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All Journal Jurnal Ners LOSARI: Jurnal Pengabdian Kepada Masyarakat
A. Karlina Askarini Makkasau
STIKES Panakkukang
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Other

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Peningkatan Kapasitas Tata Kelola Klaim BPJS Kesehatan melalui Edukasi Partisipatif Berbasis Problem-Solving pada Tim Casemix Asmaryadi Asmaryadi; Nurfadhilah; Nurintan Malik; A. Karlina Askarini Makkasau; Ra’idatusakinah M. Nur; Ahmad Jayadi; Andi Nur Abidah Ramadhani; Hilmy Sakina Garmawi
LOSARI: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 2 (2026): Agustus 2026
Publisher : LOSARI DIGITAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53860/losari.v8i2.595

Abstract

The management of INA-CBGs (Indonesian Case Based Groups) claims is a critical component of hospital governance and financial sustainability within the National Health Insurance era. Hospitals newly partnering with BPJS Kesehatan generally encounter challenges such as limited human resources, weak cross-unit coordination, and the absence of standardized claim management systems. This community service initiative aims to enhance claim governance capacity through a problem-solving-based participatory educational approach. The activity was conducted in 2025 at a hospital in Makassar, involving 27 participants: 4 members of the casemix team, 20 healthcare practitioners (Professional Care Providers), and 3 management representatives. The methods employed included initial assessments, interactive education, case-based discussions, and reflective evaluation. Data were collected through semi-structured interviews and observations, followed by a thematic analysis. The results identified primary challenges including limited coding competencies, suboptimal integration of hospital information systems, and the lack of standard operating procedures (SOP) for claims. Post-activity evaluation indicated an improvement in participants' understanding. The casemix team leader demonstrated the ability to delineate claim stages according to BPJS Kesehatan regulations and outline corrective measures for pending claims. Coders were able to identify the essential documentation requirements prior to claim submission. Furthermore, healthcare practitioners and management clarified their respective roles in ensuring claim success. This initiative also produced a draft of the primary claim management SOP and a document completeness checklist as practical outputs. Nevertheless, the long-term impact of these activities requires further evaluation based on more specific quantitative success indicators.
Evaluasi Persepsi Kemudahan dan Manfaat Penggunaan SIMRS terhadap Penerimaan Sistem oleh Perawat Berdasarkan Technology Acceptance Model di Rumah Sakit Grestelina Kota Makassar A. Karlina Askarini Makkasau; Nurintan Malik; Asmaryadi Asmaryadi; Ra’idatusakinah M. Nur; Nurfadhilah Nurfadhilah
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62155

Abstract

Rumah Sakit Grestelina Kota Makassar telah menerapkan Sistem Informasi Manajemen Rumah Sakit (SIMRS) untuk mendukung pelayanan, namun keberhasilan implementasinya perlu dievaluasi dari sudut pandang perawat sebagai pengguna utama. Penelitian ini bertujuan mengevaluasi persepsi kemudahan penggunaan (Perceived Ease of Use/PE) dan persepsi manfaat penggunaan (Perceived Usefulness/PU) SIMRS serta pengaruhnya terhadap penerimaan sistem (User Acceptance/UA) oleh perawat berdasarkan Technology Acceptance Model (TAM). Penelitian ini menggunakan pendekatan kuantitatif deskriptif analitik dengan desain cross sectional. Sampel berjumlah 133 perawat dari populasi 188 perawat, dipilih berdasarkan kriteria inklusi dan eksklusi. Data dikumpulkan melalui kuesioner Likert dan dianalisis menggunakan uji korelasi Spearman serta regresi linier berganda. Hasil penelitian menunjukkan seluruh variabel berkorelasi positif signifikan (PE-UA rho=0,725; PU-UA rho=0,874; p<0,001). Secara simultan, PE dan PU berpengaruh signifikan terhadap UA sebesar 73,7% (R²=0,737; F=182; p<0,001), dengan PU sebagai prediktor dominan (β=0,774; p<0,001) dibandingkan PE (β=0,179; p=0,007). Persepsi manfaat penggunaan SIMRS memberikan kontribusi lebih besar terhadap penerimaan sistem oleh perawat dibandingkan persepsi kemudahan, sehingga pengembangan SIMRS sebaiknya diarahkan pada peningkatan manfaat fungsional sistem disertai penguatan pelatihan penggunaan bagi perawat. Kata Kunci: SIMRS, perawat, persepsi kemudahan, persepsi manfaat, technology acceptance model
Co-Authors Ahmad Jayadi Andi Nur Abidah Ramadhani Asmaryadi Asmaryadi Asmaryadi Asmaryadi Hilmy Sakina Garmawi Nurfadhilah Nurfadhilah Nurfadhilah Nurintan Malik Ra’idatusakinah M. Nur