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Muhammadi; Pembimbing: Atik Nurwahyuni; Penguji: Pujiyanto, Kurnia Sari, Mulyadi Muchtiar, Sri Damayanti
Abstrak:
RS Yarsi mempunyai produk unggulan berupa histopatology center. Namun, tarif yang ditawarkan masih berbeda jauh diatas pesaing pada pemeriksaan yang sama. Penelitian ini bertujuan untuk mendapatkan menghitung biaya satuan (unit cost) dan tarif alternatif dari pemeriksaan histopatologi jaringan besar sedang kecil, biopsi, dan pap smear di histopatology center RS Yarsi sehingga dapat menjadi pusat rujukan dan mampu bersaing. Penelitian deskriptif analitik dengan desain penelitian kuantitatif dan kualitatif. Penelitian dilakukan pada bulan Agustus sampai dengan Desember 2020 dengan menggunakan data primer dan data sekunder. Hasil dari penelitian ini setelah dilakukan perhitungan seluruh komponen biaya dan dilakukan alokasi biaya dengan metode double distribution didapatkan unit cost untuk pemeriksaan histopatologi jaringan besar sedang kecil, biopsi, dan pap smear di histopatology center RS Yarsi berturut-turut yaitu Rp 476.113, Rp 418.696 , Rp 400.295, Rp 521.668 dan Rp 187.773. Hasil dari perhitungan biaya satuan (unit cost) memberikan empat usulan tarif histopatology center yang dapat digunakan sebagai pertimbangan menejemen RS Yarsi sehingga histopatology center RS Yarsi dapat bersaing dengan kompetitif
Yarsi Hospital has a center excellent program is histopathology center. However, the tariff offered still differ greatly from those of competitors. This study aims to calculate the unit cost and Estimated price for Large Medium Small Histopathology tissues, Biopsy and Pap Smear Using the Double Distribution Method at the Histopathology Center Yarsi Hospital so that they can become a referral center and be competitive. Analytical descriptive research with quantitative and qualitative research designs. The research was conducted from August to December 2020 using primary data and secondary data. The results of this study, after calculating all cost components and carrying out cost allocation using the double distribution method, obtained the unit cost for histopathological examination of large and medium small sized tissues, biopsy, and pap smears Large Medium Small Histopathology tissues, Biopsy and Pap Smear at the histopathology center of Yarsi Hospital is Rp 476.113, Rp 418.696, Rp. 400,295, Rp. 521,668 and Rp. 187,773. The results of the unit cost calculation provide four suggested histopathology center tariff that can be used as management considerations for Yarsi Hospital so the histopathology center can compete competitively
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Yarsi Hospital has a center excellent program is histopathology center. However, the tariff offered still differ greatly from those of competitors. This study aims to calculate the unit cost and Estimated price for Large Medium Small Histopathology tissues, Biopsy and Pap Smear Using the Double Distribution Method at the Histopathology Center Yarsi Hospital so that they can become a referral center and be competitive. Analytical descriptive research with quantitative and qualitative research designs. The research was conducted from August to December 2020 using primary data and secondary data. The results of this study, after calculating all cost components and carrying out cost allocation using the double distribution method, obtained the unit cost for histopathological examination of large and medium small sized tissues, biopsy, and pap smears Large Medium Small Histopathology tissues, Biopsy and Pap Smear at the histopathology center of Yarsi Hospital is Rp 476.113, Rp 418.696, Rp. 400,295, Rp. 521,668 and Rp. 187,773. The results of the unit cost calculation provide four suggested histopathology center tariff that can be used as management considerations for Yarsi Hospital so the histopathology center can compete competitively
B-2199
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nurul Kartikasari, Pembimbing: Wahyu Sulistiadi; Penguji: Vetty Yulianty Permanasari, Purnawan Junadi, Sonya Priyadharsini, M. Nicky Nurfajri
Abstrak:
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Rumah sakit dalam menjalankan operasional layanannya mempunyai bentuk risiko yang bisa disebabkan oleh jumlah dan ragam profesi yang memberikan pelayanan, sistem/fasilitas yang digunakan dalam pemberian layanan, kompleksitas alur layanan dan faktor eksternal. Semakin banyak volume layanan yang diberikan, bentuk risiko operasionalnya harus dapat dikenali dengan jelas dan dalam kendali rumah sakit untuk memperkecil kemungkinan kerugian. Penelitian ini dilakukan untuk menganalisis bentuk risiko operasional di unit rawat jalan Rumah Sakit Gigi dan Mulut YARSI dan menentukan bentuk pengendaliannya. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus melalui wawancara mendalam, telaah dokumen, observasi dan focus group discussion (FGD). Hasil penelitian menunjukkan bahwa rumah sakit belum memiliki regulasi, struktur pelaksana, sistem komunikasi dan pelaporan untuk mengidentifikasi dan mengendalikan risiko operasional layanan unit rawat jalan. Dampaknya adalah ditemukan kejadian risiko yang dapat membahayakan pasien hingga menghentikan operasional layanan unit rawat jalan, diantaranya kecelakaan kerja pada SDM, BHP kadaluarsa di ruangan pelayanan dan penggunaan alat medis yang sudah tidak layak pakai. Pemicu dari kejadian risiko operasional di layanan rawat jalan adalah belum adanya sistem yang memadai (32%), kesalahan/kegagalan SDM (29%), dan kegagalan/kesalahan dalam kombinasi SDM dan metode/sistem layanan yang sudah berjalan (26%). Berdasarkan metode House Of Risk, pemicu risiko dengan skor ARP terbesar adalah tidak adanya sistem logistik yang baik, rumah sakit belum menggunakan SIRS yang terintegrasi dan kekurangan SDM untuk memberikan layanan. Bentuk pengendalian pemicu risiko belum adanya sistem logistik yang baik adalah sistem informasi inventori obat berbasis web/lokal hosting yang dapat mengidentifikasi jenis, jumlah, tanggal kadaluarsa, dan riwayat penggunaan BHP yang dapat diakses oleh unit layanan, bagian pembelian, dan pihak manajemen. Bentuk pengendalian pemicu risiko belum adanya SIRS yang terintegrasi adalah penyusunan strategi sistem informasi value chain, membuat diagram aktivitas kerja bisnis (business work-flow) untuk memetakan seluruh proses yang terjadi dalam proses layanan rawat jalan.
Hospitals carrying out their service operations have a form of risk that can be caused by the number and variety of professions providing services, the systems/facilities used in providing services, the complexity of service flows, and external factors. The greater the volume of services provided, the greater the operational risk that the hospital must identify and control to minimize potential losses. This research was conducted to analyze the form of operational risk in the outpatient unit of YARSI Dental and Oral Hospital and determine the form of its control. This study uses a qualitative approach with a case study design through in-depth interviews, document reviews, observation, and focus group discussion (FGD). The results showed that the hospital did not yet have regulations, implementing structures, communication, and reporting systems to identify and control the operational risks of outpatient unit services. The impact was the discovery of risk events that could endanger patients and stop the operation of outpatient unit services, including work accidents in medical personnel, expired logistics in the outpatient room, and the use of medical devices that were no longer suitable for use. The triggers for operational risk events in outpatient services were the absence of an adequate system (32%), human errors/failures (29%), and failures/errors in the combination of HR and existing service methods/systems (26%). Based on the House Of Risk method, the risk trigger with the largest ARP score is the absence of a good logistics system, the fact that the hospital has not used an integrated SIRS, and a lack of human resources to provide services. In the absence of a good logistics system, a web-based or locally hosted drug inventory information system that can identify the type, quantity, expiration date, and history of logistic usage and can be accessed by the service unit, purchasing department, and management is a form of risk-trigger control. In the absence of an integrated SIRS, risk trigger control takes the form of developing a value chain information system strategy, which entails creating business workflow diagrams to map all processes that occur during the outpatient service process.
B-2312
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Betsy Sarah Raphaela; Pembimbing: Amal Chalik Sjaaf; Penguji: Muhamad Nur Ihwan, Purnawan Junadi
S-9629
Depok : FKM UI, 2018
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fika Sastramaya Khayan; Pembimbing: Ronnie Rivany; Penguji: Mieke Savitri, Budi Hartono, Denni J. Purwanto
B-1199
Depok : FKM UI, 2009
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Indah Maulina Dewi; Pembimbing: Ronnie Rivany; Penguji: Wahyu Sulistiadi, Vetty Yulianty Permanasari, Daya Suryandaru
Abstrak:
SJSN pada dasarnya merupakan program negara yang bertujuan memberikepastian perlindungan dan kesejahteraan sosial bagi seluruh rakyatIndonesia. Melalui program ini, setiap penduduk diharapkan dapat memenuhikebutuhan dasar hidup yang layak apabila terjadi hal-hal yang dapatmengakibatkan hilang atau berkurangnya pendapatan, karena menderita sakit,mengalami kecelakaan, kehilangan pekerjaan, memasuki usia lanjut ataupensiun Melalui peraturan presiden nomor 12 tahun 2013 tentang jaminankesehatan ditetapkan pembayaran pelayanan kesehatan tingkat lanjut di rumahsakit menggunakan pembayaran pra upaya (prospective payment) yaitumenggunakan pola INA-CBGs. Penerapan tarif INA-CBGs menimbulkanpolemik bagi rumah sakit karena terdapat selisih bayar yang cukup besarantara tarif rumah sakit dan tarif INA-CBGs.Salah satu komponen yang harusdipersiapkan oleh rumah sakit adalah membuat suatu pedoman pembiayaanberdasarkan cost of treatment berbasis clinical pathways.Prioritas untukpembuatan clinical pathway adalah kasus yang sering ditemui,kasus yangterbanyak,biayanya tinggi,perjalanan penyakit dan hasilnya dapatdiperkirakan,telah tersedia standar pelayanan medis dan standar proseduroperasional.Untuk tindakan herniotomi yang disepakati di RS PMI Bogor ada12 clinical pathway.dengan perhitungan cost of treatment dari yang palingminimal pada kasus herniotomi anak murni Rp 5.368.719,00 sampai yangmaksimal pada herniotomi Tua komplikasi dengan penyerta sebesar Rp9.350.683,00. Dengan adanya perhitungan ini Rumah Sakit memilikipedoman biaya tindakan herniotomi yang bersifat prospective payment. Saranuntuk rumah sakit diharapkan rumah sakit melakukan perhitungan cost oftreatment untuk tindakan yang lain berdasarkan clinical pathway yangdisepakati di RS PMI Bogor.
National Health Insurance System (SJSN) is basically a state program thataims to provide certainty of protection and social welfare for all Indonesianpeople. Through this program, each resident is expected to meet the basicneeds of living where things happen that can lead to lost or reduced income,because of illness, accident, loss of a job, entering old age or retirement.Through a presidential decree number 12 of 2013 about , has set an advancedpayment of health care services in hospitals, using pre-payment efforts(prospective payment) that uses pattern INA-CBGs. Implementation of INA-CBGs rates for hospital became polemic because there is a large enoughdifference in pay between hospital rates and INA-CBGs rates.One of thecomponent that must be prepared by the hospital is making a guideline basedon clinical pathway calculated cost of treatment.Prioritas for the manufactureof clinical pathways are frequently encountered cases, most cases, the cost ishigh, the disease course and outcome can be expected, has provided medicalservice standards and standard procedures operasional.For herniotomyprocedures agreed at the PMI Bogor hospital, there were 12 clinical pathwaywith calculation cost of treatment and the most minimal in the case of a purechild herniotomy Rp 5,368,719.00 to the maximum at Old herniotomy withconcomitant complications of Rp 9,350,683.00. Given this calculationHospital has guidelines herniotomy procedures costs that are prospectivepayment. Suggestions for hospital is expected to perform the calculation ofthe cost of treatment for other actions based on agreed clinical pathways inPMI Bogor hospital.
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National Health Insurance System (SJSN) is basically a state program thataims to provide certainty of protection and social welfare for all Indonesianpeople. Through this program, each resident is expected to meet the basicneeds of living where things happen that can lead to lost or reduced income,because of illness, accident, loss of a job, entering old age or retirement.Through a presidential decree number 12 of 2013 about , has set an advancedpayment of health care services in hospitals, using pre-payment efforts(prospective payment) that uses pattern INA-CBGs. Implementation of INA-CBGs rates for hospital became polemic because there is a large enoughdifference in pay between hospital rates and INA-CBGs rates.One of thecomponent that must be prepared by the hospital is making a guideline basedon clinical pathway calculated cost of treatment.Prioritas for the manufactureof clinical pathways are frequently encountered cases, most cases, the cost ishigh, the disease course and outcome can be expected, has provided medicalservice standards and standard procedures operasional.For herniotomyprocedures agreed at the PMI Bogor hospital, there were 12 clinical pathwaywith calculation cost of treatment and the most minimal in the case of a purechild herniotomy Rp 5,368,719.00 to the maximum at Old herniotomy withconcomitant complications of Rp 9,350,683.00. Given this calculationHospital has guidelines herniotomy procedures costs that are prospectivepayment. Suggestions for hospital is expected to perform the calculation ofthe cost of treatment for other actions based on agreed clinical pathways inPMI Bogor hospital.
B-1599
Depok : FKM UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Eko Yanuari Hanafi; Pembimbing: Kurnia Sari; Penguji: Sandi Iljanto, Arief Wardoyo
S-8136
Depok : FKMUI, 2014
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
☉
Rosa Selvia; Pembimbing: Wahyu Sulistiadi; Penguji: Adang Bachtiar, Septiara Putri, Eko Budi Prasetyo, Edwin Mukri Bandjar
Abstrak:
Latar belakang: Perkembangan teknologi informasi di bidang kesehatan, salah satunya adalah rekam medik elektronik. Penelitian sebelumnya mengatakan bahwa rekam medik fisik lebih lengkap di bandingkan dengan rekam medik elektronik (92,4 % vs 72,6 % dengan p < 0,001) dan pengisian cepat (2-6 menit) di bandingkan rekam medik elektronik (5-9 menit). Hal tersebut perlu di analisa terutama di critical unit, seperti Intensive Care Unit (ICU) yang monitoring, evaluasi dan pencatatan di lakukan secara berkala dan berkesinambungan. Subyek dan metode: Metode penelitian deskriptif dan kualitatif dengan pendekatan cross sectional. Analisis deskriptif di lakukan terhadap 40 rekam medik pasien rawat inap di ICU RS Yarsi tahun 2019. Analisis kualitatif dilakukan dengan wawancara mendalam. Hasil: di dapatkan hasil kelengkapan pengisian monitoring 71.87 %, keakuratan 62.5 %, ketepatan waktu 87.5 % dan sesuai hukum 85 %. Kesimpulan: Efektivitas rekam medik elektronik di ICU belum sesuai dengan indikator mutu 100 %
Backgrounds: The development of information technology in the health care, one of which is electronic medical record. Previous research said that the physical record is more complete compared to electronic medical records (92.4% vs 72.6% with < 0.001). It needs to be analyzed especially in critical units, such as Intensive Care Unit (ICU) which monitoring, evaluation and recording is done periodically and continuously every hour. Subject and Methods: This research used descriptive and quantitative methods with a cross sectional approach. Descriptive data gotten from medical records with total 40 inpatients in Intensive Care Yarsi Hospital used. While qualitative data was gotten from in depth interviews. Results: result of filling monitoring in EMR 71.87%, accuracy 62.5%, timeliness 87.5% and according to the law 85%. Conclusions: The effectiveness of electronic medical record in ICU has not been in accordance with 100% quality indicator
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Backgrounds: The development of information technology in the health care, one of which is electronic medical record. Previous research said that the physical record is more complete compared to electronic medical records (92.4% vs 72.6% with < 0.001). It needs to be analyzed especially in critical units, such as Intensive Care Unit (ICU) which monitoring, evaluation and recording is done periodically and continuously every hour. Subject and Methods: This research used descriptive and quantitative methods with a cross sectional approach. Descriptive data gotten from medical records with total 40 inpatients in Intensive Care Yarsi Hospital used. While qualitative data was gotten from in depth interviews. Results: result of filling monitoring in EMR 71.87%, accuracy 62.5%, timeliness 87.5% and according to the law 85%. Conclusions: The effectiveness of electronic medical record in ICU has not been in accordance with 100% quality indicator
B-2175
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Jihan Wafda Ramadhan; Pembimbing: Dumilah Ayuningtyas; Penguji: Ede Surya Darmawan, Wiku Bakti Bawono Adisasmito, Lia G. Partakusuma, Mulyadi Muchtiar
Abstrak:
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Latar belakang: BPJS sejak berdiri tahun 2014 sampai saat ini berusaha menerapkan pelayanan yang setara. Kesenjangan pelayanan dalam segi fasilitas kesehatan di seluruh Rumah Sakit di Indonesa menjadi permasalahan yang tak kunjung usai sehingga terbitlah peraturan pemerintah No 47 tahun 2021 tentang KRIS-JKN. Hadir dengan 12 kriterianya untuk menjawab tantangan ketidaksetaraan pada fasilitas salah satunya RS Yarsi. Dilakukan uji coba penerapan tahun 2022 oleh DJSN didapati bahwa 79% RS membutuhkan perbaikan infrastruktur dalam skala kecil, 18% RS perlu perbaikan skala besar, dan 3% RS dinyatakan sudah siap. Peraturan Presiden No 59 tahun 2024 mewajibkan seluruh rumah sakit siap menerapkan KRIS-JKN paling lambat 30 Juni 2025. Tujuan penelitian: Mengetahui kesiapan penerapan dan mengusulkan strategi penyiapan KRIS-JKN di RS Yarsi. Metodologi penelitian: Menggunakan pendekatan kualitatif dengan desain action research menggunakan data primer temuan di lapangan dan data sekunder (file-file di rumah sakit) dan hasil wawancara. Penelitian ini dilaksanakan dari bulan April hingga Mei 2024. Hasil penelitian: Didapatkan hasil bahwa RS Yarsi sudah 80 % siap untuk menerapkan KRIS-JKN. Beberapa hal yang menjadi faktor internal dan faktor eksternal setelah melewati diskusi dengan tim CDMG kemudian dimasukan ke matrix IE, penerapan KRIS-JKN di RS Yarsi berada di posisi sel 1, build and grow. Di matrix TOWS strategi yang diusulkan, yaitu Product Development dan Market Development. Pada tahapan penyusunan strategi pada matrix TOWS didapati prioritas pertama adalah pengembangan sarana dan prasarana, yaitu Pengganggaran revitalisasi sarana dan prasarana, optimalisasi SIMRS, penyesuaian kebutuhan sarana sesuai kriteria KRIS-JKN. Prioritas kedua pengembangan kompetensi SDM, yaitu dengan recruitement SDM yang kompeten dan kepala instalansi rawat inap, melakukan refreshement dan bounding antar pegawai. Prioritas ketiga pengembangan segmen pasar, yaitu melalui promosi layanan unggulan dan penguatan kerjasama lintas sektor, perbaikan manajemen tempat tidur RS, Customer Relationship Management (CRM), dan peningkatan enggangement dengan pelanggan dan mitra. Kesimpulan: RS Yarsi 80 % siap dalam menerapkan KRIS-JKN dengan strategi penyiapan yang diusulkan adalah Product Development dan Market Development dengan prioritas strategi pertama yaiitu pengembangan saran dan prasarana, kedua pengembangan kompetensi SDM, dan ketiga pengembangan segmen pasar.
Background: BPJS since its establishment in 2014 until now has tried to implement equal services. The gap in services in terms of health facilities in all hospitals in Indonesia has become a never-ending problem so that government regulation No. 47 of 2021 concerning KRIS-JKN was issued. It comes with 12 criteria to answer the challenge of inequality in facilities, one of which is Yarsi Hospital. A trial implementation in 2022 by DJSN found that 79% of hospitals needed small-scale infrastructure improvements, 18% of hospitals needed large-scale repairs, and 3% of hospitals were declared ready. Presidential Regulation No. 59 of 2024 requires all hospitals to be ready to implement KRIS-JKN no later than June 30, 2025 Objective: Knowing the readiness of implementation and proposing a strategy for the preparation of KRIS-JKN at Yarsi Hospital. Methode: Using a qualitative approach with an action research design using primary data from findings in the field and secondary data (files in hospitals) and interview results. This research was carried out from April to May 2024. Results: The results were obtained that Yarsi Hospital is 80% ready to implement KRIS-JKN. Several things that became internal factors and external factors after going through discussions with the CDMG team were then included in the IE matrix, the implementation of KRIS-JKN at Yarsi Hospital was in the position of cell 1, build and grow. In the TOWS matrix, the proposed strategies are Product and Market Development. At the stage of strategy preparation in the TOWS matrix, it was found that the first priority was the development of facilities and infrastructure, namely the revitalization of facilities and infrastructure, optimization of SIMRS, adjustment of facility needs according to KRIS-JKN criteria. The second priority is the development of human resource competencies, namely by recruiting competent human resources and heads of inpatient installations, conducting refreshements and bounding between employees. The third priority for market segment development is through the promotion of superior services and strengthening cross-sector cooperation, improving hospital bed management, Customer Relationship Management (CRM), and improving engagement with customers and partners Conclusion: RS Yarsi is 80% ready to implement KRIS-JKN with the proposed preparation strategy of Product Development and Market Development with the first strategic priority, namely the development of advice and infrastructure, the second is the development of human resource competencies, and the third is the development of market segments.
B-2491
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Minar Napitupulu; Pembimbing: Prastuti C. Soewondo; Penguji: Atik Nurwahyuni, Kurniasari, I. Ichsan Hanfi, Emmy Salman
B-1653
Depok : FKM UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Maya Tendian; Pembimbing: Sandi Iljanto; Penguji: Amal C. Sjaaf, Zakaria
S-6181
Depok : FKM UI, 2010
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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