Criterion 5.1.1 QUALITY IMPROVEMENT PROGRAM

CHAPTER V IMPROVING THE QUALITY OF PUSKESMAS (PMP)

1. Standard 5.1 Continuous quality improvement.

Quality improvement is carried out through continuous efforts consisting of quality improvement efforts, patient safety efforts, risk management efforts, and infection prevention and control efforts to improve service quality and minimize risks for patients, families, communities, staff and the environment.

a. Criterion 5.1.1

The Head of the Puskesmas determines the person responsible for quality, the quality team and the Puskesmas quality improvement program.

1) Main Thoughts:

a) The provision of services, whether management services, public health services, or individual health efforts, must be able to guarantee the quality and safety of patients, families, communities and the environment.

b) So that efforts to improve quality at the Puskesmas can be managed well and consistently with the vision, mission, goals and values, a Quality Responsible Person is appointed, who in carrying out his duties is assisted by the Puskesmas Quality Team, consisting of coordinators, such as the patient safety coordinator (KP ), Infectious Disease Control (PPI), Risk Management (MR), Occupational Safety and Health (K3), and so on, in accordance with what is described in the TKM Guidebook at Community Health Centers.

c) The appointment and competency requirements of the Person Responsible for Quality are determined by the Head of the Community Health Center. These competency requirements include, among others:

(a) have a minimum education of D-3 in Health,

(b) have a commitment to improving quality and patient safety, risk management, and PPI,

(c) have at least 2 years of work experience in a Community Health Center,

(D) and has attended workshops on Quality Management, Patient Safety, and PPI.

d) Members of the quality team or officers with related responsibilities, have the task of (a) preparing programs, (b) facilitating, coordinating, monitoring, (c) and cultivating activities for quality improvement, patient safety, risk management, and prevention and control infection. The team member or responsible officer must also ensure that the implementation of activities is carried out consistently and continuously.

e) Policies, guidelines/guidelines, procedures related to the Puskesmas quality improvement program are used as a reference for the Head of the Puskesmas, Person in Charge of Puskesmas Service Efforts and Coordinator, as well as implementers of Puskesmas activities, in implementing: (a) quality improvement, (b) patient safety, ( c) risk management, (D) and infection prevention and control.

f) The quality improvement program created must include at least objectives, targets, clear division of responsibilities and activities to be carried out. Quality improvement programs need to be updated regularly, and communicated to related programs and sectors.

g) The Head of the Community Health Center needs to facilitate, allocate and provide the resources needed for the quality improvement program in accordance with the needs and existing resources at the Community Health Center.

h) Quality improvement programs are prepared collaboratively with coordinators starting from planning, implementation, supervision, control, to assessment and follow-up.

i) The quality improvement program is prepared by taking into account, among other things: achievement of quality indicators, developments in community needs and expectations, statutory provisions, technological developments and applicable policies in the context of continuous quality improvement efforts.

j) Planning, implementation and achievements of quality improvement program services are documented, socialized and communicated to all health workers who provide services.

2) Assessment Elements:

a) The Head of the Community Health Center forms a quality team in accordance with the requirements, complete with job descriptions, and determines a quality improvement program (R,W).

b) The Community Health Center together with the quality team implements and evaluates the quality improvement program (D,W).

c) The Quality Team prepares a quality improvement program and carries out follow-up efforts to improve quality on an ongoing basis (D,W).

d) The quality improvement program is communicated to cross-programs and cross-sectors, and is reported periodically to the head of the Community Health Center and the district/city regional health service in accordance with established procedures (D,W).