Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

Gambaran Penerapan Dan Kelengkapan Pengisian Rekam Medis Elektronik Rawat jalan Di Rumah Sakit TK. II Udayana Denpasar

2024-10-17T04:36:36+00:00

Complete medical record files can facilitate other health workers in providing patient care or treatment, and can be used as, a useful source of information for hospital management in determining the evaluation and development of health aservices. The impact of incomplete medical records is delays in the process of filing insurance claims and delays in the orderly administration process. The purpose of this study was to determine the completeness of filling out the Outpatient Electronic Medical Record at Tk.II Udayana Hospital Denpasar. The research method used is quantitative descriptive with a sample of 95 electronic medical records from July to September 2022 using the simple random samplingOmethod. The resultsashowed that 95 (100%) filled out identification completeness and 0 (0%) incomplete, 92 (96.8%) important report filling completeness and 3 (3.2%) incomplete filling, 69 (72.6%) authentication filling completeness) and 26 (27.4%) incomplete, 71 (74.7%) complete correct documentation and 24 (25.3%) incomplete. It can be concluded from the four analyses, the highest completeness of filling out outpatient RME at Tk. II Udayana Hospital Denpasar is found in important identification and reports. Based on the research above, the researchers suggest that hospitals should conduct socialization regarding the completeness of filling in RME to all health workers who are responsible for filling out electronic medical Records.

Pengolahan Data Sebagai Tahapan Perancangan Aplikasi Retensi Rekam Medis Upaya Dalam Peningkatan Efisiensi Informasi Kesehatan di Puskesmas Helvetia Medan

2024-12-06T03:36:49+00:00

In providing health center services, quality and patient safety must be paid attention to. One of the efforts that must be made to improve the quality of the health information system in community health centers is that they must have a good document storage system. The administration of medical records can be carried out well if all components related to the administration of medical records, starting from the admission section, data processing (assembling and analysis), storage and retention to destruction are carried out in accordance with established procedures. Retention systems that are still manual cause medical record files to pile up, making it difficult to find the files needed and causing retention activities to not run effectively and efficiently, so a medical record retention application is needed that makes it easier for health facilities to process medical record file data that is no longer active. The aim of this research is to carry out data processing as a stage in designing a medical record retention application in an effort to increase efficiency in managing health information at the Medan Helvetia Community Health Center. The type of research is qualitative descriptive research. By collecting data through interviews and documentation. The results obtained in this research are the design of a medical record retention system application using UML (Unified Modeling Language) modeling, namely Flowmap, Context Diagram, Data Flow Diagram, Entity Relationship Diagram and output reports in the form of active and inactive medical record file data at the Helvetia Health Center in Medan Microsoft Excel application form.

Analisis Kesiapan Rumah Sakit Rafflesia Dalam Mengimplementasikan Electronic Medical Record (RME) Menggunakan Metode DOQ-IT

2024-12-14T07:12:34+00:00

It is important to evaluate readiness. Rafflesia hospital has implemented SIMRS, thus opening up opportunities for information system development through the implementation of RME. To achieve this, the readiness to use RME must be thoroughly evaluated. This research uses a descriptive approach. While the type of data obtained is primary data from medical and non-medical officers. HR readiness for RME implementation is 34, indicating that HR has not understood RME well, seeing that the benefits are lacking, especially in the IT field, and most officers do not know about RME. Organizational work culture is 31, indicating that there is an understanding that RME will change the work culture of the organization. When RME is used, there is a tendency to accept and support. In frequency 28, governance and leadership showed that there was an understanding of the value of electronic medical records in relation to IT management strategy and support and that decision makers were committed to implementing RME. In frequency 39, infrastructure indicates that information technology capacity is strong and the likelihood of successful RME adoption is high. In general, Rafflesia Hospital is well prepared to implement RME, as indicated by the RME Implementation Readiness Assessment Interpretation.

Implementasi Model Prototype dalam Perancangan Media Edukasi Pencegahan Stunting

2024-12-18T04:22:11+00:00

Stunting can have an impact on child development, therefore comprehensive efforts are needed, one of which is through educational media. Stunting in Indonesia is still a significant public health problem, lack of parental understanding of good nutrition is part of the cause of stunting. In the development of Information Technology, it has a role in stunting prevention efforts, both in terms of monitoring, education, and data-based decision making. The purpose of this research is to create educational media that can be used as a learning tool and increase the understanding of mothers and prospective mothers about stunting. This application is built on the Android platform and can function using the Internet of Things (IoT) concept. This research applies a prototyping method that is developed based on user needs, as well as a mobile interface guidelines approach to guide the design of user interfaces that are tailored to target users. Based on the results of the research, an educational media design on stunting prevention has been created. The Android-based stunting prevention education application is designed to provide easily accessible, interactive and personalised information on the importance of balanced nutrition, a healthy diet and environmental hygiene. The app provides features such as exclusive breastfeeding guidelines, information on nutritious foods, health care tips for pregnant women and toddlers, and educational quizzes.

Analisis BOR dan Dampaknya Terhadap Faktor 5M di Rumah Sakit Umum Daerah Cilacap

2024-11-14T04:35:36+00:00

Efficiency is one of the performance parameters/indicators which theoretically underlies all the performance of an organization including in hospitals. One of the services provided in the hospital is hospitalization. To assess the efficiency of the hospital, you can use the Barber Johnson chart. In this graph there is an area called the area of ??efficiency. RSUD Cilacap is one of the hospitals belonging to the Regional Government of Cilacap Regency which in 2022 will still not meet the established Barber-Johnson standards. The purpose of this study was to analyze the efficiency of BOR at Cilacap Hospital in 2022 using the Barber-Johnson standard. This research method uses a descriptive qualitative approach. The variable used in this study in the processing of daily inpatient censuses. The results of the analysis are then linked to the impact of the Man, Method, Money, Machine, Material factors. The risults of the study exspained that the BOR in Cilacap Hospital did not meet the established efficient standars. The impact of BOR on the man factordid not really affect the hospital, the Money factor did not really effect the Cilacap Hosptal. The impact on the Machine factor makes the equipment in the hospital more durable, the impact on the method factor, namely the reporting system becomes not deal and the reduced indicators in regional development programs, the impact on the material factor causes wateful purchases of materials.

Analisis Kategori Penyebab Klaim Pending BPJS Kesehatan pada Pasien Rawat Jalan di RSUD Dr. Soedirman Kebumen

2024-12-14T07:11:01+00:00

Health insurance claims are submitted by health facilities to BPJS Health to request payment of health service costs. The process of submitting claims from RSUD Dr. Soedirman Kebumen to BPJS Kesehatan does not always run smoothly. Every month, claim files that do not meet the BPJS claim verification requirements are returned by BPJS Kesehatan to RSUD Dr. Soedirman Kebumen due to not passing verification because the submitted claim does not meet the requirements for BPJS Kesehatan claims, so BPJS needs to reconfirm with the hospital. The purpose of this research is to analyze and study the various categories of causes of delayed BPJS Health claims on outpatients at RSUD Dr. Soedirman Kebumen. The research method used in this article is descriptive qualitative with a cross sectional study design. Data collection was carried out by document review and structured interviews . The data source was obtained from the Medical Records Installation section for the period August-October 2023. The research results show that 99% (39,896) of the files passed verification and 1% (552) of the files were pending out of a total of 40,448 pending claim files submitted to BPJS Health for the period August-October 2023. There were five categories of causes of the most pending claims in the period August-October 2023, dominated by the category of re-control cases without any indication of not being guaranteed, with 123 pending claim files. Due to pending claims, the hospital's cash flow is disrupted.

Efektivitas Pelayanan Dengan Keberhasilan Rekam Medis Elektronik Di Rumah Sakit Ibu Anak Athaya Medika

2025-02-14T08:02:13+00:00

Background: Athaya medika Hospital has organized Electronic Medical Records, but some health workers state that the success of Electronic Medical Records is not always in line with the improvement of service effectiveness in hospitals, Objective: To determine the relationship between the success of electronic medical records and service effectiveness and to determine the relationship between the success of electronic medical records and the quality of services at Athaya Medika Mother and Child Hospital Hospital. Method: The research method used is a quantitative descriptive method with a cross sectional approach. This study was conducted from June to August, with a total of 60 respondents. Results: Based on the bivariate analysis test using Chi Square where the p-value is 0.042<0.05 and for the quality of service the p-value is 0.024<0.05 so it is said that there is a significant relationship between the success of Electronic Medical Records on the effectiveness of service and service quality. Conclusion: The Success of Electronic Medical Records at Athaya Medika Hospital is Included in the Good Category with a percentage with 60 respondents answering 80%.the effectiveness of the service category is very good with a percentage of 86.7% . The quality of service with the category is 71.7%. There was a significant relationship between success on service effectiveness with a p-value of 0.042 and a relationship between success and service quality with a p-value of 0,024.

Hubungan Pengetahuan Terminologi Medis Petugas Koding Dengan Ketepatan Kode Diagnosis di Puskesmas Dinoyo

2024-12-06T03:42:07+00:00

A coder's lack of knowledge of medical terminology results in inaccuracies in the diagnosis code made on medical record documents. Therefore, this study aims to analyze the relationship between knowledge of coding officers' terminology and the accuracy of the diagnosis code at the Dinoyo Health Center in Malang City. The method used in this research is quantitative with a cross sectional research design. Data processing techniques using statistical software, namely SPSS. The analysis technique used is univariate and bivariate analysis. The test used in this study was the chi-square. The sample was taken using simple random sampling technique with a probability sampling of 99 samples. The results of the relationship between the coding officer's knowledge of medical terminology and the accuracy of the diagnosis code showed a value that was not correlated, namely 0.541, with a value below 0.05, there was only a correlation between the two. The results showed that the accuracy of the diagnosis code was 43.43% incorrect and 56.56% correct, for the percentage of very good knowledge of medical terminology 16.7% and 83.3% good. It is expected to increase the accuracy of the diagnosis code in order to maintain the Dinoyo Health Center coder value.

Data Mining Penyakit Terbanyak Berdasarkan Decision Tree Algoritma C4.5 Di RSUD Pandan Arang Boyolali

2024-11-14T04:30:04+00:00

Top 10 disease data is data on diseases that often appear and occur most often. Data collection of the top 10 diseases is used to determine disease patterns in the community. Decision tree classification method is a model that maps observations of an item so that a conclusion is obtained about the target value of an item described in the form of a tree model. The C4.5 algorithm is method for creating a decision tree based on the training data that has been provided. The purpose of this research is to result in the classification of the most diseases based on the C4.5 decision tree algorithm of Pandan Arang Boyolali Hospital using excel and RapidMiner. This research design is descriptive observational. The data collection technique in this study was observation, with a total net data of 3449 data. The results of this research, there are no differences in results between excel and RapidMiner which results in the classification of the most diseases, which are blocks A00-B99, Z00-Z99, I00-I99, O00-O99, J00-J99, and E00-E90, and 18 rules are obtained. Evaluation of the performance of the C4.5 algorithm decision tree classification model using confusion matrix produces an accuracy value of 25.14%.

Determinan Pelayanan Pendaftaran Terhadap Kepuasan Pasien BPJS Dan Pasien Umum Di RSU Sari Mutiara Lubuk Pakam Tahun 2022

2025-02-22T04:23:44+00:00

The level of patient statisfication is considered as one of the most important dimensions of quality and is one of the main indicators of the standard of a health facility which is the result of the influence of health services on the hospital. This study aims to determine the Determinats of Registration Services for BPJS Outpatients and General Patients at Sari Mutiara Lubuk Pakam Hospital in 2022. This study uses a quantitative method, with apopulation is unknown and the sample of 96 people is then rounded up to 100 people. The data were analyzed using Chi-Square test statistics to determine differences in the level of statistification of BPJS and General patients with the registration service of Sari Mutiara Hospital. Lubuk Pakam 2022. Based on the results of the study, it was found that the statisfication of BPJS patients who chose very satisfied 25 people 64.1% satisfied 22 people 50.0% quite satisfied 2 people 14.3% dissatisfied 1 person 33.3% and in General petients who chose very satisfied 14 people 35.9% satisfied 22 people 50.0% quite satisfied 12 people 85.7% dissatisfied 2 people 66.7%. Based on the results of statistical test p value of 0.014 which shows that there are differences in the level of statisfication of BPJS patients and Public Services at Sari Mutiara Lubuk Pakam Hospital in 2022.

Analisis Kesiapan Penerapan Rekam Medis Elektronik Menggunakan Standar Community Clinic HER Readiness Assessment (CCERA) Pada Rumah Sakit Umum Denpasar Bali

2025-02-24T03:52:58+00:00

Based on PMK number 24 of 2022, all health service facilities must provide electronic medical records in accordance with the Minister's regulations. No later than 31 December 2023. To make this policy a success, it is important to assess the needs and readiness of health service facilities to help the successful implementation of RME. Readiness assessments prior to implementing an information system can be used to determine readiness, indications and requirements in facilitating EMR implementation. The purpose of this study is to assess the readiness of implementing electronic medical records in terms of organization, management, operations and IT. This research is a qualitative descriptive research with a case study plan, taking place at RSU Dharma Yadnya Depasar. The data collected was readiness to implement EMR as seen from organizational alignment and management capacity, by conducting in-depth interviews. Research subjects were determined using purposive sampling who were deemed to have the capacity to make decisions regarding RME. Hospitals are said to be ready to implement electronic medical records which will be applied to inpatient units, this can be seen from organizational alignment, management capacity, operational capacity and technical capacity where culture, organization, leadership, strategy, information management, clinical staff, accountability and finance The budget has been planned and has begun to be implemented.

Analisis Risiko Fisik Pada Petugas Di Unit Penyimpanan Rekam Medis Rumah Sakit Umum Madani Medan

2025-02-22T04:25:26+00:00

The medical record storage room is a place to store patient medical record files. Physical risk factors faced by officers include inappropriate lighting, uncomfortable temperatures, narrow distances between shelves, and room locations far from registration. This research is descriptive qualitative in nature and was conducted in the RSU Medical Records filling room. Madani Medan, aims to analyze these physical risk factors. Data was collected from four informants through interviews and observations, then analyzed qualitatively. The research results show that the lighting in the filling room is inadequate, especially in the corner of the room with closed windows and high ceilings, causing the lights to flicker frequently which interferes with comfort and work efficiency. Dim lights impact productivity and accuracy of file placement, and can trigger drowsiness. The room temperature was uncomfortable because the AC was broken and there were only two fans which did not cool the room enough, making the officers feel hot and sweaty. Each shelf about 60 cm apart was considered too narrow, hampering movement and slowing document retrieval, while the height reached 2.8 meters. Even though the room is spacious, its capacity is not sufficient to accommodate all the files, causing file accumulation. However, the distance between the registration room and medical record storage is quite close and does not hinder daily operations. This research recommends improvements and additions to adequate facilities to increase the comfort of medical record officers.