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Balanced Scorecard as a Method of Assessing the Performance of a Hospital Management System Sastradinata, Irawan
Open Access Indonesia Journal of Social Sciences Vol. 4 No. 2 (2021): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v4i1.34

The Balanced Scorecard educates management and organizations to view the company as a whole from four perspectives: finance, customers, internal business processes, and learning and growth. The balanced scorecard consists of two words, namely the scorecard and balanced. The scorecard is a card used to record a person's/ personnel's performance score and plan the score that will be achieved in the future. The results of the comparison between the plans established and the actual results that were successfully achieved were used to carry out the evaluation. The balanced scorecard in this third-generation produces the most powerful performance measurement model because it shows the integration of organizational management processes starting from the planning stage, namely by establishing a vision and mission which contains the agreement of individuals in achieving organizational goals, then translated into organizational strategies implemented through Organizational programs/ activities in four interrelated balanced scorecard perspectives, then feedback will be taken on various information obtained from the evaluation of the implementation of the organization's programs/ activities.

Performance Measurement of Comprehensive Emergency Neonatal Obstetric Servant (PONEK) in Dr. Mohammad Hoesin General Hospital Palembang with a Balanced Scorecard to Improve the Quality of Midwifery Services Sastradinata, Irawan
Open Access Indonesia Journal of Social Sciences Vol. 4 No. 1 (2021): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v4i1.35

Introduction: Maternal Mortality Rate (MMR) and Neonatal Mortality Rate (IMR) in Indonesia are the highest among ASEAN countries, namely 307 / 100.000 live births for MMR and 20/1000 live births for IMR. This situation can actually be prevented through early detection approaches and appropriate management of mothers and babies through the Comprehensive Obstetric Neonatal Emergency Services (PONEK) program as one of the important elements of good hospital service performance. The performance of a hospital is of course determined by the performance of each unit and team which requires relevant multi-dimensional measurement standards. Basic Score Card (BSC) is a method developed by Kaplan and Norton (1996) to measure performance comprehensively, so it is hoped that this method can help improve the quality of obstetric emergency services, especially in Palembang. Methods: This descriptive analytic study was conducted at Dr. Mohammad Hoesin (RSMH) Palembang by looking for factors that affect the quality of emergency obstetric care and analyzing the performance of the PONEK team in providing PONEK services. Primary data is obtained through questionnaires with direct interviews with respondents or by direct observation in the field to see the real obstacles that occur during service. The data were analyzed qualitatively and quantitatively. Results: During the period October 2014 - March 2015 there were 1219 total hospitalized patients. Based on the Financial Perspective, the effectiveness ratio for achieving the performance of the RSMH PONEK team still meets the target of 1.3 for vaginal and has not met the target of 0.5 for SC with a financial perspective score of +2. Based on the Customer Perspective, the total score is +2 with the patient satisfaction index is 5957 (satisfied) and the Gross Death Rate (GDR) figure for PONEK RSMH services is 14 (meets GDS MOH standards). Based on the Internal Business Perspective the total score is +1, with the level of compliance with the clinical pathway standard = 92%, the level of compliance for the National Fornas PONEK = 100%, while the response time is > 1 hour. Based on the perspective of learning and growth, the total score = +1, with the number of PONEK trained personnel <50%, neonatal resuscitation and lactation management <10%, employee work motivation is very high, and facilities and infrastructure are classified as good. Based on these four perspectives, the BSC score for RSMH PONEK performance is +0.6 with an interval scale of -1 to +1. Conclusion: Based on the BSC measurement results of the PONEK team at RSMH Palembang, it can be concluded that the PONEK team's performance is good.

Balanced Scorecard as a Method of Assessing the Performance of a Hospital Management System Sastradinata, Irawan
Open Access Indonesia Journal of Social Sciences Vol. 4 No. 2 (2021): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

The Balanced Scorecard educates management and organizations to view the company as a whole from four perspectives: finance, customers, internal business processes, and learning and growth. The balanced scorecard consists of two words, namely the scorecard and balanced. The scorecard is a card used to record a person's/ personnel's performance score and plan the score that will be achieved in the future. The results of the comparison between the plans established and the actual results that were successfully achieved were used to carry out the evaluation. The balanced scorecard in this third-generation produces the most powerful performance measurement model because it shows the integration of organizational management processes starting from the planning stage, namely by establishing a vision and mission which contains the agreement of individuals in achieving organizational goals, then translated into organizational strategies implemented through Organizational programs/ activities in four interrelated balanced scorecard perspectives, then feedback will be taken on various information obtained from the evaluation of the implementation of the organization's programs/ activities.

Performance Measurement of Comprehensive Emergency Neonatal Obstetric Servant (PONEK) in Dr. Mohammad Hoesin General Hospital Palembang with a Balanced Scorecard to Improve the Quality of Midwifery Services Sastradinata, Irawan
Open Access Indonesia Journal of Social Sciences Vol. 4 No. 1 (2021): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Introduction: Maternal Mortality Rate (MMR) and Neonatal Mortality Rate (IMR) in Indonesia are the highest among ASEAN countries, namely 307 / 100.000 live births for MMR and 20/1000 live births for IMR. This situation can actually be prevented through early detection approaches and appropriate management of mothers and babies through the Comprehensive Obstetric Neonatal Emergency Services (PONEK) program as one of the important elements of good hospital service performance. The performance of a hospital is of course determined by the performance of each unit and team which requires relevant multi-dimensional measurement standards. Basic Score Card (BSC) is a method developed by Kaplan and Norton (1996) to measure performance comprehensively, so it is hoped that this method can help improve the quality of obstetric emergency services, especially in Palembang. Methods: This descriptive analytic study was conducted at Dr. Mohammad Hoesin (RSMH) Palembang by looking for factors that affect the quality of emergency obstetric care and analyzing the performance of the PONEK team in providing PONEK services. Primary data is obtained through questionnaires with direct interviews with respondents or by direct observation in the field to see the real obstacles that occur during service. The data were analyzed qualitatively and quantitatively. Results: During the period October 2014 - March 2015 there were 1219 total hospitalized patients. Based on the Financial Perspective, the effectiveness ratio for achieving the performance of the RSMH PONEK team still meets the target of 1.3 for vaginal and has not met the target of 0.5 for SC with a financial perspective score of +2. Based on the Customer Perspective, the total score is +2 with the patient satisfaction index is 5957 (satisfied) and the Gross Death Rate (GDR) figure for PONEK RSMH services is 14 (meets GDS MOH standards). Based on the Internal Business Perspective the total score is +1, with the level of compliance with the clinical pathway standard = 92%, the level of compliance for the National Fornas PONEK = 100%, while the response time is > 1 hour. Based on the perspective of learning and growth, the total score = +1, with the number of PONEK trained personnel <50%, neonatal resuscitation and lactation management <10%, employee work motivation is very high, and facilities and infrastructure are classified as good. Based on these four perspectives, the BSC score for RSMH PONEK performance is +0.6 with an interval scale of -1 to +1. Conclusion: Based on the BSC measurement results of the PONEK team at RSMH Palembang, it can be concluded that the PONEK team's performance is good.

TeleOTIVA: Advanced AI-Powered Automated Screening System for Early Detection of Precancerous Lesions Rachmamtullah, Muhammad Naufal; Nurmaini, Siti; Agustiansyah, Patiyus; Sanif, Rizal; Sastradinata, Irawan; Arum, Akhiar Wista; Firdaus, Firdaus; Darmawahyuni, Annisa; Tutuko, Bambang; Sapitri, Ade Iriani; Islami, Anggun
Computer Engineering and Applications Journal Vol 14 No 1 (2025)
Publisher : Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18495/comengapp.v14i1.1197

In 2023, the Indonesian Ministry of Health launched the Rencana Aksi Nasional (RAN) to enhance the detection and management of cervical cancer in Indonesia. One of the main pillars in this movement is the implementation of early screening for precancerous lesions aimed at identifying and treating these lesions before they develop into cervical cancer. This effort includes improving public access to healthcare services, providing education and awareness about the importance of early detection, and utilizing the latest technology in screening procedures. It is hoped that, through these targeted and effective interventions, the incidence of cervical cancer can be significantly reduced. This research aims to facilitate the early detection screening process for cervical precancerous lesions, particularly in difficult areas for medical experts to reach. This study also seeks to assist obstetricians and gynecologists in detecting precancerous lesions automatically, quickly, and accurately. By developing an advanced technology-based screening system, it is hoped that early detection of precancerous lesions can be carried out more efficiently, thereby increasing the chances of timely treatment and reducing the incidence of cervical cancer across various regions in Indonesia. This system is designed to provide reliable and user-friendly diagnostic support as it is developed on a mobile platform that can be accessed anytime and anywhere. This research developed a system for early screening called Tele-OTIVA. The Tele-OTIVA application system is an advanced platform that uses artificial intelligence (AI) based approaches to provide optimal services in early detection of precancerous lesions. This application is designed for mobile, allowing users to access and use its advanced features anytime and anywhere. With the integration of AI technology, Tele-OTIVA can detect and analyze cervical precancerous lesions accurately and quickly to provide accurate and efficient screening results. The Tele-OTIVA application system is capable of providing satisfactory detection results. The performance of the proposed model achieves accuracy, sensitivity, and specificity levels above 90%. With this high performance, Tele-OTIVA ensures that the detection of precancerous lesions is carried out with high reliability and precision, instilling greater confidence in healthcare professionals and users during the screening and diagnosis process. The implementation of our application model offers numerous advantages over traditional methods. It significantly enhances efficiency by automating processes, reduces human error through rigorous error-checking mechanisms, and accelerates the processing of large datasets. These improvements streamline operations and ensure more reliable and rapid data analysis.

Eliminating HPV DNA Positive Result with Large Loop Excision of the Transformation Zone (LLETZ)/Loop Electrosurgical Excision Procedure (LEEP) in Precancerous Cervical Lesions Sanif, Rizal; Agustiansyah, Patiyus; Nurwany, Raissa; Sastradinata, Irawan; Theodorus; Agustian, Wisman
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 2 April 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i2.1897

Abstract Objective: To determine the use of LLETZ/LEEP to eliminate HPV DNA positive result in patients with cervical precancerous lesions at General Hospital dr. Mohammad. Hoesin, Palembang. Methods: A case series with cervical precancerous lesions was undertaken at the Oncology Polyclinic of dr.Mohammad Hoesin Hospital Palembang from January to October 2022. There were 24 samples with positive HPV DNA before LLETZ/LEEP. Samples then checked for HPV DNA after LLETZ/LEEP. The effectiveness of LLETZ/LEEP therapy was analyzed using the Mc Nemar test. Comparison of HPV DNA outcomes (positive or negative) based on procedure, HPV DNA type and histopathological type was analyzed using Fisher Exact and Pearson Chi Square tests. All data were analyzed using SPPS version 22.0. Results: In this study, it was found that the average age of patients with cervical precancerous lesions was 40.25 ± 7.67 years (28 - 57 years). Based on the diagnosis, 8 samples were found with High-grade Squamous Intraepithelial Lesion (HGSIL) and 16 samples with Low-grade Squamous Intraepithelial Lesion (LGSIL). All samples in this study were housewives and the majority were multiparas (75.0%). History of abortion in the patients in this study was only found in 5 samples (20.8%). The results showed that there were significant differences in the HPV DNA before and after LLETZ/LEEP therapy (p = 0.000). In addition, the results showed that there was no difference in the outcome of HPV DNA based on the procedure (p = 1.000) and the type of HPV DNA (p = 0.643). After LLETZ/LEEP therapy was carried out, it was found that only 1 subject has positive HPV DNA result and the HPV DNA virus found was type 52 and (high risk) and 42 (low risk). Conclusion: It can be concluded that LLETZ/LEEP therapy is effective in eliminating HPV DNA positive results in cervical precancerous lesions Keywords: cervical cancer, HPV DNA, LLETZ/LEEP, precancerous lesions, RCT

TeleOTIVA: Advanced AI-Powered Automated Screening System for Early Detection of Precancerous Lesions Rachmatullah, Muhammad Naufal; Nurmaini, Siti; Agustiansyah, Patiyus; Sastradinata, Irawan; Arum, Akhiar Wista; Firdaus; Darmawahyuni, Annisa; Tutuko, Bambang; Sapitri, Ade Iriani; Islami, Anggun
Computer Engineering and Applications Journal (ComEngApp) Vol. 14 No. 1 (2025)
Publisher : Universitas Sriwijaya

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

In 2023, the Indonesian Ministry of Health launched the Rencana Aksi Nasional (RAN) to enhance the detection and management of cervical cancer in Indonesia. One of the main pillars in this movement is the implementation of early screening for precancerous lesions aimed at identifying and treating these lesions before they develop into cervical cancer. This effort includes improving public access to healthcare services, providing education and awareness about the importance of early detection, and utilizing the latest technology in screening procedures. It is hoped that, through these targeted and effective interventions, the incidence of cervical cancer can be significantly reduced. This research aims to facilitate the early detection screening process for cervical precancerous lesions, particularly in difficult areas for medical experts to reach. This study also seeks to assist obstetricians and gynecologists in detecting precancerous lesions automatically, quickly, and accurately. By developing an advanced technology-based screening system, it is hoped that early detection of precancerous lesions can be carried out more efficiently, thereby increasing the chances of timely treatment and reducing the incidence of cervical cancer across various regions in Indonesia. This system is designed to provide reliable and user-friendly diagnostic support as it is developed on a mobile platform that can be accessed anytime and anywhere. This research developed a system for early screening called TeleOTIVA. The TeleOTIVA application system is an advanced platform that uses artificial intelligence (AI) based approaches to provide optimal services in early detection of precancerous lesions. This application is designed for mobile, allowing users to access and use its advanced features anytime and anywhere. With the integration of AI technology, TeleOTIVA can detect and analyze cervical precancerous lesions accurately and quickly to provide accurate and efficient screening results. The TeleOTIVA application system is capable of providing satisfactory detection results. The performance of the proposed model achieves accuracy, sensitivity, and specificity levels above 90%. With this high performance, TeleOTIVA ensures that the detection of precancerous lesions is carried out with high reliability and precision, instilling greater confidence in healthcare professionals and users during the screening and diagnosis process. The implementation of our application model offers numerous advantages over traditional methods. It significantly enhances efficiency by automating processes, reduces human error through rigorous error-checking mechanisms, and accelerates the processing of large datasets. These improvements streamline operations and ensure more reliable and rapid data analysis.

Vitamin D and its Role in Cell Cycle Dynamics: A Review of the Molecular and Clinical Studies Sastradinata, Irawan; Murti, Krisna; Saleh, Irsan; Nurseta, Tatit
Journal La Medihealtico Vol. 6 No. 3 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i3.2096

Vitamin D is an essential nutrient that not only plays a role in calcium homeostasis and bone health, but also has broad functions in the regulation of various biological processes, including cell cycle dynamics. This study aims to examine in depth the role of vitamin D in cell cycle dynamics based on evidence from molecular and clinical studies. The method used was qualitative research with a literature study approach, where data was collected from relevant articles such as PubMed, EuropePMC, and Google Scholar. Analysis was carried out through the process of filtering, presenting data, and drawing conclusions. The results showed that vitamin D in its active form, 1,25-dihydroxyvitamin D3, interacts with the vitamin D receptor (VDR) in cells and modulates the expression of genes involved in cell proliferation. This mechanism involves an increase in the expression of cell cycle inhibitory genes, such as p21 and p27, and a decrease in the expression of cell cycle promoting genes, such as cyclin D1, which contributes to the arrest effect on the cell cycle. Thus, in addition to being important for bone health, vitamin D has a significant role in cell cycle regulation, and its deficiency can increase the risk of various diseases, including cancer. Therefore, maintaining optimal vitamin D levels through sun exposure, consumption of foods rich in vitamin D, or supplementation is essential. Further research is needed to understand the role of vitamin D in genetic regulation, particularly in relation to cancer.

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