Cost variance of health services at PHC hospital, Surabaya, Indonesia: Operational audit
Resumen
ABSTRACT
The operational audit uses to explain cost variances that occurred in the delivery of healthcare services to inpatients utilizing the BPJS. This study aimed to identify cost variance between actual cost and set tariff for inpatients management of chronic ischemic heart disease, cerebral stroke, final-stage of renal disease, and diabetes mellitus type-2. This study had shown that cost containment via cost monitoring and cost management could be obtained. Variance cost of managing some diseases is unavoidable due to the unique patient's characteristics and different costing methods. Steps could be taken up to ensure the operations are performed effectively and efficiently.
Citas
AGEEVA, E., FOROUDI, P., MELEWAR, T.C., NGUYEN, B., & DENNIS, C. (2019). “A holistic framework of corporate website favourability”, Corporate Reputation Review, pp. 1-14.
BHAYANGKARA, I (2008). "Management Audit: Implementation and Procedure". Salemba Empat, Jakarta.
BIAFORE, B (2007). "Microsoft Project 2007". The Missing Manual. O’Reilly Media Inc.
BOYNTON, WC, JOHNSON, RN & KELL, WG (2001). “Modern Auditing” (7th ed.). John Wiley & Sons Inc, New York.
BUDIARTO, W & SUGIHARTO, M (2013). "INA-CBG's Claim Costs and the Real Cost of Catastrophic Disease Inpatients for Jamkesmas Participants in Study Hospitals at 10 Ministry of Health Owned Hospitals January-March 2012", in Health Systems Research Bulletin, 16(1), p. 7.
GABBY, M (2015). "Principles of Evidence-Based Policy Making in the Context of the Audit Introduction of Health BPJS Operations", in Journal Business, Accounting, and Management, 2(1), pp. 303-304.
GUY, DM, ALDERMAN, CW & WINTERS, A (2003). “Auditing (5th ed.)”. Erlangga, Jakarta.
IFALAHMA, D (2013). "Relationship of Coder Knowledge with Accuracy Code of Diagnosis for Inpatients in Community Health Insurance Based on ICD-10 at Simo Boyolali District Hospital", in Scientific Journal of Medical Records and Health Informatics, 3(2) pp. 15-18.
JACOBS, P (1997) The Economics of Health and Medical Care (4th ed.). Aspen Publisher, Maryland.
KNECHEL, WR, & SALTERIO, SE (2016). “Auditing: Assurance and risk”. Routledge.
LAWAL, AK, GROOT, G, GOODRIDGE, D, SCOTT, S & KINSMAN, L (2019). “Development of a program theory for clinical pathways in hospitals: protocol for a realist review”. Systematic reviews, 8(1), p. 136.
LEE, X. J, BLTTHE, R, CHOUDHURY, AAK, SIMMONS, T, GRAVES, N & KULARATNA S (2019). “Review of methods and study designs of evaluations related to clinical pathways”. Australian Health Review, 43(4), pp. 448-456.
MARMEL, E (2011). “Microsoft Project 2007 Bible” (Vol. 767). John Wiley & Sons.
MINISTRY OF HEALTH OF REPUBLIC OF INDONESIA (2014a). Ministerial Regulation of Health of Republic of Indonesia No. 27/2014 about Technical Guidance of INA-CBGs System. Ministry of Health of the Republic of Indonesia, Jakarta.
MINISTRY OF HEALTH OF REPUBLIC OF INDONESIA (2014b). Regulation of Ministry of Health of Republic of Indonesia No. 59/2014 about Tariff Standard of National Health Insurance (2014). Ministry of Health of the Republic of Indonesia, Jakarta.
MINISTRY OF LAW AND HUMAN RIGHTS (2009). Law No. 44 the Year 2009 about Hospital. Ministry of Law of the Republic of Indonesia, Jakarta.
MOHAMMADI, S, & YEKTA, P, (2018). “The Effect of Emotional Intelligence on Job Satisfaction among Stuff Nurses in Intensive Care Units”. UCT Journal of Social Sciences and Humanities Research, 6(2), pp. 1-7
NATIONAL TEAM FOR THE ACCELERATION OF POVERTY REDUCTION (2015). The Road to National Health Insurance. Anc, Jakarta.
PALLA, G, PALL, N, HORVAT, A, MOLNAR, K, TOTH, B, KOVATS, T ... & POLLNER, P (2018). “Complex clinical pathways of autoimmune disease”. Journal of Complex Networks, 6(2), pp. 206-214.
PANELLA, M, MARCHISIO, S (2013). "Reducing clinical variations with clinical pathways: do pathways work?” in International Journal for Quality in Health Care, 15(6), pp. 509-521.
REZAEE, Z, SHARBATOGHLIE, A., ELAM, R & MCMICKLE, PL (2018). “Continuous Auditing: Building Automated Auditing Capability1”. Continuous Auditing: Theory and Application, 169.
SHUMILOVSKIKH, L. S., RODINKOVA, V. Y., RODIONOVA, A., TROSHINA, A., ERSHOVA, E., NOVENKO, E., ... & SCHNEEWEIß, J. (2019). “Insights into the late Holocene vegetation history of the East European forest-steppe: case study Sudzha (Kursk region, Russia)”, Vegetation History and Archaeobotany, 28(5), pp. 513-528.
SYAH, TYR, NUROHIM, A, & Hadi, DS (2019). “Lean Six Sigma Concept in The Health Service Process in The Universal Health Coverage of BPJS Healthcare (Healthcare and Social Security Agency)”. Proceeding UII-ICABE, 1(1), pp. 71-88.
