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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 6 Documents
 1 
Search results for , issue "Vol. 1 No. 1 (2025): January, 2025" : 6 Documents clear
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.

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