Makalah Kelompok 4 Casemix Dan DRG-1

 

EDCDODM CGJVKX FDVKEB] LDJ CGJVKX L^I ( Lbdijgsbs ^kodtkl ^kodtkl Irgup) Irgup)

Lbtu`ucdj ujtuc ekekjumb tuids edtd cuobdm Dsurdjsb Ckskmdtdj

Lbsusuj gokm Ckogepgc <

Lklk Odod Vrbwdmyujb

4=. Dpd edjaddt ldrb Fdskebx7 6. Ndidbedjd ekcdjbsek Fdskebx7 . \u`udj Cmusus Vktkodm ekepkod`drb edcdodm bjb lbmdrdpcdj0 d. Edepu ekjiktdmub dpd btu fdskebx.  n. Edepu ekjiktdmub edjaddt ldrb fdskebx. f. Edepu ekjiktdmub ekcdjbsek fdskebx. l. Edepu ekjiktdmub dpd btu L^I. k. Edepu ekjiktdmub edjaddt ldrb L^I. a.

Edepu ekjiktdmub ekcdjbsek L^I.

 

NDN BB

XKENDMDVDJ

D. CGJV CGJVKX KX FDV FDVKE KEB] B]

4. Xk Xkji jikr krtb tbdj dj Fds Fdske kebx bx ^uedm uedm

sd sdcb cbtt

ekr kru updcd pdcdj j

gr grid idj jbsds bsdsbb

ydj dji i

cgepo gepokc kcss

ydj dji i

ekenkrbcdj pkodydj ydji nkrsbadt mktkrgikj ckpdld pdsbkj, ckdlddj bjb fucup ekjyuobtcdj ldode pkrmbtujidj nksdrdj pkendydrdj ndbc  skfdrd odjisuji ldrb pdsbkj ydji lbodydjb (gut ga pgfckt) edupuj ldrb Ndldj Xkjykokjiidrd Dsurdjsb. Fdskebx Fdskeb x dldodm pkendydrdj pkendydrdj lkjidj lkjidj tdrba pkr lbdijgsbsb, lbdijgsbsb, nucdj tdrb tdrba/m a/mdri dridd sd sdtu tudj dj `kjb `kjbss pk pkod odyd ydjd jdj j ld ldod ode e rdji rdjicd cd pk pkjy jyke kenu numd mdj j  pkjydcbt. Ldode pkendydrdj fdskebx, ruedm sdcbt edupuj pbmdc   pkendydr tbldc odib ekrbjfb tdibmdj pkodydjdj dpd sd`d ydji tkodm lbnkrb lbn krbcdj cdj ckpdld ckpdld skgrdj skgrdji i pdsbkj pdsbkj,, dcdj dcdj tktdpb tktdpb ruedm ruedm sdcbt sdcbt mdjyd mdjyd ekjydepdbcdj lbdijgsbs pdsbkj wdctu puodji ldj ekedsuccdj cglk ujtuc cdsus tkrsknut. Ekjurut (@dfgns, 4229) fdskebx dldodm sudtu bj bjlk lkcs cs dtdu dtdu dodt dodt uc ucur ur rd rdtd td-rd -rdtd td pk pkji jiiu iujd jddj dj suen suenkr kr ld ldyd yd uj ujtu tuc  c  ckog kogepgc

cmusus sus

ydji

sk`kjbs.

Nksdr drddj

ydji

lbmdsbo sbocdj

ekep ek epkro krobm bmdt dtcd cdj j pk pkrc rcbrd brddj dj su suen enkr kr ld ldyd yd yd ydji ji lb lbiu iujd jdcd cdj j uj ujtu tuc  c  edsbji-edsbji cdsus. Vbstke Vbs tke fdskebx fdskebx dldodm dldodm pkjiko pkjikogep gepgcd gcdj j lbdij lbdijgsb gsbss ldj prgsklu prgsklur  r  lkjidj ekjidfu pdld fbrb cobjbs ydji ebrbp/sded ldj pkjiiujddj su suen enkr kr ld ldyd yd/t /tdr drba ba pk pkrdw rdwdt dtdj dj yd ydji ji ebrb ebrbp/ p/sde sded, d, pk pkji jiko koge gepg pgcd cdj j lbodcucdj lbodc ucdj lkjidj lkjidj ekjiiujdc ekjiiujdcdj dj sgatwdrk sgatwdrk irgupkr. irgupkr. Vbstke fdskebx sddt bjb ndjydc lbiujdcdj skndidb ldsdr sbstke pkendydrdj ckskmdtdj lb jkidrd-jkid jkidrd-jkidrd rd ed`u ldj skldji lbckendjicd lbckendjicdj j lbjkidrd-jki lbjkidrd-jkidrd drd  nkrckendji. (XEC. Jg >9 >9 \dmuj >84. Edja Edjadd ddtt Fdsk Fdskeb ebx x Fdskebx Fdskeb x ekenkrbcdj ekenkrbcdj bjagredsb bjagredsb tkjtdji tkjtdji codsbabcdsb codsbabcdsb cdsus-cdsus cdsus-cdsus lkjidj lbdijgsd ydji sk`kjbs lbskrtdb stdjldr-stdjldr pkodydjdj ydji lbiujd lbi ujdcdj cdj skmbji skmbjiid id ekeuld ekeuldmc mcdj dj ldode ldode pkrmbt pkrmbtuji ujidj dj tdrba tdrba ydji ydji tkrfk tkrfkre rebj bj pd pdld ld fd fdske skebx bx (u (ujb jbtt fg fgst st pk pkrr `k `kjb jbss pk pkjy jydc dcbt bt). ). Ekju Ekjuru rutt \mdn \m dnrd rdjy jy (> (>84 84) Okjicd Okjicdpb pb pkjibsbdj pkjibsbdj ldtd pdld edsbji-e edsbji-edsbj dsbji i uj ujbt bt skokjicdp skokjicdp-okjicdpjyd. 6) Ldtd Ldtd ydji curdji curdji okjicdp okjicdp ekj`dl ekj`dlbb tdjiiu tdjiiuji ji `dwdn `dwdn ujbt ydji  nkrsdjicutdj. ) Vktbdp supkrvbsb supkrvbsb ldpdt nkrcggrlbjdsb lkjidj ldtd fkjtkr ujtuc  ldtd sksudb cknutumdj ujbt ekodoub pkrebjtddj ckpdld Cdndi Dlue. 46) Fdskebx Fdskebx ldpdt ekebjtd ekebjtd ldtd rkpgrt ydji lbnutumcdj lbnutumcdj ckpdld ldtd fkjtkr ujtuc cknutumdj odj`utdj.

N. CGJV CGJVKX KX L^I

4. Xkji Xkjikr krtb tbdj dj  Lbdijgsbs

^kodtkl

Irgup  Irgup 

(L^I)

ekrupdc dcddj

sck scked

 pkjikogepgcdj pdsbkj ydji lbldsdrcdj pdld ckrdidedj cdsus ydji lbdodeb pdsbkj (fdsk (fdsk ebx). ebx). Ckrdidedj cdsus pdsbkj lbldsdrcdj pdld cgegrnblbtds ldj cgepobcdsb ldj bjtkjsbtds `kjbs pkodydjdj eklbs ydji

 

lbtkrbed pdsbkj. Cgepokcs nkrmunujidj lkjidj `kjbs pkodydjdj eklbs ydji lbnkrbcdj. Bjtkjsba nkrmunujidj lkjidj `ueodm pkodydjdj eklbs  pkr pdsbkj pkr mdrb dtdu mgspbtdo stdy. stdy.  Lbdijgsbs ^kodtkl Irgup (L^I) Irgup (L^I) ekrupd ekru pdcd cdj j ektg ektglk lk pk pken endy dydrd drdj j pk pkod odyd ydjd jdj j ck ckskm skmdtd dtdj j pr prgs gspk pkct ctba  ba   nkrldsdrcdj pkrnklddj ldode ndurdj fdsk ebx. ebx. (Lkpcks, >889). Ckujtujidj lbtkrdpcdjjyd ektglk L^I dldodm kabsbkjsb cgjtrgo  nbdyd, `debjdj eutu pkodydjdj ckskmdtdj ldj pkrkjfdjddj pkodydjdj ckskmdtdj ydji oknbm ndbc. Ektglk L^I ekrupdcdj sbstke pkenbdyddj  prgspkctba. @bcd ruedm sdcbt ekjkrdpcdj pkenbdyddj prgspkctba ldj  nbdyd lbndydrcdj tdjpd ekobmdt oded pdsbkj lbrdwdt, edcd ruedm sdcbt dcdj dcd j tkrlgr tkrlgrgj gji i ujtuc ujtuc ekjimb ekjimbjld jldrb rb pkjiko pkjikoudr udrdj dj nbdyd nbdyd ydji ydji tbldc  tbldc   pkjtbji, cmususjyd pdld pkendydrdj ydji ekoknbmb nbdyd dctudo ydji gptbedo. @debjdj eutu ldpdt lbtkrdpcdj lkjidj pkjkrdpdj pkedjaddtdj (utbobzdtbgj),, skmb (utbobzdtbgj) skmbji jiid id kvdoud kvdoudsb sb pkrdwd pkrdwdtdj tdj eklbc eklbc ldpdt ldpdt nkrodj nkrodjisu isuji ji lkjidj lkj idj kabsbkj kabsbkj.. Xkjkrd Xkjkrdpdj pdj pkenbd pkenbdydd yddj j prgspk prgspkctb ctbaa ldpdt ldpdt lbiuj lbiujdcd dcdj j ujtuc ujtu c ekjidjtbsbp ekjidjtbsbpdsb dsb cknutumdj cknutumdj tkjdid eklbc ldode cdsus tkrtkjtu dc dcbn bndt dt aouct aouctud udsb sb dtdu dtdu pk pkru rund ndmd mdj j ld ldrb rb nd ndur urdj dj fdsk ebx  ebx  (Mkjlrdrtbjb, >889). Ekjurut [[ Jg.6= \dmuj >84< tkjtdji Ckpkrdwdtdj, pkodydjdj Ckpk Ck pkrd rdwd wdtd tdj j

dl dldo dodm dm

sudt sudtu u

nkjt nkjtuc uc pk pkod odyd ydjd jdj j

pr prga gaks ksbg bgjd jdoo

yd ydji ji

ekrupdcdj ndibdj bjtkirdo ldrb pkodydjdj ckskmdtdj ydji lbldsdrcdj  pdld boeu ldj cbdt Ckpkrdwdtdj lbtu`ucdj ckpdld bjlbvblu, ckoudrid, ckogepgc, dtdu edsydrdcdt, ndbc skmdt edupuj sdcbt.

>. Edja Edjadd ddtt d. Lbdijgsbs-^kodtkl d. Lbdijgsbs-^kodtkl Irgup (L^I) Irgup (L^I) ldpdt lbnkrodcucdj lkjidj fkpdt  n. Ndib pkekrbjtdm aklkrdo lb ^uedm Vdcbt,  Lbdijgsbs-^kodtkl Irgup (L^I) ldpdt ekenkrbcdj ckpdstbdj pkrcbrddj nbdyd ydji nkrdsdo ldrb prgirde bjb f. Ekjiurdjib Ekjiurdjib nkndj dlebjbstrdsb dlebjbstrdsb ^uedm Vdcbt ldj ekjlgrgji ekjlgrgji updyd updyd kabsbkjsb. kabsbkj sb. Nkrldsdrcdj survky ydji lbodcucdj lbodcucdj gokm \mk Xrksblkjt‒V 

 

 Xrbvdtk Vkftgr Vurvky Gj Fgst Fgjtrgo ,  Lbdijgsbs-^kodtkl Irgup (L^I) lbprgykcsbc lbprgykcsbcdj dj nkrmdsbo nkrmdsbo ekjimkedt ekjimkedt djiidrdj djiidrdj pkekrbjtdm pkekrbjtdm aklkrdo sknksdr 46 eboydr lgodr DV djtdrd tdmuj 42=;/>889)

6.

Ekcdjbsek Ekcd Ek cdjb jbse sekk uj ujtu tuc c pk pkjy jyus usuj ujdj dj pk pken endy dydrd drdj j nk nkrl rldsd dsdrc rcdj dj  Lbdijgsbs  ^kodtkl Irgup (L^I) Irgup (L^I) dldodm skndidb nkrbcut 0 d. Ekokji Ekokjicdp cdpbb ldtd ldtd pdsbk pdsbkj j

 Lbdijgsbs-^kodtkl Irgup  Irgup  (L^I (L^I)) eken ekenut utum umcd cdj j ld ldtd td-l -ldt dtdd yd ydji ji lbcuepuocdj skfdrd rutbj gokm ruedm sdcbt skpkrtb0 Blkjtbtds pdsbkj, tdjiido edsuc ldj ckoudr ruedm sdcbt,oded mdrb rdwdt, ueur, `kjbs ckodeb cko debj, j, stdtus stdtus ckoudr ckoudr ruedm ruedm sdcbt, sdcbt, NN ndru ndru odmbr( odmbr(`bc `bcdd jkgjdt jkgjdtdo), do), Lbdijgsbs utded, Lbdijgsbs skcujlkr ldj prgsklur pkenkldmdj.  n. Djdobsbs pkjickodsdj ldj mdsbo irgupbji  Lbdijgsbs ^kodtkl Irgup (L^I) sksudb lkjidj BFL 48 ydji lbtkrnbtcdj gokm YMG Ckwd`bndj rue ru edm sd sdcb cbtt uj ujtu tuc c eken kenkr krbc bcdj dj cgl glkk sk sksu sudb db lkj kji idj BFL BFL 48 (Codsbabcdsb (Codsba bcdsb bjtkrjdsbgjd bjtkrjdsbgjdoo ujtuc pkjydcbt). pkjydcbt). \dmdp-tdmdp \dmdp-tdmdp pkjkjtudj pkjkjtudj L^I skndidb nkrbcut 0

 

4) Xkjkjtudj Xkjkjtudj lbdijgsbs lbdijgsbs >) Xkjikogep Xkjikogepgccd gccdj j ekj`dlb lbijgsbs lbijgsbs edygr  6) Xrgsklur Xrgsklur tbjldcdj ydji lbodcucdj lbodcucdj (lbdijgsbs (lbdijgsbs ydji ekenutumcdj ekenutumcdj tbjldcdj pkenkldmdj dtdu tbldc). 881). f. Djdobsb Djdobsbss nbdyd nbdyd pdsbkj pdsbkj (L^I (L^I Fgst ) Ldode Ldo de odpgrd odpgrdj j pkrtde pkrtdedd prgykc prgykc jdsbgj jdsbgjdo, do, ‟Fdsk Fgstbji bj Vwkl Vw klbs bsm m Mkdo Mkdotm tm djl djl Eklb Eklbfd fdoo Fdrk Fdrk― ―  ekjl ekjlkscrbp kscrbpsbcdj sbcdj

prgsks

 pkenbdyddj cdsus ldode kepdt odjicdm 0 4) Ekjibl Ekjiblkjt kjtbab babcdsb cdsb tgtdo tgtdo nbdyd nbdyd skfdrd skfdrd dcurdt dcurdt >) Ekjido Ekjidogcd gcdsbc sbcdj dj nbdyd-n nbdyd-nbdy bdydd tbldc tbldc odjisu odjisuji ji ck ldode ldode pu pusdtsdt-pu pusdt sdt  pkjykrdpdj ldjd. 6) Ekji Ekjibl blkj kjtb tbab abcd cdsb sb pr prgl gluc uc-p -prg rglu luc c bjtkreklbdtk bjtkreklbdtk   ldj ekjimb ekjimbtuj tuji i  nbdyd-nbdydjyd Ekendib nbdyd-nbdyd tkrsknut ckpdld pdsbkj.

 

NDN BBB

XKJ[\[X

D. Cksb Cksbep epuo uodj dj

Dsurdjsb nkrdsdo ldrb bstbodm Qkrzkckrbji (Nkodjld) Dssurdjfk dtdu bjsu bjsurd rdjf jfkk

(B (Bji jiir irbs bs). ).

Dsur Dsurdj djsb sb

ydji ydji

nk nkrd rdrt rtbb

pk pkrt rtdj djii iiuj ujid idj j

dt dtdu du

 pkrobjlujidj dtds sudtu gn`kc ldrb djfdedj ndmdyd ydji ekjbenuocdj ckruibdj (^dmedj, >882). Fdskeb Fds kebx x dldodm dldodm pkendy pkendydrdj drdj lkjidj lkjidj tdrba tdrba pkr lbdijg lbdijgsbsb sbsb,, nu nucdj cdj tdrba/mdrid sdtudj `kjbs pkodydjdj ldode rdjicd pkjykenumdj pkjydcbt. Ldode pkendydrdj fdskebx, ruedm sdcbt edupuj pbmdc pkendydr tbldc  odibb ekrbjf odi ekrbjfbb tdibmd tdibmdj j pkodyd pkodydjdj jdj dpd sd`d ydji ydji tko tkodm dm lbnkrb lbnkrbcdj cdj ckpdld ckpdld skgrdji pdsbkj, dcdj tktdpb ruedm sdcbt mdjyd ekjydepdbcdj lbdijgsbs  pdsbkj wdctu puodji ldj ekedsuccdj cglk ujtuc cdsus tkrsknut. Ekjurut (@dfg (@dfgns ns,, 42 4229 29)) fd fdske skebx bx dl dldo dodm dm su sudtu dtu bj bjlk lkcs cs dt dtdu du do dodt dt uc ucur ur rd rdtdtd-rd rdtd td  pkjiiujddj suenkr ldyd ujtuc ckogepgc cmusus ydji sk`kjbs. Nksdrdj ydji lbmdsbocdj ekepkrobmdtcdj pkrcbrddj suenkr ldyd ydji lbiujdcdj ujtuc edsbji-edsbji cdsus.  Lbdijgsbs ^kodtkl Irgup Irgup (L^I)  (L^I) ekrupdcdj scked pkjikogepgcdj  pdsbkj ydji lbldsdrcdj pdld ckrdidedj cdsus ydji lbdodeb pdsbkj ( fdsk ebx). ebx ). Ckrd Ckrdid ided edj j cdsu cdsuss pdsb pdsbkj kj lb lbld ldsd sdrc rcdj dj pd pdld ld cg cgeg egrn rnbl blbt btds ds ld ldj j cgepobcdsb cgep obcdsb ldj bjtkjsbtds bjtkjsbtds `kjbs pkodydjdj pkodydjdj eklbs ydji lbtkrbed pdsbkj. pdsbkj. Cgepokcs Cgep okcs nkrmunuji nkrmunujidj dj lkjidj lkjidj `kjbs pkodydjdj eklbs ydji lbnkrbcdj. lbnkrbcdj. Bjtkjsba Bjtkjs ba nkrmunuji nkrmunujidj dj lkjidj lkjidj `ueodm pkodydjdj pkodydjdj eklbs pkr pdsbkj pkr mdrb dtdu dtdu mgspbtdo stdy. stdy.  Lbdijgsbs ^kodtkl Irgup (L^I) Irgup (L^I) ekrupdcdj ektglk  pkendydrdj pkodydjdj ckskmdtdj prgspkctba nkrldsdrcdj pkrnklddj ldode  ndurdj fdsk ebx. ebx. (Lkpcks, >889).

 

N. Vdrdj

Vkegid Vke gid lkjidj lkjidj ekepkod ekepkod`drb `drb edcdodm edcdodm bjb, bjb, cdeb cdeb mdrdpc mdrdpcdj dj ldpdt ldpdt eken ek enkr krbc bcdj dj bjag bjagre reds dsbb ydji ydji lbnu lbnutu tumc mcdj dj nd ndib ib pd pdrd rd pk pken endf dfdd sk skrt rtdd lbmdrdpcdj edmdsbswd edepu ekedmdeb edcdodm cgjskp Fdskebx ldj L^I ldode ldode Dsurdj Dsurdjsb sb Ckskmdt Ckskmdtdj. dj. Cdeb Cdeb ekjydl ekjydldrb drb ldode ldode pkenud pkenudtdj tdj edcdodm bjb edsbm `dum ldrb cdtd skepurjd, ujtuc btu cdeb mdrdpcdj ujtuc  ekenkrbcdj sdrdj ldj crbtbc ydji ekendjiuj.

LDA\D^ X[V\DCD

 

Mdrtgjg, Mdrtgj g, L. >8884>. [pdyd pkjikjldobdj nbdyd pkodydjdj ^uedm Vdcbt bjlgjksbd. mttp0//www.ksdujiiuo.df.bl/drtbfok/fdsk-ebx-updyd-

 pkjikjldobdj-nbdyd pkodydjdj-ruedm-sdcbt-lb-bjlgjksbd/ pkodydjdj-ruedm-sdcbt-lb-bjlgjksbd/ (lbdcsks  (lbdcsks tdjiido 48 edrkt >8>4) Mdrtgjg.

>889.Lbdijgsbs

^kodtkl

mttp0//www.ibzb.jkt/fib-nbj/nkrbtd/auoojkws   mttp0//www.ibzb.jkt/fib-nbj/nkrbtd/auoojkws >8>4)

Irgup

(L^I).

(l (lbd bdcs csks ks tdj tdjii iido do 48 48 edrk edrktt