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"Penelitian ini bertujuan untuk menganalisis hubungan antara kebijakan implementasi green hospital terhadap perilaku atau kebiasaan hemat energi para pegawai di lingkungan rumah sakit dengan pendekatan Theory of Planned Behavior (TPB). Sampel penelitian 150 pegawai RSUI. Data dianalisis menggunakan Structural Equation Modeling-Partial Least Square (SEM-PLS). Analisis menunjukkan bahwa implementasi kebijakan green hospital memiliki pengaruh signifikan terhadap faktor-faktor pendukung perilaku: sikap, norma subyektif, dan kontrol perilaku. Pengujian juga menunjukkan bahwa norma subyektif tidak memiliki korelasi  positif dengan kebiasaan hemat energi pegawai. Dalam pengolahan data, pengujian efek mediasi faktor-faktor tersebut (sikap, norma subyektif, dan kontrol perilaku) sebagai mediator antara kebijakan implementasi green hospital menunjukkan bahwa sikap dan kontrol perilaku menjadi mediator yang signifikan, sedangkan norma subyektif tidak menjadi mediator yang signifikan dalam meningkatkan niat penghematan energi. Kesimpulan, melihat niat penghematan energi sebagai mediator, dapat dilihat bahwa niat menjadi mediator yang signifikan antara sikap, kontrol perilaku, dan norma subyektif terhadap perilaku hemat energi di rumah sakit.

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This research aims to analyze the relationship between the implementation of green hospital policy and energy-saving behaviors of employees in the environment of Hospital, using the Theory of Planned Behavior as the theoretical framework. The study's sample consists of 150 permanent employees and the statistical data are analyzed using Structural Equation Modeling-Partial Least Square (SEM-PLS) technique. The results of the analysis indicate that the implementation of the green hospital policy significantly influences the supportive factors of behavior: attitudes, subjective norms, and perceived behavioral control. However, the tests also reveal that subjective norms do not positively correlate with the energy-saving behaviors of employees at the Hospital. The mediation analysis shows that attitudes and perceived behavioral control act as significant mediators between the green hospital policy and the intention to save energy, while subjective norms do not significantly mediate the relationship."

"Direktorat Jenderal Bina Usaha Kementerian Kesehatan RI menyatakan bahwa tahun 2020 semua rumah sakit di Indonesia harus sudah menerapkan green hospital, namun di lapangan belum semua rumah sakit yang mengimplementasikan green hospital. Tujuan penelitian ini adalah untuk menganalisis kesiapan RSIA Assalam dalam kesiapan menuju green hospital berdasarkan pedoman Kementerian Kesehatan tahun 2018. Penelitian ini menggunakan pendekatan kualitatif  dengan metode studi kasus. Penilaian kesiapan green hospital dilakukan dengan skoring self assessment green hospital Kementerian Kesehatan. Setelah dilakukan penelitian didapatkan hasil bahwa kesiapan green hospital di RSIA Assalam secara keseluruhan mencapai total 50%, dengan perincian kepemimpinan 50%, lokasi dan landscape 50%, bangunan RS 71%, pengelolaan bahan kimia dan B3 54%, pengelolaan limbah 71%, efisiensi energi 7%, efisiensi air 33%, kebersihan lingkungan dan sektor penyakit 80%, pengelolaan makanan 80%, kualitas udara 40%, inovasi lain terkait green hospital 0%, penghargaan bidang kesehatan lingkungan lainnya 0%. Elemen yang memiliki persentase paling tinggi adalah elemen kebersihan lingkungan dan sektor penyakit dan elemen pengelolaan makanan, sedangkan elemen yang memiliki persentase terendah adalah elemen inovasi lain terkait green hospital dan elemen penghargaan bidang kesehatan lingkungan lainnya. Berdasarkan status kesiapan green hospital maka RSIA Assalam berada di posisi brown hospital

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The Directorate General of Business Development of the Indonesian Ministry of Health stated that in 2020 all hospitals in Indonesia must have implemented a green hospital, but in the field not all hospitals have implemented a green hospital. The purpose of this study was to analyze the readiness of RSIA Assalam in readiness to go to a green hospital based on the Ministry of Health guidelines in 2018. This research uses a qualitative approach with a case study method. The assessment of green hospital readiness is carried out by scoring the Ministry of Health's green hospital self-assessment. After conducting research, it was found that the readiness of green hospitals at RSIA Assalam as a whole reached a total of 50%, with details of leadership 50%, location and landscape 50%, hospital buildings 71%, chemical and B3 management 54%, waste management 71%, energy efficiency 7%, water efficiency 33%, environmental cleanliness and disease sector 80%, food management 80%, air quality 40%, other innovations related to green hospital 0%,  Other Environmental Health Awards 0%. The elements that have the highest percentage are elements of environmental hygiene and the disease sector and food management elements, while the elements that have the lowest percentage are other innovation elements related to green hospitals and other environmental health appreciation elements. Based on the readiness status of the green hospital, RSIA Assalam is in the position of brown hospital."

"Keberadaan green hospital sangat diperlukan untuk mengatasi perubahan iklim yang dapat menyebabkan gangguan kesehatan manusia dan lingkungan, karena rumah sakit merupakan salah satu penyumbang polusi. RSUD R. Syamsudin, SH menjadi anggota Global Green and Healthy Hospital serta berkomitmen untuk melaksanakan sepuluh agenda yaitu kepemimpinan, bahan kimia, limbah, energi, air, transportasi, makanan, farmasi, gedung, dan pembelian. Penelitian ini bertujuan untuk menganalisis implementasi green hospital dengan Kriteria Kerangka Kinerja Ekselen Malcolm Baldrige. Kerangka Kinerja Ekselen Malcolm Baldrige mengevaluasi berdasarkan tujuh kriteria yaitu kepemimpinan, strategi, pelanggan, pengukuran, analisis, dan manajemen pengetahuan, tenaga kerja, operasi serta hasil. Desain penelitian ini adalah kualitatif dengan mengumpulkan informasi melalui wawancara mendalam, kuesioner, dan telaah dokumen. Berdasarkan hasil penelitian, pelaksanaan green hospital RSUD R. Syamsudin, SH mendapatkan skor 620.1 dari 1000 (skor maksimal) sehingga diposisikan pada emerging industry leader. Kriteria Kepemimpinan mendapatkan poin tertinggi, sedangkan poin terendah adalah Kriteria Pelanggan. Dapat disimpulkan, RSUD R. Syamsudin, SH berada di posisi menengah dalam implementasi green hospital, artinya sudah memiliki beberapa keunggulan tetapi masih ada beberapa faktor yang dapat ditingkatkan lagi agar pelaksanaan green hospital dapat lebih optimal. Untuk itu, direkomendasikan kepada RSUD R. Syamsudin, SH agar melakukan evaluasi rutin, mempromosikan green hospital lebih gencar, melakukan optimalisasi SIM RS, serta penguatan anggaran agar pencapaian sepuluh agenda lebih optimal.

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The existence of green hospital is very necessary to overcome climate change which can cause disruption to human health and the environment, because hospitals are one of the contributors to pollution. RSUD R. Syamsudin, SH became a member of the Global Green and Healthy Hospital and is committed to implementing ten agendas, namely leadership, chemicals, waste, energy, water, transportation, food, pharmacy, buildings, and purchasing. Aim of this study is to analyze the implementation of green hospital with the Malcolm Baldrige Criteria Framework for Excellence Performance. Malcolm Baldrige Criteria evaluates based on seven criteria which isleadership, strategy, customer, measurement, analysis, and management of knowledge, labor, operations and results. The design of this study is qualitative by gathering information through in-depth interviews, questionnaires, and document review.

Based on the results of research, the implementation of the green hospital in R. Syamsudin Hospital, SH received a score of 620.1 out of 1000 (maximum score) so that it was positioned in emerging industry leaders. The Leadership Criteria get the highest points, while the lowest points are the Customer Criteria. It can be concluded, RSUD R. Syamsudin, SH is in the average position in implementing green hospital, meaning that it already has several advantages but there are still several factors that can be improved so that the implementation of green hospital can be more optimal. For this reason, it was recommended to RSUD R. Syamsudin, SH to carry out routine evaluations, promote green hospital more aggressively, optimize hospital management information system, and strengthen the budget so that the achievement of ten agendas more optimized."

"Keberadaan green hospital sangat diperlukan untuk mengatasi perubahan iklim yang dapat menyebabkan gangguan kesehatan manusia dan lingkungan, karena rumah sakit merupakan salah satu penyumbang polusi. RSUD R. Syamsudin, SH menjadi anggota Global Green and Healthy Hospital serta berkomitmen untuk melaksanakan sepuluh agenda yaitu kepemimpinan, bahan kimia, limbah, energi, air, transportasi, makanan, farmasi, gedung, dan pembelian. Penelitian ini bertujuan untuk menganalisis implementasi green hospital dengan Kriteria Kerangka Kinerja Ekselen Malcolm Baldrige. Kerangka Kinerja Ekselen Malcolm Baldrige mengevaluasi berdasarkan tujuh kriteria yaitu kepemimpinan, strategi, pelanggan, pengukuran, analisis, dan manajemen pengetahuan, tenaga kerja, operasi serta hasil. Desain penelitian ini adalah kualitatif dengan mengumpulkan informasi melalui wawancara mendalam, kuesioner, dan telaah dokumen, Berdasarkan hasil penelitian, pelaksanaan green hospital RSUD R. Syamsudin, SH mendapatkan skor 620.1 dari 1000 (skor maksimal) sehingga diposisikan pada emerging industry leader. Kriteria Kepemimpinan mendapatkan poin tertinggi, sedangkan poin terendah adalah Kriteria Pelanggan. Dapat disimpulkan, RSUD R. Syamsudin, SH berada di posisi menengah dalam implementasi green hospital, artinya sudah memiliki beberapa keunggulan tetapi masih ada beberapa faktor yang dapat ditingkatkan lagi agar pelaksanaan green hospital dapat lebih optimal. Untuk itu, direkomendasikan kepada RSUD R. Syamsudin, SH agar melakukan evaluasi rutin, mempromosikan green hospital lebih gencar, melakukan optimalisasi SIM RS, serta penguatan anggaran agar pencapaian sepuluh agenda lebih optimal.

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The existence of green hospital is very necessary to overcome climate change which can cause disruption to human health and the environment, because hospitals are one of the contributors to pollution. RSUD R. Syamsudin, SH became a member of the Global Green and Healthy Hospital and is committed to implementing ten agendas, namely leadership, chemicals, waste, energy, water, transportation, food, pharmacy, buildings, and purchasing. Aim of this study is to analyze the implementation of green hospital with the Malcolm Baldrige Criteria Framework for Excellence Performance. Malcolm Baldrige Criteria evaluates based on seven criteria which isleadership, strategy, customer, measurement, analysis, and management of knowledge, labor, operations and results. The design of this study is qualitative by gathering information through in-depth interviews, questionnaires, and document review. Based on the results of research, the implementation of the green hospital in R. Syamsudin Hospital, SH received a score of 620.1 out of 1000 (maximum score) so that it was positioned in emerging industry leaders. The Leadership Criteria get the highest points, while the lowest points are the Customer Criteria. It can be concluded, RSUD R. Syamsudin, SH is in the average position in implementing green hospital, meaning that it already has several advantages but there are still several factors that can be improved so that the implementation of green hospital can be more optimal. For this reason, it was recommended to RSUD R. Syamsudin, SH to carry out routine evaluations, promote green hospital more aggressively, optimize hospital management information system, and strengthen the budget so that the achievement of ten agendas more optimized."

"Konsep green hospital merupakan manajemen perubahan yang menjadi kebutuhan di RS yang dapat mengurangi konsumsi energi secara signifikan, meningkatkan kenyamanan dan produktivitas serta menjaga kelestarian sumber daya alam berkelanjutan Dalam memberikan pelayanan kesehatan, RS menggunakan energi berupa listrik, air, bahan bakar, makanan pasien dan bahan bangunan. RS juga memproduksi limbah medis dan non medis. Hal tersebut dapat menjadi kontribusi terhadap perubahan iklim apabila tidak dikelola dengan baik. Penelitian ini menilai kesiapan Rumah Sakit Pusat Otak Nasional Prof Dr. dr. Mahar Mardjono Jakarta yang mengacu pada standar nasional Greenship Green Building Council Indonesia (GBCI). Penelitian ini berupa studi kasus dengan pendekatan kualitatif melalui observasi untuk mengamati dan menelaah berbagai objek dalam penelitian, melakukan pengukuran dan mengisi ceklis pada instrumen/tools. Dari hasil penelitian diketahui bahwa RSPON dapat memenuhi total nilai nilai 58 atau 49,57% dari maksimal 117 nilai dari total kriteria yang dipersyaratkan dalam Greenship. Berdasarkan perolehan nilai tersebut maka sesuai dengan peringkat Greenship GBCI, RSPON mendapatkan peringkat Silver (Perak). Untuk memperbaiki peringkat, masih dapat dengan cara menyediakan parkir sepeda, menambah luasan ruang terbuka hijau, pemasangan sistem pemantauan energi, daur ulang sampah organik, daur ulang air olahan IPAL melakukan konservasi air bersih, mencoba menggunakan teknologi panel surya (solar cell) serta mengintegrasikan efisiensi energi ke dalam program pemeliharaan.

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The green hospital concept is change management which becomes a hospital need in order to lower energy consumption significantly, intensify amenities and productivity, along with preserve the sustainable natural resources. Hospital consumes electricity, water, fuel, patient's foods, and also building materials while giving the health service. It also produces medical and non-medical waste. If all of them are unmanaged well, they may contribute to the global warming occurrence. This research is held to assess the National Brain Hospital Prof. Dr. dr. Mahar Mardjono Jakarta's readiness toward a national standard called Greenship Green Building Council Indonesia (GBCI). The study used in this research is a case study with a qualitative approach through observation to monitor and analyze the research objects, make measurements, and also checklist the instrument/tools. The research has shown that National Brain Hospital gained 58 or 49,57% from the maximum score of 117 of Greenship's requirement total criteria. Based on that score, National Brain Hospital was rated as a Silver category. In order to improve the rank, it needs to provide the bicycle parking area, add the green open space, install the energy monitoring system, do the organic waste recycle, recycle the water produced by the wastewater treatment plant, perform the clean water conservation, try to use solar cell technology, and also integrate the energy efficiency to the maintenance program."

"ABSTRAKNama : Jaria Johanes Bosko LimbongProgram : Kajian Administrasi Rumah SakitJudul : Analisis Penerapan Konsep Green Hospital Di RSUD EmbungFatimah Batam.Konsep Green Hospital saat ini berkembang menjadi pendekatan sisi baru dalampengelolaan Rumah Sakit. Green hospital merupakan bagian dari suatu gerakanglobal secara umum yang dikenal dengan Green Building. Pemanfaatan sumberdaya air, energi, material alam yang merupakan kebutuhan terus menerus bagikebutuhan operasional Rumah Sakit perlu dilandasi prinsip eco-efficiency. Belumadanya panduan di Indonesia yang disusun oleh pemerintah dalam menerapkankonsep Green Hospital. Pencapaian dari upaya RSUD Embung Fatimah Batamdalam menerapkan konsep Green Hospital dipengaruhi oleh sumber daya yangdimiliki oleh rumah sakit yaitu kebijakan manajemen puncak, tenaga, biaya danstandar prosedur operasional.Metode penelitian yang digunakan adalah pendekatan kualitatif dan kuantitatif,metode penilaian dengan melakukan pengukuran penilaian terhadap kriteria GreenBuilding yang mengacu pada standar nasional Greenship GBCI dengan sistemIndonesia GBCI . Tahapan yang dilakukan adalah eksplorasi, yaitu pengumpulandata secara terfokus, melalui wawancara kepada Direktur RSUD Embung FatimahBatam, serta dilakukan juga observasi dari implementasi Green Hospital.RSUD Embung Fatimah Batam dapat memenuhi total poin nilai 48 atau 41 darimaksimal 117 poin nilai dari total kriteria yang dipersyaratkan dalam Greenship.Berdasarkan perolehan nilai tersebut maka sesuai dengan peringkat GreenshipGBCI, gedung RSUD Embung Fatimah Batam mendapatkan peringkat Bronze Perunggu . Beberapa keunggulan yang sudah dimiliki oleh RSUD EmbungFatimah Batam diantaranya adalah sudah mempunyai Panduan mengenai DampakRenovasi atau Pembangunan, Penanganan Komplain/Pemeliharaan/PerbaikanSarana dan Prasarana, SPO mengenai Manajemen Air Bersih dan SPO mengenaipengelolaan limbah. Untuk dapat meningkatkan peringkat Greenship GBCI, RSUDEmbung Fatimah Batam perlu melakukan diantaranya menyediakan saranatransportasi umum, menambah luasan ruang terbuka hijau, mengganti lampudengan lampu hemat energi serta mencoba menggunakan teknologi panel surya solar cell .Kata kunci : Green Building, Green Hospital, Penilaian, Sustainability,Manajemen Kinerja, Manajemen lingkungan, Ramah lingkungan.

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ABSTRACTName Jaria Johanes BoskoLimbongStudy Program Magister of Hospital AdministrationTitle Analysis of Green Hospital Concept Application InRegional Hospital Embung Fatimah Batam .The concept of Green Hospital is currently developing a new approach in themanagement of the Hospital. Green hospital is part of a global movement whichis generally known as the Green Building. Utilization of water resources, energy,material nature is a continuous need for the operational needs of the hospital, theyshould based on the principles of eco efficiency. There is no guidelines in Indonesiaorganized by the government in implementing the concept of Green Hospital.Achievement of Embung Fatimah Batam Hospital in applying the concept of GreenHospital, influenced by the culture that developed, top management policies,human resources, costs and standard operating procedures.The method used is a qualitative and quantitative approaches, methods ofassessment by measuring the assessment of the Green Building criteria are basedon national standards system Greenship GBCI with Indonesia GBCI . Steps beingtaken is the exploration, namely data collection focused, through interviews to theDirector of Regional General Hospital Embung Fatimah Batam, as well as do alsothe observation of the implementation of the Green Hospital.Regional General Hospital Embung Fatimah Batam total point value of 48 or 41 of the maximum 117 points from the total value of the required criteria inGreenship. Based on the value of the acquisition in accordance with the rankingGREENSHIP GBCI, Regional Hospital Embung Fatimah Batam building getBronze rank. Some of the advantages possessed by Regional Hospital EmbungFatimah Batam include already has Guidelines on Impact renovation orconstruction, Complaint Handling Maintenance Repair Facility andInfrastructure, standard operating procedure of clean water management andstandard operating procedure of waste management. To be able to improve theGreenship GBCI ranking, Regional Hospital Embung Fatimah Batam need to dothem to provide public transportation, area of an open green space, replace thebulbs with energy saving lamps as well as trying to use the technology of solarpanels solar cell .Key words Green Building, Green Hospital, Assessment, Sustainability,Performance Management, environmental management, environmental friendly."