Implementation of the Standard Inpatient Class Policy at RSUP Dr. Tadjuddin Makassar

  • Muhammad Alwy Arifin Departement of Health Policy and Administration, Faculty of Public Health, Hasanuddin University, Makassar, 90245, Indonesia
  • Andi Luthfiyyah Anna Departement of Health Policy and Administration, Faculty of Public Health, Hasanuddin University, Makassar, 90245, Indonesia
  • Dian Saputra Marzuki Departement of Health Policy and Administration, Faculty of Public Health, Hasanuddin University, Makassar, 90245, Indonesia
  • Sukri Palutturi Departement of Health Policy and Administration, Faculty of Public Health, Hasanuddin University, Makassar, 90245, Indonesia
  • Ryryn Suryaman Prana Putra Departement of Health Policy and Administration, Faculty of Public Health, Hasanuddin University, Makassar, 90245, Indonesia
Keywords: Policy, Standard Inpatient Class, National Health Insurance, Hospital

Abstract

Background: Based on Presidential Regulation No. 59 of 2024, which replaces Presidential Regulation No. 82 of 2018 on Health Insurance, the implementation of the Standard Inpatient Class (KRIS) is mandated for four types of hospitals in Indonesia, including RSUP Dr. Tadjuddin Chalid Makassar. The KRIS policy must be implemented in all hospitals in Indonesia cooperating with BPJS Health by June 30, 2025. However, the current implementation of KRIS primarily focuses on adjusting medical facilities and infrastructure toward a single class.  To analyze the implementation of the KRIS policy at RSUP Dr. Tadjuddin Chalid Makassar in 2024 based on Input and Process aspects.

Method: This study employed descriptive research with a qualitative approach, using interviews, observations, and document reviews conducted from February to March 2024 at RSUP Dr. Tadjuddin Chalid Makassar. Eleven informants were selected using purposive sampling.  

Result: The "Man" input is adequate but faces obstacles. There is no specific budget allocation ("Money") and no difference in financial management before and after policy implementation. "Material" needs are not fully met, and there are established "Methods" or rules for implementing the KRIS policy.  

Conclusion: Overall, the implementation of KRIS at RSUP Dr. Tadjuddin Chalid Makassar, as a pilot hospital for KRIS, has been successful. However, several variables still need improvement. It is recommended that the hospital enhance its strategies in various aspects of KRIS policy implementation.

References

Aileen, S., Jati, S. P., Purnami, C. T., & Masyarakat, M. K. (2024). Mitigation of Inpatient Standard Class Risk at Hospital X. Eduvest-Journal of Universal Studies, 4(05), 3928–3937. http://eduvest.greenvest.co.id

Apriani Landa. (2023). KRIS JKN Berlaku 2025, Ini Aturan Penerapannya. Sudah Uji Coba di RSUP Dr Tadjuddin Chalid Makassar. Tribun Toraja. https://toraja.tribunnews.com/2023/02/11/kris-jkn-berlaku-2025-ini-aturan-penerapannya-sudah-uji-coba-di-rsup-dr-tadjuddin-chalid-makassar

Beauchemin, M., Cohn, E., & Shelton, R. C. (2019). Implementation of Clinical Practice Guidelines in the Health Care Setting: A Concept Analysis. Advances in Nursing Science, 42(4), 307–324. https://doi.org/10.1097/ANS.0000000000000263

Crable, E. L., Biancarelli, D., Walkey, A. J., & Drainoni, M. L. (2020). Barriers and Facilitators to Implementing Priority Inpatient Initiatives in The Safety Net Setting. Implementation Science Communications, 1(1). https://doi.org/10.1186/s43058-020-00024-6

Deonisia Arlinta. (2024). Implementasi Kelas Rawat Inap Standar Masih Tunggu Revisi Aturan.

Devi Afni, & Adang Bachtiar. (2022). Analisis Kesiapan Implementasi Kelas Rawat Inap Standar: Studi Kasus Di Rs Wilayah Kabupaten Tangerang (PP No 47 Tahun 2021). Syntax Literate: Jurnal Ilmiah Indonesia, 7(5), 6634–6654. https://jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/7224

Engga Mardiana Safa’ah. (2019). Pengaruh Kompetensi Sumber Daya Manusia (SDM) Terhadap Kinerja Karyawan (Studi Kasus di BMT Arsyada Kantor Cabang Gaya Baru VIII). Institut Agama Islam Negeri (IAIN) Metro.

Hartini Retnaningsih. (2022). Rencana Penghapusan Kelas Peserta BPJS Kesehatan. Info Singkat, 14(1), 25–30. https://berkas.dpr.go.id/pusaka/files/info_singkat/Info%20Singkat-XIV-1-I-P3DI-Januari-2022-1953.pdf

Indonesia. (2024). Peraturan Presiden (Perpres) Nomor 59 Tahun 2024 tentang Perubahan Ketiga atas Peraturan Presiden Nomor 82 Tahun 2018 tentang Jaminan Kesehatan. LN 2024 (82)?: 33 Hlm.; Jdih.Setneg.Go.Id. https://peraturan.bpk.go.id/Details/285181/perpres-no-59-tahun-2024

Kartalina, Y., Widodo, T., Magister Kesehatan Masyarakat, P., Andalas Padang, U., & BKKBN Sumbar, P. (2021). Studi Implementasi Kebijakan Peraturan Menteri Kesehatan No.97 Tahun 2014 Tentang Pemeriksaan Status Anemia Catin Wanita Di Puskesmas Wilayah Kerja Koto Tangah. Jurnal Human Care, 6(2), 471–478. https://ojs.fdk.ac.id/index.php/humancare/article/download/1265/506

Kurniawati, G., Jaya, C., Andikashwari, S., Hendrartini, Y., Dwi Ardyanto, T., Iskandar, K., Muttaqien, M., Hidayat, S., Tsalatshita, R., & Bismantara, H. (2021). Kesiapan Penerapan Pelayanan Kelas Standar Rawat Inap dan Persepsi Pemangku Kepentingan. Jurnal Jaminan Kesehatan Nasional, 1(1), 33–43. https://doi.org/10.53756/jjkn.v1i1.15

Maharani F, Tambunan NFA, & Nasution. (2022). Administrasi Keuangan dan Sarana Prasarana. Edu Manag, 1–15.

Monika Shanty Ista Purta, Nur Fitriyah, & Adhitya Bayu Suryantara. (2022). Analisis Pengakuan, Pengukuran dan Pengungkapan Pendapatan pada Rumah Sakit Umum Daerah Kota Mataram. Jurnal Risma, 2(1), 29–42. https://jurnal.fe.unram.ac.id/index.php/risma/article/download/183/124

Nisa. (2023). Pengertian KRIS ( Kelas Rawat Inap Standar) Pengganti Kelas BPJS Kesehatan. Metro News.

Nora Lelyana. (2023). Manajemen Strategis dalam Pelayanan Kesehatan Masyarakat (Pantja Djati, Ed.). Indonesia Emas Group.

Pramana, P., & Chairunnisa Widya Priastuty. (2023). Perspektif Masyarakat Pengguna BPJS Kesehatan mengenai Kebijakan Kelas Rawat Inap Standar (KRIS). Jurnal Jaminan Kesehatan Nasional, 3(1). https://doi.org/10.53756/jjkn.v3i1.98

Putri, D. A., Ramadhanty, R. W., Oktaviani, W., Gurning, F. P., Negeri, U. I., & Utara, S. (2022). Analisis Respon Masyarakat dalam Implementasi Kebijakan Kelas Standar BPJS Kesehatan di Desa Bandar Selamat Kecamatan Aek Songsongan. HUMANTECH: JURNAL ILMIAH MULTIDISPLIN INDONESIA, 1(8), 1121–1128. https://journal.ikopin.ac.id/index.php/humantech/article/view/1953/1632

Sundoro, T. (2020). The Implementation of Inpatient Identification In Hospital X Yogyakarta. Jurnal Manajemen Kesehatan Indonesia, 8(3), 167–177. https://ejournal.undip.ac.id/index.php/jmki/article/view/30137

Trisaksono, A., Harun, & Rizka. (2023). Implementation Classification of Hospital Class and Humanist Standard Inpatient Class in Purwakarta. International Journal of Science and Society, 5(5), 2023. http://ijsoc.goacademica.com

V. Wiratna Sujarweni. (2022). Metode Penelitian. Pustaka Baru Press.

Xiong, B., Stirling, C., & Martin-Khan, M. (2023). The Implementation and Impacts of National Standards for Comprehensive Care in Acute Care Hospitals: An Integrative Review. In International Journal of Nursing Sciences (Vol. 10, Issue 4, pp. 425–434). Chinese Nursing Association. https://doi.org/10.1016/j.ijnss.2023.09.008

Published
2024-11-05
How to Cite
Muhammad Alwy Arifin, Andi Luthfiyyah Anna, Dian Saputra Marzuki, Sukri Palutturi, & Ryryn Suryaman Prana Putra. (2024). Implementation of the Standard Inpatient Class Policy at RSUP Dr. Tadjuddin Makassar. Journal of Public Health and Pharmacy, 4(3), 238-245. https://doi.org/10.56338/jphp.v4i3.5951
Section
Public Health Articles