COST CONTROL AND QUALITY CONTROL ANALYSIS IN INA‐DRG IMPLEMENTATION AT DR. H. A. ROTINSULU PULMONARY HOSPITAL BANDUNG

• Main Author: MEGARIANI RAMDHANIA (NIM : 291080600); Pembimbing: Ir. Subiakto Soekarno, MBA , IRMA
• Format: Theses
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/16103
• Institution: Institut Teknologi Bandung

INA&#8208;DRG is one form of innovations in the hospital cost system used to create flexibility and autonomy in order to create an efficient, transparent and accountable <br /> <br /> <br /> financial management. The assumption is that this system is a bundling tariff used to simplify cost system in the hospital as a whole, in particular to low income patient <br /> <br /> <br /> holding the Askeskin. Dr. H. A. Rotinsulu Pulmonary Hospital has implemented payment system of INA&#8208;DRG, but still questioning the effectivity of the systems. This paper compare the proxy control for cost and control of quality, before and after the INA&#8208;DRG implementation, with case study approach. From the analysis of cost control, total claim using INA&#8208;DRG tariff is higher that <br /> <br /> <br /> total claim using RSP tariff (meet the expected standard), while resulting an unsatisfying result in quality control, both inpatient and outpatient unit, as ALOS RSP is higher than ALOS INA&#8208;DRG and mostly frequency of patient visit is higher to ideal frequency <br /> <br /> <br /> (below the expected standard). By combining the two factors, real tariff allocation was calculated. The result is that service quality of INA&#8208;DRG is still below standard, indicated by the low real tariff allocation used per day (total tariff/LOS) By using current reality tree, the root of the main problem can be identified <br /> <br /> <br /> which is lack of adequate system to standardized action/steps taken for implementation of INA&#8208;DRG or standard operational procedure. This paper recommend several alternatives to increase the effectivity of implementation of INA&#8208;DRG in dr. H. A. Rotinsulu Pulmonary Hospital Bandung. Those alternatives are inspection report, information system of INA&#8208;DRG, creating filing system and flowcharf of INA&#8208;DRG.