HOSPITAL PHARMACIST CREDENTIALING AND...
Transcript of HOSPITAL PHARMACIST CREDENTIALING AND...
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HOSPITAL PHARMACIST CREDENTIALING AND
PRIVILEGINGAA Raka Karsana
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Sir Liem DonaldeonWHO World Alliance for Patient Safety
“……Safe care is not an option. It is the right of every patient who entrusts their care to our Healthcare systems……”
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HOW SAFE IS HEALTHCARE
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Apakah sayakompeten?
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Ijazah Akademik& Profesi
• FF (PT)
• BANPT
Serkom & STRA
• OrganisasiProfesi &KFN
SIPA/SIK
• Pemerintah
Credentialing & Privileging
• RS
• KARS
Dari Pendidikan menuju PelayananKefarmasian RS yang Berkualitas
UU DiktiPP 51- 2009 : Pekerjaan
KefarmasianUU 44 - 2009
– RS ps 40
PMK 889, 2011 – Registrasi , IP, IK
KONSEP DASAR
•KEWAJIBAN RS
•STAF KOMPETEN
•PROFESI
•FISIK &MENTAL
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DEFINISI
CREDENTIAL
CompetenceDegree/
EducationLicensure
Certification / Training
Experience
Credentials : evidence of competence, current and relevant licensure, education, training, and experience. Other criteria may be added by a health care organization (JCI 5th Ed, 2014)
Credential: documented evidence of professional qualifications (the Council on Credentialing in Pharmacy, 2014)
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DEFINISI (JCI 5TH ED 2014)
Credentialing : The process of obtaining, verifying, and assessing the qualifications of a health care practitioner to provide patient care services in or for a health care organization.
Joint Commission Accreditation Standards - 1989
The process of periodically checking staff qualifications is called recredentialing
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DEFINISI (JCI 5TH ED 2014)
Proses dimana lingkup tertentu dari layanan perawatan pasien ( kewenangan klinis ) diberikankepada praktisi kesehatan oleh organisasi kesehatan , berdasarkan evaluasi kredensial dan kinerja individu .
Granted only after credential and performance review
Privileging: The process whereby a specific scopeand content of patient care services (that is, clinicalprivileges) are authorized for a health carepractitioner by a health care organization, based onevaluation of the individual’s credentials andperformance.
Granted only after credential and performance review
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SQE – JCI 5TH ED
Medical Staff
Nursing Staff
• PharmacistOther
Health Care Practioners
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“CREDENTIALING” DAN “PRIVILEGING” APOTEKER RS
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Meningkatnyakompleksitas yankes
Patient-centered role
Trend pharmacy practice
terspesialisasi.
Perlunyamendokumentasikan
kegiatan apoteker
Perlu jaminan -apoteker kompeten.
(tj pribadi & org)
Payers perlu validasibahwa apoteker
qualified
WHY?
ASHP 2016
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WHY?
TJ RS : STD & KOMPETENSI
STAF
PERKEMBANGAN IPTEK
PERUBAHAN KONDISI
SESEORANG
KONSEKUENSI HUKUM JIKA
SALAH
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WHO?
ATAU
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WHO?
.
Tim Kredensial Tenaga Penunjang dibantu Peer Group disahkan direktur rumah sakit
Ketua TKTP : Dir SDM & Pendidikan
Sekretaris : KaBag SDM
Peer Group : Apoteker yg ditunjuk
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HOW? APOTEKER BARU
1.MENGUMPULKAN DATA
2.VE
RIF
IKA
SI
3.ORIENTASI4.REVIEW & EVALUASI
TAHAPAN PROSES KREDENSIAL
APOTEKER RS
SQE 15. 2. Licensure, education/training, and, when available, experience, are documented.AA Raka Karsana
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METHODE FOR
CONDUCTING PRIMARY SOURCE VERIFICA TION
DIRECT CORES-PONDENCE
REPORTS FROM CREDENTIAL
VERIFICATION ORG MEET JCI
DOCUMENTED TELEPHONE
SECURE ELECTRONIC
Primary Source Verification: Verification of an individual health care practioner’s reported qualifications by the original source or an approved agent of that source.
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HOW?
APLIKASI
IdentifikasiApplicant & form yg sdh lengkap
VERIFIKASI & KUMPULKAN INFO
Berkas kredensial
ANALISIS
Review & evaluasi berkas
KEPUTUSAN
Memberitahu pemohon
EVALUASI TAHUNAN
REKREDNSIALl/
REAPPOINTMENT
Dibawahsupervisi
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• MENGAJUKAN APLIKASI KE RS
APOTEKER
• KELENGKAPAN ADMIN & PRIMARY SOURCE
• ORIENTASI
SDM/TKTP• ME-REVIEW,
EVALUASI DAN MENYETUJUI
TKTP
WHEN?
PADA SAAT RECRUITMENT
SQE 3. ME.2. New clinical staff members are evaluated at the time they begin their work responsibilities.
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LULUS
BERI KEWENANGAN KLINIS – AK-1
UJIAN KOMPETENSI
KELAS KOMPETENSI
KOMPETENSI DASAR
APOTEKER BARU (ALTERNATIF)
LULUS
BERI KEWENANGAN KLINIS
EVALUASI dg/tanpa UJI KOMPETENSI
ORIENTASI 3-4 BULAN - OBS
KOMPETENSI DASAR DIBAWAH SUPERVISI
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WHEN?
PADA SAAT RECREDENTIALING
& REAPPOINTMENT
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APA HASIL RECREDENTIALING?
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KEWENANGAN KLINIS YBS :
REKOMENDASI TKTP
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HASIL OPPE
JCI 5TH ED : PRIVILEGE
Continued Dilanjutkan
Limited Dibatasi
Reduced Dikurangi
Terminated Diakhiri
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CLINICAL PRIVILEGE (RINCIAN KEWENANGAN KLINIS) DANCLINICAL APPOINTMENT (SURAT PENUGASAN KLINIS)DI RUMAH SAKIT
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KEWENANGAN KLINIS (CLINICAL PRIVILEGE)Kewenangan klinis (clinical privilege) adalah hak khusus seorang staf untukmelakukan sekelompok pelayanan tertentu dalam lingkungan rumah sakit untuk suatu periode tertentu yang dilaksanakan berdasarkan penugasan klinis (clinical appointment).
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PENUGASAN KLINIS (CLINICAL APPOINTMENT)
Penugasan klinis adalah penugasandari kepala/direktur rumah sakit
kepada seorang staf untukmelakukan sekelompok pelayanan
di rumah sakit tersebut berdasarkandaftar kewenangan klinis yang telah
ditetapkan baginya
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CONTOH RKK APOTEKERNO RINCIAN KEWENANGAN KLINIS
1. Melakukan pengkajian resep
2. Melakukan verifikasi obat
3. Melakukan Pemantauan Terapi Obat
4. Melakukan monitoring, pencegahan dan pelaporan efek samping obat
5. Menginterpretasikan hasil laboratorium
6. Mengusulkan terapi obat, melanjutkan, modifikasi dan penghentian terapi
7. Mengusulkan pemeriksaan penunjang
8. Memberikan informasi obat
9. Melakukan konseling obat
10. Menganalisis hasil lab & hasil diagnostik lain untuk memodifikasi terapi obat
11. Berpartisipasi sebagai anggota tim dalam merencanakan, mengevaluasi danmengimplementasikan rencana pengobatan.
12. ……………………………………
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APOTEKER
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APOTEKER KLINIS–2 (KOMPETENSI KHUSUS)
NO KOMPETENSI DIMINTA (SELF
ASSESSMENT)
REKOMENATASAN
LANGSUNG
REKOMEN MITRA
BESTARI
1. Mengusulkan PemeriksaanPenunjang
2. Menginterpretasikan HasilAnalisis Gas Darah
3. Membaca EKG
4. Menghentikan Stress Ulcer Prevention
5. Mengusulkan perubahanBentuk Sediaan Dari IV ke Oral
6. Menginterpretasikan HasilPemeriksaan Procalcitonin
7. …………
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Establish PrivilegesCore Privileges
Profile review
Patient education
Remove duplicates
Kinetics consults
Precept students and residents
Dose rounding
Warfarin consults
ACLS
Pharmacist Credentialing and Privileging :Russell Smith BS, Pharm D, MBA, BCPS - University of Toledo Medical Center
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GAP COMPETENCY
HSL AUDIT (MISAL KEWENANGAN KLINIS
LEVEL 1 = 10, YBS BARU BISA 7 , MAKA 3
KOMPETENSI LAINNYA MENJADI GAP
GAP REGULER : PERSIAPAN YBS NAIK LEVEL (KE LEVEL 2)
POST CLINICAL APPOINTMENT
EVALUASI (TAHUNAN)
• PENILAIAN SIKAP (KEJUJURAN, TJ, KERJA SAMA, DLL)
• PENILAIAN KOMPETENSI (KEWENANGAN KLINIS YG DIBERIKAN/LOG BOOK)
• PENILAIAN MUTU (DISPENSING ERROR, PT COMPLAINT, CPD TERKAIT GAP KOMPETENSI)
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DIIREKTUR RS/DIRUT RS
MENERBITKAN CLINICAL APPOINTMENT
MENERBITKAN TEMPORARAY CLINICAL APP
MENGHENTIKAN CLIN APPKLU EMERGENCY
/DISASTER????
PEER GROUP (TIM KREDENSIALING TENAGA PENUNJANG)
VERIFIKASI, EVALUASI & KLARIFIKASIMEMBERIKAN REKOMENDASI RINCIAN KEWENANGAN KLINIS
KE DIRUT
ATASAN
VERIFIKASI , EVALUASI & KLARIFIKASI HSL SELF ASSESSMENT (KODE 1-4) (DISETUJUI)
APOTEKER
APLIKASI CREDENTIALING SELF ASSESSMENT (KODE 1-4) (MENYATAKAN DIRI)
ALUR PROSES CREDENTIALING & PRIVILEGING
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SQE.3. ME.5.There is at least one documented evaluation of each
clinical staff member working under a job description each year or more frequently as defined
by the hospital.AA Raka Karsana
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Maksud proses monitoring dan evaluasi berkelanjutan :
meningkatkan praktek individu yang berkaitan dengan high quality, safe patient care ;
sebagai dasar mengurangi variasi antar praktisi dan pengembangan pedoman praktek dan protokol klinis ;
meningkatkan kinerja melalui perbandingan dengan patokan eksternal (BENCHMARKING) ……..
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HOW?
APLIKASI
IdentifikasiApplicant & form yg sdh lengkap
VERIFIKASI & KUMPULKAN INFO
Berkas kredensial
ANALISIS
Review & evaluasi berkas
KEPUTUSAN
Memberitahu pemohon
EVALUASI TAHUNAN
REKREDNSIALl/
REAPPOINTMENT
FPPE
Dibawahsupervisi
FPPE
OPPE
OPPE FPPE
FPPE
IMPROVE-MENT PLAN
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Periodic chart review
Direct observation
Monitoring of diagnostic &
treatment techniques
Clinical quality monitoring
Discussion with peers and other
staff
20th Annual ASHP Conference for Pharmacy Leaders –Implementation Essentials for Pharmacist Credentialing and
Privileging - 2015
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THREE GENERAL AREAS
BEHAVIORS: (Safe culture, …)
PROFESSIONAL GROWTH
CLINICAL RESULTS
ONGOING MONITORING AND EVALUATION – JCI 5TH ED
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PROFESSIONAL GROWTH – JCI 5TH ED
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FPPE DAN OPPE
Hasil digunakan untuk REKREDENSIAL
JC Required Clearly Defined
Alat ukur yang dipakai
Siapa yang melakukan review data
Frekuensi review
Indikator/Triggers/Isu
Proses penilaiannya (continue, limit, revoke)
Standards Booster Pak for FPPE/OPPE, The Joint Commission , 2011
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PENILAIAN KINERJA
PENILAIAN KINERJA (OPPE/FPPE)
Integrasikan dg Three General Areas dg OPPE/FPPE. Tetapkan
TRIGGERS
Oleh ATASAN LANGSUNG atau KA INST FARMASI
KEWENANGAN KLINIS
Bagian dari JOB DESCRIPTION BasIs dalam PENILAIAN KINERJA
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CONTOH INDIKATOR DAN TRIGGER
• Pengkajian terapi obat dilakukan dalam 24 jam sejak pasienmasuk ruang perawatan.-Trigger <90%
• Dispensing error (KTD) – Triggernya = 1 kali
• Kehairan apoteker visite – Trigger < 90%, dll/
Patient Care
• Mengikuti CPE/CPD.- Trigger < 20 jam/thn
• Rekomendasi penggunaan antibiotik sesuai kebijakan danguidelines – Trigger = ……
Medical/Clinical Knowledge
• Mengikuti CPE/CPD terkait keahlian ……
• Preceptorship – Trigger = 2 kali.
Practice-based Learning & Improvement
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CONTOH INDIKATOR DAN TRIGGER
• Menerima komplain – trigger = 1
• Tulisan di RM tidak jelas – trigger = 2 kali
Interpersonal & Communication Skill
• Visite pd hari kerja maks jam 11 – Trigger < 90%
• Mengikuti rapat tim klinis – trigger = 2 kali
Professionalism
• Pemberian obat diagnosis tertentu sesuai CPW –Trigger < 90%
System – based Practice
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SATU KALI DUA KALI TIGA KALI
JIKA TRIGGER DILAMPAUI, LAKUKAN EVALUASI PRAKTIK PROFESIONAL TERFOKUS (FPPE)
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CONTOH FORM PENILAIAN KINERJA
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FLOWCHART PENYUSUNAN WHITE PAPER
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CATATAN PENTING
Kekurangan dapat diminimalkan denganmembuat atau memperbaiki sistem
CREDENTIALING dan PRIVILEGING = SISTEM yg dapat meningkatkan SAFETY and QUALITY of CARE
Membuat SISTEM itu MUDAH, MENJALANKAN dengan KONSISTEN = TANTANGAN
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