Evaluation of Service Efficiency, Implementation of National Quality Indicators and Clinical Pathway for Cardiovascular Care at Mokopido Tolitoli Regional Hospital

Abstract

Hospitals, as essential healthcare institutions, play a critical role in ensuring the quality and efficiency of healthcare services. The increasing demand for accountability, cost-efficiency, and improved service quality has led to the implementation of key efficiency indicators such as Average Length of Stay (AvLOS), Bed Occupancy Rate (BOR), Bed Turnover (BTO), and Turnover Interval (TOI) to optimize hospital operations. In response, the Indonesian Ministry of Health has introduced Regulation No. 30 of 2022 concerning the National Hospital Quality Indicators (INM-RS), which includes cardiovascular services as a national priority. The use of Clinical Pathways (CP) in disease management, including cardiovascular conditions, aims to reduce variation in services, improve efficiency, and enhance care quality. This study aims to evaluate the relationship between efficiency indicators, INM, and the implementation of CP in managing cardiovascular diseases at Mokopido Tolitoli Regional General Hospital. The results highlight the hospital's achievements in various quality indicators, efficiency metrics, and CP implementation, shedding light on the gaps in the integration of policies and their practical application.