OPTIMALISASI MANAJEMEN RUMAH SAKIT UNTUK MENINGKATKAN KINERJA ORGANISASI DAN KUALITAS PELAYANAN KESEHATAN: TINJAUAN LITERATUR ATAS INOVASI TATA KELOLA, SDM, DAN PROSES KLINIS

Authors

  • Gunawan Widjaja Faculty of Law Universitas 17 Agustus 1945 Jakarta Author
  • Hotmaria Hertawaty Sijabat Gunawan Widjaja Learning Centre Author

DOI:

https://doi.org/10.5281/zenodo.22264192

Keywords:

optimisation of hospital management, Good Hospital Governance, human resource development, clinical process innovation, digital transformation, organisational performance, quality of healthcare services

Abstract

Optimising hospital management is a strategic imperative in meeting the demands for improved quality of healthcare services, operational efficiency and financial sustainability in the era of digital transformation. This literature review aims to synthesise empirical evidence regarding the role of governance innovation, human resource development (HRD) and clinical process transformation in enhancing organisational performance and the quality of healthcare services. The results of the synthesis indicate that the application of the principles of Good Hospital Governance (GHG) forms the cornerstone for creating a management system that is responsive to the dynamics of change in the external environment. The digitalisation of asset management, ERP-based performance appraisal systems, and the integration of AI into regulatory documentation significantly enhance operational efficiency and accountability. HRD through effective education, training and work motivation, supported by a high level of digital readiness, is a determining factor in the successful implementation of innovations. Clinical process innovations integrated with digital technology—including evidence-based clinical guidelines within electronic health records, digital patient safety interventions, and AI-assisted clinical decision-making—consistently demonstrate a reduction in medication errors, improved protocol adherence, and faster service delivery times. The efficiency of internal business processes based on clinical standards supports the sustainability of services within prospective payment systems such as the National Health Insurance (JKN). The conclusion of this review is that the optimisation of hospital management requires synergy between strong governance, competent and digitally-ready human resources, and standardised, technology-supported clinical processes within an organisational culture oriented towards continuous learning.

References

Amalia, A. (2026). HealthMetrics ID: Transformasi Ekosistem Kesehatan Digital Dan Efisiensi Manajemen Manfaat Karyawan. Afdan Rojabi Publisher.

Angraeni, W. O. N., Takke, J. A. M., & Kamaruddin, M. I. (2026). Digital Governance and Health Innovation for Strengthening Community Health Systems: A Cross-Sectional Study in Indonesia. Journal Interdisciplinary Health, 2(2), 83–91. https://doi.org/10.61099/jih.v2i2.258

Anshari, K., Sikki, N., & Malik, R. (2025). STRATEGI PENINGKATAN KINERJA RSUD PANGLIMA SEBAYA KABUPATEN PASER KALIMANTAN TIMUR. Jurnal Manajemen Terapan Dan Keuangan, 14(03), 1496–1508. https://doi.org/10.22437/jmk.v14i03.48544

Apisarnthanarak, A., Ling, M. L., Jaggi, N., Ching, P., Liang, L., & Zong, Z. (2026). APSIC guidelines for environmental hygiene: Surface cleaning air and water quality in hospitals: 2025 update. Antimicrobial Stewardship & Healthcare Epidemiology, 6(1), e34. https://doi.org/10.1017/ash.2025.10288

Bates, D. W., Levine, D., Syrowatka, A., Kuznetsova, M., Craig, K. J. T., Rui, A., Jackson, G. P., & Rhee, K. (2021). The potential of artificial intelligence to improve patient safety: A scoping review. Npj Digital Medicine, 4(1), 54. https://doi.org/10.1038/s41746-021-00423-6

Businge, H., Kaconco, J., & Aduwo, J. R. (2026). Digital transformation on patient experience and engagement: Patient-centered strategy and the role of leadership support for innovation in Ugandan health facilities. Journal of Health Organization and Management, 1–30. https://doi.org/10.1108/JHOM-02-2026-0248

Cahaya, R., Khuzaini, & Shaddiq, S. (2025). Strategi HR Masa Depan: Menavigasi Transformasi SDM Menuju Organisasi Adaptif di Era Society 5.0. Jurnal Riset Multidisiplin Edukasi, 2(6), 93–104. https://doi.org/10.71282/jurmie.v2i6.397

Dahlia, Nurkholis, Ghofar, A., & Prihatiningtias, Y. W. (2026). “Do accreditation and managerial innovative capabilities influence Indonesian public hospital performance? The mediating role of service quality.” Problems and Perspectives in Management, 24(3), 207–222. https://doi.org/10.21511/ppm.24(3).2026.15

Eeckloo, K., Van Herck, G., Van Hulle, C., & Vleugels, A. (2004). From Corporate Governance To Hospital Governance.: Authority, transparency and accountability of Belgian non-profit hospitals’ board and management. Health Policy, 68(1), 1–15. https://doi.org/10.1016/j.healthpol.2003.07.009

Eliyah, E., & Aslan, A. (2025). STAKE’S EVALUATION MODEL: METODE PENELITIAN. Prosiding Seminar Nasional Indonesia, 3(2), Article 2.

Kadang, J., Karim, F., & Farid, E. S. (2025). Strategi Optimalisasi Layanan Kesehatan Rumah Sakit. Deepublish.

Kitta, P. (2021). Implementasi Peraturan Internal Rumah Sakit Oleh Komite Medik Dalam Peningkatan Tata Kelola Klinis Yang Baik di Rumah Sakit [Masters, Universitas Hasanuddin]. https://repository.unhas.ac.id/id/eprint/16089/

Kurnia, J. A. (2025). TANTANGAN PENERAPAN AI (ARTIFICIAL INTELLIGENCE) DALAM MANAJEMEN RUMAH SAKIT: LITERATURE REVIEW TERHADAP ASPEK DATA, TEKNOLOGI, ETIKA, DAN REGULASI. Integrative Perspectives of Social and Science Journal, 2(01 Februari), 1063–1071.

Lainer, M., Mann, E., & Sönnichsen, A. (2013). Information technology interventions to improve medication safety in primary care: A systematic review. International Journal for Quality in Health Care, 25(5), 590–598. https://doi.org/10.1093/intqhc/mzt043

Muchtiar, M., Narimawati, U., & Kurniawan, B. (2026). THE ROLE OF HOSPITAL MANAGEMENT IN PRODUCTIVITY, REVENUE, EFFICIENCY, AND EFFECTIVENESS OF JKN PATIENT SERVICES: A CASE STUDY OF A PRIVATE HOSPITAL (XYZ) IN INDONESIA, 2023–2024. Multidisciplinary Research Studies in Social Sciences, 2(1), 38–49. https://doi.org/10.71312/mrscholar.v2i1.811

Ni Made Dwita Saraswati M, Bagenda, W., & W, Y. R. W. R. (2025). Penerapan Lean Hospital Dalam Meningkatkan Efisiensi Manajemen Operasional Rawat Jalan Rumah Sakit Umum Daerah Sanjiwani Gianyar. Journal of Knowledge Management, 19(2), 125–135. https://doi.org/10.52434/jkm.v19i2.42738

Nurrachma, A. Y., Shaluhiyah, Z., & Sriatmi, A. (2024). FAKTOR YANG MEMPENGARUHI PERILAKU KONSUMEN DALAM PEMBELIAN JASA TRAUMA CENTRE SEBAGAI PERTIMBANGAN DALAM MANAJEMEN PEMASARAN RUMAH SAKIT: SCOPING REVIEW. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 10(4), 620–630. https://doi.org/10.22487/htj.v10i4.1408

Nurrohmah, K., Mahendra, M. R. R., Hidayati, A. N., & Shafrani, Y. S. (2025). STRATEGI DIGITALISASI EKONOMI PURWOKERTO DALAM PENERAPAN SMART CITY. JURNAL RUMPUN MANAJEMEN DAN EKONOMI, 2(4), 145–155. https://doi.org/10.61722/jrme.v2i4.5367

Psomas, E. (2021). Future research methodologies of lean manufacturing: A systematic literature review. International Journal of Lean Six Sigma, 12(6), 1146–1183. https://doi.org/10.1108/IJLSS-06-2020-0082

Puspita, M., & Wisnuwardhana, I. A. (2026). Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) dan Rekam Medis Elektronik (RME) terhadap Kualitas Pelayanan Rawat Jalan: Literature Review. JEMARI: Journal of Health and Medical Record Indonesia, 3(1), 7–12.

Safitri Rahmadaniah, A., & Harmanto, D. (2024). ANALISIS PENYEBAB BELUM TERLAKSANANYA REKAM MEDIS ELEKTRONIK (RME) DI PUSKEMAS PERAWATAN LUBUK TAPI BENGKULU SELATAN [Other, Sekolah Tinggi Ilmu Kesehatan Sapta Bakti]. https://repository.stikessaptabakti.ac.id/478/

Sangidu, S. (2026). Analisa Digitalisasi Pelayanan Rawat Jalan Pasien BPJS Kesehatan Di RSUD Jombang [PhD Thesis, Universitas STRADA Indonesia]. http://repository.strada.ac.id/id/eprint/1352/

Sari, M. (2023). Mengungkap Dilema JKN: Ketimpangan Akses dan Defisit Finansial. Media Kesehatan Masyarakat Indonesia, 19(3), 145–157.

Savitri, A. D. (2017). Pengaruh Gaya Kepemimpinan Transformasional Terhadap Motivasi Kerja Perawat Di Instalasi Rawat Inap (Irna) II RSUD Dr. Saiful Anwar Malang. PSIKOVIDYA, 18(1). https://psikovidya.wisnuwardhana.ac.id/index.php/psikovidya/article/view/28

Shaw, M., Almogheer, B., Auger, D., Barlow, A., Bhaskaran, B., Buxton, M., Cerulli, M., Giri Ghimire, K., Hiller, E., Jayne, Z., Kelly, M., Knight, M., Zinkin, E., & Keenan, N. G. (2026). Real-world outcomes from 2,905 episodes of hospital at home care: A propensity-matched cohort study. Frontiers in Digital Health, 8. https://doi.org/10.3389/fdgth.2026.1716319

Siallagan, A. D., Diana, H. S., Fitriya, N. I., Nurhuda, P. M., Oktaviany, V., Luginasari, Y., & Sukaesih, N. S. (2025). REVOLUSI KESEHATAN DIGITAL MELALUI TEKNOLOGI BIG DATA DALAM APLIKASI MOBILE JKN: RAPID REVIEW. Bhamada: Jurnal Ilmu Dan Teknologi Kesehatan (E-Journal), 16(1), 1–12. https://doi.org/10.36308/jik.v16i1.768

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039

Syadina, A., Putra, D. H., Sonia, D., & Satrya, B. A. (2025). TRANSFORMASI RME DI RUMAH SAKIT INDONESIA: TINJAUAN PMK NOMOR 24 TAHUN 2022. PROSIDING SEMINAR NASIONAL REKAM MEDIS DAN INFORMASI KESEHATAN, 1(1). https://prosiding.esaunggul.ac.id/index.php/RMIK/article/view/349

Ulfah, M. (2026). Konsep dan implementasi good hospital governance dalam berbagai model kepemilikan rumah sakit: Tinjauan literatur | Jurnal Bisnis Mahasiswa. https://jurnalbisnismahasiswa.com/index.php/jurnal/article/view/1272

Widjaja, M. P. & A. (2021). Strategi dan Transformasi Digital. Kepustakaan Populer Gramedia.

Zulfikar, S. (2025). Manajemen Strategis Kesehatan: Inovasi Era Disrupsi Digital. AMU Press, 1–333.

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Published

09/02/2026