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"ABSTRAKNama : Dini Andriani PramitasariProgram Studi : Kajian Administrasi Rumah SakitJudul : Analisis Waktu Tunggu Pada Pasien yang Menjalani Radioterapidi Rumah Sakit Dr. Mohammad Hoesin PalembangLatar Belakang: Peningkatan jumlah kanker menyebabkan peningkatan akankebutuhan pelayanan kanker. Tatalaksana pada waktu yang tepat akanmemberikan hasil pengobatan yang optimal. Waktu tunggu radioterapi dapatmenggambarkan kualitas pelayanan rumah sakit.Tujuan: Mengetahui waktu tunggu radioterapi pada pasien kanker serviks, kankerpayudara, dan kanker nasofaring serta faktor pasien dan manajemen yang dapatmempengaruhi.Metode: Studi kohort retrospektif dengan mengumpulkan data melalui rekammedik pasien kanker serviks, kanker payudara, dan kanker nasofaring yangdirujuk ke Sub Radioterapi RSMH sejak Januari 2015. Waktu tunggu dihitungsejak ada hasil patologi anatomi hingga mulai radioterapi. Studi dilanjutkandengan analisis kualitatif pada faktor manajerial yaitu sarana prasarana, sumberdaya manusia, rencana perbaikan, regulasi/ kebijakan, dan anggaran terhadapadanya waktu tunggu radioterapi.Hasil: Terdapat 180 pasien kanker yang dimasukan dalam penelitian, denganmasing-masing kanker berjumlah 60 pasien. Median waktu tunggu radioterapikanker serviks adalah 131 hari. Median waktu tunggu radioterapi kanker payudaraadalah 144,5 hari. Median waktu tunggu radioterapi kanker nasofaring adalah 224hari. Analisis bivariat dilakukan terhadap variabel-variabel pasien dan didapatkantidak ada hubungan yang bermakna secara statistik terhadap waktu tunggu p>0,05 . Hasil observasi, wawancara mendalam dan telaah dokumen/ teorididapatkan bahwa keterbatasan sarana prasarana, kurangnya jumlah sumber dayamanusia, ketiadaan regulasi, dan keterbatasan anggaran mempengaruhi adanyawaktu tunggu radioterapi.Kesimpulan: Waktu tunggu radioterapi masih panjang dan belum memilikistandar, baik untuk kanker serviks, kanker payudara, dan kanker nasofaring.Diperlukan koordinasi dari berbagai profesi terkait onkologi untuk mendiskusikandan memutuskan waktu optimal pelayanan kanker, khususnya dalam bentuk timmultidisiplin kanker. Pemenuhan kesenjangan antara kebutuhan dan ketersediaanalat radiasi dan sumber daya manusia dapat menjadi solusi untuk mengurangiwaktu tunggu radioterapi.Kata kunci:Faktor Demografi, Kanker Nasofaring, Kanker Payudara, Kanker Serviks,Radioterapi, Waktu Tunggu

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ABSTRACTName Dini AndrianiStudy Program Healthcare AdministrationTitle Analysis of Waiting Time in Patients UndergoingRadiotherapy at Dr. Mohammad Hoesin PalembangGeneral HospitalBackground Increasing number of cancers caused an increase in the need forcancer services. Treatment in the appropriate time will give an optimal result.Radiotherapy waiting time can describe the quality of hospital services.Aim to describe radiotherapy waiting time in cervical cancer, breast cancer, andnasopharyngeal cancer and to examine patient factors and managerial factorsassociated with waiting time.Methods restrospective cohort study conducted by collecting data from medicalrecord for cervical cancer, breast cancer, and nasophryngeal cancer which arereferred to Radiotherapy unit since January 2015. Wait time is define as sinceanatomical pathology confirmed of cancer until start of the first radiotherapy. Thisstudy then continued using qualititative analysis in managerial factors, such asinfrastructure, human resources, plan of improvement, regulation, and funding.Result there was 180 cancer patients, with each cancer is 60. The medianRadiotherapy waiting time for cervical cancer, breast cancer, and nasopharyngealcancer is 131 days, 144,5 days, and 224 days consecutively. There is noassociation between patients demographic characteristics age, education, workingstatus, stage of cancer, domicile, and comorbidities with wait time. From indepthinterviews, observation, and literature review, it is known that shortage ofinfrastructure and medical equipment, human resources, no regulation, andlimitation of budgeting influenced the wait time.Conclusion radiotherapy wait time is still too long and have no standard forcervical cancer, breast cancer, and nasopharyngeal cancer. Coordination betweenall oncologists is needed to discuss the optimal time for cancer services. One ofthe solutions to decrease wait time is by fulfillment between needs and demand ofradiotherapy tools and human resources.Key words Breast Cancer, Cervical Cancer, Demographic Factor, Nasopharyngeal Cancer,Radiotherapy, Waiting time"

"Latar Belakang: Inisiasi Menyusui Dini IMD adalah proses alami yang memberi kesempatan bayiuntuk mencari dan mengisap air susu ibu sendiri, dalam satu jam pertama pada awal kehidupannya.Pelaksanaan program IMD merupakan tanggung jawab semua praktisi kesehatan, mulai dari lingkuppelaksana dan manajerial rumah sakit. Tujuan: Mengevaluasi pelaksanaan IMD di RSMH dan faktor-faktor yang mem, pengaruhinya. Metode: Penelitian berdesain cross sectional dengan subjek penelitian ibu bersalin dan tenagakesehatan di Bagian Kebidanan RSMH. Subjek dipilih secara purposive sampling. Data sekunderdiperoleh dari kuesioner yang telah diuji validitas dan reliabilitasnya. Hasil: Selama periode November-Desember 2016, terdapat 19 51,3 pasien pascamelahirkan yangmelakukan IMD dan 18 48,6 pasien tidak melakukan IMD. Terdapat perbedaan bermakna padametode persalinan, dimana persalinan perabdominam mayoritas didapat pada kelompok yang tidakmelakukan IMD p = 0,003 . Penelitian ini melibatkan 43 responden pelaksana bidan dan dokter ,serta 12 responden manajerial. Kondisi medis pasien yang tidak memungkinkan IMD, tidakterlaksananya IMD pada pasien pascaseksio sesaria, dukungan dan sosialisasi rumah sakit kurangmengenai IMD, serta pengetahuan ibu rendah merupakan keluhan responden pelaksana. Penelitian inimenemukan adanya disintegrasi antara pihak manajerial dan pelaksana sehingga menimbulkanketidakjelasan pada pelaksanaan IMD. Simpulan: Peluang terlaksana atau tidaknya IMD dipengaruhi oleh kondisi medis ibu dan janin,metode persalinan, pengenalan dan dukungan rumah sakit terhadap IMD, sosialisasi kebijakan IMD,tingkat pengetahuan ibu. Tantangan melakukan IMD adalah belum ada kebijakan melakukan IMD diruang operasi, kondisi medis ibu sering tidak memungkinkan IMD, ketidakseragaman pengetahuanmanajer terkait IMD, rendahnya sosialisasi peraturan pelaksanaan IMD, ada disintegrasi antara pihakmanajerial dan pelaksana, dan tidak adanya pengawasan IMD di lapangan.

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Background: Early Initiation of Breastfeeding EIB is a natural process of breastfeeding, byallowing the baby to find and suck the breast milk itself, within the first hour of the beginning of life.EIB programme implementation is the responsibility of all health care practitioners, ranging fromexecutive staff and manager.

Objective: To evaluate the implementation of EIB and influences factors in RSMH Palembang.

Method: This is a cross sectional study. All of birth mothers and health professionals doctor andmidwives were include in this study. Samples were selected by purposive sampling. Secondary datawere obtained from the questionnaire respondents which have been tested for validity and reliability.

Results: During the period November to December 2016, there were 19 51.3 patientsswith postspontaneous delivery or abdominal delivery did EIB and 18 48.6 patients did not do EIB. Therewas no significant differences in demographic characteristics between the two groups. There wassignificant differences in the variable method of delivery. Most of patients in no EIB group hadabdominal delivery p 0,003. This study also included 43 doctors and midwives as EIB implementers also 12 managerial staffs. Most of implementer respondents stated that EIB alreadydone well. The patient 39 s medical condition that does not allow the EIB, no EIB in post cesareanpatient, less support and socialization about EIB from hospital, as well as low maternal knowledgewere the executive respondents complaints. This study found the disintegration between the managerial and executive staff, causing ambiguity in the implementation of the EIB.

Conclusion: The opportunitiy of EIB implementation is affected by medical condition of mother andfetus, method of delivery, hospital support, EIB policy socialization, and patient rsquo s level of knowledge.There are so many challenges for our hospital to implement EIB, such as no policy of EIB in operatingroom, the majority of patients are obstetric referral case with complication so that the mother 39 scondition is often not possible to run EIB, knowledge of the managerial about EIB differ greatly, lowsocialization regulations and other elements of the EIB implementation. There is also disintegration between the manager and executive staff causing ambiguity in the implementation of the EIB and thelack of supervision of EIB implementation in the field."

"[Instalasi gawat darurat (IGD) rumah sakit adalah bagian dari rumah sakit yang memberikan layanan terdepan. Di Rumah Sakit dr. Mohammad Hoesin (RSMH) Palembang sudah terdapat IGD berdasarkan SK Direktur Utama Rumah Sakit yang menetapkan struktur organisasi, tugas dan tanggung jawab, visi dan misi, dan prosedur tetap pelayanan gawat darurat. IGD RSMH Palembang dikepalai oleh seorang dokter spesialis bedah urologi dibantu oleh dua orang kepala ruangan.Standar pelayanan di IGD sudah menerapkan standar layanan sesuai dengan standar akreditasi KARS 2012. IGD keberadaannya di rumah sakit diatur oleh Kepmenkes RI No. 856/Menkes/SK/IX/2009 tentang Standar IGD. Kepemenkes ini mengatur tentang standarisasi pelayanan gawat darurat di rumah sakit, dalam Kepmenkes tersebutdiatur standar organisasi, sumber daya manusia, pelayanan, kelengkapan sarana prasarana di IGD. Di RSMH Palembang telah dilaksanakan dokter spesialis jaga on site di IGD sejak 30 Januari 2014 sebagai tindak lanjut Kepmenkes RI tersebut. Sejak dilaksanakan kebijakan dokter spesialis jaga on site di IGD masih dijumpai kepatuhan para dokter masih belum optimal dan walaupun mutu layananan semakin membaik sejalan dengan telah terakreditasi paripurna rumah sakit versi KARS 2012. Penelitian ini bertujuan untuk mengetahui bagaimana implementasi kebijakan dokter spesialis jaga on site di IGD sudah dilaksanakan sesuai dengan tujuan yang diharapkan sesuai dengan Kepmenkes. Penelitian dilakukan dengan metode kualitatif melalui wawancara mendalam pada informan. Informan yang diwawancarai adalah jajaran Direktur RSMH Palembang, Ketua Komite Medik, Kabag. Keuangan, Kepala ruangan IGD dan para dokter spesialis. Penilaian hasil wawancara menggunakan kerangka fikir model implementasi kebijakan George Edward III dengan variabelsumber daya, komunikasi, disposisi dan struktur organisasi.Dari hasil penelitian ini didapatkan implementasi kebijakan dokter spesialis jaga on site belum berjalan dengan baik, disebabkan karena faktor komunikasi, disposisi dan struktur organisasi belum berjalan baik dan masih banyak perlu dukungan sumber daya. Usulan yang diberikan adalah penambahan dan kompetensi tenaga sesuai standar, revisi SOP, penyediaan media komunikasi, perbaikan fasilitas,meningkatkan koordinasi dan fungsi pengawasan secara berkala, advokasi ke Kemenkes RI.;Emergency department (ED) is a part of hospital which giving advanced services. In dr. Mohammad Hoesin (RSMH) Palembang hospital already own an emergency department based on SK director of the hospital whom establishes the organizational structure, duties and responsibilities, vision and mission, and standard operating procedures emergency services. ED RSMH Palembang is lead by a specialist urology and assisted by two heads of the room. Standard service of ED has implementing service standards according to accreditation standards KARS 2012. ED in the hospital arranged Indonesian health minister No. 865/Menkes/SK/IX/2009 about ED standards. The head of health minister regulates the standardization of emergency services at the hospital, which managing standard organizations, human resources, services, completeness infrastructure in ED. RSMH Palembang has been implemented specialist doctors duty on site in the ER since January, 30th 2014 as a follow-up of the head of the Indonesian health minister. Ever since implemented a policy specialist on duty in the ER site still found the compliance of the doctors are still not optimal and although the quality of service has improved in line with acreditation hospital KARS version 2012. This research aims to determine how the implementation of policy specialists doctors on site in the ER has been implemented in accordance with the expected goals in accordance with the head of health minister. Research done with qualitative method by performing in-depth interviews on informants. Informants interviewed are RSMH Palembang board of directors, chairman of the medical committee, chief financial officer, head of the ED room and specialist doctors. Assessment interview results are using logical framework policy implementation model George Edward III with variable resources, communications, disposition and organizational structure. From the results of this study, the implementation of policy specialist doctorson site guard has not run well, due to the communication factor, disposition and organizational structure has not been going well and much needed resource support. The given proposal is the addition of appropriate power and competence standards, the revised SOP, provision of communication media, improvement of facilities,improving the coordination and monitoring functions regularly, advocacy to the head of the Indonesian health minister, Emergency department (ED) is a part of hospital which giving advancedservices. In dr. Mohammad Hoesin (RSMH) Palembang hospital already own anemergency department based on SK director of the hospital whom establishes theorganizational structure, duties and responsibilities, vision and mission, and standardoperating procedures emergency services. ED RSMH Palembang is lead by aspecialist urology and assisted by two heads of the room. Standard service of ED hasimplementing service standards according to accreditation standards KARS 2012.ED in the hospital arranged Indonesian health minister No.865/Menkes/SK/IX/2009 about ED standards. The head of health minister regulatesthe standardization of emergency services at the hospital, which managing standardorganizations, human resources, services, completeness infrastructure in ED. RSMHPalembang has been implemented specialist doctors duty on site in the ER sinceJanuary, 30th 2014 as a follow-up of the head of the Indonesian health minister. Eversince implemented a policy specialist on duty in the ER site still found thecompliance of the doctors are still not optimal and although the quality of service hasimproved in line with acreditation hospital KARS version 2012.This research aims to determine how the implementation of policy specialistsdoctors on site in the ER has been implemented in accordance with the expectedgoals in accordance with the head of health minister. Research done with qualitativemethod by performing in-depth interviews on informants. Informants interviewed areRSMH Palembang board of directors, chairman of the medical committee, chieffinancial officer, head of the ED room and specialist doctors. Assessment interviewresults are using logical framework policy implementation model George Edward IIIwith variable resources, communications, disposition and organizational structure.From the results of this study, the implementation of policy specialist doctorson site guard has not run well, due to the communication factor, disposition andorganizational structure has not been going well and much needed resource support.The given proposal is the addition of appropriate power and competence standards,the revised SOP, provision of communication media, improvement of facilities,improving the coordination and monitoring functions regularly, advocacy to the headof the Indonesian health minister]"

"ABSTRAKNama : Patiyus Agustiansyah/NPM 1506706023Program Studi : Kajian Administrasi Rumah SakitJudul : Analisis dan Implementasi Lean pada Persiapan OperasiKanker Ginekologi di RSUP dr. Mohammad HoesinPalembangIndonesia saat ini memiliki beban kanker ginekologi besar yaitu insidensi,morbiditas dan mortalitasnya. Salah satu penanganan kanker ginekologi adalahpembedahan yang akan membantu kesintasan pasien. Waktu tunggu penjadwalanoperasi kanker ginekologi hendaklah memperhatikan progresifitas kankersehingga waktu tunggu operasinya tidak melebihi 2 minggu. Waktu tungguoperasi menggambarkan mutu pelayanan rumah sakit.Tujuan penelitian ini adalah,untuk menganalisis waktu tunggu penjadwalan operasi kanker ginekologi diRSUP dr. Moehammad Hoesin Palembang dengan menggunakan prinsip Lean.Hasil penelitian menunjukan penegakan diagnosis selama 43.844 menit dan waktutunggu operasi selama 66.700 menit, dengan menerapkan prinsip lean makapenegakan diagnosis 10.328,5 menit dan waktu tunggu operasi 10.325 menit.Kesimpulan penelitian, pada current state terdapat 26 aktifitas; 12 aktifitas VA value added ratio / VAR waktu 0,46 ; VAR jarak 89,6 dan 14 aktifitas NVA waste pasien dan 4 waste aktifitas petugas. Aliran proses yang menghambat bottle neck terdapat di pendaftaran, di poliklinik, di pemeriksaan penunjang dandi bagian praoperatif waktu tunggu paling lama . Future State memiliki 15aktifitas VA VAR waktu 33 ; VAR jarak 95,8 dengan 8 aktifitas NVA waste aktifitas pasien dan 0 waste aktifitas petugas, dengan waktu tunggudiagnosis 10.328,5 menit sedangkan waktu tunggu penjadwalan operasi 10.325menit. Hasil perbandingan current state dengan future state didapatkanpeningkatan aktifitas value added sebanyak 7,7 dengan penurunan waktutunggu 81,3 dan penurunan jarak tempuh 0,42 . Analisis akar masalahpenyebab waktu tunggu lama penjadwalan operasi kanker ginekologi di RSMHdikarenakan kekurangan SDM registrasi, rekam medis, DPJP dan keterbatasaninfrastruktur CT scan, kamar operasi dan instrumen dan kelemahan mengelolaproses penjadwalan operasi tersebut. Saran peneliti adalah peningkatan kinerjadan penambahan SDM, membuat regulasi untuk memprioritaskan pelayananpasien kanker ginekologi, serta integrasi Sistem Informasi Manajemen RumahSakit di setiap unit pelayanan.Kata Kunci : prinsip lean, value added VA , non value added NVA , waste,waktu tunggu penegakan diagnosis, waktu tunggu operasi, kanker ginekologi

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ABSTRACTName Patiyus Agustiansyah NPM 1506706023Program Studi Hospital Administration StudyTitle Lean Analysis and Implementation of Gynecology CancerOperative Scheduling in General Hospital dr. MohammadHoesin RSMH PalembangIndonesia currently has gynecologic cancer burden in the incidence, morbidityand mortality. One of gynecological cancer treatment is surgery which will helpthe survival rate of patients. The waiting time of gynecological cancer surgeryscheduling should bu focused to cancer progression so the waiting time should notexceed 2 weeks. The waiting time operation illustrates the quality of hospitalservices.The purpose of this study was to analyze the waiting time of gynecologiccancer surgery scheduling in RSMH by using the principles of Lean. The resultsshowed that establishing diagnosed need 43,844 minutes and the waiting timeoperation was 66,700 minutes. By applying Lean then the diagnosis establishing10,328.5 minutes, and operations waiting times 10,325 minutes. The studyconclusion showing for 26 activities of current state with 12 VA activities VARtime 0.46 VAR range for 89.6 and 14 NVA activities with 14 patient rsquo swastes activities and 4 employee wastes activities. The process flow whichinhibits bottle neck were lies in the stage of registration, at the outpatient clinic,at the laboratory examination and at the preoperative division the longest waitingtime . The waiting time for diagnosis process were 43.844 minutes, while thewaiting time scheduling of operation process were 66.700 minutes. Future Statehas 15 VA VAR time of 33 VAR range of 95.8 with 8 NVA activities and 8patients waste activity and 0 employee waste activities. The waiting time for adiagnosis process were 10328.5 minutes, while the waiting time for operationscheduling process were 10.325 minutes. The comparison between the currentstate to the future state resulted increasement of the VA activity for 7.7 with areduction in waiting time for 81.3 and mileage decrease of 0.42 . Analysis ofroot problems revealed that the long waiting times for scheduling process ofgynecologic cancer surgery in RSMH were due to lack of human resourcesquantity registration, medical records, doctor in charge and the lack ofinfrastructure CT scan, operating rooms and instruments and managerialweaknesses in managing the process of scheduling the surgery. Researcherssuggest to improve the performance of existing recruitment human resources,make regulations of a priority of gynecologic cancer patients, as well as theintegration of Hospital Management Information System in each unit.Keywords lean principles, values added VA , non value added NVA , waste,value added ratio, waiting time for establishing diagnosis, surgery waiting times,gynecological cancer"

"industri perumahsakitan merupakan usaha yang sangat kompleks, dinamis, padat karya, padat modal, bertehnologi tinggi dan multidisiplin yang selalu dipengaruhi perubahan Iingkungan yang cepat, maka manajemennya pun sangat kompleks. Salah satu komponen dasarnya adalah manajemen keuangan.Dengan pengelolaan keuangan yang baik akan menunjang pengembangan rumah sakit melalui peningkatan pendapatan sehingga semua biaya investasi, biaya operasional dan pemeliharaan dapat tertutupi. Salah satu sumber pendapatan yang terbesar berasal dari pasien jaminan pihak ketiga. Sayangnya tidak seluruhnya berhasil ditagih, sisanya ditagih kemudian. Karena itu manajemen piutang perlu mendapat perhatian khusus.Data keuangan RS. Dr. M. Hoesin Palembang tahun 1999 - 2002 menunjukan bahwa pendapatan jaminan pihak ketiga meningkat berturut-turut dari 126,66% (2000), 140,36% (2001) dan 153,36% tahun 2002 yang diikuti naiknya piutang jaminan pihak ketiga yang lebih besar 133,90% (2000), 217,17% (2001) menjadi 169,79% tahun 2002. Disamping itu, terdapat saldo piutang yang berumur lebih dan 90 hari per 31 Desember 2002 sebesar 52,30% dan total piutang yang berasal dan perusahaaan. Sekitar 35% dari pendapatan rumah sakit berasal dan pendapatan jaminan pihak ketiga. Dengan ditingkatkannya status rumah sakit menjadi rumah sakit Perjan pada tahun 2002, maka semakin penting untukmenganaiisis piutang jaminan pihak ketiga di RS. Dr. M.Hoesin (RSMH) Palembang tahun 2001Penelitian ini dilakukan di RS. Dr. Mohammad Hoesin Palembang dari bulan April sampai Mei 2003, bertujuan untuk upaya yang dapat dilakukan dalam meningkatkan efektifitas manajemen piutang di RSMH Palembang. Rancangan penelitian yang digunakan adalah kualitatif dengan melakukan wawancara mendalam. pengamatan terhadap proses yang sedang berjalan dan kajian dokumen.Dari hasil peneltian disimpulkan bahwa penyebab tingginya piutang karena belum diterapkannya sanksi kepada debitur yang telat membayar, kurang selektifnya pemberian piutang, kurangnya dana penagihan, kurang tegasnya protap penagihan, kurang akuratnya pembebanan biaya dan terlambatnya pembuatan surat tagihan..ladi pembayaran debitur perbulan masih rendah yaitu 41, 02%. Disamping itu saldo piutang per 31 Desember 2002 yang berumur lebih 90 hari sebesar 52,30% yang berasal dari debitur perusahaan.Saran yang diusulkan untuk meningkatkan efektifitas manajemen piutang yaitu menerapkan sanksi lebih tegas kepada debitur yang telat bayar, mempertegas protap penagihan piutang dan membuat protap penutupan rekening, meningkatkan peran Tim verifikasi, pelimpahan wewenang dan menyediakan anggaran yang cukup untuk penagihan serta membentuk Tim Khusus untuk menangani piutang yang macet.

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Hospitals industry is an enterprise and complex, dynamic, intensive capital investment and requires intensive of labor and multidiscipline. In addition, it is influenced by environment change rapidly. It requires a highly complex management. Financial management is an essential component of hospital management

The properly finance management will significantly contribute income for the hospital. This increase will in turn recovers the operational and maintenance and investment cost. One of the biggest of becoming is patient of third party. Unfortunately, not all of transaction paid in cash and remaining of payment is collected later. So, the management of account receivable is very important to handle specifically.

The financial data of RS. Dr. M. Hoesin Palembang for period 1999 - 2002, it is showed that income of the third party increased 126,66% (2000), 140,36% (2001) to 153,36% in year 2002, it is more than followed account receivable of the third party 133,90% (2000), 217,17% (2001) to 167,79% in year 2002. About 35% hospital revenues derived from revenue of the third paty. With on becoming Perjan status, it is necessary account receivable of the third party analysis on year 2002.

This study used in depth interview, direct observation, and investigated of the document on effectiveness of the management account receivable in RS. Dr. Mohammad Hoesin Palembang during April - May 2002. The design of study is qualitative approach.

The research finding causes of the high account receivable was not be applied the sanction yet for the third party pay too late, the giving of the account recievable is not selective, the collection budget is not enough, The standard operational procedure is not clear, The billing record is not accurate, The making of claim letter is very long, So the total received payment of debitor is still low is 41,02%. Beside there were account receivable which had been more than 90 days, about 52,30% of total account receivable per December 31, 2002 derived from the firm debitor.

As suggestion to effectiveness of the management of account receivable are; the aplication of sanction agree with credit policies, making more clear SOP of collecting and making SOP of Write off, The role of Verification Team increased, the delegation of authority and the budgeting of collecting is sufficient and making of specifically Team to handle bad debt.

References: 20 ( 1981 - 2002)"

"ABSTRAKNama : FirmansyahProgram Studi : Kajian Administrasi Rumah SakitJudul : Analisis Pelayanan Keluarga Berencana Rumah Sakit di RumahSakit Mohammad Hoesin Palembang Tahun 2016Tesis ini membahas tentang analisis pelayanan keluarga berencana KB diRumah Sakit Mohammad Hoesin Palembang yang bertujuan menganalisis faktorfaktoryang berperan dalam pelaksanaan pelayanan KB di Rumah SakitMohammad Hoesin RSMH Palembang. Penelitian ini menggunakan metodepenelitian berdesain cross sectional dengan menggunakan data primer dansekunder; dengan pendekatan kuantitatif dan kualitatif melalui telaah dokumen,observasi, kuesioner, wawancara mendalam, dan diskusi kelompok terfokus. Hasilpenelitian didapatkan bahwa pelayanan KB di RSMH berjalan dengan cukup baiknamun terdapat faktor-faktor yang mempengaruhi pelayanan KB di RSMH padahampir seluruh aspek pelayanan KB mulai dari kebijakan dan organisasi; sarana,prasarana dan peralatan yang masih belum lengkap; kompetensi dan jumlahtenaga; prosedur pelayanan; sumber dan mekanisme alat kontrasepsi; pembiayaan;pencatatan dan pelaporan; pengendalian kualitas pelayanan; monitoring danevaluasi; pengembangan pelayanan; serta pengetahuan dan perilaku petugaskesehatan. Penelitian ini menyarankan pelayanan KB di RSMH memerlukandukungan dan perhatian yang lebih dalam dari pihak RSMH dengan mulaimemperbaiki dan mengatasi masalah dan hambatan yang terjadi serta perluadanya koordinasi dan kerja sama yang lebih baik dan lebih tegas baik secaraintern dengan divisi atau departemen lain dalam lingkungan RSMH dan dengandinas dan instansi yang terkait dengan pelayanan KB di RSMH.Kata kunci: keluarga berencana, pelayanan kontrasepsi, alat kontrasepsi.

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ABSTRACT

Author Firmansyah

Study Programme Hospital Administration Research

Tittle Analysis of Family Planning Hospital Services inMohammad Hoesin Hospital Palembang Year 2016

This thesis discusses the analysis of family planing in Mohammad HoesinHospital Palembang RSMH . The aim of this study is to analyze factors that playrole in the implementation of family planning services in RSMH. It used crosssectional study design, using primary and secondary data as well as quantitativeand qualitative approaches through the study of documents, observation,questionairre, in depth interview, and focused group discussion. We found thatfamily planning services provided in RSMH has been running well, but there werefactors that played role in the implementation of family planning services, locatedin almost all aspects, such as policy system incomplete infrastructures competence and the number of health workers standard service procedure sources and mechanism of the contraceptive tools financial problems recordingand reporting system quality control services monitoring and evaluation development services also knowledge and behavior of the health workers. Familyplanning services need support and more serious attention from the directorsthrough efforts to improve and overcome the problems and obstacles. In addition,the board of directors requires better coordination effort and cooperation on theinternal level between divisions or departments within the hospital and withrelevance instance.Key words familly planning, contraceptive services, contraception tools."

"Tesis ini membahas mengenai sejauh mana budaya keselamatan pasien pada residen. Desain penelitian cross sectional dengan analisis mixed method. Subjek penelitian seluruh residen dengan instrumen kuisioner HSOPS. Hasil penelitian menyimpulkan dimensi budaya keselamatan pasien yang paling rendah adalah dimensi respon tidak menghukum terhadap kesalahan (18%). 12 dimensi keselamatan pasien tidak dipengaruhi oleh jenis kelamin dan tingkat kelas residen (p> 0,05), tetapi sebagian besar dipengaruhi oleh asal departemen.

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The tesis focus about the patient safety culture among the resident. This is a cross sectional design research with mix method analysis where all the residen of Medical Faculty of Sriwijaya University as the research subject with HSOPS quesionaire as an instrument. The lowest culture dimension is nonpunitive response to errors (18%). The twelve dimension of patient safety did not influenced by the gender and class level of resident (p>0.05), but majority influenced by the departement catagory"

"Salah satu prioritas pembangunan nasional adalah pendidikan. Untuk bidang kesehatan, salah satu fokusnya adalah pengembangan sumber daya manusia seperti yang tercantum dalam Visi Indonesia Sehat 2010. Bentuk implementasi pengembangan SDM itu diantaranya Praktek Klinik Keperawatan mahasiswa Akper Depkes Palembang.Untuk menyempurnakan sistem pelaksanaannya perlu diadakan suatu penelitian demi mencari sumber permasalahan dan hambatan dalam praktek klinik keperawatan. Permasalahan yang diteliti menyangkut input perencanaan Praktek Klinik Keperawatan yang meliputi ketenagaan akademik, kurikulum, tempat praktek dan instrukwr klinik.Selanjutnya penelitian informasi dari input itu difokuskan terhadap bagaimana perencanaan tersebut terimplementasikan dalam proses pengorganisasian, pelaksanaan dan pengawasan praktek klinik keperawatan.Penelitian ini merupakan penelitian kualitatif. Karena itu, sampel penelitian ini bersifat purposive. Tehnik pengumpulan data dilakukan melalui wawancara mendalam (indepth interview) dan focus group discussion (FGD) yang dilaksanakan mulai bulan Maret sampai April 2002. Informan penelitian adalah staf edukatif Akper Depkes serta Kabid Diklit, Kabid Perawatan dan Instruktur klinik RSMH Palembang.Penelitian ini menunjukkan bahwa belum adanya perumusan perencanaan praktek klinik keperawatan yang terpadu dikarenakan belum adanya keterlibatan berbagai pihak. Perencanaan itu meliputi ketenagaan akademik, Kualifikasi Dosen pembimbing praktek yang ideal seharusnya S-1 Keperawatan, namun kenyataanya dosen pembimbing tersebut lulusan D III keperawatan dan lulusan sarjana keperawatan ataupun non keperawatan.Dalam pelaksanaan praktek klinik keperawatan, didapatkan kurangnya koordinasi diantara sesama staf Akper Depkes dan RSMH Palembang. Hambatan dari pihak Akper Depkes adalah kurangnya keterlibatan dosen pembimbing dengan alasan transportasi dan kesibukan. Hambatan dari RSMH Palembang adalah belum optimalnya instruktur klinik dalam melakukan bimbingan terhadap mahasiswa. Selain itu, belum memadainya perencanaan fasilitas khusus mahasiswa Akper yang berupa alat kedokteran maupun keperawatan yang disediakan oleh Akper Depkes maupun RSMH Palembang.Dalam pengorganisasian didapatkan adanya sistem kepanitiaan yang terpisah antara Akper Depkes dengan RSMH Palembang, seperti yang terlihat dalam SK kepanitiaan. Selain itu organisasi praktek klinik keperawatan belum mengacu pada pedoman pengelolaan praktek kerja lapangan yang dikeluarkan Depkes. Untuk pemantauan dan penilaian praktek klinik keperawatan, dosen pembimbing dari AKPER dan instruktur klinik RSMH Palembang masih mempunyai persepsi yang berbeda.Berdasarkan hasil penelitian, ada berbagai saran yang perlu ditindaklanjuti. Pertanla pihak Akper Depkes, melibatkan berbagai pihak terkait dalam pembuatan prencanaan, meningkatkan koordinasi baik sesama staf maupun dengan lahan praktek. Kedua, RSMH Palembang hendaknya dapat memenuhi kebutuhan fasilitas mahasiswa untuk praktek, meningkatkan koordinasi kepanitian untuk praktek mahasiswa, serta satu panitia terpadu khusus mengelola mahasiswa praktek.Daftar bacaan: 38 (1984 - 2001)

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Study on The Nursing Clinic Practice of Nursing Academy Students of Palembang Health Department in Dr. Mohammad Hoesin Hospital in Palembang 2002One of National Development Program Priorities is education. For health education, among its focuses is human resource development as stated Indonesian Health Vision 2010. This development is implemented such as into nursing clinic practice of Nursing Academy Students of Palembang Health Department.To make its implementation system perfect, there should be a research to find problem sources on nursing clinic practice which covers academic human power, curriculum, practicing place and clinic instructor. Then, the information is studied with the focus of how the planning is realized to the process of organization, realization and surveillance of nursing clinic practice.As the research was qualitative, its sample way purposive. Data collecting technique used depth interview and focus group discussion done in March and April 2002. The informant were nursing academic staff and Kabid Diklit, Head of Nursing Service and clinic Instructor of RSMH Palembang.This research shows that there is no integrated planning composition of nursing clinic practice because the related parties are not involved.The planning consists of academic staff on. Ideal counseling lecture qualification should be from Nursing Graduate Program, yet they are from nursing diploma program or other program now.It is proved that nursing clinic practice has problem as it is not coordinated by the academy staff and officers of RSMH Palembang. In relation to this, the academy staff is poorly involved because of their busy activities and transportation limitation. On the other hand, RSMH instructors haven't done their duties best. In addition, there is no proper facility such as medical and nursing tools for nursing academy students provided specially by the academy and RSMH Palembang.In nursing practice organization, the academy and RSMH have their own team as proved by committee appointment letter. Then, nursing practice organization is not standard based on The Health Department. In order to supervise and evaluate nursing clinic practice, counseling lecturer of AKPER and RSMH clinic instructor still have different perception.Based on research result, there are some suggestions. First, Nursing Academy of Health Department involve related parties to make planning and improve staff coordination and practicing facility. Second, RSMH Palembang should provide proper facilities, improve coordination committee, make an integrated committee for the nursing students for better practice.Reference: 38 (1984 - 2001)"

"Latar belakang: Neonatal pneumonia merupakan penyakit yang menyebabkan morbiditas dan mortalitas yang cukup tinggi. Faktor risiko terjadinya neonatal pneumonia perlu diidentifikasi untuk memberikan tatalaksana yang optimal.Tujuan: Mengetahui ketuban pecah dini sebagai faktor risiko neonatal pneumonia di Rumah Sakit Mohammad Hoesin Palembang.Metode: Penelitian ini merupakan penelitian kasus kontrol yang dilakukan di RS Mohammad Hoesin Palembang dari bulan Januari sampai Juni 2015. Kelompok kasus adalah neonatus usia kurang dari 48 jam dengan diagnosis neonatal pneumonia yang dipasangkan dengan kelompok kontrol yaitu neonatus sehat berdasarkan usia, berat lahir, jenis kelamin dan usia gestasi yang sama. Variabel yang dianalisis adalah ketuban pecah dini, lamanya pecah ketuban, oligohidramnion, ketuban berbau busuk, riwayat ibu demam, lekositosis pada ibu dan nilai Apgar rendah. Data dianalisis dengan analisis bivariat (chi square) dan multivariat (regeresi logistik).Hasil: Didapatkan 96 neonatus (32 kasus dan 64 kontrol). Berdasarkan analisis chi square didapatkan ketuban pecah dini lebih dari 12 jam OR 7,96 (p 0,002), ketuban pecah dini lebih dari 18 jam OR 10,3 (p 0,002), riwayat ibu demam OR 7,1 (p 0,015), ketuban berbau busuk OR 6,78 (p 0,018) dan nilai Apgar rendah OR 4,32 (p 0,038) merupakan faktor risiko terjadinya neonatal pneumonia. Setelah dilakukan analisis regresi logistik didapatkan yang masih memiliki hubungan bermakna adalah ketuban pecah dini lebih dari 18 jam OR 10,1 (p 0,006) dan nilai Apgar rendah OR 4,1 (p 0,045).

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Background: Neonatal pneumonia cause high morbidity and mortality of the newborn. Risk factors of neonatal pneumonia is important to identify in order to treat neonatal pneumonia properly.Objective: To identify premature rupture of membrane as risk factor of neonatal pneumonia at Mohammad Hoesin Hospital Palembang.Methods: A case control study was done at Mohammad Hoesin Hospital Palembang from January to June 2015. Case group are neonates within 48 hours of age with diagnosis of neonatal pneumonia and control group are well neonates which macthed according to age, birth weight, sex and gestational age. Variables that are analyzed are premature rupture of membrane, duration of rupture, smell liquor, maternal fever, oligohydramnion, maternal leucocytosis and low Apgar score. Analyzing using bivariate analysis (chi squre) and multivariate analysis (regression logistic).Results: Out of 96 neonates (32 cases and 64 controls). Accordng to chi square analysis premature rupture of membrane more than 12 hours OR 7.96 (p 0.002), PROM more than 18 hours OR 10.3 (p 0.002), maternal fever OR 7.1 (p 0.015), smell liquor OR 6.78 (p 0.018) and low Apgar score OR 4.32 (p 0.038) are risk factors of neonatal pneumonia. After analyzing using regression logistic it is revealed that PROM more than 18 hours OR 10.1 (p 0.006) and low Apgar score OR 4.1 (p 0.045) are still have relation with neonatal pneumonia as risk factors.Conclusion: Premature rupture of membrane is risk factor of neonatal pneumonia at Mohammad Hoesin Hospital Palembang."

"Supervisi adalah suatu bentuk pengawasan yang bertujuan untuk meningkatkan kinerja petugas melalui proses yang sistematis meliputi pemberian motivasi, komunikasi dan bimbingan. Penelitian ini menggunakan desain observasional dengan pendekatan cross sectional dengan menggunakan stratified simple random sampling. Tujuan penelitian ini adalah untuk mengetahui hubungan antara fungsi supervisi kepala ruangan dengan kepatuhan perawat pelaksana dalam melakukan SOP identifikasi pasien Hasil penelitian mempergunakan uji Chi Square membuktikan ada hubungan yang bermakna antara motivasi, komunikasi dan bimbingan dengan kepatuhan perawat pelaksana menjalankan SOP identifikasi pasien. (p value < α). Kesimpulan dari penelitian ini, adalah fungsi supervisi kepala ruangan mempunyai peran yang sangat penting dalam meningkatkan kepatuhan perawat dalam melakukan identifikasi pasien sesuai dengan SOP.

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Supervision is a form supervisory that aim to improve the staf performance through a systematic process in the provision of motivation, communication and guidance. This study used an observational design with cross sectional approach using stratified random sampling. The purpose of this study was to determine the relationship between the function of head room supervision with the compliance of nurses in performing SOP patient identification. The result of this research using Chi Square test to prove there is a significant correlation between motivation, communication and guidance to compliance of nurses in implementating SOP of patient identification (p value < α). The conclusion of this study is that the functions of the supervision of head room have a very important role to improve the nurses complaince in conducting the patient identification based on the SOP."