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Abstrak: Kelengkapan berkas klaim pasien Jamkesmas merupakan salah satu kendala yang menjadi perhatian manajemen di RSUP Sanglah Denpasar. Penelitian dilakukan dengan tujuan untuk mengetahui gambaran transisi sistem pelayanan peserta Jamkesmas ke JKN di RSUP Sanglah tahun 2014. Metodologi penelitian adalah dengan cara kualitatif, data primer berasal dari wawancara mendalam, dengan data sekunder dari telaah dokumen dengan melihat regulasi,teknis pelaksanaan dan sosialisasi sertaSPO dan alur pelayanan. Hasil dari penelitan ini adalah mendapatkan gambaran Analisis Transisi Sistem Pelayanan Peserta Jamkesmas ke Jaminan Kesehatan Nasional diRSUP Sanglah Denpasar tahun 2014.Kata Kunci : Jamkesmas, JKN, klaim, Asuransi, Sistem pelayanan

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Completeness of the claim file JAMKESMAS patients is one of theobstacles to the attention of management at Sanglah Hospital in Denpasar. The study was conducted in order to describe the transition to a service system participants JAMKESMAS Sanglah JKN in 2014. Research methodology was qualitative manner, the primary data derived from in-depth interviews, secondary data from document review to look at theregulatory, technical implementation and socialization as well as SPO andservice flow.The results of this research is to get an overview Transition Analysis Service System Participants JAMKESMAS to the National HealthInsurance in 2014 Sanglah Hospital. keywords: Jamkesmas, National Health Insurance, Insurance claim,Service System

Abstrak: ABSTRAKAktifitas tersebut telah didiskusikan dan disepakati dalam diskusi kelompok (peer review) pimpinan rumah sakit.Diharapkan sistim kepangkatan dan penggajian yang lebih objektif tersebut dapat memotivasi karyawan untuk berkinerja lebih baik demi perbaikan nasibnya.

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ABSTRACTThe Development of Determination of Job Rank by Measuring Credit Value of Job Factors and Performance Appraisal in Perhati Hospital, JakartaRecognition and advancement are some of the basic human aspirations. A proper system, which provides for these aspirations, motivates as person to provide better output. On the other hand, the absence of such system leads to frustration, disappointment, and lethargy, which result in the deterioration of performance. The basic of human resource management is to help the company provides efficiency by objectivity and fairness, equal pay for equal work, rewards good performance, controls labor cost.For that reason, a quantitative based approach is designed in Perhati Hospital to determine job rank. Job description and job specification have been described, job factors have been identified. The job factors, which are general skill, physical effort, mental effort, responsibility, working condition and specific skill, are then weighted and valued as cridit value. Then every employee with his or her specific job has specific credit value for each job factor. The multiplication of specific weight of job factors with specific job credit value of specific employee is then accumulated. The accumulation is called basic point value of a specific employee. The basic point value is used to determine the basic job rank. Basic salary can be determined by multiplication this basic point value with a point factor, which is taken from awage survey.For career development, a performance appraisal has to be developed. During the job period the employee is supervised by means of measuring some factors of performance. The factors are attendance, discipline, and quality of work, quantity of work, cooperation, loyalty, and service to consumer.Each of the factors is measure every month by applying credit point value appraisal. Every six month, performance credit point value of every employee is accumulated and analyzed, to be used as a feed back to the employee. Each year, annual accumulation of the performance credit point value is added to the basic credit point value. This new accumulated credit point value is used for determining new job rank and new basic salary.The job factor and performance criteria are discussed and selected in a peer review of the hospital executives.All those activities activities have been discussed and reviewed in a group discussion of the executives of the Perhati hospital.

Abstrak: Rumah sakit dalam memberikan pelayanan kesehatan masyarakat harus dapat menjaga mutu dan kualitas. Salah satu upaya pemerintah untuk meningkatkan mutu pelayanan rumah melalui akreditasi. Akreditasi wajib dilakukan dan merupakan syarat ijin operasional sesuai aturan pemerintah. Rumah Sakit Prima Medika melakukan persiapan akreditasi KARS 2012 yang terdiri dari 4 sasaran pokok, namun penelitian ini pada dua sasaran yaitu sasaran keselamatan pasien dan Milenium Development Goals. Tujuan penelitian ini untuk mengetahui tahapan, masalah dan monitoring dalam proses persiapan akreditasi. Penelitian ini menggunakan metode kualitatif melibatkan partisipan sebanyak 7 orang yang terlibat dalam kelompok kerja akreditasi. Pengumpulan data dengan teknik wawancara mendalam dan penelusuran dokumen, dianalisis menggunakan content analysis. Hasil wawancara persiapan akreditasi dimulai komitmen dari seluruh jajaran rumah sakit, kelompok kerja akreditasi ditetapkan direktur, penyusunan dokumen sesuai elemen penilaian akreditasi, sosialisasi pada staf medis maupun non medis, implementasi sangat penting karena penilaian lebih terfokus pada pelaksanaan dilapangan, monitoring dan evaluasi dengan laporan monev, indikator mutu dan turun langsung ke lapangan. Kesimpulan tahapan persiapan yang penting adalah komitmen seluruh jajaran rumah sakit, melakukan pendekatan kepada dokter spesialis secara formal maupun informal, menambah pelatihan internal. Kata Kunci: persiapan akreditasi, sasaran keselamatan pasien,

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Goals Hospitals in providing public health services should be able to maintain quality of services. One of the government's efforts to improve the quality of home services through accreditation, which is compulsory and required by government regulation. This study focus on two goals of Prima Medika Hospital in preparation of KARS 2012 accreditation: International Patient Safety Goals and Millennium Development Goals. The purpose of this study is to determine the stages, problems and monitoring in the preparation process of accreditation on the patient's safety goals and the Millennium Development Goals. This research uses qualitative method by involving 7 participants working group of accreditation. Data collected by in-depth interview technique and document tracing, then analyzed using content analysis. The results of the interviews show that the preparation phase begins with the commitment of all hospitals, the accreditation working group established by the director, the compilation of documents of the assessment elements according to the accreditation standards, program dissemination to medical and non-medical staff, then the implementation. The next stage are monitoring and evaluation, through monev report, quality indicator and field inspection. In conclusions, the very important stages in preparation process are: commitment from all level of hospital, approaches to the specialist doctors formally or informally, more internal training. Keywords: preparation, accreditation, international patient safety, Millennium Development Goals

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