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Evaluasi Sistem Pengolah Data Mortalitas Pasien Rawat Inap Berbasis Komputer di RSUD Dr. Moewardi Devi Pramita Sari; Sudiro Sudiro; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The System processors mortality inpatients there is the problem performance computer. Research objectives, evaluate system processors mortality computer based, based on method of Healt Metricks Networck.This research non experiments with the qualitative method. Collection method used observation system processors mortalitas and in-depth interviews. Informants main the program administrators system as many as six informants.Informants triangulation that is supporting management system processors mortality as much as two informants. The result in components resources not all educated personnel information system or medical record, and there never has been training system processors mortality, there has been no written job description, implementers copies duty with the services provided data morbidity, the lack of space and special computer system ocessors mortality, the absence of written regulations. Components indicators there has been no database doctor ,the act of, and cause of death, and certificates death are printed. A component source of the data was not in accordance between the data on mortalitas manual there are in a register in-patient facilities with data on the computer. Components data management of the data analysis is carried out only by system coordinator processors mortality. Components data products are considered to data was incomplete. The spreading and the use of delivery via email still not yet web based and has not integrated.Advice for the hospital management to distribute and should use designed system processors mortality web-based integrated to the external DKK and Dispendukcapil

Pengaruh Kualitas Jasa Dan Nilai Pelanggan Terhadap Minat Kunjungan Ulang Melalui Kepuasan Pasien Di Poli Umum Di RSISA Semarang Retno Kusniati; Naili Farida; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Patient’s satisfaction is one of the indicators in assessing a service quality at a hospital. Fluctuations in number of total visit of patients and declining trend of old patient visit number at a general polyclinic at Sultan Agung Islam Hospital (SAIH) in Semarang during the period of 2010-2013 indicated that there were any problems at the polyclinic. The aim of this study was to comprehensively analyse a service quality and customer value that influenced towards willingness to revisit through patient’s satisfaction at outpatient/general polyclinic at SAIH in Semarang.This was an explanatory study using cross-sectional approach and an analytic method. Population was all patients at outpatient unit/general polyclinic at SAIH in Semarang who had visited the polyclinic at least two times. As many as 125 respondents were selected as samples using a method of purposive sampling. Data were collected using a structured questionnaire and measured using Likert scales of 1-5 and analysed using SEM performed by software of Smart PLS 2.0. The results of this research showed that the service quality and the customer value positively significantly influenced patient’s satisfaction. In addition, the patient’s satisfaction positively significantly influenced willingness to revisit. The patient’s satisfaction could be explained by the service quality and the customer value equal to 45.3%. Meanwhile, willingness to revisit could be explained by the service quality, the customer value, and the patient’s satisfaction equal to 45.0%. Overall, the service quality and the customer value at the general polyclinic of SAIH in Semarang are good. Notwithstanding, there still needs improvement in timeliness of service, availability of accurate service information, consistent and polite officers, greetings, and smiling to patients in order to improve patient’s satisfaction and to increase willingness to revisit at the general polyclinic of SAIH in Semarang.

Faktor-Faktor Promosi Kenaikan Jabatan, Efektifitas Pembagian Tugas dan Keadilan Pembagian Insentif Yang Mempengaruhi Kepuasan Kerja Terhadap Pegawai Dinas Kesehatan Provinsi Jambi Tahun 2016 Ayu Aztuty Tanjung; Sudiro Sudiro; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

To improve health development in Jambi Province, it needs to be supported by qualified human resource that can improve performance of employees. The decrease in performance might be caused by no work satisfaction among them. One of the problems faced by Health Office of Jambi Province was decreasing a level of work satisfaction among employees from time to time. Promotion, equity in sharing either financial or non-financial incentive, and sharing tasks equally needed to be done in order improve their work satisfaction. The aim of this study was to figure out the influence of promotion, effectiveness in sharing tasks, and equity in sharing incentive towards work satisfaction of employees at the Health Office of Jambi Province. This was an observational study using cross-sectional approach. Number of population was 277 employees of the Health Office of Jambi Province. Meanwhile, number of samples was 74 persons. Data were collected using a questionnaire and analysed quantitatively using methods of univariate, bivariate (a Chi Square test), and multivariate (a Logistic Regression test). The results of this research showed that more than half of the respondents were satisfied (56.8%), had perception of balanced promotion (50%), had good effectiveness in sharing tasks (55.4%), and felt equal in sharing incentive (51.4%). There were any significant relationships between these three variables and work satisfaction of the employees. The results of multivariate analysis demonstrated that variables of promotion (p=0.015) and equity in sharing incentive (p=0.151) jointly influenced work satisfaction of the employees. As suggestions, employees need to pay more attention to the factors of promotion, effectiveness in sharing tasks, and equity in sharing incentive.

Evaluasi Kebijakan Perencanaan Obat Instalasi Farmasi Dinas Kesehatan Kota Semarang Fauzia Halida; Sudiro Sudiro; Johanes sugiarto
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Based on the Management of Public Drug and Health Supply Profile, the availability rate of drugs in Pharmaceutical Unit Health Department Semarang 2013-2015 was 107%, 110%, and 109% .The availability rate of drugs in Pharmaceutical Unit Health Department Semarang for 3 years in a row exceeds 100% showed a weakness in drugs planning process. Objective of this study was to analyse the planning process of drugs. This was descriptive research with qualitative method. Research subject is the primary respondents who developed drug planning policy and triangulation respondents who implement the drugs planning policy. Research object was Pharmaceutical Unit Health Department Semarang and Puskesmas. Data collected by observation, documentation study and depth interview and analysed using content analysis. The result showed that drugs selection was according to FORNAS and DOEN stated by Ministry of Health. The compilation stage of drugs application using data according to LPLPO and LB-1. The calculation of drugs necessity used combination method between consumption method used by clinic and epidemiology method for program medicine. Based on the consumption method formula, the current leadtime in Pharmaceutical Unit Health Department Semarang was too high (6 months) which caused the supplies more than 100 %. The drugs necessity projection budget already sufficient because it was supported from several sources, such as APBD2, APBD1, APBN, DAK, JKN. The adjustment of drugs supply planning used VEN Analysis. It is suggested that Pharmaceutical Unit Health Department Semarang should shortened the current leadtime and increase the socialization of drugs guidelines therefore Puskesmas able to implement the epidemiology method

Cost Of Treatment Tonsilektomi Di Instalasi Bedah Sentral Rsud Kajen Kabupaten Pekalongan Tahun 2015 Imam Prasetyo; Sudiro Sudiro; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Tariff of services at Kajen Public Hospital charged on general patients was calculated based on operational costs like cost of medical services, consumables, medicines, treatment class, and rental cost of surgery room. Unfortunately, all components of costs for tonsillectomy treatment had not been included. Determination of the tariff had not calculated indirectly costs. Tariff of tonsillectomy treatment at the Kajen Public Hospital at inpatient room based on a local regulation Number 1 year 2012 was Rp 3,275,000 for class 3 whereas tariff for claim of BPJS at the same class at a regional hospital type C was Rp 1,767,900. In this case, there was any difference between costs that had to be spent for tonsillectomy treatment and claim from BPJS. Each cost must be calculated in accordance with clinical pathway to determine unit cost in order to provide high-quality of services. The aim of this study was to figure out amount of unit cost based on clinical pathway on tonsillectomy diagnosis at the Kajen Public Hospital. This was an observational analytic study by conducting a case study at the Kajen Public Hospital. Clinical pathway was arranged through meeting of a drafting team. A calculation of unit cost was performed using a method of Activity Based Costing (ABC), determination of exceeding cost. The results of clinical pathway arrangement showed that steps of tonsillectomy diagnosis pathway were as follows: admission, diagnostic, therapy, and follow up. Unit cost of tonsillectomy diagnosis based on the ABC calculation was Rp 2,717,662. The results of cost recovery rate calculation demonstrated that CRR among general patients was 121% whereas among BPJS patients was 65%. It means that each general patient of the Kajen Public Hospital obtained surplus as many as 21% otherwise each BPJS patient obtained minus as many as 35%. Arrangement of clinical pathway and implementation of final clinical pathway could be used as quality control of the Kajen Public Hospital. The hospital management needs to trace costs, to monitor, and to evaluate the obedience of clinical pathway.

Pengembangan Sistem Informasi Pemantauan Alat Kesehatan Untuk Mendukung Penjaminan Mutu Pelayanan Kesehatan Di Balai Kesehatan Indera Masyarakat (BKIM) Provinsi Jawa Tengah Hamdan Syah Alam; Sudiro Sudiro; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

An information system of monitoring health equipment at Balai Kesehatan Indera Masyarakat (BKIM) in Province of Central Java was very simple. The available system had not resulted complete, accurate, and well-timed information in accordance with the needs of management to monitor health equipment in all health service rooms. The aim of this study was to develop an information system of monitoring health equipment to support quality assurance of health services at BKIM in the Province of Central Java. This was a qualitative-quantitative study using Pre-Experimental design with one group pretest-posttest approach. Data were collected using methods of observation and interview. Furthermore, qualitative data were analysed using content analysis whereas quantitative data were presented descriptively using a balanced average value. The result of this study showed that a balanced average value before developing the system was 37.73 and after developing the system was 78.90 with the difference equal to 41.17. There needs commitment and support from the head of BKIM in Central Java Province. Implementation of the developed system needs to be continually monitored. Socialisation and training needs to be conducted for all employees who have main tasks and functions relating to health equipment. In addition, budget for operational costs and system maintenance needs to be allocated.

Analisis Upaya Manajemen Rumah Sakit Dalam Penerapan Budaya Kesehatan dan Keselamatan Kerja (K3) Pasca Akreditasi Pada Sebuah RSUD di Kabupaten Semarang Naela Fadhila; Sudiro Sudiro; Hanifa Maher Denny
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Occupational Health and Safety was very important to protect employees, patient and visitor from occupational illness and occupational accident. Occupational Health and Safety Standard in Hospital was regulated by Decision of The Minister of Health Number 1087/Menkes/SK/VIII/2010. Ahead of accreditation, management has made many efforts to implemented Occupational Health and Safety in Regional Public Hospital of Semarang District. The achievement of accreditation result was 5 star with 80% of its passing grade including Occupational Health and Safety. However, the implementation of Occupational Health and Safety culture post accreditation has not yet been well occupied. The research aimed in analyzing the implementation of Occupational Health and Safety culture at a Regional Public Hospital of Semarang District after accreditation process. It is a qualitative research by using observation and depth interview. The interview was performed on hospital employees, the head of hospital’s accreditation team, Occupational Health and Safety team secretary, medical services management, patients and visitors. The interview based on the research variable such as employee’s assumption, Occupational Health and Safety values, Occupational Health and Safety artifacts and Occupational Health and Safety culture. The result shows that Occupational Health and Safety culture at Regional Public Hospital of Semarang District is not well implemented. Management commitment and good leadership is necessary due to the Occupational Health and Safety culture implementation.

Analisis Pelaksanaan Peran, Fungsi dan Wewenang Governing Body di Rumah Sakit Islam NU Demak Rudi Ansyah; Sarsintorini Putra; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Hospital health services have a high level of complexity and are prone to conflicts both inside and outside the hospital. The implementation of quality management is still a lot of obstacles faced evidenced by many hospital staff who do not know about quality management, frequent conflicts and lack of clarity of coordination, communication and information channels. The purpose of this research is to analyze the implementation of the role, function and authority of governing body, director, medical committee and nursing committee, quality management implementation, quality leadership and hospital barrier in order to improve quality management of NU Demak Islamic Hospital. This research design using descriptive method with qualitative approach. The main informants were the governing body, the director, the medical committee and the nursing committee and the triangulation informant were the executing physician, the nurse and the chairman of the quality team. Data were collected by in-depth interview techniques. Processing and data analysis using content analysis. The results show the role and function governing body has been implemented but the authority has not been implemented optimally. The role and authority of the director have been implemented but the function has not been implemented optimally. The role and function of the medical committee has been implemented but the authority has not been implemented optimally. The role and function of the nursing committee has not been implemented optimally but the authority has been implemented. Quality planning has been implemented, but quality control and improvement has not been implemented optimally. Building vision, inspiring processes, mobilizing human resources and becoming a model has been implemented. It is recommended to allocate budgets for the training of the ex-house training, to make guidelines for recording and reporting, to make guidance on performance evaluation of officers, to create a checklist of performance evaluation and to make an assessment of internal satisfaction

Analisis Proses Pengendalian Mutu dalam Pelaksanaan Standar Pelayanan Minimal (SPM) di Instalasi Farmasi RS Keluarga Sehat LIa Alfa Rosida; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The indicator achievement of minimum service standard (MSS) for the accuracy of distributingdrugs in Pharmacy Unit of Keluarga Sehat Hospital has not been achieved, even the incidence ofthe distributionerror from 2013 to 2016 continues to increase. The purpose of this researchwas to analyze the quality control process in the implementation of MSS in Pharmacy Unit of Keluarga Sehat Hospital. This was a qualitative research, with research subject 3pharmacy officers and 3 people of pharmacy management services.Data collectedby in-depth interview and observation of pharmaceutical performance report data and analysed by content analysis. The result of the research showed that the evaluation of pharmacy staff performance has not been implemented, because there is no performance appraisal indicator yet. Comparison was done only by comparing reports with general target, medical support manager double job resulted in no feedback to Pharmacy Unit, and so it has not supported the implementation of MSS. The Improvement of performancehas not been implementedand has notfound the concept of improvement. The new management will attempt to conduct a comparative study, including pharmacy installation into the Quality Control Group (GKM) or Problem Solving for Better Health (PSBH), find the cause of the problem and develop the policy. It can be concluded that the quality control of the MSS in the Pharmacy Unit still not going well and need to be improved especially related to quality performance appraisal and performance improvement based on the SOP.

Upaya Pencegahan Perbedaan Diagnosis Klinis Dan Diagnosis Asuransi Dengan Diberlakukan Program Jaminan Kesehatan Nasional (JKN) Dalam Pelayanan Bpjs Kesehatan Studi Di Rsud Kota Semarang Faik Agiwahyuanto; Sudiro Sudiro; Inge Hartini
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Percentage of clinical and insurance diagnosis differences at Semarang City Public Hospital tended to increase. If this condition remained, it would lead to upcoding (fraud). The aim of this study was to explain a process of clinical and insurance diagnosis at a hospital in the implementation of Healthcare and Social Security Agency (Health BPJS). This was a qualitative study. Main informants consisted of doctors at an emergency room, surgeons, and internists. Informants for triangulation purpose consisted of a Hospital Director, a hospital verifier, and a head of Medical Record Unit. Data were analysed using content analysis.The results of this research showed that there were any differences in clinical and insurance diagnosis at Semarang City Public Hospital. The cause of these differences was due to differences in diagnosis and medical treatment between medical service standard of doctors at the hospital and a standard of INA-CBGs. To prevent the differences of clinical and insurance diagnosis, the Semarang City Public Hospital had formed an internal verifier team of the hospital and a Clinical Micro System team. A medical committee had a role to minimise the occurrence of upcoding by multiplying kinds of Clinical Pathway as a reference for doctors in diagnosing and determining kinds of treatments for patients.The differences of clinical and insurance diagnosis must be equated to prevent the occurrence of upcoding and disadvantage of the hospital. Efforts to prevent these differences are by adding officers, training coding, making and multiplying algorithm of clinical pathway, forming a team of Clinical Micro System, and monitoring and evaluating medical services.

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