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ANALISIS TERCAPAINYA TARGET SKRINING PROGRAM KESEHATAN JIWA MELALUI E-JIWA DI PUSKESMAS “X” DKI JAKARTA Anggun Kusumasari, Jorra Putri; Soewondo, Prastuti
Journal of Health Service Management Vol 27 No 3 (2024)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v27i3.18285

Abstract

ABSTRACT Background: The high prevalence of mental disorders in Indonesia, especially in DKI Jakarta, has not been balanced with the achievement of the national mental health screening target. Puskesmas X has shown significant success in achieving the screening target through the implementation of E-Jiwa. Objective: This study aims to analyze the factors that affect the achievement of the target of the mental health screening program at Puskesmas X. Method: This study uses a qualitative approach with in-depth interview, observation, and document review methods on the implementation of the program. Results: The target of the screening program with E-Jiwa at Puskesmas X DKI Jakarta was achieved because it was supported by adequate human resources, digital-based infrastructure and technology such as E-Jiwa, as well as effective management in planning, implementation, and supervision. The implementation of E-Jiwa simplifies the screening process, but challenges in limited resources and service coverage remain. Conclusion: The success of Puskesmas X in the implementation of E-Jiwa can be a strategic model to be applied in other health centers in achieving the national target of mental health. Keywords: e-jiwa, health center, mental health, screening ABSTRAK Latar belakang: Tingginya prevalensi gangguan jiwa di Indonesia, khususnya di DKI Jakarta, belum diimbangi dengan capaian target skrining kesehatan jiwa nasional. Puskesmas X menunjukkan keberhasilan signifikan dalam mencapai target skrining melalui implementasi E-Jiwa. Tujuan: Penelitian ini bertujuan menganalisis faktor-faktor yang memengaruhi tercapainya target program skrining kesehatan jiwa di Puskesmas X. Metode: Studi ini menggunakan pendekatan kualitatif dengan metode wawancara mendalam, observasi, dan telaah dokumen terhadap pelaksanaan program. Hasil: Tercapaianya target program skrining dengan E-Jiwa di Puskesmas X DKI Jakarta karena didukung oleh sumber daya manusia yang memadai, infrastruktur dan teknologi berbasis digital seperti E-Jiwa, serta manajemen yang efektif dalam perencanaan, pelaksanaan, dan pengawasan. Implementasi E-Jiwa mempermudah proses skrining, namun tantangan dalam keterbatasan sumber daya dan cakupan pelayanan tetap ada. Kesimpulan: Keberhasilan Puskesmas X dalam pelaksanaan E-Jiwa dapat menjadi model strategis untuk diterapkan di puskesmas lain dalam mencapai target nasional kesehatan jiwa. Kata Kunci : e-jiwa, kesehatan jiwa, puskesmas, skrining
Analysis of Partnership of Private Practice Midwife in The National Health Insurance Program in District Bungo Jambi Province Azwar, Nurlie; Soewondo, Prastuti
Journal of Indonesian Health Policy and Administration Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

On January 1, 2014, the government began to implement the National Health Insurance (NHI) program to realize social welfare for the whole community. Midwifery and neonatal care in the NHI program involves Puskesmas/family doctors and Private Practice Midwife (PPM) as its network. PPM participation in the NHI program in Bungo District was still lacking, only 12 (54.5%) PPM have cooperated with family doctors from 22 existing PPM. This study aimed to get an overview of PPM participation in the NHI program in Bungo District, Jambi Province. The study used qualitative research approach with Rapid Assessment Prosedur design, purposive sampling, and conducted in-depth interview to 10 PPM, Head of Health Office, MPKP BPJS Health Manager, and Chairman of Bungo Regency Section of Indonesian Midwife Organization (IMO). The study was conducted from January to July 2017. The study found that the knowledge, perceptions and attitude towards NHI program were good, but the perceived toward the claim and predetermined tariff procedures were not so good. PPM motivated to join the NHI program as many patients had become NHI participants. Support from the Government, NHI, and IMO were low, either in the form of socialization, or policies. Therefore, the study suggest an improvement in claims procedures, tariffs, and an increase of socialization from government, NHI and IMO on NHI program related to obstetric and neonatal care.
Analisis Kinerja Keuangan Rumah Sakit Tbk di Indonesia: Studi Kasus pada PT. Siloam International Hospitals Tbk Hanis Fuad; Soewondo, Prastuti
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i1.54917

Abstract

Publikasi ini menganalisis kinerja keuangan PT. Siloam International Hospitals Tbk dari tahun 2018 hingga 2023. Penelitian ini bertujuan untuk mengevaluasi profitabilitas, likuiditas, solvabilitas, dan rasio valuasi perusahaan guna memberikan pemahaman komprehensif tentang kondisi keuangan perusahaan. Data yang digunakan mencakup laporan tahunan, laporan keuangan, dan rasio keuangan relevan selama periode yang ditentukan. Hasil analisis menunjukkan bahwa PT. Siloam International Hospitals Tbk mengalami peningkatan signifikan dalam berbagai metrik keuangan. Return on Assets (ROA) dan Return on Equity (ROE) meningkat secara substansial, mengindikasikan efisiensi yang lebih baik dalam pemanfaatan aset dan ekuitas. Gross Profit Margin dan Net Profit Margin juga menunjukkan peningkatan, mencerminkan efisiensi operasional yang lebih baik dan kemampuan perusahaan dalam menghasilkan laba bersih. Analisis likuiditas mengindikasikan bahwa perusahaan tetap mampu memenuhi kewajiban jangka pendeknya meskipun terdapat fluktuasi dalam Current Ratio dan Quick Ratio. Rasio solvabilitas menunjukkan peningkatan penggunaan hutang pada beberapa tahun, namun perusahaan tetap menunjukkan kemampuan yang baik dalam membayar bunga hutang, sebagaimana tercermin dalam peningkatan Interest Coverage Ratio. Selama periode analisis, PT. Siloam International Hospitals Tbk berhasil meningkatkan kinerja operasional dan keuangan meskipun menghadapi tantangan berat sebelum, selama, dan setelah pandemi COVID-19. Perusahaan berhasil mengelola biaya operasional dan meningkatkan laba bersih, yang terlihat dari peningkatan rasio profitabilitas.
Efektifitas Biaya di Neonatal Intensive Care Unit (NICU): Sebuah Scoping Review Ditia Gilang Shah Putra Rahim; Prastuti Soewondo; Biancha Andardi
Journal of Economics and Business UBS Vol. 12 No. 4 (2023): Special Issue
Publisher : UniSadhuGuna Business School

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52644/joeb.v12i4.440

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Bayi baru lahir yang membutuhkan perawatan intensif biasanya dirawat di unit khusus yang disebut unit perawatan intensif neonatal (NICU). Selama 20 tahun terakhir, perawatan neonatal yang lebih baik telah meningkatkan tingkat kelangsungan hidup bayi berisiko tinggi ini. Bayi berisiko tinggi ini dirawat di NICU selama berhari-hari, berminggu-minggu, atau berbulan-bulan. Lama tinggal di rumah sakit mengakibatkan biaya rawat inap yang lebih tinggi dan biaya perawatan neonatal yang jauh lebih tinggi. Proses seleksi dilakukan dalam tiga tahap. Selama tahap pertama penulis mengumpulkan 168 artikel untuk mengidentifikasi artikel yang relevan. Penulis secara independen memfilter semua artikel untuk menentukan pengecualian artikel, dan kemudian menemukan 138 artikel setelah menghapus artikel duplikat. Pada fase kedua, artikel yang relevan diberi kode untuk mencerminkan abstrak (misalnya, studi, populasi, dan sampel). Selanjutnya, penulis memfilter studi teks lengkap dari 30 artikel yang tersisa untuk melakukan inklusi abstrak. Pada fase berikutnya, 11 artikel teks lengkap yang membahas efektifitas dan efisiensi di NICU dipilih untuk diulas secara lengkap. Ditemukan beberapa hal yang mempengaruhi efektivitas biaya di NICU meliputi usia kehamilan (sangat prematur, sangat prematur, sedang hingga akhir prematur, atau cukup bulan), peralatan (ventilasi mekanik, pompa infus, insersi vena umbilikalis yang dipandu USG, tambahan lembar reflektif dalam fototerapi), dan obat-obatan (pemberian surfaktan untuk bayi prematur dengan sindrom gangguan pernapasan, pemberian penambah kalori ASI dengan liquid human milk fortifier, opioid untuk terapi nyeri dan sedasi, dan transfusi darah). Ada beberapa faktor yang mempengaruhi efektivitas biaya di NICU: usia kehamilan, penggunaan peralatan di NICU, dan obat-obatan yang diberikan.
Analisis Efisiensi Biaya Operasi Bedah Umum Jaminan Kesehatan Nasional di Rumah Sakit Jakarta Tahun 2023 Mahardhika, Jeffrey Christian; Soewondo, Prastuti; Permanasari, Vetty Yulianty; Pramanto, Heru
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 9 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss9pp3600-3609

Abstract

The National Health Insurance (JKN) program has increased the volume and revenue of inpatient general surgery procedures. However, Jakarta Hospital experienced a profit decline in 2023 due to low Indonesian Case-Based Group (INACBG) tariffs and cost inefficiencies. This study aims to analyze the cost efficiency of JKN-covered inpatient general surgeries as a basis for hospital development strategies. A descriptive-analytic method was applied, using activity-based costing to calculate procedure costs. Cost efficiency was assessed by comparing actual costs to normative benchmarks from clinical pathways, and further analyzed using Data Envelopment Analysis (DEA). Results indicate that unit costs were inefficient compared to normative standards (efficiency score: 101.9%, average: IDR 3,488,115.59), driven by high expenditures on medical services, drugs, and disposable medical supplies. Total costs, including accommodation, were also inefficient (score: 108.1%, average: IDR 4,729,373.69), with accommodation accounting for 26.2%. DEA identified perianal abscess incision as the most efficient procedure, while hemorrhoidectomy, inguinal herniotomy, and breast tumor excision were relatively efficient. Overall, inpatient general surgery procedures remain cost-inefficient. Enhancing efficiency requires stricter clinical pathway adherence, optimized use of drugs and supplies, reduced length of stay, and revised physician payment models. Promoting efficient procedures is essential for hospital sustainability.
Evaluasi Pengendalian Persediaan dan Distribusi Stick Pemeriksaan Gula Darah Metode Poct di Instalasi Laboratorium Rumah Sakit X di Jakarta Aziz, Moch Fathonil; Soewondo, Prastuti
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44907

Abstract

Instalasi Laboratorium adalah unit rumah sakit yang menyelenggarakan pelayanan terkait pemeriksaan laboratorium.Pemeriksaan metode POCT merupakan pemeriksaan yang mudah dan cepat. Pemeriksaan ini banyak dilakukan di unit perawatan. Pengendalian dan distribusi barang merupakan hal yang penting dalam manajemen barang di rumah sakit.Pengendalian bertujuan untuk mencegah dari kondisi stock out atas barang terkait. Mekanisme distribusi yang baik bertujuanuntuk memastikan seluruh barang tersalurkan secara bertanggung jawab. Tujuan penelitian ini adalah untuk melakukanidentifikasi dan evaluasi terhadap pengendalian persediaan dan distribusi stick glukosa darah metode POCT. Penelitian bersifat kualitatif dengan metode yang digunakan adalah observasional deskriptif. Pengumpulan data dilakukan dengan metode triangulasi. Didapatkan hasil Instalasi Laboratorium mengalami kehilangan 5.95% stick pemeriksaan glukosa metode POCT pada 2022 dengan unit perawatan ICVCU, ICU dewasa, dan Isolasi sebagai unit perawatan yang menyumbang kehilangan terbesar. Penyebabnya adalah masalah administrasi dan human error. Penelitian ini menyimpulan bahwa stick pemeriksaan glukosametode POCT manual menjadi BMHP yang rawan mengalami kehilangan. Perlu dilakukan pembaharuan SOP bagi perawat unitperawatan dan penggantian POCT yang terintegrasi dengan LIS untuk menghindari kehilangan.
Analisis Rendahnya Realisasi Bantuan Operasional Kesehatan (BOK) Puskesmas Melalui Mekanisme Salur Langsung Di Kabupaten Bogor Tahun 2023 Indriansyah, Fahlepi; Soewondo, Prastuti; Permanasari, Vetty Yulianty
Jurnal Ar Ro'is Mandalika (Armada) Vol. 5 No. 1 (2025): JURNAL AR RO'IS MANDALIKA (ARMADA)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/armada.v5i1.5153

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Through the Special Allocation Fund (DAK), effort is made to improve development and community welfare in line with national priorities. Health Operational Assistance (BOK) is the non-physical DAK program in the health sector. This study aims to analyze the causes of the low realization of the 2023 Health Operational Assistance (BOK) Salur budget at the Bogor Regency Health Center using the Public Financial Management (PFM) approach. The study focused on 3 Health Centers in the Bogor Regency area and the Bogor Regency Health Office by considering aspects of distance, time and cost. The research period started from February to April 2025.The results of the study indicate that low budget absorption is caused by several main factors, including a lack of understanding of technical instructions on the implementation limits of the BOK Salur menu, low unit costs set by the local government, and a lack of understanding of the SPJ report organizer by PPTK and the treasurer's financial administrator. This indicates a weakness in the synchronization between the planning, budgeting, and budget implementation stages at the Health Center level. In addition, the limited technical and managerial capacity of the implementers also affects program implementation. Therefore, it is hoped that local governments can further consider the unit cost unit to encourage work performance and motivation. Increasing human resource capacity and strengthening cross-sector coordination to ensure the effectiveness of the use of BOK Salur funds.
Analisis Klaim Pending BPJS Kesehatan di RSUD Pasar Minggu Tahun 2024 Wirdah, Wirdah; Soewondo, Prastuti; Kartika Dewi, Endah
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 5 No. 2 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v5i2.3234

Abstract

Based on the results of the verification of claims at Pasar Minggu Hospital, the number of pending claims at the end of 2024 has increased both in terms of the number of claims and the cost of claims. In hospitals with a JKN service level of > 80%, the occurrence of pending claims can affect the hospital's cash flow. This study aims to analyze data on pending claim cases to be able to map the group of causes of pending cases. The method of writing the article used is a quantitative cross-sectional design, which is an approach based on data collection that can present information in a short time. As a result, the average number of pending cases at Pasar Minggu Hospital is 5.45% of the total number of claim files filed in 2024, while when viewed from the amount of pending claims, it reaches 17.13%. In inpatient services, the percentage of pending claims based on the number of files on average reached 1.02% and 15.48% when viewed from the value of claims. On the other hand, in outpatient services, the average number of claims based on files is higher, which is 4.43% and in terms of claim value, the portion is 1.66%. The cause of pending claims when reviewed from the number of files is the most due to the aspect of administrative completeness, which is 45.07%. Meanwhile, when viewed from the amount of cost or claim value, the group that caused the most pending claims was due to the aspect of coding rules at 44.10%. The factors that cause pending claims at Pasar Minggu Hospital consist of four factors: human (the service team and casemix have varying levels of understanding of coding and medical aspects, money (the budgeting process for updating coding knowledge and skills is not routine), method (the autoclosing system in the outpatient file claim process, in the inpatient claim process, the coding process is carried out at the end of the service), material (PPK updates have not been done regularly, so there are still variations in services), and machines (the coding system in SIMRS is still done with manual input).
Analisis Saldo Piutang Pasien Jaminan di Rumah Sakit Port Medical Center Kusumawardhani, Dian; Soewondo, Prastuti
Kesmas Vol. 3, No. 3
Publisher : UI Scholars Hub

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Abstract

Piutang merupakan harta lancar yang terbesar pada organisasi kesehatan dan berdampak dana investasi. Kegagalan pengelolaan piutang di rumah sakit akan mengganggu cash flow dan kegiatan operasional rumah sakit. Penelitian ini bertujuan mengetahui penyebab saldo piutang pasien jaminan pihak ketiga yang tinggi, meliputi dinas dan langganan di RS Port Medical Center. Penelitian operasional ini melakukan pengamatan langsung dan telaah dokumen pada proses pengelolaan piutang pada tahap penerimaan, pembebanan biaya, penataan rekening, penagihan dan penutupan rekening. Informan adalah para pejabat dan pelaksana yang terlibat. Didapatkan bahwa tidak ada standar atau persyaratan kredit yang berlaku sebelum kerja sama. Potongan harga, jangka waktu pembayaran dan sanksi yang tertera dalam perjanjian kerja sama tidak dapat dijalankan. Telah ada upaya penagihan, tetapi belum optimal. Belum ada prosedur tentang cara penagihan bila pembayaran terlambat. Pada lima tahap pengelolaan piutang terlihat beban tugas penata rekening yang tinggi. Dan SOP hanya tersedia pada tahap pembebanan biaya. Proses seleksi yang menggunakan sistem billing online mempermudah pekerjaan tetapi menuntut ketelitian tinggi. Jumlah tagihan dan saldo piutang terbesar adalah dinas. Perusahaan asuransi mempunyai saldo piutang terkecil dan proporsi pembayaran terkecil adalah Jamsostek. Proses penagihan pada dinas, perusahaan umum dan perusahaan asuransi relatif sama (20 hari). Lama proses penagihan dan umur piutang terlama adalah Jamsostek. Account receivables is the biggest current assets in health organization including hospitals and will influence investation fund management. Failure in account receivables management will confound the cash flow and operational activities. The purpose of this study is to know the causes of high account receivables of patients insured by third party. This operational research used direct observations and documents review regarding the management process of the insured patient account receivables at the stage of admission, charge capture, account billing, collecting and account writing off. An in-depth interview was conducted to the involved persons and officers. The result of the study shows that the current credit policy prevails at PMC hospital seems to be linient since no credit standard or credit terms given before colaboration. Discount, payment period and sanctions are included in the agreement but not effective. There are efforts for claiming, but it has not been done optimally. There is no procedure that can be used in collecting account if there were delay. There is a shortage of staff on the account arrangement and overlapped tasks of staff at central opname. The only available standard operating procedure was at the stage of charge capture. Although the completion process has used on line billing system, to simplify the task, it still needs high accuracy to get accurate data. Thehighest claim goes to the state owned company. The highest account receivable also goes to the state owned company. From four health insurance companies, Jamsostek has the lowest payment percentage. It is also found that the length of the collecting process is 20 days for state owned companies, public companies and insurance companies and 60 days for Jamsostek. The length of billing process and account receivable days for Jamsostek was the longest.
Interprofessional Collaborative Practice and Health Workers Retention at Remote Primary Health Care: Case Study from Nusantara Sehat Team-based Program Soewondo, Prastuti; Pujisubekti, Retno; Prastyani, Ade Widyati; Rahmayanti, Nurul Maretia
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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Abstract

The Nusantara Sehat Team (NST), established in 2015 and consist of multi-professional health workers, implemented to provide comprehensive services at remote primary health cares (PHCs) for two years. This study aimed to explore how the NST leverages the Interprofessional Collaboration (IPC) and its impact on the future career prospects of health workers. Using a qualitative approach, the information was gathered from 48 informants drawn from the current 30 NST recruits and 18 alumni through semi-structured interviews. Of these 48, 20 were clinical practitioners, while the rest were non-clinical health workers. The findings revealed several challenges in promoting collaborative practice, including the community's high demand for curative services, the unclear division of tasks among the NST and local PHC staff, and inadequate health facility support. The curriculum of IPC was yet to be included in the pre-service education and in-service training before NST, allowing the staff to enter the workplace and collaborate, especially in the backward areas. The institutional support through macro and meso policies has yet to enable collaborative-practice ready workers adequately. Other factors such as personal values, family expectations, gender roles, and career sustainability also affected the retention of personnel in the NST.
Co-Authors Ade Widyati Prastyani Amila Megraini Anakito Ekabela Khadijah Anggun Kusumasari, Jorra Putri Ardi Adji, Ardi Astuti, Trihardini Sri rejeki Athiyah Athiyah Athiyah, Athiyah Atik Nurwahyuni Audita, Fatira Ratri Azhar, Rodiyah Aziz, Moch Fathonil Azwar, Nurlie Biancha Andardi Carolinsia, Brenda Dian Kusumawardhani Dian Kusumawardhani Ditia Gilang Shah Putra Rahim Dwi Ayulestari Dwi Oktiana Irawati Emmy Ridhawaty Mangunsong Eureka, Agnes Nina Evelyn Hendarta Farianti, Yuli Farida Kusumaningrum Halimah Halimah Halimah Halimah Hanis Fuad Hartono Tanto Helena Turnip Helena Turnip Helmi Wahyuningsih Heydi Marizky Lisman Hidayati, Ira Rahma I Nyoman Gede Semarajana Ida Bagus N Maharjana Indriansyah, Fahlepi Jatnika, Viana Villamanda Johar, Meliyanni Kartika Dewi, Endah Kurnia Sari Kurnia Sari Mahardhika, Jeffrey Christian Mangunsong, Emmy Ridhawaty Mardiati Nadjib Mazda Novi Mukhlisa Megraini, Amila Meliyanni Johar Meliyanni Johar Muhammad Ade Armansyah Siregar Muhammad Hafiz Aini Mukhlisa, Mazda Novi Muliawati, Mutia Mursalin . Mursalin Mursalin Nadjib, Mardiati Novita Dwi Istanti Nur Fatimah Nurlie Azwar Nurul Maretia Rahmayanti Nurwahyuni, Atik Permanasari, Vetty Yulianty Pramanto, Heru Prastyani, Ade Widyati Pujisubekti, Retno Purbasari, Utami Rahmayanti, Nurul Maretia Retno Pujisubekti Retno Pujisubekti Retno Pujisubekti Risa De Apna Santoso, Anindita Satrio, Harsa Kunthara Sayekti, Sekar Arum Handarbeni Sekar Arum Handarbeni Sayekti Siregar, Muhammad Ade Armansyah Sugeng Winarno, Sugeng Taufik Dipa Sempana Trias Roslina Trihardini Sri Rejeki Astuti Trihardini Srirejeki Astuti Ummu Hani Wahyuningsih, Helmi Wibisono, Iqbal Dawam Wirastuti, Ida Ayu Wirawan, Handi Wirdah, Wirdah Yuli Farianti Yulius, Suci Kirana Yunita Yunita Yunita Yunita Yussi Damayanti Zainal Abidin