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THE QUALITY CONTROL OF INA-CBG’S CODING AS A CAUSE OF NEGATIVE CLAIM AT BAGAS WARAS KLATEN HOSPITAL Setyaningsih, Veronica Retno; Kusumo, Mahendro Prasetyo; Dewi, Arlina
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: Proceeding International Seminar of Occupational Health and Medical Sciences (I-SOCMED) 2017 ?
Publisher : Universitas Muhammadiyah Semarang

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The pattern of payment that is applied by Jaminan Kesehatan Nasional (JKN) in advanced health facilities (hospitals) is a prospective payment pattern. Prospective Payment pattern known as casemix is a grouping diagnoses and procedures with reference to clinical characteristics which is similar and resource used or maintenance cost is similar. The grouping is done by software groupers. Bagas Waras hospital in making diagnosis grouping sometimes experiences the negative difference (loss) between the real cost of hospital fees in accordance with the Indonesia Case Based Group (INA CBGs) cost package approved by Badan Penyelenggara Jaminan Sosial (BPJS).This study is to determine the cause of the change file BPJS claims that the negative consequences of coding problems after qualitycontrol of INA-CBGs coding in Bagas Waras hospital Klaten. This study was a qualitative research design action (Action Research). This study used a model of action research (Action Research) of S Kemmis and R McTaggart which is designed through two cycles of the procedure: (1) planning , (2) action (3) observation, (4) reflection  in each cycle. The research instrument used a questionnaire. Analysis of the data used qualitative analysis and quantitative analysis.The results showed that the frequency of claims BPJS start of the cycle I, II and III, there was a decreasing in the proportion of the, it is due to an error coding, Leght OfStay (LOS) extends, the cost of medical action that is excessive, and Excess Cost investigations. In improving the ability of diagnosis coding, Bagas Waras hospitalcontinuously strives to improve their ability to apply the Hospital Information System (SIRS).The cause of negative claim in a file BPJS after INA-CBGs control coding in Bagas Waras hospital  is the employees do not understand the overall coding system, and  do not run the monitoring and evaluation system of coding.  Keyword : Negative Claim of BPJS, Coding INA CBG's
Preferensi Masyarakat Muhammadiyah Surakarta Tentang Pelayanan Kesehatan Di Sekolah Melalui Pendekatan Metode Analisis Konjoin Dewi, Arlina
Jurnal Manajemen Pelayanan Kesehatan Vol 6, No 02 (2003)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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TERSEDIA DALAM FILE
HUBUNGAN MUTU, INDIKATOR KINERJA KUNCI, DAN KINERJA PELAYANAN RUMAH SAKIT (STUDI KASUS PADA RUMAH SAKIT AUMAKES) Dewi, Arlina; Wijaya, Aris Suparman; Sukardi, Fradita Eka
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 2, No 2 (2013): July
Publisher : Magister Manajemen Rumah Sakit

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Background: Muhammadiyah and Aisha had a vision of 2020 is going to be a major driver of the establishment of networks between social groups that support healthy communities self-reliant and vision of 2015. Thus conducted a study of 40 hospitals under the auspices of Aumakes in 2009, from that data, researchers interested in conducting research on the quality of 40 hospitals under the auspices of Aumakes.Purpose: The research objective is 1). To analyze the relationship of the hospital quality  with Key Performance Indicators (KPI), 2) to analyze the relationship of the Hospital Quality with BOR and 3). To analyze the relationship of the hospital quality with ALOS.Methods: Types of research taking secondary data in 2009 with the design of the quantitative analysis method of retrospective study. Location of the study in 40 hospitals under the auspices of Aumakes. Analyzed using quantitative with correlation statistical program.Result:. Correlation statistical data shows significant relationship exists between the quality and KPI with significance values is 0.00 and with strong correlation is 0.719. There is a significant relationship between hospital quality and BOR with significant value is 0.016 by weak correlation 0.394. There was no significant relationship between the quality and ALOS which is significance values 0.831.Keyword Hospital quality, Key Performance Indicators (KPI), BOR, ALOS
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 BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL Wijaya, Aris Suparman; Dewi, Arlina; Dwita, Della Mawros
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area.Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul.Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.Keywords: Patient Safety Culture, PKU Muhammadiyah Hospital of Bantul
PERBANDINGAN EFISIENSI PENATALAKSANAAN APENDISITIS AKUT PADA PASIEN JAMINAN KESEHATAN NASIONAL DENGAN PASIEN UMUM (STUDI KASUS DI RSUD PANEMBAHAN SENOPATI BANTUL) Widiyantara, Agus Tri; Dewi, Arlina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: BPJS PBI’s participants patients that a part of National Health Insurrance have financing with prospective payment system, while general patient use fee for service., To avoid losses, the hospital must manage patients more efficiently in the prospective payment system than the fee for service with strict quality control and control of costsMethods: The type of research is a quantitative research using secondary data.  Population is BPJS PBI’s patient and general patients who experiencing uncomplicated acute appendicitis and action appedictomi. There are 60 respondent. Analyses test using independent t test and Mann-Whitney test.Results and Discussion: BPJS PBI’s participants patient’s length of stay are shorter than general patients (p <0.001). The management cost of BPJS PBI participant patients are lower and significantly different than public patients at the component cost of the drugs (p <0.001), the cost of a physicians examination (p = 0.012), the cost of accommodation (p <0.001), the cost of BMHP (p <0.001), supporting examination (p = 0.023) and total cost (p <0.001). There is no differences of operating costs. BPJS PBI’s participants care costs are lower than public patients but there was no significant difference (p = 0.487).Conclusion: Based on the length of stay and cost management in appendicitis procedures, BPJS PBI’s participant patients more efficient than general patients.Keywords: efficiency, length of stay, costs
Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul Astuti, Yurni Dwi; Dewi, Arlina; Arini, Merita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 6, No 2 (2017): August
Publisher : Universitas Muhammadiyah Yogyakarta

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The purpose of this study was performed to evaluate the content and quality of clinical pathway sectio Caesarea (CP SC), compliance evaluate the implementation of CP SC and know that there are barriers in the implementation of CP SC, so it can make recommendations to improve the implementation of CP SC in hospitals Panembahan Senopati Bantul. The research used mix method focusing in case study design at obsgyn unit room in Panembahan Senopati State Hospital in Bantul. Sample of respondent to the quantitative data to observe at the documentation and obedience to the medical records of patients who had been operated sectio caesarea’s elective that choosen by total sampling and evaluation of CP SC using the Integrated Care Pathway Appraisal Tools (ICPAT) consisting of six dimensi. Data qualitative is obtained by do a deep interviews with a purposive sampling method.
THE DIFFERENCE OF SATISFACTION LEVEL IN BPJS HEALTH INSURANCE PATIENT AND NON INSURANCE PATIENT TOWARD HEALTH SERVICE Dewi, Arlina; Ramadhan, Naufal Kurnia
International Journal of Public Health Science (IJPHS) Vol 5, No 1: March 2016
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v5i1.4760

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National Health Insurance (JKN) developed in Indonesia is part of the National Social Insurance System (SJSN). One way to assess the services quality is to measure the patient satisfaction level. This research is a quantitative research with the cross sectional research design. The subjects of this research were the BPJS health insurance patients and non insurance patients with 200 people as the samples. The data was analyzed by the independent t-test, gap analysis, CSI (Customer satisfation index) and IPA (Importance performance analysis). The result showed that significant (? value >0,05) in all dimensions which mean that there is no difference of patient satisfaction level in Social Security Organizing Body (BPJS)  participants and non insurance patients toward health services in Negara General Hospital. The biggest satisfaction in non insurance patients is on the Assurance variable (-1,002) and the smallest satisfaction is on the Tangibles variable (-1,357) and the biggest satisfaction of BPJS health insurance patients is on Assurance variable (-1,085) and their smallest satisfaction is on Responsiveness variable (-1,367). The non insurance patients gap is (-0,217) and the BPJS health insurance patients gap is (-1,206), both of them were classified into low satisfaction level. The result of Importance performance analysis value of non insurance patient showed Responsiveness attributes that should be prioritized and improved while in BPJS health patients showed Responsiveness and Reliability attributes that should be prioritized and improved by Negara General Hospital.
TINGKAT KEYAMANAN PASIEN ACUTE MYOCARDIAL INFARCTION DENGAN REHABILITASI JANTUNG FASE 1 DI IPI RUMAH SAKIT BAPTIS KEDIRI Idris, Desi Natalia Trijayanti; Dewi, Arlina; Sari, Novita Kurnia
Jurnal Penelitian Keperawatan Vol 4, No 1 (2018): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.601 KB) | DOI: 10.32660/jurnal.v4i1.311

Abstract

TINGKAT KENYAMANAN PASIEN ACUTE MYOCARDIAL INFARCTION DENGAN REHABILITASI JANTUNG FASE 1 DI IPI RUMAH SAKIT BAPRIS KEDIRI Trijayanti Idris, Desi Natalia; Dewi, Arlina; Sari, Novita Kurnia
Jurnal Penelitian Keperawatan Vol 4, No 1 (2018): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.818 KB) | DOI: 10.32660/jurnal.v4i1.343

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Pasien AMI merasakan nyeri yang sangat hebat. Nyeri yang diakibatkan oleh pasien AMI menyebabkan ketidaknyamanan dan penurunan fungsi tubuh yang berdampak berupa gejala fisik dan psikoemosional, yang dapat mempengaruhi kualitas hidup. Penelitian ini bertujuan untuk menganalisis pengaruh rehabilitasi jantung fase 1 Terhadap kenyamanan pasien acute myocardial infarction di Ruang IPI RS Baptis Kediri. Penelitian ini menggunakan metode quasy – experiment dengan post test design. Sampel penelitian diambil dengan mengunakan teknik quota sampling dengan jumlah sampel 40 yang dibagi menjadi 2 kelompok intervensi dan kelompok kontrol. Kelompok Intervensi dilakukan rehabilitasi jantung fase 1 dan kelompok kontrol mendapatkan pelayanan kesehatan sesuai prosedur yang ada di rumah sakit. Pengumpulan data dengan kuesioner SGCQ yang sebelumnya telah diuji validitas dan reliabilitasnya. Analisis data penelitian ini menggunakan uji statistik Independent Samples T-Test untuk mengetahui pengaruh kenyamanan pasien acute myocardial infarction. Hasil penelitian untuk kenyamanan pada kelompok intervensi mean 94.95 dan pada kelompok kontrol 78.20 Uji beda kenyamanan pada kelompok intervensi dan kontrol didapatkan hasil nilai t -4.36 dengan p<0.001. Kesimpulan Ada Perbedaan yang signifikan kenyamanan pada kelompok intervensi dan kelompok kontrol setelah dilakukan rehabilitasi jantung fase 1.