Abstrak: Abstrak
RSKD Duren Sawit melayani kesehatan jiwa dan narkoba bagi masyarakat miskin, tidak mampu dan panti laras dengan BOR rata-rata 80%. Pendapatan rawat inap rumah sakit 77,8% berasal dari JPK Gakin dengan sistem pembayaran fee for service, namun tidak seluruh tarif klaim rawat inap dapat dibayarkan oleh JPK Gakin yang disebabkan beberapa hal yaitu pemberian obat tidak sesuai Juklak dan Juknis JPK Gakin, tarif pemeriksaan radiologi melebihi tarif PPE dan jumlah klaim yang melebihi Paket Pelayanan Essensial (PPE). Masalah tersebut mendorong direksi untuk melakukan strategi dan kebijakan internal rumah sakit dalam pengelolaan klaim rumah sakit.Dari hasil penelitian ditemukan kesenjangan tarif rumah sakit dengan tarif PPE JPK Gakin dan paket tarif INACBGs, selain itu MOU antara rumah sakit dan JPK Gakin sangat penting untuk dipahami oleh kedua belah pihak, sosialisasi, monitoring dan evaluasi serta kepatuhan dokter dan perawat dalam memberikan pelayanan sesuai juklak dan juknis. Dengan diterapkannya sistem pembayaran paket tarif INA-CBGs pada April 2013 diharapkan rumah sakit dapat menyiapkan pelayanan yang efektif dan rasional serta melakukan costing pelayanan kesehatan yang diberikan sesuai clinical pathway, bermutu dan memberikan nilai tambah bagi rumah sakit.

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The regulation of UU 40 in 2004 about Social Assurance National system SJSN) pushed the government to implemented the program for poor civilization, SJSN was health financial system for poor civilization to cure their health. Duren Sawit hospital was psycotic hospital that belongs of DKI Jakarta Government who gives mental health and drugs abuse for poor people with Bed occupancy rate was 80%. 77,8% hospital revenues from the JPK Gakin with paid system fee for service, but hospital claim can not paid from JPK Gakin couse of the problems was given generic drugs, limitation of prices (PPE), and price of Radiology more expensive than standard of PPE Prices. This problem push the top management to make internal strategy and implementation of the MOU in the right thing, so that implication on the claim regulation.The finding of this research showed that the different between hospital price and JPK Gakin Price and INA-CBGs price. Another hand that MOU, monitoring and evaluating, docters treatment was very important to handling hospital claim problems. In the future the hospital have to implement clinical pathways, efective and rasional treatment to make excellent service for patient and rasional payment.

Abstrak: Tinjauan Atas Peran Implementasi QMS ISO 9001:2000 Terhadap Kinerja Rumah Sakit Duren Sawit Tahun 2005 (Sebuah Studi Pendahuluan Analisis Kesiapan Implementasi Manajemen Strategis Balanced Scorecard) Identifikasi proses kegiatan organisasi yang sistematis dan komprehensif serta peningkatan yang terus menerus pada seluruh proses kegiatan produksi jasa pelayanan kesehatan melalui implementasi Quality Management System ISO 9001:2000 seharusnya mampu menghasilkan kinerja yang efektif dan efisien yang dapat diidentifikasi melalui pengukuran kinerja dengan pendekatan kerangka strategis Balanced Scorecard. Penelitian ini bertujuan untuk memperoleh gambaran mengenai peran implementasi QMS ISO 9001:2000 terhadap kinerja Rumah Sakit Duren Sawit yang akan diukur melalui pendekatan kerangka strategis Balanced Scorecard serta identifikasi kesenjangan dalam organisasi untuk menganalisis kesiapan implementasi manajemen strategis Balanced Scorecard di Rumah Sakit Duren Sawit. Hasil penelitian menggambarkan bahwa melalui pemahaman dan konsistensi yang cukup baik pada implementasi QMS ISO 9001:2000, ternyata Rumah Sakit Duren Sawit mampu menghasilkan kinerja organisasi yang efektif dan efisien yang diukur melalui pendekatan kerangka strategis Balanced Scorecard serta berhasil menganalisis kesiapan Rumah Sakit Duren Sawit untuk mengimplementasikan manajemen strategis Balanced Scorecard melalui identifikasi kesenjangan dalam mengumpulkan sumber informasi untuk mengukur indikator-indikator hasil yang merupakan rambu-rambu bagi keberhasilan pencapaian sasaran strategis organisasi.

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Observing The Role of Quality Management System ISO 9001:2000 Implementation Towards The Performance of Duren Sawit Hospital (A Preliminary Study Analysis Readiness of Strategic Management Balanced Scorecard Implementation) Identifying to sistematically and comprehensively of the activities process and continuous improvement in health services through implementing of Quality Management System ISO 9001:2000 should be give effectively and efficiently performance which could be measured by Balanced Scorecard strategic frame. This study is intended to observe the role of the implementation of Quality Management System ISO 9001:2000 over the performences of Duren Sawit Hospital which are measured through the Balance Scorecard strategic frame approaches which are expected to contribute the benefit as a mainstream study to analyze the readiness of the management strategy in implementing Balance Scorecard. The result from this study described that through the understanding of and consistence over the implementation of QMS ISO 9001:2000, the hospital would result in systematic and comphrehensive organizational process and realized an effectively and efficiently performance and succeeded in analyzing the readiness on the hospital to implement the strategic management of Balance Scrorecard by the gap identification gained during the collection of the primary data needed to measure the result indicators as the signs of the success of organizational strategic target achievements. Keyword : QMS ISO 9001:2000 and Balance Scorecard strategic frame