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Strategi, Tantangan, Regulasi dan Migrasi Rekam Medis Elektronik di RST dr. Soedjono Magelang Laili Rahmatul Ilmi; Praptana; Kuswanto Hardjo
The Journal of Innovation in Community Empowerment Vol 3 No 1 (2021): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v3i1.565

Abstract

Medical records can be maintained both manually and electronically, the transition process from manual and electronic medical records is certainly not easy because it must have a strategy and readiness, both from facilities and infrastructure. Of course, using electronic medical records is still obliged to pay attention to legal aspects that cover not only for the sake of achieving patient safety but also for health service providers. Socialization is needed that discusses overarching regulations, strategies, and challenges that must be faced and prepared in the process of change. So that the migration process from manual to electronic can be carried out well according to the expectations of users and policymakers.
PEMANFAATAN MOBILE HEALTH GUNA MENDUKUNG EDUKASI KESEHATAN REPRODUKSI KELUARGA DI DUSUN MEJING LOR, AMBARKETAWANG, GAMPING, SLEMAN: Kegiatan ini memperkenalkan aplikasi reproduksi berbasis Android untuk meningkatkan pengetahuan tentang kesehatan reproduksi pada remaja dan keluarga di Dusun Mejing Lor, Ambarketawang, Gamping Laili Rahmatul Ilmi
Indonesian Journal of Health Information Management Services Vol. 1 No. 1 (2021): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.008 KB) | DOI: 10.33560/ijhims.v1i1.6

Abstract

Era digitalisasi 4.0 menuntut masyarakat melek teknologi salah satunya dibidang kesehatan. Pemanfaatan aplikasi bidang kesehatan tidak hanya memberikan informasi kesehatan namun menstimulasi kesadaran masyarakat untuk hidup sehat. Banyak berkembang aplikasi kesehatan yang diakses secara gratis melalui mobile. Tujuan pengabdian masyarakat mengedukasi pemanfaatan aplikasi mobile health (M-health) yang tersedia di Android atau IOS mendukung kesadaran masyarakat untuk bisa mengikuti pola hidup sehat dan memiliki kemudahan akses informasi kesehatan. Aplikasi m-health tentang kesehatan reproduksi untuk remaja ataupun keluarga, masyarakat tidak perlu malu dan ragu untuk mendapatkan informasi perihal kesehatan organ vital reproduksi, edukasi perawatan dan informasi pra-post pernikahan dan lain halnya. Sasarannya adalah ibu PKK Dawis Kenikir, remaja di dusun Mejing Lor, RT 04, kel. Ambarketawang, Kec. Gamping, Kabupaten Sleman. Kegiatan ini diselenggarakan secara langsung atau luring dengan tetap mematuhi protokol kesehatan dimasa Pandemi Covid-19. Pelaksanaan kegiatan ini pada tahap pertama melakukan koordinasi dengan RT 04 Mejing Lor, Ambarketawang, Gamping, Sleman, tahap kedua penyampaian materi secara daring dan luring. bagi peserta yang tidak hadir dan luring bagi yang berkenan dengan batasan peserta 10 orang dan wajib disesuaikan dengan protocol kesehatan ketat. Pemateri pertama membahas pentingnya kesehatan reprodoksi dan pemateri kedua tentang pemanfaatan aplikasi mhealth, dilanjutkan diskusi dengan peserta.
PENDAMPINGAN PEMBUATAN VIDEO PEMBELAJARAN INTERAKTIF: Kegiatan Pengabdian Kepada Masyarakat ini memperkenalkan dan pendampingan pembuatan video pembelajran inetraktif dan video promosi bagi Guru SMK Bumantara Muntilan Magelang Jawa Tengah. Laili Rahmatul Ilmi; Suryo Nugroho Markus; Kori Puspita Ningsih; Ida Nursanti
Indonesian Journal of Health Information Management Services Vol. 2 No. 2 (2022): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.321 KB) | DOI: 10.33560/ijhims.v2i2.38

Abstract

Era digitalisasi sangat berpengaruh terhadap keberlanjutan dan keberlangsungan kehidupan, tidak hanya pada sektor ekonomi namun sektor pendidikan juga dituntut untuk melek teknologi dan informasi. Sejak 2020 Indonesia terdampak Pandemi Covid-19, sehingga diperlukan kerjasama semua lapisan pendidikan dari setiap level dituntut untuk melaksanakan pendidikan secara daring atau tatap maya. Beberapa penelitian sebelumnya menjelaskan bahwa pemanfaatan aplikasi berbasis dekstop atau mobile akan memberikan dampak yang banyak, tidak hanya kemudahan akses, namun bisa meningkatkan kreatifitas pendidik dalam pembuatan video pembelajaran. Mitra PKM SMK Kesehatan Bumantara Magelang. Bahwasannya dengan kondisi pandemik saat ini menuntt para pendidikan semakin kreatif sehingga siswa tidak merasa bosan. Kegiatan ini akan diselenggarakan secara langsung atau luring dengan tetap mematuhi protocol kesehatan dimasa Pandemi Covid-19. Metode pelaksanaan kegiatan adalah koordinasi dengan pihak SMK Kesehatan Muntilan Magelang Jawa Tengah. Pelaksanaan kegiatan ini pada tahap pertama dengan koordinasi dengan pihak Admin SMK Bumantara, tahap kedua penyampaikan materi secara luring di Laboratirium SMK Bumantara. dilanjutkan diskusi dengan peserta serta pendampingan proses pembuatan video pembejelaran.
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 Layanan Rawat Jalan: Desain User Interface Aplikasi Pendaftaran Online Berbasis Mobile Muhammad Miftah Fajar; Laili Rahmatul Ilmi; Imaniar Sevtiyani; Budhi Wicaksono; Dwi Mardiyanti
Indonesian of Health Information Management Journal (INOHIM) Vol 11, No 1 (2023): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v11i1.494

Abstract

AbstractBased on focus group discussions with the user, Nurhidayah Hospital has online registration by website, but all patients are unfamiliar. Utilizing technology and information systems in the health sector can improve performance and patient satisfaction. Based on FGD result, the researcher can measure the user needed to design a user interface for a mobile-based registration application. One indicator is the speed of patient registration. Online patient registration is growing very fast, one of which is a mobile-based registration application. One of the processes is UI (user interface). This study aims to design a UI for mobile-based online registration. This research method is Research and Development (R&D). Data collection is divided into primary and secondary data. Primary data was taken using an interview guide to 3 informants. Then secondary data was obtained by observing the website using an observation checklist. The primary data obtained were processed and presented in a descriptive narrative. Observational data is used by researchers to design a mobile-based UI using the Figma application. The results of this study are UI design consists of seven phases, beginnings with interviews and observations to obtain user needs, the next stage is planning and design, the next stage is user testing, researchers are asked to add a shortcut feature in one of the menus to make it easier for users to use the application. The conclusion of this study is a mobile-based UI design in the form of a prototype that can provide convenience in online registration to minimize queues.Keywords: user interface, online registration, outpatient, mobile-based AbstrakBerdasarkan hasil wawancara dan observasi di RS Nur Hidayah Bantul telah menyediakan pendaftaran online melalui website resmi, namun pemanfaatan oleh pasien belum optimal. Pendaftaran online memberikan kemudahan kepada pasien untuk meminimalisir proses antrian, namun tidak menutup kemungkinan belum berjalan optimal karena pasien belum terlalu paham akan alur dan prosedurnya, sehingga pasien masih mendaftar secara langsung atau melalui telepon. Pendaftaran pasien secara online perkembangannya pesat, salah satunya aplikasi pendaftaran berbasis mobile. Tahapan dalam merancang pendaftaran online adalah dengan mendesain antar muka atau user interface (UI). Penelitian ini bertujuan untuk mendesain UI pada pendaftaran online berbasis mobile. Metode penelitian yang dipilih adalah Research and Development (R&D) dengan pendekatan study kasus.. Subjek pada penelitian ini adalah petugas pendaftaran, kepala rekam medis dan kepala IT. Objek pada penelitian berupa studi dokumen SOP pendaftaran pasien, panduan pendaftaran online pada website, dan server. Metode pengambilan datanya menggunakan Focused Group Discussion (FGD) dengan pedoman FGD, studi dokumen menggunakan panduan observasi. Hasil FGD diolah secara contenct analysys dan disajikan dalam bentuk narasi deskriptif. Hasilnya adalah pada tahapan UI terdiri dari analsisis kebutuhan dengan FGD dan observasi, perencanaan dan perancangan, uji coba kepada user. Hasil uji pertama user kurang setuju dengan tampilan awal dari aspek tampilan awal dan pemilihan warna, sehingga ada tahapan perbaikan serta penyempuraan UI. Produk akhirnya adalah UI pendaftaran online bentuk prototype sesuai dengan keinginan pasien. Kesimpulan penelitian ini adalah desain UI berbasis mobile dalam bentuk prototype yang dapat memberikan kemudahan dalam pendaftaran online sehingga meminimalisir antrian.Kata kunci: user interface, pendaftaran online, rawat jalan; mobile
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.
EVALUASI PENERAPAN PILOT PROJECT GLOBAL BUDGET SEBAGAI SISTEM PEMBAYARAN KLAIM PADA RSUD WATES Handayani, Mega; Ilmi, Laili Rahmatul; Mubarrok, Zennul Mubarrok1
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Claims payment for health services is one of the factors that affect the financial health of a hospital. Indonesia itself has experienced several changes to the existing payment system. BPJS-K started an operational study on the implementation of the INA-CBGs and the Global Budget mixed-method payment system since 2018 with three stages in five districts/city in Indonesia. This study aims to evaluate the implementation of the Global Budget system at RSUD Wates in Kulon Progo Regency that appointed as a BPJS-K pilot project. This research is qualitative research and data collection was carried out by studying documents and interviews. As a result, it is known that in 2021 RSUD Wates experienced a budget surplus and on the contrary, in 2022 the hospital experienced a significant deficit. However, the efficiency of health service financing at RSUD Wates cannot be evaluated as a whole in the implementation of the global budget trial. The implementation of the global budget at RSUD Wates was carried out under uncommon conditions where the COVID-19 pandemic occurred in 2020-2022 so that the data on the number of patients became less relevant as a reference for budget calculations. In addition, all stages in the trial have not been fully implemented. Coordination and the role of policy makers are expected to be improved so that the competence and efficiency of hospital health services can be optimized.
TRANSFORMING MEDICAL RECORDS INTO ACTIONABLE INSIGHTS THROUGH DATA VISUALIZATION DASHBOARDS Nisak, Umi Khoirun; Ilmi, Laili Rahmatul; Natasya , Nabila Insyira; Kinanthi, Citra Anggun; Cholifah, Cholifah
Journal of Social Comunity Services Vol. 2 No. 1 (2025): Journal of Social Comunity Services
Publisher : Antis-publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61796/jscs.v2i1.257

Abstract

Objective: This community service aimed to educate healthcare workers at Aisyiyah Pandaan Inpatient Clinic on the process of medical record data, fostering data-driven decision-making in patient care. Method: In October 2024, a training program was conducted for 20 healthcare workers, focusing on medical record data analysis, interpretation, and presentation. Participants were trained on how to utilize medical data to support clinical decisions.  Results:  The training program led to a significant improvement in the participants' knowledge and abilities in medical record data analysis. The results were statistically significant with p-values: p < .001, p < .001, p = 0.003, p < .001, and p = 0.002. Novelty: This activity represents a novel initiative in empowering healthcare workers by enhancing their competencies in using medical record data for clinical decision-making, promoting efficiency and accuracy in patient care.
Migration of Midwifery Care Documentation to Medical Records Liberty Barokah; Dewi Zolekhah; Laili Rahmatul Ilmi
Lentera Perawat Vol. 5 No. 2 (2024): Lentera Perawat
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v5i2.320

Abstract

Medical records are the key to documenting services for health workers who carry out independent practice, good documentation greatly affects the fulfillment of administrative aspects, legal aspects for midwives and patients and provides convenience in maintaining the quality of care documentation to patients. Medical records are very important for health care facilities including Independent Midwife Practices. The function of medical records is to record all health services that have been provided to patients in order to support the improvement of service quality. this study is to implement integrated midwifery care documentation using medical records. The purpose of this study was to implement integrated midwifery care documentation using medical records. This research is an RnD (Research and Development) study with a case study approach. Researchers conducted a data collection process with FGDs. The research was conducted in April-September 2023 at PMB Ummu Hani Bantul Yogyakarta. The object is the recording form that has been implemented. The data validation process used source and technical triangulation. The physical aspect of each form is A4 in size with a weight of 70mg, the paper used for the medical record folder is F4, glossy with cream-colored paper type ivory 260gram. The content aspect includes the division of data items, grouping of data, sequent and how to fill in based on the woman's life cycle, namely grouping the contents for data on pregnant women, maternity, postpartum and children. Obstetric documentation has used integrated documentation from pregnancy to postpartum and child growth and development which has become one document using a medical record folder.
SOSIALISASI SATU SEHAT APLIKASI BERBASIS MOBILE DI POSYANDU RW 05 RT 04, MEJING LOR, GAMPING SLEMAN: Kegiatan Pengabdian Kepada Masyarakat ini memperkenalkan dan mensosialisasikan aplikasi satu sehat bagi ibu Posyandu RW 05, Kel. Ambarketawang, Kec. Gamping, Kab, Sleman, Yogyakarta . Rahmatul Ilmi, Laili; Handayani, Mega; Kharisma , Andi
Indonesian Journal of Health Information Management Services Vol. 4 No. 1 (2024): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v4i1.92

Abstract

Satu sehat merupakan aplikasi yang diluncurkan pemerintah Indonesia per Maret 2023, namunbelum semua lapisan masyarakat mendapatkan sosialisasi aplikasi satu sehat yang berbasis mobile. Aplikasitersebut memberikan manfaat terkait informasi rekam kesehatan, jaminan kesehatan, edukasi kesehatan.Posyandu di RT 04 merupakan layanan pemeriksaan primer tingkat desa oleh para nakes dan kader, kegiatanrutinnya adalah monitoring tumbuh kembang bayi. Beberapa penelitian sebelumnya menjelaskan pentingnyaedukasi pada implementasi sebuah aplikasi kepada masyarakat memberikan peran positif pada peningkatanpengetahuan dan manfaat dari aplikasi tersebut. Kegiatan ini akan diselenggarakan secara langsung atau luringdengan tetap mematuhi protocol kesehatan Metode pelaksanaan kegiatan adalah koordinasi dengan pihak RTdan RW di Mejing Lor, Gamping, Sleman. Pelaksanaan kegiatan ini pada tahap pertama dengan koordinasidengan pihak RT dan RW, tahap kedua penyampaikan materi secara luring di Pendopo Warga RW 05, MeijingLor, Gamping, Sleman, Pre dan Post test dan dilanjutkan diskusi dengan peserta serta pendampingan prosesinstalasi Aplikasi Satu Sehat di gawai peserta.