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Journal of Health Service Administration and Hospital Management
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 31237185     DOI : http://dx.doi.org/10.69855/laceri
Core Subject : Health,
Health Professions
Journal of Health Service Administration and Hospital Management (LACERI) is an open-access, peer-reviewed scientific journal managed by CV. Get Press Indonesia. This journal focuses on the advancement of knowledge and practice to improve the effectiveness, efficiency, and quality of hospital services, covering various topics such as hospital service management, hospital administration, health human resource management, hospital operations management, hospital strategic management and marketing, information technology in hospital management, hospital policies and regulations, as well as ethics and law in hospital management. Through the publication of research, ideas, and innovations, LACERI is committed to becoming a platform for disseminating relevant, applicable, and impactful knowledge that contributes to the improvement of health service quality at both national and global levels. Every published article undergoes an open peer review process to ensure scientific quality and integrity. Published twice a year, in January and July, LACERI provides full open access under the a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This ensures that all work can be freely accessed, utilized, and disseminated. We invite authors from diverse backgrounds to contribute to building a scientific literature that supports the advancement of health service administration and management at the national and global levels.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 13 Documents
 1   2 
Analysis of Hospital Reporting Compliance with National Quality Indicators (NQI) on the Ministry of Health's SIRS Online Platform: Determinants and Implications for Service Transparency Rahayu Tri Nuritasari; Arlia; Miftahul Jannah; Rafika Aini; Mirza Aulia
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.341

Abstract

Hospital reporting compliance with the National Quality Indicators (NQI) on the Ministry of Health’s SIRS Online platform plays a key role in evaluating and managing Indonesia’s healthcare quality. This study assesses the level of hospital reporting adherence, identifies significant influencing factors, and explores implications for service transparency. Using cross-sectional quantitative analysis of national secondary data from 2019 to 2024, the research analyzed data from all active hospitals reporting on SIRS. Descriptive and regression analyses revealed a compliance increase from 58% to 72%, with significant variation across provinces and hospital classes. Key determinants positively impacting compliance were human resource capacity, digital information technology support, and leadership commitment. Persistent challenges include infrastructural limitations, cultural resistance, and inconsistent data quality. Strengthening workforce skills, advancing interoperable digital systems, and fostering a transparent reporting culture are essential to improve accountability and public trust. The study underscores the critical need for collaboration between the government and hospital institutions to optimize reporting systems, thereby enhancing healthcare service quality across Indonesia.
Optimization of Outpatient Administrative Workflow in the Digital Era: A Comparative Analysis of Registration Waiting Times via the Mobile JKN Application vs. On-Site Registration Antik Pujihastuti; Mila Sari
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.347

Abstract

The digitalization of healthcare is crucial for improving service efficiency, a necessity highlighted by administrative burdens in Indonesia's JKN-KIS program causing long patient waiting times. This study addresses the need for quantitative evidence by comparing the operational efficiency of Mobile JKN application (Digital Pathway) versus conventional on-site registration (Physical Pathway). Using an ex-post facto quantitative comparative design on aggregated secondary RWT data from official health reports (2020–2025; N=170,995), the analysis employed the non-parametric Mann-Whitney U Test. Results showed a statistically significant difference (p < 0.001), with the Mobile JKN RWT averaging 5.38 minutes compared to 18.91 minutes for the on-site method. This represents a substantial efficiency gain, quantified by a very large effect size (Cohen's d = 3.15). The findings validate Mobile JKN as an effective parallel service channel for mitigating system bottlenecks. Implications include justifying health policy mandates for digital adoption and supporting the revision of Minimum Service Standards. Future research should focus on end-to-end service time analysis and sustained digital adoption drivers.
Evaluation of Hospital Infrastructure and Human Resource Readiness for the Implementation of Electronic Medical Records (EMR) Integrated with the SATUSEHAT Platform Septi Viantri Kurdaningsih; Shelly Rodliah Rosyad; Aisyiyah Hanif Muallim; Hasnawati; Fitriani Abdal
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.351

Abstract

This study evaluated the readiness of 135 Indonesian hospitals (Type B and C) for mandatory EMR integration with the SATUSEHAT platform. Recognizing a critical research gap in evaluating maturity against specific HL7 FHIR interoperability and governance standards, the study utilized a Quantitative Secondary Data-Based Readiness Evaluation Design. Binary Logistic Regression identified the strongest predictors for successful integration. Results indicate that while basic infrastructure is adequate, readiness is hampered by advanced factors. The two most significant predictors were Data Security Certification ( ) and the IT Personnel to Clinical Staff Ratio ( ). This confirms that the primary hurdles are the Interoperability Governance Gap (low security compliance,  ) and the lack of specialized technical human capital. Implications mandate a Targeted Intervention Strategy (TIS): linking digital transformation subsidies to mandatory Data Security Certification compliance and prioritizing the retention of specialized IT talent. Achieving national digital health requires immediate investment in formal data governance and dedicated technical staff.
Efficiency of Fornas Drug Procurement via E-Catalogue: Comparative Analysis of Price and Stock Availability Before and After Mandate Siswi Wulandari; Bram Mustiko Utomo
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.360

Abstract

This study evaluates the efficiency of National Formulary (Fornas) drug procurement via Indonesia’s mandatory E-Catalogue system by comparing drug prices and stock availability before and after its adoption. Using a retrospective quantitative design and Dual-Weighted Analysis (incorporating linear regression), this study analyzed 60 essential Fornas drugs using official LKPP pricing data and aggregated healthcare stock reports. Results conclusively show a significant 18.13% price reduction and price standardization post-implementation (p < 0.001), demonstrating strong financial efficiency. However, logistical efficiency remains unproven; aggregate stock availability increased only marginally by 2.7% (p=0.053), with a notable decline observed for high-cost vital drugs (Stratum A). The Simple Linear Regression analysis further reveals no statistically significant correlation between the realized price reduction and improvements in stock reliability (R = -0.15, p = 0.254). Findings highlight that while the E-Catalogue effectively serves as a cost brake, it does not yet ensure reliable supply for critical medicines, pointing to a fundamental dissociation between financial and logistical efficiency. Policy recommendations include revising pricing mechanisms for vital drugs, enhancing logistical monitoring, and strengthening demand planning capabilities. This research provides critical insights for policymakers and contributes to the evaluation of public pharmaceutical procurement policy beyond sole cost metrics.
Trend Analysis of Bed Occupancy Rate (BOR) in National Referral Hospitals Post-COVID-19 Pandemic: Implications for Administrative Resource Allocation Policies Utami; Riska Nuryana
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.361

Abstract

The Bed Occupancy Rate (BOR), a critical efficiency metric, experienced unprecedented volatility during the COVID-19 pandemic, necessitating a re-evaluation of its long-term trajectory in the National Referral Hospital (NRH) network.1 This study's purpose was to model the aggregate BOR trend in NRHs post-pandemic and empirically identify its principal administrative determinants. Methods involved a quantitative time-series design, utilizing aggregated monthly operational data from all Indonesian Type A and B NRHs (Kemenkes RI/SIRS) from January 2019 to December 2023. Analysis used a Segmented Regression Model (SRM), incorporating regional dummy variables for contextual robustness, and multivariate regression. Statistical robustness was confirmed by model fit  and turning point significance (p < 0.05). Results demonstrate a significant structural shift: the mean BOR stabilized at 69.4% (p < 0.01), confirming sustained underutilization below the optimal 75% benchmark. The SRM indicated a permanent 3.5 percentage point decline post-crisis. Key determinants were found to be negatively correlated with telemedicine adoption (2), which diverts low-acuity demand, and positively correlated with the launch of high-acuity specialty services (3), confirming complex demand concentration.4 Implications are that the traditional BOR metric is now obsolete, mandating an immediate revision of administrative resource allocation policies. The conclusion is that NRHs must undergo a paradigm shift to embrace specialization, requiring investment in high-acuity services and the adoption of a Complexity-Adjusted Utilization Index (CABOR) to achieve a sustainable, complex-care-focused operational equilibrium.5 Follow-up qualitative studies (interviews) are recommended to validate the operational significance of the low BOR.
Analysis of Disparities in INA-CBGs Claim Verification Turnaround Time: A Case Study in Type C and B Regional Government-Owned Hospitals Maya Kasmita; Sulaiman Putra Nagaring
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.368

Abstract

This study investigates disparities in the Turnaround Time (TAT) for INA-CBGs claim verification between Type B and Type C Regional Public Hospitals (RSUDs) under the National Health Insurance Program (JKN). Although the regulatory TAT standard is 15 days, verification time often deviates, impacting hospital liquidity. The research quantifies the influence of Hospital Type on TAT, controlling for Case Mix Index (CMI) (Type B CMI ≈ 1.75 vs. Type C ≈ 1.25) and Pending Claim Ratio (Type C ≈ 12.5% vs. Type B ≈ 8.5%). Employing a quantitative comparative design on secondary data from 50 RSUDs (20 Type B, 30 Type C) (2021–2024), results confirm a statistically significant disparity. Type B RSUDs achieved a mean TAT of 14.2 days (near standard), significantly shorter than Type C RSUDs at 17.8 days (exceeding standard). Multivariate analysis showed that hospital type is a strong negative predictor of TAT, suggesting administrative resources and process maturity outweigh case complexity. Policy implications emphasize the need for targeted capacity-building and improving the coder-to-bed ratio in Type C RSUDs and utilizing Type B hospitals for benchmarking best practices to optimize JKN efficiency and financial sustainability.
Effect of the SISRUTE Online Referral System on Reducing Inappropriate Referrals at Advanced-Level Healthcare Facilities in Indonesia Sulaiman Putra Nagaring; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.399

Abstract

This study addresses the widespread administrative inefficiency caused by inappropriate referrals within Indonesia’s tiered healthcare system, threatening the sustainability of the Jaminan Kesehatan Nasional (JKN) program. The purpose of this research was to quantitatively evaluate the impact of the Online Referral System (SISRUTE) implementation on reducing the inappropriate referral rate at Advanced-Level Healthcare Facilities (FKRTLs). Using a quantitative Segmented Time Series Regression Model (SRM), the analysis utilized national aggregated secondary data, defining the High Utilization Threshold (HUT) (75% adoption) as the intervention point. The results show a highly significant structural improvement post HUT, confirmed by a sustained decline in the inappropriate referral rate (β₃ = -1.15, p < 0.001), leading to a 55.2% overall decrease. Key administrative failures, such as incomplete data entry and mismatched service tiers, dropped by 79.4% and 72.2% respectively, validating SISRUTE’s role as a digital administrative gatekeeper. This evidence establishes SISRUTE’s effectiveness in optimizing resource allocation and enhancing patient flow, thereby directly supporting the financial sustainability of the JKN system. The study strongly recommends prioritizing and expanding mandatory digital referral systems like SISRUTE as a core strategy for robust national health governance and efficiency.
Hospital Ownership and Minimum Service Standards Achievement: Empirical Evidence from Indonesia Helsy Desvitasari
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/laceri.v1i2.406

Abstract

Healthcare service quality is a global priority, and in Indonesia it is assessed through the implementation of Minimum Service Standards (MSS) integrated with National Quality Indicators (NQI). MSS function as a standardized benchmark to evaluate hospital performance across different ownership types. This study aims to examine differences in MSS achievement between government and private hospitals. A quantitative comparative design was employed using secondary MSS/NQI data from 60 Type B and C general hospitals located in Java and Sumatra during 2023–2024. Hospitals were equally categorized by ownership (government and private). Data analysis included descriptive statistics, assumption testing, and independent sample t-tests to identify differences in composite MSS achievement between the two groups. The analysis demonstrated a statistically significant difference in MSS achievement based on hospital ownership. Private hospitals showed higher overall MSS attainment compared to government hospitals, with mean achievement scores of 94.05% and 87.21%, respectively (p < 0.001). This result indicates a measurable performance gap in meeting minimum service quality standards between ownership types. Hospital ownership is significantly associated with the achievement of Minimum Service Standards in Indonesia. Private hospitals consistently achieve higher MSS scores than government hospitals, suggesting structural differences in service quality performance. These findings provide empirical evidence on the role of ownership in hospital quality outcomes and highlight the importance of further investigation into organizational and management factors influencing MSS compliance.
Operational Efficiency and Profitability: A Comparative Financial Performance Analysis of Listed Hospital Corporations (MIKA, SILO, HEAL) on the Indonesia Stock Exchange During the JKN Era Made Dewi Sariyani; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.407

Abstract

This study analyzes the operational efficiency and profitability of three leading hospital corporations listed on the Indonesia Stock Exchange: PT Mitra Keluarga Karyasehat Tbk (MIKA), PT Siloam International Hospitals Tbk (SILO), and PT Medikaloka Hermina Tbk (HEAL) during the National Health Insurance (JKN) era. The research addresses the empirical gap where, despite a 20-30% surge in patient volume under JKN, hospitals face a potential 15-20% margin compression due to INA-CBG’s fixed-rate tariffs. The study focuses on the impact of cost structure (Operating Expense Ratio/OER) and capital efficiency (Asset Turnover Ratio/ATR) on profitability. Using a quantitative approach over the 2019–2023 period, the study employs secondary data and applies descriptive and non-parametric statistical analyses (Kruskal-Wallis). Results reveal two distinct strategic models: MIKA’s margin quality strategy, achieving a superior Net Profit Margin (average 18.5%) and the lowest OER (48.34%) through selective non-JKN focus. Conversely, SILO and HEAL adopted a volume-driven strategy, evidenced by higher ATR (0.85x and 0.81x respectively) and BOR (up to 72.1%), but with lower profit margins. Statistical tests confirm significant differences in Return on Assets (p < 0.01) among the three corporations. These findings highlight the critical trade-off between cost control and asset utilization. The study suggests future research focus on granular cost factors and strategic decision-making processes to navigate financial sustainability under universal health coverage systems.
Public Information Disclosure as a Reflection of Administrative Governance: A Content Analysis of the Official Websites of Ministry of Health's Vertical Hospitals Based on Law No. 14 of 2008 Inna Noor Inayati
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.408

Abstract

This study investigates the level of Public Information Disclosure (PID) on the official websites of the Ministry of Health's Vertical Hospitals (RSVKs) as a direct reflection of their adherence to Good Administrative Governance (GAG) principles, as mandated by Indonesian Law No. 14 of 2008. PID is theoretically critical for public accountability and preventing institutional misuse of authority (Cahyono & Haryadi, 2023; Amane et al., 2025). Objective: The research aimed to quantitatively measure the proactive disclosure compliance of RSVKs. Methods: A Systematic Quantitative Content Analysis was employed, utilizing a specialized Digital Information Disclosure Index (DIDI) and a binary coding scheme (N=40 mandatory items) to analyze the digital content of all RSVK websites in October 2025. Inter-coder reliability was ensured using Cohen’s Kappa (  0.80) (Krippendorff, 2019). Results: The overall digital compliance level was Moderate, with a mean DIDI score of μ= 65.4% SD = 10.8%). A significant disparity was found between compliance with Fiscal Accountability (Periodic Disclosure:μ=75.1%) and Procedural Responsiveness (Anytime Disclosure: = 55.7%), particularly concerning Procurement Data for Goods & Services (40%). Qualitative analysis highlighted technical barriers, including the pervasive use of non-searchable PDF formats and poor placement (Norris & Lloyd, 2020). Conclusion: RSVKs demonstrate a model of formalistic transparency (compliance of form) driven by top-down requirements, failing to achieve substantive transparency due to institutional risk-aversion and managerial constraints. Implication: The study recommends that the Ministry of Health issue regulations mandating the publication of all required documents in searchable digital formats and implement transparency-focused HR reforms (Wulandari, 2025) to transition from defensive administrative compliance to a genuine GAG commitment.

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