Jakarta, CNBC Indonesia – Plans to eliminate BPJS Health classes 1,2,3 are still continuing. Most recently, the government and BPJS Health conducted a trial of implementing standard inpatient classes (KRIS) in 14 hospitals.
The Main Director of BPJS Health, Ali Ghufron Mukti, emphasized that the policy direction regarding KRIS has been determined by the government. Until now, his party is still waiting for the latest decision from the government.
“BPJS follows government policy,” said Ali in the discussion “Transforming the Quality of JKN Services, Making JKN Services Sustainable” in Banjarmasin, quoted on Saturday (18/11/2023).
Apart from that, Ali admitted that he explained that his party was also still waiting for the results of the development of trials being carried out by the government in several hospitals.
“So BPJS is waiting. Because it is currently testing, we are waiting to see what the policy will be like,” he said.
The government is conducting trials to determine the community satisfaction index and its impact on hospital income after implementing KRIS. The trial applies to 12 criteria for inpatient class facilities which have begun to be implemented this year, namely:
1. The building components used do not have a high level of porosity
2. Air ventilation meets air exchange in a regular treatment room at least 6 air changes per hour
3. Artificial room lighting follows standard criteria of 250 lux for lighting and 50 lux for sleeping lighting
4. Bed equipment includes 2 contact boxes and a nurse call on each bed
5. There is a health worker per bed
6. Can maintain room temperature from 20 Celsius to 26 Celsius
7. The rooms are divided into gender, age and type of disease
8. The maximum density of inpatient rooms is 4 beds, with a minimum distance of 1.5 meters between the edges of the bed
9. Curtains/partitions with embedded rails attached to the ceiling or hanging
10. Bathroom in the inpatient room
11. Bathrooms comply with accessibility standards
12. Oxygen outlet.
Waiting for Presidential Decree
KRIS is a system that is being prepared by the government to replace the class system in BPJS Health. Previously, BPJS Health membership was divided into class 1, 2 and 3 categories. These classes determined the contributions that participants had to pay every month.
The class will also determine the inpatient class that the participant will receive. In the KRIS system, all class differences will be eliminated. The government claims that KRIS is implemented to improve the quality of service for all BPJS Health participants. KRIS will emphasize improving bedside facilities.
From what used to be six in one inpatient room, it became four beds in one inpatient room. Meanwhile, KRIS will come into effect on January 1 2025.
Member of the National Social Security Council (DJSN) Asih Eka Putri said that the implementation of KRIS is still waiting for the publication of the revised Presidential Regulation Number 82 of 2018 concerning Health Insurance.
“Right now we are waiting for the revision of Presidential Decree 82/2018,” said Asih some time ago.
The Presidential Decree will later contain procedures for inpatient care, criteria for inpatient care, quality of service, and inpatient room standards for BPJS participants. He said there were 12 indicators that the hospital had to fulfill regarding inpatient room standards for BPSJ Health participants.
“So it will be more measurable later,” he said. He added that the Presidential Decree will also regulate the stages of implementing KRIS. In the phasing process, hospitals will be given time to meet 12 standard indicators for participant inpatient rooms.
Asih said the Presidential Decree is currently still in the discussion stage at the State Secretariat. He estimates that the Presidential Decree will be issued this year. After the Presidential Decree is issued, he said, then more technical implementing regulations will be issued, such as health minister regulations and BPJS Health regulations.
“It should be published this year,” stressed Asih.
[Gambas:Video CNBC]
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