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Abstrak :
Sumber Waras Hospital ( RSSW) is a non government hospital which is appointed as a referral hospital in West Jakarta. This hospital also has develop a vision to become a prominently referral hospital in its service area. Lately, RSSW has faced a major problem caused by the decrease of its total number of patients. To achieve its vision of becoming a good referral hospital, The Sumber Waras Hospital is strongly required to have a superior competency on four major types of services , namely are pediatric , obstetric and gynecologic , surgery and internal medicine care. Based on the current data of RSSW's services utilization, the surgery care has the smallest proportion of decrease number of patients. The purpose of this research is to gather various information which affect surgery care in RSSW and conduct an analysis marketing strategic for surgery care. This design of this research is a case study which focuses on problem solving using combination qualitative and survey method quantitative. Data collection instruments includeiv questionnaire and indepth interviews. In addition the Porter's competitive analysis and TOWS analysis are used to asses the existing data. Based on the results of this research, RSSW's surgery care is facing various threats. But on the other hand it this hospital gaining unexplored opportunities. The current management of RSSW need to deal with various weaknesses over its limited strengths. Using TOWS technique, following strategy is suggested to the management : 1. RSSW has to cope with ongoing continuous technology aspect of the surgery care and fix the internal weaknesses by applying the double distribution and cost analysis. Hence, RSSW will have more financial resources for dealing with this threat. 2. Due to the current economic crisis of the country and the people's ability to pay has substantially reduced, RSSW is recommended to provide a low cost economic package services for surgical patient and increase the third party payer consumer. 3. To anticipate competition among similar institutions, the RSSW has to develop an effective marketing program. 4. It is further recommended that the RSSW has to strengthen its human resources and also improve the quality or surgical services and initiate to extend r the market to the third party payer.

Abstrak :
Di tahun 2021 COVID-19 masih menjadi wabah pandemik di seluruh dunia, yang menimbulkan disrupsi ekonomi di berbagai industri termasuk rumah sakit. Angka kunjungan rawat jalan dan rawat inap rumah sakit menurun di tahun 2020 sebanyak 80% yang berdampak pada penurunan pendapatan bulanan rumah sakit sampai ke 40% (Persi, 2021). Dalam menjaga layanan yang komprehensif dan bermutu, ada tambahan biaya operasional yang meningkat termasuk untuk perlindungan staf berupa Alat Perlindungan Diri (APD) terutama bagi tenaga kesehatan. Sebagai salah satu Rumah Sakit rujukan COVID-19, RS Bunda Palembang mengalami penurunan pasien rawat inap sebesar 55,2% di tahun 2020 dibanding tahun sebelumnya. Pelayanan unggulan yang diberikan adalah layanan persalinan ibu bagi peserta Jaminan Kesehatan Nasional (JKN), termasuk layanan Sectio Caesarean (SC). Walau telah disadari terdapat kesenjangan antara tarif RS dan tarif INA-CBGs sebelum COVID-19, tim manajemen internal RS belum mempunyai analisis biaya persalinan SC. Beban operasional yang semakin bertambah di era COVID-19, memaksa tim manajemen mempunyai informasi biaya satuan SC ringan. Menggunakan data biaya aktual tahun 2021, biaya satuan tindakan SC ringan tanpa komplikasi dihitung dengan metode Double Distribution dan Relative Value Unit. Hasilnya menunjukkan bahwa biaya satuan SC ringan di ruangan SVIP sebesar Rp 11.877.883, ruangan VIP sebesar Rp7.782.915, ruangan Kelas I sebesar Rp 6.388.681, Kelas II yaitu Rp 6.009.725, dan Kelas III sebesar Rp 5.753.963. Secara keseluruhan, tingkat pengembalian biaya (CRR) terhitung sebesar 124,2%, dimana dari perspektif keuangan angka ini dianggap cukup ideal oleh manajemen. Pembelajaran yang dapat dipetik dalam menghadapi masa pandemi ke depan yaitu rumah sakit sebaiknya bersiap dalam menghadapi berbagai disrupsi kesehatan ke depannya dengan memfasilitasi tindakan ANC dan SC untuk seluruh pasien termasuk pasien infeksius. ......In 2021, COVID-19 is still a worldwide pandemic, causing economic disruption in various industries, including hospitals. The number of outpatient visits and hospitalization decreased in 2020 by 80%, which resulted in a decrease in hospital monthly income of up to 40% (Persi, 2021). In maintaining comprehensive and quality services, additional operational costs increase, including staff protection in the form of Personal Protection Equipment (PPE), especially for health workers. As one of the COVID-19 referral hospitals, Bunda Palembang Hospital experienced a decrease in hospitalizations of 55.2% in 2020 compared to the previous year. The superior service provided is maternal delivery services for National Health Insurance (JKN) participants, including Caesarean Section (C-Section) services. Even though it was realized that there was a gap between the hospital rates and the INA-CBGs rates before COVID-19, the hospital's internal management team still needed an analysis of the cost of delivering a C-Section. Operational expenses are increasing in the era of COVID-19, forcing the management team to have information on low C-Section unit costs. Using actual cost data for 2021, the unit cost for mild C-Section without complications is calculated using the Double Distribution and Relative Value Unit method. The results show that the unit cost of light C-Section in the SVIP room is IDR 11,877,883, the VIP room is IDR 7,782,915, the Class I room is IDR 6,388,681, Class II is IDR 6,009,725, and Class III is IDR 5,753,963. Overall, the cost recovery rate (CRR) is calculated at 124.2%, which management considers ideal from a financial perspective. The lesson that can be learned in dealing with future pandemics is that hospitals should be prepared to face various health disruptions by facilitating ANC and C-Section actions for all patients, including infectious patients.

Abstrak :
ABSTRAK Tujuan penelitian ini adalah menganalisis unit cost layanan ICU menggunakan metode distribusi berganda pada RSUD Pasar Rebo dan RSUD Cengkareng berdasarkan data laporan keuangan 2015 dan membandingkan unit cost tersebut terhadap tarif layanan ICU yang berlaku. Hasil perhitungan unit cost layanan ICU pada RSUD Pasar Rebo memperhitungkan seluruh biaya sebesar Rp5.765.575,00 dan menggunakan Permenkes Nomor 12 Tahun 2013 yaitu tidak memperhitungkan biaya yang dibiayai APBD maka unit cost layanan ICU sebesar Rp1.818.467,00. Hasil perhitungan unit cost layanan ICU pada RSUD Cengkareng jika memperhitungkan seluruh biaya sebesar Rp2.452.411,00 jika menggunakan Permenkes Nomor 12 Tahun 2013 maka unit cost layanan ICU sebesar Rp1.761.914,00. Unit cost layanan ICU lebih besar dari tarif yang berlaku Rp1.500.000,00 namun perlu tidaknya melakukan revisi tarif membutuhkan analisis lebih lanjut.

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ABSTRACT This research aims to analyze the unit cost of ICU service at local public hospital Pasar Rebo dan Cengkareng by applying the double distribution method using the data gained from the financial statements for the year 201, and to perfom comparison of the unit cost with the current ICU service rate. The result of analysis for at local public hospital Pasar Rebo when calculated using all cost incurred is Rp5,76 million. When calculated using Minister of Health Decree Number 12 2013 which exclude cost financed by the APBD, the unit cost would be Rp1,82 million. The result of analysis for at local public hospital Cengkareng when calculated using all cost incurred is Rp2,45 million. When calculated using Minister of Health Decree Number 12 2013 which exclude cost financed by the APBD, the unit cost would be Rp1,76 million. The unit cost of ICU service exceed the current ICU service rate Rp1,5 million, whether need to make rate revision need futher analysis.