Regional Public Service Agency Research Articles

Performance Of Regional Public Service Agencies: Accountability As A Moderating Variable

This study aims to empirically examine the influence of leadership style and technology on the performance of the Regional Public Service Agency (RPSA) Health Center in Pekanbaru City. This study also examines Accountability moderation. This research was conducted using a survey method through a questionnaire. All RPSA Public Health Centers in Pekanbaru City were sampled in this study, with 140 RPSA managers as respondents. The results of data analysis using Moderated Regression Analysis (MRA) with SPSS show that leadership style and use of technology affect the performance of the RPSA Health Center. The results also show that accountability does not moderate the influence of leadership style on the performance of the PSA Public health center but moderates the effect of using technology on the performance of the RPSA Public health center. The results of this study contribute to improving the performance of health organizations, especially health centers in the city of Pekanbaru.

Budgeting for inventory of personal protection equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital southeast Sulawesi Province, Indonesia

Background: When the first Covid-19 case appeared in China in 2020, it didn't take long for it to spread throughout the world. In Indonesia, the entry of this disease is the most serious threat as a global pandemic with a fairly high morbidity and mortality rate that has a broad impact on life safety and disrupts the national economy. The availability of personal protective equipment in hospitals is an important part of patient care for the National Health Insurance (NHI). Objective: To determine the budget for the supply of personal protective equipment (PPE) for NHI patient services during the Covid-19 pandemic at the Bahteramas Regional Public Service Agency (RPSA) Hospital Southeast Sulawesi Province. Methods: This type of qualitative research with a case study approach. The research was conducted at the Bahteramas RPSA Hospital, Southeast Sulawesi Province, Kendari City. The research informants consisted of 1 regular informant and 3 key informants. The selection of informants is based on the depth of understanding or experience of the informants. Data was collected using observation, document review, and in-depth interviews. Data analysis is done by matrix Content Analysis. Results: The availability of funds for Covid-19 patient services is not yet available, funding sources are obtained from the regional government and the Central Government, but to fulfill the need for PPE in the early days of the Covid-19 pandemic using the Hospital RPSA budget. The budget for purchasing PPE for Covid-19 services has not been planned in advance because the occurrence of the Covid-19 outbreak is an incident that appears spontaneously without being predicted beforehand. Planning for PPE needs based on the needs of each hospital service unit. The preparation of the budget is based on the applicable Standard Operating Procedures. Conclusion: The decision of the Bahteramas RPSA Hospital to use the RPSA Hospital's funds for the procurement of PPE in the early days of the Covid-19 pandemic was the right decision. When viewed from the increasing need for PPE in the early stages of the pandemic and the limitations of previous PPE planning, the RPSA Hospital budget became an option for Bahteramas Hospital as an alternative to procuring PPE prior to government assistance.

Procurement of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas Regional public service agency hospital Southeast Sulawesi Province, Indonesia

Currently, the incidence of morbidity and mortality due to the Covid-19 disease outbreak in Indonesia is still quite high, with the intensity of transmission being very fast in the community. The occurrence of contact between patients and health workers becomes very vulnerable to the emergence of illness and death in health workers. The importance of the use and availability of personal protective equipment (PPE) in hospitals needs to be continuously pursued. The purpose of the study was to determine the supply of personal protective equipment for the service of national health insurance patients during the Covid-19 pandemic at the Bahteramas Regional Public Service Agency (RPSA) Hospital, Southeast Sulawesi Province. This type of qualitative research with a case study approach. The study was conducted at the Bahteramas RPSA Hospital, Southeast Sulawesi Province, Kendari City, with the reason that this hospital is a referral center for Covid-19 patient services. The informants in the study consisted of 3 regular informants and 6 key informants. Data was collected using observation, document review and in-depth interviews. Data analysis is done by matrix Content Analysis. The results of the study show that the procurement of PPE for Hospitals is carried out through E-catalogs and direct procurement. The vacancy of PPE is caused by internal factors where the hospital procurement party minimizes stock procurement as needed with evaluations carried out every month. Evaluation is carried out to determine the availability of sufficient stock until the deadline for the next PPE purchase, but if the stock is insufficient then the purchase of PPE can be made before the stock period is empty. The external factor causing the stock vacancy is caused by the delay in the distribution of PPE. Conclusion: Procurement of supplies for PPE needs for RPSA Hospitals, apart from making their own procurement from the hospital, also borrows and requests assistance from related agencies. The availability of hospital PPE is influenced by internal factors and external factors. Suggestion; The Hospital Logistics Section should always monitor the procurement of PPE to ensure the availability of PPE is still met as needed.

Storage and distribution of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital Southeast Sulawesi Province, Indonesia

The rate of transmission of the Covid-19 disease is very high so that it spreads very quickly throughout the world with very high morbidity and mortality rates. In an effort to handle Covid-19 at the Bahteramas Regional Public Service Agency (RPSA) Hospital, Southeast Sulawesi Province, it is necessary to have Personal Protective Equipment (PPE) for health workers to prevent cross-infection between patients and officers. The purpose of the study was to determine the storage and distribution of Personal Protective Equipment during the Covid-19 pandemic at the Bahteramas RPSA Hospital, Southeast Sulawesi Province. This type of qualitative research with a case study approach. The research was conducted at the Bahteramas RPSA Hospital, Southeast Sulawesi Province, Kendari City, with the reason that this hospital is a referral hospital for Covid-19 patient services. The informants in the study consisted of 2 regular informants and 5 key informants. Data was collected using observation, document review and in-depth interviews. Data analysis is done by matrix Content Analysis. The results showed that the process of storing PPE in the storage warehouse, during storage there are no obstacles found. The warehouse capacity is very sufficient for the storage and storage of PPE logistics supplies. The PPE storage is in accordance with the applicable SOP. There were no obstacles encountered when distributing PPE from logistics to health workers. Conclusion; The storage and distribution of PPE at the Bahteramas RPSA Hospital is considered quite good, because the storage of PPE in the pharmacy warehouse is in accordance with the applicable SOP. Meanwhile, the distribution of PPE to health workers is carried out through requests from each hospital service unit, according to the number of needs that will be used so that the needs of PPE in each service unit can be met properly.

Budgeting for inventory of personal protection equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital southeast Sulawesi Province, Indonesia

Budgeting for inventory of personal protection equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital southeast Sulawesi Province, Indonesia

THE EFFECT OF DISCIPLINE AND WORK MOTIVATION ON THE PERFORMANCE OF EMPLOYEES OF REGIONAL GENERAL SERVICES AGENCY (BLUD) BANGKINANG HOSPITAL

This study aims to determine the effect of discipline and work motivation simultaneously and partially on the performance of employees of the Regional Public Service Agency (BLUD) Bangkinang Hospital. The population in this study were all employees of the Regional Public Service Agency (BLUD) of Bangkinang Hospital which were known to be 124 employees. The sampling method in this study was the total sample method using the saturated census technique so that the number of samples in this study was 124 respondents. Data analysis was carried out using multiple linear regression models. Based on the test results simultaneously and partially, the variables of discipline and work motivation proved to have a significant effect on the performance of the employees of the Regional Public Service Agency (BLUD) Bangkinang Hospital. The close relationship that occurs between the variables of discipline and work motivation on employee performance is strong. The contribution of the independent variable to the dependent variable is 63.6% while the remaining 36.4% is influenced by other variables not examined in this study.

Storage and distribution of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital Southeast Sulawesi Province, Indonesia

Storage and distribution of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas regional public service agency hospital Southeast Sulawesi Province, Indonesia

Procurement of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas Regional public service agency hospital Southeast Sulawesi Province, Indonesia

Procurement of personal protective equipment in national health insurance patient services during the Covid-19 pandemic at Bahteramas Regional public service agency hospital Southeast Sulawesi Province, Indonesia

Ambulance Operational Services Information System At The Jakarta Department Of Health

Information regarding monitoring of operational expenditures of the Regional Public Service Agency at the Emergency Ambulance Service Unit of the DKI Jakarta Health Office. Because the finances issued or used must be accurately informed. In this case, monitoring the operational expenses of the Regional Public Service Agency at the Emergency Ambulance Service Unit of the DKI Jakarta Health Service still has many obstacles. Constraints faced are such as the technical executor. The activity of submitting an accountability letter still has a long stage, the Verifier is not there so that the process of checking the accountability letter stops, the input of reports is carried out one by one by the Spending Treasurer using Microsoft Excel. The process of monitoring the operational expenses of the Regional Public Service Agency at the Emergency Ambulance Service Unit of the DKI Jakarta Health Office takes a long time. And another obstacle is the occurrence of classifying the type of operational expenditure. In this data analysis method, using Balanced Scorecard (BSC) analysis, system design uses Visual Paradigm to create UML (Unified Modeling Language), PHP programming language, MySQL to create databases. The result of this research is that an information system for monitoring operational expenditures of the Regional Public Service Agency can create and submit a letter of accountability and verification letters are carried out computerized, the Expenditure Treasurer no longer enters the general cash books one by one, the Expenditure Treasurer no longer classifies the types of operational expenditure in recap operational expenditure.

Regional Public Service Agency’s Financial Management Implementation in Walanda Maramis North Minahasa Public Hospital

Regional Public Service Agency’s Financial Management is one of the new policies from government in order to improve financial performances and public services at Walanda Maramis North Minahasa Public Hospital. The purpose of this research is to analyze Regional Public Service Agency’s Financial Management in Walanda Maramis North Minahasa Public Hospital (before and after implementing). This research uses qualitative approach with descriptive analyze method; secondary data ources from 2020 and 2021 financial reports, journal articles, reference books and interview instruments.Balanced Scorecard and Model Analyze by Miles and Huberman is the analyzing technic used to comprehensively measure the financial and non-financial performances. Result of this research shown: 1)Walanda Maramis North Minahasa Public Hospital had implementing financial management of Reginal Public Service Agency in forms of governances, accountabilities and transparency; and 2) performances evaluations is consist of three aspects, financial performance, operational services performance, and service quality improvement performance, which contributing to the public’s services and welfare, which also got Healthy grade financial performance with 74.15 score.

Pengaruh Stres Kerja, Efikasi Diri dan Kreatifitas Terhadap Kinerja Pegawai Badan Layanan Umum Daerah Rumah Sakit Umum Daerah Djasamen Saragih Pematangsiantar

The purpose of this research is to identify and analyze the influence of job work stress, self-efficacy, and creativity on the employee’s performance of the Regional Public Service Agency at RSUD Djasamen Saragih Pematangsiantar. This research is explanatory, namely research that aims to explain the relationship between variables that have been determined as variables to be studied. The data used in this study are primary data and secondary data. The data analysis method used is quantitative descriptive using multiple linear regression. The population in this research was 72 employees. The number of samples in this research was 72 employees with saturated sampling data collection techniques. The result showed that work stress, self-efficacy, and creativity significantly affect the performance of BLUD employees at RSUD Djasamen Saragih Pematangsiantar. The partial test showed that self-efficacy and creativity variable has positive and significant on employee performance of BLUD employees at RSUD Djasamen Saragih Pematangsiantar. In contrast, the work stress variable has negative and significant on employee performance. BLUD employees at RSUD Djasamen Saragih Pematangsiantar. Creativity is a dominant variable influencing employee performance at RSUD Djasamen Saragih Pematangsiantar

Analisis Implementasi Pola Pengelolaan Keuangan Badan Layanan Umum Daerah pada Rumah Sakit Umum Daerah Dr. RM. Djoelham Binjai

The government has launched the Public Service Agency / Regional Public Service Agency (BLU / BLUD) program with the issuance of Government Regulation Number 23 of 2005. PP 23 of 2005 concerning Financial Management of Public service agency which basically explains, Public service agency are not only a new form in management of state finances but also as a new paradigm for public sector service management. The purpose of this study was to determine and analyze how the implementation of PPK-BLUD policies in RSUD Dr. RM Djoelham Binjai in terms of improving the quality and quality of public services, especially health services to the people of Binjai City. The method used in this research is descriptive qualitative using the Merille S. Grindle theory where there are several variables that determine the effectiveness of policy implementation. From the research results it can be seen that after the implementation of PPK-BLUD in Dr. RM. Djoelham Binjai, there was a change where previously the budget management, finance and reporting processes, which had been purely based on financial regulations with the APBD mechanism. However, with the implementation of PPK-BLUD, all the income that the RSUD Dr. RM. Djoelham receives can be directly managed and used for the needs and needs of the RSUD. So it is hoped that it can simplify the bureaucracy, especially finance, so that in the end it can improve the quality of hospital services. In its implementation, there are several obstacles faced, especially the understanding of other sections and fields of PPK-BLUD in RSUD Dr. RM. Djoelham Binjai so that good coordination between divisions and fields is needed.

Financial Performance Analysis in Achieving Good Governance at Kandow General Hospital Manado

The financial performance of the Regional Public Service Agency describes the financial performance report and work performance in a certain period. This research investigates how the financial performance of the Central General Hospital Kandou Hospital and how to reform financial management to achieve good governance? This study applied descriptive qualitative methodology. The field observation was conducted by direct observations on the operational process of the financial accounting section monitors at the Kandou General Hospital. The data was collected by observations and interviews on the hospital leaders, employees, and other stakeholders. The secondary data served as a comparison material obtained from financial performance reports. Through the analysis of financial ratios based on the BLU Financial Performance Indicators, the weighting results indicate that the financial performance values of Kandou Hospital are classified as Healthy (Good).

SISTEM INFORMASI PENCATATAN HUTANG DALAM PENGADAAN OBAT BERBASIS MULTIUSER (Studi Kasus Di RSUD Ambarawa)

The development of information technology is growing rapidly from day to day. This is supported by the presence of a computer as a data processing media that can assist the process of providing information. Computers are one of the basic needs for an agency or company to assist in recording and processing data in order to produce fast, precise and accurate information. The need for a computer is due to the number of transactions or important data of agencies or companies that are very diverse so that a database is needed that can store and process the data into information quickly, accurately, and can be used whenever needed This information is needed to help a company or agency in making the right decisions for the company's survival in the future. Likewise, the Ambarawa Regional General Hospital (RSUD) uses computers as a medium for recording and processing data to produce information.The Regional General Hospital (RSUD) Ambarawa is one of the institutions belonging to Semarang Regency which is engaged in public health services. Ambarawa Hospital is located at Jalan Kartini No. 101 Ambarawa. The beginning of its establishment was in 1930 in the form of a Private Hospital belonging to the Catholic Foundation and in 1945 the ownership of the Hospital was handed over to the Semarang Regency Government with management still carried out by the Catholic Foundation. Then in 1956 the ownership and management of the Hospital was completely handed over to the Semarang Regency Government. As of 2012, Ambarawa Hospital has been in the form of a Regional Public Service Agency (BLUD).

Implementasi Pola Pengelolaan Keuangan Badan Layanan Umum Daerah (PPK-BLUD) Dan Kualitas Layanan Terhadap Kepuasan Pasien

This study was conducted to obtain a description of the Implementation of the Financial Management Pattern of the Regional Public Service Agency (PPK-BLUD) and Service Quality and Patient Satisfaction at the Sumedang District General Hospital, Tandang Pavilion. The type of research is descriptive and verification. The population of this study were patients in the Away Pavilion of the Sumedang Regency General Hospital who were inpatients of the Antang Pavilion of the Sumedang Regency General Hospital for 1 month, counted as many as 250 people. determine the sample by random or random (probability sampling), with the simple random sampling method, that is, each population has the same possibility of selection, the results of the calculation of the sample taken are 95 patients.
 Based on the results of the study, it was obtained testing the Main Hypothesis of the Effect of the Regional Public Service Agency of Sumedang Regency and Service Quality on Patient Satisfaction. The results of the test, obtained the decision H0 was rejected, so that the variables of the Regional Public Service Agency of Sumedang Regency and Service Quality on Patient Satisfaction were accepted. The significance of the value of the test results is also supported by the magnitude of the value of the Coefficient of Determination. This value indicates that the Regional Public Service Agency of Sumedang Regency and the Quality of Service have an effect on Patient Satisfaction. while the rest is influenced by other variables. Sub-Hypothesis Testing of the Effect of Regional Public Service Agencies on Patient Satisfaction To answer the proposed hypothesis, a test is carried out, namely by using path analysis testing. Based on the test results obtained path coefficient values. To find out more about the effect of Regional Public Service Agency variables on Patient Satisfaction, a test was carried out, the test results obtained that the tcount value was greater than the ttable value. To find out more about the effect of the Regional Public Service Agency variable on patient satisfaction, a test was carried out, namely by looking at the comparison between tcount and ttable. Based on the test, the value of tcount is greater than the value of ttable, namely tcount. From the results of these calculations, the decision Ho is rejected, so that the Regional Public Service Agency variable affects the patient satisfaction variable.

The improving of effectiveness school-based enterprise: A structural equation modeling in vocational school management

<span>The study aimed to investigate the influence of total quality management and school governance on school management effectiveness, whether school governance as an antecedent of total quality management and school management effectiveness. The object of research is the vocational high school with the Regional Public Service Agency status (school-based enterprise) in Indonesia. The research is a quantitative research with survey method. The sample of 533 people who are school principals, teachers, and students. It was selected by proportional stratified random sampling. The data analysis using structural equation modeling (SEM). The research finding is the total quality management has a significant influence on school management effectiveness. The mediation analysis indicates that school governance as the antecedent of total quality management and school management effectiveness. The improvement of effectiveness school-based enterprises should consider implementing total quality management and it will be increasingly by school governance application. The modeling that correlates total quality management and school governance to improved vocational school management effectiveness, especially at vocational school with Regional Public Service Agency status (school-based enterprise).</span>

Analysis of The Readiness of The Technical Unit (UPT) Health Laboratory of Pekanbaru City in Implementing the Policy of The Regional Public Service Agency(BLUD) in Pekanbaru CityIn 2020

The health laboratory is a public service institution that has an important role in improving public health status. With the increasing demands for health laboratories in improving services, many problems have arisen related to the lack of human resources, budgeting, long bureaucratic flows of disbursement of funds, long process of procuring facilities and infrastructure, and financial management regulations that hinder the smooth running of services. Through the Regional Public Service Agency (BLUD), the technical unit (UPT) health laboratory of Pekanbaru city is expected to have flexibility in managing finances independently, increasing professionalism, entrepreneurship, transparency, and accountability that can improve services to the community. The purpose of this study was to analyze the readiness of UPT health laboratory of Pekanbaru city in the Implementation of BLUD policy in Pekanbaru city in 2020. The study was qualitative. 6 informants were consisting of 5 main informants and 1 supporting informant. The triangulation used were the source, method, and data triangulation. The results showed that readiness in terms of input was still lacking in human resources in finance and administration. From a process point of view, the UPT health laboratory of Pekanbaru city has completed all the substantive, technical, and administrative requirements. And in terms of output, the UPT health laboratory of Pekanbaru city is ready to implement the BLUD policy. It is hoped that the UPT health laboratory of Pekanbaru city will immediately submit an assessment of the implementation of BLUD policies. Becoming a BLUD can fulfill their needs independently with a faster process.

Persiapan Menuju Badan Layanan Umum Daerah (BLUD) Penuh Studi Pada Tiga Puskesmas Di Pemerintah Daerah Kabupaten Magelang

Regional Public Service Agency (RPSA) is one of government efforts to improve the quality of community health service. The gradual status of RPSA obtained by community health centers in Magelang District since January 2015 applies only three years maximum in accordance with Government Regulation Number 23 Year 2005. Therefore, community health service in Magelang District should start preparing themselves to improve their status into full RPSA. This purpose of this study was to analyze the preparation in three community health centers towards full RSPA in Magelang District Government. Full RSPA status are obtained by meeting the requirements of substantive, technical and document administrative score of community health service between 80-100. The analysis was conducted by evaluating the initial document of RPSA and intervews based on the perspective of Actor-Network Theory (ANT) to further analyze what preparation performed by community health centers especially the head of community health center as the manager of the health center. In the perspective on ANT, we follow the actors to learf from the actors themselves, not only on what they do but how and why they do it. The result of the study showed that the role of head of community service is very important as actant in achieving the interest towards full RPSA by establishing team of document drafting of RSPA requirements, provide motivation and commitment in the internal of community health center. However, as actant, head of community health center also needs other actors such as in the internal of community health center, Department of Health, assessment team/local government and team of accounting experts of UGM. Problems encountered in the preparation are, incriminating indicators of administrative documents, limited Human Resources (HR), and the role of actors outside the community health center has not fully provide support for community health centers.

Efisiensi Dan Efektivitas Anggaran Belanja Pada Rumah Sakit Umum Daerah Cicalengka Kabupaten Bandung

This journal discusses the efficiency and effectiveness of the budget for the Regional Public Service Agency with a case study at the Cicalengka Regional General Hospital in Kabupaten Bandung. Efficiency and effectiveness become a necessity for regional public service bodies because in their services they are required to provide optimal and best services without seeking certain benefits. This study aims to determine the realization of the budget of general hospitals in Bandung district cicalengka by analyzing the efficiency and effectiveness of the expenditure budget, as well as knowing the factors that cause the realization is not achieved optimally and know what are the obstacles in the implementation of the budget and efforts in solving problems on the realization of the budget. The results of the analysis show that the efficiency in the budget of general hospitals in Cicalengka is in the quite efficient category and the effectiveness analysis shows the results in the ineffective category due to the inadequate utilization and planning in optimizing the budget and the lack of available budget in meeting the needs of the hospital.

The Teaching Factory-based Administration Model of Regional Public Service Agency for School’s Financial Independence

The Teaching Factory-based Administration Model of Regional Public Service Agency for School’s Financial Independence