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Klinik Pasutri pada saat ini sedang mengembangkan layanan kesehatan melalui internet yang pada saat ini telah banyak digunakan oleh klinik-klinik online. Layanan kesehatan ini meliputi layanan Artikel, konsultasi kesehatan melalui E-mail dan chatting.Untuk dapat melayani masyarakat melalui internet butuh banyak persiapan yang meliputi kesiapan Teknologi, Sumber daya manusia, keuangan dan Manajemen serta organisasi yang cocok untuk mengelola layanan ini. Sehubungan banyaknya persiapan dalam menyediakan layanan ini, maka penelitian ini bertujuan untuk mengetahui sejauh mana kesiapan Klinik Pasutri dalam memanfaatkan internet sebagai media komunikasi dengan customer, serta mengenali permasalahan yang ada, dan sekaligus mencari cara pemecahan masalah yang tepat.Penelitian ini merupakan studi deskriptif dengan mengadakan pendekatan kualitatif. Metode kualitatif dilakukan dengan mengadakan wawancara mendalam (indeph interview) terhadap petugas yang berkaitan dengan layanan kesehatan melalui internet ini di Klinik Pasutri.Dari hasil penelitian dapat disimpulkan bahwa dibalik persiapan yang sudah dilaksanakan oleh Klinik Pasutri masih ada kekurangan-kekurangan yang masih harus dibenahi baik dalam manajemen, teknologi, sumber daya manusia serta keuangan.
Health Clinics nowadays are using internet online as a tool to help community in health services. Pasutri Clinic, one of health clinics is also developing in health services via internet. These health services are consist of article service and health consultation via E-mail and chatting.For community services via Internet, they need more preparation and readiness of technology, human resources, financial, management and suitable organization. Related in preparing these services, therefor this research has intend for knowing how ready Pasutri Clinic in using internet as a communication media with customers and also knowing its problem plus to End out the right solution.This research is a descriptive study with using a qualitative approach. Qualitative method is made by in-depth interview with person in charged who relate with health service via intemet in Pasutri Clinic.We got the result and make our conclusion from this research that preparation which has been done by Pasutri Clinic still find out many of lacks and has to straighten out by management,technology, human resource and finance.
ABSTRAK Nama : Juanna Soehardy Program Studi : Kajian Administrasi Rumah Sakit Judul Tesis : Analisis KesiapanRumah Sakit Budi Kemuliaan dalam Perubahan sebagai Fasilitas Kesehatan Tingkat Lanjut Jaminan Kesehatan Nasional. Untuk melihat kesiapanRumah Sakit Budi Kemuliaan dalam Perubahan sebagai Fasilitas Kesehatan Tingkat Lanjut (FKTL) Jaminan Kesehatan Nasional(JKN), maka peneliti mengadakan penelitian dengan analisis kualitatif dari tahun 20142016. Dilakukan wawancara mendalam dengan 8 informan yaitu : Pemilik Rumah Sakit Budi Kemuliaan, Direktur, Wakil Direktur, Ketua Komite Medik, Ketua Tim Pengendali Jaminan Kesehatan Nasional, Kepala Unit MPKR Badan Penyelenggara Jaminan Sosial Kesehatan Cabang Batam dan verifikator Badan Penyelenggara Jaminan Sosial Kesehatan. Selain itu dilakukan telaah dokumen yang relevan mengenai kesiapan organisasi, kesiapan sistem Administrasi, kesiapan Manajemen Keuangan, dan kesiapan manajemen Medis. Penelitian ini menemukan Rumah Sakit Budi Kemuliaan sudah melakukan beberapa kesiapan, yaitu : kesiapan organisasi (Keputusan Direksi, terbentuk Tim Pengendali Jaminan Kesehatan Nasional), kesiapan administrasi (Persyaratan menjadi FKTL dari Badan Penyelenggara Jaminan Sosial), kesiapan manajemen keuangan (Sistem Tarif INA-CBG’s, keterlambatan klaim ke BPJS, Klaim yang direvisi, Pembayaran Jasa Medis Dokter), kesiapan manajemen medis (Penyusunan clinical pathway), dan yang masih perlu dilakukan yaitu pengurusan akreditasi baru, pengiriman klaim yang tepat waktu serta pengisian klaim yang tepat waktu, menyusun clinical pathway Staf Medik Fungsional Penyakit Dalam, Staf Medik Fungsional Anak, Staf Medik Fungsional Mata , Staf Medik Fungsional Saraf. Penelitian ini mengusulkan adanya kebijakan dari Direksi mengenai dokter-dokter harus mau mengisi resume medis tepat waktu, membuat diagnosa yang tepat, menyusun clinical pathway, adanya Sistem Informasi Manajemen Rumah Sakit yang terintegrasi, mengurus akreditasi baru versi 2012. Kata kunci : Keterlambatan klaim, Klaim yang direvisi, clinical pathway.
ABSTRACT Name : Juanna Soehardy Study Programe : Hospital Administration Public Health Faculty University of Indonesia Thesis Title : Readiness Analysis Hospital Budi Kemuliaan in changes as anAdvanced Health Facilities National Health Insurance To see the readiness Hospital Budi Kemuliaan in the Amendment as Advanced Health Facilities National Health Insurance, the researchers conducted research with a qualitative analysis of the years 2014-2016. Conducted in-depth interviews with eight informants: Own Hospital Budi Kemuliaan, Director, Deputy Director, Chairman of the Medical Committee, Chairman of the National Health Security Control Team, Head of Unit MPKR Social Security Agency and Health Branch Batam verifier Social Security Agency of Health. Additionally conducted study of relevant documents concerning the readiness of the organization, system readiness Administration, Financial Management preparedness and readiness of medical management. This study found the Hospital Budi Kemuliaan already done some preparation, namely: the readiness of the organization (Decision of the Board of Directors, formed Control Team National Health Insurance), the readiness of administration (Conditions become FKTL of BPJS), readiness of financial management (System Rates INA-CBG's, delay claims to BPJS, claims revised, Payment Services medical Doctor), readiness of medical management (preparation of clinical pathways), and that still needs to be done, namely the maintenance of a new accreditation, sending claims on time and charging claims timely, compiling clinical pathways SMF Disease , SMF Child, Eyes SMF, SMF Neuroscience. This study proposes a policy of the Board of Directors of the doctors have to fill in a timely medical resume, make a proper diagnosis, compiling clinical pathways, their SIMRS integrated, the new 2012 version takes care accreditation. Keywords: Delay claims, claims revises, clinical pathway
Introduction : The COVID-19 pandemic has greatly affected dental health services. Due to the fact that it is easy to transmit COVID-19 in the dentist's office, this service has been temporarily suspended. RSKGM FKG UI as a teaching hospital that functions as a service and education provider must reopen its services. Objective: This study aims to obtain information about the readiness of existing resources at the RSGM (education) to be able to provide safe dental services during the Covid-19 pandemic era. Methods: This research is a qualitative descriptive with a case study approach, analyzing the results of observations in hospitals and interviews with selected informants. Results: From the results of the study, it was found that the available resources at RSKGM FKG UI are human resources, facilities, equipment and technology, PPE, drugs and materials. The largest human resources are students, both professional and specialist program students. RSKGM FKG UI creates a rational negative pressure room, and regulates the use of dental units. Discussion: A special dental and oral education hospital must be ready to reopen services by modifying the service flow, modifying space, adding equipment and technology, modifying the schedule of human resources (students) so that it continues to function as a place for dentistry and dental specialist education. Conclusion: RSKGM FKG UI is a model example of dental education, and how dentists practice during a pandemic, as well as a means to produce competent dentists, as well as dental services that are conducive, safe and disciplined in accordance with the new normal conditions during the Covid pandemic. -19.
Kesiapan Instalasi Gawat Darurat di RSUP Dr. Kariadi sebagai rujukan Sistem Gawat Darurat Terpadu Sehari-Hari sangat dipengaruhi oleh faktor input : Sumber Daya Manusia dan pengaturan jaganya, tersedianya ambulan 24 jam, melalui call center, sarana fisik bangunan, sarana medik dan non medik, ketersediaan obat alat kesehatan dan bahan habis pakai di ruang tindakan, Standar prosedur pelayanan pasien, serta faktor proses pelayanan pasien meliputi alur pasien, triase, pelayanan gawat darurat di label merah, pemeriksaan penunjang laboratorium dan radiologi dan ketersediaan obat di farmasi 24 jam.
Preparedness of Emergency Department Kariadi Hospital Semarang as a referral Emergency Comprehensive Services System Daily influenced by input factors, human resources and distribution services, 24 hour ambulance services, call center ,physical building , medical and non medical equipment, drugs and single used material in service area standard operating procedure for patients services, and process factor as patient flow through an emergency department, triage, true emergency services (red label), supporting services as laboratory, radiology and pharmacies 24 hours.
Pelayanan keperawatan sebagai salah satu subsistim pelayanan kesehatan di rumah sakit merupakan komponen sentral untuk terwujudnya pelayanan kesehatan yang bermutu. Keberhasilan pelayanan kesehatan yang bermutu ditentukan oleh berbagai faktor antara lain kualitas sumber daya manusia, sarana dan fasilitas, kebijakan yang ada serta manajemen rumah sakit. RSU Bina Sehat Kabupaten Bandung, dalam bidang keperawatan masih banyak menghadapi berbagai kendala. Rendahnya kinerja rumah sakit dengan nilai BOR (Bed Occupancy Rate) baru mencapai 4l,05%, tingkat keterlibatan perawat/bidan dalam upaya peningkatan kualitas layanan masih rendah, dan dari sisi manajemen RSU Bina Sehat belum memiliki konsep dan fondasi manajemen yang kuat. Dalam upaya meningkatkan manajemen dan kinerja perawat/bidan, pemerintah melalui Menteri Kesehatan mengeluarkan keputusan tentang Pedoman Pengembangan Manajemen Kinerja (PMK) Perawat dan Bidan yang tercantum dalam Kepmenkes RI Nomor 836/Menkes/SK/VU2005. Tujuan penelitian ini secara umum adalah menganalisis kesiapan RSU Bina Sehat dalam menerapkan PMK perawat/bidan melalui faktor input dan proses. Penelitian menggunakan metode deskriptif analitik dengan pendekatan kualitatif. Fokus penelitian adalah pada lini manajemen dan pelaksana yang berhubungan dengan keperawatan dan kebidanan. Dari hasil telaah dokumen, wawancara mendalam, dan FGD (Focus Group Discusion) menunjukkan bahwa Faktor Input PMK yaitu uraian tugas, SOP, SAK/SAB, pelatihan, sistem penghargaan, kecuali indikator kinerja, sudah dijalankan namun masih bersifat superfisial. Faktor Proses PMK yaitu monitoring, evaluasi, pengelolaan penyimpangan, diskusi refleksi kasus, dokumentasi asuhan keperawatan, dokumentasi asuhan kebidanan belum berjalan optimal sesuai dengan aturan dan standar yang telah ditetapkan oleh pemerintah. Dari hasil penilaian terhadap faktor-faktor tersebut RSU Bina Sehat tidak siap dalam menerapkan Kepmenkes RI No. 836/Menkes/SK/VI/2005 atau kesiapan baru mencapai 30%. Hambatan pelaksanaan PMK adalah kurangnya dukungan terhadap program, kurangnya kualitas dan kuantitas SDM , sarana dan prasarana masih kurang serta rendahnya motivasi kerja. Selain melengkapi kekurangan dari faktor input dan proses, dalam rangka menunjang kinerja dan sistem manajerial, secara umum diusulkan melalui 10 langkah perbaikan yaitu perbaikan struktur organisasi rumah sakit dan instalasi; kebijakan pimpinan rumah sakit; komitmen visi, misi, tujuan rumah sakit dari seluruh komponen rumah sakit; memupuk sifat kepemimpinan; peningkatan ketrampilan klinis dan manajerial; perbaikan deskripsi pekerjaan dan beban kerja; menilai kembali tata letak ruang rawat; melengkapi sarana dan alkes; memperbaharui sistem penghargaan; mengembangkan kerja tim dan pembelajaran.
Nursing service is, as a subsystem of health service in hospital, a central component to achieve quality heath service. The success of quality health service is dependent on the quality human resotuces, facilities and infrastructures, standing policies, and hospital management. Bina Sehat Hospital in Kabupaten Bandung is still facing many problems in nursing services including low perfomiance with 41.05 per cent of BOD (Bed Occupancy Rate) , low involvement of nulseslmidwives in the upgrading of quality service and Bina Sehat Hospital does not have solid concept and foundation of management. In an attempt to improve management and performance of nurses/midwives, the government of Indonesia through the Minister of Health has issued guidance on the development of performance management nurse/midwife in Kepmenkes RI No. 836/Menkes/SK/VI/2005. The objective of this study is to analyze the readiness of Bina Sehat Hospital in Development of Perfomance Management (DPM) nurse/midwife through input and process factor. This study employs descriptive analytic method with qualitative approach. The focus ofthe study is on the line management and execution related to nursing and obstetric. According to the results of document’s review, in-dept interview, and Focus Group Discussion, it is shown that input factors of DPM comprising of job description, Standard Operating Procedure (SOP), nursing/midwifery upbringing standard, training, reward system, except performance indicator, have already been operational yet still superficial. Process factors of DPM consisting of monitoring, evaluation, storage management, case reflection discussion, nursing documentation, obstetric documentation have not been optimal by the govemrnents’ rules and standards. Evaluation results on these factors, Bina Sehat Hospital is considered not ready yet in the implementation of Kepmenkes RI No. 836/Menkes/SK/VI/2005 as its readiness currently achieves only 30 per cent. The problems in implementing DPM nurse/midwife are the lack of support on the program, shortage in the quality and the quantity of human resources, shortage of facilities and infrastructure, and low work motivation. Apart from filling the gap in input and process factors, in supporting performance and managerial system, ten improvement steps are proposed are improve structural organization of hospital and installation; improve hospital management policies, committed vision, mission, objectives of the whole hospital components, nurture leadership, up-grade clinical and managerial skills, improvejob description and work load, review the lay out of nursing, add on facilities and health instrument, renew reward system, develop team work and learning system.