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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : -
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) is peer reviewed journal published by Universitas Muhammadiyah Yogyakarta in collaboration with The Muhammadiyah Lecturer of Hospital Management Graduate Program Association (ADMMIRASI). ISSN: 2541-6715 (online) and 2088-2831 (print). JMMR focuses on the research and research review related to hospital management that is relevant for the development of the theory and practice of hospital management in Indonesia and southeast asia. JMMR is indexed by Directory Open Access Journal (DOAJ), Google Scholar, and Crossref (DOI), and neliti. JMMR covered various of research approach, namely: quantitative, qualitative and mixed method. JMMR focuses related on various themes, topics and aspects of accounting and investment.
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Articles 16 Documents
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Search results for , issue "Vol 4, No 2 (2015): July" : 16 Documents clear
PENGISIAN SIGN IN DALAM MENINGKATKAN KEPATUHAN SAFE SURGERY DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA II Saputra, Andri Firman; Rosa, Elsye Maria
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Abstract

Background: Complications and deaths due to surgery become one of the global health problems. World Health Organization estimates that at least half a million deaths due to preventable surgical. An effort to improve the quality of surgical services including the Surgical Safety Checklist to use made by World Health Organization. Compliance to use this surgery checklist which is can increase the number of safe surgery, reduce the wrong site surgery and nearmiss. Method: This research is a qualitative action research design. The study population was all the doctors and nurse anesthetist. Number of samples 6 people. The data is collected by observation sheet Surgical Safety Checklist: Sign In RS PKU Muhammadiyah Yogyakarta Unit II for 3 cycles of observation.Result and Discussion: The results of observations on the first to the third cycle shows that all disobeying nurse anesthetist (100%) the Surgical Safety Checklist to fill: Sign In. The results of the response every cycle and a structured interview with the anesthesiologist showed that nurses are still confused how to use the checklist, the checklist has not been a necessity, the culture of patient safety is still minimal, lack quality of human resources, lack of supervision and lack of socialization mechanisms Surgical Safety Checklist noncompliance that influence nurses Sign In to to fill.Conclusion: Completing Sign In in the installation of surgery center in PKU Muhammadiyah Yogyakarta Unit II Hospital is noncompliance, because they still haven’t got the identity bracelet mounted on a patient who will be operating and marking the location of a rare surgery. Advice to hospital are to create a Standard Operating Procedure (SOP), SOP socialize regularly, make in-house training, increase the commitment of doctors and nurses, create a surveillance system, create a system of reward and punishment. Keywords: Sign In, Compliance Safe Surgery   
EVALUASI PENERAPAN IDENTIFIKASI PASIEN DI BANGSAL RAWAT INAP RSI SITI AISYAH MADIUN Yudhawati, Donna Dwi; Listiowati, Ekorini
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Backgraund: This research is to reveal the evaluation of the application of identification patient at Siti Aisyah Madiun Islamic Hospital. The diversities and the routines of the services in hospital will make adverse event (KTD) if we don’t manage it properly. Errors due to misidentification patient happen almost in every aspect or diagnosis stages and treatment, so it needs the accuracy of patient’s identifications.Method: This research using qualitatif methods that produce descriptive data such as written words and verbal from people and observed attitude and study planning cases that exploits a problem with detail data retrictions, accompanied with detail data retrieval from many sources so can reflects patient identifications done by Siti Aisyah Islamic Hospital. Instruments used in this research is the search guidelines, in-depth interviews, FGD and RCA.Result and Discussion: This research result shows incident type of patient safety happens at Siti Aisyah Islamis Hospital. One of the causes is misidentifications patients. The nurses knowledge about the identification of patients had 100 % but the implementation of identification in hospital not optimal.Conclussion: The implementation of the identification of patients that should be done  by nurses not yet become a culture in Siti Aisyah Madiun Islamic Hospital and the implementation still far from the expectation. The suggestion from the researchers is management should do some evaluation and routine monitoring on the patient’s identifications in hospital to cultivate all nurses to identify patients become common culture nurse. Keyword : identification patient, patient safety incidents
EVALUASI CITRA RUMAH SAKIT DI RUMAH SAKIT PKU MUHAMMADIYAH BANTUL Albana, Rifki; ., Susanto
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Abstract

Background: DIY province has 70 hospitals, Bantul district has 10 hospitals that serve 859.968 inhabitants with 793 beds. Although the amount of hospital or beds was not enough, it was important for hospital to keep their image, it’s necessary to maintain or expand their market confidence.Method: It’s Quantitative-Qualitative study, cross-sectional survey and descriptive analytic. The quantitative used for determining images position, It’s used questionnaire to 118 respondents with purposive sampling methode. The qualitative used for supporting quantitative result and became reasons for improvements of dimensional image. Data Analysis used the differential semantic, four instruments and theory of marketing strategic.Result and discussion: There were 23 dimensions of hospital image, all of them show good images, doctors are skilled and experienced (98%.), skilled nursing (92%), professionalism (97%), neat and clean officer’s clothes (92%); organized and comfortable rooms (81%), building and rooms cleanliness (86%); complete facilities (85%), comfortable and hygine facilities (81%); complete medical equipments (88%), complete pharmaceuticals (95%); uncomplicated procedures (93%), officer’s timeliness (76%); sufficient consultation time (83%), attention and sympathy officers (92%), willingness to respond complaints (97%), hospitality (95%); appropriate price (95%), ease of insurance used (88%); strategic location and affordable (97%), inpatient room easily obtained (59%), ease to see the doctor (83%), information access (98%), understandly boards (76%). Image improvement priorities: timeliness officer, ease to see the doctor, adequacy of consultation time, board reconstruction, inpatient room additions, comfortable and hygine facilities, organized and comfortable rooms.Conclusions: All of hospital images were good. There were 7 dimension still need to be improved.Keyword: Hospital Image, Evaluation, Improvement Priority.
EVALUASI SARANA DAN PRASARANA RUMAH SAKIT DALAM MENGHADAPI BENCANA KEBAKARAN (Studi Kasus di RS PKU Muhammadiyah Yogyakarta Unit II) Sanjaya, Mirza; Ulfa, Maria
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Latar Belakang: RS PKU Muhammadiyah Yogyakarta Unit II memiliki enam blok bangunan gedung. Masing-masing blok gedung terdiri dari empat lantai. Kondisi bangunan dan kerentanan di dalamnya membuat RS ini memiliki risiko tinggi akan terjadinya bencana kebakaran, sehingga diperlukan kesiapan sarana dan prasarana penanggulangan bencana kebakaran.Metode: jenis penelitian kualitatif dengan rancangan studi kasus. Subjek penelitian adalah pihak manajemen dan petugas rumah sakit. Objek penelitian yaitu kondisi kesiapan sarana dan prasarana penanggulangan bencana kebakaran. Pengumpulan data dilakukan dengan teknik wawancara dan observasi. Analisis data dilakukan secara deskriptif kualitatif.Hasil dan Pembahasan: RS PKU Muhammadiyah Yogyakarta Unit II memiliki kelengkapan sarana dan prarasana penanggulangan bencana yang sebagian besar telah sesuai dengan standar. Terdapat beberapa unsur yang perlu ditingkatkan, seperti penambahan detektor asap dan APAR, pemerataan sprinkler, jalur evakuasi untuk lantai atas, perbaikan jalur keluar darurat dan papan nama di titik berkumpul. Faktor pendukung yang terdapat di RS ini adalah ketersediaan sarana dan prasarana maupun antusiasme SDM untuk memiliki kemampuan penanggulangan bencana kebakaran. Faktor penghambatnya yaitu anggaran yang lebih diarahkan untuk meningkatkan pelayanan kesehatan.Kesimpulan: RS PKU Muhammadiyah Yogyakarta Unit II telah memiliki kesiapan sarana dan prasarana penanggulangan bencana kebakaran, namun masih terdapat beberapa unsur yang harus ditingkatkan agar sesuai standar. Kata Kunci: Sarana Prasarana, Penanggulangan Kebakaran, Manajemen Bencana Rumah Sakit
ANALISIS GAP BIDANG SUMBER DAYA MANUSIA (SDM) RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II MENUJU RS TIPE B Noor, Zuhrida Emra
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Background : Issues of ASEAN Free Trade Area ( AFTA ) and globalization of the world economy demands which is every profit and non-profit organizations to compete in marketing and resource. The changes, requires hospitals to survive among competitors that would appear at any moment. Therefore , Human Resources (HR) hospitals must be able to respond it. HR needs proper planning in accordance with the service requirements of each unit in accordance with the classification of hospitals based on the Regulation of the Minister of Health ( Permenkes ) number 56 of 2014 as well as national accreditation standard version of the Commission on Accreditation of Hospitals 2012 ( KARS ). So the RS PKU Muhammadiyah Yogyakarta Unit II will head the hospital type B and accreditation .Methods: The study design was qualitative used  in-depth interviews and quantitative method for analyzing a plan about between condition HR today and the need for hospital accreditation of type B and KARS version 2012. While quantitative data obtained through questionnaires Need Assessment journal guidelines on Managerial Competency Development at Provincial and District HospitalsResults : Based on the research results, there is a shortage of human resources about the type and number according to hospital type B and for the accreditation of 99 elements document ratings are 96 % complete . As for performance assessment PKU Muhammadiyah Yogyakarta Unit II responsibility for the examination and treatment, training, science and research, issues of hospital management which is indispensable. To support the referral level, in terms of both treatment and prevention. As well as for international cooperation needs to be improved. While the assessment of training needs at the level of priority on the entire item, respondents give a high priority level assessment.Conclusion : There is a shortage of the type and quantity of human resources between the condition of human resources today and the provisions of hospital type B and there are some completeness of documents for the accreditation of qualifications assessment and education staff KARS 2012 version.  Keywords : hospital type B, Permenkes 56/2014, accreditation of KARS version 2012, human resources
EVALUASI FAKTOR ORGANISASI DALAM UPAYA PENINGKATAN PERFORMA SISTEM INFORMASI KESEHATAN : STUDI KASUS MUTU KELENGKAPAN PENGISIAN REKAM MEDIS PASIEN APPENDISITIS AKUT DI RS PKU MUHAMMADIYAH YOGYAKARTA Erryandari, Chandra Mukti; Santosa, Erwin
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Latar belakang:. Sistem informasi yang baik akan berguna dalam memajukan sistem kesehatan lokal. Rekam medis merupakan bagian dalam sistem informasi rumah sakit. Menjadi sangat penting dalam dunia kesehatan karena sistem informasi rumah sakit akan memberikan data untuk menentukan keputusan guna meningkatkan kualitas pelayanan. Mutu kelengkapan rekam medis sebagai salah satu sistem informasi kesehatan masih banyak mengalami kekurangan karena berbagai macam kendala. Untuk itu, peneliti tertarik untuk mengevaluasi faktor organisasi dalam unit rekam medis dalam upaya peningkatan performa sistem informasi kesehatan.Metode Penelitian : Penelitian ini merupakan jenis penelitian deskriptif analitik. Metode deskriptif analitik dilakukan dengan pendekatan mix method. Tujuannya adalah untuk mengetahui tentang faktor organisasi dalam unit sebagai bagian dari sistem informasi kesehatan.Hasil : Konsep peningkatan mutu kelengkapan rekam medis di RS ini sudah cukup baik. Namun, dari segi pelaksanaannya masih terdapat banyak kendala, seperti SDM kurang, proses sosialisasi tidak efisien, belum bekerjanya panitia sesuai tupoksi dan belum rutinnya proses pelaporan indikator mutu kepada direksi, serta belum adanya tindak lanjut dari direksi kepada dokter yang belum bisa lengkap dalam pengisian rekam medis.Kesimpulan : Konsep peningkatan mutu sebenarnya sudah tertanam dalam proses rumah sakit ini, tetapi dalam pelaksanaannya konsep ini masih menemui banyak permasalahan. Perlu kerja yang lebih keras lagi dari  staf  rekam medis, panitia rekam medis, panitia penjamin mutu, dan direksi dalam bersama-sama meningkatkan mutu kelengkapan rekam medis supaya lebih terintegrasi. Kata Kunci : sistem informasi kesehatan, faktor organisasi, rekam medis
EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL Firdaus, Fidela Firwan; Dewi, Arlina
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Latar Belakang: Masalah yang sering dihadapi secara umum oleh rumah sakit adalah rumah sakit belum mampu memberikan sesuatu hal yang benar-benar diharapkan pengguna jasa. Beberapa pasien banyak yang masih bingung mengenai sistem rujukan yang ditetapkan dalam BPJS Kesehatan. Begitu juga dengan pasien yang mengeluh biaya kesehatan yang dulu seluruhnya terinci saat masih berupa PT Jamsostek, sekarang banyak yang tidak terinci saat sudah berubah menjadi BPJS.Metode: Penelitian kualitatif untuk menganalisis kualitas pelayanan terhadap kepuasan pasien rawat jalan peserta BPJS di RSUD Panembahan Senopati Bantul. Data primer diperoleh dari wawancara mendalam terhadap pasien rawat jalan peserta BPJS, dokter pelayanan rawat jalan, dan petugas BPJS di RSUD Panembahan Senopati Bantul.Hasil dan pembahasan: Hal yang mempengaruhi kepuasan pasien antara lain: pendaftaran lancar, waktu tunggu, pelayanan cepat, ramah, sopan, keterampilan dan perawatan medis bagus, profesional, ruangan bersih dan fasilitas lengkap. Sebaliknya, hal-hal yang menjadi hambatan kepuasan pasien antara lain: karyawan pendaftaran datang terlambat, lambat, dan mengobrol sendiri, waktu tunggu lama, nada suara petugas medis tinggi, keramahan kurang, ruangan kurang luas, tidak memakai sekat, ruang tunggu kurang, jarak poli satu ke poli lain terlalu dekat, dan tidak ada pengeras suara. Faktor lain yang mempengaruhi yaitu BPJS.Kesimpulan dan saran: Kepuasan pasien sesuai dengan teori SERVQUAL (Parasuraman dan Zeithml, 1990). Hambatannya yaitu ruangan dan fasilitas, waktu tunggu lama, jumlah SDM, SIM RS versi lama, dan tata cara sistem rujukan. Solusinya yaitu ruangan yang lebih luas, ruang tunggu yang lebih nyaman, sekat dari dinding, memberikan pengeras suara, menambah jumlah SDM, dan memperbarui SIM RS. Sarannya yaitu melakukan survey hal-hal yang sudah membuat pasien puas dan yang masih kurang, melakukan perbaikan dan melengkapi ruangan dan fasilitas di rumah sakit, menambah sumber daya manusia, mempertimbangkan bridging system, dan melakukan evaluasi terhadap program yang sudah berjalan. Kata kunci: kepuasan pasien, kualitas pelayanan, BPJS
ANALISIS PERHITUNGAN BIAYA SATUAN TINDAKAN ORIF (Open Reduction Internal Fixation) FRAKTUR FEMUR MENGGUNAKAN METODE ABC (Activity Based Costing) (STUDI KASUS DI RS PKU MUHAMMADIYAH BANTUL) Firdaus, Rizka Nurul; Pribadi, Firman
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Background: The determination of operating room rates at PKU Muhammadiyah Hospital in Bantul is currently using fee for service method where the operating rate is determined by the calculation of the cost components that occur as the cost of medical services, consumables, medicines, and the rent of operating room, but it has not included all the components of the activity-based costs associated with clinical pathways. However, this surgical procedure may result significant costs to the hospital.Methods: The study was conducted at PKU Muhammadiyah Hospital in Bantul. This research is descriptive qualitative case study design. The sample were the patients who underwent an operation of ORIF for Femoral Fractures without complications that met the inclusion and exclusion criteria. Cost analysis method used was the Activity-Based Costing (ABC).Results and Discussion: The unit cost of ORIF for Femoral Fractures which was calculated by the method of Activity Based Costing (ABC) was 8,157,726 rupiahs,  while the real cost spent by the hospital was 9,035,885 rupiahs. The amount of real cost on ORIF for Femoral Fracture specified by RS PKU Muhammadiyah Bantul was higher than the unit cost calculated based on Activity-Based Costing method. The obtained difference was a positive difference, which was 878.159 rupiahs (10,76%). In the Activity-Based Costing (ABC), indirect and direct cost (overhead) are charged at some cost drivers, while the traditional system is only charged on a cost driver.Conclusions and Recommendations: Based on the calculation of unit costs obtained, it can be concluded that the unit cost of ORIF for Femoral Fracture in Central Surgery Installation PKU Muhammadiyah Hospital in Bantul with Activity- Based Costing method is lower and more proportionate with the activity. However, the hospital should also apply the calculation of the unit cost to all the types of service especially for surgery in order to identify and examine the cost components which are subject to change at any time and cause some disadvantages to the hospital accounting. Keywords: Activity-Based Costing (ABC), ORIF, Femoral Fracture, Unit Cost
PELAKSANAAN IDENTIFIKASI PASIEN BERDASARKAN STANDAR AKREDITASI JCI GUNA MENINGKATKAN PROGRM PATIENT SAFETY DI RS PKU MUHAMMADIYAH YOGYAKARTA UNIT II Lestari, Sri
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 2 (2015): July
Publisher : Universitas Muhammadiyah Yogyakarta

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Penelitian ini mengungkap identifikasi pasien  yang merupakan salah satu bagian penting dari keselamatan pasien. Akreditasi RS beralih dan berorientasi pada paradigma baru dimana penilaian akreditasi didasarkan pada pelayanan berfokus pada pasien. Keselamatan pasien menjadi indikator standar utama penilaian akreditasi baru yang dikenal dengan Akreditasi RS versi 2012. 1 Rancangan penelitian menggunakan eksperimen dengan one group pretest postest design  dengan  pretest,   intervensi, dan  postest. Metode penentuan sampel secara accidental, meliputi pasien rawat inap, perawat, bidan dan penunjang medis, melalui kuesioner, wawancara, pengamatan dan FGD. Hasil dianalisis secara statistik deskriptif dan deskriptif kualitatif.Hasil penelitian menunjukkan bahwa identifikasi pasien belum dilakukan dengan baik, sesuai hasil kuesioner dan pengamatan masih ditemukan pasien rawat inap yang belum  menggunakan gelang identitas, 100% petugas belum memberikan edukasi tentang manfaat penggunaan gelang identitas pasien, dan 85% petugas belum melaksanakan identifikasi secara benar.  Pelaksanaan identifikasi berdasar  nama dan nomor kamar pasien. Walaupun sosialisasi, ronde patient safety, pemasangan poster identifikasi pasien telah di lakukan dan semua dokumen tentang identifikasi pasien telah lengkap.Kesimpulanya pelaksanaan identifikasi di RS PKU Muhmmadiyah Yogyakarta belum berjalan sesuai standar. Saran yang disampaikan peneliti diantaranya ialah untuk memperbesar dukungan pihak managemen terutama dalam pemenuhan SDM, perubahan kebiasaan yang mendukung program patient safety oleh petugas. 
EVALUASI CITRA RUMAH SAKIT DI RUMAH SAKIT PKU MUHAMMADIYAH BANTUL Rifki Albana; Susanto .
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 2 (2015): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.1110

Abstract

Background: DIY province has 70 hospitals, Bantul district has 10 hospitals that serve 859.968 inhabitants with 793 beds. Although the amount of hospital or beds was not enough, it was important for hospital to keep their image, it’s necessary to maintain or expand their market confidence.Method: It’s Quantitative-Qualitative study, cross-sectional survey and descriptive analytic. The quantitative used for determining images position, It’s used questionnaire to 118 respondents with purposive sampling methode. The qualitative used for supporting quantitative result and became reasons for improvements of dimensional image. Data Analysis used the differential semantic, four instruments and theory of marketing strategic.Result and discussion: There were 23 dimensions of hospital image, all of them show good images, doctors are skilled and experienced (98%.), skilled nursing (92%), professionalism (97%), neat and clean officer’s clothes (92%); organized and comfortable rooms (81%), building and rooms cleanliness (86%); complete facilities (85%), comfortable and hygine facilities (81%); complete medical equipments (88%), complete pharmaceuticals (95%); uncomplicated procedures (93%), officer’s timeliness (76%); sufficient consultation time (83%), attention and sympathy officers (92%), willingness to respond complaints (97%), hospitality (95%); appropriate price (95%), ease of insurance used (88%); strategic location and affordable (97%), inpatient room easily obtained (59%), ease to see the doctor (83%), information access (98%), understandly boards (76%). Image improvement priorities: timeliness officer, ease to see the doctor, adequacy of consultation time, board reconstruction, inpatient room additions, comfortable and hygine facilities, organized and comfortable rooms.Conclusions: All of hospital images were good. There were 7 dimension still need to be improved.Keyword: Hospital Image, Evaluation, Improvement Priority.

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