President Instructs 11 Leaders to Optimize JKN-KIS Insurance Program


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Jakarta (18/01/2018): As a form of government's seriousness in the implementation of the National Health Insurance Program - Healthy Indonesia Card (JKN-KIS) President Joko Widodo issued Presidential Instruction Number 8 Year 2017 on Optimizing the Implementation of National Health Insurance Program which ordered 11 state institutions to take steps in accordance with its authority in order to ensure the sustainability and quality improvement of the JKN-KIS Program. 11 heads of state institutions consist of Coordinating Minister for Human Development and Culture (PMK), Minister of Health, Minister of Home Affairs, Minister of Social Affairs, Minister of SOE, Minister of Manpower, Minister of Communication and Informatics, Attorney General, Board of Directors BPJS Kesehatan, Governor, Bupati and Mayor. The instruction must of course be implemented by all interested parties including by BPJS Health. "JKN-KIS Program itself is one of the Priority Program of Jokowi-JK Presidential Government which is stated in the 5th Nawacita, which is Improving the Quality of Human Life of Indonesia. In the course of the implementation of this program certainly does not always run smoothly, many challenges that must be accommodated by various parties. But we really appreciate the efforts made by the stakeholders, especially in efforts to perfect the program JKN-KIS. Moreover, it has been issued this Inpres so that all stakeholders are expected to work together to maximize the implementation of JKN-KIS Program, "said Director of Compliance, Law and Inter-Agency Relations BPJS Health Bayu Wahyudi, in Ngopi Bareng JKN-KIS activity in Jakarta (18 / 01) which was also attended by Public Policy Observer Agus Pambagio. Bayu explained that in the Presidential Instruction, the President commissioned the Board of Directors of BPJS Kesehatan to ensure that JKN participants get access to quality services through the provision of identity of JKN participants and the expansion of cooperation with eligible faskes and enhance cooperation with relevant stakeholders in order to comply with and implement JKN program optimal. Efforts made BPJS Health in carrying out these instructions is to facilitate the registration mechanism of health facilities cooperation faskes transparently through the application of Health Facility Information System (HFIS). BPJS Kesehatan together with Faskes also runs a Walk Through Audit (WTA) to JKN-KIS participants who have received regular monthly fasces and submitted their feedback to faskes. "We also coordinate with Local Government and stakeholders related to the effort to fulfill the required standard of faskes competence, mapping and profiling faskes as the basis for calculating faskes requirement for JKN-KIS participants, conducting uncooperative FKRTL mapping based on data of RI Health Ministry's sirsyankes then proceed with credentials to the eligible faskes. There is also an optimization of tiered referral system based on the competency of faskes to facilitate the participants to get service but still according to medical indication, "explained Bayu. BPJS Health is also required to increase cooperation with ministries / agencies or other parties in the framework of campaign and publication (public education) of JKN program and conduct assessment and evaluation of regulation to guarantee continuity and improvement of JKN program. In addition, review the implementation of JKN and provide inputs to improve the policy of the JKN program; and increase the number of cooperation with qualified pharmacies to ensure the availability of referral drugs with criteria and transparent process of appointment of cooperation as required and geographical conditions. The Board of Directors of BPJS Kesehatan is also instructed to provide and provide data of the JKN program periodically to the Minister of Health in order to improve the quality. In terms of providing health services to JKN-KIS participants, as of December 31, 2017 BPJS Health has been working with 21,763 First Level Health Facilities (Puskesmas, Personal Practice Doctors, Primary Clinics, Class D and Dentist Hospitals), 2,292 Advanced Health Care Facilities (Main Hospital and Clinic), and 2,937 supporting health facilities such as Apotik and Optik spread all over Indonesia. Through the Presidential Instruction, the President also ordered the Minister of Health to evaluate, review and improve the regulations related to the health services of the JKN program. It also refines the tariff of health services according to quality and cost control principles; improve referral programs and ensure the availability of medicines and medical devices for JKN participants; review and improve the system of catastrophic disease financing; and ensure the availability of facilities and infrastructure and human resources in health facilities (faskes) with local governments (Pemda), Polri and TNI as well as private. The Minister of the Interior is ordered to