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STUDI ANALISIS UPAYA MANAJER DALAM REALISASI PERENCANAAN STRATEGIS RSUD KABUPATEN EMPAT LAWANG MELALUI PENDEKATAN BALANCED SCORECARD (BSC) enggriani, yesica tria; Hanny Handiyani; Rr. Tutik Sri Hariyati; Dumilah Ayuningtyas
Indonesian Journal of Nursing Scientific Vol 4 No 1 (2024): Indonesian Journal of Nursing Scientific
Publisher : Politeknik Karya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58467/ijons.v4i1.137

Abstract

An Analytical Study Of Managers' Efforts In The Realisation Of Strategic Planning Of RSUD Kabupaten Empat Lawang Through The Balanced Scorecard Approach. Although strategic planning has been prepared in such a way as to choose the best approach, in practice, many managers have difficulty realising the plan. This study aims to analyse the steps and efforts in realising strategic planning at RSUD Empat Lawang Regency through the BSC approach. The method used is a case study through SWOT analysis (Strength, Weakness, Opportunity, and Threat). Data were obtained through a document review of the hospital's profile and achievements. The data were then analysed for external and internal situations using the SWOT method, then inputted into the Internal Factor Evaluation (IFE) matrix and External Factor Evaluation (EFE) matrix to be given weight and scale, and determined the position of the organisation through the Internal-External (IE) matrix. Then strategies were formulated through Threat, Opportunity, Weakness, and Strength (TOWS) followed by the determination of Balanced Scorecard (BSC) perspectives and Key Performance Indicators (KPIs). The results of the analysis show that the RSUD is in cell IV, which means that the RSUD is best controlled with a growth and build strategy so that 10 targets are obtained along with the manager's efforts in realisation which include measuring Value For Money, collaborating with other parties, developing innovations and preparing education and training plans. The managers' efforts in this study can be used as a reference in evaluating the realisation of strategic plans in health service organisations.
Analysis of the Availability of Medical Laboratory Technology Experts (ATLM) Based on the Minimum Energy Standard of Permenkes No. 43 of 2019 in Indonesia Year 2023 Rosmalinda; Dumilah Ayuningtyas
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 7 (2024): July 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i7.5269

Abstract

Introduction: Medical Laboratory Technology Experts (ATLM) as one type of health worker, are authorized to organize or practice in the health sector according to their expertise. The ideal ratio of Community Health Centers (Puskesmas) to districts is at least 1 Puskesmas per sub-district, and the minimum staffing standard based on Minister of Health Regulation No. 43 of 2019 for ATLM personnel in Puskesmas is 1 (one), both in Urban, Rural, Remote, and Very Remote Puskesmas. Method: The purpose of this study is to analyze the suitability of ATLM personnel with minimum staffing standards based on the Minister of Health Regulation No. 43 of 2019 in Indonesia. The qualitative research method describes the availability of ATLM personnel at the district/city/provincial level in Indonesia, using secondary data from the Ministry of Health's Health Human Resources Information System (SISDMK) for 2022. Result: The results showed that there is still a shortage of medical laboratory technologists in Puskesmas at the district/city/provincial level in Indonesia, with 1,486 Puskesmas experiencing a shortage out of a total of 10,436 Puskesmas in Indonesia.
Efforts to Improve Access to Primary Healthcare Services in Archipelagic Regions : A Literature Review Setyaningtyas, Ruth Christy; Ayuningtyas, Dumilah
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5307

Abstract

Healthcare delivery in archipelagic regions faces significant challenges, including limited access, inadequate infrastructure, and a shortage of healthcare professionals. Achieving universal health coverage in these regions requires innovative strategies and approaches. This study aims to identify regulations, challenges, and provide recommendations to improve access to healthcare services in archipelagic regions. A literature review method was employed, utilizing two databases, Google Scholar and ScienceDirect. Keywords used include “Pelayanan Kesehatan di Kepulauan” OR “archipelago healthcare” OR “health services in islands”. From 515 articles with publications from 2019 – 2024 initially retrieved, only seven were analyzed after screening using the PRISMA diagram based on predetermined criteria. The findings reveal that common challenges across archipelagic regions include geographical conditions, infrastructure limitations, and shortages in healthcare workforce quantity. Innovative efforts, such as telemedicine, hospital ships, health boats, and village health posts, have been implemented in several countries with similar geographical characteristics and proven effective in overcoming these access barriers. In conclusion, despite the complex challenges in archipelagic regions, existing regulations and various implemented efforts have improved healthcare access, fulfilling community health needs. These initiatives contribute to accelerating the equitable delivery of sustainable and high-quality healthcare services.
Home Visit as A Strategy to Increase Access to Primary Health Care: A Scoping Review Putri, Aditia; Ayuningtyas, Dumilah
Jurnal Kesehatan Manarang Vol 9 No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v9i1.891

Abstract

Primary Health Care (PHC) is a foundation of universal health coverage for enabling equitable access. However, the access barrier is one of the challenges in implementing PHC. Home visits becomes one of the PHC innovations in several countries. This review aimed to describe home visit implementation in various countries regarding the scope, and service providers to achieve the expected impacts. This descriptive study used scoping review method referring to Arksey and O’Malley’s guidelines. Three databases, which are PubMed, ProQuest, and Embase, were searched using keywords, namely “home visit” and “primary health care” or “primary healthcare” or “PHC services”. The articles’ identification used the PRISMA method. From the search result that was limited to 2002-2022, 367 articles were retrieved and screened for titles and abstracts, resulting in 48 full-text articles for eligibility assessment. Finally, ten studies were further analyzed and synthesized according to the study’s aim. The scope of home visits is a comprehensive life cycle approach. Services providers are community health workers, nurses, midwives, doctors, and multidisciplinary teams. The impact of home visits is increasing knowledge and healthy behaviour, utilization, service quality, and health status as well as encouraging cross-sectoral collaboration and interprofessional collaboration. The scope and the impact of the home visit were then categorized based on the three PHC components according to WHO. This research result can be used as input in the development of evidence-based policies for the implementation of home visits as part of the services provided by first-level health facilities with adjustments to the context in Indonesia.
Towards a Structured Obesity Policy in Indonesia: Lessons from the Implementation of Metabo Law in Japan Sabahat, Anindya Naila; Ayuningtyas, Dumilah
Eduvest - Journal of Universal Studies Vol. 5 No. 11 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i11.51513

Abstract

Obesity is a growing global public health challenge, especially in developing countries. In Indonesia, the prevalence of adult obesity has reached 23.4%, but the control policy remains limited to a promotive-preventive approach without binding regulations. In contrast, Japan implements a Metabo Law policy that combines mandatory screening, clear anthropometric parameters, and a health insurance-based institutional incentive system. This research aims to analyze the success of the Metabo Law policy in Japan and evaluate its potential adoption or adaptation in the context of Indonesia and other developing countries. This research used a qualitative literature review approach by examining obesity policies in Japan, India, Thailand, the Philippines, Brazil, and Indonesia. The analysis was carried out thematically based on scope, intervention mechanisms, financing, institutional structure, and socio-cultural context. The Metabo Law succeeded in reducing the prevalence of metabolic syndrome through a regulative and population-based approach. Compared to developing countries, Japan's policies excel in terms of national coverage, institutional accountability, and funding sustainability. However, the success of the Metabo Law was greatly influenced by the context of Japanese collectivism and an integrated national health system, which are not yet fully present in developing countries. The adoption of policies such as the Metabo Law needs to be contextually adjusted. Indonesia can draw inspiration from such policy structures and mechanisms, especially in building a national screening system, strengthening regulations, and developing institutional incentives.
Pengukuran Kualitas Hidup Pasien Hiv/Aids Di Rsud Pasar Rebo Menggunakan Instrumen Eq-5d-5l Prayoga, Haryadi; Ayuningtyas, Dumilah
Journals of Ners Community Vol 13 No 6 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i6.2423

Abstract

Human Immunodeficiency Virus (HIV) menyebabkan tingginya angka mortalitas dan morbiditas. Konsekuensi lainnya yaitu dapat mempengaruhi kualitas hidup pasien, buruknya kualitas hidup mengakibatkan keterbatasan pada aktivitas fisik dan aktivitas sosial pada pasien HIV/AIDS. Tujuan: mengukur kualitas hidup pasien HIV/AIDS di RSUD Pasar Rebo untuk melihat gambaran kualitas hidup. Metode: Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Data diperoleh menggunakan kuesioner European Quality of Life 5 Dimension 5 Level (EQ-5D-5L) untuk mendapatkan nilai utility dengan value set Indonesia dan nilai Visual Analog Scale (VAS). Pengambilan sampel dilakukan dengan consecutive sampling dimana sampel diambil berdasarkan subyek yang datang dan memenuhi kriteria inklusi. Hasil: Hasil penelitian menunjukkan mayoritas responden pada semua domain dilaporkan tidak terjadi masalah pada pasien HIV/AIDS namun kecemasan/depresi merupakan domain yang dilaporkan memiliki banyak gangguan/masalah pada pasien HIV/AIDS. Berdasarkan penilaian kualitas hidup dengan kesioner EQ-5D responden didapatkan sebanyak 56.8% responden memiliki kualitas hidup yang baik. Hasil uji bivariat menunjukkan bahwa terdapat hubungan yang bermakna antara pekerjaan dengan kualitas hidup (p=0.020) begitu juga terdapat hubungan yang bermakna antara status pernikahan dengan kualitas hidup (p=0.019).
HOSPITAL BOARD COMPETENCIES SUPPORTING QUALITY GOVERNANCE: A SCOPING REVIEW Aniza Winanda, Rizky; Wibowo, Adik; Wijaya, Aurelianne; Ayuningtyas, Dumilah
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 2 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v3i2.1614

Abstract

Background: The characteristics of hospital boards determine the output of healthcare quality. Certain sets of skills, composition, and dynamics make up for the competencies required of hospital boards in order to assure healthcare services are safe. Aims: The objective of this scoping review is to determine competencies required of hospital boards that not only have a role in assuring healthcare quality, but also serve as general qualifications for best practice.Methods: A scoping review was conducted through searching three electronic databases including relevant terms for the following concepts: hospital board and its required competencies. Grey literature was included to introduce a variety of perspectives on the subject and support an enriched discussion. Results: 16 articles were included in this review. The majority of studies were qualitative studies with a focus on evaluating behavioral dynamics of hospital boards and its effect on healthcare quality governance. Three main themes of hospital board competencies include individual board member attributes, team dynamics, and organizational outcome. Conclusion: Studies had different definitions of whom the term hospital board or governing board refers to, creating difficulty in formulating a certain set of essential qualities. A medical background is found to have positive associations with performance on care quality and patient safety practices.
STUDI KASUS: IMPLEMENTASI PENCEGAHAN DAN PENGENDALIAN INFEKSI DI RS X KABUPATEN KUBU RAYA KALIMANTAN BARAT Rahayuningsih, Rizki; Ayuningtyas, Dumilah
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 5 No. 1 (2024)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

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

Abstract

Implementasi pencegahan dan pengendalian infeksi (PPI) yang adekuat menjadi dasar pemenuhan hak pasien terhadap keselamatan pasien dan pelayanan berkualitas. Tingkatan implementasi PPI dapat diukur melalui instrument IPCAF WHO. Penelitian menggunakan metode survei dengan pendekatan studi kasus. Variabel penelitian terdiri dari komponen inti PPI yang terdiri dari program PPI, pedoman PPI, Pendidikan dan pelatihan, surveilans HAIs, strategi multi modal, pemantauan dan umpan balik PPI, beban kerja, kepegawaian dan umpan balik PPI, serta lingkungan dan sarana prasarana.Hasil didapatkan RS X Kabupaten Kubu Raya berada pada kategori implementasi intermediet. Nilai tertinggi pada komponen program PPI terdiri dari beban kerja, kepegawaian, dan ketersediaan tempat tidur, serta komponen lingkungan sarana prasarana. Nilai terendah didapatkan pada komponen strategi multi modal dan komponen pedoman PPI. Melalui penilaian IPCAF, maka RS X dapat mengidentifikasi kekuatan dan kesenjangan dalam pelaksanaan program PPI untuk memperbaiki area keselamatan pasien dan kualitas pelayanan kesehatan yang diberikan.
Implementation Of Lean Management In Improving The Quality Of Hospital Services: Literature Review Rooslanda, Elfrida; Ayuningtyas, Dumilah
Journal of Social Research Vol. 2 No. 8 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i8.1232

Abstract

Hospitals as labour-intensive and capital-intensive organizations, as well as providing medical and non-medical services require management to increase the efficiency and effectiveness of resources. However, this management must still pay attention to the quality of health services according to service standards and provide benefits for patients. Through Lean Management, continuous improvement can be made by eliminating waste, increasing added value, especially for patients. This is so that the hospital can be the choice of patients to entrust their health. This research is to determine efforts to improve the quality of hospital services using the lean management method. In collecting and synthesizing previous information, this study uses a systematic library research search approach using the PRISMA method. Searches were performed on the Google Scholar and PubMed databases. Articles are limited from 2018-2023, in hospital services and using the Lean Management method. Based on the search results found 1202 articles with 8 copies. From the results of the screening of articles over the last 5 years, 48 ??research titles and abstracts were obtained, then a screening was carried out on the completeness of the selected articles and studies that carried out the process of improving service quality from the results of the Lean Management approach. Efforts to improve quality using the Lean Management method are focused on increasing Value Added activities by reducing Non Value Added activities. Lean Management is considered effective in efforts to improve quality by maximizing existing resources. Through a number of studies obtained, hospitals that implement Lean Management benefit by identifying sources of waste. So that it can be input for the Hospital to focus on efforts to improve these units by reducing waste and increasing VAR (Value Added Ratio), so as to create quality services that meet patient expectations.
Meningkatkan Upaya Penanggulangan Tuberkulosis Melalui Penguatan Strategi Berbasis Komunitas: Tinjauan Sistematis Chriswanto, Alexander W.; Ayuningtyas, Dumilah; Karima, Khaula
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i4.15137

Abstract

Manajemen penanggulangan TB berbasis komunitas memiliki dampak positif terhadap capaian program penanggulangan TB. Organisasi Kesehatan Dunia (WHO) telah menyusun kerangka strategi terkait peningkatan peran serta komunitas dan masyarakat dalam upaya penanggulangan TB yang diharapkan dapat diterapkan dan disesuaikan dengan kondisi unik tiap kelompok masyarakat. Tujuan penelitian ini adalah untuk mengeksplorasi bukti mengenai beragam intervensi manajemen penanggulangan TB berbasis komunitas. Penelitian ini melakukan tinjauan literatur sistematis menggunakan database ProQuest, Embase dan PubMed untuk menemukan artikel yang berkaitan dan diterbitkan dalam rentang lima tahun terakhir. Model PRISMA digunakan untuk menyaring judul dan abstrak, sehingga dari 198 total artikel yang ditemukan, didapatkan 13 artikel yang sesuai dengan kriteria inklusi. Kegiatan atau program penanggulangan TB yang melibatkan komunitas dan masyarakat secara langsung akan meningkatkan angka capaian program penanggulangan TB dari tahap pencegahan sampai hasil akhir pengobatan. Kesimpulannya, pemerintah perlu merancang strategi penanggulangan TB berbasis komunitas yang efektif dan komprehensif agar masyarakat dapat ikut berperan aktif dalam upaya penanggulangan TB dan mendapatkan hasil yang berkelanjutan.
Co-Authors Abd. Rasyid Syamsuri abdad, Fairus ali Adang Bachtiar Adik Wibowo Aditia Putri AFIYAH, NUR Agus Rahmanto Aji Muhawarman Akhada Maulana Akhada Maulana, Akhada Alatas, Haniah Alfiyyah, Arifah Anastasia Yekti Heningnurani Anastasia Yekti Heningnurani Anggi Asri Rusliana Dewi Aniza Winanda, Rizky Anwar Fachry Ardi, Niken Sasanti Arieyani, Asti Arifah Alfiyyah Arini Cyndwiana Prastiwi Asri Nur Maulidya Asti Arieyani Asti Arieyani Astri Nurdiana Barinda, Sandra Bunga Listia Paramita Bunga Listia Paramita Bunga Listia Paramita Candra Dewi Purnamasari Cattleya Ananda Vilda Cattleya Ananda Vilda Chriswanto, Alexander W. Cicilya Candi Cindy Margaretha Danar Wahyu Giwang Katon Daniel, Rizki Darmayanti, Ni Putu Diah Utami Dewa Ayu Dyah Widya Dewa Ayu Dyah Widya Dewi, Anggi Asri Rusliana Dewi, Ni Putu Indra Diah Nurlita Elfi Yennie Enggriani, Yesica Tria Eny Juliati Eva Dian Kurniawati Farida Naftalin firdinand nurdin Ghamal Ahmad Pramana Gunawan Widjaja Gustina, Ira Hanny Handiyani Haryoso, Agus Ariyanto Hasan, Muhammad Arief Rosyid Hasbullah Thabrany Hayyan Ul Haq Hayyan ul Haq Heningnurani, Anastasia Yekti henri Azis Herartri, Rina Herartri Herliyanti Yadi Herma Krisdiana Hidayani Fazriah Hidayani Fazriah HUSNUL KHOTIMAH Ida Farida Iljas, Jaslis Indah Pusvitasari Ita Patriani Ita Patriani Iwan Dakota Jaslis Iljas Jati, Prasetyaning Juliati, Eny Kemal N. Siregar Khaula Karima Krisdiana, Herma Kurnia, Ike Larasanti, Ayudina Liziawati, Mary Lourina, Deny Ardi Lulus Prihandari M Misnaniarti MADE RATNA SARASWATI . Mardiyati, Fitri Yuli Margaretha, Cindy Marisa Rayhani Marisa Rayhani Misnaniarti Misnaniarti Muhammad Hasan Muhammad Hasan Muhammad Sapoan Hadi Muhammad Sapoan Hadi Munawaroh, Sayyidatul Nadjib, Mardiati Naftalin, Farida Naibaho, Margareth Maya Parulianta Ni Nyoman Dwi Sutrisnawati Ni Putu Indra Dewi Ni Putu Indra Dewi Niken Sasanti Ardi Nunik Nurbaiti Nur Asmita Rahma Nasution Nasution Nurbaiti, Nunik Nurhasanah Nurhasanah Nurul Safitri Nurul Saptorini Rahmadhani Oktarinai, Ratih Permanasari, Vetty Yulianty Permanasari, Vetty Yulianty Pramesti, Dini Puteri Astianto Prastiwi, Arini Cyndwiana Prayoga, Haryadi Prihandari, Lulus Puput Oktamianti Purnawan Junadi Putri, Aditia Putri, Anzany Tania Dwi Raden Roro Mega Utami Rahayuningsih, Rizki Rahmadhani, Nurul Saptorini Rahmadini, Indah Mustika Rahmanto, Agus Rahmat Aji Pramono Ramadhan, Ben Fauzi Ratih Oktarina Ratih Oktarina Redyardani, Ni Nyoman Diah Renny Nurhasana Rhinza Seputra M. Simanjuntak Riastuti Kusuma Wardani Riastuti Kusuma Wardani Riastuti Kusumawhardani Rini Prasetyo Wahyu Wijayati Rooslanda, Elfrida Rosmalinda Rr. Tutik Sri Hariyati Sabahat, Anindya Naila Sahfira Ulfa Hasibuan Sandra Barinda Sandra Olivia Sandra Olivia Sangadji, Ekasafitri A.S Satibi Satibi Setyaningtyas, Ruth Christy Sitepu, Eme Stepani Siti Khodijah Parinduri Sri Purnama Rezeki Sri Purnama Rezeki Sri Windiarti Suharmi suharmi Suhendra, Erik Susanti, Fitria Aryani Sutanto Priyo Hastono Tatyana Amanda Pinta Tri Wisesa Soetisna Tri Wisesa Soetisna, Tri Wisesa Utami, Raden Roro Mega Utami, RR Mega Valentina, Jesslyn Verdi, Riandi Vetty Yulianty Permanasari Vetty Yulianty Permanasari Wahyu Sulistiadi Wati Mekarsari Widya, Dewa Ayu Dyah Widyasanti, Nisrina Wijaya, Aurelianne Yadi, Herliyanti Yuliatiningtyas, Solikhah Zahrotul Lina Andarwati