Hubungan Skor Akreditasi Rumah Sakit Dengan Indikator Mutu Pelayanan Klinik Suatu Studi Kasus Di Rumah sakit Umum Daerah Banyumas

ABSTRACT The result of post-accreditation evaluation in several hospitals in Central Java showed that the hospitals were not able to improve their health service quality. The accreditation itself was not oriented on performance improvement, and the instrument only evaluate the structure, some of the process and none of the output. The clinical service quality indicators are measurement tools of clinical management and clinical service output, and had to the paradigm sligt of the accreditation from evaluation to guidance, and from focusing on structure to evaluation of process and output. The aim of this study was to find out the effect of hospital accreditation on clinical service quality in a hospital. The method used was a retrospective quasi-experimental study (using pre and post without control group). Secondary data were taken and evaluate to find out the statistical significance supported by individual in-depth interview as well as group interviews. The result showed that the increasing or decreasing of clinical service quality indicators post-accreditation was not affected by the accreditation itself. There were many other factors that might affect it. The factors affecting the post-accreditation decrease included better recording system, more skilled human resources, more available facilities, and structured monitoring. Factors affecting post-accreditation increase included the number of patients and government\u27s programs that did not support it. Approval that a hospital has been accredited does not guarantee that the clinical service quality in a hospital is good, and vice versa, as there are several influencing factors. Those factors are not only from the hospital but also from related institutions. The clinical service quality indicator may be used as an alternative of paradigm change of accreditation. Keywords: accreditation - clinical quality indicator - clinical performanc