Strategi MPP

meningkatkan
Kolaborasi
interprofesional

Prita Muliarini
PDGI
 Keyword ??

Tujuan ??

Para
profesional Kolaborasi
interprofesional
Filosofi
Peran pelayanan
MPP
Peran MPP
Apakah interprofessional ??
 WHO
Interprofessional collaborative practice is a practice
carried out by several health professionals from
different backgrounds by involving patients,
patients’ families, carers, and communities to
achieve a high quality health service.
World Health Organization. 2010. A WHO Report: Framework for Action on Interprofessional Education and Collaborative
Practice. Geneva.
Bukti interprofessional ??
 Kolaborasi
Interprofesional

Konsep Kolaborasi (D’Amour et al. 2005 )

1) Sharing – shared responsibilities, shared decision
making, shared value, shared data, shared planning
and intervention - Semua aspek sharing yang
berbeda ini dapat diamati dalam usaha kolaboratif
2) Partnership - collegial-relationship yang authentic
D’Amour, D., Ferrada-Videla, M., San Martin
and constructive, require open & honest Rodriguez, L., & Beaulieu, M. D. (2005). The
conceptual basis for interprofessional
communication, mutual trust & respect, awareness collaboration: Core concepts and theoretical
on other’s professional contributions & perspectives, frameworks. Journal of Interprofessional Care,
19(SUPPL. 1), 116–131.
pursue a set common goals or specific outcomes. https://doi.org/10.1080/13561820500082529
Morgan, Pullon, & McKinlay, 2015

Interprofessional collaboration within

healthcare is an active and ongoing
partnership between professionals from
diverse backgrounds with distinctive
professional cultures and possibly
representing different organizations or
sectors working together in providing
services for the benefit of healthcare users
Mengapa harus
kolaborasi
interprofessional ?
 Manajemen Pelayanan
Risiko RS Fokus Pasien
 Risiko Klinis (Patient Centred Care)

Asuhan Pasien Terintegrasi

Etik 1. Patient Engagement & Empowerment
2. DPJP sbg Clinical Leader
3. PPA sbg Tim, Kolaborasi Interprofesional
4 Fondasi • Mutu
Kebutuhan 4. CPPT – Catatan Perkembangan Pasien Terintegrasi
PPA • Patient 5. Manajer Pelayanan Pasien / Case Manager.
Pasien
Asuhan Safety 6. Segitiga Sasaran PCC – Triple Aim PCC
7. Kolaborasi Pendidikan Pasien
pasien
EBM 8. Integrated Clinical Pathway
9. Integrated Discharge Planning
VBM 10.Budaya Keselamatan.
Evidence Based
Medicine Value
Based Medicine (Nico ALumenta , 2020)
Bagaimana dapat
terintegrasi baik
Walau beban berat ?
Definisi Manajemen Pelayanan Pasien

adalah suatu proses kolaboratif utk asesmen, perencanaan,

fasilitasi, koordinasi pelayanan, evaluasi dan advokasi
untuk opsi dan pelayanan bagi pemenuhan kebutuhan
komprehensif pasien dan keluarganya, melalui komunikasi
dan sumber daya yg tersedia sehingga memberi hasil
asuhan pasien yg bermutu dengan biaya efektif.
Ratio : 1 MPP menangani 25
MPP bukanlah PPAaktif Pasien
(KARS) oKompleksitas Pasien
oKebutuhan RS
(Sumber : Case Management Society of America, 2010, Commission for Case Manager Certification, 2016)
 Definisi Manajemen Pelayanan Pasien
adalah suatu proses kolaboratif untuk asesmen,
perencanaan, fasilitasi, koordinasi pelayanan, evaluasi dan
advokasi untuk opsi dan pelayanan bagi pemenuhan
kebutuhan komprehensif pasien dan keluarganya, melalui
komunikasi dan sumber daya yang tersedia sehingga memberi
hasil asuhan pasien yang bermutu dengan biaya efektif.
(Sumber : Case Management Society of America, 2010, Commission for Case Manager Certification, 2016)

“The Case Manager shall use person-centered planning to understand the

needs, preferences, goals, and desired accomplishments of the participant.
” The hour of person-to-person contact is an essential service, and
demonstrates the application of person-centered planning”
Case Manager Flexibility Guidance During COVID-19 Emergency Updated April 23, 2020 11
16
16
16
 Peran & Fungsi MPP
1. Fasilitator pemenuhan kebutuhan asuhan pasien, termasuk keluarga dan pemberi
asuhannya, baik akut, dalam proses rehabilitasi di RS maupun pasca rawat, mendorong
keterlibatan dan pemberdayaan pasien.
2. Optimalisasi terlaksananya pelayanan berfokus pada pasien (patient centered care) dan
asuhan pasien terintegrasi, serta membantu meningkatkan kolaborasi interprofesional
3. Optimalisasi proses reimbursemen

Manajer Pelayanan Pasien menjalankan fungsi

1. Asesmen – Manajemen Pelayanan Pasien,
2. Perencanaan - Manajemen Pelayanan Pasien,
3. Komunikasi dan koordinasi
4. Edukasi dan advokasi
5. Kendali mutu dan biaya
melalui kolaborasi dgn pasien, keluarga, PPA, shg menghasilkan outcome/hasil asuhan yg diharapkan.
Bagaimana
strategi MPP
untuk kolaborasi
interprofessional
yang efektif ?
Menghayati
Patient
journey
Menghayati
Patient
journey
Framework dalam SNARS
:

Dimensi Budaya Mutu dan Safety

dalam Standar Akreditasi RS

ASUHAN PASIEN

Kompetensi
RISIKO Budaya SAFETY

MUTU
(Nico Lumenta, 2015)

14
 Effective interprofessional
collaboration promotes the active
participation of each discipline in
patient care, where all disciplines
are working together and fully
engaging patients and those who
support them, and leadership on
the team adapts based on patient
needs.

Effective interprofessional
collaboration enhances patient-
and family-centered goals and
values, provides mechanisms for
continuous communication among
caregivers, and optimizes
participation in clinical decision-
making within and across
Modern Portfolio disciplines. It fosters respect for the
disciplinary contributions of all
professionals.
Presentation Tomasik, Jennifer, Caitlyn Fleming, and CFAR Inc. 2015. Promising
Interprofessional Collaboration Practices Acknowledgments.
Komitmen
belajar
Elemen untuk
mencapai tujuan ?
BEKAL MPP ??
 MPP dalam SNARS Edisi 1
Standar ARK. 3.1
RS menetapkan regulasi untuk melaksanakan proses kesinambungan pelayanan di
RS dan koordinasi diantara profesional pemberi asuhan (PPA) dibantu oleh manajer
pelayanan pasien (MPP)/Case Manager

Manajer pelayanan pasien (MPP), bukan merupakan PPA aktif,

dalam menjalankan manajemen pelayanan pasien mempunyai :
Peran minimal adalah sbb:
a. memfasilitasi pemenuhan kebutuhan asuhan pasien
b. mengoptimalkan terlaksananya pelayanan berfokus pada pasien
c. mengoptimalkan proses reimbursemen
Fungsi sbb:
d. Asesmen untuk manajemen pelayanan pasien,
e. Perencanaan untuk manajemen pelayanan pasien,
f. Komunikasi dan Koordinasi
g. Edukasi dan Advokasi
h. Kendali mutu dan biaya pelayanan pasien 13
The Seven Essential Knowledge Domains and Sub-Domains
1 2 3 4 5 6 7

(The Commission for Case Manager Certification’s Case Management Body of Knowledge®. (CMBOK®),2011)
 Kompetensi Manajer Pelayanan Pasien.
1 Konsep Manajemen Yan Pasien

Manajemen Yan Pasien

Ranah Pengetahuan
2 Prinsip2 Praktek Manajemen YanPasien

3 Manajemen Yan Kes

Nilai
Manajemen
4 Reimbursmen Yan Kes Pelayanan
Pasien
5 Aspek Psikososial Asuhan

6 Rehabilitasi

7 Pengembangan Profesi
Proses Manajemen Yan Pasien

(Sumber : The Commission for Case Manager Certification’s Case Management Body ofKnowledge®. (CMBOK®), 2011)
Menghayati
konsep IPC
dalam PCC
 Core Competencies for Interprofessional Collaborative Practice
Values/Ethics for Interprofessional Practice

01 Work with individuals of other professions to maintain a climate of

mutual respect and shared values
Values/Ethics for
Interprofessional
Practice Roles/Responsibilities
Use the knowledge of one’s own role and those of other professions
to appropriately assess and address the health care needs of patients
and to promote and advance the health of populations.
(Roles/Responsibilities)
04 Four Core
02
Teams and Roles/
Competencies Interprofessional Communication
Teamwork Responsibilities
Communicate with patients, families, communities, and professionals
in health and other fields in a responsive and responsible manner that
supports a team approach to the promotion and maintenance of
health and the prevention and treatment of disease

03
Interprofessional Teams and Teamwork
Communication Apply relationship-building values and the principles of team dynamics
to perform effectively in different team roles to plan, deliver, and
evaluate patient/population- centered care and population health
programs and policies that are safe, timely, efficient, effective, and
Interprofessional Education Collaborative. (2016). Core Competencies for equitable. (Teams
Interprofessional Collaborative Practice : 2016 Update.
 Interprofessional Professionalism
Consistent demonstration of core values evidenced by professionals working together, aspiring to and wisely applying
Definition principles of*, altruism and caring, excellence, ethics, respect, communication, accountability to achieve optimal health and
wellness in individuals and communities.
Stern DT. Measuring Medical Professionalism. Oxford University Press. New York, NY;2006:19

Interprofessional Professionalism Behaviors

COMMUNICATION
Impart or interchange of thoughts, opinions or information by speech,
writing, or signs; “the means through which professional behavior is
enacted.” (Arnold and Stern in Stern 2006)
RESPECT
Demonstrate regard for another person with esteem, deference and
dignity . . . personal commitment to honor other peoples' choices and
rights regarding themselves . . . includes a sensitivity and
responsiveness to a person's culture, gender, age and disabilities . . . the
essence of humanism . . . signals the recognition of the worth of the
individual human being and his or her belief and value system.” (Arnold
and Stern in Stern, 2006)
EXCELLENCE
Adherence to, exceeds, or adapts best practices to provide the
highest quality care.
Interprofessional Professionalism Collaborators. 2016. Interprofessional Professionalism Behaviors. Alexandria, VA: Interprofessional Professionalism Collaborative.
http://www.interprofessionalprofessionalism.org/
ALTRUISM AND CARING
Overt behavior that reflects concern, empathy, and consideration for
the needs, values, welfare, and well-being of others and assumes the
responsibility of placing the needs of the patients or client ahead of
the professional interest.
ETHICS
Consideration of a social, religious, or civil code of behavior in the
moral fitness of a decision of course of action, especially those of a
particular group, profession, or individual, as these apply to every day
delivery of care.
ACCOUNTABILITY
Accept the responsibility for the diverse roles, obligations, and actions,
including self-regulations and other behaviors that positively influence
patient and client outcomes, the profession, and the health needs of
society
MANAJEMEN
RISIKO BARIER
IPC DALAM PCC
 Barriers and Recommendations for Enhancing
Interprofessional Collaboration
BARRIERS
Barriers to evidence-based programs that
support transitions to practice:
1. Insufficient residency programs
2. Lack of employer accountability for collaborative
academic-practice programs
3. Insufficient research investment
4. Challenges to implementation of BSN-level
education
RECOMMENDATIONS
Recommendations for evidence-based programs to support transitions to practice:
• Establish a shared commitment for evidence-based programs that are sustainable and cost effective via the
collaborative development, implementation, and evaluation of nurse residency programs.
• Hold employers accountable to develop and evaluate transition programs in collaboration with academic partners.
• Support employers and academic partners to invest in research about transition program designs that includes data
related to return on investment (ROI).
• Encourage employers to require BSN-level education as a minimum credential for preceptors.
• Solicit funding to support BSN level education.

Barriers to culturally competent care:
1. Lack of cultural diversity
2. Insufficient recruitment efforts to achieve diverse
workforce
3. Cultural, religious, and racial preferences not
respected or understood
4. Desired workforce attributes no not include
community diversity
Nurse-led initiatives for culturally competent care:
• RNs create an environment and practice in a manner congruent with cultural diversity and inclusion principles.
• Leaders in academia work to recruit diverse students to achieve a multicultural workforce and develop curricula to
promote cultural competence.
• RNs promote policies and organizational culture that ensures that cultural, religious, and racial preferences of
patients, families and RNs are respected and incorporated into the plan of care.
• Employers of nurses should invest in the development of a workforce that reflects the community they serve.

Barriers to effective interprofessional Recommendations for creating/enhancing interprofessional environments:

environments:
1. Little or no reflection of interprofessional practice
in academic and practice models
2. Few nurse-designed collaborative models
3. Limited access to workforce data
• Leaders in academia and practice should develop and test effective interprofessional practice collaborative models.
• Nurses should drive and engage in research to develop and test interprofessional practice and academic
collaborative models.
• Establish a shared commitment to create infrastructures to collect and analyse data on current and future needs of
the RN workforce.
• Identify useful workforce data and consider joint collection and analysis of workforce and education data.

Moss, E., Seifert, P. C., & O’Sullivan, A. (2016). Registered nurses as interprofessional collaborative partners: Creating value-based outcomes. Online Journal of Issues in
Nursing, 21(3), 1–31. https://doi.org/10.3912/OJIN.Vol21No03Man04
Little
TIPS
Inovatif
Dalam
strategi
LONG LIFE LEARNING
BENCHMARKING
INTERDISCIPLINE
RESEARCH AND REVIEW
MPP Harus berfikir
kritis menemukan
strategi untuk
tercapainya
kolaborasi
interprofesional
TERIMA KASIH
LAYANANKU IBADAHKU
UNTUK INDONESIA YANG LEBIH SEHAT