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Analysis The Utilization of The Billing Information System for Patient Direct Payment In RSUD Cianjur Period from January to December 2004 Background This study revealed the utilization of Billing Information System was not yet optimum. The authorized person or staffs who operate the billing system has to make double records, both manually and computerized data entry. These two systems show a quite a great deal of differences in each of their results. Objective Base of this finding, the objectives of this study are evaluating the utilization of Billing Information System, identifying some problem that might come up and also finding the right solution of the problem, in hope to be able to recommend the right suggestion for optimally of the utilization. Methods This is a cases study research with qualitative approach. The research material originates from primary and secondary data by profound observing the process, FGD (Focus Group Discussion) and in-depth interview with several staff and other authorized personnel’s whom involve in the implementation of the system. Results The results show that the utilization of the Billing Information System (BIS) was not yet optimum because manpower, hardware, software, funds, procedure and structure of organization which in this case stand not enough. Conclusions Therefore, for optimum the utilization of the Billing Information System regarding inpatient, emergency and outpatient, some adjustment have to be made concerning the number of staff and their workload, some fixing and add of the hardware and software, also making a standard operating procedure of BIS and modifying the organization of MIS. Keywords: Billing Information System Word count: 3
Background. Pharmacy inventory controlling using integrated computer system is not a simple task to be done because the system depend on many aspects such as pharmacy regulation including a clear accountancy administration, a good pharmacy information system, good and discipline human resources so that report from pharmacy inventory system will be accurate and exact and there are no differences between physical report and accountancy report. Purpose. The purpose of this study is to analyzing and identifying the cause factors related to the discrepancy between inventory report in Pharmacy Unit and pharmacy inventory report in Finance Division. This is research a descriptive-analytical which is conducted by means of qualitative approach. Methodes. The qualitative data collection is conducted using in-depth interview methode and data base from January to December 2004. The research is contucted in Pharmacy Unit and Finance Division at Ibu dan Anak HERMINA. Result. The result of this research showed that the dicrepancy between pharmacy inventory and accounting reports are caused by unwritten regulation on pharmacy inventory, unsocialized procedure standart related to pharmacy inventory, incomplete procedure standart on Accuntancy Unit, and minimal controlling in checking and cross checking between physical report and accountancy report. Besides that the computer program which support pharmacy inventory control have several problems in their sofware and hardware system. Conclusion. It is recommended recommendations that the hospital should develop the procedure standart in managing pharmacy inventory related to Pharmacy Unit, Finance Division, Electronic Data Processing (EDP). Therefore discrepancy between pharmacy inventory report (physical evidence) with finance report (general ledger point) can be minimized. Keywords : Pharmacy, inventory, General Ledger.
Kata kunci : Analisis ABC, Pengendalian Obat, Farmasi
The hospital has a main function that is held through a joint plenary healthpromotive, preventive, curative and rehabilitative. Pharmacy services are anintegral part of the activities of the health care system-oriented health services andthe provision of patient care quality medicines. On drug consumption in 2011obtained a total investment of RS to purchase antibiotics Rp. 1,866,502,206 and avacancy occurs on the drug supply so that application of the drug is notappropriate number. This study uses ABC analysis to determine the classificationof drugs based on category A, B and C as well as the calculation of EOQ andROP. Results was collected through document review, questionnaires andinterview the informant. The results of this study showed the drug group Aconsisted of 11 items with a percentage of the drug is 4.25% of the total drugswith an investment of Rp. 876.329.723. In group B, comprised 96 items with apercentage of 37,07% of the total drugs with an investment of Rp. 785.005.348. Ingroup C have 152 items with a percentage of the drug 58,68% of the total drugwith an investment of Rp. 205.166.955. While the economic calculations in groupA gained varies between 3 and 67 units for a single message. While the ROP forthe drug group A critical indices obtained reorder point for antibiotics varies from9 to 126 units. To anticipate stock out, then the ROP can be combined with thesafety stock. From the research, hospitals ABC analysis to determine the drug so itcan be done surveillance.
Key : ABC analysis, inventory control, farmacy
Hospital Management Information System (SIMRS) implementation aims to improve efficiency, effectiveness, professionalism, performance, access and services at hospitals. Information on the system is used by hospital management as a supporting tool in decision making and administration at the hospital. SIMRS evaluation is needed to understand system performance in order to help improve the quality of care and costs, as well as to determine the safety and effectiveness of SIMRS. Successful implementation of SIMRS is influenced by human factors, environmental factors, and technological factors. Evaluation method of the SIMRS benefits on human factors, organization, and technology suitability (HOT-Fit) is capable and useful in conducting a comprehensive SIMRS evaluation study. The purpose of this study was to find out the results of SIMRS implementation with analyzed using the Human Organization Technology (HOT) ? Fit model at the Sultan Muhammad Jamaludin I Hospital. This research method was a qualitative research with a descriptive approach. Informants were selected by purposive sampling as many as 6 people, consisting of 5 people from the service unit and 1 person from Information and Technology (IT) staff at the hospital. Data collection was carried out through in-depth interviews, observation, and document review. The results of the study found that in general the implementation of SIMRS at Sultan Muhammad Jamaludin I Hospital has been going well with several obstacles encountered in its implementation. Human factors indicate that the use of SIMRS has been running well and user satisfaction have been felt with the system, but there is still a lack of training in providing training to all users. Organizational factors indicate that the organizational structure and environment have supported the implementation of SIMRS, but there is no routine maintenance schedule yet and no antivirus on SIMRS computers and networks, and there is a less of computer equipment and there is no Standard Operating Procedure for SIMRS implementation in units. Technological factors, system quality is constrained by network connection disturbances caused by internet signal problems and the security features has not utilized, the quality of information is in accordance with user needs, the quality of service has be perceived as good but the guidelines and manuals for the use of SIMRS in units have not been disseminated. SIMRS Benefit Factor has shown effectiveness and efficiency for users and hospitals in its implementation. Sultan Muhammad Jamaludin I Hospital recomended to make an SOP and add computer equipment number in the implementation of SIMRS, improve training and distribute SIMRS usage modules to all employees in the unit, and implement a security system in SIMRS.
ABSTRAK Nama : Ni Wayan Kesumawati Program Studi : Kajian Administrasi Rumah Sakit Judul : Analisis Piutang Pada Pasien Rawat Inap Jaminan Kesehatan di Rumah Sakit Umum Famili Husada Periode 2015-2016 Pergeseran skema pembayaran biaya kesehatan ke rumah sakit telah bergeser dari majoritas biaya sendiri dibayar tunai ke pembayaran melalui pihak penyelenggara jaminan kesehatan, yang menyebabkan rumah sakit harus mengelola piutang dengan baik karena penerimaan pendapatan rumah sakit dibayar non-tunai. Keterlambatan pembayaran piutang dan atau kegagalan pengelolaan piutang dapat mempengaruhi posisi arus kas, yang kalau ini berlanjut mengakibatkan terganggunya kegiatan operasional rumah sakit. Tujuan penelitian ini untuk mengetahui posisi gambaran piutang pada pasien jaminan kesehatan di RSU Famili Husada periode tahun 2015 – 2016 dimana rumah sakit telah memutuskan untuk melayani pasien BPJS Kesehatan. Selain itu perlu juga diketahui jumlah piutang dan kebijakan pemberian kredit yang ada agar dapat dijadikan masukan untuk perbaikan manajemen kedepan. Penelitian ini menggunakan metode penelitian deskriptif kualitatif dengan melibatkan seluruh pegawai yang bekerja di bagian keuangan, kasir, front office dan manajemen, sebanyak 14 orang sebagai informan. Data dikumpulkan dengan teknik wawancara mendalam dan observasi partisipan, kemudian dianalisis menggunakan content analysis. Hasilnya menunjukkan bahwa terdapat peningkatan saldo piutang pasien rawat inap pasien jaminan kesehatan pada tahun 2015 – 2016 terutama untuk pasien JKN yaitu dari sebasar 17% meningkat menjadi 30,66%, sedangkan rata – rata persentase pembayaran piutangnya sebesar 45% yang artinya pembayaran piutang dari pasien BPJS Kesehatan belum lancar sehingga bila ini tidak dikelola dengan baik akan menimbulkan terganggunya arus kas dan akhirnya kegiatan opreasional rumah sakit pun terganggu. Kesimpulan yang dapat diambil bahwa seiring dengan terjadinya peningkatan jumlah piutang rumah sakit terdapat ketebatasan secara kuantitas maupun kualitas dari sumber daya manusia dalam pengelolaan piutang; belum ada standar prosedur operasional yang mengatur secara khusus tentang pemberian kredit dan kebijakan pengumpulan piutang. Berdasarkan hasil penelitian ini, disarankan agar melakukan evaluasi terhadap kebijakan pemberian kredit dan penagihan piutang yang berlaku, evaluasi beban kerja petugas pengelola piutang dan lakukan pelatihan – pelatihan khusus di bidangnya, serta lakukan pendekatan pada pihak debitur. Kata Kunci: Jaminan Kesehatan, Piutang
ABSTRACT Name : Ni Wayan Kesumawati Study Program : Hospital Administration Title : Accounts Receivable Analysis In Inpatient Patients Health Insurance at Famili Husada Public Hospital Period 2015-2016 The shift in health-care payment schemes to hospitals has shifted from the majorities of their own expenses paid in cash to payments through health insurance providers, which causes hospitals to manage receivables well because hospital revenue is paid non-cash. Delinquent receivables and / or failure of receivables management may affect cash flow position, which if this continues to result in disruption of hospital operations. The purpose of this study is to know the position of the description of receivables in health insurance patients at RSU Famili Husada period 2015 - 2016 where the hospital has decided to serve the patient BPJS Health. In addition, it is also necessary to know the amount of receivables and lending policies available to be used as input for future management improvement. This research uses qualitative descriptive research method by involving all employees who work in finance, cashier, front office and management, as many as 14 people as informant. Data were collected by in-depth interview technique and participant observation, then analyzed using content analysis. The results show that there is an increase in the balance of accounts receivable of patient in health care patient in 2015 - 2016 especially for JKN patient that is from sebasar 17% increase to 30,66%, whereas the average of payment percentage of receivable equal to 45% which mean payment of receivable from patient BPJS Health has not been smoothly so that if it is not managed properly will cause disruption of cash flow and finally hospital operational activities were disrupted. The conclusion can be made that in line with the increase of the number of hospital receivables there are limitations in quantity and quality of human resources in the management of receivables; there is no standard operating procedure that specifically regulates the provision of credit and collection policy of receivables. Based on the result of this research, it is suggested to evaluate the crediting policy and receivable billing, evaluation of workload of receivable management officer and do special training in the field, and approach the debtor. Keywords: Health Insurance, Accounts Receivable
Rumah sakit sebagai bagian integral dari sistem pelayanan kesehatan nasional dituntut untuk memberikan jasa pelayanan kesehatan yang berkualitas. Dalam hal ini rumah sakit memerlukan kesiapan sarana - prasarana yang berfungsi dengan baik. Hal ini dapat terlaksana bila kegiatan pemeliharaan sarana - prasarana berjalan dengan efektif dan efisien.Namun , dengan kondisi perekonomian saat ini, kegiatan pemeliharaan peralatan yang tepat sangat diperlukan agar beban biaya yang tinggi dapat ditekan serendah mungkin. Dalam pelaksanaan kegiatan pemeliharaan saran - prasarana, bagian pemeliharaan rumah sakit Honoris, Tangerang mengalami hambatan dengan kurang berjalannya pemeliharaan sesuai dengan waktu yang dijadwalkan yang dikarenakan banyaknya permintaan akan perbaikan saran - prasarana yang ada. Demikian juga dengan tidak tercatatnya dengan baik, pelaksanaan perbaikan yang tidak terselesaikan dan kurang lancarnya komunikasi antar karyawan di bagian pemeliharaan rumah sakit Honoris.Dengan latar belakang permasalahan yang ada, maka dilakukan penelitian dengan melakukan analisis terhadap sistem pemeliharaan sarana - prasarana rumah sakit Honoris, sehingga dapat diberikan usulan - usulan upaya perbaikan sistem pemeliharaan sarana - prasarana rumah sakit Honoris agar dapat berjalan efektif dan efisien.Penelitian ini adalah penelitian kualitatif dengan desain studi kasus yang datanya didapat dari data primer dan data sekunder, di ambil langsung dari lokasi penelitian di bagian pemeliharaan rumah sakit Honoris. Tangerang, Hasil penelitian terdapat empat faktor yang dapat mempengaruhi sistem pemeliharaan rumah sakit terhadap hasil tersbut, dilakukan analisa dengan metode analisis komparatif saling membandingkan antara kondisi yang ada dan pustaka serta peraturan standar Departemen Kesehatan RI.Disimpulkan dari hasil penelitian, bahwa kinerja sistem pemeliharaan rumah sakit Honoris belum berjalan maksimal karena hanyaknya perbaikan kurang maksimalnya kemampuan teknik karyawan, tidak ada program pelatihan yang berkaitan dengan teknik pemeliharaan, peralatan kerja yang kurang memadai. Tidak terdapatnya fasilitas ruang kerja dan prosedur kerja yang satu arah mengakibatkan bagian pemeliharaan hanya berperan pasif dalam pengadaan permintaan barang.Sebagai saran adalah : diadakan pelatihan yang berkaitan dengan kemampuan teknik yang melibatkan bagian lain, ikut sena dalam proses pengadaan material, mengelola gudang sendiri dibawah pengawasan gudang umurn. Secara operasional disarankan adanya pertemuan berkala dan teratur untuk melancarkan komunikasi antar karyawan, adanya pelatihan di rumah sakit, tersedianya ruang kerja serta bekerja sama dengan bagian purchasing dan gudang umum dalam alur pengadaan material.Daftar bacaan : 15 ( 1985 - 2001 )
Hospital as an integral system in national health care system, must he given a good quality of health care. In this problem, the maintenance system must prepare the good condition of material that the hospital can give the customer a good serving of health care system.Department of maintenance of Honoris hospital in activity to maintenance the material has faced the problem that the program has not well worked at the schedule time. Also the report system in maintenance department not well done at the several years and also the communication between the employees are not doing well.With in the problem, the research has done with the analysis of the maintenance system, so the result can give the hospital management the way out to solve the problem. The design of the research is qualitative research with case studies, and the data is primer and also secondary data. The research location in maintenance department of honoris hospital, Tangerang. And the result from the research there are 4 (four) factor that influence the system.The four factors are being comparison to the rules, guidance of Indonesian Health Department and literature and were related to the maintenance programs.As the conclusion, the system was not work well because there are to many repair job of material, capability of the employee are not the same, tools and facilities are minimum and standard operating procedure in material buying are not include the maintenance department.As suggestion in order to make the maintenance department going well, there training that related in technique capability of the employee, maintenance department also include of the standard procedure in material buying, and tools also facilities of maintenance are being well.Bibliographies: 15 (1985 - 2001)
