Operational Risk Assessment Towards the Integration of Primary Health Care Services at Sungai Rangit Community Health Center using the ISO 31000 (2018) Perspective
Abstract
Primary Healthcare Service Integration (PHSI) at Community Health Centers aims to integrate primary healthcare services at Community Health Centers, Sub-Centers, and Integrated service posts for a more comprehensive and integrated approach. Sungai Rangit Community Health Center in West Kotawaringin Regency is planned to implement PHSI in 2024. However, a preliminary study has shown several issues that need to be anticipated, especially in terms of planning and budgeting, organizational governance, and staff assignment. This study aims to explore the operational risks faced by Sungai Rangit Community Health Center so that the implementation of PHSI can run smoothly. This research uses a qualitative descriptive approach. Data was collected through Focus Group Discussions (FGD) involving 59 employees of Sungai Rangit Community Health Center and triangulated interviews with health department employees and qualified risk management experts. The study collected qualitative data through FGDs and document analysis, involving health center employees and policy documents. Triangulation with district officials and risk management experts ensured validity. Data were refined, categorized, and analyzed iteratively, leading to a prioritized risk assessment for healthcare integration while maintaining ethical considerations. The study identified 5 main operational risks that need to be anticipated, namely: 1) risk of unavailable budget; 2) risk of invalid health data; 3) risk of sub-standard work plan preparation; 4) risk of internet connection down; and 5) risk of employee demotivation. Village governments need to allocate budgets for the needs of cadres to conduct household data collection. Cluster Heads need to assist cadres in conducting data collection and filling out the LOCAL AREA MONITORING dashboard. WiFi access in the Community Health Center environment needs to be improved to support internet-based community health center operations.
References
Ahmad, S., Akbar, S., Halari, A., & Shah, S. Z. (2021). Organizational non-compliance with principles-based governance provisions and corporate risk-taking. International Review of Financial Analysis, 78, 101884. https://doi.org/10.1016/J.IRFA.2021.101884
Benites-Zapata, V. A., Saravia-Chong, H. A., Mezones-Holguin, E., Aquije-Díaz, A. J., Villegas-Ortega, J., Rossel-de-Almeida, G., Acosta-Saal, C., & Philipps-Cuba, F. (2016). A risk-based monitoring model for health care service institutions as a tool to protect health rights in Peru. Revista Peruana de Medicina Experimental y Salud Publica, 33(3), 401–410. https://doi.org/10.17843/RPMESP.2016.333.2373
Biro Komunikasi dan Pelayanan Publik Kementerian Kesehatan RI. (2023, June 23). Integrasi Pelayanan Kesehatan Primer Memperkuat Peran Kader Kesehatan. Sehat Negeriku. https://sehatnegeriku.kemkes.go.id/baca/umum/20230623/0943369/integrasi-pelayanan-kesehatan-primer-memperkuat-peran-kader-kesehatan/
BSN. (2018). Manajemen Risiko Berbasis SNI ISO 31000 (C. R. Vorst, D. S. Priyarsono, & A. Budiman, Eds.). Badan Standarisasi Nasional.
BSN. (2019). SNI 8848 (2019) Manajemen Risiko: Panduan implementasi SNI ISO 31000 (2018) di sektor publik. Badan Standarisasi Nasional.
Direktorat Tata Kelola Kesehatan Masyarakat Kemenkes RI. (2023). Kebijakan Integrasi Pelayanan Kesehatan Primer.
Donsu, J. T. (2017). Metodologi penelitian keperawatan. Pustaka Batu.
Indriyati, L., Wahyudin, A., & Sulistyowati, E. (2023). Evaluasi program pilot project transformasi layanan primer di Puskesmas Telaga Bauntung Kabupaten Banjar tahun 2022. Jurnal Kebijakan Pembangunan, 18(1), 65–80. https://doi.org/10.47441/jkp.v18i1.311
IRMAPA. (2022). Pengarahan Kepala BPKP kepada profesi manajemen risiko sektor publik mengenai pengawasan berbasis risiko: tantangan dan peluang. IRMAPA Webinar 2022.
Kavalenko, P. (2023). How to implement a healthcare Enterprise Risk Management platform. Langate. https://langate.com/healthcare-enterprise-risk-management/
Kementerian Kesehatan Republik Indonesia. (2020). Pokok-Pokok Renstra Kemenkes Periode 2020-2024.
Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/2015/2023 Tentang Petunjuk Teknis Integrasi Pelayanan Primer (2023).
NEJM Catalyst. (2018). What Is Risk Management in Healthcare? NEJM Catalyst. https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0197
Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis (4th ed.). Salemba Medika.
Pascarella, G., Rossi, M., Montella, E., Capasso, A., De Feo, G., Botti Snr, G., Nardone, A., Montuori, P., Triassi, M., D’auria, S., & Morabito, A. (2021). Risk analysis in healthcare organizations: Methodological framework and critical variables. Risk Management and Healthcare Policy, 14, 2897–2911. https://doi.org/10.2147/RMHP.S309098
Wiener, H. M. (2022). Agile Enterprise Risk Management: Risk-Based Thinking, Multi-Disciplinary Management and Digital Transformation (1st ed.). CRC Press.
Yuliandari, I. (2023). Integrasi Layanan Primer Melalui Posyandu. Ayo Sehat Kementerian Kesehatan. https://ayosehat.kemkes.go.id/integrasi-layanan-primer-melalui-posyandu
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