MANAJEMEN PERUBAHAN DI LEMBAGA PEMERINTAH: STUDI KASUS IMPLEMENTASI KEBIJAKAN PELAKSANAAN PPK-BLUD DI RUMAH SAKIT JIWA PROVINSI NTB

Abstract

Background: NTB Mental Hospital as the only major referral
center for mental health services in NTB was required to serve
the community, to develop and be self-sufficient, while at the
same time must be able to compete in providing quality and
affordable services to the community. In order to fulfill these
demands, since January 29, 2011 NTB Mental Hospital has
received full endorsement as a Mental Hospital with Financial
Management Patterns of Local Public Service Agency (PPKBLUD).
Therefore, indepth review of the implementation of
PPK-BLUD policy in NTB Provincial Mental Hospital (RSJP) is
required.
Objectives: To explore the transformation process and
implementation of PPK-BLUD policy in RSJP.
Methods: The design of this study is a qualitative research
case study to describe the dynamics of the change process
and implementation of PPK-BLUD policy in RSJP.
Results and Discussion: The phase of transformation
process was not running as expected. The implementation of
PPK-BLUD policy is not optimal because some flexibility as a
hospital privileges with BLUD financial pattern have not been
implemented yet. The f inance manager was hesitant to
implement the flexible financial management and still following
the local government financial management mechanisms. For
external stakeholders, the implementation of PPK-BLUD policy
implementation in RSJP did not harm local fiscal policy because
the revenue of RSJP was still counted as revenue for local
government, as opposed to independent PPK-BLUD. A survey
was conducted, consisting of community satisfaction towards
the services in RSJP, data of revenue and budgetting
management and distribution of fee services to employees in
RSJP. The survey result described that the implementation of
PPK-BLUD policy in RSJP gives positive impacts on financial,
services and benefits performances to RSJP. The positive
impacts were an increase in the number of income, increased
of service indicators measurement and increased incentive to
all employees.
Conclusion: Management changes in the transformation
process were not running optimal so that the PPK-BLUD policy
in RSJP is not fully implemented, although there were some
perceived positive results.
Keywords: Local Public Service Agency, policy, change
management.