Analisis Implementasi Clinical Pathway terhadap Efisiensi Klaim INA-CBG’s dan Pengendalian Biaya Farmasi Pasien Bedah di RSU Asy Syifa Sambi: Mixed Method

, Septiana and , Dr. dr. Siti Soekiswati, S.H., M.H. and , Dr. dr. Burhannudin Ichsan, M.Med.Ed., M.Kes. (2026) Analisis Implementasi Clinical Pathway terhadap Efisiensi Klaim INA-CBG’s dan Pengendalian Biaya Farmasi Pasien Bedah di RSU Asy Syifa Sambi: Mixed Method. Thesis thesis, Universitas Muhammadiyah Surakarta.

	PDF (Naskah Publikasi) Publikasi Septiana J508240006.pdf Download (594kB)
	PDF (Halaman Depan) HALAMAN DEPAN.pdf Download (1MB)
	PDF (Bab I) BAB 1.pdf Download (102kB)
	PDF (Bab II) BAB 2.pdf Restricted to Repository staff only Download (277kB)
	PDF (Bab III) BAB 3.pdf Restricted to Repository staff only Download (135kB)
	PDF (Bab IV) BAB 4.pdf Restricted to Repository staff only Download (437kB)
	PDF (Bab V) BAB 5.pdf Restricted to Repository staff only Download (77kB)
	PDF (Daftar Pustaka) DAFTAR PUSTAKA.pdf Download (120kB)
	PDF (Lampiran) LAMPIRAN.pdf Restricted to Repository staff only Download (1MB)
	PDF (Surat Pernyataan Publikasi) Surat Pernyataan Publikasi.pdf Restricted to Repository staff only Download (620kB)

Abstract

Problems: Asy Syifa Sambi Hospital faced severe financial challenges due to shrinking margins on INA-CBG claims for surgical cases, resulting in an average monthly deficit of IDR 47,079,303 during January-August 2025. A cost anomaly occurred in the pharmacy unit, where the decrease in patient volume was not proportional to the reduction in drug costs (patients decreased by 53.5%, while expenses decreased by only 16.3%), indicating high clinical prescribing variability amid tax burdens since August 2024. Objective: To analyze clinician compliance and the impact of Clinical Pathway (CP) implementation on INA-CBG’s claim efficiency and pharmacy cost control, and to comprehensively explore the supporting and inhibiting factors of its implementation. Methods: This study employed a mixed-methods, explanatory sequential design. Quantitative data were collected through medical records and billing audits (January–November 2025) for Appendectomy, Excision, Hemorrhoidectomy, and Hernioplasty cases. Qualitative data were collected through in-depth interviews with specialists, nurses, and the quality team to provide context for the quantitative findings. Results: CP implementation showed high clinical compliance (84%–94%), exceeding national standards. The application of CP significantly increased claim efficiency by 25.3% in Appendectomy cases and reduced pharmacy costs, with efficiency reaching 37.8%. Qualitatively, the success was driven by increased discipline and team communication, despite administrative barriers in manual documentation. CP was proven effective in accelerating patient recovery (Length of Stay) and serving as a financial risk mitigation instrument.

Item Type:	Thesis (Thesis)
Uncontrolled Keywords:	Clinical Pathway, Efisiensi Klaim, INA-CBGs, Biaya Farmasi, Mixed Method.
Subjects:	H Social Sciences > HD Management, Business and Labor > Management R Medicine > 1 Medicine (General) R Medicine > Surgery > Bedah Umum
Divisions:	Fakultas Kedokteran > S2 Administrasi Rumah Sakit
Depositing User:	SEPTIANA
Date Deposited:	10 Feb 2026 02:05
Last Modified:	10 Feb 2026 02:05
URI:	http://eprints.ums.ac.id/id/eprint/142315

Actions (login required)

View Item