{"title":"EFFICIENCY IN HR: LEAN MANAGEMENT WITH E-SEP & AUTO CLOSING SYSTEM IN PASAR MINGGU HOSPITAL","authors":"","doi":"10.7454/arsi.v10i1.7831","DOIUrl":"https://doi.org/10.7454/arsi.v10i1.7831","url":null,"abstract":"","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"39 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140432764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE INFLUENCE OF MOTIVATION AND KNOWLEDGE ON THE COMPLETENESS OF MEDICAL RECORDS WITH ATTITUDE AS AN INTERVENING FACTOR","authors":"","doi":"10.7454/arsi.v10i1.7822","DOIUrl":"https://doi.org/10.7454/arsi.v10i1.7822","url":null,"abstract":"","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ANALISIS KELENGKAPAN RESUME MEDIS DAN KETEPATAN KODING LAYANAN OPERASI KANKER PAYUDARA DI RUMAH SAKIT KANKER DHARMAIS TAHUN 2022","authors":"","doi":"10.7454/arsi.v10i1.8084","DOIUrl":"https://doi.org/10.7454/arsi.v10i1.8084","url":null,"abstract":"","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140432700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE EFFECT OF SAFETY MANAGEMENT COMMITMENT AND MOTIVATION ON COMPLIANCE IMPLEMENTING PATIENT SAFETY GOALS THROUGH A CULTURE OF PATIENT SAFETY","authors":"","doi":"10.7454/arsi.v10i1.7319","DOIUrl":"https://doi.org/10.7454/arsi.v10i1.7319","url":null,"abstract":"","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"30 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ANALISIS PRODUK LAYANAN RS APUNG NUSA WALUYA 2 MENURUT CARA BAURAN PEMASARAN","authors":"","doi":"10.7454/arsi.v10i1.7868","DOIUrl":"https://doi.org/10.7454/arsi.v10i1.7868","url":null,"abstract":"","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the hospital industry, patient- and family-centered care is a key factor that measures hospital management performance. Hospital management requires the support of quality resources, especially human resources, who directly provide services to their customers. Therefore, Organizational Citizenship Behavior (OCB), known as extra role behavior from employees, is highly effective to apply because it can lead employees to deliver performance that goes beyond just performing their formal duties. The purpose of this study was to analyze the effect of organizational culture and leadership style on the OCB of employees in A Class A- Noncommunicable disease hospital in Jakarta through Work Engagement. The research method used a quantitative method with a sample of 260 employees. The hypotheses were tested through the SEM (Structural Equation Model) method with the SmartPLS3.0 application and SPSS version 27. The results showed that organizational culture, leadership style and work engagement affected OCB simultaneously. Organizational culture and leadership style were positively related to work engagement and OCB among employees. Meanwhile, leadership style affected OCB through work engagement. Having employees who demonstrate OCB is crucial to the hospitals to provide quality service delivery. Hence, maintain the stability of a positive organizational culture are required to improve work engagement amongst employee such as employee career development strategies and holding togetherness events that may increase work engagement thereby motivating employees to carry out OCB.
在医院行业，以患者和家庭为中心的护理是衡量医院管理绩效的关键因素。医院管理需要优质资源的支持，特别是人力资源的支持，人力资源直接为客户提供服务。因此，组织公民行为(OCB)，被称为员工的额外角色行为，是非常有效的应用，因为它可以引导员工提供超越其正式职责的绩效。本研究旨在通过工作敬业度分析雅加达A类非传染性疾病医院组织文化和领导风格对员工公民行为的影响。研究方法采用定量方法，样本为260名员工。采用结构方程模型(SEM)方法，采用SmartPLS3.0软件和SPSS version 27对假设进行检验。结果表明，组织文化、领导风格和工作投入同时影响组织公民行为。组织文化和领导风格对员工的工作投入和组织公民行为有正向影响。同时，领导风格通过工作投入影响组织公民行为。拥有表现出公民责任的员工对医院提供优质服务至关重要。因此，需要保持积极的组织文化的稳定性来提高员工的工作敬业度，例如员工的职业发展战略和举办聚会活动，这些都可以提高员工的工作敬业度，从而激励员工开展组织公民行为。
{"title":"FOSTERING ORGANIZATIONAL CITIZENSHIP BEHAVIOR BY DEVELOPING ORGANIZATIONAL CULTURE THROUGH WORK ENGAGEMENT","authors":"","doi":"10.7454/arsi.v9i3.7084","DOIUrl":"https://doi.org/10.7454/arsi.v9i3.7084","url":null,"abstract":"In the hospital industry, patient- and family-centered care is a key factor that measures hospital management performance. Hospital management requires the support of quality resources, especially human resources, who directly provide services to their customers. Therefore, Organizational Citizenship Behavior (OCB), known as extra role behavior from employees, is highly effective to apply because it can lead employees to deliver performance that goes beyond just performing their formal duties. The purpose of this study was to analyze the effect of organizational culture and leadership style on the OCB of employees in A Class A- Noncommunicable disease hospital in Jakarta through Work Engagement. The research method used a quantitative method with a sample of 260 employees. The hypotheses were tested through the SEM (Structural Equation Model) method with the SmartPLS3.0 application and SPSS version 27. The results showed that organizational culture, leadership style and work engagement affected OCB simultaneously. Organizational culture and leadership style were positively related to work engagement and OCB among employees. Meanwhile, leadership style affected OCB through work engagement. Having employees who demonstrate OCB is crucial to the hospitals to provide quality service delivery. Hence, maintain the stability of a positive organizational culture are required to improve work engagement amongst employee such as employee career development strategies and holding togetherness events that may increase work engagement thereby motivating employees to carry out OCB.","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical Pathway (CP) was implemented at the RSI NU Demak Hospital as quality and cost control in health services. One of the quality of services can be seen from the Average Length of Stay (AvLOS), so the implementation of CP is very important to measure its effectiveness and efficiency in reducing AvLOS as well as its efficiency in financing. This study aims to determine the effectiveness and efficiency of using CP for AvLOS as well as its efficiency in financing SC patients at the RSI NU Demak Hospital for the period October 2022-May 2023. The type of this research is qualitative with used case study method. Sample data was done by documentation study in 296 SC patient medical resume document and patient transaction data as well as in-depth interviews with purposive sampling samples. The AvLOS before CP implementation was 5.2 days, after CP implementation (for seven months from November 2022 to May 2023) the AvLOS decreased to 4 days. The average efficiency of SC financing is IDR 874,670.00 (Real Hospital Tariff with LOS of 5.2 days is IDR 7,025,130.00 and with LOS of 4 days is IDR 6,150,460.00) AvLOS before and after the implementation of CP in SC patients at RSI NU Demak Hospital shows its effectiveness as seen from the reduction in AvLOS, as well as having an impact on the efficiency of treatment costs. To further increase the efficiency of financing for SC patients, including the efficiency of drug and disposable material (BHP) packages for SC operations as well as monitoring and evaluating the compliance of medical staff in using CP.
临床路径(CP)在RSI NU Demak医院实施，作为卫生服务的质量和成本控制。从平均停留时间(AvLOS)可以看出服务质量的优劣，因此CP的实施是衡量其降低AvLOS的有效性和效率以及融资效率的重要指标。本研究旨在确定在2022年10月至2023年5月期间，RSI NU Demak医院使用CP治疗AvLOS的有效性和效率，以及其为SC患者提供资金的效率。本研究的类型是定性的，使用案例研究法。样本数据采用文献法研究296例SC患者病历资料和患者交易数据，并采用有目的抽样的深度访谈法。CP实施前的AvLOS为5.2天，CP实施后(2022年11月至2023年5月7个月)AvLOS降至4天。SC融资的平均效率为874,670.00印尼盾(当LOS为5.2天时，实际医院费用为7,025,130.00印尼盾，当LOS为4天时，实际医院费用为6,150,460.00印尼盾)。RSI NU Demak医院SC患者实施CP前后的AvLOS从AvLOS的降低可以看出其有效性，以及对治疗成本效率的影响。进一步提高SC患者的融资效率，包括SC手术的药物和一次性材料包(BHP)的效率，以及监测和评估医务人员使用CP的依从性。
{"title":"EFEKTIVITAS DAN EFISIENSI PENGGUNAAN CLINICAL PATHWAY TERHADAP AVERAGE LENGTH OF STAY (AVLOS) PASIEN SECTIO CAESAREA (SC) DI RSI NU DEMAK","authors":"","doi":"10.7454/arsi.v9i3.7343","DOIUrl":"https://doi.org/10.7454/arsi.v9i3.7343","url":null,"abstract":"Clinical Pathway (CP) was implemented at the RSI NU Demak Hospital as quality and cost control in health services. One of the quality of services can be seen from the Average Length of Stay (AvLOS), so the implementation of CP is very important to measure its effectiveness and efficiency in reducing AvLOS as well as its efficiency in financing. This study aims to determine the effectiveness and efficiency of using CP for AvLOS as well as its efficiency in financing SC patients at the RSI NU Demak Hospital for the period October 2022-May 2023. The type of this research is qualitative with used case study method. Sample data was done by documentation study in 296 SC patient medical resume document and patient transaction data as well as in-depth interviews with purposive sampling samples. The AvLOS before CP implementation was 5.2 days, after CP implementation (for seven months from November 2022 to May 2023) the AvLOS decreased to 4 days. The average efficiency of SC financing is IDR 874,670.00 (Real Hospital Tariff with LOS of 5.2 days is IDR 7,025,130.00 and with LOS of 4 days is IDR 6,150,460.00) AvLOS before and after the implementation of CP in SC patients at RSI NU Demak Hospital shows its effectiveness as seen from the reduction in AvLOS, as well as having an impact on the efficiency of treatment costs. To further increase the efficiency of financing for SC patients, including the efficiency of drug and disposable material (BHP) packages for SC operations as well as monitoring and evaluating the compliance of medical staff in using CP.","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"5 3-4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Electronic health record (EHR) has replaced conventional medical records in Indonesia. Until now, its utilization is still not optimal, and there are still frequent problems with incomplete filling of the EHR form due to individual factors. To examine the association between knowledge and workload with healthcare professionals' (HCPs) compliance in filling out HER, considering the mediating role of attitude. We performed a cross-sectional study on 80 HCPs who worked at the Intensive Care Unit of the National Cardiovascular Centre Harapan Kita. We observe the level of knowledge and workload as independent variables, attitudes as mediating variables, and compliance as the dependent variable. Primary data were obtained by using questionnaires. The association among observed variables was analyzed using path analysis. As a result, we found that knowledge, workload, and attitude simultaneously had a significant association with compliance in EHR filling. Attitude is the most dominant independent variable that directly affected compliance, while knowledge and workload were associated with compliance mediated by attitude. It was concluded that increasing HCPs' compliance in filling out the EHR would be directly associated with a positive attitude of HCPs. A higher level of knowledge and a lighter workload do not directly associate with better compliance, but affect attitude improvement. Thus improving knowledge levels and adjusting the workload will increase EHR filling compliance by mediating positive attitudes among HCPs.
{"title":"KNOWLEDGE, WORKLOAD, ATTITUDE, AND ELECTRONIC HEALTH RECORDS COMPLIANCE AMONG HEALTHCARE PROFESSIONALS","authors":"","doi":"10.7454/arsi.v9i3.7303","DOIUrl":"https://doi.org/10.7454/arsi.v9i3.7303","url":null,"abstract":"Electronic health record (EHR) has replaced conventional medical records in Indonesia. Until now, its utilization is still not optimal, and there are still frequent problems with incomplete filling of the EHR form due to individual factors. To examine the association between knowledge and workload with healthcare professionals' (HCPs) compliance in filling out HER, considering the mediating role of attitude. We performed a cross-sectional study on 80 HCPs who worked at the Intensive Care Unit of the National Cardiovascular Centre Harapan Kita. We observe the level of knowledge and workload as independent variables, attitudes as mediating variables, and compliance as the dependent variable. Primary data were obtained by using questionnaires. The association among observed variables was analyzed using path analysis. As a result, we found that knowledge, workload, and attitude simultaneously had a significant association with compliance in EHR filling. Attitude is the most dominant independent variable that directly affected compliance, while knowledge and workload were associated with compliance mediated by attitude. It was concluded that increasing HCPs' compliance in filling out the EHR would be directly associated with a positive attitude of HCPs. A higher level of knowledge and a lighter workload do not directly associate with better compliance, but affect attitude improvement. Thus improving knowledge levels and adjusting the workload will increase EHR filling compliance by mediating positive attitudes among HCPs.","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"2 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The discharge summary is a resume of all patient care and treatment periods that must be filled in entirely by the doctor in charge within 1x24 hours after the patient is pronounced discharged. This study examines the completeness and timeliness of filling in discharge summaries by using the system approach. This research is a qualitative study to obtain input and transformation through in-depth interviews and review of hospital documents, then reinforced with quantitative research to get an overview of the output through observation and study of discharge summary forms. Sixty-one discharge summary forms were used as research samples by calculating total sampling. The results showed that the percentage of discharge summaries included in the category fulfilled was only 16.4%. At the same time, in terms of timeliness, it was found that only 45.9% of filling discharge summaries were included in the appropriate time accuracy category. The average time needed for a doctor to get a discharge summary is 32.3 hours. The patient identity and the nursing data items group had the lowest filling distribution, while the highest was in the medical data and data authentication group. There are still differences in knowledge in filling out discharge summary, lack of motivation of the doctors, form formats evaluation that has not been carried out routinely; there is no reward system, punishment system and special training for discharge summary, differences in perceptions regarding the flow of the discharge summary filling process, and the discovery of conflicts related to communication.
{"title":"KELENGKAPAN DAN KETEPATAN WAKTU PENGISIAN RESUME MEDIS ≤1X24 JAM OLEH DOKTER DI RSIA SMB TAHUN 2020","authors":"","doi":"10.7454/arsi.v9i3.7623","DOIUrl":"https://doi.org/10.7454/arsi.v9i3.7623","url":null,"abstract":"The discharge summary is a resume of all patient care and treatment periods that must be filled in entirely by the doctor in charge within 1x24 hours after the patient is pronounced discharged. This study examines the completeness and timeliness of filling in discharge summaries by using the system approach. This research is a qualitative study to obtain input and transformation through in-depth interviews and review of hospital documents, then reinforced with quantitative research to get an overview of the output through observation and study of discharge summary forms. Sixty-one discharge summary forms were used as research samples by calculating total sampling. The results showed that the percentage of discharge summaries included in the category fulfilled was only 16.4%. At the same time, in terms of timeliness, it was found that only 45.9% of filling discharge summaries were included in the appropriate time accuracy category. The average time needed for a doctor to get a discharge summary is 32.3 hours. The patient identity and the nursing data items group had the lowest filling distribution, while the highest was in the medical data and data authentication group. There are still differences in knowledge in filling out discharge summary, lack of motivation of the doctors, form formats evaluation that has not been carried out routinely; there is no reward system, punishment system and special training for discharge summary, differences in perceptions regarding the flow of the discharge summary filling process, and the discovery of conflicts related to communication.","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"14 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
People nowadays with different characteristics are very selective when choosing medical services. Hospitals as service providers are expected to have a good brand image which is the patient's perception of a brand. It is built by trust in care and knowledge about the hospital. The hospital's brand image makes patients recognize and differentiate them from others. Patient selection of health care facilities is a complex process. The brand image expected to had a direct effect on hospital selection. This article explains the influence of hospital brand image on patients' decisions to choose a hospital. The method used is a literature review study and sources from online academic media such as Mendeley. Studies related to the field of health services and searched for using valid keywords. We found 48 articles, and after evaluation, eight selected articles were included in this study. From various studies, we found that brand image positively impacts patients' decisions in choosing a hospital. A hospital's brand image will influence patient perceptions of service quality. The social aspect and marketing communication strategy have proven to be excellent induction processes for establishing a brand image in the minds of consumers.
{"title":"THE INFLUENCE OF HOSPITAL BRAND IMAGE ON PATIENT'S DECISION TO CHOOSE HOSPITAL: LITERATURE REVIEW","authors":"","doi":"10.7454/arsi.v9i3.7284","DOIUrl":"https://doi.org/10.7454/arsi.v9i3.7284","url":null,"abstract":"People nowadays with different characteristics are very selective when choosing medical services. Hospitals as service providers are expected to have a good brand image which is the patient's perception of a brand. It is built by trust in care and knowledge about the hospital. The hospital's brand image makes patients recognize and differentiate them from others. Patient selection of health care facilities is a complex process. The brand image expected to had a direct effect on hospital selection. This article explains the influence of hospital brand image on patients' decisions to choose a hospital. The method used is a literature review study and sources from online academic media such as Mendeley. Studies related to the field of health services and searched for using valid keywords. We found 48 articles, and after evaluation, eight selected articles were included in this study. From various studies, we found that brand image positively impacts patients' decisions in choosing a hospital. A hospital's brand image will influence patient perceptions of service quality. The social aspect and marketing communication strategy have proven to be excellent induction processes for establishing a brand image in the minds of consumers.","PeriodicalId":139168,"journal":{"name":"Jurnal Administrasi Rumah Sakit Indonesia","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136105872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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