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This study discusses about preparation and implementation of internal auditat Pasar Rebo Hospital in 2012. It conducted to get an overview of the preparationand implementation of internal audit. This study uses a descriptive study in-depthinterviews, and document review observasion.Internal Audit conducted to monitor and improve the quality of care inhospitals. These results indicate that preparations are optimal, while theimplementation of internal audit is still not optimal, judging from the completedocument and summary plan audited units do not meet the target. This is due tothe lack of quantity and quality of human resources, the paradigm of theimportance of quality, lack of management support and remuneration systems arestill lacking support.Keywords: internal audit, quality, preparation, implementation.
Efforts to compensate for the increased demand for health human resources is through increased education. Higher education is the education of advanced secondary level, where resources are produced should have the quality that can compete in the working world. Health education institutions can effectively help reduce the prevalence of health-risk behaviors among students and have a positive influence on students' academic performance. Quality of education contains three important components of quality outcomes, quality way or delivery process, and the special attraction or general institutional image, the third dimension can be translated into many dimensions of quality grain. BAN-PT accreditation against STIKES S1 PHI to the Department of Public Health Decree No. BAN-PT: 031/BAN-PT/Ak-XIV/S1/X/2011 has a rating of C with a value of 250 (BAN-PT, 2011). Diploma of Nursing majors have not been accredited by BAN-PT and only has accreditation from the Department of Health with grade of B. This is due to the quality management system has not been integrated where there is no data communication and coordination between the units, so that the internal monitoring and evaluation (Monevin) walk less.
ABSTRAK
Kinerja Satuan Pemeriksa Internal (SPI) di Rumah Sakit BLU dalam pengendalian internal dirasakan masih belum optimal karena masih terdapatnya temuan auditor ekternal yang tidak terdeteksi oleh SPI dan opini Wajar Dengan Pengecualian (WDP) oleh BPK terhadap laporan keuangan Kemenkes Tahun 2011. Laporan tersebut menunjukan adanya kelemahan atas kegiatan pengendalian internal yang memerlukan perbaikan. Penelitian ini bertujuan untuk memperoleh informasi mengenai hubungan kompetensi, motivasi, independensi dan pemahaman good governance terhadap kinerja SPI di 15 Rumah Sakit BLU Kemenkes R.I Tahun 2013. Penelitian ini memiliki disain cross sectional dengan dengan jumlah responden sebanyak 60 orang. Pengukuran variabel menggunakan kuesioner dengan merujuk pada penelitian sebelumnya dan analisa data dilakukan dengan regresi linier berganda. Penelitian ini membuktikan bahwa dari hasil anlisis bivariat bahwa seluruh variabel mempunyai hubungan yang signifikan terhadap kinerja SPI. Sedangkan dari hasil analisis multivariat membuktikan variabel motivasi tidak berhubungan sedangkan variabel kompetensi, independensi dan pemahaman good governance memiliki hubungan yang signifikan terhadap kinerja SPI. Variabel independensi memiliki hubungan yang paling kuat. Ditingkatnya kemampuan kompetensi, pengakuan dan kejelasan karier auditor, jaminan bekerja secara independen, dan pemahaman tata kelola yang baik akan meningkatkan kinerja SPI di rumah sakit.
ABSTRACT
Performance of the Internal Audit Unit (IAU) at BLU Hospital in perceived internal control is still not optimal, is still the presence of external auditors' findings were not detected by the SPI and opinions Fair With exceptions (WDP) by BPK on the financial statements of Ministry of Health in 2011 showed the weakness of the activities internal controls that need improvement. This study aimed to obtain information about the relationship of competence, motivation, independence and understanding of good governance on the performance of SPI in BLU Strathmore University Hospital in 2013. This study has a cross-sectional design using primary data and variable measurement is done with a questionnaire with reference to previous research. This study proves that the results of the bivariate analysis results prove competence, motivation, independence and understanding of good governance significantly related to the performance of SPI. In multivariable motivational variables are unrelated and independent variables have the greatest relationship. Increased ability competence, recognition of the results of the examination, warranty work independently, and understanding of good governance will improve the performance of SPI in the hospital.
Belum terdapatnya bentuk dokumen peraturan sesuai dengan Kepmenkes nomor 772 Tahun 2002 tentang Pedoman Peraturan Internal Rumah Sakit (Hospital By Laws) dan Permenkes nomor 755 tahun 2011 tentang Penyelenggaraan Komite Medik di Rumah Sakit di RSUD Prof.dr.M.Ali Hanafiah SM Batusangkar, menunjukkan bahwa implementasi kebijakan belum dilaksanakan secara optimal. Penelitian bertujuan untuk mengkaji hal yang menyebabkan belum dilaksanakannya pembuatan dokumen HBL ditinjau dari faktor Komunikasi, Sumber Daya, Disposisi, dan Struktur Birokrasi dikaitkan dengan aspek yuridis normatif. Penelitian menggunakan metode kualitatif retrospektif pada 11 informan. Hasil penelitian menyebutkan bahwa komunikasi kebijakan HBL masih belum konsisten dan tersosialisasikan secara optimal, sumberdaya belum memadai dan komitmen implementasi kebijakan yang masih rendah serta struktur birokrasi yang belum jelas dalam koordinasi pelaksanaan HBL menjadi faktor berpengaruh dalam pembuatan HBL. Kesimpulan bahwa implementasi kebijakan HBL di RSUD Prof.dr.M.Ali Hanafiah SM Batusangkar Provinsi Sumatera Barat tahun 2013 belum optimal sehingga membutuhkan advokasi kebijakan lebih lanjut.
ABSTRACT
Unavailable documentation of regulation due to policy Kepmenkes number 772 of 2002 on The Guidelines for Internal Hospital Regulation (Hospital By Laws) and Permenkes number 755 of 2011 on the Implementation Medical Committee in General District Hospitals Prof. dr. M. Ali Hanafiah SM Batusangkar, showed that the implementation of the policy has not been implemented optimally. Aims of this study is to assess documentation of regulation has not been done according to HBL Guidelines based on factors that influenced policy implementation, such as Communication, Resources, Disposition, and Bureaucratic Structure associated with normative legal aspects. This study uses Retrospective Qualitative methode using 11 informants and document review. Result shows that the communication policy of HBL is still not consistant and optimal socialized, fully-unsupported resources and low commitment of policy implementation and unclear bureaucratic structures in the coordination of the implementation of the HBL as influencing factors to make HBL. As the conclusion is that policy implementation in General Hospitals District Prof.dr.M.Ali Hanafiah SM Batusangkar West Sumatra Province in year 2013 has not been implemented optimally and need further advocacy as well.
THIS STUDY DISCUSSED THE INTERNAL AND EXTERNAL FACTORS THAT AFFECTED THE PERCEPTION OF MOTORCYCLE SAFETY DRIVING IN FKM UI STUDENTS. INTERNAL FACTORS SUCH AS KNOWLEDGE, EXPERIENCE, AND DRIVING SAFETY MOTIVATION, EXTERNAL FACTORS WERE ENVIRONMENTAL CONDITIONS, PEER INFLUENCE, AND UI POLICY BY USED QUESTIONNAIRES. THE STUDY DESIGN WAS CROSS-SECTIONAL. THE SAMPLE WAS 69 STUDENTS WHO DRIVE MOTORCYCLES. THE RESULTS SHOWED GOOD PERCEPTION, THAT WAS CONSIDERING THE SAFETY OF DRIVING WAS IMPORTANT. AN INTERNAL FACTOR WAS THE MOST DOMINANT EXPERIENCED, WHILE EXTERNAL FACTORS WERE ENVIRONMENTAL CONDITIONS, PEER INFLUENCE, AND UI POLICY. NEED TO IMPROVED THE KNOWLEDGE AND MOTIVATION OF MOTORCYCLE SAFETY DRIVING SUCH AS SOCIALIZATION AND SELECTION OF AMBASSADORS OF SAFETY KEYWORDS: PERCEPTIONS OF SAFETY DRIVING, INTERNAL FACTOR, EXTERNAL FACTOR.