User

Evaluation of Clinical Pathway Implementation in Pneumonia Cases in the Internal Medicine Inpatient Unit at Risa Sentra Sentra Medika Hospital, Mataram with the Integrated Care Pathway Appraisal Tool (ICPAT) Method

Findy Wijaya Nurdin, Purwadhi Purwadhi, Ign Wiseto Agung

Abstract

Background: In the health insurance system, there are 2 main pillars, namely service quality and financing control. The quality of health services can be identified by measuring the suitability of the service with the agreed clinical pathway. Data from SEAMIC Health Statistics 2011 shows that pneumonia is the 6th cause of death in Indonesia, therefore a good quality clinical pathway is needed. Integrated Care Pathway Appraisal Tool (ICPAT) is one of the instruments that has been validated and can be used to evaluate the content and quality of ICP.
Subjects and Method: Study design using qualitative methods and with a case study research design. Population: quantitative data population from all medical records, qualitative data population the researchers involved all officers involved in implementing the clinical pathways. Instrument: List of questions to evaluate the implementation of the use of clinical pathways and ICPAT. Validity: with triangulation techniques. Outcome: compliance assess-ment and recommendations for improvement to maintain quality.
Results: Input Aspect, In Dimension 1 What are the Correct Clinical Pathways? it the percentage content was 50%, and the quality was 50%. Dimension 6 (Organizational Role?) in the CP content value is 100% and the quality is 58%. Process aspect, Dimension 2 (Clinical Pathway Documentation Process) CP documentation process in terms of content is 30.43% and quality is 25%. Dimension 3 (Clinical Pathway Development Process) the content is 61.54% and the quality is 41.18%. Dimension 4 (Clinical Pathway Implementation Process) the percentage of content is 60% and the quality is 100%. Dimension 5 (Maintenance Process of clinical pathways) the percentage of the content is 25% and the quality is 38.46%. Aspects of Output Those who comply with using the clinical pathway are 0 (0%), meaning that no one is compliant in using the clinical pathway.
Conclusion: CP Pneumonia at Risa Sentra Medika Hospital complies with the ICPAT assessment standards but the quality and content only meet less than 50% based on the aspects assessed
Keywords: clinical pathway, pneumonia cases, ICPAT assessment.
Correspondence: Findy Wijaya Nurdin. Universitas Adhirajasa Reswara Sanjaya. Ransiki Kota, Kabupaten Manokwari Selatan. Email: Findwijaya@gmail.com. Mobile : +62 81242866438.

Journal of Health Policy and Management (2023)
https://doi.org/10.26911/thejhpm.2023.08.01.04

Full Text:

PDF

References

Adisasmito DW (2008). Kebijakan Standar Pelayanan Medik dan Diagnosis Related Group (DRG), Kelayakan Penerapannya di Indonesia. Jakarta: Departemen Kesehatan RI.


Allen D, Gillen E, Rixson L (2009). Systematic review of the effectiveness of integrated care pathways: what works, for whom, in which circumstances?. Int J evid Based Healthc. 7(2):61-74. Doi: 10.1111/j.1744-1609.2009.00127.


Amaral SM, Cortes AC, Pires FR (2009). Nosocomial pneumonia: importance of the oral environment. J Bras Pneumol. 35(11):1116-1124. Doi: 10.1590/s180637132009001100010.


Wahab AS (2002). Sistem imun, imunisasi, dan penyakit imun. Jakarta Widya Medika. Jakarta. 1.


Bjurling-Sjöberg P, Jansson I, Wadensten B, Engström G, Pöder U (2014). Prevalence and quality of clinical pathways in Swedish intensive care units: a national survey. J Eval Clin Pract. 20(1):48-57. Doi: 10.1111/jep.12078. Epub 2013 Aug 27.


Brennan PJ (1994). Nosocomial pneomonia. Pulmonary Diseases and Disorder Companion Book. Second Ed. Fishman AP. McGraw-Hill Int. Ed. New York.


Cheah J (2000). Development and implementation of a clinical pathway programme in an acute care general hospital in Singapore. Int J Qual Health Care. 12(5):403-12. Doi: 10.1093/intqhc/12.5.403.


CPIC Management Committee Queensland Government (2007). Clinical pathway for Herniarrhopy.


Croucher, Michelle. (2005). An evaluation of the quality of integrated care pathway development in the UK National Health Service. Int J Integr Care. 9(1). Doi: 10.1177/147322970500900102.


Currey and Harvey (1998). Clinical Pathway in Hospital. Aksara. Jakarta.


Nicola D (2005). Integrated care pathways a guide to good practice. Swansea: NHS


Djasri H (2014). Pengantar pelatihan penyusunan clinical pathway. PreForum Mutu IHQN XIX, 19 Agustus.


Depkes RI (2005). Buku petunjuk pengisian, pengolahan dan penyajian data Rumah Sakit. Direktorat Jenderal Bina Pelayanan Medik Depkes RI, Jakarta, 2010. Clinical pathway. Ditjen Bina Pelayanan Medik. Jakarta.


Devitra A (2011). Analisis implementasi clinical pathway kasus stroke berdasarkan INA-CBGs di rumah sakit stroke Bukittinggi. Tesis Universitas Andalas, Bukittingi.


Djasri H, Kuntjoro T (2006). Pengalaman dalam penyusunan Standar Pelayanan Minimal RS Sebagai bagian dari persyaratan Badan Layanan Umum, Buletin IHQN Volume II/Nomor 03.


Donabeidan A (1988). The quality of care how can it be assessed?. JAMA. 260(12):1743-1748. Doi: 10.1001/jama.260.12.1743.


Moeheriono (2009). Pengukuran kinerja berbasis kompetensi: competency based human resource management. Ghalia Indonesia. Jakarta.


Moekijat (1991). Latihan dan Pengembangan Sumber Daya Manusia. Mandar Maju. Bandung.


Moenir AS (1993). Manajemen Personalia. Rineka Cipta. Jakarta.


Ningrum W (2013). Pengaruh pendidikan dan pelatihan terhadap kinerja karyawan (studi pada karyawan joint operating body pertaminapertochina east java). JAB. 6(2):1-8.


Notoatmodjo (2010). Pengembangan sumber Daya Manusia. Rineka Cipta. Jakarta.


Wika AS (2010). Sistem Kesehatan. PT Raja Grafindo. Jakarta.


Yusnita N, Fadhil F (2015). Pengaruh Pelatihan Karyawan Terhadap Kinerja Karyawan pada CV Cibalung Happy Land Bogor. Jurnal Ilmiah Manajemen Fakultas Ekonomi. 1(1):1-5. Doi: 10.34203/jimfe.v1i1.440.

Refbacks

  • There are currently no refbacks.