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Analisis Indikator INA-CBGs dalam Perencanaan Strategis Kinerja Rumah Sakit Karya Dharma Husada Singaraja Dewa Ayu Sri Agung Suandewi; Heris Hendriana; Oke Andikarya
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 2 (2026): SENTRI : Jurnal Riset Ilmiah, Februari 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i2.5866

Abstract

Strategic planning plays a crucial role for hospitals in maintaining sustainability and competitiveness amid the dynamic healthcare environment and the National Health Insurance (JKN) financing system. The implementation of the prospective payment system based on Indonesian Case Based Groups (INA-CBGs) requires performance indicators that adequately reflect service volume, case complexity, and hospitals’ financial implications. INA-CBGs–based indicators, namely Casemix (CM), Casemix Index (CMI), and Hospital Base Rate (HBR), have the potential to support performance assessment and strategic planning; however, their utilization in private hospitals remains limited. This study aims to analyze the performance achievement of INA-CBGs indicators and examine their relevance for strategic performance planning at Karya Dharma Husada Hospital (RS KDH) Singaraja. This study employed a mixed methods approach with a sequential explanatory design. Quantitative analysis was conducted longitudinally using a trend study approach on inpatient INA-CBGs claim data from 2022 to January–June 2024, followed by qualitative analysis through in-depth interviews to interpret and contextualize the quantitative findings. The results showed a total of 7,361 inpatient JKN cases, predominantly involving class III patients and low-severity cases. Casemix values fluctuated in line with changes in service volume and case mix, with obstetric cases being the dominant contributor. CMI values remained within the typical range for private class C hospitals, reflecting low to moderate service complexity. HBR performance demonstrated periods of surplus and deficit, indicating discrepancies between actual service costs and national INA-CBGs tariffs. Overall, the study indicates that INA-CBGs indicators have not yet been systematically integrated into performance evaluation and strategic planning; however, hospital management has recognized them as valuable information with potential to support future managerial decision-making.
Analisis Model Interaksi antara Tenaga Medis dan Keluarga Pasien Hemodialisis dalam Mendukung Proses Pengobatan di Unit Hemodialisa RS UNHAS Makassar Andi Aghnie Aulya Asnur; Heris Hendriana; Yen Efawati
ManBiz: Journal of Management and Business Vol. 4 No. 3 (2025): ManBiz: Journal of Management and Business
Publisher : Institut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic Kidney Disease (CKD) is a major global health problem that requires long-term therapy such as hemodialysis. The success of hemodialysis treatment is strongly influenced by the quality of interaction between healthcare providers and patients’ families, particularly in providing emotional support, information, and accompaniment throughout the treatment process. This study aims to analyze the interaction model between medical personnel and families of hemodialysis patients and to explore the factors that influence communication effectiveness in supporting treatment adherence and improving patients’ quality of life. This research employed a qualitative phenomenological approach to explore the lived experiences of healthcare professionals and family members in the Hemodialysis Unit of Hasanuddin University Hospital, Makassar. Data were collected through in-depth interviews, participatory observation, and documentation review. A total of 20 participants took part in the study, consisting of 10 healthcare workers and 10 family caregivers. Data were analyzed using thematic analysis involving coding, categorization, and interpretation of phenomenological meanings. The findings indicate that therapeutic communication, empathy, and openness form the foundation of effective interactions between healthcare providers and families. Families play an essential role in offering emotional support, ensuring adherence to dialysis schedules, participating in medical decision-making, and providing logistical assistance. The study also identifies several barriers to effective interaction, including emotional distress, limited knowledge, time constraints, and differences in educational background. This research proposes an interaction model that emphasizes two-way collaboration, continuous education, and family-centered communication. This study contributes to strengthening therapeutic communication practices in hemodialysis settings and provides a foundation for developing policies that enhance humanistic and collaborative care between medical personnel, patients, and their families.