1. Barriers in Implementing Regulations of
Physician Performance Assessment in
Private General Hospital
around Medan City
Arfah Mardiana Lubis and Puteri Citra Cinta Asyura Nasution
Public Health Faculty, University of North Sumatera, Indonesia

2. Medical Errors  Jakarta, Bandung, Tangerang, and Medan
indicates
poor performance of physicians in practicing healthcare service
Solved  Cinical Governance  implementing the clinical performance evaluation pillars

3. Previous research
10 private general hospitals around Medan city
do not have sheet of physician performance assessment
breaks the Ministry of Health Regulation number 775 year 2011 and the Hospital Accreditation Standard Version of 2012
WHY ???
Barriers of implementing physician performance assessment regulation in private general hospitals around Medan city.

4. Survey research
Interviewing medical committees of 10 private general hospitals around Medan city which do not have sheets of physician performance assessment.
The data are analysed by using various theories and results of relevant researches.

5. the physicians are not permanent employees  decision of the Minister of Health of the Republic of Indonesia number 631/MENKES/SK/IV/2005 about Medical Staff Bylaws in hospital  point Physician who work full time or part time  Performance assessment that is conducted by the Director of administrative hospital.
yet Accreditation in 2012 and has not been cooperated with BPJS  General Directorate of Health Efforts Development’s data recapitulation, there are from active hospitals which are accredited.
lack of time  one period of performance assessment process takes a long time
unwilling to create conflict with physicians  bring a negative response out : unwillingness to change, refusal, and aggression to the result of the assessment
and being unaware of the benefits of performance assessment

6. The absence of the physician performance assessment brings the question of healthcare service quality that the patients get due to professional and procedural standard according to the regulation which causes its inability to reduce the number of medical errors by physicians.
It is suggested for medical committee in private general hospitals around Medan city to assess physician performance on an ongoing basis and Medan City Health Department continues to monitor their implementation.

7. Acknowledgment
Thanks to University of North Sumatera that has funded this research (Bidang Keunggulan Akademik USU) through Non-PNBP fund for Fiscal Year 2016.