Nurcahyo Andarusito* and Najib Askar

Magister Administrasi Rumah Sakit, Universitas Respati Indonesia, Indonesia

*Corresponding Author: Nurcahyo Andarusito, Magister Administrasi Rumah Sakit, Universitas Respati Indonesia, Indonesia.

Received: February 02, 2026; Published: May 31, 2026

The implementation of the Standard Inpatient Care (Kelas Rawat Inap Standar—KRIS) is a national policy aimed at improving equity and quality of healthcare services in hospitals within the National Health Insurance system. The implementation of this policy requires organizational readiness, particularly in regional public hospitals that face resource limitations and complex governance structures. Organizational readiness is a key factor in determining the sustainable success of KRIS implementation. This study aimed to analyze hospital organizational readiness in implementing the Standard Inpatient Care (KRIS) policy and to identify factors associated with such readiness. A quantitative study with a cross-sectional approach was conducted at Dr. H. Bob Bazar Regional General Hospital (RSUD), SKM, South Lampung. The study respondents consisted of healthcare workers and hospital management involved in inpatient services. Data were collected using structured questionnaires and analyzed through univariate, bivariate, and multivariate analyses. The results showed that hospitals demonstrated varying levels of readiness in implementing KRIS. Several organizational factors were found to be significantly associated with readiness for KRIS implementation, including knowledge of the KRIS policy, availability of funding, management commitment, and support from hospital information systems. Further analysis indicated that management commitment was the most dominant factor associated with organizational readiness for KRIS implementation. In conclusion, hospital organizational readiness for KRIS implementation is not determined solely by technical aspects and infrastructure, but is strongly influenced by managerial factors and organizational support systems. Strengthening management commitment, improving policy understanding, ensuring adequate funding support, and developing hospital information systems are essential strategies to support the successful implementation of the Standard Inpatient Care policy in regional public hospitals.

Keywords: Organizational Readiness; Standard Inpatient Care; KRIS; Hospital Management; Health Policy

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Citation

Citation: Nurcahyo Andarusito and Basroni Faizal. “Organizational Readiness of Hospitals in Implementing the Standard Inpatient Care Policy". Acta Scientific Medical Sciences 10.6 (2026): 63-70.

Copyright

Copyright: © 2026 Nurcahyo Andarusito and Basroni Faizal. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.