Organizational Transformation At Regional General Hospital Of Prof. Dr.H.M. Anwar Makkatutu Bantaeng Regency

  • Muhajir Muhajir Student of Public Administration Doctoral Program, Universitas Negeri Makassar, Indonesia
  • H Akib Universitas Negeri Makassar, Indonesia
  • R Niswaty Universitas Negeri Makassar, Indonesia
Keywords: Implementation, Determinant, Organizational Transformation, Hospital


Hospital organizational transformation is an adaptation process for its existence. Hospitals can no longer maintain the status quo and are forced to change or move because otherwise their survival will be threatened. Regional General Hospital (RGH) of Prof. dr.H.M. Anwar Makkatutu has undergone a transformation journey from class changes from class D to class C and from class C to class B, the hospital has also changed financial management by implementing the Financial Management Pattern of the Regional Public Service Agency, but some indicators do not show optimal performance.  The objectives of the study are to describe the implementation and identify determinant factors of organizational transformation. The method used in this research is descriptive with a qualitative approach. The informants of this study consisted of structural officials, the head of the installation, staff, and patients. This study collects primary data and secondary data. The results showed that RGH of Prof dr.H.M.Anwar Makkatutu had implemented a transformation referring to 10 steps which completed the 8 steps of transformation according to Kotter as a theoretical renewal and brought changes to the structure, culture, and increased number of types of services. Organizational culture factors and transformative leadership have influenced hospitals to transform.


Akib, H. (2011). Observing the Organizational Transformation Heuristic: Actualizing Human Creative Behavior Through a Knowledge Management Approach. Journal of Indonesian Entrepreneur Management, 40 Number 3, 225–244.

Anderson, N., Potočnik, K., & Zhou, J. (2014). Innovation and Creativity in Organizations: A State-of-the-Science Review, Prospective Commentary, and Guiding Framework. Journal of Management, 40(5), 1297–1333.

Barnas, K. (2019). Creating a culture of excellence, How healthcare Leaders Can Build And Sustain Continous Improvement. KMPG International Healthcare Practice.

Basabih, M. (2017). Regional Hospital White Book: Inspires Regional Hospital's Journey to Change in the Future. Jakarta: ARSADA.

Budihardjo, A. (2011). Towards Achieving Optimum Performance; Theory Synthesis to uncover the Organization's "Black Box". Jakarta: Prasetiya Mulya Publishing.

Buvat, J., Solis, B., Crummener, C., Aboud, C., Kar, K., Aoufi, H. E., & Sengupta, A. (2017). The Digital Culture Challenge: Closing the Employee-Leadership Gap. Digital Transformation Institute, 1–32.

Dlamini, N. N. N., Garg, A. K., & Muchie, M. (2017). The impact of transformational leadership style on organizational commitment in the hospitality industry. African Journal of Hospitality, Tourism and Leisure, 6(3), 1–21.

Ferbriaty, Revida, E., Simarmata, J., Suleman, A. R., Hasibuan, A., Purba, S., Butarbutar, M., & Saputra, S. (2020). Corporate Change Management in the Digital Transformation Era (A. Rikki (ed.); 1st ed.). Our Writing Foundation.

Government of the Republic of Indonesia (2007). Government Regulation of the Republic of Indonesia Number 41 of 2007 concerning Regional Apparatus Organizations.Jakarta

Government of the Republic of Indonesia (2019) Government Regulation Number 72 of 2019 concerning Regional Apparatus. Jakarta

Hartawan, D., Mas’ud, M., & Sopanah. (2021). The Effect of Transformational Leadership and Compensation on Job Satisfaction Through Organizational Commitment. Bulletin of Management and Business, 2(1), 12–24.

Hernaus, T. (2008). Generic Process Transformation Model: Transition to Process-based Organization. Working Paper Series: Paper No. 08-07, 385(08), 1–16. Retrieved from

Hill, J. B. (2017). Leading through digital disruption: Gartner insights on spotting and responding to digital disruption. Gartner. Insights on Spotting and Responding to Digital Disruption. Retrieved from digital_disruption_ebook.pdf?elqTrackId=8c6b54de14a74ab897515cb3c35 73078&elqaid=1838&elqat=2

Indonesian Ministry of Health. (2005). Instructions for Filling in, Hospital Data Processing. Jakarta

Indonesian Ministry of Health. (2011). Instructions for Filling in Data Processing for Hospital Reporting Information Systems. Jakarta

Kadjatmiko. (2003). Organizational Transformation Perspectives And Heuristics. In Entrepreneur : Vol. 12 TH XXXI (pp. 34–40).

Kirk, J., Andersen, O., & Petersen, J. (2019). Organizational transformation in health care: an activity theoretical analysis. Journal of Health Organization and Management, 33(5), 547–562.

Kotter, J. P. (2011). Leading Change: Why Transformation Efforts Fail. Harvard Business Press Books.

Kraus, S., Schiavone, F., Pluzhnikova, A., & Invernizzi, A. C. (2021). Digital Transformation in Health Care: Analyzing the Current State-of-Research. Journal of Business Research, 123, 557–567. j.jbusres.2020.10.030

Kurniawan, B., & Maarif, S. (2017). Organizational Transformation of Health Insurance Service Providers (Study on the Transformation of PT. Askes (Persero) into BPJS Health. Scientific Journal of Public Administration and Development, 8(1), 61–72.

Kusdi. (2018). Organizational and Administrative Theory. Jakarta: Salemba Humanika

Law of the Republic of Indonesia. (2009). Law of the Republic of Indonesia Number 25 of 2009 concerning Public Services. Jakarta

Law of the Republic of Indonesia (2009) Law of the Republic of Indonesia Number 44 of 2009 concerning Hospitals. Jakarta

Lubis, H. S. (2015). Organization. Jakarta: Open University

Martini, A., Suradinata, E., Kusworo, K., Lambelanova, R., & Thahir, M. I. (2019). The Effect of Organizational Transformation, Compensation, and Organizational Culture on Performance of Regional Government Bureaucracy in Sumedang Regency West Java Province. Journal of Public Administration and Governance, 9(1), 236. jpag.v9i1.14439

Minister of Home Affairs of the Republic of Indonesia (1994) Decree of the Minister of Home Affairs of the Republic of Indonesia Number 22 of 1994 concerning Organizational Guidelines and Working Procedures of Regional General Hospitals.Jakarta

Minister of Health of the Republic of Indonesia (2004) Decree of the Minister of Health of the Republic of Indonesia Number 1284/MENKES/XII/2004 concerning the class improvement of the Regional General Hospital Prof. dr. Anwar Makkatutu became a class C hospital. Jakarta

Minister for Empowerment of State Apparatus and Bureaucratic Reform (2021) Decree of Minister for Empowerment of State Apparatus and Bureaucratic Reform Number 17 of 2021 concerning Equalization of Administrative Positions into Functional Positions

Minister for Empowerment of State Apparatus and Bureaucratic Reform (2021) Decree of Minister for Empowerment of State Apparatus and Bureaucratic Reform number 25 of 2021 concerning Simplification of Organizational Structure in Government Agencies for Bureaucracy Simplification. Jakarta

Parashakti, R. D., Rizki, M., & Saragih, L. (2016). The Influence of Transformational Leadership and Organizational Culture on Employee Innovative Behavior (Case Study at PT. Bank Danamon Indonesia). Journal of Theory and Applied Management, 9(2), 81–96. jmtt.v9i2.3015

Ritonga, I. D., Manurung, S. S., & Tan, H. (2019). Creating Organizational Transformation Through Leadership and Organizational Learning. Medan: Yayasan Kita Menulis

Sajadi, H., Sajadi, Z., Sajadi, F., Hadi, M., & Zahmatkesh, M. (2017). The comparison of hospitals’ performance indicators before and after Iran’s hospital care transformation plan. Journal of Education and Health Promotion, 6, 1–6.

Santiago, N., Baro, X., & Anna, R. (2019). The Competency-Based Management Model as a Springboard for Transformation in Health Care and Social Care Organisations. World Hospitals and Health Services, 55(2).

Saxena, A., & Prasad, A. (2020). The Relationship Between Ethical Leadership and Innovative Work Behaviour. 133–147.

Sisca, Simarmata, H. M. P., Grace, E., Purba, B., Dewi, I. K., Silalahi, M., Fajrillah, Sudarso, A., & Sudarmanto, E. (2021). Innovation Management (J. Simarmata (ed.); 1st ed.). Medan: Yayasan Kita Menulis.

Sutrisno, E. (2018). Organizational culture. (5th ed.). Jakarta: Prenadamedia Group.

Thalib, J. (2015). Introduction to Conflict Management. Yogyakarta: LeutikaBooks.

Thyagaraju, N. (2018). Human Resources Management (HRM) As a Strategic tool in Organizational Transformation of Indian Banks in Globalisation of Indian Scenario. Journal of Management Research and Analysis (JMRA), 05(03), 209–214. Retrieved from

Widayat, R. (2009). Being Great and Sustainable Hospital. Beberapa Pitffall Manajemen Yang Harus Diwaspadai. Jakarta: PT Gramedia Pustaka Utama.

Wisnu, D. (2019). Organization Theory: Structure and Design. Malang: University of Muhammadiyah Malang.

Yamali, F. R. (2018). Effect of Compensation, Competencies and Organizational Culture on Organizational Commitment its Implicationson Expert Performance of Constructions Services Company. International Journal of Advances in Management and Economics, 7(2), 29–42.

Zhenxiang, R. (2014). Construction of Hospital Organizational Culture after Transformation of Public Hospitals, The Case of R Hospital. ISCTE University Institute of Lisbon.

How to Cite
Muhajir, M., Akib, H., & Niswaty, R. (2022). Organizational Transformation At Regional General Hospital Of Prof. Dr.H.M. Anwar Makkatutu Bantaeng Regency. Proceeding International Conference on Innovation in Science, Education, Health and Technology, 1(1), 194-212. Retrieved from