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Kusumapradja, Rokiah
Universitas Esa Unggul
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Analysis of the Differences in Unit Costs for Bronchopneumonia Services Based on Clinical Pathway with INACBGs Rates and Hospital Rates at Dr. RSAL. Mintohardjo Jack Steven Saripantung; Rokiah Kusumapradja; Intan Silviana
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 1 (2025): Januari : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i1.552

Abstract

Hospital is one of the health service facilities that tries to overcome the health service balance between investment costs and the availability of applicable unit costs. Calculation of unit costs has an important role, including being used for budget planning, cost control, subsidies and as information in decision making. In the era of National Health Insurance (JKN) in Indonesia, Hospitals that cooperate with the Social Security Administering Agency (BPJS) Health are paid using the Indonesian Case Base Groups (INACBGs) package system. The acquisition of claim payments at Dr. Mintohardjo Naval Hospital according to the INACBGs rate compared to Hospital costs has a negative difference value for Bronchopneumonia cases. The purpose of this study was to analyze the difference in unit costs of Bronchopneumonia services based on Clinical Pathway towards the determination of INACBGs Rates and Hospital Rates at Dr. Mintohardjo Naval Hospital. This type of research is quantitative, comparative analytical observation using a cross-sectional research design according to the Hospital perspective. The subjects of the study were Medical Records and BPJS Kesehatan claim files for Bronchopneumonia services for the period April to September 2023, totaling 61 files. The study was conducted from January 2024 to April 2024. Data analysis used the paired t-test statistical method in the statistical test application (SPSS Version 26). The results of the study on calculating unit costs using the Activity Based Costing (ABC) method are as follows: 1) There is a difference between the calculation of unit costs with INACBGs rates of negative 6.2% and unit costs with Hospital rates of positive 11.2%, 2) There is a difference in the unit cost of Bronchopneumonia services based on Clinical Pathway with the Activity Based Costing method against INA-CBGs Rates, 3) There is a difference in the unit cost of Bronchopneumonia services based on Clinical Pathway with the Activity Based Costing method against Hospital Rates. The suggestions in this study are: 1) For the financial management of RSAL Dr. Mintohardjo to improve competence in calculating unit cost rates for services based on clinical pathways with the Activity Based Costing method, one of which is through training, 2) Updating and conducting clinical pathway audits periodically, 3) Re-evaluating hospital rates to increase the margin of each service so that the margin obtained is in accordance with what has been set, 4) Digitizing patient usage data that was previously still written manually to avoid errors in entering details of service costs.
Pengaruh Persepsi Manajemen Perubahan Terhadap Kinerja Dokter Dengan Gaya Kepemimpinan Transformasional Dan Resistensi Sebagai Variabel Intervening R. M, Elvina.; Adhikara, M.F Arrozi; Kusumapradja, Rokiah
GEMA EKONOMI Vol 12 No 3 (2023): GEMA EKONOMI
Publisher : Fakultas Ekonomi Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/https://doi.org/10.55129/.v12i4.2927

Abstract

Physician performance cannot be assessed in general because it concerns the patient's clinical outcomes to the services provided. Change management is a strategy used to maintain the position of RS in today's business world, if change management is not prepared and managed properly, it will cause resistance and affect performance, especially if without the support of leaders who have a transformational leadership style. The purpose of this study was to analyze the effect of change management on physician performance mediated by transformational and resistance leadership styles. This study is an explanatory research with a quantitative approach in the form of using hypothetical causality on 62 doctors who worked at least 1 year before change management occurred. The data analysis methods used are the Three Box Method and path analysis. In this study, it was found that the perception of change management has a negative and significant influence on doctor performance, the perception of change management does not have a significant effect on transformational leadership style, the perception of change management has a positive and significant effect on resistance, transformational leadership style has a positive and significant effect on doctor performance, resistance has a positive and significant effect on doctor performance, leadership style Transformational has a positive and significant effect on resistance and the perception of change management has a significant positive effect on clinician performance if mediated by transformational leadership style and resistance as intervening variables.
The Influence Of Clinical Skills and Supervision Techniques On the Implementation Of Patient Safety Standards With Caring Behavior as An Intervening Variable in Inpatient Nurses at Rsau Soemitro Dwi Yanti Elok Palupi; Kemala Rita; Nofierni Nofierni; Rokiah Kusumapradja
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 2 (2025): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i2.1197

Abstract

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.
DETERMINANT ANALYSIS OF JOB SATISFACTION ON HOSPITAL’S EMPLOYEE PERFORMANCE Harahap, Sabasdin; Andry, Andry; Kusumapradja, Rokiah
Journals of Ners Community Vol 13 No 2 (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.v13i2.1798

Abstract

Productivity and hospital quality service depend on the hospital's ability to manage its human resources. Job satisfaction reflects the feeling of the worker shown in their attitude towards work and their working environment. Dissatisfied employees tend to have poor performance and affected hospital performance, such as decreasing Bed Occupancy Rate (BOR) or increasing turnover employee numbers. The purpose of this study is to identify the determinant factors of job satisfaction towards employee’s performance. This Cross-sectional study was done at RS MB, Tulang Bawang, Lampung in December 2019-February 2020 with a total sampling method. Data collection using questionnaires regarding determinant factors of job satisfaction towards employee’s performance. The factors analyzed were co-workers, relationship with superiors, work itself, salaries, career patterns. Data analysis using multiple linear regressions. The result was that job satisfaction influenced employee performance. Factors determinant of job satisfaction towards employee performance was work it-self.
Pengaruh Persepsi Manajemen Perubahan Terhadap Kinerja Dokter Dengan Gaya Kepemimpinan Transformasional Dan Resistensi Sebagai Variabel Intervening R. M, Elvina.; Arrozi Adhikara, M.F; Kusumapradja, Rokiah
Journals of Ners Community Vol 14 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2877

Abstract

Kinerja dokter tidak dapat dinilai secara umum karena menyangkut outcome klinis pasien terhadap pelayanan yang diberikan. Manajemen perubahan merupakan strategi yang digunakan untuk mempertahankan posisi RS dalam dunia bisnis saat ini, jika manajemen perubahan tidak dipersiapkan dan dikelola dengan baik, akan menyebabkan resistensi dan berpengaruh terhadap kinerja, terutama bila tanpa dukungan pemimpin yang memiliki gaya kepemimpinan transformasional. Tujuan dari penelitian ini untuk menganalisis pengaruh manajemen perubahan terhadap kinerja dokter yang dimediasi oleh gaya kepemimpinan transformasional dan resistensi. Penelitian ini merupakan penelitian explanatory research dengan pendekatan kuantitatif dalam bentuk penggunaan kausalitas hipotesis terhadap 62 dokter yang bekerja minimal 1 tahun sebelum terjadinya manajemen perubahan. Metode analisis data yang digunakan adalah Three Box Method dan analisa jalur. Pada penelitian ini didapatkan persepsi manajemen perubahan memiliki pengaruh negatif dan signifikan terhadap kinerja dokter, persepsi manajemen perubahan tidak berpengaruh signifikan terhadap gaya kepemimpinan transformasional, persepsi manajemen perubahan berpengaruh positif dan signifikan terhadap resistensi, gaya kepemimpinan transformasional berpengaruh positif dan signifikan terhadap kinerja dokter, resistensi berpengaruh positif dan signifikan terhadap kinerja dokter, gaya kepemimpinan transformasional berpengaruh positif dan signifikan terhadap resistensi dan persepsi manajemen perubahan berpengaruh positif signifikan terhadap kinerja dokter jika dimediasi oleh gaya kepemimpinan transformasional dan resistensi sebagai variabel intervening
Analysis of the Influence of Family Support and Medical Personnel, Medical Personnel Competence on Childbirth Planning Decisions with Patient Experience at the Obstetrics Polyclinic as an Intervening Variable at Mayapada Hospital Kuningan Denny Khusen; Natsir Nugroho; Idrus Jus'at; Rokiah Kusumapradja
Jurnal Ventilator Vol. 3 No. 1 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i1.1736

Abstract

The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.
Tam Approach: The Role Of Perceived Usefulness On Attitude In The Use Of Hospital Applications In Indonesia Rizkaully Permatasari Fitrianingsih; Hasyim Hasyim; Rokiah Kusumapradja
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 2 (2025): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i2.343

Abstract

The development of information technology has changed the way patients interact with hospitals. The Minimum Service Standard Indicator for Hospitals in Indonesia shows that the number of registrations via mobile applications has still not reached the target and the results of the review show that there are still complexities and difficulties in using the application. Understanding the factors that influence patient intention to use the hospital mobile application is essential to optimize its adoption and use. This study aims to test the Technology Acceptance Model in understanding patient intention to use the Hospital mobile application. This quantitative study with the causality method used a sample of 100 users of the application who met the criteria. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use and perceived usefulness had an indirect effect on behavioral intention to use through attitude. Research findings show that Perceived Usefulness is the most dominant factor in influencing users attitudes towards applications. The implications are improvements in simplifying features, design, increasing the function of hospital mobile applications, as well as considering patient expectations of the application in order to increase user intention to adopt the application. These findings provide insight for hospital management to design mobile applications that are easier to use and provide benefits to patients, to increase adoption and use of the application.
Regulatory Implications of The Public Financial Management Framework in Indonesia Tirton Nefianto; Ayu Larasati
Jurnal Indonesia Sosial Sains Vol. 5 No. 03 (2024): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v5i03.1025

Abstract

Public Financial Management a set of laws, rules, and standards is an important part of regulating the systems and processes used by each sovereign state and local government, to mobilize revenue, allocate public funds, conduct public spending, and budget audits. The purpose of public financial management itself is to increase efficiency and transparency in the use of public resources and eliminate the inefficiency of public resources. The regulatory framework for Public Financial Management can carry out analytical and critical practices in helping to facilitate services efficiently and effectively. This article uses a qualitative method with a descriptive approach to describe or analyze a research result but is not used to make a broader conclusion. Analysis and Discussion The Government of Indonesia is aware that there are regulations governing budgeting, although some of them do not understand and study these documents comprehensively. The regulatory framework governing fund management influences service delivery. In conclusion, the regulatory framework explains how public budgets are used to provide better services. The regulation is designed to help to reduce budget waste and prevent corruption.
Understanding Nurse Behavior And The Factors That Influence It In Receiving Electronic Medical Records Dwi Purnomo; Rokiah Kusumapradja; Tjipto Rini
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 2 No. 2 (2025): May : Green Inflation: International Journal of Management and Strategic Busine
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/greeninflation.v2i2.322

Abstract

Background: The implementation of Electronic Medical Records (RME) in healthcare facilities still faces a high failure rate, with more than 50% of RME systems not being used optimally. Sawah Besar Hospital, which began implementing RME in August 2023, recorded 1,500 cases of errors in a year, with 60% of system errors and 30% of user errors. This study aims to analyze the factors that affect the intention of using RME by nurses by integrating the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB). This quantitative research uses a census method by involving 70 nurses as respondents. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use, perceived usefulness, subjective norm, perceived behavioral control, and attitude toward use simultaneously affected the intention to use RME (F=77.917, p<0.05). Attitude toward use acts as a mediator in the relationship between perceived ease of use and perceived usefulness to the intention to use RME. These findings have important implications for hospital management in optimizing the implementation of RME through improving technical aspects and forming positive user attitudes.
Effect Perceived of Support and Justice on Deviant Behavior Mediated Emotional Labor in Bhayangkara Hospital Putri Sari Sumarty Meliala; Rina Anindita; Rokiah Kusumapradja
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 2 No. 2 (2025): May : Green Inflation: International Journal of Management and Strategic Busine
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/greeninflation.v2i2.339

Abstract

Background: Deviant work behavior in the health service sector can reduce the performance of officers and hospital performance. The problem at Bhayangkara Hospital Class IV Mamuju is that there are symptoms of deviant work behavior based on the results of a preliminary survey. Research purposes: The purpose of this research is to provide solutions to efforts to reduce deviant behavior in the workplace by identifying factors such as perceived organizational support, perceived organizational justice, and emotional labor. Research methods: The study used a quantitative causality design that analyzed the causal influence along with descriptive analysis using the three-box method. Respondents consisted of 134 hospital staff. The sampling method used saturated samples or census methods. The data analysis method used partial least square equation modeling. Research result: The results of the study indicate that perceived organizational support has a negative effect on deviant workplace behavior. Perceived organizational justice does not affect deviant workplace behavior. Emotional labor has a positive effect on deviant workplace behavior. Perceived organizational support does not affect emotional labor. Perceived organizational justice has a negative effect on emotional labor. Emotional labor has the greatest effect on changes in deviant workplace behavior compared to perceived organizational support and perceived organizational justice. Conclusion: Providing fair compensation according to the performance of each officer, openness from superiors to their subordinates in explaining work procedures, and managing emotions originating from within the officer will reduce deviant behavior in the workplace.
Co-Authors ., Astina A. Stefanus Andi Pranata Abdul Kadir Adhikara, Arrozi Adhikara, M. F. Arrozi Agusdini Banun Saptaningsih Ahmad Fauzi Aida, Mus Aini Nadhifah Akram Hamzah, Muhammad Alice Cynthia Dewi Al’adli, Aqdam Fauqo Amalia, Siti Nur Anang Suryana Anas, Aswar Andri J. Girsang Andry Andry Andry Andry ANDRY, ANDRY Aprianes Wijaya Arif Rahman Hakim Arrozi Adhikara, M.F Arrozi Arrozi Arrozi, Muhammad Fachrudin Artha Manurung, Derty Ully Assyifa Azizah Fernendes Athika Rodhya Ayu Larasati Azis, Awalia Bayu Martanto Adji, Bayu Martanto Boby Krismanto Pello Cahyana, Misan Cahyarini, Cahyarini Candra Saputra Chandra Megah Channesya Meilinsye Sampetoding Cholifihani, Muhammad CSP Wekadigunawan Dalle, Muhammad Basri Daniel Novian Dharma Setia Budi Deasy Nurindah Sari Denny Khusen Desy Trisnawati Dewi Kuraesin Dewi Oktaviani, Dewi Dharmawan, Hery Dian Gema Rizkia Dian Gema Rizkia Dwi Purnomo Dwi Yanti Elok Palupi Dwi Zulfita Dwinijanti, Lenny Edward Marpaung, Yohan Elvina. R. M Endang Ruswanti Endang Ruswanti Endang Ruswanti Endang Ruswanti Endang Ruswanti Entin Kartikasari Erry Yudhya Mulyani Erry Yudhya Mulyani Erry Yudhya Mulyani Erry Yudhya Mulyani Fanya Fanya Febrian Tan Jaya Febriansyah Febriansyah Fera, Yuliana Feri Dian Sanubari Ferry Victor Firmansye Ika Panggulu Fitria Sarnita Fransisca Fransisca Fresley Hutapea Frizky Ramadhan Girsang, Andri J. Gracesia kwannandar H. Abdul Kadir Harahap, Sabasdin Harizan, Harizan Hasyim Hasyim Hasyim Ahmad Hasyim Hasyim Hasyim Hasyim hasyim, hasyim HENDRA GUNAWAN B11211055 Henry Andrean Herlina Herlina Herwanto Herwanto Hidayat, Yahya Rachmana Hilmy, M. Reza Hilmy, Mohammad Reza I Ketut Suada Idrus Jus&#039;at Idrus Jus'at Idrus Jus'at Idrus Jus’at Indawati, Laela Intan Silviana Intan Silviana Mustikawati Intan Silviana Mustikawati Irdan Irma Kartiani Irma Suryani Irwan Kusnanda Ismanto, Reno Jack Steven Saripantung Jenmi Silaen Johanes Johanes, Johanes Jus'at, Idrus Jusad, Idrus JUS’AT, IDRUS Kartika Lilisantosa Karyanah, Yayah Kemala Rita Kharisma Berlian Sjukri Kurniasih Kurniasih Kurniasih Kurniasih Laelani, Sofi Nur Eka April Laurensia Brigitta Astinawati Lenny Dwinijanti Lily Widjaya M Reza Hilm M. F. Arrozi Adhikara M. Reza Hilmy M. Tryanza Maulana M.F Arrozi Adhikara M.F. Arrozi Adhikara Ma’ruf, Ma’ruf Marcia Marcia, Marcia Meilyana Maria Isabela Kwary Meilyana Maria Isabela Kwary Melissa Melissa MF. Arrozi Adhikara Mintarsi Mintarsi Mintarsi, Mintarsi Misan Cahyana Mohamad Reza Hilmy Mohammad Mukhayadi, Mohammad Mohammad Munir Muhammad Arrozi Muhammad Fachruddin Arrozi Mulyanah Mulyanah Mulyanah, Mulyanah Mulyati Mulyati Mulyati Mulyati Munawar Munawar Mus Aida Mustikawati, Intan Silviana Natsir Nugroho Ningsi, Fitri Nofierni Nofierni Nofierni Nofierni Nofierni Nofierni Nofierni, Nofierni Nora Aminayanti Nova Tri Handriyanto Nuraeni, Neli NURBANI, LISA Nurdianah, Nurdianah Nursiah Nursiah Nusrat, Mavika Tarika Oscar, Rinaldi Paramina, Quintina Pathiussina, Rimba Trishuta Pratiwiningsih, Amanda Purba, Elida Junita Putri Sari Sumarty Meliala R. M, Elvina. Rachmad Tyas Dwinata Rahmadina, Rahmadina Ramli Ramli Rasipin Rasipin RATNA INDRAWATI Rian Adi Pamungkas Rian Adi Pamungkas Rian Adi Pamungkas Rian Adi Pamungkas Rina Anindita Rina Mutiara Rina Mutiara Rizkaully Permatasari Fitrianingsih Rizkia, Dian Gema Roro Kusnabilla Erfa Roveny Roveny Ruga, Forestriano Bayu Putra Rusdiana, Ima Ruth Novia Elnasanti Sabarudin Sabarudin Sabasdin Harahap Samerdanta Pusaka Samerdanta Pusaka Sandra dewi Sandra Dewi sandra dewi Sekar Asmara Jayaning Diah Setiawan, Eka Shella Vina Putri Silviana Mustikawati, Intan Siska Nerita Siswanto Sofia Tresia Sri kurnia wati Suriviana Suriviana SURYANTI, DESTI IKA Susanti Sugianto Susilawati Susilawati Tantri Yanuar Rahmat Syah Tengker, Ruth Faleria Titta Gusni Salim Tjipto Rini Tobias Reinaldo Toti Tresia, Sofia Triani, Neks Ulfa, Zuriyati Veimina Surya Veithzal Rivai Zainal Venera, Gaby Victor Livinus Victor Livinus, Victor Vitasya Nusantari Vivi Silvia Wahidi, Kemala Rita Wahyudyasa, Putu Tara Judica Wahyuni Dian Wahyuni Dian Purwati Wahyuni Dian Purwati Waliyudin Waliyudin Wardani, Isma Prasetya Wekadigunawan Wekadigunawan Wekadigunawan Wicaksana, Harits Hijrah Widjaja, Lily Wijaya, Aprianes Windy Ratu Dewi YANTI, APRILIA RINA Yanuar Ramadhan Yosritzal, Yosritzal Yuni Asmi Zahratul Idami Zainuddin, Zainuddin Zuriyati Ulfa