Hasil Pencarian  ::  Simpan CSV :: Kembali

Hasil Pencarian

Ditemukan 4 dokumen yang sesuai dengan query
cover
Gunawan Widjaja
"[ABSTRAK
Setiap negara memiliki sejarah perkembangan rumah sakitnya, meskipun dewasa ini,
dengan berbagai alasan semua negara membicarakan tata kelola rumah sakit. Di
Indonesia dewasa ini Undang-Undang Rumah Sakit (UURS) tidak secara tegas
merujuk istilah corporate governance, namun demikian dalam Penjelasan Pasal 29
ayat (1) butir r UURS, secara tersirat diketahui bahwa corporate governance adalah
bagian dari hospital governance. Sedangkan konsepsi dan terminologi corporate
govenance di Indonesia mengacu pada perseroan terbatas, khususnya perseroan
terbatas terbuka. Dalam konsepsi tersebut, semua perseroan terbatas harus taat pada
Undang-Undang Perseroan Terbatas (UUPT), termasuk perseroan terbatas dengan
bidang usaha rumah sakit. Penelitian ini bertujuan membuktikan telah terjadi
mispersepsi penggunaan istilah corporate governance dalam manajemen rumah
sakit. Penelitian ini membandingkan corporate governance dalam UURS dengan
UUPT. Penelitian ini menggunakan pendekatan kualitatif dengan data sekunder.
Triangulasi dilakukan untuk mempertahankan validitas hasil. Penelitian ini juga
menggunakan metoda perbandingan hukum untuk memahami konsep korporasi dan
corporate governance dalam rangka menjelaskan pelaksanaan corporate governance
di rumah sakit. Hasil penelitian menunjukkan bahwa UURS telah salah
menginterpretasikan status rumah sakit. UURS telah meletakkan fungsi rumah sakit
secara kurang tepat, yang seharusnya dilihat sebagai kegiatan (usaha) dari perseroan
terbatas. Artinya rumah sakit harus dipandang sebagai bagian perseroan terbatas dan
bukan sebaliknya. Kesalahan interpretasi ini telah menyebabkan terjadinya
miskonsepsi dan kesalahan penggunaan istilah corporate governance dalam UURS.
Peneliti menyarankan untuk melakukan perubahan terhadap beberapa ketentuan
dalam UURS agar sejalan dengan konsep yang berlaku dan dapat diterapkan secara
konsisten.

ABSTRACT
Each state has its own history on the development of hospital, eventhough nowadays
for many different reason, all countries in the world is talking about governance in
hospital. In Indonesia cuurent situation, Indonesian Hospital Law does not
specifically refer to corporate governance, however in the Elucidation of Article 29
para (1) point r of the Hospital Law, it is implied that corporate governance was
part of hospital governance. Meanwhile the conception and terminology of corporate
govenance in Indonesia belongs to corporation, especially public corporation. In
such conception, all corporations must comply with Corporate Law, including all
corporations with line of business of hospital. The aim of this research is to prove
that there has been a misconception of corporate governance terminology in hospital
management. This research tries to contrast the conception of corporate governance
used in Hospital Law against the Corporate Law. This research uses qualitative
research. This reseacrh uses secondary data, with triangulation to maintain validity
of result. This research also uses comparative legal method to understand the
concept of corporation and corporate governance in order to explain the application
of corporate governance in hospital. Result of the research shows that Hospital Law
has misinterpreted the status of hospital. It has mislead the function of hospital,
which shall be seen as a line of business of a corporation. It means that hospital must
be seen as part of the corporation as organisation and not vice versa. Researcher
recommends to make amendments to some articles of the Hospital Act in order to
make it inline with the prevailing concept and can be consistently applied. (xvii +
129);Each state has its own history on the development of hospital, eventhough nowadays
for many different reason, all countries in the world is talking about governance in
hospital. In Indonesia cuurent situation, Indonesian Hospital Law does not
specifically refer to corporate governance, however in the Elucidation of Article 29
para (1) point r of the Hospital Law, it is implied that corporate governance was
part of hospital governance. Meanwhile the conception and terminology of corporate
govenance in Indonesia belongs to corporation, especially public corporation. In
such conception, all corporations must comply with Corporate Law, including all
corporations with line of business of hospital. The aim of this research is to prove
that there has been a misconception of corporate governance terminology in hospital
management. This research tries to contrast the conception of corporate governance
used in Hospital Law against the Corporate Law. This research uses qualitative
research. This reseacrh uses secondary data, with triangulation to maintain validity
of result. This research also uses comparative legal method to understand the
concept of corporation and corporate governance in order to explain the application
of corporate governance in hospital. Result of the research shows that Hospital Law
has misinterpreted the status of hospital. It has mislead the function of hospital,
which shall be seen as a line of business of a corporation. It means that hospital must
be seen as part of the corporation as organisation and not vice versa. Researcher
recommends to make amendments to some articles of the Hospital Act in order to
make it inline with the prevailing concept and can be consistently applied. (xvii +
129), Each state has its own history on the development of hospital, eventhough nowadays
for many different reason, all countries in the world is talking about governance in
hospital. In Indonesia cuurent situation, Indonesian Hospital Law does not
specifically refer to corporate governance, however in the Elucidation of Article 29
para (1) point r of the Hospital Law, it is implied that corporate governance was
part of hospital governance. Meanwhile the conception and terminology of corporate
govenance in Indonesia belongs to corporation, especially public corporation. In
such conception, all corporations must comply with Corporate Law, including all
corporations with line of business of hospital. The aim of this research is to prove
that there has been a misconception of corporate governance terminology in hospital
management. This research tries to contrast the conception of corporate governance
used in Hospital Law against the Corporate Law. This research uses qualitative
research. This reseacrh uses secondary data, with triangulation to maintain validity
of result. This research also uses comparative legal method to understand the
concept of corporation and corporate governance in order to explain the application
of corporate governance in hospital. Result of the research shows that Hospital Law
has misinterpreted the status of hospital. It has mislead the function of hospital,
which shall be seen as a line of business of a corporation. It means that hospital must
be seen as part of the corporation as organisation and not vice versa. Researcher
recommends to make amendments to some articles of the Hospital Act in order to
make it inline with the prevailing concept and can be consistently applied. (xvii +
129)]"
2015
T43477
UI - Tesis Membership  Universitas Indonesia Library
cover
Grace Dunant
"Kesehatan merupakan hak asasi setiap orang. Pemerintah Indonesia berupaya untuk memenuhi hak setiap warga negaranya untuk mendapatkan layanan kesehatan melalui suatu program yang disebut program Jaminan Kesehatan Nasional (JKN). Pemerintah telah menunjuk suatu Badan Penyelenggara Jaminan Kesejahteraan Sosial (BPJS) dalam mengelola program ini, dengan tujuan pada akhir tahun 2019 seluruh warga negara Indonesia tanpa terkecuali telah memiliki jaminan kesehatan (Indonesian Health Coverage). Dalam menghadapi reformasi pelayanan kesehatan di Indonesia seperti ini, rumah sakit sebagai suatu organisasi mendapatkan tuntutan untuk berubah dan berkembang. Bagi rumah sakit swasta seperti Rumah Sakit Royal Taruma perubahan ini bukanlah hal yang mudah. Sistem pembayaran yang semula retrospektif (fee for service) menjadi prospektif (out of pocket/ paket INA CBGs) menuntut perubahan mind set dan perilaku dari setiap anggota yang ada di dalam organisasi. Di samping itu dibutuhkan perencanaan persiapan yang matang untuk ikut serta dalam program JKN.
Tujuan penelitian ini adalah menganalisa kesiapan Rumah Sakit Royal Taruma dalam mengimplementasikan program JKN. Jenis penelitian ini adalah Operational Research dengan pendekatan kualitatif dengan menganalisa kesiapan sumber daya yang dimiliki Rumah Sakit Royal Taruma sesuai dengan persyaratan kredensial yang diminta oleh BPJS serta melihat proses manajemen mulai dari perencanaan, pengorganisasian, pelaksanaan kesiapan, pengawasan serta sosialisasi. Hampir seluruh kriteria persyaratan yang diminta BPJS meliputi administrasi, sumber daya manusia, sarana/ prasarana, sistem dan prosedur, telah dipenuhi oleh Rumah Sakit Royal Taruma namun masih perlu perbaikan di proses manajemen agar sumber daya yang telah dimiliki dapat digunakan lebih optimal, dan pada akhirnya Rumah Sakit Royal Taruma siap dalam mengimplementasikan Program JKN.

Health care is everyone's basic right. The Government of Indonesia seeks to fulfill the right of every citizen access to health care through a program called the National Health Insurance Program (JKN). The Government has appointed a Social Welfare Administering Body (BPJS) to manage this program, with the aim by end of Year 2019 all Indonesian citizens without exception will have health insurance (Indonesia Health Coverage). In the face of health care reform in Indonesia, hospitals will have to take necessary steps to accommodate the reform. For private hospitals such as Royal Taruma Hospital this change is not easy. Initial retrospective (fee for service) payment system will be changed to be prospective payment system (out of pocket / INA CBGs package). This required changing the mindset and behavior of every member within the organization. In addition, careful preparatory planning is required to participate in the JKN program.
The purpose of this research is to analyze the preparedness of Royal Taruma Hospital in implementing JKN program. This type of research is Operational Research with qualitative approach by analyzing preparedness of resources owned by Royal Taruma Hospital in accordance with credential requirement requested by BPJS as well as looking at management process starting from planning, organizing, implementation of readiness, supervision and socialization. Almost all the requirements criteria requested by BPJS include administration, human resources, facilities, systems and procedures, have been met by Royal Taruma Hospital but still improvement in the management process is needed so that the resources that have been owned can be used effectively, and in the end Royal Taruma Hospital is ready to implement the JKN Program.
"
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2017
T47755
UI - Tesis Membership  Universitas Indonesia Library
cover
Lienliaty
"Retur obat dan alat kesehatan sering terjadi pada pasien rawat inap. Rata-rata retur RS Royal Taruma tahun 2016 sekitar 10% dari transaksi penjualan. Penelitian bertujuan mencari faktor penyebab, dampak dan permasalahan retur dengan desain penelitian studi kasus secara kualitatif dan kuantitatif atas transaksi retur April 2017. Berdasarkan penelitian, penyebab retur dibagi menjadi faktor penyebab dari pasien (3,1%), dokter (63,1%) yaitu pasien pulang (33%), penghentian/ penggantian terapi (30,1%) serta faktor internal (33,8%) yang berhubungan dengan SDM, prosedur, sistem informasi dan pengawasan. Permasalahan retur dan ketidakefisien sistem informasi mengakibatkan pemborosan waktu, biaya sehingga disarankan untuk memperbaiki sistem distribusi obat dan sistem informasi.
Medications and disposable medical equipment returned are common in hospitalized patients. The average of medications return at Royal Taruma Hospital in 2016 is about 10% of sales transactions. The purpose of the research is to find the causal factors, impacts and problems of medication returned applying case study designs with qualitative and quantitative data on the return transactions of April 2017. Based on the research, the causes were divided into factors of the patient (3.1%), physician (63.1%) consist of returning patients (33%), discontinuation/replacement therapy (30.1%) and internal factor (33.8%) related to human resources, procedures, information systems and supervision. Problems of returns and inefficiencies of information systems lead to waste of time, costs. It is advisable to improve drug distribution systems and information systems.
"
Depok: Universitas Indonesia, 2017
T48631
UI - Tesis Membership  Universitas Indonesia Library
cover
Eline Suryo
"ABSTRAK
Analisis Kelengkapan dan Ketepatan Penulisan Diagnosis Rawat Inapdi Rumah Sakit Royal TarumaKelengkapan penulisan diagnosis pada resume medis dan ketepatan penulisan diagnosisakhir dengan Panduan Praktik Klinik dan Clinical Pathway diperlukan untuk verifikasitagihan rawat inap pasien dan penentuan tarif INA CBG yang didassari klasifikasidiagnosis penyakit. Penelitian dilaksanakan secara kualitatif dengan wawancaramendalam dengan pengambilan data dari 192 rekam medis Rumah Sakit Royal TarumaJakarta untuk menilai perilaku, pengetahuan, sikap dokter akan kelengkapan danketepatan penulisan diagnosis.Terdapat sebesar 17.2 penulisan diagnosis yang tidak lengkap. Dari 44 rekam medisdengan tindakan medis, sebanyak 25 tindakan medis tidak dicantumkan di resumemedis. Sebanyak 11.5 diagnosis utama yang tidak dicantumkan koding dan darikoding yang tercantum untuk diagnosis utama hanya sebesar 48.4 koding yang tepat.Belum semua dokter memahami pentingnya penulisan diagnosis pada resume medisdengan lengkap berkaitan dengan ketepatan klasifikasi penyakit dengan ICD sebagaidasar untuk penentuan grouper tarif pada INA CBG, walaupun semua dokter memilikisikap mendukung pelaksanaan Jaminan Kesehatan Nasional. Sikap dokter terhadapPanduan Praktik Klinis dan Clinical pathway pada beberapa bidang yaitu spesialisasiPenyakit Dalam dan Saraf adalah belum dapat dilaksanakan sepenuhnya dikarenakanvariasi-variasi yang ditemukan. Upaya-upaya untuk meningkatkan kelengkapan danketepatan diagnosis antara lain adalah dengan meningkatkan pengetahuan dokter akanICD-10 dan ICD 9 CM, implementasi rekam medis elektronik, peningkatan kemampuanpetugas koder, dan meningkatkan keterlibatan dokter dalam pembuatan Panduan PraktikKlinis dan Clinical Pathway.Kata kunci: kelengkapan diagnosis, kelengkapan rekam medis, ketepatan PanduanPraktik Klinis, Clinical Pathway.

ABSTRACT
Analysis of Diagnosis Filling Completeness and Accordance inRoyal Taruma HospitalPhysician expected to write down complete diagnosis in medical discharge report andin accordance to clinical practice guidelines and clinical pathway to insure verificationprocess of Universal Health Coverage which is based of INA CBG grouper of ICD 10and ICD 9 CM codes. This research is to measure physician behavior, attitude, andknowledge towards filling medical discharge report by in depth interview andsampling of 192 medical records of Royal Taruma Hospital, Jakarta. There are 17.2 incomplete diagnosis in medical discharge records. Out of 44 medical records withmedical procedures, 25 of records not stating medical procedures in dischargereport. 11.5 out of 192 samples were not ICD 10 coded for principal diagnosis, andout of those coded only 41.6 were coded correctly. Not all physician know theimportance of complete filling of diagnosis in medical discharge report especially forINA CBG grouper. Some informant in Internal Medicine and Neurology has negativeattitute towards Clinical Practice Guideline and Clinical Pathways as wide variety inthe course of illness. Efforts of to increase completeness of diagnosis in medicaldischarge report and accordance to Clinical Practice Guidelines and or ClinicalPathways are increasing physician knowledge of ICD 10 and ICD 9 CM,implementation of electronic medical record, increasing coder ability and increasingphysician involvement in development of Clinical Practice Guideline and ClinicalPathway.Keyword Medical record completeness, diagnosis completeness, Clinical PracticeGuidelines, Clinical Pathway"
2018
T49809
UI - Tesis Membership  Universitas Indonesia Library