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Maturity Level of Patient Safety Culture in Makassar City Hospital Syahrir Andi Pasinringi; Fridawaty Rivai; Irwandy; Siti Fatmala Rezeki
Media Kesehatan Masyarakat Indonesia Vol. 17 No. 2: JUNE 2021
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

The maturity of a patient safety culture is a step in developing a hospital patient safety culture. This research aims to determine the maturity level of patient safety culture in Makassar City hospitals. Furthermore, it is a quantitative study with a cross-sectional approach and was carried out at Public and Private Hospitals with the 2012 KARS Plenary level accreditation status in 2020. The purposive sampling method was used for the selection of the study locations and the selected hospital was the RSUD Haji Makassar, Hasanuddin University Hospital Makassar (belonging to the Ministry of Education and Culture), and Awal Bros Makassar Hospital (privately owned). The determination of the sample size was adjusted to the total number of employees of the hospital in which the research wasperformed, namely about 474 samples. The data collection tool contains a patient safety culture questionnaire based on the MaPSaF (Manchester Patient Safety Framework) instrument containing 5 levels of patient safety culture. The results showed that the maturity level of the patient safety culture in Makassar City hospital, the generative category was the largest choice, namely 391 respondents (82.5%) and the least in the reactive category was 1 respondent (0.2%). The three hospitals have maturity levels of patient safety in the generative category. It is hoped that the Makassar City hospital will be able to maintain the maturity of patient safety culture by paying attention to teamwork and responsibility by implementing a patient safety culture.

ANALISIS PROSES MANAJEMEN SUMBER DAYA MANUSIA DI RUMAH SAKIT STELLA MARIS MAKASSAR Indah Purnamasari; Irwandy Kapalawi
Media Kesehatan Masyarakat Indonesia Vol. 9 No. 2: JUNI 2013
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Proses Manajemen SDM di Rumah Sakit Stella Maris Makassar terdiri dari perencanaan SDM, seleksi tenaga, pelatihan dan pengembangan, dan penilaian kinerja. Proses Manajemen SDM sangat memengaruhi pelayanan yang diberikan kepada masyarakat. Penelitian ini bertujuan menganalisis proses manajemen SDM di RS Stella Maris Makassar. Penelitian ini menggunakan rancangan deskriptif dengan pendekatan kualitatif melalui teknik indepth interview. Informan dalam penelitian ini berjumlah lima orang, yaitu kepala bagian sumber daya manusia, diklat, administrasi personalia, pengembangan dan pelayanan medik, dan kepala bidang pelayanan medik. Data dianalisis dengan menggunakan analisis tematik. Hasil penelitian ini menunjukan bahwa proses manajemen SDM di RS Stella Maris melakukan perencanaan tenaga apabila ada permintaan kebutuhan dari setiap bagian. Pada tahap perencanaan lebih fokus pada tenaga medis karena sangat berperan penting dalam proses pelayanan. Tahap seleksi melalui 3 tahap seleksi, yakni seleksi administrasi, tes psikologi, tes kemampuan berdasarkan bidang masing-masing. Dalam pelatihan internal sering ditemukan kendala masalah anggaran atau dana yang harus disediakan oleh pihak RS. Pada penilaian hasil kinerja tenaga tersebut didokumentasikan dan dibahas dalam pertemuan evaluasi kinerja dan dalam proses penilaian kinerja menggunakan instrumen DP3.

Dampak Kebijakan Jaminan Kesehatan Nasional terhadap Efisiensi Rumah Sakit: Studi Kasus di Provinsi Sulawesi Selatan Irwandy Irwandy; Amal Chalik Sjaaf
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 4: DESEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Managing the hospital efficiency with still control the hospital quality and cost is a key to survive in NationalHealth Insurance Era. The objective of this study was to determine the impact of the implementation of theNational Health Insurance Policy (NHI) on the efficiency level of Hospital in South Sulawesi Province, Indonesia.The level of efficiency was analyzed using the Data Envelopment Analysis method. The study population was allBLUD hospitals in South Sulawesi Province. The Samples of research were 25 hospitals. Data from years 2014 to2017 are used to analyze. The results showed, in average the hospitals achive the efficiency level only in year 2016.In years 2014, 2015 and 2017 the hospitals were not efficient. The changing in the healthcare system, especially onpayment system to hospitals in JKN era, have had a negative impact on the level of hospital efficiency because theunadequate INA CBGs Tariff and hospital claims payment disrupted. Therefore, the government needs to overcomethose problems.

Kajian Literature: Evaluasi Pelaksanaan Program Jaminan Kesehatan Nasional di Indonesia Irwandy Irwandy
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 3 (2016)
Publisher : Center for Health Policy and Management

ABSTRACTBackground: The National Health Insurance (JKN) in Indonesia, which started on January 1, 2014 has contributed greatly to reform health care systems and financing in Indonesia. As mandated by law, is expected to gradually JKN can become the backbone for achieving Universal Health Coverage in 2019. Until now, there are various studies aimed to evaluate the JKN program that has been expected to provide recommendations for this program.Purposes: The purpose of this research was to conduct the literature review about the implementation of the National Health Insurance program in Indonesia and formulate the recommendations to improve it.Methods: The research was conducted in March 2015 by reviewing the literature on various journals research those have been published during the period January 2014 to March 2015 on the UNHAS website repository. There were 8 Journals found and reviewed in this research.Results: The results showed that at the beginning of JKN program, there are several problems found in the implementation such as the lack of regulations and guidelines related to the implementation of JKN, low coverage of socialization programs to health centers and hospitals, hospital was unprepared to meet the specific requirements for BPJS credentials, the hospital was unsatisfied with the tariffs of INA CBG, and hospital claims is often too late. However, another journal showed that as for the level of patient satisfaction at hospital, 87.7% of respondents are satisfied.Conclusions: During the implementation of JKN Program in Indonesia, there are several problems and challenges. Therefore we need to learn and improve the program based on this experience and research findings. To achieve Universal Health Coverage in 2019 we need to improve the quantity and quality of research in evaluating the implementation of JKN in Indonesia. Keywords: National Health Insurance, Evaluation, Literature Review ABSTRAKLatar belakang: Jaminan Kesehatan Nasional (JKN) di Indonesia yang dimulai sejak 1 Januari Tahun 2014 telah memberikan andil yang besar terhadap reformasi sistem pelayanan dan pembiayaan kesehatan di Indonesia. Sebagaimana diamanatkan Undang-Undang, JKN diharapkan secara bertahap dapat menjadi tulang punggung untuk mencapai Universal Health Coverage di Tahun 2019. Hingga saat ini telah banyak dilakukan berbagai penelitian yang bertujuan mengevaluasi program JKN yang diharapkan dapat memberi masukan dalam upaya perbaikan kedepan.Tujuan: Penelitian ini bertujuan untuk melakukan melakukan kajian literature untuk memperoleh masukan dalam perbaikan implementasi program Jaminan Kesehatan Nasional di Indonesia. \Metode: Penelitian ini dilaksanakan pada Maret 2015 dengan melakukan kajian literature terhadap berbagai hasil penelitan yang telah dipublish selama periode Januari 2014 hingga Maret 2015 pada website repository Universitas Hasanuddin, Makassar yakni sebanyak 8 jurnal penelitian.Hasil: Hasil kajian terhadap beberapa penelitian yang dilakukan menunjukkan bahwa selama penerapan JKN ditemui beberapa kendala yang dihadapi yakni pada awal pelaksanaan masih terkendala dengan belum tersedinya beberapa regulasi dan juknis terkait implementasi JKN, sosialisasi teknis program ke fasilitas pelayanan kesehatan baik Puskesmas dan RS masih rendah, disamping itu masih kurang siapnya beberapa RS dalam memenuhi persyaratan kredensial yang ditetapkan BPJS, besaran tarif INA CBG yang dirasa kurang tepat bagi RS serta klaim RS yang terlambat. Hasil penelitian lain juga memperlihatkan untuk tingkat kepuasan pasien BPJS di salah satu RS telah berada pada kategori baik yakni 87,7%.Kesimpulan: Selama penerapan Program JKN di Indonesia telah ditemukan beberapa faktor pendukung dan penghambat pelaksanaan program JKN. Oleh karena itu diperlukan perbaikan secara terus menerus terhadap pelaksanaan program JKN demi pencapaian Univeral Health Coverage pada Tahun 2019 dengan meningkatkan kuantitas dan kualitas pelaksanaan penelitian dalam mengevaluasi pelaksanaan JKN di Indonesia. Kata Kunci: Jaminan Kesehatan Nasional, Evaluasi, Kajian Literature

Analisis Perbedaan Kepuasan Pasien JKN dan Umum di RSUD Bantaeng Tahun 2015 Musdalifah Musdalifah; Irwandy Irwandy; Alimin Maidin
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 1 (2016)
Publisher : Center for Health Policy and Management

Background: The national health (JKN) road map expected that in 2019 all health facilities including hospitals will meet the high quality standards and patient satisfaction. By developing and monitoring the patient satisfaction, in 2019 it is expected 85% of participants of JKN will satisfied with the quality of health services without any discrimination between patients. Research Purposes: This study aimed to analyze the differences level of patient satisfaction between JKN and General patients (non JKN patients) based on their perception about the quality of care they already received in Hospitals District Bantaeng in 2015. Methods: This research was a quantitative research with survey methods. Total respondents were 100 inpatients (JKN= 65 people and General = 35). The questionnaire was a modification from the hospital consumer assessment of healthcare providers and system (HCAHPS) questionnaire. The normality test and Mann-Whitney Test used to analyze the differences between patient satisfactions. Results and discussion: The study found there were no significant differences between patient satisfaction among general and JKN patients in all dimensions (communication between doctor, nurse communication, hospital environment, responsiveness, pain management, medication and discharge communication information). The whole dimension of patient satisfaction already meet the standard that is> 85%, except the environmental dimension of the hospital (71%). Conclusions and suggestions: The quality of services provided for JKN Patient has met the standard, without discrimination between JKN and general/non JKN patient. Recommendations to the hospital management are to improve the cleanliness, comfort and condition of hospital environment to increase the patient satisfaction level. Latar Belakang: Dalam road map jaminan kesehatan nasional (JKN) diharapkan pada tahun 2019 seluruh fasilitas kesehatan termasuk rumah sakit akan memenuhi standar yang berlaku agar kepuasan peserta terpenuhi. Dengan mengembangkan sistem dan pemantauan kepuasan peserta, pada tahun 2019 diharapkan 85% peserta puas terhadap layanan kesehatan berkualitas tanpa ada diskriminasi antara jenis kepesertaan pasien baik itu pasien JKN ataupun pasien Umum. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis tingkat perbedaan kepuasan pasien JKN dan Umum terhadap kualitas pelayanan yang diterima di RSUD Bantaeng tahun 2015. Metode: Penelitian ini adalah penelitian kuantitatif dengan pendekatan survei. Total responden sebanyak 100 pasien rawat inap (pasien JKN=65 orang dan Umum=35 orang). Kuesioner penelitian merupakan modifikasi dari hospital consumer assessment of healthcare provider and system (HCAHPS). Uji normalitas dan Mann-Whitney Test digunakan untuk melihat perbedaan kepuasan antara pasien JKN dan Umum. Hasil dan Diskusi: Berdasarkan hasil penelitian ditemukan tidak ada perbedaan signifikan antara kepuasan pasien JKN dan umum dari semua dimensi yakni komunikasi dokter, komunikasi perawat, lingkungan rumah sakit, daya tanggap, manajemen nyeri, komunikasi obat dan discharge information. Seluruh dimensi kepuasan pasien telah berada di atas standar yakni >85% kecuali untuk dimensi kepuasan terhadap lingkungan rumah sakit baru sekitar 71% pasien yang puas. Kesimpulan dan Saran: Kualitas pelayanan yang diberikan kepada pasien JKN telah masuk kategori baik dimana tidak ditemukan adanya perbedaan kualitas pelayanan yang diberikan kepada pasien umum dan JKN. Disarankan kepada pihak rumah sakit untuk lebih meningkatkan kebersihan, kenyamanan dan kondisi bangunan lingkungan rumah sakit agar tingkat kepuasan pasien di RSUD Bantaeng dapat lebih meningkat.

Bimtek Penyusunan Rencana Strategis BLUD UPTD Dinas Kesehatan Kabupaten Maros Irwandy -; Noer Bahry Noor; Fridawaty Rivai; Adelia U. Ady Mangilep; Rini Anggraeni
JURNAL TEPAT : Teknologi Terapan untuk Pengabdian Masyarakat Vol 5 No 2 (2022): Mengembangkan Kehiodupan Masyarakat melalui Kesatuan dan Kekuatan
Publisher : Faculty of Engineering UNHAS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25042/jurnal_tepat.v5i2.333

Based on the regulation of the Minister of Home Affairs number 79 of 2018 requires that all Regional Public Service Agencies (BLUD) including Puskesmas must develop a strategic plan as an administrative requirement for the establishment of BLUD. Several strategic changes have taken place since the creation of the Puskesmas strategic plan in Maros Regency including the Covid-19 pandemic until the publication of the Maros Regency Health Office Strategic Plan for the 2021-2026 period which must be a new reference for all UPTD health offices including puskesmas to develop a new strategic plan. Therefore, training was carried out targeting the improvement of knowledge and skills of health workers at the puskesmas in preparing strategic plans BLUD Puskesmas in accordance with the characteristics of the population, health problems faced, as well as policies and targets set by the Maros Regency government and the Health Office. The implementation was carried out within a period of 2 days in August 2022 with the Training of Trainer (ToT) method. Based on the results of the training evaluation, the presentation of the materials presented was able to be clearly understood by the trainees. This can be seen from the average level of knowledge of the participants (42 participants) before the training was only 39.7% and increased to 47.7% after the training related to the preparation of strategic plans BLUD Puskesmas, so it is expected to improve the quality of Service and performance BLUD Puskesmas.

HUBUNGAN KUALITAS KOMUNIKASI DENGAN TINGKAT KEPUASAN PASIEN DI RUMAH SAKIT UNIVERSITAS HASANUDDIN: Related Communication Quality With the Level of Patient Satisfaction at the Hasanuddin University Hospital Hasna Hasna; Irwandy Irwandy; Nur Arifah
Hasanuddin Journal of Public Health Vol. 3 No. 2: JUNE 2022
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/hjph.v3i2.21856

Komunikasi bukan hanya sebatas komunikasi yang dipakai untuk berbicara dengan pasien, namun komunikasi antar dokter dan pasien memiliki hubungan yang bertujuan untuk menyembuhkan pasien yang berdampak pada kepuasan pasien. Berdasarkan survei kepuasan yang dilakukan di Rumah Sakit Unhas pada tahun 2019 memperoleh hasil yaitu sebanyak 57% pasien Kelas 1 yang menyakatan puas, 68% pasien kelas 2 dan 3 yang menyatakan puas berkomunikasi dengan dokter. Penelitian ini bertujuan untuk mengetahui hubungan kualitas komunikasi dengan tingkat kepuasan pasien di Rumah Sakit Universitas Hasanuddin. Jenis penelitian yang digunakan adalah penelitian cross sectional study. Sampel dalam penelitian ini berjumlah 90 orang. Teknik pengambilan sampel menggunakan purposive sampling. Penelitian ini dilakukan di Rumah Sakit Universitas Hasanuddin pada bulan april sampai juni. Data dianalisis secara univariat dan bivariat menggunakan analisis chi square. Hasil penelitian berdasarkan uji chi square menunjukkan bahwa dimensi mendengarkan, percaya diri dan informasi berhubungan secara signifikan terhadap kepuasan pasien. Berdasarkan uji chi square terhadap 3 dimensi tersebut hasil uji diperoleh nilai p=0,000 < nilai =0,05. Sedangkan dimensi pengambilan keputusan tidak berhubungan secara signifikan terhadap kepuasan pasien dengan hasil uji diperoleh nilai p=1,000 > nilai =0,05. Komunikasi yang efektif merupakan salah satu faktor yang menyebabkan pasien merasa puas dengan pelayanan yang diberikan oleh rumah sakit. Saran kepada dokter untuk bisa lebih memperhatikan lagi komunikasi yang dilakukan dengan pasien selama perawatan berlangsung.

Comparison of Ananda Mother and Child Hospital (RSIA) and St. Khadijah 1 Mother and Child Hospital in Terms of Marketing Strategy, Patient Culture, and Maternity Care Interest (RSIA) Muhammadiyah Makassar Azharatul Jannah; Irwandy Irwandy; Syahrir A. Pasinringi; M. Alimin Maidin; Noer Bahry Noor; Nasruddin Nasruddin
Journal of Community Health Provision Vol. 2 No. 3 (2022): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Interest in making a purchase results from a combination of factors, including exposure to advertising, familiarity with the brand, familiarity with the product itself, and an examination of alternative methods of achieving the same goal. Marketing and societal pressures are examples of such outside forces. Comparing the marketing strategies, societal norms, and patient interest between RSIA St.Khadijah 1 Makassar and RSIA Ananda Mother and Child Hospital in Makassar is the focus of this research. This study is a quantitative observational study employing a cross-sectional study design. Univariate, multivariate, and bivariate analyses were applied to the data. Patients in the ob-gyn clinics at RSIA Ananda and RSIA St. Khadijah 1 in Makassar made up the bulk of the 187 participants in this study. The research found that RSIA Ananda and RSIA St.Khadijah had different marketing strategies, societal norms, and patient priorities. Managing, empowering, and evaluating the 7 parts of the marketing mix and social culture at RSIA Ananda and RSIA St.Khadijah jointly is recommended to the management.

Job Crafting Perawat Saat Pandemi Covid-19: Studi Perbadingan Pada 3 Jenis Kepemilikan Rumah Sakit Sulawesi Selatan Andi Indahwaty AS; Irwandy Irwandy; Adhelia U Ady Mangilep; Indah Nur Insani; Ummu Kalsum
Jurnal Manajemen Kesehatan Indonesia Vol 11, No 2 (2023): Agustus 2023
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.11.2.2023.175-182

ABSTRACT The COVID-19 pandemic has changed the structure and working methods of nurses to become more complex, dynamic and challenging. Nurses as the frontline are required to more quickly adapt to changes in the work environment. Proactive work behavior by giving assignments, relationships and work perceptions of nurses is the implementation of Job Crafting (JC). This study aims to compare how JC nurses are between 3 types of hospital ownership that provide Covid-19 services. This study involved 250 nurses in teaching hospitals, private hospitals and government hospitals in South Sulawesi, Indonesia. Data were analyzed using Compare Means and Linearity Test of Anova. The results showed that the highest scores were for Task Crafting (17.47), Cognitive Crafting (21.73) and Relational Crafting (18.44) in Government Hospitals. The lowest scores were for Task Crafting (17.16) at private hospitals, Cognitive Crafting (20.57) at teaching hospitals, and Relational Crafting (17.57) at private hospitals. Based on the results of the study it can be concluded that job crafting is more dominantly felt by nurses in government hospitals. In addition, of the three variables that have been tested, cognitive crafting has a stronger relationship effect than the other variables. Keywords: Job crafting, Nurse, Pandemic, Hospital

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