Implementation of The JKN Program Related to Patient Admission, Medical Data Processing, Reporting and JKN Funding at Murni Teguh Medan Hospital
DOI:
https://doi.org/10.59188/eduvest.v5i1.50309Keywords:
Constraints, JKN Program, Patient Admission, Medical Data Processing and ReportersAbstract
The National Health Insurance (JKN) program is a government initiative aimed at supporting comprehensive health development to ensure that all Indonesians have the right to good health. According to data obtained from BPJS Kesehatan and RS Murni Teguh Medan, the average waiting time for polyclinic services exceeds the national quality indicators, which requires outpatient waiting times should not exceed 60 minutes. This study aims to analyze the challenges in implementing the JKN program, specifically related to patient admission, medical data processing, reporting, and funding at RS Murni Teguh Medan. This is a qualitative descriptive research involving three key informants (Persons-in-Charge or PICs) and six supporting staff members from the Registration, Medical Records, and JKN Billing units. The research identified several challenges: Man: The registration unit's human resources do not meet the required qualifications, as staff should ideally have a medical records background, resulting in reporting issues. Materials: Patient files are incomplete for administrative processes. Machine: The applications used, such as MTHIS (Hospital Management Information System), Mobile JKN, V-Claim, DIVA, and Online Pharmacy, face operational issues, leading to inefficient medical data processing and reporting. Methods: Although procedures are aligned with the SOPs, issues remain include patient overcrowding at registration, outpatient service waiting times exceeding 60 minutes, issues with registration in executive polyclinics, self-registration issues at APM, service penalties, and semi-manual medical data processing and reporting. Markets: Patients have limited knowledge of using Mobile JKN application, and pending claims are still prevalent. Money: Prolonged use of outdated electronic meda reduces systems performance.
References
Ariani, Tri, Retna Ambarwati, Eny, & Wiyadi. (2021). Evaluation of the Medical Record Management System for Inpatient Qualitative Studies at RSKIA UMI KHASANAH. Journal of Midwifery, 9(3), 131.
Ary Santiasih, Wayan, Simanjorang, Asyiah, & Satria, Beni. (2021). Analysis of the Causes of Pending Claims of Inpatient Health Bpjs Patients at DR.RM Djoelham Binjai Hospital. Journal of Healthcare Technology and Medicine, 7(2), 1381.
Budi, N. Rokhman. (2016). Obstacles to the Implementation of the JKN Program Related to Patient Admission, Medical Data Processing, Reporting, and JKN Funding at Health Centers. Jmiki.Aptirmik.or.Id.
Cyan Ningrum, Irma, Citra Dewiyani, A... Wife, & Ardhiasti, Anggi. (2023). The Relationship of Community Knowledge Level to the Utilization of Mobile JKN in Tumpang Village, Malang Regency. JUKANTI:Journal of Information Technology Education, 6(2), 78.
Delfi, Mardiana, Nurul, Umi, & Suyeno. (2021). Evaluation of the JKN Program in Providing Inap.pdf Care Administration Services. Malang: Islamic University of Malang.
Efendy, Ismail, Nyorong, Mappeaty, Amirah, Asriwati, & Sari, Farida. (2022). National Health Insurance (JKN) Mobile Application Use Towards Satisfaction of Participants of the Health Social Security Implementing Agency (BPJS) in Madani Hospital in Medan City. Journal of Medical and Health Studies, 3(1), 26–34. https://doi.org/10.32996/jmhs.2022.3.1.4
Esraida Simanjuntak. (2017). Analysis of the Implementation of the JKN Program at Imelda Workers' Hospital Medan. Medan: Scientific Journal of Imelda Health Recorder and Information.
Fitria Ripriyanti, Risa, & Hidayati, Meira. (2021). Analysis of Outpatient Admission Procedures to Support Service Effectiveness at Hospital X. CERDIKA: Indonesian Scientific Journal, 1(10), 1360–1637.
Herlinawati, Lilis Banowati, Devi Revilia. (2021). Level of Public Satisfaction with Online Registration on the Mobile JKN Application (p. 7). p. 7. Cirebon: Cirebon College of Health Sciences.
Kintari, Ajrina, Handayani, Fitri, Adristi, Karina, Rimalivia, Nindya, Tiara, Salsabula, & Aura, Shafa. (2023). Monitoring and Evaluation in the Indonesian Health Service System Excess and Shortcomings JKN.pdf. Depok: University of Indonesia.
Lailatul, Fitriya, Adikarya Nugraha, I. Nyoman, & Firdaus Wardhana, Zainal. (2023). Analysis of BPJS Outpatient Services at Bali Mandara Eye Hospital. Bali Medika Journal, 10(1), 43–60.
Listiyawati, Rossalina Adi Wijayanti. (2020). Pending Claim Factor of JKN Crash with Fishbone Diagram at Dr Kariadi.pdf Hospital. 9.
Minister of Health, Republic of Indonesia. (2022). Permenkes of the Republic of Indonesia Number 24 of 2022 concerning Medical Records. Journal of Economic Perspectives, 2(1), 1–4.
Nasution, Sri Lestari Ramadhani, Hutabarat, Yohana Candra Andini, & Ginting, Chrismis Novalinda. (2023). Evaluation of the Role of Internal Verification Doctors in Reducing Pending Claims at Murni Teguh Medan Hospital in 2022. Jurnal Penelitian Pendidikan IPA, 9(SpecialIssue), 563–569. https://doi.org/10.29303/jppipa.v9ispecialissue.5533
Nurdias, Dafiq Farhan Rahmat, Fauzan Mahar Dhika Abdussalaam, Falaah Sari, Irda. (2020). Information Technology-Based Medical Record Governance Design to Support Inpatient Service Reporting. Journal of Educational Sciences, 7(2), 809–820.
Nuryati, -, Budi, Savitri Citra, & Rokhman, Nur. (2016). Obstacles to the Implementation of the JKN Program Related to Patient Admission, Medical Data Processing, Reporting, and JKN Funding at the Gondokusuman II Health Center Yogyakarta. Indonesian Journal of Health Information Management, 4(1). https://doi.org/10.33560/jmiki.v4i1.96
PD Sugiyono. (2019). Quantitative and Qualitative Research Methodologies and R&D. Bandung: Alfabeta, cv.
PPM SoM. (2022). Elements of Management: Definition and Examples.
Puspita Sari, Dea, & Wahab, Shaykhul. (2024). Analysis of the Use of Finger Print to Support the Effectiveness of Outpatient BPJS Patient Services at the Bandung City Hospital. PREPOTTIF: Journal of Public Health, 8(3), 4682.
Ramadhan, Hela Ayu, Arso, Septo Pawelas, & Nandini, Nurhasmadiar. (2021). Analysis of Factors Related to User Satisfaction to the Online Referral System in BPJS Kesehatan Participants in Semarang City. Journal of Public Health (Undip), Vol. 9, pp. 407–413. https://doi.org/10.14710/jkm.v9i3.29652
Ritonga, Zulham Andi, & Rusanti, Sri. (2018). Overview of the Medical Record Implementation System at Bunda Thamrin General Hospital in 2018. Imelda Scientific Journal of Health Recording and Information (JIPIKI), 3(2), 498–509.
Rizzky Award. (2023). Optimizing the Role of Local Governments in the National Health Insurance Program to Improve People's Welfare. Nucl. Phys., 13(1), 104–116.
Rusli, Sienny. (2022). Implementation of Hospital Management Information System in Hospital Data Processing. JKM: Journal of Public Health STIKES Cendekia Utama Kudus, 10(2), 158–168.
Salsiani, Niska, & Sulistiawan, Wahyu. (2022). Factors Hindering Outpatient Admission Services. Journal of Science and Health, 1, 75–87.
Sari, Irda, & Sabrina, Safira Nur. (2020). A Literature Review of Aspects of the Causes of the Return of Inpatient BPJS Claim Files. Journal of INFOKES (Health Information), 4(1), 51–61.
Sucipto, Cecep Dani. (2020). Health Research Methodology. Yogyakarta: Gosyen Publishing.
Sugiyono. (2020). Quantitative, Qualitative and R&D Research Methodologies.
Vicky, Chyntia, & Elystia Via. (2023). Evaluation of Patient Registration Service Activities at Hospital X Malang. Malang: Poltekkes of the Ministry of Health Semarang.
Windy Sondakh, Rio, Posangi, Jimmy, & Fatimawali. (2023). Efforts to Streamline BPJS Patient Waiting Time in Outpatient Services at the North Sulawesi Provincial Eye Hospital. Tambusai Health Journal, 4(4), 5100.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Lina Njoto, Sri Lestari Ramadhani Nasution, Ermi Girsang
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
