BEST PRACTICE OF HOSPITAL MANAGEMENT STRATEGY TO THRIVE IN THE NATIONAL HEALTH INSURANCE (JKN) ERA
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Background: The implementation of the National Health Insurance (JKN) program has created a transformation in the health care system in Indonesia. Many hospitals were stuttering and unable to adapt to the new payment system. Some hospitals complained about INA-CBG rates that were lower than the real rates, so that hospitals suffered losses.
Aims: This research aims to take the best practice from one government hospital and one private hospital that is able to thrive in the JKN era.
Methods: This study used qualitative research methods through in-depth interviews.
Results: The similarity of strategies carried out by the two best practice hospitals to thrive in JKN era are efficiency in business process, investment in human resources, customer relationship management, and stakeholders collaboration.
Conclusion: The results of this study can be used as a reference for government and private hospitals in Indonesia to be able to thrive in the JKN era.
Keywords: best practice, hospital, National Health Insurance, strategy
BPJS Kesehatan (2019) Update Pengelolaan Program JKN-KIS. Jakarta: Badan Penyelenggara Jaminan Sosial Kesehatan Indonesia.
Chiang, H. C. and Wang, S. I. (2015) ‘What affects local community hospitals' survival in turbulent times?', International Journal for Quality in Health Care, 27(3), pp. 214–221. doi: 10.1093/intqhc/mzv020.
Coughlin, T. A. et al. (2014) ‘Strategies in 4 Safety-Net Hospitals to Adapt to the ACA', p. 14. Available at: http://kaiserfamilyfoundation.files.wordpress.com/2014/06/8600-strategies-in-4-safety-net-hospitals-to-adapt-to-the-aca.pdf.
Dartanto, T. et al. (2017) ‘Dampak Program Jkn-Kis Terhadap Kemiskinan', Ringkasan Riset JKN-KIS, (November). Available at: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/d6a4498ec3f1163a66958ad9f8e2c3c1.pdf.
Edya, F. (2017) Analisis Perbandingan Tarif INA-CBG's Dengan Tarif Rumah Sakit Dan Cost Recovery Rate Pasien Rawat Inap Peserta BPJS Kesehatan (Studi Kasus Pada Rsud Dr. Achmad Mochtar Bukittinggi), Foreign Affairs. Universitas Andalas. doi: 10.1017/CBO9781107415324.004.
Gilhawley, D. (2018) ‘An introductory market overview', (July), p. 76.
Happy, A. (2018) ‘The Implementation of INA-CBGs System Impact on Financial Performance of Public Hospital, the Indonesia Case: A Systematic Review', KnE Life Sciences, pp. 1–16.
Harmadi, S. and Irwandy, I. (2018) ‘Technical Efficiency of Public Service Hospitals in Indonesia: A Data Envelopment Analysis (DEA)', Asian Social Science, 14(6), p. 81. doi: 10.5539/ass.v14n6p81.
Hartono, R. K. (2017) ‘Equity Level of Health Insurance Ownership in Indonesia', National Journal Public Health, vol 12(50), pp. 93–100. doi: 10.21109/kesmas.v12i2.1408.
Hidayat, B. (2016) Membedah Akar Masalah INA-CBGs. Depok.
Irwandy, I. and Sjaaf, A. C. (2018) ‘Dampak Kebijakan Jaminan Kesehatan Nasional terhadap Efisiensi Rumah Sakit: Studi Kasus di Provinsi Sulawesi Selatan', Media Kesehatan Masyarakat Indonesia, 14(4), p. 360. doi: 10.30597/mkmi.v14i4.5144.
Kuo, R. and Yang, M. (2018) ‘The Closure of Taiwan's Small Hospitals and Changes in Patterns of Inpatient Care, From 2003 to 2012', Value in Health, 21, p. S50. doi: 10.1016/j.jval.2018.07.378.
Malonda, T. D., Rattu, A. J. M. and Soleman, T. (2015) ‘Analisis Pengajuan Klaim Badan Penyelenggara Jaminan Sosial ( BPJS ) Kesehatan di RSUD Dr . Sam Ratulangi Tondano', Jikmu, 5(5), pp. 436–447.
Mullner, R. M. and McNeil, D. (1986) ‘Rural And Urban Hospital Closures: A Comparison', Health Affairs.
Mullner, R. M. and Whiteis, D. G. (1988) ‘Rural community hospital closure and health policy', Health policy, 10(2), pp. 123–135. doi: 10.1016/0168-8510(88)90001-2.
Muslimah, Tri Murti Andayani, Rizaldy Pinzon, D. E. (2018) ‘Perbandingan Biaya Riil Terhadap Tarif INA-Cbg's Penyakit Stroke Iskemik Di RS Bethesda Yogyakarta', Jurnal Manajemen dan Pelayanan Farmasi, 7(2), pp. 105–114.
Nugraheni, W. P. (2017) Dampak Program Jaminan Kesehatan Nasional Terhadap Ekuitas Akses Layanan Rawat Inap di Rumah Sakit. Universitas Indonesia.
Nugraheni, W. P. and Hartono, R. K. (2017) ‘Analisis Pola Layanan Kesehatan Rawat Jalan pada Tahun Pertama Implementasi Program Jaminan Kesehatan Nasional (JKN)', Media Penelitian dan Pengembangan Kesehatan, 27(1), pp. 9–16. doi: 10.22435/mpk.v27i1.6000.9-16.
Pilny, A. (2015) Mergers and Acquisitions in the German Hospital Market Who are the Targets?, SSRN Electronic Journal. doi: 10.2139/ssrn.2565703.
US Goverment Printing Office (1986) ‘Hospital profits under the prospective payment system hearing'.
Wijayani, R. W. (2018) ‘Dampak Implementasi Program Jaminan Kesehatan Nasional (JKN) Terhadap Kinerja Keuangan Rumah Sakit Vertikal Kementerian Kesehatan', Jurnal Kebijakan Kesehatan Indonesia : JKKI, 7(3), pp. 134–139. doi: 10.22146/JKKI.12090.
Wishner, Jane; Sollevad, Patricia; Rudowitz, Robin; Paradise, Julia; Antonisse, L. (2016) ‘A Look at Rural Hospital Closures and Implications for Access to Care: Three Case Studies', Issue brief, pp. 1–16.
Zhao, D. and Chamberlain, A. (2003) Happy employees, satisfied customers. California.
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