A CONCEPTUAL ANALYSIS OF COMPETENCY-BASED HOSPITAL RECLASSIFICATION IN KEDIRI CITY

Abstract

The Indonesian health system is undergoing a major reform through the transition from a class-based hospital classification system to a competence-based framework, as mandated by Law No. 17 of 2023 and Government Regulation No. 28 of 2024. This policy aims to ensure that hospital classification reflects actual service capacity, clinical competence, human resource readiness, and infrastructure quality. This study examines the concept and early implementation of competence-based hospital classification in Kediri City, East Java. A qualitative descriptive design using document and policy analysis was applied. Secondary data were obtained from official Ministry of Health information systems, including RS Online, ASPAK, and SISDMK, and analyzed through data reduction, data display, and conclusion drawing. The findings indicate varying levels of hospital readiness. RSUD Gambiran demonstrates higher readiness across most competency indicators, aligning with the Advanced (Utama) level, while RSUD Kilisuci shows moderate readiness corresponding to the Intermediate (Madya) level. These differences highlight the role of competence-based classification in aligning hospital services with institutional capacity. In conclusion, competence-based classification offers a more accurate assessment of hospital capability than traditional class-based systems, emphasizing the need for continuous capacity building and monitoring.