UNIVERSITAS AIRLANGGA



Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 4 / No. 2 / Published : 2006-05

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Original Article :

Strategic management approach in an effort to increase bor of surabaya a.yani islamic hospital

Author :

  1. Karjadi Wirjoatmodjo*1
  2. Widodo J. Pudjirahardjo*2
  1. Rumah Sakit Umum Dr. Soetomo, Surabaya 60286, Indonesia.
  2. Bagian Administrasi Kesehatan Masyarakat FKM Universitas Airlangga, Jl. Mulyorejo Kampus C UNAIR, Surabaya, 60115, Indonesia

Abstract :

Bed Occupancy Rate (BOR) of Surabaya A.Yani Islamic Hospital (SIH) from 2001 until 2004 showed a conspicuous decrease. The problem faced by SIH was the apparent 4.24% decrease of BOR in 2002 descending to 18.19% in 2004. The purpose of this research was to formulate a strategy for Surabaya Islamic Hospital BOR improvement efforts. This was an applied study, done cross sectional using survey approach. Carried out from April to June 2005, the unit analysis was the Surabaya A. Yani Islamic Hospital. The result of this study revealed that SIH had a frail internal condition i.e. its financial performance: low liquidity ratio, weak capital structure, low activities and profitability ratio. From the human resources availability: proportionally most of the staff were non medical lacking in paramedics. The decline of SIH service performance was shown by the inpatient, out patient, special care and supporting facilities data. From the equipment facilities: both medical and non-medical instruments were out dated especially the old fashioned medical apparatus. The CAI (Company Alignment Index) was 2.51 revealing SIH had a low internal condition below 3, as the organization standard condition value. CSI (Competitive Setting Index) was 3.84 revealing the competition was high due to competitor’s high capability in human resources, technology and finance. The market and hospital policy were the biggest factors of the competitive level-of-change, seen from the change driver’s point. CAP (Company Alignment Profile) and CSP (Competitive Setting Profile) analysis presented CSI (3.84) > CAI (2.51) meaning that SIH was in the position of W-T (Weakness-Threat) with a defensive strategy. The strategic step to be taken was based on SIH position, and the chosen strategy was: strengthening the organization, securing market development, improving internal management (service product and service equipment renovation), innovating basic product (without sophisticated medical technology) and establishing joint venture works. Suggested points are: improvement in human resource management, organization, marketing, finance, quality and logistics; in-line with the formulated strategy. Building commitment and partnership with the specialists and co-workers. Be flexible anticipating the change in hospital paradigm.

Keyword :

strategic management (vision, mission, core belief, value, motto, CAP, CSP, position, strategy).,


References :

Amirullah,(2002) Manajemen Strategik Jogjakarta : Penerbit Graha Ilmu

A. Clardy,(2004) Managing knowledge for sustained competitive advantage: designing strategies for effective human resource management Spring, Towson : Personnel Psychology

WO Cleverly,(1992) Competitive strategy for successful Hospital Management 37(1) : Hospital & Health Services Administration

RK. Harvey,(1992) Competitive strategy for successful Hospital Management Spring, Ohio-Columbus : Hospital & Health Services Administration

G. Crosley,(2004) Winning opportunities in today’s environment - : Accounting Technology

F.R. David,(2003) Strategic Management - : Concepts. Pearson Education

G. Dessler,(1997) Human Resources Management New Jersey : Prentice Hall

C. Dirgantoro,(2004) Manajemen Strategik: Konsep, Kasus dan Implementasi Jakarta : PT Grasindo

W.A. Drago,(1995) Studies, strategic planning, organizational structure, market strategy and effectiveness - : M



Archive Article

Cover Media Content

Volume : 4 / No. : 2 / Pub. : 2006-05
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  2. Pulling And Pushing Factors Analysis Of Nurses-on-contract To Become Civil Servants (a Case Study At Graha Amerta Of Dr.soetomo General Hospital Based On Ravenstein’s Pull And Push Theory Approach)
  3. Comparative Study Of Mbo And Mbp Application Towards Kediri Nursing Academy Student’s Academic Achievement
  4. Analysis Of The Influencing Factor On The Outpatient Medical Record Response Time (a Study At The Outpatient Medical Record Of Surabaya Hajj General Hospital)
  5. A Comparative Study Of The Execution Of Deming Cycle Approach Learning At Tuban Nursing Study Program And Juran Trilogy Approach At Lamongan Regency Nursing Academy
  6. Strategic Management Approach In An Effort To Increase Bor Of Surabaya A.yani Islamic Hospital