NAUFAL ARDI RACHMANDA,KUSBARYANTO
DOI: https://doi.org/Background: Indonesia’s National Health Insurance (JKN) mandates the implementation of Standardized Inpatient Classes (KRIS) by 2025 to ensure equitable and quality healthcare. This study assesses the implementation readiness for KRIS in a private hospital setting, identifying challenges and facilitating factors.
Objective: To analyze the KRIS implementation readiness level at RSU Rachma Husada Bantul, a Type C private hospital in Yogyakarta, based on 12 standard criteria, and to explore influencing factors using the Van Meter and Van Horn policy implementation framework.
Methods: An explanatory sequential mixed-methods design was employed. Quantitative data were collected via observation and checklist assessment of 10 designated KRIS inpatient rooms against the 12 criteria. Qualitative data were gathered through in-depth interviews with 11 key informants (foundation, management, staff) and analyzed thematically based on the Van Meter and Van Horn framework.
Results: The overall readiness level was 78.3%, indicating partial preparedness. High compliance (≥80%) was observed for criteria related to building components, bedside tables, patient segregation, ventilation, lighting, room density, and privacy partitions. Significant gaps remained in bathroom accessibility (50%), in-room bathroom availability (60%), oxygen outlets (60%), temperature/humidity control (60%), and bed completeness (electrical/nurse call) (70%). Qualitative findings highlighted financial constraints for infrastructure upgrades as the primary barrier, compounded by regulatory and JKN tariff uncertainties. Strong internal commitment was a key facilitator.
Conclusion: While demonstrating good initial commitment, the hospital faces significant hurdles, primarily financial, in achieving full KRIS compliance. Successful implementation requires targeted strategies, including innovative financing, enhanced human resource capacity, and clear, supportive external policies from regulators.
