FEEDBACK UTILIZATION REVIEW

RS WOODWARD
RAPAT KOMITE MEDIK
13 APRIL 2019
10 DIAGNOSA TERTINGGI RAWAT INAP BULAN PELAYANAN JANUARI 2019

No Diagnosa Kasus
1 K30 - Dyspepsia 55

2 K529 - Noninfective gastroenteritis and colitis, unspecified 24

3 J180 - Bronchopneumonia, unspecified 19
4 A010 - Typhoid fever 17
5 A91 - Dengue haemorrhagic fever 17
6 J40 - Bronchitis, not specified as acute or chronic 16
E119 - Non-insulin-dependent diabetes mellitus without
7 complications 13
8 N200 - Calculus of kidney 13
9 I159 - Secondary hypertension, unspecified 9

10 O211 - Hyperemesis gravidarum with metabolic disturbance 8

10 kasus RAWAT INAP berbiaya tertinggi BULAN PELAYANAN JANUARI 2019

No Diagnosa Biaya
1 K30 - Dyspepsia Rp 90,616,200.00
2 J180 - Bronchopneumonia, unspecified Rp 84,383,300.00
E119 - Non-insulin-dependent diabetes mellitus without
3 complications Rp 56,240,900.00
4 N200 - Calculus of kidney Rp 54,874,300.00
5 J40 - Bronchitis, not specified as acute or chronic Rp 53,809,700.00
6 A010 - Typhoid fever Rp 47,766,000.00
7 K529 - Noninfective gastroenteritis and colitis, unspecified Rp 45,267,900.00
8 O339 - Maternal care for disproportion, unspecified Rp 43,299,600.00
9 I64 - Stroke, not specified as haemorrhage or infarction Rp 36,061,500.00
10 A91 - Dengue haemorrhagic fever Rp 33,361,600.00
10 DIAGNOSA TERTINGGI RAWAT jalan BULAN PELAYANAN JANUARI 2019

No Diagnosa Kasus
Z098 - Follow-up examination after other treatment for other
1 conditions 1,039
2 K30 - Dyspepsia 75
3 J069 - Acute upper respiratory infection, unspecified 44
4 R509 - Fever, unspecified 40
5 K529 - Noninfective gastroenteritis and colitis, unspecified 37
6 Z090 - Follow-up examination after surgery for other conditions 32
7 K219 - Gastro-oesophageal reflux disease without oesophagitis 30
8 H259 - Senile cataract, unspecified 29
9 K041 - Necrosis of pulp 28
10 H524 - Presbyopia 24
10 kasus RAWAT JALAN berbiaya tertinggi BULAN PELAYANAN JANUARI 2019

No Diagnosa Biaya
Z098 - Follow-up examination after other treatment for other
1 conditions Rp 217,766,900.00
2 H259 - Senile cataract, unspecified Rp 77,394,400.00
3 K30 - Dyspepsia Rp 19,765,000.00

4 J069 - Acute upper respiratory infection, unspecified Rp 8,540,400.00

5 K041 - Necrosis of pulp Rp 8,444,800.00
6 R509 - Fever, unspecified Rp 7,764,000.00

7 K219 - Gastro-oesophageal reflux disease without oesophagitis Rp 7,719,000.00

8 Z090 - Follow-up examination after surgery for other conditions Rp 6,265,600.00

9 K529 - Noninfective gastroenteritis and colitis, unspecified Rp 5,331,700.00

10 J459 - Asthma, unspecified Rp 5,224,900.00
 KUNJUNGAN POLI
JUMLAH KUNJUNGAN
500 476

450

400

350

300
258
250 233
200
200 176
150
150 137
112 119
100
45 46 50
50

0
GIG ANA OBG KLT BED JIW THT INT ORT MAT SAR IGD
KASUS RAWAT INAP DENGAN LOS < 3HARI BULAN PELAYANAN JANUARI 2019
No Diagnosa
1 Dyspepsia
Noninfective gastroenteritis and
2 colitis, unspecified
Medical abortion, incomplete, without
3 complication
Bronchitis, not specified as acute or
4 chronic
5 Typhoid fever
Other benign neoplasm of connective
and other soft tissue of head, face
6 and neck
Hyperemesis gravidarum with
7 metabolic disturbance
8 Chronic tonsillitis
9 Congestive heart failure
10 Benign neoplasm of breast
Jumlah Kasus Biaya Verifikasi
20 Rp 31,112,700.00
7 Rp 13,252,900.00
5 Rp 10,709,500.00
4 Rp 12,204,200.00
4 Rp 10,905,800.00
3 Rp 13,101,900.00
3 Rp 7,921,400.00
3 Rp 11,163,700.00
3 Rp 9,665,000.00
3 Rp 17,101,600.00
JUMLAH PESERTA PRB S.D 31/03/2019

Target Sesuai PKS Capaian

No. Target per bulan
(s.d. 31/12/2019) (s.d. 31/03/2019)
1 141 12 2
 PERMENKES 28 TAHUN 2014
• Program Rujuk Balik (PRB) pada penyakit2 kronis:
1. DM
2. Hipertensi
3. Jantung
4. Asma
5. PPOK
6. Epilepsi
7. Skizofrenia
8. Stroke
9. SLE
Wajib dilakukan bila kondisi pasien sudah dalam keadaan stabil, disertai dengan
surat keterangan rujuk balik yang dibuat oleh dokter spesialis/subspesialis.
Simulasi Honor Dokter
Permenkes 28 Tahun 2014.pdf
Fasilitas Kesehatan Rujukan Tingkat Lanjutan
Rumah Sakit Swasta/Klinik Utama Dana hasil pembayaran klaim, bagi Rumah Sakit
Swasta/Klinik Utama pengaturannya diserahkan kepada fasilitas kesehatan tersebut.
Besaran jasa pelayanan kesehatan di FKRTL milik Pemerintah dalam kisaran 30 - 50% (tiga
puluh sampai dengan lima puluh persen) dari total pendapatan fasilitas kesehatan tersebut.
Sedangkan untuk fasilitas kesehatan rujukan tingkat lanjutan milik swasta pengaturannya
diserahkan kepada fasilitas kesehatan tersebut

Simulasi honor dokter.xlsx

Tarif baru (umum & BPJS).docx

Tarif Lama RS. Woodward 2011.docx