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Nearly 80 percent of hospitals ready for KRIS rollout

Jakarta Globe - June 6, 2024

Stefani Wijaya, Jakarta – As many as 2,316 hospitals, accounting for approximately 79.05 percent of the total hospitals in Indonesia, are prepared to implement the upcoming Standard Inpatient Cass (KRIS).

"According to our latest update as of May 20, 79.05 percent or 2,316 hospitals have fulfilled the 12 KRIS criteria," said Deputy Health Minister Dante Saksono Harbuwono during a working meeting with Commission IX of the House of Representatives (DPR) in Jakarta on Thursday.

The national health insurance agency BPJS Kesehatan is set to implement the new KRIS scheme next year. Under this scheme, inpatient room services will be standardized for every patient. Currently, rooms are divided into three classes, which may result in a possible increase in premiums for class 3, subsidized by the government.

Of the 2,316 hospitals, 55 are central government hospitals, 568 are local government hospitals, 112 are military/police hospitals, 26 are state-owned enterprise hospitals, and 1,555 are private hospitals.

Regarding the implementation of KRIS criteria potentially reducing the number of patients and beds, Dante mentioned that the impact would be minimal.

"The bed occupancy rate (BOR) in regional hospitals is around 30 percent to 50 percent, with 609 hospitals experiencing no loss of beds, 292 hospitals reducing beds by 1-10, and others only slightly losing around 1-2 beds," he explained.

He said the KRIS scheme must be implemented by June 30, 2025, at the latest.

KRIS criteria include maximum occupancy per room, provision of in-room bathrooms, privacy curtains, oxygen outlets, ventilation, room temperature, and humidity control.

The BPJS Kesehatan Supervisory Board has noted that the plan to implement the KRIS scheme has not been adequately communicated among all BPJS participants.

"We have found that many healthcare facilities are still awaiting clear guidelines for its execution," said Abdul Kadir, Chairman of the BPJS Kesehatan Supervisory Board, during the meeting.

Kadir pointed out that hospitals would need to rearrange their layouts or renovate rooms to meet the 12 criteria, which will require substantial funding.

"There are challenges in securing the budget to meet the 12 KRIS standard criteria, particularly for regional public hospitals (RSUD) and private hospitals," he explained.

The KRIS criteria stipulate that the maximum number of beds per room is four. Currently, hospital rooms can have up to eight or six beds. This means there is a potential reduction in the number of beds that needs to be addressed.

Source: https://jakartaglobe.id/news/nearly-80-percent-of-hospitals-ready-for-kris-rollou