Penerapan Strategi Manajemen Pengembangan Mutu Dan Hubungannya Dengan Kinerja Utilisasi Fasilitas Serta Kinerja Keuangan Di Rs. Haji Medan (2002 – 2007)

Abstract

Menyongsong globalisasi, mulai tahun 2000 RS Haji telah berproses memperbaiki mutu menurut protokol akreditasi “Self Assessment” anjuran KARS. Namun setelah menghasilkan beberapa perbaikan terutama dengan kenaikan tingkat utilisasi unit rawat inap (BOR), timbul suatu fenomena kesenjangan keuangan yang tidak logis, disaat rasio utilisasi fasilitas (BOR) justru meningkat. Telah dilakukan survei analitik untuk menganalisis hubungan antar variabel-variabel kinerja peningkatan mutu memakai pedoman Self Assessment, dengan rasio utilisasi fasilitas rawat inap (BOR), dan hubungan BOR dengan kinerja keuangan (Laba) di RS. Haji Medan. Populasi adalah data serial, meliputi: (1) kinerja Self Assessment, (2) Rasio Hunian Rawat Inap (BOR) dan (3) Kinerja Keuangan (Laba) dalam rentang tahun 2002-2007, yang dikumpulkan dari dokumen-dokumen RS. Haji Beberapa diantaranya diolah ulang dan sebagian dikumpulkan dari hasil diskusi bersama staf ahli di RS. Haji. Data dianalisis dengn menggunakan uji Spearman’s Rank Correlation. Hasil penelitian menunjukkan Self Assessment secara signifikan berkorelasi negatif dengan BOR (? = 0,005, ? = - 0,943) dan Laba (? = 0,042, ? = - 0,829), BOR dengan Laba dalam penelitian ini tidak memiliki korelasi yang signifikan (? = 0,072, ? = 0,771). Perolehan laba yang kecil terjadi karena semakin tingginya porsi utilisasi fasilitas RS. Haji oleh pasien Askeskin dengan cara pembayaran yang difiksasi pada awal periode dan tidak fleksibel terhadap harga pasar yang selalu labil. Rumah Sakit Haji dianjurkan merevisi sistem penetapan harga pelayanan terutama dengan pihak asuransi pelanggan, juga mengompensasi bertambahnya kebutuhan tenaga kerja ketika utilisasi fasilitas bertambah (BOR), dan merekrut tenaga profesional secukupnya untuk melanjutkan proses peningkatan mutu (Self Assessment).

To anticipate the globalization issue, since the year of 2000 Haji Hospital has started to improve the service quality through accreditation process recommended by KARS with a “Self Assessment” protocol. Although the process gained some achievements especially shown by the increasing of in patient facility utilization (BOR), financial gap has emerged, while the utilization of facility is increasing. A survey was carried out to analyze the relationship among variables of quality mprovement using Self Assessment guidance with the ratio of bed occupancy (BOR), and the relationship between BOR with the financial performance (Profit). The population is data series of: (1) Self Assessment, (2) The Bed Occupancy Rate (BOR), and (3) Financial performance (Profit) along the year of 2002 – 2007, which collected from Haji Hospital documents. Some of them were processed and other were collected from the discussion with experts of Haji Hospital. Data were analyzed by using Spearman’s Rank Correlation. The result of the study shows that Self Assessment has significant relationship with BOR (? = 0,005, ? = - 0,943) and Profit (? = 0,042, ? = - 0,829), BOR with Profit has no significant relationship (? = 0,072, ? = 0,771). The gain profit was caused the increasing portion of Askeskin who were paid by fixed price at the prior time and inflexible to the unstable market price. Haji Hospital is suggested to revise the sistem of pricing especially with the insurance company, to compensate the increasing of the huan resources demand when there is an increasing facility utilization (BOR), to recruit an adequate number of professional human resources to continue the quality improvement (Self Assessment).