Penerapan Clinical Pathways sebagai Instrumen Pengendalian Biaya Pelayanan : Studi Penelitian Tindakan Penderita BPJS yang Menjalani Operasi Caesar dengan Sistem Pembayaran INA-CBG

Fitria, Annisa; Armani, Andri Sofa; Rochmah, Thinni Nurul; Purwaka, Bangun Trapsila; Pudjirahardjo, Widodo J.

doi:10.31539/jks.v4i2.1546

Cited by 4 publications

(3 citation statements)

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“…The clinical pathways can improve efficiency and quality, control health service costs, and reduce complications and hospitalization length [19][20][21]. In addition, the clinical pathways implication can decrease the hospitalization length in cesarean section patients at Dr. Soetomo Hospital and in acute coronary syndrome patients at Sardjito Hospital [22,23]. Another study showed that there was a significant effect on the average hospitalization length for non-hemorrhagic stroke patients given a clinical nursing pathway [24].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Clinical Pathway Implementation on the Length of Days of Ischemic Stroke Patient Hospitalization at Three Hospitals in Indonesia

Purnamasari¹,

Pinzon²,

Adisasmita³

et al. 2023

Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022)

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Clinical pathways (CP) regarding stroke is a medical service standard necessitated ensuring quality health services at rational costs. The previous study showed that the effect of CP implication on hospitalization length has not shown conclusive results in one hospital nor considered the CP format used. Therefore, this study aims to measure the implication of ischemic stroke CP on hospitalization length. This study was conducted in public and private hospitals, type A and B, which run a stroke registry with uniformity in stroke care and CP format. A retrospective cohort design was used to measure the effectiveness of the ischemic stroke clinical pathway on the outcome of hospitalization length by controlling for confounding variables, including demographic factors, comorbidities, clinical, service procedure, and management support. The data source for the Ischemic Stroke CP group was obtained from the document in the hospital. The data of the without CP group was obtained from the Stroke Registry of the Research and Development Agency, and the medical record was traced to obtain the required variables. The population is ischemic stroke patients treated from January 2012-December 2015. The sample was selected purposively, meeting the inclusion and exclusion criteria, and the ischemic stroke diagnosis is based on medical records with ICD-X 163.9. The cut-off point for the length of hospitalization was determined by Receiver Operating Characteristic analysis, divided into 2 categories, long (>8 days) and short (≤8 days). Univariate, bivariate, stratification and multivariate analysis were performed using the Cox regression test. The results showed that 71% of the subjects were treated without CP, 65% had a short hospitalization length (<8 days), 39% were aged 18-55, and 57% were male. In men, 88% had dyslipidemia, 77% were admitted with mild severity as measured by the Glasgow Coma Scale (GCS = 15), and 35% had attack onset of admissions >24 h. The stratification test showed no interaction between the independent (CP) and the covariate variable on hospitalization length. Multivariate analysis found that CP significantly reduced the risk of hospitalization length (>8 days) by 53%, compared to patients treated without CP, after controlling for disease severity,

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Section: Discussionmentioning

confidence: 99%

The Effect of Clinical Pathway Implementation on the Length of Days of Ischemic Stroke Patient Hospitalization at Three Hospitals in Indonesia

Purnamasari¹,

Pinzon²,

Adisasmita³

et al. 2023

Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022)

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show abstract

“…Clinical pathway yang tersusun terkordinir dan sistematis serta evaluasi yang baik akan mendatangkan implikasi yang baik untuk tata kelola governance dalam meningkatkan mutu rumah sakit, role model atau acuan bagi rumah sakit rujukan lainnya, bagi akademisi merupakan tempat residensi peminatan rumah sakit atau studi banding rumah sakit serta case manager akan menjadi role model bagi rumah sakit lainnya (Wardhana et al, 2019). Penelitian menunjukkan bahwa penerapan clinical pathway dapat mengurangi lama rawat inap dan biaya rumah sakit yang sebenarnya pada pasien bedah caesar dan menunjukkan bahwa penggunaan clinical pathway dapat membuat layanan lebih efisien (Fitria et al, 2021). Penelitian lain menunjukkan bahwa pemberlakuan clinical pathway memperbaiki proses pelayanan stroke (Pinzon et al, 2009).…”

Section: Pendahuluanunclassified

Pendampingan Pembuatan Clinical Pathway Dalam Peningkatan Mutu Pelayanan Kesehatan Di Rsud Dr. Soekardjo Kota Tasikmalaya

Sugiarti

Junaedi

2023

jupemas

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<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><span>Clinical pathways are used for quality and cost control in health services in hospitals. A clinical pathway is the main requirement for quality control and cost control, especially in cases that have the potential to spend large resources. Research shows that the application of clinical pathways can reduce the length of stay and hospital costs. The existence of clinical pathways in hospitals is sought to refer to the National Guidelines for Medical Services (PNPK). The existence of clinical pathways at dr. Soekardjo does not all meet these criteria. Community service activities are carried out referring to the lecturer roadmap that has been made. The purpose of the activity is to the availability of clinical pathway forms that can be used in hospitals as needed and the preparation of clinical pathways according to PNPK criteria. The method of activity is in the form of FGD and Assistance in making clinical pathways. The activity was carried out well and agreed on a form that refers to the standards of the Hospital Accreditation Committee. Mentoring activities involve all health workers as users, both doctors, nurses, pharmacists, nutritionists, and PMIK so that the results are expected to be by the needs of the hospital. The results of the activity are in the form of an agreement on the form used and the arrangement of 10 clinical pathways according to the needs of the hospital. </span></p></div></div></div></div></div></div>

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“…Penerapan Sistem Diagnositic Related Group (DRG) telah mengambangkan di Indonesia yang disebut dengan INA-DRG (Indonesian-Diagnositic Related Group). Manfaatnya adalah untuk menyederhanakan sistem dan beban administrasi penanggung dan penyedia layanan kesehatan (Fitria et al, 2021). Rumah Sakit X Kota Bogor perlu dalam mempertimbangkan panduan asuhan setiap profesi terutama di unit hemato onkologi karena panduan asuhan tersebut menjadi dasar pelaksanaan pemberian layanan kesehatan secara terintegrasi.…”

Section: Pembahasanunclassified

Optimalisasi Penyusunan Panduan Asuhan Keperawatan di Unit Hemato Onkologi

Rahman

Nur

2022

JKS

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This study aims to optimize the preparation of nursing care guidelines in the Hemato Oncology unit of RS X Bogor City. The method used in this research is a pilot project. The results showed that the majority of the ages were in the age range of 21-30 years, 85%, with the majority being female, as much as 80%. The competency level of nurses for pre-PK has the highest percentage at 40%. The length of work of nurses in the hemato-oncology unit is 2-5 years, as much as 60%. Respondents are implementing nurses as much as 95% and D3 education as much as 75%. The training qualification for implementing nurses that must be followed is BTCLS (Basic Trauma Cardiac Life Support) training. All nurses in the unit have attended as many as 95.24%. This research resulted in formulating an innovative nursing care guide in the Hematology-Oncology Unit. The focus was compiled because the preparation of nursing care guidelines at Hospital X Bogor City was not optimal, especially for cases in the Hematology-Oncology Unit. In conclusion, the nursing care guide becomes a guideline that will be used in determining care for patients who will bridge the nursing profession in preparing nursing care plans, especially in cases of hemato-oncology. Keywords: Integrated Collaboration, Nursing Care Guide

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Penerapan Clinical Pathways sebagai Instrumen Pengendalian Biaya Pelayanan : Studi Penelitian Tindakan Penderita BPJS yang Menjalani Operasi Caesar dengan Sistem Pembayaran INA-CBG

Cited by 4 publications

References 0 publications

The Effect of Clinical Pathway Implementation on the Length of Days of Ischemic Stroke Patient Hospitalization at Three Hospitals in Indonesia

The Effect of Clinical Pathway Implementation on the Length of Days of Ischemic Stroke Patient Hospitalization at Three Hospitals in Indonesia

Pendampingan Pembuatan Clinical Pathway Dalam Peningkatan Mutu Pelayanan Kesehatan Di Rsud Dr. Soekardjo Kota Tasikmalaya

Optimalisasi Penyusunan Panduan Asuhan Keperawatan di Unit Hemato Onkologi

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