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ABSTRAKSumber penerimaan terbesarrumah sakit adalah pasien rawat inap persalinan
Jamkesda. Integrasi Jamkesda denganBPJS Kesehatan, akan merubah sistem
pembayaran dari retrospektif menjadi prospektif. Penelitian ini bertujuan
menggambarkan potensi selisih penerimaan rumah sakit berdasarkan tarif Perda
dan INA-CBGs sertastrategimenghadapi potensi selisih tersebut. Penelitian ini
merupakan gabungan kuantitatif dan kualitatif, menggunakan 660 tagihan dan
rekam medis pasien persalinan Jamkesda Tahun 2013. Komponen biaya terbanyak
adalah jasa medis, BHP, jasa sarana, obat dan jasa pelayanan. Selisih
terbesarpadapersalinan dengan sectio secaria dengan rata-rata
Rp.3.373.669/pasien. Diperlukanstrategi melalui pengelolaan dokter, perawat dan
tenaga farmasi, pengawasan, SIM-RS, rekam medis dan billing, perhitungan biaya
serta identifikasi pelayanan dan pasar.
ABSTRACTThe main sourceof hospital incomederives from inpatientsdelivery care of
Jamkesda.JamkesdaintegrationintoBPJShealth, willchange it?s paymentsystemto
providers fromretrospectiveintoprospective. This studyaims to describethe
potentialdifference ofhospitaltariffbasedon Perda andINA-CBGs. In
additionhospital strategies to coping withpotentialdifference of hospital income is
also observed. This studycombines quantitativeandqualitative,
using660claimsandmedical records of inpatients delivery care of Jamkesda year
2013. The largest costs component of delivery care aremedicalfee, consumables,
accommodation, medicationsandnursingfee. The results showedthat the
largestdifferencefound insecarian delivery
patientswithaverageRp.3.373.669/patient. It takesstrategy throughmedical staff,
nursing and pharmacy staff management, supervision, hospital management
information system, medical records and billing, costing, services and market
identification.;The main sourceof hospital incomederives from inpatientsdelivery care of
Jamkesda.JamkesdaintegrationintoBPJShealth, willchange it?s paymentsystemto
providers fromretrospectiveintoprospective. This studyaims to describethe
potentialdifference ofhospitaltariffbasedon Perda andINA-CBGs. In
additionhospital strategies to coping withpotentialdifference of hospital income is
also observed. This studycombines quantitativeandqualitative,
using660claimsandmedical records of inpatients delivery care of Jamkesda year
2013. The largest costs component of delivery care aremedicalfee, consumables,
accommodation, medicationsandnursingfee. The results showedthat the
largestdifferencefound insecarian delivery
patientswithaverageRp.3.373.669/patient. It takesstrategy throughmedical staff,
nursing and pharmacy staff management, supervision, hospital management
information system, medical records and billing, costing, services and market
identification., The main sourceof hospital incomederives from inpatientsdelivery care of
Jamkesda.JamkesdaintegrationintoBPJShealth, willchange it?s paymentsystemto
providers fromretrospectiveintoprospective. This studyaims to describethe
potentialdifference ofhospitaltariffbasedon Perda andINA-CBGs. In
additionhospital strategies to coping withpotentialdifference of hospital income is
also observed. This studycombines quantitativeandqualitative,
using660claimsandmedical records of inpatients delivery care of Jamkesda year
2013. The largest costs component of delivery care aremedicalfee, consumables,
accommodation, medicationsandnursingfee. The results showedthat the
largestdifferencefound insecarian delivery
patientswithaverageRp.3.373.669/patient. It takesstrategy throughmedical staff,
nursing and pharmacy staff management, supervision, hospital management
information system, medical records and billing, costing, services and market
identification.]