ANALYSIS OF HOSPITAL MANAGEMENT STRATEGIES FOR NATIONAL HEALTH INSURANCE USING THE TOTAL QUALITY MANAGEMENT METHOD

MELVIN RIZKI ALHAMED, Ermi Girsang, Sri Lestari Ramadhani Nasution

Abstract


The success of the National Health Insurance (JKN) program is highly dependent on the ability of hospitals to implement adaptive management to changing community needs. This study aims to analyze the management strategy of Graha Bunda Hospital in facing JKN challenges through the implementation of Total Quality Management (TQM). The research uses an explanatory non-experimental quantitative approach with a focus on four main elements of TQM, namely patient focus, teamwork, continuous system improvement, and education and training. Data was collected through the distribution of questionnaires to 150 medical and paramedical staff. The results of the analysis using multiple linear regression showed that three of the four independent variables, namely patient focus (p = 0.002), continuous system improvement (p = 0.014), and education and training (p = 0.008), had a significant influence on hospital management strategies. Meanwhile, the teamwork variable showed statistically insignificant results (p = 0.089). A determination coefficient value (R²) of 0.62 indicates that the four TQM variables together are able to explain 62% of the variation in hospital management. The results of this study confirm that the application of TQM principles contributes positively to improving hospital quality management in the JKN era. Focusing on patients has been proven to be influential in improving the quality of health services, education and training that strengthens the competence of health workers, as well as efforts to improve the system that is sustainable as the foundation for improving services. Hospital management strategies that integrate TQM principles can help improve operational efficiency, strengthen prevention efforts, and provide services that are more responsive to patient needs. The consistent implementation of TQM can be a strategic approach for hospitals in answering the challenges of implementing JKN effectively. The success of the National Health Insurance (JKN) program is highly dependent on the ability of hospitals to implement adaptive management to changing community needs. This study aims to analyze the management strategy of Graha Bunda Hospital in facing JKN challenges through the implementation of Total Quality Management (TQM)

Keywords


Total Quality Management; JKN; Hospital Management; Management Strategy

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References


Abdalkareem, Z. A., Amir, A., Al-Betar, M. A., Ekhan, P., & Hammouri, A. I. (2021). Healthcare scheduling in optimization context: A review. Health and Technology, 11(3), 445–469. https://doi.org/10.1007/s12553-021-00547-5

Abu Daqar, M., & Constantinovits, M. (2020). The role of total quality management in enhancing the quality of private healthcare services. Problems and Perspectives in Management, 18(2), 64–78. https://doi.org/10.21511/ppm.18(2).2020.07

Ahmed, A., Siddiqi, A. R., Tahir, M. J., Saqlain, M., Hashmi, F. K., & Dujaili, J. A. (2021). Use of telemedicine in healthcare during COVID-19 in Pakistan:Lessons, legislation challenges and future perspective. Annals of the Academy of Medicine, Singapore, 50(6), 485–486. https://doi.org/10.47102/annals-acadmedsg.2020562

Al- Saffar, N. A. G., & Obeidat, A. M. (2020). The effect of total quality management practices on employee performance: The moderating role of knowledge sharing. Management Science Letters, 77–90. https://doi.org/10.5267/j.msl.2019.8.014

Ali, K. A. A., Addeeb, B. M., Al-Serouri, A., Mughalles, S., & Ghaleb, Y. (2022). The Impact of Total Quality Management on Health Services Improvement, Sana’a Hospitals, Yemen (2017-2020). E-Health Telecommunication Systems and Networks, 11(03), 109–130. https://doi.org/10.4236/etsn.2022.113008

Almuida, A., Tosepu, R., & Saptaputra, S. K. (2023). Analisis Kesiapsiagaan Struktural Dalam Menghadapi Bencana Di Rsud Kota Kendari 2022. Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo, 4(1). https://doi.org/10.37887/jk3-uho.v4i1.36102

Andika, M. I., Girsang, E., & Nasution, S. L. R. (2023). An Analysis of Total Quality Management (TQM) Implementation on BPJS Patients at Hospital Royal Prima Medan.

Ansyori, A. (2023). Tingkat Kepuasan Pasien Rawat Jalan terhadap Dimensi Mutu Pelayanan Tempat Pendaftaran. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(2), 557–570. https://doi.org/10.32583/pskm.v13i2.897

Babu, F., & Thomas, S. (2021). Quality management practices as a driver of employee satisfaction: Exploring the mediating role of organizational image. International Journal of Quality and Service Sciences, 13(1), 157–174. https://doi.org/10.1108/IJQSS-10-2019-0124

Chairunnisa, S. F., Darmawansyah, D., & Palutturi, S. (2022). Pengaruh Brand Image Terhadap Keputusan Menggunakan Pelayanan Rawat Jalan Rsud Haji Makassar: The Influence Of Brand Image On The Decision To Use Outpatient Services At Haji Hospital Makassar. Hasanuddin Journal Of Public Health, 3(2), 179–190. Https://Doi.Org/10.30597/Hjph.V3i2.21914

Daud William Marihot, T., & Ainun, M. (2022). Pengaruhtingkatpendidikandanpengalamankerjaterhadapkinerja Karyawan Bagian Keperawatan Rumah Sakit Umum Daerahpadangsidimpuan. Jurnal Akuntansi, Manajemen Dan Ilmu Ekonomi (Jasmien)

Devery, K., Winsall, M., & Rawlings, D. (2022). Teams And Continuity Of End-Of-Life Care In Hospitals: Managing Differences Of Opinion. Bmj Open Quality, 11(2), E001724. Https://Doi.Org/10.1136/Bmjoq-2021-001724

Ekawardani, N., Manampiring, A. E., & Kristanto, E. G. (2022). Analisis Faktor-Faktor Yang Berhubungan Dengan Persepsi Tenaga Kesehatan Terhadap Penerapan Budaya Keselamatan Pasien Di Rsup Prof. Dr. R. D.

Elhadi, M., Msherghi, A., Alkeelani, M., Alsuyihili, A., Khaled, A., Buzreg, A., Boughididah, T., Abukhashem, M., Alhashimi, A., Khel, S., Gaffaz, R., Ben Saleim, N., Bahroun, S., Elharb, A., Eisay, M., Alnafati, N., Almiqlash, B., Biala, M., & Alghanai, E. (2020). Concerns For Low-Resource Countries, With Under-Prepared Intensive Care Units, Facing The Covid-19 Pandemic. Infection, Disease & Health, 25(4), 227–232. Https://Doi.Org/10.1016/J.Idh.2020.05.008

Hadjri, I. M., & Perizade, B. (2019). Pengaruh Pendidikan Dan Pelatihan Terhadap Kinerja Pegawai Pada Bank Sumsel Babel Syariah. Jurnal Manajemen Dan Bisnis Sriwijaya, 16(3), 142–152. Https://Doi.Org/10.29259/Jmbs.V16i3.7377

Halawa, Y. N. E., Ginting, C. N., & Kurnia, M. A. (2022). Hubungan Penerapan Good Corporate Governance Dan Mutu Pelayanan Kesehatan Terhadap Kepuasan Pasien Unit Rawat Inap Di Rumah Sakit Umum Haji Medan. Jurnal Kesehatan Komunitas, 8(3), 496–505. Https://Doi.Org/10.25311/Keskom.Vol8.Iss3.1330

Haryanto, B., Panama, Z. S. O., Cahyono, E., & Fenitra, Ra. (2020). Peran Religiusitas Dalam Memoderasi Perilaku Loyal Pasien Terhadap Suatu Rumah Sakit Islam Pku Surakarta. Jurnal Studi Manajemen Dan Bisnis, 6(1), 15–30. Https://Doi.Org/10.21107/Jsmb.V6i1.6674

Hijayanti, S. (2020). Pengaruh Disiplin Kerja Terhadap Kinerja Perawat Di Rumah Sakit Dustira Cimahi, Jawa Barat

Ihsan, M., Kurnia Illahi, R., & Rachma Pramestutie, H. (2018). Hubungan antara Waktu Tunggu Pelayanan Resep dengan Tingkat Kepuasan Pasien Rawat Jalan BPJS terhadap Pelayanan Resep (Penelitian dilakukan di Instalasi Farmasi Rumah Sakit Universitas Muhammadiyah Malang). Pharmaceutical Journal of Indonesia, 3(2), 59–64. https://doi.org/10.21776/ub.pji.2017.003.02.4

Imran, B., & Ramli, A. H. (2019). Kepuasan Pasien, Citra Rumah Sakit Dan Kepercayaan Pasien Di Provinsi Sulawesi Barat. Prosiding Seminar Nasional Pakar. https://doi.org/10.25105/pakar.v0i0.4328

Kamaruddin, N. N., Rivai, F., & Zulkifli, A. (2021). An Analysis of The Effects of Total Quality Management (TQM) on Patient Satisfaction in Hospital: A Scoping Review. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(4), 110–129. https://doi.org/10.47616/jamrmhss.v2i4.218

Kang, J.-Y., Michels, A., Lyu, F., Wang, S., Agbodo, N., Freeman, V. L., & Wang, S. (2020). Rapidly measuring spatial accessibility of COVID-19 healthcare resources: A case study of Illinois, USA. International Journal of Health Geographics, 19(1), 36. https://doi.org/10.1186/s12942-020-00229-x

Lepistö, K., Saunila, M., & Ukko, J. (2024). Enhancing customer satisfaction, personnel satisfaction and company reputation with total quality management: Combining traditional and new views. Benchmarking: An International Journal, 31(1), 75–97. https://doi.org/10.1108/BIJ-12-2021-0749

Lestari, H. D. (2022). Relationship Of Nurse Therapeutic Communication With Patient Satisfaction In The Inpatient Room. JOURNAL OF NURSING RESEARCH, 2(1).

Lilis, N., Supramono, & Rachmatullaily. (2018). Rekrutmen Dan Pengelolaan Tim Kerja Yang Efektif Terhadap Kinerja Karyawan. Jurnal Ilmiah Inovator.

Nafi’a, Z. I. (2021). Faktor Kepuasan Pasien Terhadap Pelayanan Makanan di Rumah Sakit: Literature Review. Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo, 7(2), 233. https://doi.org/10.29241/jmk.v7i2.634

Novia Ayu, P., & Novi Lailiyul, W. (2022). Pengaruh Literasi Keuangan, Sikap Keuangan dan Self-Efficacy Terhadap Pengelolaan Keuangan Ibu Rumah Tangga. Jurnal Akutansi, 32. https://doi.org/10.24843/EJA.2022.v32.i06.p10

Oktoriani, E. N. (2023). Pengaruh Citra Rumah Sakit, Kualitas Layanan Terhadap Kepuasan dan Loyalitas Pasien BPJS Rawat Inap. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 11(1). https://doi.org/10.33560/jmiki.v11i1.525

Pangemanan, A. C., Rampengan, S. H., Sumampouw, O. J., & Manampiring, A. E. (2022). Faktor-faktor yang berhubungan dengan kepuasan pasien di instalasi rawat jalan Rumah Sakit Tingkat IV Lanud Sam Ratulangi Manado pada masa pandemi covid-19. Intisari Sains Medis, 13(1), 19–24. https://doi.org/10.15562/ism.v13i1.1289

Panggabean, A. N. (2022). Dampak Customer Relationship Management (Crm) Pada Kepuasan Pelanggan. https://doi.org/10.31219/osf.io/2ncjk

Puryanti, P. (2021). Analisis Pengaruh Perceived Service Quality terhadap Pemanfaatan Instalasi Rawat Jalan. JI-KES (Jurnal Ilmu Kesehatan), 5(1), 43–50. https://doi.org/10.33006/ji-kes.v5i1.246

Puspa, I. M., Subandriani, D. N., & Supadi, J. (2019). Hubungan Kepuasan Pelayanan Makanan Dan Sisa Makanan Dengan Kecukupan Gizi Pada Pasien Kelas Iii Di Rumah Sakit. JURNAL RISET GIZI, 7(2), 91–96. https://doi.org/10.31983/jrg.v7i2.5163

Rahmadiliyani, N., & Faizal, F. (2018). Kerahasiaan Rekam Medis Di Rumah Sakit Aveciena Medika Martapura. Jurnal Manajemen Informasi Kesehatan Indonesia, 6(2), 69. https://doi.org/10.33560/.v6i2.189

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433–450. https://doi.org/10.1037/amp0000298

Setiani, L. T., Girsang, E., & Nasution, S. L. R. (2024). Analisis Determinan Kepuasan Kerja Pegawai Di Rumah Sakit Umum Royal Prima, Medan.

Setiawati, A. N. M., P.V.L, S., & Z.F, W. (2021). Pengaruh Penerapan Pendidikan dan Pelatihan (Diklat) Online serta Motivasi Kerja terhadap Kinerja Pegawai Penunjang Medis. Jurnal Manajemen Kesehatan Indonesia, 9(3), 198–204. https://doi.org/10.14710/jmki.9.3.2021.198-204

Siagian, A. N., Girsang, E., & Siregar, S. D. (2025). Analisis Kualitas Mutu Pelayanan Kesehatan (Tangible, Reliability, Responsiveness, Assurance, Empathy) Pada Rawat Inap Rumah Sakit Umum Royal Prima, Medan.

Suharsimi, A. (2018). Prosedur penelitian: Suatu pendekatan praktek. Rineka Cipta.

Utari, W. (2021). Pengaruh Faktor Pendidikan, Pelatihan Dan Pengalaman Mengajar Terhadap Profesionalisme Guru Sma Negeri I Torjun Kabupaten Sampang. 9(1).

Wassan, A. N., Memon, M. S., Mari, S. I., & Kalwar, M. A. (2022). Impact of Total Quality Management (TQM) practices on Sustainability and Organisational Performance. Journal of Applied Research in Technology & Engineering, 3(2), 93–102. https://doi.org/10.4995/jarte.2022.17408

Yoga, H., & Endah Andriani, P. (2022). Pengaruh Psychological Capital terhadap Employee Engagement pada Perawat di ICU Rumah Sakit “X”, Cimah. Jurnal Diversita, 8. https://doi.org/2461-1263

Zakiah, N., Nurrizka, R. H., Nurdiantami, Y., & Hardy, F. R. (2020). Hubungan Kepuasan Kerja dengan Komitmen Organisasional Perawat di Rumah Sakit Prikasih Jakarta. Jurnal Kedokteran dan Kesehatan, 16(1), 55. https://doi.org/10.24853/jkk.16.1.55-67

Zhu, L., Zhong, S., Tu, W., Zheng, J., He, S., Bao, J., & Huang, C. (2019). Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China. International Journal of Environmental Research and Public Health, 16(2), 242. https://doi.org/10.3390/ijerph16020242




DOI: https://doi.org/10.30602/jvk.v11i2.1820

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