Indonesia Conference Directory

Corresponding Author
Rini Anggraeni

Institutions
Public Health Faculty
Hasanuddin University

Abstract
Introduction The problem of the amount of arrears BPJS claims in number of Makassar City hospitals were considered to be detrimental and reduce the quality of public health services. This problem was followed by a lack of coordination in several policies between the Regional Government and BPJS. This research aim was conducted of evaluating the governance of JKN implementation for five years specifically the aspects of management in the JKN road map. Methode: This research is a qualitative study using a realist evaluation approach. This approach is used to explore the process and achievements of the Health BPJS in implementing the JKN program in an open, efficient and accountable manner (target-1, target-5, and target-8 of the JKN Road Map). The principle of good governance becomes a theory hypothesized and tested in a context-mechanism-outcome configuration. Realist Evaluation was chosen because it can present the causality of the situation and interaction between institutions that contribute to the achievement of JKN program governance. Result: There are various contexts in implementing JKN policy. The JKN policy context in South Sulawesi is uniform and has a robust centralistic nature. The internal framework is the HR in the South Sulawesi Provincial Health Office and Regency-cities that are complete and have active participation. However, the mechanism that occurs in the implementation of the JKN program, the South Sulawesi Health Service cannot access data owned by the Health BPJS from 2014 - 2018. The BPJS Health Makassar region has to wait for the authority of the Central Health BPJS in opening the data. Makassar region Health BPJS feels it does not have an obligation to be open in implementing JKN, so the outcomes arising from this mechanism are various things that are not good in JKN governance. The local Health Office has not been able to access, and use JKN data such as contribution data, membership data, health service utilisation data for program preparation or health sector budgeting according to regional needs. Conclusion: The implementation of the JKN program has not been managed well, due to the non-transparency of some data and information in the management of the JKN program in Makassar. A centralised system that is solid in the use of data in BPJS Health organs results in local governments not having access to use BPJS Health data in health policy planning according to local needs (local responsiveness).

Keywords
National Health Insurance, Decentralization and Centralization, Good Governance, Realist Evaluation.

Topic
Social Health Insurance

Link: https://ifory.id/abstract/RHVudWLzP3vJ

Corresponding Author
Nur Syarianingsih Syam

Institutions
a) Public Health Universitas Ahmad Dahlan, JL. Prof. DR. Soepomo SH, Kota Yogyakarta, Daerah Istimewa Yogyakarta 55164
*nur.syam[at]ikm.uad.ac.id

Abstract
INTRODUCTION: One of the efforts made by hospitals in terms of employee competency development is through education and training programs (DIKLAT). The network of PKU Muhammadiyah Hospital in DIY in providing services to patients always put attention to the process of development medical staff both medical and non-medical. This study aims to evaluate the implementation of the DIKLAT program in the Network of PKU Muhammadiyah DIY Hospital by focus attention to context, input, process, and output. METHOD: The method used is qualitative, descriptive research type, with a case study approach, and method of collecting data through the interview process. The three hospitals were PKU Muhammadiyah Yogyakarta Hospital, PKU Muhammadiyah Bantul, and PKU Muahmmadiyah Gamping, involving 3 respondents from each hospital, with a total of 9 respondents. RESULT: From the three hospitals that were examined, it was found that the implementation of staff education and training had been adjusted to hospital accreditation standards (KARS), minimum service standards, and job analysis. There is a gap in meeting the number of hours of education and training in PKU Muhammadiyah Hospital Bantul, namely for training ≥ 20 hours followed by 24.80% of employees (SPM Number 129 in 2008 ≥ 60% of employees have attended training ≥ 20 hours) Conclusion: The results of this study indicate that the education and training program networked by PKU Muhammadiyah Hospital in DIY, PKU Muhammadiyah Yogyakarta, Bantul and Gamping Hospital has been well implemented in terms of context and input.

Keywords
training; staff; hospital, DIY

Topic
Human Resources Management

Link: https://ifory.id/abstract/qgyA967JM4KC

Corresponding Author
Haerawati Idris

Institutions
a), b) Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University, South Sumatera
*haera[at]fkm.unsri.ac.id

Abstract
Malnutrition is a fairly high nutritional problem. It is related to the future generation of a smart and healthy nation. The impact caused by malnutrition can affect to the intelligence and productivity during adulthood. The government released an additional feeding program to address nutritional problems in Indonesia. The study was aim to analyze the supplementary feeding program for under-five children under five at Payakabung Health Center, Ogan Ilir Regency. This research is a qualitative research. The sampling technique was purposive sampling. Data were analyzed using content analysis. The research informants were the Head of the Payakabung Health Center, the nutrition head of the Payakabung Health Center, the village midwife, the Posyandu cadre and the mother of toddlers. Based on the four components of the evaluation of supplementary feeding programs, five variables are still a problem in program implementation. The unavailability of a special building for PMT product storage, monitoring has not been carried out properly, so the target has not been obedient in consuming PMT products because some targets do not like the product or the target family also consumes the product. The implementation of the supplementary feeding program is generally good, but several things must be corrected. Recommendations are that monitoring activities in the implementation of the program must be further enhanced and should use the latest supplementary feeding guidelines and use special product storage buildings.

Keywords
Evaluation, supplementary feeding, malnutrition, toddlers

Topic
Public Health Issue

Link: https://ifory.id/abstract/6LkzK8p9ZEVj

Corresponding Author
Anggi Gilang Yudiansyah

Institutions
a) Program Studi Magister Manajemen Rumah Sakit Fakultas Kedokteran Universitas Brawijaya Malang
*anggigilang[at]gmail.com
b) Politeknik Kesehatan Kemenkes Malang

Abstract
Competition in the world of hospital business is increasingly strict requiring hospitals to keep their customers coming and comfortable when going to their hospital. Hospitals must be able to understand customer behavior to find out what they want. Therefore, it is necessary to learn about the customers desires through their experience when getting service. One of the hospitals around Malang has decreased the number of outpatient visits from year to year. Hospitals that focus on geriatric services are hospitals that have not partnered with BPJS. Seeing this phenomenon, this study aims to reveal the meaning of patient experience when getting outpatient services at this hospital. This study took data by conducting in-depth interviews with 5 patients who visited the hospital. The method used is a qualitative research design with a phenomenological interpretation approach. Data was then analyzed using Interpretive Phenomenology Analysis (IPA). From the results of the analysis, it was found that the pleasant experience obtained by patients while getting services at the hospital can encourage patients decisions in choosing a hospital. Hospitality and speed of service provided by all hospital staff make patients happy and want to visit again. This shows the need for an experiential marketing in hospitals to be able to retain loyal customers and attract new customers.

Keywords
Experiential marketing, experience, geriatrics, phenomenology

Topic
Marketing Management

Link: https://ifory.id/abstract/TuprLJfzmgcv

Corresponding Author
Ira Prasanti

Institutions
Postgraduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia

Abstract
The impact of accreditation on patient outcome need to go through organizational and clinical process level. This research aimed to explore the level of quality management system (QMS) implementation across hospital accreditation status. Sixteen hospitals in three districts Malang Raya, east Java, with varied characteristics and accreditation status, agree to participate in this study. The respondents of this study were nurses who asked to give their responses in five scales for each component of QMS that represent the maturity levels. A cross-tabulation was created to describe the QMS maturity across hospitals accreditation status. The results show shows that in general, regardless of accreditation status, documentation, and credential mechanism for nurses are the QMS components that mostly perceived already in mature level (has been fully implemented with evidence of improvement). The accredited hospital still has a problem in continuously measure and use professional opinion for continuous quality improvement, while non accredited mainly still not have approved quality improvement plans. Hospitals with higher accreditation status (madya or paripurna) has more QMS components that mostly perceived as having mature stage compared to non-accredited and hospital with initial accreditation stage. It should be noted that even for hospitals with full accreditation stage, not all QMS components had been in mature levels, most components already have a plan and documented procedures but lack of continuous implementation and evidence improvement. It can be concluded that based on nurse perception the accreditation program has induced the implementation of QMS but still limited in planning and procedural documentation, therefore much effort is needed to leverage its level into continuous quality improvement.

Keywords
hospital accreditation, quality management system implementation, continuous quality improvement

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/vZNVFhkQYUpR

Corresponding Author
Nining Ade Ningsih

Institutions
STIK Tamalatea Makassar

Abstract
The quality of service in Indonesia is still lagging behind other countries. Excellent service is the best or very good service in meeting the expectations and needs of customers or patients. The study aims to determine factors associated with excellent service of health personnel in the Demon Pagong Health Center, Demon Pagong Sub-District, East Flores District, East Nusa Tenggara Province. This research used quantitative research with cross sectional study approach. This research was conducted on all health personnel with a total population of 48 people with total sampling technique. Data analysis was performed by univariate and bivariate analysis using the chi square test with ρ=0.05. The results of research in the Demon Pagong Health Center, Demon Pagong Sub-District are there is a significant relationship between the task identity and the excellent service of health personnel based on statistical test (chi-square) value of p=0.033, there is a significant relationship between the relationship of co-workers and excellent service with a value of p=0.025, there is a significant relationship between leadership and excellent service with a value of p=0.022. Demon Pagong Health Center needs to provide training on the culture of excellent service to health personnel so that the health services provided are constantly effective, very good and excellent in satisfying patient (community) expectations.

Keywords
Excellent Service, Task Identity, Co-workers Relationship, Leadership

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/tzjUfpJae6yX

Corresponding Author
Djazuly Chalidyanto

Institutions
1Health and Policy Administration Department, Faculty of Public Health, Universitas Airlangga Surabaya
2Jombang Islamic Hospital
3WJP Consultation Network
Corresponden author : djazulych[at]fkm.unair.ac.id

Abstract
The negative cost difference between the claims of INA-CBGs and hospital costs for patients which the member of National Health Insurance (JKN) with surgical cases at Jombang Islamic Hospital in 2017 reached IDR -248,095,186. It was hypothesized that the negative cost difference occurred due to the scheduling delay of the surgery and the patients length of stay. The objectives of this research were to identify the factors which affect the negative cost difference in the appendicitis cases. This was an observational analytic research with cross-sectional study design. This research involved 40 medical records of patients who were diagnosed with appendicitis in Jombang Islamic Hospital from January-December 2018. The patients were selected using stratified random sampling. The data were analyzed using linear regression. This research showed that length of stay (β=0.290; p=0.005) and schedule for the surgery (β=0.265; p=0.010) had a significant impact on the negative cost differences in the JKN patient with appendicitis. This research concludes an increase in the length of stay and the delay of the surgery schedule will increase the negative cost difference. Therefore, the hospital should monitor the surgeon compliance toward the length of stay and prevent the delay of surgical schedule in appendicitis cases to reduce the negative cost difference in Jombang Islamic Hospital.

Keywords
appendicitis, cost differences, INA-CBGs tariff, length of stay, surgery schedule

Topic
Financial Management

Link: https://ifory.id/abstract/E3WjCyfZRF4T

Corresponding Author
Eha Sumantri

Institutions
aPublic Health Study Program, Tamalatea College of Health Sciences, Makassar
bNutrition Study Program, Public Health Faculty, Universitas Hasanuddin, Makassar

Abstract
ABSTRACT Objective The study aimed to analyze relationship between food pattern, mothers- knowledge, family income and nutritional status among children aged 12 to 59 months in Tamalanrea Public Health Center, Makassar City, Indonesia Methods The study used cross sectional study which involved 70 children through purposive sampling method. Food pattern was defined as nutrient intake of energy, carbohydrate, protein and fat. It was collected using food recall 24-hours questionnaire. Mothers- knowledge and family income were collected using developed questionnaire. Children body weight was assessed using standardized and validated weight scale. Nutritional status was defined as body weight for age and categorized based on WHO Anthro plus software. Chi-square test was performed to analyze all variables through SPSS software. Results There were significant relationship between energy, carbohydrate, protein, fat intake and nutritional status among children aged 12 to 59 months (P-value < 0,005). The similar result was showed between mothers- knowledge and nutritional status (P-value < 0,005). In contrast, there were not significant relationship between family income and nutritional status. Conclusion In order to maintain good nutritional status among under-five children, recommended nutrient intake is very important as well as mothers- knowledge in prepare and produce nutritious food for their children.

Keywords
KEYWORDS: Food pattern, nutritional status, under-five children

Topic
Public Health Issue

Link: https://ifory.id/abstract/X7z4Ce9TLBbD

Corresponding Author
Rita Dian Pratiwi

Institutions
a)Department of health services and information management, Sekolah Vokasi, Universitas Gadjah Mada, Indonesia
b)Doctoral program of medical faculty, Universitas Gadjah Mada, Indonesia

Abstract
Abstract Objective: This study aims to forecasting the incidence of patient safety to improve the quality of hospital services Methods: This research is an analytic observational study with a cross-sectional design. The sample of this study is all reports of patient safety incidents in 2016-2018 which consist of five types there are potential injury events, near-injury events, non-injury events, unexpected events, sentinel events, and risk grading at one of the hospital in special region of Yogyakarta Results: Based on the five types of patient safety incidents it was known that there was a decline approximately 73% in the incidence of near-injury conditions from 2016 to 2018, whereas in 2019 there were no estimated incidents. Overall forecasts in 2019 on safety incidents based on patient safety goals, type of incidents, types of services and risk grading of green and yellow have decreased Conclusion: The incidence of patient safety tends to decrease; this indicates that patient safety culture has been applied.

Keywords
patient safety, incident, forecasting

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/c92FCP4x6qLX

Corresponding Author
GUNAWAN WIDJAJA

Institutions
Universitas Tarumanagara

Abstract
Objective: This research aimed to elaborate the role of pharmacists in hospital to establish good hospital governance in accordance with Indonesian rules and regulations. Method: This research is a normative research. Data were obtained through literature search using “google machine” with “good hospital governance”, “pharmacists- role in hosptal”, “pharmacists- regulations in indonesia” as keywords. Data were analyzed using qualitative method. Collected raw data were reduced to the most relevant data by conducting content analysis. The relevant data were used to analyze the purpose of the research. Results: Good hospital governance needs a good administration of alll hospital activities that support the madical care, and good clinical governance in providing medical care for patient safety. Finding proved that there were not many provisions in the rules and regulations that govern the role of pharmacists in hospital. However those provisions were sufficient enough to justify the role of pharmacists to assist “creating” and maintaining good hospital governance. Conclusion: Pharmacists have two important but different side by side roles in good hospital governance settings.

Keywords
hospital governance, pharmacist- role, clinical governance

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/guXaryN9ZPxH

Corresponding Author
Syahrir A. Pasinringi

Institutions
Departement of Hospital Management, Faculty of Public Health, Hasanuddin University. Makassar, Indonesia

Abstract
Health care quality gained global concern for decades. A qualified and safe service quality has been expected and become the main purpose of the community, health practioners, health facilities, owners and regulators. One of external strategies which is used generally, is in the form of acknowledgement of implemented quality management system, namely, certification and accreditation. The study aimed to analyze the correlation between the hospital levels of accreditation with the service quality towards several aspects, access,service flow, and hospital-s staff in several hospital in Makassar city in 2018. This study was quantitative research with cross sectional study design. The population was all patient in inpatient of hospitals in Makassar city. Sampling technique was stratified random sampling with total respondents was 1.876 gained from 13 hospitals in Makassar city. Results shown hospitals with middle level (madya) accreditation and those at basic level whether government and private hospital have differences in terms of patien satisfaction toward access, service flow and staff (p=0.000). However, for hospitals with the level of accreditation was paripurna and utama there was no differences for the patient satisfaction in the aspects of access (p=0,076), but there was a different at service flow (p=0.000) and staff (p=0.001) for both government and private hospitals.

Keywords
Accreditation, service quality, satisfaction, hospital

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/NebXcQR9kzqr

Corresponding Author
Peni Mujinastiti

Institutions
(a) Fakultas Kedokteran, Program Studi Magister Manajemen Rumah Sakit, Universitas Brawijaya Malang
Jl. Veteran Malang-65145, Jawa Timur - Indonesia
*penimujinastiti[at]yahoo.co.id
(b) Fakultas Ilmu Budaya, Universitas Brawijaya Malang
Jl. Veteran Malang-65145, Jawa Timur - Indonesia

Abstract
Patients who are less satisfied with hospital services will generally complain. Negative responses received by the hospital in the form of complaints to lawsuits, potentially causing a bad image in the community. The purpose of the study was to reveal the meaning of the experience of complaints handling officers in hospital X. The phenomenological qualitative research design with 4 participants selected using purposive sampling. In-depth interviews were conducted in February-April 2019. Analysis of data using Interpretive Phenomenological Analysis (IPA). The results obtained are the core themes of wanting to maintain and improve the image of the hospital. This is because the sense of belonging for hospital is high. The complaint handling officer wants to be a person who is useful and responsible for the task. The difficulty faced is the lack of knowledge and lack ability to communicate with clients. In carrying out their duties, officers get support from head of the hospital and also the cooperation of the hospital team. Openness of hospital staff are needed to facilitate patient complaints. Coordination with the head of the hospital is always done, if there are obstacles in handling complaints. It is expected that the synergy between service officers can improve the quality of service and there for increased customer satisfaction. Because with the satisfaction received by the customer or patient, will increase public trust in the hospital and maintain good image of the hospital.

Keywords
Complaints Handling Officer; Experience; Image

Topic
Marketing Management

Link: https://ifory.id/abstract/WL3VxQDvHebG

Corresponding Author
Erlina Puspitaloka Mahadewi

Institutions
Erlina Puspitaloka Mahadewi1,*, Reza Hilmy2
1,2 Department of Public Health, Faculty of Health Siences, Esa Unggul University Jakarta
*Doktoral Program, Mercu Buana University Jakarta
erlina.puspitaloka[at]esaunggul.ac.id

Abstract
ABSTRACT Healthcare travel services for tourists in the nearly future is critical issue. Jakarta as the capital city of Indonesia have the increasing tourists visits also impact growth on the risk of disease spread from tourism. Background article certainly requires a readiness for hospitals in Jakarta area to handle it, one of which is to adjust the standard of health services for foreign tourists, namely the standard of travel medicine. The research objective is to analyze hospitals readiness in the implementation of travel medicine services in Jakarta. The study uses qualitative methods and validation uses source with method triangulation such as in-depth interviews, observation and document reviews. Several input factors had not been fulfilled in this study for implementing travel medicine services. The result of article included the process factor had not been implemented due to the lack of fulfilment of several input factors and the implementation of service models which were different from travel medicine services. In terms of qualifications, the hospitals of this article almost ready to implement travel medicine services.

Keywords
hospital, hospital readiness, medicine services, traveller, travel medicine

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/4BHKwxf3raEQ

Corresponding Author
Morich Kristoper

Institutions
Fakultas Kedokteran, Universitas Tanjungpura

Abstract
Latar Belakang: Badan Penyelenggara Jaminan Sosial (BPJS) adalah badan hukum publik untuk menyelenggarakan program jaminan sosial. BPJS Kesehatan mengacu pada pelayanan kesehatan prima. Mutu pelayanan ditujukan untuk memuaskan pelanggan atau masyarakat melalui tingkat kepuasan pelanggan atau masyarakat yang dapat dinilai dengan 5 dimensi metode penilaian Servqual. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan tingkat kepuasan pasien rawat inap terhadap mutu pelyanan BPJS dengan metose servqual di RSUD Sambas. Metodologi: Penelitian ini menggunakan metode analitik observasional dengan rancangan potong lintang (cross sectional). Sampel penelitian ini berjumlah 60 responden. Data diperoleh dari kuisioner yang diisi oleh responden. Analisis statistik yang digunakan adalah uji Chi Square. Hasil: Hasil analisis statistik menggunakan uji Chi Square menunjukan tidak terdapat pengaruh terhadap 5 dimensi metode penilaian Servqual (p > 0,05). Kesimpulan: Tidak ada hubungan antara kepuasan pasien terhadap mutu pelayanan BPJS dengan metode Servqual di RSUD Sambas. Background: Social Security Administration (BPJS) is a public legal entity for organizing social security programs. social security administrations of healthy refers to prime health services Service quality is intended to satisfy customers or the community through the level of customer or community satisfaction that can be assessed with 5 dimensions of servqual valuation methods. Objective: This study aims to determine the relationship of inpatients satisfaction level to the service quality of BPJS with the Servqual method in regional public hospital of Sambas. Methods: This study used an observational analytic method with a cross sectional design. The sample of this study amounted to 60 respondents. The data obtained from questionnaires answered by respondents. The statistical analysis used is Chi Square Test. Result: The results of the statistical analysis using the Chi Square test were no effect on the 5 dimensions of the Servqual assessment method (p > 0,05). Conclusion: There is no relationship between patient satisfaction with the quality of BPJS services with servqual methods in Resgional Public Hospital of Sambas.

Keywords
Kepuasan pasien, mutu pelayanan BPJS, metode penilaian Servqual

Topic
Social Health Insurance

Link: https://ifory.id/abstract/KdJxDecmWhMz

Corresponding Author
Tita Hariyanti

Institutions
Hospital Management Prost graduate Program, Faculty of Medicine, Universitas Brawijaya
Politeknik Kesehatan Kementrian Kesehatan Republik Indonesia Malang

Abstract
Background: The directors leadership strongly determines the situation of the hospital. Police hospitals have different hierarchies and organizational cultures from other hospitals. The changes of the hospital director makes the employee able to assess the ideal leadership style for the hospital. The ideal leadership style of a hospital director will be one strategy to improve hospital performance. The purpose of this study is to explore the views of employees about the ideal leadership style of police hospitals in the transition period. Method: The design of this study used qualitative phenomenological methods. The data collection process was carried out by in-depth interviews with six employees and observations on the research site. The data collection process was carried out in the hospital in July 2017. Results: Data analysis produced five themes. These five themes lead to the ideal type of leadership of the police hospital. Some of the themes obtained illustrate the leadership style that draws attention from hospital employees. A dynamic leadership style that provides positive change inspires employees. The ability to communicate also plays a role as a media for transferring knowledge to employees, as well as building trust in leaders. The concept of transformational leadership combined with transactional leadership style is an illustration of the employees experience of the leadership style expected in the hospital. The description of the employees experience of leadership style gives real meaning to motivation, employee morale and organizational culture. In the experience of employees a combination of the concept of transformational leadership style and transactional leadership style changes the hospital organization through the vision and mission and the reward-punishment effect. Conclusions: The combination of transformational and transactional leadership styles is a model of the ideal leadership style of the police hospital in Batu City

Keywords
hospital, transformational, transactional, ideal, police

Topic
Human Resources Management

Link: https://ifory.id/abstract/n7L2WxQjG8gq

Corresponding Author
Gerardin Ranind Kirana

Institutions
1S1 Kesehatan Masyarakat, IIK Bhakti Wiyata Kediri
2D3 Rekam Medis dan Informasi Kesehatan, IIK Bhakti Wiyata Kediri
gerardin.ranind.kirana[at]iik.ac.id

Abstract
Filing is an activity of storing medical records aimed at protecting it from physical damage and the contents of the document. Medical record file storage room at RSUD Dr. Iskak Tulungagung was still insufficient to store existing medical record files. It can affect the quality of service in the medical record management system in the filing room caused by several things in terms of management elements which include man, materials, machines, money, methods. The purpose of this study was to identify service quality in the medical record management system based on management elements in Dr. Hospital. Iskak Tulungagung. This study was descriptive research evaluation. The subjects were the elements of management (5M). Sixteen medical record filing officers were the respondents. Collecting information through interviews and observation. The results of this study were that the medical record file storage room was still insufficient to store the existing medical record file, therefore a portion of the active medical record file was stored in a cardboard box and was not neatly arranged. Judging from the management elements: man, materials, machines, money, methods, this was still not in accordance with the -material- elements, namely the lack of a medical record file storage racks, so it was recommended that the medical record work together with the IT department of RSUD Dr. Iskak Tulungagung to optimize the hospital management information system with the transfer of manual medical records to electronic medical records in the filing section.

Keywords
Hospital, Medical Record, Service Quality, Management System, 5M

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/87VKxty4FgE9

Corresponding Author
Nikma Fitriasari

Institutions
a) Master Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Veteran Street Malang
*nikma.fitriasari[at]gmail.com
b)Pharmacy Study Program, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia

Abstract
Background: BPJS developed a system of quality control and cost control in organizing universal health coverage. Quality control and cost control in hospitals is carried out by continuously improving quality and eliminating waste. Waste elimination can improve the control of production cost with the result that hospital profitability increases, without reducing service quality. Objective: This study aimed at examining the influencing of waste identification on the control of production cost. Methods: The study was performed in a class B teaching hospital with 410 beds. All of the pharmacy staff were included in the study. A questionnaire was used to collect data from 30 staff. Data analyzed using Partial Least Square (PLS). Results: Identification waste was found to have a negative significant impact on the control of production cost (Path coefficient=-0.683; T statistic= 16.034). Inappropriate processing and control of human resources cost were the predominant indicators (lf= 0.802 and 0,807). Conclusion: Identification waste adversely affect the control of production cost. The hospital should improve its pharmacy services by eliminating waste with the emphasis on inappropriate processing. To maintain the control of production cost, the hospital might consider to focus on the control of human resources cost.

Keywords
Pharmaceutical unit, waste, control of production cost

Topic
Financial Management

Link: https://ifory.id/abstract/dVPN4rBhWcyv

Corresponding Author
Arlina Dewi

Institutions
a,b Master of Hospital Management, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia
c Department Management, Faculty of Economic and Bussiness, Universitas Muhammdiyah Yogyakarta, Indonesia
d School of Medicine, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia

Abstract
This research aims to describe the implementation of Islamic values in hospitals in Indonesia toward their patient health services. This study uses a descriptive observational with a cross-sectional design. The data obtained from two phases of analysis. The first phase carried out through Islamic values listed on the vision and or mission and or values and or objectives of organization of Islamic hospitals websites in Indonesia. The second phase was carried out through online distribution in the form of Google form via the internet. One hundred and sixty-two answered questionnaires were collected from hospital employees of 68 hospitals. There are 19 Islamic words that were listed in the vision, mission and or objectives of the organization which were formed in 10 themes. They are faith (Imaan)-Sholeh-Akhlaqul Khaimah, innovation, welfare of the people, social duties, the nature of the prophet (Sadiq, Amanah, Tabligh, Fathonah), work as worship, trust and sincerity, friendship, greetings, and sharia principles. The implementation of sharia values in most of Islamic Hospitals staffs in Indonesia still focused on self-improvement for continuous refinement and to do innovation, but it is considered as not optimal in the staffs- operational activities in the hospitals.

Keywords
shariah value; Islamic hospital

Topic
Human Resources Management

Link: https://ifory.id/abstract/y7tmWVJ8bET3

Corresponding Author
Sri Sundari

Institutions
1.2 Magister of Hospital Management, Universitas Muhammadiyah Yogyakarta
3. Department of Obstetrics and Gynaecology, Universitas Muhammadiyah Yogyakarta.
4. Nordakademie University of Applied Sciences, Hamburg/Elmshorn, Germany
5. School of Nursing, Universitas Muhammadiyah Yogyakarta

Abstract
Background: One of the objectives in Millennium Development Goals (MDGs) is the decreasing of maternal mortality rate (MMR). Currently, by the end of MDGs in 2015, MMR in Indonesia is recorded at 359, out of the target that should be decreased to 102. To overcome this problem, in South Sulawesi has established maternity waiting home (shelter) but its utilization is not yet optimal. Method: This is a research to find constraints faced in the utilization of shelter at East Sulawesi. The qualitative study will be designed as a need assessment tool. The methods of data collecting use were FGD and in-depth interview. Research respondents were consisting of provincial policy maker, head of the health department district and midwives from Bulukumba, Bantaeng, and Makasar. Result: The results of the study found that the shelter is a residential house with facilities of beds and household appliances. Rental fees for housing and meals were provided free of charge. All fees are covered by Government insurance for pregnant women using Jampersal scheme. A pregnant woman did not have any activities and without any companion from health personnel when living in a shelter. Besides, pregnant women felt more comfortable living near their family. As a conclusion of the research, there are some limitations in the utilization of shelter such as human resources, cost, the psychological condition, education, and facilities. Therefore, it is necessary to find the effective solution to optimize the use of the shelter.

Keywords
maternal mortality rate, decrease, shelter, mid-level providers

Topic
Public Health Issue

Link: https://ifory.id/abstract/mHx9MkjQVEq7

Corresponding Author
Elsye Maria Rosa

Institutions
a) Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Geblagan, Tamantirto, Kec. Kasihan, Bantul, Daerah Istimewa Yogyakarta 55183
*elsyemariarosa[at]gmail.com
b) Akademi Kebidanan Bunga Kalimantan Banjarmasin, Jl. Btig Jend. Hasan Basri, Alalok Utara, Kec. Banjarmasin Utara, Kota Banjarmasin, Kalimantan Selatan 70124
c) Univeritas Aisyiyah Yogyakarta, Jalan Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Area Sawah, Nogotitro, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55592

Abstract
Objective: The objective of this research is to create Innovation in midwifery practices as an alternative to estimate postpartum blood loss. Method: This research is a DRM (Design Research Methodology) of creating Innovation in midwifery practices (A method to measure postpartum blood loss) followed by step two, which is a Clinical Trial through alpha and beta testing (implementation of the instrument on III childbirth as well as a surveyor data gathering). The population of this research is 700 midwives in the city of Banjarmasin with a sample of 46 midwives and 30 patients taken with Random Sampling method. Result: Innovation in midwifery practices is safe for the skins of new mothers (no skin irritation was observed), capable of storing blood up to 1.800 ml, easy to use, has a multitude of uses (can determine the amount of blood loss, increases midwife productivity, increases midwife work quality, and help with documentation), as well as economical. Conclusion: Innovation in midwifery practices can be used to detect postpartum bleeding early, which will lead to a decrease in the death rate caused by postpartum bleeding.

Keywords
Midwifery professional issue, patient safety, postpartum

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/Bpbg2DZTdF38

Corresponding Author
Wenny Retno Sarie Lestari

Institutions
(a) (b). Magister of Hospital Management Brawijaya University
Veteran Street
Malang - East Java
*email: wennyretnosarilestari[at]gmail.com
(c). Hermina Tangkubanprahu Hospital
Malang - East Java

Abstract
Integrated Marketing Communications Mix is one of marketing tools used by the companies. Universal Health Coverage program will be applied in 2019 in Indonesia, which will position BPJS Health Care as the largest payer of health services in Indonesia. Outpatient service is one of the hospital services which covers a considerably large market share. Hermina Tangkubanprahu Hospital as one of the private hospital partners of BPJS Health Care shall be the ultimate selection of the patients, especially for the outpatient services. The purpose of this study is to observe the influence of the integrated communications mix towards BPJS Health Care patients- choosing decision of Outpatient Services in Hermina Tangkubanprahu Hospital both simultaneously and partially. This study used an explanatory quantitative design with a cross sectional study. The research instruments in the form of questionnaires have passed the validity and reliability test. A non-probability sampling with the purposive sampling technique was used to collect data from 96 respondents. The multiple regression analysis is applied for data analysis. This study shows a result where there is a positive influence of integrated communications mix on the choosing decision of BPJS Health Care Patients in regards of the Outpatient Services in Hermina Tangkubanprahu Hospital simultaneously. The contribution of the integrated communications mix in the decision reached as high as 53.4%. There is also a partial and significant positive influence on various variables which include online and social media marketing, mobile marketing and personal selling. The variable personal selling variable has the most dominant influence towards BPJS Health Care Patients- choosing decision of the Outpatient Services provided in Hermina Tangkubanprahu Hospital.

Keywords
integrated communication mix, choosing decision, personal selling.

Topic
Marketing Management

Link: https://ifory.id/abstract/PRet9JCmphka

Corresponding Author
Else Agustina

Institutions
1 Rumah Sakit Umum Universitas Muhammadiyah Malang East Java, Indonesia
2 Post Graduate Program in Hospital Management, Faculty of Medicine Universitas Brawijaya, Malang East Java, Indonesia
3 School of Nursing Faculty of Medicine Universitas Brawijaya, Malang East Java, Indonesia

Abstract
Pre-anaesthesia assessment has a pivotal role to ensure safe surgery which needs a strong interprofessional collaborative practice among care providers. This research aims to explore the interprofessional collaboration knowledge, attitude, and behaviour among care providers when performing pre-anaesthesia assessment. A survey using closed-ended questionnaires was carried out with 80 respondents (67 nurses, and 13 specialist physicians) in a private hospital with 130 beds. A descriptive and path analysis was performed. In general care providers showed a relative good interprofessional collaboration attitude (75.45), and behaviours (77.92) but a lack understanding of pre-anaesthesia assessment (50.95) and interprofessional collaboration (68.17) was revealed. While the overall attitude score was good, a weakness was noted in the physician-s autonomy dimension (50.88). The lowest score of behaviours was found in isolation dimension (73.00). The path analysis found no significant correlation between knowledge and behaviours but has a low negative correlation with attitude. The attitude itself has a significant negative association with behaviours even though the models only explain 22% variation in interprofessional collaboration. Care providers need to have better understanding related to interprofessional collaboration in pre-anaesthesia assessment, even though knowledge and attitude do not show a significant correlation to the interprofessional collaboration behaviours.

Keywords
pre-anaesthesia assessment, interprofessional collaboration, knowledge, attitude, behaviour

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/wpj7bnKZq8G9

Corresponding Author
Achmad Arrizal

Institutions
Magister of Hospital Management Medical Faculty Universitas Brawijaya

Abstract
Objective: Hospital inpatient was increased by 200% in JKN era. It has not been matched by the class availability according inpatient rights. National rules mentioned that placement above the right class could be solution of this problem. The aim of this study is to compare the differences between inpatient claims and rates. Method: Quantitative design with cross-sectional approach was used. The data was taken in October-November 2018 in Hospital B. There were 97 patients data divided into one-level courier groups and more than one-level courier groups. SPSS 22 was used for statistic test. Results: The mean difference between inpatient claims and rates with one-level courier groups and more than one-level courier groups are –Rp.484,050 and –Rp.1,228,864, respectively. There was no significant difference (p=0.059). Conclusion: There is no difference between one level courier group and more than one level courier group in case of differences between inpatient claims and rates.

Keywords
Claim, Inpatient rate, Courier Inpatient Services , JKN

Topic
Financial Management

Link: https://ifory.id/abstract/7qEBWbytKv4x

Corresponding Author
DUMILAH AYUNINGTYAS

Institutions
1. Health Administration and Policy Department, Faculty of Public Health, University of Indonesia
2. Center of Population and Development Research, University Mataram
3. Departement of Hospital Administration, Medika Persada Bali Health Sciences Institute
4. Faculty of Public Health, University of Indonesia

Abstract
Objective : Indonesia has a natural beauty and strategic location. This increased the tourist arrivals to Indonesia up to 12.58%. The increasing growth of tourist visit was responded by the government through of the Minister of Health Regulation No. 76 of 2015 concerning medical tourism services. This study aims to investigate the implementation of medical tourism in hospitals in accordance with the regulation of the ministry of health Indonesia. Method : This research applies the Literature review method using secondary data obtained from Ebsco, Pubmed, Google Scholar, and Willey and according to the inclusion categories. The results of the literature review are combined with the interviews with stakeholders related to medical tourism in Bali and West Nusa Tenggara. Furthermore, the SWOT analysis is used to evaluate internal perspective and external. Results : The readiness of public and private hospitals in terms of facilities and human resources is sufficient to medical tourism. However, in terms of promotion, cross-sectoral coordination, and the regulations from the ministry of health in the implementation of medical tourism. External factors the existence of government regulations on traditional medicines that can be integrated with Medical Tourism can support the implementation of medical tourism. Conclusion : The supports from local government in mobilizing, advocating and strengthening the cross-sectoral coordination is expected to optimize the potential of Indonesia, especially in case study.

Keywords
Medical Tourism, hospital, strategy, policy

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/GMAvBQDcEkag

Corresponding Author
Qurratul Aini

Institutions
Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Jl. Brawijaya, Tamantirto Kasihan Bantul, Daerah IStimewah Yogyakarta 55183, Indonesia

Abstract
Patient safety is an important issue in hospital services. Appropriateness in health services, speed (timeliness), and freedom from danger and error (free from harm and error) are the three main elements of patient safety (patient safety). To realize hospital services that emphasize aspects of patient safety need to be built patient culture safety and patient safety attitudes from medical personnel, nurses and doctors to realize patient safety behavior. The purpose of this study is to model patient safety behavior which is influenced by patient culture safety and patient safety attitudes. This research was conducted at PKU Muhammadiyah Hospital Bantul with a sample of clinical practitioners, namely doctors and nurses. Data analysis was performed using PLS-SEM to analyze patient safety behavior models as well as the influence of patient safety culture and patient safety attitudes. The results show that the patient safety behavior model has a good level of goodness of fit. The culture of patient safety was found to have a positive influence on patient safety behavior. Patient safety attitude was also found to have a positive influence on patient safety behavior. These results confirm that patient safety behavior can be improved by enhancing patient safety culture and the attitude of patient safety from nurses and doctors in providing health services in hospitals.

Keywords
Patient Safety Culture; Patient Safety Attitude; Patient Safety Behavior

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/K8YtA4bvxDau

Corresponding Author
Abdi Agus Youandi

Institutions
- RS Gatoel Mojokerto
- PS MMRS FKUB

Abstract
Background: Employee turnover rates are still below 10%, however, employee resignation causes financial and non-financial problems for RS X. The research aims to reveal mental phenomena (values, feelings, emotions) of nurses who survive working in the hospital. Method: The study was conducted at RS X with phenomenological qualitative research methods. The main data sources were obtained from in-depth interviews and observations of research informants. Informants were selected by purposive sampling method and the data were analyzed using Intrepretative Phenomenology Analysis (IPA). Results & Discussion: This study has 13 research themes that have interaction themes on two core themes, namely feeling like they want to be more committed and feel less comfortable with their work environment. Kahn stated that determining employee engagement is psychological meaningfulness, psychological safety and psychological availability. This research reveals the feeling of being valued, feeling safe, feeling getting the benefit back to him and having the physical, intellectual and emotional ability to carry out the task thoroughly. The desire to survive is a mental picture and a reflection of the nurses attachment to the place of work. Conclusion: Employees who feel safe and comfortable at work will be able to provide their best abilities in completing tasks. Feeling safe and comfortable is one of the factors that employees engage actively in engaging with their organization.

Keywords
turnover, phenomenology, actively engage

Topic
Human Resources Management

Link: https://ifory.id/abstract/jrxmeDF9b8dt

Corresponding Author
winny setyonugroho

Institutions
Universitas Muhammadiyah Yogyakarta

Abstract
Background. HIS can play an important role to improve patient safety. Whilst implementation of an HIS still a dark area for many hospital management. The aim of the research is to identify the obstacles in the implementation of HIS, also the cost that bears to the hospital management in the implementation of HIS Method. A systematic search of the literature, which is published between 1982 and 2017 was conducted. We conduct the search in four databases, “PubMed”, “Science Direct”, and “Web of Science”. This study focuses on the obstacles and the implementation of HIS, especially the cost involved in the implementation. In this study, we include all types of information systems available and use within the hospital environment, not strictly to the Electronic Medical Record (EMR) only. Result. The obstacles to implementation are varied. From the lack of training, the lack of IT support, and even the most basic requirement, the lack of electricity. On the other side, the user also complains that is not comfortable in using the system, eg: computer that in a fixed position, worried about the security, and they do not believe that the system will solve the problems. Even one study report that they cancel the implementation. On the other side, the cost of implementation also varied, ranging from 3000 to 26 million US dollars. The differences in the cost are due to the difference in the complexity and the place of the implementation itself (ie. single department vs the whole hospital). Conclusion. With the cost of implementation that is considered expensive for a complex system, the anticipation of the probable problem is mandatory. The HIS implementation should be planned thoroughly and carefully, covering the aspect of hardware - software, data, users (people), and also policy.

Keywords
hospital information system, EMR, obstacles

Topic
Management Information System

Link: https://ifory.id/abstract/834QMJVabwZX

Corresponding Author
Putu Ayu Ekasari

Institutions
1 Post Graduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
2 Faculty of Economics and Business, Universitas Brawijaya, Malang, Indonesia

Abstract
Objectives: This study aims to analyze the impact of organizational culture on Quality of Nursing Work Life (QNWL) and nurse-s performance, the impact of QNWL on nurse-s performance, and the role of QNWL in mediating the influence of organizational culture on nurse-s performance in Baptis Batu Hospital. Methods: This research used cross-sectional approach. Data was gathered using the census method during March to April 2019. The total of 58 nurses participated in this study. The data were analyzed using descriptive statistics and Structural Equation Modelling Partial Least Square. Results: The result showed that organizational culture has a significant and positive impact on nurse-s performance and QNWL. However, QNWL does not have a significant impact on nurse-s performance. Thus, QNWL does not mediate the influence of organizational culture on nurse-s performance. Conclusion: To enhance nurse-s performance and QNWL, hospital manager should focus on strengthening the hospital-s organizational culture.

Keywords
Organizational culture, QNWL, performance, nurse

Topic
Human Resources Management

Link: https://ifory.id/abstract/v8NdgfB4rKTp

Corresponding Author
Siti Fatmala Rezeki

Institutions
Faculty of Public Health, Hasanuddin University

Abstract
Interpersonal communication in nursing profession is a supporting factor for professional nursing services carried out to assist the healing process of patients. The purpose of this study is to determine the description of interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja Bulukumba. This study was an observational research with a descriptive design and quantitative approach. The sampling method in this study was proportional random sampling technique obtained within 94 respondents. Furthermore, univariate analysis was used to analyzed the data by using SPSS to determine the frequency distribution of each dimension in research variable. The results showed that the interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja Bulukumba on the openness dimension is 88.3% categorized in good category, empathy dimension is 51.1% categorized in good category, supportive attitude dimension is 67% categorized in poor category, positive attitude dimension is 84% categorized in good category, and equality dimension is 86.2% categorized in good category. Thus, it can be concluded that interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja Bulukumba can be categorized as good. However, study suggest the hospital to improve interpersonal communication between nurses and patients and the hospital should conduct an effective communication training for all nurses.

Keywords
Keywords : interpersonal communication, nurse, patient

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/TH3BN6g4MJwx

Corresponding Author
Nur Fadhilah Arifin

Institutions
(a,d) Faculty of Dentistry, Universitas Muslim Indonesia
(b,c) Faculty of Pumblic Health, Universitas Hasanuddin

Abstract
Objective: Physician as the spearhead of hospital services deeply feel the change in health care system in JKN era that implements the system of quality control and cost control.The aim of the research was to explore the job satisfaction of physician in the era of the National Health Insurance in Regional Public Hospital of Sinjai. Methods: The research was a descriptive qualitative study with a case study approacch. The data were obtained through in-depth interview, observation and documentation. Result: The result of the research indicate Physician in Regional Public Hospital of Sinjai is satisfied with transparency of medical service division, but the number of Ina CBGs packages are still under the standar and time of payment of medical service is late. Conclusion : Physician in Regional Public Hospital of Sinjai is satisfied to transparancy payment and unsatisfied to standart amount and time of payment medical service system

Keywords
job satisfaction, health services payment, National Health Insurance

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/Y3VAWXFn62hf