UR RS.sari MUtiara L.pakam-New

8/19/2019 UR RS.sari MUtiara L.pakam-New

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BPJS KESEHATAN CABANG LUBUK PAKAM

UNIT MANAJEMEN PELAYANAN KESEHATANRUJUKAN

UTILIZATION REVIEW

RSU SARI MUTIARA

LUBUK PAKAM

Ay o Suk se sk an


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BPJS KESEHATAN

OUTLINE

-TREND KASUS RITL DAN RJTL

-DIAGNOSA TERBANYAK RAWAT JALAN

-DIAGNOSA TERBANYAK RAWAT INAP

-PROSEDUR TERBANYAK RAWAT JALAN

-

PROSEDUR TERBANYAK RAWAT INAP-PASIEN PAPS

-POTENSI INEFISENSI KASUS LAPARATOMY

-TREN KASUS SC


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JUMLAH KASUS

-

50

100

150

200

250

300

350

400

RJTL

RITL


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REALISASI BIAYA RJTL danRITL

-

100,000,000

200,000,000

300,000,000

400,000,000

500,000,000

600,000,000

RJTL

RITL


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UNIT CST RJTL !AN RITL

-

100,000,000

200,000,000

300,000,000

400,000,000

500,000,000

600,000,000

RJTL

RITL


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10 !IAGNSA TERBANYAK RA"AT INAPNO. KODE DIAGNOSA JUMLAH BIAYA

1 K30 !#$%&%$'a () 26(*1)4*(00

2 A010 T#%+'d &.&/ ( 263*141*(00

3 I15) S&nda/# +#%&/&n$'n, n$%&'&d 53 220*525*(00

4A0) !'a//+&a and a$/&n&/''$

%/&$&d 'n&'$ /''n

4( 120*502*)00

5322 Ma&/na7 a/& / /an$.&/$& and

87'9& 7'&23 102*615*00

642) P/&a/& /%/& &8/an&$,

n$%&'&d20 5*462*)00

(

A16) R&$% 8 n$%& :'+ &n'n

8a / +'$ n/

20 )2*(1*)00

R100 A& a8d&n 1( 44*60*100

)A)1 !&n& +a&//+a' &.&/ 1( 3)*31(*400

10 I24 +&/ /$ a& '$+a&' +&a/d'$&a$& 16 61*300*600


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10 !IAGNSA TERBANYAK RA"AT JALAN

NO. KODE DIAGNOSA JUMLAH BIAYA

1Z098 Follow-up exam after other treatment for other

conditions317 53.21.200

2Z09 Follow-up examination after treatment of fracture 0 !.73.500

3Z350 "uper#ision of pre$nanc% with histor% of infertilit% 28 8.919.500

4

&521 '%opia 2 3.897.!00

5(30 )%spepsia 17 2.7!0.800

6)179 *eni$n lipomatous neoplasm+ unspecified 1 2.511.100

(,0 *ronchitis+ not specified as acute or chronic 13 2.523.300

'55 ow ac/ pain 12 2.020.00

)Z099 Follow-up exam after unspec treatment for other

conditions11 1.78!.00

10 11 pen wound of unspecified od% re$ion 8 1.111.200


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10 PRSE!UR TERBANYAK RA"ATINAP

NO.KODE PROSEDUR

JUMLA

H

1 8952 lectrocardio$ram 2

2 879 ther chest x-ra% 82

3 70 lassical cesarean section 75

49903 ther transfusion of whole lood 32

5519 ther laparotom% 1!

6887! )ia$nostic ultrasound of adomen and retroperitoneum 15

( !952 4spiration curetta$e followin$ deli#er% or aortion 11

8878 )ia$nostic ultrasound of $ra#id uterus 11

)9! xcision of hemorrhoids 5

10 8703 omputeried axial tomo$raph% of head 5


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PRSE!UR TERBANYAK RA"AT JALAN

NO. KODE PROSEDUR JUMLA

H

1 ( !'an$' 7/a$nd /a.'d &/$ 6

2 )33) +&/ %+#$'a7 +&/a%# 43

3 )3) R&+a8'7'a'n, n &7$&:+&/& 7a$$'&d 20

(4) +&/ +&$ ;-/a# )

! )52 E7&/a/d'/a

"(6 !'an$' 7/a$nd a8d&n and

/&/%&/'n&4


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Ha7 #an P&/7!''nda


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6 La%/an %&/a$' +a/$ &nan


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6 Un<


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SISTEM RUJUKAN

6 Jad:a7 d


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A


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TERIMA KASIH

Kartu Indonesia Sehat

Kalau Gog royong, Semua TertolongBPJSK&$&+aanRI BPJS K&$&+aan

DA

UR RS.sari MUtiara L.pakam-New

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