Standar Fasilitas RS.

(1)

 Nama : dr.ADIB ABDULLAH YAHYA,MARS  Pangkat : Brigjen TNI (Purn)

 Tempat/tanggal lahir : Magelang,16 Februari 1949

 Jabatan : DIREKTUR UTAMA RUMAH SAKIT MMC

 Agama : Islam

 ALAMAT : Jl. Punai H‐24,Kel.Tengah,Jakarta Timur – 13540 Telp : (021)8404580

Fax : (021) 8408047

HP : 08161803497

E‐MAIL : [email protected]

PENDIDIKAN UMUM

 SMA Negeri Magelang 1966

 S1 : Fakultas Kedokteran Universitas Gajah Mada (UGM),

Yogyakarta, 1973

 S2 : Fakultas Kesehatan Masyarakat, Universitas Indonesia (UI), Jakarta,

11

Program Kajian Administrasi Rumah Sakit ( KARS )

PENDIDIKAN MILITER

 Sekolah Staf dan Komando TNI Angkatan Darat (SESKOAD), 1987/1988

PELATIHAN

 Combined Humanitarian Assistance Response Training, oleh Singapore Armed Forces (SAF), Singapura, 2000

 Health as a Bridge for Peace Workshop, oleh World Health Organization (WHO), Yogyakarta, 2000

PENGALAMAN JABATAN

Komandan Detasemen Kesehatan Pasukan Pengamanan Presiden (DanDenkes Paspampres), 1987‐1991  Kepala Rumah Sakit “Muhammad Ridwan Meuraksa”, Jakarta, 1992

 Kepala Kesehatan Daerah Militer (Kakesdam) Jaya, Jakarta, 1993  Komandan Pusat Pendidikan Kesehatan TNI – AD,1995 – 1999  Wakil Kepala Pusat Kesehatan TNI, 1999 – 2000

 Kepala RSPAD Gatot Soebroto, 2000 – 2002  Dekan Fakultas Kedokteran UPN, Jakarta, 2000 – 2002  Wakil Ketua Tim Dokter Kepresidenan RI, 2000 – 2002  Direktur Kesehatan TNI Angkatan Darat (Dirkesad), 2002‐2004

 Wakil Ketua Tim Pemeriksaan kesehatan untuk calon Presiden dan calon Wakil Presiden RI Th.2004  DOSEN Pasca Sarjana FKM UI, Kajian Administrasi Rumah Sakit (KARS)

 DOSEN Pasca Sarjana URINDO

 DIREKTUR UTAMA RUMAH SAKIT MMC

ORGANISASI

Ketua Ikatan Rumah Sakit Jakarta Metropolitan (IRSJAM), 2000‐2003  Ketua Umum Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI), 2003‐2009

 Anggota Komnas FBPI.

 Ketua Komtap Bidang Kebijakan Kesehatan KADIN Indonesia  Angggota TNP2K.

 Dewan Pakar Perhimpunan Rumah Sakit Seluruh Indonesia ( PERSI)

 Dewan Pakar IDI

 Anggota Majelis Kehormatan Etik Kedokteran (MKEK) IDI Pusat

 Tim Konsultan Institut Manajemen Risiko Klinis ( IMRK )

(2)

STANDAR PRASARANA DAN

Prof. Dr. Budi Sampurna, SH, SpF

Dr. Adib A Yahya, MARS

STANDAR

PRASARANA

DAN

SARANA

RUMAH

SAKIT

LOKASI

BANGUNAN

Pasal 8

UU

Rumah Sakit



(1)

Persyaratan lokasi sebagaimana dimaksud

dalam Pasal 7

ayat (1)

harus memenuhi

ketentuan mengenai kesehatan,

keselamatan

lingkungan,

dan tata ruang,

serta sesuai

dengan hasil kajian kebutuhan dan kelayakan

g

j

y

(3)

Syarat administratif dan

teknis

Pasal 9

UU

RS



Persyaratan bangunan sebagaimana dimaksud

dalam Pasal 7

ayat (1)

harus memenuhi :

a. persyaratan administratif dan persyaratan teknis

bangunan gedung pada umumnya, sesuai dengan

ketentuan peraturan perundang‐undangan; dan

b t t k i b R h S kit i

b. persyaratan teknis bangunan Rumah Sakit, sesuai

dengan fungsi, kenyamanan dan kemudahan dalam

pemberian pelayanan serta perlindungan dan

keselamatan bagi semua orang termasuk

penyandang cacat, anak‐anak, dan orang usia lanjut.

Sesuai kebutuhan

Pasal 10

UU

RS

1)

Bangunan Rumah Sakit sebagaimana

dimaksud dalam Pasal 9

harus dapat

digunakan untuk memenuhi kebutuhan

pelayanan kesehatan yang

paripurna,

pendidikan dan pelatihan,

serta penelitian

p

,

p

dan pengembangan ilmu pengetahuan dan

teknologi kesehatan.

(4)

Meliputi:

 (1) Prasarana Rumah Sakit sebagaimana dimaksud dalam Pasal

7 ayat (1) dapat meliputi:

a. instalasi air;

b. instalasi mekanikal dan elektrikal;

c. instalasi gas medik;

d. instalasi uap;

e. instalasi pengelolaan limbah;

f. pencegahan dan penanggulangan kebakaran;

g. petunjuk, standar dan sarana evakuasi saat terjadi keadaan darurat;

h. instalasi tata udara;

i sistem informasi dan komunikasi; dan

i. sistem informasi dan komunikasi; dan

j. ambulan.

Standar dan berfungsi

Pasal 11

UU

RS

)

P

b

i

di

k d

d

t ( )

2)

Prasarana sebagaimana dimaksud pada ayat (1)

harus memenuhi standar pelayanan,

keamanan,

serta keselamatan dan kesehatan kerja

penyelenggaraan Rumah Sakit

3)

Prasarana sebagaimana dimaksud pada ayat (1)

harus dalam keadaan terpelihara dan berfungsi

dengan baik.

4)

Pengoperasian dan pemeliharaan prasarana Rumah

Sakit sebagaimana dimaksud pada ayat (1)

harus

dilakukan oleh petugas yang

mempunyai

(5)

(6)

40/2

010

Rumah Sakit Khusus Mata

ra n M enteri K eseha ta n 3 Pe ra tu

Lebih lanjut dapat dilihat di

Pedoman



Pedoman Teknis Bangunan RS

kelas B



Pedoman Teknis Ruang Operasi



Pedoman Teknis Ruang Perawatan Intensif



Pedoman Teknis Ruang Gawat Darurat



Pedoman Teknis Ruang Rawat Inap



Pedoman Teknis Ruang Rehabilitasi Medis



Pedoman Teknis Instalasi Elektrikal



Pedoman Teknis Gas

medik

(7)

Standar di

negara lain

Persyaratan terkait

Perizinan



Install

and

operate

medical

equipment

required

for

provision

of

the

proposed

hospital

services

in

accordance

with

manufacturer

specifications

accordance

with

manufacturer

specifications

.



Maintain

adequate

lighting

and

utilities

,

including

temperature

controls,

water

taps,

sinks

and

drains,

electrical

outlets

and

communications

.



Keep

floors,

work

surfaces,

and

other

areas

clean

and

neat.



Clearly

y

display

p y

hospital

p

signage

g

and

direction

for

different

services

provided

in

the

hospital

at

least

in

two

languages

(Indonesian

and

English).



Clearly

displayed

hazardous

signs

aimed

to

restrict

(8)

Ketentuan Umum

 Designate secured areas for the collection of medical

waste general storage facilities for supplies and

waste, general storage facilities for supplies and

equipment and storing area for hazardous materials.

 Provide a sufficient number of toiletsfor patients, their

families, and staff.

 Provide at least one toilet for disabled individuals in each

floor.

 Maintain hospital accessible for handicapped and

disabled individuals.

 The hospital safety plan, design and equipment shall

comply with the fire safety requirements by the Dubai Civil

Defense Department.

General

Design



The

hospital

building

shall

be

freestanding

facility;

located

on

a

main

road

,

access

to

the

premises

must

be

easy

and

convenient

both

to

people

using

both

public

transportation

and

vehicles.



Consideration

must

be

given

g

to

the

anticipated

disabled

patients

as

determined

(9)

General

design



Hospital

design

shall

ensure

appropriate

l

f

i

i l

d i

l

levels

of

patient

acoustical

and

visual

privacy

and

dignity

throughout

the

care

process.



In

multiple

‐

bed

rooms,

visual

privacy

from

casual

observation

by

other

patients

and

visitors

shall

be

provided

for

each

patient

visitors

shall

be

provided

for

each

patient



Color

contrast

between

walls,

floors

and

doors

shall

be

considered

as

it

may

reduce

falling

risk

of

blurred

vision

patients

Zoning



Zoning:

The

different

areas

of

a

hospital

shall

be

d

di

f ll

grouped

according

to

zones

as

follows:

 Outer Zone – areas that are immediately accessible to

the public: emergency service, outpatient service, and

administrative service. They shall be located near the

entrance of the hospital.

 Second Zone – areas that receive workload from the

outer zone: laboratory, pharmacy, and radiology. They

shall be located near the outer zone shall be located near the outer zone.

 Inner Zone – areas that provide nursing care and

management of patients nursing service. They shall be

(10)

Zoning

 Deep Zone – areas that require asepsis to perform the

ib d i i l i d li i

prescribed services: surgical service, delivery service,

nursery, and intensive care. They shall be segregated

from the public areas but accessible to the outer,

second and inner zones.

 Service Zone – areas that provide support to hospital

activities: dietary service, housekeeping service,

maintenance and motorpool service, and mortuary.

They shall be located in areas away from normal

traffic.

Function

 TheThe emergencyemergency serviceservice shallshall bebe locatedlocated inin thethe groundground floorfloor toto ensureensure immediate access. A separate entrance to the emergency room shall be provided.

 The administrative service, particularly admitting office and business office, shall be located near the main entrance of the hospital. Offices for hospital management can be located in private areas.

 The surgical service shall be located and arranged to prevent non‐

l d ffi Th i h ll b i bl

related traffic. The operating room shall be as remote as practicable from the entrance to provide asepsis. The dressing room shall be located to avoid exposure to dirty areas after changing to surgical garments. The nurse station shall be located to permit visual observation of patient movement.

(11)

Function

 The delivery service shall be located and arranged to prevent non‐related traffic.

The delivery room shall be as remote as practicable from the entrance to provide

asepsis. The dressing room shall be located to avoid exposure to dirty areas after

changing to surgical garments The nurse station shall be located to permit visual

changing to surgical garments. The nurse station shall be located to permit visual

observation of patient movement. The nursery shall be separate but immediately

accessible from the delivery room.

 The nursing service shall be segregated from public areas. The nurse station shall

be located to permit visual observation of patients. Nurse stations shall be

provided in all inpatient units of the hospital with a ratio of at least one (1) nurse

station for every thirty‐five (35) beds. Rooms and wards shall be of sufficient size to

allow for work flow and patient movement. Toilets shall be immediately accessible

from rooms and wards.

 The dietary service shall be away from morgue with at least 25‐meter distance.

Operating

Theatre



There

should

be

sufficient

space

to

accommodate

all

necessary

equipment

and

personnel

to

allow

for

swift

access

to

patients

p

and

all

monitoring

g q p

equipment.



The

OT

entrance

door

must

be

wide

(about

2.13 meters

width)

preferably

consisting

of

two

parts

,

which

can

be

opened

in

either

sides

or

automatic

one.



Independent

dirty

exit

is

in

OT



The

floors,

ceilings,

and

walls

must

be

created

by

a

continuous

connection

.



Interior

surfaces

should

be

constructed

of

materials

that

are

monolithic

and

impervious

to

moisture

.



The

floors

and

walls

should

be

anti

‐

static,

heat

resistant,

(12)

Operating

theatre

Operation room shall be equipped with the following:

 Multi purpose operation table

 Anesthesia machine with adequate vital sign monitors

( i i f b k h i hi )

(minimum of one back up anesthesia machine).

 Adequate medical gases supply

 X‐Ray Viewer  Cautery equipment  ECG machine  Emergency/crash cart.  Suction machine  Suction machine  Pulse oximeter

 Appropriate size pediatric medical equipment must be

available if services are provided to infants/children

 Calling station

Operating

Theatre

 Adequate ventilation and air exchange (with at least 25 air changes per

houras per American Society of Heating, Refrigerating and Air‐

Conditioning Engineers (ASHRAE) requirement) shall be maintained in

the operation room which should be at positive pressure relative to

th dj t ti

the adjacent preparation areas.

 Minimum of two air supply inlets with proper contamination control

filters i.e. High Efficiency Particulate Air (HEPA) filters delivered at or

near the ceiling, which should not be directed over the operation

table, in addition to a minimum of two exhaust outlets located near

floor level, bottom exhaust outlets should be at least 75mm above the

floor. Differential pressure indicating device, humidity indicator,

and thermometers should be installed and should be located for easy

observation.

 Operating room temperature shall be maintained between 18‐22 °C

with room humidity between 35‐70% and the temperature and

(13)

Ruang cuci dan ganti

 The scrub facility shall be located adjacent to the  The scrub facility shall be located adjacent to the

operation room(s). Ceiling, surfaces or tiles at this area shall

be smooth, washable and free of particular matter that can

be contaminated.

 Staff changing area shall be separate for males and

females. It must contain special entrance for the staff and

suitable placep for changingg g of clothes with a minimum of

one toilet for the staff in this area. Toilets air pressure

should be kept negative pressure with respect to any

adjoining areas and should have minimum 10 air changes

per hour.

Gas

Medik



Sufficient

supply

of

different

medical

gases



Sufficient

supply

of

different

medical

gases

should

be

available

and

adequate

for

procedure(s)

preformed

(centralized

medical

gas

system

in

accordance

to

HTM

2022

or

its

equivalent

internationally

accepted

standard

is

preferable)

(14)

Critical

Care

 All general hospital shall provide Critical Care services this

 All general hospital shall provide Critical Care services; this

may include Intensive Care Unit (ICU), Coronary Care Unit

(CCU), Neonatal Intensive Care Unit (NICU) or Burns Unit.

 Number of beds per critical care services shall be based on

many factors such as: type of services provided in the

hospital, bed occupancy rate, etc.

 In general the hospital should provide one critical care bed

for each operation theater, but it should not be less than

one critical care bed for every 20 general beds.

Critical

Care

The critical care unit has the following necessary equipment and

supplies:

 VentilatorsVentilators (see(see appendixappendix 11 regardingregarding ventilatorventilator specifications)specifications)

 Tracheotomy set

 Emergency/crash cart with a plastic breakable seal that can be

easily removed during emergency. It must be equipped with

defibrillator, necessary drugs and other CPR equipment and test

strips. A log book must be nearby to indicate the maintenance

and regular check of the crash cart and its components.

 Pulse Oximetry andy vital signsg monitor.

 Transfusion pumps

 Vital Signs Monitors.

 Blood gas analyzer with capability for electrolytes measuring

(15)

Critical

Care

and

Medical

Gas



The

critical

care

beds

must

be

supplied

with

medical

gases

outlets

(02,

Air,

Suction),

enough

numbers

of

electrical

outlets,

examination

lights.



Supply

of

medical

gases

should

be

available

and

centralized

medical

gas

system

shall

be

according

to

HTM

2022

or

its

equivalent

internationally

accepted

standard.

Environment

of

Critical

Care

 Adequate ventilation and air exchange, with at least 6 air

changes per hour as per ASHRAE requirement shall be

changes per hour as per ASHRAE requirement, shall be

maintained in Intensive Care Unit area.

 Intensive Care Unit should be kept at positive pressure

relative to the adjacent areas. The area temperature should

be maintained at 21 °C 24 °C and relative humidity 30 % to

60% and should be adjustable.

 High efficiency filters should be installed in the air handling

system, with adequate facilities provided for maintenance,

without introducing contamination to the delivery system

(16)

Airborne

Infection

Isolation



The

hospital

should

specify

airborne

infection

isolation

(AII)

room(s)

for

treatment

of

infectious

diseases

based

on

the

needs

of

specific

community

and

patient

populations

served

by

the

hospital.



At

least

one

airborne

infection

isolation

room

in

the

critical

care

area

shall

be

provided

in

all

general

hospitals.

Ruang Isolasi

Isolation rooms design requirements shall include but not limited to the following:

 Each patient room shall contain only one bed

 The isolation room should be independent from other critical care area

 The isolation room should be independent from other critical care area.

 A separate toilet with bathtub (or shower) shall be provided for each patient room.

 A hand‐washing station shall also be provided for each patient room

 Additional hand‐washing or hand rub station outside the room entrance maybe provided.

 AII room perimeterwalls, ceilings, and floors, including penetrations, shall be sealed tightly so that air does not infiltrate the environment from the outside or from other spaces

 An area for gowning and storage of clean and soiled materials shall be located either directly

outside or inside the entry door to the patient room.

 There should be an oxygen source and first‐aid kit available inside the room

 Isolation Room Instruments shall include: Intravenous solutions, needles of various gauges,

lumbar puncture kit, liver biopsy kit, liver abscess aspiration kit and pleural fluid and ascitic fluid aspiration kit

(17)

Emergency

 Emergency Entrance: A well‐marked, easily accessible entrance

at gground level for both emergencyg y vehicles and pedestrianp

access.

 Waiting Area: Patients and visitors waiting area(s) must be

located in away that can be under direct observation of the

reception staff, triage station, or control station, with access to a

public phone.

 Consultation room with space area not less than 12 square

meters. It must be fitted with a wash basin and the attached

faucet can be sensor‐regulated or single‐lever elbow operated.

Care shall be taken in location and arrangement of fittings to

provide the clearance required for operation of blade‐type

handles

Emergency

Consist of:

 One Triage room

 One Triage room.

 Observation bed area with suitable patient privacy

 Minimum of two treatment rooms

 Resuscitation Area: with adequate space area, appropriate

equipment and emergency medication. Door shall be 2.0

meters width and consists of two parts opening on both

sides.

P ti t t il t i i f l d th f

 Patient toilet: minimum one for male and another for

female

 At least one dedicated toilet for handicapped

patients/visitors equipped with safety hand rails and

(18)

Ambulance



Ambulance

vehicle:

well

‐

equipped



Ambulance

vehicle:

well

‐

equipped

ambulance

vehicle(s)

should

be

ready

with

qualified

medical

staff

for

patient

transportation

if

required,

for

more

details

see

ambulance

requirements

in

DHA

website

www dha gov ae

www.dha.gov.ae

Oxygen

Source

of

Oxygen:



There

should

be

in

each

location

a

reliable

source

of

oxygen.



Oxygen

piped

from

a

central

source

is

strongly



There

should

be

backup

supply

of

oxygen

(19)

Delivery

Suite

Th

b

i l

i

h ll

b

l

d



The

obstetrical

unit

shall

be

located

and

designed

to

prohibit

nonrelated

traffic

through

the

unit

LDR

rooms

may

be

located

in

a

separate

LDR

suite,

as

part

of

the

cesarean

delivery

suite,

and

in

the

postpartum

unit



Wh

d li

l

t d



When

cesarean

delivery

rooms

are

located

within

the

obstetrical

suite,

access

and

service

arrangements

shall

be

such

that

neither

staff

nor

patients

must

travel

through

the

cesarean

delivery

area

to

access

other

services

N

b

i

d

ith

d

t

i f

t



Newborn

nursery

equipped

with

adequate

infant

beds

and

incubators

for

the

premature

babies.



Adequate

ventilation

and

air

exchange,

with

at

least

25 air

changes

per

hour

as

per

ASHRAE

requirements,

shall

be

maintained

in

Delivery

requirements,

shall

be

maintained

in

Delivery

Suite

area.

Delivery

Suite

should

be

kept

at

(20)

Inpatient

Service

Area

 Single‐patient rooms should be at least 3.65 meters (12 feet)

wide by 3.96 meters (13 feet) deep (approximately 160 square

feet or 14.86 square meters) exclusive toilet rooms, closets,

lockers wardrobes alcoves or vestibules These spaces should

lockers, wardrobes, alcoves, or vestibules. These spaces should

accommodate comfortable furniture for one or two family

members without blocking staff member access to patients.

 In shared inpatient rooms, the enclosed area for each bed shall

be provided with curtains to ensure patient privacy. Such area

should be at least 7.5 square meters (80 square feet). The

curtains must be washable/cleanable,, fireproofp and maintained

clean at all times.

Patient

room



A

hand

‐

washing

station

for

the

exclusive

use

of

h

ff

h ll

b

id d

h

i

the

staff

shall

be

provided

to

serve

each

patient

room

and

shall

be

placed

outside

the

patient

toilet

room



Door

opening

to

inpatient

bedrooms

shall

be

wide

enough

for

easy

movement

of

bed

or

stretcher

a

minimum

clear

width

of

1 12

meters

stretcher,

a

minimum

clear

width

of

1.12 meters

(3

feet

8 inches)

with

a

frame

that

is

2.13 meters

(21)

Patient

room



Suitable

area

for

toileting,

bathing,

dressing

and

hand

washing

(minimum

of

one

toilet

for

inpatient

hand

washing

(minimum

of

one

toilet

for

inpatient

room

with

three

beds

and

one

toilet

in

private

inpatient

rooms).



Appropriate

dedicated

area

for

medical

equipments,

medications

and

supplies

shall

be

provided

near

the

inpatient

p

area.



Overnight

accommodation

for

family

members

can

be

provided

in

private

inpatient

bedrooms.

Outpatient

area



A

reception/information

counter

or

desk

shall

be

located

to

provide

visual

control

of

the

entrance

to

the

outpatient

unit

and

shall

be

immediately

apparent

from

that

entrance;

the

information

counter

should

provide

p

(22)

Clinical

Laboratory

 Clinical Laboratory facilities shall be provided for the

performance of tests. Each lab must be able to cover the

following minimum specialties: hematology, clinical

chemistry, Immunology and serology, microbiology,

anatomic pathology, cytolopathology, and blood banking

to meet the expected workload in the hospital functional

program

 A specimen collection facility may be located outside the

clinical laboratory area.

 The blood collection area shall have a work counter, space

for patient seating, and hand‐washing stations

Radiology

and

Diagnostic

Imaging

R di l

d

di

i



Radiology

and

diagnostic

imaging

services

performs

examinations

and

produces

images

from

non

‐

invasive

or

minimally

invasive

procedures

performed

on

patients

in

specially

equipped

examination

rooms.



H

it l

t

id

ti

l

di

h



Hospital

must

provide

conventional

radiography

(general

radiology),

ultrasound

services

and

CT

within

the

premises

of

the

hospital

to

meet

the

(23)

Pharmacy



The

size

and

type

of

services

to

be

provided

in

the

pharmacy

shall

depend

upon

the

type

of

drug

distribution

system

used,

number

of

patients

to

be

served,

and

extent

of

shared

or

purchased

services

p

Nutrition

Services



Strict

hygienic

conditions

should

be



Strict

hygienic

conditions

should

be

maintained

in

the

hospital

kitchen

during

preparing,

storing

and

serving

food.

Such

services

may

be

provided

on

the

hospital

premises

or

by

an

external

provider

with

written

agreement

However

if

such

services

written

agreement.

However,

if

such

services

are

out

‐

sourced

it

should

fulfill

the

DHA

and

(24)

Laundry

Service



Hospital

shall

provide

laundry

services

either

on

the

hospital

premises

or

by

an

external

provider

with

hospital

premises

or

by

an

external

provider

with

written

agreement.

If

the

laundry

is

in

‐

house

it

shall

be

fully

equipped

with

machines

used

for

cleaning

and

washing

clothes,

sheets

and

covers.



Adequate

ventilation

and

air

exchange,

with

at

least

10 air

changes

g

per

p

hour

as

per

p

ASHRAE

requirements,

shall

be

maintained

in

Laundry

Service

area.

Laundry

Service

area

should

be

kept

at

negative

pressure

relative

to

the

adjacent

areas

Sanitary

Service

 Clean and hygienic water supply should be provided in the hospital.

Water tanks should be maintained, clean and well closed.

 Clean Bathrooms for outpatients should be provided (separate for

men and women), every bathroom should have at least one

washbasin and commode with soap and hand dryer. All the staff and

patients’ toilets should be kept clean. Water drainage and sanitation

should be hygienic.

 Hand rubs must be available in the toilets and patient rooms.

 All hospital drainage and sewage should be connected to general

(25)

External

Service



External

services

provider

shall

be

managed

effetely

to

provide

safe,

quality

care

and

services.

Many

healthcare

facilities

use

external

contractor

and

/

or

services

to

provide

specific

services

that

are

essential

to

the

ongoing

operation

of

the

organization

e.g.

Radiology,

laboratory,

oncology,

pathology,

allied

health,

transport

laundry

food

cleaning

maintenance

transport,

laundry,

food,

cleaning,

maintenance,

security,

and

education.

Outsourcing



While

a

contracted

or

services

agreement

is

important

for

both

the

healthcare

facility

and

service

provider

to

ensure

good

quality

services,

the

fundamental

u da e ta espo s b ty o qua ty s a

responsibility

for

quality

shall

remain

e a

with

the

main

healthcare

facility.

The

health

facility

should

outline

in

its

services

agreements

/

contracts

exactly

what

services

what

level

of

services

is

expected

and

evidence

with

compliance

with

that

service’s

regulatory

or

industry

standards

e.g.

compliance

with

DM

standards

for

laundry

or

food

services

services.

(26)

Take

Home

Note



Standar Sarana dan Prasarana masih sangat

longgar aturannya,

demikian pula

pelaksanaannya



Kemenkes sedang menyusun peraturan



Kemenkes sedang menyusun peraturan

tentang standar sarana dan prasarana rumah

sakit