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Abstrak :
Integrated Care Pathway merupakan suatu konsep perencanaan pelayanan terpadu berdasarkan standar pelayanan medis berbasis bukti bertujuan untuk meningkatkan kualitas pelayanan. ICP Apendiktomi dibentuk tahun 2013 di RS Awal Bros Batam. Namun belum terdapat analisa ICP terhadap Patient Outcomes dan lama rawat. Penelitian ini melalui pendekatan kuantitatif dilengkapi kualitatif berdasarkan 7 kriteria Malcolm Baldrige. Hasil penelitian ini adalah kepatuhan pelaksanaan ICP menurunkan lama rawat. Namun kepatuhan ICP tidak memiliki hubungan dengan patient outcomes. Hasil analisis berdasarkan kriteria Baldrige menyarankan adanya indikator pencapaian untuk efektifitas pelaksanaan ICP.

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Integrated Care Pathway is a planning concept of integrated services based on standards of evidence based medical services aimed at improving quality of service. Apendictomy ICP was formed in 2013 at the Awal Bros Batam. Unfortunately there has been no analysis of ICP on patient outcomes and length of stay. This was a quantitative study which continued by qualitative study using Malcolm Baldrige Criteria. The results showed that the compliance of ICP lowering patient rsquo s length of stay. Meanwhile, the compliance of ICP has no relationship with patient outcomes. The analysis based on the Baldrige criteria suggested to develop performance indicators for effectiveness of ICP implementation.

Abstrak :
Pandemi COVID-19 menyebabkan disrupsi layanan kesehatan. Dalam menghadapi pandemi COVID-19, rumah sakit harus memperhatikan mutu pelayanan dalam memberikan pelayanan kesehatan yang diperlukan masyarakat. Mutu pelayanan kesehatan merupakan jaminan bagi masyarakat dalam meningkatkan derajat kesehatan masyarakat. Penelitian ini bertujuan untuk mengetahui mutu pelayanan rawat inap selama pandemi COVID-19 berdasarkan kriteria Malcolm Baldrige di Charitas Hospital Palembang tahun 2021. Jenis penelitian yang dilakukan adalah mix method dimana dilakukan penelitian kuantitatif terlebih dahulu dengan menggunakan kuesioner Malcolm Baldrige dan dilanjutkan penelitian kualitatif berupa wawancara mendalam dan telaah dokumen. Didapatkan hubungan yang signifikan antara variabel kepemimpinan, perencanaan strategis, fokus sumber daya manusia, fokus pelanggan, pengukuran, analisis dana manajemen pengetahuan, dan fokus proses terhadap variabel hasil. Dari analisis multivariat, didapatkan variabel yang paling berpengaruh terhadap hasil mutu pelayanan adalah variabel fokus proses, dan pengukuran, analisis dan manajemen pengetahuan. Nilai variabel hasil yang diatas nilai rata-rata dinyatakan baik tidak sejalan dengan indikator pelayanan rumah sakit yang menurun selama pandemi COVID-19. Variabel yang perlu diperhatikan rumah sakit karena nilai dibawah nilai rata-rata dari ketujuh variabel yang diteliti adalah variabel kepemimpinan, perencanaan strategis, dan fokus sumber daya manusia. Diharapkan manajemen rumah sakit dapat memanfaatkan dan menerapkan kriteria Malcolm Baldrige dalam meningkatkan mutu pelayanan rumah sakit, dan pemilik rumah sakit dapat melakukan re-evaluasi dan meningkatkan program manajemen mutu dalam meningkatkan mutu pelayanan rawat inap rumah sakit dengan menerapkan Malcolm Baldrige. ......The COVID-19 pandemic has disrupted healthcare services. In dealing with the COVID-19 pandemic, hospitals must pay attention to the quality of services in providing health services needed by the community. The quality of health services is a guarantee for the community in improving the health status of the community. This study aims to determine the quality of inpatient services during the COVID-19 pandemic based on Malcolm Baldrige's criteria at Charitas Hospital Palembang in 2021. The type of research carried out is a mix method where quantitative research is carried out first using the Malcolm Baldrige questionnaire and followed by qualitative research in the form of in-depth interviews, and review documents. There was a significant relationship between the variables of leadership, strategic planning, human resource focus, customer focus, measurement, knowledge management fund analysis, and process focus on the outcome variables. From the multivariate analysis, it was found that the variables that have the most influence on the results of service quality are process focus variables, and measurement, analysis and knowledge management. The value of the outcome variable that is above the average value is declared good, which is not in line with the declining hospital service indicators during the COVID-19 pandemic. The variables that need to be considered by the hospital because the values ​​are below the average value of the seven variables studied are leadership variables, strategic planning, and human resource focus. It is hoped that hospital management can utilize and apply Malcolm Baldrige's criteria in improving the quality of hospital services, and hospital owners can re-evaluate and improve quality management programs in improving the quality of hospital inpatient services by applying Malcolm Baldrige.

Abstrak :
Organisasi yang menghasilkan suatu produk seperti jasa, memerlukan suatu evaluasi berupa penilaian mandiri (self assessment) yang dapat meningkatkan kualitas pelayanan secara terus-menerus (continous improvement) sehingga didapatkan kualitas pelayanan yang tinggi dan sesuai dengan tuntutan zaman. Salah satu penilaian keberhasilan suatu organisasi adalah hasil kinerja yang optimal yang diukur berdasarkan target-target yang ditentukan organisasi itu sendiri. Peneliti menggunakan 7 (tujuh) kriteria yang terdapat dalam Malcolm Baldrige Health Care Criteria for Performance Excelence untuk mengetahui mutu organisasi Direktorat Bina Upaya Kesehatan Rujukan tahun 2014. Metode penelitian adalah mix methode dengan sequential eksplanatory design. Hasil analisis bivariat menunjukkan hubungan yang kuat dan berpola positif antara hasil kinerja organisasi dengan enam kriteria Malcolm Baldrige. Sedangkan hasil analisis multivariat menunjukkan empat kriteria yang positif dan satu kriteria negatif yang dapat menjelaskan hasil kinerja organisasi sebesar 65,7% sementara satu kriteria tidak masuk dalam pemodelan. Hasil kinerja Direktorat Bina Upaya Kesehatan Rujukan termasuk dalam range sangat rendah. 3 permasalahan yang masih yang menonjol antara lain organisasi belum menetapkan sasaran, tujuan dan ukuran kinerja (key perfomance indicator) dalam perencanaan organisasi; belum menetapkan visi, misi dan nilai-nilai organisasi serta perencanaan belum disusun berdasarkan periode jangka panjang dan jangka pendek. Permasalahan tersebut dapat diselesaikan jika direktur dan pimpinan organisasi segera menetapkan visi, misi dan nilai-nilai organisasi, menyusun perencanaan strategis sesuai dengan tugas dan fungsi organisasi serta berdasarkan periode jangka panjang dan jangka pendek. ...... Organizations that produce a product such as services, requires an evaluation of a self-assessment to improve service quality continuously to obtain a high quality of service and in accordance with the demands of the times. One of the assessment of an organization's success is the result of optimal performance as measured by the target-the specified target organization itself. Researchers are using seven (7) criteria contained in the Malcolm Baldrige Health Care Criteria for Performance Excelence to determine the quality of the organization of the Refferal Health Directorate Building Effort, 2014. Research method is the sequential explanatory mixed method design. The results of the bivariate analysis showed a strong association between positive and patterned organizational performance results with the six criteria of the Malcolm Baldrige. While the results of the multivariate analysis showed four positive criteria and negative criteria that one can explain the results of the organization's performance by 65.7%, while the criteria are not included in the modeling. The results of the performance of the Refferal Health Directorate Building Effort references included in the very low range. 3 problems that still stand out among other organizations have not set goals, objectives and performance measures (key perfomance indicators) in the planning of the organization; has not set a vision, mission and values of organization and planning has not been prepared based on a period of long-term and short-term. These problems can be solved if the director and the head of the organization immediately set the vision, mission and values of the organization, strategic planning in accordance with the duties and functions of the organization as well as by long-term period and the short-term.

Abstrak :
Suatu organisasi yang menghasilkan suatu produk seperti jasa, memerlukan suatu evaluasi berupa penilaian mandiri (self assessment) yang dapat meningkatkan kualitas pelayanan secara terus-menerus (continous improvement) sehingga didapatkan kualitas pelayanan yang tinggi dan sesuai dengan tuntutan zaman dengan tetap mengikuti peraturan yang berlaku. Gambaran mutu suatu organisasi dapat dilihat dengan pendekatan Malcolm Baldrige yang terdiri dari kepemimpinan (leadership), perencanaan strategis (strategic planning), fokus pada pelanggan/pasar (costumers focus), pengukuran, analisa dan manajemen pengetahuan (measurement, analysis and knowledge management), fokus pada staf/tim (workforce focus), fokus pada proses (operation focus), dan hasil-hasil kinerja organisasi (result). Terkait hal tersebut, tesis ini akan membahas mengenai Analisis Mutu Pelayanan Rumah Sakit Umum Pusat Fatmawati Yang Terakreditasi Versi 2012 Berdasarkan Kriteria Malcolm Baldrige Tahun 2014. Hasil penelitian menunjukkan ada hubungan antara variabel kepemimpinan dengan hasil-hasil kinerja Rumah Sakit Umum Pusat Fatmawati sebesar 19,32%, ada hubungan antara variabel perencanaan strategis dengan hasil-hasil kinerja Rumah Sakit Umum Pusat Fatmawati sebesar 10,35%, ada hubungan variabel fokus pada pelanggan/pasien dengan hasil-hasil kinerja Rumah Sakit Umum Pusat Fatmawati sebesar 18,75%, ada hubungan antara manajemen pengukuran analisis dan pengetahuan dengan hasil-hasil kinerja Rumah Sakit Umum Pusat Fatmawati sebesar 4,75%, ada hubungan antara fokus pada tim/staf dengan hasil-hasil kinerja Rumah Sakit Umum Pusat Fatmawati 36%, ada hubungan antara manajemen proses dengan hasil-hasil kinerja Rumah Sakit Umum Pusat Fatmawati sebesar 13,33%. Manajemen Rumah Sakit Umum Pusat Fatmawati untuk selalu memperhatikan kebutuhan staf/tim terutama dalam peningkatan kompetensi staf/tim, serta kepada pihak Kementerian Kesehatan agar membuat kebijakan berupa penyusunan instrument monitoring dan evaluasi pasca akreditasi sebagai suatu alat untuk menilai rumah sakit yang telah terakreditasi sehingga diharapkan mutu pelayanan Rumah Sakit Umum Pusat Fatmawati yang terakreditasi dapat tetap dipertahankan bahkan semakin meningkat. ...... An organization that produces a product such as services, requires an evaluation of a self-assessment (self-assessment) to improve service quality continuously (continuous improvement) to obtain a high quality of service and in accordance with the demands of the times to keep up with regulations. Picture quality of an organization can be seen with the Malcolm Baldrige approach consisting of leadership (leadership), strategic planning (strategic planning), focus on the customer / market (costumers focus), measurement, analysis and knowledge management (measurement, analysis and knowledge management), focus on staff / team (workforce focus), focus on the process (focus operation), and the results of organizational performance (result). Related to this, this thesis will discuss the analysis of Quality of Service General Hospital Accredited Fatmawati The 2012 Version By 2014 Malcolm Baldrige Criteria. The results showed no relationship between leadership variables with performance results Fatmawati General Hospital at 19.32%, there is a relationship between the variables of strategic planning with performance results Fatmawati General Hospital at 10.35%, there is a variable relationship focus the customer / patient with the results of the performance General Hospital Fatmawati of 18.75%, there is a relationship between measurement, analysis and knowledge management with performance results Fatmawati General Hospital at 4.75%, there is a focus on the relationship between team / staff with performance results Fatmawati General Hospital 36%, there is a relationship between process management with performance results Fatmawati General Hospital 13.33%. Management General Hospital Fatmawati to always pay attention to the needs of the staff / team, especially in improving the competence of the staff / team, as well as to the Ministry of Health in order to make the formulation of policy instruments such as post-accreditation monitoring and evaluation as a tool to assess hospital that is accredited so that the expected quality General Hospital services are accredited Fatmawati can be maintained and even increased.

Abstrak :
Latar Belakang: Program KKBPK BKKBN mengalami penurunan pencapaian target kinerja pasca desentralisasi tahun 2004 yang mana PKB/PLKB saat itu sebagai ujung tombak program di lini lapangan juga termasuk SDM yang diserahakan ke Pemerintah Daerah sebagai pengelola dan pendayaguna khususnya di OPD KB namun dengan adanya UUD No. 23 Tahun 2014 maka PKB/PLKB kemudian dialihkelolakan kembali ke BKKBN dengan pendayagunaannya tetap pada OPD KB di daerah dengan harapan agar dapat menyukseskan kembali Program KKBPK. Tujuan: Mengetahui faktor-faktor yang mempengaruhi kinerja PKB/PLKB pasca alih kelola menjadi PNS BKKBN tahun 2020 di DP3AP2KB Kab. Bogor berdasarkan MBCfPE. Metode: Penelitian ini merupakan penelitian kuantitatif korelasi dengan disain cross sectional yang dilakukan di Dinas P3AP2KB Kab. Bogor tahun 2020 pada bulan Mei – Juli 2020. Populasi penelitian ini yaitu PKB/PLKB di Kab. Bogor dengan jumlah sampel 74 orang, diambil dengan metode cluster sampling yang memenuhi kriteria inklusi dan eksklusi. Instrumen penelitian ini yaitu kuesioner dalam bentuk google form sebanyak 81 pertanyaan kemudian dianalisis menggunakan statistic software dengan uji chi-square dan regresi logistik ganda. Hasil analisis kemudian ditampilkan dalam bentuk angka dan diinterpretasikan dalam bentuk kalimat. Hasil: 1) PKB/PLKB pasca alih kelola menjadi ASN BKKBN di Dinas P3AP2KB Kab. Bogor tahun 2020 memiliki persepsi yang tinggi terhadap kepemimpinan (58,1%), perencanaan strategis (52,7%), fokus pelanggan sebesar (54,1%), pengukuran, analisa dan manajemen pengetahuan sebesar (60,8%), fokus staf (55,4%), manajemen proses (51,4%) dan kinerja (66,2%). 2) Ada hubungan antara perencanaan strategis dengan kinerja (p = 0,021), fokus pelanggan dengan kinerja (p = 0,048), pengukuran, analisa dan manajemen pengetahuan dengan kinerja (p = 0,018), fokus staf dengan kinerja (p = 0,000) dan manajemen proses dengan kinerja (p = 0,009) namun tidak ada hubungan antara kepemimpinan dengan kinerja (p = 0,132) dan 3) Ada pengaruh fokus staf terhadap kinerja (p = 0,001) dan manajemen proses terhadap kinerja (p = 0,038), sebaliknya tidak ada pengaruh kepemimpinan terhadap kinerja (p value = 0,871) perencanaan strategis terhadap kinerja (p = 0,093), fokus pelanggan terhadap kinerja (p = 0,679) dan pengukuran, analisa dan manajemen pengetahuan terhadap kinerja (p = 0,442) dan 4) Fokus staf sebagai faktor dominan mempengaruhi kinerja PKB/PLKB. Kesimpulan: Faktor yang mempengaruhi kinerja PKB/PLKB adalah fokus staf dan manajemen proses dan yang paling dominan berpengaruh adalah fokus staf. Saran: Memaksimalkan upaya perbaikan dan peningkatan kinerja PKB/PLKB melalui pemenuhan dan pemerataan SDM, pendidikan dan pelatihan, penambahan dana dan kelengkapan fasilitas, keterlibatan dan keharmonisan hubungan staf serta sasaran kerja juga monitoring dan evaluasi rutin. ......Background: Population, Family Planning and Family Development Program of National Family Planning Coordination Board showed decrease performance since decentralization in 2004 which family planning counselor/family planning filed officer at that time as the frontline of program also included that over to The Regional Government for Regional Device Organizationas as organizer and user. Then, with UU number 23 Year 2014, family planning counselor/family planning filed officer reorganized by National Family Planning Coordination Board and the Regional Organizationas of Family Planning as user hopefully the family pamily program will success as before. Objective: Knowing the factors are affect to the performance of the utilization of family planning counselor/family planning filed officer since reorganize become of National Family Planning Coordination Board employees in 2020 at DP3AP2KB Bogor with MBCfPE. Method: This research was a quantitative correlation study with cross sectional design conducted at DP3AP2KB Bogor in 2020, May - July 2020. The population was family planning counselor/family planning filed officer at Bogor with 74 respondens that taken by cluster sampling method with inclusion and exclusion criteria. Instrument of this study was a questionnaire with google form for 81 questions then analyzed using statistical software with chi-square test and multiple logistic regression. Results of the analysis displayed in numerics and interpreted in sentences. Results: Family planning counselors at Bogor in 2020 has a high perception of leadership (58.1%), strategic planning (52.7%), customer focus (54.1%), measurement, analysis and knowledge management (60.8%), staff focus (55.4%), management process (51.4%) and performance (66.2%), 2) There were a correlation between strategic planning and performance (p = 0.021), customer focus with performance (p = 0.048), measurement, analysis and knowledge management with performance (p = 0.018), staff focus with performance (p = 0.000) and management process with performance (p = 0.009) but no relationship between leadership and performance (p = 0.132) and 3) There were an effect of staff focus on performance (p = 0.001) and process management on performance (p = 0.038), while there were not effect leadership on performance (p value = 0.871) strategic planning on performance (p = 0.093), customer focus on performance (p = 0.679) and measurement, analysis and knowledge management on performance ( p = 0.442) and 4) Staff focus as the dominant factor influencing family planing counselors performance. Conclusions: Factors affecting of performance of family planning counselors are staff focus and process management and the most dominant is staff focus. Recommendation: Maximize efforts to improve the performance of family planning counselors through recruitment and distribution of human resources, education and training, additional funds and facilities, involvement and harmony of staff and targets relations also regular monitoring and evaluation.

Abstrak :
Lama waktu tunggu pelayanan di Unit Rawat Jalan menggambarkan kinerjadan mutu pelayanan Rumah Sakit terhadap para pelanggannya. Tujuanpenelitian ini untuk mengetahui rata-rata lama waktu tunggu rawat jalan sertafaktor-faktor yang terkait dengan hal itu, ditinjau melalui pendekatan kriteriaMalcolm Baldrige di bidang kesehatan yang meliputi : Profil Organisasi,Kepemimpinan, Rencana Strategis, Fokus pada Pelanggan, Pengukuran,Analisa dan Manajemen Pengetahuan, Fokus pada Sumber Daya Manusia,Fokus pada Proses dan Hasil-hasil. Metode penelitian yang dipergunakan adalah eksplanatori sekuensial, yaitusuatu metode campuran antara penelitian kuantitatif yang diperkuat olehpenelitian kualitatif. Pengumpulan data kuantitatif dengan cara pengamatan,penghitungan dan pencatatan waktu tunggu pasien. Data-data kualitatifdiperoleh melalui proses wawancara mendalam secara terstruktur danmelakukan telaah dokumen yang terkait. Hasil penelitian menunjukkan bahwa nilai rata-rata lama waktu tunggurawat jalan sebesar 66,58 menit per pasien yang berarti melebihi standard waktupelayanan minimal yaitu le; 60 menit sebagaimana yang ditetapkan olehKementerian Kesehatan Republik Indonesia. Hasil analisa terhadap faktorfaktoryang berpengaruh terhadap lama waktu tunggu rawat jalan menunjukkanbahwa ketujuh kriteria Malcolm Baldrige tersebut sangat berpengaruh terhadapnilai rata-rata lama waktu tunggu rawat jalan tersebut di atas.

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Long waiting time of service in the Outpatient Unit describes theperformance and quality of hospital rsquo s service against its customers. The purpose ofthis research is to know the average length of outpatient waiting time as well as thefactors associated with it, are reviewed through the approach of Malcolm Baldrigein health which includes Organization Profile Leadership Strategic plan Focuson Customers Measurement, Analysis and Management of knowledge Focusingon Human Resources Focus on Process and Outcomes. The research method used was the sequential explanatory, a mix methodsbetween quantitative research that reinforced by qualitative research. Quantitativedata collection by way of observation, calculation and recording patient waitingtime. Qualitative data obtained through in depth interviews are structured and dostudy related documents. The results showed that the average value of long outpatient waiting time is66.58 minutes per patient means exceeding the standard minimum of service time, le 60 minutes as defined by the Health Ministry of the Republic of Indonesia. Theanalysis results of the influential factors against the long of outpatient waiting timeshowed that seven criteria of Malcolm Baldrige is really influential against theaverage value of the long of outpatient waiting time.

Abstrak :
ABSTRAK Pengukuran kinerja penting bagi organisasi karena dapat diketahui keselarasan antara pencapaian organisasi dengan strategi bisnis yang telah ditetapkan. Pengukuran kinerja yang berkala akan memastikan bahwa TI dapat berjalan sesuai dengan ekspektasi top management dan membantu organisasi bertahan serta sukses dalam persaingan bisnis di masa kini dan yang akan datang. pengukuran kinerja antara lain harus verifiable yaitu menyediakan informasi yang menjadi patokan pencapaian, kemudian sebisa mungkin pengukuran kinerja ini mendekati tujuan dari maksud pengukuran serta harus komprehensif yaitu memenuhi semua aspek penting dalam pengukuran kinerja. PT PGN yang diwakili SBU I merasa pencapaian Divisi TI belum sesuai dengan ekspektasi stakeholder yang mungkin disebabkan Indikator Kinerja Utama (IKU) yang digunakan belum efektif untuk mengukur kinerja Divisi TI secara komprehensif. IKU saat ini menggunakan pendekatan Kriteria Penilaian Kinerja Unggul yang diadopsi dari Malcolm Baldrige Criteria for Performance Excellence dan penggunaannya disyaratkan oleh Kementerian BUMN. Terdapat pendekatan lain untuk menyusun IKU yaitu berdasarkan kerangka Balanced Scorecard yang memiliki keunggulan pengukuran yang seimbang antara aspek finansial dan operasional. Penelitian ini termasuk ke dalam penelitian kualitatif, peneliti melakukan in-depth interview terhadap pihak terkait untuk mempelajari lebih dalam tentang IKU saat ini dan mengetahui ekspektasi dari pihak-pihak tersebut dalam proses penyusunan IKU berdasarkan kerangka IT BSC dan COBIT 5 yang digunakan sebagai panduan untuk menyusun sasaran strategis berdasarkan visi Divisi TI. Penelitian ini diakhiri dengan analisis perbandingan IKU berdasarkan ketujuh kriteria KPKU dan IKU berdasarkan keempat perspektif IT BSC. Penelitian ini menghasilkan kesimpulan bahwa IKU saat ini belum mampu mengukur kinerja TI secara komprehensif karena belum mengikutsertakan aspek pengukuran kontribusi perusahaan dan orientasi pengguna. Sebagai solusi dalam hal ini, pengukuran kedua aspek tersebut tercakup dalam IKU berdasarkan IT BSC. Kedua perspektif tersebut menjadi IKU saat ini yang menjadi perrmasalahan terkait domain pengukuran kinerja dalam tata kelola TI.

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ABSTRACT Performance measurement is important for organizations because it can be seen between the achievement of organizational alignment with the business strategy that has been set. Periodic performance measurement will ensure that IT can be run in accordance with the expectations of the top management and to help organizations survive and succeed in a competitive business in the present and future. performance measurement, among others, must be verifiable that provide information that is to be the benchmark of achievement, then as much as possible the performance measurement approach and objectives of intent must be comprehensive measurement that meets all the important aspects of performance measurement. PT PGN which represented by SBU I felt the achievement of IT Division has not been in accordance with the expectations of stakeholders that may be due to the Key Performance Indicators (KPI) that have not been effectively used to measure the performance of IT department in a comprehensive manner. KPI is currently using the Assessment Criteria for Performance Excellence approach adopted from the Malcolm Baldrige Criteria for Performance Excellence and its use is required by the Ministry of SOEs. There is another approach to prepare KPI is based on the Balanced Scorecard framework which has the advantage of measuring the balance between the financial and operational aspects. This study was included in the qualitative research, researchers conducted in-depth interviews with relevant parties to learn more about the current KPI and knowing the expectations of the parties are in the process of preparation of KPI based IT BSC framework and COBIT 5 is used as a guide for preparing strategic goals based on the vision of the IT Division. This study concludes with a comparative analysis based on the seven criteria KPKU KPI and KPI based on the four perspectives of BSC IT. This study resulted in the conclusion that the KPI has not been able to comprehensively measure the performance of IT because it has not included the measurement aspects of corporate contributions and user orientation. As a solution in this case, the measurement of these two aspects are included in the KPI based IT BSC. With the addition of this KPI is a solution for problems related to IT governance domains.