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Analysis of the Difference between INA-CBG Rates and Hospital Rates for Outpatient and Inpatient Services at FKRTL Provider BPJS Kesehatan Mataram City Putu Gede Wawan Swandayana; Sastrawan Sastrawan
Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Vol 9, No 2: December 2021
Publisher : IKIP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.404 KB) | DOI: 10.33394/j-ps.v9i2.4350

Abstract

The National Health Insurance Program or Jaminan Kesehatan Nasional (JKN) managed by the Health Social Security Administration Agency or Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan) has entered its eighth year of implementation. Since 2014, PT Askes (Persero) has transformed into BPJS Kesehatan, this also has an impact on changes in the payment system from Retrospective Payment System to Prospective Payment System with INA-CBG (Indonesian-Case Based Groups) rates. The difference between INA-CBG rates and hospital real rates is a fundamental problem, so hospitals must make efforts to achieve quality control and cost control. The real rate is the rate used by the hospital based on service of each service according to local regulations. Meanwhile, INA-CBG is a case-based health financing package by grouping various types of services into one unit. There is a difference between the INA-CBG rates and the hospital's real rates for paying JKN claims for Advanced Inpatient (RITL) and Advanced Outpatient (RJTL) services as a whole. This study is a descriptive-analytic quantitative research. The data used is secondary data obtained from the list of hospital JKN claims on the BPJS Kesehatan Claims Digital Verification application. The results of the study indicate that there is a negative difference between the total INA-CBG rate and the total hospital real rate for inpatient services of Rp. -25,654,787,895 or -36% of the INA-CBG rate. In outpatient services there is a negative difference of Rp. -6,144,370,328,- or -13% of the INA-CBG rate. Based on these findings, we recommend that hospitals should conduct a utilization review of health services, as well as calculate the appropriate unit cost for each type of service. The hospital carries out quality control of services by paying attention to the diagnosis and action and treatment provided, so that there are no unnecessary services.
The Correlation of Mother's Age with Types of Labor on Maternity Mothers in Patut Patuh Patju West Lombok Hospital Linda Azizah; Sastrawan; Sabar Setiawan
Science Midwifery Vol 10 No 3 (2022): August: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i3.611

Abstract

Background: Age is considered important because it determines the prognosis in childbirth, because it can cause pain (complications) for both mother and fetus. Pregnancy At the age of less than 20 years will be easier to experience complications, in the age group over 35 years is 3 times higher than the healthy reproductive age group (20-35 years). Methods: This research design is a cross sectional study. The population of this study were all mothers who gave birth at the Patut Patuh Patju Hospital, West Lombok for the period of January 1 to June 30 in 2020 as many as 2,503 people. The sampling technique used is simple random sampling, with a total sample of 345 people. Data analysis using Chi Square analysis.Results: The age of the mother who gave birth at the Patut Patuh Patju Hospital, West Lombok, was mostly of healthy reproductive age, ie 20-35 years by 72.8%. The type of delivery in the mothers who gave birth at the Patut Patuh Patju Hospital, West Lombok, the majority of mothers who gave birth normally, amounted to 60.6%. The results of the analysis obtained that the value of X2count is smaller than X2tabe1 (2.360<5.591) and the p-value of 0.307 The contingency coefficient (t) is 0.08. Conclusion: There is no relationship between maternal age and type of delivery in mothers who give birth at Patut Patuh Patju Hospital, West Lombok for the period January 1 to June 30 2016..
Problematic BPJS health patient pending claims in the implementation of INA-CBGS and management handling Sulastri Sulastri; Menap Menap; Sastrawan Sastrawan
Jurnal Mantik Vol. 7 No. 3 (2023): November: Manajemen, Teknologi Informatika dan Komunikasi (Mantik)
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/mantik.v7i3.4278

Abstract

Guarantee program health (BPJS Health ) does payment to facility health reference level continued (FKRTL) in Indonesian Case Base Groups (INA-CBGs). BPJS health claim is submission cost maintenance patient participant guarantee health national (JKN) by parties House Sick to BPJS health carried out _ in a way collective and billable every the month . Currently _ Still happen problem between BPJS Health and Advanced Level Referral Health Facilities (FKRTL) including the relevant Bima City Hospital with problem coding that doesn't appropriate , medical resumes are not complete , incomplete relevant between medical resumes with results inspection support medical , and errors entry claim . Research objectives This is For know in a way deep regarding : (1) System planning management claim ; (2) System organizing ; (3) Implementation management record medical and files condition claim ; (4) System supervision in management JKN claim . Study This use approach studies case . Research results : (1) SPM recording has not been implemented medical ; (2) The hospital's internal coders and verifiers are not yet available equipped knowledge knowledge INA-CBGs coding , internal verification still underway done manually because _ Not yet There is application internal verification ; (3) Implementation management record medical and files condition claim Not yet in accordance with PMK number 26 of 2021 and BA agreement together guide management solution problem INA-CBGs claims in 2020; (4) System supervision in management JKN claim yet held optimally.
How does resilience affect the performance of nurses in psychiatric hospital? Hidayati, Fitria; Saimi, Saimi; Sastrawan, Sastrawan
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i1.4658

Abstract

The complex challenges in these environments demand extraordinary skill and resilience from nurses. This research aims to explore the influence of resilience on the performance of nurses at Mutiara Sukma Psychiatric hospital. The research method used a quantitative approach with a sample size of 110 nurses. Sampling was carried out using the Slovin formula and quota sampling technique. Data on nurses' resilience and performance were collected through questionnaires whose validity and reliability were tested. Data analysis involves inferential statistical techniques, such as independent t tests and simple linear regression. The independent t test was used to compare the average performance between low and high resilience groups, while simple linear regression was used to assess the linear relationship between resilience (independent variable) and performance (dependent variable). Data was processed using the SPSS program. The results of data analysis show that nurses with a high level of resilience tend to have better performance. Independent t tests revealed significant differences in performance between the low and high resilience groups. In addition, simple linear regression shows that resilience has a positive effect on nurse performance. The practical implications of this research provide a basis for developing training and support programs to increase nurse resilience, with the aim of improving service quality. This research provides an in-depth understanding of individual psychological relationships with a direct impact on mental health services. Despite these limitations, these findings have significant relevance for human resource management in hospitals and can serve as a basis for future research.
Pengaruh Edukasi Dengan Simulation Game Terhadap Pengetahuan Ibu Tentang Stunting Di Kecamatan Pemenang Kabupaten Lombok Utara Hermawati, Hermawati; Sastrawan, Sastrawan
Jurnal Ilmiah Mandala Education (JIME) Vol 7, No 2 (2021): Jurnal Ilmiah Mandala Education
Publisher : Lembaga Penelitian dan Pendidikan Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jime.v7i2.2060

Abstract

Balita stunting (pendek) di Indonesia merupakan masalah kesehatan di Indonesia. Prevalensi stunting pada anak usia 12-36 bulan cukup besar mencapai 38,3-41,5%. Masalah ini perlu untuk segera diatasi karena kejadian stunting pada golden periode dapat menghambat perkembangan otak sehingga menyebabkan penurunan kemampuan intelektual dan produktivitas. Metode : Penelitian ini dilakukan di Kecamatan Pemenang, Kabupaten Lombok Utara. Desain penelitian yang digunakan adalah penelitian quasi eksperimen one group pre-pos test design. Jumlah sampel dalam penelitian ini sebanyak 37 orang yang diambil dengan menggunakan teknik simplerandom sampling, dan hasil penelitian ini di analisis mengunakan uji paired t-test. Hasil : Nilai rata-rata skor pengetahuan ibu tentang stunting sebelum diberikan perlakuan berupa penyuluhan dengan metode simulation game adalah 16,14 dan nilai rata-rata tingkat pengetahuan ibu sesudah perlakuan sebesar 25,05. Peningkatan nilai rata-rata mencapai 8,9 yang menunjukkan adanya peningkatan pengetahuan sebelum dan sesudah perlakuan Uji paired t-test menunjukkan p value 0,000  menunjukkan perbedaan yang ada bermakna secara statistik.Penelitian ini membuktikan adaya pengaruh pemberian penyuluhan dengan metode simulation game terhadap tingkat pengetahuan ibu tentang stunting di Posyandu Dusun Terengan Kecamatan Pemenang Kabupaten Lombok Utara. Dengan kata lain, metode penyuluhan dengan simulation game merupakan metode penyuluhan yang efektif dalam meningkatkan pengetahuan ibu tentang stunting.
Analisis Implementasi Program Gerakan Anti Merarik Kodek (GAMAK) dari Perspektif Kesehatan di Kabupaten Lombok Barat Rosamali, Akmal; Saimi, Saimi; Sastrawan, Sastrawan
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk317

Abstract

The child marriage rate in West Nusa Tenggara is above the national rate of 43.49%. Therefore, research is needed which aims to analyze the implementation of the anti “merarik kodek” (GAMAK) from a health perspective in West Lombok Regency. This study was a qualitative research that involves stakeholders in the implementation of the anti “merarik kodek” (GAMAK) in West Lombok Regency. The success of the GAMAK program can be seen from the output of this program in the form of achieving program targets in the last three years with the average age of marriage increasing from 19.8 years in 2019 to 20.40 years in 2020. Early marriage has an effect on morbidity rates and mortality, both in mother and child.Keywords: draw codecs; marriage; teenager ABSTRAK Angka perkawinan usia anak di Nusa Tenggara Barat berada di atas angka nasional yaitu sebesar 43,49%. Maka diperlukan penelitian yang bertujuan untuk menganalisis pelaksanaan program gerakan anti merarik kodek (GAMAK) dari perspektif kesehatan di Kabupaten Lombok Barat. Studi ini merupakan penelitian kualitatif yang melibatkan stakeholder dalam pelaksanaan gerakan anti merarik kodek (GAMAK) di Kabupaten Lombok Barat. Keberhasilan program GAMAK dapat dilihat dari adanya luaran dari program ini berupa tercapainya target program pada tiga tahun terakhir dengan rata-rata usia perkawinan yang meningkat dari 19,8 tahun pada tahun 2019 menjad 20,40 tahun pada tahun 2020. Perkawinan dini berpengaruh terhadap angka kesakitan dan angka kematian, baik pada ibu maupun anak.Kata kunci: merarik kodek; perkawinan; remaja
Faktor-Faktor yang Berhubungan dengan Implementasi Promosi Kesehatan Rumah Sakit Mufid, Achmad; Sulaeman, Lalu; Sastrawan, Sastrawan
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7528

Abstract

This study analyzes factors (superior support, commitment, resources, and communication) related to implementing Hospital Health Promotion (PKRS). The method used is quantitative with a cross-sectional analytical approach. The research results showed that there was a relationship between superior support (p=0.001), commitment (p=0.027), resources (p=0.000), and communication (p=0.022) on the implementation of Hospital Health Promotion (PKRS). In conclusion, the better the support from superiors, commitment of implementers, resources, and communication, the better the implementation of PKRS. Keywords: Supervisor Support, Commitment, Resources, Communication, Health Promotion
Pijat Marmet Sebagai Solusi Produksi Asi Ibu Menyusui Di Kecamatan Sikur Kabupaten Lombok Timur Maryam, Baiq; Sastrawan, Sastrawan; Menap, Menap
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 4, No 3 (2020): JISIP (Jurnal Ilmu Sosial dan Pendidikan)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.482 KB) | DOI: 10.58258/jisip.v4i3.1147

Abstract

Pemberian ASI eksklusif merupakan salah satu program yang dicanangkan oleh pemerintah untuk  mengurangi kematian bayi. Cakupan ASI Ekslusif di NTB mencapai angka 82 % berarti masih ada sekitar 18 % yang belum ASI ekslusif, banyak faktor yang mempengaruhi pemberian ASI diantaranya adalah masalah produksi ASI yang tidak lancar, sehingga perlunya pemberian terapi yang tepat dalam mengatasi masalah produksi ASI. Desain penelitian dalam penelitian ini adalah one group pretest postets design .Penelitian ini jumlah sampel dalam penelitian ini sebanyak 17 responden  yang diambil dengan teknik total sampling. Dan tujuan penelitian ini adalah melihat pengaruh dari pijat marmet terhadap produksi ASI ibu menyusui di Kecamatan Sikur Kabupaten Lombok Timur. Berdasarkan hasil uji statistik, dapat diperoleh nilai rata-rata produksi ASI sebelum intervensi sebanyak 603,41 dan mengalami peningkatan setelah diberikan intervensi dengan pijat marmet menjadi 766,11. Nilai rata-rata tingkat produksi ASI menunjukan adanya peningkatan jumlah produksi ASI setelah diberikan terapi pijat marmet sebesar 162,70 dengan p value 0,000 lebih kecil dari α = 0,05. Kesimpulan penelitian ini adalah adanya pengaruh yang signifikan pemberian terapi pijat marmet terhadap peningkatan produksi ASI ibu di Kecamatan Sikur Kabupaten Lombok Timur
RELATIONSHIP OF WORKLOAD WITH WORK STRESS AMONG NURSES DURING THE COVID-19 PANDEMIC IN EAST LOMBOK DISTRICT Alipurman, Agusnawadi; Sastrawan, Sastrawan
Journal of Vocational Health Studies Vol. 6 No. 1 (2022): July 2022 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V6.I1.2022.41-45

Abstract

Background: Nurses as the front line in dealing with COVID-19 are at risk of contracting COVID-19 along with the current increase in COVID-19 cases. Nurses is carrying out their work because they have pressures that have an impact on their physical, mental and social conditions, causing work stres. Purpose: To determine the relationship between workload and work stress of nurses during the COVID-19 pandemic in East Lombok Regency. Method: This research was conducted in East Lombok Regency using quantitative analytic research with a cross-sectional study design. The population in this study were all nurses at the puskesmas in East Lombok Regency as many as 738 nurses. The sampling technique used a probability proportional size and obtained a sample of 77 nurses. Data collection uses an adoption questionnaire from Cooper and is collected online using Google Forms. Data processing and analysis, for bivariate analysis using the Chi-Square test with = 0.05. Result: Nurses with heavy workloads and experiencing heavy work stress were 45.5%, nurses with light workloads and experienced light work stress were 10.4%. The results of the analysis using Chi-Square obtained a p-value of 0.000 < α=0,05 with an OR of 5.5. Conclusion: Shows there is a relationship between workload and work stress of nurses in East Lombok Regency where the results of bivariate analysis obtained p-value 0.000 <0.05 and it is known that the OR value in this study is 5.5 which means nurses have a high workload and are at risk of experiencing stress. 5.5 times higher workload compared to nurses who have a low workload.
Evaluation of the Healthy Living Community Movement (GERMAS) Effectiveness in Bima City Kurniawati, Serosa Andi; Saimi, Saimi; Sastrawan, Sastrawan
Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Vol 12, No 4: October 2024
Publisher : IKIP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/j-ps.v12i4.12753

Abstract

The Healthy Living Community Movement (GERMAS) is a coordinated national initiative to promote healthy behavior and improve quality of life through family and community engagement. This study explores the implementation of GERMAS in Bima City, focusing on the effectiveness of health promotion strategies like advocacy, socialization, and public campaigns across Community Health Centers (Puskesmas) and related Regional Apparatus Organizations (OPD). A qualitative descriptive research design grounded in postpositivist philosophy was employed, with data collected through triangulated interviews and observations. Findings indicate that GERMAS health promotion activities are well-established but limited to specific actions, lacking comprehensive integration across sectors. Efforts remain primarily confined to isolated activities, such as promoting a Clean and Healthy Lifestyle (PHBS) and disease prevention, rather than fostering collaborative, multi-sectoral engagement. Future implementation should strengthen cross-sector partnerships and expand routine practices, including regular physical activity, increased fruit and vegetable intake, and health check-ups every six months. The study offers foundational insights for developing enhanced strategies and policies for GERMAS integration in community health frameworks.
Co-Authors Abdul Haris Abdul Khalik Achmad Mufid Achmad Mufid, Achmad Akhmad Fanani Alfi Sahrin Alipurman, Agusnawadi Anak Agung Ayu Niti Wedayani Aniharyati, Aniharyati Astuti, Rita Baiq Maryam Erawati, Eva Fasha, Shindy Fajriani Fitria Hidayati, Fitria Hadi Masyhurrosyidi, Hadi Hadi, Salman Hadi, Zulfi Wirman Hadiyan, Ezar Hafsah Widiyanti Harmaen Harmaen Hendardi, Lalu Ofan Hermawati Hermawati Hermawati Hermawati, Hermawati Husein, Lalu Muhammad Sadam Karjono M, Karjono Khaidir, Yul Khofia, Nida'an Kurniawati, Serosa Andi Lalu Abdul Khalik Lalu Bahrudin Lalu Bahrudin Lalu Sulaiman Lalu, Sulaiman Linda Azizah Maryam, Baiq Menap Muhamad Yunus Muhammad Luthfi Muslim Tasim Muslim Tasim Muslim, Al Nurhayati Nurhayati Nurlaili, Mustika NURWAHIDAH NURWAHIDAH Parindra, I Ketut Payanadi, Sarwan Pratiwi, Intan Gumilang Puspita, Zulvia Putu Gede Wawan Swandayana Rahman, Maizar Rahmawati, Trisna Anesa Reny Marliandini Rini Hendari, Rini Rosamali, Akmal Sabar Setiawan Sabar Setiawan Saimi Saimi Saimi, Saimi Saimi, Saimi Setiawan, Sabar Sismulyanto Sulaeman, Lalu Sulaiman Lalu Sulaiman Sulaiman Sulaiman, Lalu Sulastri Sulastri Sulastri Sulwiyatul K Sani Sumbarwati, Nazaliya Syaiful . Tasim, Muslim Wulandari, R.A Yul Khaidir Yuni Widyastuti Zuhro, Ramdhoni