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Rumah Sakit dalam menyelenggarakan kegiatan pelayanan kesehatan yang sesuai dengan kebutuhan masyarakat secara efektif dan efisien, perlu ditunjang dengan salah satunya adalah aiat penunjang diagnosis. Peralatan yang dibutuhkan adalah peralatan yang berteknologi tinggi yang disebut dengan peralatan medis canggih. RS Karya Bhakti (RSKB) mempunyai alat CT-Scan yang termasuk peralatan medis canggih yang pengadaannya di rumah sakit melalui sistem "Kerja Sama Operasional (KSO)". Akan tetapi utilisasi alai CT-Scan ini masih belum optimal jika dibandingkan dengan target yang ditetapkan oleh Depkes dan kapasitas yang dimiliki alat CT-Scan ini. Banyak faktor yang menyebabkan utilisasi alat CT-Scan ini masih belum optimal, dimana salah satunya adalah kegiatan Marketing Public Relations (MPR) yang masih sangat kurang, sehingga diperlukan upaya-upaya untuk meningkatkan utilisasi alat CT-Scan ini, Penelitian ini bertujuan untuk mendapatkan gambaran tentang kegiatan marketing public relations (MPR) baik ditinjau dari Struktur organisasi, Sumber daya manusia (SDM), Ruang iingkup kegiatan, Anggaran dan Penganggaran Berta Sarana dan prasarana di divisi pemasaran, Media utarna MPR serta ada tidaknya hubungan karateristik pasien dengan utilisasi alat CT-Scan ini di RSKB. Penelitian dilakukan di divisi pemasaran RSKB dengan tujuh informan yang terdiri dare Direksi, Kepala Divisi, Kepala Instaiasi, Kepala Sub Divisi dan Staf Pelaksana. Metode penelitian yang digunakan adalah metode kualitatif dengan wawancara mendalam, telaah dokumcn. Analisis data dilakukan dengan metode analisis isi (Content analvsrs) yaitu membandingkan basil penelitian dengan teori dalam kepustakaan sedangkan untuk metode kuantitatif dilakukan uji statistik terhadap karateristik pasien kemudian dilakukan analisis univariat, bivariat dan multivariat. Hasil penelitian didapatkan bahwa persepsi sebagian besar informan yang menyatakan sangat diperlukannya divisi pemasaran dalam struktur organisasi RS, dukungan kuantitas dan kualitas Sumber daya manusia (SDM) yang sesuai, belum maksimalnya kegiatan Marketing Public Relations, alokasi anggaran yang masih belum ada serta belum optimalnya sarana dan prasarana di divisi pemasaran. Penggunaan media utama marketing public relations dalam menyampaikan pesan/informasi masih sangat terbatas. Utilisasi Mat CT-Scan selama dua tahun menunjukan penurunan dan belum mencapai target yang diharapkan balk dari Depkes maupun kapasitas alat CT-Scan itu sendiri. Dan karateristik pasien yang melakukan pemeriksaan CT-Scan di RSKB, menunjukan usia lebih dari 40 tahun, jenis kelamin Iaki-laki, dengan tingkat pendidikan SMA, tidak bekerja, berdomisili di kabupaten Bogor, menikah, merupakan rujukan dari dalam RS, membayar sendiri dan cedera kepala merupakan indikasi terbesar. Uji statistik menunjukan hubungan bermakna antara umur, jenis kelamin, pendidikan, pekerjaan, tempat tinggal, status marital, status kedatangan dan cara pembayaran (p value < 0,05) dengan utilisasi alai CT-Scan dan adanya interaksi antara jenis kelamin, jenis pekerjaan, tempat tinggal, status marital dan cara pembayaran, sedangkan golongan umur dan status kedatangan dipilih berdasarkan aspek substansial. Dari basil penelitian ini disarankan untuk rumah sakit membentuk struktur organisasi khusus divisi pemasaran/MPR, meningkatkan kualitas SDM melalui pendidikan dan pelatihan, meningkatkan dan memperluas kegiatan MPR, mengalokasikan anggaran serta melengkapi sarana dan prasarana divisi pemasaran. Memperluas pemanfaatan media utama MPR, dalam upaya meningkatkan utilisasi alat CT-Scan dengan mengunakan basil penelitian terhadap segmentasi yang teiah dilakukan sebagai dasar dalam membuat kebijakan rencana strategi pemasaran alai CT-Scan. Audit pemasaran dilakukan untuk menilai kinerja pemasaran di divisi pemasaran rumah sakit,
Hospital in providing the efficient and effective medical services activity whichwell-suited the needs of society have to be supported by diagnostic equipment. The equipment needed is the one with high quality which is a sophisticated technology. Karya Bhakti Hospital owens a CT-Scan which categorized as a sophisticated equipment that available in hospital through a Operational Team Work System_ But the utilization of this CT-Scan has not been optimized , one of the reason is due to the lack of MPR activities, thus it is necessary to do some efforts as to improve the utilization of the CT-Scan. The purpose of the research is to get a picture of the MPR activities, and to look at it whether from the Organization Structure, Human Resources, Scope of activities, Budgeting & Marketing Division Infrastructure, MPR main media and the inavailability of patient characteristic with the utilisation of CT-Scan in Karya Bhakti Hospital. The research was done in Marketing division of KB Hospital that involving 7 (seven) informer includes Front Office Management, Head of Division, Head of Instalation, Head of Sub Division and operational staff The research method that used is qualitative with deliberation interview, document treatise. The rlat analysis should be done with Content Analysis by comparing the research result with the literature theory, while for the quantitative method is to do statistic test against patient characteristic then to do univariate, ivariat & multivariate analysis. The research result that got from a perceptions of most sources, by expressing of what they needed about the marketing division into the hospital's organization chart, the supports both about the quality and quantities sides also in Human Resource is seem not maximal enough. About allocation budget and how to get an optimal budget in Marketing Division. Also about the limited of usage of media in marketing public relations in order to submitting the information. The appliance of CT Scan utilizes during of 2 (two) years period was showing down with un-accepted goals which is targeted by Health of Department also the capacities of CT Scan itself. Based on the patient characteristic was showed gender of over 40 years, male, education level of SMA, not working, Bogor residence, marriage, Internal Refferal, and cash to pay. And then found the relation existence of their age, gender, education stage; residence, marital status of patient (p value < 0,05) with an appliance of CT Scan utilized, also had an interaction between the age and refferal state based on existence aspect. Based on this research result is suggested to the hospital to formed the Organization chart of Marketing division (MPR), in order to improving the quality of Human Resources, such as by giving them the education, training and improving or extending the activity in MPR, also for the budgeting allocation and equip marketing division facilities and basic facilities. Also to extending exploiting of especial media of MPR, in effort to improving appliance utilizes of CT Scan, by conducting segmentation, based on to determine a policy for targeting and positioning as based of blocking the marketing strategy of appliance the CT-SCAN. The marketing audit conducted to assess marketing performance in marketing division in the hospital.
Seiring dengan berjalannya waktu, masyarakat pengguna BPJS merasa puas dengan inovasi pelayanan kesehatan melalui program BPJS. Namun, masalah justru terjadi pada pihak instansi kesehatan yang merupakan pihak pendukung program BPJS Kesehatan yang mengalami masalah pending claim. Permasalahan pending claim ini harus segera diatasi karena pending claim menyebabkan kerugian akibat pembiayaan pelayanan lebih besar daripada jumlah klaim yang dibayarkan. Penelitian ini bertujuan untuk mengidentifikasi faktor input, faktor proses, faktor hasil (output) dalam prosedur pengajuan klaim rawat inap pasien BPJS di RS Hermina Ciputat, dan mendapatkan gambaran yang menyebabkan pending claims (output) di RS Hermina Ciputat. Penelitian ini merupakan penelitian dengan pendekatan observasional deskriptif dengan metode kualitatif melalui wawancara mendalam dan telaah dokumen. Hasil penelitan menunjukkan bahwa faktor input yang mengakibatkan banyaknya pending claims di RS Hermina Ciputat antara lain: faktor Man (kompetensi ataupun pengetahuan dokter spesialis, dokter umum, dan tenaga koder yang kurang terkait klaim BPJS); Money (belum dilaksanakannya secara berkelanjutan evaluasi kinerja kepada dokter spesialis); Methods (belum semua ada dan maksimal untuk panduan praktik klinis/clinical pathways); Materials (aplikasi SIMRS tidak praktis dan lambat, jaringan internet lama); dan Machine (kurangnya sarana dan prasarana). Hasil lain dari penelitian menunjukkan bahwa faktor yang mengakibatkan pending claims di RS Hermina Ciputat antara lain: kesulitan dalam melengkapi bukti administrasi klaim dan kesalahan pengisian administrasi dengan tepat; pengisian berkas rekam medis yang tidak lengkap; kualitas pengisian resume medis dan pengisian resume medis yang tidak sesuai; kurang lengkapnya bukti-bukti penunjang klaim; pemberian kode untuk diagnosa primer dan sekunder yang tidak tepat; dan kesalahan pengentrian jenis perawatan.
BPJS users are satisfied with the innovation of health services through the BPJS program. However, the problem occurred on the health agencies which are supporter institutions of the BPJS Health program which experienced pending claims problem. This problem of pending claims must be addressed immediately because pending claims cause losses due to service costs are greater than the number of claims paid. This study aims to identify input factors, process factors, output factors in the procedure for submitting claims for BPJS inpatient claims at Hermina Ciputat Hospital and to obtain an overview of the causes of pending claims (output) at Hermina Ciputat Hospital. This study uses descriptive observational approach with qualitative methods through in-depth interviews and document review. The results of the study show that the input factors that result in the number of pending claims at Hermina Ciputat Hospital include: Man factor (competence or knowledge of specialist doctors, general practitioners, and coding staff who are not competent handling BPJS claims); Man factor (competence or knowledge of specialist doctors, general practitioners, and coding staff who are lacking in relation to BPJS claims); Money (no continuous performance evaluation or specialist doctors); Methods (not maximal impelementation of practice guidelines/clinical pathways); Materials (the SIMRS application is not user-friendly and slow, slow internet connection); and Machine (lack of facilities and infrastructure).Other results of the study show that the factors resulting in pending claims at Hermina Ciputat Hospital include: difficulties in completing proof of claim administration and administrative filling errors; incomplete filling of medical record files; the quality of filling out medical resumes and filling out medical resumes that are not appropriate; incomplete evidence supporting the claim; inappropriate coding for primary and secondary diagnoses; and errors in determining treatment type.
Kepatuhan adalah sikap mentaati peraturan dan ketentuan yang telah ditetapkan tanpa pamrih. Rendahnya tingkat kepatuhan dokter spesialis terhadap kebijakan dan aturan di rumah sakit penting untuk segera ditangani oleh manajemen. Tujuan penelitian obsevasional ini, dengan pendekatan rancangan penelitian cross sectional, adalah mengetahui faktor-faktor internal dan eksternal yang mempengaruhi kepatuhan dokter spesialis terhadap kebijakan dan aturan di RS Hermina Daan Mogot.
Populasi penelitian: seluruh dokter spesialis di RS Hermina Daan Mogot. Analisis statistik yang digunakan: analisis bivariat dengan uji Chi Squre. Uji statistik Chi Square menghasilkan variabel yang memiliki hubungan bermakna dengan kepatuhan dokter spesialis yaitu p-value ≤ 0,05 adalah motivasi (p-value = 0,043). Dari analisis diperoleh pula nilai OR=2,4, artinya dokter yang motivasinya lebih mempunyai peluang 2,4 kali lebih baik dalam kepatuhan dibanding dokter yang motivasinya kurang. Perlu upaya mempertahankan motivasi kerja para dokter agar tetap di level yang tinggi, sehingga akhirnya berdampak positif bagi perkembangan rumah sakit kedepan.
Compliance is the attitude of obeying the rules and conditions set unconditionally. Low levels of compliance specialist in the policies and rules of the hospital is important to be addressed by management. The purpose of this observational research, with cross-sectional study design approach, is to know the internal and external factors affecting the specialists adherence to policies and rules in Hermina Daan Mogot Hospital.
Study population: all specialists in Hermina Daan Mogot Hospital. Staristical analysis used: bivariate analysis with Chi squre test. Chi Square statistical test results in variables that have a significant relationship with compliance specialists where p-value ≤ 0.05 is motivation (p-value = 0.043). Obtained also from the analysis of the value of OR = 2.4, meaning that physicians with more motivation have greater odds 2.4 times better adherence than physicians with less motivation. Necessary efforts are to maintain the motivation of doctors to remain at a high level, so that ultimately have a positive impact on the future development of the hospital.
This thesis discusses the feasibility of the South Tangerang City General Hospital with the service standards, human resources, equipment and infrastructure currently owned by South Tangerang General Hospital that have exceeded the standards of Class C hospitals. Rapid development in South Tangerang City with the highest human development index in Banten Province, with a population growth of 3 , 04% per year, 3.75% economic growth, high per capita income and with a growing population, based on the 2016-2021 South Tangerang City RPJMD there will be the construction of two class C hospitals in South Tangerang City and South Tangerang General Hospital will become Referral hospital and quality improvement to Class B required a feasibility study. This research is a case study research with a quantitative quantitative approach with secondary data analysis methods conducted at South Tangerang General Hospital using secondary data for 3 years (2017-2019). Increasing Class Upgrading of South Tangerang General Hospital to become a Class B hospital using self-assessment based on Permenkes No. 3/2020 and using a SWOT analysis on internal and external factors. From the results of the analysis of the fulfillment of service standards, human resources, buildings and infrastructure, and equipment, it has met the standards of a class B public hospital, only the fulfillment of the minimum standard for class B hospital beds has not been fulfilled, based on the situation of internal and external factors using SWOT analysis to get a value EFE 3.54 and IFE 3.21, are in cell I which supports the growth and upgrading of the South Tangerang City Hospital class into a Class B hospital. Feasibility of Class Upgrading South Tangerang General Hospital to be Class B General Hospital based on the Self-Assessment of the fulfillment of Permenkes 3/2020 standards and SWOT analysis (external and internal factors) is feasible to implement
Penelitian ini tentang analisis pengelolaan piutang pasien pihak ketiga di Rumah Sakit Hermina Daan Mogot pada tahun 2011. Design penelitian yang digunakan adalah kualitatif dengan pendekatan sistem. Data dikumpulkan dengan metode wawancara dan data sekunder. Variabel yang diteliti meliputi variabel input : organisasi, kebijakan, sistem informasi, sarana, sdm, karakteristik pihak ketiga dan paket jaminan. Variabel proses meliputi penerimaan, pembebanan, penataan rekening, penagihan dan penutupan. Sedangkan outputnya adalah pembayaran piutang. Informan penelitian ini adalah stakeholder yang terkait langsung dengan pengelolaan piutang, yaitu manajer keuangan, kepala urusan piutang, administrasi keuangan lantai, penata rekening dan administrasi piutang. Penelitian ini menunjukan bahwa umur piutang perusahaan <30 hari mencapai lebih dari 70%, sedangkan piutang asuransi mencapai lebih dari 60%. Umur piutang <30 hari paling tinggi terjadi pada bulan februari. Sedangkan umur piutang >45 hari paling tinggi terjadi pada bulan juni untuk piutang perusahaan dan bulan mei untuk piutang asuransi. Untuk mencegah terjadinya piutang tak tertagih, pihak rumah sakit selalu mengkonfirmasi kepada pihak ketiga terkait jaminan yang diberikan kepada pasien. Pengurusan perjanjian kerjasama dengan pihak ketiga diatur oleh pihak Hermina Hospital Group. Hambatan yang terjadi dalam proses pengelolaan piutang meliputi kurangnya pelatihan sdm, kurangnya sosialisasi isi perjanjian kerjasama, kurangnya sdm pengentri transaksi pasien, pengisian resume medis yang tidak lengkap, kurangnya sarana transportasi, pihak asuransi tidak mencantumkan rincian peruntukan pembayaran dan lamanya proses verifikasi oleh pihak ketiga. Oleh karena itu disarankan untuk mengembangkan sistem informasi yang up date dan terintegrasi antara rumah sakit dengan pihak ketiga, sosialisasi isi perjanjian kerjasama, peningkatan keterampilan sdm, memberlakukan reward dan punishment serta pengadaan sarana transportasi. Kata kunci : piutang rumah sakit, pihak ketiga
This research on the analysis of third-party management of patient accounts receivable at the Hospital Hermina Daan Mogot in 2011. Design the study is a qualitative approach to the system. Data were collected by interview method and secondary data. The variables studied include input variables: the organization, policies, information systems, facilities, the characteristics of a third party and guarantee package. Process variables include the receiving, loading, account setup, billing and closure. While its output is the payment of receivables. Informants of this study is the stakeholders that are directly related to the management of receivables, the financial manager, the head of affairs accounts receivable, floor financial administration, stylists accounts and administrative accounts. This study shows that age of receivables <30 days reached more than 70%, while accounts receivable insurance to more than 60%. Age of receivables <30 days of the highest occurred in February. While the aging> 45 days the highest place in June for company and in May for insurance receivables. To prevent bad debts, the hospital always confirm to the relevant third party guarantees given to the patient. Maintenance of cooperation agreements with third parties is governed by the Hermina Hospital Group. The bottleneck in the process of accounts receivable management include lack of training, lack of socialization content of the cooperation agreement, the lack of transactions filler, medical resumes charging is not complete, lack of transportation, the insurance company does not list the details of allotment of payments and the length of the process of verification by a third party. It is therefore advisable to develop information systems up to date and integrated between hospital with third parties, the contents of a cooperation agreement socialization, skill improvement, reward and punishment, and procurement of transportation. Keywords: hospital claim, third party