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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management System

Course Modules
for First Line Management (FLM)
Certificate
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management System

Course Modules
for First Line Management (FLM)
Certificate
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Course Modules for First Line Management (FLM) Certificate


Clinical Performance Development and Management System
(CPDMS)
For further information contact: Suhartati Suparto, Directorate of Nursing, Ministry
of Health, Republic of Indonesia.
Email: yusuhartati@yahoo.com
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

CPDMS National, Provincial and District Trainers study the full FLM course in
preparation for delivery to the first line managers from hospitals and health
centres in individual districts, in the field. Part of the FLM course is practical work
in hospitals and health centres at which time CPDMS is mtroduced into the clinical
environment.
The implementation of CPDMS became National Policy in Indonesia through a
Ministerial Decree signed in April 2005
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performace Development and Management System


CPDMS: is a micro system
in the macro health system.
It is a managerial process to improve the
clinical competence and performance of
nurses & midwives in hospitals
and the community.
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

PHILOSOPHY
CPDMS is a micro system process, with support and sustain nurses and midwives in
clinical setting to continually evaluate and improve their work culture, behavior,
clinical competence in professional, ethical and legal contexts for the benefit of the macro
health service and public health
OBJECTIVE
• Improve knowledge and skill of nurses and midwives.
• Improve compliance to working according to standards
• Improve managerial skills in nursing and midwifery services
• Implement performance monitoring of nurses and midwives based on standards and
agreed performance indicators.
• Introduce reflective case discussions
• Improve quality of nursing and midwifery care delivery.
• Improve patient satisfaction of their nursing and midwifery care
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Two Important Elements in CPDMS


INDIVIDUAL RESPONSIBILITY OF
DEVELOPMENT .. MANAGEMENT

Development of knowledge Involvement and commitment of the


and top management and managers in all
competent skills levels of health service
Change in behavior and Continuous support to achieve both
attitudes to working to individual & organization
achieve standards performance
Ability to reflect on clinical Involvement in monitoring,
competence evaluation, coaching and
sustainability of CPDMS
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

CPDMS IN HEALTH SYSTEM


Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

LAWS

MICROSYSTB MICROSYSTHM
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Raising Standards ?? Needs both Development and Monitoring


.+.*.
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

WHO SHOULD BE BENEFITS OF CPDMS


TRAINED? IMPLEMENTATION
NATIONAL TRAINER (NTOT) IN THE SERVICE
• STANDARDS/S.O.P
PROVINCE TRAINER (PTOT) • JOB - DESCRIPTIONS
• PERFORMANCE INDICATORS
• REFLECTIVE CASE
DISCUSSION
DISTRICT TRAINER (DTOT) • MONITORING SYSTEM
FiSRT LINE MANAGER (FLM) & • FIRST LEVE ANAGEMENT(FLM) TRAINING OF NTOT, PTO
STAFF SISTERS AND LEAD NURSES AND MIDWTVES IN HEALTH CENT
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
Implementation of a Clinical Performance Development and Management System for Nurses and
Midwives (CPDMS)
Implementation Process in one Province, includes four steps:
1. Training of trainers in both Province and Districts with different roles
2. First Line Management training for ward sisters and nursing and midwifery leader in health centres
3. Field work to implement CPDMS in a number of clinical sites
4. Follow up coaching and monitoring
Total Implementation Process in One Province takes 31 days
1. Preparation 1 day
2. Training of Provincial Trainers 5 days
3. Training of District Trainers 5 days
4. Field assessment in hospital and health centre 1 day
5. First Strategic Meeting with district stakeholders 1 day
6. First Line manager training Parti 5 days
7. Implementation workshop in health centre and hospital 2 days
8. First Line Manager training Part 2 5 days
9. Monitoring Supervisor training 2 days
10. CPDMS field site coaching and monitoring after implementation 2 days
11. Second Strategic Meeting with local authorities 1 day
12. Recording process 1 day
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
Clinical Performance Development Management System First Line Management Course
No Content
A General content
1. Team building
2. Quality assurance
3. Health services organization
4. Human recourses management
S. Health services management
6. Changing management
7. Conflict management
8. Leadership
9. Decision making
10. Directing
11. Orientation and in service training
12. Plan of action
B Specific content
1. Concept of CPDMS
2. Standard and standard operating procedure <
3. Job description
4. Performance indicator
5. Monitoring and evaluation
6. Reflection case discussion
7. Moral and ethics
8. Discipline
9. Documentation
10. Communication
11. Coaching
12. Responsibilities and accountabilities
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
A- GENERAL CONTENT
CPDMS FIRST LINE MANAGEMENT COURSE
1 session= 90 minutes
l.Team Building 1.5 session

General purpose Specific purpose

After this session the participants can discuss Participants can explain the importance of team
fiie important of quality and team work work in clinical work
They can develop and maintain team work in
healthcare

2. Self Introduction 1.5 Sessions

General purpose Specific purpose

Participant gains in self confidence Participant can explain about


1. self concept
2. purpose of self concept
3. why important
4. process of building of self concept
5. changing self concept
6. self concept in daily activities
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
3. Quality Assurance 1.5 Sessions

General purpose Specific Purpose Material Method

After this session Participants should be able 1. Definitions of quality, • Short Lecture
the participant to explain: quality assurance, and • Assignment
should understand 1. Definitions of quality, quality management and • Group
quality in health quality assurance, and control discussion
services quality management and 2. Development of quality in • Presentation
control health services
2. Development of quality
in health services

4. Health Services Organization 1.5 Sessions

General purpose Specific purpose Material Method

After this session the Participant should be able 1. Definition of health • Short Lecture
participant should to explain the:
have a better 1: Definition of health
understanding about organizations 2. organizations 2. • Assignment
health services Characteristics of Characteristics of • Group
organization organizations organization discussion •
3. Principles of 3. Principles of organization Presentation
organizations 4. Kind of organizations
4. Kinds of 5. Changing health services
organizations organizations
5. Changing health
services organization
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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
5. Human Resources Management 3 Sessions

General purpose Specific purpose Material Method

After this session the Participant should be able to Definition, concept and • Short Lecture
participant should explain: process of human resources • Assignment
understand the human 1. The definition of human management • Group
resources management resources management discussion
process in institutions 2. The processes of human • Presentation
resources management

6. Change Management 2 Sessions

General purpose Specific purpose Material Method

After this session the Participants should be able to:


participant should 1. Define change 1. Definition of Change • Short Lecture
understand change management management • Assignment
management 2. Understand the process 2. Process of change • Group
of change management management discussion
3. Understand blockages 3. Blockages and • Presentation
and facilitators for facilitators in the
managing change change process
4. Use different approaches 4. Approaches and
and processes for strategies for change
managing change management
5. Understand internal and 5. Internal and external
external environmental environmental criteria
criteria influencing in change management
change management
6. Strategies that can be
used in change
management
7. Understand how change
management can improve
the performance of
nurses and midwives
Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
7. Conflict Management 1 session

General purpose Specific purpose Material Method

After this session the Participant know about:


participant should
understand conflict 1. Conflict management 1. Definition of conflict • Short Lecture
management in the work definition management • Assignment
place 2. Factors and causes of 2. Factors and causes of • Group
conflict conflict discussion
3. How to identify the 3. Identification of positive • Presentation
positive and negative and negative aspects of
aspects of conflict conflict
4. Step by step processes to 4. Implement step-step
dissolve conflict solutions to conflict

8. Leadership 2 Sessions

General purpose Specific purpose Material Method

After this session the Participant should know


participant should have a about
better understanding about 1. Definition of leadership 1. Definition of leadership • Short Lecture
the expectations of 2. How to identify 2. Identification of • Assignment
leadership leadership skills leadership skills • Group
3. The role and 3. Roles and responsibilities discussion
responsibility of of leadership • Presentation
leadership • Game
4. Principles of leadership 4. Principles of leadership
S. How to analyze the 5. Analysing leadership
behavior of leader behavior
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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
9. Decision Making 2 Sessions

General purpose Specific purpose Material Method

After this session the Participant should be able


participant understand the to explain:
concept of decision making 1. The definition of 1. Definition of decision • Short Lecture
in problem solving as a decision making making • Assignment
manager or a health 2. How to identify 2. Identification of • Group
provider relationships between relationship between discussion
decision making, decision making, • Presentation
problem solving and problem solving and
leadership skills leadership skills
3. Methods and process of 3. Method of decision
decision making making
4. The factors influencing 4. Process of decision
decision making making
5. Critical thinking
10. Directing 2 Sessions

General purpose Specific purpose Material Method

After this session the Participant should know 1. Definition of directing • Short Lecture
participant should about: 2. Process of directing • Assignment
understand be able to direct 1. Definition of directing 3. Function and techniques • Group
appropriately in nursing and 2. Process of directmg of directing discussion
midwifery management 3. Function and 4. How to delegate, • Presentation
techniques of directing 5. The barriers to directmg
4. How to delegate.
5. The barriers to
directing
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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
11. Orientation and In Service Training 2 session

General purpose Specific purpose Material Method

After this session the Participant gains understanding Orientation


participant should about
understand the importance 1. Definitions of orientation 1. Scope of organization and • Short
of orientation and in service and in services training structure Lecture
training 2. Importance of positive 2.Policies, procedures and • Assignment
working conditions regulation • Group
3. Importance of relationships 3.Responsibility of the nurse discussion
between professional team and midwife • Presentation
(nurse, midwife and doctor
and patient)
4. Appropriate in-service 4. Techniques for orientation
training to improve
knowledge and skills of
nurses and mid wives In service Training
1. Definition of in service
training
2. Principles of on the job
course development,
including methods and
evaluation

2. Plan of Action 1 session

General purpose Specific pu rpose Material Method

After this session the 1. Participant can 1. Definition of action plan • Short
participant should be able 2. Define a plan of action 2. Purpose of action plan Lecture
to develop an action plan 3. Understand the purpose of 3. Steps of action plan • Assignment
action plan 4. How to identify a good
4. Organize the steps of an action plan
action plan
5. Make an plan of action
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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

SPECIFIC CONTENT CPDMS FIRST LINE MANAGEMENT COURSE


1. CPDMS Concept 1 session
General purpose Specific purpose Material Method

After this session the 1. Participant should be able to 1. Definition CPDMS • Short Lecture
participant should explain CPDMS definition • Assignment
understand the CPDMS 2. Philosophic of CPDMS 2. Philosophy of CPDMS • Group
Concept 3. Purpose of CPDMS 3. Purpose of CPDMS discussion
4. Model and components of CPDMS 4. mode] and components of • Presentation
CPDMS
5. Issues concerning CPDMS 5. Issues concerning
implementation implementation of CPDMS

2.Standards and Standard Operating Procedures 2.5 Sessions

General purpose Specific purpose Material Method

After this session the Participant should be able to explain:


participant should 1. The definition of a standard 1. Definitions of standard • Short Lecture
understand about 2. Purpose of a standards 2. Purpose of standards • Assignment
clinical standards, 3. Advantages of standards 3. Advantages of standards • Group
guidelines and standardS. Components of standards 5. Components of standards discussion
operational procedures 6 definition of SOP 6 definition of SOP • Presentation
(SOP) 7. Purpose of SOP 1. Purpose of SOP s
8. Advantages of SOP 8. Advantages of SOP s
9. Principles of SOP 9. Principles of SOP s
10. How to make a SOP 10. Making a SOP
3. Job Description 3 Sessions

General purpose Specific purpose Material Method

After this session the Participant should know


participant should 1. The definition of a job 1. Definition of job • Short Lecture
understand mat a job description description • Assignment
description is an 2. How to identify the main 2. How 16 identify the main • Group discussion
important element to functions in each position in functions of each • Presentation
improve performance hospital and public health position in hospital and
of nursing and public health
midwifery care 3. That a job description is based 3. The inclusion of
on qualification and experiences qualifications and
experiences in a job
description
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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
4. Performance Indicators 3 Sessions

General purpose Specific purpose Material Method

After this session the Participant should be able to


participant should know explain:
the meaning and purpose 1. The definition of 1. Definition of • Short Lecture
of performance performance performance • Assignment
indicators 2. The purpose of 2. Identify purpose of • Group
performance indicators performance indicator discussion
3. The factors influencing 3. Factors influencing • Presentation
performance indicators performance indicators
4. Relevance of quality in 4. Characteristics of
nursing and midwifery performance indicators
services
5. How to develop an 5. Relevance of quality in
evaluation of clinical nursing and midwifery
performance services 6. how to develop
an evaluation of performance
in clinical

5. Monitoring and Evaluation Z session

General purpose Specific purpose Material Method

After this session the Participant should be able to


participant should explain
understand how to 1. The definition of 1. Definition of monitoring • Short Lecture
monitor and evaluate monitoring and evaluation and evaluation • Assignment
nursing and midwifery 2. Purpose of monitoring 2. Purpose of monitoring • Group
clinical performance principles of monitoring discussion
and evaluation • Presentation
3. Principles of monitoring 3. Method of monitoring and
and evaluation evaluation
4. Methods of monitoring 4. Types of monitoring and
and evaluation evaluation of nursing and
midwifery performance in
clinic
5. A system of monitoring 5. System of monitoring and
and evaluation evaluation
6. How to conduct 6. Conducting monitoring
monitoring and manage and managing deviations
deviations from standards from standards

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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia
6. Reflective Case Discussions 2 Sessions

General purpose Specific purpose Material Method

After this session the Participant should be able to


participant should explaint:
understand about 1. Definition of a reflective 1. Definition of a reflective • Short Lecture
reflective case case discussion case discussion • Assignment
discussions 2. Purpose of reflective case 2. Purpose of a reflective • Group discussion
discussion case discussion • Role play of a
3. Criteria of a reflective case 3. Criteria of a reflective reflective case
discussion case discussion discussion
4. Procces of a reflective case 4. Process of a reflective
discussion case discussion

7. Morals and Ethics 1 session

General purpose Specific purpose Material Method

After this session the Participant should be able to 1. The definition of morals • Short Lecture
participant should explain:
understand the 1. The definition of morals and
importance of morals ethic and ethic • Assignment
and ethics in health 2. Purpose of morals and 2. Purpose of morals and • Group discussion
services ethics in health systems ethics in health systems • Presentation
3. Essential professional values 3. Essential professional
values
4. Ethics and morals in nursing 4. Ethics and morals in
and midwifery services nursing and midwifery
services
5. Ethical behaviour of 5. Ethical behaviour of
professionals professionals

8. Discipline 1 session

General purpose Specific purpose Main material Method

After this session the Participants should know 1. The definition of • Short Lecture
participant should 1. The definition of discipline discipline • Assignment
have a better 2. The purpose of discipline 2. The purpose of discipline • Group discussion
understanding about 3. Principles of disciplinary 3. Principles of disciplinary • Presentation
discipline sanctions sanctions
4. The disciplinary procedure 4. The disciplinary procedure

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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

Clinical Performance Development and Management system Ministry of Health, Republic oflndonesia
9. Documentation 2 session

General purpose Specific purpose Material Method

After this session the Participant should know 1. Purpose of documentation • Short Lecture
participant should 1. Purpose of documentation 2. Principles of • Assignment
understand the 2. Principles of documentation documentation • Group discussion
purpose of 3. Techniques of documentation 3. Techniques of • Presentation
documentation in 4. Types of documentation documentation
clinical work 4. Types of documentation

10. Communication 1 session

General purpose Specific purpose Material Method

After this session the Participant should know 1. The 1. The definition of • Short Lecture
participant should definition of
understand important communication communication • Assignment
of communication in 2. The purpose of 2. The purpose of • Group discussion
of nursing and communication communication • Presentation
midwifery activities 3. The process of 3. The process of
communication communication
4. Types of communication 4. Types of communication
5. Barriers to communication 5. Barriers to communication

11. Coaching 1 session

General purpose Specific purpose Material Method

After this session the participant should be able to 1. The definition of coaching • Short Lecture
participant should explain 2. The purpose of coaching • Role play
understand the 1. The definition of coaching 3. The process of coaching • Group discussion
importance of 2. The purpose of coaching 4. Advantages of coaching to • Presentation
coaching staff to 3. The process of coaching reach clinical standards
achieve standards 4. Advantages of coaching to 5. Barriers to coaching
reach clinical standards
5. Barriers to coaching

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Clinical Performance Development and Management system Ministry of Health, Republic of Indonesia

12. Responsibility and Accountability 1 session

General purpose Specific purpose Material Method

After this session the participant should be able to


participant should explain:
understand about 1. The definition of 1. The definition of • Short Lecture
responsibility and responsibility and responsibility and • Role play
accountability in task accountability accountability • Group discussion
implementation 2. Purpose of responsibility 2. Purpose of responsibility • Presentation
and accountability and accountability
3. Mechanism of accountability 3. Mechanism of
4. Steps to manage accountability
accountability in clinical 4. Steps to manage
environments accountability in clinical
environments

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