International Journal of Engineering Business

and Social Science

Vol. 1 No. 06, July-August 2023, pages: 673-681

e-ISSN: 2980-4108, p-ISSN: 2980-4272

https://ijebss.ph/index.php/ijebss

673

Drug Logistics Service Management

In Regional General Hospital Pharmacy Installations

(Hospital) Undata Palu

Angriani

, Nuraisyah Ambo

, Nawawi Nasir

, Nuraisyah

Dandan Haryono

, Abdul Rivai

, Nasrullah

, Ani Susanti

1,2,3,4,5,6,7,8

Universitas Tadulako, Indonesia

Email: angr[email protected] , nuraisyah[email protected] , dandanharyono@gmail.com

Keywords

Abstract

Management, Planning,

Organizing, Directing,

Supervision

This study aims to determine and analyze the Management of Drug Logistics Services

at the Pharmaceutical Installation of Undata Palu Regional Public Hospital (RSUD). The

theory used in this study is Siagian's theory which suggests that management is an

activity of planning, organizing, directing and supervising carried out by each

organization coordinating various data sources owned to achieve the goals set effectively

and efficiently. This research method uses qualitative research that produces descriptive

data through in-depth interviews in the form of written or oral statements of people and

their observable actions. The location of this research is at the pharmaceutical installation

of Undata Palu Regional Public Hospital. There were 5 informants selected using

purposive methods. Data collection is carried out by interviews, observation, and

documentation. Based on the results of the analyzed research in accordance with the

management function ranging from planning, organizing, directing and supervising, at

the planning stage in terms of procurement, storage and distribution of drugs has not

gone well. Procurement of drugs in delivery takes 2-3 weeks, It is due to the expedition

route from outside the city of Palu. This results in drug vacancies, consequently patient

prescriptions are not served. Drug storage has not been maximized with less large

warehouse space. The distribution of drugs has not been maximized seen from the empty

drug stock. Organizing has been done effectively with human resources as expected. The

direction is carried out by the head of the pharmaceutical installation who coordinates

with the supporting fields in directing employees to work properly. Supervision is carried

out through internal meetings and quarterly meetings that discuss performance reporting,

achievements and constraints that occur in the field by coordinating with supporting

fields.

for possible open access publication

under the terms and conditions of the Creative Commons Attribution (CC BY SA)

license (https://creativecommons.org/licenses/by-sa/4.0/).

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1. Introduction

Towards a healthy Indonesia 2025 is a health development goal in increasing awareness, hope, and advantages

of healthy living for all people so as to achieve an increase in the degree of public health. The creation of a society

that lives morally in a healthy environment, is entitled to good, balanced, comprehensive health services, and has the

highest level of health in the world. I Territory of the Republic of Indonesia (Ministry of Health of the Republic of

Indonesia, 2009).

Health efforts in supporting and improving health aimed at realizing good health conditions for the

community. Health efforts are carried out through methods of health promotion (promotion), prevention (prevention),

treatment (treatment) and recovery (rehabilitation), which are carried out comprehensively, integrated, affordable and

sustainable. The concept of unity of health efforts is a guideline for health institutions in Indonesia, one of which is

hospitals. The hospital is a health service referral with the main function in healing and recovery. (Bramantoro, 2017)

Health services in hospitals are in the form of outpatient unit services, inpatient, emergency room and medical

services and medical support services. One of the medical support services is pharmaceutical services that have been

regulated in the Indonesian Constitution Number 44 of 2009 concerning Hospitals. Pharmaceutical services have been

regulated in PERMENKES Number 58 of 2014 concerning Pharmaceutical Service Standards. Pharmaceutical

installations are an important sector in the main health services of hospitals. Hospitals cannot work properly if the

hospital does not have medicine. Pharmaceutical installations have a major impact on hospitals and various other

healthcare organizations. (Permenkes No. 58 of 2014)

Pharmaceutical services are supporting services that provide (revenue center) revenue center for hospitals,

seeing that more than 90% of health services in hospitals use pharmaceutical supplies ranging from drugs, chemicals,

radiology materials, medical devices consumables, medical devices, and medical gases. 50% of all hospital income

comes from pharmaceutical supply management (Satrianegara et al., 2018)

Drug management in hospitals is very important because more than 90% of medical services in hospitals use

drugs, so the availability of drugs is a very important indicator. Drug vacancies, running out of drugs or stacking drug

storage can affect economically and medically, so it requires good effective and efficient drug management (Satibi,

2016).

Based on initial observations that the management of drug services at the Undata Palu General IFRS has not

been optimal. Starting from the planning, from the aspects of procurement, receiving, storing, distributing, eliminating,

and evaluating. Planning for drug needs every year has not been carried out effectively according to the available

budget. Drug procurement has not been carried out efficiently because there are still problems regarding delayed or

empty drug availability stocks at pharmaceutical service depots. This causes there are still patients who have to

postpone giving their drugs and have to buy drugs to outside pharmacies, as a result prescriptions are not served and

there are still many drugs needed by patients are not available so that it seems that the hospital is not able to carry out

drug management properly so that it has an impact on the delay in patient first aid, so that the level of patient trust in

hospital services is reduced (Terry, 2010).

From the problems mentioned above, siagian theory can be used in studying existing problems. Siagian (2009)

suggests that management is an activity of planning, organizing, directing, and supervising carried out by each

organization coordinating various resources owned to achieve the goals set effectively and efficiently. Until the author

is interested in raising the title "Management of Drug Logistics Services at Regional General IFRS (RSUD) Undata

Palu (Siagian, 2003).

2. Materials and Methods

This research was used to gain a deeper understanding of drug logistics service management in hospitals at

Undata Hospital Palu. This study uses qualitative research that produces descriptive data through in-depth interviews

in the form of written or oral statements of people and their observable actions. The informants in this study are:

1. Head of Pharmaceutical Installation Undata Hospital Palu

2. Head of Support

3. Chief Logistics Officer

4. Head of Outpatient Depot

5. Technical Implementation Officer of Activities

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The data collection process is the most important process in research because the main purpose of research is

to obtain data. A data source is anything that can provide information about related research. The data used in this

study used two types of data sources, namely: primary data and secondary data (Lexy, 2007).

The data analysis technique in qualitative research is the data analysis of the Miles and Huberman model.

According to Miles and Huberman (Sugiyono, 2018) stated that, "Activities in qualitative data analysis are carried out

interactively and take place continuously until complete". Data analysis techniques used by the study using the Miles

and Huberman model: data collection, data reduction, data presentation, and data verification.

This research refers to the theory of Siagian (2009), which explains that the management function is planning,

organizing, directing and supervising, then the conceptual definition of this research is the implementation of drug

logistics service management at the pharmaceutical installation of Undata Palu Hospital which includes planning,

organizing, directing and supervising (Siagian, 2003).

3. Results and Discussions

Pharmaceutical services in hospitals have been regulated in PERMENKES Number 72 of 2016 concerning

Pharmaceutical Service Standards in Rumah Sakit. Pharmaceutical installations are an important part of the hospital

sector. Hospitals will find it difficult to carry out activities if drugs are not available in the hospital. The management

of drug services was carried out at the Faramasi installation of Undata Hospital Palu as explained by Siagian (2009),

who explained that the management function is planning, organizing, directing and supervising.

1. Planning

Planning is a process that involves various kinds of efforts made to anticipate future or future trends and

determine the right strategy to realize the targets and goals of the organization or institution. Planning carried out at

the Pharmaceutical Installation of Undata Hospital, Central Sulawesi Province, is usually carried out planning starting

from the source of funds, human resources, obstacles faced and what steps must be taken. Drug and medical equipment

and consumables (BMHP) planning is made in the annual Requirement Proposal which will be used for the next year's

drug expenditure budget. The next year's drug needs must be based on the Hospital formulary and have been calculated

based on the Drug Needs considered from consumption patterns, memorability patterns and pharmaceutical supplies

that are still available and approved funds. (listed in the list of work unit budgets/DASK).

The informant named Bahria Ridwan, SKM. S.FT., M.A.P as Head of Medical Support stated:

"So the drug planning process at pharmaceutical installations has been made 1 year before the current year,

for example, drugs for 2023 mean that planning activities have been budgeted from 2022, usually at the beginning of

the year activities have started for spending from proposed needs every month." (interview, November 21, 2022).

The results of the interview proved that drug planning had been carried out at Undata Hospital Palu before an

order was made which was taken from the proposal for annual needs given by the Head of Pharmacy installation.

Planning from the aspects of procurement, restoration, storage, distribution, and deletion is very important. This is

needed to overcome in finding obstacles that hinder the implementation of the planned program.

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"For planning for 1-year drug needs recorded, recapitulated based on the needs of each service unit or depot,

both doctors and other health workers" (interview, December 12, 2022)

The results of the interview conducted with the Head of Pharmaceutical Installation of Undata Hospital Palu

are that it is true that drug planning will be carried out 1 year before the procurement process takes place. Planning

based on the needs of each service unit.

Determine the amount of drug needed based on field needs.

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"In determining the number of drug needs, it is based on the last drug stock, then based on the analysis system

by adjusting the number of patients. The number of patients treated is recorded recapitulative and determines the need

for drugs in the disease the most. From the number of doctor's prescriptions and how many drugs are often used, I as

the head of the installation will propose to the Kabid as a knowing person to proceed to PPTK to continue ordering"

(interview, December 12, 2022)

The results of the interview proved that the determination of the amount of drugs was based on the last drug

stock and the amount of drug use according to a doctor's prescription.

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The results of interviews conducted with informants, that planning is very important in determining the

amount of drug availability according to patient diagnoses, in the planning process it is necessary to have cooperation

from doctors and pharmaceutical depots in hospitals in the process of service management in pharmacies if in the

planning process there is an error it will cause problems that will be faced later where there will be drug vacancies in

pharmaceutical depots (Ketaren et al., 2023).

2. Procurement

The realization of the implementation of drug procurement and BMHP needed by hospitals is carried out by

the technical implementation committee of activities (PPTK) in coordination with IFRS and service units. PPTK

procures goods in accordance with the plans and requests from IFRS.

The logistics officer makes proposals for pharmaceutical needs according to the use and demand for

pharmaceutical needs from satellites, pavilions, poly, and other units by considering the existing hospital fomularium

and recording in the pharmacy briefing book. PPTK conducts procurement in accordance with the plan or request

needed. At the Pharmaceutical Installation of Undata Hospital, Central Sulawesi Province, procurement of drugs

through official distributors (verified and validated) was carried out by PPTK based on proposals from the

Pharmaceutical Installation. This is in accordance with the results of the study:

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"Procurement of drugs is made according to the needs of users such as doctors, nurses and other health

workers and in the procurement process there is a so-called PPTK can correct drugs that are ordered a lot or a little.

I only submit proposals per month that see a lot of patient diagnoses and drug vacancies in the warehouse". (interview,

December 12, 2022)

From the results of procurement interviews conducted at Undata Hospital according to needs. Doctors, nurses

or other health workers are made in need every month. PPTK in this case helps to carry out the correction of drugs

ordered a lot or a little.

The informant was named Apt. Muhammad Tamrin Tahir. as the Technical Implementation Officer of Activities

stated:

"Procurement is carried out according to monthly proposals from pharmaceutical installations, many factors

must be considered and must be quickly executed because distributors for shipments come no longer than 2-3 weeks.

So that there can be a vacancy in the pharmaceutical warehouse" (interview, December 12, 2022

From the interview results, it is proven that the procurement process is carried out through monthly proposals

from pharmaceutical installations. However, there are obstacles faced by the procurement party such as the occurrence

of drug vacancies or the slow delivery process carried out by drug distributors, therefore hospitals must have solutions

in dealing with these problems.

One of the hospital solutions also collaborates with pharmacies outside the hospital, in this case, Apotik Kimia

Farma to overcome if the hospital's drug stock is empty.

The informant named Apt. Yerry Kuingu, S, Si, M.Kes as the Head of the Outpatient Depot stated:

"If empty drugs are given a delay sign and the telephone number of the person in charge of hospital drug logistics in

the etiquette and we also cooperate with Kimia Farma Pharmacy just in case the stock of drugs in the pharmaceutical

depot runs out / empty. If the drug is not also available in the pharmaceutical pharmacy, then we still provide the drug

if later the drug has entered the warehouse" (interview, January 24, 2023)

The results of the interview proved that there was cooperation with pharmacies to maintain drug vacancies at

the pharmaceutical installation depot. Empty drugs are given a delay mark on the etiquette or direct the patient to the

pharmaceutical chemical dispensary.

The informant named Apt. Enni Ratnasari, S.Farm as the Head of Logistics stated:

"Usually if there are empty drugs in the warehouse and there is a request from the pharmacy depot, it is

usually directed to the Kimia Farma Pharmacy, if indeed there is also no one in the Kimia Farma pharmacy, we delay

giving the medicine while waiting for the drugs to come in from PBF. (interview, January 09, 2023)

The results of the interview proved that, drug vacancies in pharmaceutical warehouses and pharmaceutical

depots directed patients to pharmacies kimia farma, if there were no kimia farma pharmacies, there would be delays in

administering drugs until waiting for drugs to enter from PBF.

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Procurement of drugs entering from PBF must also be considered and considered when purchasing starting

from the application accompanied by an inspection certificate, hazardous materials must include material safety data

sheets and pharmaceutical preparations, medical devices and consumables must have a distribution permit label and

an expiration period of at least 2 (two) years except for some drug preparations, medicinal products and edible

medicinal products (antibiotics, reagents, etc.).

The informant named Apt. Enni Ratnasari, S.Farm as the Head of Logistics stated :

"Drugs ordered according to the amount, the quality of the drug must be considered, the old expiration date,

packaging from distributors through expeditions keeps the goods undamaged" (Interview, January 9, 2023)

From the results of the interview conducted with the head of logistics in charge, namely the procurement of

drugs ordered according to the quantity, quality considered, and long expiration date. This is necessary to minimize

the occurrence of damage or a lot of expired drug buildup.

The results of interviews conducted with informants, in the procurement process at Undata Palu Hospital,

namely the procurement process carried out through E-catalog, in the procurement process are usually adjusted to

existing needs or according to planned needs. In the procurement process, PPTK can reduce or exceed the number of

drugs according to existing circumstances, but this procurement must also look at the quality of drugs and drug

expiration dates in order to reduce losses and must pay attention to the very long delivery process so that there is a

void of drugs in service.

Acceptance

Acceptance is an activity to ensure the suitability of the type, specifications, quantity, quality, delivery time

and price stated in the contract or order letter with the physical condition received.

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"Before the goods are received, they must be checked by PPHP and the head of the person in charge of

logistics. Receipt of goods must be in accordance with the order letter, judging from the invoice when the goods arrive,

it is checked whether it is in accordance with the name, quantity and price according to the order letter.

Pharmaceutical supplies that do not comply with standards are returned to the distributor" (interview on December

12, 2022)

In the interview results, it was stated that the receipt of goods would take place through the PPHP inspection

process and the head of the logistics handler. Which goods must be in accordance with the order letter seen from the

quantity and name that matches the order because if it is not in accordance with it will be returned to the distributor.

Storage

Storage carried out using a fix position/location system means that the location of pharmaceutical supplies

remains as long as procurement is still being carried out and must not be shifted/moved when the condition of the

goods is empty. Grouping of pharmaceutical supplies by type of warranty, type of goods, dosage form, and storage

temperature.

The informant named Apt. Enni Ratnasari, S.Farm as the Head of Logistics stated:

"In the warehouse, drug storage is distinguished by the types of goods and preparations, even though the

storage exceeds the warehouse capacity and must be stored outside the warehouse, it is still distinguished and spaced

between doses of drug supplies from one another" (interview on January 9, 2023)

From the results of the interview, drug storage in the warehouse is dissected based on the type and preparation,

drug storage that exceeds the warehouse capacity so that storage outside the warehouse is still distinguished and given

a distance between doses of drug supplies from one another so that they can be distinguished.

Storage of drugs in medicine cabinets carried out at Undata Hospital, Central Sulawesi Province by classifying

drugs starting from the name of the drug, type, ambient temperature, FIFO / FEFO system and alphabetical system to

facilitate retrieval.

The informant named Apt. Enni Ratnasari, S.Farm as the Head of Logistics stated:

"Drug storage in our warehouse uses the FIFO (First In First Out) system rarely uses the First Expire First

Out (FEFO) system because the drugs ordered are still far from the ED time, store them alphabetically, enter and exit

drugs are recorded and entered in the system on the computer, store according to SOP even though there are still

shortcomings with less large warehouse space" (interview, January 09, 2023)

The results of the interview proved that the logistics storage of drugs in warehouses using the FIFO (First In

First Out) system rarely uses the First Expire First Out (FEFO) system because the drugs ordered are still far from the

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time of the ED, drugs in and out are recorded and entered in the system on the computer, the storage is alphabetical

(alphabet), if there is a drug name that is almost the same name, similar appearance and speech are marked LASA

(Look Alike Sound Alike, Storage is in accordance with SOP even though there are still shortcomings with less large

warehouse space.

Based on the interview conducted with the informant, that the drug storage carried out by pharmacy officer

RS Undata was in accordance with applicable regulations by storing drugs in accordance with applicable regulations.

Storage requires maintaining drug quality, avoiding unnecessary damage, maintaining continuity of supply, and

supporting drug availability. Storage is in accordance with SOP even though there are still shortcomings with less

large warehouse space.

Distribution

Distribution of drugs at the Pharmaceutical Installation of Undata Hospital, Central Sulawesi Province, to

patients according to individual prescriptions, be it outpatients, inpatients, IBS, IRD / IGD depots.

The informant named Apt. Yerry Kuingu, S, Si, M.Kes as the Head of the Outpatient Depot stated:

"Outpatient depot services serve based on a doctor's prescription and based on the prescription then continue

to be verified, the medicine is prepared given rules of use and then checked again before being handed over to the

patient, if there is an empty drug given a delay mark and the cellphone number of the head in charge of logistics

indicates that the patient can contact if the drug already exists" (interview on January 24, 2023)

The results of interviews conducted by the drug in accordance with a doctor's prescription that has been

verified. O bat will be prepared and checked again by the pharmacy officer before being given to the patient but drugs

that are cosang will be marked.

The informant named Apt. Yerry Kuingu, S, Si, M.Kes as the Head of the Outpatient Depot stated:

"We for the outpatient depot continue to distribute with prescription service times according to hospital

guidelines" (interview on January 24, 2023)

From the results of the interview, it proved that the distribution at the outpatient depot was carried out on time

in accordance with hospital guidelines. The waiting time for drug service is less than 30 minutes for finished drugs

and 60 minutes for concocted drugs in accordance with existing SOPs.

The informant named Apt. Yerry Kuingu, S, Si, M.Kes as the Head of the Outpatient Depot stated:

"We realize that we have not fully distributed optimally with empty drug stocks because patients are still

waiting for time to be able to obtain the drug." (Interview on January 24, 2023)

From the results of the interview, it proved that the distribution carried out at the pharmacy depot was not

optimal due to the empty drugs in the pharmaceutical installation warehouse.

The result of interview conducted with the informant was that the drug distribution process that occurred at

the Undata Hospital Palu Pharmacy Installation was not optimal in distribution. Problems that occur in drug vacancies

in outpatient depots and other installation depots, patient prescriptions are not being served

Removal

Elimination of pharmaceutical preparations that cannot be used/damaged or expired must be carried out in a

manner that is in accordance with the provisions of applicable laws and regulations. By recording the withdrawal

activities of pharmaceutical preparations carried out the distribution permit is revoked by the Food and Drug

Supervisory Agency (BPOM) and withdrawn by BPOM or the original manufacturer.

Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"We've done deletions, but that's been a long time. It has been almost 4 years from 2019- 2022 that has not

been removed, we usually do it every 5 years. The removal and refurbishment were carried out together with BPOM.

However, this removal/destruction is rarely done because of the old ordered drug ED" (Interview dated December 12,

2022)

From the results of interviews conducted with the head of the pharmaceutical installation, the process of

removing or using drugs has been carried out and the removal process has not been carried out by the hospital.

The informant named Apt. Enni Ratnasari, S.Farm as the Head of Logistics stated:

"The drug expire date is collected in the warehouse, recorded the name of the drug, type and amount. Undata

Hospital invited BPOM to carry out the destruction. This is rarely done usually done once every 5 years. ED drugs

are stored in warehouses where expired drugs are stored for later destruction" (interview on January 09, 2023)

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From the results of an interview conducted with the Head of the drug logistics installation, the collection of

expired drugs will be carried out 3 months before the expiration date occurs and will be stored in the warehouse

according to the name and type of drug.

The results of interviews conducted with informants, in the process of removal or destruction, explained that

the destruction of drugs in Undata hospital but it was carried out every 5 years with BPOM.

3. Organizing

Organizing is the process of preparing organizational standards that match the goals of the organization, the

resources it has, and the environment that surrounds it. The two main aspects of the organizational structure process

are groups and division of labor. The organization is a way to gather people and place them according to their abilities

and expertise in the work that has been planned. This means organizing human resources in aspects of (1) placement

and (2) recruitment.

The informant named Bahria Ridwan, SKM. S.FT., M.A.P as Head of Medical Support stated:

"The placement and recruitment of pharmaceutical personnel is already in accordance with the standards

with their expertise and level of education. The number of employees in pharmaceutical installations is very sufficient"

(interview, Ladder November 21, 2022).

Based on the results of the interview, it proves that the recruitment and placement of pharmacy employees

are in accordance with good educational and expertise standards with the number of employees in pharmaceutical

installations is sufficient.

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"The human resources in the installation are very sufficient, the number of employees at the pharmaceutical

installation is currently 65 people, civil servants are 47 people and non-civil servants are 18 people. The education

level is from S2 Pharmacist 8 people, Pharmacist 18 people, S1 pharmacy 16 people, D3 pharmacy 19 people, SMF 3

people, and S1 economy 1 person. From the number of employees who provide pharmaceutical services, it is very

sufficient." (Interview, December 12, 2022).

From the results of the interviews conducted, it proved that the need for human resources was very adequate

with number of employees 65 people in pharmaceutical installations with the same level of education in the field of

expertise needed in service. In terms of organization, namely (1) placement and (2) recruitment of pharmacy

employees has been very good.

The interview result conducted that the organization applied at Undata Hospital Palu specifically in

pharmaceutical installations has been very good. Because in terms of placement and recruitment of pharmacy

employees, it has been strongly supported by trained human resources and in accordance with existing organizational

guidelines.

4. Direction

The briefing is an action to ensure that all members strive to achieve targets and objectives in accordance with

previously planned procedures. If there is a problem, the boss will give direction so that the plan set can run smoothly.

This process includes: Guiding and motivating members to work effectively and efficiently, providing tasks and

explanations regularly, and explaining all policies that have been set.

The informant named Bahria Ridwan, SKM. S.FT., M.A.P as Head of Medical Support stated:

"Briefings are always carried out at pharmaceutical installations by coordinating with supporting fields. If

there are problems that occur in the field, employees at pharmaceutical installations must report these problems. For

example, if there is a pharmacy employee who does not enter for a few days, the task of the supporting field is to invite

the employee to be guided, before that the head of installation first gives guidance/direction" (Interview, December

12, 2022).

From the results of the interview, it was stated that the briefing was carried out in coordination with the

expected supporting fields, if there were obstacles that occurred, they could be resolved properly and resolved quickly.

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"The implementation of duties at pharmaceutical installations has run well according to service standard

guidelines so that pharmacy employees already know their respective functions and duties. Guidance is provided to

employees who do not follow the procedures or guidelines used in pharmaceutical installations." (interview dated

December 12, 2022).

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The results of the interview, it proved that the functions and objectives of pharmacy employees were running

well and in accordance with pharmaceutical procedures. However, if there are employees who do not perform

according to procedures, direct guidance will be carried out. The head of the pharmaceutical installation can report this

to the supporting field if it cannot be completed at the pharmaceutical installation.

The direction is to ensure that all members strive to achieve targets and objectives in accordance with

previously planned procedures. If there is a problem, the boss will give direction so that the plan set can run smoothly.

This process includes:

Guiding and motivating members to work effectively and efficiently, providing tasks and explanations

regularly, and explaining all policies that have been set to support the management of drug service management in

hospitals.

Based on the results of the interview, Briefings are always carried out at pharmaceutical installations by

coordinating with supporting fields. Report problems that occur in the field. The implementation of duties at the

pharmacy installation has run well according to service standard guidelines so that pharmacy employees already know

their respective functions and duties. Guidance is provided to employees who do not follow the procedures or

guidelines that have been used in hospital pharmacy installations.

The results of interviews conducted with informants, namely direction in the form of guidance have been

carried out well. The briefing was carried out by the head of pharmaceutical installations and the head of medical

support.

5. Controlling

Supervision is a matter to monitor whether the movement of this organization is in accordance with the plan

or not. As well as supervising the use of resources in the organization so that they can be used effectively and efficiently

without anyone deviating from the plan. Supervision can be carried out through quality evaluation of the management

process of pharmaceutical supplies and pharmaceutical preparations can be measured by indicators of patient

satisfaction and safety/customer stakeholders (Stakeholders), time dimensions (time delivery), Standard Operating

Procedures and the success of controlling health supplies and pharmacy preparations.

The informant named Bahria Ridwan, SKM. S.FT., M.A.P as Head of Medical Support stated:

"We carry out performance evaluations for each TW, where we invite every installation head and staff under

medical support to explain the performance of employees who are in charge of service, repair, hear what problems

occur in the field" (interview on November 21, 2022)

The interview results proved the existence of supervision by conducting performance evaluations at

pharmaceutical installations. There is an evaluation meeting every TW or quarter attended by the head of the

pharmaceutical installation and pharmacy staff to explain the performance of officers at the pharmaceutical installation

both in terms of service and obstacles that occur in the field.

The informant named Yunus Tobing, S.Si, Apt as Head of Pharmaceutical Installation stated:

"In addition to conducting internal meetings with staff at pharmaceutical installations, we also report

performance reports per TW (3 Months performance report) in meetings held by medical supporters. " (interview on

December 12, 2022)

From the results of the interview, in addition to internal meetings with installation staff, staff also conduct

meetings in reporting TW performance in meetings conducted by medical supporters.

Supervision is an effort to thoroughly evaluate the performance of organizational resources and ensure that

the activities that have been carried out are appropriate or not in accordance with what has been previously planned.

Supervision is useful as a consideration so that deviations and errors when carrying out tasks can be corrected so that

they become learned in further planning. Drug management audits are carried out periodically with the aim of

continuously improving drug management, regulating and avoiding drug delivery failures to maintain quality and

equality of work, and providing performance appraisals of management performance.

Interview from the information stated that the supervision carried out always coordinates with the medical

support field to report every activity, achievement, and obstacle in the field. In the course of supervision of activities

that take place has been carried out in accordance with existing guidelines

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4. Conclusion

Based on the results of research on the management of logistic o bat services in the hospital environment of

Undata Hospital, Central Sulawesi Province, has not run optimally, because of the 4 aspects used as analysis knives

from Siagian Theory concluded that:

Planning in terms of procurement, storage and distribution of drugs has not gone well delivery comes for a

maximum of 2-3 weeks, it is due to expedition routes from outside the city of Palu, so there is a shortage of drugs and

patient prescriptions are not served. Drug storage has not been maximized with less large warehouse space. The

distribution of drugs has not been maximized with empty drug stocks. Organizing has been done effectively with

human resources as expected. Briefing can be carried out by the head of the pharmaceutical installation who

coordinates with the supporting field in directing employees to work well. In supervision, coordination meetings are

held in reporting performance, achievements, and constraints that occur in the field.

Based on the results of the research conducted and the conclusions that have been described, it is

recommended as follows: 1. In the provision of drugs, the constraints that occur must be calculated so that there is no

drug vacuum, can coordinate with PBF as a distributor so as to anticipate drug shortages both from delays in the

delivery process and empty drug raw materials. 2. The distribution of empty drugs and postponement of their

administration to patients can be given the widest possible information on how to get drugs in a short time. 3. Consider

empty drugs given to underprivileged patients who use BPJS to be obtained, procure drugs from chemical pharmacies

or purchase directly. 4. Storage of pharmaceutical supplies requires a larger place than the current warehouse so that

incoming drug stocks from distributors can accommodate all incoming goods. 5. For further researchers, it is better to

conduct research on drug logistics management variables that are not careful in this study and the effectiveness of

using the e-catalog system in managing the effectiveness of using drug electronic control systems

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