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Implementasi Sistem Informasi Indikator Rawat Inap Berbasis Web guna Optimalisasi Manajemen Layanan di RSUD Sayang Cianjur Revita Nazwa Permata Sukma; Diansyah Diansyah; Adhita Arif Setyawan
Jurnal Pengabdian Masyarakat dan Penelitian Terapan Vol. 4 No. 3 (2026): Jurnal Pengabdian Masyarakat dan Penelitian Terapan (Juli - September 2026)
Publisher : Greenation Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jpmpt.v4i3.2297

Abstract

Pengelolaan indikator rawat inap seperti BOR, LOS, TOI, BTO, GDR, dan NDR berperan penting dalam evaluasi mutu pelayanan dan pengambilan keputusan manajemen rumah sakit. Namun, pengelolaan indikator rawat inap di RSUD Sayang Cianjur masih dilakukan secara hybrid sehingga informasi belum tersedia secara real-time dan berpotensi menimbulkan keterlambatan serta ketidaktepatan data. Penelitian ini bertujuan untuk merancang sistem informasi indikator rawat inap berbasis web guna mengoptimalkan manajemen layanan di RSUD Sayang Cianjur. Jenis penelitian yang digunakan adalah penelitian pengembangan sistem dengan pendekatan kualitatif dan metode pengembangan sistem Waterfall. Hasil penelitian berupa rancangan sistem informasi indikator rawat inap berbasis web yang mampu mengolah dan menyajikan data secara cepat, akurat, dan terintegrasi. Sistem ini diharapkan dapat menjadi solusi efektif dalam meningkatkan efisiensi pengelolaan data rawat inap di RSUD Sayang Cianjur, dan disarankan agar implementasinya disertai dengan pelatihan SDM serta evaluasi berkala untuk memastikan keberlanjutan dan optimalisasi sistem secara menyeluruh.
Analysis of the Digitalization of Inpatient Informed Consent Forms in Supporting the Implementation of Electronic Medical Records at the West Java Provincial Occupational Health Regional Hospital Calista Bella Aulia; Diansyah Diansyah
Greenation Computer and Information Review Vol. 2 No. 2 (2026): Greenation Computer and Information Review (April - September 2026)
Publisher : Greenation Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/gcir.v2i2.798

Abstract

Digital transformation in the healthcare sector is part of the national strategic agenda to improve healthcare quality, operational efficiency, and data integrity. This study aimed to analyze the digitalization of inpatient informed consent forms in supporting the implementation of electronic medical records (EMRs). A descriptive quantitative design was employed, involving a sample of 234 medical record files selected using purposive sampling. Data were collected through observation, document review, and interviews. The findings showed that, among the 234 files examined, 221 (94.4%) manual informed consent forms were complete, whereas only 48 (20.5%) were available in the EMR system. Of the complete forms, only 45 (20.4%) had been uploaded to the EMR, while 176 (79.6%) had not been uploaded. Among the 13 incomplete forms, 3 had nevertheless been digitalized and uploaded to the EMR. These findings indicate the need to improve the digitalization of informed consent forms by optimizing scanning and uploading processes, establishing relevant policies and standard operating procedures (SOPs), strengthening healthcare professional compliance, and developing electronic signature implementation that is directly integrated into the EMR system.
Evaluasi Ketepatan Pengkodean Diagnosis pada Rekam Medis Elektronik Rawat Inap dalam Mendukung Proses Klaim BPJS Kesehatan di RSUP Dr. Hasan Sadikin Bandung Citra Mayang Sari; Diansyah Diansyah
Jurnal Pengabdian Masyarakat dan Penelitian Terapan Vol. 4 No. 3 (2026): Jurnal Pengabdian Masyarakat dan Penelitian Terapan (Juli - September 2026)
Publisher : Greenation Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jpmpt.v4i3.2303

Abstract

Pengkodean diagnosis pada Rekam Medis Elektronik (RME) berperan penting dalam proses klaim BPJS Kesehatan. Penelitian terapan ini bertujuan mengevaluasi pelaksanaan pengkodean diagnosis pada RME dalam proses klaim BPJS rawat inap di RSUP Dr. Hasan Sadikin Bandung. Penelitian menggunakan metode kualitatif dengan pendekatan deskriptif. Data diperoleh melalui observasi, wawancara mendalam, dan studi dokumentasi. Hasil penelitian menunjukkan bahwa pengkodean diagnosis telah mengacu pada ICD-10 dan ICD-9-CM, namun pending klaim masih terjadi akibat ketidaktepatan kodifikasi dan ketidaklengkapan informasi klinis, terutama pada kasus dengan dokumentasi medis yang kompleks. Pada bulan April terdapat 4.926 pending klaim dan pada bulan Mei sebanyak 4.779 pending klaim. Disimpulkan bahwa kelengkapan dokumentasi medis, spesifikasi diagnosis, hasil pemeriksaan penunjang, serta koordinasi antara DPJP dan petugas coding memengaruhi ketepatan pengkodean diagnosis. Disarankan agar dilakukan evaluasi berkala dan penguatan koordinasi diperlukan untuk mendukung ketepatan pengkodean serta mengurangi pending klaim.
Implementation of Medical Record Digitalization Through The Hospital Management Information System (HMIS) in the Outpatient Department of Bhayangkara Level I Hospital, PUSDOKKES POLRI Partini Partini; Diansyah Diansyah
SYSTEMIC RESEARCH: Systemic and Information Technology Journal Vol. 2 No. 1 (2026): July 2026
Publisher : Greenation Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/systemic.v2i1.64

Abstract

Medical record digitalization through the Hospital Management Information System (HMIS) is an important initiative for improving the quality of outpatient services. This study aimed to analyze the implementation of medical record digitalization through HMIS in the Outpatient Department of Bhayangkara Level I Hospital, Pusdokkes Polri, and to identify the challenges encountered during its implementation. The study employed a descriptive mixed-method design, using a qualitative approach supported by simple quantitative data. Data were collected through observation, interviews, and document review. The findings showed that HMIS has supported patient registration, Electronic Medical Record (EMR) documentation, and service reporting, thereby improving service efficiency. However, several challenges remain, including unstable internet connectivity, insufficient user training, and data-entry errors. It is concluded that HMIS implementation has had a positive impact on service effectiveness; nevertheless, improvements in information technology infrastructure, periodic user training, and continuous monitoring and evaluation are required to optimize system utilization.
User Interface Design for Detecting Potential BPJS Patient Fragmentation at Bhayangkara Level I Hospital, PUSDOKKES POLRI Fitriani Murni; Diansyah Diansyah
SYSTEMIC RESEARCH: Systemic and Information Technology Journal Vol. 2 No. 1 (2026): July 2026
Publisher : Greenation Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/systemic.v2i1.66

Abstract

Fragmentation of BPJS patient data is a problem arising from inconsistencies in visit records, particularly repeat visits occurring within seven days, which may result in fragmented service episodes, administrative discrepancies, and complications in the BPJS claim process. This study aimed to identify the potential fragmentation of BPJS patient visits and to design a user interface prototype as a supporting solution. A cross-sectional approach was applied through observation, interviews, and documentation, while system development used the Prototype method involving registration, casemix, and Hospital Management Information System (SIMRS) personnel. The findings showed that fragmentation was influenced by repeated visits, the absence of automated validation, and limitations of the existing system in detecting repeat visits within seven days. These conditions may affect data accuracy, service efficiency, and the smooth processing of BPJS claims. The proposed prototype incorporates integrated patient-history retrieval, automated validation, an early warning system, and claim-monitoring functions. Further testing and development are required before implementation so that the prototype can support the prevention of BPJS patient-visit fragmentation and improve claim administration.
Perancangan Sistem Informasi RME pada RL 3.1 untuk Mendukung Ketepatan Waktu Pengisian Pelaporan SIRS V 6.3 di Rumah Sakit X Rindiani Rindiani; Diansyah Diansyah; Falaah Abdussalaam
Jurnal Greenation Ilmu Teknik Vol. 4 No. 3 (2026): (JGIT) Jurnal Greenation Ilmu Teknik (Agustus - Oktober 2026)
Publisher : Greenation Publisher & Yayasan Global Resarch National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jgit.v4i3.816

Abstract

Setiap Fasilitas Pelayanan Kesehatan diwajibkan untuk menyelenggarakan Rekam Medis Elektronik (RME), terutama pada pencatatan dan pelaporan indikator Rumah Sakit. Di Rumah Sakit X belum sepenuhnya menggunakan RME (hybrid) terutama pada bagian pelaporan rawat inap, pada proses pengelolaan data pelaporan masih menggunakan Microsoft Excel, ini menyebabkan ketidaktepatan waktu dan keakuratan data pelaporan. Melalui pendekatan analisis kualitatif deskriptif, dengan teknik pengumpulan data dilakukan mulai dari observasi dan wawancara serta studi pustaka. Penelitian bertujuan untuk merancang dan mengembangkan sistem informasi RME pada pelaporan yang terintegrasi dengan format pelaporan SIRS V 6.3 yaitu pada RL 3.1 Indikator Pelayanan Rawat Inap menggunakan Microsoft Visual Studio 2026 dan Database Microsoft Access dengan menggunakan metode pengembangan perangkat lunak model Waterfall meliputi fase analysis, design, implementation, testing dan maintenance. Sistem dirancang untuk meningkatkan ketepatan waktu pelaporan, akurasi perhitungan data serta efisiensi pengelolaan data. Desain sistem dirancang menggunakan Flowmap, Diagram konteks, Data Flow Diagram, Entity Relationship Diagram. Dengan hasil perancangan sistem pelaporan yang dirancang peneliti, yaitu menyajikan user interface, form dashboard, form data petugas, form sensus harian, form rekapitulasi kegiatan pelayanan rawat inap dan form indikator pelayanan rawat inap.
Review of the Completeness of Filling Out the Medical Procedure Consent Form (Informed Consent) for Inpatient Surgical Patients at Dr. Soedirman Regional General Hospital Kebumen Ananda Rizqy Azhar; Diansyah Diansyah
Dinasti Health and Pharmacy Science Vol. 3 No. 2 (2025): Dinasti Health and Pharmacy Science (October - December 2025)
Publisher : Dinasti Research & Yayasan Dharma Indonesia Tercinta (DINASTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dhps.v3i2.2827

Abstract

The informed consent form is a mandatory legal document that must be completed before any medical procedure, especially surgical interventions. The completeness of informed consent is essential to ensure patient safety, fulfill ethical standards in healthcare services, and provide legal protection for both medical personnel and hospitals. In practice, however, incomplete informed consent documentation is still frequently found, which may reduce the quality of medical records and increase the risk of medico-legal disputes. To determine the completeness of informed consent documentation for inpatient surgical patients at RSUD Dr. Soedirman Kebumen and to identify the components most frequently left incomplete. This study employed a quantitative descriptive design with a sample of 118 inpatient surgical medical records. Data were collected using an observation checklist based on key informed consent components, including patient identity, attending physician’s signature, clarity of procedure information, and date and time of consent. The data were analyzed descriptively by calculating the frequency and percentage of completeness for each component. Of the 118 records analyzed, 90 records (76.3%) were categorized as complete, while 28 records (23.7%) were incomplete. The highest rate of incompleteness was found in the clarity of procedure information component, with 24 incomplete records (20.3%). The attending physician’s signature was incomplete in 12 records (10.2%). Meanwhile, patient identity and date and time components each showed 3 incomplete records (2.5%). The completeness of informed  consent documentation for inpatient surgical patients at RSUD Dr. Soedirman Kebumen is categorized as adequate but does not yet meet the ideal standard (≥90%). The components most frequently incomplete were clarity of procedure information and attending physician’s signature. Improvements in healthcare personnel compliance, document format refinement, and strengthened verification systems are necessary to enhance the quality of informed consent documentation.