Strategic of Hospital Management in the JKN Era : An Integrated Literature Review of Balanced Scorecard, Lean Hospital, and Digital Adaptation Towards KRIS 2025 Transformation

Authors

  • Bambang Subekti Adhirajasa Reswara Sanjaya (ARS)
  • Nani Asrini Universitas Adhirajasa Reswara Sanjaya
  • H. Purwadhi Universitas Adhirajasa Reswara Sanjaya
  • Yani Restiani Widjaja Universitas Adhirajasa Reswara Sanjaya

DOI:

https://doi.org/10.58268/eb.v5i1.252

Keywords:

strategy management, JKN, balanced scorecard,lean hospital,KRIS

Abstract

The hospital sector in Indonesia is currently facing significant challenges due to the dynamic policies of the National Health Insurance (JKN) and the mandatory implementation of Standard Inpatient Classes (KRIS), scheduled to be effective in July 2025. A crucial issue arises from the disparity between INA-CBGs tariffs and operational costs, demanding high efficiency without degrading service quality. Through a Systematic Literature Review (SLR) of 25 recent references (2020-2025), this study formulates an integration between the Balanced Scorecard (BSC) and Lean Management. Findings indicate that BSC-based digitalization can boost patient satisfaction by up to 96%, while Lean methods successfully eliminate operational waste by up to 70%. The sustainability of hospitals heavily depends on organizational agility, digital transformation, and adaptive leadership.

 

References

Aji, B. N. (2024). Peran gaya kepemimpinan dalam membentuk budaya organisasi di era digital. Jurnal Manajemen.

Amalia, A. W., & Soeratin, H. Z. (2025). Strategi pertumbuhan ekonomi berkelanjutan melalui penerapan ESG. Jurnal Ilmiah Manajemen.

Anggreini, A. L. (2025). Analisis kesiapan implementasi kebijakan kelas rawat inap standar (KRIS) JKN pada RSUD Khidmat Sehat Afiat Kota Depok. UPN "Veteran" Jakarta.

Arifin, B., Kuswandi, K., & Rahayu, S. (2024). Peran strategis pemimpin dalam menciptakan budaya kerja yang progresif. Jurnal Kajian dan Penelitian Umum.

Barney, J. (2007). Strategic Management and Competitive Advantage. Pearson Education.

Bashori, M. I., & Cahyadi, N. (2024). Analisis efektivitas program pendidikan dan pelatihan kinerja pegawai rekam medis. Jurnal Manajemen Kesehatan.

David, F. R., & David, F. R. (2023). Strategic Management: A Competitive Advantage Approach. Pearson.

EcoActive ESG. (2025). AI-ESG Reporting Trends 2025: From challenge to clarity.

Haryanto, D. (2024). Lean hospital: Efisiensi dan mutu layanan di era JKN. Jurnal Kesehatan Indonesia.

Latuconsina, N. A., & Salim, N. A. (2025). Manajemen Rumah Sakit. Uwais Inspirasi Indonesia.

Michael, N., Tarukallo, S., Syaodih, E., & Veranita, M. (2025). Strategi manajemen penanganan klaim pending BPJS. JURRIKES.

Purwadhi, P., Widjaja, Y. R., et al. (2024). Pengaruh kebijakan manajemen strategis terhadap daya saing rumah sakit di era JKN. EKOMA.

Purwadhi, P., Widjaja, Y. R., et al. (2025). Implementasi balanced scorecard sebagai alat pengukuran kinerja di rumah sakit. EKOMA.

Qiu, L. (2025). The application and practice of strategic management theory in modern enterprises. GAS Journal of Economics and Business Management.

Quantive. (2025). Global state of strategy: The strategy management trends report 2025.

Quezada, L. E., et al. (2019). Measuring performance using SWOT analysis and balanced scorecard. Procedia Manufacturing.

Raafiana, M., & Andriani, H. (2025). Kesiapan rumah sakit dalam implementasi kebijakan KRIS JKN. Syntax Literate.

Rambe, D. H., et al. (2025). Solusi teknologi SIMRS dalam meningkatkan kualitas layanan kesehatan publik. Daftar Pustaka JKN.

Riwu, S. L., Wibowo, A., & Budiyatno, K. C. (2025). Penilaian kinerja rumah sakit dengan menggunakan pendekatan balanced scorecard. Jurnal Manajemen Kesehatan.

Sudrajat, A. S., & Rahayu, R. H. (2025). Implementasi kebijakan kelas rawat inap standar (KRIS-JKN) di RSUD Kota Bandung. Journal of Governance Innovation.

Suryana, D. (2018). Implementasi lean hospital di rumah sakit Indonesia.

Sutisna, A., & Triyanto. (2025). Penerapan lean management di rumah sakit dalam meningkatkan efisiensi dan kualitas layanan.

World Economic Forum. (2025). Future of jobs report 2025: Impact of AI and technology transformation.

Published

2026-03-15