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All Journal Hearty : Jurnal Kesehatan Masyarakat Intan Husada : Jurnal Ilmiah Keperawatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Sehat Rakyat: Jurnal Kesehatan Masyarakat International Journal of Health, Engineering and Technology Jurnal manajemen informasi kesehatan
Bhakti Aryani
Poltekkes Kemenkes Tasikmalaya
Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Dentistry Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary Other

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ANALISIS PENGKODEAN DIAGNOSIS TUBERCULOSIS DI RUMAH SAKIT X KOTA CIREBON: ANALYSIS OF TUBERCULOSIS DIAGNOSIS CODING AT HOSPITAL X CIREBON CITY Bhakti Aryani; Fitria Dewi Rahmawati; Ida Wahyuni
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 13 No. 02 (2025): Vol. 13 No.2 , Juli 2025
Publisher : Politeknik Insan Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52236/ih.v13i2.755

Abstract

Pendahuluan. Dampak dari ketidakakuratan kode diagnosis merujuk pada kualitas mutu pelayanan suatu fasilitas pelayanan kesehatan. Dampak yang dihasilkan seperti keterlambatan pembayaran klaim INA-CBG’s sehingga berpotensi akan menghambat arus keuangan rumah sakit, laporan statsitik morbiditas dan mortalitas rumah sakit yang tidak akurat. Tuberculosis merupakan salah satu penyakit menular yang disebabkan bakteri Mycobacterium Tuberculosis yang menyerang paru-paru dan menginfeksi organ lainnya. Penyakit ini dapat menyerang semua usia dan masih menjadi dalah satu permasalahan secara global. Tujuan. Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan kodefikasi dan persentase ketepatan pengkodean diagnosis Tuberculosis di Rumah Sakit X Kota Cirebon. Metode. Penelitian ini merupakan penelitian deskriptif kuantitatif dan data dikumpulkan melalui lembar observasi. Hasil. Penelitian ini menghasilkan data persentase keakuratan kode diagnosis kasus Tuberculosis. Kesimpulan. Hasil kodefikasi kasus Tuberculosis di Rumah Sakit X Kota Cirebon didapatkan hasil keakuratan kode 62% (29 dokumen rekam medis) dan ketidakakuratan 38% (18 dokumen rekam medis). Kata kunci : keakuratan, kode ICD-10, Tuberculosis
Penilaian Indeks Kematangan Digital Rekam Medis Elektronik di Klinik X Ari Sukawan; Bhakti Aryani; Dony Setiawan Hendyca Putra; Diana Barsasella; Yuliani Yuliani
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 3 (2026): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i3.6837

Abstract

Digital transformation in the healthcare sector has become an urgent priority to improve service quality and operational efficiency. A key component of this transformation is the implementation of Electronic Medical Records (EMRs), as mandated by the Indonesian Minister of Health Regulation No. 24 of 2022 and supported by the 2024 Health Digital Transformation Blueprint. Clinic X began implementing EMRs in late 2023 but continues to face challenges, including limited system features, synchronization issues with the Satu Sehat platform, and server disruptions. This study evaluated the clinic’s digital maturity using the Digital Maturity Index (DMI) to formulate strategic recommendations. A mixed-methods approach with a concurrent triangulation strategy was employed through observations, in-depth interviews, and questionnaires based on the official DMI instrument developed by the Indonesian Ministry of Health. The results showed that Clinic X achieved an average maturity level of 3 in Primary Care Readiness, Information System Capability and Infrastructure, and Data Security. The clinic demonstrated strengths in staff digital literacy and infrastructure but weaknesses in governance guidelines and EMR feature development. Overall, the clinic is at the developing stage, indicating the need to strengthen system integration, infrastructure, and information governance to accelerate digital transformation.
Gambaran Kepuasan Tenaga Kesehatan terhadap E-Puskesmas dengan Metode PIECES di Puskesmas Waruroyom Tahun 2026 Yuniya Maghfiroh; Yanto Haryanto; Bhakti Aryani; Fitria Dewi Rahmawati
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7541

Abstract

Background: The Waruroyom Community Health Center has implemented the E-Puskesmas application as an information system to support recording, service data management, and health reporting. Initial observations revealed constraints such as network disruptions, suboptimal data input processes, and differences in users' ability to operate the system, which affected health workers' satisfaction. Methods: This research used a quantitative descriptive approach with a population of 47 health workers at Waruroyom Community Health Center, all of whom were included as samples (total sampling). Data were collected using a Likert scale questionnaire based on the six dimensions of the PIECES method. Results: All six PIECES dimensions fell within the satisfied category, with mean scores ranging from 3.83 to 4.10. The Information dimension obtained the highest mean (4.10), while the Performance dimension obtained the lowest mean (3.83). The highest satisfaction indicator across all dimensions was information accuracy (89.3%), while the lowest was the indicator of systems rarely experiencing errors (44.6%). Discussion: The strength of E-Puskesmas lies in its information quality, while technical stability remains a primary challenge. Conclusions: Health workers at Waruroyom Community Health Center are satisfied with E-Puskesmas in all six PIECES dimensions. Improvements are needed particularly in the Performance dimension, especially in minimizing system errors and strengthening technical support services.
Factors Causing Pending BPJS Health Claims For Inpatient Services At Waled Regional Hospital In The Third Quarter Of 2025 Tiara Atika Tri Kamilah; Yanto Haryanto; Bhakti Aryani; Fitria Dewi Rahmawati
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.848

Abstract

Pending BPJS Kesehatan claims remain a significant obstacle to hospital financing as they can disrupt cash flow and service continuity. This study aims to analyze the factors causing pending BPJS Kesehatan claims for inpatient services at Waled Regional Hospital in the third quarter of 2025. The study used a descriptive quantitative design with a retrospective cross-sectional approach. The population and sample consisted of 908 pending claim files using a total sampling technique. The research instrument was a checklist, while data analysis was conducted descriptively using frequency distribution and percentages. The results showed that the most common cause of pending claims was the coding aspect at 41.9%, followed by the medical aspect at 35.0% and the administrative aspect at 23.1%. In the administrative aspect, the most dominant problem was the mismatch of care classes. In the medical aspect, the main cause was neonatal asphyxia that did not meet the TKMKB criteria. In the coding aspect, the most common problem was inaccurate diagnosis codes or those that needed to be adjusted to clinical data based on verification BPJS. In conclusion, pending claims at Waled Regional Hospital are multidimensional and interrelated, thus requiring strengthening clinical documentation, coding accuracy, and integrated administrative verification.
Tinjauan Pending Klaim BPJS Rawat Inap di RS X Cirebon Tahun 2024 Sisilia Dwi Maharani; Bhakti Aryani; Fitria Dewi Rahmawati; Yanto Haryanto
Jurnal Manajemen Informasi Kesehatan (Health Information Management) Vol. 10 No. 2 (2025): Health Information and Management
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jmis.v10i2.706

Abstract

Abstrak Latar Belakang: Permasalahan pending klaim BPJS Kesehatan masih menjadi tantangan utama yang dapat mengganggu stabilitas keuangan dan pelayanan rumah sakit. kondisi ini tidak hanya berdampak pada keterlambatan pembayaran, tetapi juga berpotensi menurunkan efisiensi operasional rumah sakit. Penelitian ini bertujuan untuk meninjau penyebab pending klaim BPJS rawat inap Triwulan III Tahun 2024 di RS X Cirebon, dengan fokus pada aspek koding, medis, dan administratif. Metode Penelitian: Penelitian ini menggunakan metode kuantitatif deskriptif dengan sampel sebanyak 93 dokumen pending klaim yang diperoleh melalui perhitungan menggunakan rumus Slovin dengan tingkat toleransi kesalahan 10% dari total 1.418 pending klaim. Data dikumpulkan melalui observasi dokumen klaim dan berita acara hasil verifikasi (BAHV) dari BPJS Kesehatan Hasil Penelitian: Hasil penelitian menunjukkan bahwa 54,83% pending klaim disebabkan oleh aspek koding, 24,73% oleh aspek administratif, dan 20,43% oleh aspek medis. Perubahan kode diagnosis primer menjadi penyumbang terbesar kasus pending klaim, diikuti oleh perubahan kode diagnosis sekunder dan tindakan medis. Sebagian besar kasus disebabkan oleh perbedaan persepsi antara koder rumah sakit dan verifikator BPJS, serta ketidaksesuaian dengan pedoman pengkodean yang berlaku. Simpulan: Penelitian ini menekankan pentingnya peningkatan akurasi pengkodean, kelengkapan dokumen medis, serta keselarasan pemahaman antara pihak rumah sakit dan BPJS. Diperlukan sosialisasi dan pelatihan secara berkala bagi koder serta verifikator internal terkait aturan kodifikasi yang mengacu pada pedoman klaim terbaru dan ketentuan pada ICD-10, sera menerapkan sistem reward dan punishment.
AN OVERVIEW OF INPATIENT SERVICE EFFICIENCY AT SUMBER WARAS HOSPITAL, CIREBON REGENCY, 2022–2026 USING THE BARBER–JOHNSON METHOD Nayla Choudry; Bhakti Aryani; Fitria Dewi Rahmawati; Yanto Haryanto; Asih Kundari
HEARTY Vol 14 No 5 (2026): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i5.23628

Abstract

The efficiency of inpatient care, particularly in bed utilization, is a key factor in improving the quality of hospital services. Efficiency is measured using the Barber Johnson method, which includes four main parameters: BOR (Bed Occupancy Rate), AVLOS (Average Length of Stay), TOI (Turn Over Interval), and BTO (Bed Turn Over). Based on medical records from Sumber Waras Hospital in 2025, inpatient care indicators show results that do not yet meet the ideal standards set by the Ministry of Health, where the AVLOS value of 2,8 days and the BOR of 55.35% remain below the standard, while the BTO value of 70,81 times actually exceeds the ideal limit. This study aims to describe the efficiency of inpatient services at Sumber Waras Hospital for the 2022–2026 period using the Barber-Johnson method. Methods: This study employs a quantitative method with a descriptive design and utilizes secondary data from inpatient medical records for the 2022–2026 period. Results: The BOR for 2022–2026 ranges from 51.95% to 55.61%, AvLOS ranges from 2.67 to 3.16 days, TOI ranges from 2.30 to 2.77 days, and BTO ranges from 18.06 to 70.81 times. Conclusion: The utilization of inpatient beds at Sumber Waras Hospital for the 2022–2026 period is not yet efficient. Of the four indicators, only the TOI meets the ideal standard, while the BOR, AvLOS, and BTO all fall short of the standard. The Barber-Johnson chart shows that the intersection points for 2022–2026 all lie outside the efficiency zone.
Co-Authors Ari Sukawan Asih Kundari Diana Barsasella dony setiawan hendyca putra Fitria Dewi Rahmawati Fitria Dewi Rahmawati Ida Wahyuni Nayla Choudry Sisilia Dwi Maharani Tiara Atika Tri Kamilah Yanto Haryanto Yuliani Yuliani Yuniya Maghfiroh