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Review of the Preparation for the Implementation of Electronic Signatures for the Authentication of Medical Records Based on a Fishbone Diagram at the Ngebel Community Health Center Afifah Adha Risma Fauziyah; Rumpiati Rumpiati; Ria Fajar Nurhastuti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v4i1.90

Abstract

Background: The application of electronic signatures (TTE) is an essential step in supporting digitalization efforts to authenticate medical record documents (RME) in a secure and efficient manner. This study aims to review the readiness for TTE implementation at Puskesmas Ngebel using the Fishbone Diagram analysis (5M: Man, Method, Material, Machine, Money). Subjects and Methods: This research uses a qualitative method with data collection conducted through interviews with respondents including the Head of Puskesmas (for triangulation), medical record officers, registration staff, doctors, and nurses. Research Results: The results show that Puskesmas Ngebel is still in the initial stage of implementation and faces various obstacles as identified through the Fishbone Diagram analysis. This study is expected to review the level of readiness for TTE implementation and offer solutions to overcome the identified challenges. By applying the Fishbone Diagram approach, this research successfully identifies institutional barriers in preparing for the implementation of electronic signatures for authenticating medical record documents. The findings are expected to contribute to strategic planning for digitalization in community health centers.
The Use of JKN Mobile Application in Improving Patient Satisfaction in Registration Services at Kauman Baru Health Center, Ponorogo Regency Aisah Nur Rahmawati; Rumpiati Rumpiati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v4i1.91

Abstract

Digital transformation in healthcare services encourages technology-based innovations, one of which is the Mobile JKN application. This application is expected to improve service efficiency and patient satisfaction, especially in the registration process at healthcare facilities. However, the extent to which this application positively impacts patient satisfaction still needs further investigation. This study aims to determine the relationship between the use of the Mobile JKN application and patient satisfaction, as well as to identify influencing factors and usage barriers at Puskesmas Kauman Baru, Ponorogo Regency. This research is a descriptive quantitative study involving 50 respondents selected using purposive sampling. Data collection was conducted through questionnaires, observation, and interviews. Data were analyzed descriptively and using Spearman correlation tests with the assistance of SPSS software. The results showed a significant relationship between the use of Mobile JKN and patient satisfaction (ρ = 0.318; p = 0.025). The use of the Mobile JKN application contributed positively to satisfaction, mainly due to ease of access, time efficiency, and the majority of respondents being in the productive age range (20-40 years). The main barriers in using the Mobile JKN application included difficulties faced by the elderly, technical issues, and limited network access. Education and technical support are needed to ensure more optimal implementation across all age groups.
Poster Design Planning to Increase Community Motivation in using the Satu Sehat Application at Harapan Bunda Clinic Ngampel Amanda Nadylla Kustina; Rumpiati Rumpiati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v4i1.92

Abstract

The Satu Sehat application was developed as an integrated electronic medical record platform. However, low public awareness and the absence of visual promotional media at Klinik Harapan Bunda Ngampel have resulted in minimal application usage. Therefore, a poster design is needed to increase public motivation to use the application. The study was conducted at Klinik Harapan Bunda Ngampel with participants including clinic staff, patients/family members, and a design expert. The method used was Research and Development (R&D) with a 3D model: Define (needs identification), Design (poster design), and Development (product testing and revision). The research took place from April to May 2025. The results showed that the designed poster contained essential information about Satu Sehat and was considered effective as a promotional medium. Validation by clinic staff and the design expert yielded scores of 84,28% and 90%, respectively, categorized as “good.” The poster was found to be attractive, easy to understand, and capable of increasing public motivation. The design of the poster to increase public motivation in using the Satu Sehat application at Klinik Harapan Bunda Ngampel proved effective in conveying information visually and can serve as a communication strategy to support digital transformation in healthcare services at the clinic.
Preparation of Retention of Manual to Electronic Medical Record Documents using Fishbone Diagram at Puskesmas Kauman Baru Ponorogo Ananda Putri Nugroho; Rumpiati Rumpiati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v4i1.93

Abstract

Retention preparation is the process of identifying, assessing, and grouping archives in accordance with the applicable retention schedule, before final action is taken on the archive. This study aims to determine the obstacles to retention preparation from manual to electronic at the Kauman Baru Ponorogo Health Center and the challenges of retention preparation. The research used descriptive qualitative method with data collection method. Data were obtained through observation of 33,445 medical record documents, as well as interviews with medical record officers. The research instrument included an observation sheet with five assessment components. The results showed that retention preparation still faced obstacles, especially in terms of facilities and infrastructure. One of the main obstacles is the limited storage space, which is narrow and not suitable to support the process of digitizing medical records. This study recommends increasing training, providing a new building that is suitable and safe for storage and the process of digitizing medical record documents can run effectively and in accordance with regulations.
Medical Record Folder Design at Mazaya Clinic Pulung District, Ponorogo Regency Mohammad Ardhi Fajar Setiawan; Rumpiati Rumpiati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v4i2.103

Abstract

  Medical records are a critical element in health services at the Mazaya Clinic. Field observations revealed that the clinic does not yet have a medical record folder; Patient documents are only stapled sheets without classification or physical protection. This condition poses risks of document damage, data loss, privacy violations, and operational inefficiency, with search times reaching 12 minutes—far from the standards of the Ministry of Health Regulation No. 24/2022. This study aims to design an integrated medical record folder by optimizing three aspects: (1) anatomical structure, (2) physical material, and (3) content completeness.This research used the Borg & Gall Research and Development (R&D) model through four stages: Define, Design, Development, and Dissemination. The prototype was made using 310 gsm art carton laminated with matte finishing. The design was validated by experts and evaluated through field testing at the clinic. The results showed the folder increased document protection (80% moisture resistance), reduced search time by 75% (from 12 to 3 minutes), and improved data accuracy by reducing input errors by 25%. The study concludes that this folder design is a practical solution for supporting clinical accreditation, patient safety, and cost efficiency. Recommendations include technical training for staff, digital system synchronization, and data backup strategies.