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All Journal Jurnal Kesehatan Masyarakat Journal for Quality in Public Health

Eka Yunila Fatmasari

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Author-ID : 4077979

Health Professions Public Health

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EVALUASI PELAKSANAAN SISTEM VERIFIKASI DI KANTOR (VEDIKA) BPJS KESEHATAN DI RUMAH SAKIT UMUM WILLIAM BOOTH SEMARANG Elsa Febrie Alvianitasari; Sutopo Patria Jati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Acceleration of claims verification becomes important in creating an effective and efficient health services. As a result, BPJS Kesehatan takes the solution to change manual claim verification system to electronic claim verification system to facilitate health providers, but it takes a transition period, called vedika (verifikasi di kantor) BPJS Kesehatan. 10 out of 24 hospital in Semarang have implemented vedika system as of December 2017, and William Booth Semarang General Hospital is the first hospital selected BPJS Kesehatan to implement Vedika system. The purpose of the study is to evaluate implemented vedika system BPJS Kesehatan in William Booth Semarang General Hospital. The study uses qualitative methods through in-depth interviews with key informants casemix section and informant triangulation section of casemix and head of PMR BPJS Kesehatan. Variables of the research are human resources, procedures, facilities and infrastructure, planning, organizing, implementation, assessment, and output. The result of the research is implemented vedika system by the hospital has not been effective because there is the return of claim file and the late of claim payment. It is because of the doctor's writing is less clear, the limitations of officers, there is no monitoring and evaluation of the implementation of the vedika system. The doctor's writing is result in errors coding and pending claims. The limitation of officers with incremental cases each month result in late claims submission so claim payments are lat. The absence of monitoring and evaluation resulted in the same error being repeated. Then the claim is said to succeed if the claim is paid, on time and 100%. The suggestions are holding on training on capacity building of officers and adding officers

EVALUASI PELAKSANAAN PROGRAM UPAYA KESEHATAN JIWA DI PUSKESMAS BANDARHARJO KOTA SEMARANG TAHUN 2018 Jessica Masta Hothasian; Chriswardani Suryawati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The relapse rates of mental disorder in Central Java in 2018 have reached 2,2% per 1.000 population. Bandarharjo Primary Health Center (Puskesmas) itself was a health center with the highest mental health cases in Semarang. The objective of this research was to evaluate the Mental Health Program implementation in the work areas of Bandarharjo Primary Health Center. The research design is qualitative with a descriptive analytic approach. Data was collected from in-depth interviews and observations based on purposive sampling criteria. Subjects in the study consisted of two executive doctors, a coordinator in Mental Health Program, and a nurse. These four subjects were categorized as the main informant. Representatives from mental disorder patient's family and health cadres were included as well to be part of triangulation informants. The results, the implementation of mental health program in Bandarharjo Primary Health Center had not been optimal. This was because the number of patients with severe mental disorder, who received mental health services according to standard were only 94.7%. Therefore, there were still about 5.3% patients who had not received mental health services. The was a lacking in Standard Operation Procedures (SOP) for each stages of program implementation, especially the initial management stage (drug administration) and socialization regarding Mental Health Program. It is better to improve the socialization and promotion of Mental Health Program in Bandarharjo Primary Health Center. There needs to be an improvement in the distribution system of medicines from the City Health Office to the Puskesmas so that there are no delays as well as a review of the latest BPJS rules related to the tiered referral system which is still a problem in the field.

ANALISIS KEBUTUHAN (NEED) MAHASISWA TERHADAP PELAYANAN KESEHATAN KAMPUS UNIVERSITAS DIPONEGORO Lilis Setiyaningrum; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The availability of health service in college area has important role in achieving college purpose. One of those purposes is fulfill student welfare in improving healthy lifestyle. Based on the results of observations reinforced preliminary study shows that the utilization of Poliklinik Undip by students is still less than optimal. The existence of Poliklinik Undip development plan is required to draft marketing strategy, one of that plans can be called need analysis toward health service. This study aims to describe students need level toward campus health service named Poliklinik Undip. The method used is quantitative method with cross sectional by using 100 respondents of undergraduate students Diponegoro University. The result of research shows that the characteristics of Diponegoro University students are more female (74.0%) than the male, with the most semester status is the old students (70.0%). About 59% students are categorized having low income (from allowance or grants) that is about <Rp1.112.000,- per month and the number of students having health insurance are less. Almost of students (59,0%) have limited knowledge about campus health service Diponegoro University named Poliklinik Undip. Even thought, the number of students need toward health service is categorized high (86,0%). The result shows that the number of need has correlation with status semester variable (Pvalue 0,003), students’ knowledge about health service in Poliklinik Undip (Pvalue 0,001) and students’ sick accidents (Pvalue 0,000). Therefore, students’ characteristics (gender, income and insurance owning) does not indicating any correlation with the number of need. Students’ expect based on Permenkes No. 9 Tahun 2014 tentang Klinik that outpatient health service is as good as Klinik Pratama. Based on that statement, Dipinegoro University needs to develop Poliklinik Undip at least based on student expectation mentioned above.

Analisis Mekanisme Pengelolaan Dana Kapitasi Pada Klinik Pratama di Kecamatan Pedurungan Kota Semarang Listia Ayuni Nur Afifah; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Pratama Clinic is a health care facility that organizes individual health that provides basic medical health services. Pratama Clinic is a private Primary Health Care/not owned by the Government so it is not under the Department of Health. Pedurungan District is one of the districts with the highest population in Semarang City and has the highest number of pratama clinics. Capitation fund management is a procedure for budgeting, implementation, administration (utilization), and accountability of capitation fund. BPJS Kesehatan must pay capitation and non-capitation tariffs to perform basic health services provided by pratama clinics to participants in the National Health Insurance (JKN) program. This study aims to describe the mechanism of managing capitation funds at the Pratama clinic in Pedurungan District, Semarang City. This study is a qualitative study with in-depth interviews and observations with Owners, Admins, and Doctors at the Pratama Clinic.The results show that all Pratama clinics do not make plans for capitalization and expenditure. BPJS Kesehatan is always on time to pay capitation funds, which is every 15th. Not all pratama clinics determine the amount of capitation fund allocation for health services and support for operational costs of health. Pratama Clinic also does not carry out accountability of capitation funds, but only makes reports requested by BPJS Kesehatan or other agencies. To overcome this, the role of leadership is needed in managing capitation funds at the Pratama Clinic optimally and BPJS Kesehatan needs to make regulations related to the management of capitation fund at Pratama clinic.

ANALISIS IMPLEMENTASI PROGRAM RUJUK BALIK PESERTA JAMINAN KESEHATAN NASIONAL DI RUMAH SAKIT UMUM DAERAH TIDAR KOTA MAGELANG Dianita Pertiwi; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

RSUD Tidar Kota Magelang merupakan salah satu rumah sakit yang melaksanakan Program Rujuk Balik (PRB). Tujuan PRB adalah meningkatkan aksesibilitas, kualitas pelayanan, dan efisiensi biaya kesehatan. Angka rujuk balik dari RSUD Tidar tertinggi se-Kota Magelang tetapi angka rujuk balik di FKTP masih rendah dan antrian pasien di rumah sakit masih tinggi. Tujuan penelitian ini adalah untuk menganalisis implementasi PRB peserta JKN di RSUD Tidar Kota Magelang dan menganalisis faktor-faktor yang berpengaruh, yaitu faktor komunikasi, sumber daya, disposisi, dan struktur birokrasi. Jenis penelitian yang dilakukan merupakan penelitian kualitatif dengan pendekatan deskriptif. Hasil penelitian menunjukkan bahwa RSUD Tidar Kota Magelang dalam pelaksanaan PRB belum optimal dari faktor komunikasi (dokter spesialis di FKTL dengan dokter umum di FKTP) di aspek kejelasan. Hal ini terbukti dengan informasi yang seharusnya disampaikan oleh dokter spesialis melalui surat rujuk balik tidak dituliskan. Surat rujuk balik yang digunakan oleh FKTL juga masih berubah-ubah. Sumber daya belum memenuhi (SDM secara kuantitas masih kurang mencukupi, tetapi secara kualitas sudah mampu, sedangkan segi fasilitas terkendala pada persediaan obat yang masih sering kosong). Disposisi pelaksana program sudah mendukung. Struktur birokrasi dari segi SOP sudah tersedia tetapi belum dilaksanakan dengan baik. Struktur organisasi untuk PRB belum dibentuk dan koordinasi dilakukan secara langsung. Disarankan bagi BPJS Kesehatan untuk melakukan evaluasi bersama dengan FKTP dan FKTL dan membuat suatu sistem di mana FKTL dan FKTP dapat terhubung untuk berkomunikasi tentang kondisi pasien. Bagi RSUD Tidar Kota Magelang disarankan untuk melakukan pengawasan terhadap pelaksanaan PRB, khususnya kepada dokter spesialis yang menuliskan form rujuk balik.

ANALISIS PERBEDAAN TINGKAT KEPUASAN MASYARAKAT TERHADAP PELAYANAN RAWAT JALAN DI PUSKESMAS HALMAHERA DAN PUSKESMAS TLOGOSARI WETAN KOTA SEMARANG TAHUN 2016 Melodi Damai Soleiman; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Primary health care is one of public care facilities where in charge of operating health care to public which forced to increase performance quality and quality for providing care. Outpatient is one of the services provided by the health centers. Halmahera Health Care (Certified by ISO) was generally complained about long queing time and care procedure disclosure and also implementation care declaration. The aim of this research was to determine differentiation between public satisfication level among Halmahera Primary Health Care (Certified by ISO) and Tlogosari Wetan (Uncertified by ISO). This research was using descriptive model with public satisfication index. The result of data was number with different test with Mann-Whitney test. The Data showed that public satisfication index number in Halmahera Primary Health Care was 75,63 and Tlogosari Wetan was 73,52 or simply classified in good quality services. There was no significant differences between patient satisfication level, except condition care elements, care procedures, time services, and care declaration. Statistic analysis showed that there was differentiation between satisfication level among four of care elements (p = 0.000). While for cost (p=0.155), specification product of services type (p=0.728), competency and operator behavior (p=1.000), complaint handling, suggestion, and recommendation (p=0.317). Halmahera primary health care as primary health care where already certified by ISO is categorized into good performance primary health care according to public satisfication level.The recommendation to Primary health care is to improve and increase quality, so that care quality and public satisfication will be enhancement.

ANALISIS PERBEDAAN TINGKAT KEPUASAN PASIEN TERHADAP MUTU PELAYANAN RAWAT JALAN PUSKESMAS BERSTATUS AKREDITASI UTAMA DAN PARIPURNA DI KOTA SEMARANG Nimas Ariyani Damayanti; Sutopo Patria Jati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Regulation of the Ministry of Health Number 46 Year 2015 states that Health Center must be accredited regularly at least every three years. Through the accreditation, Health Center’s management is expected to apply the procedural standar well to make patients satisfied with the service provides. According to outpatient service data of Health Center in Semarang, Plenary accredited Health Center has downward trend and main accredited Health Center have upward and fluctuative trend. The purpose of this research’s to analize the difference of patient's satisfaction level at Health Care accredited as main and plenary accreditation in Semarang based on service quality dimension aspect. This research use descriptive analytic method with cross sectional design. The sample of this research is 192 respondents. Data analysis included univariate analysis with frequency distribution table and crosstab and bivariate analysis using Mann-Whitney test. The results of crosstab indicate highly educated respondents and respondents who don’t use JKN tend to be less satisfied with the services provided. The univariate result shows the satisfaction level on the quality of outpatient services in terms of the five dimensions of service quality in the Plenary accredited Health Care tend to be better than respondents from the main accredited health center. Bivariate analysis shows there’re significant differences in tangible (p <0.001), reliability (p <0.001), responsiveness (p <0.001), emphaty (p <0.001), whereas there’s no difference in assurance (p = 0.346). It’s suggested Health Center to improve the waiting room, maximize preventive promotive effort by health promotion staffs, evaluate routine waiting time, and having evaluation and monitoring to patient satisfaction about quality of service.

EVALUASI PELAKSANAAN PROGRAM SKRINING HIPOTIROID KONGENITAL OLEH PUSKESMAS KARANGREJO KOTA METRO, LAMPUNG Adelia Anggraini; Chriswardani Suryawati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Congenital Hypothyroidism (CH) has long been recognized as a cause of mental retardation. Untreated, CH has devastating effects on growth and development of infants. Simply put, CH is inadequate thyroid hormone production in newborn infants. One such effort is the earliest possible detection since newborns or neonatal screening performed in infants aged 48-72 hours. In Indonesia, neonatal screening are not developed yet. Karangrejo Health Center is one of the health facilities performing CH screening in Metro City, Lampung. Nevertheless, the implementation of a neonatal screening program presents many problems. This study aims to evaluate the execution of the Congenital Hypothyroidism Screening Program seen from the input, process, and output variables. This study is a qualitative study using a depth interview method to 13 informants and this study observes on the sub-variables such as facilities and methods. The result of the study on the input variable shows that there is enough availability of human resource but not enough facilities and funds to cover the necessities such as filter papers kit, and there is no SOP. Process variable shows that activity of socialization and education of SHK is not effectively done because the lack of participation of audience. Output variable indicates that program coverage is low, within 141 newborn, 35 newborn are tested in 2017 and 13 newborn until April 2018. To advance the CH screening program, the suggestion given is DHO expetcted to fix and improve the infrastructure planning, also monitoring and evaluation function have to be done properly. It is necessary for the health center to increase the coordination and the communication for all the organizer cadres, DHO, and cross sectors for the continuity of the execution Congenital Hypothyroidism Screening Program activities and make standard operating procedures. People can participate in having the CH Screening Program since CH can affects the growth and development of children and also affects the quality of human resources in the future.

ANALISIS PELAKSANAAN PENDAMPINGAN AKREDITASI PUSKESMAS PADA KELOMPOK KERJA ADMINISTRASI DAN MANAJEMEN DI KABUPATEN PEMALANG Hendra Teguh Setiawan; Sutopo Patria Jati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Accreditation assistance is an activity that aims to facilitate puskesmas in order to improve quality and service performance in accordance with standard and accreditation instrument of puskesmas. The score result at 14 puskesmas targeted for assistance in 2016 and 2017, most are accredited basic and showed the lowest score in the administrative and management working group. The objective of this study is to analyze the implementation of puskesmas accreditation in the administration and management working group in Pemalang. This study uses qualitative method with descriptive approach. The data was collected through in-depth interviews to two key informants and three triangulation informants. The results showed that in general the implementation of puskesmas accreditation assistance in Pemalang has been running, but if it is seen the quality of the implementation was still less than the maximum. There were still members of assistant team who have not been trained and have a competence assistant certificate; the activity planning did not detail the whole of the assistance activities but only focused on budget planning and scheduling activities; the implementation of accreditation assistance activities was limited for pre accredited certification assistance. The advice given is to facilitate education and training of untrained team members, making planning activities based on evidence data freom the result of self assessment so that assisstenace more directed; create a clear monitoring and evaluation schedule related to the implementation of accreditation assistance.

ANALISIS PROSES PELAYANAN PENDAFTARAN PASIEN DI PUSKESMAS JATISRONO I KABUPATEN WONOGIRI Nurul Balqis Shofiana; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Health care for the people in Indonesia is through the Puskesmas. The registration unit is a place that is part of the service provided by the officer. Puskesmas Jatisrono I is a health care center in Wonogiri District with the main accreditation rating in the District, but there are still problems with a long waiting time. This study aims to analyze the causes of discomfort in the service process. This research is a qualitative study with indepth interviews with 7 informants. The results of the research on input variables are still greatly reduced registration service personnel, and infrastructure facilities. SOP registration services at the puskesmas are available, but repairs need to be done. The converting process variable that still serves patients is still longer (more than 10 minutes) the standard is 5 minutes, the incompleteness that is done by the patient to be hampered. Suggestions for Puskesmas are socializing for patients about the completeness of the folder, placing banners containing information needed for registration, and Customer Service (CS) on the front to check the completeness of the patient’s folders. Registration unit must research about waiting time using queuing theory.

Co-Authors Ade Selvia Septiani Adelia Anggraini Ajeng Retno Yunita Alessandra Lourdess Sutrisnoputri Amalia Choirun Nafi'ah Anggia Nuaristia Dewi Antono Suryoputro Asri Pratiwi Astri Budhi Satiti Aufir Amalia Ayun Sriatmi Criswardani Suryawati Dara Lutfiana Desi Purwiyanti Diah Eka Novitasari Dianita Pertiwi Elsa Febrie Alvianitasari Eri Virdasari Fidyanti Shabrina Junjungsari Fila Mulia Citra Permata Abadi Hanifah Iskhia Dilla Helena Napitupulu Hendra Teguh Setiawan Ismal Wahyu Jessica Masta Hothasian Lilis Setiyaningrum Linda Ismawati Listia Ayuni Nur Afifah Loveloi Putri Sihanari Lutfy Laksita Pranandari Manja Mania Melodi Damai Soleiman Nimas Ariyani Damayanti Noor Fadhilah Dyah Anggraini Nurfrida Pratomo Putri Nurlita Putri Apriliani Nurul Ayu Ningsih Nurul Balqis Shofiana Putri Asmita Wigati Risa Tri Anggraeni Rizka Nur Fitriana Sarah Nurulita Fathanah Sukma Septo Pawelas Arso Sri Gama Apriani Sudiro Sudiro Sutopo Patria Jati Syifa Nur Fadhilah Winda Asriyani Wulan Kusumastuti Yohana Novitasari Sutrisno

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