Download Permenkes 46 Tahun 2015
If you are a health facility manager or a health professional in Indonesia, you might have heard of Permenkes 46 Tahun 2015. This is a regulation issued by the Ministry of Health that regulates the accreditation of primary health care facilities, such as Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter, and Tempat Praktik Mandiri Dokter Gigi. Accreditation is a recognition given by an independent body that assesses the quality and performance of health services based on certain standards.
In this article, we will explain what Permenkes 46 Tahun 2015 is, why it is important, and how to download it. We will also provide some tips to help you read and understand the regulation better.
download permenkes 46 tahun 2015
What is Permenkes 46 Tahun 2015?
Permenkes 46 Tahun 2015 is a regulation issued by the Minister of Health on June 29, 2015. It was published in the State Gazette on July 14, 2015. It replaces the previous regulation, Permenkes 12 Tahun 2012, which was deemed inadequate to meet the current needs and challenges of primary health care in Indonesia.
The background and purpose of the regulation
The main reason behind the issuance of Permenkes 46 Tahun 2015 is to improve the quality and safety of primary health care services in Indonesia. Primary health care is the first level of contact between individuals and families with the health system. It provides promotive, preventive, curative, and rehabilitative services to the community. It also serves as a gatekeeper and referral system for secondary and tertiary health care.
However, primary health care in Indonesia faces many problems, such as uneven distribution, inadequate infrastructure and equipment, low competency and motivation of health workers, limited access and affordability, and low satisfaction and trust of the public. These problems affect the quality and outcomes of health services, as well as the achievement of universal health coverage goals.
Therefore, Permenkes 46 Tahun 2015 aims to establish a system of accreditation that can ensure the quality and performance of primary health care facilities according to national standards. Accreditation can also stimulate continuous improvement and innovation in health service delivery. Moreover, accreditation can support the implementation of Jaminan Kesehatan Nasional (JKN), the national health insurance scheme that covers all Indonesian citizens.
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The scope and definition of terms
Permenkes 46 Tahun 2015 applies to four types of primary health care facilities:
Puskesmas: A public health center that provides comprehensive community-based health services.
Klinik Pratama: A private clinic that provides basic medical services for general or specific cases.
Tempat Praktik Mandiri Dokter: A private practice place for a doctor who provides individual medical services.
Tempat Praktik Mandiri Dokter Gigi: A private practice place for a dentist who provides individual dental services.
The regulation also defines some terms related to accreditation, such as:
Akreditasi: A recognition given by an independent body that assesses the quality and performance of health services based on certain standards.
Lembaga Independen Penyelenggara Akreditasi: An independent body that conducts accreditation activities based on the mandate from the Minister of Health.
Stand Standar Akreditasi: A set of criteria and indicators that measure the quality and performance of health services.
Penilaian Akreditasi: A process of collecting and analyzing evidence to determine the level of compliance of health services with the accreditation standards.
Tim Penilai Akreditasi: A team of assessors who conduct the accreditation assessment based on the accreditation standards and guidelines.
Hasil Akreditasi: A report that contains the results and recommendations of the accreditation assessment.
Sertifikat Akreditasi: A document that certifies the accreditation status of a health facility.
The accreditation process and standards
The accreditation process consists of several steps, such as:
Registration: The health facility submits an application for accreditation to the independent accreditation body.
Preparation: The health facility prepares for the accreditation assessment by conducting self-assessment, gap analysis, and improvement plan.
Assessment: The accreditation team visits the health facility and conducts the assessment based on the accreditation standards and guidelines.
Reporting: The accreditation team submits the assessment report to the independent accreditation body and the health facility.
Decision: The independent accreditation body decides the accreditation status and issues the accreditation certificate.
Follow-up: The health facility implements the recommendations and improvement plan based on the assessment results.
The accreditation standards are divided into four domains, namely:
Manajemen Mutu Pelayanan Kesehatan (MMPK): Quality management of health services.
Pelayanan Kesehatan Dasar (PKD): Basic health services.
Pelayanan Kesehatan Rujukan (PKR): Referral health services.
Pelayanan Kesehatan Khusus (PKK): Specialized health services.
Each domain has several sub-domains, criteria, and indicators that cover various aspects of health service delivery, such as governance, leadership, human resources, infrastructure, equipment, information system, patient safety, infection prevention and control, clinical practice, community participation, and coordination. The indicators are scored using a four-point scale, ranging from 0 (not met) to 3 (fully met).
Why is Permenkes 46 Tahun 2015 important?
Permenkes 46 Tahun 2015 is important because it provides a framework and a mechanism for improving the quality and safety of primary health care services in Indonesia. By participating in accreditation, health facilities can benefit from several aspects, such as:
The benefits of accreditation for health facilities
Some of the benefits of accreditation for health facilities are:
Enhancing the quality and performance of health services according to national standards.
Increasing the satisfaction and trust of patients and communities.
Reducing the risks of errors, complications, and adverse events.
Improving the competency and motivation of health workers.
Fostering a culture of continuous improvement and innovation.
Gaining recognition and incentives from the government and other stakeholders.
The challenges and opportunities of accreditation for health facilities
Some of the challenges and opportunities of accreditation for health facilities are:
Facing the gaps and weaknesses in the current situation of health service delivery.
Mobilizing the resources and support needed for implementing improvement actions.
Coping with the changes and adjustments required for meeting the accreditation standards.
Leveraging the best practices and lessons learned from other accredited health facilities.
Collaborating with other health facilities and stakeholders in developing a network of quality care.
The role of stakeholders in supporting accreditation
Some of the stakeholders that play a role in supporting accreditation are:
The Ministry of Health: As the regulator and policy maker, it issues and revises the regulation, sets and updates the standards, mandates and supervises the independent accreditation body, provides guidance and technical assistance, monitors and evaluates the implementation, and allocates budget and incentives for accredited health facilities.
The Independent Accreditation Body: As As the accreditation provider, it conducts the accreditation activities based on the mandate from the Ministry of Health, such as receiving and processing the applications, preparing and deploying the assessment teams, issuing and delivering the assessment reports and certificates, and providing feedback and follow-up.
The Accreditation Team: As the assessor and evaluator, it visits the health facilities and conducts the assessment based on the accreditation standards and guidelines, such as collecting and analyzing evidence, scoring and rating the indicators, identifying strengths and weaknesses, and making recommendations and suggestions.
The Health Facility: As the applicant and implementer, it submits the application for accreditation, prepares for the assessment by conducting self-assessment and improvement plan, facilitates the visit of the assessment team, receives and reviews the assessment report and certificate, and implements the recommendations and improvement actions.
The Patients and Communities: As the beneficiaries and partners, they receive quality and safe health services from accredited health facilities, provide feedback and complaints to improve health service delivery, participate in health promotion and prevention activities, and support the accreditation process and outcomes.
How to download Permenkes 46 Tahun 2015?
If you want to download Permenkes 46 Tahun 2015, you can follow these steps:
The official sources of the regulation
The official sources of Permenkes 46 Tahun 2015 are:
The website of the Ministry of Health:
The website of the National Accreditation Committee for Primary Health Care (Komite Akreditasi Nasional Pelayanan Kesehatan Primer or KANPK):
The website of the National Library of Indonesia:
You can access these websites using your computer or mobile device with an internet connection. You can also visit these websites using a public computer at a library or an internet cafe.
The steps to download the regulation
The steps to download Permenkes 46 Tahun 2015 are:
Go to one of the official sources of the regulation.
Search for Permenkes 46 Tahun 2015 using the search box or the menu.
Select the link or the file that contains Permenkes 46 Tahun 2015.
Click on the download button or right-click on the link or file and choose save as.
Choose a location on your device where you want to save Permenkes 46 Tahun 2015.
Wait for the download to finish.
You can also print Permenkes 46 Tahun 2015 if you have a printer connected to your device. You can also share Permenkes 46 Tahun 2015 with others using email or social media.
The tips to read and understand the regulation
Some of the tips to read and understand Permenkes 46 Tahun 2015 are:
Read Permenkes 46 Tahun 2015 carefully and thoroughly. Pay attention to the details and definitions of terms.
Use a dictionary or a translator if you encounter unfamiliar words or phrases. You can also ask someone who knows more about Permenkes 46 Tahun 2015 for clarification.
Compare Permenkes 46 Tahun 2015 with your current situation and practice. Identify what you need to do or change to comply with Permenkes 46 Tahun 2015.
Make notes or summaries of Permenkes 46 Tahun 2015. Highlight or underline the important points or sections. Use tables or diagrams to organize or visualize Permenkes 46 Tahun 2015.
Review Permenkes 46 Tahun 2015 regularly. Refresh your memory and update your knowledge about Permenkes 46 Tahun 2015. Check for any revisions or amendments of Permenkes 46 Tahun 2015.
Conclusion
Summary of the main points
In conclusion, Permenkes 46 Tahun 2015 is a regulation that regulates the accreditation of primary health care facilities in Indonesia. It aims to improve the quality and safety of primary health care services according to national standards. It also supports the implementation of JKN, the national health insurance scheme. Permenkes 46 Tahun 2015 applies to four types of primary health care facilities: Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter, and Tempat Praktik Mandiri Dokter Gigi. It establishes a system of accreditation that involves several steps, such as registration, preparation, assessment, reporting, decision, and follow-up. It also sets the accreditation standards that cover four domains: MMPK, PKD, PKR, and PKK.
Recommendations for health facilities and stakeholders
As a health facility manager or a health professional, we recommend you to download Permenkes 46 Tahun 2015 and read it carefully. You can download it from the official sources of the regulation, such as the websites of the Ministry of Health, KANPK, or the National Library of Indonesia. You can also use some tips to help you read and understand the regulation better, such as using a dictionary or a translator, comparing it with your current situation and practice, making notes or summaries, and reviewing it regularly.
We also recommend you to participate in accreditation and prepare for it well. You can conduct self-assessment and gap analysis to identify your strengths and weaknesses. You can also make an improvement plan and implement it before the assessment. You can facilitate the visit of the assessment team and cooperate with them during the assessment. You can also receive and review the assessment report and certificate and follow up on the recommendations and suggestions.
Moreover, we recommend you to collaborate with other stakeholders in supporting accreditation. You can communicate and coordinate with the Ministry of Health, KANPK, and the accreditation team. You can also share your experiences and best practices with other health facilities. You can also involve your patients and communities in providing feedback and participating in health service delivery.
By doing these recommendations, you can improve the quality and safety of your health services and benefit from accreditation. You can also contribute to the achievement of universal health coverage goals in Indonesia.
FAQs
Here are some frequently asked questions about Permenkes 46 Tahun 2015:
What is the difference between Permenkes 46 Tahun 2015 and Permenkes 12 Tahun 2012?
Permenkes 46 Tahun 2015 replaces Permenkes 12 Tahun 2012 as the regulation that regulates the accreditation of primary health care facilities in Indonesia. Permenkes 46 Tahun 2015 has some differences from Permenkes 12 Tahun 2012, such as:
It adds two types of primary health care facilities that are subject to accreditation: Tempat Praktik Mandiri Dokter and Tempat Praktik Mandiri Dokter Gigi.
It updates the accreditation standards based on the latest evidence and best practices.
It simplifies the accreditation process and reduces the duration of the assessment.
It introduces a four-point scale for scoring the indicators instead of a three-point scale.
It provides more incentives and recognition for accredited health facilities.
How long is the validity period of the accreditation certificate?
The validity period of the accreditation certificate depends on the type of health facility and the level of accreditation. There are four levels of accreditation: platinum, gold, silver, and bronze. The validity period for each level is as follows:
Type of Health FacilityPlatinumGoldSilverBronze
Puskesmas5 years4 years3 years2 years
Klinik Pratama4 years3 years2 years1 year
Tempat Praktik Mandiri Dokter3 years2 years1 year-
Tempat Praktik Mandiri Dokter Gigi3 years2 years1 year-
What are the incentives for accredited health facilities?
The incentives for accredited health facilities are:
A higher tariff for JKN services.
A priority for A priority for receiving grants, subsidies, or assistance from the government or other sources.
A preference for participating in training, research, or development programs.
A recognition and appreciation from the public and the media.
A certificate and a plaque that can be displayed at the health facility.
What are the consequences for non-accredited health facilities?
The consequences for non-accredited health facilities are:
A lower tariff for JKN services.
A disadvantage for competing with accredited health facilities.
A risk of losing patients and communities' trust and satisfaction.
A possibility of facing sanctions or penalties from the government or other authorities.
Where can I find more information or assistance about Permenkes 46 Tahun 2015?
You can find more information or assistance about Permenkes 46 Tahun 2015 from:
The website of the Ministry of Health:
The website of KANPK:
The website of the National Accreditation Committee for Hospitals (Komite Akreditasi Rumah Sakit or KARS):
The website of the Indonesian Hospital Association (Persatuan Rumah Sakit Seluruh Indonesia or PERSI):
The website of the Indonesian Primary Care Association (Ikatan Dokter Indonesia Pelayanan Primer or IDI PP):
The website of the Indonesian Medical Association (Ikatan Dokter Indonesia or IDI):
The website of the Indonesian Dental Association (Persatuan Dokter Gigi Indonesia or PDGI):
The local health office or the provincial health office in your area.
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