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Abstrak :
Kesinambungan upaya pelayanan kesehatan sangat penting dalam peningkatan derajat kesehatan masyarakat. Salah satu sarana kesehatan adalah rumah sakit yang mempunyai fungsi utama menyediakan dan menyelenggarakan upaya kesehatan yang bersifat penyembuhan dan pemulihan pasien. Untuk dapat meramalkan survive-nya, maka rumah sakit X perlu melakukan, evaluasi terhadap kineijanya selama ini. Rumah sakit X akan dapat memperbaiki dan meningkatkan kualitas pelayanannya apabila mengetahui gambaran kinerjanya secara keseluruhan. Balanced Scorecard merupakan alat evaluasi kinerja kamprehensif dengan 4 pendekatan, yaitu : finansial/keuangan, pelanggan, proses bisnis internal, dan pertumbuhan pembelajaran. Khusus untuk rumah sakit ditambahkan kinerja pelayanan sebagai ukuran kinerja khas rumah sakit. Desain penelitian ini adalah penelitian deskriptif. Data yang digunakan adalah data sekunder kegiatan rumah sakit. Data primer dilakukan dengan survei serta wawancara mendalam dengan manajer rumah sakit X. Selanjutnya data yang dikumpulkan dianalisa secara deskriptif. Hasil penelitian menunjukkan : 1) kinerja finansial/keuangan : assets turnover ratio 1998-2001 > 2 kali ; profit margin 1998 (2,4%), 1999 (0%), 2000 (1,1%), 2001 (0%) ; ROI 1998 (4,8%), 1999 (0%), 2000 (2,6%), 2001 (0%), analisis diskriminan Altman Z>2,675 tidak ada tendensi bangkrut, 2) kinerja pelayanan : BOR 1998 (53%), 1999 (54%), 2000 (73%), 2001 (70,17%) ; ALOS dalam hari 1998 (4), 1999 (4), 2000 (3,48), 2001 (3,38) ; BTO dalam kali 1998 (52), 1999 (53,43), 2000 (77) , 2001 (77,17) ; TOI dalam hari 1998 (3), 1999 (3), 2000 (1), 2001 (1,41) ; NDR per seribu 1998 (15), 1999 (13), 2000 (14,8), 2001 (13,7) ; GDR per seribu 1998 (39), 1999 (38), 2000 (42,2), 2001 (42,89) ; rata-rata kunjungan poliklinik per hari 2000 (247), 2001 (244), 3) kinerja pelanggan : tingkat kepuasan pelanggan 100% (19%), 80% (56%) ; pangsa pasar rawat inap 2001 berdasarkan jumlah pasien 28% (posisi 1), berdasarkan hari rawat kelas 24,4% (posisi II), pangsa pasar rawat jalan 2001 (18%, posisi III) ; retensi pelanggan masih kurang ; akuisisi pelanggan baik, 4) kinerja proses bisnis internal : kemampuan berinovasi (mengidentifikasi dan menciptakan pasar) masih kurang ; kemampuan operasi dan efisiensi biaya masih kurang, dari jumlah komplain per 1000 kuesioner 1999 (195), 2000 (140), 2001 (196), kemampuan layanan purna jual masih kurang, 5) kinerja pertumbuhan dan pembelajaran : tingkat kemampuan pegawai dan tingkat kepuasan kerja 51%, turnover pegawai (1998 ; 2,9%, 1999 ; 0,7%, 2000 ; 1,3%, 2001 ; 0%), tingkat absensi (1999 ; 0,551%, 2000 ; 0,558%, 2001 ; 0,407%), tingkat pendapatan perusahaan per pegawai meningkat tahun demi tahun ; kemampuan sistem informasi keakuratan dan kecepatan masih kurang, masih menggunakan indikator lagging ; motivasi dan empowering masih sangat kurang (tim kerja tidak ada, survei saran dan tingkat kepuasan pegawai tidak ada, keselarasan strategi rumah sakit dengan jajaran manajer dan unit bisnis belum tercapai), 6) korelasi antar indikator kinerja, BOR dan laba operasi rawat inap 0,992, jumlah kunjungan rawat jalan dan laba operasi rawat jalan 0,856, komplain dan jumlah kunjungan -0,421, komplain dengan BOR -0,602, turnover pegawai dan jumlah komplain -0,851, tingkat absensi dan komplain -0,548. Berdasarkan hasil penelitian ini diketahui assets turnover rumah sakit cukup baik, tetapi profit margin sangat kurang disebabkan efisiensi biaya yang sangat kurang. Kinerja pelanggan, kinerja proses bisnis internal, dan kinerja pertumbuhan dan pembelajaran masih kurang. Rumah sakit perlu menetapkan strategi bauran dan pertumbuhan pendapatan, penghematan biaya/peningkatn produktivitas, dan pemanfaatan aktiva/strategi investasi. Hal tersebut harus didorong oleh ke-3 perspektif pendorong.

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The Performance Evaluation of X Hospital Period 1998-2001 Using Balanced Scorecard ModificationContinuity of health service efforts was very important to increase community health degree. One of health facilities was a hospital which had principal function to supply and organize health efforts with curative and rehabilitative characteristics. To predict their survival, X hospital need to evaluate of their performance all this time. X hospital could improve and increase their quality if they knew their performance on the whole. Balanced Scorecard was a comprehensive performance evaluation tool which had 4 perspectives, namely: financial, customer, internal business process, growth and learning. Hospital, especially, need to be added service performance as hospital characteristic performance measurement. This study was designed as descriptive study. The data used was secondary data from hospital activity. The Primary data was collected by survey and in depth interview with the managers of X hospital. The data was analyzed descriptively. The study result show : 1) financial performance : assets turnover ratio 1998-2001 > 2 times ; profit margin 1998 (2,4%), 1999 (0%), 2000 (1,1%), 2001 (0%) ; RCI 1998 (4,8%), 1999 (0%), 2000 (2,6%), 2001 (0%), there was no bankruptcy tendency by Diskriminan Altman analysis 2>2,675, 2) service. performance : BOR 1998 (53%), 1999 (54%), 2000 (73%), 2001 (70,17%) ; ALOS in days 1998 (4), 1999 (4), 2000 (3,48), 2001 (3,38) ; BTO in times 1998 (52), 1999 (53,43), 2000 (77) , 2001 (77,17) ; TOI in days 1998 (3), 1999 (3), 2000 (1), 2001 (1,41) ; NDR per thousand 1998 (15), 1999 (13), 2000 (14,8), 2001 (13,7) ; GDR per thousand 1998 (39), 1999 (38), 2000 (42,2), 2001 (42,89) ; average of outpatient visit per day 2000 (247), 2001 (244), 3) customer performance : customer satisfaction 100% (19%), 80%0 (56%) ; inpatient market share 2001 based on number of patient 28% (the first position), based on number of care days in class 24,4% (the second position), outpatient market share 2001 (18%, the third position) ; customer retention was still poor ; customer acquisition was good, 4) internal business process : capability of innovation (identify and create market) was still poor ; capability of operation based on cost efficiency was still poor, based on number of complaint per 1000 questioner 1999 (195), 2000 (140), 2001 (196), capability of post selling service was still poor, 5) growth and learning performance : capability of employee, based on employee satisfaction 51%, labor turnover (1998 ; 2,9'%,1999 ; 0,7%, 2000 ; 1,3%, 2001 ; 0%), level of absenteeism (1999 ; 0,551%, 2000 ; 0,558%, 2001 ; 0,407%), level of hospital revenue per employee was increased year by year ; capability of information system, accuracy and speed was still poor, still used lagging indicator ; motivating and empowering was still poor (there was no work team, there was no suggestion and employee satisfaction survey, conformity between the hospital strategy with managers and business units was still not yet achieved), 6) correlation inter performance indicator, BOR and inpatient operating profit 0,992, number of outpatient visit and outpatient operating profit 0,856, number of complaint and number of visit -0,421, number of complaint and BOR -0,602, labor turnover and number of complaint -0,851, level of absenteeism and number of complaint -0,548. Based on this study result, it was known that assets turnover of hospital was good, but profit margin was still very poor because of inefficiency in cost. Customer performance, internal business process performance, growth and learning performance was still poor. The hospital need to implemented mix strategy and revenue growth, cost efficiency/productivity increase, and assets exploitation/investment strategy. Finally, all of them must driven by drive performance.

Abstrak :
[ABSTRAK
Profil demografi tenaga kerja telah banyak berubah. Perempuan banyak memasuki dunia kerja dan hampir mencapai 50% dari angkatan kerja. Ibu bekerja memiliki peran ganda dalam keluarga dan pekerjaan. Dibanding laki-laki, perempuan lebih terkena dampak pada persoalan terkait dengan gender di tempat kerja. Telah banyak penelitian dilakukan mengenai konflik pekerjaan-keluarga, sehingga fokus penelitian ini pada area kepuasan kerja, kepuasan kehidupan rumah, dukungan pasangan dan self-esteem pada ibu bekerja di sektor kesehatan. Analisis kuantitatif data dengan jumlah sampel 234, menemukan bahwa dukungan pasangan memiliki korelasi terhadap kepuasan kerja. Kepuasan kehidupan rumah dan self-esteem mempengaruhi secara signifikan terhadap kepuasan kerja. Temuan lain menujukkan bahwa ibu bekerja di Kementerian Kesehatan yang berlokasi di kota Jakarta memiliki perbedaan yang signifikan pada kepuasan kehidupan rumah dan kepuasan kerja, yang lebih rendah dari pada ibu bekerja di luar Jakarta.

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ABSTRACT
The demographic profile of the workforce has shifted dramatically. Women have entered workplace and taken almost 50% of the workforce. Working mothers have double role in their family and organization. Compared to men, women are more sensitive to the gender issued in the workplace. There have been many research done to seek the problem of work-family life, therefore the focus of this study is within the area of job satisfaction, home-life satisfaction, partner supportiveness and self-esteem of the working mothers who work in the health sector. Using quantitative data analysis and with the total participants of 234, this study found that partner supportiveness positively correlate to job satisfaction. Home life satisfaction and self esteem have significant effect on job satisfaction. This study also found that there are some differences in home life and job satisfaction between working mothers who work in Ministry of Health in Jakarta and mothers who work outside Jakarta. Working mothers based in Jakarta have lower home life and job satisfaction compared to mothers outside Jakarta.;The demographic profile of the workforce has shifted dramatically. Women have entered workplace and taken almost 50% of the workforce. Working mothers have double role in their family and organization. Compared to men, women are more sensitive to the gender issued in the workplace. There have been many research done to seek the problem of work-family life, therefore the focus of this study is within the area of job satisfaction, home-life satisfaction, partner supportiveness and self-esteem of the working mothers who work in the health sector. Using quantitative data analysis and with the total participants of 234, this study found that partner supportiveness positively correlate to job satisfaction. Home life satisfaction and self esteem have significant effect on job satisfaction. This study also found that there are some differences in home life and job satisfaction between working mothers who work in Ministry of Health in Jakarta and mothers who work outside Jakarta. Working mothers based in Jakarta have lower home life and job satisfaction compared to mothers outside Jakarta.;The demographic profile of the workforce has shifted dramatically. Women have entered workplace and taken almost 50% of the workforce. Working mothers have double role in their family and organization. Compared to men, women are more sensitive to the gender issued in the workplace. There have been many research done to seek the problem of work-family life, therefore the focus of this study is within the area of job satisfaction, home-life satisfaction, partner supportiveness and self-esteem of the working mothers who work in the health sector. Using quantitative data analysis and with the total participants of 234, this study found that partner supportiveness positively correlate to job satisfaction. Home life satisfaction and self esteem have significant effect on job satisfaction. This study also found that there are some differences in home life and job satisfaction between working mothers who work in Ministry of Health in Jakarta and mothers who work outside Jakarta. Working mothers based in Jakarta have lower home life and job satisfaction compared to mothers outside Jakarta.;The demographic profile of the workforce has shifted dramatically. Women have entered workplace and taken almost 50% of the workforce. Working mothers have double role in their family and organization. Compared to men, women are more sensitive to the gender issued in the workplace. There have been many research done to seek the problem of work-family life, therefore the focus of this study is within the area of job satisfaction, home-life satisfaction, partner supportiveness and self-esteem of the working mothers who work in the health sector. Using quantitative data analysis and with the total participants of 234, this study found that partner supportiveness positively correlate to job satisfaction. Home life satisfaction and self esteem have significant effect on job satisfaction. This study also found that there are some differences in home life and job satisfaction between working mothers who work in Ministry of Health in Jakarta and mothers who work outside Jakarta. Working mothers based in Jakarta have lower home life and job satisfaction compared to mothers outside Jakarta., The demographic profile of the workforce has shifted dramatically. Women have entered workplace and taken almost 50% of the workforce. Working mothers have double role in their family and organization. Compared to men, women are more sensitive to the gender issued in the workplace. There have been many research done to seek the problem of work-family life, therefore the focus of this study is within the area of job satisfaction, home-life satisfaction, partner supportiveness and self-esteem of the working mothers who work in the health sector. Using quantitative data analysis and with the total participants of 234, this study found that partner supportiveness positively correlate to job satisfaction. Home life satisfaction and self esteem have significant effect on job satisfaction. This study also found that there are some differences in home life and job satisfaction between working mothers who work in Ministry of Health in Jakarta and mothers who work outside Jakarta. Working mothers based in Jakarta have lower home life and job satisfaction compared to mothers outside Jakarta.]

Abstrak :

Penyakit stroke adalah penyebab kematian terbesar kedua di dunia. Pasien stroke harus menjalani perawatan berupa latihan rehabilitasi secara rutin untuk memulihkan fungsi motorik mereka. Sering kali pasien stroke kesulitan mendapatkan perawatan karena keterbatasan ekonomi dan mobilisasi. Selain itu, kondisi pandemi COVID-19 sekarang ini membuat pasien takut untuk pergi ke rumah sakit. Telehealth sebagai pelayanan kesehatan jarak jauh merupakan salah satu solusi untuk kondisi tersebut. Aplikasi telehealth untuk rehabilitasi stroke dapat dikembangkan dikombinasikan dengan teknologi human motion detection. Penelitian ini bertujuan untuk mengetahui model human motion detection yang dapat mendeteksi gerakan secara stabil serta untuk mengetahui model klasifikasi yang dapat mengklasifikasi gerakan stroke dan non stroke secara akurat. Penelitian dilakukan menggunakan data video gerakan pasien stroke dan orang sehat sebagai input model human motion detection. Keypoints hasil ekstraksi dari model human motion detection kemudian ditransformasi menjadi gambar RGB dan digunakan sebagai input model klasifikasi. Penelitian ini membandingkan tiga model human motion detection, yaitu PoseNet, BlazePose, dan MoveNet, serta dua model klasifikasi gambar, yaitu AlexNet dan SqueezeNet. Beberapa eksperimen dilakukan untuk mengklasifikasi gerakan stroke dan non stroke. Terdapat eksperimen dengan pembagian data tanpa 3-Fold Cross Validation, eksperimen dengan pembagian data 3-Fold Cross Validation, eksperimen menggunakan semua keypoints hasil ekstraksi model human motion detection, dan eksperimen menggunakan beberapa keypoints yang relevan. Model human motion detection dan model klasifikasi terbaik dari hasil penelitian ini diharapkan dapat berkontribusi kepada para pihak yang ingin mengembangkan aplikasi telehealth sebagai sarana rehabilitasi stroke. Berdasarkan hasil penelitian ini, didapatkan bahwa MoveNet adalah model human motion detection yang paling stabil dalam memantau pergerakan pasien dan AlexNet adalah model klasifikasi terbaik untuk mengklasifikasikan pasien stroke dan non stroke berdasarkan gerakan upper body dan gerakan lower body.

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Stroke is the second biggest cause of death in the world. Stroke patients must undergo rehabilitation on regular basis to exercise and restore their motor functions. Oftentimes, stroke patients find it difficult to get their treatment because of economic and mobility limitations. In addition, the current state of the COVID-19 pandemic makes patients afraid to go to the hospital. Telehealth as a long-distance health service is one of the solution for this condition. Telehealth applications for stroke rehabilitation can be developed in combination with human motion detection technology. This study aims to determine the human motion detection model that can detect movement steadily and determine the classification model that can classify stroke and non-stroke motions accurately. The study was conducted using video data of stroke patients and healthy people as input for the human motion detection model. Keypoints extracted from the human motion detection model are then transformed into RGB images and used as input for the classification model. This study compares three models of human motion detection, namely PoseNet, BlazePose, and MoveNet and two image classification models, namely AlexNet and SqueezeNet. Several experiments were conducted to classify stroke and non-stroke motions. There are experiments without data splitting 3-Fold Cross Validation, experiments with data splitting 3-Fold Cross Validation, experiments using all keypoints extracted from the human motion detection model, and experiments using several relevant keypoints. The most steady human motion detection model and the best classification model from the results of this study are expected to contribute to those who want to develop telehealth applications as a means of stroke rehabilitation. Based on the results of this study, it was found that MoveNet is the most steady human motion detection model for monitoring the patients motions and AlexNet is the best classification model for classifying stroke and non stroke patients based on upper body and lower body movements.