Health Minister Regulation Research Articles

Evaluasi Biaya Perawatan Intensif Pasien COVID-19 Di RSUP Persahabatan Jakarta: Pendekatan Activity Based Costing

Facing the COVID-19 pandemic, the healthcare system, especially in Indonesia, encountered significant operational and financial challenges, particularly concerning intensive care costs. RSUP Persahabatan, serving as a national referral center, consistently managed COVID-19 patients ranging from moderate to critical degrees. Recognizing the importance of cost evaluation for efficiency enhancement, this study aimed to meticulously examine the unit cost of intensive care for COVID-19 patients using the Activity Based Costing (ABC) approach. In-depth analysis revealed that the intensive care unit at RSUP Persahabatan comprises 14 supporting activities and offers 61 service products. Both direct and indirect costs for each activity were successfully identified and quantified. Further, when juxtaposed with the INA-CBGs rates set by the 2023 Indonesian Health Minister's Regulation, it became evident that RSUP Persahabatan's ICU achieved remarkable cost efficiency. These findings not only provide invaluable insights for RSUP Persahabatan but also offer strategic recommendations for other healthcare institutions in the evaluation and optimization of COVID-19 intensive care costs.

Assessment of Clinical Pharmacy Service Standards Implementation at Bhayangkara Hospital Level III in Kendari

One crucial component influencing the successful implementation of healthcare efforts in hospitals is the pharmaceutical system. Pharmaceutical services play a pivotal role in supporting quality healthcare, as outlined in Permenkes Number 72 of 2016, which delineates Pharmaceutical Service Standards in Hospitals. However, preliminary survey results conducted by the author indicate suboptimal implementation of these standards in 2021. Consequently, the researchers embarked on a study aimed at analyzing the implementation of pharmaceutical service standards at the Pharmacy Installation of Bhayangkara TK III Kendari Hospital. This research is scheduled to be conducted in January - February 2024. This study employed an exploratory qualitative method involving 9 informants at the pharmaceutical installation of Bhayangkara Hospital TK III Kendari. Data collection was conducted using interview guidelines, followed by transcription, introduction to interviews, coding, analysis, interpretation, and data mapping into a matrix. The implementation of health minister regulation Number 72 of 2016 regarding clinical pharmaceutical service standards at the Pharmacy Installation of Bhayangkara TK III Kendari Hospital can be summarized as follows: assessment and prescription services were carried out effectively, tracing the history of drug use was partially implemented well, drug reconciliation was partially implemented, drug information services (PIO) were partially implemented well, but some items such as counseling, visitation, monitoring drug therapy (PTO), monitoring drug side effects (MESO), evaluating drug use (EPO), dispensing sterile preparations, and monitoring drug levels in the blood (PKOD) were not implemented optimally. Overall, the implementation of pharmaceutical service standards according to health minister regulation Number 72 of 2016 at the pharmaceutical installation of Bhayangkara Hospital TK III Kendari has not been optimal. Keywords: Pharmaceutical service standards, Health minister regulation, Pharmacist, Hospital

BPOM Supervision in Increasing Consumer Protection for Online Sales of "Brilliant Philippines "Brand Skin Care Products"

<em>BPOM stated that Skincaree Brilliant Philippines products are unsafe because they are thought to contain retinoic acid and hydroquinone ingredients that can damage the skin. This is the basis for BPOM withdrawing the permit and prohibiting its distribution. The formulation of the problem in this research first examines how the role and function of BPOM in the distribution of Skincare Brilliant Philippines. Second, what is the legal protection for consumers against the distribution of illegal cosmetics online? The research method used is empirical law with a qualitative descriptive approach, compiling various literary sources, including primary and secondary data. Based on an extended analysis, researchers saw that the Skincare Beerliant Philippines product is not safe from which to experience the benefits. Furthermore, BPOM has played an essential role in the supervision of cosmetics because it has carried out a series of tasks, functions, and functions of BPOM related to the supervision of cosmetics. The results of the research found that BPOM should have strict supervision by Presidential Decree Number 80 of 2017 concerning the Food and Drug Monitoring Agency, Law no. 80 of 2017 concerning BPOM Article (1) paragraph (1) and Republic of Indonesia Health Minister Regulation No. 1175/MEeNKEeS/PEeR/VIII/2010 concerning Cosmetics Production Permits which regulate consumer protection against illegal products and distribution permits so that the public feels protected and don't worry about mass-marketed products.</em>

Medical Record Digitization Policy: Overview of the Health Minister Regulation Number 24 of 2022

Objective: This study aims to examine the Regulation of the Minister of Health Number 24 of 2022 concerning Medical Records, which regulates electronic medical records.
 Methods: This research is juridical research with a statutory approach. Thus, this study only analyzes the rules and regulations related to legal or policy issues related to the digitization of medical records.
 Results: The obligation of the Electronic Medical Record (EMR) in Indonesia has legal certainty with the ratification of the Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning Medical Records. This obligation has administrative consequences in the form of a written warning and/or recommendations for revocation or revocation of accreditation status for Health Service Facilities that commit violations. The provisions of this policy must go into effect no later than December 31, 2023.
 Conclusion: Three new things are regulated in the Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022: the electronic system of electronic medical records, activities for organizing electronic medical records, security, and protection of electronic medical record data.

Implementation of Occupational Health and Safety Standards for Office Buildings in Universitas Airlangga Rectorate Building

Introduction: Universitas Airlangga office building rectorate includes a high-rise building that must have occupational health and safety (OHS) facilities and also its application must be in accordance with office building standards which applies to prevent accidents and occupational diseases. This study aims to determine OHS office buildings rectorate facilities, and to analyze OHS standards application for office buildings rectorate with applicable OHS office building standards. Methods: This research is an observational study. Data analysis using descriptive method with a cross sectional study design. The variables studied were OHS office building facilities in Universitas Airlangga Rectorate, and OHS standard application for in Universitas Airlangga office buildings rectorate. Data collection techniques are derived from primary data in OHS observations form facilities in office buildings and secondary data in agency documents form. Results: Work safety facilities include fire extinguishers, hydrants, evacuation routes, evacuation plans, gathering points, first aid kits. emergency stairs, safety sign. Occupational health facilities include health promotion media, workforce health checks, and lactation rooms. Office work environment health facilities include toilets and hand washing facilities. Then office ergonomics facilities include cushions for employee work chairs. Conclusion: The facilities are in accordance with Republic of Indonesia Health Minister Regulation Number 48 of 2016 concerning Office OHS Standards which include occupational safety application, occupational health, and office environmental health standards and office ergonomics. The implementation of OHS standards for office buildings at in Universitas Airlangga Rectorate, such as occupational safety, occupational health, office work environment health, and office ergonomics standards have been implemented and carried out.

Implications of Social Inequality for Soldiers in Health Services of the Indonesian National Armed Forces Managed by the Social Security Agency

This scientific journal research analyzes Law No. 24 of 2011 on health services for the Indonesian National Armed Forces (TNI) sector along with their families included in the national health insurance managed by the Healthcare and Social Security Agency (BPJS) and its implementation regulated in the Presidential Regulation and Health Minister Regulation. However, the implementation of the BPJS health insurance at the TNI institutions does not show effective results, and it tends to decline. Therefore, it is necessary to interpret various factual factors affecting the success of the implementation process of health service delivery policies, which will be useful for finding synergies in the implementation of health services in the TNI. This research on the implementation of policies in the TNI health services was a scientific activity prepared using certain types and strategies and at the same time viewed from certain aspects which had several types and strategies. Therefore, this research used the descriptive qualitative method. Six factors should be interpreted to know the implementation of the TNI health service policy under Law No. 24 of 2011, namely; 1) policy standards and objectives, 2) resources, 3) characteristics of the implementing organization, 4) attitudes of the implementers, 5) communication among organizations related to implementation activities, 6) social, economic and political environments. All these factors synergize with each other and affect health services to TNI, which are administered by BPJS.

PELAKSANAAN KONSELING OBAT OLEH APOTEKER DI APOTEK KABUPATEN BADUNG

Republic of Indonesia Health Minister Regulation No. 73 of 2016 states that counseling is one of the pharmaceutical services at the Pharmacy. This study aims to determine the implementation of drug counseling by Pharmacists to patients in the Pharmacy in accordance with Republic of Indonesia Health Minister Regulation No. 73 of 2016. This type of research is non experimental with cross sectional design. In this study the data was taken using a questionnaire via Google Form. Fill out the google form by the pharmacists in Badung Regency. The data obtained were analyzed and then the percentage was made. Based on the data obtained, as many as 100% of respondents had counseled patients with varying time periods. Respondents had counseled within 1-10 minutes. When providing counseling, as many as 55.55% of respondents asked that there were those who needed help, such as lack of time, place and knowledge. Provision of information in the implementation of counseling, namely how to use and store drugs (100%), time of drug use (88.89%), drug dosage and duration of drug use (77.78%), and drug side effects (66.67%). This is good enough to increase patient approval for taking the drug. However, counseling documentation and recording patient documentation is still not effective in its implementation due to various factors. In terms of the pharmacist's knowledge regarding the laws governing the performance of pharmaceutical personnel, 88.89% of respondents already knew that. Therefore, it is expected that pharmacists can carry out their duties properly in accordance with statutory regulations.

Sebaran Konsentrasi Coliform Dan Escherichia Coli Pada Air Tanah Dangkal Kota Gorontalo

This study aims to analyze the spatial distribution of coliform and E. coli in groundwater Gorontalo City and the factors that influence it. The sampling locations were taken from 9 sub-districts consisting of 27 villages. The nine sub-districts consist of Dumbo Raya, Hulondalangi Kota Barat, Kota Utara, Kota Timur, Kota Selatan, Sipatana, Dungingi, and Padebuolo Districts. Sampling in each village consisted of 1 sample and was taken randomly. Kota Utara Sub-district consisted of 1 sample location, namely Dembe Jaya Village. Kota Timur Sub-district consists of 2 villages, namely Padebuolo and Heledulaan Selatan villages. Kota Selatan sub-district consists of Limba U 1. Kota Tengah sub-district consists of Liluwo Village. The Sipatana sub-district consists of Tanggikiki, Bulotadaa, and Tapa Villages. Dungingi sub-district consists of Tulandenggi and Libuo Villages. The total number of samples was 27. The analysis was carried out at the Gorontalo District Health Office, UPTD of Water Quality Laboratory Installation. The sampling method was carried out aseptically. Measurements in the laboratory used the MPN method. The quality standard that became the reference was Permenkes (Health Minister Regulation) number 32 of 2017 Annex 1 regarding water for sanitation and hygiene. The results of the analysis showed that the distribution of the number of coliform bacteria, in general, was at the quality standard set. A total of 24 villages of 27 locations were above the established quality standard. Regarding the number of E. coli bacteria from 27 locations, there were 5 locations above the established quality standards. The factor that affected the pollution was the distance of the septic tank which was very close to the well (water source).

Assessment of Groundwater Quality for Drinking Purpose in an Industrial Area, Dumai City, Riau, Indonesia.

Groundwater is the main water resource especially for daily water needs. Population growth and urbanization have increased demand for water while the availability of groundwater has decreased both in quality and quantity. Various human activities also produce industrial, agriculture and municipal waste that can pollute groundwater through leaching process. The purposes of this study are to determine the quality of groundwater around tofu industrial factory and its evaluation for drinking water based on Health Minister Regulation No.492/MENKES/PER/IV/2010 and Government Regulation No.82 2001.The temperature, pH, total dissolved solids (TDS) and electrical conductivity (EC) were measured by using YSI-Pro. Chemical Oxygen Demand (COD) and Biochemical Oxygen Demand (BOD) were measured based on SNI 06-6989.2.2009 test method and SNI 06-698.72.2009 test method, respectively. Physically, groundwater had temperature average 28,60C, TDS 243 mg/L and EC 396 µS/cm. Almost all groundwater were acidic with pH average 5,6 and did not meet the drinking water quality requirements. Groundwater had COD average 78 mg/L, BOD average 36 mg/L and it were classified into moderate-heavy pollution. It indicated that groundwater may have been contaminated by organic material from tofu industrial wastewater. Therefore, groundwater should not be used as a source of drinking water.

Groundwater Quality Assessment for Drinking Purpose Based on Physicochemical Analysis in Teluk Nilap Area, Rokan Hilir, Riau, Indonesia.

Groundwater is water resource that widely used for domestic purposes, including for drinking. However, the industrial and population growth causes the quality and quantity of groundwater to decline. In this case, the quality of drinking water in Indonesia must meet the requirements according to Health Minister Regulation No.492/MENKES/PER/IV/2010. This study aims are to determine the quality of groundwater in the research area based on physicochemical parameters and its evaluation for drinking water. Groundwater samples were taken from dug wells in Teluk Nilap area, Rokan Hilir, Riau. Groundwater samples have temperature average 30oC, TDS average 312,5 mg/L and pH average 5,6. Groundwater contain sulfate and nitrate with average value 48,8 mg/L and 11,86 mg/L, respectively. Groundwater water also have iron and lead metal above the permitted standard with average value 2,57 mg/L and 0,022 mg/L. Groundwater in the study is not recommended as drinking water.

Informed Consent in Health Services: How are the Patients' Rights Protected?

This study aims to analyze the rights of patient in medical services case on Batara Siang Hospital. This study was triggered by various problems regarding the privacy rights of patients in health services. Informed consent is an explanation by the doctor related to the condition of the patient's illness and the medical action that the doctor will take to cure the patient and then from the explanation explained by the doctor get the consent of the patient or the patient's family. Before giving emergency measures, the Batara Siang Hospital also applies an informed concentration Republic of Indonesia Health Minister Regulation Number 585/MEN.KES/PER/X/1989. This study revealed that Batara Siang Hospital always applies Informed Consent before taking medical or medical measures, but for emergency cases it is excluded because it concerns the lives of patients.

The legal responsibility of the hospital on the use of fake vaccines

The study aims to investigate legal responsibility and the supervisory functions of the Hospital of the use of fake vaccines. The research used the normative legal research, namely research methods using materials sourced from regulations. The study indicates that the Hospital of Harapan Bunda had broken the Law No. 44 of 2009 about Hospital and Health Minister's Regulation No. 72 Year 2016 of Pharmaceutical Service Standard in Hospital. The Hospital concerned has been subjected to administrative action and has been prosecuted by the victims' parents. The case is in the East Jakarta District Court. Hospital as a Corporation may be held criminally liable in accordance with Regulation of the Supreme Court of the Republic of Indonesia No. 13 of 2016 on Procedures for Handling Corporate Crime. Hospital is considered negligent in supervising the use of fake vaccines at the Hospital. Hospitals procure any vaccine, it has to meet the Law No. 44 of 2009 about Hospital and Health Minister Regulation No. 72 of 2016 of Pharmaceutical Service Standard in Hospital.

UJI KADAR FLOURIDA PADA AIR MINUM DALAM KEMASAN (AMDK) DAN AIR SUMUR SECARA SPEKTROFOTOMETRI UV-VIS

Water naturally contains various minerals, one of them is fluoride ion. Fluoride in water with suitable amounts give good benefits for health, but give the opposite result in excessive amounts. The purpose of this study was to determine the levels of fluoride contained in bottled drinking water and some well water samples in Banda Aceh. The fluoride amount in bottled drinking water and the well water was analyzed using UV-Vis Spectrophotometry at 570 nm wavelength. The measurement results show that the six samples have fluoride ion levels below 1 mg/L. This proves that the water is suitable for consumption and use because it meets the quality standards of SNI 01-3533-2006 (maximum 1 mg/L for bottled drinking water) and the Health Minister Regulation of Republic Indonesia Number 32 Year 2017 (maximum 1,5mg/L in water for hygiene and sanitation purposes).

Quality and Utilization of Water Resources in Sukarame Village, Cisolok Subdistrict, Sukabumi Regency

Water resources in Sukarame Village, Cisolok Subdistrict, Sukabumi Regency are not only used for fulfilling the daily needs but also for agricultural irrigation and mining activities. Sukarame has an Unlicensed Gold Mine (PETI) that dumps waste directly into the river, which can affect the quality of Sukarame Village’s water resources. Water quality monitoring is useful to prevent a decrease in the quality, water utilization that can interfere with quality, endanger health, as well as improve water quality. The purpose of this study was to determine the quality and utilization of water resources in Sukarame Village. The method used in this study was descriptive by taking 15 samples from 4 hamlets in Sukarame Village originating from surface water and groundwater. The water quality of the sample was tested for physical and chemical parameters of water. Water quality data then analyzed under Health Minister Regulation No.416/MEN.KES/PER/IX/2010 concerning Water Quality Requirements and Supervision. The measurement of water resources quality taken from groundwater and surface water sources in Sukarame Village varies, therefore the use of water resources is also different. Surface water resources of Sukarame Village cannot be used for daily needs because the turbidity is high, while groundwater resources included in clean water can be used for daily needs.

MODEL PERLINDUNGAN DAN PEMENUHAN HAK PASIEN TERHADAP PELAKSANAAN INFORMED CONSENT DI INDONESIA

Law and health is a different science. But due to the rampant cases that occur related to the practice of medicine, the law contribute in providing solutions for both physicians and patients as consumers of health, although medicine has a code of professional ethics as well as Standard Operations as the basis of doctors in carrying out their work. The legal tools are still needed because in practice, there are many medical malpractices. This study focuses on 2 (two) important things, first, how judges assess the express consent on the implementation of informed consent and secondly, how the model of protection and fulfillment of patient rights in the implementation of informed consent in Indonesi.The research method used is normative legal research, because it is based on health law and the health minister's regulation as the main benchmark in analyzing, then integrates with court decisions relating to medical practices that have occurred in Indonesi.The results of the discussion illustrate that, the main point of doctors and health workers in carrying out their duties is the implementation of concrete agreements both written and oral. Empirical facts show that, doctors do not carry out the procedure because the patient is unconscious when will be a medical action. Judex Facti's consideration is entirely based on information and documents made unilaterally by doctors without medical records, this is in violation of the provisions of Article 2 paragraph (3) and (4) Regulation of the Minister of Health Rl Number 585 / Men.Kes / Per / IX / 1989 concerning medical approval. Second, the model for protecting patient rights in law enforcement is applying reverse evidence to doctors as defendants of malpractice in relation to the fulfillment of informed consent, because the medical profession is able to explain. From several cases, it appears that the judge's decision is not fundamental to informed concent, but tends to the negligence aspect of the doctor or medical personnel by referring to Article 359 of the Criminal Code, is negligence also called error, lack of caution.

Reduction of iron and manganese concentration in dug well water by using Moramo beach sand as filter media

Well water treatment with aeration-filtration method using the spray aerator and rapid sand filter in decreasing levels of iron (Fe) and manganese (Mn) has been carried out. This study aims to determine the effectiveness of Moramo beach sand in decreased levels of Fe and Mn after aeration-filtration processing. Characterization of Moramo beach sand minerals using XRF showed that SiO2 content of 98.68%, which means that it is qualified as silica sand. Measurement of concentration of Fe and Mn by using Atomic Absorption Spectroscopy (AAS) method. After the aertion-filtration processing, levels of Fe and Mn can be decreased to be 0.072 mg/L and 0.012 mg/L respectively. The results indicated that the concentrations of Fe and Mn have been under the threshold level of the Health Minister Regulation No. 492/Menkes/IV/2010 of ≥ 0.3 mg/L of Fe and ≥ 0.4 mg/L for Mn. In this case, the effectiveness of treatment in reduce of Fe and Mn ions could be 92.46 % and 98.82% respectively. It implied that Moramo beach sand is potential to be used as a filter media to reduce Fe and Mn concentration in dug well water.

Profile of Pam Jaya and Private Partners in Clean Water Supply Jakartan (Case Study Year 1998-2012)

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Analysis Of The First Pilar Community-Based Total Sanitation Implementation

The implementation of Community-Based Total Sanitation starts from the first pillar of open defecation which is the entrance to total sanitation. ODF conditions are marked by 100% of the community having access to Defecate in their own latrine, there is no dirt in their environment, and they are able to maintain the cleanliness of the latrine (Health Minister Regulation No.3 of 2014). In the City of Bengkulu, from 19/67 triggering Village / Sub-district, achievements of the new ODF village 7 villages / Sub-district. The research objective was to analyze the implementation of the first pillar Community Based Total Sanitation. This type of research is qualitative research with descriptive research methods. The informants in this study amounted to 6 people consisting of the Head of the Community Health Center and sanitation officers. The results showed that in implementing the first pillar community-based total sanitation in Bengkulu City there was policy support from the government, namely the Republic of Indonesia Health Minister's Regulation No. 3 of 2014, there were still energy workers, funding sources for implementation came from Health Operational Assistance funds, availability of facilities and infrastructure in the form of brochures, leaflets, counseling, and FGD. The process was carried out starting from the pre-triggering phase by conducting technical preparations, observing Clean and Healthy Life Behavior, arranging triggering schedules and locations, triggering by holding meetings with the community, triggered by the outbreak of disease transmission, growing disgust, shame and fear of illness and post-triggering by looking at the village with ODF village status, building community commitment and mentoring and monitoring triggering activities. The output of the Village in the City of Bengkulu with the status of the SBS headman varies from 25%, 50%, and 100%. It is recommended to develop further analysis and results, in particular, to deepen the analysis of the implementation of the first pillar community-based total sanitation and the factors contributing to the success of ODF Villages.

ANALISIS KANDUNGAN BORAKS PADA BAKSO YANG DIJUAL DI ANDUONOHU KOTA KENDARI SULAWESI TENGGARA

Fast food consumption today has become a habit of eating for the people in Indonesia. One of the popular fast food is meatballs, but nowadays often found the use of non-food additives in the meatballs, namely borax. The Indonesian Republic Food and Drug Administration has detected the abusive use of borax on food derived from various regions of Indonesia. Borax is a chemical compound derived from heavy metals, namely Boron and commonly used as an anti-fungal and wood preservative. This study aimed to determine the content of borax on meatballs that was sold in Anduonohu, Kendari City of Southeast Sulawesi. Type of research using total sampling conducted by observational descriptive by the qualitative method that was using the method of centrifugation and dry ash processing. The results showed that from 24 samples of meatballs located in Anduonohu, Kendari City, it was proven that none of the meatballs contained borax which could endanger the consumer's health which was marked by no change of green color when heated on the flame. Based on the results of the analysis can be concluded that all sellers of meatballs located in Anduonohu, Kendari City have the knowledge and good attitude. Knowledge and attitude level is one important factor in order to avoid pollution of toxin material. Meatball processing method in Anduonohu, Kendari City has fulfilled the requirement of Indonesian Republic Health Minister Regulation in 2015, Number: 722/Menkes/Per /IX/2015 about food, so people do not have to worry about consuming meatballs located in Anduonohu, Kendari City.

Pelaksanaan Supervisi Imunisasi Campak di Puskesmas Wilayah Surabaya Utara

Measles is one of endemic diseases in East Java especially in north Surabaya, the home of specific ethnic which resist of immunization. Surabaya District Health Office targeted their Measles immunization is above 90%,but unfortunately this target are never been reached. The purpose of this study was to analyze the management process of immunization program, especially the supervision. The guidance of supervision is regulated in HealthMinister Regulation number 42, on 2013. Supervision is involved performance standard setting, monitoring and corrective action. This is a quantitative study with descriptive and cross sectional design. The sampling wascalculated by using simple random sampling. The interviews through open and close question were conducted to 38 Managers of Immunization program in Public Health Centre. The result showed that the implementation ofsupervision has implemented by guidance the supervision of immunization programme. The study showed that only 2.63% or just one of Public Health Centre has already supervised by District Health Office and 5.26% or twoPublic Health Centres has supervised three times and suit with guidance implementation of general supervision. From this study, it is important for District Health Office to add new person as Supervisor and Public HealthCentres and ensure that its supervision follow the supervision guidance.Keywords: Measles immunization, North Surabaya, supervision