UTILIZATION

REVIEW
BULAN PELAYANAN : JAN - JUNI 2017

RSUD HAJI MAKASSAR

OLEH : dr. Makmur

Surudji, M.Kes
 BIAYA PELAYANAN KESEHATAN
INACBG JANUARI S.D JUNI 2017
BULAN KASUS BIAYA (Rp) TOTAL
RJTL RITL RJTL RITL KASUS BIAYA
JANUARI 1.615 734 Rp.515.570.600 2.344.171.200 2.349 Rp.2.859.741.800
FEBRUARI 1.604 574 Rp.463.101.800 1.788.109.300 2.178 Rp2.251.211.100
MARET 1.719 473 Rp.352.702.800 1.365.470.000 2.192 Rp1.718.172.800
APRIL 1.257 474 Rp.251.676.200 1.346.787.500 1.731 Rp1.598.463.700
MEI 3.564 1.184 Rp.935.768.800 3.766.004.800 4.748 4.702.763.600
JUNI 2.628 862 Rp.687.849.800 2.718.001.800 3.490 3.405.851.600
JUMLAH 12.387 4.301 3.206.670.000 13.329.534.600 16.688 16.536.204.600
12 Kunjungan Terbanyak Periode Januari Juni 2017

No Nomor peserta RJTL Nomor peserta RITL

1 945430637 52 945283173 7
2 127468539 49 1936315271 6
3 1073216845 34 4
4 1826573455 33 169751711 5
5 210361149 32 945879129 5
6 943583196 29 1073134271 5
7 127543138 28 2041364452 5
8 944500983 27 6
9 944761588 26 126489633 4
10 1905246674 26 126770433 4
11 126326687 24 925472485 4
12 127227003 24 1069680374 4
 10 Diagnosa Utama Dengan Biaya Tertinggi Pada Pelayanan RJTL dan RITL

No Diagnosa RJTL Kasus Biaya Diagnosa RITL Kasus Biaya

1 R50.9 1,180,933,600
Z09.8 7.602 1,573,182,100 407
2 A01.0 935,578,100
H25.2 115 453,151,300 370
3 A16.2 800,965,100
Z09.0 809 162,982,600 175
4 O80.0 525,350,600
R50.9 419 81,884,000 299
5 I10 507,752,300
K30 239 63,912,000 239
6 K30 475,737,500
Z34.8 185 56,983,600 303
7 J40 337,139,100
H25.9 34 44,058,000 95
8 A09 333,100,000
H26.9 31 43,671,100 175
9 I63.9 303,643,400
H11.0 25 31,347,300 47
10 E11.9 272,848,500
R10.4 110 26,239,400 61
 Pelayanan Kesehatan Berdasarkan Hak Kelas dan Kelas Rawat
Hak Kelas Kelas Rawat Biaya Kasus
Kelas I Kelas I
3,179,982,000 785

Kelas II
88,057,900 22

Kelas III
26,091,800 11

Kelas II Kelas I
37,022,900 6

Kelas II
2,440,308,600 768

Kelas III
51,131,400 20

Kelas III Kelas I

8,834,500 3

Kelas II 6,244,100 3

Kelas III
7,473,356,300 2,679
 CBGs Biaya Terbanyak Pelayanan Rawat Jalan
No Deskripsi INA-CBGs Biaya
1
Q-5-44-0 - PENYAKIT KRONIS KECIL LAIN-LAIN 1,149,172,500
2
H-2-36-0 - PROSEDUR OPERASI KATARAK 627,365,600
3
Z-3-27-0 - PERAWATAN LUKA 191,542,400
4
Q-5-42-0 - PENYAKIT AKUT KECIL LAIN-LAIN 187,547,200
5 U-3-15-0 - PROSEDUR LAIN-LAIN PADA TELINGA, HIDUNG, MULUT
DAN TENGGOROKAN 179,690,000
6
Z-3-25-0 - PROSEDUR ULTRASOUND GINEKOLOGIK 140,723,100
7
H-3-12-0 - PROSEDUR LAIN-LAIN PADA MATA 133,704,000
8
Z-3-23-0 - PROSEDUR ULTRASOUND LAIN-LAIN 94,215,000
9
U-3-16-0 - PROSEDUR PADA GIGI 85,928,800
10
Z-3-12-0 - PROSEDUR REHABILITASI 64,262,800
CBGs Biaya Terbanyak Pelayanan Rawat Inap
No Deskripsi INA-CBGs Biaya
1 A-4-12-I - 1,180,933,600
2 A-4-14-I - 886,286,100
3 J-4-15-I - 852,141,600
4 O-6-13-I - 571,383,600
5 K-4-18-I - 550,409,000
6 K-4-17-I - 537,768,000
7 O-6-10-I - 484,081,000
8 I-4-17-I - 483,331,100
9 J-4-21-I - 475,682,600
10 J-4-16-I - 358,559,000
 Asal Rujukan Terbanyak Pada Pelayanan RJTL

No Diagnosa Masuk Kode PPK Perujuk Kasus

1 Follow-up examination after unspecified

treatment for malignant neoplasm Z08.9 RSUD HAJI MAKASSAR 1821
2 Follow-up examination after other
treatment for other conditions Z09.8 RSUD HAJI MAKASSAR 1178
3
Fever, unspecified R50.9 RSUD HAJI MAKASSAR 401
4 Follow-up examination after unspecified
treatment for malignant neoplasm Z08.9 TAMALATE 283
5
Essential (primary) hypertension I10 RSUD HAJI MAKASSAR 247
6
Dyspepsia K30 RSUD HAJI MAKASSAR 226
7 Follow-up examination after unspecified
treatment for malignant neoplasm Z08.9 KLINIK ADARAEN NUR SYIFA 153
8
Low back pain M54.5 RSUD HAJI MAKASSAR 146
9
Benign neoplasm of breast D24 RSUD HAJI MAKASSAR 139
10 Follow-up examination after unspecified
treatment for malignant neoplasm Z08.9 JONGAYA 136
 Asal Rujukan Terbanyak Pada Pelayanan RITL

No Diagnosa Masuk Kode PPK Perujuk kasus

1
Fever, unspecified R50.9 RSUD HAJI MAKASSAR 673
2 Single spontaneous delivery,
unspecified O80.9 RSUD HAJI MAKASSAR 508
3
Dyspepsia K30 RSUD HAJI MAKASSAR 303
4 Diarrhoea and gastroenteritis of
presumed infectious origin A09 RSUD HAJI MAKASSAR 173
5
Fever, unspecified R50.9 168
6
Essential (primary) hypertension I10 RSUD HAJI MAKASSAR 125
7
ABDOMINAL AND PELVIS PAIN R10 RSUD HAJI MAKASSAR 113
8
Typhoid fever A01.0 RSUD HAJI MAKASSAR 108
9 Single spontaneous delivery,
unspecified O80.9 92
10
Dyspepsia K30 75