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All Journal Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Jaminan Kesehatan Nasional
Wahidah, Muhayyina
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Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Analysis of Kenali Promotive Preventive Implementation to Achieve the Effectiveness of Prolanis Visits in Bulukumba, 2023 Wahidah, Muhayyina; Selpiaty, Rezki; Ali, Muhammad; Sari, Andi Rifka Yuliana; Sahrullah, Sahrullah; Ahmad, Sitti Musdalifah
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 9 No. 2 (2025): Volume 9 Nomor 2 Februari 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v9i2.41800

Abstract

Aims: This research aims to analyze the effectiveness of Kenali Promprev's implementation in achieving the effectiveness level of Prolanis visits at FKTP in Bulukumba Regency in 2023. Kenali Promprev is an educational program delivered through direct meetings, Focus Group Discussions, and feedback via WhatsApp groups focusing on promotive and preventive actions such as Health History Screening. Methods: The method used is a descriptive quantitative and Mann-Whitney test, utilizing secondary data from Prolanis participant visits to FKTP in 2023. The data is then compared to evaluate the improvement in the effectiveness of Prolanis visits before and after the implementation of Kenali Promprev in Bulukumba Regency in 2023. Results: The findings indicate that the implementation of Kenali Promprev starting July 2023 has resulted in increased registration of Prolanis participants by 1,005 (70%), 1,123 (127%) participants conducting visits, and 570 (679%) controlled Prolanis participants. Conclusion: Consequently, the effectiveness level of Prolanis visits at FKTP has improved, with potential implications for enhancing the Controlled Prolanis Participant Ratio, a key Capitation indicator (KBK) influencing FKTP monthly income.
Enhancing The Quality and Cost Control Team's Role in Improving Primary Care Referrals in Bantaeng. Wahidah, Muhayyina; Yuliana Sari, Andi Rifika; Prasetiya, Ihwan; Firdaus, Firdaus; Ahmad, St. Musdalifah
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 1 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i1.306

Abstract

This study evaluates how well the Quality and Cost Control Team (TKMKB) can improve referral quality by reviewing and medically auditing Non-Specialist Referral Rasio (RRNS) indicators with the First Level Health Facility (FKTP). The quantitative descriptive approach compares RRNS data with Time, Age, Complication, and Comorbidity (TACC). It evaluates the appropriateness of TACC criterion selections before and after implementing the medical audit and RRNS indicator review with TACC at FKTP in Bantaeng Regency. The FKTPs that were sampled were those that met RRNS indicators at Ulugalung Health Center, Kota Health Center, and Pabentengang Health Center in Bantaeng Regency, had KBK compensation, and achieved 100% KBK for six consecutive months. The study results show that non-specialist referrals (RNS) with TACC were lower than those with RRNS TACC before the review and medical audit intervention. In Bantaeng District, 92.05% of referrals were Specialist Referrals, while 7.95% were Non-Specialist Referrals (0.92% RNS without TACC and 7.03% RNS with TACC). Additionally, following the TKMKB intervention, TACC criteria for Time were also reduced, suggesting an increase in the quality of referrals, particularly in selecting TACC criteria at FKTP in compliance with current norms and guidelines. Thus, the Branch Quality and Cost Control Team's contribution to enhancing referral quality via the medical audit and assessment of RRNS indicators with TACC at FKTP is deemed successful.
Co-Authors Ahmad, Sitti Musdalifah Ahmad, St. Musdalifah Firdaus Firdaus MUHAMMAD ALI Prasetiya, Ihwan Sahrullah, Sahrullah Sari, Andi Rifka Yuliana Selpiaty, Rezki Yuliana Sari, Andi Rifika