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This thesis discusses the evaluation of clinical pathway implementation, with the aim of knowing the implementation of Clinical Pathway and unit cost analysis of the Sectio Caesarea action at Bhakti Rahayu General Hospital Denpasar. The research design used is the mix method, namely quantitative and qualitative research designs, obtained from patient billing data and in-depth interviews. The study was conducted in April 2019 to July 2020. The results obtained are still variations in some of the services provided so that they get different costs between the total cost of action in accordance with the clinical pathway of Rp 1,920,000, - with the real cost of services provided at IDR 3,319,281, - which means there is still a difference of IDR 1,399,281, -.
This thesis discusses about the evaluation of the suitability of the clinical pathway application of clinical pathway diarrhea in infants, with the aim of obtaining the results of an evaluation of the implementation of Clinical Pathway diarrhea in infants and the calculation of unit cost in cases of diarrhea in infants in Bhakti Rahayu General Hospital Denpasar. The research design used is the mix method, namely quantitative and qualitative research designs. The study was conducted in May 2019 to June 2020. The results obtained are still getting some variations in the services provided to patients so that the total cost of action in accordance with clinical pathway is Rp. 675,281, - with the real cost of services provided at Rp. 1,045,212 , - which means there is still a difference of Rp. 369,931, -.
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
Sejak kebijakan SIMRS di bagian rawat jalan diimplementasikan, SIMRS di RSU Bhakti Yudha belum pernah di evaluasi. Padahal, kebijakan harus diawasi, dan salah satu mekanisme pengawasan tersebut adalah evaluasi. Berdasarkan timing implementasi (Nugroho, 2011), seharusnya evaluasi dilakukan antara tahun ke-3 atau ke-5 sejak implementasi penuh suatu kebijakan, sedangkan saat ini implementasi kebijakan SIMRS Bhakti Yudha telah mencapai tahun ke-8. Penelitian mengenai evaluasi implementasi kebijakan SIMRS di bagian rawat jalan RSU Bhakti Yudha tahun 2012 menggunakan desain kualitatif interpretatif dengan wawancara mendalam, observasi, dan telaah dokumen. Penelitian ini menggunakan informan yang berjumlah 10 orang informan dari staf pelayanan rawat jalan hingga direktur rumah sakit. Dari hasil triangulasi sumber, metode, dan analisis diperoleh hasil bahwa saat ini kualitas sistem informasi manajemen secara keseluruhan masih belum efektif. Dari analisis Fit/Gap didapatkan hanya 11% dari aplikasi software yang digunakan yang sesuai dengan kebutuhan rumah sakit, dan 56% masih mengalami kesenjangan. Pada analisis QSPM yang didahului dengan menggunakan matriks EFAS dan IFAS serta SWOT, diperoleh bahwa rekomendasi kebijakan bagi sistem informasi manajemen RSU Bhakti Yudha adalah dengan meminimalisir kelemahan internal, yaitu dengan mengganti sistem informasi yang ada dengan sistem vendor, namun dengan penetapan rumusan kebijakan akan sistem informasi manajemen terlebih dahulu. Kata kunci: Sistem Informasi Manajemen Rumah Sakit, Evaluasi, Kebijakan, Implementasi, Rekomendasi.
The implementation of management information system policy in the outpatient ward in the RSU Yudha Bhakti has never been evaluated. In fact, the policy should be monitored, and one of these control mechanisms are evaluated. Based on the timing of implementation, the evaluation should be conducted between the third or the fifth since the full implementation of a policy, while the current policy implementation of management information system Yudha Bhakti has achieved year 8. This research on the evaluation of policy implementation in the outpatient Bhakti Yudha Hospital in 2012 wasa using an interpretive qualitative design with in-depth interviews, observation, and document review. This study used 10 informants from the operational staff of outpatient services, IT manager, hospital consultant, and the director of the hospital. From the sources, methods, and analyzes triangulation, the results obtained that the current quality of management information systems as a whole is still not effective. From the analysis of Fit / Gap, the research showed thatd only 11% of software applications used in accordance with the hospital needs, and 56% still have gaps. In the analysis that preceded QSPM by using matrix EFAs and IFAs, and SWOT, this research result in the recommendation that the management of information system in the outpatient ward of Bhakti Yudha RSU need to minimize its internal weaknesses, by replacing the existing information systems with vendor development, but with the determination of policy formulation for a system of information managementi in advance. Key words: Hospital Management Information Systems, Evaluation, Policy, Implementation, Recommendations
ABC Hospital Jakarta, which began to have an agreement with BPJS HealthInsurance in May 2017, saw the need to recruit full timer specialists to support specialistservices in the NHC era. With the absence of a good allowance system at ABC HospitalJakarta, it was necessary to have a design on remuneration for medical specialist as anallowance system at ABC Hospital Jakarta in the NHC era.The research method used was a combination of quantitative and qualitative studyusing primary and secondary data. Primary data obtained from in-depth interviews andsurveys, while secondary data was taken from the results of document review. This studyresulted in the design of a remuneration system for specialists adapted from the Ministerof Health Decree No. 625/Menkes/SK/V/2010 and IDI Remuneration Guidebook of2016, which taken into account the principles of remuneration and three components ofremuneration (Pay for Position, Pay for Performance and Pay for People).Keywords : remuneration design, remuneration for doctor, remuneration in NHC era,remuneration in private hospital, principles of remuneration, component ofremuneration.