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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 201 Documents
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ANALISIS IMPLEMENTASI APLIKASI MOBILE SYSTEM PADA SISTEM INFORMASI MANAJEMEN DI RUMAH SAKIT UMUM DAERAH (RSUD) BUDHI ASIH Safitri, Annisa Apriani; Mustakim, Mustakim
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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Abstract

Hospital Information System (HIS) or Hospital Management Information System (SIMRS) is important in supporting the entire hospital process through information technology. Budi Asih Regional Hospital has a Hospital Information System in its management but still has various issues and challenges in its implementation. This study uses qualitative methods, informant selection with purposive sampling, and data collection techniques through in-depth interviews, observations, and document analysis. Information systems are part of organizational resources for decision-making regarding leadership needs. The Management Information System must be designed by considering data architecture including automated codification in an integrated manner such as statistics, mapping for further management that plays a role in all hospital service functions ranging from queue management, registration, discharge patient services, and other hospital service processes. The concept of a clinical information system is an interaction between patients and health workers in the context of service. Information data issued by the Hospital Information System unit is related to increasing the effectiveness of services and improving health services. Aspects that must be considered in the development of a Hospital Information System, such as hardware, software, and network devices, which must constantly be developed, maintained, and maintained periodically to provide convenience in producing information data for hospital management to determine policies taken by management in improving health services.
FAKTOR YANG BERHUBUNGAN PADA MOTIVASI PENGGUNA DAN IMPLEMENTASI REKAM MEDIS ELEKTRONIK DENGAN EFISIENSI PELAYANAN DI INSTALASI RAWAT JALAN RSUD KEBAYORAN LAMA Kassiuw, Jean Francis Melanny; Hidayat, Budi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 3
Publisher : UI Scholars Hub

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Abstract

Electronic Medical Records (EMR) have emerged as an innovative solution in healthcare because EMR offers several advantages and provides a comprehensive solution to improve health information management in today’s digital era. This study applies the Technology Acceptance Model (TAM) as its theoretical foundation, aiming to evaluate the relationship between user perceptions of key factors influencing EMR implementation and service efficiency in the Kebayoran Lama Regional Hospital outpatient unit. The research design is non-experimental with a quantitative approach, utilizing numerical data analyzed through Structural Equation Modeling (SEM). The study collected data on user perceptions regarding EMR implementation and service efficiency through questionnaires filled out by 72 users as respondents, interviews with four stakeholders, and document reviews related to EMR implementation. Findings indicated significant relationships between the perceived usefulness of EMR and motivation, motivation and EMR implementation, and EMR implementation and service efficiency. These findings offer valuable insights for developing more effective EMR implementation strategies. Management can apply a fair reward and punishment mechanism, offering incentives for users consistently utilizing EMR and sanctions, such as reduced honoraria, for non-compliant users. Additionally, regular training tailored to individual needs, particularly for specialists, can improve comfort and proficiency in EMR use. Direct, responsive management support for user challenges can further boost motivation. Routine evaluations and active user involvement in feedback processes strengthen their sense of ownership toward the system, increasing motivation and commitment to EMR use.
RENCANA STRATEGIS PENINGKATAN KINERJA POLIKLINIK EKSEKUTIF RUMAH SAKIT X TAHUN 2024 -2027: PENDEKATAN BALANCED SCORECARD Manik, Irfan Rohot Uli; Bachtiar, Adang
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 3
Publisher : UI Scholars Hub

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Abstract

Hospital X is a private hospital that has executive polyclinic services. Medical record data shows that in the last four years, the number of visits from the executive polyclinic unit has never reached the target set. This research is to prepare the strategic plan for improving the executive polyclinic of Hospital X's performance for 2024-2027. The types of data in this research are primary data and secondary data. Primary data is qualitative data from in-depth interviews, Consensus Decision Making Group (CDMG) with informants, and direct observation. Secondary data consists of quantitative data and qualitative data. Strategy implementation will be described as Key Performance Indicators (KPI) using the Balanced Scorecard (BSC) approach. The Matching Stage results in the IE matrix show the position of the hospital in cell 1 in the IE matrix, namely grow and build. The QSPM results combined with existing theory in determining priority strategies produce the following strategy sequence: optimizing promotion, optimizing facilities and facilities, optimizing products and services, optimizing technology, optimizing human resources, and optimizing service excellence. The conclusion is that the strategic plan, made complete with indicators according to the BSC and targets, will be able to serve as a guide for Hospital X in realizing executive polyclinic services as superior services.
HOSPITAL READINESS TO IMPLEMENT ELECTRONIC MEDICAL RECORDS: A SYSTEMATIC LITERATURE REVIEW Fatmasari, Afni; Nadjib, Mardiati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 3
Publisher : UI Scholars Hub

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Abstract

Implementing electronic medical records (EMR) in hospitals can increase the efficiency and effectiveness of health services. However, hospitals' readiness to adopt this technology is influenced by various complex factors. This study aims to identify factors that affect hospital readiness in implementing EMR through a systematic literature review (SLR). The SLR process followed the PRISMA method and included a literature search from Scopus, PubMed, and Cochrane databases with keywords related to RME readiness, which yielded 412 articles. After the screening and eligibility stages, 19 articles were selected for further analysis. The findings of this research identify readiness factors based on the theory of technology organization and environment (TOE). In the context of technology, factors such as technology access, perceived benefits, perceived usefulness, and performance expectancy emerge as important determinants of readiness. In an organizational context, management support, organizational culture, computer competency, and knowledge of EMR are key factors. Meanwhile, societal influence and environmental conditions play a significant role in the environmental context. These findings provide valuable insights for policymakers and hospital management in designing strategies to increase RME adoption readiness. This research has limitations in geographic and language coverage and the use of a single database. Therefore, further research is needed to broaden the scope and deepen understanding of the interactions between various readiness factors.
LENGTH OF STAY DI INSTALASI GAWAT DARURAT SEBAGAI INDIKATOR MUTU PELAYANAN KESEHATAN DI RUMAH SAKIT X TAHUN 2024 Dwisari, Gustiane Adriani; Sari, Kurnia
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 3
Publisher : UI Scholars Hub

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Abstract

The Emergency Department (ED) is crucial for ensuring patient care and safety in hospitals. A key performance indicator is Length of Stay (LOS), where prolonged LOS can lead to overcrowding, increase the risk of adverse events, and lower patient satisfaction. This study examines the service flow, barriers, and root causes of LOS in Hospital X's ED and provides improvement recommendations. Data were gathered through observation of 30 patients, interviews, and document reviews. Lean Thinking principles and the BAS method from BASICS (Baseline, Assess, Suggest Solution, Implement, Check Result, Sustain) were used in the analysis, employing flowcharts to map the process, Value Stream Mapping to identify waste, and The Five Whys to analyze root causes. Results show that 65.5% of time was spent on non-value-added activities, 23.4% on necessary but non-value-added, and 11.1% on value-added activities, with a total Lead Time of 7 hours, 55 minutes, and 29 seconds. Patient-side waste includes waiting (94.9%) and transportation (5.1%). Bottlenecks were found in waiting for inpatient registration (25.2%), waiting for the primary physician's advice (22.9%), waiting for diagnostic results (22.3%), and waiting for inpatient readiness (18.2%), totaling 88.6%. LOS improvement can be achieved through lean tools such as standardized work, visual management, heijunka, kaizen, and just-in-time.
ANALYSIS OF CONTINUOUS AMBULATORY PERITONEAL DIALYSIS SERVICE READINESS AT RSUD KOTA BOGOR IN 2023 Redyardani, Ni Nyoman Diah; Ayuningtyas, Dumilah
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 3
Publisher : UI Scholars Hub

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Abstract

The availability of health service facilities certainly contributes to one of the success factors in the distribution of health services in Indonesia, including renal replacement therapy (RRT) services. Through Minister of Health Regulation (PMK) No. 8 of 2022, the government ensures that patients with end-stage renal disease (ESRD) receive equal access to RRT. One of the efforts to equalize dialysis services is implementing Continuous Ambulatory Peritoneal Dialysis (CAPD) services. Therefore, RSUD Kota Bogor must prepare for CAPD services in its dialysis installations. This research analyzes the readiness and efforts to provide CAPD services at RSUD Kota Bogor. This study employs a qualitative descriptive-analytical approach to examine the preparation and readiness of RSUD Kota Bogor to provide CAPD services. Most of the CAPD service readiness assessment instruments at RSUD Kota Bogor, based on PMK No. 8 of 2022, have been fulfilled, achieving an 80% compliance rate. However, there is still a need to prepare facilities, infrastructure, and Standard Operating Procedures (SPO) that have not yet been completed so that CAPD services can be effectively implemented.
Evaluasi Implementasi Manajemen Rumah Sakit dalam Upaya Peningkatan Rating Google Customer Review di Rumah Sakit Karisma Cimareme Tahun 2023: Pendekatan Teori SERVQUAL dan Donabedian Trenggono, Patriot Haryo; Bachtiar, Adang
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

This study aims to evaluate the management of Karisma Cimareme Hospital in addressing its low Google Customer Review ratings. Initial data shows that KCH received an average rating of 2.9 stars, lower than two other private hospitals in West Bandung Regency, IMC Hospital with 3.1 stars and Cahya Kawaluyan Hospital with 4.1 stars. Using the SERVQUAL framework, which includes the dimensions of tangibles, empathy, responsiveness, reliability, and assurance, along with Donabedian's theory, this study focuses on improving service quality through the implementation of Standard Operating Procedures (SOP). The research method involved direct observation of hospital services, in-depth interviews with hospital staff, and analysis of Google Customer Reviews. Data were analyzed using a thematic approach to identify key factors influencing patient reviews and ratings. The results showed that every dimension in the SERVQUAL model significantly affected customer evaluations. The implementation of SOP, involving various parties such as service managers, heads of medical support, head nurses, public relations and marketing teams, and the PIPP team, successfully increased the Google Customer Review rating by 0.7 points, from 2.9 to 3.6. This improvement highlights the importance of a structured approach to enhancing service quality and customer perception. This study provides insights into the challenges faced by hospitals in managing online reviews and offers strategic guidelines for improving patient satisfaction, hospital reputation, and online review management.
Analisis Peran Case Manager dalam Kendali Mutu dan Kendali Biaya Pelayanan Rawat Inap Bedah di Rumah Sakit Universitas Indonesia Tahun 2022 Viano, Natasya C; Junadi, Purnawan
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 1
Publisher : UI Scholars Hub

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Patient Service Management is carried out by the case manager to create quality services with efficient cost. This study aims to evaluate the role of case managers in quality and cost control of surgical inpatients with JKN assurance at the UI Hospital in 2022. This study uses the concept of Donabedian and KARS guidelines. Quality control is seen from Length of Stay (LOS), patient satisfaction, compliance with clinical pathway, compliance with doctor visits, and delays in elective surgery. Cost control is seen from the difference between INA-CBG's claims and hospital bills and cost formulations. Secondary data were collected from medical records and document reviews. The data were processed with Microsoft Excel. The three common procedures were conducted with Focus Group Discussion (FGD) and interviews to find out the role of case managers. It was found that the role of the case manager at UI Hospital had improved compared to 2021. The case manager's performance is good based on the difference in overall surgical patient claims, LOS control, the level of patient satisfaction, the level of compliance with doctor visits, and the level of compliance with the clinical pathway. Only the level of delay in elective surgery at UI Hospital has not reached the target.
Analisis Deskriptif tentang Strategi Mutu Pelayanan Kandungan (Obstetri dan Ginekologi) di Rumah Sakit Islam NU Demak Safi’i, Akhmad; Aziz, Abdul
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Demak Regency are still high. In 2023, the MMR was 13 cases or 67 per 100,000 live births with a delivery rate of 18,784. The 2023 IMR data reached 7.2 per 1000 live births. The still high MMR and IMR and the socio-cultural market conditions of Demak, which are religious, are very relevant to the need for integrated superior services. Especially in Obgyn, perinatal, and child services. The Islamic Hospital (RSI) NU Demak is present through comprehensive, superior Obgyn services with a trend in patient visits that continues to increase in 2023. This study determined the strategies the Management of RSI NU Demak implemented to improve patient visits to Obgyn services. The study was conducted qualitatively using a case study approach. Data collection techniques through observation, documentation, and Focus Group Discussion (FGD). Patient visit data was taken from January – May 2023. The results showed that the success factors for increasing the number of patient visits were human resources, facilities and infrastructure, external networks, marketing team strategies, and positioning of RSI NU Demak. Efforts that can be made to increase patient visits are recruiting female Obgyn specialist doctors to fill the empty doctor's schedule slotting time and implementing other cutting-edge methods that are not yet available in Obgyn service activities.
Strengthening Legal Frameworks and Patient Safety: A Narrative Review of Medical and Dental Malpractice in Indonesia Mustafa, Ghulam; Darmawan, Ede Surya
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Many cases of medical and dental malpractice in Indonesia are still related to patient safety and healthcare quality. This narrative review aims to identify solutions that can be implemented. The main focus is to compare the incidence of malpractice in clinical medical and dental practice, emphasizing legal implications, coverage, and internal organizational issues. A systematic literature search was conducted through databases such as Pubmed, ScienceDirect, Google Scholar, Springer, Garuda, and other online databases. Articles published no later than 2024. Eleven studies were selected that discussed the problem of malpractice in Indonesia. Independent screening and critical appraisal were carried out to minimize bias, and data were retrieved and assessed through narrative synthesis. The results showed limited or lack of informed consent, non-compliance, administrative negligence, poor communication, and laws on medical malpractice. Causal factors, such as negligence in the operating room, misdiagnosis, and lack of consent forms, were common and most often resulted in patient injury or death. This review also explains a lack of studies related to this due to the poorly organized data collection system on complaints of medical malpractice in the country and the lack of adequate legal governance regarding dental malpractice. Regulations related to legal practices in Indonesia are still poorly organized, and even in similar cases, consistent enforcement is not guaranteed. These factors indicate the need for an evaluation of the healthcare system in Indonesia. Suggestions that can be given are to involve the community in the informed consent process, improve medical training, and improve the legal system so that these incidents can be reduced in number and patients feel protected.

Page 19 of 21 | Total Record : 201

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