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Background : The problem found at the Sayang Bunda Makassar General Hospital was a decrease in patients after the end of COVID-19 in 2023, there were visit data of 147 patients in January – July. Objective : The purpose of this study is to determine the role of Public Relations in increasing the existence of the hospital. Method : This type of research used qualitative research methods. Methods collected documentation data and in-depth interviews to Result : The research results obtained at the general hospital unfortunately have not been fulfilled in terms of social activities which were only held in 2020, as for the results of observations of social activities and published on social media, this provides satisfaction that the service at the general hospital unfortunately has not collaborated with BPJS insurance, as for communication through media, it has not been fulfilled so that the internet is widely used, social media such as Instagram, as well as the educational dimension when carrying out activities.   such as handling mass circumcisions or providing direct health services. Suggestion : The hospital needs to improve marketing management by digitalizing marketing, promoting health through electronic media as well as re-organizing social activities, improving facilities and infrastructure as well as access to payment via card (JKN-KIS) at Sayang Bunda General Hospital.

Government policy changes and drug price fluctuations related to e-catalog can affect drug costs and types purchased between 2022 and 2023. This research aimed to analyze the differences in drug procurement using the e-catalog system and its interaction with hospital financial and operational variables. The study employed a mixed-methods approach to understand the dynamics of drug procurement at Pharmacy Department of X Hospital through the e-catalog system between 2022 and 2023. This research evaluated changes in purchasing volume, costs, cost efficiency, and service speed. Quantitative data were obtained from e-catalog documentation, focusing on the types, volumes, and prices of chronic medications, as well as BPJS claims. Statistical analysis was used to compare the study periods, while qualitative data from in-depth interviews with 15 respondents, observations and document analysis enriched the understanding of procurement process changes through data triangulation analysis.  The results demonstrated an increased use of e-catalog, with policy changes leading to supplier diversification and price flexibility. Quantitative findings indicated a 25% increase in the volume of drug purchases through the e-catalog from 2022 to 2023, accompanied by a 15% reduction in average drug prices due to heightened competition among suppliers. Additionally, procurement efficiency improved by 30%, as reflected in the reduction of the procurement cycle time from 45 days to 31 days. These findings indicated shifting needs and procurement strategies, affecting budget efficiency and the speed of fulfilling drug requirements. In conclusion, strategic adaptations and ongoing evaluations in managing e-catalog are essential to address financial and logistical challenges, ensuring patient satisfaction and drug availability.    

In this research, the problem faced is that many customers want to file a claim at BPJS Ketenagakerjaan Mojokerto, but often fail or are delayed. The number of workers filing claims has increased, including those who have been laid off or whose contracts have ended. In addition, many participants postpone filing their claims until Hari Raya gets closer, which causes the queue for Old Age Security claims to increase.This journal was written using a qualitative descriptive approach. The focus of the research is the problems related to the implementation of the accounting information system for the payment of old-age security claims at BPJS Ketenagakerjaan Mojokerto. Theoretical studies are used to analyze the data obtained, selected, and processed. The results show that the process of paying Old Age Security claims at BPJS Ketenagakerjaan Mojokerto is in accordance with the accounting information system

BPJS Employment cooperates with many employer companies and Work Accident Service Centers in managing Work Accident Insurance. In its management, of course, the company must have an effective and efficient governance system. The research entitled "Governance System for Payment Bills for Work Accident Guarantee Claims at Bpjs Ketenagakerjaan Surabaya Karimunjawa Branch" has the aim of conducting an ongoing analysis of the governance of bills for payment of work accident guarantee claims. The results obtained in this study are that researchers know the benefits of Work Accident Insurance and the procedures and Management System for JKK Payment Bills which are carried out very well by the BPJS Employment Surabaya Karimunjawa.

Along with the development of technology, the use of computers as a tool really needs to be used, especially in the health sector. The Prabumulih City General Hospital is the only hospital owned by the Prabumulih City Government and is a first-level referral. The patient registration process at the Prabumulih City Hospital is still direct, by means of the patient/patient's guardian coming directly to the health service facility, then the patient is given a registration queue number, then the patient waits for a call according to the queue number, after the queue number is called, the officer will ask the type of patient new or old, poly patient purposes, outpatient or inpatient care, private payments or BPJS, after that the officer enters patient data to create a queue number for patient care in order to get health services. In this regard, it is necessary to have an application system for patient administration so that new patients can register online through the internet network, making it easy for old patients to check personal data, view doctor schedules, take queues and others.

This study aims to determine the relationship between health facility measures and reference service measures on the quality of service for patients participating in BPJS Health at the Sukodono Community Health Center, Sidoarjo. This research also aims to describe the quality of BPJS Health services at the puskesmas. The results of previous research show that the quality of BPJS Health services at the Sukodono Community Health Center still needs to be improved, especially in the aspects of waiting time, patient satisfaction and communication with health workers. This research uses survey methods and data to find out how the quality of BPJS Health services at the Sukodono Community Health Center and how health facility actions and referral service actions influence service quality. It is hoped that the results of this research can become a reference for improving the quality of health services provided by the Sukodono Community Health Center, so that people who use BPJS Health services can receive better and more effective services.

Public service is crucial for fulfilling community basic needs, particularly in healthcare. Puskesmas Porong, a healthcare institution in Sidoarjo District, serves as the primary focus of this study. With a vision to provide quality and professional healthcare services to the community, Puskesmas Porong plays a pivotal role as the primary healthcare center in Porong Subdistrict. Despite adequate facilities including 46 inpatient beds and coverage of 10 surrounding villages, challenges persist. High patient influx poses significant issues such as long waiting times for services, attributed to insufficient staff and resources. Moreover, limited community participation in providing feedback is a concern, hindering the identification of issues and optimal solutions for healthcare service improvement.This qualitative research aims to analyze healthcare service quality at Puskesmas Porong, employing interviews with key stakeholders including the head of the health center, medical staff, administrative personnel, and patients. Additionally, observation and documentation methods were utilized to gather comprehensive data on service provision, patient satisfaction, and facility conditions. Results reveal that while operational procedures are generally adhered to, discrepancies exist between management perceptions and patient experiences. Patients highlight shortcomings in BPJS utilization, medical equipment adequacy, and diagnostic accuracy, underscoring the need for targeted improvements to enhance service quality and community trust.

Evaluation of SMILE in Data and Information Management (Case Study of BPJS Employment, Tanjung Morawa Branch) Using the User Compatibility Method. Effective data and information management in financial institutions such as BPJS Employment requires an application system that meets user needs. This research aims to evaluate SMILE at the Tanjung Morawa BPJS Employment Branch using the User Compatibility method, which assesses the extent to which the application meets the user's needs, abilities and expectations. This research method involves a survey of SMILE users at BPJS Employment Tanjung Morawa Branch, taking into account aspects of usability, efficiency and user satisfaction. Data was collected through questionnaires, interviews and direct observation of smile users. The evaluation results show that SMILE at BPJS Employment Tanjung Morawa Branch has a high level of compatibility with users. The research results show that all EUCS independent variables (indicators), consisting of Content (Content), Format (report), Accurancy (accuracy), Timeliness (speed of presentation), Ease of Use (easy to use), which have a significant relationship with user satisfaction SMILE. Users find this application easy to use, improves work efficiency, and meets their expectations regarding data and information management. However, several recommendations for improvement were also put forward, including increased training for users, improved integration with other systems, and improved data security. This study makes an important contribution to further understanding the extent to which SMILE meets user needs in internal environments. The evaluation results and recommendations produced can serve as guidelines for developing and improving smile in the future.    

The clinic's process for requesting a consultation with a doctor and receiving a queue number is inefficient. To help patients make the most of their time at the clinic, it is helpful to provide them with information on when physicians will be available to see them. A new approach to health development governance is required under Regulation No. 21 of 2020 of the Republic of Indonesia's Minister of Health, which addresses the Ministry's Strategic Plan for 2020–2024. This plan encompasses health information systems, research integration, and development, among other areas. First, Health Technology Transformation, which includes developing and integrating health data; second, Health Service Application Integration and Development; and third, Health Technology Ecosystem Development, will house the primary activities involved in health technology transformation. This study's findings suggest that consumers are mostly interested in finding hospitals in close proximity to their homes, rather than using the doctor's appointment component of the KlikDokter app. Because of this, KlikDokter has to implement a change movement that can increase the number of health facilities that operate with Klik Doctor, allowing it to reach the closest health facility. It also has to link insurance and BPJS so that health facilities may provide transaction features.

This research delves into the socio-economic conditions of Batu Alang Hamlet in Moyo Hulu District, Sumbawa Regency, NTB in 2023. A quantitative method with a descriptive analysis approach was utilized, involving 100 respondents through questionnaires, observation, and documentation. The results of this research the majority of the population exhibits a high level of educational awareness, with most having at least a bachelor's degree, and some are still in the learning process. The productivity of the community is evident in their ability to meet daily needs with an average of two children. About 85% have BPJS insurance, while only 6% have the KIS insurance. Infrastructure and the environment, including access to clean water, sanitation, wells, and toilets, are considered adequate. Waste management is still basic without recycling facilities. Security is relatively good, with only 7% witnessing conflicts, while theft (67%) and narcotics-related crimes (25%) are common. The entire population adheres to Islam, with a 95% belief in religious figures. The economy of Batu Alang Hamlet is supported by various occupations such as farmers, traders, and blacksmiths. Average income ranges from < 1 million to 30 million, while expenditure levels, both for food and non-food items, range from < 1 million to 5 million. The economic infrastructure is considered quite adequate by 90%, but entrepreneurial interest remains low, with 35% expressing no interest.

This study aims to identify the factors influencing delays in the claim process of theRetirement Savings Scheme (JHT) at the BPJS Employment Branch Office in Medan. Aqualitative approach was employed through in-depth interviews with BPJS employees,rticipants,andbranch managers.The findingsrevealthatinternalfactorssuch asincomplete documentation, human resource limitations, and technological system disruptionsplay a significant role in causing claim delays. Additionally, external factors includingsuddengovernmentregulatorychangesand inadequateparticipantinformation alsocontribute to these delays. The impact of claim delays on participant satisfaction is profound,necessitating improvements in claim management administration. Based on these findings, itis recommended to enhanceparticipant education and awareness, strengthen humanresources, improve technological system reliability, and develop adaptive mechanisms forregulatory changes to enhance efficiency and participant satisfaction in the JHT claimprocessattheBPJS EmploymentBranchOfficein Medan

The ongoing health problems in Indonesia require the government to take action so that people can still experience justice and obtain their rights and not cause harm. In order to improve the quality of public health, the government provides social security. This social security is provided by the government and is useful for meeting the basic needs of a decent life, starting from Jamkesmas, Jamkesda, AKSES and most recently the Social Security Administering Body (BPJS) for Health. Even though there have been efforts by the government to realize efforts to resolve existing problems, these efforts have not been effective due to several inhibiting factors. A solution is needed in the form of establishing and implementing the IMP (Identity Monitoring Program) concept which is integrated with the Capil Population and Civil Registry Department and BPJS. It is hoped that the application of the IMP concept can minimize the deficit in health insurance and become a solution to solving claims management problems as one of the root causes of the BPJS deficit.

Information system audits have an important role in ensuring the quality of customer service at BPJS Ketenagakerjaan. This study aims to analyze the effect of information system audits on customer service at BPJS Ketenagakerjaan, with a case study focus on the Binjai branch office. The background of this research is the important role of information systems in supporting BPJS Ketenagakerjaan operations and services. Along with technological developments, the reliability, security and efficiency of information systems are crucial in maintaining the quality of service to customers. Therefore, an information system audit is needed to ensure that the system runs according to predetermined standards and is able to provide the best service.

Health BPJS program aims to provide assurance of social protection and welfare for all Indonesian people. One of the problems that patients who use BPJS often face is the problem of Health BPJS services in the field, namely cases of refusal of patients participating in Health BPJS to get an examination room by the hospital. The need for legal protection in obtaining health services, which aims to ensure legal certainty obtained by patients that patients avoid losses when receiving health services that should be provided properly and optimally by health workers. This study aimed to identify and analyze the legal protection of patients who used Health BPJS in hospitals. This study used a normative juridical approach. The result showed that there were two kinds of legal protection for Health BPJS participants in health services, namely preventive and repressive legal protection.  

Financing activities at Kembangan Regional Hospital are dominated by BPJS Health Participants, when submitting claim from patients participating in BPJS Health, there are still delays in submitting claim which will have an impact on hospital operational activities. The aim of this research was to determine the causes of Pending Claims that accurred at Kembangan Regional Hospital. This study used a descriptive method with a mix method approach. The BPJS Health claim procedure for inpatient services at Kembangan Hospital is in accordance with the exiting Standar Operating Procedures. The data used are pending claim files originating from inpatient treatment in November 2022- Jaunary 2023. The research result found 941 inpatient claim files and 84 pending claim files. The cause of pending claim were classified into 7, Conformity between surgical procedures was 22 (26%), inaccuracy in administrative verification and SEP suitability in inputting data into INA-CBGs was 19 (23%), coding determined by the coder was not unbundled by 17 (20%), INA-CBG codes was 9 (!1%), DPJP daognostic code matching 6 (7%), Hospital code conformity 6 (7%), and finally redmissions for the same disease coding 5 (6%). Based on the 5M identification, there are factors, namely the man factor: because the claim file was not accepted by BPJS Health due to coding. The coding given by the hospital to the hospital to the BPJS was not appropriate. Material: supporting files which arrived late on the specified day. Meanwhille, the 3 other factors, namely the money machine and methid, were not obstacles or causes fot the return of the claim files. It is recommended to reevaluate and socialize the reasoms fpr returning BPJS Health claims so that the BPJS Health claim submission process is carried out well and accepted.

Peran negara dalam memenuhi kebutuhan dasar rakyat sangat penting, terutama dalam bentuk pelayanan kesehatan universal, dimana kesehatan diakui sebagai salah satu hak asasi manusia. Jaminan hak atas kesehatan sesuai perjanjian mengakui hak setiap orang untuk memperoleh hak-hak ini. perjanjian. standar tertinggi untuk kesehatan fisik dan mental. Menegaskan bahwa setiap orang berhak hidup sejahtera lahir dan batin, bertempat tinggal dan mendapatkan lingkungan hidup yang baik dan sehat serta berhak memperoleh pelayanan kesehatan. Metode pendekatan yang dipergunakan dalam penelitian ini adalah metode pendekatan normatif, Pendekatan yuridis normatif adalah Pendekatan yuridis (hukum dilihat sebagai norma atau das sollen), karena dalam membahas permasalahan penelitian ini menggunakan bahan-bahan hukum. Pemenuhan hak untuk hidup sehat merupakan hak dasar yang harus dijamin, karena kesehatan merupakan bagian dari kebutuhan primer setiap manusia. Kondisi sehat badan dan jiwa akan memungkinkan setiap manusia untuk melakukan aktifitas dan karyanya. Kesehatan merupakan pula bagian dari kebutuhan menuju hidup sejahtera. Hak semacam ini merupakan salah satu hak dasar dalam pelayanan kesehatan. BPJS diselenggarakan berdasarkan asas kemanusiaan, manfaat, dan keadilan sosial bagi seluruh rakyat Indonesia dengan tujuan untuk mewujudkan pemenuhan kebutuhan dasar hidup yang layak bagi setiap rakyat Indonesia yang sudah menjadi hak dasar manusia.

BPJS Health is a legal entity formed to administer the health insurance program with the aim of protecting the entire community with affordable premiums and providing wider service coverage for the entire community. BPJS health services focus on first level health services (FKTP/first level health facilities). Due to the sensitive nature of health information stored and managed by BPJS Health, it is important to ensure that the information systems used are safe from cyber attacks and data leaks. The stages of a BPJS Health service audit are determining audit objectives, identifying services using the framework, capability level analysis, testing controls and evidence at the capability level, verifying results, and compiling audit results reports and recommendations. Audits carried out for services that focus on Process Domains DSS01 and DSS02. The measurement result is 2.5 because the value rounding index means the results are at level 3 (established process), that is, currently the processes in each process domain have been identified and standardized well so that the library service system is stable for implementation, while the expected level is at level 4 so there is a gap of 1.5. To be able to overcome the existing gap, a recommendation was made, namely to maximize the alignment of Company Operational Standards (SOP) with applicable policies.

Utilization of Emergency Maternal and Newborn Health Services is one of the important factors in determining the level of health which is particularly relevant to health problems and community development. The purpose of this study was to determine the factors that influence the utilization of health services in maternal and newborn emergencies in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province in 2024. This type of research is an analytical survey with a cross-sectional approach. Utilization of Health Services in maternal and newborn emergencies is the dependent variable in this study, while the independent variables include access to health services, attitudes of health workers and BPJS membership in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency in 2024. The sampling technique was carried out using simple random sampling. The head of the family was the sample in this study. The sampling technique was carried out randomly from 476 Heads of Families in Bangun Rejo Village to 99 respondents. Data analysis used univariate and bivariate analysis with a confidence level of 95% (α = 0.05). The results of the chi-square test showed that there was a relationship between access to health services and the use of maternal neonatal emergency health services (p=0.04), there was no relationship between the attitude of health workers and the use of emergency health services (p=0.227), there was a relationship between BPJS membership and the use of maternal neonatal emergency health services (p=0.002).

Old Age Security (JHT) is an important program in the social security system in Indonesia which is organized by the Employment Social Security Administering Agency (BPJS). Despite being a vital form of social protection, JHT claims management is often in the spotlight due to the various challenges it faces, including effectiveness, efficiency and fairness in disbursement of claims. In this context, this research aims to analyze JHT claims management at the Pratama Rantau Prapat BPJS Employment Branch Office. This study uses a qualitative research method with a case study approach. Data was collected through direct observation, interviews with officers and participants, as well as analysis of documents related to the claims process. The research results show that the JHT claims process faces various challenges, including the long time it takes to complete a claim, a lack of transparency and communication, and gaps in understanding between participants and officers. The conclusion of this research is that significant improvements are needed in JHT claims management. Recommendations for improvement include increasing process efficiency, increasing transparency and communication, and simplifying claims procedures. Implementation of these recommendations is expected to improve the quality of JHT claims services and provide greater benefits for participants in their preparation for a more financially secure retirement.

This article is to test the effectiveness of Law Number 24 of 2011 concerning Social Security Administering Bodies in PT Companies. LM and sanctions given to companies if they do not carry out the mandate of the Manpower Law. This research method uses an empirical method, namely a process that aims to interpret research data. The results of this research are that the implementation of Law Number 24 of 2011 concerning BPJS related to employment in furniture companies has not been effective. Sanctions imposed on companies that do not carry out the statutory mandate to provide their employees with social security are sanctions in the form of written warnings and fines.