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Analisis Value Added Activity Berbasis Lean Hospital Pada Penyelesaian Klaim BPJS Rawat Inap RSIA Mutiara Bunda Padang Ningdia, Adisti; Astiena, Adila Kasni; Syah, Nurafrainin
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 8 No. 2 (2025): OKTOBER 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v8i2.11867

Abstract

RSIA Mutiara Bunda is a type C hospital where 89-94% of its patients come from BPJS Health patients. The current condition of the hospital is developing Hospital Management Information System (SIMRS), but still using manual medical record files to complete evidence of inpatient BPJS claims. In preliminary research, it was found that 99% of medical record files did not comply with the 2x24 hour file return standard and the claim settlement deadline. A mix-method sequential exploratory was held, identifying activities that are value-added(VA), non value-added (NVA), and necessary non value-added (NNVA). The results of the study showed that the percentage of activity in completing claims for BPJS patient inpatient files at RSIA Mutiara Bunda consisted of VA of 1.47%, NNVA of 1.30%, and NVA of 97.23% (in the form of waiting time / idle).
Peningkatan Kapasitas Kader Kesehatan Remaja Melalui Program Asmara - Ayo Selamatkan Masa Remaja Untuk Pencegahan Perilaku Berisiko di SMPN 23 Padang Husna Yetti; Ida Rahmah Burhan; Rosfita Rasyid; Yuniar Lestari; Rima Semiarty; Adila Kasni Astiena; Zurayya Fadila; Nelmi Silvia; Abdiana; Rizanda Machmud; Firdawati; Hardisman
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.798

Abstract

Adolescence is a transitional period that is vulnerable to the emergence of risky behaviors, such as smoking, promiscuity, and lack of health concern. These behaviors can negatively impact adolescent growth and development physically, mentally, and socially. This community service activity aims to increase knowledge and awareness regarding preventing risky behaviors through a health education program for students of SMPN 23, Padang City. The activity methods include preparation and problem identification stages, coordination with partners, and implementation stages, including interactive counseling, group discussions, and distribution of leaflets and promotional banners. The first day of education targeted all students in grades VII and VIII of SMPN 23 Padang. On the second day, education focused on members of the Adolescent Health Cadre (KKR) and the Student Council (OSIS), totaling 27 people. Evaluation was carried out with pre-tests and post-tests to measure the increase in knowledge. The activity results showed a significant increase in the average knowledge score of the cadre students (77.78 to 94.07). In addition, the students showed enthusiasm and active involvement throughout the activity. This educational activity was successfully implemented smoothly and brought about an increase in knowledge among students, KKR cadres, and OSIS. Cadre students understand their role and are expected to be able to serve as peer educators when their peers encounter health issues or risky behavior. Similar activities, involving teachers and parents, need to be implemented continuously to optimize risky behavior prevention.
Perbandingan Benefit Cost Analysis Laboratorium Dengan Metode KSO Reagen Rental dan Cost per Reportable Result Shinta Dewi, Viola; Astiena, Adila Kasni; Semiarty, Rima; Yurniwati, Yurniwati; Yulia, Dwi; Putra, Abdi Setia
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2171

Abstract

Healthcare financing is the foundation of sustainable hospital services, including laboratory units that have high needs for equipment, reagents, and maintenance. Inefficient financing can hinder service quality and reduce the hospital's capacity to meet patient needs. Dr. M. Djamil Padang General Hospital, as a national referral hospital, faces these challenges, particularly in hematology testing, which dominates the laboratory service load. Although the number of tests decreased in 2024, laboratory costs actually increased beyond the budget ceiling, forcing a change in the financing method from CPRR back to Reagent Rental Operational Cooperation. This condition emphasizes the need for a comprehensive evaluation of the laboratory financing scheme through Benefit Cost Analysis to determine the most efficient and sustainable method. Methods: This study used a mixed method approach with a sequential explanatory strategy to analyze the financing of hematology laboratory tests. Quantitative research was conducted through benefit and cost analysis. The qualitative approach was conducted through in-depth interviews with informants from various hospital units. Results: The monetary benefit of the reagent rental KSO was Rp12.903.315.976 and the CPRR was Rp12.229.845.066. The total cost of the reagent rental KSO was Rpp2.485.694.024,- and the CPRR was Rp3.159.164.934. The Benefit Cost Ratio for the KSO reagent rental is 4.44, while that for the CPRR is 3.84. The selection of a laboratory operational cooperation model is not only a matter of cost efficiency but also considers the clinical context, internal capacity, and long-term strategy of the hospital. All informants felt that both the reagent rental KSO and the CPRR KSO had their own advantages and disadvantages, and in choosing a KSO, they looked more at its use and the hospital's current financial condition. Conclusion: Both KSO models are feasible because they generate positive NPV and BCR > 1. Financially, KSO Reagen Rental is more profitable than KSO CPRR