KOMISI AKREDITASI RUMAH SAKIT

(KARS)
Kriteria Kelulusan Akreditasi (KARS)
Sumber dari : Badan Akreditasi KARS
STATUS
KRITERIA BAB
AKREDITASI

1. Sasaran Keselamatan Pasien (SKP)

Tingkat 4 Bab @ ≥ 80%
2. Akses ke Rumah Sakit dan Kontinuitas Pelayanan (ARK)
Dasar Bab Lain / Sisa
(4) @ ≥ 20% 3. Hak Pasien dan Keluarga (HPK)
4. Asesmen Pasien (AP)
5. Pelayanan dan Asuhan Pasien (PAP)
Tingkat 8 Bab @ ≥ 80%
6. Pelayanan Anestesi dan Bedah (PAB)
Madya Bab Lain / Sisa
(8) @ ≥ 20% 7. Pelayanan kefarmasian dan Penggunan Obat (PKPO)
8. Manajemen Komunikasi dan Edukasi (MKE)
9. Peningkatan Mutu dan Keselamatan Pasien (PMKP)
Tingkat 12 Bab @ ≥
10. Pencegahan dan Pengendalian Infeksi (PPI)
Utama 80% Bab Lain /
(12) Sisa @ ≥ 20% 11. Tata Kelola Rumah Sakit (TKRS)
12. Manajeman Fasilitas dan Keselamatan (MFK)
13. Kompetensi dan Kewenangan Staff (KKS)
Tingkat 15 Bab @ ≥
14. Manajemen Informasi dan Rekam Medis (MIRM)
Paripurna 80% Bab Lain /
(15) Sisa @ ≥ 20% 15. Program Nasional (PROGNAS)
16. Integrasi Pendidikan Kesehatan dalam Pelayanan Rumah Sakit (IPKP)
PT Optima Karya Bersama | Company Profile
 Zona Kamar Operasi

PERMENKES 24/2016
• Ruang Operasi
Minor 36 M²

• Ruang Operasi
Umum 42 M²

• Ruang Operasi
Mayor 50 M²
PERMENKES 24/2016
• Sistem Ventilasi di Ruang Operasi harus tersaring, terkontrol, terpisah dari
sistem ventilasi ditempat lain di RS untuk kepentingan PPI.

• Sistem Ventilasi harus terpisah antara OK satu dengan OK lain.

PT Optima Karya Bersama | Company Profile
Sample Layout Hospital

Tingkat Resiko
Sangat Tinggi

Tingkat Resiko
Tinggi

Tingkat Resiko
Sedang

Tingkat Resiko
Rendah

12 PT Optima Karya Bersama | Company Profile

SOLUTION
Background
Hospital is a gathering place for many people
who are classified into 2 groups, groups of healthy people
and groups of sick people. The main factor that causes a
person to get sick is micro-organisms. Bacteria, virus, and
fungi are part of micro-organisms. Micro-organisms are
rapidly dispersed through the air. Hospital becomes a place
for the spread and breeding of microorganisms. So, what's
the bad impact for us?

Can
make
NOT
Becom Becom
ALLOWED!!!
e
Sick
e
WORST
Healthy
Microorganisms People
People Sick

Create
EXCELLENT
PT Optima Karya Bersama | Company Profile
Clean Room
How to solve? System
Survey Result

Epoxy Paint Wall Vinyl Wall Vinyl Wall

Epoxy Paint Wall

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Vinyl Wall
Material Evolution / History

Ceramic Problems,
Wall • No Anti-Bacterial
• High Humidity
• Poor to chemicals and
solvents
• Weak of Impact

Epoxy Paint or Problems,

Vinyl Wall • Improve to Anti-Bacterial
• High Humidity
• Poor to chemicals and
solvents
PT Optima Karya Bersama | Company Profile • Weak of Impact
Material Evolution / History

Sandwich/Pre-insulated Improve,
Panel/Stainless & Galvanized • Anti-Bacterial
Steel • De-Humidity
But,
• Fair to chemicals and solvents
• Weak of Impact
• Good Fire Retardant & High
Toxicity (Polyisocyanurate)
(Source Wikipedia)

Improve,
• Anti-Bacterial
• De-Humidity
• Excellent to chemicals and
solvents & Impact
• Excellent to Fire Resistance
SteriPanel
PT Optima Karya Bersama | Company Profile • Non-Toxic
Our Complete Solution

PT Optima Karya Bersama | Company Profile

Criteria of Operating Room

Wall Ceiling Automatic Door

Vinyl floor Medical Gas Electrical

Equipment
PT Optima Karya Bersama | Company Profile
COMPONENTS
Wall System - SteriPanel® HPL
• SteriPanel High-Pressure Laminate (HPL) wall panels
• It consists of layers of cellulose fibrous material impregnated with
thermosetting resins and bonded together in a high pressure process
(>5 Mpa) with simultaneous application of heat (>120° C)
• Anti-bacterial SteriPanel HPL surface on both sides during the whole
lifecycle
• The non-porous SteriPanel HPL surface and edges are easy to
disinfect with hot-water, steam
• Certified by HygCen International GmbH, The Steripanel HPL Wall
panels were tested in conformity with the methods of JIS Z 2801: 2000
in our laboratory which is ISO 17025 accredited.
• Fire rating = S2-d0
• Dimension (W x H) mm = 3050 x 1320 & Thickness = 10 mm
• Volumetric mass density: 1400 kg / m³
• Electrically insulating & Anti-Static
• Surface resistance (antistatic behavior) = 109 - 1011 Ω & Non
Reflecting
• Abrasion, Scratch, & Impact Resistant
• Resistant against water, steam, solvents and largely chemicals,
even after longer exposure & Water steam permeability = 1 – 2
g/(d*m²)
PT Optima Karya Bersama | Company Profile
COMPONENTS
Ceiling-System
Metal cassette ceiling
Specification
• Anti-Bacterial
• Thickness 0,5mm
Certificate • Made from galvanized steel
• Panel Size: 600mm x 600mm
• Powder-Coated RAL 9010
• With galvanized steel suspension profiles
• Clip-in system concealed, demountable
• Chemical resistance
• Max. Load Data for Ceiling suspension in

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concrete ceilings: KMu 6/L: 1,45 kN
COMPONENTS
Peripheral LED white, 60 x 60 cm, DALI dimmable
Specification
• Cleanroom , ceiling recess-mounted peripheral lights
• LED white light 4.000 K/luminous flux output 4764 lm
• Dimension (LxWxD) = 600mm x 600mm x 89mm
• housing made of sheetmetal, powdercoated
• front glass safety glass, satin finish
• safety class IP 65

Laminar Flow Specification:

Plenum Box
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• Ceiling-mount Laminar Flow plenum box
• Dimension (LxWxH) = 2400mm x 1800mm x 450mm
• Made of aluminium sheet (60601 T5), 1.6mm thick,
and extruded
• aluminium profile frame with sealing gasket
• Double layer monofilament precision woven
polyester air diffuser to create laminar air flow
• With S-class HEPA filters
• Perfect tightness is guaranteed by an epoxy seal
between filters and
• holding structure
• MPPS average efficiency > 99.95%
COMPONENTS
Return-Air Grill Corners Elements
Specification:
• Stainless steel return air grills inside SteriPanel 45 deg.
corner panels
• Dimension 310x370 mm and 370x370 mm
• Return air duct, stainless steel up to 3000mm height
• for diam 250mm connection to ducting by
ventilation air conditioning supplier.
Sliding Door - Automatic (1400mm)
Specification:
• Automatic sliding door
• Door-surface: SteriPanel
• Stainless steel door handle bar 400 mm long
• Dimension (WxH) : 1400 x 2100 mm
• With window 300/600mm
• Touch less activator for full opening
• Foot-switch activation for half opening
• With infrared presence safety sensor system
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COMPONENTS
Operating Theatre Touch Control Panel
X-Ray Viewer
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Specification:
• Touch OT control panel
• For centralized control of peripheral light
• Medical gas alarm indication
• Humidity and temperature display
• Digital clock and stop-watch
Specification:
• LED technology
• Screen size: 720 mm x 430 mm
• Frame qty : 2
• External dimensions: 795 x 520 x 35 mm
• Power supply: 220 - 230V, 50/60 Hz
Power consumption 125 W
• Luminance 6000 cd/m² - 19,000 Lux
• Step-less luminance adjustment film holder
switch, activated switch x2
• Uniformity >95%
• Wall mounted, build-in the wall, flushed
COMPONENTS
Ceiling Pendant
Specification
• Double arm 800mm/800mm with Pneumatic Brake
System & non Motorized

Pendant Head Equipped with:

• 8 Electric sockets, 4 equip-ot. Pins, 2 RJ-45
• 1x AIR 5bar, 1x O2, 1x N2O, 1x VAC, 1x AGSS
• 1 Platform, 1 drawer & 1 infusion rod

Medical Gas Wall Panel

Specification
• Wall integrated medical gas panel
• 1x O2, 1x N2O, 1x VAC, 1x AIR 5bar
• Dimensions (L x H) = 1320 mm x 170 mm

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 COMPONENTS
Electrical sockets Wall Panel
Specification
• Wall integrated panel
• 12x electrical socket 4 equipotential pins
Wall integrated Cabinet
Specification
• Cabinet structure made of Steripanel (Hinged doors)
• Optionally doors partially with Glass Front
• 3 adjustable shelves
• Dimensions HxWxD 1200 x 1000 x 350 mm
Dirt Hatch Pass Box
Specification
• Made of A304 stainless steel, scotch-brite brushed finish
• Double door dirt hatch pass box cabinet
• With door interlock functionality
• Dimensions: WxHxD 800 x 1000 x 500mm
PT Optima Karya Bersama | Company Profile
Project Reference

SteriPanel®
Modular
Operating
Panoramic SteriPanel ® Rooms
DANMEDICS
Headquarter
Munster -
Germany
29

29 PT Optima Karya Bersama | Company Profile

Criteria

1 Air Quality
2 Air Circulation
3 Air Pressure
4 Temperature & Humidity
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AIR QUALITY

MINIMUM FILTER EFFICIENCY

NUMBER (%)
ROOM APPLICATION
OF FILTER 1st 2nd 3rd
LAYER (PRE FILTER) (MEDIUM FILTER) (HEPA FILTER)

Source: Pedoman Teknis Rumah Sakit 2012

PT Optima Karya Bersama | Company Profile

Pre Filters Medium Filter HEPA Filter

ISO STANDARD

MAXIMUM PARTICLES / m3 FED STANDARD 209E

CLASS EQUIVALENT
≥ 0,1 μm ≥ 0,2 μm ≥ 0,3 μm ≥ 0,5 μm ≥ 1 μm ≥ 5 μm
ISO 1 10 2
ISO 2 100 24 10 4
ISO 3 1.000 237 102 35 9 Class 1
ISO 4 10.000 2.370 1.020 352 83 Class 10
ISO 5 100.000 23.700 10.200 3.520 832 29 Class 100
ISO 6 1.000.000 237.000 102.000 35.200 8.320 293 Class 1.000
ISO 7 352.000 83.200 2.930 Class 10.000
ISO 8 3.520.000 832.000 29.300 Class 100.000
ISO 9 35.200.000 8.320.000 293.000 Room Air

150 microns 25 microns 10 microns 5-10 microns 1-5 microns 0,1-1 microns
Average Human Lint, Particles Heavy Dust, Lint, Average Dust, Bacteria, Light Virus, Tobacco,
Hair
PT Optima Karya BersamaVisible toProfile
| Company the Fertilizer, Pollen Plant Spores, Mold Dust, Animal Cooking Smoke,
Naked Eye Dander Metallic Fumes
AIR CIRCULATION

SA SA RA SA RA

RA RA

Laminar Airflow Turbulance Airflow

Reduce airbone microorganism
(class 1.000 & 10.000)
- Suitable for Operation Room -
RA Return Air
Increase airbone microorganism
(class 100,000 or more)
- Suitable for General Room -
SA Supply Air
Source: Pedoman Teknis Rumah Sakit 2012

Laminar airflow is commonly attained at a velocity of 0.45 ± 0.1 m/s

PT Optima Karya Bersama | Company Profile
AIR PRESSURE

POSITIVE
PRESSURE

NEGATIVE
PRESSURE

Source: Pedoman Teknis Rumah Sakit 2012

NOTE:PT Optima
EACH Karya“Bersama
“ |REPRESENTS
Company Profile 0,02 in. (5 Pa) PRESSURE
EACH “ “ REPRESENTS -0,02 in. (-5 Pa) PRESSURE IN RESPECT TO OUTDOORS
TEMPERATURE & HUMIDITY

PEDOMAN TEKNIS PERMENKES RI NOMOR

RUMAH SAKIT 2012 24 TAHUN 2016
Room Type
Temperature Humidity Temperature Humidity
(°C) (%) (°C) (%)
Operation Room 20-24 50-60 19-24 40-60
Recovery Room 24 50-60
Intensive Care Unit (ICU) 20-30 30-60 22-23 35-60

Temperature Humidity
PERMENKES RI Room Type
(°C) (%)
NOMOR 7 TAHUN Operation Room 22-27
2019 Recovery Room 40-60
PT Optima Karya Bersama | Company Profile Intensive Care Unit (ICU) 22-23
AIR HANDLING UNIT
SUITABLE FOR OPERATION ROOM

RH Sensor
HEPA Filter
(H13 Class)
Efficiency
99,97%

Microtech III

Exhaust Fan Exhaust Fan

KETERANGAN Parameter Class 1.000

Air Movement Laminar
Return Grill Floor Level
Air Velocity 0,12 to 0,18 m/s
ACH (Air Change per Hour) 38 to 53
PT Optima Karya Bersama | Company Profile
Hospital Standard Classification: FED | Air Quality | Air Change | Air Movement
AIR HANDLING UNIT
SUITABLE FOR OPERATION ROOM

Return Air
(by design)
Supply Air
(by design)
Fresh Air/Outside Air
(100% or by design)

AHU DAMPER DRAIN PAN PRE FILTER MEDIUM FILTER

Motorized Damper Stainless Steel G3 / G4 Standard F7 / F8 / F9 Standard

ELECTRIC HEATER SUPPLY FAN COOLING COIL (DX) VRV AHU PANEL

Double Skin 50mm

RH ACH Room Temp. Double Skin 25mm
40% - 60%
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20x / hour 19°C-24°C Thermal Break
INDOOR HOSPITAL
SUITABLE FOR OPERATION ROOM GIVE BIRTH ICU

Booster Fan VRV A

Optional Outdoor Unit
HEPA Filter
(H13 Class)
FXBPQ63PVE Efficiency
Indoor Hospital 99,97%

Pre Filter
(G4 Class)
Efficiency 90%
FXMQMFV1

Duct Heater
RH 40-60%

KETERANGAN Parameter Class 10.000

Air Movement Laminar
Return Grill Floor Level
Air Velocity 0,45 ± 0,1 m/s
ACH (Air Change per Hour) Minimum 25
PT Optima Karya Bersama | Company Profile
Hospital Standard Classification: FED | Air Quality | Air Change | Air Movement
CEILING MOUNTED DUCT
SUITABLE FOR OPERATION ICU
Booster Fan VRV A
Optional Outdoor Unit CCU

GIVE BIRTH

FXMQPAV RECOVERY
Ceiling Mounted Duct

Duct Heater
RH 40-60% STERILE

Pre Filter
(G4 Class)
Efficiency 90%

KETERANGAN Parameter Class 10.000-100.000

Air Movement Laminar/Turbulance
Return Grill Floor Level/Ceiling Level
Air Velocity Minimum 0,5 m/s
ACH (Air Change per Hour) Minimum 25
PT Optima Karya Bersama | Company Profile
Hospital Standard Classification: FED | Air Quality | Air Change | Air Movement
PROJECT REFERENCE
RSUP Nasional Dr. Cipto Mangun Kusumo

Heat Pipe

VRV IV Outdoor Unit

AHU

AHUR10DBL
Fresh Air Grille

HEPA Filter
DDC Control Box

Exhaust Air Griller Exhaust Air Griller

Return Air Griller Return Air Griller
PT Optima Karya Bersama | Company Profile
Kesimpulan

Kelulusan Akreditas

• MOT  HARUS Anti-Bacteria, Tidak

Beracun, Tahan Api, Tahan Kimia, Tahan
Gores, & Tahan Benturan Keras.

• Air Conditioning  Temperatur (19-27ºC),

Aliran Udara (Laminer), Tekanan Udara
(Positive) & Kelembapan Udara (40-60%).

PT Optima Karya Bersama | Company Profile