Strategi Pengendalian Biaya Rumah Sakit Islam Pati Berbasis Tarif INA-CBGs
DOI:
https://doi.org/10.35870/emt.v10i1.5096Keywords:
Cost Containment, Hospital Management, INA-CBG’s, Clinical PathwayAbstract
The discrepancy between INA-CBG’s rates and actual hospital costs remains a pressing issue. This study aims to formulate optimal cost-control strategies at Rumah Sakit Islam Pati in response to the gap between operational expenses and the INA-CBG’s reimbursement system. Employing a qualitative approach with a case study design, the research involved 11 informants from various hospital units. Data were collected through in-depth interviews, observation, and document analysis, and analyzed thematically. The findings revealed five key strategies: workflow optimization, implementation of electronic medical records, application of Lean Hospital principles, need-based resource allocation, and mitigation of internal and external barriers. The study highlights that successful cost control depends heavily on system integration, cross-unit coordination, and a culture of efficiency within the hospital. The study concludes that cost-control strategies must be comprehensive, collaborative, and adaptive to policy dynamics related to INA-CBG’s rates.
Downloads
References
Ananta, I. (2018). Penerapan pola pembayaran INA-CBGs BPJS Kesehatan dalam tinjauan regulasi dan implementasi. PROSIDING Seminar Nasional Dan Call for Papers “Tantangan Pengembangan Ilmu Akuntansi, Inklusi Keuangan, Dan Kontribusinya Terhadap Pembangunan Ekonomi Berkelanjutan, 275–290.
Anna, T., Caterina, P., & Chiara, V. (2022). Health lean management implementation in local health networks: A systematic literature review. Operations Research Perspectives, 9(October), 100256. https://doi.org/10.1016/j.orp.2022.100256.
Arofah, A. N., Noor, V. M. M., Setyawan, F. E. B., & Shihab, D. A. S. (2022). Dampak akibat implementasi program JKN terhadap biaya kesehatan di fasilitas kesehatan tingkat lanjutan. CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal, 3(2), 64–72. https://doi.org/10.37148/comphijournal.v3i2.104.
Cucu, Nuraeni, H., & Muryani, A. (2019). Analisis beban kerja perawat di ruang rawat inap Rumah Sakit Gigi Mulut Universitas Padjadjaran tahun 2018. JSK, 4(4), 164–172.
Dwiaji, A., Sarnianto, P., Thabrany, H., & Syarifudin, M. (2016). Evaluasi pengadaan obat publik pada JKN berdasarkan data e-catalogue tahun 2014-2015. Jurnal Ekonomi Kesehatan Indonesia, 1(1). https://doi.org/10.7454/eki.v1i1.1933.
Fenilho, Y., & Ilyas, J. (2023). Evaluasi penerapan rekam medis elektronik rawat inap di RS X Bengkulu Utara: Sistem dan pengguna. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 11(2), 142–149. https://doi.org/10.33560/jmiki.v11i2.583.
Fitria, A., Armani, A. S., Rochmah, T. N., Purwaka, B. T., & Pudjirahardjo, W. J. (2021). Penerapan clinical pathways sebagai instrumen pengendalian biaya pelayanan: Studi penelitian tindakan penderita BPJS yang menjalani operasi caesar dengan sistem pembayaran INA-CBG. Jurnal Keperawatan Silampari, 4(2), 593–599. https://doi.org/10.31539/jks.v4i2.1546.
Hansen, S., & Baroody, A. J. (2023). Beyond the boundaries of care: Electronic health records and the changing practices of healthcare. Information and Organization, 33(3), 100477. https://doi.org/10.1016/j.infoandorg.2023.100477.
Hidayah, R. R. (2023). Pengaruh pengetahuan, kepatuhan, dan prosedur terhadap implementasi klaim INA-CBG’s dengan komunikasi terbuka tentang kendali mutu dan biaya sebagai variabel moderasi di Rumah Sakit X Serang 1. Jurnal Ilmu Pengetahuan Sosial, 10(10), 4131–4148.
Klein, A., Mathauer, I., Stenberg, K., & Habicht, T. (2020). Diagnosis-related groups: a question and answer guide on case-based classification and payment systems. Geneva: WHO.
Laila, L. (2024). Evaluasi penerapan sistem informasi manajemen rumah sakit (SIMRS): Studi literatur. 7(4), 710–723.
Laila, M. I. K., Pribadi, M. S. W., Ariyanto, O. S., & ... (2024). Faktor penghambat pelaksanaan rekam medis elektronik di rumah sakit: Narrative review. Informasi Kesehatan, 65–71. https://doi.org/10.33560/jmiki.v12i1.645.
Lawler, W. C. (2024). Activity-based costing. In The Portable MBA in Finance and Accounting (pp. 340–355). https://doi.org/10.1002/9781118257494_13.
Mahmoud, Z., Angelé-Halgand, N., Churruca, K., Ellis, L. A., & Braithwaite, J. (2021). The impact of lean management on frontline healthcare professionals: A scoping review of the literature. BMC Health Services Research, 21(1), 1–11. https://doi.org/10.1186/s12913-021-06344-0.
Maryani, F. (2023). Permenkes No 3 Tahun 2023 tentang standar tarif pelayanan kesehatan. 3, 1–4.
Musa, S., Dergaa, I., Yasin, R. A. S., & Singh, R. (2023). The impact of training on electronic health records related knowledge, practical competencies, and staff satisfaction: A pre-post intervention study among wellness center providers in a primary health-care facility. Journal of Multidisciplinary Healthcare, 16(May), 1551–1563. https://doi.org/10.2147/JMDH.S414200.
Ong, M. V., & Vigonte, F. (2024). Enhancing financial performance: Cost management strategies in healthcare organizations. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4862408.
Purwadi, K. (2019). Efektivitas Penerapan INA-CBG di Rumah Sakit (Analisis Penerapan Permenkes RI No. 76 Tahun 2016 tentang Pedoman Indonesian Case Base Groups (INA-CBG) Dalam Pelaksanaan JKN di Rumah Sakit Emanuel Banjarnegara). Jurnal Idea Hukum, 5(2).
Rabiulyati, M., & Nurwahyuni, A. (2023). Strategi efisiensi rumah sakit di era JKN: Literature review. Jurnal Kesehatan Tambusai, 4(2), 2579–2592. https://doi.org/10.31004/jkt.v4i2.15562.
Rahmatiqa, C., Sulrieni, I. N., Dasril, O., Syedza, S., & Padang, S. (2021). Implementation of hospital unit costs with INA-CBGS rates. Health Sciences, 39(SeSICNiMPH), 160–172.
RI, K. (2023). Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2023 Tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan.
Rizky, D., & Tiorentap, A. (2020). Manfaat penerapan rekam medis elektronik di negara berkembang: Systematic literature review. Health Information Management Journal ISSN, 8(2), 2655–9129.
Saputra Mokoagow, D., Mokoagow, F., Pontoh, S., Ikhsan, M., Pondang, J., & Paramarta, V. (2024). Sistem informasi manajemen rumah sakit dalam meningkatkan efisiensi: Mini literature review. COMSERVA: Jurnal Penelitian Dan Pengabdian Masyarakat, 3(10), 4135–4144. https://doi.org/10.59141/comserva.v3i10.1223.
Sofianto, A. (2020). Services innovation based on information technology in hospital as a form bureaucratic reform. Jurnal Litbang Provinsi Jawa Tengah, 18(1), 81–102.
SUGIYONO, M. (2020). METODE PENELITIAN KUALITATIF. Untuk Penelitian yang Bersifat Eksploratif, Enterpretif, interaktif, dan konstruktif. Cocok untuk 1. Mahasiswa SI, S2, dan S3. 2. Dosen dan peneliti Ed. 3 Cet. 3 Thn. 2020.
Suresh, S., Rani, A., Patwa, P., Reganti, A., Jain, V., Chadha, A., Das, A., Sheth, A., & Ekbal, A. (2024). Overview of Factify 5WQA: Fact verification through 5W question-answering. http://arxiv.org/abs/2410.04236.
Usman, I. (2020). Lean hospital management implementation in health care service: A multicase study. Systematic Reviews in Pharmacy, 11(3), 361–367. https://doi.org/10.5530/srp.2020.3.45.
Usman, I., & Ardiyana, M. (2017). Lean hospital management, studi empiris pada layanan gawat darurat. Jurnal Manajemen Teori Dan Terapan | Journal of Theory and Applied Management, 10(3), 257. https://doi.org/10.20473/jmtt.v10i3.7089.
Wardani, R. W., Muhammad, I. N., Abidin, A. Z., & Setiawan, D. (2022). Optimalisasi SIM-RS dalam pendaftaran pasien online di RSUD SLG Kediri. Jurnal Kreativitas Dan Inovasi (Jurnal Kreanova), 2(3), 93–97. https://doi.org/10.24034/kreanova.v2i3.5343.
Zulfikar, A., Nyorong, M., & Nuraini, N. (2023). Evaluasi Implementasi SIMRS Rawat Jalan Terhadap Sistem Pelaporan Klaim BPJS di RSUD Aek Kanopan Kabupaten Labuhan Batu Utara. Journal of Healthcare Technology and Medicine, 9(1), 612-622. https://doi.org/10.33143/jhtm.v9i1.2884.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Lia Mirawati, Erliany Syaodih, Nining Handayani
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1. Copyright Retention and Open Access License
Authors retain copyright of their work and grant the journal non-exclusive right of first publication under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
This license allows unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2. Rights Granted Under CC BY 4.0
Under this license, readers are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, including commercial use
- No additional restrictions — the licensor cannot revoke these freedoms as long as license terms are followed
3. Attribution Requirements
All uses must include:
- Proper citation of the original work
- Link to the Creative Commons license
- Indication if changes were made to the original work
- No suggestion that the licensor endorses the user or their use
4. Additional Distribution Rights
Authors may:
- Deposit the published version in institutional repositories
- Share through academic social networks
- Include in books, monographs, or other publications
- Post on personal or institutional websites
Requirement: All additional distributions must maintain the CC BY 4.0 license and proper attribution.
5. Self-Archiving and Pre-Print Sharing
Authors are encouraged to:
- Share pre-prints and post-prints online
- Deposit in subject-specific repositories (e.g., arXiv, bioRxiv)
- Engage in scholarly communication throughout the publication process
6. Open Access Commitment
This journal provides immediate open access to all content, supporting the global exchange of knowledge without financial, legal, or technical barriers.
