Analysis of the Implementation of Community Health Center Accreditation Policy in the Field of Leadership and Management

  • Rezeki Aulia Ramadhani Universitas Islam Negeri Sumatera Utara Medan, Indonesia
  • Susilawati Universitas Islam Negeri Sumatera Utara Medan, Indonesia
  • Fitriani Pramita Gurning Universitas Islam Negeri Sumatera Utara Medan, Indonesia
Keywords: Accreditation, Leadership, Management of Health Centers

Abstract

In order to improve the quality of services at the Health Center, there must be a measuring tool for achieving standards and achieving service quality standards, namely by accrediting first-level health facilities. This study aims to analyze the implementation of the Health Center accreditation policy in terms of leadership and health center management, as regulated in KMK No. 165 of 2023. This research method is qualitative with a case study design, data collection in the form of in-depth interviews, observation and documentation. Data analysis using Nvivo software, data validity is strengthened through triangulation of sources and methods, and confirmation to informants to ensure the accuracy of the data obtained. The results of the study indicate that there is a discrepancy in the aspect of human resource management with the KMK No. 165 of 2023 standard. The limited number of health workers, the imbalance in workload, and the less than optimal facilitation of employee competency development are important notes that must be followed up. In addition, the dissemination of service information has not fully reached all levels of society, especially vulnerable groups such as the elderly. Therefore, further efforts are needed to improve the quality of health services at the Rahuning Health Center.

References

Belout, A., & Gauvreau, C. (2004). Factors influencing project success: The impact of human resource management. International Journal of Project Management, 22(1), 1–11. http://dx.doi.org/10.1016/S0263-7863(03)00003-6

Edmund, L. C. S., Ramaiah, C. K., & Gulla, S. P. (2009). Electronic medical records management systems: An overview. DESIDOC Journal of Library & Information Technology, 29(6), 3–12. https://doi.org/10.14429/djlit.29.273

Fraser, H. S., Biondich, P., Moodley, D., Choi, S., Mamlin, B. W., & Szolovits, P. (2005). Implementing electronic medical record systems in developing countries. Informatics in Primary Care, 13(2), 83–95. https://doi.org/10.14236/jhi.v13i2.585

Kpebo, D., Ly, A., Yameogo, W. M. E., Bijou, S., Bertrand Ivlabèhirè, M., Tougri, H., … & Kouanda, S. (2022). Assessment of staffing needs for frontline health workers in selected maternal and child health services in 3 countries of Sub Saharan West Africa: Cote d’Ivoire, Burkina Faso, and Niger. Health Services Insights, 15, 11786329221139417. https://doi.org/10.1177/11786329221139417

Rajput, A. R., Li, Q., Ahvanooey, M. T., & Masood, I. (2019). EACMS: Emergency access control management system for personal health record based on blockchain. IEEE Access, 7, 84304–84317. https://doi.org/10.1109/ACCESS.2019.2917976

Tooranloo, H. S., Azadi, M. H., & Sayyahpoor, A. (2017). Analyzing factors affecting implementation success of sustainable human resource management (SHRM) using a hybrid approach of FAHP and Type 2 fuzzy DEMATEL. Journal of Cleaner Production, 162, 1252–1265. https://doi.org/10.1016/j.jclepro.2017.06.109

Wong, R. E. X., & Bradley, E. H. (2009). Developing patient registration and medical records management system in Ethiopia. International Journal for Quality in Health Care, 21(4), 253–258. https://doi.org/10.1093/intqhc/mzp026

Ab, S. A., Febriawati, H., Alfansi, L., & Hadi, E. D. (2020). Analysis the role of management for achieving of public health coverage programs at public health care in Bengkulu. Indian Journal of Forensic Medicine & Toxicology, 14(3). https://doi.org/10.11591/ijphs.v8i1.17066

Al Shobaki, M. J., Naser, S. S. A., Amuna, Y. M. A., & El Talla, S. A. (2017). Impact of electronic human resources management on the development of electronic educational services in the universities. International Journal of Engineering and Information Systems, 1(1), 1–19.

Ananda, S. R., Anwary, A. Z., & Rahman, E. (2023). Analisis implementasi kebijakan standar akreditasi puskesmas di Kota Banjarbaru tahun 2023. Thesis

Armstrong, M. (2012). Armstrong's handbook of management and leadership: Developing effective people skills for better leadership and management. Kogan Page Publishers.

Armstrong, M. (2016). Armstrong's handbook of management and leadership for HR: Developing effective people skills for better leadership and management. Kogan Page Publishers.

Arulrajah, A. A. (2016). Literature review on good governance in the organizations through human resource management: A corporate level analysis. International Business Research, 9(8), 14.

Budi, R. S., Adisasmito, W. B. B., Bachtiar, A., & Rosanti, E. (2024). Balancing community and individual health efforts by utilizing sub primary health care at regions: Analysis for policy. Journal of Indonesian Health Policy and Administration, 9(2), 3

Chaitkin, M., McCormick, S., Torreano, J. A. S., Amongin, I., Gaya, S., Hanssen, O. N., … & Montgomery, M. (2022). Estimating the cost of achieving basic water, sanitation, hygiene, and waste management services in public health care facilities in the 46 UN designated least developed countries: A modelling study. The Lancet Global Health, 10(6), e840–e849. https://doi.org/10.1016/S2214-109X(22)00099-7

Fatikah, A., & Santoso, D. B. (2023). Design and prototype of SIMAKLIK: Web based information system to support document management and self assessment of primary care clinics accreditation. International Journal of Advanced Health Science and Technology, 3(5), 300–310. (DOI tidak tersedia; dapat dicari di basis data jurnal atau CrossRef.) researchgate.net+3ijahst.org+3researchgate.net+3

Firdhaus, O. I. F., Sriatmi, A., & Suryoputro, A. (2024). Challenges and strategies for implementing performance-based capitation in Indonesian community health center: A scoping review. Eduvest Journal of Universal Studies, 4(10), 9173–9187.

Govule, P., Mugisha, J. F., Katongole, S. P., Maniple, E., Nanyingi, M., & Onzima, R. A. D. (2015). Application of workload indicators of staffing needs (WISN) in determining health workers’ requirements for Mityana general hospital, Uganda. International Journal of Public Health Research, 3(5), 254–263.

Hao, M. J., & Yazdanifard, R. (2015). How effective leadership can facilitate change in organizations through improvement and innovation. Global Journal of Management and Business Research, 15(9), 1–6.

Imboden, S. (2014). Effective leadership. In Food Safety Management (pp. 959–973). Academic Press. (Bab buku; DOI umumnya tidak tersedia.)

Imboden, S. (2014). Effective leadership. In Food Safety Management (pp. 959–973). Academic Press.

Indriantoro, A., Fatimah, F. S., & Leoni, P. M. (2023). Analisis persiapan reakreditasi Puskesmas Sedayu 1. Indonesian Journal of Hospital Administration, 6(2), 71–75. https://doi.org/10.21927/ijhaa.2023.6(2).71 75

LeBan, K., Kok, M., & Perry, H. B. (2021). Community health workers at the dawn of a new era: 9. CHWs’ relationships with the health system and communities. Health Research Policy and Systems, 19, 116. https://doi.org/10.1186/s12961-021-00756-4

Mæstad, O., Torsvik, G., & Aakvik, A. (2010). Overworked? On the relationship between workload and health worker performance. Journal of Health Economics, 29(5), 686–698. https://doi.org/10.1016/j.jhealeco.2010.05.006

Mokodompis, J. D., & Wiyadi, I. (2024). Collaborative Governance BPJS Health in improving the performance of first-level health facility services inpatient clinic Bunda Aulia. Seascapeid Journal of Public Health and Nursing, 1(1), 1–13

Mokodompis, J. D., & Wiyadi, I. (2024). Collaborative governance BPJS Health in improving the performance of first level health facility services inpatient clinic Bunda Aulia. Seascapeid Journal of Public Health and Nursing, 1(1), 1–13. (DOI tidak ditemukan; akses melalui jurnal.) seascapeid.com+1seascapeid.com+1

Okyere, E., Mwanri, L., & Ward, P. (2017). Is task shifting a solution to the health workers’ shortage in Northern Ghana? PLoS ONE, 12(3), e0174631. https://doi.org/10.1371/journal.pone.0174631 pubmed.ncbi.nlm.nih.gov+7journals.plos.org+7research.torrens.edu.au+7

Oliveira, M., Sousa, M., Silva, R., & Santos, T. (2021). Strategy and human resources management in non profit organizations: Its interaction with open innovation. Journal of Open Innovation: Technology, Market, and Complexity, 7(1), 75. https://doi.org/10.3390/joitmc7010075 researchgate.net+6mdpi.com+6ubibliorum.ubi.pt+6

Rahman, M., Mordi, C., & Nwagbara, U. (2018). Factors influencing E HRM implementation in government organisations: Case studies from Bangladesh. Journal of Enterprise Information Management, 31(2), 247–275. https://doi.org/10.1108/JEIM 05 2017 0066

Shaddiq, S., & Irpan, M. (2023). Governance of human resources management in the digital era. Journal of Business and Management Studies, 5(3), 80–96. https://doi.org/10.32996/jbms.2023.5.3.8

Shiffer, C. D., Boulet, J. R., Cover, L. L., & Pinsky, W. W. (2019). Advancing the quality of medical education worldwide: ECFMG's 2023 medical school accreditation requirement. Journal of Medical Regulation, 105(4), 8–16. https://doi.org/10.30770/2572 1852 105.4.8

Shihundla, R. C., Lebese, R. T., & Maputle, M. S. (2016). Effects of increased nurses' workload on quality documentation of patient information at selected Primary Health Care facilities in Vhembe District, Limpopo Province. Curationis, 39(1), 1–8. https://doi.org/10.4102/curationis.v39i1.1545

Slivšek, G., Vitale, K., & Škarić Jurić, T. (2024). Public health and primary health care: Opportunities and challenges. Medicina Fluminensis, 60(2), 164–175. https://doi.org/10.21860/medflum2024_316197

Sukohar, A., Suryawinata, A., & Mediansyah, A. (2020). Quality of health services in the first level health facilities and the role of quality and cost control team in Lampung Province. Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer), 3(1), 8–14. https://doi.org/10.22146/rpcpe.54162

Suwandi, S., Hikma, N., Yudit, Y., Sudirman, S., & Yani, A. (2025). Literature review: The effect of puskesmas accreditation status on patient satisfaction with service quality as an intervening variable. Devotion: Journal of Research and Community Service, 6(5), 460–467.

Zega, I., Richadi, R. K., Tarigan, F. L., Nababan, D., Sitorus, M. E. J., & Warouw, S. P. (2022). Analisis kesiapan UPT Puskesmas Lotu menghadapi akreditasi puskesmas. Prepotif: Jurnal Kesehatan Masyarakat, 6(1), 98–112. https://doi.org/10.31004/prepotif.v6i1.2738

Published
2025-07-22
How to Cite
Ramadhani, R. A., Susilawati, S., & Gurning, F. P. (2025). Analysis of the Implementation of Community Health Center Accreditation Policy in the Field of Leadership and Management. Journal La Medihealtico, 6(4), 871-881. https://doi.org/10.37899/journallamedihealtico.v6i4.2376