Analysis of Activity Based Costing (ABC) Calculations in Services Hemodialysis at the Kudungga Regional Hospital Dialysis Unit
Abstract
Hemodialysis is a kidney replacement therapy where blood from outside the body is filtered by a machine. The provision of hemodialysis services currently still uses the old rates and is considered not to provide profits for hospitals, so good calculations are needed as a form of efficiency in financing hemodialysis procedures in hospitals, especially in the JKN era. Hospitals will receive comprehensive information on shopping costs, unit cost calculations and action suggestions in accordance with applicable rates. The study was carried out with the aim of finding out the unit cost rates for hemodialysis services in the Kudungga Regional Hospital Dialysis Unit using the Activity Based Costing (ABC) method and comparing them with INA-CBGs rates and hospital rates. This research uses a descriptive and quantitative approach. Unit costs for dialysis units and cost analysis using the Activity Based Costing (ABC) method approach are the main subjects of this research. This research is based on all financial balance data for hemodialysis services at the Kudungga Regional Hospital Dialysis Unit. The unit cost of hemodialysis can be determined by tracing the costs related to the hemodialysis cost center as a production center and other elements that support this action. The data will be grouped into fixed costs, semi-variable costs and variable costs, then included in direct costs, indirect costs, overhead and unit cost calculations using the Activity Based Costing (ABC) method. The research results show that the unit cost calculation for hemodialysis based on the Activity Based Costing (ABC) method is IDR 1,397,627.79. Meanwhile, the Kudungga Regional Hospital rate is only IDR 1,258,300, the hospital rate only meets 90.03% of the unit cost using the ABC method. Meanwhile, when compared with the INA-CBGs tariff, which is IDR 921,300, the INA-CBGs tariff only meets 65.92% of the unit cost using the ABC method. Things that influence are direct costs, indirect costs and the number of hemodialysis procedures.
References
Adrianto, R. (2023). Manajemen Keuangan Kesehatan, Cetakan Pertama. Yogyakarta: Deepublish.
Bunga, Petrus Tandi (2017). Analisis Biaya Satuan (Unit Cost) Pada Pelayanan Kesehatan Unit Rawat Inap Rumah Sakit Umum Daerah Tora Belo di Kabupaten Sigi Provinsi Sulawesi Tengah. e Jrnal Katalogis, volume 5 Nomor 5, ISSN: 2302-2019, hal 134-144. Bonde, F. A., Manosoh, H., Wangkar, A., Akuntansi, J., Ekonomi, F., Bonde, F. A., Manosoh, H., & Wangkar, A. (2021). Penerapan Activity Based Costing Pada Tarif Jasa Rawat Inap Rumah Sakit Umum Gereja Masehi Injil I di Minahasa (GMIM) Pancaran Kasih Implementation of Activity Based Costing on Inpatient Services Rates for the General Hospital of Gereja Masehi Injil I di Minahasa (GMIM) Pancaran Kasih Jurnal EMBA Vol. 9 No. 3 Juli 2021, Hal. 201 - 210. 9(3), 201–210. https://doi.org/10.35794/emba.v9i3.34642
Darmawansyah, Abadi, Rahmadani, Marzuki & Suryaman. (2018). Penetapan Tarif Rasional Pelayanan Kesehatan RSUD Tenriawaru Kabupaten Bone Determination of Rational Tariffs for Health Service of General Hospital Tenriawaru Bone Jurnal MKMI, vol 14 No 2. http://dx.doi.org/10.30597/mkmi.v14i2.3603
Depkes RI. (2008). Pedoman Pelayanan Hemodialisis di Sarana Pelayanan Kesehatan. DirDepkes RI. Pedoman Pelayanan Hemodialisis Di Sarana Pelayanan Kesehatan. Direktorat Bina Pelayanan Medik Spesialistik Direktorat Jenderal Bina Pelayanan Medik Departemen Kesehatan Republik Indonesia, 8–9. Https://Www.Pernefri.Org/Konsensus/PEDO, 8–9. https://www.pernefri.org/konsensus/Pedoman Pelayanan HD.pdf
Doru, I. (2018). Analisis perbandingan tarif berdasarkan biaya satuan (unit cost), tarif INA-CBG’s dan tarif rumah sakit pada instalasi rawat inap rsud kabupaten Pasangkayu Comparative analysis of tariffs based on unit costs, INA-CBG's tariffs and hospital tariffs at the inpatient installation of the Pasangkayu district hospital (Unpublished master's thesis). Hasanuddin University. 1-200.
Fauzia, A. S., & Suprianto, K. (2023). Fakultas Kedokteran Gigi Universitas Andalas Perhitungan Unit Cost Pelayanan Kesehatan Gigi di Klinik Sehat Gajah Mada Kota Padang dengan Metode Activity Based Costing pada Era Jaminan Kesehatan Nasional. Perhitungan Unit Cost Pelayanan Kesehatan Gigi Di Klinik Sehat Gajah Mada Kota Padang Dengan Metode Activity Based Costing Pada Era Jaminan Kesehatan Nasional, 11(77), 40–50. https://doi.org/10.25077/adj.v11i1.243.
Faradiba Dewi Imansari. (n.d.). Perhitungan Harga Pokok Produksi dalam Menentukan Harga Jual melalui Metode Activity Based Costing dengan Pendekatan Full Costing pada CV. Mandiri Label di Sidoarjo. http://repository.stiemahardhika.ac.id/cgi/users/h.
Febriani. (2016). Analisis Perhitungan Unit Cost Pelayanan Hemodialisis Terhadap Penetapan Tarif INA_CBG’s dan Tarif Rumah Sakit Medika Stannia Kabupaten Bangka: Vol. I (Issue 02).http://dspace.unitru.edu.pe/bitstream/ handle/UNITRU/10947/Miñano Guevara%2C Karen Anali.pdf?sequence= 1&isAllowed=y%0Ahttps://repository.upb.edu.co/bitsteam/handle/20.500.11912/3346/diversidaddemacroinvertebradosacuaticosysu.pdf?sequence=1&isAllowed=
Fitria Hasanuddin. (2022). Adekuasi Hemodialisa Pasien Gagal Ginjal Kronik. NEM.ttps://www.google.co.id/books/edition/Adekuasi_Hemodialisa_Pasien_Gagal_Ginjal/4J99EAAAQBAJ?hl=id&gbpv=0
Hanimah, n. (2020). Analisis penerapan metode activity based costing dalam penentuan harga pokok produksi (studi kasus raihan bakery and cake shop medan) skripsi, universitas islam negeri sumatera utara]. Http://repository.uinsu.ac.id/9577/
Hansen dan Mowen. (2016). Management Accounting. Buku 1 Edisi ke-8. Jakarta: Salemba Empat.
IRR. (2018). 11th report Of Indonesian renal registry 2018. Indonesian Renal Registry (IRR), 14–15.
Kemenkes R.I. (2014). Peraturan Menteri Kesehatan Nomor 27 Tahun 2014 Tentang Petunjuk Teknis Sistem INA CBGs.
Kemenkes R.I. (2016). Buku Panduan. ‘Jaminan Kesehatan Nasional (JKN)’
Ketut, G., Agustin, W., Eka, P., & Marvilianti, D. (2023). Analisis Penerapan Metode Activity Based Costing dalam Menentukan Tarif Jasa Rawat Inap pada Rumah Sakit Umum Daerah Kabupaten Buleleng. 13(1), 23–32. https://doi.org/10.23887/jiah.v13i1.45301.Mulyadi. (2015). Akuntansi Biaya. Edisi ke-5 cetakan ketigabelas. Yogyakarta: STIM KPN.
Naryati, N., & Nugrahandari, M. E. (2021). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Diet Pada Pasien Gagal Ginjal Kronik Melalui Terapi Hemodialisis: Associated Factors with Dietary Adherence in Patients with Chronic Kidney Disease through Hemodialysis Therapy. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(2), 256-265. https://doi.org/10.33023/jikep.v7i2.799.
Rahayu, E. P., Adrianto, R., Masyarakat, F. K., & Mulawarman, U. (2022). Perhitungan Biaya Satuan (Unit Cost) Pada Instalasi Rawat Jalan Rumah Sakit Bersalin Ria Kencana PKBI Kota Samarinda.25(01). https://doi.org/10.22146/jmpk.v25i01.4930
Riadi, Muchlisin. (2019). Activity Based Costing (Sistem ABC). Diakses pada 1/1/2024, dari https://www.kajianpustaka.com/2019/11/activity-based-costing-sistem-abc.html
Rusli, N. T. (2017). Analisis Biaya dan Faktor-Faktor Penentu Inefisiensi Layanan Hemodialisis pada Pasien Gagal Ginjal Kronik Rumah Sakit Rk Charitas Palembang Tahun 2016. Jurnal Administrasi Rumah Sakit Indonesia, 3(3), 158–168. https://doi.org/10.7454/arsi.v3i3.2221
Pangestuti, D. F. R., & Purbasari, I. (2019). Penentuan Tarif Layanan Kesehatan Gigi dan Mulut dengan Metode Activity Based Cost System. Surya Medika: Jurnal Ilmiah Ilmu Keperawatan Dan Ilmu Kesehatan Masyarakat, 14(2), 72. https://doi.org/10.32504/sm.v14i2.128
Perpres Nomor 82 Tahun 2018 tentang Jaminan Kesehatan.pdf. (n.d.).
Politon, A. G., Akuntansi, J., Sam, U., & Manado, R. (n.d.). Analisis Penerapan Activity Based Costing dalam Penentuan Tarif Analysis of The Application of Activity Based Costing in the Determinan 7(1), 931–940. https://doi.org/10.35794/emba.v7i1.22922
Pomantow, L. P., Tinangon, J. J., Runtu, T., Pomantow, L. P., Tinangon, J. J., Akuntansi, J., & Ekonomi, F. (n.d.). Perhitungan Harga Pokok Produksi dengan Menggunakan Metode Full Costing pada RM. Ayam Goreng Krispy Dahar The Purpose of this Study was to Determinan the Calculation of Cost of Jurnal Jurnal EMBA Vol. 9 No. 3 Juli 2021, Hal. 843 - 852. 9(3), 843–852. https://doi.org/10.35794/emba.v9i3.35057.
Pramono, C., Agustina, N. W., Suwarni, E., Klaten, S. M., & Muhammadiyah, S. (1812). Edukasi Booklet Terhadap Kepatuhan Pengaturan Cairan Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa United State Renal Data System (2018) http://repository.umkla.ac.id/id/eprint/2964.
Rachmat. (2021). Perhitungan Unit Cost dengan Metode Activity Based Costing (ABC) di Instalasi Gawat Darurat Rumah Sakit Hikmah Makassar, 3(2), 6. Calculation of Unit Cost with Activity Based Costing (ABC) Method in the Emergency Room of Hikmah Hospital Makassar. (supervised by M. Alimin Maidin and Suriah) (Doctoral dissertation, Universitas Hasanuddin).
Ridwan, N. F., Studi, P., Universitas, A., Sukabumi, M., Suherman, A., Studi, P., Universitas, A., & Sukabumi, M. (2021). Activity Based Costing Dalam Penentuan Harga Pokok. 6(1), 10–16. https://jurnal.um-palembang.ac.id/balance/article/view/3401/2349.
Rini Purwanti, Sudarto, O. R. (2022). Penerapan Metode Activity Based Costing dalam Perhitungan Unit Cost sebagai Metode Alternatif pada Penentuan Tarif Pemeriksaan. Penerapan Metode Activity Based Costing dalam Perhitungan Unit Cost sebagai Metode Alternatif pada Penentuan Tarif Pemeriksaan Laboratorium dan Radiologi (Studi Kasusu di RSOP), 24(1). https://jp.feb.unsoed.ac.id/index.php/jeba/article/view/3006.
Rusli, N. T. (2017). Analisis Biaya dan Faktor-Faktor Penentu Inefisiensi Layanan Hemodialisis pada Pasien Gagal Ginjal Kronik Rumah Sakit Rk Charitas Palembang Tahun 2016. Jurnal Administrasi Rumah Sakit Indonesia. Analisis Biaya Dan Faktor-Faktor Penentu Inefisiensi Layanan Hemodialisis Pada Pasien Gagal Ginjal Kronik Rumah Sakit Rk Charitas Palembang Tahun 2016, 3(3), 158–168. https://doi.org/10.7454/arsi.v3i3.2221
Saefullah, a. (2022). Analisa tingkat kepuasan pelanggan terhadap kualitas pelayanan pada toko online shop xyz. Economic and business management international journal (eabmij), 4(03), article 03. Https://doi.org/10.556442/eabmij.v4i03.221
Sari, Rukmana. (2022). Jurnal Economix Volume 10 Nomor 1 Juni 2022. Analisis Biaya Operasional Pada Rumah Sakit Umum Daerah Massen Rempulu Kabupaten Enrekang, 10, 19–30.
Indonesia, R. (2004). UU RI No.40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional. Jdih BPK RI, 1–45. indolabourdatabase.wordpress.com.
Sinambela, L. P. (2021). Metodologi Penelitian Kuantitatif, Cetakan ke-1. Depok: PT Raja Grafindo Persada.
Sjafiq Bahaswan, F. P. (2017). ©2017 Proceeding Health Architecture. All rights. Unit Cost Pelayanan Hemodialisis dengan Metode Activity Based Costing di Era Jaminan Kesehatan Nasional, 1(1), 188–194. : http://mmr.umy.ac.id/artikel/proceeding/.
Sudoyo AW, Setyohadi B, Alwi I, Simadibrata M, S. S. (2016). National Institute of Diabetes and Digestive and Kidney Disease. jakarta: Interna Publishing.
Sujarweni, V. Wiratna. 2015. Akuntansi Biaya. Yogyakarta: Pustaka Baru Press
Trisnantoro, L. (2017) ‘Memahami Penggunaan Ilmu Ekonomi Dalam Manajemen Rumah Sakit’, Edisi keempat, Yogyakarta: Gadjah Mada University. http://ugmpress.ugm.ac.id.
Ulfah, M., Yuniarti, Y., & Rahayuni, A. (2018). Efek Konseling Gizi Terhadap Pengetahuan Dan Kepatuhan Pembatasan Intake Cairan Pada Pasien Chronic Kidney Disease (CKD) Di Rsud Abdul Wahab Sjahranie Samarinda. Jurnal Nutrisia, 20(1), 27–33.https://doi.org/10.29238/jnutri.v20i1.
Verdika Rika, Nurdin, dadang K. (2022). Humantech jurnal ilmiah multi disiplin indonesia. Analisis Perbandingan Biaya Satuan Pelayanan Hemodialisa dengan Metode Activity Based Costing (ABC) Terhadap Tarif Rumah Sakit dan Tarif INA-CBG's Serta Cost Recovery Rate (CRR), 1(12), 1907–1922. https://doi.org/10.32670/ht.v1i12.2521.
Wahyuningsih, S. A. (2020). Terapi Thought Stopping, Relaksasi Progresif dan Psikoedukasi terhadap Penurunan Ansietas Pasien GGK yang Menjalani Hemodialisa. Jurnal Keperawatan Silampari, 3(2), 648–660. https://doi.org/10.31539/jks.v3i2.1094
Waleed Khalid, S. P. (2022). Waleed Khalid Shihab and Sivaram Prasad R Department of Commerce and Business Administration. Activity Based Costing System, January. https://doi.org/10.24327/IJRSR.
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