Ditemukan 22540 dokumen yang sesuai dengan query :: Simpan CSV
Ni Wayan Okayeni; Pembimbing: Adang Bachtiar; Penguji: Wachyu Sulistiadi, Puput Oktamianti, Ida Ayu Oka Purnama Wati, Made Koen Virawan
Abstrak:
ABSTRAK Rumah Sakit Umum Bali Royal Denpasar telah mengimplementasikan wisata medis sejak tahun 2010, namun implementasi wisata medis tersebut belum dianalisis secara sistematis. Oleh karena, itu perlu dilakukan kajian lebih lanjut tentang implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar.Tujuan umum penelitian adalah untuk memperoleh gambaran tentang implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar. Tujuan khusus penelitian adalah untuk memperoleh gambaran tentang prosedur implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar; menganalisis kesesuaian prosedur implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar dengan Permenkes No. 76/2015; menganalisis kesesuaian prosedur implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar dengan diagram wisata medis model Deloitte 2008; dan menganalisis kepuasan wisatawan medis terhadap implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar. Penelitian ini adalah penelitian kualitatif dengan desain deskriptif. Pelayanan wisata medis pada Rumah Sakit Umum Bali Royal Denpasar mencakup pelayanan prarumah sakit, selama di rumah sakit, dan pascarumah sakit. Prosedur implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar belum sesuai dengan Permenkes No. 76/2015. Prosedur implementasi wisata medis pada Rumah Sakit Umum Bali Royal Denpasar sesuai dengan diagram wisata medis model Deloitte 2008. Wisatawan medis belum sepenuhnya puas terhadap pelayanan wisata medis pada Rumah Sakit Umum Bali Royal Denpasar. Kata kunci: wisata medis, rumah sakit, model Deloitte Bali Royal Hospital Denpasar has been implementing medical tourism since 2010, but the implementation of medical tourism has not been systematically analyzed. Therefore, it is necessary to do further study on the implementation of medical tourism at Bali Royal Hospital Denpasar. The general purpose of the research is to obtain an overview of the implementation of medical tourism at Bali Royal Hospital Denpasar. The specific objective of the study are to obtain an overview of procedures for the implementation of medical tourism at Bali Royal Hospital Denpasar; analyzing the appropriateness of procedures for the implementation of medical tourism at Bali Royal Hospital Denpasar with Health Minister Regulation No. 76/2015; analyzing the appropriateness of medical tourism implementation procedures at Bali Royal Hospital Denpasar with the medical tourism diagram of Deloitte 2008 model; and analyzing the satisfaction of medical tourists on the implementation of medical tourism at Bali Royal Hospital Denpasar. This research is a qualitative research with descriptive design. Medical tourism services at Bali Royal Hospital Denpasar include pre hospital, during the hospital, and post hospital services. The implementation procedure of medical tourism at Bali Royal Hospital Denpasar has not been in accordance with Health Minister Regulation No. 76/2015. The implementation procedure of medical tourism at Bali Royal Hospital Denpasar in accordance with the medical tourism diagram of Deloitte 2008 model. Medical tourists have not fully satisfied with medical tourism services at Bali Royal Hospital Denpasar. Key words: medical tourism, hospitals, Deloitte models ix
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B-2019
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Vrilia Adirasari; Pembimbing: Dumilah Ayuningtyas; Penguji: Anhari Achadi, Budi Hartono, Yuli Prapanca
B-1683
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Gede Harsa Wardana; Pembimbing: Purnawan Junadi; Penguji: Wiku Bakti Bawono Adisasmito, Adang Bachtiar, A. A. N. Biarta; Virawan, Made Koen
B-1992
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ida Bagus Yudistira Nugraha Yustama; Pembimbing: Atik Nurwahyuni; Penguji: Masyitoh, Prastuti Soewondo, Kalsum Komaryani, Ni Putu Ayu Prima Dewi
Abstrak:
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Pemanfaatan ketiga indikator (casemix, CMI, dan HBR) secara berkala untuk mempertahankan mutu sembari menjaga efisiensi pelayanan RS di era JKN. Penelitian ini bertujuan untuk menganalisis dan strategi peningkatan capaian indikator casemix, casemix index dan hospital baserate RSU Bali Royal tahun 2019 - 2024.
Penelitian dilakukan di RSU Bali Royal selama bulan Mei - Juni 2025, menggunakan data primer wawancara mendalam dan focus group discussion dan sekunder yang didapatkan dari rekapitulasi elektronik klaim (e-klaim) Kemenkes, laporan keuangan, dan laporan rumah sakit. Penelitian ini menggunakan studi observasional pendekatan kualitatif untuk menganalisis capaian indikator Casemix, CMI dan HBR rawat inap dan rawat jalan.
Hasil penelitian menunjukkan bahwa terdapat unsur struktur (sumber daya manusia, material, mesin, anggaran, dan metode) dan unsur proses (manajemen pasien, manajemen koding, dan manajemen klaim) membuahkan unsur output (indikator casemix, casemix index, dan hospital baserate) Dinamika penambahan unsur struktur berdampak pada proses pelayanan pasien, efisiensi koding hingga 50%, dan keberhasilan klaim. Casemix rawat jalan tahun 2019 – 2024 diperoleh 11.393; 16.037; 32.763; 59.520; 111.193; dan 129.423. Casemix rawat inap kelas 1 tahun 2019 – 2024 diperoleh 907; 1.321; 2.657; 3.165; 3.829; dan 4.014. Casemix rawat inap kelas 2 tahun 2019-2024 diperoleh 818; 1.013; 1.800; 2.511; 3.052; dan 3.309. Casemix rawat inap keas 3 tahun 2019 – 2024 diperoleh 205; 539; 1.557; 2.023; 2.646; dan 3.038. Nilai CMI rawat jalan tahun 2019 – 2024 diperoleh 0,98; 1,11;1,16; 1,21; 1,35;dan 1,24. CMI rawat inap kelas 1 tahun 2019 – 2024 diperoleh 1,32; 1,60; 1,84; 1,57; 1,45; dan 1,37. CMI rawat inap kelas 2 tahun 2019 – 2024 diperoleh 1,17; 1,36; 1,58; 1,41; 1,33; dam 1,33. CMI rawat inap kelas 3 tahun 2019 – 2024 diperoleh 1,46; 1,82; 1,67; 1,54; 1,53; dan 1,45. HBR rawat jalan tahun 2019 – 2024 diperoleh 354.393; 333.231; 257.536; 243.675; 226.650; dan 238.494. HBR rawat inap kelas 1 tahun 2019 – 2024 diperoleh 5.257.416; 6.028.120; 5.477.120; 5.970.918; 6.542.667; dan 7.082.825. HBR rawat inap kelas 2 tahun 2019 – 2024 diperoleh 4.449.693; 5.628.665; 4.817.066; 4.993.043; 5.156.750; dan 5.563.012. HBR rawat inap kelas 3 tahun 2019 – 2024 diperoleh 3.616.138; 4.594.204; 3.746.071; 4.325.317; 4.584.260; dan 4.789.356. Nilai casemix dan casemix index mengalami peningkatan setiap tahunnya dengan capaian CMI di atas standar rumah sakit swasta kelas C regional 2. HBR rawat jalan pada tahun 2021-2024 dibawah HBR nasional, namun HBR rawat inap kelas 1, 2, dan 3 selalu berada di atas HBR nasional. Strategi yang dapat ditempuh untuk peningkatan casemix, casemix index, dan penurunan HBR adalah optimalisasi unsur struktur dengan perbaikan sumber daya manusia dan pengkajian metode, efisiensi mesin, material, dan anggaran, dan evaluasi pada unsur proses (manajemen pasien, koding, dan klaim).
The periodic utilization of three key indicators—casemix, Casemix Index (CMI), and Hospital Base Rate (HBR)—is crucial for maintaining service quality while ensuring operational efficiency in hospitals, particularly within Indonesia's National Health Insurance (JKN) system. This study aimed to analyze factors influencing, and develop strategies for enhancing the performance of, casemix indicators, the Casemix Index, and the Hospital Base Rate at Bali Royal General Hospital over the period 2019–2024. The research was conducted at Bali Royal General Hospital from May to June 2025. Primary data were collected through in-depth interviews and focus group discussions, while secondary data were obtained from the Ministry of Health's electronic claim (e-claim) database, hospital financial reports, and institutional records. This study employed an observational design with a qualitative approach to analyze the performance of casemix indicators, CMI, and HBR for both inpatient and outpatient services. The findings revealed that structural elements (i.e., human resources, materials, machinery, budget, and methods) and process elements (i.e., patient management, coding management, and claims management) collectively determine output elements, identified as casemix indicators, the Casemix Index, and the Hospital Base Rate. Strategic enhancements to these structural elements were found to positively impact patient service processes, improve coding efficiency by up to 50%, and increase claim success rates. Results for the 2019–2024 period were as follows: Outpatient casemix counts were 11,393; 16,037; 32,763; 59,520; 111,193; and 129,423 for the years 2019 to 2024, respectively. Inpatient casemix counts for the years 2019 to 2024 were, respectively: Class 1: 907; 1,321; 2,657; 3,165; 3,829; and 4,014. Class 2: 818; 1,013; 1,800; 2,511; 3,052; and 3,309. Class 3: 205; 539; 1,557; 2,023; 2,646; and 3,038. Casemix Index (CMI) values for the years 2019 to 2024 were, respectively: Outpatient CMI: 0.98, 1.11, 1.16, 1.21, 1.35, and 1.24. Inpatient CMI: Class 1: 1.32, 1.60, 1.84, 1.57, 1.45, and 1.37. Class 2: 1.17, 1.36, 1.58, 1.41, 1.33, and 1.33. Class 3: 1.46, 1.82, 1.67, 1.54, 1.53, and 1.45. Hospital Base Rate (HBR) values for the years 2019 to 2024 were, respectively (currency unit not specified in the original text): Outpatient HBR: 354,393; 333,231; 257,536; 243,675; 226,650; and 238,494. Inpatient HBR: Class 1: 5,257,416; 6,028,120; 5,477,120; 5,970,918; 6,542,667; and 7,082,825. Class 2: 4,449,693; 5,628,665; 4,817,066; 4,993,043; 5,156,750; and 5,563,012. Class 3: 3,616,138; 4,594,204; 3,746,071; 4,325,317; 4,584,260; and 4,789,356. Overall, casemix counts and the Casemix Index exhibited an upward trend annually, with CMI performance exceeding the established standard for Class C private hospitals in Regional Area 2. While the outpatient HBR from 2021 to 2024 fell below the national HBR, the inpatient HBR for Classes 1, 2, and 3 consistently surpassed the national benchmark. Recommended strategies to enhance casemix performance, improve the Casemix Index, and reduce the Hospital Base Rate center on optimizing structural elements. This includes improving human resource competencies, refining methodologies, and increasing the efficiency of machinery, materials, and budget allocation. Furthermore, a rigorous evaluation of process elements—such as patient management, clinical coding accuracy, and claims management procedures—is deemed essential.
T-7325
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dwi AriawanPembimbing: Vetty Yulianty Permanasari; Penguji: Tris Eryando; R. Sutiawan, Supriyantoro, Prihantoosa Soepradja
Abstrak:
ABSTRAK SIM RS di RSU Bali Royal sudah digunakan sejak tahun 2010. Tetapi pemanfaatan SIM RS masih belum optimal. Tujuan penelitian adalah untuk mengukur efektivitas implementasi SIM RS di RSU Bali Royaldengan menggunakan indikator PIECES ( Performance, Information and data, Economics, Control and security, Efficiency, Service ) di evaluasi dari sisi Informasi yang bisa dihasilkan. Rancangan penelitian yang digunakan adalah System Assessment Method. Pengumpulan data dilakukan dengan wawancara mendalam ( Indepth Interview ) menggunakan pedoman wawancara. Berdasarkan hasil wawancara mendalam dan telaah dokumen yang telah dilakukan, didapatkan hasil kinerja SIMRS RSU Bali Royal dari sisi informasi berdasarkan performance sudah baik diketahui dari indikator throughput dan respond time, dari information sudah baik bila dinilai dari outputs, inputs serta stored data, secara economics sudah baik, dari cotrolling and security keamanan data masih kurang, dari segi efficiency informasi yang didapatkan di SIMRS sudah baik, dari segi service bahwa SIMRS RSU Bali Royal sudah baik. Saran penambahan server, penerapan elektronik rekam medis, mengintegrasikan sistem dengan peralatan yang ada, adanya log out otomatis dan pemantauan rutin implementasi SIMRS ke seluruh unit. Kata kunci: Sistem Informasi Manajemen Rumah Sakit ( SIM RS ), Efektivitas, Informasi, Metode PIECES. Hospital Management Information System ( HMIS ) in Bali Royal Hospital has been used since 2010. But the utilization of HMIS is not optimal. The purpose of this research is to measure the effectiveness of HMIS implementation in RSU Bali Royal by using PIECES indicator (Performance, Information and Data, Economics, Control and security, Efficiency, Service) from the Information that can be provided by HMIS. The research design is System Assessment Method. Data collection was done by in-depth interviews (Indepth Interview) using interview guidelines. Based on the results of in-depth interviews and data processing, the results is performance of HMIS in Bali Royal in terms of information seen from the performance is good known from the throughput and respond time indicators, from the information is good assessed from outputs, inputs and stored data, economics is good, from controlling and security data security is not good , in terms of information efficiency obtained in HMIS is good, in terms of service that HMIS Bali Royal Hospital is good. Suggestion of server addition, implementation of electronic medical record, integrate system with existing equipment, automatic logout and routine monitoring of HMIS implementation to all units Keyword : Hospital Management Information System (HMIS), effectiveness, Information, PIECES.
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B-1991
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ida Bagus Wibawa Adnyana; Pembimbing: Adang Bachtiar; Penguji: Mardiati Nadjib, Vetty Yulianty Permanasari, I Gede Wiryana Patra Jaya, Pontisomaya
Abstrak:
Latar Belakang: Rumah sakit merupakan salah satu fasilitas atau lembaga penyedia jasa pelayanan kesehatan (health provider) dan sesuai dengan UU No 36 tahun 2009 tentang Kesehatan. Salah satu syarat yang masih sering dibahas dan menemui kendala saat ini adalah kelengkapan rekam medis. Masalah ini jugalah yang menjadi perhatian peneliti setelah melihat dan melakukan penelitian awal di Rumah Sakit Bali Royal. Ditemukan bahwa kelengkapan rekam medis di Unit Rawat Inap Rumah Sakit Bali Royal masih dibawah standar yang ditetapkan Kemenkes yang tercantum dalam Kepmenkes RI No.129/MENKES/SK/II/2008 yaitu sebesar 100%. Kelengkapan rekam medis bagi pasien rawat inap sangat penting untuk proses kesembuhan pasien dan memaksimalkan pelayanan rumah sakit pada pasien. Dimana tingkat kepatuhan dokter dalam pengisian rekam medis di RS BROS masih belum mencapai target rumah sakit yaitu 90%.
Metode: Penelitian ini merupakan penelitian kuantitatif cross sectional dimana variabel bebas dan variabel terikat diukur secara bersamaan. Metode pengambilan sampel yang akan digunakan adalah teknik sampling jenuh, jadi jumlah sampel yang digunakan adalah keseluruhan jumlah populasi yaitu 80 sampel.
Result: Melalui analisis multivariate menunjukkan bahwa variabel jumlah pasien dan insentif memiliki p value masing-masing 0,009 dan 0,041, dimana p value < 0,05. Sedangkan variabel lainnya nilai p value > 0,05.
Simpulan: Hasil penelitian menunjukkan bahwa variabel-variabel yang memiliki hubungan yang signifikan terhadap tingkat kepatuhan pengisian rekam medis di Rumah Sakit Bali Royal adalah variabel jumlah pasien dan variabel insentif
Kata kunci: Tingkat Kepatuhan, Rekam Medis, Teori Lawrence Green, Teori Malcolm Baldridge
Introduction: The hospital is one of the facilities or institutions of health service providers (health providers) and in accordance with Law No. 36 of 2009 on Health. One of the conditions that are still often discussed and encountered the current obstacle is the completeness of medical records. This problem is also the attention of researchers after seeing and doing initial research at Bali Royal Hospital. It was found that the completeness of the medical record at Bali Royal Hospital Inpatient Unit is still below the standard set by Ministry of Health stated in Kepmenkes RI No.129 / MENKES / SK / II / 2008 which is 100%. The completeness of medical records for inpatients is crucial to the patient's healing process and maximizing hospital services to patients. Where the level of compliance of doctors in filling out medical records at RS BROS still not reached the target of the hospital that is 90%
Method: This research is a cross sectional quantitative research where independent variable and dependent variable are measured simultaneously. Sampling method to be used is a saturated sampling technique, so the number of samples used is the total population of 80 samples.
Results: Through multivariate analysis showed that the variable number of patients and incentives had p values of 0.009 and 0.041, respectively, where p value 0,05.
Conclusion: The results showed that the variables that have a significant relationship to the compliance level of medical record at Bali Royal Hospital are variable of patient number and incentive variable
Keywords: Compliance Level, Medical Record, Lawrence Green Theory, Malcolm Baldridge Theory
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Metode: Penelitian ini merupakan penelitian kuantitatif cross sectional dimana variabel bebas dan variabel terikat diukur secara bersamaan. Metode pengambilan sampel yang akan digunakan adalah teknik sampling jenuh, jadi jumlah sampel yang digunakan adalah keseluruhan jumlah populasi yaitu 80 sampel.
Result: Melalui analisis multivariate menunjukkan bahwa variabel jumlah pasien dan insentif memiliki p value masing-masing 0,009 dan 0,041, dimana p value < 0,05. Sedangkan variabel lainnya nilai p value > 0,05.
Simpulan: Hasil penelitian menunjukkan bahwa variabel-variabel yang memiliki hubungan yang signifikan terhadap tingkat kepatuhan pengisian rekam medis di Rumah Sakit Bali Royal adalah variabel jumlah pasien dan variabel insentif
Kata kunci: Tingkat Kepatuhan, Rekam Medis, Teori Lawrence Green, Teori Malcolm Baldridge
Introduction: The hospital is one of the facilities or institutions of health service providers (health providers) and in accordance with Law No. 36 of 2009 on Health. One of the conditions that are still often discussed and encountered the current obstacle is the completeness of medical records. This problem is also the attention of researchers after seeing and doing initial research at Bali Royal Hospital. It was found that the completeness of the medical record at Bali Royal Hospital Inpatient Unit is still below the standard set by Ministry of Health stated in Kepmenkes RI No.129 / MENKES / SK / II / 2008 which is 100%. The completeness of medical records for inpatients is crucial to the patient's healing process and maximizing hospital services to patients. Where the level of compliance of doctors in filling out medical records at RS BROS still not reached the target of the hospital that is 90%
Method: This research is a cross sectional quantitative research where independent variable and dependent variable are measured simultaneously. Sampling method to be used is a saturated sampling technique, so the number of samples used is the total population of 80 samples.
Results: Through multivariate analysis showed that the variable number of patients and incentives had p values of 0.009 and 0.041, respectively, where p value 0,05.
Conclusion: The results showed that the variables that have a significant relationship to the compliance level of medical record at Bali Royal Hospital are variable of patient number and incentive variable
Keywords: Compliance Level, Medical Record, Lawrence Green Theory, Malcolm Baldridge Theory
B-1993
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
I Nyoman Ari Wijaya; Pembimbing: Dumilah Ayuningtyas; Penguji: Ede Surya Darmawan, Pujiyanto, Heri Iswanto, Muhammad Baharuddin
Abstrak:
Pelayanan Farmasi merupakan pelayanan yang tidak dapat dipisahkan dari pelayanan rumah sakit. Lamanya waktu tunggu di farmasi akan memengaruhi mutu layanan di rumah sakit secara menyeluruh. Demikian juga di RSU Bali Royal, didapatkan waktu tunggu diatas dari standar pelayanan minimal rumah sakit. Lamanya waktu tunggu di farmasi rawat jalan disebabkan belum berjalannya manajemen mutu yang baik di RSU Bali Royal. Peneitian ini akan melihat bagaimana proses pelayanan farmasi rawat jalan dengan menggunakan metode lean, di tahun 2017 dengan observational action process research, dengan melakukan observasi terhadap 15 pasien dari bulan oktober 2017 sampai dengan Januari 2018 di farmasi rawat jalan RSU Bali Royal, dengan melihat waste yang ada. Ditemukan kegiatan yang bersifat value added sebesar 45,65% dan kegiatan non value added (waste) sebesar 54,28%. Waste yang banyak ditemukan adalah waste waiting dan waste defect. Eliminasi waste yang sudah ditemukan dengan implementasi intervensi antara lain: memindahkan konter kasir, merubah lay out farmasi, membuat loket antara konter farmasi dengan ruang pengerjaan obat mengunci pintu ruang farmasi dan merubah alur layanan farmasi rawat jalan, sehingga kegiatan non value added dapat di eliminasi menjadi 18,28% dan kegiatan value added menjadi 81,72%. Dari segi outcome dapat dilihat adanya perbaikan waktu tunggu, perbaikan kepuasan pelanggan, peningkatan kunjungan dan peningkatan omset di farmasi. Peneitian ini menyimpulkan adanya peningkatan mutu layanan setelah dilakukan perbaikan proses pelayanan farmasi rawat jalan dengan menggunakan metode lean.
Kata kunci : Mutu; Lean; Farmasi
Pharmaceutical Services is a service that cannot be separated from hospital services. The length of waiting time in the pharmacy will satisfy the overall quality of hospital services. Currently the waiting time in Bali Royal Hospital pharmacy for out patient is still above the standard waiting time, which is not in accordance with the hospital guidelines. The standard waiting time for outpatient pharmacy cannot be achieved due to lack of quality management at RSU Bali Royal. This study will look at how the process of outpatient pharmacy service using lean method, in 2017 with observational action process research, by observing 15 patients from October 2017 to January 2018 at outpatient pharmaceutical RSU Bali Royal, by looking at the waste. It is founded that there are 45.65% value added activities and non-value added activities (vaste) of 54.28%. Most of the wastes that are found are waste waiting and waste defect. Elimination of waste that has been done by the implementation of intervention, among others: moving cashier counters, changing the lay out of pharmacy, making counter between the pharmaceutical counter with space lock pharmaceutical door lock and change in outpatient pharmacy service, so that non value added activities can be eliminated to 18.28% and value added activities to 81.72%. In terms of outcome can be seen the improvement of waiting time, improvement of customer satisfaction, increased visits and increased turnover in pharmacy. This study concludes that there is a significant improvement of service quality after the refinement of outpatient pharmacy service process using lean method.
Keyword : Quality; Lean; Pharmacy
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Kata kunci : Mutu; Lean; Farmasi
Pharmaceutical Services is a service that cannot be separated from hospital services. The length of waiting time in the pharmacy will satisfy the overall quality of hospital services. Currently the waiting time in Bali Royal Hospital pharmacy for out patient is still above the standard waiting time, which is not in accordance with the hospital guidelines. The standard waiting time for outpatient pharmacy cannot be achieved due to lack of quality management at RSU Bali Royal. This study will look at how the process of outpatient pharmacy service using lean method, in 2017 with observational action process research, by observing 15 patients from October 2017 to January 2018 at outpatient pharmaceutical RSU Bali Royal, by looking at the waste. It is founded that there are 45.65% value added activities and non-value added activities (vaste) of 54.28%. Most of the wastes that are found are waste waiting and waste defect. Elimination of waste that has been done by the implementation of intervention, among others: moving cashier counters, changing the lay out of pharmacy, making counter between the pharmaceutical counter with space lock pharmaceutical door lock and change in outpatient pharmacy service, so that non value added activities can be eliminated to 18.28% and value added activities to 81.72%. In terms of outcome can be seen the improvement of waiting time, improvement of customer satisfaction, increased visits and increased turnover in pharmacy. This study concludes that there is a significant improvement of service quality after the refinement of outpatient pharmacy service process using lean method.
Keyword : Quality; Lean; Pharmacy
B-2003
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ni Wayan Sri Astuti; Pembimbing: Purnawan Junadi; Penguji: Prastuti Soewondo, Amal Chalik Sjaaf, Tb. Firmansyah B. Rifai, Albert Maramis
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,
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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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
B-1990
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ni Made Dahlia; Pembimbing: Anhari Achadi; Penguji: Sandi Iljanto, Mieke Savitri, Dewi Lestarini, Nusati Ikawahju
B-1978
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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I Gusti Gede Utara Hartawan; Pembimbing: Jaslis Ilyas; Penguji: Amila Megraini, Puput Oktamianti, Mustikasari, Komang Ayu Mustriawati
Abstrak:
Peningkatan jumlah kunjungan pasien di UGD Rumah Sakit Bali Royal tidak diikutidengan perubahan jumlah ketenagaan perawat. Tujuan penelitian ini adalah untukmengetahui beban kerja perawat dan kebutuhan perawat di UGD Rumah Sakit BaliRoyal. Penelitian ini merupakan penelitian deskriptif kuantitatif. Pengamatandilakukan oleh peneliti untuk mengetahui waktu yang dihabiskan oleh perawatdalam melayani pasien dengan menggunakan metode Time Motion Study. Hasilpenelitian menunjukkan beban kerja untuk pasien gawat darurat sebesar 63,4 menitper hari (1,1 jam per hari), pasien gawat tidak darurat 1.585,5 menit per hari (26,4jam per hari), dan pasien darurat tidak gawat 2.187,7 menit per hari (36,5 jam perhari) dan kebutuhan tenaga perawat di UGD Rumah Sakit Bali Royal sebesar 17orang. Diperlukan penambahan tenaga perawat pelaksana sebanyak 3 orang.Kata Kunci : unit gawat darurat, perawat, time motion study, beban kerja, kebutuhanperawat.
The increasing number of patients visit in the Emergency Unit of Bali RoyalHospital is not followed by a change in the number of nurses. The purpose of thisstudy was to determine the workload of nurses and nurses needs in the EmergencyUnit of Bali Royal Hospital. This research was a descriptive quantitative research.Observations were made by the researcher to determine the time spent by nurses inserving patients by using the Time Motion Study. The results shown the workloadfor critically emergency patients at 63.4 minutes per day (1.1 hours per day),critically non emergency patients 1,585.5 minutes per day (26.4 hours per day), and2,187 minutes per day (36.5 hours per day) for non critical-but emergency patientsand the need for nurses in the Emergency Unit of Bali Royal Hospital was 17 people.Nurses needed additional power as much as 3 people.Keywords : emergency unit, a nurse, time motion study, workload, the need fornurses
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The increasing number of patients visit in the Emergency Unit of Bali RoyalHospital is not followed by a change in the number of nurses. The purpose of thisstudy was to determine the workload of nurses and nurses needs in the EmergencyUnit of Bali Royal Hospital. This research was a descriptive quantitative research.Observations were made by the researcher to determine the time spent by nurses inserving patients by using the Time Motion Study. The results shown the workloadfor critically emergency patients at 63.4 minutes per day (1.1 hours per day),critically non emergency patients 1,585.5 minutes per day (26.4 hours per day), and2,187 minutes per day (36.5 hours per day) for non critical-but emergency patientsand the need for nurses in the Emergency Unit of Bali Royal Hospital was 17 people.Nurses needed additional power as much as 3 people.Keywords : emergency unit, a nurse, time motion study, workload, the need fornurses
B-1611
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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