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All Journal Seminar Nasional Aplikasi Teknologi Informasi (SNATI) Jurnal Ilmu Komputer dan Agri-Informatika Indonesian Journal of Electrical Engineering and Informatics (IJEEI) JUITA : Jurnal Informatika Al Ishlah Jurnal Pendidikan Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) JURNAL MEDIA INFORMATIKA BUDIDARMA Kinetik: Game Technology, Information System, Computer Network, Computing, Electronics, and Control JITK (Jurnal Ilmu Pengetahuan dan Komputer) JURNAL TEKNIK INFORMATIKA DAN SISTEM INFORMASI JURNAL INSTEK (Informatika Sains dan Teknologi) Jurnal Teknoinfo ILKOM Jurnal Ilmiah Jiko (Jurnal Informatika dan komputer) Jurnal ULTIMATICS Petir IJISTECH (International Journal Of Information System & Technology) Jurnal Ilmiah Sinus Building of Informatics, Technology and Science Indonesian Journal of Business Intelligence (IJUBI) JITU : Journal Informatic Technology And Communication Automata Journal of Education Informatic Technology and Science Cakrawala Repositori Imwi JURNAL PENDIDIKAN, SAINS DAN TEKNOLOGI Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences IJISTECH SAINSTEK Journal Research of Social Science, Economics, and Management
Dhomas Hatta Fudholi
Jurusan Informatika, Universitas Islam Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Languange, Linguistic, Communication & Media Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Social Sciences Other

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Journal : building of informatics technology and science

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Hybrid DBSCAN - K-Means Clustering for Financial Loss Identification in INA-CBG Claims Based on Medical Treatment Patterns Muhammad Fajar Dianqori; Dhomas Hatta Fudholi; Galih Aryo Utomo; Irving Vitra Paputungan
Building of Informatics, Technology and Science (BITS) Vol 7 No 4 (2026): March 2026
Publisher : Forum Kerjasama Pendidikan Tinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/bits.v7i4.9483

Abstract

Hospital financial deficits due to INA-CBG claim discrepancies pose a critical challenge to healthcare sustainability in Indonesia. The difference between hospital operating costs and INA-CBG rates often results in significant financial deficits, which can threaten the sustainability of healthcare providers, especially hospitals. However, existing studies lack a systematic approach to identify distinct patterns of financial losses based on clinical treatment characteristics. This study aims to identify clusters of patients with different financial loss characteristics using a hybrid DBSCAN-K-Means clustering approach based on medical procedure frequency patterns. The DBSCAN algorithm was employed to detect and separate noise from data, while K-Means was used to identify medical treatment patterns. The data were obtained from electronic medical records of inpatients during the 2023–2024 period at a private hospital (N = 6,021 cases). The final clustering results revealed two main clusters with a highly significant difference in deficits between clusters (p = 6.21 × 10⁻³⁸, Cliff's Delta = −0.216). Cluster 0 represents patients with intensive care who have a higher frequency of routine procedures, with an average deficit of 1.51 times (51.3% greater) and an average length of stay of 1.76 times (76% longer) than Cluster 1. Cluster 1 represents patients with a focus on obstetrics/neonatology with a predominance of Doppler procedures. Meanwhile, the noise cluster (13.39%) represents more extreme cases with an average loss of −7.82 million IDR and high mortality. Of the total 315 treatment features, 114 were confirmed to be statistically significant. This study contributes a novel hybrid clustering framework for identifying financial loss patterns in INA-CBG claims, providing actionable insights for hospital management to optimize service utilization, adjust procedure fees for complex cases, and strengthen financial risk management strategies.
Co-Authors Abdullah Aziz Sembada Abdullah Aziz Sembada Abyan Fadilla Noor Aditya Perwira Joan Dwitama Affan Taufiqur Afrianto, Nurdi Ahmad Fathan Hidayatullah, Ahmad Fathan Ahmad Luthfi Ahmad Rafie Pratama Altesa Yunistira Andi Wafda Andri Heru Saputra Annisa Zahra Anwar Karnaidi Ari Farhan Nurihsan Ari Sujarwo Arief Rahman Arrie Kurniawardhani Arrie Kurniawardhani Chandra Kusuma Dewa Chatarina Umbul Wahyuni Dendy Surya Darmawan Deny Rahmalianto Dimas Adi Wibowo Dimas Danu Budi Pratikto Dimas Pamilih Epin Andrian Dimas Panji Eka Jalaputra Dirgahayu, Raden Teduh Dziky ridhwanulah Eko Prasetio Widhi Eko Setiawan Erin Eka Citra Fahmi Adi Nugraha Ferdian Nursulistio Fery Luvita Sari Galih Aryo Utomo Ganendra Raditya Putra Satriawan Gilang Persada Bhagawadita Gunanto Gunanto Harry Akbar Al Hakim Ibnu Fajar Arrochman Insanur Hanifuddin Iqbal Syauqi Mubarak Irving Vitra Paputungan Izzan Yattaqi Nugraha Izzati Muhimmah Jaka Nugraha LAILA KUSUMA WARDANI Lizda Iswari M. Ulil Albab Surya Negara Malik Abdul Aziz Mawar Hardiyanti Mawar Hardiyanti Meilita . Moch Yusuf Asyhari Moch. Bagoes Pakarti, Moch. Bagoes Muhammad Abyanda Tamaza Muhammad Fajar Dianqori Muhammad Habib Izdhihar Muhammad Rizhan Ridha Muhammad Sulthon Alif Novian Mahardika Putra Pandu Avilba Purwoko, Agus Raden Teduh Dirgahayu Rahadian Kurniawan Rakhmat Syarifudin Rendy Ressa Sutrisno Ridho Iman Tiyar Risca Naquitasia Royan Abida N. Nayoan Sabar Aritonang Rajagukguk Safira Yuniar Putri Buana Salma Aufa Azaliarahma Salsabila Zahirah Pranida Septia Rani Septia Rani Sigit Nugroho Siti Mutmainah Siwi Cahyaningtyas Sri Mulyati Teduh Dirgahayu Tri Handayani Umar Abdul Aziz Al-Faruq Wahyu Fajrin Mustafa windi astriningsih Yasmin Aulia Ramadhini Yoga Sahria Yudi prayudi Zikri Wahyuzi