cover
Contact Name
Rizky Aprilianti Lestari
Contact Email
arsummetro22@gmail.com
Phone
+6282351555511
Journal Mail Official
rizkyaprilia@ummetro.ac.id
Editorial Address
Kantor Redaksi JOURNAL OF HOSPITAL ADMINISTRATION AND EXCELLENT HEALTH SERVICE : Jurnal Program Studi S1 ADMINISTRASI RUMAH SAKIT Program Studi S1 Administrasi Rumah Sakit Universitas Muhammadiyah Metro Jl. Gatot Subroto No. 100 Yosodadi, Kota Metro, Lampung, Indonesia 34111
Location
Kota metro,
Lampung
INDONESIA
Journal of Hospital Administration and Excellent Health Service
ISSN : 30889561     EISSN : 30889545     DOI : https://doi.org/10.24127/
Administration and Excellent Health Service focuses on research and reviews related to hospital management relevant to the development and practice of hospital management in Indonesia and Southeast Asia. The Journal of Hospital Administration and Excellent Health Service focuses on various research approaches, including quantitative, qualitative, and mixed methods. Topics covered include: Hospital Management Hospital Accounting Health Service Management Health Insurance Health Policy Community Health Center Management
Articles 34 Documents
STRATEGI EFEKTIF DALAM PEMENUHAN KEBUTUHAN SUMBER DAYA MANUSIA DI UNIT PENDIDIKAN, PELATIHAN, DAN PENELITIAN (DIKLATLIT) RUMAH SAKIT ADVENT BANDAR LAMPUNG MELALUI RE-DISTRIBUSI DAN TRAINER INTERNAL Lestari, Rizky Aprilianti; Mayasari, Fitri Yuli; Ahmad Mukhtaruddin Syarfan; Elyana Afifa Afra; Oktapianingtyas, Aulia Rahma; Azizah, Fatikha Syiam; Sihab, Najwa; Pustika, Fita; Andin Pinesti Suryaning Sarah
Journal of Hospital Administration and Excellent Health Service Vol. 2 No. 2 (2025): Juli 2025
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Abstract

Introduction: Meeting human resource (HR) needs in hospitals is a significant challenge in providing optimal healthcare services. The Education, Training, and Research (Diklatlit) Unit plays a strategic role in HR development. The importance of qualified human resources in improving service quality and hospital competitiveness is undeniable. Effective and efficient healthcare services depend heavily on the skills, knowledge, and professional attitudes of both medical and non-medical personnel. Methods: This research was conducted through Field Learning Experience (PBL) activities using an observational and participatory approach at Adventist Hospital Bandar Lampung. The research method was carried out in several ways, namely: 1) Direct observation of activities and work processes in the Training and Development Unit and related units in the hospital, 2) Semi-structured interviews with the head of the Training and Development Unit, 3) Documentation of training policies, training schedules, and results of previous training evaluations. Results: The main problems were a shortage of HR and excessive workload in the Diklatlit Unit. The HR redistribution strategy and the development of internal trainers were identified as effective solutions in supporting the sustainability of the training program. Conclusion: The implementation of HR redistribution and internal training has been proven to support the efficiency and sustainable capacity building of the Diklatlit Unit.
OPTIMALISASI SARANA PENYIMPANAN BERKAS REKAM MEDIS UNTUK MENINGKATKAN EFISIENSI PENGELOLAAN REKAM MEDIS DI RUMAH SAKIT B LAMPUNG Maya Aprilianingsih; Rizky Aprilianti Lestari; Lintang Sulistya
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
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Pendahuluan : Pengelolaan rekam medis yang efektif dan efisien merupakan salah satu faktor penting dalam mendukung mutu pelayanan kesehatan di rumah sakit. Sarana penyimpanan berkas rekam medis yang tidak memadai dapat menimbulkan berbagai permasalahan, seperti kerusakan fisik dokumen, kehilangan berkas, keterlambatan pencarian, serta risiko pelanggaran kerahasiaan data pasien. Berdasarkan hasil observasi awal di Rumah Sakit B Lampung, ditemukan keterbatasan sarana penyimpanan berkas rekam medis, khususnya hasil pemeriksaan spirometri dan laboratorium, yang belum seluruhnya disimpan dalam lemari tertutup dan terstandar. Penelitian ini bertujuan untuk menganalisis permasalahan sarana penyimpanan berkas rekam medis serta merumuskan solusi peningkatan efisiensi pengelolaannya. Metode : Penelitian menggunakan pendekatan deskriptif dengan metode pengumpulan data melalui observasi langsung dan wawancara terhadap petugas unit rekam medis. Analisis data dilakukan menggunakan metode USG (Urgency, Seriousness, Growth) untuk menentukan prioritas masalah, serta pendekatan 5W+1H untuk mengidentifikasi akar penyebab dan alternatif solusi. Hasil : Hasil penelitian menunjukkan bahwa keterbatasan lemari penyimpanan tertutup yang memadai memperoleh skor USG tertinggi sebesar 80. Kondisi ini berdampak pada lambatnya proses pencarian berkas, menurunnya efisiensi kerja petugas, serta meningkatnya potensi pelanggaran kerahasiaan data pasien. Solusi yang diusulkan meliputi pengadaan lemari penyimpanan khusus yang memenuhi standar keamanan, pemisahan lokasi penyimpanan berkas, penerapan sistem penandaan berkas yang jelas, serta pelatihan pengelolaan arsip bagi petugas rekam medis. Simpulannya, peningkatan sarana penyimpanan berkas rekam medis yang memadai dan terstandar merupakan langkah strategis untuk meningkatkan efisiensi pengelolaan rekam medis, menjaga kerahasiaan data pasien, serta mendukung peningkatan mutu pelayanan di Rumah Sakiit B Lampung.
OPTIMALISASI HOSPITAL DIGITAL COMMUNICATION SYSTEM SEBAGAI UPAYA PENINGKATAN AKSES INFORMASI LAYANAN PASIEN RUMAH SAKIT ISLAM METRO Fitri Yuli Mayasari; Yogi Catur Putra; Nur Baiti; Rizky Aprilianti Lestari; Maya Aprilianingsih; Windi Pertiwi; Silva Ayu Febrianti
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
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Pendahuluan: Rendahnya pemanfaatan media sosial di Rumah Sakit Islam Metro menyebabkan keterbatasan akses informasi bagi pasien, menurunnya jumlah kunjungan, serta berkurangnya kepercayaan masyarakat. Metode: Identifikasi masalah dilakukan melalui observasi, wawancara, dan analisis menggunakan metode fishbone serta USG (Urgency, Seriousness, Growth). Program optimalisasi Hospital Digital Communication System (HDCS) kemudian dirancang melalui pembuatan SOP, penyusunan template jadwal praktik dokter, dan pemasangan akrilik dengan barcode menuju akun resmi rumah sakit. Hasil: Program menunjukkan hasil positif berupa peningkatan akses informasi pasien. Jumlah pengikut media sosial meningkat dari 3.392 menjadi 3.421 dalam waktu singkat, serta pasien mulai aktif menggunakan platform digital untuk memperoleh informasi layanan. Evaluasi dengan pihak rumah sakit menunjukkan bahwa program ini membantu efisiensi kerja, memperbaiki sistem informasi, dan berpotensi untuk diterapkan secara berkelanjutan. Simpulan: Pemanfaatan media sosial RSIM belum optimal; diperlukan SOP, tim khusus, literasi digital, evaluasi, dan strategi komunikasi efektif.
IMPLEMENTASI INOVASI PEMASARAN DAN INTERAKSI RUMAH SAKIT ASIH (INSPIRA) MELALUI MANAJEMEN KONTEN DIGITAL YANG KREATIF DAN INFORMATIF Rizky Aprilianti Lestari; Yogi Catur Putra; Maya Aprilianingsih; Nur Baiti; Defti Ekiya Sari
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
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Pendahuluan: Penelitian ini bertujuan untuk mengoptimalkan strategi pemasaran digital di RSIA Asih Kota Metro melalui penerapan inovasi INSPIRA (Inovasi Pemasaran dan Interaksi RSIA Asih). Inovasi ini berfokus pada manajemen konten kreatif dan informatif dengan empat komponen utama, yaitu penyusunan jadwal pengunggahan konten, pembuatan kalender hari besar nasional dan internasional di bidang kesehatan, pembuatan desain canva, serta pembuatan video yang mengikuti tren media sosial. Metode: metode yang digunakan meliputi observasi, analisis menggunakan fishbone diagram, penentuan prioritas masalah dengan metode USG, serta implementasi inovasi selama periode PBL. Simpulan: hasil menunjukkan adanya peningkatan kerapihan feed instagram, konsistensi unggahan, dan interaksi audiens. Inovasi ini dinilai relevan, aplikatif, dan berpotensi dilanjutkan oleh rumah sakit.
IMPLEMENTASI KEBIJAKAN PELAYANAN KESEHATAN LANSIA MELALUI PEMERIKSAAN FUNGSIONAL DI TINGKAT DESA: STUDI DESKRIPTIF DI PURWODADI 13A METRO Al Um Aniswatun Khasanah; Hapy Ardiaviandaru Siamy; Sri Yuliana; Afif Fairuz A Zain; Bota Muhammad Akbar; Dhofirul Fadhil Dzil Ikrom Alhazmi; Efraldo Yudistira
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
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Peningkatan jumlah penduduk lanjut usia (lansia) menuntut penguatan sistem pelayanan kesehatan yang tidak hanya bersifat kuratif, tetapi juga promotif dan preventif. Salah satu bentuk implementasi kebijakan pelayanan kesehatan lansia berbasis komunitas adalah pemeriksaan fungsional di tingkat desa untuk mendeteksi dini risiko penurunan fungsi fisik. Penelitian ini bertujuan untuk mendeskripsikan implementasi kebijakan pelayanan kesehatan lansia melalui pemeriksaan fungsional menggunakan Sit and Reach Test di Balai Desa Purwodadi 13A Metro. Penelitian ini menggunakan desain deskriptif kuantitatif dengan teknik total sampling terhadap 14 lansia yang mengikuti kegiatan pemeriksaan kesehatan. Variabel yang diamati meliputi karakteristik responden (jenis kelamin, usia, berat badan) serta hasil fleksibilitas otot hamstring dan punggung bawah melalui Sit and Reach Test. Data dianalisis secara deskriptif menggunakan nilai minimum, maksimum, dan rerata. Hasil penelitian menunjukkan bahwa mayoritas responden adalah perempuan (78,6%) dengan rentang usia 51–77 tahun dan berat badan 48–75 kg. Pemeriksaan Sit and Reach Test memperoleh nilai terendah 9 cm dan tertinggi 20 cm, dengan rerata 14,07 cm. Sebagian besar lansia berada pada kategori fleksibilitas cukup hingga baik, serta lansia perempuan cenderung memiliki nilai fleksibilitas lebih tinggi dibandingkan laki-laki. Temuan ini menegaskan bahwa pemeriksaan fungsional lansia telah terlaksana sebagai bagian dari implementasi kebijakan pelayanan kesehatan lansia di tingkat desa. Pemeriksaan sederhana seperti Sit and Reach Test dapat menjadi indikator penting dalam pelayanan preventif serta dasar perencanaan program lanjutan, seperti senam lansia dan pemantauan kesehatan berkala.
IMPLEMENTASI PENDEKATAN OPPORTUNITY SOLUTION TREE DAN FISHBONE ANALYSIS DALAM PENGUATAN MANAJEMEN RISIKO RUMAH SAKIT: STUDI KUALITATIF DI RSU MUHAMMADIYAH METRO Maya Aprilianingisih; Rizky Aprilianti Lestari; Windi Peritiwi; Yogi Catur Putra; Nurbaiti
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
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Risk management is an important component in ensuring the quality of service and patient safety in hospitals. The implementation of risk management, which is still reactive, causes various potential risks not to be identified and mitigated optimally. This study aims to explore the implementation of the Opportunity Solution Tree (OST) and Fishbone Analysis approaches in strengthening risk management at RSU Muhammadiyah Metro. The research uses a qualitative approach with a case study design. Informants were selected through purposive sampling, consisting of directors, department heads, managers, assistant managers, quality team leaders, and unit heads involved in hospital risk management. Data collection was carried out through in-depth interviews, observation, Focus Group Discussions (FGD), and document review. Data analysis used the interactive model of Miles, Huberman, and Saldaña through the stages of data reduction, data presentation, and drawing conclusions. The research results show four main themes: increased management awareness of the importance of proactive risk management, ease of identifying root causes through Fishbone Analysis, OST's ability to develop more structured alternative solutions, and implementation obstacles such as limited HR competencies, a reporting culture that is not yet optimal, and the lack of integration in the risk management information system. The implementation of OST and Fishbone Analysis is considered capable of improving cross-unit collaboration in the process of risk identification and mitigation. This study concludes that applying OST and Fishbone Analysis contributes positively to strengthening risk management at RSU Muhammadiyah Metro and supports shifting the risk management paradigm from reactive to proactive.
PENGARUH KELENGKAPAN DATA UNIT CASEMIX TERHADAP KETEPATAN WAKTU PROSES KLAIM BPJS KESEHATAN DI RUMAH SAKIT GLADIS MEDICAL CENTER Rizky Aprilianti Lestari; Windi Pertiwi; M. Nabil Fahmi; Zahra Assyifa; Pinka Septia Maharani
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
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The Casemix Unit plays a crucial role in ensuring the completeness of BPJS Kesehatan claim documents. Delays in data completion can hamper the verification and claim submission process, resulting in delays in claim payments, disruptions to cash flow, and hospital operations. Therefore, research is needed to analyze the effect of delays in data completion on the timeliness of BPJS Kesehatan claim processing. This study aims to analyze the effect of delays in data completion in the Casemix Unit on the timeliness of BPJS Kesehatan claim processing at Gladis Medical Center Hospital. Risk management, hospitals, Opportunity Solution Tree, Fishbone Analysis, qualitative research. This research is a quantitative analytical study with a cross-sectional approach. The study population is all BPJS Kesehatan claim files processed at the Casemix Unit of Gladis Medical Center Hospital during the study period. The sample was determined using a total sampling technique. Data were obtained through document observation and claim file completeness checklists. Data analysis was performed univariately to describe the characteristics of the variables, and bivariately using the Chi-Square test with a 95% significance level (α = 0.05). The results showed that the majority of delays in the BPJS Kesehatan claims process were caused by delays in data completion at the Casemix Unit. The bivariate analysis revealed a significant correlation between delays in data completion and the timeliness of BPJS Kesehatan claims processing (p<0.05). The higher the level of delay in data completion, the greater the risk of claims processing delays. Hospitals need to improve coordination between units, strengthen compliance with complete medical record documentation, and optimize information systems to support a more effective and efficient claims process.
ANALISIS MANAJEMEN PELAYANAN PEMERIKSAAN KLASIFIKASI ATLET PENYANDANG DISABILITAS DI NATIONAL PARALYMPIC COMMITTEE INDONESIA PROVINSI LAMPUNG M Tasa Kasumbang; Efraldo Yudistira; Bota Muhammad Akbar; Al Um Aniswatun Khasanah; Muhammad Faris Nuuruddin; Nabila Nur Afifah Fitri
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
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Introduction: Athlete classification is a fundamental component of para-sports, ensuring fair competition by determining athletes' eligibility based on functional abilities according to the International Paralympic Committee (IPC) standards. At the regional level, classification requires not only accurate clinical assessment but also efficient health service management. However, the classification process at the National Paralympic Committee of Indonesia (NPCI) Lampung Province still faces challenges related to scheduling, infrastructure, and administrative management. Objective: This study aimed to analyze the health service management of athlete classification and propose strategies to improve service efficiency at NPCI Lampung Province. Methods: A qualitative descriptive approach was employed. Data were collected through in-depth interviews, observations, focus group discussions, and document reviews involving NPCI administrators, medical classifiers, physiotherapists, technical classifiers, and para-athletes. Data were analyzed using the Miles, Huberman, and Saldaña interactive model. Results: Three major challenges were identified, including scheduling inconsistencies, limited examination infrastructure, and paper-based administrative management. Based on these findings, an Integrated Para-Classification System (IPCS) was proposed to integrate administrative processes, medical screening, physiotherapy assessment, technical classification, and documentation into a single service pathway. Conclusion: The proposed integrated service model has the potential to improve service efficiency, strengthen multidisciplinary collaboration, and enhance the quality of athlete classification management at NPCI Lampung Province.
IMPLEMENTASI STRATEGI PENGENDALIAN PERILAKU SEDENTARI DALAM MENEKAN BEBAN OSTEOARTRITIS LUTUT DAN PENGUATAN SISTEM PELAYANAN KESEHATAN: STUDI KASUS-KONTROL DI RSU MUHAMMADIYAH METRO W. Azhar Na'im; Muhammad Faris Nuuruddin; Nabila Nur Afifah Fitri
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
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Knee osteoarthritis is one of the main causes of chronic pain, disability, and reduced quality of life in adult and elderly populations. Sedentary behavior, like spending a lot of time sitting due to changes in work patterns and technology use, is thought to increase the burden of this musculoskeletal disease. This study aimed to analyze the relationship between sedentary behavior and the occurrence of knee osteoarthritis, as well as to outline strategic policy implications for the healthcare system. The study used a case-control design at RSU Muhammadiyah Metro. The results showed that sedentary behavior has a very strong connection with the occurrence of knee osteoarthritis. Individuals with sedentary behavior are 23.276 times more likely to develop knee osteoarthritis compared to those who are not sedentary (OR = 23.276; p < 0.001). Based on the strength of this association, committing to promoting physical activity, integrating early screening into primary healthcare services, and strengthening community-based prevention programs are high-value healthcare investment choices to maintain the sustainability of National Health Insurance (JKN) funding. Keywords: knee osteoarthritis, sedentary behavior, healthcare services, case-control, JKN.
OPTIMALISASI PENGELOLAAN PERMINTAAN DAN PENDISTRIBUSIAN OBAT DI GUDANG FARMASI MELALUI DIGITALISASI BARCODE: ACTION RESEARCH DI RS YUKUM MEDICAL CENTRE Nurbaiti; Fitri Yuli Mayasari; Fransiska Desi Natalia; Shinta Kurniasari; Kevin Fitrah Choirizaldi
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
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Pharmaceutical logistics management plays an important role in ensuring service quality and patient safety in hospitals. Suboptimal logistics management can lead to stock mismatches, delays in drug distribution, and increased workload. This study aims to explore operational obstacles in the demand and distribution of drugs at Yukum Medical Centre (YMC) Hospital and to formulate practical optimization strategies. This study uses a qualitative method with a descriptive-analytical approach through an Action Research design. Data was collected through participatory observation, Focus Group Discussions (FGD), in-depth interviews, and review of logistics documents in April 2026. Analysis using the Urgency, Seriousness, Growth (USG) method and Fishbone Diagram identified that there is no structured routine request schedule, stock card recording is still manual, and there are limitations in the integration of the Hospital Information System (SIMRS). and inefficient warehouse organization is the root cause of the problem. As a practical solution, this study designs an intervention in the form of standardizing the depot unit request schedule and implementing GS1 DataMatrix barcode (2D barcode) based digitalization. This combination of interventions has the potential to significantly improve staff work efficiency, minimize administrative errors (human error), maintain real-time stock data accuracy, and support patient safety through reliable drug traceability. Keywords: barcode, distribution, innovation, pharmaceutical logistics, hospital.

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