MANAJEMEN PERUBAHAN DI LEMBAGA PEMERINTAH: STUDI KASUS IMPLEMENTASI KEBIJAKAN PELAKSANAAN PPK-BLUD DI RUMAH SAKIT JIWA PROVINSI NTB

Abstract

Background: NTB Mental Hospital as the only major referral center for mental health services in NTB was required to serve the community, to develop and be self-sufficient, while at the same time must be able to compete in providing quality and affordable services to the community. In order to fulfill these demands, since January 29, 2011 NTB Mental Hospital has received full endorsement as a Mental Hospital with Financial Management Patterns of Local Public Service Agency (PPKBLUD). Therefore, indepth review of the implementation of PPK-BLUD policy in NTB Provincial Mental Hospital (RSJP) is required. Objectives: To explore the transformation process and implementation of PPK-BLUD policy in RSJP. Methods: The design of this study is a qualitative research case study to describe the dynamics of the change process and implementation of PPK-BLUD policy in RSJP. Results and Discussion: The phase of transformation process was not running as expected. The implementation of PPK-BLUD policy is not optimal because some flexibility as a hospital privileges with BLUD financial pattern have not been implemented yet. The f inance manager was hesitant to implement the flexible financial management and still following the local government financial management mechanisms. For external stakeholders, the implementation of PPK-BLUD policy implementation in RSJP did not harm local fiscal policy because the revenue of RSJP was still counted as revenue for local government, as opposed to independent PPK-BLUD. A survey was conducted, consisting of community satisfaction towards the services in RSJP, data of revenue and budgetting management and distribution of fee services to employees in RSJP. The survey result described that the implementation of PPK-BLUD policy in RSJP gives positive impacts on financial, services and benefits performances to RSJP. The positive impacts were an increase in the number of income, increased of service indicators measurement and increased incentive to all employees. Conclusion: Management changes in the transformation process were not running optimal so that the PPK-BLUD policy in RSJP is not fully implemented, although there were some perceived positive results. Keywords: Local Public Service Agency, policy, change management.