Implementation of Lean Kaizen to Reduce Waiting Time for the Indonesian Health Social Security Agency Prescription Services in Hospital Pharmacy InstallationImplementation of Lean Kaizen to Reduce Waiting Time for the Indonesian Health Social Security Agency Prescription Services in Hospital Pharmacy Installation

BACKGROUND: The second largest Health Social Security Agency (BPJS) outpatients visits in Hospital Pharmacy Installation, Indonesia, has reached 450-600 visits / day between 2017 and 2018. This has an impact on the number of prescriptions to be served. Simultaneous doctor practice schedule and less human resources are the reasons for not achieving the service standard time set by the Ministry of Health (≤60 minutes for concoctions and ≤30 minutes for non-concoctions). AIM: The purpose of this study was to determine the waiting time for BPJS prescription services in the current state and future state after the implementation of lean kaizen through Plan-Do-Check-Act (PDCA) approach at Grha Permata Ibu (GPI) Hospital. METHODS: The research method is operational research with qualitative and quantitative approaches through direct observation and in-depth interviews. RESULTS: The implementation of lean kaizen decreased the lead time from 135.31 minutes to 9.11 minutes in scenario-1 and 7.49 minutes in scenario-2 and a decrease in lead time from 185.17 minutes to 31.09 minutes in scenario-1 and 29,15 minutes in scenario-2 for the concoctions. PDCA in lean kaizen is for use in conditions where waste is most closely related to human behavior, but there is still a waste motion that has not been intervened. CONCLUSION: This study suggests an updating information to prioritize changes in pharmaceutical layout, carry out continuous monitoring, and encourage IT to develop IT-based pharmaceutical services.

Peranan Jaksa Pengacara Negara dalam Menyelesaikan Kasus Mewakili Badan Penyelenggara Jaminan Sosial (BPJS) Ketenagakerjaan di Denpasar

The prosecutor as the recipient of the power of attorney in a special power of attorney, which in this case represents employment BPJS, handles legal issues related to entrepreneurs who have not registered themselves and staff as members of the Manpower Dependent Program. The purposes of this study are to reveal the role of state attorneys in resolving cases representing the Social Security Administering Body (BPJS) for employment in Denpasar and the efforts of state attorneys to resolve cases representing BPJS for employment in Denpasar. This type of research is sociological with an empirical juridical approach. Data collection techniques were carried out by literature study, observation, interviews related to this research. Sources of data used in the form of secondary and primary data which are then analyzed systematically. The results of the study indicate that the role of the State Attorney's Attorney in resolving cases representing BPJS Ketenagakerjaan as a legal counsel with a Special Power of Attorney to resolve the company has not recorded itself and its staff in the Manpower Dependent Program. While the efforts of State Lawyers in resolving cases representing BPJS Ketenagakerjaan, with a Special Power of Attorney from BPJS Ketenagakerjaan, State Attorneys act in terms of providing non-litigation legal assistance by mediating business entities and individuals who do not register as members of the Employment Social Security Agency or have not complied with the payment of fees

DESCRIPTION OF PATIENT SATISFACTION HEALTH SOCIAL SECURITY AGENCY (BPJS) OUT PATIENT TO PHARMACEUTICAL SERVICES AT KANUDJOSO DJATIWIBOWO HOSPITAL BALIKPAPAN WITH IMPORTANCE PERFORMANCE ANALYSIS (IPA) METHOD

DESCRIPTION OF PATIENT SATISFACTION HEALTH SOCIAL SECURITY AGENCY (BPJS) OUT PATIENT TO PHARMACEUTICAL SERVICES AT KANUDJOSO DJATIWIBOWO HOSPITAL BALIKPAPAN WITH IMPORTANCE PERFORMANCE ANALYSIS (IPA) METHOD

Dokter Tunggu, A Hospital Application for Patient of Healthcare and Social Security Agency

PT. Zaps Technology is a company engaged in technology and information by producing application products with the name Dokter Tunggu (Doku). The application was created to eliminate queues that often occur in Healthcare and Social Security Agency patient services at level I Hospitals and Health Facilities. Place of company at Bekasi Jawa Barat, The location is said to be chosen because Bekasi is one of the supporting areas for the capital city and has a variety of complete business facilities. This company's strategy is to create innovations in Healthcare and Social Security Agency patient services where the application made has various features that are able to eliminate queues. The application has an online referral menu on the application so that Hospitals, Level I Facilities and Healthcare and Social Security Agency patients are easier to take advantage of BPJS services. The waiting doctor application will display real time conditions at the referral hospital so that BPJS users can monitor the condition of BPJS services at the destination Hospital. Keywords: Dokter Tunggu, Hospital, Online Sevice, Business Planning.

Implications of Social Inequality for Soldiers in Health Services of the Indonesian National Armed Forces Managed by the Social Security Agency

This scientific journal research analyzes Law No. 24 of 2011 on health services for the Indonesian National Armed Forces (TNI) sector along with their families included in the national health insurance managed by the Healthcare and Social Security Agency (BPJS) and its implementation regulated in the Presidential Regulation and Health Minister Regulation. However, the implementation of the BPJS health insurance at the TNI institutions does not show effective results, and it tends to decline. Therefore, it is necessary to interpret various factual factors affecting the success of the implementation process of health service delivery policies, which will be useful for finding synergies in the implementation of health services in the TNI. This research on the implementation of policies in the TNI health services was a scientific activity prepared using certain types and strategies and at the same time viewed from certain aspects which had several types and strategies. Therefore, this research used the descriptive qualitative method. Six factors should be interpreted to know the implementation of the TNI health service policy under Law No. 24 of 2011, namely; 1) policy standards and objectives, 2) resources, 3) characteristics of the implementing organization, 4) attitudes of the implementers, 5) communication among organizations related to implementation activities, 6) social, economic and political environments. All these factors synergize with each other and affect health services to TNI, which are administered by BPJS.

Kepuasan Pasien Terhadap Pelayanan Kesehatan di Klinik Pratama

ABSTRAK Pelayanan kesehatan merupakan salah satu faktor yang memengaruhi derajat kesehatan masyarakat. Berdasarkan data terjadi penurunan pasien sejak bulan Januari – Juni 2020. Studi pendahuluan tentang kepuasan pasien terhadap pelayanan kesehatan di Klinik Pratama Akbid Muhammadiyah Cirebon didapatkan bahwa dari 10 orang masih ada 2 orang (20%) yang belum merasa puas terhadap pelayanan kesehatan yang meliputi kepuasan terhadap pelayanan loket pendaftaran, pelayanan dokter umum, pelayanan perawat, pelayanan dokter gigi, pelayanan bidan, pelayanan fasilitas medis dan non medis, dan keadaan lingkungan fisik. Tujuan penelitian untuk mengetahui kepuasan pasien terhadap pelayanan kesehatan di Klinik Pratama Akbid Muhammadiyah Cirebon. Jenis penelitian ini adalah deskriptif tentang kepuasan pasien terhadap pelayanan meliputi loket pendaftaran, pelayanan dokter, dan pelayanan perawat dengan subvariabel berwujud, keandalan, empati, ketanggapan, dan jaminan. Populasi adalah pasien yang datang ke Klinik pada tanggal 30 November s.d 12 Desember 2020 dengan accidental sampling sebanyak 39 orang. Instrumen menggunakan kuesioner yang berisi 15 item. Hasil penelitian didapatkan tingkat kepuasan pasien terhadap pelayanan kesehatan dalam aspek berwujud 92,09%, keandalan 89,74%, empati 94.15%, ketanggapan 93.15%, dan jaminan 91.32%. Tingkat kepuasan secara keseluruhan 92.09 % dikategorikan puas. Tidak ada hubungan antara jenis kelamin, umur, pendidikan, pekerjaan, kepesertaan BPJS. Kata kunci: pelayanan kesehatan; tingkat kepuasan; klinik pratama Patient's Satisfaction towards Health Services in the Pratama Clinic ABSTRACT Health services are one of the factors that affect the health status of the community. Based on the data, there was a decrease in patients from January to June 2020. A preliminary study on patient satisfaction with health services at the Pratama Akbid Muhammadiyah Clinic of Cirebon found that out of 10 people there were still 2 people (20%) who were not satisfied with the health services at the Akbid Muhammadiyah Pratama Clinic of Cirebon which includes satisfaction with registration counter services, general practitioner services, nurse services, dentist services, midwife services, medical and non-medical facilities services, and the state of the physical environment. The purpose of this study was to determine the description of patient satisfaction with health services at the Akbid Muhammadiyah Pratama Clinic of Cirebon. This type of research was descriptive research. The research variable was patient satisfaction with services at the Primary Clinic Akbid Muhammadiyah of Cirebon which includes registration counters, doctor services, and nurse services with tangible subvariables, reliability, empathy, responsiveness, and assurance. The study population was patients who came to the clinic on 30 November to 12 December 2020. The sampling method was accidental sampling. The samples obtained were 39 people. Data collection started from the opening hours of registration until it was completed. The research instrument used a questionnaire containing 15 items. The results of the study were analyzed by comparing expectations and experiences that describe the level of patient satisfaction with health services in tangible aspects 92.09%, reliability 89.74%, empathy 94.15%, responsiveness 93.15%, and assurance 91.32%. The overall satisfaction level of 92.09% is categorized as satisfied. Bivariate analysis results: there is no relationship between gender, age, education, occupation, Health Social Security Agency membership. Keywords: health services; primary clinic; satisfaction level

Perlindungan Hukum Peserta Program Jaminan Hari Tua pada Badan Penyelenggara Jaminan Sosial Ketenagakerjaan atas Penunggakan Pembayaran Iuran oleh Pemberi Kerja

The research objectives were to analyze the legal protection of participants of the old age guarantee program as well as the threat of sanctions for companies that delinquent payment of Social Security Agency for Employe (BPJS Employment) dues. The research used a juridical-sociological approach with a type of sociolegal research. Data sources in the form of primary, secondary, and tertiary data were analyzed qualitatively. Legal protection of participants of the old age guarantee program consisted of preventive legal protection, namely through Government Regulation Number 60 of 2015, and repressive legal protection based on internal Standard Operating Procedure (SOP) from BPJS Employment provided if the company in question delinquent dues payment. The threat of sanctions for companies that delinquent payment of BPJS Employment dues was in the form of administrative sanctions, although in practice the sanctions were considered ineffective to be applied.

Implementasi Undang-Undang Republik Indonesia Nomor 24 Tahun 2011 Tentang Badan Penyelenggara Jaminan Sosial pada Pasien Rawat Inap di Rumah Sakit Bhayangkara Palembang

The implementation of social security is regulated in Law Number 24 of 2011 on Healthcare and Social Security Agency (hereinafter abbreviated BPJS). Although it has been implemented quite well, there are still things that have not been done optimally. This study aims to determine how the implementation of Law Number 24 of 2011 at Bhayangkara Hospital, Palembang. This research method is qualitative, primary data were collected through observation and interviews. Parameters measured based on the policy implementation model developed by Edward III include communication, resources, disposition, and organizational structure. The results showed that the communication was good, both from the socialization and the existence of supporting tools for notification posters related to BPJS. Resources include friendly employee attitudes and courtesy, the services provided are satisfying and the flow is easy to follow. In the aspect of disposition, all implementers at Bhayangkara Hospital are honest, committed, and democratic. Some of the problems that exist are the lack of human resources at Bhayangkara Hospital compared to the number of patients, lack of medical equipment, the BPJS claim process is still inefficient, and the existence of arrears in payments from the BPJS.