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All Journal JURNAL SISTEM INFORMASI BISNIS Bulletin of Electrical Engineering and Informatics Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Jurnal SOLMA SAMARAH: Jurnal Hukum Keluarga dan Hukum Islam Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Benchmarking: Jurnal Manajemen Pendidikan Islam Manuju : Malahayati Nursing Journal Jurnal Medika Malahayati Poltekita : Jurnal Ilmu Kesehatan Pediomaternal Nursing Journal ADDIN Indian Journal of Forensic Medicine & Toxicology Humanism : Jurnal Pengabdian Masyarakat Indonesian Academia Health Sciences Journal MAHESA : Malahayati Health Student Journal Journal of Health Research Science Gaster Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Health and Technology Journal (HTECHJ) Warta LPM Jurnal Pengabdian Masyarakat Journal of Community Empowerment for Multidisciplinary (JCEMTY) International Journal Of Public Health International Journal Of Health And Social Behavior Strada Jurnal Ilmiah Kesehatan (SJIK) Proceeding UMSurabaya Global Journal of Health Administration
Mundakir
Universitas Muhammadiyah Surabaya
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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ANALYSIS OF PENDING BPJS CLAIMS ISSUES IN THE CASEMIX UNIT OF RS ISLAM MASYITHOH BANGIL 2025 Junaedi Hasmi A; Rachmad Cahyadi; Mundakir Mundakir
Benchmarking: Jurnal Manajemen Pendidikan Islam Vol 8, No 2 (2024): BENCHMARKING
Publisher : Universitas Islam Negeri (UIN) Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30821/benchmarking.v8i2.28632

Abstract

This study analyzes pending claims within the INA-CBG–based reimbursement process at the Casemix Unit of RS Islam Masyithoh Bangil in 2025. Under Indonesia’s National Health Insurance (JKN), claim submission functions as a critical interface between clinical services and financing governance; disruptions in this process may affect both operational workflows and hospital cash flow. This research employed a descriptive case study design using semi-structured interviews, non-participant observation, and document review. To strengthen the process-based analysis, the study incorporated descriptive quantitative tabulation of monthly verification documents from January–November 2025 at the claim level (unique SEP), covering claim status, service type, pending categories, and submitted value. The dataset recorded 5,272 claims, of which 2,417 were pending (45.8%), with a cumulative pending submission value of IDR 8,427,504,800 and marked month-to-month fluctuations. The composition of pending categories shifted across months, predominantly involving coding rules and service standards, while administrative completeness remained consistently present at a smaller proportion. These findings indicate that pending claims represent a recurrent process output arising from interdependent documentation practices, coding accuracy, and cross-unit coordination within the INA-CBG framework. The study concludes that strengthening internal verification, standardizing documentation and classification, and establishing routine monitoring indicators are essential to improve claim efficiency and organizational sustainability.
Analysis of the Strategy for Developing Outpatient Services at the Locus Medical Hub Clinic Using SWOT Analysis Achmad Subahtiyar; Pipit Festi Wiliyanarti; Mundakir; Agus Chairul Anab
PROCEEDING UMSURABAYA Vol 1 No 2 (2026): Proceeding Series LSPID UMSURA
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/pc.v1i2.33123

Abstract

Increasingly fierce competition in the healthcare sector requires clinics to continuously improve the quality of their services and organizational competitiveness. Outpatient services are one of the primary services that play a crucial role in enhancing patient satisfaction, the number of visits, and the clinic’s operational sustainability. Therefore, an appropriate development strategy is needed based on an analysis of the organization’s internal and external conditions. This study analyzes the development strategy for outpatient services at Locus Medical Hub Clinic using SWOT analysis and formulates an appropriate development strategy. This research employs a qualitative approach with a case study design. The research informants consist of management, doctors, nurses, administrative staff, and outpatient patients selected using purposive sampling, totaling 30 respondents. Data collection was conducted through in-depth interviews, observation, documentation, and Focus Group Discussions (FGDs). Data analysis was performed using the Internal Factor Analysis Summary (IFAS) Matrix, External Factor Analysis Summary (EFAS) Matrix, and SWOT Matrix. The analysis results show an IFAS score of 3.04 and an EFAS score of 3.15. The clinic’s key strengths include competent healthcare staff, fast and friendly service, a digital registration system, and a strategic location. Key opportunities stem from the growing demand for healthcare services, advancements in healthcare technology, and opportunities for collaboration with various parties. The SWOT analysis results place Locus Medical Hub Clinic in Quadrant I, indicating a strong organizational condition with high development potential. The recommended strategy is an aggressive strategy (SO) that leverages internal strengths to capitalize on external opportunities. This strategy includes the development of technology-based flagship services, improving service quality, optimizing digital systems, enhancing human resource competencies, and expanding strategic partnerships to improve the quality of outpatient care and the competitiveness of Locus Medical Hub Clinic.
Digital Competence, Organizational Support, and Proxy Compliance in Electronic Medical Record Use: An Explanatory Sequential Mixed-Methods Study Rahman, Aditya Safarudin; Anas, Muhammad; Mundakir; Amalia, Nuke
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i5.832

Abstract

Electronic Medical Record (EMR) implementation depends not only on organizational readiness but also on healthcare workers’ digital competence and their everyday experience of using the system. This study examined digital competence, perceived organizational support, and lived experiences of EMR implementation among healthcare workers at an Indonesian private hospital using an explanatory sequential mixed-methods design. Phase 1 involved a cross-sectional survey of 76 of 109 eligible healthcare workers using a DigComp 2.2-adapted questionnaire, with data analyzed descriptively in IBM SPSS Statistics 31. Phase 2 involved semi-structured interviews, non-participant observations, and document review with 19 purposively selected participants across clinical, support, and management/IT groups, followed by a six-phase thematic analysis. Overall, 85.5% of respondents demonstrated high digital competence, although competence was lower among workers aged over 45 years, non-clinical health workers, and those reporting lower organizational support. Qualitative analysis identified four themes: reactive implementation and training gaps; technical infrastructure instability and downstream effects; field-level compromise and interprofessional role shifts; and prolonged hybrid transition with profession-specific motivation. A cross-cutting finding, termed proxy compliance, revealed that EMR documentation was sometimes entered by individuals other than the registered account holder with managerial tolerance. These findings indicate that apparent EMR compliance may not reflect genuine individual competence or technology acceptance. Sustainable EMR implementation requires targeted competency development, reliable infrastructure, accessible procedural guidance, and governance mechanisms that verify authentic system use and accountability.
Co-Authors Abdul Fauzi Absor, Shohilul Absor, Sholihul Achmad Subahtiyar Achmad Syamsudin Ade Susanty Agus Chairul Anab AH Yusuf Ah. Yusuf Ahmad Wahyudi Ahmad Wahyudi Alfian, Afan Ali, Amir Amalia, Nuke Amir Ali Anandhita, Aries Chandra Angga Ferwita Anis Rosyiatul Husna, Anis Rosyiatul Anisa Nurida Annisa Nurida Asri Asri Asri Aziz, M. Aminudin Barika Isti’anatil Hidayah Betty Ariani Cahyadi, Rachmad Chlara Yunita Prabawati Choliq, Idham Dede Nasrullah Dewi, Neneng Diny Wulansari Donny Firmansyah Donny Permana Dwi Herlinda Lusi Harini Dwi Nurcahyono Dwi Untari Fadillah Asih Dwi Untari Fadillah Asih Dwi Untari Fadillah Asih Emi Linawati Era Catur Prasetya Fahrudda, Ansarul Farida Umama Fathiya Lutfil Yumni Fausi, Muhammad Fauziana, Windyanisa Afifah Festi Wiliyanarti, Pipit Firman Firman Firman Firman Fitriani, Vika Ramadhana Fitriyani, Vika Ramadhana Hapsari, Linda Hartamto, Offia Melda Permata Ida Agustiningsih Idham Choliq Intan Fidyatul Fuaidah Iqbal Razif Ira Ratnasari Isnaini Fajariah I’in Masfiyah Jamil, Ahmad Mochtar Juhrotul Khulwah Junaedi Hasmi A Kurniawati, Ninuk Dian Linda Hapsari Lukman Hakim Luqman Nurhisam Masfiyah, I’in Mirrah Sammiyah Mohammad Jufriyanto Muhamad Bayhaqi Muhammad Anas Muhammad Luqman Fariz Munadi mursid, fadillah Muzzamil Muzzamil Nahara Eriayanti Neneng Dewi Nugroho Ari Wibowo Nur Fadlilah Nur Mukarromah Nurida, Anisa Nursalam, Nursalam Permana, Donny Pipit Festi Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Priyantini, Diah Purwanto Purwanto Purwanto Purwanto Rahmah Laila Rahman, Aditya Safarudin Ratna Agustin Reliani Reliani, Reliani Retno Sumara Rikhly Faradisy Mursyida ROHMAN, M.TAUFIQUR Septriana Puja Prameswari Sevira Gebby Pricillia Siswanto Agung Siswanto Agung Slamet Riyadi Slamet Riyadi Solikah, Amanat Sukadiono, Sukadiono Supatmi Supatmi Supriyono Supriyono Suswojo, Heru Syarifurrahman, Islam Thariq Malikul Mulki Uswatun Hasanah Uswatun Hasanah Vika , Ramadhana Fitriyani Vika Ramadhana Fitriyani Wilianarti, Pipit Festi Yuanita Wulandari Yuanita Wulandari Zuhrina Irma A’tiana