Seminar Nasional Ilmu Terapan 2021
Universitas Widya Kartika
TURBULENCE
VISION VALUES
To be A First Class Hospital In Health Services
§ Professional
§ Care
§ Accountable
Dokter
dr Spesialis
dr Umum 97
16
113
FACILITIES
Beds 231 Bed
Reguler (Non Covid)
R. Isolasi (Covid) 6 Bed
237
Kamar Operasi Reguler
5 2
K. Operasi Cathlab Mesin Cuci Darah Dws 42 Mesin Cuci Darah Anak 11. MS CT Scan 128 Slices 2. MRI 1.5 Tesla
3. DR X-Ray
4. Fixed Cathlab IGS Innova 530
CARDIOLOGY
(Pelayanan Jantung Terpadu)
Open Heart Surgery, Cath lab, Pediatric Heart Surgery, Endovascular
NEUROSCIENCE
(Pelayanan Bedah Saraf Terpadu)
Brain & Spine Surgery, Endovasc
ORTHOPAEDIC
691
HUMAN CAPITAL
MEDICAL SUPPORT DEVICES
7. 4D USG
8. Echocardigraphy TEE/ TTE
9. 3 units C ARM 10. Mobile X Ray
Perawat & Bidan
267
CENTER OF EXCELLENCE
RUMAH SAKIT
PROFIL
RS Kelas B Pendidikan
RS Pendidikan Utama bagi Dokter Muda Univ. Katolik Widya Mandala Surabaya
1
K. Operasi Khusus COVIDBisnis Utama run as usual
Kondisi Umum
2019
2020
Disrupsi Bisnis Utama
1st Pandemi
Maret 2020 - Januari 2021
Pandemi Mereda Customer wait & see
Slight Recovery
Januari - Mei 2021
2021
2021
Kenaikan kasus COVID luar biasa
2nd Pandemi
Juni - Agustus 2021
Pandemi Mereda Upaya Back to
Bussiness
2nd Recovery
2021 - next
September 2021 - nest
Pandemic Timeline
50 100 150 200 250 300 350 400 450 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
JAN FEB MAR APR MAY JUNI JULI AGUST SEPT OKT NOP DES JAN FEB MAR APR MAY JUNI JULI AGUST SEPT OKT
2020 2021
Kondisi Umum 1st Pandemi Slight Recovery 2nd Pandemi 2nd Recovery
Jumlah Layanan
Rawat Inap
Kamar Operasi
Make sure the financing sustainable (from
Government)
Material
Re arrangement of supply chain
Donation
Selection of PPE
Refresh of Protocols Adjustment of Workflow Optimization of Staffs
Volunteers recruitment Incentives for staffs Selection of nurses for Isolation ward
Market
Monitor updating pandemic progress from national and regional sector
Networking with
IT
Digitalization of reporting (from front end to back end)
Machine
Conversion of Regular Ward into Isolation Ward Build New PCR Lab Build New OT for COVID
Man
Money Method
Resilience
PHC Hospital’s
0%
20%
40%
60%
80%
100%
JAN FEB MAR APR MAY JUN JUL AUG SEP
Bed Occupancy Rate 2020
Focus on reactive respon to pandemi
The beginning of Pandemi
• Assign Taskforce
• Optimalization of staffs
Man, Material, Money, Machine,
Market
What we have vs what we need
What we want to
Identify the gaps
§ Updating the regulations
§ Develop IT support
§ Recruit Volunteers Focus !!!
on service and revenue generator
Bridge the gaps
• Implementing IT
• Launch New Product
Maintain and prepare for product decline
Define a new condition with a new resilience
New Resilience
Man, Machine, Material Method
Man, Material, Money, Machine, Market ,
IT
Man, Material, Money, Machine, Market , IT
• Revert Isolation Ward into regular ward
• Update progress pandemic
• Maintain Quality and Services
Man, Material, Money, Machine,
Market
• Monitoring and Evaluation
2
3
4 1 5
Resilience
§ Membuat Satgas COVID multidisiplin
§ Melakukan tes PCR ke seluruh pegawai
§ Selama pandemi, jika ada pegawai bergejala, segera tes PCR
§ Pegawai dg hasil PCR + Internal Tracing, menggunakan platform digital
§ Hasil Internal Tracing, pegawai yg terduga kontak erat, juga di tes PCR
§ Support suplemen utk seluruh pegawai
Human Capital Management
1st Pandemi Recovery Pandemi
§ Mobilisasi pegawai ke unit usaha baru
§ Monitoring kesehatan pegawai, mengaktifkan kegiatan kesehatan
§ Jika ada pegawai bergejala, segera tes PCR
§ Melakukan rekrutmen utk unit usaha baru (Rehabilitasi Medik, Homecare, Klinik
Perusahaan, dll)
Human Capital Management
§ Intensive Care Training for Nurses
§ Training for Swabber, Instructor from ENT Specialist and
Experienced Analysts and Nurses
§ Membuat dan merevisi protokol
§ Screening bagi pegawai, pasien dan pengunjung
§ Surveilance bagi pasien dan pengunjung terduga COVID
§ Membuat zonasi MERAH, KUNING and HIJAU, dg pintu masuk yg berbeda
§ Klinik khusus COVID, dg pelayanan yg terpisah
§ Implementasi Early Warning Scores (EWS) utk penapisan
§ Memisahkan IGD menjadi 2 bagian: COVID dan NON COVID
Regular IGD
Triage & IGD COVID Klinik COVID
Method Adjustment
1st Pandemi
Health Promotion and Education
Method Adjustment
Intra hospital zoning
Method Adjustment
§ Mengkonversi ruang rawat inap biasa, mjd Isolasi dg tekanan negatif
§ Membuat ICU baru, konversi dr rawat inap biasa Lokasi berbeda dari ICU reguler
§ Membuat Shelter utk Perawat, tinggal di shelter selama dinas
§ Peralatan tambahan: Handy Talkie, Extra CCTV Monitor, Wireless phone
§ Setiap ruang rawat inap memiliki Ruang antara dan ruang APD
WARD /ICU BEFORE PANDEMI RECOVERY
Regular Ward 216 90 203
Regular ICU 15 15 15
Isolation Ward 5 88 18
Isolation ICU 1 17 1
Total 237 237 237
Isolation 6 105 18
1st Pandemi Recovery Pandemi
§ Melakukan konversi kembali ruang isolasi menjadi ruang rawat inap biasa
§ Mengkonversi shelter mjd ruang rawat inap
§ Melakukan pelaporan ke stakeholder terkait untuk perubahan internal
Method Adjusment
Regular ICU
COVID’s ICU
§ Conversion from regular ward
§ Cubicle
§ 12 Ventilator
§ More effort on monitoring
§ CCTV display, zoom enhancement
§ Handy Talky
§ Wireless phone
16 Beds 17 Beds
§ 8 Ventilator
Method Adjusment
Shelter for Nurses at hospital
CCTV to minimize contact with patient
Handy Talkie for communication
Method Adjustment
§ Membuat kamar operasi khusus COVID utk menjamin keamanan bagi dokter bedah dan petugas
§ Semua pasien dilakukan tes PCR sebelum Operasi
§ Operasi darurat pasien yang confirmed positive
§ dilakukan di RS PHC dg konsekuensi Operasi lain di rescheduled.
§ Menggunakan APD level 3
§ Sterilisasi ruang Operasi setelah penggunaan
§ Kamar Operasi dibangun dalam waktu 1 bulan, dg desain memiliki sistem bisa tekanan negatif dan positif
Kamar Operasi 1st Pandemi
Recovery Pandemi
§ Memfungsikan kembali kamar operasi COVD menjadi kamar operasi biasa utk Gawat Darurat
§ Merubah setting tekanan dari negatif menjadi positif
Material Provision
§ Pengaturan kembali supply chain
§ Manajemen APD
§ Self made face shield
(inisiatives from back office)
§ Donasi
§ Pemilihan APD
Machine
a. Ruang Isolasi dengan negative pressure and Hepafilter
b. Dibangun dalam waktu 2 minggu
c. Optimalisasi peralatan medis untuk ICU:
§ Ventilator : total 12
§ Echo Cardiography
§ X ray portable
§ BGA
§ Monitor IABP, Syringe pump, etc d. CCTV
e. Pemrosesan dan pembuangan limbah -->
memiliki mesin incenerator mandiri
Machine
Waste Processing Instalation
Incenerator
§ Sharing information for employee
§ PCR Test for Surveilance & Result (Result performed within 1 day)
§ Internal Tracing
§ Reporting and Database
§ Monitoring and Evaluation
IT Support
DIGITAL PLATFORM FOR
§ Digital Platform for:
§ Reporting and Database
§ Monitoring and Evaluation
IT Support
IT Support
Digital Platform for sharing information to employee
Access from PC
Access from mobile
phone
IT Support
Deploy information for every employee, regarding COVID protocols, Policy, etc
Digital Platform for sharing information to employee
IT Support
Akses terbatas utk pimpinan dan pegawai yg ditunjuk
Web based, monitor PCR results, dll
Tim IT standby 24 jam secara remote dari rumah,
Digital Platform utk pegawai (special access)
PCR Result within 1 day
1st Pandemi Recovery Pandemi
IT support untuk layanan dengan segmen baru (kerjasama dg Rodex travel dan radio Suara Surabaya
eforvid.phc.co.id Tracing link for known
IT Support
§ What we plan, depends on market position now and future
§ Decission making based on statistic data and information
§ Number of beds prepared for Covid’s patient possible to change, following regional/ national trends
§ As a private hospital, must consider another customer segment
Market Insight
17
42
105 105
88 88 88
20 40 60 80 100 120
Beds at Isolation Ward and ICU
Recovery Pandemi
§ Switch ke segmen market baru dan mengembalikan segmen lama seperti sebelum pandemi
§ Bergerak ke wellness dan medical check up, serta rehabilitasi medik
1st Pandemi
Recovery Pandemi
Market Insight
Recovery Pandemi
Layanan Medis Baru
Optimalisasi Rehabilitasi Medis
Pembangunan Gedung Baru
Market Insight
Recovery Pandemi
Wellness dan Medical Check Up Grab Segmen Pasar Baru dan Reoptimalisasi Segmen lama
§ Peningkatan kunjungan dari Rawat Inap COVID
§ New Revenue Generator dari laboratorium RT PCR
§ Tindakan Operasi menurun selama pandemi
§ Rawat Jalan menurun selama pandemi
Money
REVENUE Management
How do we generate revenue?
1st Pandemi Recovery Pandemi
§ Peningkatan kunjungan dari Rawat Inap NON COVID
§ RT PCR tidak lagi menjadi revenue generator
§ Tindakan Operasi tetap dilakukan dg standar tinggi, melakukan pendekatan personal ke pasien
0 100 200 300 400 500
JAN FEB MAR APR MAY JUNI JULI AGUST SEPT OKT NOP DES JAN FEB MAR APR MAY JUNI JULI AGUST SEPT OKT
2020 2021
