DAFTAR ISI

BAB I
PENDAHULUAN..........................................................................................................2
A.LATAR BELAKANG..................................................................................................2
1.Profil Organisasi.............................................................................................2
2.Kebijakan Mutu...............................................................................................3
3.Proses Pelayanan...........................................................................................4
4.Indikator Mutu.................................................................................................4
B.RUANG LINGKUP..................................................................................................12
1.Jenis Pelayanan di Dalam Gedung Puskesmas..........................................12
2.Jenis Layanan di Luar Gedung Puskesmas.................................................12
C. TUJUAN.................................................................................................................13
D.LANDASAN HUKUM ACUAN.................................................................................13
E.ISTILAH DAN DEFINISI..........................................................................................13

BAB II
SISTIM MANAJEMEN MUTU DAN PENYELENGGARAAN PELAYANAN...............16
A.Pengendalian Dokumen..........................................................................................16
B.Pengendalian Rekaman..........................................................................................21

BAB III
TANGGUNG JAWAB MANAJEMEN..........................................................................22
A.Komitmen Manajemen............................................................................................22
B.Fokus Pada Pelanggan...........................................................................................22
C.Kebijakan Mutu.......................................................................................................23
D.Perencanan Sistim Manajemen Mutu/ Sasaran Mutu.............................................23
E.Tanggung Jawab , Wewenang dan Komunikasi.....................................................23
F.Wakil Menejemen Mutu / Penanggung Jawab Manajemen Mutu...........................25
G.Komunikasi Internal................................................................................................25
BAB IV TINJAUAN MANAJEMEN.............................................................................26
A.Pengertian...............................................................................................................26
B.Masukan Tinjauan Manajemen...............................................................................27
C.Luaran Sasaran......................................................................................................27

BAB V MANAJEMEN SUMBER DAYA......................................................................28

A.Penyediaan Sumber Daya......................................................................................28
B.Manajemen Sumber Daya Manusia........................................................................28
C.Intrastruktur.............................................................................................................28
D.Lingkungan Kerja....................................................................................................28

BAB VI PENYELENGGARAN PELAYANAN .............................................................29

A.Upaya Kesehatan Masyarakat................................................................................29
B.Pelayanan Klinis......................................................................................................31

BAB VII PENUTUP.....................................................................................................33

DAFTAR PUSTAKA

Pedoman Penyusunan Akreditasi Fasilitas Kesehatan Tingkat Pertama,Direktorat

Jendral Bina Upaya Kesehatan,Direktorat Bina Upaya Kesehatan Dasar Tahun 2015;

Pedoman Penyusunan Dokumen Akreditasi UPTD Puskesmas Wirosari II, Dinas

Kesehatan Kabupaten Grobogan Tahun 2016.