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Employee Engagement in a Multigenerational Workforce at Hospital X Kristi, Gandhi; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.411

Abstract

As the organization grows each year, the workforce will continue to change. New hires may come from older or younger generational groups, leading to a multigenerational workforce in the organization. It is known that each generational group has different characteristics that can affect employee engagement per generation in the workplace. This study aims to determine the depiction of the multigenerational workforce and employee engagement in the multigenerational workforce at the hospital. This study used a cross-sectional study and was conducted by distributing online questionnaires to health workers who worked at Hospital X. The results found that a multigenerational workforce is apparent in Hospital X. It was also found that the oldest generation group in the hospital, Generation X, had the highest average engagement score. Through analysis, a significant relationship was also found between the multigenerational workforce and employee engagement. The discovery of a multigenerational workforce and differences in the level of employee engagement in generational groups indicates that hospital management must take advantage of the diversity that exists. Strategies are also needed to increase and maintain employee engagement in each generational group.
The Influence of Non-Physical Special Allocation Funds in the Health Sector in Improving the Implementation Calibration of Medical Devices Public Health Centers in Indonesia Wulan Sri Damayanti; Masyitoh Bashabih
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i1.3669

Abstract

The quality of health services at the health center is greatly influenced by health equipment. Efforts to maintain health equipment so that it functions properly and is suitable for use include carrying out maintenance including calibration of medical devices. In 2022, the calibration achievement of health centers is still very low compared to the achievement of hospital calibration (health centers 34.1% and hospitals 70.2%). One of the factors causing the low calibration implementation is the lack of budget availability. In 2023, the government provided budget support for health center calibration through the Health Sector Nonphysical Special Allocation Fund. This study aims to determine the achievement of the implementation of medical device calibration at health centers in Indonesia in 2022 and 2023 and the effect of the Nonphysical Special Allocation Fund for the health sector in 2023 on improving the implementation of calibration at health centers. This study is a quantitative study with a cross-sectional design. Data collection used secondary data with a total sampling of 10,374 health centers. Data analysis techniques were carried out univariate and bivariate using SPSS.  Univariate analysis showed an increase in the proportion of health centers that calibrated medical devices by 22.6% from 34.1% in 2022 to 56.7% in 2023. Similarly, the proportion of calibrated medical devices increased by 3.5% from 6.6% in 2022 to 11.6% in 2023. Bivariate analysis using the T-test obtained a p-value = 0.008 and the Chi-Square test obtained a p-value = 0.002, indicating an association between the Nonphysical Special Allocation Fund for the Health Sector and the increase in the calibration achievement of puskesmas in 2023.
ANALYSIS OF PUBLIC SAFETY CENTER 119 AMBULANCE SERVICES USING LEAN SIX SIGMA Rojak, Thasya Sabilla Putri; Basabih, Masyitoh; Winarto; Suranta, Roy Michael
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.258-269

Abstract

Background: DKI Jakarta reports about 5,000 annual deaths from heart disease, disasters, accidents, and other causes. Ambulance demand has risen, especially for COVID-19 cases that require quick medical attention. In 2022, the average emergency response time was 21-30 minutes. Therefore, efforts are needed to improve the response time of PSC 119 ambulances to minimize impacts.  Aims: This study uses the Lean Six Sigma methodology to analyze the factors contributing to prolonged response times in emergency ambulance services. Methods: This study used a mixed-method approach based on the DMAI (define, measure, analyze, and improve). The data were collected through observations, document reviews, and in-depth interviews. Results: The results showed that the average duration of ambulance services was 4 hours and 30 minutes. The identified inefficiencies include software issues with the Nusantara app, staff fatigue, and license renewals, difficult access for ambulance and URC units, delays from call center staff awaiting family decisions, closely located posts leading to fewer cases per post, community-initiated patient movements, challenges in finding suitable referral hospitals for special cases, and slow response times from referral hospitals. Conclusion: The recommended improvements include using a kaizen board, conducting expert training, promoting the Integrated Referral System or Sistem Informasi Rujukan Terintegrasi (SISRUTE), and revising standard operating procedures. Keywords: ambulance services, Public Safety Center 119, Lean Six Sigma
Training Management Analysis In Medical Service Training Program Trisnawati, Wisda; Basabih, Masyitoh; Sigalingging, Basrin Harsono
Jurnal Riset Kesehatan Vol 13, No 2 (2024): NOVEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i2.11385

Abstract

Indonesia still faces a problem with the quality of its human resource for health, despite the potential for improvement through training. According to the Ministry of Health data from 2022, only 44,391 out of 1,440,130 healthcare workers (3%) received accredited training., with many lacking a proper management process. The purpose of this study is to analyze the management of health worker training at Medstrap, organized by Company X using the Analyze, Design, Develop, Implement, Evaluate (ADDIE) Model. Researcher uses a cross-sectional design with a qualitative approach and uses in-depth interviews, observation, and document review. The result are: The analysis phase of training lacks depth, making it difficult to identify clear objectives, which are essential for developing a training roadmap. In the design phase, the absence of a clear blueprint for learning objectives and materials impacts the selection of methods and resources. Delivery and time management are big problems that can be seen from the implementation of training, which is influenced by the ability of the presenter to communicate and master the participants. Evaluation is limited by inadequate time and presenter capabilities, making it hard to measure training outcomes effectively. These issues, particularly in the analysis phase, highlight the need for improvement in the Medstrap process.
ANALYSIS OF THE ANNUAL PLANNING PROCESS IN DINAS KESEHATAN PROVINSI DKI JAKARTA ON THE YEAR OF 2019 Rahmalina, Septia; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 6, No. 3
Publisher : UI Scholars Hub

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Abstract

Planning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The data were collected through in-depth interviews and document review. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. The researcher suggests that the planner's quality needs to be improved again, given adequate facilities and more detailed SOP development. Keywords: Planning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The data were collected through in-depth interviews and document review. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. The researcher suggests that the planner's quality needs to be improved again, given adequate facilities and more detailed SOP development.
POLICY OF PATIENT SAFETY GOVERNANCE FOR HOSPITALIZED PATIENT AT THE KOJA PUBLIC HOSPITAL IN 2019 Yolanda, Tiara Fani; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 5, No. 1
Publisher : UI Scholars Hub

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Abstract

Clinical governance is a structured organizational framework to improve the quality and safety of patients in the hospital which made by the NHS into seven pillars and adjusted to RI Law No. 44 of 2009. The evaluation results from the quality and patient safety team of Koja Public Regional Hospital in 2018, showed that there is Fall Patient incidents (6 events), KTD and KNC (13 events) which is not following the 0 % of the target from Patient Safety Goals by the Ministry of Health. The study was conducted to analyze patient safety governance for hospitalized patients at the Koja Public Regional Hospital in 2019 based on 4 of the Clinical Governance theories, which are clinical leadership, clinical audit, clinical effectiveness (guidelines); and education, training, and development of conservation profession. This study is using in-depth interview methods through the Purposive Sampling method and also reviewing documents conducted from May to June 2019. The results of the study found that the implementation of Clinical Leadership in Koja Public Hospital was running quite well but not yet optimal because the leadership system, which used the Line Organization to help to faster the decision-making process, is still weak in monitoring. From the Clinical Pathway (CP) evaluation, The medical audit was done well, but the monitoring and evaluation aspects are not yet optimal. The evaluation of clinical effectiveness showed that the compliance to fill the CP form was not optimal because of the lack of CP benefit socialization. Training and courses were done pretty well but have not been evaluated yet. The management team recommends monitoring, collaborating with the medical committee to evaluate the CP usage, providing training related to CP procurement to increase understanding, and also providing necessary training and its evaluation
AN ANALYSIS ON NON-SPECIALIST OUTPATIENT REFERRALS AT BEJI AND DEPOK JAYA HEALTH CENTERS IN 2018 Pertiwi, Tasya Caesarena; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

The Health Social Security Agency (BPJS kesehatan) is one of the government’s efforts to provide quality healthcare for the people. To guarantee its quality and maintain efficiency, a tiered referral system is used. However, there were many problems in its implementation. One of the ways to investigate is to evaluate the non-specialist outpatient referrals (RRNS). Therefore, in March-July 2018, this research was performed in order to analyze whether the system was implemented at Beji and Depok Jaya Health Center. The method used was the qualitative research method, with primary data from in-depth interviews and secondary data from documents. It was discovered that both Centers had optimal RRNS ratios (0%). This was because the doctors at both Centers has provided referrals as indicated and there was feedback on the RRNS total. The civil servant (PNS) doctors at both centers were experienced and skillful, but the number of doctors was insufficient compared to their workload. The non-PNS doctors also were not sufficiently trained. Other problems include insufficient equipment and medication provision.
Analysis of Non-Prescription Drug Services Via Telemedicine Using the Lean Six Sigma Method: Case Study in a Company Clinic Nurmadani, Labbaika; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The non-compounded prescription drug service via telemedicine became an alternative solution to continue providing pharmaceutical services while simultaneously controlling physical contact in hospitals during the COVID-19 pandemic. However, after its implementation, hospitals still need to improve the effectiveness of this telemedicine service. This study aims to propose improvements to enhance the effectiveness and efficiency of non-compounded drug services via telemedicine using the Lean Six Sigma method. This method is used to identify and eliminate all waste in the business process (service) to make efficient use of time and other resources. The study uses both quantitative and qualitative approaches, with data collection through observation, document review, and in-depth interviews. The quantitative approach was used to calculate service times, while the qualitative approach was employed to explore and examine the implementation of telemedicine for non-compounded drug services. The interview results revealed at least three main problems that cause significant delays in drug service processes, namely: drug requests not being processed through the system, incomplete patient data, and delays in doctors' confirmations regarding medication changes. Observations showed that the average service time for non-compounded drug prescriptions via telemedicine is 1 hour, 37 minutes, and 11 seconds, with value add activities taking 32 minutes and 39 seconds (33.6%) and non-value-added activities taking 1 hour, 4 minutes, and 32 seconds (66.4%). The identified waste includes overprocessing, waiting, motion, and defects, leading to proposed improvements such as work standardization, flowchart refinement, 5S, and Kaizen.
Dental Radiation Safety In Radiography Policies: Scoping Review And Findings In Indonesia Illiyana, Himma; Basabih, Masyitoh
INJURITY: Journal of Interdisciplinary Studies Vol. 2 No. 7 (2023): INJURITY: Journal of Interdisciplinary Studies.
Publisher : Pusat Publikasi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58631/injurity.v2i7.98

Abstract

Radiation safety is important to prevent deterministic and stochastic effects on patients. The aims of this review are to summarize and provide an overview of radiography policies on dental radiation safety and to identify the gaps between Indonesia’s radiography policies with worldwide best practices. The review is based on the PRISMA-ScR. Articles are searched through Embase, Pubmed and Scopus. Articles focused on dental radiation safety are included with addition of policy documents found by manual searching. Results are summarized in a table and in-text and analyzed by comparing with policies in Indonesia.Ten articles are collected and identified as policy statement (n = 2), guideline (n = 2), and recommendation (n = 6). Three themes are used to summarize the findings: (1) target, (2) qualified expert, and (3) best practice. The result shows that all policies have incorporated safety radiation principles. Radiography policies regulates: dental practitioners and trained operators as personnel qualified to conduct radiography examination; appropriate technique and practical measures; x-ray maintenance and radiological testing. The scope of radiography policies in Indonesia is extensive, with health facilities and service providers as the primary policy targets
Optimizing Healthcare Professionals' Communication with Patients during Inpatient Hospital Discharge: A Systematic Review Gultom, Chiefriana Dearni; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.498

Abstract

This systematic review analyzed the role of communication between nurses, doctors, and patients in the inpatient discharge process, as well as the barriers encountered during this process. A total of 34 studies meeting the inclusion criteria—articles published in English or Indonesian addressing nurse-doctor communication and patient discharge—were analyzed. The exclusion criteria included studies that did not involve nurse-doctor communication, did not assess discharge communication, or did not undergo peer review. Findings from the studies indicate that caregiver involvement, the use of written guidelines, and communication technologies such as telemedicine can enhance patient understanding and improve discharge outcomes. However, barriers such as lack of coordination among medical professionals, communication difficulties with patients who have language limitations or complex medical conditions, and unclear post-discharge information were identified. This review adheres to the PRISMA reporting standards and is registered with PROSPERO. The study provides insights into the importance of clear communication, caregiver involvement, and interprofessional collaboration in improving patient safety and discharge success. It is hoped that these findings will help enhance the effectiveness and safety of patient discharge practices.