7.HR and Logistic Management

Human Resource (HR) and
Logistic Management in
Primary Healthcare
Arief Alamsyah
Company
LOGO
HR Characteristics in Primary Healthcare
• To work well as a team

• A Primary health care team must :
– Understand and communicate with community
– Encourage community participation in identifying
problems and seeking solutions
– Work in the community (Puskesmas/Clinic, Community
meeting places, work places, schools, people’s home)
Primary Health Care Team
• Dokter/Dokter Layanan Primer

• Dokter gigi
• Perawat
• Bidan
• Tenaga Kesehatan Masyarakat
• Tenaga Kesehatan Lingkungan
• Ahli teknologi laboratorium Medik
• Tenaga Gizi
• Tenaga Kefarmasian
(Permenkes No. 75/2014 tentang Puskesmas)
Tuckman’s Five Stages Theory of Group Development
1st Phase 2nd Phase 3rd Phase 4th Phase

Forming Storming Norming Performing
5th Phase
Adjourning
Challenge :
Different Sub Cultures In Healthcare Organization
Sub Culture
Basic Assumptions Medical Nursing Managerial
Relationship to
Environment :
Basic Identity Expert, specialist Helpers, supporters Public autorities
Relevant environments Scientific, Technical Socio-cultural Economic, political
Position vis- a vis
environment Dominant Harmonious & symbiotic Dominant
Nature of Reality & Truth

Basic Orientation Physical , External criteria Physical, social Physical
Criteria of verifiability Scientific Test, authorities Traditional, moral dogma Authorities, rational-legal
Time Orientation Past & Present Past & present Past &Present
Essence of Human Nature

Basic Nature Neutral Neutral Neutral
Mutability Own group members Same Same
mutable, doubting others
Nature of Human
Relationship
Relationship between
people Inviduality, competition Collaterality, group Collaterality, autocratic
Relationship between consensus
organization Paternalism, collegial Participation, delegation Paternalism, consultation
HR Functions
HR Planning
Motivating Recuitment
and
Selection
HR
Functions
Reward and Training and
punishment Development
Performance
Appraisal
HR Planning
Job Analysis
Job Description
And
Job Specification
Recruiting and
Performance Job Evaluation and Training
Selection
Appraisal Compensations Requirements
Decisions
Contoh Job des (Kepmenkes 857/2009)
• Job
descriptions
help to guide
work
organization
Recruitment
is the act or process of an organization

attempting to obtain additional manpower
for operational purpose
Recrutiment including the identification and

evaluation of source, is major step in the
total staffing process. It continues with
inventories of capabilities, recruitment,
selection, placement and orientation
Selection Process
• Successive Hurdles
Harus lulus secara bertahap
• Compensatory
Kekurangan di salah satu faktor dapat ditutup oleh
faktor lain
Successive Hurdles
STOP STOP STOP STOP STOP
Seleksi Personality Cek

Tes Wawancara Diterima
Berkas Check Kesehatan
Compensatory
STOP
Berkas Tes
Personality
Diterima
Cek Kesehatan
Training and Development
Hard Skills
-Kemampuan BLS
-Kemampuan pemasangan IUD
-dll
Soft Skills
-Integritas
-Motivasi
-Teamwork
-dll
Soft Skills Training
Performance Appraisal
• System of review and

evaluation of job performance
• Assesses accomplishments
and evolves plans for
development
Establish Performance
• Traits
• Behaviors
• Competencies
• Goal Achievement
• Improvement Potential
Performance Appraisal Methods
• 360-Degree Valuation
• Forced Distribution
• Rating Scales (Bobot)*
• Behaviorally Anchored
• Critical Incidents Rating Scales (BARS)
• Essay • Result-Based Systems
• Work Standards • Assessment Centers
• Ranking
• Paired Comparisons
* Digunakan di puskesmas
Variabel Penilaian
(Dapat digunakan sebagai dasar Reward/Remunerasi)
• Variabel Kelompok SDM

– Berdasarkan tugas pokok dan fungsi (Job Desc)
• Variabel Pendidikan
• Variabel Masa Kerja
• Variabel Kehadiran
• Variabel Pengurang
– Ada tidaknya teguran dan surat peringatan (SP)
• Variabel Penambah
– Ada tidaknya penghargaan yang diperoleh
• Variabel Produktifitas
Sistem Bobot Variabel Kelompok dan Pendidikan
Variabel Masa Kerja dan Kehadiran
Sangsi dan Penghargaan (Pengurang dan Penambah)
Variabel Produktivitas (Ada 3 Pola)
Penghargaan (Reward)
• Penghargaan Non Finansial

– Mengikuti pelatihan,kursus dll dibiayai puskesmas/klinik
– Pengembangan karir
– Diusulkan tugas belajar
• Penghargaan Finansial
– Insentif (bedasarkan penilaian kinerja/performance
based payment)
dari Performance appraisal
Motivating a Primary Health care Team
(Herzberg Theory)
Hygiene Factors Motivators

(Dissatisfiers)
Policy & Administration Achievement

Supervisor Recognition
Salary Work Itself
Interpersonal Relation Responsibility
Working Conditions Advancement
Motivating Health Team
− Achievement : Help people to achieve work objectives

− Recognition : Give praise when it is due
− Work Itself : Explain the value of work
− Responsibility : Help others take responsibility
− Advancement : Help others train for promotion
Different Styles of Supervision
• Autocratic : “Do what I say”

• Anarchic : “Do what you like”
• Democratic : “Let us agree on what we are to do “
Logistic Management
Bahan Habis Pakai
Bahan Tidak Habis Pakai

Four main procedures in the management of Equipment
• Ordering : obtaining equipment from store/shops

• Storing : recording, labelling and holding equipment in a
stock/store room
• Issuing : giving out, recording the issue, and the balance of
remaining stock
• Controling/ maintaining : controlling expendable equipment,
maintaining and repairing non-expendable equipment
Pengelolaan Obat dan Bahan Medis Habis Pakai
• Perencanaan Kebutuhan
• Permintaan
• Penerimaan
• Penyimpanan
• Pendistribusian
• Pengendalian
• Pencatatan,pelaporan,pengarsipan
• Pemantauan dan evaluasi pengelolaan
Pengelolaan Obat dan Bahan Medis Habis Pakai
(Permenkes 30/2014)
• Perencanaan :
– Perkiraan jenis dan jumlah obat dan Bahan Medis Habis
Pakai (BMHP)
– Penggunaan obat rasional
– Peningkatan efisiensi penggunaan obat
– Mempertimbangkan pola penyakit, pola konsumsi Obat
periode sebelumnya, data mutasi Obat, rencana
pengembangan, Daftar Obat esensial Nasional (DOEN)
dan Formularioum Nasional (Fornas)
Permintaan dan Penerimaan
• Permintaan ke Dinas Kesehatan untuk puskesmas

• Untuk Puskesmas BLUD dan klinik pratama bisa order
sendiri
• Petugas penerimaan wajib melakukan pengecekan
terhadap Obat dan Bahan Medis Habis Pakai yang
diserahkan, mencakup jumlah kemasan/peti, jenis dan
jumlah Obat, bentuk Obat sesuai dengan isi dokumen
(LPLPO), ditandatangani oleh petugas penerima, dan
diketahui oleh Kepala Puskesmas. Bila tidak memenuhi
syarat, maka petugas penerima dapat mengajukan
keberatan
• Masa kedaluwarsa minimal dari Obat yang diterima
disesuaikan dengan periode pengelolaan di Puskesmas
ditambah satu bulan.
Penyimpanan
• Bentuk dan jenis sediaan;

• Stabilitas (suhu, cahaya, kelembaban);
• Mudah atau tidaknya meledak/terbakar;
• Narkotika dan psikotropika disimpan dalam lemari
khusus.
Sistem Peyimpanan
• First in First Out (FIFO)

– Sistem penataan obat atau perbekalan farmasi dengan
meletakkan barang baru (datang terakhir) di belakang barang
yang datang sebelumnya
• Last in Fist Out (LIFO)
– Sistem penataan obat atau perbekalan farmasi dengan
meletakkan barang baru (datang terakhir) di depan yang datang
sebelumnya
• First Expired First Out (FEFO)
– Sistem penataan obat atau perbekalan farmasi dengan meletakkan obat yang
mempunyai tanggal kadaluarsa lebih dahulu di depan obat yang mempunyai
tanggal kadaluarsa lebih akhir
Pendistribusian
• Individual Prescribing
– Sistem distribusi ini adalah distribusi obat kepada pasien berdasarkan
resep obat dokter untuk tiap pasien. Dalam sistem ini semua obat yang
diperlukan untuk pengobatan di-dispensing dari bagian obat puskesmas
• Floor Stock
– Sistem distribusi ini adalah menyiapkan obat yang dibutuhkan pasien di ruangan
perawatan (UGD/Rawat Inap/puskesmas pembantu) kecuali obat mahal atau
obat yang jarang digunakan
• Unit Dose Dispensing

– Sistem distribusi ini adalah penyiapan obat dosis tunggal untuk
pemakaian selama 24 jam
• Kombinasi antara individual prescribing dengan floor
stock
– Sistem distribusi ini adalah distribusi obat dengan menggunakan sistem
penulisan resep secara individu dan juga memanfaatkan floor stock
secara terbatas
THANK YOU.....

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7.HR and Logistic Management

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Human Resource (HR) and

• To work well as a team

• Dokter/Dokter Layanan Primer

1st Phase 2nd Phase 3rd Phase 4th Phase

Nature of Reality & Truth

Essence of Human Nature

is the act or process of an organization

Recrutiment including the identification and

STOP STOP STOP STOP STOP

Seleksi Personality Cek

• System of review and

• Variabel Kelompok SDM

• Penghargaan Non Finansial

Hygiene Factors Motivators

Policy & Administration Achievement

− Achievement : Help people to achieve work objectives

• Autocratic : “Do what I say”

Bahan Habis Pakai

Bahan Tidak Habis Pakai

• Ordering : obtaining equipment from store/shops

• Permintaan ke Dinas Kesehatan untuk puskesmas

• Bentuk dan jenis sediaan;

• First in First Out (FIFO)

• Unit Dose Dispensing

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