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Esteban Hernandez
Esteban Hernandez

Cara Download Permenkes 46 Tahun 2015 tentang Standar Akreditasi Puskesmas, Klinik Pratama, dan Tempat Praktik Mandiri Dokter Gigi


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.




download permenkes 46 tahun 2015


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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.


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.


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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.


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


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