ANALISIS KOMPETENSI CASE MANAGER PADA RUMAH SAKIT DI JAKARTA: STUDI KASUS
DOI:
https://doi.org/10.32584/jpi.v3i1.279Keywords:
case manager, case management, kompetensi, dan implementasiAbstract
Fungsi case manager yaitu melakukan assesment hingga evaluasi perencanaan, kordinasi, advokasi, edukasi, serta kendali mutu dan biaya. Kompetensi case manager yang kurang akan mempengaruhi hasil pelayanan berupa penundaan transfer, penundaan pulang, kendali biaya dan mutu,  memanjangnya length of stay, readmisi pasien dengan kondisi perburukan meningkat. Rumah sakit Jakarta belum memiliki panduan kompetensi case manager dan belum ada perencanaan pengembangan kompetensi case manager. Metode penulisan yaitu studi kasus dengan responden yaitu case manager. Analisis masalah dilakukan dengan menggunakan diagram fishbone. Masalah yang muncul yaitu belum optimalnya fungsi perencanaan kompetensi case manager yang disebabkan belum ada perencanaan pengembangan kompetensi, panduan kompetensi, pengorganisasian bersifat desentralisasi, mayoritas diploma keperawatan dan belum ada pelatihan terkini, fungsi pengarahan belum berfokus pada case management, dan belum dilaksanakannya monitoring serta evaluasi. Implementasi yang diberikan sebagai solusi permasalahan yaitu membuat panduan kompetensi case manager dan dengan evaluasi case manager mengharapkan panduan dapat direalisasikan. Rekomendasi bagi rumah sakit yaitu panduan disahkan hingga dilakukannya monitoring serta evaluasi yang berfokus pada case management. Kata Kunci: case manager, case management, kompetensi, dan implementasi Abstract Analysis of case manager competency in hospitals in Jakarta: case study. The case manager function is to carry out an assessment to evaluate planning, coordination, advocacy, education, and quality and cost control. Case manager competencies that are less likely to affect service outcomes include transfer delays, home delays, cost control and quality, lengthy length of stay, readmissions of patients with worsening worsening conditions. Jakarta hospitals do not have a case manager competency guide and there is no case manager competency development plan. The method of writing is a case study with respondents namely case manager. Problem analysis is done using a fishbone diagram. The problem that arises is that the case manager's competency planning function has not been optimal because there is no competency development planning, competency guidance, decentralized organizing, the majority of nursing diplomas and no current training, directional functions have not focused on case management, and monitoring and evaluation have not been implemented. The implementation given as a solution to the problem is to guide the case manager's competency and with the case manager's evaluation expect the guide to be realized. Recommendations for hospitals, namely guidelines, are validated until monitoring and evaluation are focused on case management. Keywords: case manager, case management, competency,and implementatioReferences
Aitken, K., & Treuer, K. Von. (2014). Organisational and leadership competencies for successful service integration. Emerald Group Publishing Limited, 27(2). http://doi.org/10.1108/LHS-08-2012-0028
Alfieri, E., Ferrini, A. C., Gianfrancesco, F., Lise, G., Messana, G., Tirelli, L., … Sarli, L. (2017). The mapping competences of the nurse case /care manager in intensive care. Biomed Journal, 88, 69–75. http://doi.org/10.23750/abm.v88i1
Anzengruber, J., Goetz, M. A., Nold, H., & Woelfle, M. (2017). Effectiveness of managerial capabilities at different hierarchical levels. Journal of Managerial Psychology, 32(2). http://doi.org/10.1108/JMP-12-2015-0451
Bindon, S. L. (2017). Professional development strategies to enhance nurses’ knowledge and maintain safe practice. AORN Journal, 106(2), 99–110. http://doi.org/10.1016/j.aorn.2017.06.002
Cesta, T. (2017). Quality of care and the role of the case manager. Hospital case management: The essential guide to hospital-based care planning, 25(Jun), 1–5.
CMSA. (2014). Self assesment competency case manager. USA: Case Manager Asociety of America.
CMSA. (2015). What is case management? Amerika: Case manager asociety of america. Retrieved from www.cmsa.org
Faircloth, K. M. (2016). Perceived effects of organizational support during mediation of supervisor-subordinate workplace conflicts : An embedded case study. Northcentral University.
Farley, J. E., Kelly, A. M., Reiser, K., Brown, M., Kub, J., Davis, J. G., … Walt, M. Van Der. (2014). Development and evaluation of a pilot nurse case management model to address multidrug-resistant tuberculosis ( MDR-TB ) and HIV in South Africa. PLOS ONE, 9(11), 1–8. http://doi.org/10.1371/journal.pone.0111702
Hariyati, T. S., Igarashi, Ku., Fujinami, Y., Susilaningsih, F. S., & Prayetni. (2017). Correlation between career ladder , continuing professional development and nurse satisfaction : A Case Study in Indonesia. International Journal of Caring Science, 10(3), 1490–1498.
Kang, H.-J., Chung, K., & Nam, K.-Y. (2015). A competence model for design managers a case study of middle managers in korea. International Journal of Design, 9(2).
KARS. (2017). Standar nasional akreditasi rumah sakit (1st ed.). Jakarta: Komisi Akreditasi Rumah Sakit.
Miltner, R. S., Jukkala, A., Dawson, M. A., & Patrician, P. A. (2015). Professional development needs of nurse. CNE Article, 46(6), 252–258. http://doi.org/10.3928/00220124-20150518-01
Munz, J. A. (2017). Assessing the value of educational competencies of healthcare leaders and organizational factors : A case study analysis. Northcentral University Graduate.
NSW. (2013). Workplace policies and procedures. NSW Industrial Relations. Retrieved from www.industrialrelations.nsw.gov.au
Perpres RI. (2015). Peraturan presiden republik indonesia No. 77 tahun 2015 tentang organisasi rumah sakit.
Pickerell, D. A., & Neault, R. A. (2016). So you want to be a case manager ? A career practitioner ’ s toolkit. Canada: The Canadian Development Foundation.
PMK No.40. (2017). Pengembangan jenjang karir profesional perawat klinis.
QFHC. (2004). Case manager specific competencies. Retrieved December 7, 2018, from http //bphc.hrsa.gov/technicalassistance/resourcecenter/disclaimers.html
Robbins, S. P. (2017). Organizational behavior (15th ed.). USA: Pearson Education Inc.
Ross, J., & Ashby, N. (2016). Role of coordinators in national and international major trauma services. Emergency Nurse, 24(8), 22–26.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.