Hospital strategy in Gianyar regency facing the era of national health insurance

Abstract

-Premagana Gianyar Hospital as a private hospital has participated in the JKN program since the end of 2015. In its participation, Premagana Gianyar Hospital has experienced several problems due to the existing JKN system. Problems experienced are due to the fact that the number of costs incurred by the hospital is greater than the costs that come out, outpatient patients still need to be supported which certainly makes the costs incurred higher than the cost of the claim, and the latest on the BPJS Health online referral system is very detrimental, because, since the enactment of the online referral system, outpatient visits to the Premagana Gianyar Hospital polyclinic began to decline. A mature strategy is needed to face the era of BPJS Health in the future amid various issues and changes that occur. This study aims to determine the strengths, weaknesses, opportunities, and threats of Premagana Gianyar Hospital is facing the era of national health insurance and to find out the Business Strategy of Premagana Gianyar Hospital in Gianyar Regency in the face of the era of National Health Insurance. This study used descriptive qualitative method. The results of this study of the qualitative SWOT analysis of Premagana Gianyar Hospital conducted by researchers indicate that Premagana Gianyar Hospital, in accordance with the Strength- Opportunity Matrix, it shall have a profit stability strategy. Premagana Gianyar Hospital must maximize the opportunities that are still open through the advantages that they have. For the Weakness-Opportunity Matrix, Premagana Gianyar Hospital must change the strategy through the utilization of existing opportunities by overcoming the weaknesses of Premagana Gianyar Hospital. In the Strength Threat Matrix, suggesting a diversification strategy, Premagana Gianyar Hospital must use the strength to overcome existing threats. For the Weakness Threats Matrix, the strategies used by Premagana Gianyar Hospital should be sustained, by minimizing the weaknesses they have to avoid threats. Through the Qualitative SWOT analysis, Premagana Gianyar Hospital is able to compete with other private hospitals which see that the superiority of Premagana Gianyar Hospital is still dominant compared to the existing weaknesses. The use of opportunities must be smart through the advantages possessed without forgetting the existing weaknesses and threats in the JKN era