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All Journal Jurnal Kesehatan Masyarakat LINK Media Ilmu Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Journal of Innovation in Community Empowerment (JICE) Aptekmas : Jurnal Pengabdian Kepada Masyarakat PELS (Procedia of Engineering and Life Science) Indonesian Journal of Health Information Management Services (IJHIMS) JSCS Jurnal Ekonomi Kesehatan Indonesia
laili rahmatul ilmi
Universitas Jenderal Achmad Yani Yogyakarta
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Journal : Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

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Asesmen Suryo Nugroho Markus; Laili Rahmatul Ilmi; Praptana Praptana; Sis Wuryanto; Heri Herawan; Sujono Riyadi; Tri Sunarsih
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 2 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v7i2.1028

Abstract

a complete medical record reflects the quality of good documentation, the complete of diagnosis writing reduces incorrect and inaccurate code and appropriate reporting to support decision makers. this study aims to measure the completeness and accuracy of the death code and the basic cause of death of patients. This study uses a quantitative descriptive design using a completeness checklist instrument. researchers used secondary data from the medical records of patients who died in 2021, the total sample was 199 using the slovin formula. secondary data analyzed with STATA, presented with tabulations and descriptive narratives. the basic cause of the basic cause of death was highest in code J80 at 33 (17%), J12.8 at 21 (11%) and the third being E11.9 . Based on the category of completeness of filling out of the 199 medical records analyzed, there were 37% (75) death forms that were not filled in completely
Review Ketepatan Kode Diagnosis Dan Pending Klaim Rekam Medis Pasien Covid-19 Tahun 2021 Laili Rahmatul Ilmi; Ratna Prahesti; Praptana Pratana; Ayu Wahyuningsih; Chinara Manuela
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v8i1.1141

Abstract

A complete of medical record and the accuracy of clinical coding is reflect to the quality of medical record documentation. In 2021, the number of pending claim for medical record patient’s covid-19 is 41%, as cause the quality of medical record incomplete. The research aim is to measure the quality of medical records by covid-19 documentation for pending claims and the accuracy of coding Covid-19. The research method is mixed-method sequential explanatory. We used the checklist observation to measure the quality of clinical coding for patient covid-19 and interview guideline to explore the factors of pending claims. The total sampling are 889 of medical records as secondary data was analyze with STATA Version 13. The characteristic of administrative data by gender is man 571 (64,45%), woman 315 (35,35%). the number of classification covid-19 case is probable 25 cases (2,71%), suspected 214(24,15%) and confirmed 648 cases (73,14%). In another hand, the quality of accuracy coding covid-10 use code B34.2 is 377 (42,55%), use code U07.1 is 295(33,30%) and use code Z20.8 is 215 (24.14%). The accuracy of coding covid-19 is 295 (33,30%) and inaccurate 591 (66,70%). we observe the number of pending claims is 222 due to incomplete of signature and full name of physician items in discharge summary form.
Optimalisasi Tracking Rekam Medis Dengan Barcode di Puskesmas Lendah II Ilmi, Laili Rahmatul; Praptana, Praptana; Sari, Rizky Yuspita; Herawan, Heri; Pramono, Angga Eko; Indriyani, Meita
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 8 No. 2 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v8i2.1149

Abstract

In 2014, primary health centres Lendah II was implemented health information system for primary care (Simpus). the use of simpus can help the physician and health practicioners entry data of patient, import dan export data and also improved theirs performance. The implementation of medical records for primary health centres an important role in managing patient data. The use of technology and information systems in the health sector has an impact on optimizing services. One of them is by utilizing a barcode system to support storage at primary health centres Lendah II This study aims to help the storage tracking system in the filing room using barcodes. Data capture with FGD for needs analysis, then application design and trials. This research uses research and develompent. The results of the study by making class diagrams, barcode applications and examples of barcodes applied to poly service names and medical record numbers. Barcodes will be printed and affixed to the patient's medical record to facilitate tracking of the The barcode of the patient's medical record number will also be affixed to the patient's BPJS card, making it easier for officers to check the patient's medical record number on the simpus. There is a scanner reader tool that will make it easier for officers to read barcode codes.
Co-Authors Angga Eko Pramono Ayu Wahyuningsih Barokah, Liberty Chinara Manuela Cholifah, Cholifah Dian Budi Santoso Hardjo, Kuswanto Herawan, Heri Heri Herawan Heri Hernawan Ida Nursanti Ida Nursanti Indriyani, Meita Kharisma , Andi Kinanthi, Citra Anggun Kuswanto Hardjo Mega Handayani Mubarrok, Zennul Mubarrok1 Natasya , Nabila Insyira Ningsih, Eka Rahma Pramesti, Febryan Nidya Praptana Praptana Praptana Praptana Pratana Praptana, Praptana Puspita, Kori Ratna Prahesti Ratna Prahesti Sari, Rizky Yuspita Sis Wuryanto Sujono Riyadi Suryo Nugroho Markus Syairaji Tri Sunarsih Umi Khoirun Nisak Widayati, Eka Wijayanti, Nani Dwi Zakharias Purbobinuko Zolekhah, Dewi