Kesehatan Nasional (JKN) in , to increase the healthy quality standard of .. STANDAR PELAYANAN MEDIS DAN FORMULARIUM JAMKESMAS PADA. Hendrartini, () EVALUASI IMPLEMENTASI INA-CBGs KASUS Compliance with Jamkesmas formularium was %. 8/24/ AM Curriculum vitae Nama: Prof. dr. Ketua, Komite Nasional (KOMNAS) Penyusun Formularium Jamkesmas, KemKes RI 7. Ketua Tim.

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The amount of the bill for the diagnosis had been organized and endorsed by the Minister of Health Regulation No. The system is used to help a hospital manager controlling the physician’s behaviour.

formularium – [XLS Document]

The second increase cash flow by prioritizing process hospital claims were denied and formulatium if necessary. Although DRG-based payment systems are now mainly understood as a reimbursement mechanism, the original purpose was to enable performance comparisons across hospitals [ 10 ]. What is health financing for universal coverage? The method of determining cost using the INA-CBG’s system implemented by the hospital and the payer government represented by BPJS no longer specify the charges based on the details of the services provided but based on several important data, namely: According to JKN socialization handbook in the national social security system, the National Health Insurance is managed by the principle: The prospective payment There are two methods iamkesmas payment used for hospital that is retrospective and prospective payment method.

From the aspects of health care, in hospitals Surakarta provide the formularuum of service and premium-class treatment in accordance with their respective health insurance.

This system allows hospital managers to determine more accurately the type of resources to treat a particular group and to predict the cost of the treatment. Sardjito Yogyakartashows that the average value of hospital charges for treatment patients with the severity level I are much lower compared with rates of INA package CBG’s. Full text not 201 from this repository.


With a retrospective payment, a provider will treat a patient and submit an itemized bill to an insurance company detailing the services rendered. Based on some of the issues that use for this systematic review, the aim of this article is to describe the implementation of the INA CBGs system and its effect on public hospitals’ 201 performance.

One way to overcome the difference in costs is making a clinical-pathway which contain detailed essential steps to handle the patients, it consists of protocol therapy and the standard care ranging from admission to hospital discharge [ 13 ].

formularium 2010

INA-CBGs Payment System, Bahteramas Public Hospital of Southeast Sulawesi Province The results showed that the Bahtermas Public Hospital of Southeast Sulawesi Province in the implementation in has begun the significantly change to be better and optimal, including adequate human resources with good fformularium in every duty, medical records has begun equipped to the appropriate time, the target, and regulations which set jamiesmas by hospital management, facilities also available according to the needs in the INA-CBG system, and hospital revenue that increased in quantity compared to previous years.

European Research Studies, vol.

This new payment system can increase hospital efficiency so it will improve the financial performance as written in —Does prospective payment increase jamksmas in efficiency? The results showed that it had a positive impact on the financial aspects, namely the income hospitals can already covered all needs and operational expenditure jamkfsmas income derived from the implementation of the INA-CBGs, including from purchasing the drug has begun to be resolved, the food inpatients, maintenance is already entered.

Final 9 articles were included for qualitative synthesis. A surplus is one way to figure out a hospital financial performance [ uamkesmas ]. Journal of Medical Systems, vol. As jamkesams as Wahab Sjahranie has attempted to control cost and quality, but not effective in the case of diabetes with the peripheral circulatory disorders Jamkesmas inpatients in The system change influences the hospitals’ financial performance. This management principle underlies the whole management of funds derived from contributions of participants and the results of development.


Indonesia has reformed its national health insurance scheme. Starting with definition of the objectives of the DRG system, the most common diseases in each disease group should be first targeted so as to formulate pricing standards for each disease group and increase the feasibility of implementing Jamkeemas.

With all participants the obligation to pay contributions, there will be the principle of mutual cooperation where the healthy help the sick, the rich help the poor. The hospitals’ revenue is collected from services given to their patients.

Evaluasi Ketersediaan Obat Terhadap Formularium

It is expected to help public hospitals in identifying and anticipating problems in the INA CBGs system implementation. INA-CBGs rate is package rates that include all the components of hospital resources used in the service of both formulqrium and non-medical, the rates will not be affected by the days of treatment. There are two methods of payment used for hospital that is retrospective and prospective payment method.

Similar to the case mix group, this system is applied as an insurance payment system. On the other hand, prospective payment works by assigning a fixed payment rate to specific treatments. The previous researches obtained that Prospective Payment System intends to motivate providers to deliver patient’s health care effectively and efficiently.