KERANGKA KONSEP

MANAJEMEN
DATA ASPAK  DAK

 APBD E-
• Membandingkan Planning
/ menyesuaikan  APBN E-Rengar
dg data
inventaris  Sumber
• Membandingkan SAMPLING lain
dg kondisi real

Validasi & Konsep Pikir

Input data Kondisi Gap
Verifikasi Pemenuhan Perencanaa
SPA SPA
data n

Pengelola ASPAK Pengelola ASPAK Dinkes Penguatan

Fasyankes Kab/ Kota/ Prop Kapasitas Dinkes
Pusat (untuk RS Prov/ Kab/ Kota
Vertikal) Perluasan/
Setiap kali Expand ke
ada Minimal tiap 6
bl
RS Swasta
perubahan
Penelitian WHO

Sampai dengan 50% peralatan medik yang ada di

negera berkembang tidak dapat digunakan
diantaranya dikarenakan perencanaan yang tidak
tepat, kurangnya pemeliharaan, sumber daya
manusia yang tidak tersedia.
PERENCANAAN DAN PENILAIAN
KEBUTUHAN
• Penilaian kebutuhan merupakan suatu proses
untuk menentukan dan mengetahui adanya
gap antara kondisi saat ini dan kondisi yang
seharusnya/diharapkan
• Dalam beberapa hal, analisa kebutuhan
mengidentifikasi kebutuhan prioritas terkait
kebutuhan alat medik
 Instrumen penilaian kebutuhan*
Questions Data required
1 What do we want/need - Population (target population,
in terms of services? catchment area)
- Health service provider availability
- Epidemiological data
2 What do we have? - Health services availability
(local - Lists of available medical devices
conditions/limitations) - Human resources availability
3 Which - Standards/recommendations for
standards/recommended service delivery coverage
best practices exist that
could be applied or
adapted?
(catchment areas)
- Standards/recommendations for
medical devices
- Standards/recommendations for
human resources required for
operation/maintenance/management
of medical equipment
4=3- Overall gap:
2 general
*WHO
Tools Result
- "Certificate of need"
process ,
- Clinical practice guidelines
(CPG)
- Survey questionnaires
- Standards of level of care
- Integrated Healthcare
Technology Package (iHTP),
see Appendix B
- Service Availability Mapping
(SAM) questionnaires
- Evaluation manuals/tools
- Inventory management tool
- Computerized Maintenance
Management System
(CMMS)
- (essential) Medical device
lists; i.e., per facility type and
department, or per clinical
procedure ASPAK
List of
needs
 Questions Data required Tools Result
5 What financial/human - Budget (capital investment and
resources do we have? operational)
(constraints) - Human resources

6=4-5 Prioritized needs: Prioritized

list of
needs
PERTIMBANGAN DALAM PEMENUHAN SPA

Pemenuhan terhadap PMK 56 2014 atau

PMK 75 2014
Kondisi SPA di Fasyankes
 Rusak, tidak berfungi
Usia Teknis SPA
Kapasitas Layanan
 Jumlah Tempat Tidur
 Cakupan layanan
USIA TEKNIS
• Perkembangan Teknologi
• Standar Keamanan
• Batas Biaya Pemeliharaan (MMEL)
• Ketersediaan Suku Cadang
• Kesesuaian dengan Ilmu Kedokteran

9
CONTOH USIA TEKNIS ALAT KESEHATAN

Life Life Unit of

No Equipment
In years in unit Measure
1 Bed, Electric 12 105,120 hours
2 Blood Gas Analyzer 8 16,064 hours
3 Defibrillator 8 8,000 cycle charges
4 Dental chair 10 41,600 hours
5 Electrocardiograph 8 16,064 hours
6 Lithotripter, Extracorporeal 5 30,120 electrodes
7 M R I System 8 1,124,480 slices
8 CT - Scanner 5 502,000 slices
9 Suction Pump 10 20,080 hours
10 Traction Unit 10 20,080 hours
11 Vacuum Pump 10 20,080 hours
10
CONTOH PENGGUNAAN DATA ASPAK
Existing

standar

GAP
standar Existing GAP

1. Tensimeter Anaeroid
2. Infusion Pump
1. EKG
3. Defibrilator
2. Tensimeter Anaeroid
4. Bedside Monitor
3. Infusion Pump 1. Stretcher/Branchard
5. Stretcher/Branchard
4. Defibrilator 2. Emergency Trolley
6. EKG
5. Bedside Monitor 3. Stetoskop
7. Emergency Trolley
4. Syringe Pump
8. Stetoskop
5. Tensimeter Digital
9. Syringe Pump
10.Tensimeter Digital

Prioritization
 SDM

Infrastruktur (Listrik, sarana, dll)

Prioritization

Epidemologi/Population

Kebijakan/VIsi Fasyankes
IMPLEMENTASI PENERAPAN DATA ASPAK
PERENCANAAN PENEMPATAN DOKTER SPESIALIS

KELENGKAPAN ALAT
PELAYANAN
PELAYANAN SP.A PELAYANAN SP.PD PELAYANAN SP.B PELAYANAN SP.OG
NAMA SP.AN
RS KLINIK KLINIK KLINIK
RUANG RAWAT RUANG RUANG RUANG RUANG
RAWAT RAWAT RAWAT
JALAN TINDAKAN TINDAKAN TINDAKAN TINDAKAN
JALAN JALAN JALAN

A 47% 56% 71% 62% 69% 47% 68% 0%

B 87% 0% 43% 62% 23% 91% 71% 33%
C 93% 61% 100% 54% 54% 74% 52% 17%
D 33% 14% 43% 62% 8% 8% 6% 17%
E 73% 22% 71% 46% 46% 53% 23% 0%
F 93% 50% 100% 69% 62% 47% 45% 33%
G 100% 56% 100% 56% 92% 40% 71% 33%
CONTOH PENGGUNAAN ASPAK LAINYA

1. KEBUTUHAN AMBULANS
2. KEBUTUHAN PUSLING
3. KEBUTUHAN PERALATAN BIDAN KIT DAN SET GAWAT DARURAT
TERIMA KASIH