[ABSTRAK
Sumber penerimaan terbesarrumah sakit adalah pasien rawat inap persalinanJamkesda. Integrasi Jamkesda denganBPJS Kesehatan, akan merubah sistempembayaran dari retrospektif menjadi prospektif. Penelitian ini bertujuanmenggambarkan potensi selisih penerimaan rumah sakit berdasarkan tarif Perdadan INA-CBGs sertastrategimenghadapi potensi selisih tersebut. Penelitian inimerupakan gabungan kuantitatif dan kualitatif, menggunakan 660 tagihan danrekam medis pasien persalinan Jamkesda Tahun 2013. Komponen biaya terbanyakadalah jasa medis, BHP, jasa sarana, obat dan jasa pelayanan. Selisihterbesarpadapersalinan dengan sectio secaria dengan rata-rataRp.3.373.669/pasien. Diperlukanstrategi melalui pengelolaan dokter, perawat dantenaga farmasi, pengawasan, SIM-RS, rekam medis dan billing, perhitungan biayaserta identifikasi pelayanan dan pasar.
ABSTRACT
The main sourceof hospital incomederives from inpatientsdelivery care ofJamkesda.JamkesdaintegrationintoBPJShealth, willchange it?s paymentsystemtoproviders fromretrospectiveintoprospective. This studyaims to describethepotentialdifference ofhospitaltariffbasedon Perda andINA-CBGs. Inadditionhospital strategies to coping withpotentialdifference of hospital income isalso observed. This studycombines quantitativeandqualitative,using660claimsandmedical records of inpatients delivery care of Jamkesda year2013. The largest costs component of delivery care aremedicalfee, consumables,accommodation, medicationsandnursingfee. The results showedthat thelargestdifferencefound insecarian deliverypatientswithaverageRp.3.373.669/patient. It takesstrategy throughmedical staff,nursing and pharmacy staff management, supervision, hospital managementinformation system, medical records and billing, costing, services and marketidentification.;The main sourceof hospital incomederives from inpatientsdelivery care ofJamkesda.JamkesdaintegrationintoBPJShealth, willchange it?s paymentsystemtoproviders fromretrospectiveintoprospective. This studyaims to describethepotentialdifference ofhospitaltariffbasedon Perda andINA-CBGs. Inadditionhospital strategies to coping withpotentialdifference of hospital income isalso observed. This studycombines quantitativeandqualitative,using660claimsandmedical records of inpatients delivery care of Jamkesda year2013. The largest costs component of delivery care aremedicalfee, consumables,accommodation, medicationsandnursingfee. The results showedthat thelargestdifferencefound insecarian deliverypatientswithaverageRp.3.373.669/patient. It takesstrategy throughmedical staff,nursing and pharmacy staff management, supervision, hospital managementinformation system, medical records and billing, costing, services and marketidentification., The main sourceof hospital incomederives from inpatientsdelivery care ofJamkesda.JamkesdaintegrationintoBPJShealth, willchange it?s paymentsystemtoproviders fromretrospectiveintoprospective. This studyaims to describethepotentialdifference ofhospitaltariffbasedon Perda andINA-CBGs. Inadditionhospital strategies to coping withpotentialdifference of hospital income isalso observed. This studycombines quantitativeandqualitative,using660claimsandmedical records of inpatients delivery care of Jamkesda year2013. The largest costs component of delivery care aremedicalfee, consumables,accommodation, medicationsandnursingfee. The results showedthat thelargestdifferencefound insecarian deliverypatientswithaverageRp.3.373.669/patient. It takesstrategy throughmedical staff,nursing and pharmacy staff management, supervision, hospital managementinformation system, medical records and billing, costing, services and marketidentification.] |
T41879-Nurhidayat B..pdf :: Unduh