The Organizational Capabilities of Tanjungpinang City Hospital in Facing Changes in Accreditation Regulations and the JKN KRIS to Improve the Quality of Health Services
Article Sidebar
Main Article Content
Abstract
Changes to national health service regulations, particularly through the latest hospital accreditation standards and the National Health Insurance Standard Inpatient Class (KRIS JKN) policy, require regional hospitals to improve their organizational adaptability so that they can continue to provide quality and sustainable services. This study aims to answer the question: how capable is the Tanjungpinang City Hospital organization in responding to regulatory changes? This study employed a qualitative approach using a case study design. Data were collected through in-depth interviews with purposively selected key informants, supported by document analyses. Data analysis employed the interactive model of Miles, Huberman, and Saldana, which encompasses data condensation, data presentation, and conclusion drawing through the triangulation of sources and methods. The operational capabilities in this study included human resource management, clinical service flow, hospital information systems, financial management, and service quality assurance mechanisms. The results show that the Tanjungpinang City Hospital has demonstrated managerial commitment through the renewal of standard operating procedures (SOPs), strengthening of organizational structures, and digitization of health services. Innovation capabilities are evident through facility improvements, the development of specialist services, and enhancing human resource competencies. However, operational capabilities still face obstacles, particularly in integrating electronic medical record systems with clinical service needs. The findings of this study imply that integrated organizational capacity building is necessary to improve the quality of regional hospital services and support institutional readiness to face the dynamics of future healthcare regulations.
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Ahlstrom, L., Gillberg, N., Wikström, E., Wijk, H., Jonsdottir, I. H., Degl’Innocenti, A., & Fallman, S. L. (2025). Managers’ experiences in leading healthcare workers in hospital departments during a pandemic: A qualitative study. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-12759-w
Badan Pusat Statistik. (2024). Kota Tanjungpinang Dalam Angka 2024. https://tanjungpinangkota.bps.go.id/id/publication/2024/02/28/743a28283c7a0a67d56f2718/kota-tanjungpinang-dalam-angka-2024.html
Basuki, B., Suhariadi, F., & Choirunnisa, Z. (2023). Identification of Dynamic Capability and Personal Competency to Develop Innovative Performance. RSF Conference Series: Business, Management and Social Sciences, 3(3), 536–542. https://doi.org/10.31098/bmss.v3i3.719
Bogale, A. T. (2025). Temukan Keberlanjutan Pengaruh pembelajaran organisasi terhadap kinerja perusahaan : Peran mediasi kemampuan inovasi dalam perusahaan milik negara di Ethiopia.
Cahyanto, H. N. (2025). Pengantar Manajemen Rumah Sakit. In Repositori …. https://books.google.com/books?id=nQxfEQAAQBAJ
Çınar, F., & Eren, E. (2015). Organizational Learning Capacity Impact on Sustainable Innovation: The Case of Public Hospitals. Procedia - Social and Behavioral Sciences, 181, 251–260. https://doi.org/10.1016/j.sbspro.2015.04.886
Dharmagunawardene, D., Bowman, P., Avery, M., Greenfield, D., & Hinchcliff, R. (2025). Factors influencing the establishment of hospital accreditation programs in low- and middle-income countries: a scoping review. Health Policy and Planning, 40(4), 496–517. https://doi.org/10.1093/heapol/czaf011
Konopik, J., Jahn, C., Schuster, T., Hoßbach, N., & Pflaum, A. (2022). Mastering digital transformation through organizational capabilities: A conceptual framework. Digital Business, 2(2). https://doi.org/10.1016/j.digbus.2021.100019
Kuddi, A., Siregar, A. D., & Azalia, A. T. P. P. Y. R. (2024). Inovasi & Tantangan dalam Manajemen Strategi Rumah Sakit : Sebuah Tinjauan Literatur. Journal of Innovation Research and Knowledge, 4(5), 2593–2610.
Liebhaber, A., Draper, D. A., & Cohen, G. R. (2009). Hospital strategies to engage physicians in quality improvement. Issue Brief (Center for Studying Health System Change), 127, 1–4. https://pubmed.ncbi.nlm.nih.gov/19847974/
Lilleheie, I., Debesay, J., Bye, A., & Bergland, A. (2020). A qualitative study of older patients’ experiences of the quality of health services in hospitals and 30 days after hospitalization. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05303-5
Mansour, W., Boyd, A., & Walshe, K. (2020). The development of hospital accreditation in low- and middle-income countries: A literature review. Health Policy and Planning, 35(6), 684–700. https://doi.org/10.1093/heapol/czaa011
Mayarni, M. (2020). Kapabilitas Dynamic Governance Pemerintah Kota Pekanbaru Dalam Pemberlakuan New Normal Di Masa Pandemi Covid19. Jurnal Agregasi : Aksi Reformasi Government Dalam Demokrasi, 8(2), 145–167. https://doi.org/10.34010/agregasi.v8i2.3894
Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative Data Analysis: A Methods Sourcebook (3rd, Vol. ed.). SAGE Publications.
Ministry of Health. (2024). Keputusan direktur jendral pelayanan kesehatan nomor hk.02.02/d43916/2024 tentang pedoman survei akreditasi. https://keslan.kemkes.go.id/unduhan/fileunduhan_1723085704_228058.pdf
Moleong, L. J. (2017). Metodologi Penelitian Kualitatif. Remaja Rosdakarya.
Muhajir, Akib, H., & Niswaty (2022). Transformasi Organisasi pada Rumah Sakit Umum Daerah Prof.dr. Prosiding Seminar Nasional Dies Natalis UNM, 4(1), 52–64.
Naik, A. D. (2022). Measuring patient-centered care to improve the hospital experience of older adults. Journal of the American Geriatrics Society, 70(12), 3348–3351. https://doi.org/10.1111/jgs.18048
Patton, M. Q. (2015). Qualitative research and evaluation methods. In Qualitative Inquiry (4th ed., Vol. 3rd). Sage Publications. https://doi.org/10.2307/330063
Purbaningrum, D. G., Handayani, N., & Sokhivah. (2024). Analisa Kapabilitas Dinamis Pada Pusat Pelayanan Terpadu Kekerasan Perempuan Dan Anak Di Rumah Sakit Umum Daerah Tarakan Dki Jakarta. Moderat: Jurnal Ilmiah Ilmu Pemerintahan, 10(2), 254–265.
Tofan, T., Mufti, I., & Asrifai, A. (2025). Implementasi Kebijakan Akreditasi Rumah Sakit Dalam Pelayanan Kesehatan pada Rumah Sakit Umum Daerah Pandau Tambuh Kabupaten Donggala. QISTINA: Jurnal Multidisiplin Indonesia, 4(1), 938–946. https://doi.org/10.57235/qistina.v4i1.6331
Ulrich, D., & Lake, D. (1991). Organizational capability : creating competitive advantage. The Executive, 5(I), 77–92. http://www.jstor.org/stable/4164996
Van Wilder, A., Brouwers, J., Cox, B., Bruyneel, L., De Ridder, D., Claessens, F., Eeckloo, K., & Vanhaecht, K. (2021). A decade of commitment to hospital quality of care: overview of and perceptions of multicomponent quality improvement policies involving accreditation, public reporting, inspection, and pay-for-performance. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07007-w
Widiatmaka, F. P., Suherman, S., Prasetyo, A. N., & Sukrisno, S. (2022). Kapabilitas Manajerial Dinamik Dan Kapasitas Organisasi Untuk Berubah Anteseden Dan Konsekuensi Dalam Meningkatkan Kinerja Organisasi Studi Empiris Pada Perguruan Tinggi Pelayaran Niaga. EKOMBIS REVIEW: Jurnal Ilmiah Ekonomi Dan Bisnis, 10(2). https://doi.org/10.37676/ekombis.v10i2.2326
Wijaya, F. D. C. (2020). Kapabilitas Dinamis Sektor Publik : Sebuah Tinjauan Literatur. JIANA ( Jurnal Ilmu Administrasi Negara ), 18(2), 1–12. https://doi.org/10.46730/jiana.v18i2.7925