The Healthy Indonesia Program with Family Approach (PIS-PK) integrates program implementation through the 6 main components in strengthening health systems (six building blocks), namely strengthening efforts to health services, availability of health workers, health information systems, access to essential medicines, financing and leadership or government. The purpose of this study is to increase family and member access to comprehensive (promotive-preventive, curative and rehabilitative health services) and to understand the healthy family approach program with a family approach (PIS-PK). The location of this study was in Combongan Village RT 01, RT 02 and RT 03, Bantul Regency. The population in this study were residents who lived in Combongan Village, Banguntapan District, Bantul Yogyakarta. The sample in this study was all families living in Combongan Village, Banguntapan District, Bantul, Yogyakarta. The results of this study the highest coverage value found in the indicators of families having access and using healthy latrines, which is 37%. There were 5 main problems in RT 01, RT 02, and RT 03. Hypertension and family planning were the priority problems in the area. The Healthy Indonesia Program is one of the programs from the 5th agenda of Nawa Cita, namely Improving the Quality of Indonesian Human Life. The goal of the Healthy Indonesia Program is to increase the health status and nutritional status of the community through health and community empowerment efforts supported by equitable health services and financial protection

Surgical Site Infection (SSI)<strong> </strong>is the most common cause of nosocomial infections. The incidence of SSI is ranging between 14 - 16% of the entire incident of nosocomial infections in hospitalized patients. The objectives of this study were to determine the relationship between knowledge, attitude, infrastructure and behavior of health personnel to prevent SSI and to determine the amount of additional costs for hospital care as a result of SSI. This study used a mixed method research. Quantitative research conducted with descriptive analytic design with cross sectional approach. Quantitative data was analyzed by univariate and bivariate analysis. Qualitative research was used to measure additional cost due to SSI. Health personnel showed good knowledge about SSI prevention (89.6%), good attitude towards SSI prevention (57%), assessed good for hospital infrastructure (93.8%), but only 55.2% showed good behavior to prevent SSI. There were no relationship between knowledge and attitudes of health personnel, and hospital infrastructure with health personnel behavior to prevent SSI. Additional cost due to SSI was IDR 18,375,000 for each patient.

Salah satu mutu pelayanan yang seringkali menjadi masalah di rumah sakit adalah waktu tunggu layanan radiologi yang lama, khususnya waktu tunggu hasil pelayanan thorax foto yang merupakan jumlah jenis foto paling banyak. Hal ini berdampak pada penanganan pasien dan psikologis pasien. Di RS Islam Yogyakarta PDHI, sejak 2016 layanan ini dievaluasi dan sepenuhnya belum memenuhi standar yang ditetapkan. Oleh karena itu, perlu upaya inovasi guna mengatasi hal ini yakni dengan penerapan teleradiologi dalam layanan radiologi sehingga dapat meminimalkan waktu tunggu. Tujuan penulisan ini adalah untuk mendeskripsikan upaya peningkatan mutu waktu tunggu pelayanan radiologi berbasis syariah dengan penerapan teleradiologi di RS Islam Yogyakarta PDHI. Jenis penelitian yang digunakan adalah Action Reseacrh dengan melakukan kegiatan perancangan, implementasi dan obser vasi, dan refleksi yang dilakukan dengan bersiklus. Objek penelitian adalah waktu tunggu foto thorax di radiologi. Setting penelitian ini adalah di RSIY PDHI pada tahun 2017 – 2018. Hasil penelitian menunjukkan bahwa penerapan teleradiologi pada layanan radiologi ternyata dapat meningkatkan mutu layanan dengan waktu tunggu foto thorax yang lebih pendek atau mencapai standar KMK No. 1014 Tahun 2008 sehingga dengan hasil ini dapat digunakan pula sebagai media promosi RS sesuai Standar Syariah Manajemen Pemasaran (SSMP) 1.4.2 yaitu pemasaran sesuai dengan ketentuan peraturan perundang-undangan, promosi pemasaran harus bersifat informatif, tidak komparatif, tidak berlebihan, berdasarkan Kode Etik Rumah Sakit Indonesia, berpijak pada dasar dan data yang nyata. Indikator waktu tunggu foto thorax dapat tercapai secara konsisten dengan rerata waktu tunggu pada shift siang yaitu kurang dari 3 jam. Selain itu dengan penerapan Teleradiologi juga dapat menghemat biaya pengadaan sistem PACS yang harganya mencapai ratusan juta serta dengan sistem ini semua arsip foto, hasil bacaan dan register pasien terarsipkan secara digital dan dapat diakses kapan saja sesuai kebutuhan yang diberikan wewenang. Selain itu, prosedur pelayanan syariah dalam pemeriksaan foto thorax dengan pengenaan kerudung syari bebas logam khusus pasien putri, menggunakan baju pasien bebas logam di Kesimpulannya bahwa penerapan teleradiologi telah berhasil memperpendek waktu tunggu foto thorax dan secara tidak langsung hal ini mampu meningkatkan mutu layanan di rumah sakit.Kata kunci: waktu tunggu foto thorax, teleradiologi, mutu layanan berbasis, syariah, keselamatan pasien

Surgical Site Infection (SSI)<strong> </strong>is the most common cause of nosocomial infections. The incidence of SSI is ranging between 14 - 16% of the entire incident of nosocomial infections in hospitalized patients. The objectives of this study were to determine the relationship between knowledge, attitude, infrastructure and behavior of health personnel to prevent SSI and to determine the amount of additional costs for hospital care as a result of SSI. This study used a mixed method research. Quantitative research conducted with descriptive analytic design with cross sectional approach. Quantitative data was analyzed by univariate and bivariate analysis. Qualitative research was used to measure additional cost due to SSI. Health personnel showed good knowledge about SSI prevention (89.6%), good attitude towards SSI prevention (57%), assessed good for hospital infrastructure (93.8%), but only 55.2% showed good behavior to prevent SSI. There were no relationship between knowledge and attitudes of health personnel, and hospital infrastructure with health personnel behavior to prevent SSI. Additional cost due to SSI was IDR 18,375,000 for each patient.

Prevention of nosocomial infections in hospitals can be done through the implementation of universal precaution program or action asepsis and antisepsis tapping. These actions undertaken by health workers, both nurses and physicians, universal precaution measures include: hand washing, use of gloves, use aseptic liquid, processing of used equipment and waste disposal. The purpose of this study to determine the prevention of nosocomial infections in hospitals through universal precautions in hospitals Muhammadiyah Yogyakarta area. Design of this research is descriptive qualitative case study approach. Collecting data used techniques focus group discussions. Data analyzed using content analysis. The application of universal precautions in hospitals throughout Yogyakarta PKU show that health workers have attempted to implement universal precautions including hand washing action on the water flow, perform hand hygiene, and always tries to wear personal protective equipment. Nurses knowledge about nosocomial infections has been well and for prevention need to implement universal precautions. The attitude of nurses in implementing universal precautions have been good, to the extent responsible. Most hospitals have had the availability of facilities and support the implementation of universal precaution well, and partly still exist limitations in the availability of facilities and support the implementation of universal precaution.