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Analisis dan Relevansi Cost-Benefit Analysis sebagai Dasar Pengambilan Keputusan Investasi Rumah Sakit di Era Jaminan Kesehatan Nasional (JKN) Nailul Fithri Arrasily; Tri Jenny Minarsih; Nur Laili Farhiyah; Hashifah Faizah; Budi Hartono; Ilma Wizraa
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.3055

Abstract

Studi literatur ini menganalisis dinamika manajemen piutang rumah sakit di Indonesia dan relevansi Cost-Benefit Analysis (CBA) sebagai dasar pengambilan keputusan investasi di era Jaminan Kesehatan Nasional (JKN). Implementasi JKN dengan sistem pembayaran prospective payment INA-CBGs telah mengubah lanskap keuangan rumah sakit, menimbulkan tantangan signifikan dalam pengelolaan piutang dan arus kas. Penelitian ini bertujuan untuk menganalisis dampak JKN terhadap manajemen piutang dan mengevaluasi peran CBA serta metode capital budgeting lainnya dalam keputusan investasi rumah sakit. Dengan menggunakan pendekatan studi literatur sistematis terhadap jurnal ilmiah berbahasa Indonesia dan Inggris yang diterbitkan antara tahun 2015-2025, ditemukan bahwa piutang BPJS Kesehatan yang menunggak meningkat, memengaruhi likuiditas dan profitabilitas rumah sakit. Meskipun demikian, banyak proyek investasi rumah sakit menunjukkan kelayakan finansial berdasarkan analisis capital budgeting tradisional. Analisis menunjukkan bahwa CBA perlu diperluas untuk mengukur manfaat sosial di samping manfaat finansial. Implikasi dari temuan ini menggarisbawahi pentingnya pengelolaan piutang yang proaktif dan investasi dalam teknologi informasi bagi manajemen rumah sakit, serta perlunya penyesuaian kebijakan tarif dan pembayaran klaim oleh pembuat kebijakan untuk memastikan keberlanjutan layanan kesehatan di era JKN.
Analisis Kelengkapan Pengisian dan Ketepatan Waktu Pengembalian Dokumen Rekam Medis Rawat Inap Rumah Sakit Ibu dan Anak Zainab Pekanbaru Tahun 2025 Hashifah Faizah; Doni Jepisah; Abdurrachman Rafiqi Abdi
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 2 (2026): SENTRI : Jurnal Riset Ilmiah, Februari 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i2.5743

Abstract

Inpatient medical records are essential documents that function as clinical, administrative, legal, financial, research, and managerial information sources in hospital health services. The completeness of documentation and the timeliness of returning medical record files are important indicators of service quality, continuity of care, and patient safety. Incomplete records and delayed returns may affect clinical decision-making, reporting accuracy, and hospital performance evaluation. This study aims to analyze the completeness of documentation and the timeliness of returning inpatient medical records at Zainab Mother and Child Hospital, Pekanbaru, in 2025, as well as to identify factors influencing these processes. This study employed a qualitative approach using a case study design. Data were collected through direct observation of inpatient medical record workflows, in-depth interviews with medical record officers, nurses, and physicians, and document review of standard operating procedures and medical record timeliness reports. Data triangulation was applied to ensure the credibility of the findings. The results indicate that incomplete documentation was still found in several important components, particularly in patient progress notes and authentication sections. In addition, delays in returning medical record files beyond the established 2 × 24-hour standard were identified. Contributing factors included limited human resources, high workload, lack of routine monitoring and evaluation, and inadequate supporting facilities. This study concludes that improving the quality of inpatient medical record management requires strengthening human resource competencies, enforcing compliance with standard operating procedures, and enhancing supervision and coordination among related service units.
Identifikasi dan Pengelolaan Risiko Pelayanan Farmasi di Rumah Sakit: Studi Deskriptif Defrika Muharani; Nailul Fithry Arrasily; Tri Jenny Minarsih; Hashifah Faizah; Nur Laili Farhiyah; Budi Hartono; Alfani Gusta Daud
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 2 (2026): SENTRI : Jurnal Riset Ilmiah, Februari 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i2.5843

Abstract

Pharmacy services in hospitals are a vital component of healthcare systems, aiming to ensure the safe, rational, and efficient use of medicines. The increasing complexity of pharmacy operations elevates the likelihood of various risks in both clinical and operational domains. This study provides a descriptive analysis of the types of risks inherent in hospital pharmacy services and the corresponding risk management efforts based on empirical evidence. Findings reveal that medication errors are the most prevalent clinical risk, particularly during prescribing, preparation, and administration phases, potentially compromising patient safety and therapeutic outcomes. Operational risks also present significant challenges, as indicated by high levels of dead stock and expired medicines, reflecting weaknesses in forecasting and inventory control. Key contributing factors include limited human resources, suboptimal information systems, and high workload pressures. Additionally, barriers to incident reporting due to a punitive organizational culture hinder effective risk mitigation. Although the management of pharmaceutical risks is mandated by the Ministry of Health Regulation No. 72 of 2016, its implementation effectiveness remains constrained and demands improvement through integration of digital technologies, enhancement of pharmaceutical workforce competencies, and cultivation of a strong patient safety culture. These insights underscore the necessity for comprehensive strategies to foster pharmacy services that are safe, effective, and efficient.