BPJS Patients and INA-CBG Tariff Claimants in the Cost of Sectio Caesaria

Abstract

A clinical pathway is an integrated service concept that uses medical service standards to define the various phases of patient care from admission to discharge. Hospitals are required to provide top-notch care at an affordable price during the National Health Insurance (JKN) period. For private hospitals to survive and thrive, notably RSIA Trisna Medika, profitability must still be viewed as a crucial factor. This descriptive study, which employed a case study approach, made use of the Clinical Pathway. Primary data were gathered through interviews and in- person observations of various Sectio Caesaria activities that required payment. Reviewing patient profiles and medical records yields secondary data, particularly data from the finance division. The IEC Program (educational communication using generic medications and nutrition), picking affordable medical devices, and minimizing operator services are the outcomes of the discussion on cost-saving strategies. At RSIA Trisnamedika, the Clinical Route has been used with great success. The following requirement will be to routinely arrange staff training, gather suitable descriptions, and carry out evaluations based on the responsibilities provided.