Empowerment of Small and Medium Enterprises (SMEs) becomes very strategic, because of its huge potential in driving the economic activities of the community and at the same time being the foundation of the income sources of some people in improving their welfare. But there are still many problems faced by Indonesian SMEs, some of which include competitiveness of MSMEs in national and global markets. The low competitiveness of these SMEs as expressed by Kumorotomo (2008), is due to the large number of problems in the development of MSMEs, such as financing, marketing, management and development of Human Resources (HR), and production efficiency and innovation. Where organizations that have advantages can be pursued through product and service innovation. The specific objective in this study is to produce an innovation model for MSMEs that produce traditional regional food products, so that they can help them find strategies to win the competition. This SMEs innovation model is carried out through innovation so that it can have an influence on improving the competitiveness of SMEs, especially traditional food producers in Jakarta.

Puskesmas as a First Level Health Facility that provides individual health services and community health services, is responsible for its working area. Public health efforts are made to increase public knowledge of the quality of health services it receives. This study aims to determine the activities of Customer Relationship Management and service quality that can affect patient satisfaction and its impact on patient loyalty of non-Social Security Administering Bodies (BPJS) at the Pasar Rebo District Health Center and the Kramat Jati District Health Center. This research method is a survey method. The selection of respondents was carried out using random sampling techniques on non-BPJS patients at the Kramat Jati Subdistrict Health Center and Pasar Rebo District Health Center and primary data was collected using a validated questionnaire. The research approach is quantitative descriptive and statistical data analysis of research results using Structural Equation Modeling. Data analysis from 200 completed questionnaires that meet the inclusion criteria. Based on the results of the study, the path coefficient value on patient satisfaction is Customer Relationship Management of 0.266, service quality of 0.773, while the results of research on patient loyalty are Customer Relationship Management of 0.270, service quality of 0.191 and patient satisfaction of 0.421. Effective Customer Relationship Management, good service quality and high patient satisfaction can increase patient loyalty.