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Effectiveness Analysis Of The BPJS Patient Admission Workflow In The Implementation Of Electronic Medical Records (EMR) At The Outpatient Registration Unit Of RSUD Sayang Cianjur Muhamad Rendi; Diansyah Diansyah
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1605

This study aims to analyze the effectiveness of the BPJS patient admission workflow following the implementation of the Electronic Medical Record (EMR) system in the outpatient registration unit, specifically regarding service speed, data accuracy, and adherence to Standard Operating Procedures (SOPs). This is a descriptive qualitative study utilizing an observational approach. Data were collected through direct observation of the BPJS patient registration workflow; interviews with registration staff, IT personnel, and patients; and a review of SOP documentation and system reports. The implementation of the EMR system proved effective in enhancing BPJS patient registration services. Results indicate that the EMR implementation improved the effectiveness of the BPJS patient admission workflow; registration time decreased from an average of 12–15 minutes to 6–8 minutes per patient due to the integration of the EMR with VClaim and the Mobile JKN queue system for verifying SEP (Participant Eligibility Letter), eligibility status, and fingerprints. Patient data accuracy also improved. Enhancements are needed regarding network infrastructure (including backup internet), the refinement of SOPs to better integrate the EMR with BPJS systems, and continuous training for registration staff to optimize EMR usage, thereby making the BPJS patient admission workflow more effective and efficient

Analisis Implementasi IDRG dalam Menunjang Klaim BPJS Kesehatan di Rumah Sakit X: Analysis of IDRG Implementation in Supporting BPJS Kesehatan Claims at Hospital X Azzahra Jasmine Rahayu; Diansyah Diansyah
Barongko: Jurnal Ilmu Kesehatan Vol 5 No 1 (2026): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v5i1.1588

Implementasi Indonesian Diagnosis Related Groups (iDRG) dalam program JKN menuntut kesiapan teknis, SDM, dan dokumentasi klinis. Penelitian kualitatif deskriptif ini menganalisis implementasi iDRG di RS X melalui wawancara tujuh informan dan data klaim September 2025–April 2026. Populasi dalam penelitian ini adalah seluruh petugas di RS X yang terlibat dalam proses pengklaiman BPJS Kesehatan. Sampel dalam penelitian ini terdiri dari 7 informan dengan menggunakan teknik purposive sampling. Sumber data yang digunakan terdiri atas data primer dan data sekunder. Data primer diperoleh melalui observasi dan wawancara kepada informan yang terlibat langsung dalam proses pengelolaan klaim BPJS Kesehatan di RS X Implementasi sejak Oktober 2025 berjalan lancar berkat integrasi SIMRS–E-Klaim. Dari 87.544 klaim, ditemukan 4.248 kasus pending (4,86%), didominasi Kunjungan Berulang/Fragmentasi (70,3%), Ketidaksesuaian Koding (10,6%), Ketidaklengkapan Dokumen (9,6%), Alih Jenis Pelayanan (5,4%), dan Indikasi Medis (4,1%), yang mencerminkan dominansi masalah administratif. Evaluasi dokumentasi klinis belum komprehensif akibat transisi rekam medis elektronik (RME) yang bersamaan. Rekomendasi solusi mencakup lima langkah strategis: penguatan tata kelola Pasien Rujuk Balik (PRB), otomatisasi deteksi fragmentasi pada SIMRS, peningkatan kompetensi koder iDRG, penerapan audit rekam medis terstandar, serta akselerasi penyelesaian SIMRS dan stabilisasi RME. Evaluasi dampak implementasi iDRG terhadap kualitas dokumentasi klinis belum dapat dilakukan secara komprehensif karena berlangsung bersamaan dengan proses transisi menuju Rekam Medis Elektronik (RME) dan pengembangan SIMRS. Oleh karena itu, diperlukan penguatan kompetensi koder, peningkatan kualitas dan kelengkapan rekam medis, penguatan tata kelola klaim, serta optimalisasi sistem informasi untuk mendukung pengendalian pending claim secara berkelanjutan

Tinjauan Kelengkapan Pengisian RME Rawat Inap Penyakit Dalam untuk Pemenuhan Standar Akreditasi MRMIK EP 12 di RSUD Cibinong: Review of the Completeness of the Internal Medicine Inpatient RME Filling to Fulfill the MRMIK EP 12 Accreditation Standards at Cibinong Regional Hospital Ranny Puspa Sari; Diansyah Diansyah
Barongko: Jurnal Ilmu Kesehatan Vol 5 No 1 (2026): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v5i1.1691

Kelengkapan pengisian Rekam Medis Elektronik (RME) rawat inap merupakan elemen penting dalam menentukan standar akreditasi rumah sakit (MRMIK EP 12). Studi pendahuluan di RSUD Bakti Pajajaran menunjukkan kelengkapan RME rawat inap masih di bawah 100%. Beberapa komponen rekam medis yang tidak terisi seperti resume medis, ringkasan masuk dan keluar, assessmen awal medis dokter, assessment awal keperawatan, laporan oerasi, laporan kematian dan lain sebagainya. Penelitian ini menggunakan penelitian deskriptif dengan pendekatan kuantitatif bertujuan untuk mengukur tingkat kelengkapan RME rawat inap, menggunakan sample Slovin serta data dari wawancara, observasi, dan studi dokumentasi. Populasi penelitian ditetapkan pada berkas rekam medis rawat inap penyakit dalam triwulan 1 tahun 2026, yaitu periode Januari hingga Maret tahun 2026. Dengan jumlah pasien rawat inap di ruang penyakit dalam periode Januari sampai dengan Maret berjumlah 387 berkas rekam medis. Hasil menunjukkan kelengkapan RME belum mencapai standar 100% sesuai SPM, dengan rincian: ketepatan waktu pengisian rekam medis 1x24 jam sebesar 43,7%, keterbacaan 100%, kesesuaian simbol dan singkatan 68,7%, kelengkapan Autentifikasi 91%, dan kelengkapan penggunaan rekam medis 92%. Rumah sakit disarankan melakukan pemantauan berkelanjutan, umpan balik ke ruang rawat inap, review berkala, serta pengembangan fitur notifikasi dari SIMRS untuk rekam medis yang belum lengkap.

Review Of Electronic Medical Record Implementation In Inpatient Services Using The Hot-Fit Model At Bakti Pajajaran Regional Public Hospital Kenny Angel Yasina; Diansyah Diansyah
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1689

Electronic Medical Records (EMRs) are increasingly required to support efficient, accurate, and integrated hospital services. This study evaluated the implementation of EMRs in inpatient services at Bakti Pajajaran Regional Public Hospital using the Human-Organization-Technology Fit (HOT-FIT) model. A descriptive qualitative case-study design was applied. Data were collected from February to March 2026 through HOT-FIT-based observations and semi-structured interviews with six purposively selected informants who had at least one year of experience using the EMR system: the head of the medical records unit, an inpatient physician, an inpatient administrator, a nurse, a nutritionist, and an information technology officer. The findings indicate that the Human component was generally adequate, as users possessed relevant professional or technical qualifications and were able to operate the EMR according to their duties. The Organization component was supported by hospital policies, basic training, interprofessional coordination, and system access, although full integration had not yet been achieved because several units still used a hybrid workflow. The Technology component was supported by computers, servers, LAN/Wi-Fi, and VPN access; however, unstable or slow network connections remained the dominant operational barrier. Overall, the Fit among human, organizational, and technological components was favorable but constrained by network reliability. Regular user training, routine system evaluation, strengthened technical support, improved bandwidth, and backup connectivity are therefore recommended to sustain EMR implementation and optimize its net benefits for inpatient care

Review Of The Legality And Security Aspects Of Electronic Signature Use In Electronic Medical Records At Bakti Pajajaran Regional Public Hospital Nendy Ardiansyah; Diansyah Diansyah
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1690

The implementation of electronic signatures in electronic medical records (EMRs) is intended to strengthen authentication, document integrity, accountability, and legal certainty in digital health services. This study reviewed the legality and security of electronic signature use in EMRs at Bakti Pajajaran Regional Public Hospital. A normative-empirical legal design with a descriptive qualitative approach was applied. Primary legal materials and relevant secondary literature were examined, while field data were obtained through in-depth interviews, observation, and documentation from 30 purposively selected informants representing medical records personnel, nurses, midwives, nutritionists, radiographers, information technology staff, and the head of the medical records installation. The study found that all 237 healthcare providers had used electronic signatures in the hospital information environment; however, none of the clinical electronic signatures were certified. The only certified electronic signature was used by the hospital director for administrative documents through the SRIKANDI application. Twenty of 32 reviewed medical record forms had been converted to electronic format, whereas 12 forms, particularly consent-related documents, remained manual. Major barriers included limited storage infrastructure, financing constraints, insufficient periodic socialization, and the absence of a dedicated standard operating procedure. These findings indicate that administrative adoption alone does not ensure adequate legal assurance and information security. The hospital should accelerate certified electronic signature implementation, establish specific governance procedures, strengthen security infrastructure, and provide sustainable organizational and financial support.

Evaluation Of Electronic Medical Record Implementation In Khanza Hospital Management Information System Using The Hot-Fit Method At KMM Sukabumi Eye Specialist Clinic Ratila Azzahra; Diansyah Diansyah
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1738

The implementation of Electronic Medical Records (EMR) is an important component of digital transformation in healthcare services. This study aimed to evaluate the implementation of EMR within the Khanza Hospital Management Information System (SIMRS) using the HOT-FIT method at KMM Sukabumi Eye Specialist Clinic. A descriptive qualitative design with an evaluative approach was applied to eight informants. Data were collected through direct observation, in-depth interviews, document review, and literature review. The findings showed that the Human, Organization, and Technology dimensions generally supported EMR implementation and generated benefits such as facilitating staff work, reducing duplicate documentation, improving access to patient information, and supporting service quality. Nevertheless, implementation had not yet reached an optimal level. Identified constraints included the longer adaptation period required by new users, uneven training, geographically distant IT support, incomplete utilization of Khanza SIMRS features, and monitoring and evaluation that were not conducted regularly. Basic technological infrastructure, including computers, LAN/Wi-Fi, servers, UPS/stabilizers, and daily data backup, was available; however, printer/scanner availability remained limited and network disruptions occasionally slowed BPJS bridging and service processes. Regular and equitable training, stronger and more responsive technical support, optimization of system features according to clinic needs, additional supporting devices, and scheduled monitoring and evaluation are therefore recommended to improve the sustainability and effectiveness of EMR implementation.

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