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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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Jawa barat
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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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.
THE EFFECT OF SAFETY MANAGEMENT COMMITMENT AND MOTIVATION ON COMPLIANCE IMPLEMENTING PATIENT SAFETY GOALS THROUGH A CULTURE OF PATIENT SAFETY Manalu, Christy Helvita; Anindita, Rina; Mustikawati, Intan Silviana
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Patient safety culture is the main foundation for patient safety in hospitals. Applying a safety culture in hospitals aligns with the existing safety system to reduce unwanted incidents. In 2021, in a hospital in X East Jakarta, patient safety incidents remained accompanied by a culture that could have gone better, as seen from the frequency of reporting incidents, which is still below the reliability target. This study analyzed the effect of safety management commitment and motivation on nurse compliance in implementing patient safety goals through patient safety culture. This research is a quantitative approach with a sample of 105 inpatient nurses at the hospital. This research uses the SEM (Structural Equation Model) method with the SmartPLS software application. In this study, it was found that safety management commitment had a positive and significant effect on adherence to implementing patient safety goals, motivation had a positive and significant influence on adherence to implementing patient safety goals, and safety management commitment and motivation had a positive and significant influence on patient safety culture. Based on the mediation analysis, it can be concluded that patient safety culture mediates safety management commitment and motivation to adhere to patient safety goals. In theory, the implications of this research will prove the effect of research variables and managerial can improve the service evaluation system in hospitals.
ANALISIS KELENGKAPAN RESUME MEDIS DAN KETEPATAN KODING LAYANAN OPERASI KANKER PAYUDARA DI RUMAH SAKIT KANKER DHARMAIS TAHUN 2022 Febriadi, Yudi; Nurwahyuni, Atik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

The background to this research is that there are still National Health Insurance (JKN) claim files being returned to the Dharmais Cancer Hospital (RSKD) with the most common causes being cases of coding confirmation and medical resumes. RSKD started using electronic medical records (eMR) in 2020. In 2018 research with a sample of 45 medical records, it was found that 2.2% of patients were incomplete in filling out the patient identity column, 91.1% of indications for admission, 44.4% of physical examinations and supporting examinations. 8.9%. In addition, it was found that 17.8% of the main diagnosis coding was inappropriate. In 2021 there were 12,941 inpatient claim files sent to BPJS Health and 179 (1.38%) files were returned due to 90% problems with medical resume completeness and coding accuracy. The aim of this research is to analyze the completeness of the contents of medical records and the accuracy of coding for inpatients for breast cancer surgery services at RSKD. This research was conducted by examining the medical resumes of breast cancer patients who underwent surgery from January to June 2022. The results of the study of 168 samples of inpatient files for breast surgery services from January to June 2022 showed that 100% of the medical record files were
THE INFLUENCE OF MOTIVATION AND KNOWLEDGE ON THE COMPLETENESS OF MEDICAL RECORDS WITH ATTITUDE AS AN INTERVENING FACTOR Junaedi, Junaedi; Supriyantoro, Supriyantoro; Mustikawati, Intan Silviana; Joyo, Ericko Ongko
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Incomplete medical record filling by doctors is still a widespread problem encountered in various hospitals. Incomplete medical record documentation is very detrimental to the hospital. This research aims to determine the correlation between motivation and workload on doctors' completeness of medical record filling through attitude mediation. This study was conducted with a cross-sectional design, which included 40 doctors who worked at the inpatient ward of Annisa Citeureup Hospital as the respondents. Motivation, knowledge, and attitudes were assessed using a questionnaire with a Likert scale, while the medical records completeness data was obtained by directly evaluating the medical records. Partial least squares (PLS) path analysis was done to analyze the association among the observed variables. Motivation, knowledge, and attitudes significantly influence the completeness of medical records. Motivation and knowledge do not directly correlate to the completeness of medical records but have a significant correlation mediated by attitude. Attitude is the factor that most influences the medical record completeness. Increasing the completeness of medical records would be directly influenced by increasing the positive attitude of doctors. Motivation and knowledge do not directly affect the completeness of medical records but affect attitude improvement.
ANALISIS PRODUK LAYANAN RS APUNG NUSA WALUYA 2 MENURUT CARA BAURAN PEMASARAN Lubis, Ivan Reynaldo; Melissa, Hilda; Suwandi, Indah Pratiwi; Manik, Irfan Rohot Uli; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Hospitals as health service institutions are essential for society. However, in Indonesia, hospitals are not always available in areas far from regional or city government centers. Floating hospitals are an alternative that plays a significant role in island countries such as Indonesia. Even though the number of floating hospitals is very limited, marketing strategies through a marketing mix are still needed for their development, whether assessed from a business or non-business perspective. This study used a descriptive-analytical approach by collecting data from observations and collecting literature as the discussion material. As a result of simple observations and analysis, this study found that the Nusa Waluya 2 Floating Hospital had implemented marketing mix principles by various existing theories. However, the Nusa Waluya 2 Floating Hospital still needs to redesign and plan a more mature marketing strategy. The strategy focuses explicitly on its healthcare product mix. By applying the principles of a better marketing mix, it is hoped that the vision and mission of Nusa Waluya 2 Floating Hospital can be realized.
EFFICIENCY IN HR: LEAN MANAGEMENT WITH E-SEP AND AUTO CLOSING SYSTEM IN PASAR MINGGU HOSPITAL Husna, Melanie; Syahputra, Prima
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

The study focuses on enhancing efficiency in outpatient transactions at Pasar Minggu Hospital, which, in 2019, experienced a high volume of visits primarily covered by national health insurance. With 299,041 outpatient visits using national health insurance that year, the hospital's transition to a COVID-19 referral facility in 2020 underscored the urgency of streamlining operations. Presently, outpatient transactions are manually closed by three staff members, led by the financial administrator, who handles Participant Eligibility Letter files, resolves transaction issues, and finalizes services. Given the imperative for digitization accelerated by the pandemic, the study adopts lean thinking, employing a value stream map (VSM) to identify and optimize value-added activities. Interventions include implementing an electronic Participant Eligibility Letter system and a transaction auto-closing mechanism. The findings indicate a substantial reduction in human resource requirements by two personnel and a streamlined process, saving up to 67 minutes. Besides, this intervention solved two main problems such as the potential of missing manual SEP files and very long transaction in financial administration. This research highlights the efficacy of lean management principles, emphasizing the importance of hospital information system enhancements for outpatient services. By leveraging electronic documentation and automated processes, Pasar Minggu Hospital demonstrates a tangible improvement in operational efficiency amidst evolving healthcare demands.
KELENGKAPAN DAN KETEPATAN WAKTU PENGISIAN RESUME MEDIS ≤1X24 JAM OLEH DOKTER DI RSIA SMB TAHUN 2020 Savitri, Febriana; Putri, Septiara
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The discharge summary is a resume of all patient care and treatment periods that must be filled in entirely by the doctor in charge within 1x24 hours after the patient is pronounced discharged. This study examines the completeness and timeliness of filling in discharge summaries by using the system approach. This research is a qualitative study to obtain input and transformation through in-depth interviews and review of hospital documents, then reinforced with quantitative research to get an overview of the output through observation and study of discharge summary forms. Sixty one discharge summary forms were used as research samples by calculating total sampling. The results showed that the percentage of discharge summaries included in the category fulfilled was only 16.4%. At the same time, in terms of timeliness, it was found that only 45.9% of filling discharge summaries were included in the appropriate time accuracy category. The average time needed for a doctor to get a discharge summary is 32.3 hours. The patient identity and the nursing data items group had the lowest filling distribution, while the highest was in the medical data and data authentication group. There are still differences in knowledge in filling out discharge summary, lack of motivation of the doctors, form formats evaluation that has not been carried out routinely; there is no reward system, punishment system and special training for discharge summary, differences in perceptions regarding the flow of the discharge summary filling process, and the discovery of conflicts related to communication.

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