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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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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 Ketidaklengkapan Rekam Medis Pasien Rawat Inap di Rumah Sakit Dharma Kerti Tabanan Wirajaya, Made Karma Maha; Dewi, Ni Made Umi Kartika
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

One parameter to determine the quality of health services in hospitals are information from medical records that is good and complete. Based on observations, there are some pieces of missing medical records and there are still some incomplete medical records. This study aim to analysis the complete inpatients medical records at Dharma Kerti Tabanan Hospital. This study was descriptive study conducted at the Dharma Kerti Tabanan Hospital. This study use 232 inpatients medical records and use systematic random sampling. Based on the results of the analysis found that in terms of completeness of identification, classified as incomplete (99.14%). In terms of the completeness of recording, it is classified as incomplete (59.48%). In terms of completeness of reporting, it is classified as complete (61.64%) and completeness of authentication, classified as complete, (74.14%). Overall, the medical records of inpatients are classified as incomplete at 85.78%. Dharma Kerti Tabanan Hospital needs to pay closer attention to the contents of the medical record and coordinate with doctors or nurses to keep filling in complete medical records of inpatients. In addition, medical record storage should be provided better in order to prevent the loss of important sheets in medical record documents.
Analisis Kinerja Dokter Verifikator Internal dalam Menurunkan Angka Klaim Pending di RSUD Koja Tahun 2018 Kusumawati, Ayu Nadya; Pujianto, Pujianto
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

The doctor's internal verifier has an important task in reducing the number of pending claims especially for controlling the suitability of coding with diagnoses on medical resumes. This research explain that the performance of internal verifier doctors in reducing the number of pending claims in Koja Hospital in 2018 by reviewing claims files and observations on claim data from 2017 to 2019. This study uses an intervention evaluation study design by analyzing quantitative and qualitative data. The method used is to compare data coding errors on pending hospitalization claims Pre-intervention and Post-Intervention doctor internal verifiers both in number of claims and nominal claims. Then conduct in-depth interviews to find out the cause of coding errors to cause pending claims. The results of this study are that the proven internal verifier can reduce the number of pending hospitalization claims due to coding errors and obtained the causes of coding errors, namely incomplete medical resumes, lack of coder accuracy, lack of coder knowledge, lack of uniformity of information related to claim file coding and overload not accompanied by suitability of the number of coders. This can be minimized by the use of electronic medical records, training of coder personnel, team building and the addition of coder personnel.
Improving Patient Safety and Hospital Service Quality Through Electronic Medical Record: A Systematic Review Firdaus, Muhammad
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

To understand the Electronic medical records (EMR) role in improving patient safety and hospital’s service quality. Articles that included and assessed for the eligibility in this review was an article that show an effect of patient’ safety, and product quality in hospital in correlation on using EMR. The most important function of EMR implementation is to improve patient safety in hospital, in addition to reducing cost. EMR reduce excess cost of Hospital Acquired Condition (HAC) by 16%, reduce death due to HAC by 34%. Doctor and nurse’s belief that the quality of patient data is better when EMR are easier to use and suit with their dialy routine. EMR can improve patient safety, but its use require some skills in technology so it won’t turn to harm patients’ safety. The implementation EMR requires the ability of skilled human resources in using technologies, computer and programs
Analysis of Marketing Mix Element Affecting Medical Tourism Natalia, Tiara Edithia; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Medical tourism sector, for third world nowadays, is a multifactorial sector that has slowly risen to the point of becoming one of the industries that produces income and pretty competitive in the world, and also has been considered as sophisticated tourism in modern field. This study aims to investigate the elements of the marketing mix and other factors that influence medical tourism. Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) was used in this study From 11 articles reviewed, it’s found that almost all of the marketing mix element were related to medical tourism in a country. Some of the articles stated that factors like product offered, price, place, and promotion were related to medical tourism in a country. The conclusion from this study is that marketing mix element in general and other factors like regulations, number and skills of medical staffs and health services affected medical tourism significantly.
Kepuasan Pasien Terhadap Layanan Rawat Inap RSUD Jagakarsa Tahun 2017/2018 Mustika, Dewi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Service Quality is very important in creating patient satisfaction. This study aims to determine the criteria of patients on hall of residence services, the relationship of dimensions of service quality with patient satisfaction and to determine which dimensions have the most influence on patient satisfaction. This study carried out univariate, bivariate and multivariate analyzes. With a total sample of 150 respondents. It was found that the characteristics of patients for the age with the highest category were in the range of 30-49 years, namely 54%, the sex of the most respondents was 78%, the history of the highest education was SMA 53.3%, the work of the most respondents was IRT, the highest frequency of income was income per month Rp.3,000,000 to Rp. 4,000,000. For bivariate analysis it was found that from the five dimensions of four-dimensional service quality had a significant effect on patient satisfaction: reliability (p value 0.001), responsiveness (p value < 0.0001), emphaty (p value < 0.0001) and tangible (p value < 0.0001). And the multivariate analysis found that the dimensions of reliability and empathic affect patient satisfaction
Pengaruh Penerapan Healthcare Infection Control Practices Advisory Committee Terhadap Kejadian Infeksi Saluran Kemih Terkait Penggunaan Kateter Sitepu, Wendy Isman
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

An estimated 0,2-4,8 Catheter-associated Urinary Tract Infection (CAUTI) cases 1.000 catheter-days affected around the world. CAUTI not only has affected the patient but also has became a burden on hospital. Many prevented CAUTI guidelines has developed, one of them is issued by Healthcare Infection Control Practices Advisory Committe (HICPAC). The study aimed to evaluate HICPAC guideline decreasing CAUTI rate. A quasi-experimental study was performed to ass’s effectiveness HICPAC guidelines with two group pretest-posttest approach patients with catheter 150 samples each. Before implementation, all medic staff was explained and trained about the guideline. All medical staff was assessed their knowledge, attitudes, and behavior before and after implementation. Chi-square and Wilcoxon tests were performed. There were 13 CAUTI cases, with 11 cases before implementation and the other cases after implementation (p-value: 0,02). After implementation, knowledge, attitude, and behavior medical staff increased (p-value < 0,05). From the result, implementation HICPAC guideline decreases CAUTI rate and increase knowledge, attitude, and behavior significantly. Implementation HICPAC guidelines could be used easily by all medical staff integrated with the medical record. Commitment implementation the guideline becomes important to decreased CAUTI rates.
Analisis Keterlambatan Pengajuan Klaim Obat Kronis BPJS Kesehatan di Rumah Sakit BaliMed Karangasem Wijaya, I Nyoman Satria
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

The BPJS Health payment scheme to hospitals uses the INACBG and non INACBG payment schemes. One non-INACBG payment scheme is used for chronic drug services. BaliMed Hospital Karangasem as one of the BPJS Health partners also serves chronic medicine services to be paid by BPJS Kesehatan with a non-INACBG payment scheme. In September 2018, the hospital has not collected chronic drug claims that have been served despite the amount in the previous year the chronic drug claim bill did not exceed 10% of the total claim for one year but this must still be billed to reduce the burden of hospital financing. This research is a qualitative research by brainstorming with related units to be described as a fishbone diagram to find the root cause. The results of the root cause analysis are the absence of the authority given by the director to the team or person to be responsible for the claim submission process. The process involving many of these units requires special attention and regulation so that with the appointment of directors the technical flow and design of information systems that facilitate the process of preparing chronic drug claims can be more effectively and efficiently designed.
Medical Toursm Sebagai Stategi Pemasaran Rumah Sakit: Narrative Review Rusli, Peter
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

To understand about the Medical Tourism as a part of Hospital Marketing Strategies in Tourism Area. Articles that included and assessed for the eligibility in this review was an article shown a Medical Tourism related to hospital marketing strategies in Indonesia. Medical Tourism is defined as the effort of the facility or tourist destination to attract tourists by promoting its health services and facilities, in addition to its regular tourist facilities, so that it emphasizes service providers. Hospitals as private businesses use various strategies to attract more patients / customers, such as creating therapeutic spaces in hybrid hotels (hospitals designed for the convenience of international patients). The hospital also develops a marketing strategy to direct patients and customers and identifies these three strategies - linking to potential patients through visits to home countries, employing medical travel intermediaries and developing 'medical check-up' packages for healthy people. Journal of Medical Tourism, Indonesia is still a part of contributors to medical tourists in Malaysia, amounting to 47.8 percent. Indonesia is still facing various health problems that remain unresolved so that it is still focused on the domestic marketing segmentation so that it has not reached or returned market segments from consumers or patients who utilize health services abroad. The study of the Medical Tourism system model is still growing and has a lot of potential using this model.The implementation Medical Tourism as hospital marketing strategis should be improved with future in Indonesia as a Tourism country.
Strategi Pemasaran RSUD H Abdul Manap Kota Jambi Anastasia Yekti Heningnurani, Anastasia Yekti
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

In this case study, the formulation of the marketing strategy draft of the H Abdul Manap Hospital was carried out, taking into account the situation analysis obtained from all external and internal factors. With SWOT analysis opportunities and threats can be determined, as well as existing strengths and weaknesses. From these results it is known that the position of the HAM Hospital is in the quadrant in quadrant 2, which is hold and maintain. By paying attention to the suitability of the existing long-term road map of the hospital by analyzing the situation and position obtained, so that it can be done formulating and defining the marketing strategy appropriately by carrying out its marketing mix or marketing mix, namely product, place / distribution, price and promotion.
Computerized Physician Order Entry (CPOE) in Reducing Medication Error: A Narrative Review Angela, Natalya; Adisasmito, Wiku Bakti Bawono
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Medication error leads to death and injury every day, causing lower quality of life and spend almost 1% of total global health expenditure. One of the solution of to prescribing error is using technology such as Computer Physician Order Entry (CPOE). This study purpose is to assess the use of CPOE in reducing medication error. The research method is a review of the narrative literature using systematic research, with 14 included studies. CPOE systems in hospitals were found to be capable of reducing medication errors especially in prescribing and administrative stage. However, CPOE system can be associated with new types of medication error, therefore, CPOE system must considered human factor, tailored according to the need of the hospital, and continuous training to reduce medication error.

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