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All Journal Jurnal Kesmas dan Gizi (JKG) JURNAL ILMIAH ADVOKASI
Novita Br Ginting
Institut Kesehatan Medistra Lubuk Pakam
Law, Crime, Criminology & Criminal Justice Public Health

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Analysis of the Hospital Information System (SIRS) on the Performance of the Medical Record Unit at RSUD Andi Kusmawan; Reny Aprinawaty; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/yegdfg12

Abstract

Background: RSUD Sultan Sulaiman in Serdang Bedagai Regency faces challenges in implementing the Hospital Information System (SIRS), particularly in the medical record unit. Although several departments have started implementing SIRS, manual record-keeping is still practiced in the medical record unit, leading to delays in patient data flow and a lack of coordination between units. Research Objectives: This study aims to analyze the implementation of SIRS at RSUD Sultan Sulaiman, focusing on the medical record unit, and to identify the factors that hinder the system's implementation. This research also provides recommendations to improve the efficiency of medical data management. Research Methodology: This research uses a qualitative approach with descriptive analysis methods. Data was collected through interviews with pharmacy officers, head of the pharmacy department, head of the medical record unit, and direct field observations. Thematic analysis was used to identify the factors hindering and benefiting the implementation of SIRS. Research Results: The implementation of SIRS has expedited administrative processes and improved coordination between units. However, challenges related to human resources, training, and inadequate hardware continue to hinder optimal implementation. Conclusion: Intensive efforts in training, provision of adequate hardware, and regular system evaluation are needed to support the optimal implementation of SIRS, which is expected to improve the efficiency of medical services at RSUD Sultan Sulaiman.
Analysis Of Response Time In The Comprehensive Emergency Obstetric Neonatal Care (PONEK) Unit At Sultan Sulaiman Regional General Hospital In 2026 Samsinar; Rahmad Gurusinga; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/fqm6vd64

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain significant challenges in Indonesian healthcare. The speed of medical intervention, or response time, in the PONEK unit is a critical factor in saving the lives of mothers and newborns. As a 24-hour PONEK service provider, Sultan Sulaiman Regional General Hospital must ensure that emergency response times meet established standards to prevent fatal complications. This study aims to analyze the implementation of response time in the Comprehensive Emergency Obstetric Neonatal Care (PONEK) unit at Sultan Sulaiman Regional General Hospital in 2025, examined through aspects of human resource availability, competence, shift distribution, and specialist coordination. This research employs a descriptive qualitative method. Data collection was conducted through in-depth interviews with key informants (ER doctors, PONEK midwives, nurses) and triangulation informants (Head of Medical Services, Head of PONEK). Data analysis was performed thematically to provide an in-depth overview of the supporting and inhibiting factors of response time. The study identified that response time is influenced by the availability of 24-hour on-call specialists, the number of team members on each shift, and the effectiveness of coordination between the ER and the PONEK unit. Identified obstacles include unbalanced workloads at certain times and the need for regular competency training updates for the PONEK team.
IMPLIKASI AUDIT PASCA KLAIM BPJS KESEHATAN TERHADAP KERUGIAN RUMAH SAKIT DALAM PERSPEKTIF AKUNTABILITAS DAN PRINSIP KEADILAN (STUDI PADA RSU GRANDMED) Redyanto Sidi; Felix Kasim; Basyariah Lubis; Novita Br Ginting; Sri Melda Br Bangun
Jurnal Ilmiah Advokasi Vol 14, No 1 (2026): Jurnal Ilmiah Advokasi
Publisher : Universitas Labuhanbatu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36987/jiad.v14i1.9100

Abstract

Post-claim audits conducted by BPJS Kesehatan serve as a supervisory mechanism to ensure accountability in the management of the National Health Insurance (JKN) funds. However, audit practices that result in claim corrections or deductions may cause financial losses to hospitals and raise concerns regarding procedural and distributive justice. This study aims to analyze the implications of post-claim audits on hospital financial losses from the perspective of accountability and the principles of justice at RSU Grandmed. This research employed a mixed-method approach with a cross-sectional design involving 97 respondents selected through purposive sampling. Quantitative data were analyzed using multiple linear regression, examining variables such as transparency of the claim process, auditor accountability, tariff adequacy, timeliness of payment, and allocation of claim funds. The findings indicate that, partially, transparency of the claim process, tariff adequacy, timeliness of payment, and allocation of claim funds significantly influence the hospital’s financial condition, while auditor accountability was not significant in the bivariate analysis. However, simultaneously all variables demonstrated a significant effect on hospital financial losses and financial sustainability (R² = 0.693). These findings demonstrate that post-claim audits are not merely administrative mechanisms but have direct implications for hospital financial stability. Therefore, audit mechanisms must be implemented in a transparent, consistent, objective, and justice-oriented manner to maintain a balance between public accountability and the sustainability of health service delivery.Keywords: Indonesia Health Social Security Agency; post-claim audit; accountability; principles of justice; hospital financial loss.
Analisis Fasilitas Pelayanan Kegawatdaruratan Obstetri Neonatal Emergensi Komprehensif (PONEK) di RSUD Sultan Sulaiman Tahun 2026 Rianta rianta; Barita Aritonang; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/s95b3z36

Abstract

Pelayanan Kegawatdaruratan Obstetri Neonatal Emergensi Komprehensif (PONEK) di rumah sakit merupakan ujung tombak dalam upaya penurunan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Sebagai rumah sakit rujukan di Kabupaten Serdang Bedagai, RSUD Sultan Sulaiman wajib menyelenggarakan pelayanan PONEK 24 jam yang didukung oleh fasilitas yang memadai sesuai dengan standar nasional guna menangani kasus kegawatdaruratan secara cepat dan tepat. Penelitian ini bertujuan untuk menganalisis fasilitas pelayanan PONEK di RSUD Sultan Sulaiman Tahun 2025, yang mencakup ketersediaan, kelengkapan, dan kelayakan sarana dan prasarana dalam mendukung pelayanan kegawatdaruratan obstetri dan neonatal. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Data dikumpulkan melalui wawancara mendalam kepada informan utama dan informan triangulasi, observasi lapangan, serta telaah dokumen. Analisis data dilakukan dengan teknik analisis isi untuk mengevaluasi kesesuaian antara kondisi fasilitas di lapangan dengan standar dan regulasi yang berlaku. Hasil penelitian menunjukkan bahwa fasilitas PONEK di RSUD Sultan Sulaiman secara umum telah tersedia dan mendukung pelayanan, namun masih terdapat beberapa keterbatasan. Ketersediaan alat kesehatan, bahan medis, serta dukungan fasilitas penunjang seperti laboratorium dan bank darah 24 jam menjadi faktor krusial dalam menunjang pelayanan. Selain itu, masih diperlukan peningkatan dalam pemenuhan standar fasilitas dan pemeliharaan sarana prasarana agar pelayanan PONEK dapat berjalan secara optimal.
Co-Authors Andi Kusmawan Aritonang, Barita Felix Kasim Lubis, Basyariah Rahmad Gurusinga Redyanto Sidi Reny Aprinawaty Rianta rianta Samsinar Sri Melda Bangun