Key Benefits:
RIAU ISLANDS PROVINCIAL GOVERNMENT
REGULATION OF RIAU ISLANDS PROVINCE NUMBER 9 IN 2010
ABOUT
HEALTH CARE
THE GENERAL HOSPITAL OF RIAU ISLANDS PROVINCE AREA AS THE REGIONAL PUBLIC SERVICES AGENCY
WITH THE GRACE OF THE GOD ALMIGHTY
GOVERNOR OF RIAU ISLANDS,
DRAWS
: A. that public awareness of a healthy life can affect the increasing needs of service and alignment that include power, means and infrastructure both amount and quality, therefore necessary arrangements to protect the giver and recipient health service services;
b. that the establishment of the health care of the Regional General Hospital is more coordinated to the healing efforts of sufferers and the efforts of increased health (the promotion) prevention of disease (preventative), disease-healing (curative) as well as health recovery. (REHABILITATION) which is carried out together between government and society thoroughly, integrated and continuous;
c. that based on the development of circumstances and the increasing needs of public health services that requires a balanced fund support to be operational, then viewed need to carry out settings that lead to a unified, fair, effective and efficient system and can move the role as well as the community in its celebration;
d. that under consideration as intended in the letter a, the letter b, and the letter c need to form the Regional Regulation on Health Care of the Regional General Hospital of Riau Islands Province as the Regional General Services Agency;
Given
:
1. Law No. 18 of 1997 on Regional Taxes and Retribution Of The Area (sheet Of State Of The Republic Of Indonesia In 1997 Number 41, Additional Gazette Republic Indonesia Number 3685) as amended by Act No. 34 of the Year 2000 (sheet State of the Republic of Indonesia Year 2000 Number 246, Additional Gazette of the Republic of Indonesia Number 4048);
2. Law No. 8 of 1999 on Consumer Protection (State Sheet of Indonesia in 1999 No. 42, Additional Gazette of the Republic of Indonesia Number 3821);
3. Law No. 25 of 2002 on the establishment of the Riau Islands Province (Indonesian Republic of Indonesia 2002 Number 111, Additional Gazette of the Republic of Indonesia No. 4237);
4. Law Number 17 Year 2003 on State Finance (Indonesian Republic of Indonesia Year 2003 Number 47, Additional Gazette of the Republic of Indonesia Number 4286);
5. Law No. 1 of 2004 on the State Treasury (Indonesian Republic Gazette 2004 No. 5, Additional Gazette of the Republic of Indonesia Number 4355);
6. Act Number 29 of 2004 on the Practice of Medicine (Indonesian Republic of Indonesia Year 2004 Number 116, Additional Gazette of the Republic of Indonesia Number 4431);
7. Law No. 32 of the Year 2004 on Local Government (Indonesian Republic Year 2004 Number 125, Additional Gazette Republic of Indonesia No. 4437) as amended in the last few times with the Invite Number 12 2008 About The Second Change Of The Law Number 32 Of 2004 On Local Government (sheet Of State Of The Republic Of Indonesia 2008 Number 59, Additional Gazette Of The Republic Of Indonesia Number 4844);
8. Law No. 33 of 2004 on the Financial Balance between the Central Government and the Local Government (State Gazette Indonesia Year 2004 Number 126, Additional Gazette of the Republic of Indonesia Number 4438);
9. Law Number 36 Year 2009 on Health (State Gazette of Indonesia Year 2009 Number 144, Additional Gazette Republic of Indonesia Number 5063);
10. Law No. 44 Year 2009 on Hospital (sheet State of the Republic of Indonesia Year 2009 Number 153, Additional Gazette of the Republic of Indonesia Number 5072);
11. Government Regulation No. 32 of 1996 on Health Power (State Sheet of the Republic of Indonesia in 1996 No. 49, Additional Gazette of the Republic of Indonesia Number 3637);
12. Government Regulation No. 72 Year 1998 on Pharmacy Supplies and Health Tools (State Gazette Indonesia Year 1998 Number 138, Additional Gazette Republic of Indonesia Number 3781);
13. Government Regulation No. 23 Year 2005 On Financial Management Of The Public Service Agency (sheet Of State Of The Republic Of Indonesia In 2005 Number 48, Additional Gazette Of The Republic Of Indonesia Number 4502);
14. Government Regulation No. 58 of 2005 on the Financial Management Of The Area (sheet Of State Of The Republic Of Indonesia In 2005 Number 140, Additional Gazette Of The Republic Of Indonesia Number 4578);
15. Government Regulation No. 65 of 2005 on the Drafting Guidelines and the implementation of the Standard Service Standards (sheet of state of the Republic of Indonesia in 2005 No. 150, Additional Gazette of the Republic of Indonesia Number 4585);
16. Government Regulation No. 8 of 2006 on the Financial Report and the Performance of Government Agencies (sheet of state of the Republic of Indonesia in 2006 No. 25, Additional Gazette of the Republic of Indonesia Number 4614);
17. Government Regulation No. 41 of 2007 on the Organization of Regional Devices (Indonesian Republic Number 89, Additional Gazette of the Republic of Indonesia Number 4741);
18. Ministry of the Interior Minister Number 61 of 2007 on the Technical Guidelines of the Regional General Services Agency;
19. Health Minister Rule Number: HK.02.02/Menkes/068/1/2010 on Liability Using Generic Medicine at Government Health Service Facility;
20. The decision of the Minister of Health Number 302/Menkes/SK/III/2008 on the Price of the Drug Generic as amended by the Decree of the Minister of Health Number: HK.03.01/Menkes/146/1/2010 on the Price of the Generic Drug;
21. Decision of the Minister of Health Number: HK.03.01/Menkes/159/1/2010 on the Guidelines and Medication Use Supervision in the Government Health Service Facility;
With the Joint Agreement
DEWAN PEOPLE ' S REPRESENTATIVE OF THE RIAU ISLANDS PROVINCE
AND
GOVERNOR OF RIAU ISLANDS
DECIDED:
SET: THE REGIONAL REGULATIONS ON THE HEALTH CARE OF THE LOCAL HOSPITAL. RIAU ISLANDS PROVINCE AS THE REGIONAL PUBLIC SERVICE AGENCY.
CHAPTER I OF THE GENERAL PROVISIONS
Article 1
In this Regional Regulation referred to:
1. The area is the province of Riau Islands.
2. The Government of the Regions is the establishment of government affairs by the Regional Government and the Regional People's Representative Council according to the principle of autonomy and the duties of enlarging with the principle of broad autonomy-breadth in the system and principles of the State of the Republic Indonesia as referred to in the Basic Law of the Republic of Indonesia in 1945.
3. The Regional Head is the Governor of Riau Islands Province.
4. The Regional People's Representative Council (DPRD) is the province of Riau Islands Province.
5. The Regional Technical Institute is an agency/office/office/office/office/hospital/hospital operating system that is in charge of its operations directly responsible to the head of the area.
6. The next Regional General Services Agency (BLUD) is a Regional Device Works Unit (SKPD) or a Working Unit on the Working Unit of the Regional Device in an area government environment that is set up to provide services to the community. The provision of goods and/or services is sold without preferring the benefits, and in performing its activities is based on the principles of efficiency and productivity.
7. A BLUD official is an employee who is given a specific assignment in the BLUD management in accordance with the applicable Laws.
8. BLUD Leader SKPD is the Director of the General Hospital of the Riau Islands Region Region.
9. The Regional General Hospital is the Regional General Hospital of Riau Islands Province.
10. Flexibility is the management of the management
of the BLUD goods on certain limits which can be excluded from the general applicable provisions.
11. BLUD Manager is a BLUD employee who is given responsibility as a BLUD Chairman, Financial Management Officer and Activity Technical Officer.
12. The PPKD (PPKD) was the chief financial officer of the area who had the task of carrying out the management of the APBD and acted as the regional treasurer.
13. The Budget Business Plan (RBA) is a further definition of the annual BLUD program and activities with a guideline on the financial management of the BLUD that refers to the business strategy plan.
14. The BLUD budget surplus is the difference between income realization and the realization of a BLUD cost on a one-year budget.
15. The BLUD budget deficit is a less difference between the realization of income with the realization of a BLUD fee on a one-year budget.
16. A patient is any person who is consulting on health issues to obtain the necessary health care, either directly or indirectly in the Hospital.
17. Health Care is a health care service that includes promotion, preventative, curative, and rehabilitative.
18. Medik services are health care provided by functional medical staff (general doctors, specialist physicians, consulen, dentists, specialist dentists, and guest physicians) to patients.
19. The Road Rawat service is a service to patients for observation, diagnosis, treatment, medik rehabilitation and other health services without staying in hospitalization.
20. Hospitable services are services to patients for observation, treatment, diagnosis, treatment, medical rehabilitation and or other health care by occupying a bed in the class III, II, I, VIP and VVIP hospitalization.
21. Emergency services are advanced health care services that must be provided immediately to prevent or reduce the risk of death and disability.
22. The actions of Medik Kebidanan and Kandungan Diseases are the health care of the obstetrics/obstetrics performed by the medik power according to its competitors.
23. Medik Operative action is a surgical act that uses common anesthesia or local anesthesia and treatment measures using tools and other actions.
24. The Ministry of Service is a service to support diagnostics and therapies that include clinical pathology, anatomical pathology, microbiology, diagnostic radio, electromedics, endoscopy, pharmaceuticals, nutrition and medik actions or other support services.
25. The Mediko Legal Service is a given health care service, and is related to legal interest.
26. Ministry of Health Care is a service that provides for the treatment of the body, the storage of the body, the conservation of the body, the surgical bodies performed for the benefit of the health ministry, the funeral and for the purposes of the legal process.
27. Evacuation and Evacuation Services are the mobilization services of the emergency services including the evacuation of medics and the referral service of the patient from the patient's residence to the hospital and the referral service of the hospital to the hospital. Which is more capable.
28. Hospital health care fare is a payment on the Services of the Hospital and Service Services.
29. Accommodation is the use of an outpatient facility consisting of a meal fee and lodging fee for hospitable patients.
30. Hospital services are the rewards received by the Hospital for the use of the means, facilities, health tools, consumable materials, other non-medical materials used directly in observation, administration and finance.
31. Service Services is a reward for services made up of physician services, nursing services, pharmacist services, non-nursing paramedic services and hospital technical executive services.
32. Doctor's services are individual income generated as a result of the physician's services and part of the hospital services listed in the hospital's tariff components and are individuals including general physicians, specialist physicians, consulen, dentists, and the medical care of the doctors. the specialist dentist, and the guest doctor.
33. Nursing services are the group's revenue generated as a result of nursing services as part of the hospital services listed in hospital fare components, including the income of nurses and midwife.
34. Cito services are in return for services provided by a general physician, specialist physicians, consulen, dentists, specialist dentists, and other personnel directly to patients who are emergency and medical emergency in order of observation, diagnosis, and medical emergency. treatment, action, consulting, visite, medik rehabilitation and or other medik services.
35. Anesthesia Medical services are in exchange for service services provided by anesthesiologists or other anesthesiologists to the patient in order to provide anesthesia.
36. Isolation Room is a special care space aimed at specific cases in order for the prevention of nosocomial infections.
37. Intensive space is a specialized maintenance room used for indoor critical patients who have specialized equipment and special forces to carry out monitoring, treatment, treatment and other treatments in an intensive care.
38. The installation of the Hospital Pharmaceuticals is a hospital installation that has the task of providing, managing, lighting and carrying out research on drugs and health tools.
39. The formulation of the Hospital is a list of the raw drugs used by a rational, rational, and well-informed hospital, which is the complete medical information for the medical services of the hospital.
40. Drugs are pharmaceutical ingredients that can be unannounced, injected, smeled, smoked or given in other ways that are obtained directly by the patient in the treatment process.
41. The Drug Patent is a drug that still has a patent.
42. Generic medication is a drug with the official name International Non Propietary Names (INN) that is specified in Indonesian Pharmacope or other standard books for the efficicable substance that it contains.
43. A branded generic drug/named trade is a generic drug with a trading name that uses the name of the drug producer in question.
44. Materials/Habit Health Tools Use and Basic Tools are medicinal chemicals, reagents, laboratory materials, radiological materials and other wear-discharged health tools used directly in the framework of observation, diagnostics, treatment, treatment, rehabilitation medical and other health services that must be available at the hospital in accordance with the applicable provisions.
45. A guarantor is a person or legal entity responsible for the cost of the health care of a person who is responsible.
46. Displaced patients are patients who do not have siblings, no one takes care, have no identity, his consciousness is lost and no guarantor, unable to pay or to him cannot be identified for administrative data.
47.
48.
Patient Uncapable/Miskin is a patient who has absolutely no ability (cost) to pay for his health expenses and is evidenced by an official captions published by the authorities.
Visum et Repertum (Ver) It is a statement seen by the doctor at the request of an investigator in charge of the medical examination of man, life, or death, or part of the human body, based on his knowledge under oath, for the benefit of the human body. Justice.
BAB II
RIGHT AND COMMUNITY OBLIGATIONS
Section 2
(1) Everyone is entitled to a Hospital health service that includes:
a. Health care services as well as health care objectives as well as appropriate service standards;
b. ease of access to full-complete information-about systems, mechanisms and procedures in healthcare;
c. responses to complaints are filed properly as the mechanism applies according to operational standards. in effect; and
d. Non-discriminatory, courtesy, friendly and friendly services.
(2) For the services of the Regional General Hospital as referred to in paragraph (1) the public has an obligation:
a. comply with the principles and procedures that have been established in obtaining health care; and
b. Maintain and maintain a wide range of health care facilities and amenities.
BAB III
INSTITUTIONAL AUTHORITY
Article 3
(1) The Local Government is organizing health care and responsible for health care in prime to the community.
(2) To achieve the goal as referred to in paragraph (1) the Regional Government is organizing a health care service at the General Hospital Area in order of individual health efforts.
CHAPTER IV CHAPTER HOSPITAL AS THE REGIONAL GENERAL SERVICES AGENCY
Article 4
(1) The BLUD is part of the local government device set up to assist in the achievement of the destination of the local government, with the legal status not separate from the local government.
(2) The head of the area is responsible for the conduct of the health care hosting policy delegated to the BLUD leadership especially on the aspect the resulting benefits.
(3) BLUD managing officials are responsible for
(1) Local government devices can be BLUD if they have met three requirements, namely: a. substance requirements; b. technical requirements; and c. administrative requirements.
(2) The substantive requirements are met if the principal task and function of the SKPD or the Working Unit relates to the general services field that generates semi-goods and/or public services (quasi public goods), management of specific areas/areas and special fund management.
(3) Technical requirements include: a. the performance of the service in the field of principal tasks and
its functions are eligible to be managed and improved by its achievements in the recommendation of the Regional Secretary to SKPD or the head of the SKPD for the Working Unit; and
b. SKPD financial performance or a healthy Working Unit. (4) Administrative Requirements include:
a. a letter of statement of misrepresentation to improve the performance of services, finance, and benefits for the community;
b. a governance pattern; c. business strategic plan; d. minimum service standard; e. Financial statements/project/prognosions report
finance; and f. last audit report or a willing statement
to be audited independently.
Article 6
(1) BLUD maintainer officials are made up: a. the leader; b. financial officials; and c. technical officials.
(2) BLUD management officials are appointed and dismissed by the regional chief.
(3) BLUD financial officials and technical officials are responsible to the BLUD leader.
(4) The BLUD leader has a duty and obligation: a. lead, direct, nurture, supervise,
control, and evaluate the hosting of the BLUD activities;
b. compose renstra of the BLUD business; c. prepare RBA; d. propose a prospective financial manager and
technical officer to the head of the area as per the provisions;
e. assign other officials to the needs of the BLUD other than the official that has been established with the laws of the laws; and
f. convey and account for the operational performance as well as the BLUD finance to the head of the area.
Article 7
(1) The financing/income of the Hospital can be sourced from the Hospital receipts, the budget Government, Government subsidies, Local Government budgets, Local Government subsidies or other non-binding sources in accordance with the provisions of the laws.
(2) The hospital revenue/income as referred to in Article 5 of the paragraph (1) may be: a. service service; b. grant; c. results of cooperation with other parties; d. APBD; e. APBN; and/or f. other valid BLUD income.
(3) Which is otherwise valid BLUD income can be: a. unbreakable wealth sales result; b. Utilization of wealth; c. giro services; d. interest income; e. Rupiah currency exchange rate for the eyes
foreign currency;
f. Commissions, commissions, cuts or other forms as a result of the sale and/or procurement of goods and/or services by the BLUD; and
g. Investment results. (4) Government-managed Hospital Revenue and
The Local Government is used entirely for the operational costs of the Hospital and may not be made as state income or local government as per the regulations Applicable law.
(5) Direct use of hospital income corresponds to the budget eye that is contained in the DPA-BLUD.
Article 8
(1) BLUD expense expense is given flexibility by considering volume of service activities.
(2) Flexibility of the BLUD expense expenditure is an adjusted cost expenditure. and significant with the revenue changes in the RBA threshold that have been definitively set.
(3) Flexibility of the BLUD cost expenditure only applies to the BLUD costs derived from earnings other than APBN/APBD and grants bound.
(4) The gradual BLUD status is given flexibility at the limit-the limit Certain amounts of funds can be managed directly, the management of goods, and the formulation of the standards, policies, systems, and procedures of financial management.
(5) The BLUD with full status can be given the flexibility of deliverable Some or all of the common provisions for government procurement of goods and/or services if there are reasons of effectiveness and/or efficiency.
(6) Flexibility as referred to above, is provided against the procurement of goods And/or services whose resources are derived from: a. service service; b. the grant is not bound; c. results of cooperation with other parties; and d. other-legal BLUD revenue.
(7) Procurement of goods and/or services based on the procurement of goods and/or services specified by the BLUD leader and approved head of the area.
Article 9
(1) The BLUD is compiling an annual RBA guideline to the BLUD Business Strategy Plan.
(2) RBA drafting is based on performance-based budgeting principles, cost accounting calculations according to the type of service, funding needs and revenue capabilities that are expected to be received from the public, other bodies, APBD, APBN and other BLUD income sources.
(3) For BLUD-SKPD, RBA is presented as an inseparable part of the Regional Regulatory Plan on APBD.
(4) RBA as referred to in paragraph (3) is referred to as RKA-SKPD.
(5) DPA-BLUD includes among others: a. income and cost; b. cash flow projection; and c. the amount and quality of the goods and/or services to
generated.
Article 10
(1) PPKD passes the DPA-BLUD as the basis for budgeted execution of a bill.
(2) In case the DPA-BLUD has not been passed by the PPKD, the BLUD can do the expenditure The highest amount of money the previous year's DPA-BLUD figure.
(3) DPA-BLUD which has been passed by PPKD is the basis for the withdrawal of funds sourced from APBD.
(4) The withdrawal of the funds as referred to in paragraph (3), is used for the shopping of employees, capital shopping, goods and/or services performed in accordance with the provisions of the laws.
Article 11
(1) The DPA-BLUD becomes a performance agreement attachment signed by the head of the area with the BLUD leader.
(2) The performance agreement is a manifestation of the working relationship between the regional head and the BLUD leader, which is poured in the performance agreement (DPA performance agreement).
(3) In the regional head performance agreement assign a BLUD leader to host public service activities and is entitled to manage the appropriate funds listed in the DPA-BLUD.
(4) The performance agreement among others contains the ability to increase: a. a service performance for the community; b. financial performance; and c. benefit performance for the community.
Article 12
(1) Surplus The BLUD budget represents a more difference between income realization and realization of a BLUD fee on a one-year budget.
(2) The BLUD budget surplus can be used within the next budget year except at the request of the head of the area to be partially or entirely to the area coffers by considering the BLUD liquidity position.
Article 13
(1) The BLUD budget deficit is a less difference between the realization of income by the realization of a BLUD fee on a one-year budget.
(2) The BLUD budget deficit can be proposed Its celebration in the next budget year to the PPKD through the regional secretary.
Article 14
(1) The evaluation and performance assessment of the BLUD is performed annually by the regional head and/or supervising board against Financial and non-financial aspects.
(2) Performance assessments of the financial aspects can be measured based on the BLUD capability level in: a. obtaining the results of the business or the work of the services
provided (rentability); b. meets its short-term liability (liquidity); c. meets all its obligations (solvency); and d.d. the acceptance of service services for
financing the expenditure. (3) Performance assessments of non financial aspects can be measured
based on customer perspective, internal processes of service, learning and growth.
Section 15
(1) Officials and employers The BLUD can come from civil servants (PNS) and or non-PNS professionals according to the need.
(2) BLUD officials and BLUD employees are from
non PNS as referred to in paragraph (1), may be employed in fixed or under contract.
(3) The enforcement and dismissal of the BLUD officials and employees of the PNS are adjusted to the provisions of the laws.
(4) BLUD employee stops and stops from non PNS are performed based on efficiency, economical and productive principles in improving services.
Article 16
(1) The Leader BLUD-SKPD is an official budget/freight user official.
(2) In terms of the BLUD-SKPD leader coming from non PNS, the BLUD financial official is mandatory from PNS who is a user of the budget user/goods area.
(3) Leader BLUD-SKPD Gradual given Flexibility in: a. provide remuneration to employees; b. conducting cooperation and/or cooperation
Operational (KSO) with third parties; and c. performing recruitment of non-PNS employees based on
efesiency and level of need. (4) Full BLUD-SKPD Leader given Flexibility
in: a. doing short-term investments; b. doing long-term investments with
local head approval; c. doing borrowing/piutang; d. provide remuneration to employees; e. conducting the Cooperation and or Cooperation
Operational (KSO) with a third party; and f. performing recruitment of non-PNS employees based on
efesiency and level of need.
Article 17
The PPK-BLUD Application expires if:
a. revoked by the head of the area over the proposal of the regional secretary or the head of the SKPD; and
b. changed its status to a legal entity with a wealth of segregable regions.
Article 18
(1) Remuneration is a work reward that may be a salary, a fixed allowance, honorarium, an incentive, a bonus of achievement, severance, and or retirement.
(2) Remuneration for the board supervisors and supervisory board secretaries are given in the form of honorarium.
(3) Remuneration for BLUD-SKPD is set by the Chief Regional based on the proposal delivered by the BLUD-SKPD leader through the Regional Secretary.
(4) Remuneration for managing officials and BLUD employees can be calculated based on the indicator The assessment: a. experience and workdays (basic index); b. Skills, science and behavior
(competency index)}; c. job risk (risk index); d. (emergency index); e. office held (position index); and f. results/performance of performance (performance index).
BAB V
TYPES OF SERVICE
Article 19
(1) The health service at the Hospital consists of:
a. Outpatient:-General poli;-Poli Tooth And Mouth;-Poly Disease Poly;-Poly Surgery;-Poly Poly And Obscene Diseases;-Poli Child;-Poli Mata;-Poli THT;-Poly;-poli Skin And Genital;-Poly;-Poly Heart;-Poly Poly;-Poly;-Poly;-Poly;-Poly;-Poly;-Poly;-Poly;-Poly;-Poly;- Poli Rehabilitation Medik; and-other Poli in accordance with the development of the ministry
hospital. B. Service Medical Check Up (MCU);
c. Inpatient and Isolation Room;
d. Emergency Emergency;
e. The actions of the Medic Kebidanan and Kandungan Diseases;
f. Operation Medic Operative;
g. Diagnostic Support Service;
h. Medik Rehabilitation Service;
i. Mediko Legal Services;
j. Ministry of Health Care/Treatment;
k. Nursing Action;
l. Ambulance service; and m. Other health care services are in compliance with
the development of the hospital. (2) The Tarif of health care at the General Hospital
The area as referred to in paragraph (1) includes the Hospital Services and Service Services component.
BAB VI
PROCEDURES AND REQUIREMENTS
First Section
Rawat Jalan
Article 20
(1) Any patient who is given an outpatient health service at a hospital is charged with an outpatient service.
(2) Any patient who gets an outpatient service is charged with an outpatient charge consists of: a. Hospital Services; and b. Service Services.
(3) The outpatient service fare component as referred to in paragraph (1) does not include therapy and medication, diagnostic support checks, medik rehabilitation and hearse treatment.
Part Second
Service Medical Check Up (MCU)
Article 21
(1) Any patient who gets the Medical Check Up service (MCU) in the hospital is subject to an MCU service rate.
(2) The MCU service fare component as referred to in paragraph (1) does not include therapy and medicine, medik action, additional diagnostic support checks if needed.
Third Quarter
Rawat Inap
Article 22
The patient who is getting an outpatient service at the Regional General Hospital is subject to service rates according to the The class is governed by the governor's ordinance.
Article 23
(1) Any patient or family is entitled to submit a request in a refrigeration class, in accordance with the financial and spatial capabilities of the space.
(2) For patients who are in the opinion of doctors who are examining the suffering of infectious diseases In particular, the place of the treatment is specified specifically with the consent of the physician taking care.
(3) Prisoner of Prisoners and prisoner-status patients are required to carry a letter of information from the mandatory, full charge.
(4) Home The Regional General Pain is not responsible for the patient ' s security as it is referred to in verse (3).
Section 24
(1) For health insurance participants is entitled to obtain treatment in the class in accordance with the provisions and regulations of the applicable law.
(2) The health insurance participant is treated stay in the class that exceeds the specified care rights, then the excess cost is borne by the patient in question.
Article 25
For the final calculation all the outpatient care costs are in the General Hospital The area is designated as follows:
a. a patient ' s day of entry to the Regional General Hospital counted one full day;
b. The patient's home days after 12:00 WIB are taken into account one full day and if the patient comes home before 12:00 the WIB is not charged with the maintenance room for the day of the return; and
c. in certain conditions can be decided by Director policy.
Section 26
(1) The component and charge quantity of the outpatient fare consists of:
a. Hospital Services; and
b. Servana services.
(2) The outpatient fare as referred to in verse (1), excluding therapy and medicine, medik action, diagnostic support examination, and hearse treatment.
(3) the maximum medical consultation services (visite) are paid only 2 (two) times per day per doctor.
Fourth Quarter
Emergency Gawat
Article 27
(1) Any patient who is getting emergency services is charged Emergency emergency.
(2) The emergency services tarif in question verse (1) does not include therapy & medicine, medik action, diagnostic support examination and hearse treatment.
(3) Any patient who is getting an emergency service is subjected to an emergency charge made up of: a. Hospital Services; and b. Service Services.
Fifth Quarter
Medic Medical and Kandungan Disease Act
Article 28
(1) Any patient who is getting obstetrics and obstetric services {\cf1} {\cf1} {\cf1} {\cf1,} {(2)} {\cf1 (2)} {\cf1 (2)} {\cf1 Obstetric service; and b. services of the obstetrics.
(3) The obstetric service as referred to in paragraph (2) of the letter a consists of: a. normal labor (no purview); b. percopy with induction; and c. percopy with purlite;
(4) The obstetrics of obstetrics and obstetrics as referred to in verse (1) do not include therapy, medik action, diagnostic support check and corpse care.
(5) Each patient is getting Obstetrics and obstetrics are subjected to obstetrics and obstetrics that is composed of: a. Hospital Services; b. Service Services;
Part Sixth
Medic Operative Act
Article 29
(1) Any patient who is obtaining an operative medial action service is subject to a medial action rate. operative.
(2) Any patient who is getting an operative medik action service in an emergency (cito) state is charged an additional 25% of the total operating medik action rate.
(3) The medik action medik act is determined by ASA (American Society of Anesthesiologists).
(4) The tariff component of the operative medik is composed of; a. rent of the operating room; b. rent of operating tools; c. medik operator services; and d. medik anastesi service;
(5) The services of the operative medic service as referred to in verse (1) do not include therapy, medik action, diagnostic support examination and hearse treatment.
(6) Any patient who gets the service Operative medics are subject to an operative medic action rate made up of: a. Hospital Services; and b. Service Services.
Seventh Quarter
Allowance Services
Section 30
(1) Any patient who is given a support service is subject to a support rate.
(2) The support service is made up of: a. diagnostic support services; and b. Indirect support services (services
Means maintenance including loundry services, incenerator, cleaning service and other support services).
(3) The diagnostic allowance rate component consists of: a. Laboratory fare; and b. Radiological fare;
(4) The indirect support service is not part of the hospital services in any action.
(5) The diagnostic allowance is referred to in paragraph (2) the letter of a non-therapy, medik action and hearse.
Eighth Section
Legal Mediko Services
Article 31
(1) Any patient who gets legal mediko services is legal mediko rates.
(2) Legal medico service is a service given to the institution, body and or individual to obtain medical information for legal purposes including to obtain the Visum et Repertum.
(3) The Terms for acquiring the services as referred to in paragraph (1) are as follows: a. There must be a request letter Visum et Repertum from
the authorities in accordance with the rules of the lak Regulations;.
b. The Visum et Repertum as referred to in the letter a cannot be retroactive.
(4) Mediko Legal ' s tarif as referred to in verse (1) does not include therapy, medik action, diagnostic support check and corpse care.
Ninth Section
The Body for Care/Treatment Services
Article 32
(1) Any patient who has a body care/maintenance service is subject to a treatment/treatment rate Bodies.
(2) The body-care for the corpse is made up of: a. Hospital Services; and b. Service Services;
Part 10
Treatment Act
Article 33
(1) Any patient who is getting treatment actions is subject to the treatment of nursing actions.
(2) Treatment is performed by the nurse and midwife.
(3) The nursing action act is made up of Service Services.
Section Elevate
Ammoon and Evacuation Services
Article 34
(1) ambulance service and evacuation were given to patients which requires a referral using an ambulance.
(2) The ambulance service and evacuation are the summation of the initial fare and the length of the mileage as well as the health officer who is accompanying the referral patient.
(3) Every patient who gets an ambulance service and evacuees are charged with an ambulance and an evacuation that is made up of: a. Hospital Services; and b. Service Services.
BAB VII
SERVICES OF DRUGS, BAHAN/RUNNING TOOLS
Article 35
(1) Netto Apotik + Tax Price Additional Value Added Next is shortened HNA + PPN is the sale price of the Drug Factory and or the Great Pharmaceutical Traders to the Apotics, Hospitals and Health Service Sarana.
(2) The price of the drug type unit as referred to in paragraph (1) is set not to exceed the highest retail price (HET).
(3) The determination of gross profit ( profit margin) is set up with applicable laws.
Article 36
(1) The use of the drug guidelines on the National Essential Drug List (DOEN) and the Hospital formulation.
(2) Medicines, materials/health tools are exhausted. Use the standard from a part of the service component of the means that must be available in the hospital, directly used by the patient in one health/action service unit.
(3) Drugs, outsold materials outside the hospital's standard. patient dependents.
BAB VIII
NAMES, OBJECTS AND SUBJECTS SERVICE RATES
Article 37
For health services at the General Hospital, Regional Health Care and other health care support rates.
Article 38
Object health care rate at Regional General Hospital is health care and health care support.
Article 39
The subject of the fare is the private person who gets the health care or a body that is required to pay the health care rate and the supporting income rates service.
BAB IX
PRINCIPLES AND GOALS IN ASSIGNMENT
STRUCTURE AND QUANTITY OF SERVICE RATES
Article 40
Tarif health services at Regional General Hospital include into Area (PAD) other regional revenue group (PAD) revenue.
Article 41
The service usage level is calculated based on the frequency and type of health services that have been provided.
Section 42
(1) Principles and objectives in the designation of the structure and the magnitude of the service rate is intended to close the cost of hosting the health service by considering the ability of the public and the aspect of justice.
(2) Charges as referred to in paragraph (1) include fees administration, operating costs and maintenance (real costs).
(3) The determination of the hospital health care tariff pattern refers to the cost of real units (real units cost) for each type of service.
Article 43
(1) Tarif for the people of the community is guaranteed The payment by the guarantor is set on the basis of mutual aid through mutual agreement that is poured in a cooperation agreement.
(2) The health care center for the displaced persons/residence is not fixed, adjusted to the class III fare and the payment is charged on the APBD.
Article 44
(1) The structure of health care rates at Regional General Hospital based on classification, service type as well as the magnitude of the health care/action qualifications;
(2) The rate of tariff medicines, materials/consumable tools are set under applicable regulations by considering market conditions and low society interests.
(3) The rate of class III, II, Class I, VIP and VVIP classes are governed by the Governor's Ordinance after getting the DPRD approval.
BAB X
REGION AND THE LAYOUT OF THE SERVICE RATE
Article 45
The health service tarif is levied at the General Hospital and/or paid through hospital account.
Article 46
The health care fare cannot use third-party services.
BAB XI
MANAGING ADMISSIONS
Article 47
(1) Reception of health care rates consists of services hospital and service services.
(2) The use of service services is set up by the remuneration system through the Governor's Decision on the proposal of Director.
BAB XII
REDUCTION AND EXEMPTION OF SERVICE RATES
Article 48
(1) The Director may provide a reduction and release of service rates in accordance with the applicable provisions;
(2) Deductions or discharges of service rates as contemplated on paragraph (1) provided with regard to the patient ' s ability;
(3) Liberation The rate of service as referred to in paragraph (1) is given to a community of natural disasters, riots and displaced persons governed in accordance with the applicable provisions;
(4) For sufferers not able or have a Miskin Public Health Maintenance Card, sufferers
infectious diseases related to the Extraordinary Event (KLB) or the outbreak of the disease included in the infectious disease program in accordance with applicable laws.
(5) For people with whom The payment is guaranteed by Health Insurance, the service rate is held in accordance with the applicable laws.
BAB XIII
ORDER THE REMOVAL OF THE NON-SERVICE TARIFF LOAN. LAAGIH
Article 49
Tatevent deletion Unpaid debt is governed by the Governor's Rule.
BAB XIV
provisions CLOSING
Article 50
By the enactment of this Regional Regulation, the Provincial Regional Regulation (s). Riau Islands Number 11 of 2008 on Health Care Retribution Regional General Hospital Riau Islands Province was declared revoked and does not apply anymore.
Article 51
Other things are not yet set in This area's regulations, as long as the technical implementation of the implementation will be further organized in Governor's rules.
Section 52
The rules of this section begin to apply at the date of the invitation.
For everyone to know it, ordered the invitation of this Regional Regulation with its placement in the section of the Area of the Regions. Riau Islands Province.
Set at Tanjungpinang
on December 21, 2010
GOVERNOR OF RIAU ISLANDS,
H. MUHAMMAD SANI
It was promulred in Tanjungpinang on December 31, 2010
Plt. SECRETARY OF THE RIAU ISLANDS PROVINCE
SUHAJAR DIANTORO
SHEET AREA OF RIAU ISLANDS PROVINCE OF 2010 NUMBER 9
EXPLANATION
TOP
REGULATION OF THE PROVINCE OF RIAU ISLANDS
NUMBER 9 YEAR 2010
ABOUT
THE HEALTH CARE MINISTRY OF THE LOCAL HOSPITAL RIAU ISLANDS PROVINCE
AS THE REGIONAL GENERAL SERVICES AGENCY
I. GENERAL EXPLANATION The existence of a society will live healthy, affecting
increasing needs of service and structuring that include power, means and infrastructure both amount and quality by because it is necessary for the setting to protect The recipient and recipient of a health service. The implementation of health care in the Regional Hospital is more focused on improving health (promotion), prevention of disease (prefentif), disease-healing (curative), and remedial (rehabilitation) treatment. Together between the government and the public in a thorough, unified and continuous society.
Based on the development of the state and the more
the increasing needs of public health services that require balanced fund support. to be operational, then it is seen necessary to carry out the changes that leads to systems that are simple, fair, effective, and efficient and can move the role as well as the community in its celebration. With the publication of Law No. 1 Year 2004 On the State Treasury, then the Regional Regulation of Riau Islands Number 11 of 2008 on Health Service Retribution in the Riau Islands Regional Hospital is viewed is no longer in compliance with the development of circumstances, therefore the Regional General Hospital as the Regional General Services Agency needs to be adjusted management of its working unit budget with the Riau Islands Provincial Regional Regulation on Services Health Care Public Hospital of Riau Islands Province As a Public Service Agency Area (BLUD).
II. THE EXPLANATION OF THE ARTICLE BY SECTION Article 1 This article incorporates the definition of the term used
in the Regulation of this Area. The term is intended to prevent misinterpretation and misunderstanding in the understanding and carrying out the articles concerned, so that the hospitals and the apparatus in exercising the right and the right to the right and the right to the right and the right to the right and to the right of the world. The task can go smoothly and finally achievable administration.
Section 2 Verse (1) Quite clearly Verse (2) Quite clearly Section 3 Verse (1) is responsible for the service
The health is primed to the public is to act on the asas of certainty laws, order principles, principles of public interest, asas of openness, principle of proportion, professionalism and accountability; and the charge of such responsibilities may be either a criminal offence or a violation of the law. An administrative system that includes the following: act dishonest, disproportionate
and unprofessional; b. act discriminated; c. no matter, unscrured and not
cemat; d. no manners, no disrespect, unfriendly
and unfriendly; e. Be a little bit-belit; f. want to receive rewards and/or gifts
in any form; g. Not transparent in giving
services and not being able to take creative and innovative steps.
Verse (2) Pretty clear
Section 4 Verse (1) Quite clearly Verse (2) Quite clearly paragraph (3) Quite clearly Section 5 Verse (1) Quite clearly Verse (2) Pretty clearly Verse (4) Quite clearly Article 6 Verse (1) Quite clearly Verse (2) Quite clearly paragraph (3) Quite clearly paragraph (4) Quite clearly Section 7 Verse (1) Quite clearly paragraph (2) Quite clearly paragraph (3) Quite clearly Verse (4) Quite clearly paragraph (5) Quite clearly Section 8 Verse (1) Pretty clear Verse (2) Quite clearly paragraph (3) Quite clearly verses (4) Quite clearly verses (5)
Quite clearly paragraph (6) Quite clearly paragraph (7) reasonably clearly Article 9 Verse (1) reasonably clearly paragraph (2) reasonably clearly paragraph (3) Quite clearly Verse (4) Quite clearly paragraph (5) reasonably clearly Article 10 Verse (1) reasonably clearly paragraph (2) reasonably clearly paragraph (3) Quite clearly paragraph (4) Quite clearly Section 11 Verse (1) Pretty clear Verse (2) Pretty clear Verse (3) Enough clear Verse (3) Quite clearly Article 12 Verse (1) Quite clearly paragraph (2) Quite clearly Section 13 Verse (1) Quite clearly paragraph (2) Quite clearly
Section 14 Verse (1) Quite clearly paragraph (2) reasonably clearly paragraph (3) reasonably clearly Section 15 Verse (1) reasonably clearly paragraph (2) reasonably clearly Verse (3) Quite clearly Verse (4) Quite clearly Section 16 Verse (1) Quite clearly paragraph (2) Quite clearly paragraph (3) Quite clearly Article 17 Is quite clear Section 18 Verse (1) Quite clearly Verse (2) Pretty clear Verse (3) Pretty clear Verse (4) Enough clear Article 19 Verse (1) Quite clearly paragraph (2) Quite clearly Section 20 Verse (1) Quite clearly verses (2) Quite Clear
Verse (3) Quite clearly Section 21 Verse (1) reasonably clearly paragraph (2) Quite clearly Article 22 Is Quite clear Article 23 Verse (1) Quite clearly Verse (2) Clearly Verse (3) Quite clearly Verse (4) Quite clearly Section 24 Verse (1) Quite clearly paragraph (2) Quite clearly Section 25 Under certain conditions if the patient comes home more
from 12.00 hours There are things outside the treatment program, then the cost of the maintenance room can be decided on the director's policy.
Article 26 Verse (1) Quite clearly paragraph (2) Quite clearly paragraph (3) Quite clearly Article 27 Verse (1) Is quite clear Verse (2) Quite clearly Verse (3) Pretty clear
Article 28 Verse (1) reasonably clearly paragraph (2) reasonably clearly paragraph (3) reasonably clearly paragraph (4) Quite clearly paragraph (5) Quite clearly Article 29 Verse (1) Is quite clearly Verse (2) Quite clearly Verse (3) Quite clearly Verse (4) Quite clearly Verse (5) Quite clearly Verse (6) Quite clearly Article 30 Verse (1) Quite clearly Verse (2) Quite clearly Verse (4) Quite clearly Verse (4) Quite clearly Verse (5) Quite clearly Article 31 Verse (1) Is quite clearly Verse (2) Quite clearly Verse (3) Quite clear Verse (4) Quite clear Article 32 Verse (1)
Quite clearly Verse (2) Quite clearly Article 33 Verse (1) Quite clearly Verse (2) Quite clearly Verse (3) Quite clearly Article 34 Verse (1) Quite clearly Verse (2) Quite clearly Verse (3) Quite clear Pasal35 Verse (1) Quite clearly Verse (2) It is quite clear Verse (3) Quite clearly Article 36 Verse (1) Quite clearly Verse (2) Quite clearly Verse (3) Quite clearly Verse (4) Quite clearly Verse (5) Quite clearly Verse (5) Quite clearly Article 38 is quite clear Article 38 is quite clear Article 39 is clearly sufficient Article 40
Quite clearly Article 41 Quite clearly Article 42 Verse (1) Quite clearly Verse (2) Quite clearly Verse (3) Quite clearly Article 43 Verse (1) Is quite clearly Verse (2) Quite clearly Article 44 Verse (1) Is quite clear Verse (2) Is quite clear Verse (3) Enough clear verse (4) Quite clearly Article 45 Quite clearly Article 46 Quite clear Article 47 Quite clearly Article 48 Verse (1) Quite clearly Verse (2) Quite clearly Article 49 Verse (1) Is quite clear Verse (2) Is quite clear
Article 50 Verse (1) Quite clearly Verse (2) Quite clearly Verse (3) Quite clearly Verse (4) Quite clearly Article 51 Clear enough Article 52 is clear enough
ADDITIONAL SECTION OF THE PROVINCE OF RIAU PROVINCE OF 2010 NUMBER 9
