Abstrak:

ABSTRAK Penelitian dilatarbelakangi sering ditemukan ketidaklengkapan berkas rekam medis di unit rawat inap RSUD Kota Bekasi. Bertujuan menentukan pengaruh serta besarannya perilaku kepatuhan dan kompetensi dokter dalam mengelola rekam medis di unit rawat inap RSUD Kota Bekasi tahun 2013. Desain penelitian kuantitatif, cross-sectional, analisa Structural Equation Modeling-Partial Least Square. Uji chi-square variasi total jawaban variabel perilaku dan variabel kompetensi terhadap karakteristik responden dengan tingkat signifikansi α = 0,05 (CI 95%) menunjukkan P-values (asymp sign > 0,05). Hasil PLS pengaruh (rho) perilaku (69%) dan kompetensi dokter (38%) terhadap kinerja pengisian rekam medis. R-square 0,43 dan Q-square predictive 33%.

ABSTRACT Backed by the research often found incomplete medical record file in unit inpatient hospitals city of Bekasi. Determining the magnitude and influence the behavior of compliance and competence in managing physician medical record unit inpatient hospitals in Bekasi by 2013. Quantitative research design, cross-sectional, Structural Equation Modeling analysis-Partial Least Square. Chi-square test variations total answer variable and variable behavior competence with respect to the characteristics of the respondents with a level of significance of α = 0.05 (CI 95%) shows P-values (asymp sign > 0.05). Results PLS influence (rho) behavior (69%) and competence of physicians (38%) against performance charging medical record. R-square value of 0.43 and Q-square predictive 33%.

Abstrak: Dengan diimplementasikannya program Jaminan Kesehatan Nasional JKN pada 1Januari 2014, rumah sakit dihadapkan pada 2 dua tarif, yaitu tarif rumah sakit yangdisusun berdasarkan biaya satuan sesuai dengan amanat BLU, dan tarif INA-CBG rsquo;s yangmerupakan tarif paket yang akan dibayarkan atas pelayanan rawat inap pasien BPJS.Terdapat perbedaan sistem pembayaran pelayanan kesehatan, perbedaan sistempembayaran tersebut mengakibatkan adanya perbedaan selisih penerimaan rumah sakitantara tarif INA-CBG rsquo;s dengan tagihan klaim rumah sakit berdasar pada tarif rumahsakit, jasa pelayanan dan jasa sarana rumah sakit.
Penelitian ini merupakan penelitiankualitatif dengan menggunakan data sekunder klaim tagihan pasien rawat inap BPJSRSUD Kudungga bulan Februari-Mei 2017 sebanyak 1187 klaim, dan data primerwawancara mendalam beberapa informan. Hasil dari penelitian ini didapatkan selisihpositif sebesar Rp. 755.096.435,- 13 pada penerimaan total rumah sakit pada seluruhkelas ruang perawatan, selisih positif pada jasa pelayanan sebesar Rp. 845.964.814,- 40 , dan selisih negatif pada jasa sarana rumah sakit sebesar Rp. 90.868.379,- -3.
Rencana tindak lanjut yang akan dilakukan rumah sakit adalah melakukan upaya kendalimutu dan kendali biaya dengan efisiensi rumah sakit, meningkatkan jumlah kunjunganpada ruang perawatan yang memberikan selisih positif, standardisasi pelayanan melaluipenerapan clinical pathway dan formularium obat serta melakukan pengembanganSIMRS. Upaya kendali mutu dan biaya harus dilakukan rumah sakit sebagai langkahstrategis dalam implementasi program JKN.
Kata Kunci: Tarif Rumah Sakit, Tarif INA-CBG's, Perbedaan, Jasa Pelayanan, JasaSarana

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With the implementation of the National Health Insurance JKN program on January 1,2014, the hospital is faced with two tariffs, namely hospital tariff based on unit cost inaccordance with BLU mandate, and INA CBG 39 s tariff which is the package rate to bepaid for patient care of BPJS. There is a difference in the health service payment system, the difference between the payment system resulted in differences in hospital admissionsbetween INA CBG 39 s tariffs and hospital claims based on hospital tariffs, hospital servicesand services.
This research is a qualitative research using secondary data claims of BPJSinpatients of RSUD Kudungga in February May 2017 as many as 1187 claims, andprimary data of in depth interviews of several informants. The results of this study founda positive difference of Rp. 755,096,435, 13 on total hospital admissions for allclasses of treatment rooms, positive difference in service cost of Rp. 845,964,814, 40 , and the negative difference in hospital facilities is Rp. 90.868.379, 3.
Thefollow up plan to be performed by the hospital is to make quality control and cost controlefforts with hospital efficiency, increase the number of visits in the treatment room whichprovide positive difference, standardization of services through the implementation ofclinical pathway and drug formulary and develop SIMRS. Efforts to control the qualityand cost must be done by the hospital as a strategic step in the implementation of JKNprogram.
Keywords Hospital Rates, INA CBG's Rates, Differences