Risk Management Practices in Regional Public Hospitals: An Analysis of BLUD Financial Management in Accordance with Ministerial Regulations
Keywords:
BLUD, PERMENKES No. 25 of 2019, Regional Hospital, Risk Management, The Health Law No. 17 of 2023Abstract
This study examines the implementation of risk management at W Regional General Hospital
(RSUD W), which operates under the financial management model of a Regional Public Service
Agency (BLUD). The evaluation is based on the integrated risk management guidelines set forth
in Minister of Health Regulation (PERMENKES) No. 25 of 2019, complemented by the ISO 31000
risk management framework. Data were collected through semi-structured interviews with key
stakeholders and a review of internal documentation, including the hospital’s profile, strategic
and business plans, budget reports, and risk management documentation. A thematic analysis
approach was employed to evaluate practices across the stages of risk management. The
findings reveal that although the hospital has adopted an integrated risk management
framework encompassing all prescribed stages, the implementation falls short of full compliance
with the standards outlined in PERMENKES No. 25 of 2019. While certain processes align with
regulatory expectations, the application of risk management remains inconsistent, particularly
in non-clinical and financial functions. These discrepancies suggest a need for greater coherence
and rigor in implementation. To enhance the effectiveness of risk management and improve
hospital performance, the study recommends strengthening communication processes,
conducting more robust and targeted risk analyses, and fostering a stronger organizational
culture centered on risk awareness and accountability. These improvements are essential for
achieving a more consistent and comprehensive application of integrated risk management
within the hospital’s operational and financial framework.
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