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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 9 Documents
 1 
Search results for , issue "Vol. 14 No. 2 (2025): August 2025" : 9 Documents clear
Reduction of Emergency Room Service Time at St. Carolus Summarecon Serpong Hospital, Indonesia with DMAIC Approach in 2023 Saputera, Christina; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.519

Abstract

Service time is one of the quality ER’s indicators that is still a problem in various hospitals. This study was conducted based on the ER’s quality indicator achievement, service time ≤ 3 hours at St. Carolus Summarecon Serpong Hospital which always does not reach the target (74,3% of the target > 90% of total ER inpatients) and is reinforced by the researcher’s search in SINTA indexed journals, there has been no research discussing the ER’s service time improvement using DMAIC interventions up to the control stage. The result using operational research design, blended method and probability sampling techniques (a sample of 32 ER patients) successfully identified unplanned discharges of inpatients to cleaning service staff, room entrustment policies, waiting lists for VIP rooms, and the lack of human resources for inpatient nurses, as the root cause of the problem, reducing lead time from 4:14 to 2:39:2 (↓ 37,4%) at the post-intervention stage and to 2:19:46 (↓ 12,1%) at the control stage; reduce non value-added activities from 1:38:19 to 32:22 (↓ 67,1%) at the post-intervention stage and to 25:23 (↓ 21,6%) at the control stage and successfully eliminate waste transport, reduce waste waiting time and lead time by 55%.
Cost Analysis of Parturition with Sectio Caesarea at PKU Muhammadiyah Yogyakarta, Indonesia Hospital Based on INA-CBG’s Tariff in 2023 Hadning, Ingenida; Yumna, Nurina Faridah; Viviandhari, Daniek; Taufani, Indra Putra; Ha, Hai-Anh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.552

Abstract

The 2018 Riskesdas results showed that the prevalence of delivery by sectio caesarea in DIY was 23.1%. The high cost of sectio caesarea hinders access to public health, so the government implemented the INA-CBG's tariff. This study is the first to evaluate the INA-CBG's tariff based on the Permenkes RI Number 3 of 2023 for inpatient sectio caesarea delivery. This study aims to determine the difference between the cost of sectio caesarea delivery and the INA-CBG's tariff based on Permenkes RI Number 3 of 2023. Through this research, hospitals are expected to evaluate their services so that the costs of cesarean sections are under the INA-CBG's tariff. In addition, this research can serve as an evaluation of the INA-CBG's tariff for the government. This study used observational research methods and a cross-sectional approach. Data were obtained retrospectively by tracing medical records and treatment cost data of sectio caesarea patients from January to September 2023. Data were analyzed by descriptive analysis, one-sample t-test and one-sample Wilcoxon methods. The results of this study showed that the average actual cost was greater than the INA-CBG's rate, with significant differences in patients with class I code O-6-10-I, class II codes O-6-10-I and O-6-10-II, and class III code O-6-10-II, so that PKU Muhammadiyah Yogyakarta Hospital suffered losses.
Recommendations for the Sustainability of Patient-Centered Care’s Implementation in the Emergency Department: A Phenomenological Study Anshori, Mahfud; Rosa, Elsye Maria; Abdelazis, Toka
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.554

Abstract

The Patient-Centered Care (PCC) approach in health services is increasingly popular. However, its implementation is still not optimal, including in the Emergency Department (ED). The challenge is weak implementation and inconsistent understanding, requiring continuous improvement efforts to maintain its sustainability. This study aims to identify recommendations for improving the implementation of PCC in the ED. Qualitative research with a phenomenological approach was used in this study. Data collection through Focus Group Discussion (FGD) was conducted with 26 informants, and in-depth interviews with 11 informants selected through purposive sampling. Data analysis used Interpretative Phenomenological Analysis (IPA), which was processed using NVIVO 14. The validity and reliability of the research were achieved by applying trustworthiness. The main findings regarding recommendations for improvement identified five themes: providing human resources according to needs, improving communication between Healthcare Professionals (HCPs), improving service regulations, consistent monitoring and evaluation, and reducing security risks. An interesting aspect of this study is its focus on Patient-Centered Care (PCC) in the Emergency Department, a complex and underexplored setting. This research underlines the importance of integrating three aspects in implementing PCC, including what should be prepared for PCC, the implementation, and supporting aspects of PCC to ensure PCC effectiveness and its sustainability in the ED.
Exploring Clinical Pathway for Incomplete Abortion and Strategic Improvement Efforts: An Action Research Study Faisal, Yusuf Nur; Kusbaryanto, Kusbaryanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.562

Abstract

Clinical pathways (CP) are an evidence-based guideline designed for quality control and cost control of patient care. Clinical pathway compliance at one of the type C private hospitals in Indonesia (TCPH) was recorded at 0% during the first five months of 2023. This study aims to explore the factors influencing the application of the Clinical pathway for incomplete abortion and identify potential strategies to improve its utilization through an action research approach. This qualitative study employed two intervention cycles, including evaluation, identification of barriers, and socialization and education. Data were collected through Focus Group Discussions and were analyzed thematically. The study explored various aspects of CP implementation and evaluation for incomplete abortion, focusing on compliance assessment. The primary barriers identified were inadequate socialization, limited understanding, and restricted access to CP documents. Improvement strategies included providing medication packages, enhancing socialization efforts, and standardizing procedures across service units. Socialization was crucial in ensuring healthcare providers understood and adhered to CP, ultimately enhancing service effectiveness. The implementation of the incomplete abortion CP remains suboptimal due to the lack of audits, compliance monitoring, and socialization, leading to inconsistencies in care and reduced service effectiveness. A formal audit, strengthened monitoring, and improved socialization are necessary to ensure treatment uniformity and enhance service quality.
Does the Overcost Prediction Index Relate to Nursing Service Quality in BPJS Inpatients? Rustianawati, Yuni; Rusnoto, Rusnoto; Dedi, Blacius
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.581

Abstract

Health financing through the INA-CBGs system by BPJS Health frequently engenders a discrepancy between the actual hospital tariff and the INA-CBGs tariff. The discrepancy may result in overcosts associated with the quality of nursing services. This study examined the correlation between the overcost prediction index (which encompasses hospital tariffs, disease diagnosis, type of service, and length of stay) and the quality of nursing services in BPJS inpatients. The present study employed a quantitative descriptive method with a cross-sectional design, encompassing 104 BPJS class III inpatients at RSUD dr. Loekmonohadi Kudus, who were selected through a purposive sampling technique. The data were collected using a structured questionnaire tested for validity and reliability, then analyzed univariately and bivariately using Pearson's Chi-Square test. The findings indicated a substantial correlation between the components of the overcost prediction index and the quality of nursing services. This finding is statistically significant and makes a scientific contribution to developing health financing systems and nursing service quality. The practical implications of this study highlight the imperative for periodic evaluation of the INA-CBGs system, the precision of diagnosis coding, and the implementation of theory-based nursing service models to preserve service quality within the limitations imposed by JKN health financing.
Assessing Digital Maturity in Healthcare: A Case Study of Jember Klinik Hospital, Indonesia Aviati, Kurnia; Kudus, Kudus; Putra, Dewa Ngakan Gde Wahyu Mahatma; Naya, Aulia Riswanti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.556

Abstract

This study aims to assess the digital maturity level of Jember Klinik Hospital, a private healthcare facility in Indonesia, using a structured evaluation framework. A descriptive cross-sectional design was employed in June 2024, involving six internal stakeholders representing IT, medical, nursing, and administrative leadership. Data were collected using the Digital Maturity Level Assessment Tool (Version 1.1) developed by the Indonesian Ministry of Health, consisting of 38 parameters across seven domains. The assessment was conducted collaboratively through structured meetings, document reviews, and consensus-based scoring. Descriptive analysis revealed that the hospital has reached an advanced level of digital maturity. The highest scores were found in Standards and Interoperability (4.8) and Governance and IT Management (4.8), reflecting strong planning and regulatory alignment. Electronic Medical Records and Patient-Centered Care also scored highly (4.7), indicating effective digital integration in clinical workflows. However, Data Analytics received the lowest score (2.8), pointing to significant gaps in data quality and analytical capacity. These findings suggest the need for enhanced investment in data infrastructure, staff training, and interoperability improvements. The results contribute to understanding digital health readiness in Indonesia’s private healthcare sector and provide actionable insights for supporting targeted digital transformation strategies.
The Role of Interprofessional Communication in Enhancing the Quality of Hospital Health Services: A Scoping Review Wahyuningsih, Aries; Firmanda, Giovanni Iga
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.570

Abstract

Interprofessional communication is vital in delivering high-quality hospital healthcare services by promoting teamwork, minimizing errors, and enhancing patient outcomes. This study explores the role of interprofessional communication in improving the quality of hospital healthcare services. The research employed a scoping review design, utilizing data from Elsevier and ScienceDirect databases for articles published between 2017 and 2025. The review process adhered to PRISMA guidelines 2020, with inclusion criteria focusing on articles discussing interprofessional communication in hospital settings. A standardized data extraction form was used to record study characteristics, communication interventions, and outcomes. Thematic analysis was applied to map and synthesize key themes and subthemes. A rigorous selection process yielded 14 relevant articles, ensuring consistency and scientific credibility. The findings identified two main themes: strategies to enhance interprofessional communication—such as structured tools like SBAR and interdisciplinary meetings—and the impact of communication on healthcare quality, including improvements in patient safety, clinical outcomes, and team collaboration. Subthemes included communication barriers, leadership support, and continuous training. The study concludes that hospitals should prioritize implementing structured communication protocols and cultivating a culture of teamwork and ongoing professional development to optimize service delivery and patient safety.
Application of the Workload Indicators of Staffing (WISN) Method for Optimal Staffing at Jimmy Medika Borneo Mother and Child Hospital Rantemarampa, William Mallisa; Syaodih, Erliany; Rubini, Rizki Adriansyah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.584

Abstract

This study aims to analyze the application of the Workload Indicators of Staffing Need (WISN) method in determining the optimal staffing requirements at Jimmy Medika Borneo Mother and Child Hospital (RSIA). In response to the significant increase in patient volume from 2021 to 2024, RSIA JMB requires an accurate human resource management strategy to avoid workload imbalances. This descriptive qualitative study involved 57 healthcare workers across 12 units, using a work sampling method involving observation and interviews with all healthcare personnel at RSIA JMB, combined with the calculation of WISN scores and ratios as recommended by the WHO. Data were collected from various service units, including emergency nurses, operating room nurses, inpatient and outpatient nurses, general practitioners, midwives in delivery and perinatal care, pharmacists, laboratory staff, and medical specialists. The results showed variations in available working time and imbalances in WISN ratios across units, with the WISN ratio varying from 0.5 to 1. Several units were overworked, including pharmacy staff, emergency nurses, operating room nurses, outpatient nurses, midwives in VK-Perina, emergency general practitioners, obstetricians and gynecologists, and surgical oncologists. In contrast, the laboratory unit was categorized as underworked, while balanced workloads were found among inpatient nurses, pediatricians, and internal medicine specialists. These findings serve as a basis for RSIA JMB management to conduct strategic evaluations and redistribute health personnel to enhance service efficiency and improve healthcare worker well-being.
The Influence of Competence and Motivation on Performance and Impact on Reward among Nurses
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.589

Abstract

Nurses’ performance is a key determinant of the success and quality of hospital services. Based on data from Dinas Kesehatan Sumatera Utara (2024), the performance targets and realizations of RSUD dr. Thomsen has not yet achieved the expected targets for health service performance indicators in 2022 (64.58%), 2023 (92.34%), and 2024 (94.47%). Similarly, the hospital's performance score was in 2022, (70%), in 2023, (80%) and in 2024 (82%). A pre-survey of 30 nurses regarding factors suspected of influencing performance revealed the lowest average scores: competence (2.72), motivation (2.63), and rewards (3.25) (Likert scale 1–5). This study aims to analyze the influence of competence and motivation on performance and their impact on rewards. The research method used a quantitative approach with 175 respondents and path analysis. The results showed that competence and motivation significantly affected performance, partially and simultaneously. Performance also significantly affected rewards. These findings indicated the importance of improving nurses' competence and motivation in efforts to improve nurse performance and rewards in hospitals. This study provides practical contributions to hospital human resource management policies, particularly in strengthening a transparent and fair performance-based reward system. The findings also enrich the literature by demonstrating the simultaneous relationship between competence, motivation, performance, and rewards in the context of regional hospitals, which has been rarely explored in previous studies.

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