Professional Documents
Culture Documents
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Herkutanto
Guru Besar Fakultas Kedokteran UI Pendidikan dibidang Kedokteran
Doktor (S3), Dokter, Spesialis Forensik - Universitas Indonesia Grad. Dip. Forens.Med. - Monash University, Australia
Pendidikan dibidang Hukum Sarjana Hukum (SH) Universitas Indonesia, Fakultas Hukum Master of Laws (LL.M) La Trobe University, Australia School of Law Ketua Sub-Komite Kredensial FKUI
RSCM Majelis Kehormatan Disiplin Kedokteran Indonesia
TUJUAN PEMBICARAAN
Penyamaan persepsi tentang professionalisme dalam rumah sakit Penerapan professionalisme melalui mekanisme kredensial dalam komite medis
PROFESSIONALISME
Dasar Filosofi Kredensial Dasar Good Clinical Governance
Herkutanto 2009
Herkutanto 2009
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SOCIAL CONTRACT
PROFESSIONALS - COMMUNITY
Medical Council
Clinical privilege Self Credentialing Self licensing Clinical privilege Moral responsibility High standard of competence Market control Working condition Registered Practitioners
William M Sullivan, Medicine under threat: Professionalism and professional identity, CMAJ 2000:162(5): 673 identity,
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CLINICAL GOVERNANCE
Clinical Governance describes a systematic approach to maintaining and improving the quality of patient care. Oversee the professionals:
Entering to the profession Expelling from the professiona
Department of Health, United Kingdom
PEER REVIEW
Core of professional quality of care A critical and judicious evaluation which is perfomed by one of equals Begin in 8th Century in Syria: It was the duty of physicians to make duplicate notes of the conditions of the patients treated Those notes would be then be examined by a local Council according to the standard of that time On the basis of the ruling of the council, the physician could be sued for damages by a patient who had been mistreated
Ishap bin Ali Al Rahwi (854-931)
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Organization Competencies
Individual Ability To perform activities Within an occupation Or function to the Standard expected in an employement
Business Objectives
Organization Competencies
Staffs Competencies
CREDENTIALING vs PRIVILEGING
CREDENTIALING Verification of credentials to practice medicine Information should be verified from the original source PRIVILEGING
What can a provider do to a patient? The challenge is to match privileges granted to demonstrated current competence The JCI requires that privileging be an objective, evidence-based process
Herkutanto 2011
Herkutanto 2009
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risk risk
D E risk F E N risk C E S
risk risk
INCIDENT Clinical Privileges Clinical Privileges Clinical Privileges Clinical Privileges Tindakan Medis Tindakan Medis Tindakan Medis Tindakan Medis ACCIDEN T
CREDENTIALING HOSPITAL
CLINICAL PRIVILEGE Cricothyrotomy Endotracheal (Nasal/Oral) Neuromuscular blockade Mechanical ventilation Percutaneous transtracheal ventilation Therapeutic decompression
Medical Director
Executive Director
Re-Credentialing HOSPITAL
MEDICAL PROFESSION
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TARGET KREDENSIAL
Setiap dokter memiliki surat clinical appointment dari Direksi RS sesuai dengan clinical privilege berdasarkan mekanisme credentialing
Hanya dokter yang memiliki clinical appointment sajalah yang diperbolehkan melakukan tindakan medis di rumah sakit
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PROSES KREDENSIAL
Rekomendasi Clinical Appointment
SEGITIGA KREDENSIAL
(Herkutanto, 2009)
Mitra Bestari
MASALAH
Sejauh mana sistem yang ada di rumah sakit dapat mencegah kecelakaan medis?
Peran Komite Medis ? Pengaturan Medical staff bylaws ? Keseragaman Pengertian Credential ? Penerapan Clinical Privilege ?
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2 Peer Review
SK Pegawai
Sub-Komite Kredensial
Sub-Komite Disiplin
Medical Practice
HOSPITAL
Initial Assessment 2 6 4
Registered Practitioners
Peer Review 3
Medical Committee
Medical Practice Clinical Privilege recommendation
Herkutanto 2009
MEDICAL PROFESSION
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