19
CBG
CONTROLLED COST AND QUALITYCONTROLLED COST AND QUALITYCONTROLLED COST AND QUALITYCONTROLLED COST AND QUALITY
FULLY PRIVATE HOSPITAL
FOCUS ON CRITICAL CAREFOCUS ON CRITICAL CARE
CLASSIFIED TYPE B, NON EDUCATION
THIRD OF THE BEDS AREFOR CRITICAL CARE (51 0F 184)FOR CRITICAL CARE (51 0F 184)
CLASSIFIED TYPE B, NON EDUCATION
THIRD OF THE BEDS AREFOR CRITICAL CARE (51 0F 184)FOR CRITICAL CARE (51 0F 184)
KLB DEMAM BERDARAH (2004)
KARTU GAKIN & SKTM (2004
...)
ASKES PROVIDER (2008ASKES PROVIDER (2008
KLB DEMAM BERDARAH (2004)
KARTU GAKIN & SKTM (2004-2012; CRITICAL CARE ONLY)
ASKES PROVIDER (2008-...)ASKES PROVIDER (2008-...)
2012; CRITICAL CARE ONLY)
Clearly, the coverage under INA CBGis way below the hospital bill...is way below the hospital bill...Clearly, the coverage under INA CBGis way below the hospital bill...is way below the hospital bill...
THE MISSING PIECE:
Where is the STANDARD MEDICAL
STANDARD MEDICAL SERVICE
CLINICAL PATHWAY
HOSPITAL UNIT COSTHOSPITAL UNIT COST
Where is the STANDARD MEDICAL
STANDARD MEDICAL SERVICE
CLINICAL PATHWAY
HOSPITAL UNIT COSTHOSPITAL UNIT COST
m Wrong*
Collected only from public hospitals
Only for mostly regular treatments in Kelas III; intensive care and most surgery procedure calculationsOnly for mostly regular treatments in Kelas III; intensive care and most surgery procedure calculations
No regional tariff policy, as opposed to KEPMENKES No.440/XII/2012
Huge disparity among the tariffs based on hospital classification, especially for type B, non education
m Wrong*
Collected only from public hospitals
Only for mostly regular treatments in Kelas III; intensive care and most surgery procedure calculationsOnly for mostly regular treatments in Kelas III; intensive care and most surgery procedure calculations
No regional tariff policy, as opposed to KEPMENKES No.440/XII/2012
Huge disparity among the tariffs based on hospital classification, especially for type B, non education
Only for mostly regular treatments in Kelas III; intensive care and most surgery procedure calculationsOnly for mostly regular treatments in Kelas III; intensive care and most surgery procedure calculations
No regional tariff policy, as opposed to KEPMENKES No.440/XII/2012
Huge disparity among the tariffs based on hospital classification, especially for type B, non education
SUPPORTING EQUIPMENT
OPEX
DIRECT & INDIRECT MATERIALS
PROFESSIONAL FEESPROFESSIONAL FEES
UTILITIES BILLS
ELECTRICITY
ICT ICT
CBG calculation is not a one-night project
Continuous data collecting, evaluation, and recalculation are neededContinuous data collecting, evaluation, and recalculation are needed
Data population should be larger and larger
Collaboration among the stakeholders (policy makers, executors,medical professionals, providers) must be smooth and intensive basedon QUALITY of Services and MUTUAL Benefiton QUALITY of Services and MUTUAL Benefit
night project
Continuous data collecting, evaluation, and recalculation are neededContinuous data collecting, evaluation, and recalculation are needed
Data population should be larger and larger
Collaboration among the stakeholders (policy makers, executors,medical professionals, providers) must be smooth and intensive basedon QUALITY of Services and MUTUAL Benefiton QUALITY of Services and MUTUAL Benefitmedical professionals, providers) must be smooth and intensive based
Policies must be taken to bridge some uncertainties, e.gintensive care cases, hemodialysis, and most surgical
Ignoring classification of hospital in INA CBG Tariff for private
A solution is imminent for the program to optimize theutilization of facilities available, to better serve the participants
Policies must be taken to bridge some uncertainties, e.gintensive care cases, hemodialysis, and most surgical
Ignoring classification of hospital in INA CBG Tariff for private
A solution is imminent for the program to optimize theutilization of facilities available, to better serve the participants
CBG is the FUTURE for financing universal health coverage. And the future is HERE!
All stakeholders must be adapted to the new paradigm.
CBG tariff, not KJS that the hospitals are objected to.
Evaluation, data gathering, and recalculation of INA
There are some differences in components used in calculating tariff in public and private hospitals, andthis difference should be accommodated by policy.
Some solutions/bridging policies must be taken during the transition time.Some solutions/bridging policies must be taken during the transition time.
CBG is the FUTURE for financing universal health coverage. And the future is HERE!
All stakeholders must be adapted to the new paradigm.
CBG tariff, not KJS that the hospitals are objected to.
Evaluation, data gathering, and recalculation of INA-CBG should be conducted continuously.
There are some differences in components used in calculating tariff in public and private hospitals, andthis difference should be accommodated by policy.
Some solutions/bridging policies must be taken during the transition time.Some solutions/bridging policies must be taken during the transition time.
CBG is the FUTURE for financing universal health coverage. And the future is HERE!
CBG tariff, not KJS that the hospitals are objected to.
CBG should be conducted continuously.
There are some differences in components used in calculating tariff in public and private hospitals, and
Some solutions/bridging policies must be taken during the transition time.Some solutions/bridging policies must be taken during the transition time.
Health Prevention and Promotion should also be campaigned and policied as aggressively, parallel to
HEALTHCARE IS NOT CHEAP
Cost of Medical education is HIGHCost of building a hospital is HIGHCost of medical equipment and supplies are HIGH, taxed heavilyCost of pharmaceutical products and materials are HIGH, taxed heavilyCost of operating a hospital is HIGH
A NATIONWIDE COMMITMENT is needed to decrease all those cost down.A NATIONWIDE COMMITMENT is needed to decrease all those cost down.
Health Prevention and Promotion should also be campaigned and policied as aggressively, parallel to
Cost of Medical education is HIGHCost of building a hospital is HIGHCost of medical equipment and supplies are HIGH, taxed heavilyCost of pharmaceutical products and materials are HIGH, taxed heavilyCost of operating a hospital is HIGH
A NATIONWIDE COMMITMENT is needed to decrease all those cost down.A NATIONWIDE COMMITMENT is needed to decrease all those cost down.
Health Prevention and Promotion should also be campaigned and policied as aggressively, parallel to
Cost of pharmaceutical products and materials are HIGH, taxed heavily
A NATIONWIDE COMMITMENT is needed to decrease all those cost down.A NATIONWIDE COMMITMENT is needed to decrease all those cost down.
