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"ABSTRAKKrisis ekonomi yang mulai terjadi sejak awal tahun 1997, telah memberi dampak dalam pembiayaan sektor kesehatan dalam hal ini rumah sakit. Dilema yang dihadapi disatu pihak rumah sakit dengan segala keterbatasan dana, rumah sakit dituntut untuk memberikan pelayanan kesehatan yang lebih bermutu dengan biaya yang terjangkau. Pengelolaan rumah sakit membutuhkan biaya yang cukup besar, terus menerus, disisi lain kemampuan sumber dana dari pemerintah sangat terbatas. Pengelolaan rumah sakit dalam hal ini manajemen keuangan rumah sakit perlu mendapat perhatian terutama masalah piutang pasien yang merupakan salah satu masalah yang dapat mempengaruhi likuiditas rumah sakit.Penelitian ini bertujuan untuk menganalisis sistem penatalaksanaan piutang pasien umum rawat inap di RSUPN Dr. Cipto Mangunkusumo yang menyebabkan terjadinya piutang dari faktor internal, dengan pendekatan sistem yaitu : Input, Proses, Output Penelitian ini bersifat diskriptik analitik dengan melakukan pengamatan tangsung dan wawancara mendalam.Hasil penelitian disimpulkan bahwa sistem penatalaksanaan piutang pasien umum rawat inap yang terdiri dari Tahap pra penerimaan, Tahap Penerimaan, Tahap Perawatan, Tahap Penataan Rekening, Tahap Penagihan, Tahap Penutupan Rekening, belum berjalan sebagaimana mestinya. Tahapan pra penerimaan yang merupakan tahapan yang penting ternyata belum ada. Kegiatan informasi yang seharusnya dilakukan pada tahap tersebut, pada tahap berikutnya juga tidak dilakukan. informasi biaya belum dapat disampaikan kepada pasien/keluarganya secara berkala, sehingga pasien/keluarganya tidak dapat memperkirakan jumlah biaya yang harus disiapkan, sistem komputerisasi yang belum terpadu.Saran-saran yang dapat diberikan adalah penetapan prosedur pemberian kredit pada tahap pra penerimaan, pencatatan biaya pada tahap perawatan dilakukan setiap hari sehingga informasi biaya dapat diinformasikan secara berkala, kerja sama antara tahap perawatan dart tahap penataan rekening dalam hal biaya dengan sistem komputerisasi yang terpadu, aktifnya bagian penagihan.

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ABSTRACTSystem Analysis on Credit Arrangement for In-patient at RSUPN Dr. Ciptomangunkusumo, Year 1999/2000Economic crisis that overwhelmed Indonesia since 1997 has impact on health sector budgeting, especially for hospital. The dilemma that is faced by hospital in their limitation budget nowadays is that hospital shall provide quality of health service with affordable cost for the patient. In other side, the management of hospital needs huge and continuous budget support, while the ability of central government to give budget support to hospital is very limited, Hospital management, in this case refers to the hospital financial management, needs to have special attention especially on credit arrangement for in-patient that become a major problem that can influence hospital liquidity.The objective of this research is to analyze the credit arrangement system for in-patient at RSUPN Dr. Ciptomangunkusumo that can lead into credit from internal factor, with the system approach of Input, Process and Output This is a descriptive analysis research by conducting direct observation and in-depth interview.The result of this research has assumed that the credit arrangement for in-patient consists of some phases. There are: Pre-initial Phase, Initial Phase, Treatment Phase, Accounting Phase, Billing Phase and Billing Closing Phase, which have not run appropriately yet. Pre-initial phase, which is the most important phase, is not existing. The information activity that should be conducted at that phase in fact is not conducted also in the next phase. Information regarding health service cost still can not be delivered regularly to the patient and their family, so that they can not estimate the service cost that should be paid by them, in more the computerized system still not integrated.Some suggestions are to formulate procedure for providing credit arrangement for in-patient at Pre-initial Phase, daily medical cost recording at Treatment Phase so that information cost is available and can be informed regularly, coordination at Treatment Phase and Accounting Phase in costing with integrated computerized system, and active participation of billing division."

"ABSTRAKPengelolaan rumah sakit mernbutuhkan biaya yang cukup besar, terus menerus dan terus meningkat, disisi lain kemampuan sumber dana dari perintah sangat terbatas. Untuk itu pecan serta masyarakat dalam pembiayaan rumah sakit perlu digali dan ditingkatkan. Atas dasar itu pemerintah melakukan terobosan dengan diberlakukannya Keputusan Pemerintah No. 38 tanggal 22 Agusutus 1991 tentang Unit Swadana dan Tata Cara Pengelolaan Keuangan. , Masalah dalam penelitian ini dengan memperhatikan data adalah meningkanya jumlah piutang pasien umum rawat imp dan cenderung meningkat setiap tahunnya.Tujuan penelitian adalah untuk mendapatkan gambaran tentang manajemen piutang pasien umum rawat imp kelas III berikut permasalahannya. Untuk mendapatkan gambaran tersebut dilakukan analisis terhadap faktor-faktor internal yang berhubungan dengan proses terjadinya piutang pasien umum rawat inap.Metodologi penelitian yang dipakai pada penelitian ini adalah deskriptif analitik dengan pendekatan semi kualitatif, melalui pengkajian terhadap sistem yang sedang berjalan.Hasil penelitian menunjukkan bahwa meningkatnya jumlah piutang pasien umum rawat inap disebabkan oleh masih lemahnya sistem manajemen piutang pasien umum rawat inap kelas III. Tahapan pra perierimaan yang merupakan tahapan yang penting ternyata belum ada Kegiatan informasi yang seharusnya dilakukan pada tahap tersebut, pada tahap berikutnya juga tidak dilakukan. Informasi biaya belum dapat disampaikan kepada pasien / penanggungjawabnya secara berkala, sehingga pasien / penanggungjawabnya tidak dapat memperkirakan jumlah biaya yang hams disiapkan. Masih ada kegiatan-kegiatan / kebijakan-kebijakan yang belum dikukuhkan dalam : Standar Prosedur Operasional " tertulis, sehingga tidak cukup kuat sebagai bahan acuan apabila ada pihak-pihak yang mempertanyakan legalitas kebijakan tersebut. Kurangnya koordinasi, penyediaan tenaga dan slat juga kurang memadai yang mengganggu kelancaran dalam kegiatan. Upaya penanggulangan yang dapat dilakukan adalah memperbaiki kelemahan-kelemahan dari setiap tahapan.Penerapan upaya ini diharapkan dapat menekan jumlah piutang pasien umum rawat inap kelas III dan meningkatkan penerimaan rumah sakit.

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ABSTRACT

Analysis of the System on Account Receivable Procedure for Self-Paid Inpatients in Dr. Hasan Sadikin General Hospital Year 1997/1998Managing a hospital requires a high cost, in which increases from time to time, mean while the goverment's budget is very limited. Therefore, developing and strengthening community participation is a need.

Based on the above situation, the goverment made its moves through the issuance of Decree pf the Goverment No. 38, dated August 22 1991 on Self Financing and Financial Management Procedures. The issue of this research is focusing on the yearly increase of bad for self-paid inpatients.

The objective of the research is to give the general idea on the management of account receivable for class III self-paid in patients with its problems. Enabling to do so, analysis on the internal factors which associated with the process of account receivable for class III self-paid inpatients was carried out Methodology research chosen is in a form of a descriptive through qualitative approach using analysis on the on going system.

The result showed that the increase of account receivable self-paid patients is due to the weakness of the on going system in managing account receivable for self-paid inpatients. The pre admission stage which became an important stage for transaction to occur, has not been developed yet. Information which should be address during this stage and the following stages were unaccomplished. Periodic information on cost of services as self-paid inpatients was not delivered ti the guarantor, therefore, the guarantors was unable to predict the sum of cost need to be prepared. It is also found that there were some procedures I policies that has not yet written in the Standard Operating Procedure, which can not be used as reference of a legal policy. The lack of coordination, human resources, and hardware interferes the smooth implementation of the system.

Elimination of weakness in every stage, The above solutions hopefully with decrease account receivable for class III self-paid inpatients and increases the revenue.

Reference : 28 ( 1977 - 1997 )"

"[ABSTRAK Tuberkulosis paru merupakan salah satu masalah kesehatan masyarakat perkotaandan penyebab kematian tertinggi di Indonesia. Penulisan karya ilmiah bertujuanuntuk menganalisis asuhan keperawatan pada pasien TB Paru dengan kontekskeperawatan kesehatan masyarakat perkotaan. Asuhan keperawatan diberikansesuai dengan proses keperawatan. Masalah keperawatan utama yang munculadalah bersihan jalan nafas tidak efektif, intoleransi aktifitas dan kurangpengetahuan tentang TB dan pengobatannya. Intervensi yang diberikan adalahmemberikan posisi semipowler, latihan ROM secara aktif, dan intervensi khususpemberian pendidikan kesehatan tentang kepatuhan minum Obat AntiTuberkulosis. Hasil evaluasi dari asuhan keperawatan menunjukkan jalan nafasadekuat, aktivitas mandiri, dan peningkatan pengetahuan klien tentang Obat AntiTuberkulosis. Karya ilmiah ini diharapkan menjadi gambaran bagi perawatmedikal bedah dalam pemberian asuhan keperawatan pada pasien dengan TBparu.ABSTRACT Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing, Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing]"