Proceedings of the Third Andalas International Public Health Conference, AIPHC 2019, 10-11th October 2019, Padang, West Sumatera, Indonesia

Research Article

The Effect of INA-CBGs System Implementation towards Length of Stay and Coding Error in Ahmad Mochtar Hospital

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  • @INPROCEEDINGS{10.4108/eai.9-10-2019.2297196,
        author={Kamal  Kasra and Syed Mohamed Aljunid and Amrizal M. Nur},
        title={The Effect of INA-CBGs System Implementation towards Length of Stay and Coding Error in Ahmad Mochtar Hospital},
        proceedings={Proceedings of the Third Andalas International Public Health Conference, AIPHC 2019, 10-11th October 2019, Padang, West Sumatera, Indonesia},
        publisher={EAI},
        proceedings_a={AIPHC},
        year={2020},
        month={7},
        keywords={casemix ina-cbg length of stay coding error},
        doi={10.4108/eai.9-10-2019.2297196}
    }
    
  • Kamal Kasra
    Syed Mohamed Aljunid
    Amrizal M. Nur
    Year: 2020
    The Effect of INA-CBGs System Implementation towards Length of Stay and Coding Error in Ahmad Mochtar Hospital
    AIPHC
    EAI
    DOI: 10.4108/eai.9-10-2019.2297196
Kamal Kasra1,*, Syed Mohamed Aljunid2, Amrizal M. Nur1
  • 1: International Centre for Casemix and Clinical Coding, Faculty of Medicine, Universiti Kebangsaan Malaysia
  • 2: Department of Health Policy and Management, Faculty of Public Health, Kuwait University, Kuwait
*Contact email: kamalkasra@gmail.com

Abstract

The main objective of casemix implementation (CI) are to increase efficiency and quality (E&Q) of health care services. Length of Stay (LOS) and Coding Error (CE) are two of indicator of health care E&Q. The study aims was to know the effect of CI to LOS and CE in Ahmad Mochtar Hospital West Sumatera Indonesia. The cross-setional design was conducted with quantitative and qualitative research. The 390 in-patient medical record (MR) was selected in year 2008 and 2012. The qualitative data were collected through in-depth interviews with doctors and the head of the MR Department, and focus group discussions with coders. Average LOS was 4.56 ± SD 2.68 days in 2012 shorter than 5.88 ± SD 5.99 days in year 2008. CE in 2012 was 37.9%. lower than 62.1% in 2008. The result of chi-square test showed that significant difference between CE before and after CI. This reflects an increase in health service management through the efficiency of utilization in INA-CBGs.