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Amal C. Sjaaf
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Department of Health and Policy, Building F Floor 1, Faculty of Public Health Universitas Indonesia, Kampus Baru UI Depok 16424, Depok City, West Java Province, Indonesia
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INDONESIA
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Published by Universitas Indonesia
ISSN : 24069108     EISSN : 2476986X     DOI : https://doi.org/10.7454/arsi
Core Subject : Health, Science, Social,
Decision Sciences, Operations Research & Management Public Health Social Sciences
Jurnal ARSI (Administrasi Rumah Sakit Indonesia) was initiated by the Center for Health Administration and Policy Studies (CHAMPS) Faculty of Public Health, University of Indonesia (FKM UI) and is currently managed by the Department of Health Administration and Policy, Faculty of Public Health, University Indonesia . Jurnal ARSI (Administrasi Rumah Sakit Indonesia) was published with the Indonesian Hospital Association (PERSI) and the FKM UI Hospital Management Association (IKAMARS). Jurnal ARSI (Administrasi Rumah Sakit Indonesia) is a peer-reviewed journal that focuses on service administration and management in hospitals in Indonesia. The articles or scientific manuscripts published in the Jurnal ARSI (Administrasi Rumah Sakit Indonesia) include original research, case studies, and reviews supporting corporate governance, clinical governance, or both (bridging). This journal is published electronically, featuring articles in either Bahasa or English. Printed versions are produced only by request. This journal also provides direct open access to its content with the principle that research publications are freely available to the public for broad benefit.
Arjuna Subject : Umum - Umum
Articles 7 Documents
 1 
Search results for , issue "Vol. 1, No. 2" : 7 Documents clear
Analisis Lean Six Sigma Perbekalan Farmasi di Gudang Farmasi RS PMI Bogor Tahun 2013 Putri, Elizabeth Indah Prihanti Soetardi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

This pharmacy service study was conducted at PMI Hospital which has low inventory turnover. Lean six sigma method was used in action research approach with focus on pharmacy distribution and inventory storage. The study analyzed distribution process, material request period, buffer stock, quantity of demand, material request conditions, ROP, pharmacy indicator, adjusting stock quantity, expired material and medicines, expired item management, material handling in warehouse. The low inventory turnover was caused by poor understanding of inventory stock by pharmacy personnel. The results showed that deviation standard for pharmacy item request was 54,8 and deviation standard for completeness of pharmacy item was 50,4, and the value of Six Sigma Defect Per Million Opportunities was 0,09, the pharmacy item distribution process was 47,6% that means it was non value added. The contributing factors were the long item request time, inaccuracy estimation, lack of understanding of request estimation, inaccuracy documentation, bottleneck on distribution process at pharmacy installation, no evaluation on inventory turnover, no detail procedure. Technology on inventory system was not optimal used due to no standard of minimum-maximum level of each pharmacy item and the storage and warehouse management standard was not implemented yet.
Analisis Sistem Formularium 2013 Rumah Sakit St. Elisabeth - Bekasi Fedrini, Sally
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Pharmaceutical service is one of the revenue center at the hospital. Hospital formulary system is the basic principles that must be considered in pharmacy management. Hospital formulary system should be managed optimally in order to mantain consistency of clinician's prescribing utilization. The purpose of this study is to analyze the system of St Elisabeth Hospital Formulary 2013-Bekasi. Researcher conducted analysis starting from the selection, procurement and supervision of the formulary; ABC analysis; also comparation with DOEN. This study using qualitative approach through in-depth interviews and document review. The results were: the process of formulary selection is still not optimal, there is no inventory control system, and hospitals have yet to find an appropriate control system to supervise the formulary system. There were 70.860 (5%) of non-formulary drugs used in the amount of Rp1.257.098.400, there are 114 drug classes in DOEN that does not exist in the formulary. 65.89% items of drug are slow moving. There are only 100 items of drugs (14%) had an investment of 69.86% of the entire investment value. There are only 21 types of drugs (3.05%) that are very critical to patient care.
Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD. Dr. Adjidarmo Kabupaten Lebak Primasari, Karleanne Lony
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

National Health Insurance (NHI) is the implementation of the Law. 40 year 2004 on National Social Security System in the field of healthcare with the concept of Universal Health Coverage (UHC) that forced participants to follow a tiered referral system to get comprehensive health care, cheap, affordable but good quality. The ineffectiveness of the referral system in Indonesia gives impact on the accumulation of patients in healthcare facilities resulting in the utilization of advanced skilled providers and advanced equipments are inappropriate and the declining quality of health care. This study used a qualitative approach, the analytical methods used of content analysis are based on method triangulation , source triangulation and data triangulation. The results of the study were divided into two components, namely the medical referral system characteristics and tiered referral system. In medical referral system characteristics, NHI led to improvements in the implementation of a referral system in Dr. Adjidarmo Hospital although it is not too significant. While in the and tiered referral system components, improvements existed in the aspect of policy and procedures, so that a strong effort is still needed to improve other aspects of creating a better referral system. It is expected that the results of this study may be one of the input for the hospital management and related institutions in improving various aspects related to the successful implementation of a tiered referral system in Lebak District in order to achieve Universal Health Coverage (UHC) in Indonesia.
Cetak Biru Pelayanan Pasien di Rumah Sakit Jiwa Provinsi Jawa Barat Tahun 2014 Yulianti, Yuyun
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

The in-patient refusal number in West Java Province Psychiatric Hospital which reach 300-400 patient per year(1), doesn’t go along with the hospital achievement number in 2013. This research is aimed to describe a Service-Blueprints for inpatients services and investigate potential points for improvement by observings five service units that are involved. This is a qualitative research with operational research technique. The results are a set of service-blueprints design for outpatients or emergency patients, who need hospitalization, and establishing the use of Positive and Negative Syndrome Scale-Excited Component (PANSS-EC) instrument as a tool for determining the patient status can significantly lower patient refusal.
Strategi RSUD Tenriawaru Kabupaten Bone Menuju Implementasi Sistem Pembayaran Prospektif Bausat, Nurhidayat
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

The main source of hospital income came from inpatients delivery care of Jamkesda. Jamkesda integration into BPJS health will change it’s payment system to provider from retrospective to prospective. This study aims to describe the potential difference of hospital tariff based on Perda and INA-CBGs. In addition hospital strategies to coping with potential difference of hospital is also observed. This study is an operational research collecting quantitative and qualitative data, using 660 claims and medical records of inpatient delivery care of Jamkesda year 2013. The results showed that the largest claim components for spontaneous delivery and delivery with (forceps, vacuum extraction, induction) are facilities/accommodation, medical and nursing fee. While the largest claim components for delivery with secarian are medical fee, consumables and facilities/accommodation. Spontaneous delivery showed a positive difference for all cases, while delivery with (forceps, vacuum extraction, induction) showed overall positive difference, but the difference between all cases varied. The largest difference found in secarian delivery with secarian is in the average of Rp.3.373.669/patient. It takes strategy through medical staff, nurses and pharmacy staff management with performance-based remuneration system, monitoring by clinical pathways to reduce length of stay and control of cost variations in delivery care, hospital formulary and standard of consumables, the use of hospital management information system for evaluation of hospital efficiency and addition of coders, costing for tariff, services and market identification to obtain subsidize potention and development of hospital services.
Stres Kerja pada Perawat Instalasi Gawat Darurat di RSUD Pasar ReboTahun 2014 Yana, Dewi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

This study discusses work stress and the factors that affect work stress among nurses in Emergency Room in RSUD Pasar Rebo 2014. National Institute for Occupational Safety and Health (NIOSH) categorizes the factors that influence work stress, which are as job stressor, non-work, individual, and support factors. This study is conducted among 24 emergency room nurses at RSUD Pasar Rebo. Descriptive observational cross-sectional method is used in this study. The results found that 45.8% of nurses experienced high stress. The largest proportions are found in individual factor (self-esteem) and support (supervisor support).This study recommend improvements on clearer job descriptions and accurate communication and training related to management efforts in managing work stress.
Rencana Pemasaran Klinik Eksekutif Rumah Sakit Hermina Depok dengan Pendekatan Balanced Scorecard Nurpeni, Evi Febrina
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Executive Clinic is a new differention product of Hermina Depok Hospital to serve out patient as part of enhancement of services quality and increasing revenue of the hospital. Since the very beginning of the establishment of this clinic in December 2012, performance of the clinic has not yet reached the expected target. This thesis covers marketing plan for this Executive Clinic using Balanced Scorecard (BSC) approach. The results of the research showas Executive Clinic has market in Depok, but this new product has not popular already because market does not well know all the facilities in Executive Clinic. CDMG decided that marketing plan focused in market penetration with marketing mix and promotion mix also increasing the service quality. BSC indicators were used for measureing the achievement of every unit in the organization.

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