Ditemukan 33002 dokumen yang sesuai dengan query :: Simpan CSV
Zubaedah; Pembimbing: Hasbullah Thabrany; Penguji: Atik Nurwahyuni, Amal C. Sjaaf, Poppy Mariani Yuliati
B-1248
Depok : FKM UI, 2010
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mila Fitriana; Pembimbing: Anhari Achadi; Penguji: Ede Surya Darmawan, Masyitoh Bashabih, Ida Bagus Sila Wiweka, Chairulsjah Sjahruddin
Abstrak:
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Latar Belakang: Rumah Sakit (RS) harus menyelenggarakan perlindungan pasien dari risiko Healthcare-Associated Infections (HAIs). Program Pencegahan dan Pengendalian Infeksi harus diselenggarakan dengan baik untuk menurunkan risiko HAIs, termasuk kepatuhan hand hygiene pada seluruh staf RS. Rendahnya kepatuhan diantara petugas kesehatan menjadi masalah di fasilitas pelayanan kesehatan. World Health Organization (WHO) mengeluarkan Multimodal Hand Hygiene Improvement Strategy sebagai salah satu strategi untuk mengatasi permasalahan kepatuhan hand hygiene. Rumah Sakit Paru Dr. M. Goenawan Partowidigdo (RSPG) Cisarua Bogor telah memiliki regulasi hand hygiene yang mengacu pada kebijakan yang berlaku, namun kepatuhan hand hygiene tidak mencapai target selama tiga tahun. Analisis kepatuhan implementasi kebijakan, dalam hal ini regulasi, perlu dilakukan untuk memetakan faktor-faktor yang mempengaruhi implementasi. Oleh karena itu penelitian ini ingin menganalisis lebih lanjut bagaimana kepatuhan implementasi regulasi hand hygiene di RSPG Cisarua Bogor berdasarkan WHO Multimodal Hand Hygiene Improvement Strategy. Metode: Penelitian ini menggunakan pendekatan penelitian kualitatif deskriptif analitik dengan metode studi kasus. Peneliti melakukan analisis kepatuhan implementasi regulasi hand hygiene dengan mengembangkan teori George Edward III yang dikolaborasikan dengan WHO Multimodal Hand Hygiene Improvement Strategy. Penilaian WHO Multimodal Hand Hygiene Improvement Strategy dilakukan dengan skoring Hand Hygiene Self-Assessment Framework (HHSAF). Lokasi penelitian di Rumah Sakit Paru Dr. M. Goenawan Partowidigdo (RSPG) Cisarua Bogor yang merupakan Rumah Sakit Khusus Pusat Tipe III. Hasil: Berdasarkan analisis terhadap variabel komunikasi, masih perlu peningkatan konsistensi komunikasi. Persentase perolehan skor HHSAF pada variabel komunikasi 80,4%. Berdasarkan analisis terhadap variabel sumber daya, diperoleh persentase skor 73,9%. Pada SDM peneliti mendapatkan temuan selain kuantitas dan kualitas SDM, yaitu isu keaktifan dan perilaku. Berdasarkan analisis terhadap variabel disposisi didapatkan pada pengangkatan birokrasi masih kurangnya bentuk komitmen yang jelas dari kepala keperawatan. Bentuk apresiasi non materi dianggap akan lebih berdampak positif, dan masih kurangnya komitmen implementor. Persentase perolehan skor HHSAF pada variabel disposisi adalah 65%. Berdasarkan analisis terhadap variabel struktur birokrasi, diketahui perlu perbaikan pada SPO keperawatan mengenai momen cuci tangan sesuai SPO dan panduan PPI. Pada fragmentasi diketahui koordinasi penyebaran tanggung jawab untuk implementasi regulasi hand hygiene masih kurang baik, namun tidak terjadi bureaucratic fragmentation. Persentase perolehan skor HHSAF pada variabel struktur birokrasi adalah 23%. RSPG berada pada hand hygiene level Intermediate dengan skor total 312,5. Kesimpulan: Diantara keempat variabel, persentase perolehan skor HHSAF terendah adalah pada variabel struktur birokrasi, namun hal ini bukan menjadi variabel yang paling berpengaruh pada implementasi regulasi hand hygiene di RSPG. Variabel yang paling berpengaruh terhadap implementasi regulasi hand hygiene di RSPG adalah variabel sumber daya, yaitu sumber daya manusia, terkait isu keaktifan dan perilaku.
Background: Hospitals must organize patient safety from the risk of Healthcare-Associated Infections (HAIs). Infection Prevention and Control programs must be well organized to reduce the risk of HAIs, including hand hygiene compliance among all hospital staff. Low compliance among healthcare workers is a problem in healthcare facilities. WHO issued the Multimodal Hand Hygiene Improvement Strategy as one of the strategies to overcome the problem of hand hygiene compliance. Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) Cisarua Bogor has hand hygiene regulations that refer to applicable policies, but hand hygiene compliance has not reached the target for three years. Compliance analysis of policy implementation, in this case regulation, needs to be done to map the factors that influence implementation. Therefore, this study aims to further analyze how the implementation compliance of hand hygiene regulation in RSPG Cisarua Bogor is based on WHO Multimodal Hand Hygiene Improvement Strategy. Methods: This study used a qualitative analytic descriptive research approach, with a case study method. Researcher analyzed the implementation compliance of hand hygiene regulations by developing the George Edward III theory collaborated with the WHO Multimodal Hand Hygiene Improvement Strategy. The WHO Multimodal Hand Hygiene Improvement Strategy assessment was carried out by scoring the Hand Hygiene Self-Assessment Framework (HHSAF). The research location was at the Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) Cisarua Bogor which is a Type III Central Specialty Hospital. Results: Based on the analysis of communication variables, there is still a need to improve communication consistency. The percentage of HHSAF scores on communication variables is 80.4%. Based on the analysis of the resource variable, a percentage score of 73.9% was obtained. In human resources, researchers found findings other than the quantity and quality of human resources, namely the issue of activeness and behavior. Based on the analysis of the disposition variable, it was found that the bureaucratic appointment still lacked a clear form of commitment from the head of nursing. Non-material forms of appreciation are considered to have a more positive impact, and there is still a lack of implementor commitment. The percentage of the HHSAF score on the disposition variable is 65%. Based on the analysis of bureaucratic structure variables, it is known that improvements need to be made to the nursing SPO regarding hand washing moments according to SPO and PPI guidelines. In fragmentation, it is known that the coordination of the distribution of responsibilities for implementing hand hygiene regulations is still not good, but there is no bureaucratic fragmentation. The percentage of the HHSAF score on the bureaucratic structure variable was 23%. RSPG is at the Intermediate level of hand hygiene with a total score of 312.5. Conclusion: Among the four variables, the lowest percentage of the HHSAF score was on the bureaucratic structure variable, but this was not the most influential variable on the implementation of hand hygiene regulations in RSPG. The variable that has the most influence on the implementation of hand hygiene regulations in RSPG is the resource variable, namely human resources, related to the issue of activeness and behavior.
Background: Hospitals must organize patient safety from the risk of Healthcare-Associated Infections (HAIs). Infection Prevention and Control programs must be well organized to reduce the risk of HAIs, including hand hygiene compliance among all hospital staff. Low compliance among healthcare workers is a problem in healthcare facilities. WHO issued the Multimodal Hand Hygiene Improvement Strategy as one of the strategies to overcome the problem of hand hygiene compliance. Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) Cisarua Bogor has hand hygiene regulations that refer to applicable policies, but hand hygiene compliance has not reached the target for three years. Compliance analysis of policy implementation, in this case regulation, needs to be done to map the factors that influence implementation. Therefore, this study aims to further analyze how the implementation compliance of hand hygiene regulation in RSPG Cisarua Bogor is based on WHO Multimodal Hand Hygiene Improvement Strategy. Methods: This study used a qualitative analytic descriptive research approach, with a case study method. Researcher analyzed the implementation compliance of hand hygiene regulations by developing the George Edward III theory collaborated with the WHO Multimodal Hand Hygiene Improvement Strategy. The WHO Multimodal Hand Hygiene Improvement Strategy assessment was carried out by scoring the Hand Hygiene Self-Assessment Framework (HHSAF). The research location was at the Dr. M. Goenawan Partowidigdo Pulmonary Hospital (RSPG) Cisarua Bogor which is a Type III Central Specialty Hospital. Results: Based on the analysis of communication variables, there is still a need to improve communication consistency. The percentage of HHSAF scores on communication variables is 80.4%. Based on the analysis of the resource variable, a percentage score of 73.9% was obtained. In human resources, researchers found findings other than the quantity and quality of human resources, namely the issue of activeness and behavior. Based on the analysis of the disposition variable, it was found that the bureaucratic appointment still lacked a clear form of commitment from the head of nursing. Non-material forms of appreciation are considered to have a more positive impact, and there is still a lack of implementor commitment. The percentage of the HHSAF score on the disposition variable is 65%. Based on the analysis of bureaucratic structure variables, it is known that improvements need to be made to the nursing SPO regarding hand washing moments according to SPO and PPI guidelines. In fragmentation, it is known that the coordination of the distribution of responsibilities for implementing hand hygiene regulations is still not good, but there is no bureaucratic fragmentation. The percentage of the HHSAF score on the bureaucratic structure variable was 23%. RSPG is at the Intermediate level of hand hygiene with a total score of 312.5. Conclusion: Among the four variables, the lowest percentage of the HHSAF score was on the bureaucratic structure variable, but this was not the most influential variable on the implementation of hand hygiene regulations in RSPG. The variable that has the most influence on the implementation of hand hygiene regulations in RSPG is the resource variable, namely human resources, related to the issue of activeness and behavior.
B-2337
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Kartika Malahayati; Pembimbing: Jaslis Ilyas; Penguji: Atik Nurwahyuni, Vetty Yulianty Permanasari, Muhamad Nur Ihwan,
Purwa Kurnia Sucahya
Abstrak:
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Casemix, casemix index dan hospital baserate merupakan indikator penting untuk melihat kinerja rumah sakit di bawah sistem pembayaran INA-CBGs. Indikator tersebut merupakan penyusun besaran tarif INA-CBGs, instrumen penilaian kinerja rumah sakit mitra BPJS Kesehatan dan instrumen penyusun pembayaran klaim mixed method INA-CBGs dan global budget yang mulai diujicobakan. Penelitian ini dilakukan dengan tujuan untuk menganalisis capaian dan determinan indikator casemix, casemix index dan hospital baserate RSPG Cisarua Bogor selama tahun 2017 – 2022. Penelitian akan dilakukan selama bulan Mei – Juni 2023 oleh peneliti langsung di RSPG Cisarua Bogor. Analisis capaian indikator casemix, casemix index dan hospital baserate rumah sakit menggunakan data sekunder yang didapatkan dari rekapitulasi data pada elektronik klaim (e-klaim) Kementerian Kesehatan. Determinan yang berpengaruh terhadap ketiga indikator yang dihitung dalam penelitian ini akan dianalisis secara crossectional melalui pendekatan analitik kuantitatif dari data sekunder berupa e-klaim dan laporan rumah sakit. Uji statistik berupa uji korelasi dan regresi linier sederhana digunakan untuk melihat determinan yang berkaitan dengan indikator casemix, casemix index dan hospital baserate. Hasil penelitian menunjukkan tren casemix rawat jalan dan rawat inap tahunan RSPG mengalami penurunan dari 2017 hingga 2021 seiring dengan penurunan jumlah kasus. Penurunan pada tahun 2020 dan 2021 diakibatkan adanya penurunan jumlah kasus yang signifikan selama pandemi Covid-19. Nilai casemix di tahun 2022 kembali naik seiring membaiknya kondisi pandemi di Indonesia. Capaian casemix index rawat jalan dan rawat inap RSPG Cisarua lebih rendah bila dibandingkan dengan rata-rata capaian casemix index RS Pemerintah Kelas A di regional I. Terjadi kenaikan casemix index saat pandemi Covid-19 dikarenakan masyarakat berobat dalam keadaan lebih parah di saat pandemi. Hospital baserate rawat jalan RSPG tahun 2017 dan 2021 masih berada di bawah tarif nasional, sedangkan tahun 2018, 2019, 2020, dan 2022 hospital baserate lebih tinggi dibandingkan tarif nasional. Hospital baserate rawat inap RSPG secara konasisten lebih tinggi dibandingkan tarif nasional. Artinya biaya yang dikeluarkan rumah sakit lebih tinggi dibandingkan tarif yang dibayarkan oleh BPJS dalam menangani kasus dengan nilai cost weight=1. Terdapat 5 variabel yang bernilai signifikan dengan p<0,05 terhadap casemix rawat jalan, yakni jumlah kasus, jumlah klinik rawat jalan, jumlah dokter spesialis, proporsi beban pegawai, dan proporsi beban penyusutan. Variabel yang berkorelasi secara statistik terhadap casemix rawat inap adalah jumlah kasus, severity level II dan III, lama hari perawatan, jumlah dokter spesialis, proporsi beban pegawai, dan proporsi beban penyusutan. Jumlah klinik rawat jalan dan proporsi beban pegawai memiliki hubungan dengan capaian casemix index rawat jalan. Jumlah kasus, severity level I dan III, lama hari perawatan, serta jumlah dokter spesialis yang praktek di rumah sakit secara statistik berpengaruh terhadap capaian casemix index rawat inap. Hospital baserate di rumah sakit dihitung dengan membagi total biaya dengan casemix. Jumlah klinik rawat jalan, jumlah dokter spesialis, dan proporsi beban pegawai memiliki hubungan (p<0,05) terhadap hospital baserate rawat jalan. Jumlah kasus, severity level I dan III, lama hari perawatan, dan proporsi beban pegawai merupakan determinan yang teridentifikasi terhadap hospital baserate rawat inap.
Casemix, casemix index and hospital baserate are important indicators to evaluate hospital performance under the INA-CBGs payment system. These indicators are the basis for the INA-CBGs tariff rates, the instrument for assessing the performance of BPJS Kesehatan partner hospitals and the constructing instrument of mixed method global budget claim payments for INA-CBGs which has begun to be trialled. This research was conducted to analyze the achievements and determinants of casemix, casemix index and hospital baserate RSPG Cisarua Bogor from 2017 to 2022. The research conducted on May - June 2023 at RSPG Cisarua Bogor. Analysis of the achievement indicators for casemix, casemix index and hospital base rate uses secondary data obtained from Ministry of Health's electronic claims (e-claims). The determinants that affect the indicators will be analyzed cross-sectionally through a quantitative analytical approach from secondary data form e-claims and hospital reports. Correlation and simple linear regression were used to see whether the determinants related to the casemix, casemix index and hospital baserate indicators. The results showed that the casemix trend for outpatient and inpatient at RSPG had decreased from 2017 to 2021 along with the number of visits. The decline in 2020 and 2021 was due to a significant decrease in the number of visits during the Covid-19 pandemic. The casemix in 2022 increased as the pandemic conditions improved in Indonesia. The casemix index for outpatient and inpatient care at RSPG Cisarua were lower than the average casemix index for Class A Government Hospitals in regional I. RSPG outpatient hospital baserate in 2017 and 2021 is still below the national rate, while the other years are higher. RSPG's hospital base rate of inpatient care is consistently higher than the national rate. This means that the costs incurred by the hospital are higher than the rates paid by BPJS in handling cases with cost weight = 1. There are 5 variables that have significant value with p
B-2348
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ulfia Mutiara Supatmanto; Pembimbing: Amal Chalik Sjaaf; Penguji: Helen Andriani, Purnawan Junadi, Wellya Hartati, Endang Adriyani
Abstrak:
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Proses bisnis yang penting dalam organisasi rumah sakit salah satunya adalah manajemen pengelolaan perbekalan farmasi. Manajemen pengelolaan perbekalan farmasi di RSPG Cisarua Bogor melibatkan tim dimulai dari tahapan perencanaan, pengadaan, penyimpanan dan distribusi. Hambatan internal dalam proses perencanaan dan pengadaan perbekalan farmasi merupakan hambatan yang bisa dikendalikan dengan intervensi secara internal dalam proses bisnis di dalam rumah sakit. Penelitian ini fokus pada usulan perubahan sistem manajemen pengelolaan perbekalan farmasi khususnya perencanaan dan pengadaan di internal RSPG Cisarua Bogor. Intervensi dalam proses pengadaan menggunakan lean six sigma sebagai alat bantu evaluasi untuk menentukan titik-titik lemah dalam penelitian ini hanya sampai pada tahap improve. Pengumpulan data menggunakan wawancara mendalam dengan informan yang terkait proses perencanaan dan pengadaan perbekalan farmasi, observasi dan penelusuran dokumen kemudian diakhiri dengan diskusi kelompok untuk menentukan kesepakatan bersama. Hasil penelitian menunjukkan bahwa ketiadaan prosedur tetap dalam proses pengadaan perbekalan farmasi membuat lamanya prosedur berjalan dan tidak ada tolak ukur efisiensi dalam sistem. Alat bantu dalam proses pengadaan perbekalan farmasi juga tidak ada sehingga komunikasi internal antar bagian walaupun dalam satu tim yang sama menjadi rendah. Pada tahapan improve dari lean six sigma menghasilkan usulan perubahan standar operasional prosedur untuk proses pengadaan perbekalan farmasi rutin, penggunaan indikator efisiensi pengadaan dan pemanfaatan ABC VEN sebagai alat bantu dalam proses pengadaan perbekalan farmasi. Usulan perbaikan penggunaan ABC VEN dan indikator efisiensi perencanaan untuk mengatasi waste over production yang teridentifikasi selama proses perencanaan perbekalan farmasi. Usulan penetapan standar operasional prosedur baru yang memuat timeline, alat bantu pengelompokan perbekalan farmasi berdasarkan ABC VEN dan indikator efisiensi pengadaan untuk mengatasi waste waiting dalam proses pengadaan perbekalan farmasi.
One of the important business processes in hospital organizations is the management of pharmaceutical supplies. The management of pharmaceutical supplies management at RSPG Cisarua Bogor involves teams starting from the stages of planning, procurement, storage and distribution. Internal obstacles in the process of planning and procuring pharmaceutical supplies are obstacles that can be controlled by internal intervention in business processes within the hospital. This research focuses on proposed changes in the management system of pharmaceutical supply management, especially planning and procurement within RSPG Cisarua Bogor. Intervention in the procurement process using lean six sigma as an evaluation tool to determine weak points in this study only reached the improvement stage. Data collection used in-depth interviews with informants related to the process of planning and procuring pharmaceutical supplies, observation and document tracing then ended with group discussions to determine mutual agreement. The results showed that the absence of fixed procedures in the process of procuring pharmaceutical supplies made the procedure run longer and there was no benchmark of efficiency in the system. Tools in the process of procuring pharmaceutical supplies are also absent so that internal communication between departments even in the same team is low. At the improve stage of lean six sigma produced proposals for changes to standard operating procedures for routine pharmaceutical supply procurement processes, the use of procurement efficiency indicators and the use of ABC VEN as a tool in the pharmaceutical supply procurement process. Proposed improvements in the use of ABC VEN and planning efficiency indicators to address waste over production identified during the pharmaceutical supply planning process. Proposed establishment of new standard operating procedures containing timelines, tools for grouping pharmaceutical supplies based on ABC VEN and procurement efficiency indicators to overcome waste waiting in the pharmaceutical supply procurement process.
One of the important business processes in hospital organizations is the management of pharmaceutical supplies. The management of pharmaceutical supplies management at RSPG Cisarua Bogor involves teams starting from the stages of planning, procurement, storage and distribution. Internal obstacles in the process of planning and procuring pharmaceutical supplies are obstacles that can be controlled by internal intervention in business processes within the hospital. This research focuses on proposed changes in the management system of pharmaceutical supply management, especially planning and procurement within RSPG Cisarua Bogor. Intervention in the procurement process using lean six sigma as an evaluation tool to determine weak points in this study only reached the improvement stage. Data collection used in-depth interviews with informants related to the process of planning and procuring pharmaceutical supplies, observation and document tracing then ended with group discussions to determine mutual agreement. The results showed that the absence of fixed procedures in the process of procuring pharmaceutical supplies made the procedure run longer and there was no benchmark of efficiency in the system. Tools in the process of procuring pharmaceutical supplies are also absent so that internal communication between departments even in the same team is low. At the improve stage of lean six sigma produced proposals for changes to standard operating procedures for routine pharmaceutical supply procurement processes, the use of procurement efficiency indicators and the use of ABC VEN as a tool in the pharmaceutical supply procurement process. Proposed improvements in the use of ABC VEN and planning efficiency indicators to address waste over production identified during the pharmaceutical supply planning process. Proposed establishment of new standard operating procedures containing timelines, tools for grouping pharmaceutical supplies based on ABC VEN and procurement efficiency indicators to overcome waste waiting in the pharmaceutical supply procurement process.
B-2339
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Tien Astari; Pemb. Ede Suya Darmawan; Penguji: Amal C. Sjaaf, Amila Megraini, R. Suhasbagyo
B-1130
Depok : FKM UI, 2008
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Atty Supraba; Pembimbing: Puput Oktamianti; Penguji: Kurnia Sari, Atik Nurwahyuni, Ermilda Sriwastuti, Abdi Setia Putra
B-1641
Depok : FKM UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Wellya Hartati; Pembimbing: Sandi Iljanto; Penguji: Suprijanto Rijadi, Hendrik Johanenes, Iing Irat Setiamasa
B-1316
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Gina Tania; Pembimbing: Adang Bachtiar; Penguji: Purnawan Junadi, Zulvi Wiyanti
Abstrak:
Di era JKN ini, rumah sakit dituntut harus efisien dalam mengendalikan biaya layanan agar tidak melebihi tarif INA CBGs dengan catatan mutu layanan harus tetap terjaga dengan baik. Penelitian deskriptif kuantitatif ini bertujuan menganalisis biaya berdasarkan tarif rumah sakit dan klaim INA CBGs pada pasien peserta BPJS kasus sectio caesarea di RSUD dr. Doris Sylvanus pada Januari sampai Agustus Tahun 2016.
Berdasarkan hasil penelitian diketahui biaya yang tidak dibayar sesuai tarif rumah sakit sebesar Rp 1.708.663.354 (42%). Biaya pelayanan persalinan sesar ringan sesuai tarif rumah sakit pada kelas 1 sebesar Rp 10.267.710,-, kelas 2 sebesar Rp 9.441.399,- dan kelas 3 sebesar Rp 8.591.730,-. Komponen biaya tertinggi adalah biaya tindakan operasi. Sehingga perlu dilakukan kajian ulang tarif pelayanan Sectio caesarea.
Kata Kunci : tarif rumah sakit, tarif INA CBGs, Sectio Caesaria.
In this National Health Insurance period, hospital ospitals are required to be efficient in controlling the cost of services so as not to exceed the tariff of INA CBGs with the quality record of the service must be maintained properly. This quantitative descriptive study aims to analyze the cost of Sectio caesarea of BPJS participants based on hospital rates and INA CBGs rates in dr. Doris Sylvanus regional public hospital on January until August 2016.
The result revealed that the unpaid cost according to hospital rates is Rp 1.708.663.354 (42%). The cost of light cesarean delivery service according to hospital rates in grade 1 is Rp 10,267,710,-, 2nd grade is Rp 9,441,399,- and grade 3rd is Rp 8,591,730,-. The highest cost component is the cost of surgery. So it is necessary to review the hospital rates of cesarean delivery service.
Keywords : hospital rate, INA CBGs rate, Sectio Caesaria
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Berdasarkan hasil penelitian diketahui biaya yang tidak dibayar sesuai tarif rumah sakit sebesar Rp 1.708.663.354 (42%). Biaya pelayanan persalinan sesar ringan sesuai tarif rumah sakit pada kelas 1 sebesar Rp 10.267.710,-, kelas 2 sebesar Rp 9.441.399,- dan kelas 3 sebesar Rp 8.591.730,-. Komponen biaya tertinggi adalah biaya tindakan operasi. Sehingga perlu dilakukan kajian ulang tarif pelayanan Sectio caesarea.
Kata Kunci : tarif rumah sakit, tarif INA CBGs, Sectio Caesaria.
In this National Health Insurance period, hospital ospitals are required to be efficient in controlling the cost of services so as not to exceed the tariff of INA CBGs with the quality record of the service must be maintained properly. This quantitative descriptive study aims to analyze the cost of Sectio caesarea of BPJS participants based on hospital rates and INA CBGs rates in dr. Doris Sylvanus regional public hospital on January until August 2016.
The result revealed that the unpaid cost according to hospital rates is Rp 1.708.663.354 (42%). The cost of light cesarean delivery service according to hospital rates in grade 1 is Rp 10,267,710,-, 2nd grade is Rp 9,441,399,- and grade 3rd is Rp 8,591,730,-. The highest cost component is the cost of surgery. So it is necessary to review the hospital rates of cesarean delivery service.
Keywords : hospital rate, INA CBGs rate, Sectio Caesaria
S-9621
Depok : FKM UI, 2018
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Imas Rahmi Wisdiani; Pembimbing: Mardiati Nadjib; Penguji: Jaslis Ilyas, Djoni Darmadjaja
Abstrak:
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ABSTRAK Nama : Imas Rahmi Wisdiani Program Studi : Kajian Adminstrasi Rumah Sakit Judul Tesis : Analisis Implikasi Sistem Pembayaran JKN terhadap Pendapatan Rumah Sakit di Dua Rumah Sakit Swasta Kelas C di Karawang Tahun 2017 (Studi Kasus Herniotomi Tanpa Penyulit) Besaran tarif yang diatur dalam INA-CBG mendorong rumah sakit untuk menciptakan berbagai macam upaya khususnya berupa usaha pengendalian biaya agar tercipta efisiensi yang baik dan mutu pelayanan kesehatan tetap berkualitas. Penelitian ini bertujuan untuk menganalisis implikasi system pembayaran JKN terhadap pendapatan rumah sakit di dua rumah sakit swasta kelas C berdasarkan tarif BPJS dan tarif rumah sakit. Desain penelitian ini berupa studi kasus di dua rumah sakit swasta kelas C dengan desain potong lintang dan melihat tren yang terjadi pada periode tahun 2014 – 2016. Pengumpulan data dilakukan dalam dua bagian, analisis kuantitatif bertujuan untuk menganalisis selisih pendapatan berdasarkan tarif BPJS dan tarif rumah sakit dan menganalisis komponen-komponen yang menentukan besaran tarif rumah sakit. Analisis kualitatif bertujuan untuk mendapatkan informasi kebijakan-kebijakan dan upaya-upaya yang dilakukan oleh pihak manajemen rumah sakit dalam merespon selisih biaya. Penelitian dilakukan pada bulan Mei – Juni 2017 di RS A dan RS B dengan karakteristik rumah sakit yang mirip dan bekerjasama dengan BPJS sejak tahun 2014. Terdapat selisih negatif antara pendapatan berdasarkan tarif umum dengan pendapatan berdasarkan tarif BPJS pada periode tahun 2014 – 2016 baik di RS A maupun di RS B. Selisih negative di RS A sebesar 21,2% dari nilai pendapatan berdasarkan tarif umum, dan selisih negative di RS B sebesar 50,5% dari nilai pendapatan berdasarkan tarif umum. Besaran tarif dan metode pembayaran INACBGs menyebabkan adanya upaya-upaya efisiensi dan kendali biaya rumah sakit bagi pasien BPJS berupa pembayaran jasa medis yang lebih rendah, penggunaan obat generik, pengendalian pemeriksaan penunjang, pengendalian biaya di ruang operasi serta pengendalian jumlah hari rawat. Kata kunci : pembayaran JKN, pendapatan Rumas sakit, Rumah Sakit swasta,
ABSTRACT Nama : Imas Rahmi Wisdiani Program Studi : Hospital Administration Judul Tesis : Analysis on JKN Payment System and its relation to Hospital Income in two type C private hospitals in Karawang, 2017 The implementation of payment system using INA-CBGs (bundling) has lead hospital to improve efficiency to provide good quality of care. The purpose of this study is to analyze implication of JKN payment system toward hospital revenue in two type C private hospitals. This case study in two type C private hospitals was done using Cross Sectional design. Data was retrospectively collected to capture trend for period 20142016,and analysed to compare hospital revenue using hospital charge vs BPJS payment scheme as set up by BPJS. The study was conducted in May-June 2017 covering 548 cases with Herniotomy in the two private hospitals with similar characteristics and contracted as BPJS service provider since 2014. The study revealed that both hospitals tend to have lower revenue from BPJS using bundling scheme as compared to hospital charge, for period 2014-2016. The result showed that in hospital A 21,2% loss and in hospital B was 50,5% loss, this may caused by unefficient use of resources, or no proper monitoring system. The two hospitals have tried to improved efficiency, implement cost containment such as fee adjustment, use of generic drug, proper length of stay, cost containment in providing medical exam and operation. Key words: JKN payment, private hospital, revenue
B-1928
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Agus Rahmanto; Pembimbing: Adang Bachtiar; Penguji: Wahyu Sulistiadi, Sandi Iljanto, Budi Hidayat, Donald Pardede, Julian
B-1234
Depok : FKM UI, 2010
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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