Performance measurement is an essential factor for an organization to control the implementation of the strategy. The existing performance measurement system only evaluates financial performance. This study aims to propose the Key Performance Indicators (KPI) and measuring hospital performance with SWOT and BSC integration. Stages of research are determining internal and external factors with SWOT analysis, formulating alternative strategies, translating strategies into BSC perspective on strategic maps, determining performance indicators (KPI), KPI validation with AHP to obtain indicator weights for each view, and measuring hospital performance. Based on the results of the study, performance indicators (KPI) for hospitals based on the Balanced Scorecard perspective are six financial perspective indicators, two customer perspective indicators, four internal process perspective indicators, and five growth and learning perspective indicators. The internal process perspective is 90.43%, which means that the performance of the hospital is very healthy with the AA category, and learning 68.89% means that the performance of the hospital is very healthy with category A.

Lake Toba is a tecto-volcanic lake located in the province of North Sumatra, Indonesia. This lake is the largest lake in Indonesia and Southeast Asia (disbudpar, 2019). Lake Toba has ecotourism, namely Leuser National Park and Forest Area with Special Purpose Aek Nauli, Kawasan Strategi Pariwisata Nasional (KSPN)/Kawasan Pengembangan Pariwisata Nasional (KKPN), namely Lake Toba and its surroundings, and Geopark consisting of Toba Caldera Geopark. This is what makes Lake Toba a tourism potential and a direction of development that needs attention. Currently, the Lake Toba Water Quality Standard is set to Class One as contained in the Governor of North Sumatra Regulation Number 1 of 2009 and the trophic status of Lake Toba is Oligotrophic as contained in the Decree of the Governor of North Sumatra Number 188.44/209/KPTS/2017. The determination of the water quality standard of Lake Toba to be Class One as contained in the Governor of North Sumatra Regulation Number 1 of 2009 and the trophic status of Lake Toba is Oligotrophic as contained in the Decree of the Governor of North Sumatra Number 188.44/209/KPTS/2017 currently does not meet. The purpose of this Focus Group Discussion (FGD) is to get input from FGD participants regarding the water quality and trophic status of Lake Toba. The method implemented is in the form of discussion that discusses the quality of water in Lake Toba. Based on the results of the Focus Group Discussion (FGD), the water quality of Lake Toba leads to the Class Two quality standard and the Trophic Status of Lake Toba leads to Mesotrophs. This is influenced by human activities around the Lake Toba area and natural factors. The impact of decreasing water quality of Lake Toba will be increasingly influenced by the determination of Lake Toba as a Kawasan Strategi Pariwisata Nasional super prioritas. The decline in the water quality of Lake Toba can be managed with the cooperation of all parties, namely the community, businessmen and the government, such as the use of technology, environmental conservation, compliance with permits and others.

Maintenance is one of the main activities in the manufacturing sector that greatly affects the quality and quantity of production, production costs, and customer satisfaction. Thus, it is necessary to plan a preventive maintenance schedule to maintain the condition of the machine so that the production process runs optimally. PT. Grafika Nusantara is a paper management industry company specializing in continuous form, printing, and office stationery, whose production process runs continuously. In the production process, the company often has problems with the punch machine, which is one of the machines in the factory as a printer for paper into envelopes. The problem is due to lack of supervision and maintenance on the punch machine by the company can result in the machine being damaged and the production target not being achieved. The objective of this paper is to plan preventive maintenance scheduling on the punch machine with the Critical Path Method (CPM) and to determine the cost of preventive maintenance for 1 year. The results that can be concluded in this study are that the maintenance scheduling of the punch machine with the CPM method can save maintenance time, which is 30 hours and the cost of preventive maintenance for 1 year is Rp. 1,400,000.

Pengukuran kinerja merupakan faktor penting bagi suatu organisasi untuk mengontrol implementasi strategi. Metode SWOT BSC yang sinergis dapat memantau kinerja perusahaan dengan cepat dan mudah. Rumah sakit sebagai salah satu jenis perusahaan jasa yang menyelenggarakan pelayanan kesehatan masyarakat harus memiliki kinerja yang baik sebagaimana amanat Undang-Undang Dasar 1945 pasal 28H ayat (1). Penelitian ini bertujuan memberikan usulan Key Performance Indicators (KPI) dalam pengukuran kinerja Rumah Sakit ‘X’. Berdasarkan hasil penelitian, maka arah strategi Rumah Sakit “X” adalah strategi agresif, yaitu dengan kekuatan yang dimiliki mampu memanfaatkan peluang yang ada. Indikator pengukuran kinerja (KPI) untuk Rumah Sakit ‘X’ berdasarkan perspektif Balanced Scorecard adalah : 6 indikator perspektif keuangan, 2 indikator perspektif pelanggan, 4 indikator perspektif proses internal, dan 5 indikator perspektif pertumbuhan dan pembelajaran. Berdasarkan total bobot dari keseluruhan perspektif, maka prioritas tertinggi terdapat pada indikator produktivitas pegawai sebesar 0,19 dan yang terendah adalah indikator ALOS sebesar 0,014.

Every asset in the operation of certain services, transportation or services will experience a change in each period of time. Replacement is made on an asset that is damaged, operating costs are too high, or a change in technology makes an equipment unusable. CV. X is a company engaged in providing services for transportation fleets, one of which is dump trucks. Today, companies are often faced with complex replacement problems and only apply the depreciation method to determine the life of their equipment. This study aims to propose determining the age of dump trucks with optimal replacement intervals and to find out the hourly usage costs incurred by the company at the optimal replacement age. This method uses the hourly cost as the basis for determining the optimal replacement life. The research data is in the form of secondary company data consisting of maintenance data such as vehicle purchase price data, fuel consumption, lubricant consumption, labor wages, annual operating hours, productivity, rental rate, interest rate value, and income tax rate. The parameters are in 1000 hour intervals. The optimal replacement life for dump trucks is in the interval of 30,000 hours – 40,000 hours or 12-16 years. The hourly usage cost at the optimal replacement life interval with the productivity approach is $159.74 and the hourly usage cost with the rental rate approach is $104.64.