 53 630 728 231 87 92 68 43 208 197 1530 410 2456 2456 0
8 Jmlh Lama dirawat 7 81 33 202 323 8 35 35 188 266 9 41 34 356 440 8 27 42 161 238 6 34 64 645 749 287 85 114 61 38 218 208 1552 486 2563 2563 0
9 BOR (%) 19.4 37.9 13.3 39.6 31.9 25.8 25.8 7.7 37.8 28.1 29.0 46.0 12.1 62.7 46.4 29.0 30.6 22.2 17.3 20.3 35.5 54.8 28.5 81.3 69.1 82.8 46.8 19.8 24.4 27.7 37.3 16.3 48.9 44.1 39.2
10 ALOS (hari) 3.0 3.1 5.5 4.8 4.4 2.7 3.6 1.4 5.4 4.2 4.5 3.8 3.0 4.4 4.2 4.5 3.8 5.6 3.7 4.1 3.7 2.8 2.9 2.8 2.8 5.6 5.4 8.4 9.7 3.6 3.4 3.3 3.7 6.0 3.9
11 TOI (hari) 12.5 5.1 35.8 7.3 9.5 7.7 10.2 16.4 8.9 10.6 11.0 4.5 21.8 2.6 4.9 11.0 8.6 19.7 17.6 16.2 6.7 2.3 7.4 0.7 1.3 1.2 6.2 33.9 30.1 9.3 5.7 17.2 3.8 7.6 6.1
12 BTO (Kali) 2.0 3.8 0.8 2.6 2.2 3.0 2.3 1.8 2.2 2.1 2.0 3.8 1.3 4.4 3.4 2.0 2.5 1.2 1.5 1.5 3.0 6.0 3.0 8.9 7.5 4.6 2.7 0.7 0.8 2.4 3.4 1.5 4.1 2.3 3.1
13 GDR (Permil) 0.0 133.3 0.0 152.2 130.4 0.0 111.1 285.7 76.9 123.1 0.0 0.0 0.0 38.0 28.3 0.0 0.0 181.8 0.0 36.4 0.0 0.0 0.0 0.0 0.0 48.8 500.0 181.8 0.0 0.0 49.2 101.7 31.0 176.5 54.3
14 NDR (Permil ) 0.0 76.9 0.0 128.2 87.0 0.0 125.0 200.0 0.0 46.2 0.0 0.0 0.0 26.3 18.9 0.0 0.0 111.1 0.0 18.2 0.0 0.0 0.0 0.0 0.0 24.4 0.0 181.8 0.0 0.0 34.5 56.6 17.2 53.6 25.3

373
Jml TT x Hr dlm BLN 31 124 248 558 961 31 124 248 558 961 31 124 248 558 961 31 124 279 682 1116 31 62 186 775 1054 279 186 465 279 155 558 1209 3131 930 6262
Jml px kluar hdp + mati 2 15 6 46 69 3 9 14 39 65 2 15 10 79 106 2 10 11 32 55 3 12 18 223 256 41 16 11 7 12 61 59 419 68 626
Jml TT x Hr dlm BLN - hr rwt 25 77 215 337 654 23 92 229 347 691 22 67 218 208 515 22 86 217 564 889 20 28 133 145 326 48 99 373 211 112 350 1012 1601 520 3806
Jml Px mati 0 2 0 7 9 0 1 4 3 8 0 0 0 3 3 0 0 2 0 2 0 0 0 0 0 2 8 2 0 0 3 6 13 12 34
558

Maumere,
Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN : APRIL 2020. PER KELAS/PER RUANG PERAWATAN

RUANGAN
JUMLAH
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK TERATAI MATAHARI ISO JUMLAH PER KELAS
PAVILIUN RS
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
Pend. Awal 2 6 8 1 2 8 11 4 10 14 3 5 3 11 3 26 29 12 2 1 1 1 9 10 53 15 89 89
3 Pend. MRS 2 12 8 52 74 3 14 6 57 80 3 17 10 92 122 0 5 17 32 54 1 9 27 235 272 64 14 10 9 9 57 68 468 88 699 699
1 Pend. KRS Hidup 1 8 7 40 56 3 12 4 54 73 4 21 8 78 111 0 5 17 30 52 1 6 25 237 269 52 11 6 8 9 52 61 439 69 638 638
5 Pend. Mati < 48 jam 1 4 5 2 3 5 3 3 2 2 0 0 4 3 1 0 3 2 10 8 23 23
6 Pend. Mati > 48 jam 1 4 5 2 1 3 6 1 1 2 1 1 0 0 1 1 0 3 2 9 2 16 16
7 Jmlh hari perawatan 9 47 57 240 353 20 53 31 255 359 13 87 33 340 0 47320 66 124 210 2 19 82 681 784 62 75 83 34 44 226 269 1640 220 2433 2433
8 Jmlh Lama dirawat 6 47 39 203 295 19 68 20 293 400 12 62 45 263 0 38223 59 118 200 0 13 60 694 767 119 57 93 35 37 213 223 1571 269 2348 2348
9 BOR (%) 30.0 39.2 23.8 44.4 38.0 66.7 44.2 12.9 47.2 38.6 43.3 72.5 13.8 63.0 50.9 0.0 16.7 24.4 18.8 19.4 6.7 31.7 45.6 90.8 76.9 23.0 41.7 18.4 12.6 29.3 41.9 23.0 54.1 24.4 40.1
10 ALOS (hari) 9.0 5.2 7.1 5.0 5.3 6.7 3.3 6.2 4.3 4.3 3.3 4.0 4.1 4.1 4.1 #DIV/0! 4.0 3.5 4.0 3.8 0.0 3.2 3.3 2.9 2.9 1.1 5.4 10.4 4.3 4.9 3.9 4.1 3.6 3.1 3.6
11 TOI (hari) 21.0 8.1 22.9 6.3 8.7 3.3 4.2 41.8 4.8 6.8 4.3 1.5 25.9 2.4 3.9 #DIV/0! 20.0 10.7 17.3 15.8 0.3 6.8 3.9 0.3 0.9 3.6 7.5 45.9 29.5 11.8 5.4 13.9 3.0 4.4 5.4
12 BTO (Kali) 1.0 2.3 1.0 2.7 2.1 3.0 4.0 0.6 3.3 2.7 4.0 5.5 1.0 4.6 3.7 0.0 1.3 2.1 1.4 1.5 110.0 3.0 4.2 9.5 7.9 6.3 2.3 0.5 0.9 1.8 3.2 1.7 4.5 2.4 3.4
13 GDR (Permil) 0.0 111.1 125.0 166.7 151.5 0.0 250.0 200.0 100.0 131.0 0.0 45.5 0.0 48.8 43.1 #DIV/0! 0.0 105.3 32.3 54.5 0.0 0.0 0.0 0.0 0.0 87.7 214.3 250.0 0.0 0.0 103.4 61.5 41.5 112.7 57.6
14 NDR (Permil ) 0.0 0.0 142.9 100.0 75.8 0.0 166.7 250.0 55.6 71.4 0.0 47.6 0.0 12.8 17.2 #DIV/0! 0.0 0.0 33.3 18.2 0.0 0.0 0.0 0.0 0.0 17.5 0.0 125.0 0.0 0.0 57.7 32.8 20.5 29.0 25.1

Jml TT x Hr dlm BLN 30 120 240 540 930 30 120 240 540 930 30 120 240 540 930 30 120 270 660 1080 30 60 180 750 1020 270 180 450 270 150 540 1170 3030 900 6060
Jml px kluar hdp + mati 1 9 8 48 66 3 16 5 60 84 4 22 8 82 116 0 5 19 31 55 110 6 25 237 269 57 14 8 8 9 58 65 458 71 677
Jml TT x Hr dlm BLN - hr rwt 21 73 183 300 577 10 67 209 285 571 17 33 207 200 457 30 100 204 536 870 28 41 98 69 236 208 105 367 236 106 314 901 1390 313 3627
Jml Px mati 0 1 1 8 10 0 4 1 6 11 0 1 0 4 5 0 0 2 1 3 0 0 0 0 0 5 3 2 0 0 6 4 19 8 39

Maumere,
Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN MEI 2021 PER KELAS/PER RUANG PERAWATAN

INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK MATA ISO JUMLAH PER KELAS JUMLAH
TERATAI RS
HARI PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II)
(KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202 202
2 Pend. Awal 1 4 2 8 15 2 5 7 1 15 16 3 3 3 9 2 2 21 25 19 2 3 2 1 12 7 52 24 98 98
3 Pend. MRS 1 7 11 67 86 2 12 8 45 67 0 19 7 113 139 10 22 32 3 12 29 226 270 63 7 11 12 6 50 65 473 81 687 687
4 Pend. KRS Hidup 2 8 9 46 65 1 11 6 41 59 16 5 102 123 0 3 12 22 37 3 11 24 210 248 63 6 5 11 6 49 56 421 74 617 617
5 Pend. Mati < 48 jam 6 6 1 2 3 3 3 0 0 0 0 3 5 1 0 0 1 2 9 9 21 21
6 Pend. Mati > 48 jam 6 6 3 3 6 1 1 2 1 1 0 0 1 0 0 0 0 3 2 10 1 16 16
7 Jmlh hari perawatan 8 47 58 368 481 8 68 40 241 357 3 82 18 516 619 0 11 43 82 136 8 47 89 721 865 73 78 64 65 27 255 248 1928 215 2738 2738
8 Jmlh Lama dirawat 6 86 113 261 466 7 69 28 235 339 3 62 59 444 568 0 28 46 95 169 7 63 88 736 894 142 51 77 52 23 308 334 1771 270 2758 2758
9 BOR (%) 25.8 37.9 23.4 65.9 50.1 25.8 54.8 16.1 43.2 34.9 9.7 66.1 7.3 92.5 60.5 0.0 8.9 15.4 12.0 12.2 25.8 75.8 47.8 93.0 107.3 26.2 41.9 13.8 23.3 17.4 45.7 20.5 61.6 23.1 43.7
10 ALOS (hari) 4.0 5.9 6.4 6.3 6.2 8.0 4.5 5.0 5.5 5.3 #DIV/0! 5.1 3.0 4.9 4.8 #DIV/0! 3.7 3.3 3.7 3.6 2.7 4.3 3.7 3.4 3.5 1.1 7.1 10.7 5.9 4.5 4.8 4.1 4.4 2.6 4.2
11 TOI (hari) 11.5 9.6 21.1 3.3 6.2 23.0 3.7 26.0 7.2 8.9 #DIV/0! 2.6 38.3 0.4 2.7 #DIV/0! 37.7 18.2 27.3 25.8 7.7 1.4 4.0 0.3 -0.2 3.1 9.8 66.8 19.5 21.3 5.7 16.0 1.5 0.4 5.4
12 BTO (Kali) 2.0 2.0 1.1 3.2 2.5 1.0 3.8 1.0 2.4 2.2 0.0 4.0 0.8 5.9 4.1 0.0 0.8 1.4 1.0 1.1 3.0 5.5 4.0 8.4 7.3 7.4 1.8 0.0 1.2 1.2 2.9 1.5 4.4 2.8 3.2
13 GDR (Permil) 0.0 0.0 0.0 206.9 155.8 0.0 266.7 250.0 68.2 132.4 #DIV/0! 0.0 166.7 37.7 39.1 #DIV/0! 0.0 76.9 0.0 26.3 0.0 0.0 0.0 0.0 0.0 59.7 454.5 166.7 0.0 0.0 75.5 66.7 43.2 119.0 56.6
14 NDR (Permil ) 0.0 0.0 0.0 130.4 77.9 0.0 272.7 0.0 73.2 88.2 #DIV/0! 0.0 200.0 9.8 15.6 #DIV/0! 0.0 83.3 0.0 26.3 0.0 0.0 0.0 0.0 0.0 14.9 0.0 0.0 0.0 0.0 61.2 35.7 23.8 13.5 25.9

Jml TT x Hr dlm BLN 31 124 248 558 961 31 124 248 558 1023 31 124 248 558 1023 31 124 279 682 1116 31 62 186 775 806 279 186 465 279 155 558 1209 3131 930 6262
Jml px kluar hdp + mati 2 8 9 58 77 1 15 8 44 68 0 16 6 106 128 0 3 13 22 38 3 11 24 210 248 67 11 6 11 6 53 60 440 84 654
Jml TT x Hr dlm BLN - hr rwt 23 77 190 190 480 23 56 208 317 604 28 42 230 42 342 31 113 236 600 980 23 15 97 54 -59 206 108 401 214 128 303 961 1203 715 3524
Jml Px mati 0 0 0 12 12 0 4 2 3 9 0 0 1 4 5 0 0 1 0 1 0 0 0 0 0 4 5 1 0 0 4 4 19 10 37

Maumere, Juni 2016.


Penanggung jawab Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN : JUNI 2020 PER KELAS/PER RUANG PERAWATAN

RUANGAN
JUMLAH
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK TERATAI MATAHARI ISO JUMLAH PER KELAS
PAVILIUN RS
VIP I II III JLH VIP I II III JLH UTM I II III JLH VIP I II III JLH Vip I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202 202
2 Pend. Awal Bulan 3 3 11 17 1 1 3 7 12 3 1 6 10 0 1 1 2 1 17 18 15 2 2 4 1 7 9 42 19 82 82
3 Pend. MRS 2 15 13 53 83 2 8 3 33 46 1 16 10 99 126 0 4 13 22 39 3 16 22 196 237 58 15 29 7 8 59 61 403 102 640 640
4 Pend. KRS Hidup 2 12 13 37 64 3 8 7 28 46 2 17 9 98 126 0 4 10 22 36 3 15 23 189 230 51 9 15 8 10 56 62 374 75 585 585
5 Pend. Mati < 48 jam 1 2 3 1 1 1 1 0 2 2 0 0 4 0 0 0 1 2 4 4 11 11
6 Pend. Mati > 48 jam 2 8 10 1 4 5 3 3 0 1 1 0 2 2 5 1 0 2 2 15 9 29 29
7 Jmlh hari perawatan 4 65 63 251 383 14 14 26 159 213 6 68 40 432 546 0 19 56 84 159 7 72 61 517 657 432 118 180 50 31 238 246 1443 730 2738 2738
8 Jmlh Lama dirawat 16 150 56 226 448 16 42 58 7 99 19 519 644 0 20 40 89 149 6 48 53 528 635 355 86 200 54 45 359 168 1362 641 2629 2629
9 BOR (%) 13.3 54.2 26.3 46.5 41.2 46.7 11.7 10.8 29.4 22.9 20.0 56.7 16.7 80.0 58.7 0.0 15.8 20.7 12.7 14.7 23.3 120.0 33.9 68.9 64.4 160.0 65.6 40.0 18.5 20.7 44.1 21.0 47.6 81.1 45.2
10 ALOS (hari) 2.0 4.3 4.8 5.3 5.0 4.7 1.8 3.3 4.8 4.1 3.0 4.0 4.4 4.2 4.2 #DIV/0! 4.8 4.3 3.8 4.1 2.3 4.8 2.7 2.7 2.9 8.2 7.9 9.0 5.6 3.1 4.0 3.7 3.7 1.3 4.4
11 TOI (hari) 13.0 3.7 13.6 6.1 7.1 5.3 13.3 26.8 11.5 13.8 12.0 3.1 22.2 1.1 3.0 #DIV/0! 25.3 16.5 26.2 23.6 7.7 -0.8 5.2 1.2 1.6 -3.1 4.1 13.5 24.4 11.9 5.1 14.0 4.0 5.4 5.3
12 BTO (Kali) 2.0 3.8 1.6 2.6 2.5 3.0 2.0 1.0 1.8 1.7 2.0 4.3 1.1 5.7 4.2 0.0 1.0 1.4 1.0 1.1 3.0 7.5 3.8 7.6 6.8 5.9 2.5 1.3 1.0 2.0 3.3 1.7 3.9 19.0 3.1
13 GDR (Permil) 0.0 200.0 0.0 212.8 168.8 0.0 0.0 125.0 151.5 115.4 0.0 0.0 0.0 39.2 30.8 #DIV/0! 0.0 230.8 0.0 76.9 0.0 0.0 0.0 0.0 0.0 37.7 400.0 250.0 111.1 0.0 50.8 60.6 48.3 3947.4 64.0
14 NDR (Permil ) 0.0 166.7 0.0 216.2 129.9 0.0 0.0 142.9 142.9 96.2 0.0 0.0 0.0 30.6 23.1 #DIV/0! 0.0 100.0 0.0 25.6 0.0 0.0 0.0 0.0 0.0 37.7 133.3 250.0 111.1 0.0 35.7 32.3 40.1 120.0 49.6

Jml TT x Hr dlm BLN 30 120 240 540 930 30 120 240 540 930 30 120 240 540 930 30 120 270 660 1080 30 60 180 750 1020 270 180 450 270 150 540 1170 3030 900 6060
Jml px kluar hdp + mati 2 15 13 47 77 3 8 8 33 52 2 17 9 102 130 0 4 13 22 39 3 15 23 189 230 53 15 20 9 10 59 66 393 570 625
Jml TT x Hr dlm BLN - hr rwt 26 55 177 289 547 16 106 214 381 717 24 52 200 108 384 30 101 214 576 921 23 -12 119 233 363 -162 62 270 220 119 302 924 1587 3060 3322
Jml Px mati 0 3 0 10 13 0 0 1 5 6 0 0 0 4 4 0 0 3 0 3 0 0 0 0 0 2 6 5 1 0 3 4 19 2250 40

Maumere, Juli 2016.


Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007

\d
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN : JULI 2019 PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK ISO JUMLAH PER KELAS JUMLAH
TERATAI MATAHARI PAVILIUN/ RS
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 18 15 5 18 39 101 33 211
2 Pend. Awal 2 3 12 17 1 1 3 5 4 1 10 15 0 2 1 3 1 1 18 20 20 3 12 1 1 8 7 44 35 96 96
3 Pend. MRS 5 5 21 31 3 2 17 22 1 6 6 40 53 0 1 6 7 14 3 7 15 145 170 57 2 94 75 4 22 34 230 153 518 518
4 Pend. KRS Hidup 5 5 26 36 1 2 2 12 17 1 8 5 43 57 0 1 7 8 16 7 6 16 163 192 59 4 54 53 9 22 35 252 117 488 488
5 Pend. Mati < 48 jam 1 1 2 1 6 7 0 0 0 0 5 1 12 1 0 1 1 7 18 28 28
6 Pend. Mati > 48 jam 2 2 1 1 1 1 0 0 0 1 1 19 1 0 0 0 4 21 26 26
7 Jmlh hari perawatan 22 16 125 163 3 15 5 98 121 3 21 24 177 225 0 1 36 30 67 9 19 32 441 501 464 24 478 388 15 78 113 871 966 2431 2431
8 Jmlh Lama dirawat 28 18 150 196 3 12 10 35 60 4 27 23 199 253 0 1 41 34 76 10 21 25 467 523 529 41 540 316 17 89 117 885 1110 2534 2534
9 BOR (%) 0.0 17.7 6.5 22.4 17.0 9.7 12.1 2.0 17.6 11.2 9.7 16.9 9.7 31.7 22.0 0.0 0.8 12.9 4.4 5.8 29.0 30.6 17.2 56.9 62.2 166.3 12.9 85.7 83.4 9.7 14.0 9.3 27.8 94.4 37.2
10 ALOS (hari) ### 3.7 3.2 4.3 4.1 3.0 7.5 1.7 5.2 4.8 3.0 2.6 4.8 4.0 3.9 #DIV/0! 1.0 5.1 3.8 4.2 1.3 3.2 2.0 2.7 2.6 7.1 4.0 5.6 7.1 1.7 3.4 3.1 3.3 6.2 4.5
11 TOI (hari) ### 17.0 46.4 14.9 20.0 28.0 54.5 81.0 24.2 33.6 28.0 12.9 44.8 8.7 12.7 #DIV/0! 123.0 34.7 81.5 67.5 3.1 7.2 9.6 2.0 1.6 -2.8 27.0 0.9 1.4 15.6 20.9 30.4 8.6 0.4 7.6
12 BTO (Kali) 0.0 1.5 0.6 1.6 1.3 1.0 0.5 0.4 1.1 0.8 1.0 2.0 0.6 2.4 1.9 0.0 0.3 0.8 0.4 0.4 7.0 3.0 2.7 6.5 5.6 7.2 1.0 4.7 3.7 1.8 1.3 0.9 2.6 4.7 2.6
13 GDR (Permil) ### 166.7 0.0 103.4 100.0 0.0 0.0 333.3 368.4 320.0 0.0 0.0 0.0 22.7 17.2 #DIV/0! 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 92.3 333.3 364.7 36.4 0.0 43.5 27.8 41.8 250.0 99.6
14 NDR (Permil ) ### 0.0 0.0 76.9 50.0 0.0 0.0 0.0 83.3 40.0 0.0 0.0 0.0 23.3 17.2 #DIV/0! 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 16.9 250.0 351.9 18.9 0.0 0.0 0.0 15.9 179.5 53.3

Jml TT x Hr dlm TAHUN 31 124 248 558 961 31 124 248 558 1085 31 124 248 558 1023 31 124 279 682 1147 31 62 186 775 806 279 186 558 465 155 558 1209 3131 1023 6541
Jml px kluar hdp + mati 0 6 5 29 40 1 2 3 19 25 1 8 5 44 58 0 1 7 8 16 7 6 16 163 192 65 6 85 55 9 23 36 263 156 542
Jml TT x Hr dlm THN - hr rwt 31 102 232 433 798 28 109 243 460 840 28 103 224 381 736 31 123 243 652 1080 22 43 154 334 305 -185 162 80 77 140 480 1096 2260 57 4110
Jml Px mati 0 1 0 3 4 0 0 1 7 8 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 6 2 31 2 0 1 1 11 39 54

Maumere,
Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN : AGUSTUS 2020 PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK ISO JUMLAH PER KELAS JUMLAH
TERATAI MATAHARI RS
PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal Triw 1 2 3 6 2 3 5 1 5 6 1 1 1 1 11 13 12 0 15 13 0 5 9 17 27 71 71
3 Pend. MRS 8 6 17 31 8 9 13 30 2 10 6 41 59 2 1 3 8 14 2 7 12 156 177 41 4 17 24 6 34 36 235 62 397 397
4 Pend. KRS Hidup 6 5 12 23 9 5 14 28 2 5 5 34 46 2 1 2 8 13 2 9 12 158 181 34 3 20 30 6 30 29 226 57 378 378
5 Pend. Mati < 48 jam 1 3 4 0 0 0 0 2 1 3 0 1 0 3 6 10 10
6 Pend. Mati > 48 jam 1 3 4 1 1 0 1 1 2 0 3 0 3 2 0 0 3 4 6 15 15
7 Jmlh hari perawatan 45 33 72 184 45 42 85 172 12 36 14 197 259 8 5 21 30 64 6 27 33 435 501 337 27 252 263 26 158 143 819 616 2025 2059
8 Jmlh Lama dirawat 30 34 71 135 34 28 95 157 6 23 11 121 161 8 0 9 33 50 6 31 30 398 465 344 26 284 248 20 118 112 718 654 1870 1870
9 BOR (%) 0.0 36.3 13.3 12.9 19.1 0.0 36.3 16.9 15.2 17.9 38.7 3.5 5.6 35.3 27.0 25.8 4.0 2.1 4.4 5.7 19.4 43.5 17.7 56.1 47.5 120.8 14.5 54.2 94.3 16.8 28.3 11.8 26.2 66.2 32.3
10 ALOS (hari) #DIV/0! 4.3 5.7 3.9 5.9 0.0 3.8 4.7 6.8 5.9 3.0 4.6 2.2 3.6 5.6 4.0 0.0 3.0 3.7 4.3 3.0 3.4 2.5 2.5 2.8 8.8 6.5 10.9 7.8 3.3 3.8 3.5 3.1 15.2 4.6
11 TOI (hari) #DIV/0! 11.3 35.8 27.0 25.1 31.0 8.8 34.3 33.8 27.2 9.5 17.6 46.8 10.6 15.3 11.5 119.0 86.0 72.4 70.1 12.5 3.9 12.8 2.2 3.1 -1.5 39.8 8.2 0.5 21.5 12.9 33.3 9.9 2.3 10.5
12 BTO (Kali) 0.0 1.8 0.8 1.0 1.0 1.0 2.3 0.8 0.8 0.9 2.0 1.3 0.6 1.9 1.5 2.0 0.3 0.3 0.4 0.4 2.0 4.5 2.0 6.3 5.3 4.3 0.7 1.7 3.6 1.2 1.7 0.8 2.3 1.4 2.0
13 GDR (Permil) #DIV/0! 142.9 166.7 333.3 258.1 1000.0 0.0 166.7 0.0 34.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 333.3 111.1 133.3 0.0 0.0 0.0 0.0 0.0 128.2 250.0 230.8 62.5 0.0 32.3 93.8 30.0 139.5 62.0
14 NDR (Permil ) #DIV/0! 0.0 200.0 250.0 129.0 ### 0.0 200.0 0.0 34.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 500.0 125.0 133.3 0.0 0.0 0.0 0.0 0.0 88.2 0.0 115.4 62.5 0.0 0.0 103.4 17.7 105.3 39.7

Jml TT x Hr dlm BLN 31 124 248 558 961 31 124 248 558 961 31 1023 248 558 961 31 124 1023 682 1116 31 62 186 775 1054 279 186 465 279 155 558 1209 3131 930 6262
Jml px kluar hdp + mati 0 7 6 18 31 1 9 6 14 29 2 5 5 34 46 2 1 3 9 15 2 9 12 158 181 39 4 26 32 6 31 32 233 43 403
Jml TT x Hr dlm BLN - hr rwt 31 79 215 486 777 31 79 206 473 789 19 88 234 361 702 23 119 258 652 1052 25 35 153 340 553 -58 159 213 16 129 400 1066 2312 101 4237
Jml Px mati 0 1 1 6 8 1 0 1 0 1 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 5 1 6 2 0 1 3 7 6 25

Maumere, 10 Februari 2016.


Penanggung jawab Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN SEPTEMBER 2018. PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK MATAHA covid JUMLAH PER KELAS INTENSIF JUMLAH
TERATAI RS
RI (KLS PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) UTM I II III
II)
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal Triw 3 1 2 6 2 1 2 5 3 2 12 17 1 1 1 19 20 15 0 3 0 0 8 6 35 18 67 67
3 Pend. MRS 2 13 10 38 63 2 12 34 48 0 18 6 61 85 0 4 10 21 35 4 15 19 174 212 54 8 9 7 8 62 45 328 71 521 521
4 Pend. KRS Hidup 1 12 10 29 52 1 9 1 26 37 2 16 8 59 85 0 3 9 17 29 4 13 19 173 209 55 2 7 7 8 53 47 304 64 483 483
5 Pend. Mati < 48 jam 2 2 2 2 1 1 0 0 0 0 2 2 2 1 0 0 0 5 6 12 12
6 Pend. Mati > 48 jam 1 2 3 3 3 1 4 5 0 0 0 0 2 2 2 0 2 0 9 6 17 17
7 Jmlh hari perawatan 16 69 41 174 300 8 65 0 175 248 6 59 21 278 364 0 14 57 73 144 6 41 52 474 573 422 88 75 29 36 248 171 1174 585 2243 2243
8 Jmlh Lama dirawat 7 94 43 155 299 5 57 31 164 257 11 79 16 345 451 0 13 24 103 140 7 39 39 509 594 481 58 87 47 30 282 153 1276 626 2414 2414
9 BOR (%) 53.3 57.5 17.1 32.2 32.3 26.7 54.2 0.0 32.4 26.7 20.0 49.2 8.8 51.5 36.8 0.0 11.7 21.1 11.1 13.3 20.0 68.3 28.9 63.2 56.2 156.3 48.9 16.7 10.7 24.0 45.9 14.6 38.7 65.0 37.0
10 ALOS (hari) 7.0 7.2 4.3 4.7 5.3 5.0 6.3 31.0 5.3 5.9 5.5 4.6 2.0 5.4 4.0 #DIV/0! 4.3 2.7 6.1 5.0 1.8 3.0 2.1 2.9 2.7 8.2 9.7 7.9 5.9 3.8 5.1 3.3 4.0 8.2 4.7
11 TOI (hari) 14.0 3.9 19.9 11.1 11.1 22.0 6.1 240.0 11.8 16.2 12.0 3.6 27.4 4.1 6.2 #DIV/0! 35.3 23.7 34.5 32.3 6.0 1.5 6.7 1.6 2.1 -2.6 15.3 34.1 30.1 14.3 5.3 21.3 5.8 4.1 7.5
12 BTO (Kali) 1.0 3.3 1.3 1.8 1.8 1.0 2.3 0.1 1.7 1.4 2.0 4.3 1.0 3.6 2.9 0.0 0.8 1.0 0.8 0.8 4.0 6.5 3.2 6.9 6.1 6.6 1.0 0.7 0.9 1.6 3.1 1.2 3.1 2.5 2.5
13 GDR (Permil) 0.0 76.9 0.0 121.2 87.7 0.0 0.0 0.0 161.3 119.0 0.0 58.8 0.0 78.1 65.9 #DIV/0! 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 67.8 666.7 363.6 125.0 0.0 36.4 0.0 44.0 157.9 56.6
14 NDR (Permil ) 0.0 83.3 0.0 69.0 52.6 0.0 0.0 0.0 115.4 71.4 0.0 62.5 0.0 67.8 54.9 #DIV/0! 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 36.4 333.3 181.8 0.0 0.0 37.7 0.0 29.6 93.8 35.2

Jml TT x Hr dlm BLN 30 120 240 540 930 30 120 240 540 930 30 120 240 540 990 30 120 270 660 1080 30 60 180 750 1020 270 180 450 270 150 540 1170 3030 900 6060
Jml px kluar hdp + mati 1 13 10 33 57 1 9 1 31 42 2 17 8 64 91 0 3 9 17 29 4 13 19 173 209 59 6 11 8 8 55 47 318 76 512
Jml TT x Hr dlm BLN - hr rwt 14 51 199 366 630 22 55 240 365 682 24 61 219 262 566 30 106 213 587 936 24 19 128 276 447 -152 92 375 241 114 292 999 1856 315 3817
Jml Px mati 0 1 0 4 5 0 0 0 5 5 0 1 0 5 6 0 0 0 0 0 0 0 0 0 0 4 4 4 1 0 2 0 14 12 29

Maumere, 10 Februari 2016.


Penanggung jawab Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN OKTOBER 2017. PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK ISO JUMLAH PER KELAS JUMLAH
TERATAI MATAHARI RS
PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal 1 3 6 10 1 4 4 9 2 1 5 8 3 1 3 7 1 1 20 22 10 4 0 1 2 13 3 38 14 71 71
3 Pend. MRS 3 10 8 41 62 2 14 12 42 70 2 8 8 78 96 2 5 9 23 39 2 15 12 191 220 55 15 6 7 11 52 49 375 76 570 570
4 Pend. KRS Hidup 3 9 6 27 45 4 12 10 32 58 1 9 9 66 85 2 5 13 19 39 13 15 196 224 49 6 2 6 10 48 53 340 57 514 514
5 Pend. Mati < 48 jam 1 1 1 3 1 1 0 0 0 0 0 0 1 5 1 0 0 2 1 1 7 11 11
6 Pend. Mati > 48 jam 1 6 7 3 3 2 2 0 0 0 0 1 2 1 0 0 1 0 11 4 16 16
7 Jmlh hari perawatan 28 57 41 199 325 17 94 45 238 394 14 35 27 303 379 6 15 64 85 170 6 51 38 563 658 427 87 15 40 71 252 215 1388 529 2495 2495
8 Jmlh Lama dirawat 19 61 26 131 237 22 103 27 210 362 8 35 25 262 330 3 16 33 98 150 6 35 47 553 641 478 78 19 21 58 250 158 1254 575 2316 2316
9 BOR (%) 90.3 46.0 16.5 35.7 33.8 54.8 75.8 18.1 42.7 41.0 45.2 28.2 10.9 54.3 39.4 19.4 12.1 22.9 12.5 15.2 19.4 82.3 20.4 72.6 62.4 153.0 46.8 3.2 14.3 45.8 45.2 17.8 44.3 56.9 39.8
10 ALOS (hari) 6.3 5.5 3.7 3.9 5.9 5.5 7.9 2.7 6.0 6.4 8.0 3.9 2.8 3.9 4.4 1.5 3.2 2.5 5.2 4.4 #DIV/0! 2.7 3.1 2.8 2.9 9.4 6.0 4.8 3.5 5.8 4.9 2.9 3.6 8.5 4.3
11 TOI (hari) 1.0 6.1 29.6 10.6 11.6 3.5 2.3 20.3 9.1 9.1 17.0 9.9 24.6 3.8 6.7 12.5 21.8 16.5 31.4 24.3 #DIV/0! 0.8 9.9 1.1 1.8 -2.9 7.6 112.5 39.8 8.4 6.0 18.4 5.0 5.9 7.0
12 BTO (Kali) 3.0 2.8 0.9 1.9 1.8 4.0 3.3 1.3 1.9 2.0 1.0 2.3 1.1 3.8 2.8 2.0 1.3 1.4 0.9 1.1 0.0 6.5 2.5 7.8 6.6 5.7 2.2 0.3 0.7 2.0 2.8 1.4 3.5 2.3 2.7
13 GDR (Permil) 0.0 181.8 142.9 205.9 181.8 0.0 76.9 0.0 85.7 64.5 0.0 0.0 0.0 29.4 23.0 0.0 0.0 0.0 0.0 0.0 #DIV/0! 0.0 0.0 0.0 0.0 39.2 538.5 500.0 0.0 0.0 58.8 18.5 34.1 161.8 49.9
14 NDR (Permil ) 0.0 111.1 0.0 222.2 127.3 0.0 0.0 0.0 93.8 48.4 0.0 0.0 0.0 30.3 23.0 0.0 0.0 0.0 0.0 0.0 #DIV/0! 0.0 0.0 0.0 0.0 19.6 153.8 250.0 0.0 0.0 20.8 0.0 32.4 70.2 31.1

Jml TT x Hr dlm BLN 31 124 248 558 961 31 124 248 558 961 31 124 248 558 961 31 124 279 682 1116 31 62 186 775 1054 279 186 465 279 155 558 1209 3131 930 6262
Jml px kluar hdp + mati 3 11 7 34 55 4 13 10 35 62 1 9 9 68 87 2 5 13 19 39 0 13 15 196 224 51 13 4 6 10 51 54 352 68 541
Jml TT x Hr dlm BLN - hr rwt 3 67 207 359 636 14 30 203 320 567 17 89 221 255 582 25 109 215 597 946 25 11 148 212 396 -148 99 450 239 84 306 994 1743 401 3767
Jml Px mati 0 2 1 7 10 0 1 0 3 4 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2 7 2 0 0 3 1 12 11 27

Maumere,
Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
2495
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN NOPEMBER 2018 . PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK MATAHA COVID JUMLAH PER KELAS JUMLAH
TERATAI PAVILIU RS
RI (KLS
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) N UTM I II III INTENSIF
II)
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal 1 2 2 11 16 1 4 2 5 12 1 1 13 15 1 2 2 2 7 4 16 20 13 2 2 2 4 13 6 47 17 89 89
3 Pend. MRS 2 9 6 48 65 2 10 6 32 50 1 15 12 88 116 2 7 26 35 1 9 25 206 241 42 9 6 3 8 50 75 374 57 567 567
4 Pend. KRS Hidup 3 7 7 43 60 1 10 4 34 49 3 16 11 81 111 2 6 6 26 40 1 12 21 188 222 39 9 6 6 10 51 49 372 54 542 542
5 Pend. Mati < 48 jam 2 2 2 1 3 1 1 1 1 0 0 1 2 0 0 0 2 1 4 3 10 10
6 Pend. Mati > 48 jam 1 2 3 0 0 6 6 2 2 0 0 2 1 0 1 0 1 4 6 3 15 15
7 Jmlh hari perawatan 23 51 49 243 366 17 48 26 184 275 9 39 24 345 417 8 24 74 118 224 2 35 77 462 576 296 76 43 49 59 197 250 1352 415 2322 2322
8 Jmlh Lama dirawat 15 43 73 224 355 9 59 18 163 249 18 47 34 384 483 8 19 29 119 175 2 43 101 708 854 298 58 53 41 52 211 255 1598 409 2566 2566
9 BOR (%) 76.7 42.5 20.4 45.0 39.4 56.7 40.0 10.8 34.1 29.6 30.0 32.5 10.0 63.9 42.1 26.7 20.0 27.4 17.9 20.7 6.7 58.3 42.8 61.6 56.5 109.6 9.6 18.1 39.3 36.5 21.4 44.6 46.1 39.5
10 ALOS (hari) 5.0 5.4 8.1 5.0 5.5 9.0 4.9 4.5 4.7 5.3 6.0 2.9 3.1 4.4 3.5 4.0 3.2 3.2 4.6 5.2 2.0 3.6 4.8 3.8 2.6 7.1 4.8 8.8 5.9 5.2 3.9 4.7 4.2 6.8 4.5
11 TOI (hari) 2.3 8.6 21.2 6.6 8.7 13.0 6.0 53.5 10.2 12.6 7.0 5.1 19.6 2.2 4.3 11.0 16.0 21.8 20.8 19.9 28.0 2.1 4.9 1.5 2.0 -0.6 8.7 67.8 31.6 9.1 6.4 17.0 4.4 8.1 6.3
12 BTO (Kali) 3.0 2.0 1.1 2.5 2.1 1.0 3.0 0.5 1.9 1.7 3.0 4.0 1.4 4.9 3.8 2.0 1.5 1.0 1.2 1.2 1.0 6.0 3.5 7.5 6.5 4.7 2.0 0.4 0.8 2.0 3.0 1.4 3.8 2.0 2.8
13 GDR (Permil) 0.0 125.0 222.2 44.4 76.9 0.0 166.7 0.0 28.6 57.7 0.0 0.0 0.0 79.5 59.3 0.0 0.0 333.3 0.0 69.8 0.0 0.0 0.0 0.0 0.0 71.4 250.0 0.0 142.9 0.0 55.6 92.6 26.2 100.0 44.1
14 NDR (Permil ) 0.0 142.9 285.7 0.0 46.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 74.1 50.8 0.0 0.0 333.3 0.0 46.5 0.0 0.0 0.0 0.0 0.0 47.6 83.3 0.0 142.9 0.0 19.6 81.6 16.1 55.6 27.7

Jml TT x Hr dlm BLN 30 120 240 540 930 30 120 240 540 930 30 120 240 540 990 30 120 270 660 1080 30 60 180 750 1020 270 180 450 270 150 540 1170 3030 900 5880
Jml px kluar hdp + mati 3 8 9 45 65 1 12 4 35 52 3 16 11 88 118 2 6 9 26 43 1 12 21 188 222 42 12 6 7 10 54 54 382 60 567
Jml TT x Hr dlm BLN - hr rwt 7 69 191 297 564 13 72 214 356 655 21 81 216 195 513 22 96 196 542 856 28 25 103 288 444 -26 104 407 221 91 343 920 1678 485 3558
Jml Px mati 0 1 2 2 5 0 2 0 1 3 0 0 0 7 7 0 0 3 0 3 0 0 0 0 0 3 3 0 1 0 3 5 10 6 25

Maumere, =
Penanggung jawab Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE
BULAN DESEMBER 2017 . PER KELAS/PER RUANG PERAWATAN

RUANGAN
NO INDIKATOR FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK ISO JUMLAH PER KELAS JUMLAH
TERATAI MATAHARI RS
PAVILIUN
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF
1 Jumlah TT 1 4 8 18 31 1 4 8 18 31 1 4 8 18 31 1 4 9 22 36 1 2 6 25 34 9 6 15 9 5 18 39 101 30 202
2 Pend. Awal Triw 2 3 9 14 1 1 2 6 10 2 2 10 14 0 2 6 8 16 1 5 33 39 13 1 0 0 1 8 18 66 14 107 107
3 Pend. MRS 3 11 11 72 97 2 11 20 49 82 0 18 10 81 109 0 14 23 68 105 3 11 18 232 264 45 9 1 5 8 65 82 502 55 717 717
4 Pend. KRS Hidup 3 11 10 60 84 3 10 12 27 52 0 19 10 72 101 0 16 23 53 92 1 11 21 240 273 49 11 1 8 7 67 76 452 61 671 671
5 Pend. Mati < 48 jam 1 2 3 1 2 5 8 0 0 0 1 1 0 1 2 0 1 0 1 4 7 3 16 16
6 Pend. Mati > 48 jam 8 8 1 1 7 9 0 0 0 0 0 2 0 0 0 1 1 15 2 19 19
7 Jmlh hari perawatan 7 59 74 391 531 10 61 86 250 4070 80 39 320 439 0 65 97 207 369 5 49 69 700 823 396 93 2 30 22 314 365 1868 491 3090 3090
8 Jmlh Lama dirawat 8 69 38 316 431 38 49 55 140 2822 85 42 306 435 0 74 126 207 407 0 51 80 757 888 446 74 2 22 48 328 341 1726 522 2987 2987
9 BOR (%) 1261.3 47.6 29.8 70.1 55.3 32.3 49.2 34.7 44.8 42.4 0.0 64.5 15.7 57.3 45.7 0.0 52.4 34.8 30.4 33.1 16.1 79.0 37.1 90.3 78.1 141.9 50.0 0.4 10.8 14.2 56.3 30.2 59.7 52.8 49.3
10 ALOS (hari) 2.7 6.3 3.5 4.5 5.6 12.7 4.1 3.7 3.6 5.9 #DIV/0! 4.7 4.2 3.8 4.3 #DIV/0! 4.6 5.3 3.9 4.0 0.0 4.6 3.8 3.2 3.0 8.9 4.9 2.0 2.4 6.9 4.8 4.2 3.6 7.9 4.2
11 TOI (hari) -120.0 5.9 15.8 2.4 4.5 7.0 5.3 10.8 7.9 8.0 #DIV/0! 2.4 20.9 2.9 5.2 #DIV/0! 3.7 7.6 9.0 8.0 26.0 1.2 5.6 0.3 0.8 -2.3 6.2 463.0 27.7 19.0 3.5 10.4 2.7 6.7 4.5
12 BTO (Kali) 3.0 2.8 1.4 3.9 3.1 3.0 3.0 1.9 2.2 2.2 0.0 4.5 1.3 4.5 3.3 0.0 4.0 2.7 2.4 2.6 1.0 5.5 3.5 9.6 8.0 5.6 2.5 0.0 1.0 1.4 3.8 2.1 4.7 2.2 3.5
13 GDR (Permil) 0.0 0.0 90.9 142.9 115.8 0.0 166.7 200.0 307.7 246.4 #DIV/0! 0.0 0.0 0.0 0.0 #DIV/0! 0.0 41.7 0.0 10.8 0.0 0.0 0.0 0.0 0.0 20.0 266.7 0.0 111.1 0.0 29.0 61.7 46.4 75.8 49.6
14 NDR (Permil ) 0.0 0.0 0.0 133.3 84.2 0.0 100.0 83.3 259.3 130.4 #DIV/0! 0.0 0.0 0.0 0.0 #DIV/0! 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 133.3 0.0 0.0 0.0 14.9 13.2 33.2 32.8 28.3

Jml TT x Hr dlm TAHUN 31 124 248 558 961 31 124 248 558 961 31 124 248 558 961 31 124 279 682 1116 31 62 186 775 1054 279 186 465 279 155 558 1209 3131 930 6262
Jml px kluar hdp + mati 3 11 11 70 95 3 12 15 39 69 0 18 10 81 101 0 16 24 53 93 1 11 21 240 273 50 15 1 9 7 69 81 474 66 706
Jml TT x Hr dlm THN - hr rwt -360 65 174 167 430 21 63 162 308 554 31 44 209 238 522 31 59 182 475 747 26 13 117 75 231 -117 93 463 249 133 244 844 1263 439 3172
Jml Px mati 0 0 1 10 11 0 2 3 12 17 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 4 0 1 0 2 5 22 5 35

Maumere, 10 Februari 2016.


Penanggung jawab Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
LEMBAR INI TIDAK PERLU DIISI (OTOMATIS)
TABEL 1 :
CAKUPAN PELAYANAN RAWAT INAP / SMF RSUD T.C, HILLERS MAUMERE 58 144
BULAN JANUARI S/D DESEMBER 2021 PER KELAS/PER RUANG PERAWATAN

RUANGAN
FLAMBOYAN MAWAR DAHLIA MELATI ANGGREK ISO JUMLAH PER KELAS JUMLAH
NO INDIKATOR TERATAI MATAHARI
PAVILIUN RS
UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH UTM I II III JLH (KLS II) (KLS II) COVID UTM I II III INTENSIF

1 Jumlah TT 1 4 10 20 35 1 4 10 20 35 1 4 10 20 35 1 4 10 24 39 1 2 6 25 34 9 6 15 9 5 18 46 109 15 202


2 Pend. Awal Triw 3 22 23 87 135 6 24 12 71 113 1 28 17 104 150 2 20 29 36 87 1 13 18 217 249 162 27 54 26 13 107 99 515 245 1005 1005 0
3 Pend. MRS 17 121 106 550 794 23 120 82 444 669 15 162 96 823 1191 11 72 173 302 558 32 132 232 2401 2797 610 147 237 180 98 623 697 4591 973 7162 7162 0
4 Pend. KRS Hidup 19 104 97 435 655 25 108 69 366 568 20 167 98 834 1111 11 73 144 302 530 31 126 226 2371 2754 575 107 167 169 106 579 634 4299 827 6614 6614 0
5 Pend. Mati < 48 jam 0 7 5 28 40 0 8 9 31 48 0 1 0 12 13 0 0 9 1 10 0 0 0 1 1 22 34 26 3 0 16 23 73 82 197 197 0
6 Pend. Mati > 48 jam 0 6 8 53 67 0 10 6 28 44 0 3 3 24 30 0 1 8 3 12 0 0 0 0 0 18 13 40 6 0 20 25 108 71 230 230 0
7 Jmlh hari perawatan 489 585 585 2497 3806 125 581 382 2350 3438 87 670 354 3819 4930 41 302 719 1229 2291 79 460 682 6782 8003 3777 1182 1569 1172 437 2598 2722 16677 6406 30012 30046 -34
8 Jmlh Lama dirawat 88 762 594 2312 3756 143 607 299 1967 3016 98 671 371 3790 4930 37 312 615 1295 2259 58 435 671 7242 8406 4021 1023 1730 1015 424 2787 2550 16606 6680 30062 30062 0
9 BOR (%) 134.0 40.1 16.0 34.2 29.8 34.2 39.8 10.5 32.2 26.9 23.8 45.9 9.7 52.3 38.6 11.2 20.7 19.7 14.0 16.1 21.6 63.0 31.1 74.3 64.5 115.0 54.0 28.7 35.7 23.9 39.5 16.2 41.9 117.0 40.7
10 ALOS (hari) 4.6 6.5 5.4 4.5 5.0 5.7 4.8 3.6 4.6 5.2 4.9 3.9 3.7 4.4 4.3 3.4 4.2 3.8 4.2 4.2 1.9 3.5 3.0 3.1 2.9 6.5 6.6 7.4 5.7 4.0 4.5 3.7 3.7 6.8 4.3
11 TOI (hari) -6.5 7.5 28.0 9.3 11.8 9.6 7.0 39.0 11.7 14.2 14.0 4.6 32.7 4.0 6.8 29.5 15.7 18.3 24.7 21.7 9.3 2.2 6.7 1.0 1.6 -0.8 6.6 16.8 11.9 13.1 6.5 20.7 5.2 -0.9 6.2
12 BTO (Kali) 19.0 29.3 11.0 25.8 21.8 25.0 31.5 8.4 21.3 18.9 20.0 42.8 10.1 43.5 33.0 11.0 18.5 16.1 12.8 14.2 31.0 63.0 37.7 94.9 81.0 68.3 25.7 15.5 19.8 21.2 34.2 14.8 41.1 65.3 34.9
13 GDR (Permil) 0.0 111.1 118.2 157.0 140.4 0.0 142.9 178.6 138.8 139.4 0.0 23.4 29.7 41.4 37.3 0.0 13.5 105.6 13.1 39.9 0.0 0.0 0.0 0.4 0.4 65.0 305.2 283.3 50.6 0.0 58.5 70.4 40.4 156.1 60.6
14 NDR (Permil ) 0.0 51.3 72.7 102.7 87.9 0.0 79.4 71.4 65.9 66.7 0.0 17.5 29.7 27.6 26.0 0.0 13.5 49.7 9.8 21.7 0.0 0.0 0.0 0.0 0.0 29.3 84.4 171.7 33.7 0.0 32.5 36.7 24.1 72.4 32.7

Jml TT x Hr dlm TAHUN 365 1460 3650 7300 12775 365 1460 3650 7300 12775 365 1460 3650 7300 12775 365 1460 3650 8760 14235 365 730 2190 9125 12410 3285 2190 5475 3285 1825 6570 16790 39785 5475 73730
Jml px kluar hdp + mati 19 117 110 516 762 25 126 84 425 660 20 171 101 870 1154 11 74 161 306 552 31 126 226 2372 2755 615 154 233 178 106 615 682 4480 980 7041
Jml TT x Hr dlm THN - hr rwt -123 879 3075 4823 9004 241 883 3278 4970 9372 279 794 3306 3501 7880 325 1162 2941 7555 11983 287 272 1514 2368 4441 -483 1014 3921 2122 1393 3990 14114 23217 -916 43718
Jml Px mati 0 13 13 81 107 0 18 15 59 92 0 4 3 36 43 0 1 17 4 22 0 0 0 1 1 40 47 66 9 0 36 48 181 153 427

Maumere, 27 Januari 2021


Kepala Rekam Medis

= Agustina Woga =
NIP : 19800814 200312 2 007
INDIKATOR PELAYANAN

pasien klr Pasien Klr Mati

Hidup + mati

L P L P L+P

2367 4696 7063 229 198 427


Pasien Mati >48 jam Gross Death Rate Net Death Rate

L P L+p L P L+P L P L+P

136 94 230 96.7 42.2 60.5 57.5 20.0 32.6


pasien klr Pasien Klr Mati Pasien Mati >48 jam Gross Death Rate Net Death Rate
Hidup + mati

L P L P L+P L P L+p L P L+P L P L+P


2661 6529 9190 357 293 650 198 148 346 134.2 44.9 70.7 74.4 22.7 37.6

1. Jumlah pasien klr H+M : 9190

2. Jumlah Hari perawatan : 40387

3. Jumlah lama rawat : 37904

NO INDIKATOR
1 BOR 54.8%
2 ALOS 4 Hari
3 TOI 3-4 hari
4 BTO 45 S/D 46 kali
5 GDR 70.7 permil
6 NDR 37.6 Permil

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