Siloam International Hospitals (Siloam Hospitals Surabaya)

UTILIZATION
ACTUAL Maret 2012

SHS
Descriptions

Descriptions

Max
hours

Actual
hours

%
Utilization

No of
Cases

OT
Max Hours
OT Room
Staffing for OT Room
Working days
Sunday & Holidays
Operational hours
4 OT Room (07.00 21.00) => Working days
1 On call (21.00 07.00) => Working days

4
4 (*)
26 days
5 days
14.00 hours
10.00 hours

1 OT Room (Stand by ) => Sunday & Holidays

1,456
260

24 hours

120

Total Max hours for 4 OT Room

1,836

No of Operational OT Room
Avg Operational hours - 4 OT Room

4
459

OT 1
OT 2
OT 3
OT 4

endo, opthal,obgyn
orthopedic,neuro
general surgery
fertility,small surgery

Total OT
Anastetic Machine 1
Anastetic Machine 2
Anastetic Machine 3
Anastetic Machine 4
Total utilization Anastetic Mechines

459
459
459
459

216
119
241
359

47%
26%
53%
78%

69
29
60
308

1,836
459
459
459
459

935
112
90
147
9
358

51%
24%
20%
32%
2%
78%

466
29
20
33
3
85

No. of OR Cases
-

OT
- Big surgery
- Medium surgery
- Small surgery
Khusus

95
43
324

Total

466

Descriptions

No. of OR Cases
khusus

Other
Cardiology
Digestive
ENT
General Surgery
Neuro-Surgery
Gynaecology
Obstetric
Ophthalmology
Oral Surgery
Orthopaedic
Plastic Surgery
Pulmonology
Urology
Vascular/Thoracic
Bayi Tabung
Head & Neck
Dermatology
Oncology
Pediatric
Total

Big
1

2
8
6
1
5
20
11
15

9
2
10
2
1

Medium
###
###
13
3
###
1
6
1
10
###
3
###
-

2
1
95

###
43

Note:
(*) Total OT rooms in SHS is 4 rooms, but the staff is only available to handle for 3 rooms at the same time

Small In Patient
ODC
1
6
###
8
21
8
2
10
1
3
3
2
7
###
20
7
19
5
3
2
17
###
2
17
6
15
1
16
1
1
15
15
13
3
3
2
261
261
1
###
2
2
1
5
###
324
132
334
466
466

Siloam Hospitals Surabaya

OT Contribution 2010

January
No
4 Orthopedic

Specialty

Doctor
Dr. Stefanus

10 Obstetric & Gynec

Prof. Agus
Abadi

11 Obstetric & Gynec

Dr. Soenjoto

12
13
14
15

Obstetric & Gynec

Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec

Dr. Yunanto
Dr. Hendra
Dr. Ernawati
Prof.
Suhartono

16 Obstetric & Gynec

Dr.
Supratiknyo

17 Obstetric & Gynec

Dr.
Brahmana

18 Obstetric & Gynec

19 Obstetric & Gynec

Dr. Renny
Dr. Gede
Widi M

20
21
22
23
24
25

Dr. Hasan
Dr. Amang
Prof. Samsul
Dr. Greg
Dr. Eigthy
Dr.
Bambang S

Obstetric & Gynec

Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec

26 Obstetric & Gynec

27 Obstetric & Gynec
Total Obstetric & Gynec
28 Pediatric

Dr. Fachry
Dr. Fachry

Budget

Actual 2009

100%

-33%

#DIV/0!

#DIV/0!

1
0
3
3

4
1
0
0

-75%
-100%
#DIV/0!
#DIV/0!

1
0
1
3

-50%

-50%

#DIV/0!

#DIV/0!

1
2

1
3

0%
-33%

2
0

#DIV/0!

10
1
1
1
0
0

8
0
2
0
0
1

25%
#DIV/0!
-50%
#DIV/0!
#DIV/0!
-100%

6
0
1
3
1
1

0
0
0
40

1
2
2
41

-100%
-100%
-100%
-2%

1
0
0
31

#DIV/0!
#DIV/0!

0%
#DIV/0!
200%
0%

-50%

67%
#DIV/0!
0%
-67%
-100%
-100%
-100%
#DIV/0!
#DIV/0!
29%

Dr. Poerwadi

29 Digestive

Dr.
Soejatmiko

30 Digestive

Dr. Abdus
Syukur

31
32
33
34
35
36

Dr. Mamik
Dr. Iwan
Dr. Harun A
Dr. Adria
Dr. Alex
Dr.
Bambang

Digestive
Digestive
Digestive
Digestive
Digestive
Digestive

Actual 2010

37 Digestive
Total Digestive
38 Plastic
39 Plastic
Total Plastic
40 Urology
41 Urology

Dr. Siusanto

42
43
44
45

Urology
Urology
Urology
Urology
Total Urology
46 ENT
47 ENT
48 ENT

Dr. Doddy
Dr. Samsul
Dr. Satrya
Dr. Sabilal

49 ENT
50 ENT

Dr. Hutomo
Dr.
Soepriadi

51 ENT

Dr. Ursula

52 Oncology
53 Oncology

Dr. Ario D
Dr. Iskandar
Ali

54 Oncology
55 Oncology

Dr. Wiwin
Dr. Heru P

Dr. Tjandra
Dr. Sananto
Dr. Soetojo
Dr. Adi
Santoso

Dr. Ario K
Dr. Dendy
Dr. Sri
Harmaji

#DIV/0!
#DIV/0!

-33%

18
1
0
0
4
8

19
2
0
0
3
17

-5%
-50%
#DIV/0!
#DIV/0!
33%
-53%

22
0
1
0
1
17

1
4
40
14
1
15
16

0
6
53
10
2
12
19

#DIV/0!
-33%
-25%
40%
-50%
25%
-16%

0
6
53
13
0
13
11

#DIV/0!

5
3
1
0
0
25
1
5

10
2
2
0
0
33
3
8

-50%
50%
-50%
#DIV/0!
#DIV/0!
-24%
-67%
-38%

1
4
3
0
0
19
4
10

400%

0
0

1
0

-100%
#DIV/0!

0
0

#DIV/0!

1
0

1
0

0
0

#DIV/0!

0%
#DIV/0!
#DIV/0!
-100%

#DIV/0!

1
1
2

0
0
2

#DIV/0!
#DIV/0!
0%
#DIV/0!

0
1
2

#DIV/0!

-33%
-18%
#DIV/0!
-100%
#DIV/0!
300%
-53%

-33%
-25%
8%
#DIV/0!
15%
45%

-25%
-67%
#DIV/0!
#DIV/0!
32%
-75%
-50%

#DIV/0!

#DIV/0!
#DIV/0!

0%
0%
#DIV/0!

56 Dermatology

57
58
59
60
61

Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology

Dr. Budi
Astuti
Dr. Rowena
Dr. A. Yani
Dr. Wimbo
Dr. Ratna
Dr. Hendrian

1
0
14
3

0
0
16
0

0
0
0

0
0
0

1
0

0
1

1
5

0
3

62 Ophthalmology
63 Ophthalmology

Prof. Diani
Dr. Heny

64 Oral
65 Oral

Dr. Roberto
Dr. Peter
Agus

66 Oral

Drg. Dony

67 Thorax Cardio Vascular

68 Thorax Cardio Vascular
69 Thorax Cardio Vascular

Dr. Agung P
Dr. Heru K
Prof.
Puruhito

70 Thorax Cardio Vascular

71 Thorax Cardio Vascular
72 Thorax Cardio Vascular

Prof. Paul T
Dr. Setino
Dr. Heru S

1
0
0
0

1
0
0
0

73
73
74
75

Dr. Hafid B
Dr. Lilik
Dr. Eko AS
Dr. Wihasto

0
4
2
0

4
3
3
0

Neuro surgery
Neuro surgery
Neuro surgery
Neuro surgery

76 Head & neck

77 Head & neck

Dr. Urip M
Dr. Sahudi

78 Anastesi

Dr. Edward
K

79 Anastesi
80 Anastesi

Dr. Philia
Dr.
Airlangga

0
0

0
0

-50%
#DIV/0!
#DIV/0!
#DIV/0!
-13%
#DIV/0!

0%
#DIV/0!

1
0
19
0

0%
#DIV/0!
-26%
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
-100%

0
0
0
0

#DIV/0!

#DIV/0!
-100%
#DIV/0!
#DIV/0!
67%

0
0

#DIV/0!

0%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
-100%
33%
-33%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
0
1
0

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!

2
1

-50%
400%
#DIV/0!
#DIV/0!
-100%
#DIV/0!
#DIV/0!

7
3
0
1

-100%
33%
#DIV/0!
-100%
#DIV/0!

0
1

#DIV/0!
-100%
#DIV/0!

0
1

1
0

-100%
#DIV/0!

2
0

#DIV/0!

0%
#DIV/0!

#DIV/0!

-100%

#DIV/0!

Siloam Hospitals Surabaya

Operational Efficiency
Current Month & YTD July 2007
Descriptions
Data:
Working Days

###

Total No of Beds
No of Beds ICU
No of Beds ICCU
No of Beds NICU
No of Beds HDU
No of Beds LDS
No of Beds A&E

###
###
#
#
#
#
#

Total Patient Days

Patient days Ward
Patient days ICU
Patient days ICCU
Patient days NICU
Patient days HDU

###
###
###
###
###
###

BOR
Wards
ICU
ICCU
NICU
HDU
LDS (Nursery)

###
###
###
###
###
###
###

By Class
Presidential Suite
###
Siloam Suite
###
Executive Suite
###
SVIP
###
VIP
###
1st class
###
2nd Class
###
3rd Class
###
VVIP
No of Consultation Room
###
No of A&E Beds
#
No of R/ (OPD & A&E)
###
No of Radiology Procedure (Excl MRI)###
No of Radiology Procedure (MRI)
###
No of Lab Procedure
###
No of Medical Rehab Procedure
###
Jumlah pasien keluar (Hidup dan Meningg
###
Admission
OPD Visits
A&E Attendances

###
###
###

Siloam Hospitals Surabaya

Operational Efficiency
Current Month & YTD July 2007
Descriptions
Total Head Count :
Pharmacy Staff
RMO - Ward
RMO - A & E
Radiographer
Lab - Technician
Medical Rehab Therapis

###
###
###
###
###
###
###

Siloam Hospitals Surabaya

Operational Efficiency
Current Month & YTD July 2007
Descriptions
No of Nurse :
OT
ICU
ICCU
NICU
HDU
LDS
Wards

###
###
###
###
#
###
###

IPD
OPD
A&E

###
###
###

Utilization Room :
OT 1
OT 2
OT 3
OT 4
OT 5

%
%
%
%
%

Cath Lab
ODC
Labor

%
%
%

ICU
ICCU
NICU
High Care (HDU)

%
%
%

No of OR Cases

###
###

Financial Matters :
NOR
OPEX
EBITDA
Capex

Rp (In 000)
Rp (In 000)
Rp (In 000)
Rp (In 000)

SWB
Electricity
Water
Total Utilities
Repair & Maintenance
Printed Matters
Training & Seminar
Marketing

Rp (In 000)
Rp (In 000)
Rp (In 000)
Rp (In 000)
Rp (In 000)
Rp (In 000)
Rp (In 000)
Rp (In 000)

Siloam Hospitals Surabaya

Operational Efficiency
Current Month & YTD July 2007
Descriptions
Operating Expenses Indicators :
* SWB
SWB / Beds
SWB / Beds / BOR
SWB / Patient Days

Rp (In 000)
Rp (In 000)
Rp (In 000)

* Utilities
% Total Utilities to NOR
% Total Utilities to OPEX

%
%

% Electricity to NOR
% Electricity to OPEX

%
%

% Water to NOR
% Water to OPEX

%
%

* Repair & Maintenance

% Repair & Maintenance to
% Repair & Maintenance to

%
%

* Printed Matters
% Printed Matters to NOR
% Printed Matters to OPEX

%
%

* Training & Seminar

Training & Seminar / Head C Rp (In 000)
% Training & Seminar to NO
% Training & Seminar to OP

%
%

* Marketing
% Marketing to NOR
% Marketing to OPEX

%
%

* Capex (All)
% Capex to NOR
% Capex to EBITDA

%
%

Siloam Hospitals Surabaya

Operational Efficiency
Current Month & YTD July 2007
Descriptions
Operational Ratios
* Nurses
No of Nurse IPD
No of Nurse IPD per bed/BO
No of Nurse OT per OR Case
No of Nurse ICU per bed/BO
No of Nurse ICCU per bed/
No of Nurse NICU per bed/
No of Nurse High Care (HDU
No of Nurse LDS per bed/B
No of Nurse Wards per bed/
No of Nurse OPD
Daily No of Nurse OPD per O
No of Nurse A&E
Daily No of A&E Attendances

Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Person

* Daily Consult Room Turn

Patient

* Daily A&E Turn Over

Patient

* Utilization Room
OT 1
OT 2
OT 3
OT 4
OT 5

%
%
%
%
%
###

Cath Lab
ODC
Labor

%
%
%

ICU
ICCU
NICU
High Care (HDU)

%
%
%
%

###

* BOR
Presidential Suite
Siloam Suite / Family Suite
Executive Suite / Suite Room
SVIP
VIP
1st class
2nd Class
3rd Class

###
###
###
###
###
###
###
###

* ALOS

###

* Bed Turnover (BTO)

###

Siloam Hospitals Surabaya

Operational Efficiency
Current Month & YTD July 2007
Descriptions
* Turnover Interval (TOI)

###

Daily No of R/ staff Pharmacy i

Daily No of Ward RMO / patient
Daily No of ICU nurse / patient
Daily No of ICCU nurse / patien
Daily No of NICU nurse / patien
Daily No of HDU nurse / patien
Daily No of RMO A&E/ A&E patie
No. of Radiographer / total proc
No. of Radiographer / total proc
No. of Lab technician / Lab proc
No. of Medical Rehab / Medical

###
###
###
###
###
###
###
###
###
###
###

Siloam International Hospitals (Siloam Hospitals Surabaya)

UTILIZATION
ACTUAL Maret 2012

SHS
Descriptions

Descriptions

Max
hours

Actual
hours

%
Utilization

No of
Cases

OT
Max Hours
OT Room
Staffing for OT Room
Working days
Sunday & Holidays
Operational hours
4 OT Room (07.00 21.00) => Working days
1 On call (21.00 07.00) => Working days

4
4 (*)
26 days
5 days
14.00 hours
10.00 hours

1 OT Room (Stand by ) => Sunday & Holidays

1,456
260

24 hours

120

Total Max hours for 4 OT Room

1,836

No of Operational OT Room
Avg Operational hours - 4 OT Room

4
459

OT 1
OT 2
OT 3
OT 4

endo, opthal,obgyn
orthopedic,neuro
general surgery
fertility,small surgery

Total OT
Anastetic Machine 1
Anastetic Machine 2
Anastetic Machine 3
Anastetic Machine 4
Total utilization Anastetic Mechines

459
459
459
459

216
119
241
359

47%
26%
53%
78%

69
29
60
308

1,836
459
459
459
459

935
112
90
147
9
358

51%
24%
20%
32%
2%
78%

466
29
20
33
3
85

No. of OR Cases
-

OT
- Big surgery
- Medium surgery
- Small surgery
Khusus

95
43
324

Total

466

Descriptions

No. of OR Cases
khusus

Other
Cardiology
Digestive
ENT
General Surgery
Neuro-Surgery
Gynaecology
Obstetric
Ophthalmology
Oral Surgery
Orthopaedic
Plastic Surgery
Pulmonology
Urology
Vascular/Thoracic
Bayi Tabung
Head & Neck
Dermatology
Oncology
Pediatric
Total

Big
1

2
8
6
1
5
20
11
15

9
2
10
2
1

Medium
###
###
13
3
###
1
6
1
10
###
3
###
-

2
1
95

###
43

Note:
(*) Total OT rooms in SHS is 4 rooms, but the staff is only available to handle for 3 rooms at the same time

Small In Patient
ODC
1
6
###
8
21
8
2
10
1
3
3
2
7
###
20
7
19
5
3
2
17
###
2
17
6
15
1
16
1
1
15
15
13
3
3
2
261
261
1
###
2
2
1
5
###
324
132
334
466
466

Siloam Hospitals Surabaya

OT Contribution 2010

January
No
4 Orthopedic

Specialty

Doctor
Dr. Stefanus

10 Obstetric & Gynec

Prof. Agus
Abadi

11 Obstetric & Gynec

Dr. Soenjoto

12
13
14
15

Obstetric & Gynec

Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec

Dr. Yunanto
Dr. Hendra
Dr. Ernawati
Prof.
Suhartono

16 Obstetric & Gynec

Dr.
Supratiknyo

17 Obstetric & Gynec

Dr.
Brahmana

18 Obstetric & Gynec

19 Obstetric & Gynec

Dr. Renny
Dr. Gede
Widi M

20
21
22
23
24
25

Dr. Hasan
Dr. Amang
Prof. Samsul
Dr. Greg
Dr. Eigthy
Dr.
Bambang S

Obstetric & Gynec

Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec
Obstetric & Gynec

26 Obstetric & Gynec

27 Obstetric & Gynec
Total Obstetric & Gynec
28 Pediatric

Dr. Fachry
Dr. Fachry

Budget

Actual 2009

100%

-33%

#DIV/0!

#DIV/0!

1
0
3
3

4
1
0
0

-75%
-100%
#DIV/0!
#DIV/0!

1
0
1
3

-50%

-50%

#DIV/0!

#DIV/0!

1
2

1
3

0%
-33%

2
0

#DIV/0!

10
1
1
1
0
0

8
0
2
0
0
1

25%
#DIV/0!
-50%
#DIV/0!
#DIV/0!
-100%

6
0
1
3
1
1

0
0
0
40

1
2
2
41

-100%
-100%
-100%
-2%

1
0
0
31

#DIV/0!
#DIV/0!

0%
#DIV/0!
200%
0%

-50%

67%
#DIV/0!
0%
-67%
-100%
-100%
-100%
#DIV/0!
#DIV/0!
29%

Dr. Poerwadi

29 Digestive

Dr.
Soejatmiko

30 Digestive

Dr. Abdus
Syukur

31
32
33
34
35
36

Dr. Mamik
Dr. Iwan
Dr. Harun A
Dr. Adria
Dr. Alex
Dr.
Bambang

Digestive
Digestive
Digestive
Digestive
Digestive
Digestive

Actual 2010

37 Digestive
Total Digestive
38 Plastic
39 Plastic
Total Plastic
40 Urology
41 Urology

Dr. Siusanto

42
43
44
45

Urology
Urology
Urology
Urology
Total Urology
46 ENT
47 ENT
48 ENT

Dr. Doddy
Dr. Samsul
Dr. Satrya
Dr. Sabilal

49 ENT
50 ENT

Dr. Hutomo
Dr.
Soepriadi

51 ENT

Dr. Ursula

52 Oncology
53 Oncology

Dr. Ario D
Dr. Iskandar
Ali

54 Oncology
55 Oncology

Dr. Wiwin
Dr. Heru P

Dr. Tjandra
Dr. Sananto
Dr. Soetojo
Dr. Adi
Santoso

Dr. Ario K
Dr. Dendy
Dr. Sri
Harmaji

#DIV/0!
#DIV/0!

-33%

18
1
0
0
4
8

19
2
0
0
3
17

-5%
-50%
#DIV/0!
#DIV/0!
33%
-53%

22
0
1
0
1
17

1
4
40
14
1
15
16

0
6
53
10
2
12
19

#DIV/0!
-33%
-25%
40%
-50%
25%
-16%

0
6
53
13
0
13
11

#DIV/0!

5
3
1
0
0
25
1
5

10
2
2
0
0
33
3
8

-50%
50%
-50%
#DIV/0!
#DIV/0!
-24%
-67%
-38%

1
4
3
0
0
19
4
10

400%

0
0

1
0

-100%
#DIV/0!

0
0

#DIV/0!

1
0

1
0

0
0

#DIV/0!

0%
#DIV/0!
#DIV/0!
-100%

#DIV/0!

1
1
2

0
0
2

#DIV/0!
#DIV/0!
0%
#DIV/0!

0
1
2

#DIV/0!

-33%
-18%
#DIV/0!
-100%
#DIV/0!
300%
-53%

-33%
-25%
8%
#DIV/0!
15%
45%

-25%
-67%
#DIV/0!
#DIV/0!
32%
-75%
-50%

#DIV/0!

#DIV/0!
#DIV/0!

0%
0%
#DIV/0!

56 Dermatology

57
58
59
60
61

Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology

Dr. Budi
Astuti
Dr. Rowena
Dr. A. Yani
Dr. Wimbo
Dr. Ratna
Dr. Hendrian

1
0
14
3

0
0
16
0

0
0
0

0
0
0

1
0

0
1

1
5

0
3

62 Ophthalmology
63 Ophthalmology

Prof. Diani
Dr. Heny

64 Oral
65 Oral

Dr. Roberto
Dr. Peter
Agus

66 Oral

Drg. Dony

67 Thorax Cardio Vascular

68 Thorax Cardio Vascular
69 Thorax Cardio Vascular

Dr. Agung P
Dr. Heru K
Prof.
Puruhito

70 Thorax Cardio Vascular

71 Thorax Cardio Vascular
72 Thorax Cardio Vascular

Prof. Paul T
Dr. Setino
Dr. Heru S

1
0
0
0

1
0
0
0

73
73
74
75

Dr. Hafid B
Dr. Lilik
Dr. Eko AS
Dr. Wihasto

0
4
2
0

4
3
3
0

Neuro surgery
Neuro surgery
Neuro surgery
Neuro surgery

76 Head & neck

77 Head & neck

Dr. Urip M
Dr. Sahudi

78 Anastesi

Dr. Edward
K

79 Anastesi
80 Anastesi

Dr. Philia
Dr.
Airlangga

0
0

0
0

-50%
#DIV/0!
#DIV/0!
#DIV/0!
-13%
#DIV/0!

0%
#DIV/0!

1
0
19
0

0%
#DIV/0!
-26%
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
-100%

0
0
0
0

#DIV/0!

#DIV/0!
-100%
#DIV/0!
#DIV/0!
67%

0
0

#DIV/0!

0%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
-100%
33%
-33%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
0
1
0

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!

2
1

-50%
400%
#DIV/0!
#DIV/0!
-100%
#DIV/0!
#DIV/0!

7
3
0
1

-100%
33%
#DIV/0!
-100%
#DIV/0!

0
1

#DIV/0!
-100%
#DIV/0!

0
1

1
0

-100%
#DIV/0!

2
0

#DIV/0!

0%
#DIV/0!

#DIV/0!

-100%

#DIV/0!

Siloam International Hospitals (Siloam Hospital Surabaya)

UTILIZATION - LDS
ACTUAL Maret 2012

LABOR
No of Beds (*)
Working Days
Working Hours

No of
Beds

Max
hours

(*)

(**)

SHS
Actual
%
hours Utilization

4
31
23

Normal Deliveries
Sectio
Curretage+lain 2

2,852

No of beds

122
65
82

9,4%

BOR

ICU
ICU 1

ICCU
ICCU 1
NICU
NICU 1

No of
Cases

N/A

Note:
(*) Total Labor beds in SHS is 4 beds
(**) For labor max hour is 23 hours * 31 days * beds

8
4
125

no of cases harus sm dgn operational report

Kolom actual hour & no of cases diisi jika
ada cases sectio & curretage di LDS
(tapi tdk akan dimasukkan kedlm laporan,
hanya unt file saya)

Siloam International Hospitals (Siloam Hospitals Lippo Karawaci)

Operational Efficiency
YTD June 2007

Descriptions
Operating Expenses Indicators
SWB
SWB / Beds / BOR
SWB / Beds
SWB / Patient days
Utilities
% Total Utilities to NOR
% Total Utilities to OPEX
% Electricity to NOR
% Electricity to OPEX
% Water to NOR
% Water to OPEX
Repair & maintenance
% Repair & Maintenance to NOR
% Repair & Maintenance to OPEX
Printed Matters
% Printed Matters to NOR
% Printed Matters to OPEX
Training & Seminar
Training & Seminar / Headcount
% Training & Seminar to NOR
% Training & Seminar to OPEX
Marketing
% Marketing to NOR
% Marketing to OPEX
Capex (All)
% Capex to NOR
% Capex to EBITDA

Formula

Total SWB : No of Beds x (100% : BOR)

Total SWB : No of Beds
Total SWB : Patient days

Operational Ratios
Nurses
No of Nurse IPD
No of Nurse IPD per bed/BOR
No of Nurse IPD : No of Beds x (100% : BOR)
No of Nurse OT per OR Cases
No of Nurse OT : No of OR Cases
No of Nurse ICU per bed/BOR
No of Nurse ICU : No of Beds ICU x (100% : BOR ICU)
No of Nurse ICCU per bed/BOR
No of Nurse ICCU : No of Beds ICCU x (100% : BOR ICCU)
No of Nurse NICU per bed/BOR
No of Nurse NICU : No of Beds NICU x (100% : BOR NICU)
No of Nurse High Care (HDU) per bed/BOR
No of Nurse HDU : No of Beds HDU x (100% : BOR HDU)
No of Nurse LDS per bed/BOR
No of Nurse LDS : No of Beds LDS x (100% : BOR LDS)
No of Nurse Wards per bed/BOR
No of Nurse Wards : No of Beds Wards x (100% : BOR Wards)
No of Nurse OPD
Daily No of Nurse OPD per OPD visits
OPD Visits / working days / No of Nurse A&E
No of Nurse A&E
Daily No of A&E Attendances per Nurse A&E
A&E Attendances / No of days / No of Nurse A&E
Daily Consult Room T/O
OPD Visits / Consult Rooms / working days
Daily A&E T/O
A&E Attendances / A&E Beds / No of days
Utilization Room
OT 1
OT 2
see sheet "Utilisasi-OT-etc" & "Penjelasan"
OT 3
OT 4
OT 5
Cath Lab
see sheet "Utilisasi-OT-etc"
ODC
see sheet "Utilisasi-OT-etc"
Labor
see sheet "Utilisasi-LDS"
ICU
BOR ICU = ICU patient days / (ICU beds x No of days)
ICCU
BOR ICCU = ICCU patient days / (ICCU beds x No of days)
NICU
BOR NICU = NICU patient days / (NICU beds x No of days)
High Care (HDU)
BOR HDU = HDU patient days / (HDU beds x No of days)
Ward
Presidential Suite
BOR Presidential Suite
Siloam Suite
BOR Siloam Suite
Executive Suite
BOR Executive Suite
SVIP
BOR SVIP
VIP
BOR VIP
1st class
BOR 1st class
2nd Class
BOR 2nd Class
3rd Class
BOR 3rd Class
Daily No of R/ staff Pharmacy in Pharmaceutical
No. of R/ (OPD + A&E) / staff Pharmacy / No of days
Daily No of Ward RMO / patient days ward
Patient days Ward / No of Ward RMO / No of days
Patient days ICU / No of ICU nurse / No of days
Daily No of ICU nurse / patient days ICU
Patient days ICCU / No of ICCU nurse / No of days
Daily No of ICCU nurse / patient days ICCU
Daily No of NICU nurse / patient days NICU
Patient days NICU / No of NICU nurse / No of days
Patient days HDU / No of HDU nurse / No of days
Daily No of HDU nurse / patient days HDU
Daily No of RMO A&E/ A&E patient
A&E Attendances / No of RMO A&E / No of days
No. of Radiographer / total procedure in Radiology ETotal procedure in Radiology Excl. MRI / No. of Radiographer
No. of Radiographer / total procedure in Radiology ( Total procedure in Radiology (MRI) / No. of Radiographer
No. of Lab technician / Lab procedure
Lab procedure / No. of Lab technician
No. of Medical Rehab / Medical Rehab procedure Medical Rehab procedure / No. of Medical Rehab

Barber Johnson ???

BOR
ALOS
TOI
BTO

MTD

YTD

Rp (In '000)
Rp (In '000)
Rp (In '000)
%
%
%
%
%
%
%
%
%
%
Rp (In '000)
%
%
%
%
%
%

Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Person
Patient
Patient
%
%
%
%
%
%
%
%
%
%
%

21
3

223

Siloam International Hospitals (Siloam Hospitals Lippo Karawaci)

FORMULA PENGHITUNGAN UTILISASI OPERATING THEATRE

DASAR PENGHITUNGAN:
1 Tentukan jumlah kamar operasi yang dibuka
Misalnya dari 5 kamar operasi dibuka 3 kamar operasi
2

Tentukan maksimal jam pelayanan OT yang tersedia pada bulan yang bersangkutan dengan menentukan:
a Jam buka kamar operasi ( biasa dan on call ) dalam 1 hari dan 1 bulan
Misalnya: 3 kamar operasi buka 12 jam / hari ( 07.00 19.00 )
1 kamar operasi buka untuk on call 12 jam ( 19.00 07.00 )
Jadi maksimal jam pelayanan OT/ hari untuk hari kerja adalah ( 3 x 12 jam ) + ( 1 x 12 jam ) = 48 jam
Jam pelayanan OT / hari untuk hari Minggu atau hari libur lainnya adalah 24 jam
( hanya ada 1 OT yang stan by dibuka )
b

Total hari kerja pada bulan bersangkutan ( misalnya bulan Juni 30 hari dikurangi
4 hari libur minggu + 1 hari libur umum, maka total hari kerja bulan Juni
adalah 25 hari/ 30 ( 4+1 )= 25 )

Jam pelayanan OT maksimal pada bulan Juni ( contoh ):

Hari kerja = 25 x ( 3 x 12 ) + ( 1 X 12 ) = 1200 jam
Hari libur = 5 x 24 jam = 120 jam
Total jam pelayanan maksimal OT bulan Juni = 1200 + 120 = 1320 jam
Rata-rata maksimal pelayanan yang disediakan untuk masing-masing OT yang
Tersedia ( 5 OT ) = 1320/ 5 = 264 jam

Pembersihan dan persiapan ruangan untuk tiap 1 kasus pembedahan adalah jam

Dihitung total lama operasi dari setiap pembedahan yang dilakukan dalam 1 bulan berjalan
(sudah termasuk jam tambahan untuk 1 pembedahan sesuai dengan nomor 3)

Contoh perhitungan utilisasi ruang OT untuk bulan Juni 2007

a Hitung % utilisasi seluruh kamar operasi:
Rumus = total lama operasi ( sesuai dengan nomer 4 ) X 100%
Total jam pelayanan maksimal bulan berjalan
Contoh:

996 jam X 100 % = 75.5%

1.320 jam

Jika ingin menghitung utilisasi per masing-masing kamar operasi:

Rumus = total lama operasi di masing-masing OT X 100%

Rata-rata pelayanan maksimal tiap OT
Contoh:

utilisasi OT 1 (OT A) = 259 jam X 100% = 98.1 %

264 jam

gan menentukan:

12 jam ) = 48 jam

Siloam International Hospitals (Siloam Hospitals Lippo Karawaci)

1. ALOS / Lama rawat rata-rata pasien pulang/mati
Definisi : rata-rata jumlah hari pasien rawat inap tinggal di rumah sakit (tidak termasuk bayi lahir)
Dianjurkan serendah mungkin tanpa mempengaruhi kualitas pelayan- an perawatan
Rumus: Jumlah hari pemakaian tempat tidur dari pasien yang pulang dan meninggal pada periode tertentu
Total jumlah pasien pulang dan meninggal pd periode yg sama
Contoh: Jumlah pasien keluar = 2086 ( termasuk pasien meninggal, tidak termasuk bayi lahir) .
Seluruh jumlah lama rawat =13654 hari
ALOS = 13654/2086= 6.54 atau 6.5 Dibulatkan=7 hr

2. BOR / Persentase pemakaian tempat tidur

Definisi : persentase pemakaian tempat tidur pada periode tertentu
Rumus:

Jumlah Hari Rawat pada periode tertentu X 100

Jumlah tt yg tersedia X Jumlah hari pada periode yg sama

Contoh: Di sebuah rumah sakit :jumlah tt yang tersedia 210 ( diluar tt bayi)
dengan 4780 jumlah hari rawat pada bulan Juni. Juni =30 hari
BOR =

4780 X 100 = 478000 = 75,87 atau 75.9 %

210 X 30
6300
Pembulatan dari persentase pemakaian tt = 76%

3. BTO / Bed Turn Over

Definisi : berapa kali satu tt dipakai oleh pasien pada periode tertentu
Tidak mempunyai standar internasional, dianjurkan BTO setinggi mungkin sekurang-kurangnya > 40 pasien
keluar, sejauh tidak mempengaruhi kualitas pelayanan
Rumus: Jumlah Pasien Keluar (H+M)
Total tempat tidur

4. TOI / Turn Over Interval ( turnover rate)

Definisi : rata-rata hari tempat tidur tersedia pada periode tertentu yang tidak terisi antara pasien keluar /
meninggal dan pasien masuk
Diindikasikan waktu bahwa tt. tidak terisi
Diindikasikan jika hasilnya negatif berarti kekurangan tt, hasilnya positif berarti rendahnya pemakaian
rumah sakit atau ketidakefisiennya admission
Rumus: (Tt.tersedia X Jumlah hari pada periode tertentu) - jumlah hari pemakaian tt. pada periode tertentu
Jumlah pasien keluar (H+M) pada periode yang sama
Contoh: Di sebuah rumah sakit jumlah tt.tersedia 210 bh. dalam bulan Jun dengan 4780 jumlah hari rawat,
736 pasien keluar/ meninggal
TOI =

(210 X 30) - 4780 =

736

1520 = 2.06 atau 2.1

736

TOI dari rumah sakit di atas = 2 hari mengindikasikan rendahnya pemakaian tt. rumah sakit
(Depkes serendah mungkin/< 5 hr) => range 1-3