DAFTAR ISI

HALAMAN SAMPUL
HALAMAN JUDUL i
HALAMAN PERNYATAAN ORISINALITAS
LEMBAR PENGESAHAN v
KATA PENGANTAR v
LEMBAR PERSETUJUAN PUBLIKASI KARYA ILMIAH vii
ABSTRAK viii
DAFTAR ISI ix
DAFTAR TABEL xii
DAFTAR GAMBAR xiv
DAFTAR SINGKATAN xv
BAB I PENDAHULUAN........................................................................................1
1.1 Latar Belakang............................................................................................1
1.2 Rumusan Masalah ......................................................................................7
1.3 Pertanyaan Penelitian .................................................................................8
1.4 Tujuan Umum.............................................................................................8
1.5 Tujuan Khusus............................................................................................8
1.6 Manfaat Penelitian .....................................................................................8
1.7 Ruang Lingkup Penelitian..........................................................................9
BAB II TINJAUAN PUSTAKA............................................................................10
2.1 Program Jaminan Kesehatan Daerah .......................................................10
2.2 Sistem Pembayaran Rumah Sakit ............................................................14
2.2.1 Rumah Sakit ...................................................................................14
2.2.2 Sistem Pembayaran Rumah Sakit ..................................................14
2.2.1 Sistem Pembayaran INA-CBGs .....................................................17
2.3 Persalinan .................................................................................................21
2.3.1 Definisi ...........................................................................................21
2.3.2 Indikasi Persalinan .........................................................................22
2.3.3 Lama Hari Rawat ...........................................................................24
2.3.4 Tarif INA-CBGs untuk Persalinan .................................................24
2.4 Efisiensi ...................................................................................................25
2.5 Strategi Rumah Sakit Dalam Implementasi Sistem Pembayaran
Prospektif ................................................................................................27
2.5.1 Sistem Informasi Manajemen Rumah Sakit ..................................27
2.5.2 Rekam Medis dan Billing ..............................................................29
2.5.3 Pengelolaan Dokter ........................................................................32
2.5.4 Pengelolaan Perawat dan Tenaga Penunjang .................................33
2.5.5 Pengawasan ....................................................................................34
2.5.6 Perhitungan Biaya ..........................................................................36
2.5.7 Identifikasi Pelayanan dan Pasar ...................................................39

BAB III GAMBARAN UMUM RSUD TENRIAWARU ....................................41

3.1 Sejarah......................................................................................................41
3.2 Visi dan Misi ............................................................................................42
3.3 Tugas dan Fungsi......................................................................................42
3.4 Struktur dan Tata Kerja Organisasi ..........................................................44
3.5 Ketenagaan ..............................................................................................47
3.6 Statistik Pelayanan ...................................................................................48
3.7 Statistik Keuangan ...................................................................................52
BAB IV KERANGKA KONSEP DAN DEFINISI OPERASIONAL .................54
4.1 Kerangka Teori.........................................................................................56
4.2 Kerangka Konsep......................................................................................52
4.3 Definisi Operasional ................................................................................58
BAB V METODOLOGI PENELITIAN................................................................62
5.1 Desain Penelitian......................................................................................62
5.2 Lokasi dan Waktu Penelitian....................................................................62
5.3 Populasi dan Sampel.................................................................................62
5.4 Teknik Pengumpulan Data........................................................................63
5.4.1 Sumber Data...................................................................................63
5.4.2 Informan .........................................................................................64
5.4.3 Instrumen dan Cara Pengumpulan Data.........................................64
5.5 Analisis dan Penyajian Data.....................................................................65
5.5.1 Analisis Data...................................................................................65
5.5.2 Penyajian Data................................................................................67
BAB VI HASIL PENELITIAN.............................................................................68
6.1 Gambaran Umum Penelitian.....................................................................68
6.1.1 Sampel ...........................................................................................68
6.1.2 Informan .........................................................................................68
6.2 Komponen Tagihan dan Total Tagihan Berdasarkan Tarif Perda.............69
6.3 Total Tarif INA-CBGs..............................................................................78
6.4 Selisih Tarif Terhadap Penerimaan...........................................................84
6.5 Strategi Rumah Sakit ...............................................................................86
6.5.1 Pengelolaan Dokter ........................................................................87
6.5.2 Pengelolaan Perawat dan Tenaga Farmasi .....................................89
6.5.3 Pengawasan ....................................................................................91
6.5.4 Sistem Informasi Manajemen Rumah Sakit ..................................93
6.5.5 Rekam Medis dan Billing ..............................................................95
6.5.6 Perhitungan Biaya ..........................................................................97
6.5.7 Identifikasi Pelayanan dan Pasar ...................................................98
BAB VII PEMBAHASAN....................................................................................99
7.1 Keterbatasan Penelitian ...........................................................................99
7.2 Komponen Tagihan ................................................................................100
7.2.1 Jasa Medis ....................................................................................100
7.2.2 Biaya Bahan Habis Pakai (BHP) .................................................103
7.2.3 Jasa Sarana ...................................................................................105
10

7.2.4 Obat ..............................................................................................106

7.2.5 Jasa Pelayanan .............................................................................108
7.2.6 Makanan .....................................................................................110
7.2.7 Oksigen ......................................................................................111
7.2.8 Laboratorium ..............................................................................112
7.2.9 Darah ..........................................................................................113
7.2.10 Radiologi ...................................................................................114
7.3 Tarif Perda dan Tarif INA-CBGs............................................................114
7.4 Selisih Tarif Terhadap Penerimaan Rumah Sakit....................................116
7.5 Strategi RSUD Tenriawaru ....................................................................117
7.4.1 Pengelolaan Dokter ......................................................................117
7.4.2 Pengelolaan Perawat dan Tenaga Farmasi ...................................120
7.4.3 Pengawasan ..................................................................................122
7.4.4 Sistem Informasi Manajemen Rumah Sakit (SIM-RS) ...............125
7.4.5 Rekam Medis dan Billing ............................................................126
7.4.6 Perhitungan Biaya ........................................................................128
7.4.7 Identifikasi Pelayanan dan Pasar .................................................130
BAB VIII KESIMPULAN DAN SARAN ..........................................................133
8.1 Kesimpulan ...........................................................................................133
8.2 Saran.......................................................................................................134
DAFTAR PUSTAKA...........................................................................................137
LAMPIRAN

11