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PRO S ES BIS N IS
PELAYA N A N PA S IEN RU M A H SA K IT
DI ER A JKN
DEFEN IS I PRO SES BISN IS
Se ran gka ian aktiv itas bisn is
yan g disu su n se cara sp e sifik ,
be rgantu n g pad a atu ran bisn is
yan g dite rap kan ole h se tiap
pe ru sah aan .
KEG U N A A N M en gan a lis is pen cap a ian pen in gkatan
kua litas & pen d ap atan yan g diin g in kan ole h
RS.
M en gatu r setiap dep artem e n / un it.
M en gatu r aktiv itas op e rasio n a l den gan
pen d e katan siste m atik .
CIR I PR O D U K PELAYA N A N RS
a. M eru pa kan keg iatan yan g terb ukti co st
effective .
b. Tida k bertentan ga n den ga n prin sip
m ed ik .
d. Pro du k m e nga cu pad a ko nsep
evid en ce ba se d m ed ic in e .
BA G A IM A N APR O S E S BIS N IS
PE L AYA N A N RU M A H SA K IT
DI ER A JK N
1. Do kter
2.Pasie n
3. Karyaw a n RS
4. Ow n e r
6. BPJS
7. Pe m e rintah
-50000 00 00,0
10000 00 000,0
15000 00 000,0
20000 00 000,0
25000 00 000,0
30000 00 000,0
35000 00 000,0
1 2 3 4 5 6 7 8 9
TARIF RS TARIF INAC BG S SELIS IH
PE N DA PATA N RA W AT INA P
DA RI PE S E RTA BP JS
-20000 00 00,0
40000 00 00,0
60000 00 00,0
80000 00 00,0
10000 00 000,0
12000 00 000,0
14000 00 000,0
JAN UARI FEBR U AR I MAR ET APRIL MEI JUNI JULI AGUS TU S SEPTE M B ER OKTOB ER
TAR IF RS
TAR IF INAC B G S
SELIS IH
PE N DA PATA N RA W AT JA LA N
DA RI PE S E RTA BP JS
PEN A M BA H A N RU A N G
PER AW ATA N
PE N G E M B A N G A N LA H A N RS
1 Ha
470 0 M 2
PELAYA N A N RU M A H SA K IT DI ER A
JKN
DI ERA JKN
( INA CBG S )
PELAYA N A N RS
( FE E FO R SERV IC E )
BAG A IM A N A IM P L E M E N TA S I NYA DI RS
RU G I ATAU TID A K
TA R IF RS vs INA CB G S
KLA IM BG M N ? LA M A ?
BAG A IM A N A SIS T E M RE M U N E R A S I
PELAYA N A N RU M A H SA K IT DI ER A JK N
DO K TE
R
UM U M
DO K TE R
SPE S IA L I
S
DO K TE
R GIG I
13%
PR O P O R S I DO K T E R
33%
54%
KEC U K U PA N TA R IF IN A CB G S ??
CU KU P BU K A N DIN ILA I DEN G A N PER A SA A N / PERSE P SI
CU KU P ADA LA H HA SIL PER B A N D IN G A N :
INA CB G S < TAR IF RS
INA CB G S = TAR IF RS
INA CB G S > TAR IF RS
SUDA H KA H TAR IF RS DIH IT U N G DEN G A N BE N A R ??
PR IN S IP DA S A R PE R U BA H A N
PA R A D IG M A
FF S CB G s
Rup
iah
Volum e pelaya n a n
Rup
iah
loss
tarif
Fix
price
Volum e pelaya n a n
Med ica l
Reco rd
CB G
Gro u pCodin g
Ele m e n Pe n tin g IN A -C B G
RS.M E D IK A DR A M A G A BO G O R
C o s t Co n ta in m e n t D i R S
AD MINIST R A SI
Pem eliha raa n
Manaje m e n
LIS T R IK. A IR , T E LP ON
K E NDA R A A N OBAT & BHP
O B A T & BH P
M A KA N A N
B A N G U N A N
A LA T N O N M E DIS
A LA T M E DIS
JK
N
IM P L E M E N TA S I IN A CB G S
DI RU M A H SA K IT
1.K O M IT M E N DA R I LE V E L ATA S sd BA W A H
2.H IT U N G UN IT CO S T
3.T IM PE N G E N D A L I, VE R IF IK A S I & CO D IN G
4. ME N C A R I MO D E L PE M BA G IA N JAS M E D (
RE M U N E R A S I )
5. NO N VA LU E AD D E D
PE R H IT U N G A N TA R IF
TA R IF = UN IT CO S T + % M A R G IN
PR O F IT
AC T IV IT Y BA S E CO S T IN G (A B C )
CLIN IC A L
PATH W AY
SP M
ST R U K T U R TIM PEN G EN D A LI
1. UN SU R DO K T ER UM U M
2. UN SU R RE K A M M E D IS
3 . UN SU R KE P E R AW ATA N
TU G A S TIM PE N G E N DA L I /
CO D IN G
PEN G IS IA N RE S U M E ( DG N DR UM U M LA IN N YA )
PEN G E N D A L I PEL AYA N A N BE R D A S A R K A N SPM
ME LA K U K A N CO D IN G
MO N ITO R IN G LO S , BH P & OBAT ( DG N
KO O R D IN ATO R RA W AT INA P )
EVA LUA S I NO M IN A L HA S IL KLA IM ( DG N
KE UA N G A N )
EST IM A S I BIAYA TIN DA K A N VE R S I CB G S
EB E LU M TIN D A K A N ( DG N Dr SP E S IA L IS )
M A SA LA H YG SER IN G DIH A D A P I
TIM
KLA IM DI TO LA K
RESU M M E D IS TID A K AD A
STAT U S PA S IEN TID A K AD A
Dr.S PES IA L IS TD K KO PE R ATIF
KETE R LA M BATA N KLA IM
IN KO N SISTE N S I DA LA M BE R KO O R D IN A S I
TAR IF RS > CB G S
PA K ET PELAYA N A N
KO D E ICD JEN IS PE N YA K ITI 500 CHF
K 30 Dysp ep sia
A01 0 Typho id Fever
I 10 Hyp e rte n sio n
A 09 Diarrho e a
A 16 Tube rculo sis of Lung
E 63.1 Im ba la n ce Con stitu en t of Food
I 110 Hyp e rte n sive Hea rt Disea se
J 180 Pneu m o n ia
O 829 Partu s Spo n ta n
10 Cb g s Raw at Ina p
Te rb a n ya k
SE V E R IT Y LE V E L
N O BU L A N SL I SL II SL III
1 JA N U A R I 100 35 38
2 FE B R U A R I 100 60 73
3 M A R E T 99 88 68
4 A PR IL 101 134 64
5 M E I 87 157 59
6 JU N I 101 190 77
7 JU L I 114 181 113
8 AG U S T U S 161 239 132
9 SE P T E M B E R 125 246 144
TO TA L 988 133 0 710
RS.M E D IK A DR A M A G A BO G O R