Professional Documents
Culture Documents
• Organisasi
• PERSI, ARSSI dan MUKISI
• Wakil Ketua PERSI Banten periode 2015-2018
•
TANTANGAN RUMAH SAKIT
DI ERA JKN-KIS
(Cost Control, Quality Control, Productivity)
Ediansyah
Direktur
2014 : RUMAH SAKIT AN-NISA TANGERANG
KELAS C, 100 TT
RUMAH SAKIT AN-NISA TANGERANG
KELAS C, 160 TT
DATA KUNJUNGAN
800
700
700
600
600
500
200
120 140
100 90
60
0
Rawat Jalan/hari Rawat Inap/hari Operasi/bulan
SIMULASI LABA RUGI RS
PENDAPATAN : 10 M
HARGA POKOK PENJUALAN : 1,2 M (12%)
--------------------------------------------------------------------------------
LABA KOTOR : 8,8 M
JASA MEDIS : 2,5 M (25%)
GAJI KARYAWAN : 1,8 M (18%)
BIAYA OPERASIONAL : 0,8 M (8%)
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EBITDA : 3,7 M
DEPRESIASI : 0,5 M (5%)
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EBIT : 3,2 M
BUNGA BANK : 0,1 M (1%)
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PENDAPATAN SEBELUM PAJAK : 3,1 M
PAJAK :
-----------------------------------------------------------------------------
LABA BERSIH : (15% - 20%)
PRICE = UNIT COST + MARGIN
CASH
Financing activities
Operating activities Investing activities • Repayment of long /short
• Capital expenditures term debt
• Purchase of supplies
• Long term financial • Interest payment
• Administrative expenses
investment • Divident payment
• Tax expense
INVENTORY Harga sesuai e catalog
DOKTER Kolaborasi
Price
Price
Loss
Rupiah
Rupiah
Profit Profit (fix price)
Cost Cost
Volume Volume
(Peter F.Drucker)
Adaptability: Kemampuan perusahaan melakukan respon efektif terhadap
perubahan lingkungan (Pasar, Teknologi dan Regulasi)
1
• Business Strategy
2
• Growing Complexity
3
• Leadeship & Change Management
4
• Cost control & Quality control
5
• Information Technology
1. Business Strategy
Strategic question
1. What is our present situation?
• Resources and Capabilities
• Competitive strenghts and weaknesses
• Changes in business environment
2. Where do we want to go from here?
• Management vision of the company’s future direction
• What new customer groups to satisfy
• What capabilities to build
3. How are we going to get there?
• Guidelines for development
• Priorities for capital expenditure
• Growth modes: organic growth, M & A, Alliances
Where to Compete
1. The product-market investment decision
(Product,Market,Competitor)
A
BUSINESS
STRATEGY
How to Compete
2. Value proposition 3. Assets & competencies
4. Functional area strategy & program
(Aaker,2008)
RS AN-NISA: Where to Compete
Product/Service:
• Spesialisasi lengkap,
Market A • Penunjang medis lengkap
Peserta JKN-KIS
B
RS AN-NISA
Competitor:
C/D RS Kelas C
FKTP
RS AN-NISA: How to Compete
1. Tidak ada diskriminasi pelayanan untuk pasien BPJS dan non
BPJS
Pemilik
Manaje
men
Dokter
Rumah
Sakit
Kem
Pasien
Kes
BPJS
• Tarif INA-CBG
• Verifikasi Claim
• Rujukan Berjenjang
Kompleksitas
• Memiliki keterkaitan dan saling berhubungan antara
satu pihak dan pihak lainnya. (tidak bisa hidup
sendiri)
KOLABORASI
• Function Based Cross Function
STRUKTUR ORGANISASI
DIREKTUR
TIM CASEMIX
IGD
Rajal
Ranap
Khusus
Kolaborasi Manajemen dan Staf Medis
• Jasa Medis
• Konsep : Fee For Services
• Konsultasi : Rp. 70.000
• Visite : Rp. 70.000 (kelas 3,2,1 sama)
Boss or Leader
Control or Trust
Delegate or Collaborate
Steered or Engaged
Rules or Freedom
Think & Talk or Trial & Test
Hierarchy or Network
Protection or Transparency
Power or Respect
LEADERSHIP: Transforming your Organisation
4. Cost Control & Quality
Control
The Meanings of Quality
(does higher quality cost more or does it cost less?)
1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 10 11
Output (in unit) Output (in unit)
Break-even Profit
Point
in Dollars
Loss
Volume in Units
Contoh
FIX COST KAMAR OPERASI : 100 JUTA
JUMLAH OPERASI PER BULAN : 100
Knowledge Management
Keunggulan Bersaing
Produktivitas
Efisiensi
Managing Growth/
costs Innovation
Quality Creativity
control Methods
Assets Corporate
utilization Brand
Operational Future
Efficiency Strategy
Blue ocean
TERIMA KASIH