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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kebijakan Kesehatan Indonesia Majalah Kedokteran Gigi Indonesia Jurnal Manajemen Kesehatan Indonesia Jurnal Farmasi Sains dan Komunitas Berkala Ilmiah Kedokteran Duta Wacana The Journal of Hospital Accreditation (JHA) Jurnal Jaminan Kesehatan Nasional Indonesian Journal of Cancer Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Academic Hospital Journal

Andreasta Meliala

Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

Author-ID : 2385424

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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PENERAPAN SURGICAL SAFETY CHECKLIST WHO DI RSUD JARAGA SASAMEH KABUPATEN BARITO SELATAN Suryanti Klase; Rizaldy Taslim Pinzon; Andreasta Meliala
Berkala Ilmiah Kedokteran Duta Wacana Vol 1, No 3 (2016): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Latar Belakang: Penerapan pemakaian Surgical Safety Checklist (SSC) dari World Health Organization (WHO) adalah untuk meningkatkan keselamatan pasien dalam proses pembedahan dikamar operasi dan mengurangi terjadinya kesalahan dalam prosedur pembedahan. Tingginya angka komplikasi dan kematian akibat pembedahan menyebabkan tindakan pembedahan seharusnya menjadi perhatian kesehatan global. Penggunaan checklist terstruktur dalam proses pembedahan akan sangat efektif karena standarisasi kinerja manusia dalam memastikan prosedur telah diikuti. Untuk itu diperlukan juga proses penerapan Surgical Safety Checklist WHO di RSUD Jaraga Sasameh Kabupaten Barito Selatan. Metode: Jenis penelitian ini adalah penelitian deskriptif dengan rancangan penelitian kualitatif, studi kasus. Subyek penelitian ini adalah semua personel kamar bedah RSUD Jaraga Sasameh Kabupaten Barito Selatan, Propinsi Kalimantan Tengah selama bulan Maret - Mei 2015. Kuesioner menjelaskan tentang karakteristik umum dari sampel (umur, jenis kelamin, pekerjaan, lama kerja di rumah sakit), pengetahuan tentang Surgical Safety Checklist WHO, penerimaan checklist dan penerapannya, dan kerja sama team kamar bedah. Hasil: Dari 21 personel kamar bedah yang menjawab kuesioner, 100% menyadari keberadaan Surgical Safety Checklist WHO dan mengetahui tujuannya. Kebanyakan personel berpikir bahwa menggunakan checklist keselamatan Bedah WHO bermanfaat dan pelaksanaannya di kamar bedah merupakan keputusan yang tepat. Ada 90,5% personel yang menyatakan bahwa penggunaan Surgical Safety Checklist WHO cukup mudah untuk dilaksanakan. Kesimpulan: Meskipun terdapat penerimaan yang besar terhadap pelaksanaan penerapan checklist ini diantara personel kamar bedah, tetapi terdapat sedikit perbedaan dalam pengetahuan tentang tata cara pengisian ataupun penggunaan checklist.

Care and protection for healthcare workers during a pandemic COVID-19: A descriptive qualitative study in Indonesia Mochamat Helmi; Djayanti Sari; Andreasta Meliala; Laksono Trisnantoro
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21771

This study aimed to explore the perspectives of care and protection of healthcare workers during the pandemic COVID-19 using a descriptive qualitative study in Indonesia. This study used a qualitative descriptive approach in COVID-19 National Referral Hospitals. The sample in this study is a medical team who actively engaged in delivering COVID-19 services. Purposive sampling was used to collect the sample. There were 45 respondents, with 22 men and 23 women taking part in this study. The qualitative data were analyzed using the content analysis. Three themes that emerge from the data analysis: health protection, legal protection, and incentive schemes. Health protection including calculation of the medical team's workload and lack of a systematic procedure for medical team quarantine. There was a lack of legal basis for medical practice in long-term disaster services. Dimension of incentive scheme, including incentives shift from rewards to demands, changes in incentive regulations, and discrepancy in incentive calculation. The medical team that provides services in a biological crisis, particularly for volunteers, must have a clear direction to follow legal protection and obvious health protection. By stressing protection and rewards for each level of the medical profession, it is hoped to boost motivation in actively participating and supporting the service of COVID-19 patients in critical conditions across Indonesia.

Kesiapsiagaan rumah sakit umum Kabanjahe dalam menaggulangi bencana alam gempa bumi di Kabupaten Karo Armanda Prima; Andreasta Meliala
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Obstacles and opportunities in making a hospital disaster plan: the case study from North SumateraPurposeThis study assessed Kabanjahe District hospital preparedness in coping with earthquake disaster, describes obstacles and opportunities in forming hospital disaster preparedness and availability of hospital disaster plan component.MethodsThis research used qualitative research method with case study research design. This study examines the contemporary phenomenon of Kabanjahe General Hospital preparedness in anticipating the earthquake disaster.ResultsKabanjahe General Hospital is not ready to anticipate earthquake disaster and not yet completed in making hospital disaster plan.ConclusionObstacles to establishing disaster prepared hospitals to include the unavailability of budget for disaster management, lack of hospital personnel who understand K3B, have not participated in training of hospital disaster plan preparation, disaster training and hospital have never conducted disaster simulation. While the opportunity is Kabanjahe General Hospital has been working with other agencies in the fulfillment of facilities and preparation of the plan. The availability of Kabanjahe General Hospital for policy components, disaster risk analysis, communications, financing and evaluation monitoring has not been in accordance with the standards. As for organizational components and facilities already available in quantity but not yet organized to anticipate disaster.

Performance based payment dan kepuasan kompensasi dalam pemberian jasa pelayanan kapitasi jaminan kesehatan nasional bagi tenaga kesehatan Puskesmas di Kabupaten Ende Mariane Erika Pay; Andreasta Meliala; Dwi Handono
Berita Kedokteran Masyarakat (BKM) Vol 34, No 12 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Performance based payment and compensation satisfaction in the distribution of capitation medical services of national insurance health for primary health care workers in the District of EndePurpose: To evaluate the implementation of the distribution of capitation services using a performance-based payment system in Ende Regency. Methods: This research is qualitative using a case study design. Study subjects 23 people were selected by purposive sampling technique. The research location was in the Health Office and 2 puskesmas. Data collection uses interview guides and document reviews. Qualitative data is presented in the form of narratives, pictures and tables. Respondents' answers will be displayed in the form of quotes. Results: Providing compensation for services still causes dissatisfaction. Health workers are not satisfied with the reduction due to tardiness, are not involved in the calculation of services, doctors feel the tax deduction is too large, the number of health workers is in accordance with the services provided. Puskesmas assessment team has been working based on existing regulations. Conclusions: There is a need for supervision, supervision, monitoring and evaluation from the Ende District Health Office for the distribution of capitation services. Puskesmas leaders and staff must be able to work together and coordinate well in making puskesmas policies and implementing these policies.

Implementasi Manajemen Lean di Instalasi Gawat Darurat Rumah Sakit Akademik Universitas Gadjah Mada Husna Yulianingsih; Firman Firman; Andreasta Meliala
The Journal of Hospital Accreditation Vol 4 No 02 (2022): Efektivitas Sistem Akreditasi RS
Publisher : Komisi Akreditasi Rumah Sakit (KARS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35727/jha.v4i02.147

Latar Belakang: Salah satu permasalahan yang dihadapi rumah sakit (RS) dalam penerimaan pasien masuk rawat inap dari Instalasi Gawat Darurat (IGD) adalah waktu tunggu yang lama. Sebelum pandemi COVID-19, rerata pasien yang akan masuk rawat inap membutuhkan waktu lebih dari dua jam di IGD. Waktu tunggu tersebut bahkan menjadi meningkat 2-3 kali lipat pada masa pandemi. Tujuan: Mendeskripsikan implementasi manajemen lean di IGD RS Akademik Universitas Gadjah Mada (UGM), mengukur efisiensi proses penerimaan pasien masuk di IGD RS Akademik UGM dan mengimplementasikan solusi peningkatan efisiensi dalam proses penerimaan pasien masuk di IGD RS Akademik UGM. Metode: Disain penelitian menggunakan Action Research. Desain ini memiliki empat tahapan, yaitu perencanaan, pelaksanaan, observasi dan refleksi. Tahap perencanaan mengukur waktu dengan observasi cycle time, value dan non-value added time, waiting time dan lead time. Waktu proses ini dituangkan ke dalam Value Stream Mapping (VSM) sehingga didapatkan Value Added Ratio (VAR). Pada tahap pelaksanaan, ide-ide solusi untuk mengatasi waste dimasukkan dalam diagram Possible, Implement, Challenge, dan Kill (PICK) dan diimplementasikan ide solusi terpilih bersama stakeholder, serta dilakukan observasi hasil pencapaian dan refleksi atas pencapaian tersebut. Hasil: Setelah implementasi manajemen Lean di IGD RS Akademik UGM, terjadi penurunan Lead Time Sub Proses 1 (dimulai dari skrining pasien sampai dengan dokter menulis rekam medis) dari 121 menit menjadi 120 menit, peningkatan Lead Time Sub Proses 2 (yaitu pemeriksaan laboratorium sampai pemeriksaan radiologi) dari 278 menit menjadi 431 menit, dan penurunan Lead Time Sub Proses 3 (dari edukasi pasien untuk rawat inap sampai dengan serah terima pasien rawat inap ) dari 193 menit menjadi 159 menit. Nilai VAR menunjukkan peningkatan efisiensi proses, dengan peningkatan pada Sub Proses 2 dari 23,00% menjadi 31,00% dan Sub Proses 3 dari 8,50% menjadi 10,70%. Nilai VAR Sub Proses 1 menurun dari 43,00% menjadi 34,00%. Kesimpulan: Implementasi Manajemen Lean di IGD RS Akademik UGM dilaksanakan dengan: (a) Penerapan 5 S dan Visual Management di IGD, (b) Pelatihan Implementasi Manajemen Lean bagi staf IGD, pendaftaran dan rawat inap, (c) Pengembangan Sistem Bed Reservation. Secara keseluruhan terjadi penurunan Lead Time dan peningkatan efisiensi setelah implementasi manajemen Lean di IGD RS Akademik UGM. Kata kunci: Efisiensi, Instalasi Gawat Darurat, Implementasi Lean, Value Streaming Mapping, Waktu Proses, Rumah Sakit Akademik

Kesiapan Rumah Sakit Dalam Implementasi Sistem Pembayaran Global Budget Di Kabupaten Purworejo Dina Anjayani; Andreasta Meliala; Yulita Hendrartini
Jurnal Jaminan Kesehatan Nasional Vol. 2 No. 2 (2022): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v2i2.89

In 2018, BPJS Kesehatan initiated a pilot project to integrate the INA CBGs and Global Budget mixed-method hospital payment system (global budget). Purworejo Regency is one of the areas designated as a pilot for the Global Budget payment system's deployment. The outcomes of the Hospital performance indicators in the first-semester review were less than ideal. Consequently, it is required to study the Hospital's readiness to implement the Global budget Payment System. This study set out to determine how prepared the hospitals in Purworejo Regency were to implement the Global Budget payment scheme. A descriptive design and a qualitative methodology were used in the research. The management of four hospitals in Purworejo Regency is the topic of the study. Observations and interviews were used to explore hospitals’ readiness to implement the Global Budget payment system in terms of health facilities’ perception, Quality Control and Cost Control strategies, Global Budget calculations, and patient satisfaction through the results of the Walk Through Audit. Through the four key variables mentioned above, the scoring technique is used to evaluate the readiness of hospitals to implement the Global Budget payment system. The modified CCCEAR (California Community Clinic EHR Evaluation and Readiness) tool is used for the readiness assessment, which has three readiness levels: 1) not ready (score 0-33), 2) moderately ready (34-66), and 3) ready (67-100). Result: According to a qualitative examination of data from observations and interviews, the hospital scored 26 from assessor II and 24 from assessor I, positioning it in the second range. This demonstrates that the hospital is not ready and has not considered developing a more comprehensive and in-depth plan for implementing the Global Budget payment system, nor how to create capacity to enable successful adoption and implementation. Conclusion: The hospital is not yet at its highest level of readiness to adopt the Global Budget payment system in Purworejo Regency, according to the scoring findings on four variables of hospital readiness.

HUBUNGAN GAYA KEPEMIMPINAN KEPALA RUANG RAWAT YANG DIPERSEPSIKAN OLEH PERAWAT PELAKSANA TERHADAP KEPUASAN KERJA PERAWAT PELAKSANA DI RUMAH SAKIT Yohan Wenas Gunawan; Setyowati; Andreasta Meliala
Journal of Health Service Management Vol 19 No 3 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Nurses are the biggest health personnel in thehospital. Despite their important role in providing services topatients, their job satisfaction is still low. Leadership is one of thefactors affecting the nurses’ job satisfaction. Objective: The research was conducted to measure therelationship between head nurse leadership style and nurses’job satisfaction in hospital wards. Methods: This study was an analytic research using crosssectionaldesign. This research was conducted in the DistrictHospital on May 2015. Subjects were 156 nurses who work inthe general and special wards. Questionnaire was divided into 3sections, demography variable, job satisfaction using Mueller-McCloskey Satisfaction Scale and leadership style using“Multiple Leadership Questionnaire 5x”. Results: Marital status, educational level, and type of wardhave a significant relationship with job satisfaction with p valueof 0,033, 0,010, and 0,007 respectively. Transformationalleadership style also has a significant relationship to jobsatisfaction, providing four times greater job satisfactioncompared to passive avoidant style (p = 0,01). Conclusion: There is a relationship between head nurse’leadership style and nurse job satisfaction. Hospitalmanagement has to give serious attention on nursingleadership to enhance attending nurses’ job satisfaction.

STUDI KASUS POLA PEMBERIAN REMUNERASI RESIDEN DI RSUD DR. MOEWARDI SURAKARTA Sudirman; Laksono Trisnantoro; Andreasta Meliala
Journal of Health Service Management Vol 19 No 4 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Since the commencement of the national health insurance program (JKN), patient visits to hospitals have increased. The same is true for patient referrals with specialist cases. The limited ability of specialist doctors in dealing with the increasing number of specialized cases has made hospitals start considering resident personnel to help provide medical services, especially in teaching hospitals. The magnitude of the resident's role in providing medical services in teaching hospitals needs serious attention, especially in relation to the resident's right to receive remuneration for medical services carried out in accordance with the mandate of Law Number 20 of 2013 concerning medical education. Objectives: This study aimed to evaluate the policy of providing remuneration or incentives for residents who provide medical services at Dr. Moewardi Surakarta. Methods: This study is a non-experimental study with a descriptive case study design with a single holistic case design. The research was conducted at Dr. Moewardi and FK UNS during January–February 2016 with 10 respondents as research subjects and carried out by purposive sampling method. Results: Remuneration for residents that has been applied in Dr. Moewardi was very dependent on the university-based system applied by FK UNS in organizing specialist medical education programs. Resident remuneration that has been given only includes incentives and does not refer to Law Number 20 of 2013 concerning medical education which regulates resident incentives. The provision of resident incentives has the same pattern regardless of the type of specialization and level of competence. Conclusions: The pattern of incentives that have been implemented by RSUD Dr. Moewardi does not difffferentiate incentives based on the type of specialization or level of competence and is not in accordance with Law Number 20 of 2013 concerning medical education.

MENGEMBANGKAN SISTEM KOMPENSASI BERBASIS KINERJA DI RUMAH SAKIT HARAPAN MAGELANG Tri Juli Wati; Sugianto Adisaputro; Andreasta Meliala
Journal of Health Service Management Vol 19 No 4 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Harapan Hospital has started performance appraisal toward employees since 2010. The result of these performance appraisal become the base for the following year's payment. Within five years of performance appraisal, the result hasn't improved, but decreased instead. On the other side, employee's salary continuously increased. So, we can say that the compensation which is received by the employee isn't relevant with their performance appraisal, and doesn't affect the performance's improvement, therefore evaluations and improvements on the recent compensation system are necessary. Objective: The goal of this research was to develop a performance-based compensation system in Harapan Hospital Magelang. Methods: This research is a case study research with a case study research design type 1, which means holistic single case design. Results: Four factors that based the completeness of the Pay Model as the foundation of the payment structure, is yet to be fulfifilled by the recent payment system. Performance appraisal that have been used so far is incapable of pushing better performance, because the guide used during the performance appraisal are too subjective that it can't diffffer each employee's capabilities. Performance appraisal results today become the base of the employee's salary, and this caused uncertainty about the salary changes. Incentive is being given equally. The perception of compensation system and its component are still yet to be well understood by neither the company nor the employee. There is still yet to be any agreement in formulating performance-based compensation system because of the employee's pessimistic behaviour and their thought, which considers performance appraisal nothing more than routines for formality. Conclusion: The completeness of Pay Model is yet to be based on performance based compensation system which are still valid, so more evaluations and improvements have to be done, which would resulted with a reliable compensation structure that can be formulated and able to become an attraction for potential employees as well as becoming a pushing factor for performance's improvement.

EVALUASI PERESEPAN ELEKTRONIK DI DEPARTEMEN ILMU KESEHATAN ANAK Dyah Anggraini; Andreasta Meliala; Iwan Dwiprahasto
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Hospitals can prevent errors in medical actions or pharmaceutical services to patients called medication errors. One of the incidences of medication errors that are still high in Indonesia is the prescribing phase. So, currently, many hospitals have replaced manual prescription writing with electronic prescribing systems, including at Dr. Hospital. Cipto Mangunkusumo (RSCM). However, prescribing errors are still often found, especially in pediatric patients’ prescriptions. Objective: To evaluate the implementation of electronic prescribing and measure the results of personnel interventions on electronic prescribing in pediatric patients. Methods: Experimental with a quasi-experimental design, the one group pretest-posttest design. The research was conducted from December 2019 to January 2020 in pediatrics. The research subjects were 100 doctors participating in the Specialist Medical Education Program (PPDS). Training subjects carried out the intervention to write electronic prescriptions and provide feedback in the form of personal letters. Reassessment of the incidence of prescribing errors was carried out after four weeks. Results: The incidence of prescribing errors decreased after the intervention. (p = 0.05). The most types of prescription errors are the wrong dosage, strength, frequency. Prescribing errors in perinatology ward, pediatric inpatient ward and polyclinics decreased after intervention, while prescribing errors in the emergency room remained. There is a significant relationship between the provision of intervention with the level of education (p = 0.001). PPDS mid-level doctors make more prescribing errors in almost all types of errors and workplaces than junior and senior PPDS doctors. The results of the calculation of prescribing error pre and post intervention shows that giving an intervention can reduce the risk of prescription errors by up to 37%. Conclusion: Personnel intervention in education and providing feedback plays a role in reducing the incidence of prescribing errors. Education and providing feedback should be done regularly. In addition, it is necessary to add an electronic prescription support system to support the reduction of prescribing errors.

Co-Authors Abdul Azis Abdul Majid Halim Wiradhika Aditya Lia Ramadona Anang Anang Andi Sulaimana Anggita Ratna Damayanti Anggoro Budi Hartopo Arifandi Arifandi Armanda Prima Astri Ferdiana Bhintani Embriana Citra Sari Pratiwi Darwito, Darwito Dina Anjayani Dira Mediani Djayanti Sari Dwi Handono Dwi Handono Sulistyo Dwi Handono Sulistyo Dyah Anggraini Dyah Wulan Anggrahini Faridha Hanum Firman Firman Firman Firman Firman Fitri Haryanti Fitrina Rachmadanty Siregar Gunadi Gunadi Gustina Fajarwati Sihombing Hapsari, Wulandari Indri Hayu Qaimamunazzala Henny Marchelina Hilda Mutia Hanum Husna Yulianingsih Ika Widyastuti Arumsari Irene Waine Iwan Dwiprahasto Julita Hendrartini Katherina Adisaputro Khonsa, Oni Laksono Trisnantoro Laksono Trisnantoro Likke Prawidya Putri Lucia Kris Dinarti Lutfan Lazuardi Mariane Erika Pay Marthinus Sutena Mochamat Helmi Mubasysyir Hasanbasri Muhammad Reyhan Hadwiono Nilasari Prahesti Fajarwati Prima, Armanda Purwoadi Sujatno Ratmasari, Dewi Ratna Budi Setiani Resti Dewi Retna Siwi Padmawati Rina K. Kusumaratna Rina Kusumaratna Rizaldy T. Pinzon Rizaldy Taslim Pinzon Rizaldy Taslim Pinzon Rizki Agustino Ruth Reza Hanggraini Sarto Setyowati Siti Ayu Putriasih Sito Meiyanto Sudirman Sugianto Adisaputro Suryanti Klase Teny Tjitra Sari Tika Rahhmatillah Mustofa Tjahjono Kuntjoro Tri Juli Wati Trismayanti, Ni Made Rika Valentina Dwi Yuli Siswianti Vena Jaladara Vera Otifa Visnu, Jodi Widyawati Wiranto Yasmine, Rosanna Yohan Wenas Gunawan Yohana Puji Dyah Utami Yulita Hendrartini Yulita Hendrartini

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