a.

Survey Mutu Pelayanan/ Asuhan Keperawatan

Tabel.

Diagnosa INA CBG’s Hospital Costs Klaim BPJS

ENCOUNTER FOR ANTINEOPLASTIC Rp 88,373,507 Rp 2,177,700

CHEMOTHERAPY AND
IMMUNOTHERAPY.;MALIGNANT NEOPLASM OF
CONNECTIVE AND SOFT TISSUE, UNSPECIFIED.

ENCOUNTER FOR ANTINEOPLASTIC Rp 83,761,764 Rp 2,177,700

CHEMOTHERAPY AND
IMMUNOTHERAPY.;MALIGNANT NEOPLASM OF
BREAST OF UNSPECIFIED SITE

ENCOUNTER FOR ANTINEOPLASTIC Rp 64,300,366 Rp 2,177,700

CHEMOTHERAPY AND IMMUNOTHERAPY

HYPERTENSIVE HEART DISEASE WITHOUT Rp 52,033,404 Rp 1,873,400

HEART FAILURE;TYPE 2 DIABETES MELLITUS
WITHOUT COMPLICATIONS.
ENCOUNTER FOR ANTINEOPLASTIC Rp 45,220,388 Rp 2,177,700
CHEMOTHERAPY AND
IMMUNOTHERAPY.;MALIGNANT NEOPLASM OF
BREAST OF UNSPECIFIED SITE
ENCOUNTER FOR ANTINEOPLASTIC Rp 44,980,910 Rp 2,177,700
CHEMOTHERAPY AND
IMMUNOTHERAPY.;NON-HODGKIN LYMPHOMA

ENCOUNTER FOR ANTINEOPLASTIC Rp 39,750,639 Rp 2,177,700

CHEMOTHERAPY AND
IMMUNOTHERAPY.;MALIGNANT NEOPLASM OF
TONGUE
ENCOUNTER FOR ANTINEOPLASTIC Rp 39,304,797 Rp 4,098,400
CHEMOTHERAPY AND IMMUNOTHERAPY.;
MALIGNANT NEOPLASM OF CONNECTIVE AND
SOFT TISSUE OF HEAD, FACE AND
NECK;ANEMIA
ACUTE LYMPHOBLASTIC LEUKEMIA Rp 38,179,467 Rp 3,935,800

CLEFT PALATE Rp 46,294,053 Rp 4,005,900

 Diagram

10 Diagnosa berdasarkan Diagnosa INA CBG's, Hospital Costs dan Klaim BPJS di
kelas 2/3 di bulan November
Rp100,000,000
Rp90,000,000
Rp80,000,000
Rp70,000,000
Rp60,000,000
Axis Title

Rp50,000,000
Rp40,000,000
Rp30,000,000
Rp20,000,000
Rp10,000,000
Rp-
ENCOUNTER ENCOUNTER ENCOUNTER ENCOUNTER
FOR FOR HYPERTENSIV FOR ENCOUNTER FOR
ENCOUNTER
ANTINEOPLA ANTINEOPLA E HEART ANTINEOPLA FOR ANTINEOPLA
ENCOUNTER FOR
STIC STIC DISEASE STIC ANTINEOPLA STIC
FOR ANTINEOPLA
CHEMOTHER CHEMOTHER WITHOUT CHEMOTHER STIC CHEMOTHER
ANTINEOPLA STIC ACUTE
APY AND APY AND HEART APY AND CHEMOTHER APY AND
STIC CHEMOTHER LYMPHOBLAS CLEFT
IMMUNOTHE IMMUNOTHE FAILURE;TYP IMMUNOTHE APY AND IMMUNOTHE
CHEMOTHER APY AND TIC PALATE
RAPY.;MALIG RAPY.;MALIG E 2 DIABETES RAPY.;MALIG IMMUNOTHE RAPY.;
APY AND IMMUNOTHE LEUKEMIA
NANT NANT MELLITUS NANT RAPY.;MALIG MALIGNANT
IMMUNOTHE RAPY.;NON-
NEOPLASM NEOPLASM WITHOUT NEOPLASM NANT NEOPLASM
RAPY HODGKIN
OF OF BREAST COMPLICATI OF BREAST NEOPLASM OF
LYMPHOMA
CONNECTIVE OF ONS. OF OF TONGUE CONNECTIVE
AND SOFT… UNSPECIFIE… UNSPECIFIE… AND SOFT…
Hospital Costs Rp88,373,50 Rp83,761,76 Rp64,300,36 Rp52,033,40 Rp45,220,38 Rp44,980,91 Rp39,750,63 Rp39,304,79 Rp38,179,46 Rp46,294,05
Klaim BPJS Rp2,177,700 Rp2,177,700 Rp2,177,700 Rp1,873,400 Rp2,177,700 Rp2,177,700 Rp2,177,700 Rp4,098,400 Rp3,935,800 Rp4,005,900
 NO Diagnosa INA CBG's Biaya Lab
1
ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND IMMUNOTHERAPY.;ACUTE 4,333,000
LYMPHOBLASTIC LEUKEMIA

2
ACUTE LYMPHOBLASTIC LEUKEMIA;ACUTE
2,970,000
NASOPHARYNGITIS

3
ACUTE LYMPHOBLASTIC LEUKEMIA 4,985,000

4
ACUTE LYMPHOBLASTIC LEUKEMIA 2,830,000

5
ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND IMMUNOTHERAPY.;ACUTE 3,960,000
LYMPHOBLASTIC LEUKEMIA
6
ACUTE LYMPHOBLASTIC LEUKEMIA 7,690,000

7 MALIGNANT NEOPLASM OF THYROID

2,845,000
GLAND.;THROMBOCYTOPENIA, UNSPECIFIED.
8
ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND IMMUNOTHERAPY.;ACUTE 3,100,000
LYMPHOBLASTIC LEUKEMIA

9
MALIGNANT NEOPLASM OF KIDNEY, EXCEPT
3,116,700
RENAL PELVIS;ASCITESNEMIA

10
MALIGNANT NEOPLASM OF BONE AND ARTICULAR
CARTILAGE;ANEMIA;THROMBOCYTOPENIA,
4,575,000
UNSPECIFIED.;DISORDERS OF PLASMA-PROTEIN
METABOLISM, NOT ELSEWHERE CLASSIFIED.

10 Diagnosa INA CBG's berdasarkan biaya labolatorium

9,000,000
8,000,000
7,000,000
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
0
ENCOUNTE ENCOUNTE ENCOUNTE MALIGNAN
MALIGNAN
R FOR R FOR R FOR T
T MALIGNAN
ANTINEOPL ACUTE ANTINEOPL ANTINEOPL NEOPLASM
NEOPLASM T
ASTIC LYMPHOBL ASTIC ASTIC OF BONE
ACUTE ACUTE ACUTE OF NEOPLASM
CHEMOTH ASTIC CHEMOTH CHEMOTH AND
LYMPHOBL LYMPHOBL LYMPHOBL THYROID OF KIDNEY,
ERAPY AND LEUKEMIA; ERAPY AND ERAPY AND ARTICULAR
ASTIC ASTIC ASTIC GLAND.;TH EXCEPT
IMMUNOT ACUTE IMMUNOT IMMUNOT CARTILAGE
LEUKEMIA LEUKEMIA LEUKEMIA ROMBOCY RENAL
HERAPY.;A NASOPHAR HERAPY.;A HERAPY.;A ;ANEMIA;T
TOPENIA, PELVIS;ASC
CUTE YNGITIS CUTE CUTE HROMBOC
UNSPECIFIE ITESNEMIA
LYMPHOBL LYMPHOBL LYMPHOBL YTOPENIA,
D.
ASTIC… ASTIC… ASTIC… UNSPECIF…
Biaya Lab 4,333,000 2,970,000 4,985,000 2,830,000 3,960,000 7,690,000 2,845,000 3,100,000 3,116,700 4,575,000
 NO Diagnosa INA CBG’s Biaya Alkes
1 TWIN PREGNANCY;CESAREAN DELIVERY,
WITHOUT MENTION OF INDICATION,
DELIVERED, WITH OR WITHOUT MENTION Rp 6,567,905.00
OF ANTEPARTUM CONDITION;TWINS, ONE
LIVEBORN AND ONE STILLBORN.
2 MALIGNANT NEOPLASM OF THYROID
Rp 13,801,582.00
GLAND.
3 MALIGNANT NEOPLASM OF THYROID
Rp 6,751,045.00
GLAND.
4
UNSPECIFIED FRACTURE OF FEMUR. Rp 12,585,002.00
5
COMMUNICATING HYDROCEPHALUS Rp 7,064,982.00

6
ACUTE LYMPHOBLASTIC LEUKEMIA Rp 6,504,030.00
7 ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND
Rp 11,105,184.00
IMMUNOTHERAPY.;ACUTE LYMPHOBLASTIC
LEUKEMIA
8 ENCOUNTER FOR FITTING AND ADJUSTMENT
Rp 13,612,171.00
OF URINARY DEVICE
9 ANEMIA, UNSPECIFIED Rp 8,182,744.00
10 ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND
Rp 7,180,330.00
IMMUNOTHERAPY.;ACUTE LYMPHOBLASTIC
LEUKEMIA

10 Diagnosa INA CBG's berdasarkan Biaya Alkes

Rp16,000,000.00
Rp14,000,000.00
Rp12,000,000.00
Rp10,000,000.00
Rp8,000,000.00
Rp6,000,000.00
Rp4,000,000.00
Rp2,000,000.00
Rp-
TWIN
ENCOUNTER ENCOUNTER
PREGNANCY;C
FOR FOR
ESAREAN
ANTINEOPLAS ENCOUNTER ANTINEOPLAS
DELIVERY,
MALIGNANT MALIGNANT COMMUNICA TIC FOR FITTING TIC
WITHOUT UNSPECIFIED ACUTE
NEOPLASM NEOPLASM TING CHEMOTHERA AND ANEMIA, CHEMOTHERA
MENTION OF FRACTURE OF LYMPHOBLAS
OF THYROID OF THYROID HYDROCEPHA PY AND ADJUSTMENT UNSPECIFIED PY AND
INDICATION, FEMUR. TIC LEUKEMIA
GLAND. GLAND. LUS IMMUNOTHE OF URINARY IMMUNOTHE
DELIVERED,
RAPY.;ACUTE DEVICE RAPY.;ACUTE
WITH OR
LYMPHOBLAS LYMPHOBLAS
WITHOUT
TIC LEUKEMIA TIC LEUKEMIA
MENTION…
Biaya Alkes Rp6,567,905. Rp13,801,582 Rp6,751,045. Rp12,585,002 Rp7,064,982. Rp6,504,030. Rp11,105,184 Rp13,612,171 Rp8,182,744. Rp7,180,330.
 NO Diagnosa INA CBG’s Biaya Konsultasi
1 ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND IMMUNOTHERAPY.;ACUTE Rp 1,435,000.00
LYMPHOBLASTIC LEUKEMIA
2
ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND IMMUNOTHERAPY.;ACUTE Rp 1,980,000.00
LYMPHOBLASTIC LEUKEMIA

3 NONTOXIC GOITER, UNSPECIFIED. Rp 1,860,000.00

4 MALIGNANT NEOPLASM OF ACCESSORY SINUS,
Rp 1,640,000.00
UNSPECIFIED
5
OSTEOCHONDRAL FRACTURE OF PATELLA Rp 2,260,000.00
6 ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND
Rp 2,295,000.00
IMMUNOTHERAPY.;MALIGNANT NEOPLASM OF
BREAST OF UNSPECIFIED SITE
7
CALCULUS OF GALLBLADDER WITH ACUTE
Rp 1,905,000.00
CHOLECYSTITIS

8 CALCULUS OF GALLBLADDER WITH ACUTE

Rp 1,525,000.00
CHOLECYSTITIS
9 CELLULITIS AND ABSCESS OF MOUTH Rp 1,735,000.00
10 ENCOUNTER FOR ANTINEOPLASTIC
CHEMOTHERAPY AND IMMUNOTHERAPY.;ACUTE Rp 1,530,000.00
LYMPHOBLASTIC LEUKEMIA

10 Diagnosa INA CBG's dberdasarkan Biaya Konsultasi

Rp2,500,000.00

Rp2,000,000.00

Rp1,500,000.00

Rp1,000,000.00

Rp500,000.00

Rp-
ENCOUNTER ENCOUNTER ENCOUNTER ENCOUNTER
FOR FOR FOR FOR
ANTINEOPLA ANTINEOPLA ANTINEOPLA ANTINEOPLA
MALIGNANT CALCULUS OF CALCULUS OF
STIC STIC STIC STIC
NEOPLASM OSTEOCHON GALLBLADDE GALLBLADDE
CHEMOTHER CHEMOTHER NONTOXIC CHEMOTHER CELLULITIS CHEMOTHER
OF DRAL R WITH R WITH
APY AND APY AND GOITER, APY AND AND ABSCESS APY AND
ACCESSORY FRACTURE OF ACUTE ACUTE
IMMUNOTHE IMMUNOTHE UNSPECIFIED. IMMUNOTHE OF MOUTH IMMUNOTHE
SINUS, PATELLA CHOLECYSTIT CHOLECYSTIT
RAPY.;ACUTE RAPY.;ACUTE RAPY.;MALIG RAPY.;ACUTE
UNSPECIFIED IS IS
LYMPHOBLAS LYMPHOBLAS NANT LYMPHOBLAS
TIC TIC NEOPLASM TIC
LEUKEMIA LEUKEMIA OF BREAST… LEUKEMIA
Series1 Rp1,435,000 Rp1,980,000 Rp1,860,000 Rp1,640,000 Rp2,260,000 Rp2,295,000 Rp1,905,000 Rp1,525,000 Rp1,735,000 Rp1,530,000
NO Diagnosa INA CBG’s Biaya Pengobatan
1
MALIGNANT NEOPLASM OF THYROID GLAND. Rp 38,179,467.00

2
ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY
AND IMMUNOTHERAPY.;MALIGNANT NEOPLASM OF Rp 36,501,228.00
NASOPHARYNX, UNSPECIFIED.
3 ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY
AND IMMUNOTHERAPY.;ACUTE LYMPHOBLASTIC Rp 81,797,612.00
LEUKEMIA
4 ENCOUNTER FOR FITTING AND ADJUSTMENT OF
Rp 36,003,531.00
URINARY DEVICE
5
ANEMIA, UNSPECIFIED Rp 51,885,849.00

6 BENIGN NEOPLASM OF CONNECTIVE AND OTHER

Rp 35,132,710.00
SOFT TISSUE, UNSPECIFIED
7 ACUTE LYMPHOBLASTIC LEUKEMIA Rp 35,235,801.00
8
OSTEOCHONDRAL FRACTURE OF PATELLA Rp 57,453,369.00
9 CALCULUS OF GALLBLADDER WITH ACUTE
Rp 49,689,201.00
CHOLECYSTITIS
10 CEREBRAL INFARCTION, UNSPECIFIED;HEMIPLEGIA,
Rp 33,838,947.00
UNSPECIFIED.
 10 Diagnosa INA CBG's berdasarkan biaya Pengobatan
Rp90,000,000.00
Rp80,000,000.00
Rp70,000,000.00
Rp60,000,000.00
Rp50,000,000.00
Rp40,000,000.00
Rp30,000,000.00
Rp20,000,000.00
Rp10,000,000.00
Rp-
TWIN ENCOUNTER ENCOUNTER
PREGNANCY FOR ENCOUNTER FOR
;CESAREAN ANTINEOPL FOR FITTING ANTINEOPL
MALIGNANT MALIGNANT COMMUNIC ACUTE
DELIVERY, UNSPECIFIE ASTIC AND ANEMIA, ASTIC
NEOPLASM NEOPLASM ATING LYMPHOBLA
WITHOUT D FRACTURE CHEMOTHE ADJUSTMEN UNSPECIFIE CHEMOTHE
OF THYROID OF THYROID HYDROCEPH STIC
MENTION OF FEMUR. RAPY AND T OF D RAPY AND
GLAND. GLAND. ALUS LEUKEMIA
OF IMMUNOTH URINARY IMMUNOTH
INDICATION ERAPY.;ACU DEVICE ERAPY.;ACU
,… TE… TE…
Biaya Pengobatan Rp38,179,46 Rp36,501,22 Rp81,797,61 Rp36,003,53 Rp51,885,84 Rp35,132,71 Rp35,235,80 Rp57,453,36 Rp49,689,20 Rp33,838,94
Biaya Alkes Rp6,567,905 Rp13,801,58 Rp6,751,045 Rp12,585,00 Rp7,064,982 Rp6,504,030 Rp11,105,18 Rp13,612,17 Rp8,182,744 Rp7,180,330