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Improvement Strategy For Outpatient Medical Record Return Delay At Jambesari Public Health Center Bondowoso Nuraini, Novita; Kiromah, Siska Ainul; Wijayanti, Rossalina Adi
International Journal of Healthcare and Information Technology Vol. 3 No. 1 (2025): July
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v3i1.4951

Abstract

The delay in returning medical records significantly affects the quality of healthcare services. It was found that at Jambesari Health Center, there is a delay in returning outpatient medical records by 80 % due to the absence of Standard Operating Procedures (SOP), lack of tracer usage, and limited information media about service hours. Therefore, the purpose of this study is to develop an improvement strategy for outpatient medical record return delay using the PDCA approach. This type of research uses qualitative. The research informan were 8 informants consisting of 6 main subjects, namely 1 medical records officer, 1 counter clerk, 1 nurse, 1 general practitioner, 1 midwife, 1 dentist and 2 supporting subjects, namely 1 head of community health center and 1 head of administration. Data collection method use interviews, observation, documentation and brainstorming. The planning phase resulted in identifying 3 priority causes from the 7M process elements, namely the absence of specific SOP for returning outpatient medical records, lack of tracer usage and insufficient information for the community regarding operating hours with improvement actions including creating SOPs related to outpatient medical record return, acquiring tracers, and using banners as information media for service hours. The implementation phase lasted for 3 months from March to May 2023, guided by previously established TOR. The checking phase revealed a decrease of record return delay by 17% after improvements, followed by the action phase, which included brainstorming and socializing SOPs every month and optimizing tracer design and medical record training.
Analysis of Factors Causing Noncompliance with Medical Record File Destruction Scheduling at Kalabahi Regional Hospital Olidela, Imanuel Nikson; Wijayanti, Rossalina Adi; Nuraini, Novita; Muflihatin, Indah
International Journal of Healthcare and Information Technology Vol. 2 No. 2 (2025): January
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v2i2.6163

Abstract

Destruction of medical records has not been carried out at Kalabahi Regional Hospital, resulting in the accumulation of medical record files that are not properly placed on storage shelves. This study aims to analyze the factors contributing to the mismatch in the scheduling of record destruction at Kalabahi Regional Hospital, based on the MOA (Motivation, Opportunity, Ability) performance theory. This research employed a qualitative approach, with problem-solving recommendations developed through brainstorming. The subjects in this study included the Head of the Medical Records Installation, the Head of the Medical Records Committee, and three filing officers. Data were collected through in-depth interviews, observation, documentation, and brainstorming sessions. Data validity was ensured using technique triangulation and source triangulation. The results of the study, based on the MOA performance theory, showed: Motivation factors included the absence of praise or reprimands from the head of the medical records installation to staff related to destruction activities. Opportunity factors included the lack of a designated room for destruction activities, insufficient filing shelves, the absence of an SOP for destruction, the absence of a dedicated destruction team, the lack of job descriptions for the destruction team, no budget planning for destruction activities, no preservation list, and no destruction tools. Ability factors included the officers' lack of practical skills and knowledge about destruction activities. Based on these findings, it is recommended to plan and implement training programs, provide praise and reprimands to filing staff regarding destruction activities, provide a designated room for destruction, increase the number of filing shelves, develop an SOP for destruction, establish a dedicated destruction team along with clear job descriptions, and allocate a budget for destruction activities.
Pendampingan Optimalisasi Manajemen Asuhan Gizi Pasien melalui Penerapan Electronic Mecial Record (EMR) dengan QR Code dan Whatsapp Bot di NCC Wijayanti, Rossalina Adi; Dewi, Riskha Dora Candra; Nuraini, Novita
SEJAGAT : Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2025): October (in Progress)
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/sejagat.v2i2.6343

Abstract

The Nutrition Care Center (NCC) at Politeknik Negeri Jember (Polije) functions as a Teaching Factory (TEFA), providing comprehensive nutritional assessment, diagnostic services, nutritional counseling, and tailored dietary plans for clients. Health services, including nutrition, necessitate accurate medical records encompassing patient identification, examinations, treatments, interventions, and other pertinent information. However, NCC's manual paper-based medical records system faces challenges. It uses age-based instead of date of birth-based record numbering, lacks standardized nutrition assessment, and lacks disease code classification. This manual system is prone to damage, loss, and demands considerable time and storage space. Since its establishment in November 2021, NCC has seen a steady increase in both internal and external clients. Collaborations with educational institutions, offices, and senior citizen groups have further boosted visits. To enhance efficiency, NCC plans to implement Electronic Medical Records (EMR) with QR Codes and WhatsApp Bots. This approach aims to simplify access to clients' medical histories, allergies, and previous therapies, while also streamlining record retrieval. EMR integration is vital in managing the complexity of nutritional services and supports NCC's mission to provide high-quality care. This initiative aligns with the 2022 Health Department's Research Masterplan and the development of TEFA services. It also reflects the growing trend of using technology, including mobile apps and Artificial Intelligence, in healthcare services. In summary, the increasing number of clients and collaborative screenings with external institutions have led to complex medical records. NCC recognizes the need for a more efficient system and proposes implementation of EMR with QR Codes and WhatsApp Bots to optimize patient care. The project's outcomes will include publications, videos, and improved partner capabilities in EMR usage for patient nutrition care at NCC.
Evaluasi RME Rawat Jalan Menggunakan Metode EUCS di RSUD Ngudi Waluyo Wlingi Wijayanti, Rossalina Adi; Rohman, Nur Cholis Abdul; Rachmawati, Ervina; Rahagiyanto, Angga
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 13 No 2 (2025)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v13i2.728

Abstract

Obstacles were found in the development of RME at Ngudi Waluyo Wlingi Regional Hospital, namely that there were registration form items that were not used, x-ray results sometimes did not appear resulting in doctors looking at the printed results, and there was no RME user manual. This study aims to evaluate outpatient RME using the EUCS method. This research is a quantitative descriptive study using the end-user computing satisfaction method. The total sample was 54 respondents using the Lemeshow formula. The data collection technique is by distributing questionnaires. User satisfaction analysis, namely the results of respondents' answers, is calculated for each variable, namely content, accuracy, format, timeliness, ease of use. The results are compared between expectations and the reality received by the user. Users are very satisfied if reality is greater than expectations. Users are satisfied if reality is the same as expectations. Users are dissatisfied if expectations are greater than reality. The research results showed that 38.89% of respondents were dissatisfied with content, 37.04% of respondents were dissatisfied with accuracy, 27.78% of respondents were dissatisfied with format, 29.63% of respondents were dissatisfied with timeliness, there were 42, 59% of respondents were not satisfied with ease of use. The suggestions given are for Ngudi Waluyo Wlingi Regional Hospital to review the output produced by RME, add validation warnings when input duplication occurs, develop the RME interface, and create a manual book for using RME.