BULAN PELAYANAN.

NAMA RUMAH SAKIT

Oleh : ..

Makassar, September 2017

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 Biaya Pelayanan
Kesehatan

Januari s.d Juli 2017

Kasus Biaya Total
Pelayanan
RJTL RITL RJTL RITL Kasus Biaya
INACBG
ALKES
OBAT KRONIS
Jumlah - - - - - -

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 Pelayanan Kesehatan Berdasarkan
Kelompok Umur
Kasus
Range
Laki-laki Laki-laki Perempuan Perempuan
Umur
RITL RJTL RITL RJTL
0 - 05
06-10
11-15
16 - 20
21 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
56 - 60
61 - 65
66 - 70
71 - 75
76++

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 Pelayanan Kesehatan Berdasarkan
Hak Kelas dan Kelas Rawat

Hak Kelas Kelas Rawat Biaya Kasus

Kelas I
KELAS I Kelas II
Kelas III
Kelas I
KELAS II Kelas II
Kelas III
Kelas II
KELAS III
Kelas III

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 15 Kunjungan Terbanyak
Periode Jan s.d Juni 2017

No Nama Peserta RJTL RITL Jumlah

1 945430637 52 52
2 127468539 49 49
3 1073216845 34 4 38
4 944500983 27 6 33
5 1826573455 33 33
6 210361149 32 32
7 943583196 29 29
8 127543138 28 28
9 2207143168 24 4 28
10 944761588 26 1 27
11 1905246674 26 26
12 155138051 23 2 25
13 2207126092 24 1 25
14 126326687 24 24
15 127227003 24 24

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 Pelayanan Kesehatan
Rawat Jalan
Jan-17 Feb-17 Mar-17 Apr-17 Mei-17 Jun-17 Jul-17 Total
Kasus 1.968 2.160 2.194 2.570 2.414 3.033 2.190 16.529
Biaya 430.958.900 501.173.400 521.535.800 601.839.800 504.920.300 642.288.500 461.287.800 3.664.004.500

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 Pelayanan Kesehatan
Rawat Inap
Jan-17 Feb-17 Mar-17 Apr-17 Mei-17 Jun-17 Jul-17 Total
Kasus 1.968 2.160 2.194 2.570 2.414 3.033 2.190 16.529
Biaya 430.958.900 501.173.400 521.535.800 601.839.800 504.920.300 642.288.500 461.287.800 3.664.004.500

Biaya Rawat Inap

1,200,000,000

1,000,000,000

800,000,000

600,000,000

400,000,000

200,000,000

-
Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17
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 Case-mix Groups Pelayanan
Rawat Jalan

CMG Deskripsi CMG Biaya Kasus

Q Ambulatory Groups-Episodic 1.691.986.000 8.378
Z Factors influencing health status & other contacts with health services Groups 819.144.900 3.346
U Ear, nose, mouth& throat Groups 571.303.500 2.074
M Musculoskeletal system & connective tissue Groups 242.668.800 2.015
H Eye and Adnexa Groups 203.946.800 356
L Skin, subcutaneous tissue & breast Groups 202.518.700 441
J Respiratory system Groups 44.816.400 145
K Digestive system Groups 38.043.100 146
G Central Nervous System Groups 9.322.000 34
F Mental Health and Behavioral Groups 4.955.200 20
N Nephro-urinary System Groups 2.559.000 8
W Female reproductive system Groups 1.126.800 4
I Cardiovascular system Groups 317.300 1

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 Case-mix Groups Pelayanan
Rawat Inap
CMG Deskripsi CMG Biaya Kasus
J Respiratory system Groups 1.091.269.400 187
O Deleiveries Groups 929.981.800 394
L Skin, subcutaneous tissue & breast Groups 822.440.700 222
K Digestive system Groups 688.822.700 262
M Musculoskeletal system & connective tissue Groups 582.863.400 67
I Cardiovascular system Groups 473.097.000 121
A Infectious & parasitic diseases Groups 390.247.800 135
W Female reproductive system Groups 320.415.800 99
G Central Nervous System Groups 310.956.200 59
N Nephro-urinary System Groups 248.726.300 69
E Endocrine system, nutrition & metabolism Groups 206.696.400 43
B Hepatobiliary & pancreatic system Groups 159.160.200 30
U Ear, nose, mouth& throat Groups 116.910.700 48
P Newborns & Neonates Groups 92.544.700 11
H Eye and Adnexa Groups 85.663.800 8
D Haemopoeitic & immune system Groups 73.432.000 19
Z Factors influencing health status & other contacts with health services Groups 34.883.100 14
V Male reproductive System Groups 25.206.600 5
S Injuries, poisonings & toxic effects of drugsGroups 20.018.800 5
C Myeloproliferative system & neoplasms Groups 10.141.500 2
F Mental Health and Behavioral Groups 5.711.100 1

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 20 Diagnosa Utama Dengan Biaya Terbanyak
Pada Pelayanan Rawat Jalan
No Diagnosa Biaya Kasus
1 Z098 - Follow-up exam after other treatment for other conditions 1.591.221.200 8.472
2 Z872 - Personal history of dis of the skin and subcutaneous tissue 255.551.300 667
3 Z012 - Dental examination 238.226.400 858
4 Z348 - Supervision of other normal pregnancy 119.765.000 378
5 Z480 - Attention to surgical dressings and sutures 94.227.300 458
6 H269 - Cataract, unspecified 67.007.900 35
7 K30 - Dyspepsia 37.694.800 141
8 Z988 - Other specified postsurgical states 33.054.000 117
9 Z340 - Supervision of normal first pregnancy 32.567.800 108
10 Z038 - Observation for other suspected diseases and conditions 27.412.200 104
11 R509 - Fever, unspecified 24.225.900 129
12 I10 - Essential (primary) hypertension 18.660.200 95
13 K040 - Pulpitis 17.543.900 62
14 K028 - Other dental caries 16.468.200 57
15 K041 - Necrosis of pulp 15.131.200 54
16 R104 - Other and unspecified abdominal pain 13.628.000 63
17 A099 - Gastroenteritis and colitis of unspecified origin 12.142.000 65
18 N739 - Female pelvic inflammatory disease, unspecified 10.974.500 23
19 Z895 - Acquired absence of leg at or below knee 10.346.000 42
20 H612 - Impacted cerumen 9.426.700 37

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 15 CBGs Biaya Terbanyak
Pelayanan Rawat Jalan

No Deskripsi INA-CBGs Biaya Kasus

1 PENYAKIT KRONIS KECIL LAIN-LAIN 1.449.573.200 7.121
2 PROSEDUR PADA GIGI 328.947.500 1.133
3 PERAWATAN LUKA 247.615.900 1.196
4 PROSEDUR THERAPI FISIK DAN PROSEDUR KECIL MUSKULOSKLETAL 234.133.400 1.992
5 PROSEDUR LAIN-LAIN PADA TELINGA HIDUNG MULUT DAN TENGGOROKAN 219.620.800 854
6 PROSEDUR ULTRASOUND GINEKOLOGIK 199.578.700 625
7 PROSEDUR REHABILITASI 189.351.400 1.205
8 PROSEDUR ULTRASOUND LAIN-LAIN 182.598.900 320
9 PROSEDUR BESAR PADA KULIT 150.943.600 289
10 PROSEDUR OPERASI KATARAK 128.858.200 17
11 PENYAKIT AKUT KECIL LAIN-LAIN 120.218.500 643
12 PROSEDUR LAIN-LAIN PADA MATA 74.311.000 336
13 PROSEDUR TERAPI SALURAN PERNAFASAN 40.642.000 129
14 PROSEDUR LAIN-LAIN PADA KULIT DAN JARINGAN BAWAH KULIT 31.344.400 64
15 GASTROINTESTINAL AKUT 28.665.200 193

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 20 Diagnosa Utama Dengan Biaya Terbanyak
Pada Pelayanan Rawat Inap
No Diagnosa Biaya Kasus
1 L97 - Ulcer of lower limb, not elsewhere classified 284.424.400 91
2 O800 - Spontaneous vertex delivery 272.827.100 151
3 A099 - Gastroenteritis and colitis of unspecified origin 151.071.800 74
4 J180 - Bronchopneumonia, unspecified 142.002.200 30
5 O630 - Prolonged first stage (of labour) 136.797.200 71
6 A010 - Typhoid fever 115.255.300 42
7 I10 - Essential (primary) hypertension 109.366.500 48
8 D481 - Neoplasm of uncertain or unknown behavior of connective and other soft tissue 100.154.700 16
9 K30 - Dyspepsia 98.826.700 60
10 E115 - Non-insulin-depend diabetes mellitus with periph circ comp 97.633.300 15
11 R509 - Fever, unspecified 90.760.800 29
12 I638 - Other cerebral infarction 85.590.400 6
13 A162 - Tb lung without mention of bact or histological confirm 84.689.500 16
14 N390 - Urinary tract infection, site not specified 81.087.900 27
15 A152 - Tuberculosis of lung, confirmed histologically 79.369.100 13
16 L52 - Erythema nodosum 78.517.100 29
17 A91 - Dengue haemorrhagic fever 74.283.500 23
18 I639 - Cerebral infarction, unspecified 70.872.600 9
19 J189 - Pneumonia, unspecified 67.992.800 14
20 K729 - Hepatic failure, unspecified 65.172.400 1

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 15 CBGs Biaya Terbanyak
Pelayanan Rawat Inap

No Deskripsi INA-CBGs Biaya Kasus

1 PERSALINAN VAGINAL RINGAN 508.290.800 282
2 PENYAKIT KULIT MAYOR RINGAN 346.403.500 131
3 OPERASI PEMBEDAHAN CAESAR RINGAN 230.668.900 42
4 NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN) 206.070.200 102
5 PROSEDUR PADA KULIT JARINGAN BAWAH KULIT DAN PAYUDARA RINGAN 198.904.900 35
6 AMPUTASI SEDANG 168.519.900 9
7 SIMPLE PNEUMONIA & WHOOPING COUGH RINGAN 135.613.200 32
8 DIAGNOSIS SISTEM PENCERNAAN LAIN-LAIN (RINGAN) 131.607.300 82
9 HIPERTENSI RINGAN 131.208.900 58
10 PERSALINAN VAGINAL SEDANG 125.828.500 58
11 GANGGUAN HATI SELAIN TUMOR SIROSIS ATAU HEPATITIS ALKOHOLIK RINGAN 114.011.000 23
12 PERADANGAN DAN INFEKSI PERNAFASAN RINGAN 113.335.200 23
13 PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN RINGAN 111.254.700 42
14 PROSEDUR SISTEM PERNAFASAN NON KOMPLEKS BERAT 103.055.800 3
15 INFEKSI NON BAKTERI RINGAN 99.862.500 40

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Terima Kasih

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