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Redesigning Clinical Pathway of Elective Caesarean Section Using Activity-Based-Costing Reduce Exposure to COVID-19 Lidia Asjanti; Nikma Fitriasari; Ali Djamhuri
Journal of Accounting and Strategic Finance Vol 4 No 1 (2021): JASF (Journal of Accounting and Strategic Finance)
Publisher : UNIVERSITAS PEMBANGUNAN NASIONAL VETERAN JAWA TIMUR

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jasf.v4i1.145

This research objective is to discover non-value-added activities in the elective cesarean section (CS) clinical pathway (CP) through cost analysis using the ABC method and redesign elective CS CP at W Hospital. Activity-Based Costing (ABC) is an accounting system designed through activity management. The ABC system identifies all functions in the service process chain, calculates the activity costs, and assigns costs to cost objects, such as activity-based service products. This calculation method emphasizes the service process. The ABC method is seen as a unit cost calculation system that is suitable for hospitals. CP costing using the ABC method is a cost analysis using CP as the basis for service activities. The CP of Elective CS consists of various activities. This study used a case study approach. The eight informants were the head of finance, the head of medical services and support, one ob-gyn specialists, one anesthetist specialists, one outpatient installation nurse, one midwife, one inpatient installation midwives, and one nutritionist. The COVID-19 changed the procedures and influenced the activities of CS CP. The analyses were conducted using the ABC method and data triangulation. Non-value-added activities found were clinical assessment in the emergency room (ER), laboratory activities, and organic waste treatment. Non-value-added found in clinical assessment in the ER, laboratory examinations, and organic waste treatment. CP CS redesign consists of activities of admission, pre-operation, and post-operation, surgery, pharmacy, nutrition, medical records, laundry, billing, logistics, and management administration. The researchers suggest that W hospital should redesign elective CS CP activities to eliminate non-value-added activities.

Spirituality in The Workplace: Solution to Reduce Nurse Turnover Intention Nikma Fitriasari
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92125

A frequent problem in hospitals is nurse turnover, which reaches 27.3% annually in Indonesia. The solution to this problem is increasing spirituality intelligence through the formation of spirituality in the workplace. Good spirituality in the workplace can increase productivity and organizational commitment, and reduce turnover. The study was conducted to determine the effect of spirituality in the workplace on nurse turnover intention. The study used a quantitative design with a cross-sectional approach. The sample used was 92 nurses who were determined by Proportionate Random Sampling. Data were processed using Partial Least Square (PLS). The PLS results showed T statistics of 8.927 with direct coefficients of -0.423. The application of spirituality in the workplace shapes nurses’ perceptions more positively towards hospitals, so that, nurse turnover intention is low.

COMPARISON BETWEEN ANTHROPOMETRIC MEASUREMENT RESULTS BY CADRES AND MEDICAL PROFESSION STUDENTS USING TIPS (TIKAR PENDETEKSI STUNTING) Siti Dwi Astuti; Lilik Zuhriyah; Alfryan Janardhana; Arum Sulistyarini; Indriani Ningrum; Rifqi Rinanto; Thalia Suharli; Rochelle siem; Zahra Zahra; Wandira Lalitya; Ahmad Ikbal P; Eleonora Sucahyo; Adeliza Firzarosany; Fariza Kusuma W; Helen Lioni; Ardy mahendra; Asrini Kaninta; Nafisa Naaz; Pedro gonzales; Proscilla Maiselina; Ekkel Aisyiyah; Nikma Fitriasari
Journal of Community Health and Preventive Medicine Vol. 3 No. 1 (2023): JOCHAPM Vol. 3 No. 1 2023
Publisher : Universitas Brawijaya

Stunting prevalence in District Kalipare on February 2019 was about 14%. Based on the results of the preliminary studies, one of the obstacles to achieving a free stunting rate is caused by anthropometric measurement errors by cadres. The objective of this study was to compare cadres of District Kalipare anthropometric measurement results with medical profession students' anthropometric results using the Tikar Pendeteksi Stunting (TIPS). This quasi-experimental study was conducted using a non-randomized control group pretest-posttest design. The sample of toddlers is 51 toddlers. The experiment was carried out by training 50 community-based health or posyandu cadres who were representatives from 8 villages in Kalipare District. Of the 50 cadres, 25 were selected by purposive sampling according to posttest scores per village. The selected cadres were asked to measure 1-3 infants or toddlers who had previously been measured before attending the training. The variables studied were nutritional status and height. The results showed that the Kappa test obtained a value of p = 0.838 or very good agreement. This study concludes that the results of height measurements by toddler posyandu cadres are the same as or close to the results of height measurements carried out by medical profession students. Therefore, after they have received training, we can include posyandu cadres in measuring anthropometrics.

Redesigning Clinical Pathway of Elective Caesarean Section Using Activity-Based-Costing Reduce Exposure to Covid-19 Lidia Asjanti; Nikma Fitriasari; Ali Djamhuri
JASF Vol. 4 No. 1 (2021): JASF (Journal of Accounting and Strategic Finance) - June 2021
Publisher : JASF

Show Abstract | Download Original | Original Source | Check in Google Scholar

This research objective is to discover non-value-added activities in the elective cesarean section (CS) clinical pathway (CP) through cost analysis using the ABC method and redesign elective CS CP at W Hospital. Activity-Based-Costing (ABC) is an accounting system designed through activity management. The ABC system identifies all functions in the service process chain, calculates the activity costs, and assigns costs to cost objects, such as activity-based service products. This calculation method emphasizes the service process. The ABC method is seen as a unit cost calculation system that is suitable for hospitals. CP costing using the ABC method is a cost analysis using CP as the basis for service activities. The CP of Elective CS consists of various activities. This study used a case study approach. The eight informants were the head of finance, the head of medical services and support, one ob-gyn specialist, one anesthetist specialist, one outpatient installation nurse, one midwife, one inpatient installation midwife, and onenutritionist. COVID-19 changed the procedures and influenced the activities of CS CP. The analyses were conducted using the ABC method and data triangulation. Non-value-added activities found were clinical assessment in the emergency room (ER), laboratory activities, and organic waste treatment. Non-value-added found in clinical assessment in the ER, laboratoryexaminations, and organic waste treatment. CP CS redesign consists of activities of admission, pre-operation, and post-operation, surgery, pharmacy, nutrition, medical records, laundry, billing, logistics, and management administration. The researchers suggest that W Hospital should redesign elective CS CP activities to eliminate non-value-added activities.

Spirituality in The Workplace: Solution to Reduce Nurse Turnover Intention Nikma Fitriasari
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 9 No. 2 (2020): August 2020
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92125

A frequent problem in hospitals is nurse turnover, which reaches 27.3% annually in Indonesia. The solution to this problem is increasing spirituality intelligence through the formation of spirituality in the workplace. Good spirituality in the workplace can increase productivity and organizational commitment, and reduce turnover. The study was conducted to determine the effect of spirituality in the workplace on nurse turnover intention. The study used a quantitative design with a cross-sectional approach. The sample used was 92 nurses who were determined by Proportionate Random Sampling. Data were processed using Partial Least Square (PLS). The PLS results showed T statistics of 8.927 with direct coefficients of -0.423. The application of spirituality in the workplace shapes nurses’ perceptions more positively towards hospitals, so that, nurse turnover intention is low.

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