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Marian Tonis
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Journal of Hospital Administration and Management (JHAM)
Published by Universitas Awal Bros
ISSN : 27228193     EISSN : 27228193     DOI : https://doi.org/10.54973/jham.v3i2
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Medicine & Pharmacology Public Health
Focus & Scope Hospital Information and Management System Hospital Administration Occupational Health and Safety Health Education and Promotion Public Health Science Medical records Hospital Accreditation General Management Leadership Human Resource Management Production Management Marketing Management Financial management Information Management Strategy and Operations Management
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 167 Documents
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STUDI FENOMENOLOGI UPAYA KELUARGA DALAM PERKEMBANGAN ANAK BERKEBUTUHAN KHUSUS DI SPECIAL KIDS DAN THERAPY PEKANBARU Harahap , Putri Khadijah; Gumayesty, Yeyen; Priwahyuni, Yuyun; Kursani, Elmia
Journal of Hospital Administration and Management (JHAM) Vol 6 No 2 (2025): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v6i2.807

Abstract

Developmental disorders are failure to grow and develop when a child is born at term but experiences disabilities or even before birth so that they are different from normal children in general. This research aims to support families in the development of children with special needs in 2023. This research uses a qualitative type with a phenomenological approach and was conducted at Special Kids and Therapy Pekanbaru in May-August 2023. The informants for this research were 8 people, namely parents of children with special needs as main informant, other families of children with special needs as key informants, therapists as supporting informants. Data were collected using observation and in-depth interviews and processed using the triangulation method. The results of the research show that it is known that the development of each type of child with physical impairment, speech impairment and hearing impairment is not yet optimal, the fulfillment of nutritious food intake is not yet balanced due to irregular eating patterns, providing stimulation at home and in therapy places by inviting children to play and study, therapy For children with special needs, it has been carried out according to the therapist's recommendations, the parents have implemented parenting patterns using a democratic parenting style. The conclusion of this research is that the provision of nutritious food intake is not balanced because children are picky eaters so that children's development is not optimal.
MANAJEMEN PENGELOLAAN SARANA DAN PRASARANA DI UNIT RAWAT INAP RUMAH SAKIT TENTARA KOTA PEKANBARU TAHUN 2025 Maharani, Maudy; Candra, Leon; Widodo, M. Dedi
Journal of Hospital Administration and Management (JHAM) Vol 6 No 2 (2025): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v6i2.809

Abstract

Facilities and Infrastructure is a unit responsible for maintaining both medical and non-medical facilities, including minor repairs across all hospital buildings, covering architecture and utilities. The maintenance system in the Inpatient Unit of the Tentara Hospital in Pekanbaru is considered suboptimal, as seen from the facilities that are not suitable for use and the limited workforce in the facilities and infrastructure section which has an impact on the effectiveness of services and the safety of using medical equipment.. This study aims to examine the management of facilities and infrastructure in the Inpatient Unit of the Tentara Hospital Pekanbaru in 2025. The research uses a qualitative method with a case study approach, involving three informants. Data were collected through in-depth interviews, observation, and document review. The results show that manpower in the Hospital Facilities and Infrastructure Installation is still insufficient and not specifically assigned to handle facilities and infrastructure issues. Although the maintenance budget is available, there is no allocation for travel expenses. The absence of standard operating procedures results in inappropriate maintenance methods. Machine maintenance is routinely conducted on-site due to the lack of a workshop. Several inpatient room facilities such as air conditioners, toilets, and ceilings are poorly maintained, and spare parts for medical equipment remain incomplete. It is concluded that manpower does not meet the standard, and although the maintenance budget is sufficient, there are delays in fund disbursement. Some materials in inpatient rooms are not well-maintained, and medical equipment spare parts are still lacking. On-site machine maintenance continues due to the absence of a workshop. Maintenance procedures remain inadequate due to the lack of standard operating procedures. It is recommended that the hospital establish an Hospital Facilities and Infrastructure Installation organization, provide training, and build a workshop to optimize facility and infrastructure maintenance
EFISIENSI PENGGUNAAN TEMPAT TIDUR PADA PELAYANAN RAWAT INAP TAHUN 2024 DI RUMAH SAKIT AWAL BROS GAJAH MADA TANGGAL 20 JANUARI S/D 05 FEBRUARI 2025 Mirawati, Dian; SITUMORANG, MASRIANI; Dr.Mulyana, SKM., M.Kes; ERWINDA, TASYA AULIA; DELIA ALTESA PUTRI; SULIS OKTA ANGGERAINI
Journal of Hospital Administration and Management (JHAM) Vol 6 No 2 (2025): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v6i2.811

Abstract

Hospital bed utilization efficiency is an essential indicator used to assess the performance and service quality of inpatient care. This study evaluates the efficiency of bed use at Awal Bros Gajah Mada Hospital in 2024 using the Barber Johnson method, which incorporates four core indicators: Bed Occupancy Rate (BOR), Average Length of Stay (AvLOS), Turn Over Interval (TOI), and Bed Turn Over (BTO). Data were obtained from inpatient daily census reports, totaling 57,729 hospitalization days, 261 available beds, and 19,432 discharged patients. Results showed that AvLOS, TOI, and BTO met the ideal standards of Barber Johnson, while BOR remained below the optimal range. The analysis also identified incomplete daily census documentation as the main constraint in producing accurate indicators. Factors contributing to census inaccuracy included high nurse workload and limited understanding of reporting procedures. This study concludes that although most indicators reflect efficient bed utilization, improvements in BOR and census accuracy are still required to optimize hospital resource management.
HAMBATAN SISTEM, DUKUNGAN MANAJEMEN, DAN BUDAYA KESELAMATAN DALAM PELAPORAN DAN INVESTIGASI KECELAKAAN DAN PENYAKIT AKIBAT KERJA DI RUMAH SAKIT Yulyanti, Depi; Fadil Ahmad Junaedi; Tony Prabowo; Fauzi Nurrahman Hidayat; Helma Halimarussadiyah
Journal of Hospital Administration and Management (JHAM) Vol 6 No 2 (2025): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v6i2.812

Abstract

Occupational safety and health is an important issue in hospitals due to the high number of accidents and occupational diseases that can occur among both healthcare and non-healthcare workers. Incident reporting and investigation are important aspects of achieving continuous learning and incident prevention, but in practice, each still faces several challenges. This study aims to examine the experiences of hospital staff with reporting and investigating work-related injuries and illnesses from the perspectives of systemic barriers, management support, and safety culture. This study uses an exploratory qualitative approach and was conducted in six hospitals in the Tasikmalaya region, including government and private hospitals. Data collection was carried out through in-depth interviews, observations, and triangulation of other data with informants from the management team, the K3RS team, unit heads, and employees who had experienced KAK or PAK. The data were analyzed using thematic analysis. The results show that staff awareness and motivation to report incidents already exist, although less serious cases are not routinely reported, while serious cases are automatically reported because they are related to BPJS Ketenagakerjaan claims. Limitations in the reporting process are due to the system still being manual, as there is no digital reporting system in place, complex administration, and a shortage of human resources in the K3RS department, particularly occupational specialists or doctors who have undergone Hiperkes and Occupational Health training. Management support is quite responsive, but the safety culture that has developed is still reactive. Therefore, the study found that although reporting and health transparency in hospitals can still be implemented, strengthening the system, management, and a responsive safety culture is necessary to ensure that incident prevention can occur sustainably.
PENGARUH KOMUNIKASI INTERPERSONAL DOKTER GIGI MUDA TERHADAP KEPUASAN PASIEN DI RSGM IIK BHAKTI WIYATA KEDIRI Multia Ranum Sari; Zakaria, Andika; Manampin Siahaan, Sahat; Ramadhani Kusumastiti, Anisa
Journal of Hospital Administration and Management (JHAM) Vol 6 No 2 (2025): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v6i2.814

Abstract

Interpersonal communication is an essential clinical competency in dental care that directlycontributes to patient experience and service quality. This study aims to analyze the interpersonalcommunication influence of dental clinical students based on the CLASS framework (Context–Listening–Acknowledgement–Strategy–Summary) and its relationship with patient satisfactionat RSGM IIK Bhakti Wiyata Kediri. This quantitative cross-sectional study involved 144 patientsselected using simple random sampling. Interpersonal communication was measured using the14-item CLASS instrument on a Likert scale. Reliability testing yielded a Cronbach’s Alpha valueof 0.84, indicating excellent reliability. Descriptive analysis showed that all CLASS components fellinto the very good category. Spearman correlation analysis produced a value of 0.000 (p-value <0.05), indicating that effective interpersonal communication between dental clinical interns andpatients leads to higher levels of patient satisfaction. Overall, interpersonal communicationamong dental clinical students was effective and consistent, and there was a significantrelationship between interpersonal communication and patient satisfaction
EFEKTIVITAS BUNDEL CATS DENGAN BUNDEL MODIFIKASI CATS TERHADAP PENURUNAN KEJADIAN INFEKSI DAERAH OPERASI PADA PASIEN OPERASI CAESARIA DI RSU MITRA MEDIKA TAHUN 2020 Kuesno, Kartika; Devi Fitriani , Arifah; Theo , Deli
Journal of Hospital Administration and Management (JHAM) Vol 5 No 2 (2024): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v5i2.848

Abstract

Background; Surgical Site Infection is an infection of the surgical wound or organs / space that occurs within 30 days after surgery or within 1 year if there is an implant. Sources of bacteria in SSI can derived from patients, doctors and teams, the environment, as well as the medical instrumental. Bundles are a set of valid evidence-based practices that result in improved health care outcomes when carried out collectively and consistently. Objectives; This study aims to compare the effectiveness of the CATS bundle with the modified CATS bundle on the incidence of SSI in caesarean surgery at Mitra Medika General Hospital. Methodology; The design of this study is quasi-experimental research, with a non-equivalent control group posttest - only design. The population in this study were 873 patients who underwent caesarean section surgery at Mitra Medika General Hospital. The sample of this study using purposive sampling, amount to 90 patients. Analysis of the data in this study using the Chi Square test. Results; The results of the Chi Square test analysis showed that the Fisher Exact p value was 0.167 . The p value was> 0.05, so H0 was accepted and H1 was rejected. Conclusions; The conclusion of this study is that there is no difference in the effectiveness of the CATS bundle and the modified CATS bundle on the incidence of SSI in caesarean section surgery patients at Mitra Medika General Hospital.
Model Integrasi Sistem Manajemen Radiologi Digital untuk Peningkatan Efisiensi dan Akurasi Pelayanan Diagnostik Bisra, Marido; Tonis, Marian; Handoko, Bobi
Journal of Hospital Administration and Management (JHAM) Vol 6 No 1 (2025): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v6i1.890

Abstract

The increasing complexity of diagnostic imaging services raises critical questions regarding how digital integration can improve the efficiency and accuracy of radiology management systems. Although digital technologies such as Radiology Information System and Picture Archiving and Communication System have been widely implemented, many healthcare institutions still experience fragmented workflows, reporting delays, and administrative errors. This study aimed to develop an integrated digital radiology management system model to optimize diagnostic service workflows. The research employed a system modeling and evaluation approach involving patient registration, image acquisition, reporting, and diagnostic information distribution processes. The results demonstrated that the implementation of the proposed integration model reduced patient registration time from 12 minutes to 5 minutes (58.3%), shortened image acquisition and transfer time from 18 minutes to 9 minutes (50.0%), and decreased report turnaround time from 45 minutes to 22 minutes (51.1%). Administrative error rates declined from 8.2% to 2.1%, while diagnostic report distribution accuracy increased from 89.4% to 98.7%. These findings indicate that digital system integration significantly enhances operational efficiency and diagnostic accuracy through structured data management and real-time information accessibility. This study concludes that the integration of digital radiology management systems represents a strategic solution for improving effective, accurate, and patient-centered diagnostic healthcare services
PERAN KEARIFAN LOKAL DALAM MEMBANGUN CITRA RUMAH SAKIT : TINJAUAN LITERATUR SISTEMATIS Rina Asih Budi Cahyaningrum, Rina Asih Budi Cahyaningrum; Hartono, Bayu; Sekar Arumdani , Intan
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.796

Abstract

​​ This study analyzes hospital image through sustainable policies that integrate local wisdom and holistic care approaches. Local wisdom-based policies are considered capable of adapting services to the community's cultural values, whereas holistic care emphasizes comprehensive treatment encompassing physical, emotional, social, and spiritual aspects. A descriptive analysis based on the Scopus database reveals that research trends using the keywords "holistic AND care AND policy" peaked in 2024, with the United States dominating the research field. This topic involves several multidisciplinary perspectives, including managerial, social, cultural, and health aspects. The holistic care approach is regarded as a strategic dimension capable of providing added value to hospital services, thereby exerting a positive impact on public perception of health institutions. In conclusion, a positive hospital image can be built through strategies that integrate sustainable policies based on local wisdom and holistic care. This strategy not only supports the sustainability of hospital operations but also strengthens the emotional connection between the hospital and the community.
EVALUASI PKRS PADA RSD IDAMAN KOTA BANJARBARU Hasymi, Liana Fitriani; Marliadi, Reny; Wahyuni, Rizka Ayu; Hadarani, Muhammad
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.842

Abstract

Hospital Health Promotion (PKRS) is an important part of healthcare services aimed at improving the knowledge, awareness, and healthy behavior of patients and hospital visitors. Evaluation of PKRS implementation is necessary to determine the program's effectiveness and identify aspects that still need improvement. This study aims to disseminate the implementation of PKRS at RSD Idaman, Banjarbaru City based on input, process, output, and impact indicators. The study used a qualitative approach with in-depth interviews with the PKRS Team. The results showed that PKRS implementation has been running quite well, especially in terms of output and impact aspects, including the implementation of activities in various service units and increasing patient understanding of the health services provided. However, several obstacles were still found in the input and process aspects, such as suboptimal training of PKRS officers and the unequal distribution of health promotion media across all areas of the hospital. Therefore, it is necessary to increase human resource capacity, expand health promotion media, and strengthen periodic monitoring and evaluation to improve the effectiveness of PKRS implementation.
PERBANDINGAN ANGKA PENDING KLAIM RAWAT JALAN BPJS KESEHATAN BERDASARKAN LIMA KATEGORI PENYEBAB UTAMA: TINJAUAN DATA TIGA BULAN TERAKHIR Mulyana; Situmorang, Masriani; Bayazid, Nimas Esya; Cahyani, Hanifah; Farizha, Dinda
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.843

Abstract

Healthcare services through the National Health Insurance Program (JKN) require hospitals to manage the BPJS Kesehatan claims process accurately and timely, as delays or refunds can impact the continuity of hospital operations. One unit that plays a crucial role in this process is the Casemix Unit, which is responsible for grouping diagnoses and medical procedures and submitting claims based on BPJS Kesehatan regulations. This study aims to analyze the causes of the return of BPJS Kesehatan patient claim files for outpatient services at Awal Bros Gajah Mada Hospital. This study used a qualitative method with a descriptive approach, with Casemix Unit officers as the subjects and pending BPJS Kesehatan outpatient claim files as the objects. The results showed that of the 47,317 outpatient claim files from October–December 2024, 5,911 files (11.11%) were pending. The main causes of pending claims included incomplete required documents, inaccurate coding of diagnoses and medical procedures, problems with service episodes, and discrepancies between medical records and supporting examination results. The conclusion of this study indicates that completeness of files and accurate coding play a crucial role in the smooth processing of BPJS Kesehatan claims, necessitating increased coordination and accuracy in the outpatient claims management process.

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